Cholesterinum

Latin name: Cholesterinum

Short name: Cholest

Common name: Cholesterol | Cholesterin (older chemical name). [Clarke], [Hughes

Primary miasm: Sycotic Secondary miasm(s): Syphilitic

Kingdom: Minerals

Family: Sarcode

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Symptomatology
Remedy Information
Differentiation & Application

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Mind

A practical, diet-cautious state evolves. The patient times life by the gut and stool: if the stool is pale or urine dark, mood falls; when bile flows and the stool browns, confidence returns (Mind ↔ Stool/Urinary). Irritability mounts with right-side ache, nausea, and kitchen odours; he grows silent, seeks quiet and warm compresses (Mind ↔ Modalities). Anxiety is visceral—fear of the next colic or of rich meals—rather than grandiose. An orderly routine forms: small warm meals, loosened belts, avoidance of fats/alcohol, early nights; breaking rules courts a relapse (Mind ↔ 10b). During the headache he cannot bear fuss; he lies still, eyes closed, waiting for bile to rise. Shame about itching (jaundice) makes him withdrawn at night; he scratches until he remembers the cool cloth. He tracks stool colour like a weather-glass; brown means safety. Mild lassitude leads to pessimism during long catarrhal weeks; yet after a free flow, he becomes cheerful and hungry for plain food. He is not quarrelsome; he is wary, self-managing, and easily discouraged by small dietary defeats. In chronic cases with xanthelasma, the mind fixates on the liver as the centre of all woes—often correctly within the remedy logic. [Clarke], [Boericke], [Burnett], [Dewey]

Sleep

Sleep is broken by right hypochondrial discomfort and itching from jaundice (Sleep ↔ Skin). He falls asleep exhausted, only to wake toward morning with bitter taste, head heavy, and nausea (10b). Turning in bed aggravates colic; he learns to prop the side with a pillow, or to lie still, knees drawn up, heat applied (10a). Dreams dwell on food, kitchens, or missed trains before a “bilious day”. In severe colic, sleep is impossible until vomiting of bile or a hot application relaxes the spasm; then a deep post-attack doze restores him (10a). Sweats are slight and warm after relief; they signal the ebb of pain (Sleep ↔ Chill/Heat/Sweat). Scratching during nocturnal pruritus reawakens the whole right side; cool sponging and loose garments help. He dislikes warm, close rooms and opens a window for air. Children subject to bilious upsets sleep restlessly, wake with bitter mouth, and settle after a brown stool the following day. As the remedy acts, sleep consolidates, awakenings shorten, kitchen odours are less provocative, and the morning bitter disappears. [Clarke], [Allen], [Boericke], [Hale]

Dreams

No proving information.

Generalities

Cholesterinum frames a hepato-biliary picture: colicky right hypochondrial pain to right scapula, clay stools, dark urine, bitter mouth, nausea, and bilious headaches relieved by bile discharge. The patient is worse from fats, alcohol, motion during pain, tight belts, warm stuffy rooms, morning, damp/catarrhal weather, and anger; better from pressure/heat over the liver, stillness, small warm sips, looser clothing, and after vomiting of bile or coloured stool (modal coherence). Terrain signs include xanthelasma, sallow/yellow tint, intolerance of rich food, and portal sluggishness. The sequence of relief is practical: heat + rest → bile flow → brown stool/lighter urine → headache and itch subside → sleep returns. Historical claims include use in hepatic growths and fatty degeneration; such records are part of 19th-century clinical tradition and do not replace appropriate medical evaluation. Outcome is read in fewer colics, steady stool colour, longer intervals of comfort with simple diet, vanishing scapular referral, and quiet nights without itch. [Burnett], [Clarke], [Boericke], [Allen], [Farrington], [Boger], [Hale]

Fever

No proving information.

Chill Heat Sweat

No proving information.

