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INTRODUCTION
We see that plant families and mineral groups are studied at a large
number compared to animal familiesand so when I see animal
kingdom, Ophidia group caught up my mind.
When most of us talks about snake remedy the first remedy comes
up in our mind is Lachesis and then Naja and/or Crotalus. Whereas
there are many remedies in Ophidia group which are neglected. One
of the neglected remedy is Cenchris contortrix. In the description of
this remedy it was written that this drug is similar to Lachesis.
Aims:
To study the utility of Cenchris contortrix as a Homeopathic remedy
Objectives:
1. To study the source of the remedy Cenchris contortrix.
2. To review the available data on the remedy Cenchris
contortrix from its source book and various MateriaMedica.
3. To study the remedy Cenchris contortrix from the latest
repertories.
4. To derive comprehensive understanding of the remedy.
5. To study cases successfully treated with the remedy to learn its
utility.
Method:
Material:
REVIEW OF LITERATURE
Dreams of rape which was seen during proving has been confirmed
by many authors,and Dr. Vikas Sharma in his website
www.drhomeo.com also says that Cenchris has dreams of
committing rape whereas in The Spirit of Homeopathic Medicine
book by Dr. Didier Grandgeorge in the primitive scene it is given
that Cenchris dreams of witnessing a rape.
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1. Paralysis
9. Periodicity
10. Swelling
12. Dysarthria
Taxonomy
Family : Viperidae
Genus : Agkistrodon
Living Pattern
Semi-aquatic
Toxicology Effects
Pain
Swelling
Weakness
Giddiness
Breathing difficulty
Hemorrhage
Nausea, vomiting
Gangrene
Ecchymosis
Unconsciousness
Stupor
Fever
Sweating
Headache
Intestinal discomfort.
Homeopathic Use
Mind: Nightmare: cannot be shaken off during even waking
hours.
Eyes:
a. Amaurosis Insensibility of cornea leads to dim vision
b. Eyes, swelling over.
Respiratory System:
a. Catarrh - Discharge of yellow mucus, sometimes tinged
with blood.
b. Throat, affections of dry cough with sensation of choking.
c. Bronchial asthma
Heart, affections of
a. Strongly conscious of heart.
b. Angina pectoris - Sudden, sharp stitching pain in the heart,
followed by dull pain, which gradually subsided< lying
down
c. Supraventricular tachycardia
Female Genitalia:
a. Leucorrhoea yellow & thin.
b. Menorrhagia light blood with dark clots.
c. Ovary, pain in right sided.
d. Vulva, throbbing in; eruption on herpetic eruptions on
labia.
Rectum:
a. Colitis
b. Irritable bowel syndrome
c. Ulcerative colitis
Mind
Concentration
difficult or they just sit and stare into space.
- Sensation of intoxication in evening.
- The horror remains after horrible dreams.
- Thought sickening anxiety, all over the body, but most at
the heart and through the chest, exclaiming, "I shall die! I
shall die!" This soon passed into profound sleep, whichwas
not interrupted until morning, but full of horrible dreams.
- No inclination to attend to her usual duties, which are
pleasant. The person is nervous but not duty conscious.
- Restless, self-centered.
- Anticipation of sudden problem.
- Suspicious of everybody, thinks her family plotting to
place her in an insane asylum.
- Melancholy with desire to be alone.
- Angry when disturbed< 6pm.
Head
- Sensation of fullness about the head.
- Dull, aching pain in the forehead, which finally extended
to the occiput, leaving forehead.Dr. J.H. Clarke in his
Dictionary of Practical Materia Medica mentions similar
head complaints.
- Feeling as if all the blood in the body rushed to the head.
- Violent headache in both temples in forenoon. < warmth,
menses>eating
Eyes
- Eyes ache, and there is dimness of vision.
- Lachrymation from left eye; left eyelid red on edges.
- Twitching in left eyelid.
- Dull ache in eyes, with sense of weakness.
