Indications: Pain when stools begin to pass. They contain mucus and blood. There is a constant urge to empty the bowels.
Increased frequency of stools may be due to ulceration of intestines caused by infection of dysentery bacillus or by amoeba (amoebic dysentery). They are commonly conveyed by infected food, water, by carriers, flies and infected persons due to low standards of hygiene.
(1) Apart from the above, the bacillary dysentery can further be classified according to the organism found on bacteriological examination such as Flexur, Shiga, etc. Whereas, the amoebic dysentery is due to single celled protozoan known as entamoeba histolytica, which has the capacity to form into small cysts. It can also pass to liver and given rise to liver abscesses.
(2) The symptoms vary in severity depending on the virulence of the organism. Common is diarrhoea with blood & mucus, temperature is raised and sometimes there is associated vomiting. If the attack is severe tongue will become dry and furred and dehydration will be apparent. Amoebic dysentery and its complications are relatively more common in India.
(3) Entamoeba histolytica is found in man in a vegetative form, which exhibits active amoeboid movements, and a non-motile cystic form. The vegetative forms invade the wall of the colon producing ulcers with undermined edges separated from each other by areas of healthy mucosa. From the colon the amoebae may be carried in a portal bloodstream to the liver to cause amoebic hepatitis or so-called amoebic abscesses. In the lumen of the gut the amoebae encyst and develop a tough outer envelope; it is these cysts passing out in the faeces, which are infective to other humans. If amoebae are swallowed they are destroyed by the digestive juices of the upper alimentary tract, but the cysts are able to survive until they reach the large bowel, where they develop into the mature vegetative form.
(4) Acute Amoebic Dysentery: This is usually more insidious in its onset than bacillary dysentery and there is less fever and constitutional upset. The patient complains of lower abdominal colic and has frequent loose motions containing blood and mucus.
(5) Chronic Amoebic Colitis: Many patients never develop acute dysenteric symptoms, but pass rather gradually into a state of vague ill-health; they lose weight, complain of general tiredness and irritability and suffer recurrent exacerbations at varying intervals in which they pass a number of loose motions, usually in the morning, with a good deal of colic and flatulence. The stools usually contain mucus but no blood.
Composition: Ferrum phosphoricum 3x, Kalium muriaticum 3x, Kalium phosphoricum 3x and Magnesium phosphoricum 3x in equal proportion.
Proven indication of the ingredients within the claimed sphere of action:
Ferrum phosphoricum: It is indicated in first stage of dysentery where stools are watery with or without blood and undigested food. There may be inflammation and low grade of fever.
Kalium muriaticum: It is indicated for clay coloured, white or slimy stools with or without blood. Symptoms are worse due to fatty and rich food.
Kalium phosphoricum: It is indicated in dysentery where stools consist of pure (bright) blood, patient becomes delirious, abdomen swells and stools may have appearance of rice water.
Magnesium phosphoricum: It is a known antispasmodic drug for flatulent colic, pain, enteralgia relieved by pressure and warmth.
Contra-indication: None. It can be used along with other medicines and measures. Dosage: As usual. Presentation: As usual.