China officinalis

Made from Peruvian bark — the tree whose quinine conquered malaria, taught medicine the word cinchonism, and the classical remedy of weakness after loss of fluids.

SourceMadder familyRubiaceae

The whole picture, in one breath

Think of the drained, bloated invalid: weakness out of all proportion after blood loss, vomiting or long fevers; a belly swollen with gas that rumbles and will not pass; ringing ears and a pale, sallow look; and everything better from hard pressure and from lying perfectly still. Weakness with bloating after loss: that is China.

The substance, in plain words

Peruvian bark is the tree whose quinine — isolated in 1820 — was the first specific drug in medical history: the cure for malaria that changed empires. Its overdose taught medicine 'cinchonism' — tinnitus, headache, flushing — and the proving gave the classical post-drainage portrait of weakness and gas.

The traditional picture Classical sources

The inner state

The body

Modalities (worse and better factors)

Worse from ⬇Better from ⬇
least touch; cold air and drafts; exertion; loss of fluids; at nighthard pressure; lying still; warmth.

Where it acts (organ affinities)

Blood and vitality after loss, digestion (gas and bloating), spleen and periodicity, ears.

Where the classical picture comes from

The bark's story wrote the remedy: quinine's malaria cures, cinchonism's ringing ears, and the clinical observation that drained, bloated convalescents matched the drug's overdose picture. China became the classical portrait of the after-state of every draining illness.

The substance in real medicine Pharmacology

What this section is: the pharmacology and toxicology of the source substance. It is not clinical evidence that a homeopathic preparation of it treats any condition. What controlled trials do and do not show is set out on the Evidence page.

Quinine and its successors — chloroquine, artemisinins — have saved more lives than almost any drug family in history: malaria's conquest began with this tree. Cinchonism is still textbook toxicology, and the tinnitus it causes is the identical ringing the proving recorded. The bark founded chemotherapy — the very idea that a specific chemical cures a specific disease.

Look-alikes (how the classical authors told it apart)

RemedyLooks similar because…Tells it apart because…
Ferrum metallicumWeakness, flushFerrum is the flushed, easily-exhausted blood weakness; China the bloated, drained one after loss.
Arsenicum albumProstration, anxietyArsenicum is anxious, chilly and burning; China is bloated and pressure-better.
Carbo vegetabilisGas, debilityCarbo is cold, fanned and collapsed; China is rumbling and still-better.
Eupatorium perfoliatumPeriodic fevers, bone painsEupatorium breaks the bones before it sweats; China drains and bloats after.
Safety. Weakness after bleeding or diarrhoea needs diagnosis and often iron or fluids; any fever in a malarial region needs testing.
Compiled by Dr. Sohil Momin, BHMS · Open Materia Medica