- Itching of eyes; begins in left eye and extends to right.
- Margins of eyelids red, especially at night.
Ears
- Itching of ears at night.
Nose
- Recurrent tendency to develop paranasal sinusitis &
allergic rhinitis.
- Sickening odor in the nose with copious flow of mucus,
thin and watery.
- Aching in left side of nose as though in the bones, with dull
headache.
- Tickling sensation in the nose with sensation as if much
discharge would flow but very little comes out when
blowing.
- Violent sneezing occasionally and eyes filled with water in
morning when waking.
Face
- Flushes of heat about the face and head.
- Bloating of face, as if intoxicated.
- Bloating above and below eyes. Besotted, face sallow.
- Expression bloated, and blue circle around the eyes.
- Mottled skin; purple, deep, dark red face.
- Dry parched lips in evening, with fever that began at 3pm.
- Great burning of the face, worse at night and about 2pm, it
keeps growing hotter and redder until she goes to sleep
at10pm. Burning begins in left cheek and ear, spreads to
right cheek 6:30pm.
- Very small red pimples in little clusters, between the eyes,
on the upper lips and on the end of nose.
- Dr. J.H Clarke also mentions of bloated expression, face
sallow, burning face and blue circle around the eyes.
Mouth
- Dry mouth in evening.
- Profuse saliva, running out of mouth on pillow in sleep
- Metallic, coppery taste in mouth.
Throat
- Gagging from coughing, constantly hawking up thick,
tough, stringy mucus, difficult to raise.
- Throat full of mucus, thick and yellow, slightly tinged with
blood from posterior nares, in the morning on waking. Dr.
Stomach
- Intense thirst for small quantity of cold water in the
evening.
- Loathing of food.
Abdomen
- Constant uneasy feeling & dullness just below the thorax in
the region of diaphragm.
- Dull pain in two spots directly over pubic arch, 10 A. M.,
passing off after two hours.
- Sensation of bands around the abdomen.
- Dull pain in abdomen when coughing.
Rectum
- Itching and soreness of the anus with hemorrhoids.
- Urging to stool, which passes away before the closet can
be reached.
- Unsuccessful urging to stool, strain until rectum feels as
though prolapsed, but have no stool morning.
- On waking in the morning, had to hasten to the closet; stool
watery, dark with a black sediment like coffee grounds;
stool intermits, have to sit a long time,passing small
quantities every minute or two.
- Stool gushing and frequent, watery, with dark sediment at
first without pain; after several hours great pain before
stool.
- Flatus at termination of stool. Painless and involuntary
stool when passing flatus.
- Stools profuse, each seems as if it would empty the bowel,
but soon full again.
- Sensation of intestines filled with water.
- Dr. J.H Clarke in his Practical Dictionary of Materia
Medica says that there is diarrhea early in the morning, on
waking and also gushing stool, frequent, watery at first,
without pain, and after several hours, great pain before the
motions.
Urinary organs
- Loses her urine when coughing.
- Desire to urinate at night, just after getting in bed: must get
up and press a long time before a few drops pass.
- When doing mental work, frequent desire to urinate, pass
large quantities of colorless urine.
Respiration
- Slight hoarseness, worse at night
- Arrested respiration on going to sleep.
- Stops breathing unless she sits up and bends forward.
Dyspnoea as if dying from anxiety.
- Sensation of suffocation and choking, must lie with head
drawn backwards.
Extremities
- Hands vary, one minute hot and dry, then cold, then
sweating in palms.
- Hand chapped, hot & cold, get numb at times.
- Dull ache in metacarpal bone of thumb, in cushion of right
and left thumbs &in the left palm.
- Awakes with dull aching in four lesser toes of right foot,
acute pain when stepping or moving foot, gradually
subsided after bathing in hot water.
Skin
- Spot on the right calf became red, then copper-colored; it
seemed deep in the skin.
- Itching all over the body; flying over the body.
