Some Trios of Medicines

In my daily practice I had seen that many cases have clear therapeutic indications, which are very important in acute cases as well as chronic cases. So, in my opinion a physician must have knowledge of therapeutic indication in cases. In chronic cases also, physician must focus on his recent complain of chronic case first, and then he can approach different medicine according to case. Now trios, which are given by our mentors, are very useful in acute & chronic cases. These are medicine which having similar indication yet having differential symptoms. Here some trios of medicines with their differential symptoms, which may help in clinical cases.

Trio of thirstlessness:
Apis Melifica:  Thirstlessness especially during dropsy, with burning micturition.
Desire for cold milk

Pulsatilla: Thirstlessness with dry white coated tongue.
Drinks often & little at a time which provokes vomiting.
Bad taste in mouth.

Aethusa Cynapium: Complete absence of thirst
 Intolerance of milk; all complaints worse after drinking milk.

Trio of pain:
Chamomilla: Intolerable pain with numbness of affected parts.
Over sensitiveness
great debility as soon as pain begins < from heat.

Aconite: Acute sudden & violent invasion
scream with pain, intolerable, drive him crazy with restlessness.

Coffea Cruda:
great sensitiveness to pain & pain seems almost insupportable, driving patient to despair.
Pain with insomnia.

Trio of croup:
Aconite: Hoarse, dry croupy cough.
Dry hacking cough worse at night & after midnight.
Loud labored breathing, shortness of breath.
Oppressed breathing on least motion.

Spongia: Croup worse during inspiration & before midnight.
Feeling of plug in larynx, cough after eating or drinking warm things.
Awakes in fright; feels as if suffocating.

Hepar Sulph: Croup with loose, rattling cough.
Cough excited whenever any part of body gets cold or uncovered.
Chocking cough.

Trio of restlessness: 
Arsenic album: Mental restlessness but physically too weak & exhausted to move about.
Restlessness with great prostration.
Sinking of strength out of proportional to degree of illness.

Aconite: Restless with intense nervousness; can’t remain in one place.
He is full of energy , vigor & strength; as such moves frequently.

Rhus toxicodendron: Can’t stay in one place. Must change position frequently to obtain relief from pain.
Great rigidity , stiffness & lameness.
Pain on 1^st moving the joint after rest or on waking up in morning; > by waking / Continued motion.

Trio of flatulence:
Lycopodium: Accumulation of gas & flatulence in lower abdomen with loud grumbling, croaking.
Rolling of flatus as through fermentation was going on.
Not > by passing flatus & eructation,
Belching always sour & acrid.

Carbo veg: Simple food disagree, causing excessive flatulence; weak digestion.
Abdomen is full to bursting point especially on UPER PART.
<: from least food; >: eructation, on passing flatus

China: Tympanitic abdomen with much flatulence & belching which gives no relief.
Great distension of entire abdomen; sensation as is abdomen is full of gas.
Each food particles seems to have turned into gas.

Trio of sleepiness:
Antim tart: Irresistible desire to sleep nearly with all complaints. Great drowsiness.
On falling asleep feels electric like shocks.

Opium: Sleepiness from nervous irritation.
Great drowsiness; falls into heavy stupid sleep.
Profound coma; loss of breath on falling sleep. Picking at bed clothes. Very sleepy but can’t go to sleep. Sleeps with half eye opened.

Nux Moschata: Drowsiness & sleepiness which accompany all ailments.
Complaints cause sleepiness. Coma.

Trio of burns:
Sulphur: External burning; all over the skin in the parts on which he lies.
< From heat of bed & covering.

Arsenicum album: Violent & acute > by heat, except in head which is > by cold.
Burning with marked prostration & restlessness.
Burning especially in acute disease; < mid-day, mid-night.
Has fear of death

Phosphorus: Internal burning; anywhere & everywhere all over body.
Burning in spots along the spine between scapula, of the palm, hands, in chest, lungs etc., < evening.

