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Proving & clinical verification

Phyllanthus niruri

Phyllanhus niruri is commonly known as Bhuiamla. It is also known as Phyllantus amara, Nirurisannua, Nymphanthus niruri, Phyllanthus niruri, Diasperus niruri. Some authors dispute them as different varieties/spices. This drug was proved by Central Council for Research in Homoeopathy at 2 centres. The Council undertook proving of Phyllanthus niruri in 1994–1995 at Drug Proving Research Unit (H), Ghaziabad (U.P.) and Kolkata (W.B.). The proving details are published in “New Drugs Proved by CCRH” by the council in 2008. It was also proved by an independent scholar Dr.George Mathew and published in www.homeobook.com. Whole plant is used for the preparation of mother tincture. A combined materia medica of these two provings and other published data is given below.

Mind

Easily angered, irritates on trifles. Anxiety with depression and no desire to work. Life seems to be very horrible. Aversion to do both mental and physical work. Laziness. Aversion to playing. Fatigue. Concentration difficult. Restlessness, wants to walk about, doesn’t like to lie down. Delusion as if he would fall, while walking, and while riding the two wheeler. Delusion of some incidents happening, which have not actually occurred.

Vertigo

Vertigo worse lying down, looking down, when rising from bed in the morning with intense dizziness, falling to either side. Vertigo associated with pain in eyes with heaviness of eyelids.

Head

Heaviness in forehead with coryza. Heaviness in temples, worse least motion, better light pressure, open air, lying down. Bursting pain extending up to the teeth, worse pressure; better open air, warm drinks. Throbbing pain in head, worse evening, sleep, covering, mild pressure. Pain, severe, dull, aching, better lying down, looking down. Pain, throbbing, bursting, better light pressure, lying down with closed eyes. Throbbing pain in head, finally settles in left sided ear and eye. Pain worse by movement, going upstairs, better taking rest, cold drinks. Frontal pulsating pain, better by pressure. Pain in frontal region with heaviness of head, worse lying in supine position with closed eyes. Pain in right side of forehead, congestive, heavy feeling as if eyeball is pressed out, worse after bath, shaking the head; profuse watering from right eye. Throbbing pain, right side of head after taking cold bath, pain extends to right half of the vertex, better drinking cold water. Throbbing pain in left temporal and occipital region, on alternate days. Dull pain in occipital region, worse lying down, with sleepiness and tiredness. Throbbing pain in temporal region with sleepiness, better pressure, after sleep. Piercing and throbbing pain in temples. Dull aching pain in temples and forehead, worse talking, motion, l p.m. and 9 p.m., better after sleep, and lying down. Headache starts in nape of neck, then in both supra orbital regions, and finally settles in occipital region, with burning as from a volcano, worse 10 p.m., reading, morning in bed and slightest motion. Itching painful papular eruptions on scalp, worse touch. Itching of scalp, also without eruptions.

Eyes

Burning in right eye, inner canthi, worse from touch, washing the face. Dry sensation in inner canthi. Itching in left eye, lachrymation, with coryza. Heaviness of eyes with dull headache and coryza. Heaviness with sensation of drooping of eyelids and sensation as if eyeballs were full of water. Reddish painful stye, on left upper eyelid with redness of conjunctiva. Heaviness worse from reading, and in the evening especially 3-7 p.m. Sensation of heat and burning in the eyes, better closing eyes tightly.

