Digitalis Purpurea: Boericke, Allen & Clarke’s View Explained Simply

Common Name: Foxglove
Family: Scrophulariaceae
Source: Prepared from the fresh leaves
Kingdom: Plant
Miasm: Sycotic/Syphilitic


Sphere of Action

Acts powerfully on the heart, circulation, liver, kidneys, and nervous system. A cardiac remedy affecting myocardium, vagal nerve, and blood vessels.


Key Clinical Indications

Heart Conditions:

  • Slow, irregular, intermittent pulse
  • Weak, dilated heart with blue face, cold extremities, and dyspnea
  • Palpitation from slightest motion
  • Feeling as if the heart will stop if the patient moves
  • Mitral and aortic valve disease

Dropsy / Edema:

  • Anasarca, especially of cardiac origin
  • Swelling of legs, abdomen, face
  • Dropsy with scanty, albuminous urine and slow pulse

Gastric and Liver Affections:

  • Nausea with slow pulse
  • Yellow-coated tongue, bitter taste, vomiting of bile
  • Liver enlarged and tender, jaundice
  • Ascites from heart/liver disease

Nervous Symptoms:

  • Great anxiety, especially about the heart
  • Fear that the heart will stop beating
  • Sudden fainting on motion


Characteristic Symptoms

  • Pulse slow, intermittent, weak, irregular
  • Blueness of skin and lips
  • Vertigo on rising or slightest motion
  • Sensation as if heart would cease beating
  • Must lie on back with head high
  • Face bluish, cyanotic, extremities cold


Mental Symptoms

  • Anxiety and fear of death
  • Low-spirited, melancholy
  • Desires to be left alone


Modalities

Worse From

Better From

Sitting up, motion, warmth

Lying on back, cold air



Urinary Symptoms

  • Scanty, dark, albuminous urine
  • Urine may contain sediment, or be suppressed


Potency & Dosage

  • Common potencies: 3X, 6C, 30C
  • Lower potencies for physiological effect (heart), higher for functional conditions
  • Caution in repetition due to toxic nature


Relationships

Complementary

Compare With

Antidotes

Apocynum, Crataegus

Adonis, Kalmia, Convallaria, Lachesis

Camphor, Nux vomica

Mnemonic for Digitalis Purpurea

“D-I-G-I-T-A-L-I-S”

  • Dyspnea with slightest movement
  • Irregular, slow pulse
  • Great fear heart will stop
  • Intense weakness with cyanosis
  • Thirstless but dry mouth
  • Anasarca with scanty urine
  • Lying on back relieves
  • Intermittent pulse
  • Swelling from heart failure


One-Line Summary

Digitalis is a powerful heart remedy for slow, irregular pulse, faintness, cyanosis, and heart failure with dropsy and fear the heart will stop.

J.H.CLARKE

  • Despondency; fearful; anxious about the future.
  • Dullness of sense.
  • Every shock strikes in epigastrium.
  • Melancholia, dull lethargic with slow pulse.

S.R.PHATAK

  • Anxious about the future.
  • Sadness; with sleeplessness, from unhappy love; from music.
  • Lascivious thoughts in old men, with enlarged prostate.
  • Fearful.
  • Feels as if he would fly to pieces.
  • Fear of suffocation at night.
  • Wants to be alone.
  • Despondent.
  • Every shock is felt in epigastrium.
  • Great anxiety like from troubled conscience.

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