# Angustura Vera

## Remedy Classification
- **Type:** Herbal Remedy
- **Miasm:** Syphilitic Miasm
- **Temperament:** Chilly
- **Aggravation Time:** Neutral/Anytime

## Keynote Indications
Thi effects of Ang. are closely allied to those of Nux-v., Ruta and Merc. Clarke has verified 
the power of Ang. over long bones in a case of acutè periostitis of the tibia in a scrofulous boy. The 5x trituration 
speedily arrested inflammation after the failure of Merc. Decay of bones, particularly  
if patient has longing for coffee and has a very touchy, sensitive mind. 
Principal action is on spinal motor nerves and mucus membranes. Over-sensitive and excitable.  The 
slightest offense, a mere trifle, irritates (Nux -v.). Timidity and weakness (Sil.). Characteristic strong craving 
for coffee. 
Decay of tissue.  Decay with crumbling off of pieces of bone. Decay of long bones. Ulcers very painful, 
penetrate to marrow. Tearing in the bo nes, worse at rest, better cold applications, better extension, worse 
exertion and pressure. Exostosis of lower jaw. Rheumatic and paralytic complaints with great difficulty in 
walking. Crackling in all joints. Drawing, tension, stiffness of muscles and jo ints, bruised, sore feeling as after 
a blow. 
Constricting sensation in varicose veins. Spinal marrow and extensor muscles are principally affected. 
Paralysis. Tetanus. Drawing of head of right side, later to left. Heat in forehead at night.YJear -sighted.

## Modalities (Aggravations / Ameliorations)
Toothache is better applica tion of cold fingers. Palpitations, worse sitt ing bent and better sitting 
up. Pain in cervical vertebrae worse moving arms. Loose cough is worse 3 p.m. Worse from exertion. Worse 
stooping. Worse moving or lifting arms. Worse drinking warm milk. Worse cold application. Worse extension. 
Worse lying on left side.

## Symptoms by System

### Mind
- Greatly excited and extravagant spirits.
- Oversensitive, Sudden attacks of anxiety at night.
- Anxiety 
while lying in bed.
- Anxiety as if she never would get awake again.
- Easily frightened and starts.
- Pusillanimity.
- He has not confidence enough in himself to undertake and perform voluntary motions.
- Marked ill humor, everything vexes her.
- Lachrymose and irritable.
- Great gloom.
- Dis - fl heartened.
- Offended 
easily.
- Prone to anger, every trifle irritates.
- Filled with bitterness, will stand no joking, irritati on at least of - Hi 
fence.
- Absence of mind, wants now this, then that thing.
- Greatly excited and extravagant spirits.
- Oversensitive, Sudden attacks of anxiety at night.
- Anxiety 
while lying in bed.
- Anxiety as if she never would get awake again.
- Easily frightened and starts.
- Pusillanimity.
- He has not confidence enough in himself to undertake and perform voluntary motions.
- Marked ill humor, everything vexes her.
- Lachrymose and irritable.
- Great gloom.
- Dis - fl heartened.
- Offended 
easily.
- Prone to anger, every trifle irritates.
- Filled with bitterness, will stand no joking, irritati on at least of - Hi 
fence.
- Absence of mind, wants now this, then that thing.

### Vertigo
- Periodical vertigo.
- Vertigo in the open air.
- Vertigo from the occiput when sitting, throbbing in right 
temple.
- COMMENTS - Trismus neonatorum, where much mercury had been given.
- Drawing in upper right molar tooth 
better application of cold finger.
- Thirst, constant desire to drink.
- Irresistible desire to drink coffee.
- Hiccough after cough.
- Belching with cough (Ambr.).
- Dry, hacking cough from scratching in throat or irritation 
behind sternum.
- Irritation behind sternum through to back.
- Every evacuation followed by shive ring, crawling 
sensation over face.
- Tenesmus with soft stool.
- Hemorrhoids protrude with hard, knotty stool.
- Seminal 
emissions.
- Itch-ing of tip of glans penis (when walking in open air).
- Violent itching on scrotum.

