The Ipecac patient is usually quiet, irritable, and indifferent, especially during acute illness. Children become obstinate and weep without cause. There is a notable tendency toward silent suffering, interrupted only by sharp complaints of distress during nausea or spasmodic cough. [Kent] observes a kind of sullen displeasure or emotional distance. A child may slap away comfort or remain motionless in a corner during sickness. In some cases, the patient becomes morbidly sensitive, particularly to smells or oppressive warmth.
Sleep
Drowsy but restless. Sleep disturbed by nausea or cough. Children moan or startle in sleep. Dreams unpleasant or anxious.
Dreams
Vague, oppressive dreams related to suffocation or drowning. Dreams of illness or vomiting. Nightmares in sick children.
Generalities
Symptoms often appear suddenly and violently, especially in children. Persistent nausea with clean tongue is diagnostic. Worse from heat, motion, and the smell of food. Better in open air. Marked haemorrhagic tendencies with bright red blood. Sudden vomiting, spasmodic cough, and asphyxiation-like episodes are the hallmark.
Fever
Fever with chill, nausea, and vomiting. Skin is hot and dry, face flushed or pale. Heat alternates with chill. Pulse is rapid, especially during nausea or cough. Fever may accompany gastroenteritis, bronchitis, or uterine haemorrhage.
Chill Heat Sweat
Chill with shivering, especially along the back. Heat of face or head may alternate with chills. Cold sweat with faintness or haemorrhage. Sweat is clammy, cold, and often unsupportive.
Head
Headache is commonly accompanied by nausea and vomiting. Pain is often pressing or bursting, especially in the forehead, and worsens with motion. There is a sensation of constriction around the head. Vertigo with nausea is a classic combination. [Boericke] describes the head as hot and heavy, often with a pale face, worse in a warm room. During fevers, there may be throbbing and pulsation.
Eyes
Eyes appear glassy and dull during sickness, often with pale face and sunken features. Lachrymation may accompany nausea or cough. Pupils may dilate during vomiting or fever. The orbits may show blue discolouration in children during gastroenteritis.
Ears
Buzzing, humming, or ringing noises may accompany vertigo or fever. Ears are sensitive to loud noises. In children, pulling at the ears may be seen during colic or nausea.
Nose
Bleeding from the nose (epistaxis) may occur, especially during fevers or respiratory spasms. Coryza with sneezing may be present, but is not characteristic unless linked with cough or nausea.
Face
Face is pale, sunken, and often cold to the touch during nausea or faintness. Lips may be blue or livid in asthmatic attacks. Expression is suffering and anxious, particularly in children. Alternate redness and paleness of the face may occur during spasmodic complaints.
Mouth
Notably, the tongue is clean or only slightly coated, despite severe gastric or respiratory disturbances—a keynote of Ipecacuanha. Saliva is increased during nausea. Metallic or bitter taste may be present, though not prominent. The mouth may feel cool or clammy.
Teeth
Teeth may chatter during chills. No marked dental pathology, but teeth may be clenched during spasms or vomiting episodes.
Throat
Sensation of constriction or tickling leading to cough or vomiting. Throat may feel raw during spasmodic coughing. Slight redness or mucus may be present in acute catarrh. Swallowing food may provoke retching.
Chest
Ipecac is one of the most important remedies in bronchitis, asthma, and spasmodic coughs. There is rattling of mucus in the chest, but very little is expectorated. The cough is violent, suffocative, and ends in gagging or vomiting. Worse in warm room, at night, and lying down. The patient may clutch the chest, bend forward, and retch violently. Children with bronchiolitis who become cyanotic and vomit phlegm often respond to Ipecac. The chest feels tight or constricted. Shortness of breath, wheezing, and anxious gasping are marked. Blood-streaked sputum may occur in pertussis.
Heart
Palpitations with faintness, especially in uterine haemorrhage. Cold sweat and fluttering. Pulse is weak, soft, and rapid during acute vomiting or haemorrhage. Faintness with clean tongue and pale face is diagnostic.
Respiration
Short, sighing, gasping breathing. Threatened suffocation from mucus or spasm. Particularly useful in asthmatic attacks with gagging and vomiting, especially in children. [Boericke] highlights the rattling, obstructive quality of the breath, yet little expectoration. Cough and dyspnoea come in paroxysms. Patient desires fresh air.
Stomach
Ipecac is a remedy of constant, relentless nausea—the kind that is not relieved by vomiting. This is its keynote. Vomiting may follow, but the nausea persists, unlike most other remedies. Vomiting is of mucus, bile, blood, undigested food, or in pregnancy. There is often an empty, sinking feeling in the stomach, yet eating may intensify the suffering. [Clarke] describes a rising nausea that dominates all other symptoms. Even after vomiting, there is little relief. Appetite is lost. Cramping, pressure, and painful distension accompany the nausea. Gastric symptoms are worse in a warm room or after rich food.
Abdomen
Colic and cutting pains, especially around the umbilicus, are frequent. Distension with flatulence may occur. Borborygmi with nausea is common. Griping pain before stool, especially in dysentery or enteritis. Pressure over the stomach offers little relief. The abdomen may feel cold or soft despite spasms.
