ΟΜΟΙΟΠΑΘΗΤΙΚΗ ΦΡΟΝΤΙΔΑ ΥΓΕΙΑΣ
Δρ Τάσος Βαρθολομαίος,ΜD,PhD,MFHom
Ομοιοπαθητικός - Ιατρός Ιστοπαθολόγος
Μέλος και του Βρετανικού Ιατρικού Συλλόγου-Tακτικο Μέλος Βρετανικής Εταιρείας Ομοιοπαθητικής Ιατρικής (Faculty of Homeopathy, M.Bρετανία, MFHom)περισσότερα
Ακμή- Προλακτινωμα Υπόφυσης
Νεαρή δασκάλα,με πολύ άσχημη μορφή ακμής στο πρόσωπό της,το οποίο ήταν παραμορφωμένο από διαπυήσεις και ουλες σε όλη του σχεδόν την έκταση,ενώ παράλληλα παρουσίαζε διαταραχές περιόδου και γαλακτόρροια.Ο εργαστηριακός έλεγχος είχε δέιξει σημαντικά αυξημένη προλακτίνη στο αίμα και ένα κυστικό όζο,πιθανόν αδένωμα και μάλιστα προλακτίνωμα στην υπόφυση,διαμετρου λίγων χιλιοστών.Η νέα αυτή παρουσίαζε τυπική ιδιοσυγκρασιακή εικόνα Tuberculinum,με προεξάρχοντα τα συγκινησιακά στοιχεία και μάλιστα προς την κατεύθυνση του ρομαντισμού,του πάθους καιτης υστερίας.Μετά από ομοιοπαθητική αγωγή λιγων σχετικά μηνών η ακμή υποχώρησε αισθητά,ενώ αποκαταστάθηκε η προλακτίνη ορού στα ανώτερα φυσιολογικά όρια και εξαφανίσθηκε ο όζος,το απεικονιστικά διεγνωσμενο σαν προλακτίνωμα μόρφωμα,της υπόφυσης.περισσότερα
ΤΙ ΕΠΙΔΙΩΚΕΙ ΚΑΙ ΤΙ ΜΠΟΡΕΙ ΝΑ ΠΕΤΥΧΕΙ Η ΚΛΙΝΙΚΑ ΠΡΟΣΑΝΑΤΟΛΙΣΜΕΝΗ ΟΜΟΙΟΠΑΘΗΤΙΚΗ ΣΤΟΥΣ ΠΑΣΧΟΝΤΕΣ ΑΠΟ ΚΑΡΚΙΝΟ
Δρ Τασος Βαρθολομαίος , Κλινικός Ομοιοπαθητικός- Ιατρός Ιστοπαθολόγος
Η ΚΛΙΝΙΚΗ ΕΦΑΡΜΟΓΗ ΤΗΣ ΟΜΟΙΟΠΑΘΗΤΙΚΗΣ ΣΤΟΝ ΚΑΡΚΙΝΟ ΑΠΑΙΤΕΙ ΥΨΗΛΗ ΓΝΩΣΗ ΤΗΣ ΙΣΤΟΠΑΘΟΛΟΓΙΑΣ ΤΟΥ ΚΑΡΚΙΝΟΥ ΚΑΙ ΤΗΣ ΕΠΙΣΤΗΜΟΝΙΚΑ ΤΕΚΜΗΡΙΩΜΕΝΗΣ ΟΜΟΙΟΠΑΘΗΤΙΚΗΣ
Οι φαρμακολογικές δυνατότητες της Ομοιοπαθητικής προσφέρονται κατεξοχήν για την υποστήριξη του οργανισμού των καρκινοπαθών . Στη διαδικασία αυτή η Ομοιοπαθητική μπορεί να χρησιμοποιείται και παράλληλα με τη Συμβατική Ιατρική (χημειοθεραπεία, ακτινοθεραπεία,κτλ).
Ο ρόλος της Ομοιοπαθητικής Φαρμακολογίας στον Καρκίνο είναι η ενίσχυση των μηχανισμών άμυνας του οργανισμού σύμφωνα με τα σύγχρονα δεδομένα της ανοσολογίας και η υποβοήθηση των ομοιοστατικών μηχανισμών σύμφωνα με τα σύγχρονα δεδομένα της παθολογικής φυσιολογίας.
OMOIOΠΑΘΗΤΙΚΑ ΦΑΡΜΑΚΑ 3
Δίνονται μερικά Παραδείγματα του πεδίου εφαρμογής Ομοιοπαθητικών πληροφορικών "φαρμακων" για μια πληρέστερη κατανόηση των επιλογών που έχει ο Ομοιοπαθητικός, ιδιαίτερα στο χώρο της Κλινικής Ομοιοπαθητικής
Ignatia amara. (Strychnos ignatia? Strychnos multiflora?-The actual tree from which the so-called "beans" are obtained is not known.) Faba indica. St. Ignatius' Bean. (Philippine Islands.) N. O. Loganiaceæ. Tincture and trituration of the seeds.
Clinical.─Abdomen, distended. Anger, effects of. Anus, affections of. Anxiety. Appetite, disordered. Back, weakness of. Catalepsy. Change of Life. Chorea. Clavus. Convulsions. Croup. Debility. Dentition. Depression of Spirits. Diphtheria. Dysmenorrhœa. Epilepsy. Fainting. Fear, effects of. Flatulence; obstructed. Glands, enlargement of. Hæmorrhoids. Headache. Heart, affections of. Hiccough. Hysteria. Hysterical-joint. Intermittent fever. Locomotor ataxy. Melancholia. Numbness. Œsophagus. Paralysis. Phlyctenular ophthalmia. Proctalgia. Rectum, prolapse of. Rheumatic fever. Sciatica. Sensitiveness. Sinking. Sleep, disordered. Spinal irritation. Tenesmus. Throat, sore. Toothache. Tremors. Urine, abnormal. Vagina, spasm of. Voice, lost. Yawning.
Characteristics.─In order to obtain a proper understanding of the power and place of Ignatia it is necessary to get rid of two prevalent erroneous ideas. The first of these is that Ign. is a remedy for hysteria and nothing else; and the second is that it is the only remedy ever required in cases of hysteria. One minor inconvenience attending these notions is, that patients have become very shy of the drug, and resent having it prescribed for them, thinking that their doctor deems them hysterical if he does prescribe it. The recent outbreak of plague in the East has recalled the fact that Ign. has earned a reputation as curative even in that disease. Honigberger relates that it was a common plan when plague was raging in Constantinople for people to wear a bean attached to a string as a prophylactic; he administered "minute doses" of it to patients affected with plague with the best success. Later on he himself caught the disease in India, and cured himself with the same remedy (H. W., xxxiii. 51). In intermittent fever it is the only remedy that will cure certain cases. In the early part of my homœopathic career I astonished myself once by curing rapidly with Ign. (prescribed at first as an intercurrent remedy) a severe case of rheumatic fever, which had been making no progress under Bryonia, &c. The mental symptoms called for Ign., and along with these the inflammation of the joints, as well as the fever, disappeared under its action. The seeds of Ign. contain a larger proportion of Strychnia than those of Nux vomica, and the great differences in the characteristic features of the two medicines prove the wisdom of considering medicines apart from their so-called "active" principles. There are many activities in plants besides the alkaloids they may contain, and these are often the determining factors of the drug's specific action. It is in the mental sphere that the majority of the keynote symptoms of Ign. are developed. "Although its positive effects," says Hahnemann (M. M. P.), "have a great resemblance to those of Nux v. (which indeed might be inferred from the botanical relationship of these two plants) yet there is a great difference in their therapeutic employment. The emotional disposition of patients for whom Ign. is serviceable differs widely from that of those for whom Nux v. is of use. Ign. is not suitable for persons or patients in whom anger, eagerness, or violence is predominant; but for those who are subject to rapid alternations of gaiety and disposition to weep, or other characteristic emotional states, provided always that the other corporeal morbid symptoms resemble those that this drug can produce." Guernsey thus depicts the Ign. state of mind: "Any one suffering from suppressed or deep grief, with long-drawn sighs, much sobbing, &c.; also much unhappiness, cannot sleep, entirely absorbed in grief; for recent grief at the loss of a friend; affections of the mind in general, particularly if actuated by grief; sadness; hopelessness; hysterical variableness; fantastic illusions." To this list fixed ideas may be added, and desire to be alone. Ign. covers many of the effects of grief, especially if recent. I once gave instant relief with Ign. 30 in the case of a lady who had just heard of her brother's death (not unexpected), and who complained of an intense pain in the head just over the root of the nose. The consequences of worry, or a worrying state of mind, no less than grief, call for Ign.─an introverted state of mind. The special indication of Ign. in cases of hysteria is the rapid alternation of moods. Uncontrollable laughter alternating with outbursts of tears. Laughs when she ought to be serious. Sensitive, impressionable. This condition with the characteristic globus hystericus (a lump rises from the stomach into throat as if she would choke; she swallows it down but it constantly returns; < by drinking water) unmistakably indicate Ign. Nervous twitchings and even convulsions also occur. Distortion of the facial muscles whenever the patient attempts to speak. Pains rapidly alternate in character and are excessive. Exaggerated and outlandish symptoms. Rapid alternation of effects is one of the leading features of the drug; also paradoxicalness. Ign. has cured many cases of diphtheric and other sore throats, when the pain has been > by swallowing. In the fever of Ign., the thirst occurs during the chill and in no other stage. This is a very unlikely condition, and no other remedy has it. Empty retching is > by eating. Suddenness is another note of the Ign. effects. Sudden loss of function in any organ. There are many bodily conditions not associated with mental disturbance that require Ign.; for it must always be borne in mind that the absence of any particular characteristic of a drug is no contraindication to its use provided other indications are sufficiently pronounced. Ign. will cure many painful conditions of the anus and rectum, including piles and prolapse when characterised by "sharp stitching pain shooting up the rectum"; or "constricting pain at anus < after stool, > whilst sitting." Pressure as of a sharp instrument from within outward is a characteristic. "Headache as if a nail were driven out through the side of the head, > by lying on it." Pains 2 change their locality, come gradually and abate suddenly, or come and go suddenly. Headaches terminate with a profuse flow of urine. In dentition it is frequently called for. It has cured hydrocephalus from sudden metastasis from bowels to brain during dentition, with sudden pallor, delirium, rolling of head, difficult swallowing; convulsive movements of eyes and lids. The eye symptoms are also noteworthy. It has cured many cases of inflammatory affections, especially with intense photophobia and nervous excitement; also asthenopia with spasms of lids and neuralgic pains. Ign. is one of the remedies which have "goneness." or sinking at the stomach, in a very pronounced degree. It often occurs in the night, keeping the patient awake. With this there is a disposition to sigh. Sometimes a feeling as if the stomach were relaxed. There is regurgitation of food. Hiccough < by eating, or smoking, or emotional disturbances (especially in children); empty retching > by eating; vomiting at night of food taken in evening. Hysterical vomiting. Sour saliva and sour taste in mouth. Toothache, < after a meal, not so bad whilst eating─another paradoxical condition. The facial expression of Ign. is one of deadly pallor, or it may be flushed at times. There are twitchings of individual muscles of eyelids or mouth, and fluttering in chest, and in smaller muscles of body; heart flutters and rises in chest, causing choking and oppression; it seems to rise and fall as she attempts to sleep. Convulsions, spasms from fright. The child stiffens out and bends backward. Half-unconscious state, thumbs clenched, face blue. Cramps and spasms are prevalent as with Nux. The dysmenorrhœa in which Ign. is indicated has labour-like bearing-down in hypogastrium, > by pressure; by lying down; by change of position. The flow is black, putrid; if profuse, clotted. Spasms and convulsions, ending in long-drawn sighs, are met by Ign. Nash relates a case of puerperal convulsions in which this feature led to a cure. There are a number of characteristic respiratory symptoms: Hysterical aphonia. Laryngismus stridulus; patient sits up in bed, hoarse, hacking cough. The characteristic cough of Ign. is an irritable and irritating cough: the longer the cough lasts the more the irritation to cough increases. Kent describes it as: "Hack, hack-ety-hack, ending in sobbing." Cough every time he stands still during a walk. Hollow, spasmodic cough as from sulphur fumes. Cough as from inspired feathery dust. Sensations of formication and numbness are very general. Pains are apt to be in small circumscribed spots. The fever characters are: Thirst during cold spell only. Red face during chill. Chill > by external heat (wraps, stove). External chilliness and internal heat. As soon as heat commences must be uncovered (opp. Nux). Sensation as if sweat would break out but does not. Sweats: when eating; cold at times, generally warm; sometimes sour. Ign. is one of the chilly medicines like Nux, Caps., Ars. Cold < and warmth > (except in the last stage of fever). Rest > the pains; and so does change of position. Lying down >. Lying on side < headache; lying on painful side > headache. Sitting > anal and many other symptoms. < By stooping, walking, standing. < From slight touch; > from hard pressure. Soft pressure > headache. Slightest touch < stomach pains; cramps in uterus; tenderness of scalp and region of pylorus. There is great aversion to tobacco, which < many symptoms. Aversion to warm food, meat, alcohol. Desire for sour things; for bread, especially rye bread. < From emotion; from sweets; coffee; strong smells; from ascarides; when yawning. > From changing position; while eating; from eructation; when taking an inspiration; from swallowing. Ign. acts rapidly, and the duration of its action, according to Hahnemann, is short. "It is best administered in the morning if there is no hurry. When given shortly before bedtime it is apt to cause too much restlessness at night." It is adapted to the sensitive, excitable, nervous temperament; women of a sensitive, easily excited nature; dark hair and skin, but mild disposition; quick to perceive, rapid to execute. Ign. has been called the "feminine" of the "masculine" Nux. B. Simmons defines the place of Ign. in sciatica thus: "Lancinating, cutting pains, beating, bursting pains, < in winter, > in summer, chilliness with thirst, flushes of heat, chiefly face, without thirst." The limb is swollen and thigh knotty, and she cannot get up or lie down without pain; generally left side.
Relations.─Antidoted by: Puls. (chief antidote); Arn., Camph., Cham., Coccul., Coff. It antidotes: Brandy, coffee, chamomile tea, tobacco, Selen., Zinc. Compatible: Ars., Bell., Calc., Chi., Lyc., Nux, Puls., Rhus t., Sep., Sulph., Zinc. Incompatible: Coffea, Tabac., Nux (sometimes). Compare: Croc. (irresistible fits of laughter; rapidly alternating mental states); Lyc. (sinking sensation at night, preventing sleep canine hunger at night; also Chi.); Sep. (sinking, gone sensation with Ign. it is attended with sighing); Phos. ac., Gels., Coloc. (grief Phos. ac., especially for chronic condition); Asaf., Asar. (nervous persons); Ars., Nux (fevers; > from external warmth). In difficult swallowing of liquids, Bell., Caust., Cin., Hyo., Lach., Lyc., Pho. Globus hystericus, Lach., Lyc., Plumb. Piles (> sitting, Ign.─< sitting, Lyc., Thuj., Phos. ac.). Piles during menses, Lach., Collins., Puls., Sul. Worry and its effects, Nux, Sul. (Sul. worried by trifles). Laughter when ought to be serious, Anac., Pho. Sadness, Puls. (Ign. hides her grief, Puls. shows it). Prolapsus ani, Pod. Jealousy, Apis, Hyo. Disappointed love, Phos. ac. > From hard pressure hollow cough as from sulphur fumes, Chi. Laryngismus, Gels. Headache ending in copious flow of clear limpid urine, Gels., Aco., Sil., Ver. Worms, Cin. In functional paralysis from fatigue, emotions, or worms, Stan., Coccul., Pho. Hysteria, Cupr., Plat., Hyo., Asaf., Mosch. (faints easily), Valer., Nux mosch. Spasms in delicate women, Bell. (but Bell. has bright red face, shining eyes, hot head, fever: Ign. has no fever with spasms), Hyo. (Hyo. has unconsciousness, Ign. not). Sudden effects of emotions, Opium (very similar, but Op. has dark red, bloated face), Glon. (in the convulsions of Glon. the fingers spread out widely, also Secal.), Ver., Cupr., Cham. In uterine spasms, Coccul., Cham., Mag. mur., Act. r. Hiccough (Ign. < by eating, smoking, emotions), Hyo. (after operations on abdomen), Stram. and Ver. (after hot drinks), Ars. and Puls. (after cold drinks), Teucr. (children, after nursing). Nervous cough, the more he coughs the more annoying the irritation, Apis. Sadness, indifference, profound melancholy, Tarent. (Ign. introverted state of mind; Trnt. cunning attempts to feign paroxysms and wild dancing, no paroxysms if no observers). Chorea; eye symptoms, Agar. Extreme sensitiveness to pain; flushing of one or other cheek, Cham. Ear symptoms, Phos. (Ign. hard of hearing except to human voice; Pho. exact opposite, over-sensitiveness to ordinary sounds, deaf to voice). Nervous women, Mg. c., Mg. m. Tears, fevers, Nat. m. (Nat. m. is the chronic of Ign.). Teste places Ign. in his Ipec. group: Nausea and vomiting; reversed peristalsis; congestive headaches and engorgements resulting from vomiting; tenesmus; intermittent fevers are the leading characteristics of the group.
Causation.─Grief. Fright. Worry. Disappointed love. Jealousy. Old spinal injuries.
1. Mind.─Taciturn, with continuous sad thoughts; still, serious melancholy, with moaning.─Sadness and concentrated sorrow, with sighing.─Irresolution; anxious to do now this, now that.─Impatience.─Strong disposition to be frightened.─Morose and discontented humour, and involuntary reflections on painful and disagreeable things.─Intolerance of noise.─Effrontery.─Tenderness of disposition and of conscience.─Inconstancy.─Alternation of foolish gaiety and tearful sadness.─Laconic speech.─Great weakness of memory.─Love of solitude.─Anguish, esp. in the morning on waking, or at night, sometimes with palpitation of the heart.─Lachrymose and apathetic humour, with dread of exertion.─Inclination to grief, without saying anything about it.─Changeable disposition; jesting and laughing, changing to sadness, with shedding of tears (hysteria).─Despair of being cured.─The least contradiction excites rage and passion, with redness of face.─Fearfulness, timidity.─Anger, followed by quiet grief and sorrow.─Fear of robbers at night.─Cries, and complete discouragement, at the least provocation.
2. Head.─Vertigo; with sparks before the eyes.─Great heaviness of the head, as if it were full of blood.─Pressive headache, esp. above the root of the nose, and often accompanied by inclination to vomit, < or > by stooping.─Stinging pain, from within to without in the forehead.─Cramp-like pressure on the forehead and occiput, with obscuration of sight, redness of the face, and weeping.─Painful sensation of expansion in the head, as if the cranium were going to burst, esp. when conversing, reading, or listening to another.─Pain, as from a bruise in the head, esp. in the morning, on waking.─The headaches are < by coffee, brandy, tobacco-smoke, noise, strong smell, from reading and writing; from the sunlight; from moving the eyes; > when changing the position and when lying on the painful side.─Headaches with zigzags before the sight.─Skin across forehead feels drawn, with a lost and drowsy feeling, and thousands of stars float before sight.─Headache, as if a nail were driven into the brain; or out through the side of the head; > when lying on painful side.─Pressive headache in the forehead and vertex.─Piercing and shooting tearings, deep in the brain and forehead, > by lying down.─Pressive, pulsative headache.─Trembling of the head.─Throwing of the head backwards (during spasms); > by heat.─Falling off of the hair.
3. Eyes.─Pressure on the eyes, sometimes, as if sand had been introduced into them.─Inflammation of the eyes.─Redness of the eyes.─Acrid tears in the eyes during the day; agglutination of the eyelids during the night.─Lachrymation, esp. in the brightness of the sun.─Swelling in the upper lid, with enlargement of the (bluish) veins; the eyelid is turned upward.─Inflammation of the upper part of the eyeball as far as it is covered by the upper lid.─Convulsive movements of the eyes, and of the eyelids.─Fixed look, with dilated pupils.─Photophobia.─Sight confused, as if directed through a mist.─Flickering zigzags (and stars) before the eyes.
4. Ears.─Swelling of the parotids, with shooting pain.─Redness and burning heat in one of the ears.─Hardness of hearing; except for the human voice.─Itching in the ears.─Noise before the ear, as from a strong wind.─Worry takes away hearing and intensifies the noises.
5. Nose.─Itching in the nose.─Nostrils excoriated and ulcerated, with swelling of the nose.─Epistaxis.─Stoppage of one nostril; dry coryza, with dull headache, and excessive nervous excitement.─Dryness of the nose.
6. Face.─Face pale, red, or blue, or earth-coloured and wan.─Alternate redness and paleness of the face.─Clay-coloured, sunken face, with blue margins around the eyes.─Perspiration on the face alone.─Redness and burning heat in one of the cheeks (and in one ear).─Convulsive startings and distortion of the muscles of the face.─Eruption on the face.─Lips dry, cracked, and bleeding.─Pain, as of excoriation, in the internal surface of the upper lip.─Scabs on the commissuræ of the lips, and on the lips.─Pains in the submaxillary glands.─Convulsive jerking of the corners of the mouth.─Ulceration of one of the corners of the mouth.─Spasmodic clenching of the jaws (lock-jaw).
7. Teeth.─Odontalgia, as if the teeth (the molars) were broken.─Looseness of the teeth.─Toothache towards the end of a meal, < after its conclusion.─Difficult dentition, with convulsions.
8. Mouth.─Inflammation and redness of the mouth, and of the palate.─Constant secretion of mucus, or accumulation of acid saliva in the mouth.─Aptness to bite the tongue, on one side posteriorly, when chewing or speaking.─Moist tongue, loaded with a white coating.─Stitches in palate, extending to the ear.─Foam at the mouth.─Voice weak and tremulous.
9. Throat.─Sore throat, as if there were a plug in it, when not swallowing.─Palate red and inflamed, with a sensation as if what is swallowed passed over a burning and excoriated tumour.─Shootings in the throat, extending sometimes to the ear, chiefly when not swallowing.─When swallowing sensation as if one swallowed over a lump, causing soreness and a cracking noise.─Inflammation, swelling, and induration of the tonsils, with small ulcers.─Impeded deglutition (of drinks).─Constriction of the gullet, with sobbing risings.─Pain in the submaxillary glands when moving the neck.
10. Appetite.─Repugnance to food and drink, esp. to milk, meat, cooked victuals, and tobacco-smoke.─Want of appetite, and speedy satiety.─Insipid taste, like chalk, in the mouth.─Weakness and difficulty of digestion.─Sour taste in the mouth.─Bitter and putrid taste of food, esp. of beer.─Repugnance to, or strong desire for, acid things.─Dislike to wine and brandy.─Painful inflation of the abdomen after a meal.─Feeling of hunger in the evening, which prevents one going to sleep.─Desire for different things, which are disregarded when obtained.─Food has no taste.─Milk taken in the morning leaves an after-taste for a long time.─After smoking, hiccough, nausea, sweat, and colic.
11. Stomach.─Regurgitation of food, or of bitter serous matter.─Hiccough from smoking.─Hiccough, always after eating or drinking.─Acid risings.─Nausea, with agitation and anguish.─Vomiting of food, even at night.─Vomiting of bile and mucus.─Periodical attacks of cramp in the stomach, which disturb sleep at night, and are < by pressure on the part affected.─Dull aching or shootings in the epigastrium.─Coldness, or sensation of burning in the stomach, esp. after taking brandy.─Sensation of emptiness, and of weakness, in the epigastrium.─Sensation of weakness (sinking) in the pit of the stomach.─Heaviness and pressure in the pit of the stomach.─Fulness and swelling in the epigastrium.─Painful sensitiveness of the pit of the stomach to the touch.
12. Abdomen.─Sensation of fulness and inflation of the hypochondria, with difficulty of respiration.─Pain in the l. hypochondrium, < by pressure, and by walking.─Shooting sensation of burning and pressure, or swelling and hardness in the region of the spleen.─Expansive pain in the abdomen, as if the intestines were going to burst.─Inflation of the abdomen.─The flatulence presses on the bladder.─Cutting pains in the umbilical region.─Spasmodic pains, cutting, stinging, like labour pains.─Violent aching in the abdomen.─Rolling sensation around the navel.─Drawing and pinching in the region of the navel.─Sensation of protrusion in the umbilical region.─The pains in the abdomen are < after taking coffee, brandy, or things sweetened with sugar.─Shootings and pinchings in the abdomen, esp. in the sides.─Periodical cramp-like pains in the abdomen.─Cramp-like pressure in the inguinal region.─Beating in the abdomen.─Borborygmi in the intestines.─Flatulent colic, esp. at night.─Sensation of weakness and trembling in the abdomen, with sighing respiration.
13. Stool and Anus.─Constipation from taking cold; from riding in a carriage.─Hard evacuations, with frequent ineffectual efforts.─Unsuccessful urging to stool, felt mostly in the upper intestines.─Fæces yellow, whitish, of a very large size, soft but difficult to eject.─Diarrhœa of sanguineous mucus, with rumbling in the abdomen.─Slimy evacuations, accompanied by colic.─Discharge of blood from the anus.─Prolapsus of the rectum while at stool.─Itching and tingling in the anus.─Ascarides in the rectum.─Contraction of the anus.─Contractive pain, as of excoriation, in the anus, after evacuation.─Prolapsus ani, with smarting pain, from slight pressure to stool.─Shootings from the anus high up into the rectum.─Smarting in the rectum during the loose evacuations.
14. Urinary Organs.─Frequent and copious emission of watery urine.─Urine lemon colour.─Involuntary emission of urine.─Urgent and irresistible want to make water.─Continual want to urinate after taking coffee.─Sensation of burning and smarting in the urethra during micturition.─Itching in the fore part of the urethra.─Urging to urinate with inability.
15. Male Sexual Organs.─Much itching in the genital parts, and in the penis, in the evening after lying down, removed by scratching.─Pain, as of excoriation and ulceration, on the margins of the prepuce.─Strangling sensation, and aching in the testes, esp. in the evening, after lying down.─Sweat on the scrotum.─Lasciviousness, with weakness of genital power (without erections).─Contraction of the penis; it becomes quite small.─Absence of sexual desire.─Erections, with painful uneasiness, and aching at the pubis.─Erections during every evacuation.
16. Female Sexual Organs.─Catamenia premature and violent, every ten or fifteen days.─Blood of the catamenia black, of putrid odour, mixed with clots.─Metrorrhagia.─During the catamenia, heaviness, heat, and pain in the head, photophobia, colic, and contractive pains, anxiety, palpitation of the heart, and great fatigue, even to fainting.─Cramp-like and compressive pains in the region of the uterus, with fits of suffocation; pressure, and lying on the back, mitigate the pain.─Cramp in the uterus, during the catamenia.─Uterine spasms, with lancinations, or like labour pains.─Corrosive and purulent leucorrhœa, preceded by contractive pressure in the uterus.
17. Respiratory Organs.─Sensation of soreness in the larynx.─Constrictive sensation in the trachea and larynx.─Voice feeble, inability to speak loud.─Catarrh, with coryza and headache.─Cough, excited by a sensation of constriction at the fossa of the neck, as from the vapour of sulphur.─Hollow spasmodic cough, caused in the evening from a sensation of vapour or dust in the pit of the throat; in the morning, from a tickling above the pit of the stomach, with expectoration in the evening difficult, tasting and smelling like old catarrh. (Whooping-cough).─Obstinate nocturnal cough.─Dry cough, sometimes with fluent coryza.─Cough, continuing equally day and night.─The longer he coughs the more the irritation to cough increases.─Dry, hoarse cough.─Spasmodic shaking cough.─Short cough, as from a feather in the throat, becoming stronger from repetition (the more he coughs, the more he wants to).─Hoarse dry cough, excited by a tickling above the stomach.
18. Chest.─Desire to draw a long breath.─Slow breathing.─Difficulty of respiration, and oppression of the chest, esp. at night (after midnight).─Oppressed breathing, alternating with convulsions.─Difficult respiration, as if hindered by a weight upon the chest.─Shortness of breath when walking, and cough as soon as one stands still.─Sighing respiration.─Feeling of suffocation on running.─Aching of the chest.─Constriction of the chest.─Shootings in the chest and in the sides, excited by flatulency (flatulent colic).
19. Heart.─Palpitation of the heart at night, with shootings in the heart, or else in the morning on waking, as well as when meditating, and during repose.─Throbbing in the chest.─Sticking in precordial region on expiration.─Cardiac hyperæsthesia.─Anxious feeling in precordia; sinking sensation and emptiness at stomach; constriction, with anxiety and disposition to cry.
20. Neck and Back.─Stiffness of the nape of the neck.─Stitches in the small of the back; in the nape of the neck.─Aching pain in the glands of the neck.─Enlarged glands (painless), like nodosities, in the neck.─Pain in the os sacrum in the morning, when lying on the back.─Violent sacral pains, like shootings or pullings, or like squeezing by a claw.─The back is bent forward.─Convulsive bending backwards of the spine.─Lancinations as by knives, from the loins to the thighs.─Weak back, with sciatica.
22. Upper Limbs.─Lancinating, cutting pain in the shoulder-joint, when bending the arm forward.─Insupportable pains in the bones and joints of the arms, as if the flesh were being loosened, or with a paralytic sensation and pain of dislocation (on moving the arm).─Convulsive startings in the arms (in the deltoid muscle) and in the fingers.─Tearing in the arms, excited by cold air.─Tension in the wrist.─Hot sweat of the hands.─Sensation of torpor and digging in the arms, at night in bed (with the sensation as if something living were running in the arm).─Warm perspiration in the palm of the hand and fingers.
23. Lower Limbs.─Incisive, tearing pains in the posterior surface of the thighs, on fatiguing the muscles.─Sciatica, with weakness of back and lower limbs.─Limbs swollen, thigh knotty, cannot get up or lie down without pain (generally l.).─Heaviness of the legs and of the feet, with tension in the legs, and calves of the legs, on walking.─Heat of the knee, with coldness and itching of the nose.─Convulsive startings of the legs.─Stiffness of the knees and of the feet.─When walking, the knees are involuntarily drawn up.─Cracking in the knee.─Painful sensibility of the soles of the feet, when walking.─Shootings and pain, as from ulceration in the soles of the feet.─Sensation of burning in the heels at night, on placing them near one another; when they come in contact they are cold to the touch.─Coldness of the feet and legs, extending above the knee.─Sensation of burning in corns.
24. Generalities.─Simple and violent pain, in various parts, when they are touched.─Incisive or acute, and sometimes hard pressive pain (as from a hard pointed body pressing from within to without), in the limbs and other parts.─Trembling of the limbs.─Lancinations, as by knives.─Sensation of pressing asunder, or constriction in the internal organs.─Arthritic tearing in the limbs.─Pain, as of dislocation, or of a sprain in the joints.─Heaviness, and crawling numbness, in the limbs.─Convulsions alternating with oppressed breathing.─Attacks of cramps and of convulsions, sometimes with anxiety, fits of suffocation, throwing back of the head, bluish or red face, spasms in the throat, loss of consciousness, &c.─Epileptic convulsions, with foam at the mouth, frequent yawning, convulsed eyes, retraction of the thumbs, face red, or alternately pale and red, &c.─Convulsive twitchings, esp. after fright or grief.─Involuntary movements of the limbs, as in St. Vitus' dance.─After the convulsions, profound sighs, or drowsy sleep.─Great sensitiveness to the open air.─Convulsions, with cries and laughter.─Tetanus.─Hysterical debility, and fainting-fits.─Hysterical spasms.─The symptoms chiefly manifest themselves just after a meal, also in the evening, after lying down, or in the morning, immediately after rising.─Coffee, tobacco, brandy, and noise aggravate the pains.─The pains are removed either by lying on the back, or by lying on the part affected, or on the healthy side, and always by change of position.─Nocturnal pains which disturb sleep.
25. Skin.─Itching (over the whole body), which is easily removed by scratching.─Chilblains.─Excoriation of the skin; (esp. round vagina and mouth.─Cooper).─Itching on becoming warm in the open air.─Great sensitiveness of the skin to a draught of air.─Nettle-rash over the whole body, with violent itching (during the fever).
26. Sleep.─Profound and comatose sleep, with stertorous respiration.─Violent spasmodic yawnings (with pain in the lower jaw, as if dislocated, with running of the eyes), esp. in the morning, or after a siesta.─Very light sleep; hears everything that happens around him.─Sleep, disturbed by nightmare, or by starts and frequent dreams.─Starting of the limbs on going to sleep.─Dreams, with reflection and reasoning, or with fixed ideas.─Dreams with fixed ideas, continuing after waking.─Restless sleep, and great restlessness at night.─Starts with fright on going to sleep.─Whimpering during sleep.
27. Fever.─Pulse hard, full and frequent, or very variable.─Febrile shivering, esp. in the back and arms, with thirst for cold water, and sometimes with nausea and vomiting.─Chill, frequently only of the back part of the body.─Mitigation of the cold by external heat.─External heat with internal coldness.─Universal heat, esp. in the head, with redness, principally (of one) of the cheeks, and adipsia, sometimes with internal shuddering, coldness of the feet, shootings in the limbs, and headache.─Chill and coldness, causing the pains to increase.─Sudden flushes of heat over the whole body.─Troublesome sensation of heat, sometimes with sweat.─Absence of thirst during the heat, and perspiration, or during the apyrexia.─Only external heat, without thirst, with aversion to external heat.─Fever, with headache, and pain in the pit of the stomach, great fatigue, paleness of face, or paleness and redness alternately, lips dry and cracked, nettle-rash, tongue white, profound sleep with snoring, &c.─Intermittent fever; chill with thirst, followed by heat (without thirst), followed by chill with thirst, or afternoon fever; shiverings with colic (and thirst), afterwards weakness and sleep, with burning heat of the body.─During the fever violent itching; nettle-rash over the whole body.─Burning heat of the face, only on one side.─Very little perspiration, or only in the face.─Sweat, with shootings and buzzing in the ears.─Sweat during a meal.
Iodium. Iodine. An element. l. (AM. 126.53). Tincture.
Clinical.─Appetite, disordered. Atrophy. Brain, atrophy of. Breasts, affections of. Cancer. Chilblains. Chyluria. Constipation. Consumption. Coryza. Cough. Croup. Debility. Diabetes. Diarrhœa. Diphtheria. Emaciation. Enteric fever. Galactorrhœa. Goître Hæmorrhoids. Headaches. Heart, hypertrophy of; affections of. Hiccough. Hydrocephalus. Iritis. Jaundice. Joints, affections of. Lactation, disordered. Laryngitis Leucorrhœa. Liver, affections of. Lymphatic swellings. Melancholia. Mollities ossium. Ovaries, affections of; dropsy of. Ozæna. Prostate gland, enlarged. Rheumatic gout. Rheumatism. Salivation. Scars. Seborrhœa. Sterility. Syphilis. Tabes mesenterica. Throat, affections of. Uterus, affections of. Voice, affections of. Vomiting. Worms.
