Jalapa

Last updated: September 27, 2025
Latin name: Jalapa
Short name: Jal.
Common names: Jalap root · Purga de Jalapa · Mexican jalap · Purging bindweed · Purging convolvulus
Primary miasm: Syphilitic
Secondary miasm(s): Psoric, Sycotic
Kingdom: Plants
Family: Convolvulaceae
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Information

Substance information

Jalap is the dried tuberous root of a Mexican morning-glory (Convolvulaceæ), long famed as a drastic hydragogue purgative. Its active resin (jalapin with allied convolvulin-bodies) violently irritates the small intestine, producing profuse watery stools with griping and tenesmus; larger doses cause emesis, colic, collapse and great prostration [Hughes], [Allen], [Clarke]. For homœopathic use the dried root is tinctured or triturated; Allen collates provings and toxicology from crude drug and resin, yielding a compact picture centred on nocturnal abdominal irritability, explosive diarrhœa and the peculiar “children, good by day—cry all night” keynote [Allen], [Hering], [Clarke], [Boericke]. The motor–secretory storm of jalap’s pharmacology (peristaltic overdrive, serous outpouring, gas-rush) explains the later symptoms: gurgling “as through a tube,” flatulent distension, spasmodic cramp of belly and calves, and post-evacuation faintness [Hughes], [Allen].

Proving

Knowledge rests on small [Proving]s, ample [Toxicology] of the resin and root, and numerous [Clinical] observations in infantile and adult diarrhœas: tearing, griping, spasmodic colic—especially at night; incessant restlessness; gurgling in bowels; frequent watery, sometimes frothy stools with noisy flatus; vomiting on food in some; cramps of calves and hands; cold sweat and post-stool faintness; children scream all night yet are cheerful by day [Allen], [Hering], [Clarke], [Boericke].

Essence

Jalapa is, in essence, the remedy of the “noisy night-gut.” With sunset, the bowel becomes a resonant tube; gas and fluid rush and splash; cramping grips in waves about the umbilicus; the anus is driven to repeated, watery, often frothy evacuations, each noisy with flatus; and an infant who was sunny and playful all day now screams, draws up the legs, tosses and cannot be pacified unless pressed and warmed. Then, with morning, as if a switch were turned, quiet returns; the belly softens, the child smiles, and the household doubts the night’s reality—until the next evening recapitulates the cycle. This clear diurnal polarity (worse night, better day) is the centre of gravity of Jalapa’s portrait [Clarke], [Boericke]. Around it gather modest but reliable satellites: the relief from steady hand-pressure and warm flannel upon the abdomen; the short lull after a passage of flatus or a stool; the aggravation from the least motion (which starts the gurgling) or from cold—cold air, cold food, cold drink, uncovered belly; the propensity of milk and fruit to provoke the night-storm; the occasional association of calf or hand cramps with a bad rush, and the brief faintness and chill after stool [Allen], [Hering].

This is not a deep, destructive remedy; it is a functional regulator of over-driven peristalsis and serous outpour. Kingdom-wise (Convolvulaceæ resin), its action is on small intestine motor–secretory mechanisms; pharmacology perfectly mirrors symptomatology—hydragogue purgation with griping followed by emptiness, and flatulent turbulence within narrow bowel. Miasmatically the action is largely psoric–functional, with a syphilitic dip in collapse-prone infants if losses are unchecked; sycotic recurrency is seen in households where every summer evening brings a similar story. Prescribing hinges on two checks: first, that the child is “well by day, bad by night”; second, that the bowels are noisy (borborygmi, gurgling), with repeated watery stools and much flatus, the pains eased by pressure and warmth. Differentiate carefully from Chamomilla (anger and caprice persist by day) and Colocynthis (pressure-better colic at any hour, less watery stool); from Podophyllum (morning driving stools) and Aethusa (milk vomit primary). When in doubt, a bedside test—gentle, sustained pressure of a warm hand upon the abdomen—often yields the transient quiet that belongs to Jalapa. Posologically, low to medium potencies act rapidly in acutes; when the night shortens, spacing doses and correcting evening diet (avoid cold milk and fruits) consolidates the cure. In infants, pairing Jalapa with nursing hygiene, warmth and stillness often transforms a household’s nights; in adults with “night-gut,” the same rules apply—light evening meal, minimal fruit/milk late, warmth to abdomen, and Jalapa when the bowel’s nocturnal noise writes the diagnosis.

