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Materia Medica Viva Volume 6 – page 1266

CAINCA
Chinococca racemosa. (Brazil.) N.O. Rubiaceae.
Tincture of dried root bark.
THE ESSENTIAL FEATURES
This is a remedy that is needed in cases of chronic kidney problems with marked urinary problems where the manifestations are: pain in the kidneys in the morning upon waking that prevents the patient from moving; water retention with dry skin; albuminuria; and dyspnoea on lying down at night.
According to the abdominal symptoms, it is a remedy that clinically may look like a Lycopodium or Podophyllum case, with: constant nausea and retching; gurgling and rumbling in the abdomen;
cutting and pinching pains; and liquid stools mixed with air bubbles. The peculiarity of Cainca is that copious urine and a constant desire to urinate occur together with the above conditions.
The abdomen is distended and tender to the touch, especially in the region under the umbilicus. There is copious vomiting of saliva, bile, chyme and even faecal matter.
Another peculiar symptom is a pressure in the orbital bones that is accompanied by the inclination to vomit and pain in the abdomen.
There is a definite aggravation of symptoms towards early evening, between 4 p.m. and 6 p.m. The patient can become very irritable and irascible, almost violent. He is angry without real cause, due to exhaustion. On the other hand, at night he is restless and