Characteristics.─The most prominent feature of the action of Iodium is its power of causing absorption. It is this power which has made the drug such a favourite among old-school practitioners as a paint in all kinds of swellings. Given internally its power is much greater: the absorbents are stimulated to fresh activity; muscles, fat, tissues, and glands waste away, and general emaciation is the result. When new growths and hyperplasias are present, these come under the action of Iod. before the normal tissues. I have seen it given with excellent effect in the lower attenuations, when swollen and deformed joints have been left behind after an attack of acute rheumatism. Scrofulous and syphilitic indurations, effusions and tumours, and especially goître, are equally amenable to its resolvent action. Emaciation of single parts. In this connection must be mentioned its power to set up a ravenous appetite. "Eats ravenously, yet emaciates," is a keynote. It seems as if the waste of tissue set up the desire for absorbing great quantities of food. Absence of appetite is also among the effects of Iod., and either condition may indicate it. I once used it with excellent effect in the case of a young woman who had had a nervous shock, and had lost all appetite and desire to live. She was much emaciated, and had quietly made up her mind to starve herself to death. I gave five drops of Iod. 3x in a wineglass of water half an hour before meal-times, and her appetite returned with such vigour she could not choose but eat, and was soon restored to a normal mental and bodily state. I have recorded another similar case of nervous shock producing rapid emaciation and vomiting cured by Iod. in my book on Indigestion. Both these patients were somewhat dark, and Iod. is specially suited to persons of dark hair and complexion; dark, yellow, tawny skin. Herein it is the antipodes of Bromium and Spongia. Its mental symptoms are more marked than those of Brom. There is increased erethism, patient very excitable and restless, moving about from place to place. Fears every little occurrence will end seriously. In his anxiety shuns every one, even his doctor. Fixed ideas are among the Iod. effects; also sudden impulses. A patient of mine had once been given Iodine for goître by an allopath. She was compelled to discontinue it because it produced this inconvenient symptom: impulse to run; she felt she must fall if she walked. Iod. produces atrophy of nerve and brain tissue, as well as of other tissues (Allen mentions that it is valuable in persistent headaches with vertigo in old people); and it also has a place in acute hydrocephalus; and in pleuritic effusions. In tubercular disease of all kinds it may be called for: tabes mesenterica; pulmonary phthisis. In rheumatism and heart affections it has a large sphere. It is indicated by indurations or atrophy of testes, ovaries, and uterus. The salivary glands and pancreas are especially affected by Iod., and a diarrhœa of milky, whey-like stools, often indicative of pancreatic disease, is especially amenable to its action. In pneumonia and phthisical affections with lung consolidation it is of great service. The chief indications are: Dyspnœa; cough with blood-streaked expectoration; tickling all over chest; weakness and emaciation; < of symptoms in a warm room. This last, "< by warmth," is a leading modality of Iod. In defects of growth, curvature of bones, and in children's ailments, it follows well upon Calc. In phthisis of rapidly-growing young people, thin and dark, it is especially indicated. There are many marked symptoms in the heart sphere: palpitation from slightest cause; sensation as if being squeezed; hypertrophy. With the heart symptoms there is a "gone," exhausted feeling, and the patient is scarcely able to breathe or walk. C. S. McKay noticed lumbrici passed by an infant who had tasted Iodine accidentally, and used the experience in another case, giving a dilute solution (one part of the Ø to three of water; of this three drops every three hours), and produced the expulsion of lumbrici when Santonin had completely failed. An Ioduretted solution of Kali iod. (Kali iod. gr. xxxv., Iod. gr. iv., Aqua one ounce; ten drops for a dose) has been used with success as a tænicide, expelling the tapeworm, dead. Erethism is marked in Iod.: nervousness; restlessness; twitching; subsultus tendinum and trembling; also sense of trembling in inner parts. Facial paralysis and epilepsy have followed suppression of goître by large doses of Iod. Weakness is excessive. Fainting on going upstairs. (General weakness and loss of appetite and pain in temples, and pain in left chest as if something were being torn away: heart large.─Cooper). Motion and exertion of all kinds <. Sitting up >, and lying down < dyspnœa and heart affections. < By warmth; by wrapping up; in warm room. < In wet weather. Drinking cold milk > constipation. > By eating, of hunger and other symptoms, is another marked character of Iod. Iod. is a sensitive remedy, and many symptoms are < by touch and pressure. Nash thinks Iod. one of the remedies affected by the moon's changes. In cases of goître where it is indicated he gives a powder of Iod. c.m. every night for four nights after the moon has passed the full.
Relations.─Iod. must be compared with Iodoform and Kali iod. The febrile, inflammatory, and skin symptoms of Iodf. are more violent and pronounced than those of the other two. K. iod. has less erethism than Iod., has > from external warmth (though both have > in open air); and K. iod. has not the excessive appetite of Iod. or the general > from eating. Iod. is antidoted by: Starch or wheat flour mixed with water (to large doses). Antidotes to small doses: Ant. t., Apis, Ars., Bell., Camph., Chi., Chi. sul., Coff., Hep., Op., Pho., Spo., Sul. It antidotes: Merc. Follows well: Merc.; Hep. (croup); Ars. Followed well by: Aco., Arg. n., Calc., Merc. sol., Pho., Pul. Complementary: Lyc. Compare: Brom. (Brom. has light hair and complexion; Iod. dark; Bro. carrion-like odour of ulcers); Chlorum; Nat. m. (ravenous appetite yet gets thin─Nat. m. especially about the neck); Kali iod. (talkative as if from alcohol); Bar. c. (tabes mesenterica, extreme hunger, emaciates, talkative, averse to strangers; Bar. c. suited to dwarfish persons; has not the intolerable crossness of Iod., which is < than that of Ant. c.); Alumina (apprehensive, fears); Apis (joint effusions, sensitiveness, hydrocephalus); Cact. and Spig. (heart); Hydrast. (uterine affections); Ars., Calc., Cin., Sil. and Staph. (ravenous hunger); Hyo. (loss of voice; Iod. antidotes this); Sul.
Causation.─Nervous shock. Disappointed love.
1. Mind.─Lachrymose disposition and mental dejection.─Melancholy hypochondriasis, sadness, heart-ache, and anxiety.─Fear: shuns persons.─Anxious apprehensions.─Restless agitation (with inclination to move about), which will neither permit the patient to remain seated, nor to sleep.─Irresistible impulse to run; feels she will fall if she walks.─Cross, irascible, peevish.─Heart palpitates "like lightning" when thinking of real or imaginary wrongs.─Sudden maniacal impulses; to murder.─Excessive mental excitement, with great susceptibility.─Illusions of moral feeling.─Loquacity and immoderate gaiety.─Hesitation and irresolution.─Indolence of mind, with great repugnance to all intellectual labour.─Fixedness, immovableness of thought.─Delirium.─Effects of amorousness; of disappointed love.
2. Head.─Confusion of the head (with aversion to earnest work).─In the morning, dizziness.─Vertigo; throbbing in the head and all over the body.─Vertigo with red face, palpitation, hysteria, nervousness.─Headache, in hot air, as well as from the prolonged movement of a carriage, or from a long walk, and < by noise and speech.─Pain, as from a bruise, in the brain, with want of strength in the body, as from paralysis.─Acute pressive pains in the forehead.─Headache, as if a tape or band were tightly drawn around the head.─Pressure on a small spot, above the root of the nose.─Congestion in the head, with beating in the brain.─Throbbing in the head at every motion.─Hair falls out.
3. Eyes.─Pains in orbits.─Feeling of depression above the eyes, as if they were deeply sunken, in the evening.─Pain, as from excoriation, in the eyes.─Inflammation of the eyes, sometimes after taking cold.─Watery white swelling of the eyelids.─Dirty yellowish colour of the sclerotica.─Protrusion of the balls.─Lachrymation.─Convulsive movements, and quivering of the eyes; of the (lower) eyelids.─Weak sight.─Dimness of vision following upon application of Iodine to any part of body.─Choroido-iritis.─Diplopia.─Sparks and scintillations before the eyes.
4. Ears.─Buzzing in the ears.─Hardness of hearing.─Sensibility to noise.─(Chronic deafness with adhesions in middle ear.─Deafness from Eustachian catarrh, inflamed tonsils, roaring in the ears, &c.).
5. Nose.─Small scab in the r. nostril.─Epistaxis.─Red, burning spot on the nose, below the eyes.─Stoppage of the nose, or secretion of mucus more abundant than usual.─Dry coryza, becoming fluent in the open air (< evening).─Fluent coryza with much sneezing.─Violent coryza with lachrymation and frontal headache; discharge hot, nose sore, fever.─Blowing of much yellow mucus from the nose.
6. Face.─Complexion pale, yellowish, or easily tanned; or greenish.─Acneous eruption on r. side of face, with burning, and itching, twitching of r. upper eyelid, and twitchings in other parts.─Sallow, distressed countenance.─Bluish lips, with swelling of the superficial veins.─Frequent and sudden redness of the face, with sensation of burning in the ears.─Face sunken with eyes cast down.─Starting of the muscles of the face.─Suppurating ulcer on the l. cheek, with swelling of the contiguous glands.─Swelling of submaxillary glands.
7. Teeth.─Pressive pains in the molars.─Teeth yellow, and covered with mucus, in the morning; easily blunted by vegetable acids.─Inflammatory swelling and bleeding of the gums, with swelling of the cheek; the gums are painful to the touch.─Teeth loose.─Softening of the gums.
8. Mouth.─Aphthæ in the mouth.─Ulcers in the mouth.─Pain and swelling of the glands of the interior of the mouth.─Exhalation of putrid odour from the mouth; after Mercury.─Salivation.─Tongue loaded with a thick coating.─Dryness of the tongue.
9. Throat.─Swelling and elongation of the uvula.─Sore throat, with pressive pain, when not swallowing.─Permanent constriction of the gullet and impeded deglutition.─Increased secretion of watery saliva.─Inflammation of the gullet, with sensation of burning and scraping; burning in the fauces.─Ulcers in throat, with swelling of glands of neck.
10. Appetite.─Disagreeable, saponaceous, sourish, or bitter salt taste.─Increased thirst day and night.─Appetite variable; at one time bulimy, at another, absence of appetite.─Unusual hunger, with amelioration after a meal (after having eaten a good deal).─Great weakness of digestion.─Eats too often and too much; rapid digestion, but losing flesh all the time.
11. Stomach.─Risings, generally acid, with burning sensation.─Heartburn, after heavy food.─Hiccough.─Pyrosis, esp. after indigestible food.─Qualmishness, nausea (with spasmodic pain in the stomach).─Frequent nausea.─Violent vomitings renewed by eating.─Vomiting of bilious matter, or of yellowish mucus.─Excessive pains in the stomach, with bilious evacuations.─Aching in the stomach after every meal.─Cramp-like, gnawing, or burning pains in the stomach.─Inflammation in the stomach.─Pulsations in the epigastrium.─Gastric derangement with constipation.
12. Abdomen.─Abdominal pains, which return after every meal.─Inflation of the abdomen.─Incarceration of flatulence (l. side of abdomen).─Enlargement of the abdomen, which renders it impossible to lie down without danger of suffocation.─Region of liver sore to pressure; swelling and hypertrophy of liver; jaundice.─Hard, painful swelling of the spleen.─Cramp-like pains in the abdomen.─Violent colic.─Pains in the abdomen, like those of parturition.─Swelling and inflammation of the mesenteric glands.─Pancreas enlarged; whitish, whey-like diarrhœa.─Abdominal pulsations; throbbing of abdominal aorta.─Trembling in the abdomen, from the pit of the stomach to the periphery, with increased heat.─Hard swelling of the inguinal glands.
13. Stool and Anus.─Hard, knotty, dark-coloured fæces.─Constipation.─Loose, soft evacuations, sometimes whitish, alternately with constipation.─Evacuations copious of the consistence of pap.─Violent, frothy diarrhœa, or composed of sanguineous mucus.─Dysenteric evacuations of thick mucus, or sometimes purulent, with retention of fæcal matter.─In the evening, sensation of itching and burning in the anus.─Piles protrude and burn; < from heat.
14. Urinary Organs.─Suppressed secretion of urine.─Copious and frequent flow of urine.─Involuntary emission of urine at night.─Urine of a deep colour, turbid, or yellowish green; or milky; or acrid and corrosive.─Parti-coloured cuticle on the urine.─(Incontinence in old people with prostatic enlargement.).─(Diabetes.)
15. Male Sexual Organs.─Complete loss of sexual power, testicles atrophied.─Violent and constant erections.─Sexual desire increased.─Painful pullings in the anterior part of the penis.─Aching, pressing, twisting, or forcing pain in spermatic cords; after sexual dalliance.─Swelling and hardness of the testes.─Hardness of the prostate gland.─After stool, milk-like fluid runs from urethra.─Hydrocele.─Offensive sweat of genitals.
16. Female Sexual Organs.─Catamenia at one time too late, at another too early.─Menses premature, violent and copious.─Metrorrhagia.─Weakness, palpitation of the heart, and many sufferings, before, during, and after the catamenia.─Atrophy of ovaries and breasts, with sterility.─Pain (dull, pressing, wedge-like) commencing in r. ovary passing down broad ligament to uterus.─Great sensitiveness of r. ovarian region during or after menses.─Inflammation of r. ovary with an itching eruption on head and hands following application of Iodine to os uteri.─Chronic oöphoritis (l.) with thick, yellow, burning leucorrhœa, > after eating (H. N. Martin.).─Pain in lower abdomen; < l. ovarian region; > by motion and by eating.─Induration and swelling (cancer?) of the uterus.─Uterine hæmorrhage renewed after every stool.─Leucorrhœa, corroding the limbs and the linen; acrid; profuse; worse at time of menses.─Flaccidity and atrophy of the breasts.─Mammary hyperæsthesia.─Heaviness of breasts as if they would fall off.─Acute pain and soreness in breasts with metritis.─Bluish red nodosities size of hazel nut; in both breasts; dry, black points at tips.─Galactorrhœa; thin, watery milk; weakness; emaciation.─Milk suppressed; breasts atrophied and relaxed.
17. Respiratory Organs.─Insupportable hoarseness and tingling in the throat, esp. in morning.─The voice becomes deeper.─Membranous croup, with wheezing and sawing respiration; dry, barking cough, esp. in children with dark eyes and hair; child grasps throat with hand.─Croup, with much mucous expectoration, sometimes streaked with blood.─Inflammation of the throat, of the larynx and trachea, with contractive pain of excoriation.─Pain in the larynx, with discharge of hardened mucus.─Contraction and heat in the larynx.─Increased secretion of mucus in the trachea, with frequent hawking.─Dry cough, with pressure, shooting, and sensation of burning in the chest.─Cough in the morning.─Cough, with expectoration of abundant, and sometimes sanguineous mucus, pains in the chest, and fever.─Rattling of mucus in the chest, with roughness under the sternum and oppression of the chest.─Cough, resembling whooping-cough, excited by an insupportable tickling in the chest, with anguish before the paroxysm, and excessive emaciation.─Hepatization; worse upper part of r. lung.
18. Chest.─Difficulty of respiration, and dyspnœa.─Difficulty of expanding the chest on taking an inspiration.─Suffocation.─Shooting in the l. side, on breathing.─Loss of power to breathe, esp. on going upstairs.─Weakness of the chest.─Congestion in the chest.─Burning, shooting tension in the integuments of the chest.
19. Heart.─Sensation of weakness in the chest (and heart).─Violent palpitation of the heart; increased by the least exertion (from walking or going downstairs).─Sensation as if the heart were squeezed together.─Constant, heavy, oppressive pain in region of heart, with sharp, piercing, movable pain.─Great precordial anxiety, obliging him to constantly change his position.─(Hypertrophy of heart, very like that of Arn., and like that often met with in housemaids and others from over-exertion.─Fatty degeneration of heart.─Cooper.).─Pulse rapid, small, weak, with tumultuous, irregular, at times intermittent action of heart.
20. Neck and Back.─Tension in the neck.─Swelling of the exterior of the neck.─Swelling of the neck when speaking.─Swelling of the glands of the neck, of the nape of the neck, and of the armpits.─Hard and large goîtres.─Constant sensation of constriction in the goîtres.─Yellowish spots on the neck, and redness, as from ecchymosis.─Cramps in the back.─Pain in sacrum and coccyx.─Spinal complaints, with gressus vaccinus.
21. Limbs.─Chronic arthritic affections; with violent nightly pains.─Stiff and enlarged joints after acute rheumatism.─Subsultus tendinum.─Cold hands and feet.
22. Upper Limbs.─Pains in the bones of the arms, < when lying down, and disturbing the sleep.─Lassitude in the arms in the morning, in bed.─Convulsive movements and trembling of the arms, of the hands, and of the fingers.─Numbness of the fingers.─Tearing pains in the fingers.─Startings of the tendons of the fingers.─Panaris.─Constant coldness of the hands, which are covered with a cold sweat during labour.─Carphologia.
23. Lower Limbs.─Cramp-like pains in the legs when seated.─Heaviness, swelling, trembling and paralysis of the legs.─Rheumatic pullings in the thighs and knees.─Inflammatory swelling of the knee, with tearing pains, and suppuration.─Hot, bright-red swelling of the knee, with inflammation, pricking and burning; < by touch and pressure.─Dropsical swelling of the knee.─White swelling of the knee.─Cramps in the feet, esp. at night.─Startings of the tendons of the feet.─Œdematous swelling of the feet.─Chilblains.─Acrid and corrosive sweat on the feet.─Pain in the corns.
24. Generalities.─Erratic pains in the joints.─Chronic rheumatism in the joints, with violent pains at night; without swelling.─Sensation of torpor in the limbs.─Convulsive starting and twitching of the tendons.─Distortion of the bones.─Pains in the bones at night.─Swelling and induration of the glands.─Hæmorrhage from different organs.─Powerful over-excitement of all the nervous system.─Ebullition of blood, and pulsation over the whole body, increased by the slightest exertion.─Trembling of the limbs.─Tottering walk.─Great weakness; even speaking excites perspiration.─Plastic exudations.─Atrophy and emaciation till reduced to the state of a skeleton (with good appetite).─Emaciation; ending in marasmus; of glandular tissues (mammæ, testicles, thyroid gland, &c.).─Œdematous swelling, even of the whole body.
25. Skin.─Skin rough, dry, or clammy, moist, and of a dirty yellow.─Tetters.─Furfur.─Panaris.─Itching and itching pimples on an old cicatrix.─Papulous eruptions tending to pustulation.
26. Sleep.─Agitated dreams.─Restless sleep with vivid or anxious dreams.─Nocturnal sweat.
27. Fever.─Shivering, even in a warm room.─Chill alternating with heat.─Cold feet all night.─Internal dry heat, with external coldness.─Profuse night-sweat.─Increase of bodily heat.─Fugitive heat.─Acid perspiration in the morning.─Pulse quick, small, and hard; weak, threadlike.─The pulse becomes much quicker as soon as one moves about.─Fever, with consumption.─(West Indian and African fevers; ague.)
Potassium Carbonate. Potassic Carbonate. Salt of Tartar. Salt of Wormwood. Carbonate of Potassium. K2 CO3 Solution. Trituration.
Clinical.─Amenorrhœa. Anæmia. Asthma. Axilla, perspiration of. Back, aching. Biliousness. Bronchitis. Catarrh. Change of life. Chilblains. Clavus. Cold. Consumption. Cough. Debility. Dropsy. Dysmenorrhœa. Dyspepsia. Ear, inflammation of. Eyes, inflammation of; œdema around. Face, blotches on. Fear. Freckles. Gastralgia. Hæmorrhage. Hæmorrhoids. Hair, affections of. Headache. Heart, affections of. Hip-joint disease. Hydrothorax. Hysteria. Kidneys, affections of. Knee, affections of; white swelling of. Larynx, catarrh of. Leucorrhœa. Liver, affections of. Lumbago. Menorrhagia. Metrorrhagia. Pleurisy. Pleurodynia. Pregnancy, disorders of. Proctalgia. Sciatica. Sleeplessness. Spinal irritation. Stomach, affections of. Throat, sore. Toothache. Typhoid. Urine, frequent passage of. Urticaria. Uterus, cancer of. Vertigo. Wens. Whooping-cough.
Characteristics.─Potassium carbonate, sometimes called "Vegetable alkali," exists in all plants, and was originally obtained from the ashes left after burning wood and vegetable structures. Potassium salts play a no less important part in the animal economy. Kali carb. may be regarded as the typical member of the Kali group of homœopathic remedies, though Causticum has also claims on the title. The Potassium salts have more specific relation to the solid tissues than to the fluids of the body; to the blood corpuscles rather than to the blood plasma. The fibrous tissues are particularly affected, the ligament of joints, of the uterus, of the back. It corresponds to conditions in which these tissues are relaxed-joints give way; the back feels as if broken; the patient feels compelled to lie down in the street. Goullon (translation, H. R., xv. 327) calls attention to the importance of this polychrest in complaints of women, in which it rivals Sepia, differing from the latter in having menstruation "too protracted and recurring too frequently; the pains and troubles occur before the menses. The climacteric flushings of K. ca. are associated with disturbances of the heart. Palpitations are most violent. By quieting these K. ca. often serves as an excellent soporific. In addition to the uterus and heart, lungs, pleura, bronchi, and larynx all come under its action. Chronic laryngeal catarrh Goullon specially mentions as frequently cured by it. He places it in the front rank as a knee remedy. Among the grand characteristics of K. ca., three stand out above the rest: (1) Stitching, lancinating pains, also called jerking pains; < during rest, < lying on affected side. (2) Early morning aggravation: < 2 to 4 a.m. (3) The occurrence of bag-like swellings over the eyes, between the eyebrows and the upper lids. Relaxation of tissues is a great note of K. ca. It is suited to persons of soft tissues with tendency to be fat. Easy sweating may be placed in the same category, and when there is a combination of "sweat, backache, and weakness," the three, according to Farrington, constitute a grand characteristic. The backaches of K. ca. are very important. The pain often extends downwards to the buttock and even to the knee. Pain from hip to knee (more especially if right sided) has led to the cure of many cases of hip-joint disease. This symptom also led me to make a remarkable cure of another kind. A lady, 73, stout, short, pale, and of very soft fibre, had for four months suffered from "rheumatic pains," and an offensive vaginal discharge. A local practitioner of repute was consulted (the patient lived in the country, and I did not see her till a year or two afterwards) and pronounced it cancer of the womb in an advanced stage, and gave her four months to live. She described to me the pain as being all round the lower abdomen, and a "dull, heavy, depressing, dead pain, commencing at the inner part of the top of the right hip (iliac crest) and extending to the knee." The pain was so severe it made her feel quite sick and faint. The discharge was very offensive, like decaying meat. Great weakness and trembling accompanied the discharge; urine was almost like blood at times, and had a sandy sediment. K. ca. 1m. was given and at once improvement set in. In a few months all the bad symptoms had disappeared and never returned. The patient lived ten years after this. In connection with this case I may mention another. A man had an ulcer of right leg with swelling of ankle, and he complained of waking at 2 a.m. K. ca. 30 cured, but meantime he developed this symptom: "Great weakness of right thigh, as if it would give out when walking." This "giving-out" feeling is very characteristic of the remedy. "Constant backache, the patient feeling all the time that the back and legs must give out." K. ca. corresponds to many cases of lumbago, stitching pains, pulsations; > by pressure and by lying flat on the back. "Weakness, sweat, and backache" appear in many conditions of debility as from loss of fluids; after confinement or abortion (puerperal mania, fever, or spasms). Complaints after coition in males, especially complaints of the eyes. Weary and sleepy during and after eating. Yawns continually. The mental state of K. ca. is one of peevishness and irritability. Easily startled by any noise (especially if unexpected). Fear is prominent; fears to be alone. Intellect impaired, does not care for anything. Indifferent, with bodily exhaustion; when questioned does not know what to answer. The "touchiness" of the remedy is very marked: "Cannot bear to be touched; starts when touched ever so lightly, especially on the feet." K. ca. acts profoundly on the tissues. It causes fatty degeneration of the heart and other muscles. It affects the blood itself as well as the circulation, causing anæmia and hæmorrhages. Throbbing of blood-vessels all over body and to ends of fingers and toes is a marked symptom. Irregularity of heart's action. A peculiar symptom is: sensation as if the heart were suspended by a thread. The digestion is very much disordered; flatulence, distension, constipation. Many symptoms come on when eating: Drowsiness; toothache only when eating. It has the fishbone sensation in the throat, which is part of the general tendency to stitching pains. Another feature is easy choking; food easily gets into windpipe; pain in back when swallowing. The cough has peculiarities in addition to that of time aggravation 2-4 a.m. It is dry, paroxysmal, loosens viscid mucus or pus which must be swallowed. Or spasmodic with gagging or vomiting of ingesta. The expectoration consists of hard, white, or smoky masses, which fly from the throat when coughing. Globules of pus may be contained in it. Hahnemann said that persons suffering from ulceration in the lungs could hardly get well without this antipsoric. I have frequently had occasion to verify its value in such cases. The stitching pains, sweat, and weakness are leading indications, also the locality of the affection. K. ca. is more a right than a left-side medicine. The base of the right lung is more affected than any other part. Goullon says also the apices. K. ca is a remedy often called for in sick-headache. "Violent headaches about the inner temples; violent stitching or jerking pains, on one side of the head or both." One-sided headache with nausea. One case which I cured was > by lying down, > by a tight band round the head. Pressure and drawing in forehead extending into eyes and root of nose. Congestion to head and heat of face often accompany the headaches. "Drowsy whilst eating" is a very characteristic symptom of K. ca. Ide, of Stettin, Germany, has recorded a case (translated by McNeil, Med. Adv., xxiv. 294) which well illustrates this. A lady, 65, suffered from chronic bronchial catarrh and emphysema. In November, 1886, she had asthmatic complaints, depriving her of sleep, with cough and mucous expectoration difficult to raise. Always when eating she was so weary she fell asleep, and could not finish her meal. After eating still very tired. In the morning passed much flatulence. K. ca. 10 removed the condition in a few days. The following March after a cold there was a recurrence, but without the weariness, and K. ca. failed, whilst Ars. 15 rapidly cured. In the same patient K. ca. manifested its power in another set of symptoms: Toothache alternating with tearing, stitching pain in left breast and under left false ribs. The side pains were < at night, especially in evening as soon as she lay down; < lying down, particularly < lying on right (i.e., painless) side. Not influenced by pressure or motion. K. ca. is a chilly medicine. There is great tendency to take cold, and < of symptoms when body temperature is low; aversion to open air. I have often relieved with K. ca. blotchy eruptions of the face which were < in a wind or cold air. Among the notable sensations of the remedy are: Feeling of emptiness in whole body as if it were hollow. Sensation of a lump rolling over and over on coughing; rising from right abdomen up to throat, then back again. Lump in throat. Feeling as if the bed were sinking under her. Pulsative pains and throbbings. Burning sensation and burning pains. K. ca. appears to have alternating symptoms: it has cured a case of toothache which alternated with tearing, stitching pains in left breast and under left false ribs. It has also pulsations in the back alternating with pains in the back. The pains in the side were < evening, on lying down, and especially on lying on right (painless) side (Med. Adv., xxiv. 295). The nervous excitability of K. ca. may go as far as pronounced hysteria; sudden shrieking; cannot bear to be touched. Spasms (puerperal convulsions) and paralysis. Twitching of muscles; rigidity of muscles; muscular atony, disposition to easy overlifting. Oppression of breathing accompanies most complaints. Anæmia with great debility, skin watery, milky white. Dropsical affections. Ulcers bleeding at night. K. ca. is suited to the aged, rather obese, lax fibre; to dark-haired persons of lax fibre and inclined to be fat; to diseases after parturition; after loss of fluids. The symptoms are: < At rest; < on lying down (cannot get breath). Unable to remain lying at night, > during the day when moving about; < lying on right side (pain in chest; heart feels suspended to left ribs); < by stooping; > raising head. > Sitting bent forward; > raising head (stitches in forehead). Motion = headache with vertigo; < pain in tumours of scalp; wobbling in stomach; stitches in loins. < By sudden or unguarded motion. Walking > obstruction in nose; and < most other symptoms. Coughing < pain in hæmorrhoids. Debility = desire to lie down. The chief time aggravation is from 2 to 4 a.m., or any time between. In general the symptoms are < in the morning. > By day; < at night. < Evening on lying down. < After midnight. Heat > most symptoms; cold air and open air <. Open air > obstruction of nose. Change of weather and damp weather <. Washing face = nose-bleed. Cold air < stitching pain in right side. Cold and damp = chronic bronchitis. Warm drinks < sweat. Warm applications = pain to move to other places. Drinking cold water > jerking in head; drinking cold-water when overheated = dyspnœa and pyrosis. Hunger = palpitation. Touch <. Pressure < most symptoms; > pain in abdomen; dull stitches in chest; glandular swelling of neck. < From coitus.
Relations.─Antidoted by: Camph., Coff., Nit. sp. dulcis. It is complementary to: Carb. v., Phos., Sep., Nit. ac., Nat. m. It follows well: K. sul., Phos., Stan., Bry., Lyc., Nat. m. Is followed well by: Carb. v., Phos., Fluor. ac., Ars., Lyc., Pul., Sep., Sul. Compare: The Kalis, especially Caust. (paresis; respiratory affections; hæmorrhoids; rheumatism); and K. bi. (catarrh with tenacious secretions; wandering and alternating pains; headache; affections of stout persons; dyspepsia). Bry. (sharp pains; bilious affections; but Bry. is < by motion); Chel. (pneumonia of right base); Merc. v. (pneumonia of right base, but Merc. has sweat without >); Sep. (diseases of women─but Sep. has scanty menses, K. ca. too early and profuse; empty feeling, bloating after eating; chronic laryngeal catarrh); Apis and Ars. (puffing of face and eyes); Spi. (stitches in heart); Bellis, Ars., Nux v., Calc., and Sep. (waking early, 3 am.); Ip. (constant nausea); (K. bi.) and Staph (< after coitus); Ant. t. (capillary bronchitis); Calc. hypophos. (sweat, backache, and weakness─very close analogue); Pso. (debility of convalescence; profuse sweat; hopelessness of recovery); Calc. c. (hopelessness of recovery; irritability; chilliness, < from washing); Puls. (erratic pains; amenorrhœa); Berb. (bubbling sensation in back). Phos. ac. (apathy); Hep., Nit. ac., Carb. v., and Arg. n. (fish-bone sensation). Rhus (pain > motion; affections of ligaments) Hamam. (hæmorrhoids). Mag. c. (nervous debility from overstrain) Bry. and Silic. (knee affections). Nat. m. (anæmia; amenorrhœa─"K. ca. will bring on the menses when Nat. m., though apparently indicated, fails." Hahn.─backache: that of K. ca. is, in general, < lying; that of Nat. m. is > by pressure and lying on back); Arn. c., Graph. (obese persons); Chi., Phos. ac., Pho., and Pso. (complaints from loss of fluids); Ars., Bis., and Lyc. (averse to be alone.─Ign., Nux, desire to be alone); Am. c. and Arn. (nose-bleed when washing face); Phos. (fatty degeneration of heart); Lach. (heart as if suspended by a thread).
Causation.─Catching cold. Overstrain.
1. Mind.─Sadness with tears.─Anxious apprehension and inquietude, esp. about the health, with fear of not being cured.─Irresolute, timid, and apprehensive disposition.─Fear, in evening, in bed.─Peevish humour, discontent and impatience.─Dread of labour.─Changeable humour, at one time evincing mildness and tranquillity, at another time passion and rage.─Tendency to take alarm.─Shrieks about imaginary appearances.─Becomes easily startled; great tendency to start when touched, esp. on feet.─Vexed and irritated mood; trifles vex one; noise is disagreeable.─Irascible and passionate humour.─Loss of memory.─Misapplying words and syllables.
2. Head.─Confusion and dulness in head.─Sudden attack of unconsciousness.─Dulness of the head; confused, stupid feeling, as after intoxication.─Vertigo as if ears were stopped up; with darkness before eyes.─Vertigo in morning, in evening, and after a meal, as well as on turning head or body hastily.─Vertigo, with tottering.─Vertigo, which seems to proceed from stomach.─Headache from motion of a carriage, on sneezing, coughing, or in morning.─Semi-lateral headache, with nausea, and vomiting, < so as to become insupportable, by slightest movement.─Violent headache across the eyes.─Pressive headache in the occiput, esp. during a walk, with irritability, or else in forehead with photophobia.─Tearing and drawing pains in head.─Lancinating headache, chiefly in temples and forehead; < from stooping and moving head, eyes, and lower jaw; > when raising head and from heat.─Violent headaches about inner temples.─Congestion in head, with throbbing and buzzing.─Trembling in head, and sensation as if it contained something movable. (Constant sensation of something loose in head, turning and twisting towards forehead.).─The headaches are > by pressing the forehead.─Sensation as of a blow in the head, which causes it to incline to one side, with dizziness.─Strong tendency to take cold in head, esp. when exposed to a draught after being heated (from it headache or toothache).─Painful and purulent tumours in scalp, like beginning blood-boils; more painful from pressure and motion, and less so from external heat; accompanied by itching, as if in bones of head, with great dryness of hair.─Wens.─Scabby eruption on scalp.─Falling off and dryness of hair, esp. on temples, eyebrows, and beard, with violent burning-itching of the scalp in morning, and evening; the scalp oozes if scratched.─Perspiration on forehead, in morning.─Large, yellowish, and furfuraceous spots on forehead.
3. Eyes.─Pressive and tearing pain in eyes.─Sensation of biting, of smarting, of burning, and shootings in eyes.─Redness and inflammation of eyes, with pain on reading by candle-light.─Swelling of eyes and lids, with difficulty in opening them.─Pimples in eyebrows.─Swelling (like a bag) between upper eyelids and eyebrows.─Excoriation and suppuration in corners of eyes.─White of eye red; capillaries injected.─Sensation of coldness of eyelids.─Agglutination of eyelids, esp. in morning.─Lachrymation.─Eyes dull and downcast.─Propensity to a fixed look.─Spots dancing before sight, on reading and on looking into open air.─Rainbow colours, spots (blue or green), and sparks before sight.─Vivid and painful brightness before eyes, when closed, extending deeply into brain, in evening after lying down.─Photophobia.─Dazzling of eyes by daylight.
4. Ears.─Shootings in ears, sometimes from within outwards.─Inflammatory swelling of ears, with discharge of a yellow pus or of liquid cerumen.─Itching and tickling in ears.─Redness, heat, and violent itching of external ear.─Ulcer in ears.─Excoriation and suppuration behind ears.─Inflammation and swelling of parotid.─Excessive acuteness of hearing, in evening, on lying down.─Weak and confused hearing.─Dulness of hearing.─Singing, tingling, and buzzing in ears.─Cracking in ears.
