Diarrhoea, acute or chronic worse in the morning on beginning to move (BRY), with much flatulence (ALOE and CALC-P.,) and rumbling in abdomen, especially right ileo-caecal region.
Loose cough, with great PAIN in the chest; worse in LOWER LEFT chest (right,CHEL.)
Modalities: worse in cold, wet weather; damp cellars; hydrogenoid (diarrhoea, rheumatism, asthma).
Mental effects from injuries to head.
Chronic effects of blows, falls.
Toothache better by cold water, cool air(COFF., pULS.,).
Gonorrhoea; greenish-yellow, painless, thick discharge (PULS.,)
NAT-S., is also one of our armamentarium for diarrhoea, both acute and chronic. Like PODO., SULPH., nUPHAR., and RUMEX., the diarrhoea is worse in the morning SULPH., drives the patient out of bed, but NAT-S., like BRY., is worse only after beginning to move. Then again NAT-S., has like ALOE., much rumbling in the bowels as of flatulence. This rumbling of flatus is often with NAT-S., located in the right side of the abdomen in the ileo-caecal region.
Again the NAT-S., stool is, like CHINA.,ARG-N.,CALC- P.,AGARICUS., and ALOE, accompanied by a profuse emission of flatus. This flatulence is not always present, but is often so. In chronic diarrhoea there is almost always some trouble with the liver, evidenced by soreness in right hypochondrium, which is sensitive to touch, and hurts on walking or any jar. One very strong characteristic for this remedy in this trouble is worse of the diarrhoea, pain, etc., in damp weather. In this it resembles DULC., and RHODO., The DULC., has the worse in change from warm to cold weather whether damp or dry. This worse in damp weather is not confined to diarrhoea in NAT- S., but is especially present in cases of chronic asthma. I have seen very great benefit in such cases of this very troublesome and obstinate disease, and as worse in damp weather very commonly occurs in cases of old asthma this remedy is often indicated. I have not observed much benefit from this remedy in runarounds, for which it is highly recommended;but have seen nice results from it in very obstinate cases of gonorrhoea, when the discharge was thick and greenish and little pain. LOOSE COUGH WITH SORENESS and PAIN THROUGH THE LEFT CHEST, iS VERY CHARACTERISTIC. This is one of the chief diagnostic points of difference between BRY., and NAT-S., that while with both there is great soreness of the chest with the cough, with BRY., the cough is dry, while with NAT-S., it is loose. The patient springs right up in bed, the cough hurts him so.
There is as much soreness as there is with BRY., and when the patient coughs he springs up in the bed and holds the painful side in his hand to ease the hurt. This symptom may be found in chronic affections of the respiratory organs, such as asthma, phthisis, etc., and I have several times seen remarkably prompt relief and cure follow its administration in pneumonia when this symptom was present. This pain through the lower left chest is as characteristic for NAT-S., as is that of pain running through right lower chest for KALI-CARBONICUM.