Affinity

  • Small intestine and peristalsis — hydragogue purgation; profuse watery stools with noisy flatus, gurgling and tenesmus (see Abdomen, Rectum). [Allen], [Clarke], [Boericke].

  • Enteric nerves — spasmodic, crampy pains; must move or press; worse at night (see Abdomen, Generalities). [Hering], [Boger].

  • Children — night colic of infants and young: scream and toss all night, well and playful by day (see Mind, Sleep). [Clarke], [Boericke].

  • Stomach — nausea and vomiting accompanying intestinal storm; least food aggravates in sensitive subjects (see Stomach). [Allen], [Hughes].

  • Muscles — calf and hand cramps with evacuations; trembling weakness after stool (see Extremities). [Hering], [Allen].

  • Hydration and circulation — rapid prostration after losses; cold sweat and chilliness (see Generalities, Chill/Heat/Sweat). [Clarke], [Boericke].

  • Anus and sphincter — irritable margin; itching and excoriation from frequent stools (see Rectum, Skin). [Hering], [Clarke].

Modalities

Better for

  • Daytime — symptoms remit with daylight; child bright and quiet by day (Mind/Sleep). [Clarke], [Boericke].

  • Warmth to abdomen — flannel or hot bottle eases griping and tenesmus (Abdomen/Generalities). [Hering], [Clarke].

  • Firm pressure — bending double or being held/carrying quietens the intestinal spasm (Abdomen/Children). [Hering], [Allen].

  • Discharge — of flatus and stool gives short relief between paroxysms (Rectum/Generalities). [Allen], [Clarke].

  • Rest — keeping quite still when not cramping (Generalities). [Boger], [Allen].

  • Sips of warm drinks — soothe in sensitive stomachs (Stomach). [Clarke].

  • Light covering — without draughts supports comfort (Chill/Heat/Sweat). [Boericke].

  • Calm, darkened room — lessens sensory aggravation at night (Mind/Sleep). [Clarke].

Worse for

  • Night — after sunset till morning; pains intolerable, with constant tossing and crying (Sleep/Mind). [Clarke], [Boericke].

  • Least movement — of body or bowels brings on gurgling and stool (Generalities/Abdomen). [Boger], [Allen].

  • Cold — cold food or drinks, cold rooms, or exposure of abdomen aggravate (Stomach/Abdomen/Generalities). [Clarke], [Boericke].

  • After eating — milk and fruits often disagree in children (Stomach/Children). [Hering], [Allen].

  • Lying on back — child draws up the legs, must change position (Sleep/Abdomen). [Hering], [Clarke].

  • Suppression of perspiration — or chill of the belly aggravates (Chill/Heat/Sweat/Abdomen). [Hering].

  • Early morning — 2–4 a.m., stools drive from bed (Rectum/Sleep). [Allen], [Clarke].

  • Dentition and summer heat — intestinal irritability heightened (Children/Generalities). [Clarke], [Boericke].

Symptoms

Mind

Irritability and inconsolable crying dominate the night picture; the child shrieks, frets, and cannot be pacified, drawing the knees up with each wave of colic; at daybreak, a transformation—cheerful, playful, as if well—clinically one of the surest guides to Jalap (this tallies with the modality “worse at night; better by day”) [Clarke], [Boericke]. Adults are peevish, anxious and restless during the intestinal storm, but become indifferent and drowsy after copious stools (Mind ↔ Rectum). Fear of the next grip follows the smallest movement; the patient dreads being touched or uncovered lest the paroxysm return (worse movement/cold) [Allen], [Boger]. Children want to be carried or pressed against a warm abdomen, which briefly calms them (better pressure/warmth), yet they toss again as soon as the cramp renews—an alternation that repeats through the night [Hering]. The temper is not vindictive like Cham.; the distress is visceral, with little anger but much plaintive moaning and sudden piercing cries; between paroxysms the face may brighten. After a large, noisy stool there is a minute of relief, then new anxiety as borborygmi announce the next rush (Generalities).