5. Nose.─Swelling of nose, with redness and burning heat.─Nose red and covered with pimples.─Ulceration of interior of nose.─Epistaxis in morning; when washing face.─Dull smell.─Coryza and stoppage of nose, sometimes with secretion of yellowish green mucus, and constant want of air.─Blowing offensive matter from nose.─Fluent coryza (with excessive sneezing; pain in back and headache), with secretion of sanguineous mucus.─Secretion of purulent mucus from nose.─Dryness of nose.─Sore, scurfy nostrils.
6. Face.─Colour of face, yellow, or pale and sickly, with sunken eyes, surrounded by a livid circle.─Haggard, exhausted look; lifeless expression.─Great redness of face, alternately with paleness.─Drawing pain in face.─Tearing in bones of face.─Flushes of face.─Bloatedness of face.─Eruption of pimples on face, with swelling and redness of cheeks.─Tearing stitches in cheeks.─Swelling between eyebrows.─Pimples on eyebrows.─Warts on face.─Ephelides.─Lips thick and ulcerated.─Lips cracked and exfoliating.─Cramp-like sensation in the lips.─Cramps in jaw.─Swelling of lower jaw and sub-maxillary glands.
7. Teeth.─Toothache, only on eating, or in morning on waking; or else excited by cold things (water) in mouth.─Teeth painful when touched by, either cold or warm substances.─Toothache, with soreness of bones of face, and drawing, jerking, or tearing pains, esp. in evening in bed.─Lancinating pains in teeth, with swelling of cheek (with stinging pain).─Digging, piercing, pricking, and gnawing in teeth.─(Toothache alternating with stitches in l. chest.).─Looseness of all teeth.─Bad smell from teeth.─Inflammatory swelling and ulceration of gums.
8. Mouth.─Bitter taste in mouth.─Fetid exhalation from mouth.─Sensation of dryness in mouth, with copious accumulation of saliva.─Excoriation, with vesicles in interior of mouth and on tongue.─Soreness of frænum linguæ.─Swelling of tongue, covered with small painful vesicles.─Painful pimple on tip of tongue.
9. Throat.─Sore throat, with lancinating pain on swallowing.─Deglutition impeded by inertia of muscles of gullet (the food descends very slowly in the œsophagus, and small particles of food easily get into windpipe).─Copious accumulation of mucus on palate and in throat; difficult to hawk up or to swallow, with sensation as if a lump of mucus were in throat.─Hawking up of mucus.─Dryness in posterior part of throat.
10. Appetite.─Bitter or acid taste.─Unpleasant taste in mouth, as from derangement of stomach.─Putrid, sweetish taste, or as of blood in mouth.─Bulimy.─Strong desire for sugar or acids.─Disgust for brown bread, which lies heavy on stomach.─Milk and warm food are unsuitable.─During a meal, sleepiness.─After a meal, drowsiness, paleness of face, shivering, headache, ill-humour, nausea, sour risings, and pyrosis, colic, inflation of abdomen and flatulency.─After taking hot food (pastry or soup), pinchings and uneasiness in abdomen.
11. Stomach.─Frequent risings.─Sour risings and regurgitation.─Burning acidity rising from stomach, with spasmodic constriction.─Feeling in stomach as if cut to pieces.─Constant feeling as if stomach were full of water, wobbling on motion.─Pressure in stomach like a heaviness after eating.─Sensation as of a lump in stomach the size of the fist.─Pyrosis.─Nausea from mental emotions.─Nausea, as if he would faint; also with anxiety.─Nausea during pregnancy.─Nausea to such a degree as to cause loss of consciousness, sometimes during a meal.─Anxious nausea, with inclination to vomit, esp. after a meal, or after mental emotion.─Retching in evening (for several evenings).─Vomiting of food and acid matter, with prostration of strength, as if about to faint.─Nocturnal vomiting of food.─Fulness in stomach, esp. after a meal.─Pressure on epigastrium.─Tension above stomach.─Contractive cramps in stomach, renewed by all kinds of food and drink, or else at night, with vomiting.─Pinching, digging, and shooting in stomach.─Lancinations in epigastrium and in hypochondria, which suspend respiration.─Pulsations in epigastrium.─Extreme sensitiveness of epigastrium.
12. Abdomen.─Pain in liver, on stooping, as if it were wrenched.─Burning pain, aching, and shootings in liver.─Pressure and shootings in region of loins.─Pains in abdomen, with frequent risings.─Pressure on abdomen, esp. on stooping.─Tension across the abdomen.─Great inflation of abdomen, esp. after a meal.─Inquietude and heaviness in abdomen.─Abdominal pains, contractive and spasmodic.─Colic renewed after each meal.─Colic, resembling pains of labour, sometimes with pains in loins.─Feeling of coldness, as if a cold fluid passed through intestines; during menses.─Lancinations throughout the abdomen.─Inertia and coldness in abdomen.─Dropsical swelling of abdomen.─Drawing and shootings (and painful bloatedness) in groins.─Abundant production and incarceration of flatus.─Incarceration of flatulence, with colic.─Restricted or excessive emission of flatus, sometimes preceded by pressive pain in rectum.
13. Stool and Anus.─Constipation, sometimes every second day.─Constipation during menstruation.─Constriction of the abdomen and difficult evacuation of fæces of too large a size.─Retarded stool from inactivity of rectum.─Obstruction from inactivity of bowels, as a want of peristaltic motion; hæmorrhoids.─Resultless inclination to evacuate, and scanty evacuation.─Stool resembling sheep's dung.─Diarrhœa, mostly in evening and at night, with cutting pains and great physical debility.─Discharge of mucus, or of blood, during evacuation.─White mucus before and during stool.─Painless diarrhœa, with rumbling in abdomen.─Discharge of teniæ and lumbrici.─Anxiety before the evacuation.─Itching in anus.─Tearing, shooting, incisive, and burning pains in anus (and rectum), esp. after evacuation.─Protrusion and distension of hæmorrhoids during stool, with pricking and burning.─Protrusion of hæmorrhoids during micturition, emitting first blood, afterwards white mucus.─Inflammation, soreness, stitches, and tingling, as from ascarides, in hæmorrhoids.─Hæmorrhoidal pimples in anus, painful, bleeding, and with shooting pain.─Sensation of red-hot poker being thrust up rectum, temporarily > by sitting in cold water.─Excoriation and pustulous eruption in anus.─Stitching, pressing proctalgia (during pregnancy).
14. Urinary Organs.─Frequent want to make water, and scanty emission of fiery urine.─The urine is discharged slowly.─After micturition, discharge of prostatic fluid.─Urine pale greenish; turbid.─Frequent emission of urine, day and night.─Incisive pains in bladder, from r. to l.─Burning sensation in urethra, esp. on (and after) making water.
15. Male Sexual Organs.─Tension, tearing, and pulling in glans and in penis.─Itching and pain, as from a bruise in scrotum.─Hot swelling of testes and spermatic cord.─Excessive increase or absence of sexual desire.─Repugnance to coition.─Want of erections, or too frequent and painful erections.─Absence of, or immoderate pollutions.─Pollutions with voluptuous dreams.─After coition and pollutions, weakness of body, but esp. of eyes.
16. Female Sexual Organs.─Repugnance to coition in women.─During coition, pinching and pain, as of excoriation, in vagina.─Constant sensation of bearing down.─Burning pain and shootings in vulva.─Erosion, itching, and gnawing in genital parts, and in interior of parts.─Difficult first menstruation.─Catamenia premature, or too weak.─Suppression of catamenia.─Suppression of menses, with anasarca and ascites.─Hæmorrhage of pregnant women (clots of coagulated blood).─Corrosive menstrual flux.─During catamenia (the menstrual blood is acrid) itching eruption, and excoriation, between thighs.─Gastric symptoms, and agitated and anxious sleep during catamenia.─During menses: (morning) headache; cutting pain in abdomen; pain in small of back, like a weight: stitches in ears; coryza; itching of whole body.─Leucorrhœa, sometimes with violent pains in loins, and pains like those of labour (extending from back to uterus).─Yellowish leucorrhœa, with itching and sensation of burning in vulva.─(Uterine cancer with pain round loins extending down r. thigh to knee.).─Tearing stitches in breasts on flow of milk.─During pregnancy: sickness (only during a walk) without vomiting, with feeling as if she could lie down and die;─pulsation of arteries, even down to tips of toes; hollow feeling in whole body; heavy broken-down feeling, only with the greatest effort that any exertion can be made;─back aches so badly while walking she could lie-down in the street;─pressing, forcing pains in small of back as if heavy weight came into pelvis, low down; also stitching, pressing proctalgia.─Impending abortion with pains from back into buttocks and thighs; discharge of Clots (2nd and 3rd month).─Weakness after abortion.─Labour pains insufficient; violent headache, wants back pressed; bearing-down from back into pelvis.─False pains; sharp cutting pains across loins, or passing off down buttocks, hindering labour; pulse weak.─Pains stitching or shooting.─Chills after delivery.─Puerperal fever; intense thirst.─After confinement, hæmorrhage, hæmorrhoids, peritonitis.─Hæmorrhage a week after labour.
17. Respiratory Organs.─Hoarseness and roughness in throat, with violent sneezing.─Aphonia (with violent sneezing).─Easy choking.─Sensation as of a plug in larynx.─Cough on moving arm (when playing the violin).─Cough, excited by a tickling.─Dry cough, esp. at night, and in evening; in morning with expectoration.─Night cough; < from 3 to 4 a.m.─Cramp-like cough, with inclination to vomit, and vomiting, esp. in morning.─Shootings in throat, or chest, while coughing.─Expectoration: difficult; or, small round lumps come flying from mouth without effort.─Spasmodic cough, in short but frequently returning attacks, caused by a tickling in the throat and larynx; during morning and day cough is loose, but the yellow pus and tough mucus has to be swallowed again.─Cough with sourish expectoration, or of blood-streaked mucus, or of pus.─During cough, rough pain in larynx; stinging in throat; stitches in r. side of chest (lower part); sparks dart from eyes; asthma.─Whooping-cough (with inflammation of lungs; with swelling between upper eyelid and eyebrows, and < from 3 to 4 a.m.).
18. Chest.─Difficult respiration.─Shortness of breath in morning.─Respiration impeded on walking quickly, or in morning.─Stitches in sternum and r. side of chest through to back, when taking an inspiration.─Tearing in sides of chest.─Spasmodic asthma (in the morning); > by sitting up and bending forward, resting head on knees).─Anxious oppression at chest.─Obstructed respiration awakes him at night.─Wheezing in chest.─Oppression at chest, as from hydrothorax.─Pain in chest when speaking.─Cramp in chest, sometimes on coughing.─Sensation in chest as if heart were compressed.─Pressure, burning pain, and shootings in chest, sometimes on breathing.─Inflammation of lungs (and liver) with stitches in chest (r. side).─Suppuration of lungs; abscesses of lungs.─Weakness and faintness in chest from walking fast.─Small pimples on chest and back.─Incisive pains in chest.
19. Heart.─Palpitation of heart (sometimes with anguish), esp. in morning on waking, with ebullition of blood.─Frequent and violent palpitation; with anxiety.─Palpitation when he becomes hungry.─Frequent intermissions of beats of heart.─Burning in region of heart.─Crampy pain in region of heart.─Stitches about heart and through to scapula.─Pinching pain in or by heart, as if heart were hanging by tightly drawn bands; < on deep inspiration, on coughing; not noticed on motion of body.─On lying on r. side, heart feels suspended to l. ribs.─Feels pulse over whole body to tips of toes.─Pulse slow.
20. Neck and Back.─Stiffness between scapulæ.─Dull pain, like hot water, between scapulæ.─Stiffness of nape of neck.─Weakness of muscles of neck.─Goître.─Hard swelling of axillary glands and of those of neck.─Sweat under armpits.─Pains in loins; also after a fall.─Pain, as from a bruise in back, during repose.─Drawing pains in back, which often proceed from loins.─Burning, tearing near r. side of spine, above small of back.─Sharp stitching pains awaken him 3 a.m., he must get up and walk about; pains shoot from loins into nates.─Stitching and shooting pains in back, shooting down into gluteal region or hips.─Stitches in kidneys.─Back aches as if broken.─Pain across sacrum like labour-pains; feeling of tightening of skin of lower abdomen; feeling of weight in abdomen on walking, and esp. on standing.─Pain in small of back as from flatulent distension, morning in bed, with feeling as if bubbles accumulated at small of back, with urgent desire for stool, all of which disappeared after passing wind.─Violent constant drawing in small of back, alternating with pulsations in it, only > when lying.─Pain as if broken on moving about.─Bruised pain in back only during rest.─Feeling in morning as if small of back were pressed inward from both sides.─Pressure in region of both kidneys.─Gnawing in coccyx.
22. Upper Limbs.─Swelling of shoulder, with pain.─Swelling and sore pain of axillary glands.─Cracking in shoulder-joint when moving or raising arm.─Pain, as from blows and bruises, under r. shoulder-joint, esp. when moving and touching it.─Tearing in l. shoulder-joint.─Pressure on shoulder.─Tension, tearing, pulling, in muscles and joints of shoulders, arms, hands, and fingers.─Cold stiffness and numbness of arms, esp. in the cold, or after violent exercise.─Want of energy in arms and hands, esp. in morning in bed.─Frequent startings in arms.─Stiffness in joint of elbow.─Paralytic pain in wrist.─Shootings in wrist and fingers during movement.─Trembling of hands when writing.─Coldness of hands.─Skin of hands rough and cracked.─Torpor and numbness in extremities of fingers.─Burning pain in extremities of fingers.─Gnawing vesicles on fingers.─Startings in fingers when sewing.─Tearing between thumb and index finger.
23. Lower Limbs.─Acute pullings (rheumatic pains), esp. at night, in joints and bones of hips, legs, feet, and toes.─The limbs fall asleep while lying.─Numbness and great inclination of whole r. limb to fall asleep, esp. lower leg.─Stitches in l. hip-joint while standing.─Tearing in hips and knees even while sitting.─Paralysis of thighs.─Cramp in r. thigh and calf.─Stiff, cramped feeling in both calves, lasting all day and coming on when walking in morning (Cooper─from Potash water.).─Tearing in and on nates not far from hip-joint.─Great weakness of r. thigh, feeling as if it would give way when walking.─Difficulty in knees on going up or downstairs.─Dull pains in side of knee, walking or extending leg.─Frequent tearing in knees.─Pressive pullings and tearings in legs.─Jerking of muscles of buttocks and thighs.─Burning pain and lancinations in legs and feet.─Uneasiness (restlessness) in legs in evening.─Torpor and numbness of legs.─Crawling shuddering on tibia.─Swelling of legs and feet.─Swelling and redness of soles.─Stiffness of joint of foot.─Shootings in joints of foot.─Cold feet, even at night in bed.─Numbness of feet after a meal.─Fetid perspiration on feet.─Burning pain and shootings (red chilblains on toes) in ball of great toe.─Corns on feet, painful when touched.─Stitches in the painful and sensitive corns.─Sensation as if nail of big toe would grow into flesh.─Tips of toes very painful when walking.
24. Generalities.─Affections in general, occurring in r. hypochondriac region; r. abdominal ring; l. chest; l. upper extremity; external and internal ears; of inner surface of liver; inner region of kidneys; lower part of chest; shoulder; shoulder-joint; elbow and elbow-joint; hollow of elbow; wrist-joint; big toe; tips of toes; joints of legs in general; joints of toes.─Disgust of food in general.─Inflammatory swelling of the part, with characteristic (stitching or jerking) pains.─Dryness of the skin.─Painful sensibility of extremities in whatever position they are placed.─Pressive pains in joints.─Spasmodic contraction of some parts.─Drawing, tearing, rheumatic pains in limbs, esp. during repose, with swelling of the parts affected.─Rheumatic pains in back, chest, shoulders, and arms, < on moving them.─Shooting pains in joints, muscles, and internal organs.─Swelling and hardness of glands.─Anæmia, with great debility; skin watery, milky white; muscles weakened, esp. heart; hence weak pulse is a general characteristic.─Dropsical affections of internal organs, or of whole skin of body.─The pains often manifest themselves towards 2 a.m., and are then stronger than by day during movement.─Shiverings immediately after pains.─Remaining in open air greatly < many of the symptoms (esp. the febrile), while some others are > by it.─Hectic fever.─Burning at various places under the skin.─Spasmodic attacks and convulsive startings of limbs and muscles.─Nocturnal epileptic fits.─Tendency to suffer a strain in loins.─Tendency in limbs to become numbed, when lying down.─Paralysis.─Dropsical affections and paralysis of old persons.─General sensation of emptiness in whole body, as if it were hollow.─Heaviness and indolence.─Weakness, as if on the point of losing consciousness, and trembling, esp. after a walk.─A short walk fatigues much.─Attacks of weakness with nausea, sensation of heat and lassitude in pit of stomach, vertigo, and dizziness.─Violent ebullition of blood, with throbbing in all arteries.─Excessive dread of open air and of currents of air.─Great tendency to take cold, esp. after heating exercise.
25. Skin.─Painful sensibility of skin, as if it were ulcerated, when pressing on it.─Skin dry, with obstructed perspiration.─Sensation of burning, or burning and lancinating itching, in skin.─Itching, burning, yellow, or red spots on body (over abdomen and around nipples), sometimes with oozing after being scratched.─Miliary nettle-rash.─Corrosive vesicles.─Chilblains of a reddish blue.─Warts.─Tetters.─Bleeding of ulcers, esp. at night.─Fissure in cicatrix of an old issue.─Ascites and anasarca.─Swelling and induration of glands, after contusions.
26. Sleep.─Drowsiness and yawning.─Great drowsiness during day and early in evening.─Falls asleep while eating.─Half-sleep at night.─Tardy sleep.─During sleep, shuddering, tears, talking, and starts with fright.─Gnashing of teeth while asleep.─Agitated sleep, with frequent, anxious, and frightful dreams.─Dreams of robbers, death, danger, serpents, sickness, spectres, devils, &c.─Fits of anguish at night, gastric sufferings, pains in stomach and precordial region, colic, flatulency, diarrhœa, frequent erections and pollutions, asthmatic sufferings, nightmare and cramps in calves of legs.─Arrest of breath rouses him from sleep at night.─At night l. leg and r. arm go to sleep.─Waking too early, particularly at 3 or 4 o'clock in the morning; sleepiness in evening; sleeplessness after midnight; sleeplessness in general.
27. Fever.─Pulse very variable; frequently more rapid in morning than in evening; strong pulsations in arteries.─Chilliness generally in morning.─Shivering in evening, with thirst, often accompanied by toothache.─The Chilliness in evening is > near warm stove and after lying down.─Internal heat with external chilliness.─Morning perspiration.─Perspiration more on upper part of body and < by warm drinks.─Perspiration is fetid or smells sour.─Intermittent fever; constant chilliness, with violent thirst from internal heat; hot hands; loathing of food.─Long yawning, with heat; pain in chest and head; pulsations in abdomen, 9 a.m. and 5 p.m.─Chills and heat alternate in evening, followed by perspiration during night.─Evening fever; first, chilliness with thirst (for one hour), then heat without thirst, accompanied by violent, fluent coryza; afterwards slight perspiration with sound sleep.─Chill and fever, with oppression of breathing, constriction of chest; pain in region of liver; most of the thirst during chill.─Intermittent fevers, with whooping-cough.─Shivering immediately after pains.─Frequent shuddering during day.─Heat in morning, in bed, with pains in loins and chest.─Want of perspiration and inability to perspire, or else great tendency to perspire during intellectual labour, or during a walk.─Nocturnal sweats, every night.
Trigonocephalus lachesis. The Surukuku Snake of South America. N. O. Ophidia. Trituration. Dilution.
Clinical.─Albuminuria. Alcoholism. Amblyopia. Aneurism. Apoplexy. Appendicitis. Asthenopia. Asthma. Atheroma. Bedsores. Boils. Bubo. Cæcum, inflammation of. Carbuncle. Catalepsy. Chancre. Change of life. Chilblains. Ciliary neuralgia. Cough. Cyanosis. Delirium tremens. Diphtheria. Dog-bite. Dropsy. Dyspepsia. Ears, polypus of; wax in; noises in. Enteric fever. Epilepsy. Erysipelas. Eyes, affections of; hæmorrhage into. Fainting. Fistula lachrymalis. Flatulence. Fungus hæmatodes. Gall-stones. Gangrene. Glanders. Gums, bleeding of. Hæmorrhages. Hæmorrhoids. Hay fever. Headache. Heart, affections of. Heartburn. Hemiplegia. Hernia. Herpes facialis. Hoarseness. Hydrophobia. Hysteria. Injuries. Intermittent fever. Jaundice. Labour, pains after. Laryngismus. Laryngitis. Leprosy. Liver, affections of. Locomotor ataxy. Malignant pustule. Measles. Ménière's disease. Mercury, effects of. Mind, affections of. Morvan's disease. Mouth, sore. Mumps. Neuralgia. Neurasthenia. Noises in ears. Nymphomania. Œdema of lungs. Otorrhœa. Ovaries, affections of. Paralysis. Paraphimosis. Perityphilitis. Perspiration, bloody; absent. Phlegmasia alba dolens. Plague. Pneumonia. Puerperal fever and convulsions. Purpura. Pyæmia. Quinsy. Rabies. Scarlatina. Sciatica. Scurvy. Small-pox. Stings. Strangury. Syphilis. Throat, sore. Trachea, affections of. Traumatic fever. Tumours. Ulcers. Veins, varicose. Vertigo. Vicarious menstruation (nosebleed). Warts. Whitlow. Wounds.
Characteristics.─"The first trituration and first dilution in alcohol of the snake-poison Trigonocephalus lachesis was made by Hering on July 28, 1828. The first cases were published in the Archives in 1835. In 1837 this remedy was introduced into our materia medica." I quote from Hering's Guiding Symptoms, vol. vi., of which Lach. occupies nearly one hundred pages, and comprises the substance of a monograph he was compiling at the time of his death to celebrate the fiftieth anniversary of the introduction of the remedy into the materia medica. To the genius and the heroism of Hering the world owes this remedy and many another of which this has been the forerunner. When Hering's first experiments were made he was botanising and zoologising on the Upper Amazon for the German Government. Except his wife, all those about him were natives, who told him so much about the dreaded Surukuku that he offered a good reward for a live specimen. At last one was brought in a bamboo box, and those who brought it immediately fled, and all his native servants with them. Hering stunned the snake with a blow on the head as the box opened, then, holding its head in a forked stick, he pressed its venom out of the poison bag upon sugar of milk. The effect of handling the virus and preparing the lower attenuations was to throw Hering into a fever with tossing delirium and mania─much to his wife's dismay. Towards morning he slept, and on waking his mind was clear. He drank a little water to moisten his throat, and the first question this indomitable prover asked was: "What did I do and say?" His wife remembered vividly enough. The symptoms were written down, and this was the first instalment of the proving of Lachesis. The natives crept back one by one next day, and were astonished to find Hering and his wife alive. The snake grows to seven feet and upwards in length, has fangs nearly an inch long, a reddish brown skin marked along the back with blackish brown rhomboidal spots. Nearly all the provings of Lachesis were made with the 30th and higher attenuations.─The four grand characteristics of Lach. are: (1) < By sleep. (2) Excessive sensitiveness of the surface with intolerance of touch or constriction. (3) Left-sidedness, and the direction left to right: symptoms begin on the left side and either remain there or proceed to the right. (4) > From the onset of a discharge. There is headache > as soon as nasal catarrh comes on. Uterine pains > as soon as menses appear. The other side of this is < from non-appearance of an expected discharge, and it is this which is the foundation of the appropriateness of Lach. to the climacteric state. Wherever one or more of these features is prominent in any case Lach. will most likely prove the remedy. Homœopathic literature abounds with illustrations of the first named─< from sleep. I will take an illustration from Nash: An old syphilitic suffered from obstinate constipation, and was taken with severe attacks of colic. The pains seemed to extend all through the abdomen, and always came on at night. The man was not making any progress, when one day he remarked to Nash, "Doctor, if I could only keep awake I would never have another attack." And in response to an inquiring look from the doctor, he added, "I mean that I sleep into the attack and waken in it." He never had another. One dose of Lach. 200 cured the colic and the constipation too. "Sleeps into an aggravation;" "< after sleep whether by day or by night;" "as soon as he falls asleep the breathing stops "─there are endless varieties of forms in which this peculiarity may be met with. < By closing the eyes (vertigo) is allied to this. But the presence of the opposite condition > after sleep) does not necessarily contraindicate Lach. Rushmore (H. P., xii. 64) cured with Lach. c.m. a married woman who had been a great sufferer from headache, which always began with dim and aching eyes. The pain was of sharp, neuralgic character, in temples and eyes, < right side. If she could not be still with it she had nausea and very bitter vomiting. Sometimes unable to be still a minute, at others could not stir. Brought on by least fatigue. Keeps her in bed all day, and one attack is scarcely over before another comes on. Mental excitement, as receiving a call; induces it. With the headaches she is very cold; and with and after them has a very bitter mouth. Wants to close the eyes with the headache, which is > by sleep. Smarting in eyeballs and dim vision for several days after headache. During the headache much heart trouble; after the headache "skipping beats," soreness about head, pain in side. Loss of appetite after headache. Menses regular, painless, too free. Leucorrhœa many ears. A single dose of Lach. was given at the time, and the severe headache left on the way home. A constant light headache, with heaviness of head in morning, remained some days; but, without repetition, the remedy completely cured the headaches and the heart trouble as well. The hæmorrhages of Lach. have this peculiarity─they contain flakes of decomposed blood looking like charred wheat straw. Uterine hæmorrhage and hæmorrhages in typhoid fever presenting these characters will find their remedy in Lach. The sensitiveness to contact of Lach. is not so much on account of pain or aggravation of pain as on account of the uneasiness it causes. In uterine affections the patient wants to lift the clothes up to prevent contact with lower abdomen. Touching the throat in laryngeal affections causes suffocative spasms. A minor characteristic of Lach. is pain in the shin bones. "Much pain in shin bones of an aching kind only." This has been frequently verified, but W. J. Guernsey (H. P., x. 476) has pointed out Rat when such pains occur concomitantly with throat affections, Lach. is specific. This I have confirmed. Guernsey remarks that in such cases it will always be found that the throat affection is < on left side or commenced on left side. According to Hering, Lach. is particularly suitable to those of melancholic disposition (Such provers showed most symptoms); next, to choleric individuals. Phlegmatic and lymphatic persons are also suitable, but principally when their dispositions border on the melancholic, with dark eyes and tendency to laziness and sadness. Lach. does not suit sanguine persons with high colour, fine, delicate skins, and impressible natures, unless the disease should have imparted to their disposition a choleric or melancholy tinge. Lach. especially suits choleric women with freckles and red hair. To this list must be added: Persons who have peculiar sensitiveness of the surface of the body. Women who "have never been well since the change of life." Debilitated, weakened persons. Thin rather than fat persons; persons who have been changed both mentally and physically by their illness. Drunkards. Sufferers from effect of masturbation. Persons who have been overdosed with Mercury; and to syphilitic, mercurial affections. Children and old people. Persons who cannot stand the sun and who are < in summer weather. A patient of mine, a tall, broad-shouldered, very nervous man of forty-seven, who had fled from the Cape as he could not bear the summer there, sent for me to see him at his hotel because he did not dare venture out in the middle of the day for fear of being caught in the sun. Lach. 200 soon enabled him to attend garden parties. The delirium of Lach. is of the low, muttering type; at times the patient sinks into a torpid state, with cold extremities, tremor of body and hands, tremor of tongue. Tremor of tongue is a leading feature of many Lach. states. It not only trembles, but it catches in the teeth or lower lip when the patient attempts to put it out. The mind is profoundly disturbed. There are rapidly alternating states: exalted powers, rapid succession of ideas; and again there is weak memory; frequent mistakes in writing; confusion. "Frantic loquacity, jumps from one subject to another," is a strong characteristic; "talks, sings, or whistles constantly; makes odd motions with arms"; "insane jealousy"; "intense sadness and anxiety"; "irritable, irascible, peevish, malicious." A curious symptom in the mental sphere is a derangement of the time sense. It occurs also in Merc. (to which Lach. is an antidote); but is more prominent in Lach., when a patient is always making mistakes in the time of day, and confounds the morning hours with the evening hours, Lach. will generally put this right, if it does no more. Fainting fits and vertigo on closing eyes; on looking intently at any object; in morning on waking. Rush of blood to head. Sun-headaches. Headache with very pale face. Throbbing headaches in temple, with heat of head. Headache extending into nose; > when nasal catarrh comes on. A woman, forty-four, to whom I gave Lach. 12 for a poisoned finger, experienced after each dose a sensation "as if a hand were in her head, moving and squeezing," an eruption of spots came out, and she felt as if she had no energy. The finger healed, but when she left off the medicine on account of the head pains, the finger became worse with cramping pains and a feeling of pins and needles. There is intense nervous irritability, restless, tossing, moving; nervous exaltation, hysteria. Trembling in whole body, thinks she will faint or sink down from weakness. Convulsions, spasms. Cases of hydrophobia have been cured with Lach., the thirst, spasms, sensitiveness and nervous prostration closely corresponding to the symptoms of rabies. Fainting accompanying other complaints is an indication for Lach.: with pain at heart; with nausea; with vertigo and pale face. Catalepsy. Awkward gait; left side weak. Gressus gallinaceus. Disturbances of sight and hearing are numerous. I have frequently cured with it noises in the ears when < after sleep. In hay fever it is the remedy when there is headache extending into nose < on suppression of the discharge, which may occur in sleep; or when the paroxysms are < after sleep. Sore nostrils and lips. Pus and blood from nose. Red nose of drunkards. Dark red eruptions; purplish swellings; black and blue spots are characteristic of Lach. Ulcer sensitive to least touch. Small ulcers surrounding larger. The throat is in an especial degree the seat of the Lach. action. Sore throats of almost all descriptions come within its range, provided some of the characteristics are present: < after sleep; by touch; symptoms < left side or proceeding from left to right; cannot bear any pressure about neck; empty swallowing is agonising, liquids are swallowed with less pain and solids with least pain. Diphtheria, mercurial and syphilitic sore throat. Fetid breath. The prostration is out of all proportion to the appearance of the throat.─Lach. has sinking at the stomach, and cannot go long without food. Unquenchable thirst. Desires: oysters, wine, coffee (coffee agrees). Symptoms are > after eating, especially after fruit. The throat symptoms are < by hot drinks. Nausea always after drinking. Everything sours; heartburn. Alcoholic drinks < (except the immediate effects of the bite). Although Lach. is a left-side medicine, it has a powerful action on the liver as well as the spleen. "Acute pain in liver extending towards stomach," though contrary to the general "left to right" direction, is characteristic, as I can testify. Lach. is also one of the most prominent remedies in appendicitis. The general characteristics will guide here. Bubos. Lach. and Naja have had the greatest success of all homœopathic remedies in the recent epidemics of Plague in India. The bladder and rectum are most painfully affected. There is a very characteristic symptom in the bladder: Sensation as if a ball were rolling loose in the bladder or abdomen on turning over. The urine is almost black; frequent; foaming; dark. ("The patient always has to urinate after lying down, day or night, especially after sleep; more frequent in the night. Urine has little black spots or flakes like soot floating in it."─H. N. Martin.) Stitches in kidneys. The ball sensation occurs elsewhere: as if a ball, or lump, or button in throat; as if two balls threatened to close the throat; as if a ball rose from abdomen to throat; as if a plug were in anus. Many severe and characteristic symptoms appear in rectum and anus. Diarrhœa of fetid, cadaverous kind and also constipation. Atony of rectum. Painful hæmorrhoids. Visible spasmodic tenesmus in paroxysms, from two to five minutes, extorting cries; passes blood and mucus. Painful constriction of anus followed by collapse. Hæmorrhoids with scanty menses. Burning in rectum. Stitch in rectum (upwards) when coughing or sneezing. Full feeling in rectum, and sensation as of little hammers beating. Tugging upward sensation as from a mouse. Both ovaries are affected, but principally the left; swelling, induration, tumours. Menses regular but scanty; pains > when flow is established. In a case of mine, Lach. 12 postponed menses for a week. Many symptoms occur in connection with menses. The breasts are affected. I have seen most obstinate and distressing eruptions appear on the nipples and areolæ of a middle-aged woman after a dose of Lach. in high potency. Cancer of the breast when assuming a bluish appearance will be helped by Lach. Lochia are thin, ichorous, insufficient. Milk thin, blue, nipples extremely sensitive to touch. In the respiratory sphere the sensitiveness of the parts to touch, constriction, and < by anything tight round neck, are the ruling conditions. Tickling, irritating cough. The least thing coming near mouth or nose interferes with breathing. Sleeps into an attack of asthma. Threatened paralysis of lungs. The heart feels too large─cramp-like pain in precordia. Constriction. Palpitation with numbness down arm. Cyanosis. Varicosis. Peculiar sensations of Lach. (in addition to those already mentioned) are: As if frightened by visions behind him; as if knives were being thrust into brow; as if tongue bound or tied up; as if a part of right-side of head cut away; as if a thread was drawn from behind to eye; stitches as from knives in eyes; eyes as if they had been taken out, squeezed and put back; ears as if closed from within; as if stuffed up as if insects whizzing in ears; as if he had a moustache of ice as if a small crumb lodged in throat; as if he had had a blow on neck; as if a stricture in rectum. As if heart hanging by a thread and every beat would tear it off; as though heart turned over and ceased beating for a moment; as if heart hadn't room to beat. As if neck constricted with a cord. (Lach. is one of the remedies for "gridle pain") as if burnt or scalded in different parts (tongue, tibia, hypogastrium). Burning sensation and pains are a leading feature throughout this remedy. Lach. is called for in many kinds of fever, particularly intermittents after abuse of Quinine. The symptoms of Lach. are < in spring or summer; from extremes of temperature; from sun's rays; change of weather, especially in a warm spell. Must have open air, which >; but draughts of air < External warmth > (wants head closely wrapped up); hot drinks < thirst; = toothache and bleeding of gums. Cold weather, cold washing <. Most symptoms appear or are < at night and in early morning after sleep. Lying down > pain in head; < vertigo, throat, cough, breathing. Lying right side > earache in right ear; palpitation. Lying left side = pain in heart. > Sitting bent. < Standing or stooping. < Motion generally. < Contact. < Constriction. Swallowing = stitches into ears. > By discharges.