- Excessive swelling, oedema & cellulitis.
Generalities
- Aggravation from pressure, lying down, on waking,
afternoon 3pm, evening upto midnight.
- Chilly > warm covering.
Relationship
- Chamomilla antidotes its uterine haemorrhage & Amon
carb antidotes its general symptoms.
- Cenchris antidotes Pulsatilla.
Prescriptive points
2) Thermals-chilly 2) Thermals-hot
3) Fear of sudden
death. 3) Fear of death.
5) Morals, want of
5) Indifference to
duties
Mind
Abdomen
Abdomen; constriction; band sensation; intolerable: CENCH(3)
Heart
Heart & circulation; falling down, as if, heart; abdomen, in:
CENCH(3)
Heart & circulation; enlarged sensation, heart; too large for cavity:
CENCH(3)
Extremities
Extremities; coldness, chilliness; buttocks, nates; night, in bed:
CENCH(3)
Skin
Skin; ulcers; spring: CENCH(3)
Mind
Vertigo
Vertigo; afternoon; agg.; four pm.; seven pm., until: cench
Head
Eyes
Eyes; redness; lids; margins, edges; night: cench
Ears
Ears; itching; daytime: cench
Nose
Nose; tingling, prickling inside; extending to; eyes: cench
Face
Face; heat; flushes; night: cench
Face; pain; burning, smarting; left; extending to right: cench
Mouth
Mouth; dryness; afternoon; three pm.: cench
Teeth
Throat
Throat; discoloration; right: cench
Throat; fullness; swallowing; amel.:cench
Throat; mucus, discharges; bloody; bright: cench
Neck
Neck; constriction, contraction; daytime: cench
Neck; constriction, contraction; three pm.: cench
Stomach
Stomach; nausea; ice cubes amel.:cench
Abdomen
Abdomen; constriction; diaphragm; cough, during: cench
Abdomen; constriction; hypogastrium; morning, on waking: cench
Abdomen; constriction; diaphragm; cough, during: cench
Abdomen; constriction; hypogastrium; morning, on waking: cench
Abdomen; constriction; band sensation; intolerable: CENCH(3)
Abdomen; contraction; diaphragm; cough; during: cench
Abdomen; contraction; umbilical region; cough, during: cench
Abdomen; distension; room, warm, amel.:cench
Abdomen; hardness; sides; left: cench
Abdomen; pain; hypochondria; morning; breakfast; during: cench
Abdomen; pain; spleen region; breakfast, during: cench
Abdomen; pain; cutting; spleen; breakfast, during: cench
Abdomen; pain; cutting; spleen; extending to; downward: cench
Rectum
Rectum; constipation; stool; intermits: cench
Rectum; pain; pulsating, throbbing; waking, on: cench
Rectum; pulsation; waking, on: cench
Bladder
Bladder; urging to urinate, morbid desire; night; lying down, after:
cench
Bladder; urination; frequent; mental exertion, after: cench
Kidney
Kidney; pain; lying; agg.; side, on; left: cench
Kidney; pain; region of; night; waking, on: cench
Kidney; pain; region of; drawing up legs amel.:cench
Kidney; pain; region of; lying; agg.; side, on left: cench
Female
Female; knotted sensation; ovaries: cench
Female; pain; pulsating, throbbing; waking.on: cench
Female; menses; pale, watery; clots; dark, with: cench
Female; pain; ulcerative; ovary, right: cench
Female; pulsation; waking, on: cench
Respiration
Respiration; gasping; talking, while: cench
Cough
Cough; afternoon; three pm.; bedtime, until: cench
Cough; diaphragm, seems to come from: cench
Cough; hard; four pm.: cench
Cough; racking; three pm.: cench
Cough; short; afternoon; four pm.: cench
Chest
Chest; anxiety; night; lying down, on: cench
Chest; coldness; night, ten pm.: cench
Chest; pain; night; lying agg.; side, on right: cench
Chest; pain; muscles; motion of hand to opposite shoulder
agg.:cench
Chest; pain; drawing; night, lying on right side: cench
Chest; pain; dull; pressure agg.:cench
Chest; pain; pressing; transient, lower sternum: cench
Chest; pain; transient, lungs: cench
Heart
Heart & circulation; falling down, as if, heart; abdomen, in:
CENCH(3)
Heart & circulation; fluttering sensation, heart; three pm.: cench
Back
Back; fluttering; dorsal region, under left scapula: cench