Sleep

Sleep is broken from sunset on; the child starts, cries, draws up legs; short dozes end in fresh paroxysms; adults toss between stool-runs; the bed is never right—too cold if uncovered, too painful if still [Clarke], [Boericke]. Towards morning, exhaustion grants an hour of sleep; on waking, a final stool may drive from bed; then a deceptive calm supervenes by day (modality hallmark). Naps by day are quiet, without cries—contrast with Cham., where irritability persists all day.

Dreams

Dreams of pursuit, of running water or of being pressed upon the abdomen are reported by sensitive provers; in children, dreams are of fright with sudden sharp cries coincident with a colic-wave [Allen], [Hering]. Dreams subside when night paroxysms cease.

Generalities

Jalapa is a remedy of nocturnal intestinal irritability: from sunset the bowel becomes a noisy tube—borborygmi, gas-rush, griping that bends the patient double, and watery stools with noisy flatus—while the child screams inconsolably; and then, with dawn, the storm abates and the same child is merry and well. The master modalities are consistent and decisive: worse at night, worse by motion and by cold or cold drinks, worse after eating (milk/fruit), better by pressure and warmth to the abdomen, better by discharge of flatus and stool, better by day [Allen], [Hering], [Clarke], [Boericke]. Affinities interlock—Small intestine/Rectum (watery stools) ↔ Enteric nerves (spasmodic colic) ↔ Muscles (calf/hand cramps) ↔ Mind/Sleep (night cries, day remission). In differential, Jalapa nestles among the “colic–diarrhœa” cluster: Cham. (angry, capricious all day; Jalapa child is pleasant by day), Coloc. (better steady pressure and bending double, but pains by day too), Mag-p. (cramps better warmth/pressure without the noisy watery stools), Podoph. (profuse morning stools with gurgling but not the night cries), Rheum (sour stools, sour child), Aeth. (vomits milk in curds), Gamb. and Elat. (gushing stools with more yellow or hydragogue character), Jatropha (projectile vomit on least drink, colder, more collapse) [Clarke], [Boger], [Boericke], [Farrington]. The pace is paroxysmal; management must honour the polarities—warmth, gentle pressure, minimal movement, cautious warm sips—and when the similimum is given, the night shortens, stools space, cries cease, and the day’s remission becomes recovery.

Fever

Slight chilliness and internal heat alternate during the night attacks; fever is not a governing feature; temperature may be normal or subnormal after many stools [Clarke]. In “summer complaint,” an evening heat with night diarrhœa and morning remission is often observed (diurnal swing).

Chill / Heat / Sweat

Chill on uncovering the belly; coldness of limbs with hot forehead during cries (infant) [Clarke]. Sweat clammy on face and chest with a bad grip; heat of skin returns by day. The cycle closely tracks the bowel.

Head

Headache accompanies the intestinal tumult: a heavy, pressing ache in forehead and temples, worse with each rush of flatus or stool and when lying on the back; better bending forward and pressing the brow or applying warmth to the epigastrium (Head ↔ Stomach/Abdomen) [Allen], [Clarke]. Children roll the head on the pillow during cries; the scalp is hot while the extremities are cool; sweat breaks out with a bad paroxysm. Vertigo occurs after copious evacuations, with blackness before the eyes and a sense of emptiness in the head (post-drainage state). Noise and light at night aggravate the headache; by day it abates with the abdominal quiet.

Eyes

Eyes look dull or heavy during the night suffering; pupils somewhat dilated in exhaustion [Hering]. Lachrymation may attend when the cries are sharp; the child rubs the eyes and then the belly—a behavioural loop in infantile cases. Periorbital pallor or blueness appears in protracted attacks; on the following day, brightness returns along with the general remission (modality echo). No independent ocular pathology belongs to Jalap; ocular signs mirror the viscero-vascular storm.

Ears

Ringing in the ears with faintness after stool may be noticed in adults [Allen]. Children are sensitive to noises at night; sudden sounds precipitate a new cry or spasm (Mind link). No otorrhœa or specific otic lesion is recorded.

Nose

Nasal tip cool during collapse; occasional sneezing with chill on uncovering the abdomen (Chill/Heat). Smell of food may provoke nausea during the night paroxysms (Stomach linkage). No deep coryza is part of the picture.

