Equisetum Hyemale equis.

GENITO-URINARY TRACT.

At close of urination. Pressure.

Aching, full, tender bladder. Cystitis. Prickling, burning, or cutting in urethra. Dysuria. NOCTURNAL ENURESIS; with irritable bladder. Dribbling urine. Mucus in urine.

Complementary: Sil. Related: Canth.

Sever dull pain in the bladder, as from distension, not > after urinating. Frequent and intolerable urging to urinate, with severe pain at close of urination (Berb., Sars., Thuja). Constant desire to urinate; large quantity of clear, watery urine, without > (scanty, a few drops, Apis, Canth.). Sharp, burning, cutting pain in urethra while urinating. Paralysis of bladder in old women. Enuresis diurna et nocturna: profuse watery urine, where habit is the only ascertainable cause.

Compare: Apis, Canth., Fer. p., Puls., Squilla.

Scouring-rush (EQUISETUM)

Principal action on the bladder. A remedy for enuresis and dysuria.

Severe, dull pain and feeling of fullness in bladder, not relieved by urinating. Frequent urging with severe pain at the close of urination. Urine flows only drop by drop. Sharp, burning, cutting pain in urethra while urinating.

Incontinence in children, with dreams or night-mares when passing urine. Incontinence in old women, also with involuntary stools. Retention and dysuria during pregnancy and after delivery. Much mucus in urine. Albuminuria. Involuntary urination.

Deep pain in region of right kidney, extending to lower abdomen, with urgent desire to micturate. Right lumbar region painful.

Worse, right side; movement, pressure, touch, sitting down; better, in afternoon from lying down.

Compare: Hydrangea; Ferr phos; Apis; Canth; Linaria; Chimaph. Equisitum contains silica in appreciable quantity.

Tincture, to sixth potency. A decoction, teaspoonful doses, or the tincture in hot water, is found useful to allay irritability of urinary tract, calculus, dysuria, etc; also for pleuritic effusion and dropsy.

This remedy is sometimes successful in cases which are not relieved by Cantharis. There is as much inclination to urinate as with Cantharis, and there is pain in the bladder, as if too full of urine, which must be voided in order to get relief from both pain and pressure, but urinating does not satisfy and he must soon go again. There is burning in the urethra when urinating, but there are larger quantities of urine discharged than with Cantharis, which has characteristically very small amounts, but often repeated, even but a few drops at a time. Equisetum, like Chimaphila, sometimes shows excess of mucus, and it is also very useful in enuresis. Both Chimaphila and Equisetum need further proving to draw out their characteristic. Equisetum sometimes has severe pain at the close of urination. (See Berberis, Natrum mur., Sarsaparilla, Thuja).

Frequent inclination to urinate, with pain in bladder as if too full, which must be relieved; normal quantity at a time, sometimes excess of urine.

Equisetum hyemale. Scouring Rush. A rush growing in damp soil in Europe and America. N. O. Equisetaceæ. Tincture of fresh plant chopped and pounded to a pulp.

Cystitis. Dropsy. Enuresis. General paralysis. Gleet. Gonorrhœa. Gravel. Hæmaturia. Urine, retention of.

The chief effects of Equisetum are found in the urinary organs. Pain in the kidneys (especially right), in the bladder and urinary passages. Constant desire to urinate, and passes large quantities of clear, light-coloured urine without relief. Pain in bladder as from distension. Retention and dysuria; especially in women during pregnancy and after confinement. Enuresis. Wets bed at night; when he dreams he always sees a crowd of people. Equis . has: Severe dull pain which does not lessen after urination; irritation of the bladder, especially in women. Linaria has enuresis, with frequent painful urging to urinate, causing the patient to rise at night (Farrington). It relieved loss of control over bladder and rectum in a case of general paralysis. Carcinoma uteri is said to have been cured by it. Pain in sacro-iliac joints. < From pressure or contact; moving; sitting. Eating > pain in temples; lying on back > pain in back: continued motion > pains in back and knees.

Compare: Apis, Cannabis, Canthar., Fer. phos., Puls.; Canth. comes closest; there is less bleeding, tenesmus, scalding, and fibrinous flakes than with Canthar., but more mucus.

Very irritable and easily fatigued.

Severe headache with intense pain in upper part of eyes or roof of orbit. — Headache with heat of face without redness. — Constrictive feeling across forehead. — Sticking, darting pains changing locality. — Constriction of whole scalp, as if drawn tightly over whole skull; continual desire to wrinkle up forehead. — Skin over frontal bone very tight, with feeling of skin continuing to contract.