Relations.─Antidote: Radiate heat outwardly, Alcohol inwardly, Salt,-effects of bite. Antidotes to dilutions: Alum., Bell., Coccul., Coff., Hep., Merc., Nit. ac., Nux, Pho. ac.; to the visible spasmodic tenesmus of rectum, Sep. According to Teste the chief antidote is Cedron. It antidotes: Bufo, Crotal., Rhus. Compatible: Aco., Ars., Bell., Bro., Carb. v., Chi., Hep., Hyo., Kali bi., Lac. can., Lyc., Merc., Nit. ac., Nux, Olean., Pho., Pul., Sil., Sul. (pneumonia), Tarent., (Plat. follows well when Hep. and Lach. fail to evacuate pus from ovarian abscess). Incompatible: Acet. ac. (Am. c.). Complementary Hep., Lyc., Nit. ac. [Lyc. is the chief complement; it is the opposite of Lach. in many respects (right to left, right upper, left lower; > warm drinks); Iod. and Kali iod., which are complementary to Lyc., are probably complementary to Lach. K. iod. has the diffused sensitiveness of Lach.] Compare: Crotal., Naja, Bothrops., Helod., Apis, Sul. and Lyc. (aphasia); Therid. and Mosch. (vertigo < closing eyes and sun-headache); Ars., Hydr. ac., Lauroc., Dig. and Ver. (fainting from cardiac weakness); K. carb. (heart hanging by a thread); Glon., Bell., Camph., Nat. c., Therid. (< from heat of sun); Stram., Agar., Mephit., Act. r., and Paris. (loquacity); Op., Hyo., Arn., Alum., Lyc., and Rhus (typhoid); Merc., Chi., Pul., Bry. and Gels. (catarrhal and rheumatic headaches); Sil. (> wrapping up head; aversion to touch); Crot., Pho., and Arn. (retinal apoplexy); Crotal. and Elaps. (otorrhœa); Apis, Ars. and K. ca. (œdema of face); Cic. (dyspnœa from spasm); Grind. (stops breathing on falling asleep); Apis, Rhus and Euphorb. (erysipelas, herpes, &c.); Phyt. (sore throat); Chi., Carb. v., Hep., Kre., K. bi., Nux and Lyc. (dyspepsias and abdominal diseases); Colch. and Elaps. (cold feeling in stomach); Bell., Caust., Nat. m., Nit. ac., Ign., K. bi., Op., Pb., Mez. and Coccul. (constriction of anus, anal tenesmus, and dysentery); Anac. (sensation of plug in rectum); Hep., Asaf., Lyc., Mur. ac., Silic., Sulph. ac., and Ars. (ulceration); Apis, Arg. m., Plat., Murex, Pall., Lyc. and Graph. (ovarian and uterine diseases); Crotal., Helleb., Dig., Tereb., Apis and Colch. (vesical and rectal affections, with hæmaturia); Calc. (gall-stones); Pho. and Thu. (fungus hæmatodes); Nat. m. and Led. (effects of bee-stings) Lact. ac. (fulness of throat and constriction); Lac. can. (diphtheria changing sides; sees snakes); Tarent. cub. (carbuncles); Colch. and Carb. ac. (black urine); Sel., Nat. c. and Nat. m. (< in warm, relaxing weather); Carb. v. (craves coffee─it > Lach. but not Carb. v.); Ant. t. (threatened paralysis of lungs); Merc. (Lach. occasionally antidotes Merc., when pus degenerates and becomes dark, thin, offensive); Chi. sul. (intermittents after abuse of Quinine, when chills return in spring); Am. c. (blueness, somnolence, engorgement of neck; but Am. c. right-sided and without sensitiveness); Hep. (any kind of food = indigestion); Nat. m. (opp. Lach., has > from tight clothing); Apis (jealousy); Ar. t. (diphtheria); Anac. (has two wills; thinks he is under control of superhuman power); Arn. (sensitiveness of chest─Lach., of peripheral nerves; Arn., soreness of over-full blood-vessels); Bry. (headache from suppressed coryza); Act. r. (puerperal mania); Bapt. (offensive discharges; typhoid); Bell. (head symptoms; throat; scarlatina); Hyo. (talks of things of daily life, jumps from one subject to another); Spi. (larynx sensitive; Lach., hyperæsthesia; Spi., inflammation of cartilages, turning head = suffocative spell): Sul. (left side; inflammation of liver, going on to abscess; < after sleep─also Nat. m.; Pho. > after sleep); Staph. (on swallowing pain runs externally along parotid gland to ears; perspiration impossible); Pho. (sensation as if anus open; Lach., as if uterus); Sil., Caul., Sul., Ustil. and Vib. o. (left ovarian and left inframammary pain). Nux m. (cough of pregnancy; Lach., cough at menstrual period when it is going off. Patient must swallow what loosens); Puls. (menstrual cough; menses scanty; but pain < as flow increases); Con., Graph. (scanty menses); Anthracin. (carbuncles; boils); Tereb., K. bi. (tongue glazed;─and shining, Apis, Lach.); Pul., Pho., Sul. and Mur. ac. (piles during menses) Solania, Bell. and Dulc. (paralysis of lungs); Iris t. (appendicitis) Pho. ac. (disappointed love); Hydrophobin.; Sabad. (throat affected left to right─Sabad., more chronic).
Causation.─Injuries. Punctured wounds. Poisoned wounds. Grief. Vexation. Anger. Fright. Jealousy. Disappointed love. Alcohol. Masturbation. Sprain (bluish swelling of joints). Sun. Warm weather. Draught of air.
1. Mind.─Great anguish, insupportable anxiety, and uneasiness, from which patient seeks relief in open air.─Fear, and presentiment of death.─Discouragement; distrust; easily affected to tears.─Mental dejection and melancholy, with apprehension, uneasiness about one's malady, great tendency to give way to sorrow, to look upon the dark side of everything, and to think oneself persecuted, hated and despised by acquaintances.─Dread of death; fears to go to bed; fear of being poisoned.─Thinks she is some one else; in the hands of a stronger power; that she is dead and preparations are being made for her funeral; that she is nearly dead and wishes some one would help her off.─Sadness when awaking in the morning or night (particularly in the morning); no desire at all to mix with the world.─Restless and uneasy; does not wish to attend to business, but wants to be off somewhere all the time.─Sadness, and disgust to life.─Mistrust, suspicion, and a strong tendency to take everything amiss, to contradict and to criticise.─Frantic jealousy.─Indolence, with dislike and unfitness for any labour whatever, either mental or bodily.─Timidity of character, with variableness and indecision.─Great apathy and extraordinary weakness of memory, everything that is heard is, as it were, effaced, even orthography is no longer remembered, and there is forgetfulness even of things on the point of utterance.─Confusion as to time.─Mistakes are made in speaking and writing, as well as in the hours of the day and the days of the week.─Imbecility and loss of every mental faculty.─Over-excitement and excessive nervous irritability, with a tendency to be frightened.─Perfect happiness and cheerfulness followed by gradual fading of spirituality, want of self-control and lasciviousness; felt as if she was somebody else and in the hands of a stronger power.─Amativeness.─Affections of the intellect in general.─State of ecstasy and exaltation which even induces tears, desire to meditate, and to compose intellectual works, with a sort of pride.─Frantic loquacity with elevated language, nicely chosen words, and rapid and continual change of subject-matter.─Loquaciousness, with mocking jealousy, with frightful images, great tendency to mock, satire and ridiculous ideas.─Nocturnal delirium with much talking, or with murmuring.─Dementia and loss of consciousness.
2. Head.─Head fatigued from intellectual labour.─Momentary vertigo on closing eyes.─Giddiness after resting.─Vertigo chiefly on waking in morning, as well as after lying down in evening, on going into open air, on raising arms, and often with fainting, paleness of face, nausea, vomitings, congestion in head, bleeding of nose, and lassitude of limbs.─Intoxication, stupor, and loss of consciousness.─Apoplectic fits, with blue face, convulsive, movements of limbs, and extravasation of blood in brain.─Softening of brain and its membranes.─Violent pain in head, with yellow face and flushed cheeks.─Headache, with congestion of blood, sparkling before the eyes, drowsiness, shiverings and inclination to lie down, or with nausea and vomiting.─Headache preceding coryza.─Cephalalgia from heat of sun.─Pains deeply seated in brain; or in the sockets of the eyes; or above the eyes; or in occiput; with stiffness in nape of neck.─Pain as from a bruise in crown of head, or sensation of boring, with jerks and throbbings on moving the head.─Heaviness and pressure in head, as if it were going to burst, or tension, as from threads drawn from occiput towards the eyes, or shootings, as from knives, in different parts of the head, and as far as the eyes.─Pressing headache in temples as if the brain were pressing out, in the morning after rising, from motion, from stooping; < from pressure and while ascending; > from lying down after eating.─Cutting headache as if a part of the r. side of the head were cut off, < after rising or ascending; > from heat and after belching up wind.─Pains which spread from the interior of head to ears, nose, and neck.─Headache extending into root of nose.─Headache with flickering before the eyes.─Headache every morning on awaking, or after dinner; or else on every change of weather.─Pulsating, beating headache with heat in head, esp. on vertex, or on r. side, or over eyes, preceding a cold in the head, with stiffness of neck.─Swelling of head, muscular throbbings in temples, tension in occiput extending to nape of the neck, painful sensibility of scalp, with troublesome itching, excessive desquamation, and falling off of the hair.─Falling off of the hair, esp. during pregnancy, with great aversion to rays of sun.─Sensitiveness of scalp in l. vertex down, and l. side of face on touch or moving muscles, a sensation as if sunburnt.─Cannot bear to have hair touched.
3. Eyes.─Yellow colour of the white of eyes.─Eyes yellow or turbid, dull and dejected, or bright and convulsed, with fixed look.─Pupils strongly dilated.─Ecchymosis and hæmorrhage of the eyes.─Hæmorrhages into interior chamber.─Dryness of eyes, as if full of dust; or lachrymation with tears, which sometimes seem to be cold.─Photophobia.─Over-sensitive to light.─Itching and burning of the eyes.─Itching, and shootings as from knives, in eyes, or violent aching, as if the ball were going to start from the socket, < by moving eyes.─Eyes red and inflamed, with redness of conjunctiva and sclerotica, burning heat and lachrymation.─Eyes water with headache from a cold.─Sensation as if the eyes were too large or the sockets too small.─Feels when throat is pressed as if eyes were forced out.─Swelling and inflammation of the eyelids or of the edges.─Convulsions, heaviness, and paralysis of eyelids.─Weakness of sight and presbyopia.─When reading the letters appear to be confused.─Clouded vision as when looking through a veil.─Obscuration and loss of sight.─Dimness of vision; black flickering before the eyes; often makes reading difficult.─Bright blue rings, filled with fiery rays, about the light; zigzag figures.─Flames and sparks appear before the eyes, or a blue veil or blue circles round the candle.─Eyes appear small and inexpressive.─Fistula lachrymalis accompanied by long-standing eruption on face.
4. Ears.─Ears cold, sensitive to the wind.─Painful swelling of interior of ear.─Dryness of ears.─Cerumen scanty, too hard and too pale, or like pap, and white, with diminution of the power of hearing.─Very disagreeable throbbing, tinkling, roaring, cracking, buzzing and rolling, or a resounding noise, as if a drum were beaten, in ears.─Whizzing, as from insects in ear.─Ears as if stopped.─Excessive sensibility, or hardness of hearing.─Hæmorrhage from the ears.─Pain in ears with sore throat.─Tearing extending from zygoma into ear.─Swelling of parotids.─Excoriation and scabs behind ears.
5. Nose.─Nocturnal pains at bridge of nose.─Stoppage of nose, as from an internal swelling, principally in morning, or with coryza.─Swelling, redness and excoriation of edges of nose, with scabs in nostrils.─The nose bleeds when it is blown (blood dark), and blowing of blood from the nose, esp. in the morning.─Nose-bleed in amenorrhœa, typhus, &c.─Copious bleeding from nose, of a bright-red, or thick and black.─Flow of (blood and) pus from the nose.─Paroxysms of sneezing in hay fever.─Dry, chronic coryza, with stoppage of nose, or fluent coryza, with abundant discharge of serous mucus, lachrymation, frequent sneezing, and inflammation and excoriation of nostrils.─Imperfect coryza, with many sufferings of head and mind, all of which disappear as soon as the catarrhal flux commences.─Red, chronic pimples on nose.─Redness of the point of the nose.─Many symptoms end with catarrh.
6. Face.─Face pale, wan, wasted, and cadaverous; leaden, or earthy, discoloured, yellowish complexion.─Red spot on cheeks with yellowness of rest of face.─Dark bluish-red patch on l. side of nose and cheek, coming on when flushed, generally at noon or after wine; never in evening or night (Cooper).─Blue circle round eyes.─Small red veins in cheeks.─Bloatedness, sometimes to a frightful extent, tension and red swelling of face.─Heat and redness of the otherwise pale face.─L. side of face and lower jaw swollen and sensitive to touch.─Tri-facial neuralgia, l. side, orbital; heat running up into the head.─Heat and redness of face (during delirium).─Erysipelas in face, sometimes with itching, pimples or vesicles, cracks and corrosive oozing, burning pains and swelling.─Miliary eruption and pimples on face.─Tetter with thick scabs in region of whiskers.─Tensive and crawling pains in face, pains in bones of face, prosopalgia, with vomiting of food.─Feeling of stiffness of the malar bone coming from the cervical glands.─Lips dry and swollen, pimples on lips, trembling of the lips.─Weakness and paralysis of lower jaw, with distortion of features.─Trismus, with clenching and grinding of the teeth; chattering of the teeth.
7. Teeth.─Boring pains in the teeth which are carious, principally after dinner, and sometimes with swelling of the cheeks, and a sensation as if the teeth were too long.─Toothache every morning after waking, or after dinner every day, with tearing, drawing, and shooting pains in roots of teeth (of lower jaw); from warm and cold drinks.─Toothache with pains in head, shiverings, heat and heaviness of the legs.─The toothache affects the ears.─Brittleness and looseness of the teeth; the carious teeth become soft, and pieces of them are broken off.─Swelling and painful sensibility of the gums.─Gums bleeding; swollen, spongy.─Hot and cold drinks renew the pains.
8. Mouth.─Inflammatory swelling of the buccal cavity.─The mouth and palate are excoriated and very painful.─Dryness of the mouth and tongue, or accumulation of water in the mouth and salivation.─Tongue shining, dry, red and cracked; or inflamed, swollen (covered with blisters), brownish or blackish.─Stiffness, immovableness, and paralysis of the tongue.─Aphonia, or confused, indistinct speech, nasal tone of voice, difficulty in pronouncing certain letters or particular words; the speech is louder and more precipitate than the speaker wishes.─Tongue heavy; cannot open mouth.─Tongue trembles when protruded, or catches behind the teeth.─Stammering.
9. Throat.─Constant tickling in throat, as if a crumb of bread, or something similar, were stopping in it.─Partial or general dryness of throat, often extending to ears, nose, and chest.─Burning and pain as of excoriation in throat, principally on swallowing.─Painful excoriation and inflammatory swelling of throat, with redness of parts affected, as if they were coloured with vermilion.─Swelling of the tonsils (mostly l.).─Large and small tumours in throat, which impede deglutition.─Cannot swallow the food after masticating it, because it rests on the back part of the tongue, and produces a thrilling pain there.─Constant desire to swallow, and a sensation on swallowing as if there were a tumour, or a piece of something, or a plug in the throat.─Sensation of contraction, of strangulation, and of constriction in throat.─The throat as it were stiff and paralysed.─Convulsions and spasms in throat.─Impeded deglutition, with dread of drinks, which often pass through nostrils.─Hydrophobia.─Much slimy saliva, esp. in back of mouth.─The pains in the throat are < by slightest contact, and by least pressure on neck, as well as after sleeping, and while swallowing the saliva; the pains are > by eating.─When swallowing the pain extends to the l. ear.─Sore throat, which affects only a small part, or which, on the contrary, affects the ears, larynx, tongue, and gums; frequently with dyspnœa and danger of suffocation, salivation and hawking up of mucus.─Much hawking up of mucus, which is exceedingly painful.─Empty swallowing < the pain in throat more than swallowing food; or fluids are swallowed with less pain than solids.─Copious accumulation of tenacious mucus in throat.─In old chronic sore throats: throat may not be very sore, but a great quantity of mucus will stick there, and occasions much hawking and spitting to no purpose; the mucus will stick and can't be forced up or down.─Sore throat alternately with stoppage of nose, or with sufferings, while speaking.─Ulcers on palate, on back, of mouth (on the inflamed tonsils), and in throat, with fetid odour, abundant suppuration, and sharp pains on swallowing food.─The inflammation and ulceration of throat begin on l. side and extend later to r. side.─The external throat is very sensitive to touch (not painful, but an uneasy sensation); on lying down, with suffocative sensation; even to touch of linen.
10. Appetite.─Disagreeable, or saccharine, acid, rough, astringent, or metallic taste.─Want of appetite; complete indifference to food and drink.─Repugnance to bread, which it is impossible to swallow.─Irregular appetite, at one time anorexia, at another bulimy.─Sickly craving, with nausea, convulsive yawnings and fainting fits, if food is not eaten instantly, or with gnawing and aching in stomach, which is renewed shortly after eating.─Insatiable thirst.─Thirst, with dry tongue and skin.─Desire for wine or for milk, both of which, however, disagree; desire for oysters.─After a meal: pressure on stomach, risings, vertigo, flatulency, inclination to vomit, or vomiting of food, weakness in knees, indolence, and heaviness of body, mental fatigue, uneasiness, regurgitation, diarrhœa, difficult respiration, pain in head and teeth, and aggravation of all the sufferings.
11. Stomach.─Hiccough after having drunk; or after smoking tobacco.─Violent empty risings, with danger of suffocation.─Risings, which > the sufferings.─Acid risings, with taste of the food.─Pyrosis from the throat, as if the whole of the œsophagus were filled with rancid substances.─Nausea and inclination to vomit, principally in morning, or after a meal; as well as in consequence of many other sufferings.─Violent and convulsive vomiting of everything taken, or of bilious, bitter, greenish matter.─Vomiting of pure blood, or of bloody mucus.─Vomiting, with diarrhœa, obscuration of sight, pains in stomach, and diuresis.─Excessive sensibility of precordial region to slightest touch; tight garments are insupportable, and the least pressure is very painful.─Great weakness of stomach; it can bear neither food nor drink.─Stitches extending into the chest.─Gnawing in stomach; > after eating, but returns when stomach gets empty.─Painless gnawing.─Pressure in stomach; after eating; with weakness in knees.─Sensation as if something encumbered the cardia and impeded deglutition.─Aching in stomach, extending to chest, and a sensation as if a worm were moving about in it and gnawing it.─(Every evening) cramps and violent pains in stomach, with risings, retching, and vomiting of slimy matter.
12. Abdomen.─Burning, drawing, or cutting pains in liver.─Acute pain in liver, extending towards stomach.─Inflammation and softening of liver.─Hepatic abscess.─Gall-stones.─Pains and stitches in region of spleen, sometimes on riding in a carriage or walking.─Enlargement of abdomen in young girls.─Painful distension, flatulence; can bear no pressure, surface nerves sensitive.─Sensation of emptiness in abdomen.─Pains in abdomen, in consequence of a strain in the loins.─Pains, generally pressive, in umbilical region, sometimes with difficult respiration, < an hour after a meal, and > by eructations.─Tearing and cutting pains in r. side of abdomen.─Cutting pains, so violent as to drive patient distracted; or acute pullings, with contraction of abdomen.─Burning in abdomen, with pressure on bladder.─Abdomen hot, sensitive; painfully stiff from loins down thighs; peritonitis; pus formed.─Inflammation of intestines.─Extravasation of blood in peritoneum.─Swelling in cæcal region; must lie on back, with limbs drawn up (typhilitis).─Abdomen hard and distended, with flatulent colic, pain in back, vomiting, diarrhœa, and diuresis.─Frequent emission of flatus; the flatus sometimes penetrates into inguinal ring.─Pain, as if a hernia were going to protrude.
13. Stool and Anus.─Slow evacuation.─Obstinate constipation with hard and difficult evacuation.─Constipation, anus feels tight as if nothing could go through.─Fæces small, scanty, and tenacious.─Constipation alternately with diarrhœa.─Diarrhœa, with violent colic, nausea, vomiting, anguish, pains in rectum during passage of fæces, tenesmus and excoriation of anus.─Stool lies close to anus without passing and without urging.─Loose evacuations, principally at night, or after a meal, or in warm (and damp) weather, or from having taken fruits and acids.─Diarrhœa after food, with occasional pain across navel, loins, and back.─Involuntary and unperceived evacuations.─Stools excessively offensive.─Evacuation of fetid matter, or of soft fæces, of the consistence of pap, or liquid, or slimy, like pitch, or sanguineous and purulent, or of undigested substances, or of pure blood, or of sanguineous mucus.─Stools watery, offensive, dark; watery, frequent, sudden, about midnight, offensive, ammoniacal; soft, bright yellow; pasty, putrid.─During the evacuations: pain, tenesmus, and burning in anus.─After the stool: congestion of blood to head, vertigo, debility, pains and throbbings in anus.─Painful constriction of anus and rectum.─Anus feels closed: sensation of a plug.─Prolapsus recti during evacuation.─Discharge of mucus and blood from rectum, sometimes with violent colic.─Hæmorrhoids with colic, or with burning and cuttings in rectum, or with congestion of blood in anus, and diarrhœa.─Stitch in rectum when laughing or sneezing.─Sensation in anus as of several little hammers beating there.─Piles irritable, with painful drawing upward like a mouse tugging at one side and drawing it up.─Bleeding hæmorrhoids.─Hæmorrhoidal tumours protrude after stool, with constriction of sphincter.─Large hæmorrhoidal tumours (in persons addicted to spirituous drinks).─Hæmorrhoidal tumours protruding with stitches at each cough or sneeze.
14. Urinary Organs.─Pressure on bladder, with urgency to urinate, or with cuttings and burnings in abdomen.─Frequent want to urinate, with copious emission even in night.─Violent pain, as if a ball were rolling about in bladder, and thence into urethra.─Violent tenesmus, with scanty emission of urine.─Paralysis of bladder.─Continual incisive shootings in urethra.─Small tumour in urethra, with retention of urine.─Urine turbid and brown, or red, or deep yellow, and sometimes with frequent but scanty emission, or with brown and sandy or red or brick-coloured sediment.─Frothy urine.─Urine frequent, foaming, black.─Involuntary and unnoticed emission of urine.─Pains in back and loins during the want to make water.─Sensation of burning in urethra on making water, and many other sufferings, all of which are renewed by motion of a carriage, and return after drinking wine.─Pain, as from excoriation, in urethra and in glans.─Flow of urine after evacuating and after urinating.
15. Male Sexual Organs.─Pressure in testes, as if a hernia were going to protrude, when making an effort to urinate.─Pimples on the hairy parts.─Strong sexual desire without physical power, and with flaccidity of the penis.─Erections without sexual desire.─Pollutions night and day, sometimes with debility and sweat.─Flow of prostatic fluid when urinating, or after having urinated.─Semen of a pungent smell.─During coition the emission is tardy or does not occur at all.─Abundant secretion behind the glans.─Spots and red pimples on the glans and on the corona.─Mercurio-syphilitic ulcers.─Attenuation of scrotum and hardness of testes.─Thickening of prepuce.
16. Female Sexual Organs.─In females who never get well from the change of life -"have never felt well since that time"; may have unnatural unwell periods.─During change of life, where she has flashes of heat all day, and cold flashes on retiring at night.─Sensation in the abdomen as if a ball were ascending from thence to chest, as in hysteria.─Pains from ovaries to uterus, with discharge of pus while at stool.─The uterus feels as if os were constantly open.─Redness and swelling of external parts (with discharge of mucus).─Swelling of the parts, with itching and sexual desire.─Catamenia feeble, tardy, and of too short duration, often accompanied by hæmorrhoidal and, other sufferings.─Menstruation suppressed.─Menstruation too scanty (blood black).─Abdominal spasms during catamenia.─Before menses: pains and throbbing in the head, vertigo, epistaxis, aching in stomach, risings, cuttings in hypogastrium, flow of mucus from urethra, and cramps in chest.─Before and after menses, diarrhœa with violent colic.─Menstrual colic, beginning in l. ovary.─Swelling, induration, pain and other anomalies of l. ovary.─On the appearance of the catamenia, sacral pains, with pain as of a fracture in hips and chest.─During the catamenia, pains in the loins like those of labour, throbbings in the head, and cuttings.─Miscarriage.─(The milk of females bitten by the serpent becomes venomous and curdles.).─Mammæ swollen.─Intolerably itching tetters on and around nipples.─Nipples swollen, erect, painful to the touch.─Sexual desire excited: nymphomania.
17. Respiratory Organs.─Catarrh, with cough, coryza, shooting pains in head, stiffness of nape of neck, and affection of chest.─Continual hoarseness, with a sensation as if there were something in the throat which impeded speech, and which cannot be detached.─Oppressed breathing, < when talking and eating.─Contraction and constriction of the larynx, with a sensation of swelling and of tension.─Painful sensitiveness of larynx and neck to touch, and on slightest pressure, with danger of suffocation on feeling the gullet, and on holding back the head.─Sensation of pulsation and of choking between larynx and chest.─Dryness, burning, and pain as of excoriation in larynx.─Sensation as if there were a ball in the larynx.─Voice weak, hollow, nasal.─Cough, often fatiguing, and by which nothing is detached, excited mostly by a tickling in larynx, chest, and pit of stomach, or by pressure on the gullet, as well as by conversation, walking, and everything which increases the dryness of the throat.─Cough caused by pressure on the larynx, or by any covering of the throat; by a tickling in pit of throat and sternum; when falling asleep; from ulcers in the throat.─Constant irritating cough, with or without expectoration.─Very chronic coughs.─Cough with rawness of chest, difficult expectoration and pains in throat, head, and eyes.─Frequent attacks of short cough from tickling in pit of stomach, dry during the night; difficult, sometimes watery, salty mucus, which has to be swallowed again, is raised.─The cough is < during the day; after sleeping; from changes in the temperature; from alcoholic drinks; from acids and sour drinks.─Cough with hoarseness.─Diphtheria.─Cough always after sleeping, or at night, when sleeping, or in evening after lying down, as well as on rising from a recumbent posture.─Dry, short, suffocating and croaking cough, sometimes with vomiting.─Spittle mucous, tenacious, or acid, and of a disagreeable taste, or sanguineous.─Hæmoptysis.─On coughing, accumulation of water in the mouth, sharp pains in pit of stomach, shocks in head, and tension of eyes.
18. Chest.─Respiration short, frequent, or convulsive or rattling, stertorous, and croaking, or wheezing, moaning, and deep.─Frequent want to draw a long breath.─Dyspnœa and oppression of the chest, with effort to breathe.─Shortness of breath, principally after a meal, on walking, after making an effort with the arms, and sometimes with sadness, or with an asthmatic cough.─Attacks of asthma, and difficulty of respiration, principally after eating, or in the evening on lying down, or at night, during sleep, and sometimes with anguish, thirst, nausea, vomiting, fainting, and cold sweat.─Fits of suffocation, esp. on lying down in evening or in bed at night, and principally when anything is placed before nose or mouth.─Paralytic orthopnœa.─Offensive breath.─Pressure on chest, as from a weight, or as if it were filled with wind, and principally at night.─Contraction of the chest wakens him after midnight, with slow, heavy, wheezing breathing, compelling him to sit up with his chest bent forward.─Violent pains with great anguish and constant movements in the chest.─Burning and pain of excoriation in chest, as if it were raw, principally after a meal.─Oppressive pain in the chest as if full of wind, > by eructations.─Stitches in side and in chest, < by breathing, and sometimes with cough and sanguineous-expectoration.─Stitches in (l. side of) chest, with difficult breathing.─Extravasation of blood in lungs.─Pneumonia (hepatisation of the inflamed lungs).─Gangrene of lungs.─Swelling and bloatedness of integuments of chest.─Itching, red places, and miliary eruption on chest.
19. Heart.─Palpitation of heart, with (fainting and) anxiety, sometimes excited by cramp-like pains, with cough, and fit of suffocation.─Palpitation of heart and choking from slightest anxiety.─Feels as if heart hanging by a thread and every beat would tear it off.─Irregularity of beats.─Constrictive sensation in region of heart.─Spasms in heart (with aneurism of r. carotid) and disagreeable pulsation in ears.─As if heart too large for containing cavity.─Stitches in region of heart, with shortness of breath, fainting fits and cold sweat.─Faint feeling about heart, with heats up spine and flushings of face.─Faintings, giddiness, and palpitation constantly recurring.
20. Neck and Back.─Nape of neck and neck excessively sensitive to least pressure.─Rheumatic stiffness of nape of neck and neck.─Stitches in back and between shoulders.─A small tumour is formed near the spine.─Burning in back.─Spasms in muscles of back.─Painful stiffness from loins to hip, as if muscles were too short.─Insupportable nocturnal pains in back, in loins, hip and knee.─Pain in the small of back, with constipation, intermittent fever, palpitation of the heart or dyspnœa.─Pain in the os coccygis, when sitting down one feels as if sitting on something sharp.─Want of strength in back and knees, which forces patient to stoop when walking.─Pain, as from dislocation, in loins, as after great exertion.─Papulæ, vesicles, tetters, pimples, and scarlet spots on back and shoulder-blades.
22. Upper Limbs.─Lameness in l. shoulder.─Pain in r. shoulder-joint with headache.─Perspiration in axillæ of strong smell (like garlic).─Rheumatic and arthritic pains, and aching pains in bones of arms, in hands, fingers, and wrists.─Malignant ulcer on upper part of arm.─Tension, as from contraction of tendons, from the elbow to fingers.─Erysipelatous inflammation in elbow.─Pimples on arms after scratching.─Sensation of fatigue or of paralysis, and pain, as from dislocation, in arms.─Paralysis of hands.─Trembling of hands (in drunkards).─The hands are dry and burning.─Extremities of the fingers numbed and painful.─Tingling and pricking in l. hand.─Prickings in extremities of fingers.─Numbness in tips of fingers (morning).─Itching, psoric eruptions, red spots with vesicles, furunculi, excrescences, and warts on hands and fingers.─Hard and cold swelling of a bluish black colour, on the back of hand and fingers.─The hands are cold, as if dead.─Hard swelling from hand to elbow, with excessive pain.─Panaris.
23. Lower Limbs.─Sensation of contraction, and contractions of the tendons of the ham.─Nocturnal pains in hip and thigh.─Caries of the tibia.─Burning spots on tibia.─Agonising pains in tibia (with throat affections).─Sharp and drawing pains in legs, when there is change of weather, and in windy weather.─Furunculi on thighs.─Sensation of heaviness, paralysis, of numbness and trembling in thighs and knees.─The knees are, as it were, dislocated, stiff and weak.─Stinging in knees.─Sensation as if hot air were going through knee-joints, which were shaky.─The l. knee feels as if sprained.─Swelling of knees.─Swelling of feet, < after walking (during pregnancy).─Flat ulcers on lower extremities, with blue or purple surroundings.─Gangrenous ulcers on legs (toes).─Cramps and pains in calves of legs.─Red pimples on the thighs and on the legs, after scratching.─Excoriated places, and superficial ulcers with foul bases, on the legs.─Red or bluish, and painful swelling of feet and legs.─Heaviness, numbness, icy coldness, sweating of the feet.─Itching, psoric eruptions, papulæ and spots as from a burn, in feet and legs.─Cracks and rhagades between the toes.─Abscess in the heels.
24. Generalities.─Sensation of pain accompanied by voluptuous feelings; dreadful or strongly pressive pains in various parts of body.─Sensation of dislocation and of paralysis in the joints.─Stiffness and tension of the muscles, as if they were too short.─Pains in the bones.─Sharp and drawing rheumatic pains in the limbs (first in l. side then in r.), or gnawing pains, with sensations as if bruised on moving.─Nocturnal pains, which appear insupportable, and which do not permit patient to remain in bed.─The pains affect the sides of the body alternately, or at one time the limbs, at another the body, and often manifest themselves transversely.─Intermittent and periodical pains; sufferings, accompanied by danger of suffocation; and sufferings, with want to lie down, and aversion to move.─Aggravation or renewal of the sufferings after sleep or at night, and principally before midnight, or some hours after a meal, or during damp hot weather, as well as when there is a change of wind and weather (excessively cold and excessively warm weather cause great debility); many of the symptoms are > in open air.─Mental emotions, such as disappointment, fear, fright, &c., frequently renew all the sufferings.─Slight touch intolerable.─Obliged to wear clothes loose; cannot bear the contact.─Paralysis, with heaviness and stiffness of the limbs; semi-lateral paralysis.─The l. side is principally or first affected (throat, ovaries).─Affections in general of r. chest; r. lower extremity; r. abdominal ring; symptoms generally appear on l. side; symptoms beginning on l. side with great tendency to spread to the r. side.─Extreme feebleness of body and mind; exhaustion, like that caused by loss of blood; rapid failure of strength; relaxation of muscular force.─Weakness of whole body in morning on rising.─Nervous hyperæsthesia, with external flushings.─Fainting fits, with dyspnœa, nausea, cold sweat, vertigo, pallid face, vomiting, dizziness, obscuration of the eyes, pains and prickings in region of heart, convulsions and epistaxis.─Tearing, pricking, and pulsating pains.─Attacks of asphyxia and of syncope, with loss of sense and motion, insensibility like death, clenching of teeth, stiffness and swelling of body, pulse tremulous or imperceptible.─Trembling of limbs, muscular palpitations, and jerking in several parts of body.─Contractions of the muscles.─Convulsive and epileptic fits, with screaming, movements of the limbs, falling down without consciousness, eyes convulsed, foaming at mouth, fists clenched; before the attack, cold feet, eructations, paleness of the face, vertigo, head heavy and painful, palpitation of heart, inflation of abdomen; after the attack, sleep.─Attacks of tetanus, with distortion of limbs.─Hæmorrhage and extravasation of blood in different organs.─Affected parts look bluish (cyanosis).
25. Skin.─Ecchymosis; wounds and ulcers bleed readily and copiously (small wounds bleed a good deal; ulcers bleed readily; cicatrices bleed readily; pain in old cicatrices), wounds bleeding a great while; skin very hard to heal, masses of blood pass through the pores.─Varicose swellings.─Dropsical swelling over whole body.─Hard and pale tumefaction.─Skin yellow, green, lead-coloured, or bluish-red or blackish, chiefly round the wounds and ulcers.─Yellow, red, copper-coloured spots.─Pale, livid spots, with fainting fits.─Dry, miliary itch, with eruption of large vesicles of a yellow or of a bluish-black colour, with swelling of parts affected, and pains which drive to despair.─Miliary eruption, which subsequently resembles nettle-rash, scarlatina, or morbilli.─Erysipelas and vesicular eruptions with a red crown.─Excoriated places, on touching which a burning pain is felt.─Rupia and other skin affections, with angioleucitis (Cooper).─Ulcers, surrounded by pimples, vesicles, and other small ulcers (on a purple skin).─Ulcers with great sensitiveness to touch, uneven bottom, ichorous, offensive discharge when touched, esp. around the lower extremities.─Gangrenous ulcers.─Gangrenous blisters.─Superficial ulcers, foul at bottom, with a red crown.─Cancerous ulceration (of wounds), or putrefaction of the flesh, which becomes detached from the bones, and falls off piecemeal.─Gangrenous wounds, with inflammatory fever, weak, quick, and intermittent pulse, fainting nausea, spasmodic and bilious vomiting, convulsions, and cold sweats.─Papulæ, warts, hard swellings.─Panaris.─Red and itching lumps and tuberosities.─Carbuncles, with copper-coloured surroundings and many smaller boils around them.─Flat exanthemata which do not fill up; pustulous exanthemata; spongy excrescences.
