Leptandra virginica
Veronicastrum virginicum · Plant · Plantaginaceae
Leptandra Virginica is a liver and portal circulation remedy suited to bilious and malarial conditions. The characteristic symptom is profuse black, tarry stools. Jaundice with liver aching extending to a chilly spine and marked mental depression accompany the bowel disturbance.
Key symptoms
- Profuse black, fetid, tarry stools with pain at umbilicus
- Jaundice with clay-coloured stools
- Aching in region of liver extending to spine which feels chilly
- Yellow-coated tongue with great distress in stomach and intestines with desire for stool
- Dull frontal headache with vertigo, drowsiness, and depression
- Bleeding piles and prolapse of rectum with haemorrhoids
- Rectal haemorrhage
- Bilious states with enfeebled portal circulation
Worse (aggravation)
- Cold drinks (burning stomach worse)
- Motion (nausea and faintness worse)
- Wet weather
- Morning on moving (stools worse)
- Meat or vegetables
Better (amelioration)
- Lying on abdomen or on side
- After stool (brief relief; only colic continues in moderate degree)

Culver's Root (LEPTANDRA)
A liver remedy, with jaundice and black, tarry stools. Bilious states. Enfeebled portal circulation. Malarial conditions.
Head
Dull frontal pain; vertigo, drowsiness, and depression. Smarting and aching in eyes.
Stomach
Tongue coated yellow. Great distress in stomach and intestines, with desire for stool. Aching in region of liver extending to spine, which feels chilly.
Stool
Profuse black, fetid stools, with pain at umbilicus. Bleeding piles. Typhoid stools turn black and look like tar. Clay colored stools with jaundice. Prolapse of rectum with hæmorrhoids. Rectal hæmorrhage.
Relationship
Compare: Podop; Iris; Bry; Merc; Ptel; Myrica.
Dose
Tincture, to third potency.

Leptandra Virginica. Veronica Virginica. Black Root. Culver's Physic. Tall Speedwell (U.S.A.). N. O. Scrophulariaceæ. Tincture of resinoid Leptandrin. Tincture of fresh root of second year. Trituration of dried root. (A fresh plant tincture should also be made and tested.)
Clinical
Ascites. Bilious attack. Bilious fever. Constipation. Diarrhœa. Dysentery. Dyspepsia. Headache. Jaundice. Liver, affections of. Remittent fever, infantile. Yellow fever.
Characteristics
Leptandra in the form of the resinoid Leptandrin has been the subject of an heroic proving by Burt. As one of the grand characteristics of its relative Digitalis is whitestools, so the grand characteristic of Lept. is black stools. The following experience of Dr. Burt fairly epitomises the drug's action: "For the last two hours" (i.e., six hours after the second dose on the fourth day of proving) "have been in awful pain and distress in umbilical and hypogastric region; drinking cold water < the pain very much; dull, aching, burning …

Abdomen
Aching in liver extending to spine < in region of gall bladder.
Anus and Stool
Profuse, black, tar-like stool.

Phatak's chapter on Leptandra virginica is available in the app.
Read Phatak in the appClassical texts are in the public domain. Educational reference only — not medical advice.