Severe pain in roof of r. orbit. — Sharp pain in outer angle of r. eye.

Dull, transient pain and stiff feeling behind l. mastoid. — Confused feeling in ears. — Confusion of sounds; confused noises; fearful rumbling.

Face flushed, feeling of heat. — As if blood pressed into face. — Heat and burning without redness.

Sharp sticking in throat.

Excessive hunger; appetite greatly increased throughout the proving.

Distended feeling. — Dull, heavy pains in either side of lower abdomen and bladder, with frequent desire to urinate; the desire to urinate, which is constant, is not > by urinating. — Slight pain in bowels with desire for stool, not urgent, early in morning; three stools during the morning, quite thin; during the whole day frequent inclination for stool with slight pain in bowels; no diarrhœa. — Severe pain in lower abdomen with passage of fetid flatus. — Sharp pain in hypogastrium with sticking-like pains in anus (11 a.m.). — Sharp pains on either side of hypogastrium; extending to middle line.

Smarting in anus during and after stool. — Stool with great flatulence. — Stool with aching in anus and feeling as if rectum would protrude, followed by smarting in anus and a feeling as if some fæces still remained.

Slight pain in r. kidney, then in l., extending down l. side of sacrum. — Dull pain in r. kidney, with urgent desire to urinate; had urinated only a few minutes before and now passed four ounces of clear light-coloured urine. — Pain in bladder as from distension. — Severe dull pain in bladder not > by urinating; continued some days after taking the drug, and caused him to fear inflammation of the bladder. — Tenderness in region of bladder, and r. side of lower abdomen, extending upward from groin; same but less marked l. side. — Pain and tenderness in bladder region with soreness of testicles, extending up spermatic cords. — Excessive burning in urethra while urinating. — Sharp, cutting pain in urethra. — Pricking in urethra a short distance back from meatus. — Biting itching in meatus < scratching. — Great desire to urinate but only a small quantity passes. — Urgent desire to urinate with prickling and soreness of meatus from contact and pressure. — Obliged to rise several times at night to urinate. — Profuse urination, with burning in urethra and sharp pain at root of penis. — Later passes smaller quantities and darker. — Passed small amount but felt as if he had not urinated for hours; the amount grew less each time but the desire increased. — Urine cloudy. — Great excess of mucus on standing. — Enuresis, nocturnal and diurnal.

Violent erections; in the afternoon. — Soreness of testicles and cords; < l.

18, 19. Chest and Heart. — Sharp stitch in l. breast one inch to l. and over nipple. — Sharp pain in region of heart < by inspiration.

Pains in back esp. while sitting, > lying on back and walking. — Heavy sensation like a lump in r. lumbar region. — Severe rheumatic pains in region of sacro-lumbar joint, and through l. hip-joint extending down outer side of l. leg, ending in front three inches above knee.

Pain in upper part of shoulders and in region of vertebra prominens, < by least motion or contact. — Pain in r. shoulder to middle of upper arm. — Pain in l. shoulder with shivering over body and great heat of head.

Pain in r. hip-joint and near knee-joint. — Knees very weak on least exertion. — Dull, heavy pain under l. patella. — On awakening, sharp pain inner side of l. knee, > after moving about a short time.

Very sleepy, eyelids heavy. — Sleep much disturbed by tiresome dreams of many persons, places, and things.

Creeping chills beginning below and creeping up back.

Scouring Rush. Equisetaceæ.
A rush, growing in damp soil in Europe and North America.
The tincture is prepared from the fresh plant, chopped and pounded to a pulp.
A popular remedy for dropsy, suppression of urine, gravel, hæmaturia, gonorrhœa and gleet.
Proved by Smith, De Korth, and Chapin. See Allen's Encyclopædia, vol. 4, p. 204 .
CLINICAL AUTHORITIES.
Enuresis of children . Hom. Ztg., vol. 101, p. 23 ; Enuresis , Mitchell, Organon, vol. 2, p. 233 ; Dysuria (Infusion), Marsden, Hale's Therap., p. 223 ; Enuresis (20 cases mentioned), Carmichael, B. J. H., vol. 34, p. 392 ; General paralysis , Heath, Hahn. Monthly, Sept., 1877.

(OBS :) Dyspepsia, with obstinate acidity of stomach.

