NUX MOSCHATA – Abstraction of mind
Symptoms:
She prophesies, predicts with a sort of clairvoyance. Sometimes she is < in the morning, sometimes in the evening, or on waking. Slowness of apprehension, dizziness, difficult conception. Want of ideas, as from absence of mind; vanishing of thoughts in reading, disposition to go to sleep. Dullness of senses, thoughtlessness, with slowly returning consciousness. Dementia and mental alienation (idiocy). Mania, with odd speeches and ridiculous gestures. Unable to use words properly; frequently obliged to stop in middle of a sentence and change it entirely from not being able to use appropriate words. Before he could answer a question, he was obliged to wait awhile and collect his thoughts; frequently in spite of everything he was unable to give a suitable answer immediately; a kind of slowness of ideas (after five hours). He staggered when walking, and when reflecting his mind ran upon one idea until all at once he woke from complete abstraction, and was obliged to collect his thoughts before he knew where he was (after five hours). He talks very little; confused images appear before his mind; whenever he wishes to say anything he is first obliged to collect his thoughts (first day). Vanishing of thoughts while talking, reading or writing. Difficult comprehension. Sluggish flow of ideas. Gives answers which have not the least reference to questions put to him. Great incoherency on attempting to express her ideas. Uses wrong words, during headache. While writing he omitted letters, wrote in different alphabets against his will, and changed from one subject to another. Surroundings seemed changed; fanciful, dreamy images; does not recognize the known street. Clairvoyancy. The outer world had no existence for her ; automatically she attended to her household duties, and on awaking from this condition she had not the slightest recollection of what she had done ; if forcibly aroused she fell into violent convulsions ; if unmolested she would usually, after finishing her work, go to bed and fall into a quiet sleep, from which she awoke after forty-eight hours, invigorated and unconscious of what had happened. Imbecility.

When to prescribe Nux m:
1. Slowness in understanding and difficulty in forming concepts. Before he could answer a question, he was obliged to wait awhile and collect his thoughts; frequently in spite of everything he was unable to give a suitable answer immediately; a kind of slowness of ideas.
2.  Answers incorrectly. Gives answers which have not the least reference to questions put to him. While writing he omitted letters, wrote in different alphabets against his will, and changed from one subject to another.
3. Works without awareness (absent minded), she performs household duties automatically without awareness. Upon emerging from this state, she has complete amnesia regarding her actions. If forcibly interrupted, she may develop violent convulsions. If left undisturbed, she completes her tasks, then sleeps quietly for up to forty-eight hours, awakening refreshed but unaware of what occurred.
4. All of these mental symptoms are worse in the morning, evening and on walking.

Clinical Essence of Nux m:
Clinically, Nux m is generally suitable for organic brain diseases of under abstraction type, where there are cognitive disturbances rather than a primary mood disorder like depression or a thought disorder like schizophrenia. The specific language deficits described are hallmarks of aphasia, which is caused by damage to the language centers of the brain (usually the left hemisphere). "Unable to use words properly" or "Uses wrong words", this indicates Wernicke’s aphasia (fluent but nonsensical speech) or anomic aphasia (difficulty finding the right word). "Obliged to stop in middle of a sentence and change it entirely", this is a classic symptom of primary progressive aphasia, a variant of frontotemporal dementia.

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