26. Sleep.─Great drowsiness by day, and principally after a meal.─Sleeplessness, chiefly before midnight, with excessive nervous excitement.─Lively and wide awake in evening.─The patient sleeps into an aggravation, as (e.g.) in croup; is very well while awake, but as soon as goes to sleep the croup symptoms appear in great violence; child almost suffocates, and the mother or nurse is consequently really afraid to let him go to sleep.─Also in convulsions; patient has none while he is awake, but as soon as he is asleep they appear.─Drowsiness and sleeplessness alternately every two days.─When falling asleep he is awakened by a tickling cough.─Restless sleep, with many dreams.─Sleeplessness in the evening with talkativeness.─Light sleep, with frequent and easy waking, agitation and tossing, groans and sighs, starts and fright.─Dreams connected and frequent, poetical and meditative or voluptuous; dreams of quarrels, of horrible things, of spectres, and of death.─At night, heat, agitation, burning in palms and soles, pains in the bones or rheumatic pains, diarrhœa, emission of urine, mental excitement, and many other sufferings.─After sleep, sensation of stiffness, and pain as from fatigue in the limbs, erections with sexual desire, pains in the back and loins, congestion of blood, heaviness and pain in head, pressure in stomach, sore throat, nervous yawnings, and aggravation of all the sufferings.
27. Fever.─Icy coldness of the skin or of the limbs, or only of the feet, with great desire to be near a fire, and sometimes with loss of sensation, clammy sweat, weakness and great quickness of the pulse.─Shiverings, sometimes only partial, often with pains in the limbs, sacral pains, agitation and tossing, colic, trismus and convulsive movements of the limbs, pain in chest, thirst, chattering of teeth.─Chill ascending the back, often on alternate days.─Shuddering while the heat continues, and principally on lifting the bed-clothes.─Shivering, chiefly after a meal, or in afternoon.─Dry heat, principally at night, or in evening, and esp. in feet and hands, often accompanied by agitation and tossing, headache, delirium, insatiable thirst, eructations, bilious vomitings, cries, groans, dryness of mouth and throat, and frequent stools.─Heat, alternately with cold (alternating and changing localities), shivering of shuddering.─Fever at night or in evening, quotidian, tertian, or quartan, and often accompanied by headache, rapid prostration of strength, and debility which obliges the patient to lie down; want of appetite, hiccough, vomiting, sensibility of the neck to the touch, palpitation of the heart, anguish, yellow urine, diarrhœa, pains in the limbs, back, and loins, nervous and spasmodic yawnings, stretchings, swelling of the body, spots and ulcers.─Internal sensation of heat, with cold feet.─Chronic fevers; slow fevers; typhoid fevers.─The fevers are renewed by acid food.─Dry, burning skin.─Sweat >.─Perspiration colouring linen yellow red.─Febrile sweat, principally after hot stage, towards morning; copious sweat; fetid sweat; cold sweat; sanguineous sweat.─Pulse intermittent, or feeble and quick (but accelerated), or irregular, or scarcely perceptible, or tremulous, or alternately full and small.─Intermittent fever, the paroxysms come on every spring, or after suppression of the fever in the previous fall by quinine; face red; feet cold; during hot stage continuous talking; face yellow or ashy.─Typhus fever, esp. when the tongue is red or black, dry or in fissures, esp. at the tip, or when tongue trembles when put out, or if while endeavouring to put it out, the tip remains under the lower teeth or lip and cannot be put out.
Lycopodium clavatum. Muscus terrestris repens. Pes ursinus. Clubmoss. Wolf's-claw. (Hilly pastures and heaths in Central and Northern Europe, Russian Asia, and North America. Common in Great Britain, especially the North.) N. O. Lycopodiaceæ. Trituration of spores. Tincture of spores. Tincture of fresh plant. Etherial tincture of spores (ether dissolves the spore cases).
Clinical.─Abdomen, distended. Abortion. Albuminuria. Aneurism. Angina pectoris. Aphasia. Asthma. Axilla, offensive perspiration of. Biliousness. Borborygmi. Bright's disease. Cancer. Cataract. Constipation. Consumption. Corns. Cough. Cramps. Cystitis. Debility. Diphtheria. Distension. Dropsies. Dysentery. Dysmenorrhœa. Dyspepsia. Ear, eczema behind. Eczema. Ephelis. Epistaxis. Epithelioma. Excoriation. Eye, inflammation of; polypus of canthus. Face, eruption on. Feet, perspiring. Fibroma. Flatulence. Gall-stone colic. Glands, swelling of. Goître. Gout. Gravel. Hæmaturia. Hæmorrhoids. Hair, falling out. Hands, chapped. Heartburn. Heart, diseases of. Hemiopia. Hernia. Hydropericardium. Hypochondriasis. Hysteria. Impotence. Influenza. Intermittents. Intertrigo. Irritation. Labour-pains, abnormal. Lip, cancer of. Liver, derangement of. Liver-spots. Locomotor ataxy. Lungs, affections of. Menstruation, disorders of. Metrorrhagia. Nævus. Nymphomania. Otorrhœa. Panaritium. Paralysis. Paralysis agitans. Peritonitis. Phlegmasia dolens. Physometra. Plica polonica. Pneumonia. Polypus, of eye; of ear; of nose. Proctalgia. Prostatitis. Pylorus, affections of. Quinsy. Renal colic. Rheumatism. Rhagades. Sciatica. Sleep, abnormal. Speech, disordered; stammering. Strains. Sunstroke. Taste, abnormal. Throat, sore. Tongue, coated; cramp in. Typhoid fever. Urine, abnormal. Varicosis. Warts. Water-brash. Whooping-cough. Worms. Yawning.
Characteristics.─Lycopodium is one of the pivotal remedies of the materia medica, and an intimate acquaintance with its properties and relations is essential to a proper understanding of the materia medica as a whole. The spores from which the attenuations are made have been called "vegetable sulphur" (probably on account of their use for producing stage-lightning at theatres), and Lyc. ranks with Sulphur and Calcarea in the central trio around which all the rest of the materia medica can be grouped. The Lycopodiums stand between the mosses and the ferns, and in past eras occupied a most important place in the world's vegetation as fossils show. In the old school the function of Lyc. has dwindled into its use as an "inert" coating for pills and an "inert" powder for dusting on excoriated surfaces. Earlier practitioners did not consider it as by any means inert. Teste mentions that it is recorded of a decoction of the plant that it has caused vomiting. The use of the powder in intertrigo was not regarded as a physical one but as medicinal. It was praised by Wedel, Lantilius, Gesner, and others in (1) cardialgia and flatulent colic of children and young girls; (2) diseases of children; (3) nephritic colic and calculi─which is about as much as some homœopathists know about it at the present day. But Mérat and de Lens speak of its internal use in: Rheumatism; retention of urine; nephritis; epilepsy; and pulmonary diseases. In Poland it is used for powdering the hair in "plica polonica," a decoction being used internally and also externally at the same time. The comparative fruitfulness of the two schools of medicine may be accurately measured in the history of this drug: in the old school it has dwindled into an "inert" powder; in homœopathy, by means of the scientific methods of developing and investigating drug action it possesses, all the old virtues of Lyc. have been confirmed and precisionised, and a new world of medicinal action added to them. Teste puts Lyc. at the head of a group containing Nat. m., Viol. tric., and Ant. c. Among the common characters he attributed to them are: Primary action on digestive organs and adjoining glands; on liver and larger intestines rather than stomach. Aversion to bread and < from eating bread and foods made of fermented and fermentable dough. Frequent and painful eructations. Sour eructations; vomiting; distension; alternate diarrhœa and constipation. Pale, whitish, cloudy, mucous urine, often fetid. Premature and profuse menses. Peevishness. Rush of blood to head. Falling of hair; with crusty scalp eruption. Inflammation of eyes and lids. Deficiency of vital heat. Contraction of tendons, especially hamstrings. These are general features common to the group. Lyc. acts profoundly on the entire organism, on solids and fluids. It causes paralysis and paralytic weakness of limbs, of brain, suppurative conditions, even gangrene. It is particularly suited to: Persons of keen intellect, but feebler muscular development; upper part of body wasted, lower semi-dropsical; lean and predisposed to lung and hepatic conditions; herpetic and scrofulous constitutions; hypochondriacs subject to skin diseases; lithic acid diathesis, much red sediment in urine, urine itself transparent; sallow people with cold extremities, haughty disposition, when sick, mistrustful, slow of comprehension, weak memory; weak children with well-developed heads but puny, sickly bodies, irritable, nervous, and unmanageable when sick, after sleep cross, pushing every one away angrily; old women and children. In my experience it has been more indicated in persons of dry temperament and dark complexion; but this is not by any means exclusive. Undernourished states suggest it. But it is impossible to get the best therapeutic results for this great remedy without an intimate knowledge of certain leading characteristics. Lyc. will cure any case in which the totality of symptoms correspond with symptoms of the remedy; but it will be found that in a large proportion of cases in which this is the case, there will be present some symptoms which are peculiarly characteristic of the remedy, constituting what are called keynotes. Practice on keynote symptoms alone is an absurdity; but the right use of keynote symptoms is an immense saving of labour. The Lyc. keynotes are very pronounced, and though I cannot say that one is more important than another, I give them in this order. (1) < From 4 to 8 p.m. [In one case cured by Lyc. it was: "Bad from 4 to 6; better at 8; gone at 9."] In any case, when the symptoms are < from 4 to 8 p.m., the chances are very great that the rest of the case will correspond to Lyc., no matter what the disease may be. The times may not be accurately at these hours, and still Lyc. may be the remedy. < At 4 p.m. or from 4 to 6; and the condition may continue into the night without the 8 p.m. alleviation. But the grand characteristic is 4 to 8. (2) The second keynote is in direction, right to left. Any affection commencing on the right side and spreading to the left is likely to require Lyc., whether it be headache, sore throat, chest affection, abdominal affection, pains in ovaries─if the affection begins on the right side and spreads to the left Lyc. must be studied. Cutting pains shooting from right to left in any part indicate Lyc. In this it is complementary to Lach., which has just as characteristically the opposite direction. Lyc. is a right-side medicine; but right-sidedness is not so characteristic as the direction right to left. These two features are perhaps the most valuable keynotes, in the materia medica. After them in importance, and scarcely less important, come others. (3) > From uncovering. This is general, but it applies to Sufferings in the head more particularly. If a patient complains of headache, no matter of what kind, and if the headache is distinctly > by taking off the hat or other covering, Lyc. will probably be the remedy. This is the great dividing line between this remedy and Sil., another great headache medicine: in Sil. cases the patient must wrap up the head. > From loosening the garments is in the same category. (4) The next characteristic is somewhat of an opposite kind: > From warm drinks; < from cold food and drink. This does not refer to gastric complaints alone, but to headache, sore throat, and any other condition. (5) Fan-like movement of alæ nasi occurring in cerebral, pulmonary, and abdominal complaints. The movements are usually rapid, never slow, and are not synchronous with the breathing. In the same order with this are spasmodic movements of facial muscles: angles of mouth alternately drawn up and relaxed; and spasmodic movements of tongue, it cannot be protruded; rolls from side to side like a pendulum. One prover had a kind of cramp in the tongue when speaking, cutting off the end of every sentence. Nodding and side to side movement of the head. Loosvelt (H. W., xiv. 396) has found that "half-open condition of the eyes during sleep" is a strong indication for Lyc., and has led him to make cures in cases of bronchitis, pneumonia, and typhoid when other remedies have failed. The "fan-like movement" of the alæ nasi led Halbert to the cure of a case of nervous asthma (H. W., xxxiii. 545): Mrs. S., 28, had periodic attacks of spasmodic asthma, always ushered in by unusual excitement and attended by peculiar mental depression. The attack for which Halbert saw her was induced by a violent fit of anger, and persisted longer than usual. Extreme despondency and melancholy, would have nothing to do with her friends. Fan-like motion of alæ nasi. Constriction of throat, like globus, but always induced by regurgitation of food. Excessive appetite easily satisfied. Fulness of abdomen with flatulence. Constipation, dry, hard stools. Dyspnœa. Slight cough with chest constriction; > in open air. All symptoms < 4 to 8 p.m. Lyc. 6x trit. cured. (6) Suddenness; sudden flashes of heat, lightning-like pains; sudden satiety. Pains and symptoms come and go suddenly, as with Bell. (7) Sensation as if a hand were in the body clutching the entrails (also as with Bell.). (8) Restlessness > by motion. (9) Right foot hot, left foot cold. (10) Burning pains > by heat; burning like hot coals between scapulæ. Burning stinging in breasts. (11) Dryness of parts: of mucous membranes; of vagina; of skin, especially palms. Prominent among mental symptoms is Fear: of being alone; of men; of his Own shadow. Apprehensiveness: susceptible to natural causes of fear which make a profound impression on bodily organs, as the liver; mental states resulting from fear. Profound sadness and inclination to weep. Peevish. Forgetful. Avaricious. Imperiousness. Lyc. is a remedy for misers. The headaches are in great variety, but the modalities will generally decide: < 4 to 8 p.m.; from eating; from warmth of bed; from becoming heated during a walk; from heat in general; from mental exertion; > in open air; in cool place; by uncovering. Hair falls out. Ophthalmia: conjunctiva looks like red flesh. Lyc. has cured desperate cases of facial neuralgia with the general characteristics of the drug. The facial appearance is pale and yellow; deeply furrowed; looks elongated. Sordes in teeth. Lyc. is in the front rank among flatulent remedies. Incarcerated flatulence; more in intestines than stomach; painful with > by eructations. There is the sinking sensation at epigastrium; and it is < in the night, waking up the patient; or < in afternoon. This sensation becomes translated into canine hunger, but as soon as a morsel of food is swallowed there is distension and fulness to the throat, preventing him eating any more. Sour stomach, sour taste, sour vomiting. Thirst for little and often, but drinking cold water = nausea. Great weakness with the vomiting. Cord-like tension across hypochondria. Flatulence incarcerated, pressing outward, sensation as if something moving up and down in bowels. Great sensitiveness in liver region. [This sensitiveness is a characteristic of Lyc., as it is of its complementary remedies, Lach., Kali iod., and Iod. It has led me to cure many cases of sciatica having this characteristic: cannot bear to lie on painful side it is so sensitive. Especially in case of right-side sciatica of this description. Gums, epigastrium, abdomen, right side of chest, eruption round anus, all soft parts are sensitive. Touch and pressure < all these; only > tearing in head.] The flatulence presses on rectum and bladder. There is out-pushing also in right inguinal ring; and Lyc. has cured many cases of right inguinal hernia, especially in children. Lyc. is one of the great remedies for constipation where purgatives have been abused. Spasmodic constriction of rectum. Constipation of infants. The urinary symptoms present no less important characteristics than the gastric. Renal colic, with stinging, tearing, digging pain in right ureter to bladder, as if some small calculus was tearing its way to bladder. Aching in back before micturition. Child cries before micturating; red sand is found on diaper. Aching in kidneys < before > after urinating. The catamenia are too early and too profuse. Extreme sadness and irritability before, ceasing with the flow. Cutting pain right to left. Left leg colder than right. Borborygmi under left ribs in front. Ill-humour. Bearing-down pains and headache. Intolerance of tight clothing. Sensation as if a hand were in body clutching the entrails. Though a right-side remedy, it must not be supposed that Lyc. is exclusively so. It has cured left ovarian pain, dull aching, < on raising the limb or turning in bed. It is of great service in pregnancy (nausea; varices; excessive fœtal movements); and in labour (unsatisfactory pains). The "burning" of Lyc. is exemplified in the cure of a case of puerperal fever having these symptoms: Feels as though hot balls dropped from each breast through to back, rolling down back, along each leg, and dropping off heels; this alternated with sensation as if balls of ice followed same course. Phlegmasia dolens. Lyc. has a very large range in respiratory affections. Salt sputa; milky; greenish yellow; thick yellow muco-pus. Dry burning catarrh of nose, larynx, throat, chest. A very characteristic cough of Lyc., which I have verified, is this: "Dry teasing cough in emaciated boys". The cough of Lyc. is provoked by: Irritation from deep breathing; stretching out throat; and by empty swallowing. A patient of mine to whom I gave Lyc. 30 developed this symptom: "Pain under sternum as if food lodged there and she could not breathe through it." Cough,< on waking. All the blood-vessels from the heart to the capillaries are affected by Lyc. It has cured both nævus and aneurism, and relieved many conditions of disordered heart. It is also one of the most important remedies in varicosis. Excessive sensitiveness is a note of Lyc.: Cannot bear any strong smells. Cannot endure noise. Sensitiveness to sound has a curious development in this symptom: In the evening she continues to hear the music she has heard during the day. "Heaviness of the arm" is a special feature among the general paralysing effects of Lyc. Skinner cured with Lyc. c.m. this case: A lady had burning in right arm with paralysis, preventing her grasping anything with the right hand. Had had much worry. Irritability before menstrual period, > by the flow. < From 6 to 7 p.m. With the burning was a sharp pain shooting up the arm; but it was not the pain which caused the paresis. Nash mentions that the sphere of Lyc. in impotence is considerable. It covers the case of old men who marry again and find themselves impotent; and the case of young men who have become impotent from masturbation or sexual excess. The desire is strong but the power is absent; penis small, cold, relaxed. P. C. Majumdar records (Ind. Hom. Rev., x. 1) the case of a boy, 14, who had general dropsy and anasarca consequent on the subsidence of an enlarged spleen under allopathic medication. There was afternoon fever (< 4 to 8 p.m.), slight chilliness, but no thirst; difficult breathing on lying down, urine scanty and high coloured, bowels constipated, heart's action weak but regular. Apis caused the urine to be more free, but a troublesome diarrhœa set in. Apocy. 6x removed the diarrhœa, but had no effect on the dropsy. Lyc. 30 was now given purely on the symptoms, and quickly cleared up the case. S. A. Jones (Amer. Hom., xx. 283) calls attention to the irritability of Lyc., and instances the cure of a boy of typhoid with excessive tympanites when the case seemed almost hopeless, the guiding symptoms being: "When awake exceedingly cross, irritable, scolding, screaming, behaving disagreeably," which was quite different from his usual nature. Lyc. 30 was given. The same writer (H. R., xi. 351) relates an involuntary proving of Lyc. from inhalation of the fumes in the course of chemical experiment, Lyc. powder being added to a boiling mass. The writer (apparently a medical man) had at times whilst engaged in the experiments: Frightful headaches (occiput, vertex, and through right eye), always > by Mag. phos. In addition he discovered 12.5 per cent. of albumen in his urine, which had been tested a short time previously and found normal. Other characteristic symptoms of Lyc. were present, and all disappeared, including albuminuria, when the experiments were abandoned. H. Goullon (H. R., vi. 155) cured this case of cystitis: A man, 55, subject to attacks of enteralgia, was seized two days after such an attack with a severe cystitis, with fever and palpitation of the heart. The calls to micturate were increased, and he could hardly reach the vessel quick enough to prevent premature escape of the urine, so severe and sudden was the urging. During and sometimes after the passage there was intense burning pain, "as if molten lead were flowing through the urethra." During the height of the pain he grasped the penis to obtain relief. The urine, which was discharged in very scanty quantities, looked turbid, almost loamy, had a dirty brownish-red colour, and a peculiar odour of malt. Lyc. 12 was given, six drops in half a wineglassful of water: a teaspoonful every three hours. Cured in twenty-four hours. J. E. Winans (Med. Adv., xix. 499) points out the appropriateness of Lyc. to the effects of chewing tobacco. Allen records under Tabac. this symptom: Convulsions, head firmly drawn back, with rigidity of muscles of back of neck; constantly recurring rigid tetanic spasms, muscles of back being principally affected, till death a week after he chewed the tobacco." Winans had a very similar case from the same cause-clonic, opisthotonic spasms as of cerebro-spinal meningitis─which he cured with Lyc. c.m. and m.m. given after each tetanic seizure. Other Lyc. symptoms verified by him are: "Forehead cold, but becomes warm if lightly covered" (Sil.); and, in pernicious intermittents "a long-lasting chill coming on 9 a.m., and generally passing off without subsequent heat or sweat." Drysdale has recorded (B. J. H., xlii. 203) the cure of a young woman whose hands were covered with warts. One 2 gr. tablet of Lyc. 6 trituration was given at bedtime. The warts soon began to shrivel, and in less than six weeks were all gone. The sphere of Lyc. in metrorrhagia is illustrated by a case of Waszily's (quoted H. W., xxviii. 320): Mrs. O., 44, menses after being absent eight months had come on and lasted fourteen days. She felt particularly well, and had walked out, when a violent flooding came on, and she had to be taken home in a carriage and put to bed. Dark blood with large clots flowed from her, < every movement; no pain. Previous day had much flatulent distress. Lyc. 30, two globules on the tongue. After that one large clot passed and nothing more. Rapid recovery followed. Among the peculiar sensations of Lyc. are: As if everything was turning round. As if temples being screwed together. As if brain vacillating to and fro. As if head would burst. As if head opened. Pain in head as if caused by wrong position. As if eyes too large. As if hot blood rushed into ears. As if sulphur vapour in throat. Front teeth as if too long. Vesicles on tip of tongue as if scalded and raw. As if a ball rose up in throat. As if hard body lodged in back of throat. As if everything eaten was rising up. As if œsophagus was being clutched and twisted. As if steam rising from stomach to head. As if something were moving up and down in stomach. As if suspensor ligament of liver would tear. As if stomach would fall down. As if drops of water were falling down. As if heart hung by a thread. As if gimlets were running into spine. As if dogs with sharp teeth were gnawing her. Tension as from a cord in diaphragm. As if chest constricted with tight waistcoat. (Cramps in chest accompanying stomach affections is a strong indication for Lyc.) Burning as of hot coals between scapulæ. As if hot balls dropped from each breast through to back, rolling down back, along each leg and dropping off heels; alternating with balls of ice. As if water spurted on back. As if lying on ice. The symptoms are < by touch, pressure, weight of clothing. Riding in carriage = nausea. < Morning on waking; < afternoon, 3 p.m., 4 p.m., 4 to 6 p.m., 4 to 8 p.m., 5 p.m., 6 p.m.; < evening before midnight. < After eating, even if ever so little. < Wrapping up head, even wearing hat or bonnet. < In warm room. < Getting warm by exercise. Warmth of bed < headache and irritation of skin, but > toothache, rheumatism, and other symptoms. Great desire for open air. > In open air; by uncovering. Must be fanned, especially wants to be fanned on the back (burning between shoulders). > By warm, < by cold food and drink. < By wet weather; by stormy weather; especially by wind. < From moistening diseased parts. Rest <; motion >. Lying down > headache; pain in epigastrium. Lying on back > cough. < Lying on right side in liver affection. < Lying on painful side (sciatica). < Lying on left side. < By rising from a seat; > after. < From lamplight; from looking fixedly at any point. < From eating cabbage; vegetables, beans and peas, with husks; bread, especially rye bread and pastry. < From wine. < From milk. < Before menstruation. < From suppressed menstruation. [Lyc. is very prone to cause aggravations, especially when highly attenuated, and hence it is necessary to give it with caution. Unless the indications are quite clear it is better to start a case on an allied remedy. I gave Miss E. Lyc. 30 for constipation. Soon after taking it she had pains in upper abdomen in all directions; urging to stool without ability to pass it; much flatus which could neither be got up nor down. Lyc. 1m. was now given, a few globules dissolved in water, a teaspoonful at bedtime. All symptoms vanished. On rising a second teaspoonful was taken, and after this the bowels were well relieved. On another occasion she took Lyc. 1m. in the evening, and immediately felt her throat tight and uncomfortable; but this passed off and she went to bed. At 5 a.m. she woke with choking; had the greatest difficulty in getting her breath. She managed to reach a bottle of Bell. 3, and a dose of this relieved her at once.─A patient for whom Lyc. 5 had, to her great delight reduced the gouty swellings about her finger-joints, till she could get rings on she had not been able to wear for years, was obliged to discontinue it on account of the distressing headaches it caused.─Mr. W. had every Sunday afternoon attacks of pain like biliary colic. They came on at 5 p.m. and lasted till 1 a.m. The pain started from right of gall bladder, travelled to middle line, and then passed downwards. In the attack he was cold and yet sweated. Bowels constipated. Lyc. 1m., one dose every alternate day. A powder of the same was, given to be dissolved in water, of which a teaspoonful was to be taken every twenty minutes in the event of an attack. During the week he felt better, but on the next Sunday he had the worst attack he had ever had, and the Lyc. given to be taken frequently did not relieve at all. Nux 30 was next given night and morning. The next Sunday was passed without any pain, and he felt much better generally. Cases of this kind could be multiplied indefinitely, and I have known some very good prescribers almost abandon this remedy on account of unexpected aggravations.]
Relations.─Antidoted by: Aco., Camph., Caust., Cham., Coff., Graph., Nux, Puls., Coffee. It antidotes: Chi. (yellow face, liver and spleen swollen, flatulence, tension under short ribs < right side, pressure in stomach and constipation); Merc.; Chlorine (effects of the fumes when they cause impotence). Compatible: Bell., Bry., Carb. v. (a dose of Carb. v. every eighth day facilitates action of Lyc.); Calc. c. (predisposition to constipation, hard stools evacuated with difficulty, or urging ineffective); Graph., Hyo., Lach., Led., Pho., Puls., Sep., Sil., Stram., Sul., Ver. Follows well: Sul., Calc., Lach. Is followed well by: Graph., Lach., Led., Pho., Sil. Incompatible: Coffee. Complementary: Iod., Chel. (K. iod., Lach., Ign., Puls.); Ipec. in capillary bronchitis, < right side, sputa yellow and thick. "Unless undoubtedly indicated the treatment of chronic diseases should not be commenced with Lyc., it is best to give first another antipsoric remedy." Compare: Desires fresh air, desire to be uncovered, Sul., Pul. Terrible sadness during menses, Nat. m., Nit. ac., Sep. Action on veins, Puls., Sep. Thirst for little and often, Ars. (wants it cold and vomits it immediately); Ant. t. Sinking at epigastrium < at night preventing sleep, Ign.; (Sul. < 11 a.m., also 8-9 a.m. and 1-2 p.m.). Hot flushes in afternoon, Sul. Nausea fasting, Pul., Calc., Sil. Moth spots or liver spots, Thuj. Canine hunger, especially at night, Ign., Chi. Hungry but cannot get food down, Sil. < Every other day, Chi. Fan-like motion of alæ nasi, Chlorof. (slow); Gadus and Kreas. (rapid). Apprehension of losing senses, Calc., Nux, Sul. Acquisitiveness, Ars., Pul. Fear of being alone, K. ca., Lil. (Ars., Bism., fear and forgetfulness when alone; Pho., fears something is going to happen when alone in room, especially at night; Arg. n., fears to remain alone lest he should harm himself; anxiety compels moving about; fears to go on a lofty place lest he should throw himself down─Anac. also). Fear of darkness, Calc., Stram. Imperiousness, Plat. (haughtiness). Cursing, Anac., Iod., jug. r. Nervous before undertaking anything, Ars., Arg. n. Shaking head, Ant. t., Ars., Aur. sul., Can. i., Eupion., Nux m., Sep., Tarent. Head drawn to one side, Camph.; spasmodically to right side in diphtheria, Lachn. Burning pains > by heat, Ars., Caps., Alumina. Bloody sweat, Calc., Lach., Lyc., Nux m., Nux, Arn. Hoarseness 4 to 6 or 8 p.m., Hell. (Coloc. and Pul. at 4 p.m., Col. and Mag. p. 4 to 9 p.m., Carb. v. 3 p.m. and 4 to 6 p.m.). Constipation when from home (when on journey, Plat.). Laughs at serious things, Pho., Anac., Nat. m., Plat. Laughs and cries alternately, Aur., Pul., Alm., Stram., Bov., Caps., Graph., Pho., Sep., Sul., Ver. Globus hystericus, Ign., Lach., Pul. < Ascending, Ars., Sul. Restlessness > by motion, Rhus (Rhus generally in recent Lyc. in old cases), Puls. > slow motion. Emaciation from above down, Nat. m. Burning as if hot coals between scapulæ, Glo. (burning as if hot water whole length of spine), Pho. Head symptoms > cold, Ars. (Ars. has general > by warmth, Lyc. < by warmth). Flashes of heat, Lach., Sep., Sul. Feet cold and damp to knees, Calc. Sore throat right to left (Lach. left to right) less sensitive than it looks (Lach. more); < cold drink (Lach. >) Inguinal hernia, Nux (Nux more left, Lyc. more right). Piles, Æsc., Nux, Caust., Alo., Sul. Child screams before passing urine, just as it begins to pass > by flow, red sand (Sarsa. cries before and during flow, grey sand). Sufferings of widowers from unsatisfied desire, &c., Con., Pic. ac., Plat., Calc. Physometra, Bro., Lac c., Nux, Sang. Burning in vagina during coitus, Kre., Sul. Dryness of vagina with painful coitus, Bel., Fer., Nat. m., Sep. Burning and stinging in breasts, Apis, Carb. a., Pho., Lauro. Milk in breasts when it should not be there, Cycl., Pul., Pho.; (unhealthy milk, Cham., Phyt., Acet. ac., Calc., Lach., Pul.) > Fanning (Carb. v. and Sul. in collapse; Lyc. wants the back fanned). Acid dyspepsia, Mag. c., Robin. > By warm drink and food (Pul. and Phos. > by cold food). Catarrh of chest after badly treated pneumonia, Sul. Chest rattling, full of mucus, Ant. t. Child sleeps with eyes half-open, Sul. Black boils, Lach. Distress in stomach immediately after eating (Nux some time after). In labour and threatened miscarriage, pains fly from right to left (Act. r. from side to side; Ip. from left to right with nausea). Ordinary amount of food causes full sensation, Ars. Diphtheria, nose obstructed, excoriating discharge, patient picks and bores nose, Ar. t. (but Lyc. has right to left; < after sleep, even a short nap; irritable and peevish; urine stains red). Large tonsils studded with small indurated ulcers, Bar. c. Aneurism, Bar. c., Carb. an., K. iod. Nævus, Fl. ac., Arn., Thuj., Vacc. Tympanites, Carb. v. (Carb. v. rancid belching; Lyc. sour). Fan-like motion of alæ nasi; one foot hot, one cold, Chel. (Lyc. and Chel. are much alike and complementary; Lyc. favours dark, Chel. fair people; Lyc. pains more dull, Chel. lancinating; Lyc. rumbling of flatus in left hypochondrium, sour taste; Chel. bitter). Distension after eating with great accumulation of flatus, Graph. (Graph. has rancid or putrid eructations, Lyc. has not; Lyc. has constriction, Graph. none). Intermittent fever; syphilis; ulcers; flatulent dyspepsia; < after sleep, Lach. Ulcers on instep (Nat. c. ulcers on heel). Half sight, Nat. m., Titan., Aur., Lith. c. Dyspepsia with thick urine; Sep. (Lyc. repletion after eating, Sep. emptiness of epigastrium); ball in anus, Sep. Yellow-brown spots, Sep., Nux, Curar., Sul. Cough excited by talking, Sil. Impotence, Tab. (Lyc. cured impotence caused by indulgence in tobacco). Ailments from fright, anger, or mortification with reserved displeasure, Staph. Nose stopped at night, Am. c., Nux, Samb. Red sand on child's diaper, Pho. Cries before urinating, Bor. Dryness of vagina, Hdrfb. One foot hot, the other cold, Chi., Dig., Ip. Waking at night hungry, Cin., Pso. Enforced sexual abstinence, Con. Proctalgia, Pho. Craving for sweets, Arg. n., Sul. Pain in head during stool, Indium. Fulness after a meal, Chi. (Chi. after a full meal; Lyc. after ever so little. The Lyc. fulness is full right up into the throat). Colic, &c., > bending over, Coloc. Crampy pains, < night. Nux. After-effects of fevers, Pso.
Causation.─Fear. Fright. Chagrin. Anger. Vexation. Anxiety. Fevers. Over-lifting. Masturbation. Riding in carriage. Tobacco-chewing. Wine.
1. Mind.─Silent, melancholy, and peevish humour; despair of eternal salvation.─Desponding, grieving mood.─Sadness when hearing distant music.─Anguish, esp. in region of epigastrium, with melancholy and disposition to weep; esp. after a fit of anger, or on the approach of other persons.─Sensitive disposition.─Dread of men; desires to be alone, or else aversion to solitude.─Excitement after a glass of wine, almost mischievous.─Must laugh if any one looks at her to say anything serious.─Inclined to laugh and cry at same time.─Irritability and susceptibility, with tears.─Irascibility.─Obstinacy.─Estrangement and frenzy, which manifest themselves by envy, reproaches, arrogance, and overbearing conduct.─Disposition to be very haughty when sick; mistrustful; does not understand anything one says to them; memory weak.─Avaricious.─Character, mild and submissive.─Complete indifference.─Aversion to speaking.─Fatigue from intellectual exertion, and incapability of devotion to mental labour.─Giddiness.─Inability to express oneself correctly; misapplication of words and syllables.─Confused speech.─Confusion about everyday things, but rational talking on abstract subjects.─Inability to remember what is read.─Stupefaction.─Dulness.
