# Cina

## Remedy Classification
- **Type:** Herbal Remedy
- **Miasm:** Psoric Miasm
- **Temperament:** Chilly
- **Aggravation Time:** Morning

## Keynote Indications
Source: Derived from the bark of  Cinchona officinalis , a tree in the Rubiaceae family, native to. South America, prepared for homeopathic use through maceration, serial dilution, and succussion to. enhance therapeutic action and eliminate toxicity. Traditional  Context:  Historically  employed  in  homeopathy  for  febrile,  gastrointestinal,  and. constitutional disorders, particularly those associated with debility, fluid loss, and periodic fevers. It is noted for symptoms such as weakness, bloating, and intermittent fevers, often aggravated by. cold, touch, or loss of vital fluids, and ameliorated by warmth, rest, or firm pressure. Modern Context: Indicated for febrile disorders (e.g., malaria-like fevers, post-viral syndromes),. gastrointestinal  conditions (e.g.,  dyspepsia,  diarrhea),  hematological  issues (e.g.,  anemia,. leukopenia),  neurological symptoms  (e.g., headaches, vertigo),  psychological conditions  (e.g.,. irritability, depression), and  systemic symptoms (e.g., debility, cold intolerance). It suits patients. with acute or chronic symptoms characterized by profound weakness, periodic fevers, digestive. bloating, or sensitivity to touch , typically exacerbated by cold, fluid loss, or exertion, and often. seen in individuals with a history of chronic infections, blood loss, or prolonged exhaustion. The. remedy is particularly relevant for those with a chilly, sensitive constitution, often presenting with. physical  symptoms  like  pallor  or  flatulence  alongside  emotional  traits  like  irritability  or. despondency, commonly observed in individuals recovering from acute illness, those with chronic. fatigue, or patients with post-infectious debility. Cinchona officinalis (Peruvian Bark, China) 639.

## Modalities (Aggravations / Ameliorations)
Worse from: Cold (air, weather, drinks), damp weather, touch, fluid loss (e.g., sweating,. diarrhea, hemorrhage), specific times (e.g., evening, periodic intervals), exertion, noise,. emotional stress, rich foods, fasting, night.

## Symptoms by System

### Mind
- Excitable nervous and sleepless.
- Talks rapidly and easily angered.
- Excitable nervous and sleepless.
- Talks rapidly and easily angered.

### Head
- Headache, alternating with pain in abdomen, relieved by stooping (Mez.).
- Headache from straining 
eyes.
- Headache from sewing.
- Pain in head when reading or staring.
- Hea dache, before and after epileptic 
attack.
- Turning the head from one side to other.
- Child leans his head sideways all the time.
- Women must let 
hair down during headache.
- Children cannot tolerate to have their hair combed.
- Anemic headache, better 
stooping, worse mental exertion.
- Weak, hollow, empty sensation in head with inclination to vomit.
- Stupefying 
headache.
- Meningeal irritability, from worms.
- Headache, alternating with pain in abdomen, relieved by stooping (Mez.).
- Headache from straining 
eyes.
- Headache from sewing.
- Pain in head when reading or staring.
- Hea dache, before and after epileptic 
attack.
- Turning the head from one side to other.
- Child leans his head sideways all the time.
- Women must let 
hair down during headache.
- Children cannot tolerate to have their hair combed.
- Anemic headache, better 
stooping, worse mental exertion.
- Weak, hollow, empty sensation in head with inclination to vomit.
- Stupefying 
headache.
- Meningeal irritability, from worms.

### Eyes
- Dark rings around the eyes.
- Dilated pupils.
- Photophobia.
- Pulsation of ciliary muscle.
- Eyestrain, 
especially when presbyopia sets in.
- Strabismus from abdominal irritation, from worms.
- Eyebrows twitch when 
staring at any object.
- Drooping and heaviness of lids.
- Fatigue of eyes from sewing.
- Eyestrain with headache.
- Pain in eyes when reading o r staring.
- Sensations as if sand had got into eyes, worse when reading.
- Lachrymation during cough.
- Spots on cornea.
- Itching of inner canthus.

### Ears
- Cramplike jerking in external ear, like earache.
- Digging and scratching in ears.
- Dull stitches below 
mastoid process.
- Hearing impaired.

### Face
- Face alternately pale and cold, or red and hot.
- Face puffy.
- Bluish white about the mouth.
- Pale with 
dark ri ngs around eyes.
- Pale with sickly look during cough.
- Pale streak down centre of face.
- Cold 
perspiration.
- Grinds teeth during sleep.
- Chorea movements of face and hands.
- Tearing pain, in malar bones, 
worse touch and pressure.
- One cheek red, the other pale.
- T witching of muscles about eyes and face, with 
disordered stomach and bowels.

### Mouth
- Sensitiveness of teeth to cold air and to cold drinks.
- Grinds teeth at night during sleep.
- Chews and 
swallows in sleep.
- Much frothy saliva with rattling mucus on chest.
- Foul breath.
- Bitter taste before chill.
- Dryness 
and rawness of mouth, palate.
- Clean tongue.
- Whitish sore place on margin of tongue, very painful to touch.
- Tongue coated brownish-yellow.
- Nose - Itching of nose all the time.
- Picks and bores at nose, until it bleeds.
- Wants to rub nose and pick at it.
- Child picks its nose and cries out in sleep.
- Sneezing with whooping cough.
- Nostrils drawn in.
- Violent 
sneezing with stitches in temples.
- Slimy discharge from nose.
- Bleeding from nose and mouth, with burning in 
nose.
- Nosebleed, dark blood, with pain in forehead.
- Stoppage of nose in evening.
- Perspiration - Cold sweat on forehead, nose and hands.
- Sour smell of body  especially children.
- After the 
sweat or before the chill, vomiting of food, with canine hunger at the same time.