Dull pain in region of right kidney, with urgent desire to urinate.
Pain and tenderness in region of bladder, with soreness of testicles, extending up spermatic cords.
Tenderness in region of bladder on pressure.
Tenderness in region of bladder, and right side of lower abdomen, extending upward from groin ; same in left but more on right, in forenoon.
Pain in bladder, as from distension.
Severe and dull pain in bladder, not > after urinating.
Dysuria of women, with extreme and frequent urging to urinate, with severe pain, especially immediately after urine is voided.
Sharp, cutting pain in urethra.
Excessive burning in urethra while urinating.
Extreme and frequent urging to urinate, with severe pain, especially immediately after urine is voided.
Frequent desire to urinate, during afternoon, with biting sensation in urethra during and after urination.
Constant desire to urinate, and pass large quantities of clear light-colored urine without relief.
Profuse flow of urine night and day, pain after urination ; involuntary urination without pain.
Enuresis diurna et nocturna of children.
Enuresis nocturna, when there is no tangible cause, except a habit.
Obliged to get up several times during night to urinate.
Great desire to urinate, but only a small amount passed each time.
Amount of urine grows less each time he urinates, but the desire increases.
Passed small amount of urine, but felt as though had not urinated for hours.
Urine high-colored and scanty.
Urine on standing shows great excess of mucus, otherwise normal.
Painful urination with albuminous urine.
Cystitis.
General paralysis in an old woman, in whom control over stools and urine, long completely lost, was rapidly restored.

Dysuria, especially in women during pregnancy and after confinement.

Wets bed at night ; when he dreams, he always sees crowds of people. (Enuresis)

Day : profuse flow of urine.
Forenoon : more tenderness of abdomen right side.
Afternoon : frequent urging to urinate.
Night : profuse flow of urine ; obliged to get up several times to urinate ; wets bed.

Left : tenderness of lower abdomen.
Right : dull pain in region of kidney ; tenderness of side of lower abdomen.

Pain : in bladder.
Severe pain : in bladder.
Sharp cutting pain : in urethra.
Biting sensation : in urethra.
Burning : in urethra.
Soreness : of testicle.
Tenderness : in region of bladder ; right side of lower abdomen extending upward from groin.
Dull pain : in region of right kidney ; in region of bladder ; in bladder.

Pressure : tenderness of bladder.

Compare in bladder troubles Apis, Cannab., Canthar., Ferr. phos., Pulsat .

A tincture is made of the whole plant of Equisetum hyemale, L.

The most prominent effects are noticed on the urinary tract, especially on the bladder.

Cantharis.

Stiffness of muscles of trunk. ▶ Uneasiness in different parts; U. in evening. ▶ General malaise. ▶ Weakness. ▶ Irritability and easy fatigue.

Neuralgia at night in different parts, agg. left temple. ▶ Aching all the morning; at noon, with pain in upper part of eyes or roof of orbit; with inclination to scowl; stupefying, about 4 o'clock, heaviness; all day, with general prostration; of brain at 9 A.M., with dullness; at 10.15 A.M., with dullness and with constriction through temples and weakness from the slightest exertion; in afternoon, with inability to study; with confusion; with pain above right temple; as if it would fall forward at 9.30 A.M. ▶ Vertigo; on moving head; with wavelike pains in head and intermittent lightness, and on walking feeling as if he would fall.

Aching; over right eye; at 9.30 A.M., with tightness of scalp and pain in roof of right orbit; across F. and upper part of eyes and through temples at 10.25 A.M.; with hot and rather flushed face; changing to occiput, then darting from left to right side of occiput; deep-seated, with prickling of skin on rubbing. ▶ Prickling as from electricity in evening and on rubbing. ▶ Fulness, with pain and feeling as if skin of F. were tight, agg. looking up, with heat in face, but no redness; F. as if all the brain were packed in front, at 9.30 A.M. constriction, and in vertex; across F. and in left temple at 10.10 A.M., as if scalp were too tight; C. in F. and through temples in afternoon, with shooting through temples, agg. right, the pains in temples agg. movement and in open air, not amel. quiet but amel. eating. ▶ Heavy dull feeling at 11.30 A.M., and in temples.

