Understanding Naja trip.

Dr. Claudio C. Araujo M.D., F.F. Hom. (Lon.) et al.

When we try to see the reality tha is surrounding our Naja trip. patient? If we put ourselves in his place – what do we perceive? What is arriving to the senses and to the understanding of our patient?

Paroxysms, twice a day, of delirium, incessant talking, seeing visions, imagines she is in a terrible rainstorm, complains of being so cold, and that the carriage has turned over and hurt her head. Dreams of murders, suicides, fires, etc.

But – reading the full proving – we´ll conclude that the main altered perception of this remedy lies in his relationship with oneself. Naja in prone to kill oneself. Many symptoms are describing someone very sad, depressed, someone who lost the joy of living to the point to hurt oneself or even kill oneself. It´s not clear in the proving symptoms why Naja lost his “joie du vivre”. But it goes to a point when the Naja patient, guided by impulse, hit himself in the head with an axe intended to use to cut timber for the fireplace.

His mind wandered, but at last he got better, and was able to go out again; a short time after, having an axe in his hand, going, as he said, to cut wood, he suddenly split his own head in two; he had become insane.

But this is not the patient we may find in our daily practice. The next proving symptoms are describing the most easily found Naja patient:

Great depression of spirits this morning; everything for two or three hours appeared to go wrong with me, and to be without remedy; being called out of town in the afternoon somewhat suddenly, these feelings went off in a great measure, though they did not entirely subside (sixth day); considerable lowness of spirits; great inaptitude for exertion, with sense of aching over the whole head; this continued more or less all day (seventh day); feel to-day very low-spirited; cannot do anything; got better towards evening

Rather dull in spirits, without sufficient cause (second day); great depression of spirits (third day); very low in spirits (fourth day), [8]. 

Considerable depression of spirits, and a feeling of inability to exertion of any kind, and a conviction that all is going wrong; head very painful, and spirits very much depressed.

Great depression of mind, with the distress about the generative organs.

Sadness or serious disposition (third, fourth, and fifth days); sadness and irresolution.

Intense depression of spirits usually accompanied the headache; this melancholy was of a peculiar kind; I felt that everything that was done was done in a wrong way, and could not be rectified;

The prover described this sensation:

 if I felt that I had some duty to perform, I had at the same time a strong impulse not to do it, and was extremely restless in consequence; I seemed to have an increased perception of what I ought to do, but, at the same time, an unaccountable inclination not to do it, to which I was irresistibly compelled to yield; "I couldn't help it, didn't know why, but couldn't do it." 

Could we say that there was a conflict between the prover and the sensations the remedy was causing on him? The sensation being - an unaccountable inclination not to do it,

This is our patient, relieved from his disposition of perform his daily duties, maybe caused by the increasing sadness and depression that is taking his life to a point of becoming a suicidal patient.

Felt melancholy; began to form images of possible wrongs and misfortunes, over which the mind broods; very wretched at times; in the evening (first day); yesterday and to-day is very wretched; a slight cause sets him in a perfect agony of mental suffering on another's behalf; mind brooding over imaginary troubles; in the evening he feels more himself, and loses much of his depression (eighth day); makes himself imaginary troubles and wrongs, and frets over them for two hours (tenth day); sad thoughts; with the pressure and gagging in throat (eleventh day); spirits good; disposed for work; mind active (reaction), (seventeenth day), [4]. 

Peculiar distress about the generative organs, attended with great depression of mind; sexual desire morbidly strong, yet no physical power (fourth day), [13a]. 

This symptom brings us the possible cause of his feelings:

Felt melancholy; began to form images of possible wrongs and misfortunes, over which the mind broods;

Are our Naja patient feelings of guilty due to some misdoing? Are them any imaginary misdoing or – in our patient – there´s a specific sensation related to the remedy?

Great depression of spirits this morning; everything for two or three hours appeared to go wrong with me, and to be without remedy; being called out of town in the afternoon somewhat suddenly, these feelings went off in a great measure, though they did not entirely subside (sixth day); considerable lowness of spirits; great inaptitude for exertion, with sense of aching over the whole head; this continued more or less all day (seventh day); feel to-day very low-spirited; cannot do anything; got better towards evening

Feeling stupid and confused,

Sense of depression
She cried, and seemed to suffer much pain.

Rather dull in spirits, without sufficient cause (second day); great depression of spirits (third day); very low in spirits.

Considerable depression of spirits, and a feeling of inability to exertion of any kind, and a conviction that all is going wrong; head very painful, and spirits very much depressed (third day), [14a]. [10.] 

Great depression of mind, with the distress about the generative organs 

Sadness or serious disposition (third, fourth, and fifth days); sadness and irresolution 

Intense depression of spirits usually accompanied the headache; this melancholy was of a peculiar kind; I felt that everything that was done was done in a wrong way, and could not be rectified; if I felt that I had some duty to perform, I had at the same time a strong impulse not to do it, and was extremely restless in consequence; I seemed to have an increased perception of what I ought to do, but, at the same time, an unaccountable inclination not to do it, to which I was irresistibly compelled to yield; "I couldn't help it, didn't know why, but couldn't do it." The moral symptoms were not present at all during October; they were very distressing while taking the November packet, and although present, were much less severe in December.

 

Groups in Naja trip.

Allen, Hering & Kent.

Dr. Claudio C. Araujo M.D., F.F.Hom. (Lon.)

With his surroundings
Paroxysms, twice a day, of delirium, incessant talking, seeing visions, imagines she is in a terrible rainstorm, complains of being so cold, and that the carriage has turned over and hurt her head. θ Cerebro-spinal meningitis.

