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Atropinum purum aut sulphuricum (Atro.)
Atropinum purum aut sulphuricum (Atro.) appears in 228 rubrics in the Repertorium. Of these, 26 are single rubrics in which only this remedy is listed, and 18 are small rubrics with at most two other remedies. The emphasis is on Delusions, Speech and Delirium, and also on Fear, Answering and Raving. From them results the picture of a person whose perception and speech have detached from the other person and who lives in a delirium of images, gestures and incoherent words.
Delusional images
The Delusions form the largest block, and it is ordinary and bizarre at once. The person sees figures, enormous specters at the bed and in the night, sees people in the room, talks loudly and incoherently to imaginary persons. Equally ordinary are the imaginations: she believes she is sewing, eating, nursing a child, playing with toys, looking at newspapers, shopping with her sister or having to leave by train. In addition come centipedes and the belief that a wet cloth on the head means having been out in the rain. What they have in common is an everyday life that has shifted into imagination without the person noticing the difference.
Speech and answering
Speech follows the delusion. Recorded are incoherent, confused and irrelevant speech, muttering on waking in the night, loss of speech from dryness of mouth and throat. Confusion and incoherence come to the fore on closing the eyes and in the morning after waking. The answers are wrong or indifferent; whoever asks reaches the patient only by chance.
Grasping, restlessness and raving
The body also takes part in the delirium. The hands grasp involuntarily at night, an attempt to grasp for books is separately recorded. Restlessness, laughing described as idiotic and raving are added, the latter occurring with abdominal pain and peritonitis. Stupor and delirium alternate: the single rubric "Stupor – alternating with – delirium" has its counterpart in the small range in "Delirium – alternating with – stupor".
Fear
Fear is directed at being buried alive, at going blind, at misfortune in the heat, and in pancreatic complaints; to this is added the delusion that the blood does not circulate properly. One can see in it the patient's fear of being at the mercy of his own body.
Summary
The Repertorium draws a delirium in which images, gestures and speech overlie each other while the connection to the surroundings is severed. Alternating between excitement and stupor, the person is left to his own imaginations, with a fear that concerns above all confinement, blindness and the body itself.
All rubrics of this remedy, the materia medica and the case work are in Rathmer’s Repertory.
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