Back; pain; sitting; agg.; feet, on his, while: cench
Back; pain; dorsal region; scapulae; left; rubbing amel.:cench
Back; pain; dull; lumbar region; night: cench
Back; pain; dull; lumbar region; menses, during: cench
Back; pain; dull; sacral region; night: cench
Back; pain; dull; sacral region; walking amel.:cench
Back; pain; sore, bruised; dorsal region; scapulae; below; left: cench
Back; pain; sore, bruised; dorsal region; scapulae; below; rubbing
amel.:cench
Back; pain; sore, bruised; coccyx; night: cench
Back; pain; transient, sacral region: cench
Extremities
Extremities; coldness, chilliness; hands; afternoon; three pm.; about:
cench
Extremities; coldness, chilliness; buttocks, nates; night, in bed:
CENCH(3)
Extremities; corns; burning, smarting; weather, damp, wet,
agg.:cench
Extremities; corns; painful; weather, damp, wet, agg.:cench
Extremities; crossing; unconsciously, lower limbs: cench
Extremities; heat; dry; hands; alternating with perspiration of hands:
cench
Extremities; pain; sore, bruised; buttocks, nates; night: cench
Sleep
Sleep; disturbed; fright, fear agg.; die, she must: cench
Sleep; sleepiness; dark, in: cench
Sleep; sleeplessness; thoughts, from; dreams from previous night,
from: cench
Chill
Chill; motion; during; fingers, of: cench
Skin
Skin; cicatrices; studded with veins: cench
Generalities
Generalities; enlarged sensation; bursting, to: cench
CASE STUDY
CASE 1
She has a profound depression (3), which dates from her teenage
years. It occurs every couple of months. At these times she has
intense weeping (3) and can be suicidal (3). But even during the rest
of the month there is a feeling of hopelessness (3), that nothing will
ever work out and that something terrible is going to happen in her
life (3). It makes her quite fearful for her day to day survival with a
lot of the fears being based around money and the lack of it. Each
day she is very anxious about her health and about whether she will
survive due to the crises which constantly occur and drain her
financially. She never seems to be able to get ahead since something
happens each time she gets ahead to wipe her out financially.
She has extremely low self-confidence (3). Even though she is quite
attractive she sees herself as unattractive, unable to compete with
other women.
I feel like I let my family down. I just couldnt be the way they
wanted me to be. I need a lot of recognition. I want people to like
me but I dont make the effort to initiate it. She is very critical of
herself (3), of how she walks, talks and looks.
She finds that she is bossy (3), like her mom. She is irritable and
bitchy (3) and can get into arguments with her husband that can
lead to out and out physical battles, with verbal aggression and can
even lead to striking and hitting (3). Shes aggravated she cant fix
things on her own. She can be vindictive and spiteful (3). She can
also be extremely weepy over nothing.
She didnt get along well with her husband who was very passive
and let her do all the work and planning. She wouldnt leave him
because she has an intense fear of being alone (3).
Ive been hurt a lot and just cant think about being alone and on
my own. She eventually did leave, had a series of quick
relationships, and then got into a relationship with a man who is
physically abusive to her.
Physically she has palpitations (3). They can occur any time. It
makes her very afraid that she has some horrible disease. They are
worse when she lies down to go to bed. At one point she was on
Inderal for them.
I used to get hives (2) from age 9 14. Theyd come on the back of
my neck, back and chest. Id scratch them a lot, since they were so
itchy. They made me feel so ugly. They were humiliating. They
made me less self-confident. I couldnt control them or make them
go away.