2. Head.─Dizziness and vertigo, as from intoxication.─As soon as she sees anything turning about she feels as if her body were turning about.─Whirling vertigo, esp. when stooping, or in a warm room, with inclination to vomit.─Headache from vexation.─Headache, with disposition to faint, and great uneasiness.─Headache with vertigo.─Heaviness of the head.─Headache when shaking or turning head, and also at every step on walking.─Cephalalgia above eyes, immediately after breakfast.─Semi-lateral headache in evening, < beyond endurance by intellectual labour.─Aching as if head would be forced asunder and as if brain were swashing to and fro, < walking, ascending steps, and rising from stooping; could not work and could scarcely step without vertigo.─Throbbing after every paroxysm of cough.─Pressive headache sometimes as if a nail were being driven into the head, or with tension, which is < by lying down; < at night when lying in bed, and on getting warm while walking in open air; > when walking slowly in open air, from cold, and when uncovering head.─Stitches in temples, mostly on r. side, from within to without; < in evening and at night when lying in bed, from heat and exertion of the mind; > from cold and in open air.─Thrust in temples during difficult stool.─Pain at vertex during moderate pressure at stool.─Headache after breakfast.─Tearing, boring, and sensation of scraping on external head, during night.─Screwing together in forehead, during menses.─Jerking in r. frontal bone extending to root of nose and eyebrows.─Tearing headache, esp. in afternoon or at night, principally in the (r.) forehead, but often also in whole head, in eyes and nose, extending to teeth, with inclination to lie down.─Stupefying headache, with heat in temples and ears; dryness of mouth and lips; < from 4 to 8 p.m., when rising up, and on lying down.─Pressing headache on vertex < from 4 to 8 p.m.; from stooping, lying down, exertion of the mind, and followed by great weakness.─Tearing in forehead or in r. side of head, extending down to neck, with tearing in face, eyes, and teeth; < on raising oneself up, > on lying down and in the open air.─Shooting headache.─Throbbing in brain on leaning head backward.─Throbbing in head after lying down in evening.─Congestion in head, with heat, sometimes in morning on rising up in bed.─Shaking and resonance in brain at every step.─Boring, scraping, and tearing in scalp, esp. at night.─Involuntary movements and convulsive trembling of head.─Head turned involuntarily to l.─Involuntary nodding: now to r., now to l.; slow at first then constantly more rapid.─Involuntary shaking makes him dizzy.─Shaking head on stepping hard.─Great tendency to take cold by the head.─Eruption on the head, with abundant and fetid suppuration, sometimes with obstruction of the glands of the nape and neck.─The hair becomes grey early.─Baldness; the hair falls out, first on the vertex, later on the temples (after diseases of the abdominal viscera; after parturition), with violent burning, scalding, itching of the scalp, esp. on getting warm from exercise during the day.─Scurf over whole scalp, child scratches it raw in night and then it bleeds.─Contracted sensation with feeling as if the hair would be pulled up.─Hair falls off scalp, but increases on other parts of body.
3. Eyes.─Aching in the eyes.─Gnawing, burning, and shooting pains in eyes (and lids), esp. in evening, by candle-light.─Smarting in eyes.─Sensation of coldness in eyes, evening.─Dryness of eyes; and lids; as if dust in them; difficult to open.─Smarting and burning.─Swelling and painfulness of lids.─Inflammation of the eyes and lids.─Stye.─Styes on the internal canthus.─Agglutination of eyelids, esp. at night, and lachrymation, < by day, and in a cold wind.─Twitching of the eyelids.─Troubled sight, as from feather-down before the eyes.─Photophobia.─Itching in canthi.─Dim, hot eyes.─The eyes are wide open, insensible to light, fixed.─Dryness of eyes, in evening.─Sparks before the eyes, in the dark.─Must wipe mucus from eye in order to see clearly.─Purulent mucus.─Myopia or presbyopia.─Hemiopia perpendicularis (sees only l. half of objects, esp. with r. eye).─The characters are confused when reading.─Obscurity, black spots, glittering, and sparks before eyes.─Eyes dazzled and irritated by candle-light in evening.
4. Ears.─Otalgia in open air.─Congestion in the ears.─Ulceration of the ears.─Discharge from the ears.─Hearing excessively sensitive to least noise; music occasions fatigue.─Tinkling and buzzing in ears.─Roaring, humming, and whizzing in ears.─Sensation as if hot blood rushed into ears.─Congestion of blood in ears.─Singing in the ears as from boiling water.─Ringing in r. ear; every noise has peculiar echo deep in ear.─Hears in evening music she heard played during day.─Hardness of hearing.─Moist scabs on and behind ears.─Has improved deaf-mutism (Cooper).
5. Nose.─Scurf in nose; crusts and elastic plugs.─Nostrils ulcerated, scabby, obstructed by mucus at night.─Swelling of nose, with acrid, fetid, and corrosive discharge.─The ichorous discharge from the nose begins in r. nostril; scarlatina or diphtheria.─(Patient bores and picks nose.─Convulsive movements of muscles of nose.─Fan-like motion of the nostrils in pneumonia.─Bleeding from nose, on blowing it, and epistaxis, principally in afternoon.─(Nose-bleed in morning from r. nostril.).─Excessive acuteness of smell.─Coryza with acrid discharge, making the upper lips sore.─Coryza of almost all kinds.─Dry coryza, with obstruction of the nose, confusion in head, and burning pain in forehead.─Dryness of the posterior nares.─Obstruction of nostrils, esp. at night, and which prevents respiration except through the mouth.─Stoppage: towards morning; in evening; child's breath often stopped in sleep for fifteen seconds even when mouth is open.
6. Face.─Paleness of face, < in evening.─Face yellow and earthy, with deep wrinkles, blue circles round eyes, lips bluish.─Circumscribed redness of the cheeks.─Face red and bloated, with eruptions and red spots.─Swelling and tension of face.─Tearing in bones of face.─Painful sensation of coldness in face.─Twitching and convulsive movements in muscles of face.─At first l. angle of mouth drawn outward, then r.─Muscles of lips and cheeks drawn together making mouth pointed, followed by broad distension of mouth.─Frequent attacks of transient heat in face.─Eruption on face, sometimes with itching.─Ephelis.─Tetters on face, which are furfuraceous, and yellow at the base.─Lips pale and bluish.─Soreness of corners of mouth.─Swelling of upper lip.─Eruption and excoriations on the lips and their commissures.─Eruptions on face, humid and suppurating.─The lower jaw hangs down.─Ulcers on the red part of the lower lip.─Itching eruption round the chin.─Swelling of the submaxillary glands.
7. Teeth.─Odontalgia only at night, > by hot drinks, and by heat of bed.─Dull pains in teeth, with swelling of the cheeks and gums.─The teeth ache as if suppurating; are excessively painful on touching them; and when chewing; front teeth loose or too long.─Cramp-like drawing, tearing, and jerking, or pulsations in teeth, esp. during or after a meal.─Grinding of teeth.─Yellowness of the teeth.─(Fistula in the gums.).─The gums bleed violently on being touched; when cleaning teeth.─Gumboils.─Swelling of gums, with shocks, tearings, and shootings.─Ulcers in the gums.
8. Mouth.─Dryness of the mouth, without thirst, with tension of the parts, the tongue heavy, and speech indistinct.─Torpor of the interior of mouth and tongue.─Exhalation of a putrid odour from the mouth, esp. in morning when awaking.─Buccal hæmorrhage.─Tongue foul and coated.─Involuntary movements of the tongue.─In talking, all the words of a sentence were spoken completely and distinctly except the last, which was stammered; it seemed as though the tongue were affected by a peculiar cramp; no amount of attention to this was of any avail; it lasted four weeks and gradually disappeared of itself.─Stiffness of the tongue; vesicles on tip of tongue; they feel scalded and raw.─Soreness of tongue.─Ulcers on and under tongue (from tobacco).─Convulsions of the tongue.─The tongue is painful and swollen in different places (tubercles on the tongue).─The saliva becomes dry on the palate and lips and is converted into tough mucus.─The posterior part of the mouth is covered by tough mucus.─Dry and bitter mouth (in the morning).─Tongue dry; becomes black and cracked.─Tongue is darted out and oscillates to and fro; in sore throat.─Tongue distended, giving patient silly expression; in angina or diphtheria.
9. Throat.─Sensation of constriction in throat, with obstructed deglutition.─Dryness of throat.─Pain, as from excoriation, in throat.─Burning pain in throat, with nocturnal thirst.─Sensation in throat, as if a ball were ascending from the pit of the stomach.─Feeling on l. side of a lump moving up and down.─Inflammation of throat and palate, with shooting pain, which obstructs deglutition.─Swelling and suppuration of tonsils.─The ulceration of the tonsils begins on r. side.─The pharynx feels contracted, nothing can be swallowed.─Hawking of hard greenish-yellow masses; granular; of bloody mucus.─Sticking in region of r. parotid.─Sticking in throat during cough.─Sticking preventing sneezing.─Sensitiveness of the submaxillary glands.─Ulcers, like chancres, in the tonsils.─Goître.
10. Appetite.─Loss of appetite.─Mouth clammy or bitter, esp. in morning, often with nausea.─Nausea in pharynx and stomach.─Nausea in morning and when riding in a carriage.─Sourness in mouth, esp. in morning, or sour taste of food.─Absence of thirst, or burning thirst.─Nocturnal thirst.─Loss of appetite, sometimes with the first mouthful.─Sudden satiety.─Immoderate hunger.─Bulimy.─Aversion to: cooked or warm food; rye-bread; meat; coffee; tobacco smoke.─Craving for sweet things.─Inability to digest heavy food.─After a meal: hepatic pains, oppression and fulness in chest and abdomen, nausea, heat in head, redness of face, pulsation and trembling over whole body, hands hot, palpitation of heart, colic, &c.─Sourness and diarrhœa after taking milk.
11. Stomach.─Violent risings in afternoon.─Incomplete eructations, burning, rising only into pharynx, where they cause burning.─Sour eructations, the taste of which does not remain in mouth, but the acid gnaws in the stomach.─Burning, sour, greasy or bitter risings.─Sour regurgitation of food, esp. of milk.─Pyrosis, esp. after a meal.─Violent hiccough by fits, esp. after a meal.─Nausea when in a room, which disappears in open air, and vice versâ.─Frequent continued nausea, esp. in morning, with bitter taste in mouth.─Nausea, caused by the motion of a carriage.─Sensation of nausea in stomach in morning.─Heartburn.─Cancer of the stomach.─Water-brash, sometimes every second day, with flow of bitter water.─Vomiting of food and bile, esp. at night, or when fasting in the morning.─Vomiting of bitter, greenish matter.─Vomiting of blood.─Vomiting between the chill and heat in intermittent fever.─Vomiting after a meal with salivation; during menses.─Gnawing, griping sensation in region of the stomach.─Slow digestion.─Pains in stomach, with shivering and deadness of the hands after a slight chill.─Periodical pains in stomach, > by heat of bed.─Aching in stomach, in evening, and after every meal, sometimes with a bitter taste in mouth.─Compressive or contractive pains in stomach.─The pains in the stomach manifest themselves principally in morning; in open air; after a meal; or after drinking wine; they are sometimes > in evening, and are often accompanied by cramps in chest and difficulty of respiration.─Swelling of epigastrium with painful sensibility to the touch.─The clothes round the stomach cause uneasiness.─Stitches in l. side of pit of stomach, apparently externally.─Pain in epigastrium caused by cough.
12. Abdomen.─Tension round hypochondria, as from the pressure of a hoop.─Pressure and tension in liver; esp. on satisfying one's appetite.─Cramp-like pain in diaphragm, and contusive pain in liver, on stooping.─Pain when walking in upper part of r. hypochondrium, as if the suspensor ligament of the liver would tear.─Pressive pain in r. hypochondrium, at times took away the breath, became a sticking.─Pain in liver as from a blow, < by touch.─Violent gall-stone colic.─Sharp pain in dorsal hepatic region, in r. shoulder and arm.─Liver region sensitive.─Griping; and rumbling in splenic flexure.─Inflammation and induration of the liver.─Immediately after a (light) meal the abdomen is bloated, full, distended.─Has a great appetite, but a small quantity of food fills him up and he feels bloated.─Aching pains in abdomen.─Fulness and distension of stomach and abdomen.─Weight in the abdomen.─Sensation of something heavy lying on l. side of abdomen.─Brown spots on abdomen.─Hardness in the abdomen.─Dropsical swelling of the abdomen.─Contractive cramp-like pains in the abdomen, which is distended.─Tearing, drawing, tension, and pinching in abdomen and sides of abdomen.─Clawing in hypogastrium, with suspended respiration.─Cutting pains, esp. above the navel.─Pain above the navel, on touching the part.─Burning pain in the abdomen.─Hernia on the r. side.─Tearing shootings, pulsation, and pressure in the inguinal ring, as if hernia were on the point of protruding.─Cramp-like pains in abdominal muscles, esp. at night.─Incarcerated flatus.─Imperfect expulsion of flatus.─The flatulence cannot pass and causes much pain.─Great deal of noisy flatulence in the abdomen, or particularly in the r. hypochondriac region; there seems to be a constant fermentation in the abdomen, which produces a loud croaking sound.─Sometimes much rumbling of wind in l. hypochondriac region.─Dyspepsia with loud croaking in the abdomen.─Affections of the inner lower belly.─Full, distended abdomen with cold feet.─Gurgling and borborygmi in abdomen, esp. on l. side.
13. Stool and Anus.─Constipation of long standing.─Hard stools with ineffectual desire to evacuate.─Desire for stool followed by painful constriction of rectum or anus.─Small stool, with the sensation as if much remained behind, followed by excessive and painful accumulations of flatulence.─Hæmorrhage from rectum, even after a soft stool.─Feeling of fulness in rectum continues after a copious stool.─Contractive pain in perinæum, after scanty, hard stool.─Stitches in the rectum.─Diarrhœa (during pregnancy), with earthy colour of the face.─During stool: burning and biting at anus; pressure; tenesmus; ringing in ears; headache; pain in back as if broken; hæmorrhage.─After stool: flatulent distension.─Constriction of the abdomen, sometimes with ineffectual want to evacuate, and difficult evacuation.─Constipation or diarrhœa in pregnant women.─Fæces: pale and of a putrid odour; thin brown; pale green mixed with hard lumps; thin yellow or reddish-yellow fluid; shaggy reddish mucus (urethral tenesmus, dysentery); green, stringy, odourless mucus.─Discharge of mucus, or of blood, during evacuation.─Lumbrici.─Pains in the anus after a meal and after an evacuation.─Itching and tension in the anus.─Incisive pains, shootings and pain as from excoriation in the rectum.─Spasms in rectum.─Contraction of rectum so that it protrudes during a hard stool.─Piles swollen, protruding, burning sticking, protruding during soft stool, painful on touch and when sitting.─Hæmorrhoidal excrescences in anus and in rectum, with prolapsus recti.─Itching eruption in anus.─Itching and tension at the anus (evening in bed).─Painful closing of anus.─Protrusion of the varices.─Distension of the varices of the rectum.
14. Urinary Organs.─Urgent want to urinate, with too frequent emission, with discharge of large quantities of pale urine.─Frequent micturition by night, with scanty and rare discharges by day.─Dark urine with diminished discharge.─Greasy pellicle on the urine.─Involuntary micturition.─Discharge of blood from the bladder, painless.─Old thickening of bladder with irritable urethra.─Foamy urine.─Urine deep coloured, with yellow or reddish sediment.─Clear, transparent urine, having a heavy, red, crystallised sediment in the bottom of the chamber.─In typhus fever, where the patient is in a very low state, and cannot retain the urine, we may see this sediment on the sheets; also in colic of babies, with much sediment of this kind on the diaper.─A very severe pain is felt in the back every time before urinating; causing patient to cry out; retention of urine; patients will get into position to urinate, but wait a great while before the water comes, accompanied by the characteristic pain in the back, which ceases when the urine flows; children often cry out with pain before urinating.─Turbid, milky urine, with an offensive purulent sediment; dull pressure in region of bladder and abdomen; disposition to calculi; cystitis.─Hæmaturia from gravel or chronic catarrh.─Renal calculus and gravel.─Emission of blood instead of water, sometimes with paralysis of the legs, and constipation.─Incontinence of urine.─Smarting when urinating.─Itching in urethra during and after emission of urine.─Shooting pinchings and incisive pains in the bladder and urethra.─Stitches in the bladder.─Stitches in the neck of the bladder and in the anus at the same time.─Burning in urethra and glans.─Urine burning hot, like molten lead.
15. Male Sexual Organs.─Shooting, drawing, and incisive pain in the glans.─Bastard gonorrhœa, with a deep red and smarting pustule behind the glans.─Excoriation between scrotum and thighs.─Dropsical swelling of genital organs.─Immoderate excitement, or absence of sexual desire.─Repugnance to coition, or disposition to be too easily excited to it.─Impotence of long standing.─Weakness or total absence of erections.─Penis small, cold, relaxed.─Itching of the internal surface of the prepuce.─Excessive pollutions, or absence of pollutions.─Emission too speedy or too tardy during coition.─Falling asleep during coition.─Lassitude, after coition or pollutions.─Flow of prostatic fluid, without an erection.
16. Female Sexual Organs.─Nymphomania with terrible teasing desire in external organs.─Itching, burning, and gnawing in vulva.─Pressure towards the outside, above the vulva, and extending as far as the vagina, when stooping.─Expulsion of wind from the vagina.─Chronic dryness of vagina.─Shooting pains in labia, when lying down.─Excoriation between the thighs, and at the vulva.─Burning pain in the vagina, during and after coition.─Catamenia (too early) too profuse, and of too long duration.─Catamenia suppressed readily, and for a long time, by fright.─Before menses: shivering, sadness, melancholy; bloatedness of the abdomen.─During menses: delirium, with tears; headache; sourness in the mouth; pain in loins; swelling of feet; fainting; vomiting of sour matter; cuttings, colic; and pains in the back.─Menstruation too late; lasts too long; sometimes suppression of; profuse, protracted; flow partly black, clotted, partly bright red or partly serum; with labour-like pains followed by swooning; with sadness; suppressed by fright.─May find females at change of life with one side of the body greatly hypertrophied.─Fœtus appears to be turning summersaults.─Metrorrhagia; at menopause; dark blood with large clots pour from her.─A rumbling begins in upper abdomen and descends to lower, when a flow of blood follows, and so on successively.─Leucorrhœa: milky, yellowish, reddish, and corrosive; sometimes preceded by cuttings in abdomen.─Varices on the genitals.─Disposition to miscarriages.─Swelling of the breasts with nodosities.─Excoriation and moist scabs on nipples.─Stinging in nipples.─Milk in breasts without being pregnant.
17. Respiratory Organs.─Crawling scraping in trachea, at night.─Hoarseness, with roughness, and pain as from excoriation in chest, after speaking.─(Voice feeble and husky.).─Whizzing breathing in daytime, with sensation of too much mucus in chest; loud rattling.─Voice weak and dull.─Cough after drinking.─Obstinate dry cough in morning.─Nocturnal cough, < before sunrise, which affects the head, diaphragm, and stomach.─Dry cough, day and night.─Cough excited by a tickling, or as if produced by the vapour of sulphur, or by taking a deep inspiration, generally with a yellowish grey and saltish expectoration, sometimes with great weakness of stomach, fever, nocturnal sweat, and emaciation.─Cough with expectoration through the day and without expectoration during the night.─Whooping-cough from irritation in trachea as from fumes of sulphur, in the morning and during the day, with expectoration of fetid pus or of mucus streaked with blood.─Cough < from 4 to 6 p.m., frequently on alternate days, from exertion, from stretching the arms out, stooping and lying down, when lying on l. side, from eating and drinking cold things, in the wind, or in warm room.─Cough (morning), with copious expectoration of greenish matter.─Copious expectoration of pus, when coughing.─Cough, with expectoration of blood.─When coughing, shocks in the head, shortness of breath, smarting and concussion in chest, or pains in region of stomach.
18. Chest.─Short respiration during almost every effort, also in children, esp. during sleep.─Continued oppression of the chest, < by walking in open air.─Rattling of mucus and stertorous respiration.─When breathing, twitching and shooting in chest and sides of chest.─Pain as if from a bruise in the chest.─Constant pressure in the chest (it feels raw internally).─Weight in the chest.─Tension in anterior part of chest.─Lancinations in the chest, esp. on l. side, and principally when sneezing or coughing, on laughing, or on the slightest movement, sometimes with inability to remain lying on affected side, and difficult respiration.─Pain as from excoriation in the chest, esp. after speaking.─Stitches in the l. side of chest, also during an inspiration.─Typhoid and neglected pneumonias.─Hepatisation of the lungs.─Paralysis of the lungs.─Hydrothorax.─Itching on the chest.─Stitches in the side, alternately with toothache and pains in the limbs.─Painful eruption and maculæ hepaticæ on the chest.
19. Heart.─Palpitation of the heart, esp. during digestion, or in bed in evening, sometimes attended with anxiety and trembling.─Accelerated pulse, with cold face and feet.─Palpitation of the heart with flapping of the wings of the nose; enlargement of the heart; hypertrophy in general.─Cramp and constriction, dyspnœa, stitches beneath short ribs, extending to small of back and shoulders; sharp pains shooting into heart, sensation of stoppage of circulation at night, with fright and then sweat, pulse quick and unsteady (angina pectoris).─Dyspnœa, cyanosis, hasty eating and drinking (heart disease).─Beating of temporal arteries and carotids.─Heart sounds heard loudly on lying down at night, keeping patient awake.─(Hypertrophy.).─(Aneurism.).─(Hydropericardium.).
20. Neck and Back.─Traction and contraction from the nape of the neck to the occiput.─Rigidity of the nape of the neck, sometimes caused by lifting a weight.─Maculæ hepaticæ in the nape of the neck.─Tetters on nape of neck and under armpits.─Furunculi under armpits.─Stiffness, swelling, and induration of one side of neck.─Painful stiffness of l. side of neck.─Burning as of red-hot coals between scapulæ.─Swelling of glands of neck and of the shoulder, with shooting pain.─Weakness and paralysis of muscles of neck.─Painful eruption on neck.─Large clusters of red pimples around neck, with violent itching.─Soreness of the neck.─Goître.─Violent sacral pains, which do not permit sitting upright.─Pains in the back and loins, esp. when moving, stooping, and lifting anything, often accompanied by constrictive pains in abdomen.─Shootings in loins on rising up after stooping.─Drawing, tearing, and shooting pains in back and loins, with difficult respiration, chiefly when seated, and also at night.─Pain in back and r. side, from congestion of the liver.─Stitches in region of kidneys, < from pressure; extending into rectum.─Distortion of the spine.
22. Upper Limbs.─Tearings and shootings in the joints of shoulder and elbow.─Rheumatic tension in r. shoulder-joint.─Pain in bones of arms at night.─Weakness of arms when at work.─Difficulty in moving arms as if rheumatism were creeping on, with nodes on fingers.─Pain as from a sprain in r. wrist-joint.─Swelling of axillary glands.─Nocturnal aching pains, in the arms and elbow.─Drawing pain in arms.─Jerking in shoulders and arms, also during it siesta.─Paralytic weakness of arms.─Arms and fingers easily benumbed, even at night, or only when raising them.─Biting, itching, and maculæ hepaticæ in the arms.─Arthritic stiffness of the elbow and wrist.─Tetters on the arms.─Erysipelatous inflammation in the forearm, with suppuration.─Dryness of the skin of the hands.─Burning sensation in the palms.─Red and painless swelling of the hands.─Warts on the hands and fingers.─Deadness of fingers and hands.─Involuntary trembling of the hands.─Red swelling and arthritic tearing in joints of fingers.─Arthritic nodosities and stiffness in fingers.─Stiffness of the fingers during labour.─Itching pimples between the fingers.─Panaritum.─Contraction and twitches in the fingers.─Chilblains.─Gouty contraction of palmar fascia: sudden pain runs down arm (l.?) causing fingers to stiffen and draw away from each other and to draw towards hand, as though palmar fascia were contracting (Cooper).
23. Lower Limbs.─Rheumatic tension in l. hip.─Pain as from a sprain in hip.─Periodical pains, from coxo-femoral joint to foot, every fourth day.─Tearing: beneath r. hip; in l. hip-joint.─Drawing along sciatic nerves to feet, evening, in bed.─Pain in muscles about joints, on pressure, sitting or lying.─Pain in r. hip > walking in open air.─Pain from r. hip-joint to feet when walking, he must limp.─Tearing in legs and knees, extending to tibia and instep, esp. in evening and at night.─Soreness in inner side of l. thigh, with biting itching extending to genitals.─Brown spots on inner side of thighs, inflamed with burning pain.─Uneasiness, shocks, and trembling in legs and feet, esp. in evening and at night.─Involuntary shaking in legs, or alternate separation and bringing together again of the thighs.─Burning and biting itching in the legs, esp. in the hams.─Curvature and stiffness of the knees.─Swelling (and stiffness) of the knees.─Swelling of the knee, with perspiration.─Swelling of the legs, with large, red, burning spots, and pains which prevent walking.─Paralysis of the legs, with emission of blood instead of urine, and constipation.─Tetters on the legs and calves of the legs.─White swelling in the knee.─Cramps and cramp-like pains in the calves, esp. when walking, and at night.─Burning pain in legs.─Ulcers in the legs, with nocturnal tearing, itching, and burning heat.─Pain in the soles when walking.─Cramps in the feet and toes.─Swelling of the feet and of the malleoli, or of the soles (with shooting pain).─Coldness of the feet.─One foot (r.) hot the other cold.─Cold sweat on feet, sometimes copious, and with excoriation of the skin.─Stitches in r. big toe (evening).─Rhagades in the heel.─Cramp in the toes.─Bending of the toes when walking.─Contraction of the toes.─Corns on the feet, sometimes with shooting pain.
24. Generalities.─Affections in general of r. eye; r. side of face; r. hypochondrium; r. abdominal ring; l. chest; l. lower extremity; general symptoms r. side (though they may spread to the l.); hair of head; rectum; bladder; hands; fingers; finger-joints; back part in the lumbar region, and ankles.─Hard hearing; smell too sensitive.─Deep furrows on the face; same on forehead; sensations in the temples.─Collection of water in the mouth, i.e., "mouth waters.".─Pains in different parts as from flatus: over r. hip; below chest; in lower abdomen, &c.─Obstructed evacuation; painless diarrhœa.─Anything running from r. to l.─Apoplexia; erethism of blood accompanied with flashes of heat; chlorosis.─Consumption resulting from badly treated pneumonia.─Crooked legs; ankles weak; painless paralysis; old sprains; tension, tightness of the joints.─Enlargement of the bones.─Drawing and tearing in extremities, < at night and during repose; sometimes also in the afternoon; every second day, and esp. in windy and rainy weather, > by heat.─Shooting pains, internal and external.─Painful stiffness of muscles and joints, often with torpor and insensibility of the extremities.─Numbness of the limbs.─Great liability to strain the back, which, when it occurs, is often followed by stiffness in nape of neck.─Cramps and contraction of limbs.─Alternate spasmodic and involuntary extension and retraction of some of the muscles, or some of the extremities.─Shocks and jerks in some of the limbs or throughout the body, during sleep and on waking.─Cramps, internal and external, < at night.─Attacks of epilepsy, sometimes with cries, foam at the mouth (loss of consciousness, throws the arms and limbs about), and great anguish of heart (imagined he would have to die).─Dropsical and inflammatory swellings.─Varices.─Arthritic nodosities.─Swelling of the glands.─Inflammation of the bones, with nocturnal pains.─Distortion and softening of the bones.─Ulceration of the bones.─The symptoms are frequently < towards 4 p.m., and begin to abate towards 8 p.m., the weakness excepted.─Periodical sufferings.─The whole body feels bruised.─Ebullition of blood throughout the body, esp. in the evening, with inquietude and trembling.─Sensation, as if the circulation of the blood were suspended.─Internal weakness.─Great nervous excitability.─Weakness and lassitude in limbs, < during repose, or on waking in morning.─Fatigue, esp. in the legs, after a very short walk, accompanied by a burning sensation in the feet.─Fear of movement, with constant desire to remain lying down.─Total prostration of strength, with falling of the lower jaw, eyes cloudy and half closed, and slow respiration through the mouth.─Great emaciation, also with children.─Fainting fits, esp. in evening, and sometimes also on lying down, with loss of consciousness, cloudiness of sight, and great listlessness.─Trembling of limbs.─Want of vital heat.─Great desire for, or marked repugnance to fresh air, with excessive sensitiveness to cool air.─Great tendency to take cold.─< From east winds.
25. Skin.─Gnawing and itching in daytime, on getting heated, or in evening, before lying down.─Tendency of the skin to become chapped.─Painful eruptions.─Nettle-rash (chronic).─Large red spots on skin.─Itching maculæ hepaticæ.─Abundant ephelis.─Insensible tetters, of a yellowish brown, wrinkled or moist, purulent, full of deep cracks and thick scabs.─Large furunculi, which return periodically.─Mercurial ulcers. Bleeding ulcers, with shooting pain, which burn while being dressed, or with nocturnal tearing and itching.─Fistulous ulcers, with callous, red edges, reversed and shining, sometimes with inflammation and swelling of the part affected.─Excoriated places on the skin of children; the sore places are humid.─Intertrigo; raw places bleeding easily.─Skin unhealthy, corrosive vesicles.─Nævus maternus.─Vascular tumours.─Warts.─Corns which are very sensitive, or with tearing pains.─Exanthema in general, particularly with biting sensation; moist; scurfy; tearing and painful.─Want of action of the skin.─Itch, burning; creeping.─Skin scurfy; sticky; clammy.─Brown mortification.─Pale swelling.─Salt rheum.─Varices suppurating.─Chilblains.─Great dryness of the skin.
26. Sleep.─Frequent, and sometimes interrupted, yawning.─Inclination to sleep during day and early in evening, with sleep retarded by mental activity and excessive nervous excitement.─Disturbed and restless sleep, with anxious and frightful dreams, and frequent waking with fright.─Loud coughing during sleep; screaming while asleep.─Sopor.─Hunger at night when waking.─Unrefreshing sleep.─Soporous sleep in typhoid and exanthematous fevers.─Voluptuous, vivid, mournful dreams; dreams of murder or of the occupations of the day, &c.─Anxious dreams of fatal accidents.─Jerks, cries, starts with fright, or bursts of laughter, or tears and groans during sleep.─(Sleeps with eyes half-opened,).─Sleeps with mouth open.─At night, jerking and restlessness in the legs, headache, anguish, nightmare, ebullition of blood and palpitation of heart, stomach-ache, colic, asthmatic sufferings, &c.─Lying on l. side is difficult on account of the palpitation of heart and stitches.─It is impossible to remain lying down at night on account of every position being uneasy.─Child sleeps all day and cries all night.
27. Fever.─Shivering in evening, sometimes only on one side; or every second day, with heat, or followed by sweat without heat.─Chilliness in the afternoon from 4 to 8, with sensation as of numbness in hands and feet.─Chilliness in evening in bed, preventing sleep.─One-sided chilliness, mostly on the l. side.─Chills and heat alternating.─Want of vital heat.─Tertian fever, with sour vomiting and bloatedness of the face and hands after the shivering.─Transient heat.─Burning heat, with short respiration.─Flashes of heat over whole body, mostly towards evening, with frequent drinking of small quantities at a time; constipation and increased micturition.─The perspiration is frequently cold, smelling sour, or offensive, or smelling like onions, or bloody.─Intermittent fever.─Nausea and vomiting and then chilliness, followed by perspiration (without previous heat).─Chilliness in the evening till midnight, this is followed by heat, in the morning sour-smelling perspiration.─Great heat and redness of the cheeks, alternating with chilliness.─Shaking chill 7 p.m., and great coldness as if lying in ice, with traction through whole body, upon waking up from sleep, which is full of dreams, covered with perspiration, perspiration is followed by violent thirst.─Typhus fever (with threatening paralysis of the brain).─Malignant fever, with malevolence and ill-humour on waking, or with nervous excitability, without heat of the head or redness of the face, red spots on the cheeks, great weakness, sweat without any mitigation, tongue red and dry, and constipation.─Slow fever, with viscid sweat, at night.─Fever, with total prostration of strength, lower jaw hanging down, eyes clouded and half-closed, and respiration slow, with the mouth open.─Sweat principally in face, easily excited during the day by slight exercise.─Febrile sweat by day.─Nocturnal sweat, often fetid or viscid, principally on chest and back.─Pulse only accelerated in the evening and afternoon.─Sensation as if circulation stood still.
(1) MERCURIUS OXYDULATUS NIGER.
Mercurius solubilis Hahnemanni. Dimercuros ammonium nitrate. 2(NH2Hg2) NO3H2O. [A mercurial preparation devised by Hahnemann as a substitute for the corrosive mercurial salts in use at the time, and at once adopted in all countries on account of its much milder and more efficacious anti-syphilitic qualities. It was prepared by precipitating Mercury from its solution in nitric acid by means of caustic ammonia. This is the preparation Hahnemann used in his proving.] Trituration.
(2) MERCURIUS VIVUS.
Hydrargyrum. Argentum vivum. Chamæleon minerale, &c. Metallic Mercury. Quicksilver. Hg (A. W. 199.8). [Although Hahnemann proved Mercurius solubilis, he recommended the use of triturations of the pure metal in practice as being the simplest mercurial preparation, and more easily obtained and equally available with Merc. sol. for prescribing on the symptoms of the latter.] Trituration. [Decoction: water in which quicksilver has been boiled for half an hour.]
Clinical.─[The letters s and v indicate the preparation─Solubilis or Vivus─mentioned in the Prescriber in connection with the malady the name of which they follow; they are not intended to indicate a preference of one over the other.] Abscess (s). Anæmia. Aphthæ. Appendicitis. Balanitis (s). Bone, disease of (s). Brain, inflammation of. Breath, offensive (s). Bronchitis (s). Bubo (s). Cancrum oris. Catarrh (s). Chancre. Chicken-pox (s). Cold (s). Condylomata. Cough (s). Dentition, abnormal (s). Diarrhœa (s). Dysentery. Dyspepsia (s). Ecthyma (s). Eczema. Emaciation. Excoriation (s). Eyes, affections of (s); gouty inflammation of. Fainting. Fevers. Fissures. Glandular swellings (s). Gout (s). Gum-boil (s). Gums, unhealthy (s). Heart, affections of (s). Herpes (s). Hydrophobia. Jaundice (s). Joints, affections of (s). Leucorrhœa; in little girls. Liver, affections of (s). Lumbago (s). Mania. Measles (s). Melancholia (s). Meningitis. Mollities ossium. Mucous patches. Mumps. Noises in the head (s). Odour, of body, offensive (s). Ovaries, affections of. Pancreatitis (s). Parametritis (s). Parotitis. Peritonitis. Perspiration, abnormal (s). Phimosis (s). Pregnancy, affections of (s.). Prostate, disease of (s). Purpura (s) (v). Pyæmia (s). Ranula (s). Rheumatism (s) (v). Rickets. Rigg's disease. Salivation (s). Scurvy (s). Small-pox (s). Stomatitis. Suppuration (s). Surgical fever. Syphilis (s). Taste, disordered (s). Teeth, affections of (v). Throat-deafness (s). Throat, soreness of (v). Tongue, affections of (s) (v); mapped (v). Toothache (s). Tremors (s). Typhus fever (v). Ulcers (s). Vaccination (s). Vomiting (s).