Rectum
Diarrhoea or dysentery, often with nausea preceding and during stool. Stools are green, frothy, or contain blood and mucus. Tenesmus may persist after evacuation. Stools are passed with much straining and discomfort. Involuntary stool may occur in children during convulsions or vomiting spells.
Urinary
Scanty, dark, and offensive urine. Nausea may be accompanied by chilliness in the bladder region. Urinary symptoms are not prominent but may include urging during gastrointestinal upset.
Food
Aversion to all food, especially to rich, fatty dishes. Smell of food induces nausea. May desire cold drinks, but these may be vomited. Sweet things, meat, and warm food aggravate. [Kent] remarks on the patient’s inability to take anything without nausea.
Male
Not characteristic, though may be useful in cases of haematuria or urethral bleeding associated with violent spasms.
Female
Nausea in pregnancy—violent, continuous, and unrelieved by vomiting—is a classic keynote for Ipecac. Menorrhagia or uterine haemorrhage with bright red blood, especially when accompanied by nausea and faintness. Post-partum haemorrhage with cold sweat and weak pulse. Threatened abortion with nausea and cramping. [Hering] notes excessive uterine bleeding with a clean tongue and pale face.
Back
Chilliness runs along the back. Weakness in the lumbar region during gastric disturbances. Pain in the sacrum after prolonged coughing. Shuddering up and down the spine with nausea.
Extremities
Trembling of hands and limbs during vomiting or bleeding. Coldness of feet and fingers with weakness. Cramps in calves or thighs during spasms. Children may stiffen or arch during convulsive coughs.
Skin
Pale, cold, and clammy during acute attacks. Cold sweat accompanies nausea, bleeding, and faintness. Urticaria or red spots during fever or gastric complaints. Not primarily a skin remedy, but useful in acute exanthemata with nausea.
Derived from the dried root of the tropical shrub Cephaëlis ipecacuanha, native to Brazil and South America. Contains the alkaloid emetine, known for its strong emetic and expectorant properties.
Traditionally used to induce vomiting in poisoning cases; also used in small doses to treat coughs and respiratory tract infections.
Proved by Hahnemann and published in Materia Medica Pura. Further insights by Allen, Hering, and Boenninghausen.
Stomach – persistent nausea, vomiting
Respiratory system – spasmodic cough, asthma, mucus accumulation
Gastrointestinal tract – colic, diarrhoea with nausea
Uterus – post-partum haemorrhage, nausea in pregnancy
Tongue and mouth – clean tongue with severe gastric symptoms
Circulation – haemorrhagic tendencies with bright red blood
Nux vomica – More irritable; nausea relieved by vomiting; tongue coated
Antimonium tart. – Rattling chest, great weakness, but with more sleepiness
Phosphorus – Nausea with thirst for cold drinks; anxiety and burning
Arsenicum – Restlessness, thirst, vomiting, more chill and fear
Veratrum album – Profuse vomiting and cold sweat; great collapse
Complementary: Arnica (after injury with nausea), Belladonna, China
Antidotes: Nux vomica, Arsenicum
Follows well: Aconite, Antimonium tart.
Precedes well: Phosphorus, Pulsatilla
Ipecacuanha embodies unrelenting nausea—a state where the stomach revolts, but the system finds no relief. This remedy’s genius lies in its application to acute conditions with spasmodic expulsive efforts, be they vomiting, coughing, bleeding, or convulsions. The patient is sensitive, silent, and pale—often passive but suffering intensely. It shines in paediatric cases, respiratory illness with mucus retention, and obstetric emergencies with haemorrhage and faintness.
Think of Ipecac when vomiting does not relieve nausea
Essential in infantile bronchiolitis with rattling cough and no expectoration
Useful in nausea of pregnancy and post-partum haemorrhage
Cough that ends in vomiting is a classic indication
Responds well to early stage of whooping cough, especially in children
Stomach
Nausea, constant, not relieved by vomiting
Vomiting, of bile, mucus, blood
Clean tongue with gastric symptoms
Chest
Cough, spasmodic, ends in vomiting
Cough, with suffocation
Asthma, with gagging and nausea
Female
Menses, excessive, bright red blood
Nausea during pregnancy
Haemorrhage after delivery, with faintness
Mind
Irritability during nausea
Weeping, children, without cause
Fever
Chill with nausea
Cold sweat with faintness
Samuel Hahnemann – Materia Medica Pura: Original proving; persistent nausea and vomiting
James Tyler Kent – Lectures on Homoeopathic Materia Medica: Mental state, clean tongue, obstetric indications
John Henry Clarke – Dictionary of Practical Materia Medica: Confirmed gastric and haemorrhagic tendencies
William Boericke – Pocket Manual of Homoeopathic Materia Medica: Asthma, bronchitis, and spasmodic cough
C. Hering – Guiding Symptoms of Our Materia Medica: Violent spasms, uterine bleeding, paediatric focus
Disclaimer: The content on this page is for educational purposes only and is not medical advice. Always seek guidance from a qualified healthcare professional before starting any treatment.
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