I have severe arthritis of the knees and back (2). The knees swell
above the kneecaps. It is a sharp pain when going up stairs. There is
a stiffness of the knees. I have spinal bifida and scoliosis. I can get
spasms of the back (3) and sciatica, which is a prickling pain down
both legs. I get an ache and a pressure in my back, like an elephant
standing on it. There is also some twitching of the muscles of the
back. The arthritis bothers me every day. My muscles feel tight (3).
There is also tightness of chest (2). I get another type of pain in my
knees which make them feel like they are going to explode (3).
I have severe headaches (3) in back of my neck and head. The head
feels like it is in a vice grip. I have to go lie down and rest in a dark
room with no noises. These are worse with motion of her head.
They occur mainly around menses (3). The headaches are of two
She has severe menstrual cramps (3). They are debilitating. She has
to go lie down (3). They occur on the second day of the bleeding.
There are lots of clots with dark red blood, associated with nausea.
She is chilly, has low energy of three to four on a scale of one to ten,
and craves cheese and milk, which upset her stomach. She has
aversion and aggravation from eggs.
out. The joint pains got so severe that she was crying from the pain.
I was constantly giving her prescriptions for Tylenol (3).
1. Difficulty focusing
Repertorization:
Discussion:
Cenchris remedy was selected based on these symptoms like:-
1.Suspicious / Jealous;
2. Arguing/irritability/nastiness; (If person explodes quickly it is
more likely Cenchris rather than Lachesis who tries to control
themselves).
CASE 2
Dec. 30, 1889. The menses had come two days earlier. First day,
bright red, then dark, lasting four days; not much. After it, pain in
the right ovary, like a jumping toothache, for a day. The size of the
painful spot had tapered down from three or four inches in diameter
to about that of a fingertip. Cenchris cm was given.
Jan. 13, 1890. Had for the first time in her life a normal
menstruation. There was only a slight intimation of pain in the right
ovary. She feels good everywhere, and has gained.
Repertorisation
Discussion:-
As per this case the patient complained of severe pain with soreness
in the Right ovary region initially she had sore throat followed with
chill in 3pm with night aggravation this are the symptoms which are
markedly seen in this remedy previously this patient was treated by
Apis due to the symptom of sore throat with chill but the patient
came up with soreness and severe pain in the right ovarian region
she was better with highest potency of Apis but she did not get
completely cured after Cenchris 45 she was not better for 2 days but
then the pain started reducing with marked improvement in overall
health of the patient. We also learnt a new clinical symptom of
Cenchris which was retching with cough.
CASE 3
Name:-Mrs.U.S. 35yrs/f
Address:-31,Bhawan Bhawan, B.S. Road,Dadar,Mumbai-400028
Tel no.:-24378048
Religion: - Brahmin
Occupation: - Housewife
Marital status: - Married since 15yrs
Physician In charge:-Dr.Nimish Mehta
Chief complaints:-
She complains of recurrent bouts of breathlessness since the last 14
years. The attacks were much more severe earlier but in the last 8yrs
the severity is about 50% less. Since then she has not been
improving further.
She suffers from frequent attacks. Every time she gets an attack it
starts with cold and cough to start with and then breathlessness in
the next 24 hrs.
She is unable to lie down with the attack. She feels cold along with
the breathlessness,but at the same time wants fan. She gets a lot of
eructation along with the breathlessness.
During the attack she takes Asthalin inhaler 4-5 times a day and
steroid inhaler 2 times a day.
Associated complaints:
1. She complains of aches and pain in different parts of the body.
2. She has been suffering from fever one year back. It has lasted for
a long time. The diagnosis was suspected to be typhoid. She says
that she has become extremely weak after this attack of fever. She
gets tired very easily. Within 30-40 minutes of work the tiredness
comes up.