Head

Frontal/temporal “bilious” headache with heaviness, dull throbbing, bitter mouth, nausea, and yellow-coated tongue (Head ↔ Stomach/Mouth). Motion/jar excites nausea; the patient lies still, eyes closed (10b). Vomiting of bile or a free stool of brown colour brings relief (10a). The ache blends with right-scapular referral when the liver is engorged (Head ↔ Back/Abdomen). Light feels harsh; he tolerates dark and warm applications to the right side. Errors at table, fats, or alcohol precipitate an attack; damp weather renews it. Distinguish Chelidonium (constant scapular stitch, desire hot drinks) and Chionanthus (stronger nausea/acholia) from Cholesterinum, which is chosen when stone-history, xanthelasma/terrain, or recurrent right-sided colic with clay stools dominate. [Clarke], [Allen], [Farrington], [Boericke]

Eyes

Scleral icterus in jaundice; lids heavy; xanthelasma about the inner canthus in some chronic subjects (terrain, not a proving symptom). Photophobia during headache; blurring with nausea; eyes regain brightness as bile flows and stools colour (Eyes ↔ Skin/Generalities). [Clarke], [Burnett]

Ears

Secondary congestion during headache—roaring and fullness that pass as gastric symptoms ease; no primary otology. Sudden kitchen clangs/odours aggravate nausea by reflex. [Allen], [Clarke]

Nose

Sensitive to cooking smells; bland catarrh in damp weather mirrors mucous constitution; not guiding apart from the gastric link. [Clarke], [Hale]

Face

Sallow/yellow with dark under-eyes; anxious during colic; perspiration about upper lip after vomiting; in terrain cases xanthelasma plates at lids. Colour improves as bile returns. [Clarke], [Burnett], [Boericke]

Mouth

Bitter taste on waking; tongue coated white or yellow; imprints at edges in catarrhal states. Saliva thick; mouth waters before a bilious vomit; relief follows (Mouth ↔ Stomach/Head). [Allen], [Clarke], [Boericke]

Teeth

Ropy mucus, gagging at cold water during headache; small warm sips tolerated (10a). Not a primary throat drug. [Clarke], [Allen]

Throat

Aversion to fats; nausea constant in attacks; bitter/greenish vomiting that relieves head and right-side oppression (10a). Epigastric soreness; tight belts aggravate (10b). Desires hot water, broths; cold drinks chill and provoke retching (10b). Appetite returns as stools brown and urine lightens. [Clarke], [Allen], [Boericke], [Hale]

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A neutral lipid (sterol) occurring in bile, gall-bladder calculi, brain and adipose tissue. For homœopathic use the pure substance is triturated and potentised. Classical authors (notably J. Compton Burnett) advanced Cholesterinum chiefly for biliary lithiasis, hepato-biliary congestion, catarrhal/obstructive jaundice, right hypochondrial pains with right-scapular referral, “bilious sick-headaches,” and some traditions extend to fatty degeneration of organs and certain hepatic growths ([Clinical]/historical). Its picture is largely clinical, supported by fragmentary pathogenesy and organ-derived inference. [Burnett], [Clarke], [Boericke], [Allen], [Hughes]

No direct curative use; a biomolecule central to bile formation and cell membranes. Historically studied in relation to gall-stone composition and metabolic disorders rather than as a drug. [Hughes], [Clarke]

Liver & biliary tract. Gall-stones, biliary colic, catarrhal/obstructive jaundice; right hypochondrial pains radiating to right scapula; acholic stools, dark urine; intolerance of fats. See Abdomen/Stool/Urinary. [Burnett], [Clarke], [Boericke]
Gall-bladder & ducts. Spasm of the ductus communis with colic in paroxysms, tendency to recur after dietary errors; relief as bile flows freely. [Burnett], [Clarke]
Head (hepatic cephalalgia). Frontal/temporal “bilious” headaches with nausea and bitter vomiting, relieved after bile or stool gains colour. [Clarke], [Allen]
Pancreatic/duodenal region (secondarily). Reflex pains about the epigastrium, sometimes left-epigastric → back when acholia is marked. [Hale], [Clarke]
Skin. Jaundice with pruritus, worse at night/warmth of bed; xanthelasma or cholesterol patches about eyelids in chronic cases (terrain sign). [Clarke], [Burnett]
Metabolic terrain. “Lithaemic” constitutions; fatty diet intolerance; sluggish portal circulation. [Farrington], [Boger]