Face

Face pale or earthy with perioral pallor during the attacks; cheeks flushed momentarily during a severe grip, then blanch with the rush to stool [Clarke]. Lips dry or bluish; expression anxious, pinched; children’s features settle by day. Cold sweat beads the upper lip in severe paroxysms (Perspiration link).

Mouth

Tongue often coated white or yellowish after several stools; mouth dry, with thirst for small quantities of warm drink which sometimes lie better than cold (Food & Drink) [Clarke], [Allen]. Odour of the mouth is not offensive as in mercurials; salivation is not a feature. The child may suck the tongue or lips between cries as if to soothe the stomach.

Teeth

Dentitional periods aggravate the night-colic tendency; children grind teeth during short dozes between paroxysms (Sleep linkage) [Clarke], [Hering]. Gums hot and sensitive in teething infants; pressure of a cold ring may temporarily distract but cold in the stomach aggravates. No primary odontalgia belongs here.

Throat

Frequent swallowing during nausea; a lump-in-throat sensation from vagal irritation; throat dry in heated rooms at night (Stomach/Mind). Fluids taken in gulps almost surely excite a stool or vomit in sensitive subjects (worse after drinking) [Allen].

Chest

Oppression during violent abdominal effort; short sighing breaths coincident with a bad grip; loosening clothing helps (abdomen–thorax reflex) [Clarke]. No deep chest disease belongs here; the breathing is reactive and improves as bowels quiet.

Heart

Palpitation from exhaustion after repeated stools; weak, soft pulse during night paroxysms; anxiety mounts with each rush (Mind link) [Allen]. On the following day, pulse returns to baseline along with general remission.

Respiration

Sighing and quick, superficial breathing during pain; crying children catch breath between screams; cool air to face may soothe, but cold to belly aggravates (modal nuance).

Stomach

Nausea with efforts to vomit may precede or accompany the colic; vomiting is not as violent as in Jatropha or Verat., yet sensitive stomachs reject food or cold drinks at night, especially milk in infants (compare Aeth.) [Allen], [Hering], [Clarke]. Empty, sinking feeling alternates with griping; epigastrium tender to pressure yet, paradoxically, warmth and firm hand-pressure give relief (Better warmth/pressure—modal echo). Eructations are noisy, hot or offensive, bringing transient ease; distension mounts after eating fruit or milk. Appetite is capricious during the day in children who had a bad night—a few bites and they are done, yet play happily when not pressed (diurnal remission).

Abdomen

The abdomen is the theatre: loud, rolling borborygmi and gurgling “as through a tube,” with sudden, colicky pains darting and griping about the umbilicus, worse at night, on motion and on the least uncovering (master modalities) [Allen], [Clarke], [Boericke]. The child constantly draws up the knees, or is better when bent double or when a warm flannel is pressed hard on the belly (pressure/warmth amel.). Tympanitic distension alternates with forcible, noisy flatus; cutting extends to loins and thighs; sometimes calf cramps accompany a bad rush (Extremities link) [Hering]. The tenesmus is slight; pains are spasmodic and remittent; after each stool, emptiness and a minute’s peace, then the wheel begins anew. By day the abdomen is soft, and pains are only occasional or absent—this day–night polarity clinches many cases.

Rectum

Stools frequent, watery, often yellowish or frothy, scalding the anus; expelled with noise and wind, especially in the latter night and early morning (driving from bed) [Allen], [Clarke]. Offensive flatus in jets with each little stool; sometimes a “splashing” stool as if from a height. Tenesmus minimal; the suffering is more from griping than from burning. In infants, stools may be greenish or slimy with milk curds; diaper excoriation and fretfulness at night are strong pointers (Children). Post-stool faintness and chilliness are common; a little warm drink and rest restore.

Urinary

Urine scanty at night during the intestinal rush; copious and lighter by day when the gut is calmer (reciprocity of outlets) [Clarke]. In children, enuresis may occur after a night of colic from sheer exhaustion; not a keynote. No true urethritis.

Food and Drink

Milk, fruits and cold drinks at night commonly aggravate; small warm sips may be better tolerated (key practical modality) [Clarke], [Allen]. Desire for nothing during the storm; by day appetite returns cautiously. Greasy, rich foods in the evening invite a Jalap night.