No motion sickness
F/H
Father:-Pulmonary Tb
Knee Joint Pains? O.A
P/H
Fever 1 year back??Typhoid
General examination:-
Pulse-99/min; BP-120/80mmhg R.R:-20/minutes; Temp - Afebrile
Cold2+ palms; tremors hands 1+ (due to bronchodilators); trembling
of tongue 3+ on protruding
Weight:-58kg
Systemic examination:
R.S. - Scattered Ronchi ++
C.V.S - NAD
G.I.T - NAD
G.U.T - NAD
C.N.S - NAD
Investigation advised:-
Cbc, S.uric acid, X-ray chest PA view , L F T , Spirometry before
and after bronchodilators.
Repertorisation
Reasons:
1. Source - animal kingdom but toxic venom so cannot be used in
low potency --->high potency.
Prognosis: - Good
Prescription:-
Mrs. U.S
Rx
Cenchris 200 (1P) H.S. x 1 day
SL 30 tds x 7 days
Follow -up
12-05-2000
1)Moods / Thoughts / Overall Well Being - >- Rx SL 30 tds x 7days
2) General condition -->35%--
3)Bodyache-->20%---
4)Severity, frequent , duration of breathlessness-->--
5) Expectoration - easy, whitish
Discussion:-
Considering the selected symptoms other remedy that came up were
Sepia and Lachesis on repertorisation it was seen that Sepia is a
remedy with marked indifference towards loved one. In Sepia A/F is
due to grief, disappointment in love but in this case A/F is from
fright which is markedly seen in Cenchris. Lachesis also has A/F
fright, anger but the difference is Lachesis is thermally hot whereas
Cenchris is knows as chilly Lachesis.
Lachesis has nightly delusion of fire whereas Cenchris has vivacious
lasicivous and dreams of being raped Cenchris has dreams of snakes
but Lachesis has fear of snake complaints aggravates after taking
cold in Cenchris.
Also we learn new clinical traits and symptoms of Cenchris in the
above case such as passionate and vivacious in mental symptoms
and desires sweets in physical generals which did not appear in the
initial proving of Cenchris.
OBSERVATION
SYMPTOMS
MENTALS (11) DREAMS (2) GENERALS (2) THROAT (2)
1
VIVACIOUS PASSIONATE DULLNESS FORSAKEN
0
NO. OF SYMPTOMS
MENTALS
2
CHASED
RAPE
1 SNAKES
0
NO. OF INCIDENTS
DREAMS
2
COLD
ASSCENDING
FEELING
1
SORENESS
0
NO. OF SYMPTOMS
THROAT
RIGHT SIDED
CHILLY
1
0
NO . OF SYMPTOMS
GENERALS
2
SEVERE PAIN
DARK MENSES
YELLOW
1
LEUCORRHEA
0
NO. OF SYMPTOMS
FEMALE GENITALIA
CONCLUSION
It has been observed in some cases that there are traits of Cenchris
which were not seen while proving of this remedy but appeared in
clinical cases:-
Case 1: Forsaken feeling
Case 2: Retching with cough
Case 3: Vivacious, Passionate, Desire sweets
Hence from the points mentioned above we can conclude that, these
symptoms/traits can help in differentiating the remedy and
considering these symptoms belonging to Cenchris.
The cases given above has showed us that when symptoms are
entered for repertorization gives Lachesis as first choice remedy
because there are similar traits. From various clinical findings and
further differentiating the symptoms, Cenchris traits are seen and
when this remedy is prescribed, there are cures that had taken place
thus confirming the symptoms.
BIBLIOGRAPHY
Homoeobook
(Website:-http://www.drhomeo.com/homeopathic-
treatment/20-best-homeopathic-medicines-for-nightmares/)
BY Dr.Vikas Sharma.
(Website:-http://www.nesh.com/the-new-england-
journal-of-homeopathy/vol-8-no-2-fallwinter-
1999/difficult-cases-frustrating-ordeals-or-
learning-experiences/)