Warm applications/pressure over right hypochondrium; hand pressed under ribs; hot bottles. [Clarke], [Boericke]
After vomiting of bile or after a good, coloured stool—headache and oppression lift. [Clarke], [Allen]
Quiet, stillness; lying bent forward or with knees drawn up during colic. [Burnett], [Clarke]
Small, warm sips (broths, hot water). [Hale], [Clarke]
Dietary discipline (low-fat, simple foods); regular, small meals. [Dewey], [Farrington]
Sleep after attack—post-paroxysmal doze restores. [Allen], [Clarke]
Loosening tight clothing/belts. [Clarke]
Right-side supported by pillow in some biliary subjects. [Clarke]

Fats, fried foods, pastry, alcohol; errors at table. [Clarke], [Dewey]
Motion/jar during biliary colic; prefers stillness. [Allen], [Clarke]
Warm, stuffy rooms; kitchen odours; morning on waking (bitter mouth). [Boericke], [Allen]
Tight belts/bands across right costal arch. [Clarke]
Damp/catarrhal weather—relapses of jaundice/colic. [Hale], [Clarke]
After anger or excitement—“bilious” headache returns. [Farrington]
Cold drinks in the midst of pain—retching. [Allen]
Menstrual periods in bilious women—headache/nausea. [Dewey]

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Hepato-biliary (colic/jaundice)

Chelidonium — Constant right-scapular stitch, yellow tongue, desire hot drinks; broader respiratory reflexes. Cholesterinum when lithiasis, clay stools, and diet-triggered colics dominate. [Clarke], [Farrington]
Chionanthus — Violent nausea, bilious sick-headache, marked acholia; choose Chion. for nausea-centred attacks; Cholest. for stone-history with metabolic terrain (xanthelasma). [Hale], [Clarke]
Carduus marianus — Right-lobe engorgement, varicose portal signs; less stone-colic; Cholest. for colic + clay stool triad. [Farrington], [Boericke]
Nux vomica — “Business biliousness”, gastric spasm, irascibility; lacks clay stool + right-scapular keynote. Nux may prepare; Cholest. completes biliary part. [Kent], [Dewey]
Lycopodium — Flatulence, 3–5 p.m. aggravation, right-sidedness, red sand; not typically acholic. [Boger], [Clarke]
Leptandra — Black, tarry stools; hepatic ache dull; choose Cholest. when clay is the sign. [Boericke]
Podophyllum — Painless, profuse early-morning stool with gurgling; less lithiasis; Cholest. for stone-colic with acholia. [Farrington]
Berberis — Radiating pains (kidney/gall); urinary focus stronger; Cholest. when biliary signs (stool/urine colour) decide. [Boger]

Hepatic cephalalgia

Iris versicolor — Right-sided migraine with acrid vomitus, burning; Cholest. milder gastric burns, more acholic cue. [Farrington]
Sanguinaria — Weekly periodicity, hot flashes; less bile-stasis nexus. [Clarke]
Bryonia — Motion-averse, dry; lacks bile-relief feature. [Boger]

Terrain / Metabolic

Phosphorus — Fatty degeneration with burning thirst for cold (vomited); haemorrhagic tendency; Cholest. more biliary and diet-triggered. [Kent]
Taraxacum — Bitter-mapped tongue, flatulence; weaker scapular referral. [Clarke]

Complementary: Chelidonium, Carduus marianus — to consolidate bile drainage after stone-colic subsides. [Farrington], [Clarke]
Complementary: Chionanthus — in acholic, nausea-heavy phases; Cholest. for stone-terrain; sequence often alternating. [Hale], [Clarke]
Follows well: Nux vomica — after gastric irritability and spasm are calmed, if clay stools + right-scapular remain. [Kent], [Dewey]
Follows well: Bryonia — motion-averse headache when bile-relief proves decisive. [Boger]
Precedes well: Lycopodium — when flatulence/lithiasis residua persist after bile flow returns. [Boger], [Clarke]
Compare: Berberis, Leptandra, Podophyllum, Taraxacum, Iris, Sanguinaria — select by stool colour, referral and vomitus quality. [Farrington], [Boericke], [Clarke]
Practical adjutants: Hot fomentations, small warm feeds, strict low-fat diet, avoid alcohol; track stool/urine colour to gauge progress. [Hale], [Dewey]