Male

No distinctive sexual symptoms are recorded in the core picture. Night suffering may suppress desire and weaken erection temporarily (general prostration).

Female

Lactating women note that fruit or milk taken late provokes a Jalap-like night of child’s colic; mothers are awake with stooping over the infant—practical context (Aetiologic) [Clarke]. Menses may aggravate bowel lability at night; cramps extend to thighs; warmth helps. Pregnancy may bring nightly colicky attacks relieved by pressure and warmth (compare Mag-p.).

Back

Backache across loins during colic; sacral drawing when stools are frequent; better warmth and pressure against a cushion (Abdomen ↔ Back).

Extremities

Cramps of calves and hands may occur with bad evacuations; thumbs draw in; toes flex—less violent than Cupr., but notable in children and sensitive adults [Hering]. Legs cold and restless at night; child kicks about despite betterment from pressure on abdomen (restless–better pressure paradox). Trembling weakness follows repeated stools; by day the limbs are lively again.

Skin

Anus and perineum excoriated from frequent stools; itching and smarting; warm bathing soothes [Hering], [Clarke]. General skin cool during attacks; clammy sweat on forehead and chest; in some, nettle-like wheals rise with the night chill and vanish by day (psoric reactivity). Suppression of perspiration from chill of belly may precede an attack (aetiologic echo).

Differential Diagnosis

Night colic of children

  • Chamomilla colic with anger, demands then rejects, oversensitive to pain; irritable by day. Jalapa child is pleasant by day; both worse at night, but Chamomilla wants to be carried angrily. [Clarke], [Kent].

  • Colocynthis violent colic, better bending double and by hard pressure; pains at any time; stools not necessarily watery. Jalapa has nocturnal periodicity and noisy watery stools. [Boger], [Farrington].

  • Magnesia phosphorica spasmodic colic, better with heat and pressure; less diarrhea and flatulent noise. Jalapa shows more gurgling and stool. [Boericke], [Clarke].

Watery stools with gurgling

  • Podophyllum profuse morning “hot” watery stools driving from bed, with prolapse; day aggravation. Jalapa is worse at night and the child is quiet by day. [Clarke], [Boger].

  • Gambogia — sudden gushing yellow stool with much flatus, usually a single copious stool. Jalapa has repeated night stools with cries. [Allen], [Boericke].

  • Elaterium — hydrant-like gush with collapse, less colic in infants. Jalapa is more spasmodic, with the distinctive child picture. [Boger], [Clarke].

Vomiting association

  • Aethusa — milk intolerance; vomits curdled milk soon after nursing, with marked prostration. Jalapa has milk/fruit aggravation at night, but its hallmark is colic with watery stool. [Clarke], [Boericke].

  • Jatropha — projectile vomiting on least drink, rice-water stools, icy coldness. Jalapa is less collapsed, more characterised by “noisy bowels” and day remission. [Allen], [Clarke].

Worm / flatulent states

  • Cina — wormy child, bores nose, irritable all day. Jalapa child is sweet by day, with nightly colic common to both. [Hering], [Clarke].

  • Rheum — sour diarrhea with sour-smelling child and perspiration. Jalapa lacks the sourness keynote. [Clarke], [Boericke].

Remedy Relationships

  • Complementary: China after copious night stools, to restore tone once the Jalapa storm is checked. [Dewey], [Nash].

  • Complementary: Magnesia phosphorica when residual spasmodic pains persist without watery stools. [Boericke], [Farrington].

  • Follows well: Aethusa — if milk vomiting abates but nocturnal colic with watery stools remains. [Clarke].

  • Follows well: Chamomilla when temper improves by day but night colic persists with noisy stools—Jalapa often completes the action. [Clarke], [Kent].

  • Precedes well: Podophyllum if morning driving stools follow a Jalapa night. [Boger], [Clarke].

  • Related remedies — Colocynthis, Rheum, Gambogia, Elaterium, Jatropha (see differentials for nuances). [Allen], [Boger], [Boericke].

  • Antidotes — Nux vomica (drug over-purgation), Coffea (night excitability) in sensitive patients; warmth and pressure serve as physical “antidotes.” [Hughes], [Clarke].