Sticking near left at 9 A.M., extending in a straight line on anterior of forehead to right temple, then darting pains extending to vertex; occasional S. in left at 10 A.M., S. darting from one to the other, with a heavy, drowsy sensation. ▶ Darting in each; in left at 10.45 A.M., agg. in open air and extending over left eye, in roof of orbit. ▶ Boring in left at 11.45 A.M.; B. in left, darting to right. ▶ Sharp pains; in left at 9.30 P.M., extending to supraorbital region, with redness and burning of face; suddenly in right at 11.25 A.M.; intermittent in left at 11 A.M., extending to roof of left orbit. ▶ Pain over right; in right at 9.25 A.M.; P. at 10.45 A.M., with heat in face and forehead; through T. in afternoon and evening; agg. left, then the pain moved in a straight line from one T. to the other. ▶ Constricting through T. at 12.45 P.M.

Pain. ▶ Weight. ▶ Heaviness at 12.30 P.M., with pain through temples.

Sticking near lambdoidal suture; S. on left side of occipital bone, near superior curved line. ▶ Darting on sides of bones, near superior curved line. ▶ Sharp and quick pains near left superior curved line. ▶ Boring changing from side to side. ▶ Drawing pain in evening, and in neck.

Tight feeling, with continual inclination to raise and wrinkle the brow, which when wrinkled requires an effort to smooth again.

Pain in left; in roof of right orbit at 10.20 A.M. ▶ Sharp pain in outer angle of right at 4 P.M. ▶ Heavy sleepy feeling in lids. ▶ Soreness of left ball in evening.

Pain at back of left mastoid process at 12.40 P.M., with a stiff feeling. ▶ Sounds intermingle so as to be indistinguishable. ▶ Confused sounds, agg. left. ▶ Rumbling, with dullness and heaviness of head; R. in left, then confusion of sounds.

Flushed face at 1.25 P.M., with hot feeling. ▶ Feeling as if blood pressed into the face, agg. forehead. ▶ Salivation at night, causing frequent desire to swallow. ▶ Sticking in throat at 1.30 P.M.

Excessive hunger. ▶ Much wind at night. ▶ Acidity. ▶ Pain in region of pyloric orifice; in epigastric and umbilical regions; heavy, after every meal. ▶ Uneasiness; in epigastric and right hypochondriac regions. ▶ Burning over epigastric region.

Emission of much flatus with the stool. ▶ Distended feeling at 11.30 A.M. ▶ Feeling as before diarrhœa. ▶ Sharp pain above crest of right ilium at 10.45 A.M.; above crest of left ilium at noon; in hypogastrium at 11 A.M., with sticking in anus. ▶ Pains frequently during the day, with desire for stool, three thin stools in the morning. ▶ Pain in hypogastrium at 11 A.M., with passage of flatus; at 12.50 P.M., with passage of much fetid flatus; above crest of left ilium at 1.40 P.M. extending forward to median line of body. ▶ Heavy pain in both sides of hypogastrium and in bladder, with frequent desire to urinate, the desire not amel. micturition. ▶ Soreness in hypogastric region on pressure; S. in right side of H. region in morning and in region of bladder.

Smarting during and after stool. ▶ Aching during stool, with feeling as if rectum would protrude, and after the stool smarting in anus, with sensation as if some fæces remained.

▶ Pain in bladder, not amel. micturition; in region of bladder pain and tenderness, with soreness of testicles, extending up spermatic cords. ▶ Pain in bladder as from distention; with pricking in urethra during and after micturition. ▶ Tenderness in region of bladder and in lower abdomen, extending upward from groin, agg. right side, in forenoon. ▶ Constant desire to urinate, not amel. copious discharges of clear light-colored urine. ▶ Urging, but only a small quantity is passed each time. ▶ Frequent desire in afternoon, with biting in urethra during and after micturition; frequent D., the urine has an ammoniacal smell; frequent D., with cramplike pain in hypogastric region which was amel. by micturition. ▶ Frequent micturition, the quantity growing less each time while the desire increase; frequent M. at night.

Pricking at 10.15 A.M.; a short distance from meatus at 11.10 A.M., when urinating; during the frequent and profuse micturition, with biting. ▶ Prickling of meatus, with soreness from touch or pressure. ▶ Cutting at 12.35 P.M. ▶ Pain at 11 A.M., and in testicles. ▶ Smarting on urinating extending back an inch from meatus, with prickling. ▶ Biting itching in meatus at 2.25 P.M., agg. scratching. ▶ Burning when urinating; and sharp pain in root of penis; in forepart during copious micturition.

