Citrobacter spp. (? C. koseri), (+/- Enterobacter cloacae)
| Hypotheses | Features | Similars |
|---|---|---|
| Predisposed types | Tense overworking types ? Dark, pale colouration |
Kali salts |
| Main aetiology | Infective | |
| Secondary aetiologies | Overwork Over-indulgence Drugs and antibiotics |
|
| Emergent disturbance | Systemic | |
| Secondary disturbances | Fatigue states Inflammatory arthritis |
|
| Principle locations | Systemic | FATIGUE |
| Secondary locations | Neuromuscular Joints |
Cracking joints Bryonia |
| GI pathophysiology | Diffuse | Carbo veg. |
The keynote for the use of this nosode is extreme mental and physical fatigue.
It has developed insidiously and is often associated with wasting of muscle groups,
perhaps with myocardial weakness which may strike suddenly. Its site of action is
the neuromuscular junction.
Appearance: Dark, pale; puffy.
Mind: Tense. Tired. The thought of doing anything is sufficient to exhaust.
Face: +/- Angio neurotic oedema.
Respiration: +/- Asthma; bronchial catarrh; tough sticky mucus, difficult to raise;
worse at 2 A.M. (Kali carb is the associated remedy).
Neck and Back: Stiff neck: “cracks like a nut.” Fibrositis neck and shoulders;
Fibrous rheumatism of neck and back, abdominal muscles; shoulders and arms.
Spinal osteoarthritis. Backache > heat and rest; < damp and cold and on commencing to move.
Spondylo-arthritis with ankylosis.
Circulation: Slow pulse rate, often with lowered blood pressure. Faintness on
standing long and after sudden exertion. Excessive perspiration.
Stomach: Eructation. No vomiting.
Abdomen: Pain in liver region. Flatulence.
Digestive System
All the symptoms can be related to general lack of nerve & muscle tone; sense of fullness
after food; flatulence/distension of stomach.
Upper Limbs
Rheumatoid arthritis shoulders; elbow; wrists. Ganglion right hand. Fingers swell.
Blood vessels burst in fingers. Rheumatism wrist, thumb osteoporosis.
Wrists and ankles immobile. Rheumatoid arthritis.
Lower Limbs
Joints swollen and painful. Fibrous rheumatism thighs. Sciatic pains. BM shoots up and
down leg. Stabbing pain in hip. Cramps in leg at night. Osteoarthritis knees.
Periarthritis knees. Left hip fixed, arthritis.
Feet: Achilles tendon. Ankles and heels. Feet painful. Gout in left toe.
Genitourinary System
Relaxed fibrous tissue, with tendency to the prolapse of pelvic organs. Backache, cannot
stand long without backache again. Female: Frequent urinary flow; loss of sexual function;
leucorrhoea. In male: No leucorrhoea.
Skin and Nails
Hard skin. Brittle nails. Paronychia.