### Head
- Oversensitive.
- Headache with heat of face.
- Acute pain in cheeks.
- Drawing in facial muscles.
- Pain in 
temporal muscles, worse when opening the jaws.
- Pain in articulation of jaw in masseter muscles, as if fatigued 
by chewing too much.
- Cramppain on the zygomatic arch.
- Oversensitive.
- Headache with heat of face.
- Acute pain in cheeks.
- Drawing in facial muscles.
- Pain in 
temporal muscles, worse when opening the jaws.
- Pain in articulation of jaw in masseter muscles, as if fatigued 
by chewing too much.
- Cramppain on the zygomatic arch.

### Eyes
- The eyes are red and burn, agglu tinated in the morning.
- Violent burning in the inner half of the eyes.
- Pressure in both eyes, as if a bright light were irritat ing them and they became weary.
- A few stitches over the 
eyes.
- Eyes feel as if there was sand in them.

### Ears
- Heat of the ears and both cheeks.
- Pinching in the external ear.
- Heat in the lobes.
- Sensation as if something were before the ear and as if 
something were inserted in it.
- Throbbing pain behind the ears, on the side of the neck, as if the carotid were 
beating.

### Mouth
- Great dryness of mouth and lips without any thirst.
- Much saliva flows from the mouth.
- Bitter taste in 
the mouth after the usual’smoking.
- Nose - Sensation of a corrosive soreness deep in the nose.

### Throat
- Frequent roughness in the throat, he must hack without being able to expec torate anything.
- Roughness and dryness in the back part of the palate and fauces without any thirst.
- -

### Chest
- Cough, as if something weighed on his lungs.
- Frequent short cough, followed by one hiccough.
- Expectoration of sour, salty water.
- '

### Stomach & Abdomen
- Belchings of water.
- Many empty ri..
- belchings after a meal.
- Bilious belchings.
- gp Belching with 
cough (Ambr.).
- Frequent p^ hiccough.
- Sense of nausea in the stom- j,F ach.
- Nausea with water brash.
- Nausea, 
especially during a meal.
- Empty feeling in stomach.
- Cutting, tearing in the pit in creased by moving the trunk 
after dinner.
- Cramp like, pinching pain below the pit , of the stomach.
- Atonic dyspepsia.
- Temperature - Chills all over with nausea.
- At 3 p.
- m., shivering with goose flesh, abating in the open air without thirst, for .
- several days in succession.
- Pain from navel into sternum.
- Loud rumbling in the abdomen.
- Emission of stinking flatulence.
- Aversion to solid food, desires nothing but warm drink.
- Thirst without desire to drink.
- Irresistible desire 
 
 
to drink coffee.
- Aversion to meat, especially pork.
- Thirst for cold water, could not drink enough during evening.
- Wants now one thing, now another, which are refused when offered.
- He cannot get satisfied without having 
much appetite.

### Extremities
- Stiffness and tension of muscles and joints.
- Pain in limbs on walking.
- Arms tired and heavy.
- Decay of 
long bones.
- Coldness of fingers.
- Knee pain.
- Cracking in joints.

### Neck & Back
- Itching along back.
- Twitching and jerking along back.
- Pain in cervical ,(, vertebrae.
- Drawing in the neck.
- Cutting pain from point of right scapula to breast, near nipple (Chel.).
- Pain in spine, at nape of neck and 
sacrum, worse on pressure.
- Bends backwards.
- , 
Constitutions - Syphilitic constitutions.

### Skin
- Decay, very painful ulcers which affect the bone.

### Sleep
- Restlessness at night.
- Uneasy sleep, i wakes without cause ani cannot get to _ L sleep again.
- Vivid 
dreams, partly disagree- g, able, partly anxious.
- Anxious, distressing , dreams, causing her to weep much.