Ears

Stitching pain in both ears, especially left ear with pain in left tempero mandibular joint and itching in left ear. Sensation as if left ear is stopped up while empty swallowing. Pain passing from left eustachian tube to left ear, worse exposure to dry cold wind .Intense stitching pain in right ear accompanied by body pain, chilliness, decreased appetite, and heaviness of head, worse lying on painful side, evening, night, slightest touch, slightest draft of air, stooping, and chewing. Extreme tenderness in front of tragus and in mastoid region. Pain comes and goes suddenly.
Nose

Coryza with headache, running nose, worse in room, better open air. Nasal discharge thick yellow, greenish with stoppage of right nostril. Thin, watery, frequent nasal discharge from left nostril. Thick, yellowish greenish watery discharge, better open air. Yellowish, thick, bland, greenish discharge from nose. Watery, acrid discharge from right nostril,worse exposure to rain. Nasal obstruction, worse during sleep. Sneezing with piercing pain at root of nose with heaviness of head, and great desire to be fanned, better warm room, taking cold drinks. Frequent sneezing with stuffy feeling in nose. Watery nasal discharge (Q,30C, 200C) especially from left nostril. Watery discharge from the free nostril, while the other is stopped up. Stoppage of nose especially left nostril, in the morning, on waking. Both nostrils alternately stopped up. Sneezing, sometimes paroxysmal. White mucoid discharge from left nostril.Sneezing, stoppage of nose and post nasal catarrh of thick transparent tenacious mucus, worse morning on rising.Loss of smell. Rawness in posterior nares better eating, warm drinks. Thick yellowish green coryza with stitching pain in forehead and tenderness in temples. Thick yellowish-white coryza, alternating with stoppage of nose.

Face

Dryness of lips with headache and weakness. Dryness compels to take frequent sips of water, without any relief. Cold sweat of face during headache. Small black mole below lower lip, with visibly congested capillaries.Multiple aphthae, on both lips.Pimples on both cheeks.

Mouth

Aphthae, sore and painful, on both upper and lower lips, stinging pain, worse touch, eating, salty, spicy food; better taking sweet. Swelling of palate and gum of right upper molar teeth. Salivation increased. Tastelessness.Dryness of mouth with sensation as if tongue is sticking to palate. Bitter taste.Redness of soft palate with pain, dryness and itching. Marked loss of taste. No taste for food, after eating a little. Pain in gums during fever. Multiple aphthae.

Throat

Rawness in throat, worse taking solid or liquid. Burning pain in rawness in throat, worse taking cold water, better Sun heat exposure, wrapping the neck with clothes. Constant hawking of white frothy expectoration. Pain in throat with hoarseness of voice and dry cough without expectoration, worse lying down, open air, drinking water; better wrapping up, warm drinks and empty swallowing. Pain in right side of throat, worse during deglutition, eating anything solid or liquid and taking cold. Tearing, pricking pain in throat, better hot drinks, deglutition. Rawness in throat , worse morning on waking, better drinking warm water. Soreness in throat especially left side radiating to left ear on swallowing. Soreness accompanied by hoarseness. Redness of uvula, pharynx and throat.Sensation as if left ear is stopped up while empty swallowing.Soreness of throat, alternating sides.Rawness and dryness of throat with constant inclination to swallow. Soreness, burning pain and dryness in throat worse empty swallowing, and talking. Sensation of a membrane in throat on swallowing. Sensation of mucus collected in throat pit. Has to hem and hawk constantly without relief. Pricking sticking pain in left side of throat, especially left tonsil, worse evening.

Stomach

Loss of appetite as well as increased appetite. Heaviness in stomach, better after sleep, after eating.Nausea in morning, worse looking at food. Nausea and vomiting, worse movement, better taking cold water. Pain in stomach, better taking food, drinking hot tea or water.Thirst increased with desire to drink much at a time. Pain in epigastric region in empty stomach, better after eating, pressure. Stitching colicky pain in left iliac fossa, coming and going suddenly, worse sudden motion. Colicky pain around umbilicus, compelling to lie on abdomen, worse morning. Burning in abdomen, worse morning.Burning in abdomen better after eating.Dull aching pain in umbilical region, worse evening and night, better by cold drinks. Discomfort and colicky pain in night, better by cold drinks. Discomfort and colicky pain in right hypochondrium better by eructation. Itching around umbilicus without eruptions, worse perspiration and touch of clothing.