Trio of prolapse of uterus:
Sepia: Bearing down pressure from back of abdomen. Must cross her legs to prevent protrusion of parts.
Mentally pt. is very indifferent & apathetic with complete absence of sexual desire.

Lilium tig: Bearing down, everything forcing down, as if contents of pelvis were being pushed down through a funnel, the outlet being vagina.
Must support vagina with her hands; mentally pt. is hurried, worried; sexual desire much more marked.

Murex: prolapse of uterus with sore pain. Profuse & excessive hemorrhage. Intense sexual desire. Must keep her legs tightly crossed. Pain from rt. Side of womb to right / left breast. Nymphomania.

Trio of delirium: 
Belladonna: Delirium with throbbing of carotids, the heat, redness & congestion of face & conjunctiva; when it passes away then delirium subsides.
In proportion- great violence & excitement.
Flood of subjective visual impression & fantastic illusions. Hallucination; sees monsters, hideous face.

Hyoscymus: Non-inflammatory type of increased cerebral activity. Ridiculous gesture.
Horrible lascivious mania & desire to remain uncovered.

Stramonium: During delirium, pt. gets up & wants to escape; difficult to be located.
Loquacious, furious delirium but not much inflammation found. Religious mania.
Strange delusions about his own identity.

Trio of offensiveness:
Baptisia: Offensive breath, ulcerated mouth with offensive smell. All discharges like urine, stool and sweat are offensive. It is very difficult for doctor to examine the patient.

Kreosote: With offensiveness, there is acridity, putridity of all discharges.
Cadaverous smelling with corrosiveness of discharge.

Mercurius: Offensiveness with profuseness of discharge foulness pt. as a whole smells offensive.
Discharges are bloody, profuse & offensive.
< At night.

Trio of offensive urine: 
Benzoic acid: Urine dark, brown, scanty & urinous odor. Highly intensified. Nocturnal enuresis.
Repulsive odor, changeable color. Cystitis.

Nitric acid: Scanty, dark offensive urine, smells like horse’s urine. Cold on passing. Burning & stinging.
Urine- bloody & albuminous. Alteration of cloudy, phosphatic urine with profuse urinary secretion in old prostatic cases.

Sepia: Red, adhesive, sand in urine, Involuntary urination, during 1^st sleep.
Chronic cystitis. Slow micturition with beating down sensation above pubis.

Trio of ptosis:
Causticum: Ptosis, vision impaired as  if film were before eyes. Paralysis of ocular muscles after exposure to cold. Inflammation of eyelid.

Gelsemium: Heavy eyelids; ptosis.
Pt. can hardly open then. Double vision blurred. Smoky. Dim slighted; pupils dilated & insensible to light. Orbital neuralgia with contraction & twitching of muscles.

Sepia: Muscular asthenopia.
Black spots in field of vision. Tarsal tumor; ptosis cilliary irritation.
Venous congestion of fundus.

Trio of warts:
Causticum: Warts large, jugged, bleeding easily on tips of fingers & nose.
Cicatrices freshen up- old injuries reopen.

Dulcamara: Warts large smooth, on face & palmer surface of hands.
Thick, brown yellow crusts; bleeding when scratched. <: in cold, wet weather.

Thuja: Warts in ano-genital region. Eruptions only on covered parts. Brown spots on hands & arms. Coldness of one side.

Trio of diarrhoea: 
Gambogia: Rumbling & rolling. Pain & distention of abdomen from flatulence, after stool.
Dysentery, diarrhoea with sudden & forcible ejection of bilious stool. Tenesmus after, with burning at anus. Profuse watery diarrhoea in hot weather.
Pain in coccyx.

Gratiola: Diarrhoea; green frothy water followed by anal burning. Forcibly evacuation  without pain.
Constipation with gouty acidity. Rectum constricted.

Oleander: Undigested faeces. Stool passes when emitting flatus. Burning pain in anus.
Gnawing around navel.