Characteristics.─No pains have been taken to keep distinct Merc. sol. and Merc. viv., and I do not find it practicable to attempt to separate them. Though Merc. sol. was the preparation Hahnemann proved, he recommended Merc. viv. as a superior preparation for homœopathic prescribing in his preface to the proving. Mercurius solubilis Hahnemanni was invented by him in his pre-homœopathic days in response to a general desire for a mercurial preparation which should be at once soluble and non-corrosive, and it at once took its place in pharmacy, a place it has never lost. The method of developing the medicinal power of metallic mercury by graduated trituration was a later discovery, though there was a suggestion of it in the well-known Hydrargyrum cum cretâ. To the symptoms of Hahnemann's pathogenesis of Merc. sol. are added observed effects of Mercury in those engaged in working with the metal, in patients taking Mercury, and effects in those applying mercurial inunctions to patients─many having been severely affected by absorbing it through their hands. There is no difference between these effects and the symptoms of the proving so far as the general characteristics are concerned. In the finer characteristics there must be differences. The symptoms of the proving are in general more particularly characterised than the effects of Merc. viv. For instance, "At night severe toothache, and when that went off great chilliness through the whole body," belongs to the Merc. sol. proving; and so do these: "Vertigo: when sitting at his desk there was whirling in the head, as if he were drunk, he rises up and walks about the room staggering, then anxious heat breaks out over him, with nausea but not to the length of vomiting; at the same time some headache." "From occiput a strong, tearing, continued pain, which went into the forehead and there pressed." The symptoms of nose-bleed and the more finely characterised throat symptoms ("stitches on tonsils"; "stitches into ear on swallowing"; "something hot rises into throat.,"), were produced by Merc. sol., so were the majority of the symptoms in the male and female sexual organs. But this is not to say that Merc. viv. will not answer equally well, or even better, for curing them. The only bit of comparative experience I have in the action of the two is this: in a case of cold in which Merc. seemed indicated, Merc. sol. 30 was given and failed, and Merc. viv. 30 promptly cured.─We of the present generation can hardly form a conception of the havoc wrought by Mercury in the days when it was considered necessary to "touch the gums" in all cases for which Mercury was prescribed before any good could be hoped for. The motto, "Salivation is Salvation," tells its own tale. "It was quite an event," says Teste, "when in the sixteenth century the discovery was made that Mercury will cure syphilis without the patient being salivated. One error, however, being substituted in place of another, it was supposed that the sweat, the diuresis, or the diarrhœa which followed the exhibition of Mercury, replaced the absent salivation; the gross humoralism which prevailed at that period did not allow of another explanation. For a graphic picture of a practice which was part of the ordinary routine until recent times, I quote the following from Bransby Cooper's First Lines of Surgery, 6th ed., p. 348: "Mercury acts upon some individuals like a poison [!] they are seized with palpitations of the heart, tremblings of the limbs, oppression of the breathing, and irregular pulse. When such indisposition takes place in a person employing Mercury we conclude that this mineral is actually producing a deleterious impression on the system [!]. It was noticed by the late Mr. Pearson that every year, when it was the custom to salivate freely, a certain number of individuals thus treated died suddenly in the Lock Hospital. They were first affected as I have described, and, on attempting to make the slightest effort they dropped down dead. Mr. Pearson learned from experience [!] that these deaths arose from the deleterious action of Mercury on the constitution, and the derangement of the system thus excited he proposed to call the Mercurial erethismus." Homœopathy has filled out this picture in full detail, and turned this deadly blundering to curative account. There was a fitness in naming this metal after the volatile deity. It provides us with weather-glasses and thermometers, and it turns those who are under its influence into weather-glasses and thermometers likewise. [An electrician, who at one time was required to work with his hands frequently in a trough filled with quicksilver, thereafter could not bear the slightest shock of electricity, though before he could stand very strong ones.] And herein lies one of the grand characteristics of the remedy: as the thermometer is sensitive to changes either to hot or cold, so is the Merc. patient. Other remedies are predominantly one or the other: Merc. is both─ < by heat and < by cold. This is keynote No. 1. No. 2 is "< at night." This is a strong point of correspondence with syphilis. Especially is this noticeable in the bone pains. No. 3 is: Profuse sweat accompanying nearly all complaints and which does not relieve; it may even aggravate. Guided chiefly by these two indications: "Profuse sweat with no relief" and "< at night," I have cured many cases of rheumatic fever with Merc. viv. 12, without any other remedy. Keynote No. 4 is: The mercurial odour. The mercurial patient is offensive; breath excessively fetid; sweat offensive, mawkish, sweetish. Keynote No. 5 is tremor. This symptom is so pronounced and universal that it renders Merc. the best general remedy in paralysis agitans. There is tremor of head, of hands, of tongue. Tremors commencing in the fingers. It is the tremor of weakness and paralysis; and as described by B. Cooper it may attack the heart and cause sudden death on the smallest effort. Short of this there is great tendency to fainting; extreme exhaustion after a stool. The tremors may become jerkings and even convulsions. Extreme restlessness. The mind is as weak and tremulous as the body; everything is done hastily. Hurried and rapid talking. On the other hand: slow in answering questions; loss of memory; of will power. Embarrassment. Absent-minded. Imbecility. Time seems to pass slowly. Desire to flee. Homesick. Suicidal. Murderous. Merc. is Hahnemann's typical antisyphilitic remedy, as Sul. is the typical antipsoric, and Thuja the typical antisycotic. In selecting Merc. as the remedy for syphilis the old practitioners were so far right, but they did not know how to give it. Merc. so far corresponds to syphilis that many undoubted cases of mercurial poisoning have been diagnosed by experts as syphilis. Bones, glands, and skin are affected. Inflammation leads to induration, induration to ulceration. Merc, corresponds accurately to the true Hunterian chancre. Merc. ulcers have a grey, lardy, ashy, or cheesy base. There are burning or stinging pains in them. Another great feature of Merc., almost constituting a keynote, is the tendency to the formation of pus. In the suppurative stage of small-pox it is specific. Flow of pus, and particularly bloody pus, from any orifice calls for Merc. Pus forms in cavities in abscesses, which burn and sting. Discharges are yellow-green in colour. Gonorrhœa. Fetid ear discharge. Merc. is a great solvent: it dissolves metals out of their ores and it dissolves living tissues, inducing excessive emaciation. Lowly organised tissues as indurations, exostoses, and some tumours are melted first. Œdema and dropsies are absorbed; rheumatic swellings. If the doses of Merc. are large and dropsies disappear rapidly under them, the tissues themselves may disappear also in offensive rapidly decomposing ulcers. The bones soften so that they will bend. Whilst Merc. intensifies the action of the absorbents, it may also paralyse them, hence enlargement of glands, with pricking pains, inflammation, suppuration. Next to syphilis, the liver has been the chief excuse for mercurialism, in the past, and Merc. certainly has a powerful liver action. The liver is congested, enlarged, inflamed, stitches in the liver, sensitiveness in the liver and inability to lie on right side. This "< lying on r. side" is a very characteristic condition of Merc., and when present Merc. should always be considered. Along with the liver the stomach is disordered. Sweets disagree; aversion to meat, wine, brandy, beer, coffee, greasy food, butter. There is the characteristic flabby, coated, teeth-indented tongue, foul breath, and intense thirst. Throat dry and forepart of tongue moist. Merc. is rarely indicated when the tongue is dry. Sliminess is a general characteristic. Slimy stools; stools acrid, knotty, containing pus, viscid. Just before stool a sick, painful, faint feeling comes on. During stool there is tenesmus, or tenesmus and no stool. Dysentery with much straining; never-get-done feeling when there is no more to come. Diarrhœa with slime. "Merc. is rarely indicated in these troubles where there is no slime" (Guernsey). Merc. affects profoundly the generative organs of both sexes. It has stinging, cutting pains in ovaries; cutting pains from l. to r. in lower abdomen. "Stinging" is very frequent in mercurial pains, and "stinging pain in ovaries is just as likely to need Merc. as Apis" (Kent). Almost all kinds of eruptions are produced by Merc. Scurfy, syphilitic, pustular, moist, oozing, offensive eczema. Shingles. Small-pox. They are all < by warmth and at night and < by cold. In olden times it was recognised that a patient under a "course" of Mercury must be very careful not to catch cold. This gives one indication for Merc. in abnormal tendency to catch cold. But for this condition it must not be too frequently repeated, as it will aggravate it. The patient needing Merc. is sensitive to every draught and yet < by warmth the nasal secretion is acrid, and the nose red and excoriated; dirty-nosed children" (Guernsey). Old catarrhal smell in the nose inside nostrils smarting and burning. Aching, tearing, and out-pressing in the bones. "Kali iod. is better for the same bursting in the face, running coryza, and < from heat and warmth of the bed" (Kent). [I find that a much larger percentage of cases of acute cold come under the indications of Cepa and Chlorum than under those of Merc. or any other related remedy. In chronic colds I think first of Psor.] The eyes are very markedly influenced by Merc.; also the bones round the eye: "Whenever cold settles in the eye in gouty and rheumatic patients" (Kent). Every degree and kind of inflammation and ulceration is produced by Merc. and its salts. J. J. Hirsch, of Prague (H. R., vii. 220), relates some striking experiences with a preparation of Merc. viv. which he learned from an old allopath. Quicksilver is boiled in water for half an hour, two teaspoonfuls being given every two hours. Hirsch's cases were those of acute inflammation of the brain, in which Bell. was indicated, and in one of which Merc. (in the ordinary homœopathic preparation) had already been administered in vain. This is the case: A black-haired girl, 9, had malignant scarlatina, which commenced six days before Hirsch (who came as consultant) saw the case, signs of brain inflammation having set in on the third day. Hirsch found her unconscious, sharply defined redness of cheeks, pulse 120, hot skin. Piercing screams were emitted from time to time; boring head in pillows; chewing motion of jaws; gnashing teeth. Lips brown and dry; not much thirst; water not accepted readily; but milk seemed to be relished. Reddened patches here and there, especially along neck. Under the "decoction," which was given to the girl on Hirsch's suggestion, she slowly but steadily improved, and in a week was convalescent.─Among the Sensations of Merc. are: Vibration in forehead. Head as if in a vice; as if growing larger. As of sparks being emitted from eyes; as of a body underneath lids; as if feathers came from corners of eyes. As if a wedge driven in ear; as if ice in it; as if cold water running out of it. Cracklings in head as from metal plates. As if weight on forehead; as if weight hanging on to nose. As if teeth were loose; were fixed in a mass of pap. As if hot vapours rising into throat; of worm rising into throat, must swallow it down; of apple core sticking in throat. As if mammæ would ulcerate. As if everything in chest was dry.─Stabbing pains and stitches, burning, boring, digging, stinging, and dragging pains. Soreness and sensitiveness. Itching; voluptuous itching. Merc. is more particularly suited to: Light-haired persons with lax skin and muscle; women and children. Scrofulous children. (Merc. has relation to psora and sycosis as well as syphilis.) The symptoms are < by touch or pressure. < At night; before falling asleep. < Blowing nose. < During a catarrh. < From cold air. < From taking cold. < From lamplight; firelight. < During perspiration; on getting warm in bed. < Before stool. < During urination and after. < Lying on right side. < Motion; walking; slightest exertion. < Evening. Rest >. Coitus >. Weeping >. < Touching anything cold (= pain in abdomen). < Bending forward (digestion immediately disordered). < After eating (if he eats ever so little it causes a dragging down in stomach).
Relations.─It antidotes: Bad effects of sugar; stings of insects; ailments from Arsenic or Copper vapours, Aur., Ant. t, Lach., Bell., Op., Phyt., Val., Chi., Dulc., Mez., Thuj. It is antidoted by: Aur. (suicidal mania; caries of bones, especially of patella and nose); Hep. (mental symptoms-anxiety, distress, suicidal and even homicidal mood-bone pains, sore mouth, ulcers, and gastric symptoms); Nit. ac. (periostitis, bones and fibrous tissues; bone pains < at night; aching in shins in damp weather; ulcers in throat, especially of secondary syphilis); Chi. (chronic ptyalism); Dulc. (ptyalism < by every damp change); K. iod. (syphilis and mercurialism, combined, bones, periosteum, glands; ozæna; thin, watery discharge, upper lip sore and raw; repeated catarrhs after Mercury, every little exposure to damp or wet air = coryza; eyes hot, watery, swollen; neuralgic pains in one or both cheeks; nose stuffed and swollen and at same time profuse watery, scalding coryza; sore throat < every fresh exposure); Kali mur. (scorbutus, fetor); Asaf. (bone affections.─Asaf. is distinguished by extreme sensitiveness of diseased parts; extreme soreness of bones round eye); Staph. (depressed system; wasted, sallow, dark rings round eyes, spongy gums, ulcers on tongue); Iod. (glands); Mez. (nervous system; neuralgia in face, eyes, anywhere); Bell., Caps., Carb. v., Fer., Guaiac., Stilling., Sul., Thuj "all symptoms agreeing, Merc., high" (Guernsey). Incompatible: Sil. (Merc. and Sil. should never be given immediately before or after each other). Compatible after: Aco., Bell., Hep., Lach., Sul. Before: Ars., Asaf., Bell., Calc., Chi., Lyc., Nit. ac., Pho., Pul., Rhus, Sep., Sul. Compare: Bell. (very close analogue, often complementary; commencing abscess; difficult swallowing fluids; sharp pain through tonsils; pains come suddenly); Hep. (chilliness; something sticking in fauces); Meny. (coldness in ears); Puls. (thick yellow nasal discharge─but that of Puls. is always bland; otitis); Nux (coryza and sore throat─Nux has scraped feeling; Merc. is always smarting, raw, or sore.─Dysentery: with Nux tenesmus ceases after stool; with Merc. not, there is the never-get-done feeling); Aco. (dysentery of hot days and cold nights; often precedes Merc., and Sul. follows in like conditions); Lept. (bilious troubles, horribly offensive stools─the griping of Lept. continues after stool but not tenesmus); Dig. (gonorrhœa); Euphr. (eyes); Ars. (Merc. < by heat of, but > by rest in bed─Ars. > by heat of, but < by rest in bed); Sul. (itch, pustulous, eczematous eruptions); Spo. (orchitis); Pho. (profuse sweat without >); Ant. c. (dirty tongue; inflammation of eyes < glare of fire or sunshine); Arg. n. (eyes); Kali i. (stitching pains through lungs; Merc. right or left and shooting in different directions; Kal i., from sternum to back < from any motion); Borax (sore mouth); Coloc. (dysentery─Col. > after stool, Merc. <); Chel. (bilious pneumonia); Cham. (diarrhœa; dentition); Caust. (gonorrhœa); Mag. m. (liver pains < touch, < lying right side); Plumb. and Chi. s. (testes); Syph. (syphilis; < heat of stove or bed; < night): Lyc. (hepatitis; tenderness; right to left, wash-leather tongue; sinking immediately after meals); Sul., Puls., and Cham. (< in bed at night); Nit. ac. (dark persons; Merc. fair); Crocus (nose-bleed in tough strings); Sang. (tongue as if burnt); Bry. (wash-leather tongue; < motion; stone in stomach); Apis (stinging pain; fetid breath; ovarian affections); Sabal. (stinging pains in ovaries); Dolichos (itching of gums; jaundice); Magnt. aust. (ulceration of nails); Psor. and Medorrh. (foul body smell); Arn. (foul breath); Mez. (decay of teeth─Merc. of crowns; Mez. of roots); Led. and Sars. (bloody seminal emissions); Sul. (pruritus vulvæ < night, < from contact with urine, which must be washed off); Lac c. and Con. (breasts painful, as if would ulcerate at every menstrual period); Chel. and Kal. c. (affect lower lobe right lung; stitches through to back); Kal. c. (suppuration of lungs after pneumonic hæmorrhages); Pic. ac. (boils in auditory meatus); Teucr. and Thuj. (polypi); Can. i. (time passes slowly); Dulc. (sensitive to cold and damp; cold settles in the eyes; furfuraceous eruptions); Graph. (coryza during menses; Mag. c. coryza and sore throat before and at menses; Merc., dull pain on forehead, with coldness, especially in women, with coryza < before or at menses).
Causation.─Fright. Suppressed gonorrhœa. Suppressed foot-sweat.
1. Mind.─Great anguish, restlessness (is constantly changing from place to place), and agitation, with fear of losing the reason, or with excessive internal torment, principally in evening, or in bed at night, as if conscious of having committed some crime.─(Post-partum mania; wants to throw child on fire.).─Inclined to sopor, coma.─Moral dejection, with great listlessness, discouragement, dread of labour, and disgust to life.─Great indifference to everything.─Does not even care to eat.─Apprehensions.─Desire to flee with nightly anxiety and apprehensions.─Ill-humour, disposition to be angry, and to fly into a passion, great susceptibility, humour quarrelsome, mistrustful, and suspicious.─Moroseness and repugnance to conversation.─Groans.─Continuous moaning and groaning.─Excitement, and great moral irritability, with a tendency to be easily frightened.─Bad effects from fright, leaving one in a state of great anxiety and < at night.─Home-sickness with nightly anxiety and perspiration.─Distraction, inadvertence, difficulty of conception.─Entire-unfitness for meditation, and tendency to make mistakes while speaking.─Answers questions slowly.─Weakness of memory; and will-power lost.─Instability of ideas, which constantly drive away each other.─Raving.─Delirium; mental derangement of drunkards.─Intellect weak; imbecile.─Low muttering delirium.─Fits of mania or dementia, with disposition to shed tears.─Hurried and rapid speech.─Loss of consciousness and of speech.─Fury, with dread of liquids.
2. Head.─Cloudiness, intoxication, and dizziness, principally in morning, on waking, and on getting up.─Vertigo, principally on getting up, or on raising up head, or when seated, or when lying on back (vertigo with headache); as well as during or after a walk in open air, or in evening, and often with nausea, cloudiness of the eyes (everything becomes black before eyes), distressing heat, and want to lie down.─Vertigo as if one were on a swing.─Dull and stupid feeling with dizziness.─Heaviness, fulness, and aching in head, as if forehead were squeezed by a bandage, or as though cranium were on the point of bursting (with fulness of brain).─(In the evening) painful sensibility of brain, with fatigue of head by noise, > by resting head upon the arm.─Compressive headache, the head feels as if it were in a vice, with nausea; < in open air, from sleeping, eating and drinking; > in room.─Violent headache, which forces compression of head between the hands.─From occiput a strong, tearing, continued pain which went into forehead and there pressed.─Heat and burning, or tearing and drawing pains, or shootings in head, often only semi-lateral, and extending to ears, teeth, and neck.─Burning in head, esp. in l. temple, < at night when lying in bed, > on sitting-up.─Inflammation of the brain with burning and pulsation in forehead, with sensation as if head were in a hoop; < at night, > after rising.─Weakness in head like a dulness, as if there was a vibration in forehead and turning about in a circle.─Constant rotary motion of head, even when lying.─Ebullition, boring, and digging shocks, and throbbings in head.─Pain, as from a bruise, in brain, while in bed, in morning.─Nocturnal cephalalgia.─Pains in bones of head, and exostosis in the cranium.─Sutures open; large head; precocious mental development.─Swelling of head; soreness of the scalp; sharp and burning pains in integuments of cranium.─Sensation of subcutaneous ulceration in whole head, < at night when becoming warm in bed; > after rising.─Tearing in one (l.) side of head and temple, extending from neck, with insupportable heat and perspiration, < at night and in heat of bed, > towards morning and while lying quiet.─Tension over forehead as from a tape or hoop, < at night in bed; > after rising and from laying hand on it.─Congestion of blood to head with heat in it.─Hydrocephalus.─Sensation of tension of scalp.─Scalp is painful to touch; < when scratching, which is followed by bleeding.─Tearing and stinging in bones of skull.─Itching on hairy scalp, and forehead and temples; < from scratching, when it bleeds and becomes erysipelatous.─Dry, stinging, burning, fetid eruption like yellow crusts, on forepart of head and temples, when scratching inflammation and erysipelas.─Exostoses, with sensation of subcutaneous ulceration on touching them, < at night in bed.─Open fontanelles with dirty colour of face, restless sleep, and sour-smelling night-sweat.─Falling off of hair; mostly on sides of head and temple; with humid eruptions on head or after clammy perspirations of head; with itching at night in bed; < from scratching; with burning, with great tendency to perspiration.─Great chilliness with contractive tearing pain of the scalp, extending from forehead to neck.─Fetid, sour-smelling, oily perspiration on head, and on icy-cold forehead, with burning in skin: < at night in bed, > after rising.─Dry eruption on head; small scabs in hair, sometimes with burning itching; moist scabs, with excoriation of scalp, and destruction of hair.─Sweat on head and forehead, sometimes cold and viscid.
3. Eyes.─Eyes confused, dull, and surrounded by a livid circle.─Pressure in eyes, as from sand, principally when fixing the attention on any object.─Shootings, itching, tickling and burning in eyes, principally in open air.─Eyes red, inflamed, with redness of conjunctiva or sclerotica, and injection of vessels of sclerotica, or of external canthi.─Profuse lachrymation, principally in evening.─Blear-eyedness.─Amaurotic dimness before l. eye.─Twitching of lids.─Excessive sensitiveness of eyes to light, and to brightness of the fire.─Firelight dazzles eyes greatly.─Eyes inflamed, with swollen inverted tarsi.─Pupils dilated.─Inability to open eyes well, as if agglutinated to balls.─Pustules in conjunctiva, and ulcers in cornea.─Eyelids red, inflamed, swollen, ulcerated on margins, and covered with scabs.─Sensation as if a cutting instrument were under eyelid.─Tumour in eyelid, like a stye.─Nocturnal agglutination of eyelids.─Spasmodic closing of eyelids, with difficulty in opening them.─Scabs round the eyes.─Amblyopia and confused sight, as in looking through a mist (periodical loss of sight); momentary loss of sight; black points, hovering flies, flames and sparks before eyes.─Apparent motion of letters, when reading.
4. Ears.─Tearing, shooting and drawing pains in ears, sometimes with a sensation of coldness, as if there were ice in ear, increased by heat of bed.─As if ice-cold water running out of ears; comes suddenly, lasts a few minutes and recurs; violent itching in ears in intervals.─Ear and auditory tube inflamed, with cramp-like and shooting pains.─Soreness of internal ear.─Meatus swollen with much earache when chewing.─Small ulcers in front of l. membrana tympanis.─Discharge of pus from ear, with ulceration of external ear.─Excoriation and ulceration of the concha auris.─Purulent otorrhœa and fungous excrescences in ear, with tearing in side of head affected, and in face.─Flow of blood from ears.─Discharge of cerumen.─Subcutaneous tumour, and furfuraceous and moist pimples on the lobe.─Hardness of hearing, sometimes with obstruction of ears, which ceases when swallowing or blowing nose (or the obstruction is caused by enlargement of tonsils), or with an extraordinary reverberation of all sorts of sounds in ears.─Tinkling, roaring, ringing, and buzzing in ears, principally in evening.─Obstinate tinnitus.─Painful sensitiveness, and inflammatory swelling of parotids.─Inflammatory swelling of the r. parotid gland with stinging.
5. Nose.─Swelling of the bones of the nose (external nose, as bridge of the nose, may swell up very large on both sides), with painful sensitiveness to touch.─Itching in nose.─Tension, pressure, and sensation of heaviness in nose.─Blackish colour of nose.─Inflammatory swelling and shining redness of nose, with itching.─Scabs in nostrils (bleeding when cleansed).─Discharge of a greenish fetid and corrosive pus from the nostrils.─"Dirty-nosed children.".─Frequent and profuse bleeding from nose, even during sleep, and sometimes when coughing.─Obstruction and dryness of nose.─Frequent sneezing.─Dry coryza, with obstruction in nose, or fluent coryza, with copious discharge of corrosive serum.─Putrid smell from nose.─Painful pustule in nose.
6. Face.─Face, pale or yellowish, or lead-coloured, or earthy (with dull eyes without lustre).─Features discomposed and drawn.─Circle of bluish red round the eyes.─Feverish heat and redness of cheeks.─Bloatedness and swelling of face, principally round eyes.─Swelling of one (r.) side of face with heat and toothache.─Swelling of cheek.─Tearing in bones and muscles (of one side) of face.─Aching and pricking in zygomatic process.─Sensation of tension of skin on face and head.─Sweat on face.─Red and tettery spots on face.─Yellowish scab on face, with discharge of a fetid humour, constant itching day and night, and bleeding of the part after having been scratched.─Crusta lactea.─Lips rough, dry and blackish, with burning when they are touched.─Salt taste on lips.─Swelling and ulceration of lips.─Yellowish scabs, purulent pustules, and small ulcers on the lips and round the chin.─Burning pimples with yellow crusts on lips.─Fissures, rhagades, and ulceration in (lips and) corners of mouth.─Distortion of mouth and convulsive movements of lips.─Masseter muscles contracted so that speech was difficult.─Atrophy and exfoliation of alveolar processes.─Clenching and immobility of jaws, with inflammatory swelling of lower jaw, and tension in muscles of neck.─Lockjaw with stinging pains and engorgement, and inflammatory swelling of submaxillary glands, with shooting or pulsative pains, or without pain.─Caries of jaw.─Facial paralysis from cold, r. or l. side: almost specific (R. T. C.).
7. Teeth.─Tearing, shooting, or pulsative pains in carious teeth, or in roots of teeth, often extending to ears, and over whole cheek of side affected, sometimes also with painful swelling of cheek or of submaxillary glands, salivation, and shivering.─The nightly pulsating toothache extends to ear.─Appearance or aggravation of toothache, principally in evening, or at night, in heat of the bed, where it is insupportable; renewed by fresh air, as well as by eating, and taking anything hot or cold into mouth.─The teeth are set on edge, grow black, loosen (they are painful when touched by tongue), denuded of gum, and fall out.─Itching, burning, and redness of gums.─Gums are fungous, and bleed easily.─Bleeding of gums when touching them ever so little.─Retraction and swelling of gums, principally at night, with burning pain and sensation of excoriation, on touching them, and when eating.─Gums livid, discoloured, and very sensitive.─Upper border of gums looks indented, the indentation being white and ulcerated.─The swollen gums have white, elevated, ulcerated, pointed edges.─Ulceration of gums.
8. Mouth.─[This remedy covers in general, affections of mouth and fauces; r. side of fauces; r. side of neck; nape of neck (i.e., affections appearing in any of the mentioned places); rarely give Merc. if the tongue is dry.─Guernsey].─Putrid smell from the mouth.─Bluish colour, excoriation, and inflammatory swelling of inside of mouth.─Burning pain, vesicles, blisters, aphthæ and ulcers in the mouth.─Stomacace.─Sensation of dryness in mouth and palate, or accumulation of tenacious mucus.─Ulceration of orifice of salivary duct, and profuse discharge of excessively fetid saliva, which is sometimes bloody (or tenacious).─Tongue moist, coated with white and thick, or dry, brown, or blackish mucus.─(Excoriated patches like islands on tongue in children, with craving for fat, v.).─Hardness, inflammatory swelling (suppuration), and ulceration of tongue, with shooting pains.─Longitudinal furrow on tongue with pricking pains.─Needle pricks in tip of tongue.─Tongue swollen, soft flabby, the edges become indented by the impression of teeth.─Tongue red and swollen; ulcerated; black, with red edges; moist with intense thirst; grey patches on edges, dirty-yellow coat on upper surface.─Aphthæ in the mouth; bluish and spongy; ulcers spread without penetrating the flesh.─Inflammation and superficial ulceration of the mucous membranes of mouth.─Salivary glands swollen and painful; saliva fœtid or tastes coppery.─Rigidity, insensibility, and immobility of tongue.─Sensation in tongue as if burnt.─Quivering of tongue.─Rapid and stammering speech; entire loss of speech.─Loss of speech and voice; she hears everything well, but can only reply by signs and grimaces; sunken features, weeping about her condition; cannot sleep, feels very exhausted; good appetite, thirst for beer; fæces and urine passed easily; lasted three days; (almost complete relief by Hyo.).─Ranula.─Ulceration and caries of palate.
9. Throat.─Continuous painful dryness of throat; the mouth being full of water.─Painful dryness of throat, which impedes speech.─Pain, as from excoriation and smarting in throat, or sensation of heat, which ascends into gullet.─Shooting pains in throat and in tonsils, principally when swallowing.─Elongation and swelling of uvula.─Suppuration of tonsils.─Pressure and pains as from excoriation and ulceration, in œsophagus.─Syphilitic ulcers in mouth and throat.─Inflammatory swelling and redness of back parts of mouth and throat.─Erysipelatous inflammation of all soft parts of mouth and throat.─Inflammation and redness of palate.─Angina esp. with stinging pains < by empty deglutition at night and in cold air.─Throat and fauces of a coppery red colour and swollen.─Accumulation of thick and tenacious mucus in throat.─Sensation as if there were a tumour, or some foreign body in throat, which it is necessary to swallow.─Constant want to swallow.─Sensation as if a worm rose up so that he must always swallow, whereby it goes off somewhat though he does not feel anything go down.─When swallowing shooting in tonsils, stitches into ears.─Painful, difficult, and sometimes spasmodic deglutition, with danger of suffocation.─Burning in throat as if from a hot vapour ascending from stomach, with dryness in throat when swallowing, and continuous desire to swallow, with accumulation of water in mouth.─Inability to swallow the least liquid, which escapes through nostrils.─The pains in throat commonly extend to ears, parotids, submaxillary, and cervical glands; they are < for the most part by empty deglutition, as well as at night, in fresh air, and when speaking, and they are often accompanied by salivation.
10. Appetite.─Putrid, salt, sweetish, or metallic taste.─Bitter taste, principally when fasting, in morning.─Rye-bread has a bitter or sweetish taste.─Acid and mucous taste during a meal, also at other times.─Saltish taste on lips.─Violent burning thirst, day and night, with desire for cold drinks, and principally for milk and beer.─Desire for wine and spirits.─Insatiable appetite and craving (or complete loss of appetite), with apparent insipidity of food.─Appetite only for bread and butter; aversion to butter.─Bulimy, with great weakness.─Canine hunger, even after eating.─Want of appetite.─No wish for food, which, however, is agreeable to the taste when eaten.─Thirst more decided than appetite.─Speedy satiety when eating.─Stomach feels replete and constricted.─Dislike to all food, principally solid nutriment, meat, sweetmeats, cooked victuals and coffee.─Has no appetite for dry food, likes liquid food.─Great weakness of digestion, with continued hunger, and pressure in stomach, frequent risings, pyrosis and many other inconveniences after a meal.─Bread is heavy on stomach.
11. Stomach.─Excessive nausea and inclination to vomit, often with incisive and pressive pains in stomach, chest, and abdomen, anxiety and inquietude, headache, vertigo, cloudiness of eyes, and transient heat.─The nausea often increases after a meal, and is accompanied by a sensation in throat, as if things sweetened with sugar had been eaten.─Rising of air.─Risings, principally after eating, and often of a putrid or bitter or sour and rancid taste.─Violent empty risings.─Regurgitation (of ingesta) after eating and drinking.─Pyrosis, regurgitation of a rancid liquid, and hiccough during and after a meal.─Retching and vomiting of mucous or bitter matters, or of bile.─Violent vomiting with convulsive movements.─Burning, violent pain, and excessive sensibility (esp. to touch) in the stomach, and in the precordial region.─Tension, fulness, and pressure as from a stone in pit of stomach, principally during or after a meal, however little may have been eaten; stomach hangs down heavily.─Sharp constrictive pain in precordial region.─Cramp-like pains in stomach, even after a very light repast.
12. Abdomen.─Painful sensitiveness of hepatic region, with shooting, burning pains, < by every movement of body, or of the parts affected.─Region of liver swollen, painfully sensitive to contact; cannot lie on r. side.─Chronic atrophy of liver, with emaciation and dessication of the body.─Swelling and hardness of liver.─Complete icterus.─Abdomen hard and inflated, with soreness when touched, principally in umbilical region.─Colic which only passes off in a recumbent position.─Violent colic (with diarrhœa), with cuttings, lancinations as if by knives, painful contractions and pinchings in abdomen, principally at night or in cool of evening, esp. when he touches or takes hold of anything cold.─Tension, distension, and pressure, as by a stone, principally in umbilical region (and painfulness to contact).─Burning in abdomen, round the navel.─Excessive and insupportable pains in abdomen, which cease only on lying down.─Pain in abdomen, as if caused by a chill.─Sensation as if intestines were loose, and moving about in abdomen, when walking.─Intestines feel bruised if he lies on r. side.─The pains in abdomen are often accompanied by shivering, or by heat and redness of cheeks, as well as by great sensitiveness of abdomen, and of precordial region, to all contact, and to least pressure.─Sensation of emptiness in the abdomen.─Sufferings from flatulency, principally at night, with distension of abdomen, borborygmi, and rumbling.─Cutting stitch in lower abdomen r. to l.; < walking.─Tension, aching, and lancinations in groins as by knives.─Inflammation of peritoneum and of intestines.─Boring pain in r. groin.─Obstruction and inflammatory swelling of inguinal glands, with redness and painful sensitiveness, when walking and standing.─Affections of inner region of liver; external belly, which may be hard and sensitive to touch; inguinal ring, either one (H. N. G.).─Painful hard, hot, sensitive swelling in ileo cæcal region.─Ulceration and suppuration of inguinal glands.─Buboes.─Abdomen externally cold to touch.
13. Stool and Anus.─Stool: acrid; bloody; knotty; containing pus; viscid.─Complaints before stool (a sick, painful, faint feeling comes on just before).─Complaints during stool; tenesmus; tenesmus without stool; diarrhœa with slime (Merc. is rarely indicated in these troubles where there is no slime.─H. N. G.).─Constipation, with hard, tenacious and knotty fæces, which cannot be expelled without straining.─Fæces of small shape; ribbon-like.─Ineffectual, but frequent want to evacuate, esp. at night, and sometimes with tenesmus, protrusion of hæmorrhoids, and nausea.─Loose and dysenteric evacuations, principally at night, with colic and violent cuttings, urgent want to evacuate, tenesmus and burning in anus, pyrosis, nausea and risings, anguish, heat or cold sweat on face, shivering and shuddering, exhaustion and trembling of all limbs.─Diarrhœa (preceded by colic), caused by the fresh air of evening.─Chilliness between the diarrhœic stools.─During a diarrhœic stool nausea and eructations.─Scanty evacuations of sanguineous mucus.─Evacuations which are mucous, or bilious, or putrid, or acid, or of a greenish or brownish colour, or reddish, or yellow, like sulphur; or a greyish-white.─Fæces of consistence of pap, or frothy, or like hash.─Evacuation of corrosive and burning fæcal matter.─Discharges of bloody mucus accompanied by colic and tenesmus; dysentery.─Discharge of blood, or of mucus, from rectum, even with evacuations that are not loose, and when not at stool, sometimes with tenesmus in anus.─Protrusion of hæmorrhoids.─Ejection of ascarides and lumbrici.─Itching, shootings, and excoriation in anus.─After stool prolapsus ani; or when pressing and straining to stool.─Prolapsus recti, which, when it protrudes, appears black and bloody.─Evacuation of substances undigested, or black, and like pitch; blood and mucus, undigested, smelling sour, excoriating anus.