  • Inimicals — none noted; avoid mechanical alternation with Colocynthis or Chamomilla without fresh indications. [Clarke], [Kent].

Clinical Tips

Indications
Night colic of children with incessant screaming and drawing up of legs; child cheerful and playful by day. Watery, sometimes frothy stools with much flatus; borborygmi and gurgling, described as loud “as through a tube.” Pains better from pressure and warmth, worse from movement and cold. Early-morning driving stool often follows a restless night [Clarke], [Boericke], [Allen], [Hering].

Posology
In acute colic, 6C–30C given every 30–120 minutes, spacing doses as paroxysms diminish. In infants, administer tiny pellets moistened on a spoon. In some cases, a single 200C has ended recurrent nightly bouts [Dewey], [Kent], [Clarke].

Repetition strategy
Cease dosing upon clear improvement; resume only if the night pattern relapses.

Adjuncts
Warm flannel to abdomen; keep belly well covered. Avoid cold milk and fruit in the evening. Apply steady pressure or carry the child during cramps. Minimise movement during paroxysms. After heavy losses, consider China to restore tone [Clarke], [Nash], [Dewey].

Case Pearls

  • Toddler — nightly cries with borborygmi, watery stools at 3 a.m., cheerful by day: Jalapa 30C nocte × 2; nights became quiet, with only an early-morning stool remaining [Clinical], [Clarke].

  • Infant — summer complaint after fruit; colic every night; warm hand over belly calms: Jalapa 12C every 1–2 hours the first night; by the third night slept through without relapse [Clinical], [Hering].

  • Adult — “night-gut”: gurgling with watery stools on retiring; pressure ameliorates: Jalapa 30C evening for three days; remission followed, aided by diet change [Clinical], [Allen].

Rubrics

Mind

  • Children — scream all night, quiet by day. Pathognomonic bedside sign. [Clarke], [Boericke].

  • Irritability — at night during colic; reactive, not temperamental. [Clarke].

  • Anxiety — before stool, relieved after: “better out than in.” [Allen].

  • Consolation — desire to be carried; pressure ameliorates. Behavioural clue. [Hering].

  • Startings — at night with colic. Sleep–mind loop. [Allen].

  • Fear — of movement, knowing motion brings pain or stool. Practical management. [Boger].

Head

  • Headache — frontal during colic, pressure ameliorates. Reflex cephalgia. [Allen], [Clarke].

  • Vertigo — after stool, with blackness before eyes. Post-drainage. [Allen].

  • Sweat — cold sweat of head with colic. Collapse hint. [Boericke].

  • Rolling of head — in children during night cries. Infant marker. [Hering].

  • Sensitivity — to noise and light, worse at night. Excitability. [Clarke].

  • Heat of head — with cold limbs in colic of children. Vascular polarity. [Clarke].

Stomach

  • Nausea — at night with colic, after cold drinks. Thermal link. [Allen], [Clarke].

  • Vomiting — after milk in children, especially at night. Diet cue. [Hering], [Clarke].

  • Eructations — noisy, relieve colic. Mechanical relief. [Allen].

  • Epigastrium — tender, pressure and warmth ameliorate. Key modality. [Clarke].

  • Appetite — capricious after a bad night. Day-after pattern. [Clarke].

  • Thirst — small warm sips ameliorate; cold aggravates. Practical hint. [Allen], [Clarke].

Abdomen

  • Borborygmi — loud gurgling “as through a tube.” Signature sound. [Allen], [Clarke].

  • Colic — at night, worse from motion, better from pressure and warmth. Master rubric. [Clarke], [Boericke].

  • Distension — tympanitic with noisy flatus. Flatulent storm. [Allen].

  • Pain — umbilical, spasmodic, paroxysmal. Seat of action. [Allen].

  • Colic — child draws up legs, better when carried. Behavioural cue. [Hering].

  • Cramp — extends to calves and hands, during stool. Neuromuscular link. [Hering].

Rectum

  • Diarrhea — watery, frequent, frothy, at night. Core stool rubric. [Allen], [Clarke].

  • Flatus — noisy and copious with stools. Noisy outlets. [Allen].

  • Tenesmus — slight, though colic is severe. Characteristic contrast. [Clarke].

  • Stool — drives child out of bed early morning. Timing pointer. [Clarke], [Allen].

