Cina

C  I  N  A

Common Names:-Flores Cinæ (Semen Cinæ), Wormseed, Wurmsamen.

Preparation:- Tincture of the flower heads (commonly called seeds).

Introduction:- Cina is pre-eminently a child's remedy, but it is suitable for conditions in adults that are seldom thought of. It is frequently prescribed in our day to day practice in the following type of ailments:-

Worm infestation-Attention deficit hyperactivity disorders of

children-Epilepsy(of certain types)-Sleeping disorders of children-Enuresis

Typical Subjects:- Adapted to children with dark hair, very cross, irritable, ill-humored, want to be carried, but carrying gives no relief; does not want to be touched; cannot bear you to come near it; averse to caresses; desires many things; but rejects everything offered (compare, Ant. t., Bry., Cham., Staph.). Constantly digging and boring at the nose; picks the nose all the time; itching of nose; rubs nose on pillow, or on shoulder of nurse(Mar.v) . Children, suffering from worms; pitiful weeping when awake, starts and screams during sleep; grinding of teeth (Cic., Sulph.); ascarides (Mar. v.). Face is pale; sickly white and bluish appearance around mouth; sickly, with dark rings under the eyes; one cheek red, the other pale (Cham).

Notes and features:-

The child is cross and ugly, kicks and strikes; wants to be carried or rocked or don't want to be touched or lookd at; wants things and pushes them away when offered.

Frequently boring the nose with the fingers.

Pale sickly look about the eyes, or white and blue about the mouth.

Frequent swallowing as if something came up in the throat.

Alternate canine hunger or no appetite at all.

Urine turns milky on standing.

Frequent sudden attacks of vey high fever, with glowing red hot face, with paleness around mouth and llips, or sometimes alternataes with pale face with dark bluish ring around the eyes.

Mind;- Piteous complaining and howling. Peevishness: The child is insensible to caresses and rejects everything that is offered. Dread. Children resist being held. Whimpering and crying, especially when touched.

Head:-Pressive, numbing headache, first in forehead then in occiput, with profuse, fluent coryza. Pressure as of a load or stone on, with painful pressing on upper eyelids. Headache before and after attacks of epilepsy or intermittent fever. Sinks sideways, or is jerked backward. Worse: Walking in open air, mental exertion. Better: Stooping, moving the head, sitting, lying.

Eyes:-Pain in evening, from straining them by artificial light. Dim vision when reading, disappears from wiping. Dilated pupils. Photophobia. Blue rings around. Lachrymation.

Nose:- Bleeding from, and from mouth. Epistaxis, with burning in. Children continually rub and bore into, even until it bleeds. Fluent coryza, with burning in, with purulent mucus. Violent sneezing with continuous bursting pain in head and chest or piercing pain in temples.

Face:-Pale, cold, with cold sweat. Pale, sickly color of. Puffed, with bluish white color about mouth. Faceache, tearing in zygoma worse by touch and pressure.

Teeth:- Gnashing of. Sensitive to both cold air and drinks.

Mouth:- Dryness and rawness in. Inability to swallow. Audible gurgling from throat down into abdomen.

Stomach:- Appetite: Hunger, immediately after meals, incessant. Increased thirst.Vomiting: With the fever. Of worms. OF mucus and ingesta. Of bile.

Abdomen:- Pinching bellyache from worms. Painful twisting about navel. Distension of abdomen especially in children. Gurgling in.abdomen.

Rectum:- Stool:-Constipation. Discharge of ascarides and round worms, with pappy diarrhoea. Diarrhoea after drinking. Whitish diarrhoea, passed involuntarily. Itching of Anus.

Urine:- Involuntary urination, particularly at night in bed.

Female:- Menses: Too early, and too profuse. Uterine hemorrhage.

Respiration:-Short interrupted, crowing. Anxious oppression of, as from spasms of chest. Wheezing, whistling Spasms / Gurgling from throat to stomach after coughing.. Child is afraid to speak or move for fear of bringing on paroxysm of coughing. After coughing, moaning, anxious, gasps for air and turns pale.

Chest seems too narrow. Burning, piercing and soreness in.chest.Other symptoms are:-

(i) Cough:-In violent, periodically recurring paroxysms, excited by a feeling as of feather down in throat, and by a quantity of mucus therein, dry in morning, in evening, expectoration of a whitish slimy, rarely bloody, almost tasteless substance, detached with difficulty. Dry, spasmodic, with shortness of breath and twitching in limbs. Spasmodic, with stiffness and a pale face.

 (ii)Larynx and Trachea:-Much mucus in, with hoarseness.

Back:-Bruised pain in lumbar region. Sense of constriction about loins.

Extremities:- Cramp - like tearing in arms and hands. Spasmodic closure of hands. Twitching of fingers. Weakness of hands, with inability to grasp objects tightly.

Spasmodic twitching and stretching out of feet.

Generalities:-Dull stitches here and there over body. Jerkings and distortions of limbs. Rigid. Extension of body Paralytic pain in arms and legs. Worm affections of children. Epileptic attacks with or without consciousness. Nightly epileptiform convulsions. Epilepsy, lies upon his back, with violent shrieking and bearing about with hands and feet. Intolerance of touch and motion. External pressure renews or intensifies the symptoms. After effects of loss of vital fluids. Twitching of limbs, and sleep (after paroxysms of epilepsy or whooping cough.)

Sleep:-Nightly restlessness and sleeplessness. Yawning and shivering and trembling. Restless tossing about and sore at night in bed. Starting in.Sleep.

Fever:- Pulse: Small, but hard and accelerated. Chill: With shuddering and shaking, it runs from upper part of body to head, even when near a warm stove. With a cold, pale face, and warm hands. With thirst. Not relived by external warmth, mostly in evening, with great paleness of face. Heat: Greatest on head and face, but also with a pale face. Nightly, with thirst and anxiety. Sweat: Generally cold on forehead, nose, face and hands. Vomiting of ingesta, with ravenous hunger after the sweat (often also before the chill sets in).

Complementary:- : Dros., Calc. Sul.

Modalities:Worse:looking fixedly at an object, from worms, at night, in sun, in summer.

Relationship:- Compare:Santonin.--(often preferable in worm affections; same symptoms as Cina; corresponding to the "pain in shocks" produced by Cina. Visual illusions,yellow sight; violet light not recognized, colors not distinguishable. Urine deep saffron color. Spasms and twitchings, chronic gastric and intestinal troubles sometimes removed by a single dose (physiological) of Santonin. Dahlke).Helmintochortos--Worm-moss (acts very powerfully on intestinal worms, especially the lumbricoid). Teucrium; Ignat; Cham; Spig.

Antidote:- Camph; Caps..

Dose:- Third attenuation. For nervous irritable children, thirtieth and two-hundredth preferable. Santonin in first (with care) and third trituration.