Minutus

Thanks for all the responses and suggestions

Yes - it would be petechiae that spread and join. What seems to happen is
1. The capillaries are possibly fragile because of the poor tissue quality from prolonged immobility of the paraplegia
2. They certainly lack tone. Things are ok-ish if this person is up daily but she only has to spend one day in bed for them to 'forget' how to cope with the increasing blood pressure in the feet on sitting up - the capillaries rupture in a petechial effect over a 5 - 10 munute period and the blood seems to spread under the epidermis until there are large areas of blackish skin - because the oxygen has been absorbed from the escaped blood by the surrounding tissues
3. Haemorrhage doesn't seem to be the problem so much as the capillaries' inability to cope with a rapid change of blood pressure. Should the skin break on the feet there will be bright bleeding that stop fairly quickly as vasospasm / constriction does occur. The problem seems to be with the initial inability of the capillaries to cope with changes in pressure rather than a tendency to haemorrhage (I think I am repeating myself) Does anyone know if any of the snake remedies deal with petechiae as a result of this rather than poor clotting?
4. Rather than the necrosis occurring in deeper tissues, it is only the epidermis that is being affected by the spreading petechiae lifting it off the dermis. If this breaks before the blood can dry out and gradually slough off a few weeks later a superficial ulcer develops that can be hard to heal. On occasions it will progress to a much deeper ulcer. In the past these have only been resolved by very tight pressure bandages, 4 layers thick, from toes to thigh.

Any other thoughts of where to look with this additional information?

The help has been terrific - one of the strengths of the list.

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Kind regards,

Fran Sheffield
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Fran, Have you looked at Sulph ac?
Chris.

The spiders might be worth looking at as well as the snakes - Loxo has petechia. Crotalus also has them but often with the snakes the blood is dark as well but they all bleed and ulcerate to gangrene stage and nearly all involve the heart function. Naja is known for its surges of blood which might fit, paralysis (as most of the snakes have) doesn't have the L - R of Lachesis. Vipera is >>> when the legs are elevated but it is usually the veins not capillaries involved (could extend to this later though if it gets worse?).

If you use the 'orgasm of blood, lower limbs' rubric you get Elaps, but some other interesting rx as well such as Lactuca, Graphites (lack of oxygen).

'Congestion capillaries' brings Strychnine and Methylium. 'Distention capillaries' - Carbo veg. 'Haemorrage, capillaries - Bothrops (don't know why that's the only snake mentioned there). 'Congestion of blood in capillaries' - Camph + others.

Are there any strange sensations she feels when this happens. Is liver function good as a lot of liver rx will come through as well.

Joy

http://www.joylucashomeopathy.com
http://health.groups.yahoo.com/group/homeopathystudy/

Hi Fran
Just a thought - although she obviously hasn't got this, it sounds very much like Purpura Haemorrhagica - where there is extensive bleeding under the skin because of fragile capillaries.
Would it be worth looking at the remedies for this (SKIN - Purpura)? In my Murphy, it has quite a few black type rx - Secale is there, plus Lach., Led., Phos., Sul-Ac., Ter (those are all the grade 3 rx) Then there are quite a few grade 2 - Crot-H is one of them
If you need any more, let me know and I'll post you the complete list of them.
Liz

Does anyone know if any of the snake remedies deal with petechiae as a
result of this rather than poor clotting?

Idiopathic thrombocytopenic purpura (*ITP*) [a bleeding condition in
which the blood doesn't clot as it should, People who have ITP often
have purple bruises that appear on the skin or on the mucous membranes,
The bruises mean that bleeding has occurred in small blood vessels under
the skin, ITP also may have bleeding that results in tiny red or purple
dots on the skin. These pinpoint-sized dots are called petechiae, which
may look like a rash]
< hanging limbs down (Alum, Calc, Caust, Sabin)

Per Faroh Master
Vipera Aspis
Hemorrhagic tendency
due to coagulation factor,
Idiopathic thrombocytopenic purpura (ITP)
Spontaneous ecchymosis

per Farokh Master
Vipera Berus
Tendency to Hemorrhage
Poor coagulation of blood (Carb v, Crot h, Elaps, Lach, Phos)
black blood leading to various types of coagulopathies (Ferr, Hir, Lat m)
Blackness of external parts
< hanging or letting down the limbs, leads to bursting sensation in limbs

per JH Clarke:
Vipera berus affects the blood and blood-vessels, conducing to
haemorrhage and inflammation of the vessels themselves.
Leg swollen, cold, and insensible. (Black blood)
Compare : Haemorrhage of fluid blood, Sanguisuga.

*GENERALS - HEMORRHAGE - blood - bright red - Crot. h*

Crot h,
Extremities - Hemorrhage, Blood Ozing, Fingernails
Skin - Ecchymoses
Skin - Purpura
Skin - Purpura - Hemorrhagica
Skin - Purpura – Idiopathica
Generals – Hemorrhage
Generals - Hemorrhage - Blood - Non-Coagulable
Generals - Hemorrhage - Passive, Oozing
Generals - Septicemia, Blood Poisoning
Skin - Discoloration – Mottled
Skin - Discoloration - Blackish
Skin - Ecchymoses
Skin - Eruptions – Petechiae
Lynn
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Fran Sheffield wrote:
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