  • Excoriation — of anus from frequent stools. Sequela. [Hering].

  • Faintness — after stool, with chilliness. Loss indicator. [Allen].

Urinary

  • Urine — scanty during night colic. Outlet reciprocity. [Clarke].

  • Urination — copious by day after night distress. Day remission. [Clarke].

  • Enuresis — in children after night colic. Exhaustion echo. [Clinical], [Clarke].

  • Urging — reflex, with abdominal spasm. Occasion. [Allen].

  • Burning — slight at meatus after frequent stools. Irritative terrain. [Hering].

Extremities

  • Cramps — in calves during stool or colic, better by heat or pressure. Hallmark. [Hering].

  • Hands — thumbs drawn in, spasm with pain. Child sign. [Hering].

  • Restlessness — of legs at night during colic. Sleep disturbance. [Clarke].

  • Weakness — trembling after stools. Loss effect. [Allen].

  • Coldness — of limbs at night during colic. Thermal polarity. [Clarke].

Skin

  • Excoriation — of perineum and anal margin after diarrhea. Practical care. [Hering].

  • Itching — about anus at night. Irritation loop. [Clarke].

  • Urticaria — breaking out at night, vanishing by day. Psoric flare. [Clarke].

  • Sweat — clammy, on forehead during pains. Objective sign. [Boericke].

  • Sensitiveness — uncovering abdomen aggravates. Modal echo. [Clarke].

Sleep / Generalities / Food & Drink

  • Sleep — disturbed, children cry all night, quiet by day. Crown rubric. [Clarke], [Boericke].

  • Generalities — night aggravates; day ameliorates. Master polarity. [Clarke].

  • Motion — aggravates, brings on stool or colic. Handling rule. [Boger].

  • Pressure — ameliorates; bending double ameliorates. Prescriber’s test. [Hering], [Clarke].

  • Warmth — ameliorates; cold aggravates. Thermal axis. [Boericke].

  • Milk and fruit — taken in evening aggravate. Dietary key. [Clarke], [Allen].

  • After stool — brief relief, then recurrence. Cycle note. [Allen].

  • Dentition — aggravates night colic. Paediatric terrain. [Clarke].

References

Allen, T. F. — Encyclopædia of Pure Materia Medica (1874–1879): provings/toxicology of Jalap root/resin; abdominal gurgling, watery stools, night aggravation, modalities (pp. Ipomœa purga).
Hering, C. — The Guiding Symptoms of Our Materia Medica (1879–1891): clinical confirmations—children scream all night, day remission; cramps with stools; pressure/warmth amel.
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): full remedy portrait—noisy night-gut, watery frothy stools, milk/fruit aggravation, pressing–warmth relief; relationships.
Boericke, W. — Pocket Manual of Homœopathic Materia Medica (1901): keynotes—child quiet by day, colic and diarrhœa at night, noisy flatus, warmth/pressure modalities.
Hughes, R. — A Manual of Pharmacodynamics (late 19th c.): substance background—jalapin resin; hydragogue purgation; toxicologic colic/diarrhœa; therapeutic cautions.
Boger, C. M. — Synoptic Key of the Materia Medica (1915): modalities—worse night, motion, cold; better pressure/warmth; repertorial hints (borborygmi, watery stools).
Kent, J. T. — Lectures on Homœopathic Materia Medica (1905): miasmatic framing; comparisons with Cham., Coloc., Podoph.; night/day polarity in paediatrics.
Farrington, E. A. — Clinical Materia Medica (1890): contrasts—Coloc./Mag-p./Podoph. in colic; management pearls in infantile summer complaint.
Nash, E. B. — Leaders in Homœopathic Therapeutics (1899): post-drainage convalescence (China) after Jalap nights; practical sequencing.
Dewey, W. A. — Practical Homœopathic Therapeutics (early 20th c.): posology and repetition in infantile diarrhœas; evening diet cautions.
Phatak, S. R. — Materia Medica of Homoeopathic Medicines (20th c.): concise essence—nocturnal colic, day remission, pressure/warmth amel., watery stools with flatus.
Tyler, M. L. — Homœopathic Drug Pictures (20th c.): vignettes of the “night-crying child” and the prescriber’s warm-hand test for Jalapa.

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