### Chest
- Dry, spasmodic cough, with throat irritation or tickling, resembling post-viral cough.
- or allergic cough, worse with cold air, night, or excitement.
- Nasal irritation or itching, with sneezing or discharge, resembling allergic rhinitis,.
- aggravated by cold, dust, or emotional stress.
- Difficulty breathing or wheezing, with a sensation of tightness, resembling mild.
- asthma, worse with cold or sensory stimuli.
- Tendency to respiratory sensitivity, with frequent upper respiratory symptoms, worse.
- in cold or damp conditions.
- Cina (Wormseed, Artemisia cina) 630.
- Systemic:.
- Fever, often with chills or sweating, resembling febrile seizures or post-infectious.
- states, worse with cold, exertion, or emotional stress.
- Fatigue  or  weakness,  with  a  sensation  of  heaviness,  resembling  chronic  fatigue.
- syndrome or post-viral exhaustion, worse after exertion or cold exposure.
- Cold intolerance, with aggravation in cold, damp conditions and a desire for warmth,.
- except during fever when heat worsens.
- Pale  or  sallow  complexion,  with  dark  circles  under  the  eyes,  worse  during.
- gastrointestinal or neurological episodes.

### Stomach & Abdomen
- Ravenous hunger, worse two hours after meals better when stomach is full.
- Loss of appetite.
- COMMENTS - Has cured attacks of pain occurring two hours after meals, relieved by a cup of milk or light 
food.
- With the first trituration, Nash cured a boy of eight who had several abscesses in and around the knee join t.
- The tibia was ulcerated and the ragged edge of the bone protruded through the surface.
- There was emaciation, 
loss of appetite and he was as pale as a corpse.
- The appetite returned at once in great force.
- Sore throbbing in spleen.
- Mesenteric tuberculosis.
- Hunger voracious after eating.
- Gets hungry soon after a meal with feeling of emptiness.
- Indigestion.
- Canine hunger.
- Hunger during or before intermittent fever.
- Aversion to mother's milk.
- Bread tastes bitter.
- Desires many and different things.
- Craving for sweets, bread.
- Refuses ordinary food and desires dainties.
- Eats 
alot but doesn't gain weight.
- Malassimilation.
- Children are hungry, the greater the hunger the greater the 
emaciation.
- Hypoglycemia.
- Thirst for cold drinks.
- Difficult swallowing of liquids.

### Urinary & Genital
- Bad effects on masturbation, weakness of sight.
- Itching of genitals.
- Child refuses breast.
- Aversion to mother's milk.
- Uterine hemorrhage before puberty.
- Menses too 
early and profuse.
- Labor -like pains frequently recurring, as if menses woul d appear.
- Labor -like pains during 
pregnancy.
- Spasmodic yawning in amenorrhea.

### Extremities
- Habitually cold limbs.

### Neck & Back
- Drawing, tearing pains down along whole spine.
- Tearing, jerking pain in middle of spine.
- Paralytic 
feeling in nape.
- Bruised pain in lumbar region, not worse motion.
- Lancinating pain in upper part of spinal 
column extendind to right scapula.
- Causations - Ill effects of parasites, worms.
- Chest - Sternum as if lying too close to back.
- Cramplike, 
contracted sensation.
- Constriction of right side, with difficult breathing.
- Chest as if pressed together from both 
sides.
- As if chest was full of mucus.
- Sharp pain in left side.
- Burning and soreness in chest.
- Two dull piercing 
pains in quick succession near sternum.
- Constitutions - Generally hungry, cross, ugly and wants to be rocked.
- Children who are big, fat, rosy and 
scrofulous, they stiffen out, when looked at, during cough or when they become cross.
- Cough - Gagging cough in the morning.
- Whooping cough.
- Violent cough recurring paroxysms, as of down 
in throat.
- Cough ends in spasm.
- Cough so violent 
as to bring tears and stern um pains, feels as if something had been torn off.
- Child is afraid to speak of move 
for fear of bring ing on paroxysm of coughing.
- Periodic cough, returning spring and fall.
- Swallows after 
coughing.
- After coughing, moaning, anxious, gasps for air and turns pale.

### Skin
- Profound fatigue or debility, with a sensation of collapse, resembling chronic fatigue.
- syndrome or post-viral exhaustion, worse after exertion, cold, or fluid loss (e.g.,.
- sweating, diarrhea).
- Cold intolerance, with aggravation in cold, damp conditions and a strong desire for.
- warmth or dry environments.
- Profuse,  cold,  or  drenching  sweating,  particularly  during  fever,  pain,  or  anxiety.
- episodes, worse at night or in cold conditions.
- Tendency  to  periodicity  in  symptoms  (e.g.,  daily,  weekly),  with  a  sensation  of.
- internal chill or sinking vitality, worse with cold or emotional stress.

### Sleep
- Starts in sleep.