▶ Scanty and high-colored; S., with feeling as if he had not urinated for hours. ▶ Copious; in morning; in morning on waking and pale; with pressure in vesical region, heavy aching over left kidney and sharp pain in left hypochondrium; and specific gravity higher. ▶ Darker. ▶ Specific gravity diminished. ▶ Cloudy on standing a short time. ▶ Showed great excess of mucus after standing a short time. ▶ (Compare all urinary symptoms with Cantharis.).

Nocturnal enuresis. ▶ Curative even when vesical irritation is marked, especially in women (Eup. purp.)., and urine contains blood and mucus. ▶ Cystitis, with tenderness over region of bladder and pain as from distention. ▶ Dysuria during pregnancy and after confinement. ▶ Dysuria, extreme and frequent urging with pain, agg. just after micturition. ▶ Incontinence of urine in old men. ▶ Weakness of bladder, dribbling, in insane people who will not attend to the bladder.

Pain in penis on urinating; with burning. ▶ Violent erections. ▶ Sharp pain in right testicle just before urinating. ▶ Pain in testicles and cords, agg. left. ▶ Soreness of testicles and spermatic cords, agg. left ; and the cords seem gone the whole length. ▶ No desire.

Shooting through lungs; S. in left breast an inch to left and over nipple at 1.30 P.M. ▶ Pain in centre at 12.50 P.M. on any forward movement; P. in right, agg. evening, with pain in right lung preventing filling it with air, agg. next morning, and at 9 P.M. feeling as if both lungs were becoming congested; under sternum at 10.30 A.M., on deep breathing; P. in right lung between fourth and fifth ribs. ▶ Soreness.

Sharp pain at heart; at 1.50 P.M., inspiration. ▶ Rapid pulse.

Pain at 10.30 A.M. extending to shoulders on motion. ▶ Stiffness of muscles.

Pain in morning, amel. lying on back and walking, agg. sitting; P. all the afternoon, with throbbing pain in left temple, then in right, with constriction of whole scalp; on movement; agg. sitting. ▶ Pain in scapulæ, agg. through left. ▶ Soreness in right scapula; in left on movement of left arm. ▶ Lameness below lower angle of scapulæ, agg. motion or deep breathing.

Pain, agg. right; P. at 12.30 P.M., agg. sitting still; P. extending along coccyx; in two lower vertebræ; in region of right kidney, with urging to urinate; in right kidney at 9 P.M., then in left, extending down left side of sacrum. ▶ Heavy pain in morning on waking; H. pain over right kidney; over kidney preventing sleep the first part of the night. ▶ Heaviness like a lump over right hip-joint. ▶ Rheumatic pain in region of sacro-lumbar articulation and through left hip-joint, at 2.30 P.M. extending down outer side of left leg, ending in front three inches above knee, amel. lying on back and by quiet, agg. beginning to move, but amel. continued motion, in back and hips the pains were gnawing and deep-seated, but not continuous. ▶ Soreness of kidneys; agg. right.

Sharp pain in left shoulder at 11.15 A.M., with general shivering and heat in head. ▶ Pain in upper part of shoulders and in region of vertebra prominens from 10 A.M. till 1 P.M. agg. motion or touch; in right shoulder at 10.15 A.M., extending to middle of upper arm. ▶ Occasional sharp pain through left hip and in lumbar region at 12.45 P.M. ▶ Pain in right hip-joint and near knee. ▶ Sharp pain in inner side of left knee in morning on waking, amel. walking. ▶ Heavy pain under left patella at 12.15 P.M. ▶ Weakness of knees on least exertion.

Tension of forehead; at night, agg. opening of eyes, with confused, disconnected dreams where many persons were present.

Sleepiness in forenoon; at 2 P.M., heaviness of eyelids; at 5 P.M., with headache and tension of integument of forehead. ▶ Sleep unrefreshing; with headache on waking in the morning. ▶ Restless night. ▶ Intermittent sleep, constant change of position. ▶ Sleep disturbed and full of tiresome dreams of many persons, places and things. ▶ Sleep crowded with confused dreams of many people.

Chills run up back at 12.35 P.M. ▶ Heat of face from 1 till 2 P.M., without redness. ▶ Burning in face, neck and right ear at 1.40 P.M., without much redness.

Pain in the bladder, not > micturition.
Pain in the bladder as from distention; tenderness, extending upward, especially on the right side.
Constant desire to urinate, not > copious micturition.
Constant urging, but only a small quantity is passed.
Urine generally scanty and high-colored, contains much mucus.
General aggravation immediately after micturition.