Fingernails

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Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Fingernails

Post by Rochelle »

Had a patient in yesterday whose fingernail curve upwards. Does anyone know any helpful rubrics other than Distorted, Curved (can't find a curved upwards) or crippled?

Regards
Rochelle
www.rochellemarsden.co.uk

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Jean Doherty
Posts: 1576
Joined: Fri Apr 12, 2002 10:00 pm

Re: Fingernails

Post by Jean Doherty »

I have it in mind that " spooned " fingernails can indicate anaemia,
Jean


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: Fingernails

Post by Rochelle »

Well she is certainly pale enough. However spooned to me is concave. Her nails curve out and up only at the top end. Is this spooned? If it is I am sure it shows a particular miasm which I will look up tomorrow from a Bannerjea lecture at college.

Rochelle
www.rochellemarsden.co.uk


andyh
Posts: 486
Joined: Wed Aug 14, 2002 10:00 pm

Re: Fingernails

Post by andyh »

rochelle wrote:
From Dr SK Banerjea:

He used to say, `Dry, harsh nails are Psoric. They look rough. They are not
the eaten up appearance. They are not glossy. They are dry. Psora has
dryness.

"Wavy nails are Sycotic. The key word for Sycotic is incoordination. They
should have waves or ridges or corrugated either vertical or horizontal.
These are not the concave nails. These are the long ridges or ribs on the
nails. The ridges are a proliferation - a hypertrophy, Hyper is Sycosis."

"Thickness of the nails is also Sycotic."

"Thin, paper-like nails that bend and tear easily are Syphilitic. Why?
Because of destruction and degeneration."

"Spoon-shaped or concave nails are Syphilitic."

"Convex nails are Sycotic."

"Brittle nails which split easily are Syphilitic."

"Glossy nails are Tubercular."

"White spots on the nails are Tubercular. Also stains or spots on the nails
are Tubercular."

"If the white spots predominant and the glossiness is there with dryness,
this shows that Psora is in the background."

"Thick nails with mottled eaten up texture are Syco-Syphilitic. Sycosis is
the thickness and the mottled nail is the Syphilitic."

"If you see that the toenails and the fingernails are different this shows
a lot of suppression, If all the nails show the same miasm, this means less
suppression."

"Squaring of the nail to a certain extent is Sycotic."

He took time during the lecture to look at all the finger and toenails of
the course participants. We saw examples of each and several times we could
see all three miasms together: dryness=Psora, ridges=Sycotic, and
spoonshaped=Syphilitic. Less the symptoms, more the suppression (physical,
emotional,iatrogenic).

"All fungal infections are Syphilitic. When you see the symptoms near the
edges of the nail is Tubercular."

"If the ridges are on the underside of the nail this is Syphilitic. The
nail is being eaten up."

"When you see the redness behind the nail, when you pull up on the nail,
this is Tubercular. All hemorrhage, flushing is Tubercular. She might have
profuse bleeding during menses, irregular manses, or a longer menses
period,"

Many times during his lectures, Dr. Banerjea would tell us to look up a
remedy in Allen's Keynotes or Boericke and then he would indicate what page
and what line we would find a certain rubric. The books we use for
references, Dr. Banerjea has memorized (Oh, well...next lifetime.)

Dr. Banerjea quoted Allen's Keynotes, "Second page of Sulphur in the
middle."

"Bright redness of lips as if the blood would burst through Club.)."

"Keep an eye on the nails, they will change. My teacher used to tell me, if
you (in thick nails with pock marks as if the nail looks as if it has been
punched by pins or eaten up, this is Syco-Syphilitc. Sycosis is the
thickening and the pock marks or pin holes is Syphilitic. This can also be
caused by fungal infections and fungal infections are Syphilitic. In India
we got it with the barefoot farmers. In the U.S.A. you get it from the
prolonged wearing of socks."


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: Fingernails

Post by Rochelle »

Would anyone like to comment on the fact that Bannerjea says that all fungal infections are syphilitic by I reckon that they are an overgrowth i.e. sycotic. What am I not seeing here?