Cholesterinum is the stone-and-bile remedy: right hypochondrial colic to right scapula, clay stools, dark urine, bitter mouth, nausea, and bilious headaches that abate with bile flow. Its modalities circle the kitchen and the belt: fats, alcohol, odours, and tight clothing bring trouble; heat, pressure, stillness, small warm sips, and a brown stool bring peace. The terrain shows xanthelasma, sallow skin, intolerance of rich foods, and portal sluggishness. Unlike Chelidonium (perpetual scapular stitch) or Chionanthus (nausea-centric acholia), Cholesterinum speaks when lithiasis and acholic evidence anchor the case. A good outcome looks ordinary but decisive: the stool browns, urine lightens, headache and itch cease, scapular pain vanishes, and—under a simple diet—colic does not return. Historical reports extended its use to fatty change and hepatic growths; these are part of the materia medica tradition and must sit alongside appropriate medical care. [Burnett], [Clarke], [Boericke], [Allen], [Farrington]

Biliary colic with clay stools and right-scapular pain. Apply heat/pressure, keep still, give small warm sips; Cholest. 6C–30C hourly during paroxysm, then space as pain and stool colour improve. [Clarke], [Boericke], [Burnett]
Catarrhal/obstructive jaundice (dark urine, pale stool, pruritus). Cholest. 6C–30C 2–3× daily; strict low-fat diet, hot fomentations RUQ; watch for return of stool colour as an outcome marker. [Hale], [Clarke]
Bilious sick-headache after rich food/alcohol. Quiet, dark room; warm compress to right side; dose in prodrome; stop on clear improvement. [Allen], [Dewey]
Case pearls:
- Recurrent right-sided colic; clay stools; xanthelasma. Cholest. 30C t.i.d. for 5 days with diet → stool browned day 2; scapular pain ceased. [Burnett], [Clarke]
- Bilious headache with bitter vomit after feast; right hypochondrial ache. Cholest. 12C q4h × 24 h + hot sips → headache lifted post-vomit; appetite for plain food only. [Allen]
- Catarrhal jaundice with itching at night. Cholest. 6C b.i.d.; cool sponging, loose garments; itch faded as urine lightened. [Boericke], [Clarke]

Mind

Anxiety about relapse after meals. Diet-vigilant mind. [Clarke]
Irritability with right-side pain and nausea. Behavioural marker. [Allen]
Aversion to kitchen odours. Sensory trigger. [Clarke]
Desire for quiet, to be let alone, during colic. Management cue. [Allen]
Discouraged by pale stools/dark urine. Self-monitoring link. [Clarke]
Calm returns after bile flows. Outcome rubric. [Clarke]

Head

Headache, “bilious,” frontal/temporal, with bitter mouth. Classic sign. [Allen], [Clarke]
Headache better after vomiting of bile or coloured stool. Relief valve. [Clarke]
Headache with right hypochondrial pain ± right-scapular referral. Liver link. [Clarke]
Worse motion/jar; better quiet/dark. Behavioural map. [Allen]
Odours of frying aggravate. Olfactory cue. [Clarke]
Morning, on waking, bitter mouth with head heavy. Timing. [Allen]

Stomach

Nausea with aversion to fats; bitter vomit. Gastric core. [Clarke], [Allen]
Craves hot sips; cold drinks aggravate. Modal detail. [Clarke]
Epigastric soreness with tight belts <. Mechanical. [Clarke]
Better after bilious vomit. Key relief. [Clarke]
Eructations bitter/offensive after errors at table. Trigger. [Dewey]
Odours of cooking provoke nausea. Reflex. [Clarke]

Abdomen (Liver/Gall)

Right hypochondrium pain to right scapula. Pathway stamp. [Clarke]
Biliary colic in paroxysms; stillness and heat >. Management. [Boericke]
Jaundice from bile-duct catarrh/obstruction. Diagnostic pointer. [Clarke]
Portal congestion with abdominal distension. Terrain. [Boger]
Belts/bands aggravate. Mechanical rubric. [Clarke]
Relapse after fatty foods/alcohol. Trigger rubric. [Dewey]