Is affected easily by a very little wine or alcoholic drink during the week (after three days), [1]. 

Walked in open air; all dulness passed off, and was succeeded by an unusual state of excitement and energy, mental and physical, lasting the night, with a lively, waking state, giving the sensation in morning of having been awake all night. Query, reaction (first night); the state of excitement continued till evening, slowly subsiding (second day), [12]. [20.] 

Dreams of murders, suicides, fires, etc. (twelfth day), [15a].

With oneself

Humor
Easily excited.

Temper good; very excitable and playful, oftener than common (fifth day), [2]. 

Very slight emotion, pleasing or otherwise, brings a strong inclination to tears (seventh day), [12a]. 

Dulness of spirits (after nine hours and a half, third day), [17]. 

Increased evenness and cheerfulness of temper, [7]. 

Irritable, restless (fourth day), [15]. 

Temper quicker than usual (first day), [2]. 

Inclined to be displeased with everything (sixteenth day), [12a].

Anxiety

Dragging and anxiety at precordia, occurring in great grief ; also smarting pains in back from same cause.

Sadness and depression

Great depression of spirits this morning; everything for two or three hours appeared to go wrong with me, and to be without remedy; being called out of town in the afternoon somewhat suddenly, these feelings went off in a great measure, though they did not entirely subside (sixth day); considerable lowness of spirits; great inaptitude for exertion, with sense of aching over the whole head; this continued more or less all day (seventh day); feel to-day very low-spirited; cannot do anything; got better towards evening (eighth day), [14a]. 

Feeling stupid and confused, [31]. 

Sense of depression (soon, first day), [17b]. 
Great depression of spirits, with temporo-frontal headache, spinal pain and palpitation of heart.
Melancholy ; began to form images of possible wrongs and misfortunes over which the mind broods ; very wretched at times.

She cried, and seemed to suffer much pain, [37]. 

Rather dull in spirits, without sufficient cause (second day); great depression of spirits (third day); very low in spirits (fourth day), [8]. 

Considerable depression of spirits, and a feeling of inability to exertion of any kind, and a conviction that all is going wrong; head very painful, and spirits very much depressed (third day), [14a]. [10.] 

Great depression of mind, with the distress about the generative organs (fourth day), [13b]. 

Sadness or serious disposition (third, fourth, and fifth days); sadness and irresolution (sixth day), [3]. 

Intense depression of spirits usually accompanied the headache; this melancholy was of a peculiar kind; I felt that everything that was done was done in a wrong way, and could not be rectified; if I felt that I had some duty to perform, I had at the same time a strong impulse not to do it, and was extremely restless in consequence; I seemed to have an increased perception of what I ought to do, but, at the same time, an unaccountable inclination not to do it, to which I was irresistibly compelled to yield; "I couldn't help it, didn't know why, but couldn't do it." The moral symptoms were not present at all during October; they were very distressing while taking the November packet, and although present, were much less severe in December, [14]. 

Felt melancholy; began to form images of possible wrongs and misfortunes, over which the mind broods; very wretched at times; in the evening (first day); yesterday and to-day is very wretched; a slight cause sets him in a perfect agony of mental suffering on another's behalf; mind brooding over imaginary troubles; in the evening he feels more himself, and loses much of his depression (eighth day); makes himself imaginary troubles and wrongs, and frets over them for two hours (tenth day); sad thoughts; with the pressure and gagging in throat (eleventh day); spirits good; disposed for work; mind active (reaction), (seventeenth day), [4]. 

Peculiar distress about the generative organs, attended with great depression of mind; sexual desire morbidly strong, yet no physical power (fourth day), [13a]. 

Suicidal
Suicidal insanity, broods constantly over imaginary troubles; sleep full of frightful dreams, and wakes with dull pain in head and fluttering of heart ; uneasy dryness of fauces ; grasping of throat, with sensation of choking and lividity of face. θ Melancholia.

His mind wandered, but at last he got better, and was able to go out again; a short time after, having an axe in his hand, going, as he said, to cut wood, he suddenly split his own head in two; he had become insane, [36]. 

Suicidal brooding. 

Intellectual

Feel more fit for work to-day than I have at all (sixth day), [14a]. 

Feeling so dull in the evening that I did not repeat the powder (first day), [12]. 

orgetfulness (sixth day), [15a]. 

Very forgetful (fifteenth day), [15a]. 

Forgot everything for several minutes, [31]. 

Memory confused (eighth day), [4]. 

Absence of mind (after second dose, third day), [11]. 

Consciousness all but, possibly quite, abolished (after thirty-five minutes), [26]. 

Comatose, [41].

Male

Unusual excitement of genital instinct and power, [12]. [This increase of genitals power has continued, more or less, through the time (after two months and a half).] 

On going to bed, after taking second powder, felt peculiar morbid condition of body and mind; constant violent sexual desire, but with little physical power; thus the night was passed most miserably; frequently waking, with vivid imaginations, and much painful state of mind, involuntary seminal emissions, followed by great prostration and distress; I never felt these symptoms in the same way before (fifth day), [13]. 

Dreams during night (sixteenth day), [15a]. [520.] 

Many dreams, not disagreeable (sixth night), [19a]. 

Long and vivid dreaming at night, little recollection of subjects (sixteenth day), [12]. 

A vivid dreamy night; subject, affairs of the day vividly recalled, with additions, and new plans for the morrow (third night), [12a]. 

Kent: We might naturally expect that this patient would be intense and excitable, which is the case. There is a suicidal tendency.