Regards
Rochelle
www.rochellemarsden.co.uk

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Eleana Needham
Posts: 237
Joined: Sat Dec 14, 2002 11:00 pm

Re: Fingernails

Post by Eleana Needham »

Rochelle

My take on this one is that fungus is an invasive, eroding, insidious and
decomposing agent - after all, things that go mouldy go bad and crumble and
are destroyed.

I can see where you are coming from re the overgrowth - however, the
overgrowth is the fungus' proliferation, not the patient's. The RESULT of
the fungus' proliferation is the patient's degeneration.

So I suppose we could say the fungus is sycotic but its result is
syphilitic.....

Clear as mud? :-))

Eleana


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: Fingernails

Post by Rochelle »

Thanks Eleana I like it!!
Rochelle
www.rochellemarsden.co.uk


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: Fingernails

Post by Rochelle »

Wow Andy - I see we may live over the other side of the World but you have been to the same lectures as me except your notes are better!! Thanks a bunch!! Dr B was so amazing the way he would say go to so and so page and so and so paragraph and start quoting from Boericke during a lecture. He knew the whole book by heart!!
Rochelle
www.rochellemarsden.co.uk


Bob Needham
Posts: 354
Joined: Tue Jun 11, 2002 10:00 pm

Re: Fingernails

Post by Bob Needham »

Also - I have heard that black spots in under the nails is a sign of
internal bleeding - any comments and if so what nails relate to what organ
or systems?
Bob


CLBernat
Posts: 124
Joined: Mon Nov 08, 2004 11:00 pm

Re: Fingernails

Post by CLBernat »

Fingernails And What They Reveal
-- Dr. Gabrielle Traub
Ridges can signify a possible infection such as the flu.
Beau's lines — Transverse depressions. Occurs when growth at the nail root
(matrix) is interrupted by any severe acute illness e.g. heart attack,
measles, pneumonia, or fever. These lines emerge from under the nail folds weeks
later, and allow us to estimate when the patient was sick.
NAILS; corrugated; transversely: ars., med.
Mee's lines
Transverse white lines that run across the nail, following the shape of the
nail moon. Uncommon. Causality: after acute/severe illness, Arsenic poisoning.
Thus homeopathic remedy= Ars alb
Vertical ridges
(Lengthwise grooves or ridges) - may indicate a kidney disorder (kidney
failure); associated with ageing; iron deficiency (Anemia). May indicate a
tendency to develop arthritis
NAILS; roughness fingernails; ridges, longitudinal: fl-ac.
NAILS; roughness fingernails; ribbed: thuj.
NAILS; corrugated: ars., calc., calc-f., fl-ac., med., ph-ac., sabad., sel.,
Sil., thuj.