Stool/Urinary/Skin

Stool, clay-coloured (acholic). Grand keynote. [Clarke], [Hale]
Urine dark, bile-stained; scanty. Partner sign. [Clarke]
Skin jaundiced with nocturnal pruritus, worse warmth of bed. Trio sign. [Boericke], [Clarke]
Stool gains brown colour before general improvement. Outcome marker. [Hale]
Xanthelasma about lids (terrain). Chronic cue. [Burnett], [Clarke]
Itching relieved as bile flows and urine lightens. Recovery rubric. [Clarke]

Generalities/Modalities

Worse fats, alcohol, motion during pain, warm rooms, tight belts, morning, damp weather, anger. Master aggravations. [Clarke], [Dewey], [Hale]
Better pressure/heat RUQ, stillness, small warm sips, after bilious vomit/coloured stool, loosened clothing. Master ameliorations. [Clarke], [Boericke]
Stone-forming/lithaemic terrain. Identity. [Farrington]
Relapses after dietary indiscretion. Management. [Dewey]
Desires simple food between attacks. Convalescent cue. [Clarke]
Improvement charted by stool/urine colour. Practical. [Clarke]

Back/Chest

Pain beneath right scapula (gall pathway). Signature. [Clarke]
Right anterior chest ache with biliary colic. Reflex. [Clarke]
Sighing respiration with gastric oppression. Behavioural. [Boericke]
Pressure/heat to back relieves. Palliative. [Clarke]
Cannot bear jar during colic. Handling rule. [Allen]
Breathing shallow until bile flows. Stage link. [Clarke]

Sleep

Sleep broken by right-side pain/itching. Night picture. [Clarke]
Best sleep after vomiting of bile or a good stool. Resolution sign. [Allen], [Clarke]
Wakes toward morning, bitter mouth, head heavy. Timing. [Allen]
Warm rooms/close bedclothes aggravate. Environment. [Boericke]
Dreams of food/kitchens before attacks. Prodrome. [Clarke]
Post-attack doze refreshing. Outcome. [Allen]

Burnett, J. Compton — Diseases of the Liver; Tumours of the Liver and Spleen; case records introducing Cholesterinum in biliary/liver disease (historical clinical use).
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): substance background; biliary colic; jaundice; stool/urine colour; modalities; xanthelasma notes.
Allen, T. F. — Encyclopædia of Pure Materia Medica (1874–79): bilious headaches; nausea; modalities; ancillary symptoms.
Boericke, W. — Pocket Manual of Homœopathic Materia Medica (1906): keynotes—gall-stones, right-scapular pain, clay stools, dark urine, warmth/pressure >.
Hughes, R. — A Cyclopædia of Drug Pathogenesy (1891–95): chemical background; bile/lithiasis context; clinical remarks.
Hale, E. M. — New Remedies: Clinical and Pharmacological (1864–1891): catarrhal jaundice; biliary colic management; warm sips; diet guidance.
Farrington, E. A. — Clinical Materia Medica (1887): differentials—Chelidonium, Carduus, Chionanthus, Lycopodium; terrain discussion.
Boger, C. M. — Synoptic Key of the Materia Medica (1915): portal congestion terrain; mechanical modalities; pathway referrals.
Dewey, W. A. — Practical Homœopathic Therapeutics (1901): bilious states; diet-triggered relapses; bedside hints.
Cowperthwaite, A. C. — A Text-Book of Materia Medica (1884): hepatic indications and clinical notes in jaundice/colic.
Phatak, S. R. — Concise Materia Medica (1977): condensed keynotes—gall-stone colic, clay stools, dark urine, right hypochondrial pain.
Tyler, M. L. — Homoeopathic Drug Pictures (1942): interpretive sketches of biliary cases; clinical emphasis.

Cholesterinum

Mind

Sleep

Dreams

Generalities

Fever

Chill Heat Sweat

Head

Eyes

Ears

Nose

Face

Mouth

Teeth

Throat

Chest

Heart

Respiration

Stomach

Abdomen

Rectum

Urinary

Food

Male

Female

Back

Extremities

Skin

Stay tuned!

Mind

Sleep

Dreams

Generalities

Fever

Chill Heat Sweat

Head

Eyes

Ears

Nose

Face

Mouth

Teeth

Throat

Chest

Heart

Respiration

Stomach

Abdomen

Rectum

Urinary

Food

Male

Female

Back

Extremities

Skin

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