Sciatica is a very well known affection. Its definition can be
found in any pathological treatise, so We do not make an attempt
to define it. We insist only that one should not make errors of
diagnosis. Our therapeutic study is only for essential and old sciatica,
which the doctors should not confound with secondary or symptomatic
sciatica. If the clinic is not sufficient the doctor must try to
diagnose it by all means, by radiography, by lumbar puncture etc.
We have not divided our study into chronic and acute forms. The
same medicine may suit both the cases. We have given only those
symptoms of the remedies that correspond particularly to both
acute and chronic sciatica. We are not discussing here the question
of pathology and etiology, not because we ignore their importance
but because the study of the ground will help us to deduce naturally
the answer to those questions.
Our friends will excuse us for the long list of remedies. We have
tried to be complete but it is possible that we may have left
out some of the medicines.
1. Morbid ground:
The knowledge of the ground is an essential factor for the sure
success of the treatment. In simple cases the medicines symptomatically
used may alone cure the pains but in stubborn Cases constitutional
remedies are to be added to them. The constitutional remedies will
be very frequently indispensable to avoid relapse.
On what grounds sciatica develops:
Sycotic ground is the most important of all. The subjects are
mostly hydrogenoids, sensitive to humidity and to variations.
Agg. While standing, at night, by the heat of the bed, by rest (need
for movement). Amel. Moving the feet, to find a cold place, by moderate
walking. Piercing, drawing pains with heaviness, numbness from hip
General: Horror of washing. All-gone feeling in the stomach at
11 A.M. Burning feet, morning diarrhea. Cutaneous eruptions.
Thuja (200. M) – Sycosis. Hydrogenoid.
Left sided (non-exclusive). Agg. By immobility, on bed, by humidity.
Amel. While moving constantly. Drawing pain along
the nerve, in the soles.
General: Obsessions. Fixed ideas. Lower lip bluish-white. Sweat
of uncovered parts. Genito-urinary affections. Tendency to
proliferations (warts etc.)
Let us then study eight remedies with
(1) Cimicifuga (30,200,M) – With the preceding it is one
of the most important of ground remedies for sciatica. It is useful
rheumatism pains having a particular affinity for long muscles on
which, because of its spasmophile tendency, it produces
cramps. Left sided. Agg. While lying down; should go out of bed.
During menses. Amel. by continued movement, by
pressure, in open air. Violent pains with anxiety in legs. Heaviness.
Incessant restlessness of the lower limbs, cramps.
Utero-ovarian troubles. Irritability. Fear of becoming mad. Hysteria.
(2) Lycopodium (6,30,200,M)—Insufficient liver. Carbo-nitrogenoid.
Agg. By rest, in bed, lying on the painful side, while standing.
Amel. by movement. Chronic sciatica, periodic with remission. Pains
after every four days. Weakness and stiffness of the limbs. Cannot
stretch the leg. Bad digestion. Face like an old man. Big belly
and lean limbs. Horror of solitude. Agg. from 5 to 8 P.M.
(3) Lachesis (12, 30, 200, M)—Endocrinal intoxication, menopause,
alcoholism. Pains going from left to right. Agg. after sleep,
standing, by movement, by contract. Amel. by menstruation, by discharges,
while lying down, by hot application. Burning pain along the nerve.
Loquacity. Jealously. Gushes of heat. Alternate excitation and depression.
Bad effect of solar heat.
(4) Nux vomica (6, 30, 200, M)---Hepatic insufficiency.
Digestive intoxication. All sorts of abuses.
Agg. by movement, in the morning (4 to 5 A.M.), by clod. Amel.
by rest, hot application. Tearing pain from above downwards with
spasm. Jerking of muscles, contractions, stiffness. Sensation as
if the limbs are paralysed. Abuse of stimulants. Excess of sedentarism.
Business cares. Irritability. General amel by wet and mild climate.
(5) Natrum sulphuricum (200, M)--- Hydrogenoid. Rheumatism.
Congestion of liver.
Agg. by all forms of humidity; lying on the left side. Abuse of
quinine. Amel. by dry weather, by pressure, change of position.
Disgust of life. Tendency to suicide. Flatulence, thirst, morning
diarrhoea. Imflammation of fingers around nails.
(6) Ignatia (30, 200, M0--- Intoxication reflecting on
nerves. Result of grief and cares.
Agg. by change of position, standing, by walking. At night, in open
air. After eating, by coffee and tobacco. Amel. by rest,
by lying down, during eating. Pains with spasms, intense, stiffness,
cutting pains in the hips. Sensation as if coxo-femoral
articulation is broken. A remedy for women. Physical and mental
hypertension. Paradoxal alternance of gaiety and sadness.
Contradictory symptoms. Never speak about her ennuies.
(7) Causticum (6, 30 200)--- Hydrogennoid. Chronic rheumatism.
Indifferent literality. Agg. by temperate humid weather;
heat of the bed, by heat. Numbness and restlessness of limbs. Heaviness,
weakness, trembling. Sensation as if the tendons
are very short. Chronic rheumatism with crushing pain on the articulations.
Sympathy for others. Fear of darkness.
Sensation of an open sore.
(8) Sepia (30, 200, M) – Hepatic insufficiency. Genital
affections. Tuberculinism. Agg. in the morning and in the
evening, by humidity and in cold. Amel. by violent exercise, by
heat. Weakness and agitation, heaviness of the limbs. Sadness. Indifference.
Agg. by consolation. Bearing down. Cannot lie on the left side.