Nail shape
Clubbing of the fingers — fingertips widen and become round. Nails curve
around your fingertips, more convex. Proximal nail fold feels spongy. Caused by
enlargement in connective tissue as compensation for a chronic lack of
oxygen. e.g. severe emphysema Lung disease is present in 80 percent of people who
have clubbed fingers. It may also appear in chronic infections especially
abscesses, lung cancer, chronic lung (chronic bronchitis, emphysema) and heart
disease, longstanding TB, congenital heart disease, cyanotic, primary biliary
cirrhosis.
med., nit-ac., tub.
curved fingernails; consumption, in: med., tub.
Pitting
Small pits or depressions. Most common nail problem seen in 25 percent to 50
percent of people with psoriasis.
Extremities; NAILS; holes in: ars.
Psoriasis - pitting, onycholysis, thickening, circumscribed yellowish tan
discoloration "oil spot" lesion.
Spoon nails
Soft nails that look scooped out. Depression is usually large enough to hold
a drop of liquid. Often indicates iron deficiency anemia.
Extremities; NAILS; complaints of; depressed: med.
Onycholysis
Lifting of the nail from the nail bed. Causes: trauma, psoriasis, drug
reactions, bacterial/fungal infection, contact dermatitis from using nail
hardeners, thyroid disease, iron deficiency anemia or syphilis.
Looseness fingernails: apis., med., pyrog., ust.
Nail growth
Nail hypertrophy
Thickening of the nail. Either congenital (e.g. Mal de Meleda) or acquired -
The nail becomes deformed with claw like appearance. Causes: Not cutting the
nails, trauma, Leprosy, peripheral vascular disorders.
NAILS; hypertrophy: calc-f., fl-ac., graph., laur.
NAILS; thick: alum., anan., ant-c., ars., but-ac., calc., calc-f., calo.,
caust., falco-p., ferr., fl-ac., Graph., merc., pitu-a., pop-c., sabad., sec.,
sep., Sil., sulph., ust., x-ray
Nail atrophy:
The nail becomes thin, rudimentary and smaller size congenital or acquired.
Causes: Lichen planus, Epidermolysis bullosa, Darrier‘s disease, vascular
disturbances, Leprosy.
NAILS; atrophic: sil.
NAILS; grow, do not: ant-c., pitu-a., rad-br., sil.
Nail Patella Syndrome
a rare genetic disorder, occurs in 2.2 out of every 100,000 people and causes
abnormalities in the bones and nails. autosomal dominant. Carried by the ABO
blood group.
Nails present as small and concave, longitudinally grooved, abnormally split,
pitted, softened, discolored, or brittle.
Remedies: Thuja, Graphites, Calc-flour, Syph.
H; Hands; NAILS, fingers, general; grow, nails, do not: ant-c., calc., sil.
Discoloration
Half-and-Half (Lindsay's nails) — Look for an arc of brownish discoloration.
May occur in a small percentage of people who have kidney failure. Internal
diseases and nutritional deficits can cause changes in the appearance of the
nails.
Terry's nails
The nail looks opaque and white, but the nail tip has a dark pink to brown
band. May accompany cirrhosis, congestive heart failure, adult-onset diabetes,
cancer or ageing.
Cyanosis
A bluish discoloration visible at the nail bases in select patient with
severe hypoxemia or hypoperfusion. As with clubbing, it is not at all sensitive
for either of these conditions.

H; Hands; NAILS, fingers, general; discoloration, nails; blueness (59) :
acon., aesc., agar., apis, apoc., arg-n., arn., ars., asaf., aur., cact.,
camph., carbn-s., carb-v., chel., chin., chin-ar., chin-s., chlf., cic., cocc.,
colch., con., cupr., dig., dros., eup-pur., ferr., ferr-ar., ferr-p., gels.,
gins., graph., ip., manc., merc., merc-s., mez., mur-ac., nat-m., nit-ac.,
Nux-v., op., ox-ac., petr., ph-ac., phos., plb., rhus-t., sang., sars., sep.,
sil., sulph., sumb., tarent., thuj., Verat., verat-v.
Paronychia (felon)
Inflammation of the nail folds, which appear red, swollen and tender. The
cuticle may not be visible. Causes: fungal infection, secondary bacterial
infection, people who’s hands are often in water are more susceptible.
H; Hands; NAILS, fingers, general; panaritium, nails (53) : all-c., alum.,
Am-c., am-m., anac., Anthr., Apis, arn., asaf., bar-c., benz-ac., berb., bov.,
bufo, calc., caust., chin., cist., con., cur., Dios., eug., ferr., Fl-ac.,
gins., Hep., hyper., iod., iris, kali-c., kalm., lach., led., lyc., merc.,
Myris., nat-c., nat-h., nat-m., nat-s., Nit-ac., par., petr., phyt., plb., puls.,
rhus-t., sang., sep., Sil., sulph., Tarent-c., teucr.
NAILS; pulp, of; nails recede, leave raw surface: sec.
redness; fingernails: apis, ars., cortiso., crot-c., lepi., lith-c., ozone,
upa., x-ray
inflammation, fingernails; around: con., hell., kola., nat-m., nat-s.,
ph-ac., sil.
H; Hands; NAILS, fingers, general; fungus, under (4) : ant-c., graph., petr.,
thuj.
H; Hands; NAILS, fingers, general; inflammation, fingernails (1) : kali-c.
H; Hands; NAILS, fingers, general; inflammation, fingernails; root of (2) :
hep., stict.
Due to Candida
Ringworm

Splinter Haemorrhages
Looks like a splinter underneath the nail, virtually 100% diagnostic of
Sub-acute Bacterial Endocarditis (SBE). A bacterial infection affecting the
valves of the heart. Occasionally caused by Trichinosis, a parasitic infection
caused by eating raw or undercooked Pork.
D; Diseases; ENDOCARDITIS, heart: abrot., acet-ac., Acon., Ars., ars-i.,
Aur., aur-m., bism., bry., cact., calc., cocc., coc-c., colch., dig., ferr.,
iod., kali-ar., kali-c., kali-i., Kalm., lach., led., nat-m., naja, ox-ac.,
phos., phyt., plat., plb., sep., Spig., spong., tarent., verat-v.
D; Diseases; TRICHINOSIS (3) : ars., bapt., cina
Absent "half moons" - Pituitary problems or poor circulation.
NAILS; lunula absent: lyc., puls., tub.
White hue at base of nails:
Liver disease: chronic hepatitis or cirrhosis.
Yellow nail syndrome
Yellow nail syndrome is characterized by yellow or green nails that lack a
cuticle, grow slowly, and are loose or detached (onycholysis). May be
associated with swelling of the hands and feet (lymphoedema), or a lung diseases e.g.
chronic bronchitis. Yellow nails can indicate internal disorders long before
other symptoms appear. Some of these are problems with the lymphatic system,
respiratory disorders, diabetes, and liver disorders.
NAILS: discoloration; yellowish: am-c., ambr., ant-c., ars., aur., bell.,
bry., calc., canth., carb-v., caust., cham., chel., chin., Con., ferr., hep.,
ign., lyc., merc., nit-ac., nux-v., op., plb., puls., Sep., Sil., spig.,
sulph.
White spots (Leukonychia)
Caused by trauma to the nails, over vigorous/excessive manicuring.
alum., ars., nit-ac., ozone, sep., Sil., sulph., thal.
Melanonychia
vertical pigmented bands or nail 'moles‘. A sudden change in the nail plate
could indicate a malignant melanoma or lesion. Commonly occur in dark-skinned
people, and are normal.
Brittle nails
Hypothyroidism: brittle nails - which separate easily from the nail bed
(Onycholysis) accompanied by dry, yellowish skin, fatigue, slow pulse, chilly,
coarse hair that falls out.
Hyperthyroidism: brittle nails - which separate easily from the nail bed
(Onycholysis) and are concave (spoon nails)
Brittle nails - may also suggest iron deficiency anemia, kidney and
circulatory problems.
NAILS; brittle: alum., alum-sil., ambr., anan., ant-c., ars., but-ac.,
calc., calc-f., cast-eq., caust., clem., cupr., dios., fl-ac., Graph., hep.,
hydrog., lept., lyc., med., merc., morg., nat-m., nit-ac., ozone, phos., Psor.,
rad-br., ruta, sabad., sec., sel., senec., sep., sil., spig., squil., sulph.,
syc-co., thuj., tub., x-ray

Nails that chip, peel, crack, or break easily - suggest a nutritional
deficiency, lacking hydrochloric acid, protein or minerals.
NAILS: cracked: ant-c., ars., lach., nat-m., sil.
Crumbling away of fingernails: but-ac.{Butyric acid: a volatile acid
obtained from butter}
NAILS; scatter like powder when cut: sil.
Summary:
Liver Diseases: White Nails
Kidney Diseases: Half of nail is pink, half is white
Heart Conditions: Nail bed is red
Lung Diseases: Yellowing and thickening of the nail, slowed growth rate
Anemia: Pale nail beds
Diabetes: Yellowish nails, with a slight blush at the base
Nutritional deficiencies
Vitamin A and calcium deficiencies - dry brittle nails.
Vitamin B deficiency - horizontal and vertical ridges, that break easily.
Vitamin B12 deficiency - dry, darkened nails with rounded and curved nail
ends.
Protein deficiency - white bands
Ayurvedic analysis:
Ayurveda considers nails as the waste product of the bones.
Dry, crooked, rough nails that break easily indicates a predominance of the
Vata constitution.
Soft, pink, tender nails that are easily bent are indication of a Pitta
constitution.
Thick, strong, soft and shiny nails indicate a Kapha constitution.
Longitudinal lines: indicate inability of the digestive system to absorb
food properly.
Transverse grooves: may indicate the presence of long-standing illness or
malnutrition.
Yellow nails: alert us to liver problems or jaundice.
Blue nails: indicate a weak heart.
Redness: shows an excess of red blood cells.
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