14. Urinary Organs.─Urine acrid; turbid; too frequent; complaints while passing, and after.─Affections of urethra.─Continued want to urinate, day and night, sometimes with abortive efforts, or with scanty emission.─The stream of urine is excessively small.─Irresistible, sudden desire to urinate.─Frequent and copious emission of urine, as in diabetes, with great emaciation.─Involuntary emission of urine.─Urgent want to urinate, with incontinence of urine.─The quantity of urine emitted is greater than the quantity of fluid drunk.─Wetting the bed at night.─Emission of urine drop by drop.─Urine of a deep colour, or red, or brown, or white, as if mixed with flour or chalk, or of the colour of blood.─Offensive, turbid urine, which forms a sediment.─Sanguineous, pungent, or sour-smelling urine.─Corrosive and burning urine.─Thick sediment from urine.─White and flock-like clouds in urine (or as if containing pus; scanty, fiery red).─Emission of hard mucus, or of flocks, and white threads during or after the emission of urine.─Discharge of blood from urethra.─Incisive and contractive pains in renal region, at night.─Pulsation, incisive pains, burning and shooting in urethra, even when not urinating.─Inflammation of orifice of urethra, and discharge of thick, yellowish, or serous, whitish matter.─Thick greenish (or yellow) discharge from urethra, more at night, (gonorrhœa) with phimosis; chancroids.
15. Male Sexual Organs.─Increase of sexual desire, and great lasciviousness, with frequent erections and pollutions.─[Erections: little boys may have this, lasting all night, causing emaciation; boys often pull and tear at the prepuce all the time, which may cause great emaciation, and result in death; adults often have this pulling, a kind of itching being the cause, and a feeling as if he "must do so"; collection of smegma behind glans.─H. N. G.].─Total loss of sexual power.─Painful nocturnal erections, and sometimes sanguineous pollutions.─The penis is small, cold, and flabby.─Glans cold and shrivelled.─Voluptuous itching, tingling, tearing, and shooting in glans and prepuce.─Puffing, or inflammatory swelling of prepuce, sometimes with burning pain, fissures, rhagades, and eruptions.─Burning in urethra during coitus.─Purulent secretion between prepuce and glans, sometimes with swelling, heat, and redness of front part of penis.─Swelling of the lymphatic vessels along the penis.─Vesicles and phagedænic ulcers (chancres) with lard-like, or cheesy, bases, and raised margin, on glans and prepuce.─Sensation of coldness in testes.─Testes, hard and swollen, with shining redness of scrotum, and dragging pain in testes and spermatic cords.─Itching, tingling, and shooting in testes.─Profuse perspiration of parts when walking.─Excoriation between the parts and thighs.─Sloughing of scrotum.
16. Female Sexual Organs.─Suppression of catamenia.─Catamenia too copious, with uneasiness and colic.─Metrorrhagia.─Discharge of blood in an old woman, eleven years after menses had ceased.─Before catamenia: dry heat, with ebullition of blood, and congestion in head.─Congestion of blood to uterus.─Inflammation of ovaries and uterus.─During catamenia: redness of tongue, with deep-coloured and burning spots, salt taste in mouth, teeth set on edge, and gums blanched.─Leucorrhœa in general; complaints concomitant to leucorrhœa.─Leucorrhœa always < at night; greenish discharge; smarting, corroding, itching, burning after scratching.─Purulent, corrosive leucorrhœa, with itching in the parts, > by washing in cold water.─Hard tubercles on labia majora.─Itching pimples, and nodosities in labia.─Itching of genitals, < from contact of urine.─Inflammatory swelling in vagina, with a sensation as if it were raw and excoriated.─Swelling of labia, with heat, hardness, shining redness, great sensitiveness to touch, and burning, pulsative, and shooting pains.─Prolapsus uteri et vaginæ; feels > after coitus.─Sterility with too profuse menstruation.─Easy coitus and certain conception.─Hard swelling in breasts, with pain as from ulceration (at every menstrual period), or with suppuration and actual ulceration; ulcerated nipples.─Milk in breasts instead of menses; in breasts of boys or girls.─Excoriation of breasts.─The infant rejects the milk.
17. Respiratory Organs.─Catarrh, with febrile shivering, hypochondriacal humour, dislike to all food, and constipation.─Catarrh with cough, hoarseness, fluent coryza and sore throat.─Continual hoarseness and loss of voice.─Nasal voice.─Burning and tickling in the larynx with hoarseness.─Dry cough, sometimes fatiguing and shaking, principally in bed, in evening, or at night, also during sleep, and on waking in morning, excited by a tickling, or a sensation of dryness in chest, and < by speaking.─Cough, as if caused by irritation in stomach.─Convulsive cough, with retching.─Spasmodic cough (whooping-cough); two paroxysms follow one another rapidly, from tickling in larynx and upper part of chest, at night, without cough during day, with expectoration of acrid yellowish mucus, which is sometimes mixed with coagulated blood, tasting putrid or salty.─Cough < in night air, at night and when lying on l. side.─Dyspnœa (sensation of spasmodic contraction when coughing or sneezing).─Pains in head and chest when coughing, as if these parts were about to burst; or shootings in occiput; or pain as from excoriation in chest, and pain in loins.─Inclination to vomit and fits of choking, when coughing.─Cough with expectoration of pure blood.─Bloody sputa in tuberculosis.─Hoarse cough, with sensation of dryness and shootings in throat.
18. Chest.─Difficult respiration, as from want of breath, or short and loud respiration.─Breath having a bad smell.─Shortness of breath when going upstairs and when walking quickly.─Anxious oppression of chest, and difficulty of respiration, with want to take a deep inspiration, chiefly after a meal, or with attacks of suffocation at night, or in evening in bed, when lying down (on l. side).─Sensation of dryness in chest.─Want of breath, with squeezing and tension in chest, and sensation, on least movement, or attempt to speak, as if life were coming to an end.─Sharp pains, and sensation as if muscles of chest were bruised.─Aching in chest, sometimes penetrating to back, with inability to take a full inspiration.─Burning in chest, sometimes extending to throat.─Soreness and burning in chest.─Lancinations (as if caused by knives) in chest and sides, or as far as the back, principally when breathing, sneezing, and coughing.─Stitches in r. chest through from scapula; inflammation of lungs.─Sensation as of a contraction and of swelling, and pain as from excoriation and ulceration, in chest.─Suppuration of lungs after hæmorrhages, or after pneumonia.─Emphysema of lungs.
19. Heart.─Palpitation of heart; on slightest exertion.─Fainting.─Fatal syncope.
20. Neck and Back.─Burning and drawing pain in back and in nape of neck.─Indurated lymphatics.─Rigidity and rheumatic swelling of nape of neck, and of neck.─Shootings in muscles of neck.─Engorgement and inflammatory swelling of glands of neck, with shooting and pressive pains.─Shooting pains, instability, and weakness in loins.─Pain as from a bruise in sacrum, back, and shoulder-blades.─Erysipelatous inflammation extending from back like a girdle around abdomen (zona).
22. Upper Limbs.─Sharp (rheumatic) pains in shoulders and arms, principally at night, and when moving them.─Jerking in arms and fingers.─Hot and red (arthritic) swelling of elbow, as far as hand.─Itching miliary eruption on arms.─Furfuraceous and burning tetters on forearms and on wrist.─Tremor of hands, with weakness; could neither feed nor dress himself.─Cracking, weakness, and sensation of paralysis in hand.─Sweat on palms.─Eruption like moist itch on hands, with violent nightly itching.─Cramp-like contraction of hands and fingers.─Swelling of joints of fingers.─Deep and bleeding fissures and rhagades in hands and fingers.─Cramp-like pains, and tendency to become stiff in hands when using them.─Swelling of wrist, with pain on touching or moving it.─Rigidity of wrists.─Painful stiffness of r. wrist-joint.─Ulceration at the nails.─Exfoliation of fingers (of finger-nails).─Deadness of fingers.
23. Lower Limbs.─Sharp and lancinating (rheumatic) pains in hip-joints, as well as thighs and knees, chiefly at night, and during movement, and often with a sensation of coldness in diseased parts.─Tearing in the hip-joint and knee, < at night, or with pulsating pain, suppuration commencing.─Burning in nates.─Soreness between thighs and genitals.─Burning in periosteum of tibiæ.─Drawing in tibia.─Great weakness, heaviness, and painful weariness in thighs and legs.─Weakness and giving way in knees, could scarcely stand.─Sensation of rigidity, of torpor and cramps in thighs.─Itching pimples on thighs.─Œdematous, transparent swelling, of thighs and legs.─Dropsical swelling of legs.─Tension in hams, as if tendons were too short.─Itching miliary eruption in legs.─Tetters on thighs and legs.─Contraction of legs, and cramps in calves of legs and toes.─Swelling of instep or heels, with sharp or shooting pains.─Wrenching pains in foot.─Coldness and sweat in feet.─Painful swelling of metatarsal bones.─Swelling of toes.─Ulceration at nails.
24. Generalities.─Œdema of face, hands, and feet with anæmia.─Cellulitis with lumpiness in any region.─Periostitis then necrosis.─Tearing and drawing, or shooting pains in limbs, chiefly at night, in heat of bed, which renders the pain insupportable.─Red and shining inflammatory swellings.─Inflammations ending in exudations and suppurations.─Nocturnal pains in bones.─Softening of the bones, so they will bend (rickets); enlargement of; caries of; inflammation of; prickling of; tearing in.─Affections of shoulder-blades; shin-bones; bones of the leg.─Sufferings < at night, or in evening, also from fresh (evening) air.─Throbbings, sensation of dislocation, and arthritic pains in joints, with swelling.─Rheumatic and catarrhal inflammations.─Rheumatic pains, with profuse sweat, which affords no relief.─The patient feels much better in morning and during repose, and esp. when lying down than when seated or walking.─Whole body feels as if bruised, with soreness in all bones.─Great agitation in limbs, with pains in joints, principally in evening.─Great fatigue, weakness, and rapid loss of strength, with great uneasiness of body and mind.─Ebullition of blood, and frequent trembling, even after least exertion.─Sanguineous congestions (to head, chest, and abdomen) and hæmorrhages.─Great tendency of limbs to become numb.─Contractions of some parts.─Cramps, convulsive movements, and nocturnal attacks of epilepsy, with cries, rigidity of body, distension of abdomen, itching in nose, and thirst.─Sensation of coldness in outer parts; burning pain of inner parts; cutting in inner parts; darting pains in outer parts; darting in bones.─Sallow-coloured face.─Eructations; vomiting of bile.─Blackness of outer parts; bleeding from inner parts; restlessness of body; inflammation of inner parts, also of mucous membranes; secretion of mucus increased from any of mucous membranes.─Scurvy, particularly where there is much salivation; wasting away of soft parts; strictures after inflammation; inflammatory swellings, parts which are usually white turn red; zona or shingles.─Tonic spasms and tetanus.─Cataleptic rigidity of body.─Fainting fits.─Paralysis of several of limbs.─Emaciation and atrophy of whole body.─Excitability and sensitiveness of all the organs.─Cannot lie on r. side.
25. Skin.─Yellow colour of the skin, with perspiration which imparts a yellow colour to linen.─Skin dirty yellow, rough and dry.─(Jaundice.).─Engorgement, inflammation, and ulceration of the glands, with pulsative and shooting pains, hard swelling, red and shining, or without any perceptible alteration in skin.─Miliary, urticarial, pimpled, or pustular and purulent eruptions.─Exanthema burning; pock-shaped (hence, think of this remedy in small-pox); of scarlet colour; with swelling; purulent exanthema, i.e., ulcerating; ecchymoses appear, of black and blue spots, without receiving any external injury.─Erysipelas.─Spacelus; brown mortification.─Tetters in general; burning suppurating.─Ulcers in general; with burning on edges; hard on edges with bloody pus; with corroding pus; with ichorous pus; having too little pus; too thin pus; thin, tenacious, sticky pus; swollen, inflamed; looking like lard; prickling; pulsating; painful on the edges; swollen on edges.─Flat, painless ulcers, pate, covered with phlegm-like pus; on scalp, skin of penis, &c.─Primary and secondary syphilis; round coppery red spots shining through skin.─Itching pimples, which burn after being scratched.─Eruptions which resemble scabies, and which bleed readily.─Wounds ulcerate easily (and become gangrened).─Erysipelatous inflammations.─Spots red and raised, or maculæ hepaticæ, or which resemble scorbutic spots.─Small and very itchy pimples, which ulcerate, and become encrusted.─Tettery, excoriated, and oozing spots, or dry, itching, and mealy tetters.─Desquamation of skin.─Phagedenic ulcers, or bluish, fungous, and easily bleeding, or superficial, and appearing as if bitten by insects, or secreting an ichorous and corrosive pus.─Chancrous ulcers.─Violent and voluptuous itching over whole body, principally in evening, or at night, < by heat of bed, and sometimes attended by burning after scratching.─Thickening of periosteum; exostosis and caries; abscess in joints; great brittleness of bones.
26. Sleep.─Excessive sleepiness, day and night; deep and prolonged sleep.─Great sleepiness during day.─Inclination to sleep without the power to do so.─Sleep retarded in evening, and too early awakening in morning.─Failing asleep late; complaints preventing sleep (as toothache, or any severe pain or trouble, &c.); sleeplessness in general before midnight.─Very light and unquiet sleep, with frequent awaking, starts, and fright.─Sleeplessness from nervous excitability.─Frequent, anxious, horrible, fantastic, historical, vivid and voluptuous dreams; dreams of robbers, of dogs that bite, of rebellion, of floods, of discharges of firearms, &c.─At night, restlessness, anxiety, agitation and tossing, uneasiness, pains, heat or sweat, ebullition of blood, cries, tears, palpitation of the heart, vertigo, and many other affections.─On going to sleep: < of the pains, starts, and frightful spectres before the sight.─During sleep: talking, groans, sighs, short respiration, with mouth open and hands cold; on waking, sweat, cries, tears, and incoherent expressions.
27. Fever.─Chilliness early in morning, when rising, but more so in evening after lying down, as if cold water had been thrown over him, and not > by heat of stove.─Chilliness at night with frequent micturition.─Chilliness between the diarrhœic stools.─Internal chilliness with heat of face.─Heat while in bed; as soon as one rises chilliness.─Heat after midnight with violent thirst for cold drinks.─Heat with anxiety and constriction of chest alternating with chilliness.─Perspiration towards morning, with thirst and palpitation of heart; from least exertion even when eating.─Perspiration in evening before going to sleep.─Very debilitating night-sweats.─Perspiration gives no relief, and accompanies all ailments.─Intermittent fever.─Chilliness in evening in bed, afterwards heat with violent thirst.─Chilliness and heat without thirst, towards morning thirst; during perspiration, palpitation of heart and nausea, the perspiration smells sour or fetid.─Coldness, shivering, and shuddering over whole body, principally after having slept, either by day and night, or only at night, or in evening, and in morning in bed, and sometimes with bluish colour of skin, icy coldness in hands and feet, muscular palpitations, convulsive movements of head, arms, and legs, contusive pain in limbs, and inclination to lie down, trembling in limbs, sharp pains in head, want to urinate, somnolence, &c.─Ebullitions with trembling from slight exertion.─Heat in face and head, with redness and burning of cheeks, and coldness, or shivering, or shuddering over whole body; or heat, mingled with shiverings or sweats.─During the heat, insatiable thirst, great desire for milk, and < of pains when uncovered.─Febrile attacks at night, or in evening; fever, with inflammatory symptoms, or with putridity; slow and hectic fever.─Pulse, irregular, or quick, strong, and intermittent, or weak, slow and trembling (generally full and fast, with violent beating in arteries).─Copious, excessive, and colliquative sweats, both day and night, in morning, in evening after lying down, and when eating, and sometimes fetid, clammy, sour, or oily, giving linen a yellow colour, and burning the skin.─Sweat, with nausea and inclination to vomit, great fatigue, thirst, anxiety, obstructed respiration, stitches in side, &c.
Sodium chloride. Common Salt. NaCl. Trituration. Solution.
Clinical.─Addison's disease. Anæmia. Aphthæ. Atrophy. Brain-fag. Catarrh. Chorea. Constipation. Cough. Cracks in the skin. Debility. Depression. Diabetes. Disparunia. Dropsy. Dyspepsia. Epilepsy. Erysipelas. Eyes, affections of. Eye-strain. Face, complexion unhealthy. Gleet. Glossopharyngeal paralysis. Goître. Gonorrhœa. Gout. Headache. Heart, affections of. Hemiopia. Hernia. Herpes. Herpes circinatis. Hiccough. Hodgkin's disease. Hydroa. Hypochondriasis. Intermittent fever. Leucocythæmia. Leucorrhœa. Lips, eruption on. Lungs, œdema of. Menstruation, disorders of. Mouth, inflammation of. Nettlerash. Pediculosis. Ranula. Seborrhœa. Self-abuse. Somnambulism. Speech, embarrassed. Spermatorrhœa. Spinal irritation. Spleen, enlarged. Sterility. Stomatitis. Sunstroke. Taste, lost; disordered. Tongue, blistered; white coated; heavy. Trifacial-nerve paralysis. Ulcers. Varices. Vaginismus. Vertigo. Warts. Whooping-cough. Worms. Yawning.
Characteristics.─If Nat. carb. is the typical salt of the Natrum group (as Kali carb. is of the Kalis), Nat. m. is the most important. In power and range it stands in the first rank of homœopathic remedies, but it has an additional significance, in that it exemplifies the power of attenuation in a remarkable way. The problems involved in Nat. m. may be regarded in a sense as the pons asinorum of homœopathy. Those who are able to grasp in a practical way the homœopathic uses of this remedy are not likely to meet with any insuperable difficulties elsewhere. Those who can see nothing but "common salt" in Nat. m. may conclude that they have not "the root of the matter" in them. It may be inconceivable to some that the attenuations of Nat. m. should act independently, as curative or pathogenetic, at the same time that crude salt is being ingested in quantities; and it may seem that an infinitesimal amount of a substance which is a necessary constituent of our tissues cannot possibly have any action at all; but this problem is constantly before the homœopathist, and if he cannot master it in respect to Nat. m. he need not trouble his brains to try elsewhere. Nat. m. has been extensively proved, both in the lower triturations and in the 30th and higher attenuations, and the latter produced the most marked effects. I have mentioned in the Preface an experience of my own, which I will give here in more detail. For a common cold which had proved troublesome I took eight globules of Nat. m. 200. The next day the cold was not better, but I felt ill, and presently a copious, gushing, watery, light-coloured diarrhœa set in, and persisted for some days, draining all my tissues and reducing my weight by half a stone before I could think of the cause. Then the dose of Nat. m. flashed on my mind, and I at once began to smell at a bottle of Sweet Nitre, the antidote. The diarrhœa and all other symptoms vanished in a way I have never forgotten; and the lesson was well worth all the suffering I had undergone. My weight came back as rapidly as it had disappeared. In Nat. m. is illustrated the antidotal action of a substance of high attenuation over the effect of a lower. A large number of people are steadily poisoning themselves by taking excessive quantities of salt with their food; and it is generally useful to ask patients if they are fond of salt. Without restricting the amount of salt taken, Nat. m. 30 will antidote most of the effects of the crude, and enable the patient to cut down the quantity taken afterwards. But the effect of a high potency can also be antidoted by a higher. A patient to whom I gave Nat. m. 1m developed this new symptom: Aching pain deep in left shoulder and down the arm; < lying on right side; no tenderness. A single dose of Nat. m. c.m. quickly removed it. Nat. m. is one of the remedies adopted by Schüssler from homœopathy. Though arrived at by a different route, his indications are for the most part identical with Hahnemann's, and a recital of them will serve to emphasise some points; and there is no need to accept Schüssler's semi-material theories as an all-sufficient explanation of the remedy's action, for they do not anything like cover the field. Says Schüssler: "The water which is introduced into the digestive canal in drinking or with the food enters into the blood through the epithelial cells of the mucous membrane by means of the common salt contained in these cells and in the blood, for salt has the well-known property of attracting water. Water is intended to moisten all the tissues, i.e., cells. Every cell contains soda. The nascent chlorine which is split off from the Nat. m. of the intercellular fluid combines with this soda. The Nat. m. arising by this combination attracts water. By this means the cell is enlarged and divides up. Only in this way can cells divide so as to form additional cells. If there is no common salt formed in the cells, then the water intended to moisten them remains in the intercellular fluids, and hydræmia results. Such patients have a watery, bloated face; they are tired and sleepy and inclined to weep. They are chilly, suffer from cold extremities, and have a sensation of cold along the spine. At the same time they have a strong desire for common salt. (The cells deficient in salt cry for salt.) The common salt, of which they consume comparatively large quantities, does not heal their disease, because the cells can only receive the common salt in very attenuated solutions. The redundant common salt present in the intercellular fluid may in such cases cause the patients to have a salty taste in their mouth, and the pathological secretions of the mucous membranes, as also of excoriations of the skin, may be corrosive (salt-rheum)." Disturbances in the distribution of salt in the cells cause: Lachrymation; salivation; toothache with salivation; watery diarrhœa; mucous diarrhœa; lack of mucus; catarrh of stomach with vomiting of mucus; water-brash; vesicles clear as water on skin or conjunctiva; constipation.─Thus far Schüssler. But whilst using his theory as a useful means of stringing many characteristics of Nat. m. together, it is necessary to free oneself from them entirely in order to see the remedy in all its range of action. A complete view of the symptom picture can alone give that. In old-school practice Nat. m. is used chiefly in solution as a douche or spray in nasal and other catarrhs, and in the mixture of "Brandy and Salt," in which large quantities of salt are given for pulmonary hæmorrhages. The relation to catarrh, which Schüssler brings out, is specific. Excessively fluent coryza, with much sneezing; sore nose, especially the left wing; cold sores on lips and nose; loss of smell and taste, are indications which I have verified repeatedly in acute colds and the tendency to them. With the coryza there is copious lachrymation; and whether or not Schüssler is right on the chemistry of the process, Nat. m. is indicated by tears. ("Flow of tears with cough" is Burnett's keynote of Nat. m. in whooping-cough, H. W., xviii. 179.) The characteristic of the tearful Nat. m. patient is that she (or he) wants to be alone; any attempt to console irritates beyond endurance. "Wants to be alone to cry." "Very much inclined to weep and be excited." There are even tears with laughter. For in addition to the sadness there is hysterical laughter; laughs till she weeps at things not at all ludicrous. The excitement of Nat. m. is always followed by melancholy. The hypochondriasis and hysteria of Nat. m. generally go pari passu in the degree of constipation; and Nat. m. is one of the most commonly needed remedies in that complaint. The most characteristic symptom in this connection is a sensation of "contraction of the rectum during stool; hard fæces at first evacuated with the greatest exertion, which causes tearing in anus, bleeding and soreness; afterwards thin stools also passed; constipated every other day." There is also retention of stool; and a feeling after stool as if there were more to pass. Nat. m. answers equally well to constipation and diarrhœa when the collateral symptoms correspond. The constipation is often found associated with anæmia; with chilliness, cold feet and chills down the back; with indigestion such as is met with in victims of masturbation: Nat. m. is one of the most helpful of remedies in such cases. The unclean complexion of earthy line, "dirty face" in spite of any amount of washing, is a still further indication. The skin is greasy from excess of sebaceous secretion. Nat. m. corresponds to affections due to loss of fluids. This recalls China, with which it has a very important antidotal relation. Both correspond to the effects of masturbation, hæmorrhages, and loss of fluids; both are remedies for intermittent fever, and Nat. m. is the chief antidote to the effects of over-dosing with China and Quinine. Another important antidotal relation of Nat. m. is to Arg. n. And here another interesting fact appears-namely, the parallel between chemical and the dynamic action. Salt is the best antidote to poisoning with nitrate of silver, as it changes the soluble nitrate of silver into the insoluble harmless chloride. Nat. m. in the attenuations is also the best remedy for the ill effects of Arg. n. whether used as a cautery or administered as a medicine. Whenever there is a history of cauterisation and Arg. n. has been used, Nat. m. will do great good. Scrofulous ophthalmia which has been treated locally in vain with Arg. n.; sore throats that have been cauterised; the effects local and remote of uterine injections of Arg. n., or cauterisings of the os uteri. W. J. Guernsey (H. P., vii. 127) relates a striking instance of the last. Mrs. P., 32, complained of "lump" in the throat which could not be swallowed, and yet required constant efforts to do so. < On empty swallowing; yet on swallowing food it seemed to pass over a sore spot. Bar. c., Lach., Bell. were given in succession in vain. Remembering the injunction of the Organon, § 207, to inquire as to what allopathic treatment a patient has been subjected to in order to discover if there is anything to correct, Guernsey discovered that the patient had had a severe ulceration of the womb which had been "burnt out" several times and was "now well." She had had a very profuse discharge, but that had stopped, and on the same day she had commenced to "choke" with the throat trouble. Nat. m. 295m (F.) was given. In a few days the throat was better and the discharge had returned, much to the patient's horror. Without further treatment throat and vaginal discharge were both cured. Lambert has recorded (L. H. H. Rep., vii. 144) several cases of headache associated with errors of refraction and consequent eye-strain cured with Nat. m. 30. The headaches were noticed on waking. In one case it was like a cloud over brain with intense depression and had lasted ten years. It disappeared before the vision was corrected. The effect of living too exclusively on salt food in producing scurvy gives a key to the use of Nat. m. in many conditions of blood degeneration, hæmorrhage, and skin disorder and ulceration. In aphthous and ulcerative conditions of the mouth it is a leading remedy. The characteristic tongue of Nat. m. is either a mapped tongue, with red islands; or a clean shining tongue with froth along each side. There are many characteristic symptoms in connection with the tongue: hair sensation; numbness and stiffness of one side; heavy, embarrassing speech. Nat. m. corresponds to children who are late in talking. The tongue is blistered; sticks to roof of mouth. Dryness of mouth and throat. Unquenchable thirst. Nausea. Vomiting. The drying-up property of Nat. m. is general. One very characteristic effect is dryness of vagina, with painful coitus; aversion to coitus (in the female); aversion to men. Menses may be early and profuse; or scanty and delayed. Nat. m. corresponds to many cases of anæmia, and especially to delay in the first appearance of the menses. Much bearing down and much leucorrhœa. Backache generally accompanies these, and the backache has this peculiarity, that it is > by pressure; by lying down with the back on something hard. There is also sensitiveness of the back and spinal irritation. With the menses there is generally headache, both before, during, or after. The headaches of Nat. m. are intermitting. They come on in the morning on first waking up and last throughout the day; or else they come on at 10 or 11 a.m. They are < from mental exertion. Nat. m. is one of the first remedies for headaches of schoolgirls. Headache with partial blindness. Headache much < by coughing. Throbbing; beating as with little hammers; pain as if the head would burst. The throbbing headache has its analogue in palpitation of the heart. Nat. m. is a great heart remedy. Fluttering palpitation with faint feeling, < lying down. In one case of huge hypertrophy with degeneration of most of the valves, the patient told me nothing gave her so much relief as Nat. m. (which I had given for some incidental condition). Very characteristic is sense of coldness at heart or precordia with trembling of heart. Constrictive sensations run throughout this remedy: in heart; chest scalp; throat; rectum; of anus (sensation as if anus were closed) cramps in uterus; vaginismus; contraction of hamstrings. Paralytic symptoms with numbness are the counterpart of these. Nat. m. has the sinking sensation of the antipsorics. Great hunger, with no appetite. Eats heartily but emaciates. Heartburn after eating. Emaciates whilst living well. Ravenous appetite but grows thin, especially about neck. There are some very characteristic desires and aversions: Desires: bitter things; beer; farinaceous foot; sour things; salt; oysters; fish; milk. Aversion to: bread; meat; coffee; tobacco. While eating, sweat on face. Is > when stomach is empty. After eating: empty eructations; nausea; acidity; sleepiness; heartburn; palpitation; epigastric pressure and heat radiating up to chest. Violent hiccough. The nausea and vomiting of Nat. m. have been turned to account in the morning sickness of pregnancy. One patient, who said she could "eat the brine out of a mackerel kit," was cured with a single dose of Nat. m. (Amer. Hom., xxiii. 385). Nat. m. is a great periodic remedy. It not only antidotes Quinine, but it causes intermittents on its own account. Chilliness predominates. Chill 10 to 11 a.m. with thirst, drinks after a meal; fever blisters round mouth. Fever with violent headache; great thirst; nausea; vomiting; blueness; faint; averse to uncover. Fever may come on without chill 10 to 11 a.m. Sweat > headache and other symptoms though it weakens; averse to uncover. There are many eruptions, herpes, hydroa, eczema. Eczema on hair margins, especially at back of head. Warts on palms of hands. Corns. Painful scars. Nat. m. is suited to: Cachectic persons; old people; teething children; anæmic, chlorotic people with catarrhal troubles; tuberculous; scrofulous; dropsical; emaciated persons. Among Peculiar Sensations are: As if head too heavy and would fall forward; as if some displacement in head had taken place; as if cold wind blowing through head; as though forehead would burst on coughing; as if head in a vice; pain like a rope round head drawing tighter and tighter; as if nail driven in left side of head. As if eyeballs too large; as if foreign body in eyes; as if eye being torn open. As if a small worm squirming in nose. Of hair on tongue. Splinter in throat. Plug in throat. As if one had to swallow over a lump. Difficulty of talking, as if organs of speech weak. As if foreign body sticking in cardiac orifice behind sternum. When walking, as if abdominal viscera loose, dragging. As if rough, hard, foreign substance in rectum. As if there was a string between uterus and sacrum in hind part of fornix. Back as if beaten; broken. Nat. m. corresponds to effects of going to seaside; and if patients say they are always < at seaside or cannot stay by the sea, Nat. m. will probably be the remedy. Constipation at seaside. But > at seaside may also indicate it. There is great desire for open air and washing in cold water. < Heat of stove; of room; of sun. < In summer. Warm food < toothache. Drawing in air < toothache; cold drink < toothache. Likes to be covered but it does not >. Lying down > vertigo, headache, constriction of scalp; < cough; fluttering of heart. Lying on left side <. Moving, least exertion <. Exercising arms > breathing. Walking <. In back troubles, can stoop readily but it hurts to straighten. < Mental exertion; talking; writing; reading. < After sleep. Coitus <. Most symptoms are < in morning; < after sleep. < 10 to 11 a.m. < During full moon. < By eating. < From bread, acid food, fat, wine. < After breakfast. > Going without regular meals. < Touch and pressure. Full sensation is > by tight clothes. Back > lying on something hard. > Rubbing.
Relations.─Antidoted by: Smelling Nit sp. dulc.; Phos. (especially abuse of salt in food); Ars, (bad effects of sea-bathing). Nux will relieve headache if persistent, or prostration if prolonged after Nat. m. Antidote to: Arg. n. (abuse of, as cautery); Quinine (when diseases continue intermittent and patients suffer from headache, constipation, disturbed sleep); Apis (bee-stings). Nat. m. should not be given during the paroxysm of fever. Complementary: Apis, Sep., Caps. Nat. m. is the Chronic of: Ign. (its vegetable analogue); also of Apis and Caps. Compatible: Before─Sep., Thuja; after─Kali m., Kali p., Kali s., Nat. sul., Calc. ph., Fer. p. Compare: Borax, Nat. c., Nat. hyp., K. chl. In mapped tongue, Ars., Rhus, K. bi., Tarax., Ran. s. (acidity). Hypochondriasis with indigestion, Nat. s. (Nat. m. melancholy keeps step with the constipation; Nat. s. melancholy with degree of indigestion). Lachrymose, Puls. (> consolation), Sep., Ign. Schoolgirls' headache, Calc., Calc. p. Headache coming and going with sun, Spi., Gels., Glo., Sang. Headache with partial blindness, K. bi., Ir. v. Half sight, Aur., Lith. c., Lyc., Titan. Headache with cough, Caps., Bry., Sul. (Sul. occiput, Nat. m. forehead). Spurting of urine with cough, Fer., Scill., Caust., Pul. Ravenous yet wastes, Iod. (Nat. m., especially neck). Distended stomach > tight clothing, Fl. ac. (opp. Lach., Hep.). Hydroa labialis, Hep., Rhus, Ars., Camph. Herpes circinatus, Sep., Bar. c., Tell. Chill 10 a.m., Stn. (Stn. hectic, Nat. m. intermittent). Paralysed by emotion, Gels., Staph. Amenorrhœa, K. ca. (acts when Nat. m. fails). Backache, spinal irritation, K. ca. Cold feeling about heart, Petrol. Spinal irritation, Act. r. (Nat. m. > lying flat, Act. r. < from touch). Oily sweat on face, Bry. Intermittents, chill beginning in small of back, Eup. pf.; Rhus (chill begins in one leg, or thigh, or between shoulders), Gels. (runs up spine). Prolapsus uteri, Sep., Lil. t. Sensation of foreign body in anus, Sep. (ball). Constriction in anus, Lach., Bell., Caust., Nit. ac., Ign., Op., Pho. Sadness during menses, Lyc., Nit. ac., Sep. (Nat. m. < or > 10 a.m.). Stitches in heart, Spi., Ars., K. ca., Carb. v. < After sleep, Lach., Sul. Ripping-up sensation of anus after stool, Sep. Stomatitis, Caps., Sul. ac. Dreams persist after waking, Chi. Chilblains on feet only, Lyc. Sinking 11 a.m., Sul. Breasts painful before menses, Calc., Con. Umbilical hernia with absence of urging, Bry., Ver. (with urging, Nux, Cocc.). Laughs at serious things, Anac., Pho., Lyc., Plat. Weeps if looked at, Kissingen. Hair sensation on tongue, Sil. Head and face > uncovering, Nat. c., Lyc. Headache from eye-strain, Onos. (Teste includes Nat. m. in his Lycopod. group, with Viol. t. and Ant. c.)
Causation.─Disappointment. Fright. Fit of passion. Loss of fluids. Masturbation. Injury to head. Quinine. Lunar caustic. Bread. Fat. Wine. Acid food. Salt.
1. Mind.─Melancholy sadness, which induces a constant recurrence to unpleasant recollections, and much weeping; all attempts at consolation <.─Obliged to weep.─Hypochondriacal, tired of life.─Joyless, taciturn.─Great tendency to start.─Hurriedness, with anxiety and fluttering of heart.─Prefers to be alone.─Anthropophobia.─Anxiety respecting the future.─Anguish, sometimes during a storm, but esp. at night.─Indifference, laconic speech, moroseness, and unfitness for labour.─Impatient precipitation and irritability.─Timidity.─Hatred to persons who have formerly given offence.─Irascibility and rage, easily provoked.─Inclination to laugh.─Laughs so immoderately at something not ludicrous that tears come into her eyes and she looks as if she had been weeping.─Alternate gaiety and ill-humour.─Laughs immoderately and cannot be quieted.─Difficulty of thinking; absence of mind.─Weakness of memory and excessive forgetfulness.─Heedlessness and distraction.─Tendency to make mistakes in speaking and writing.─Brain-fag, with sleeplessness, gloomy forebodings.─Exhaustion after talking, embarrassment of brain.─Incapacity for reflection, and fatigue from intellectual labour.─Distraction; does not know what he ought to say.─Awkwardness.
2. Head.─Painful confusion in head.─Emptiness of head with anguish.─Weariness in head.─Vertigo, during which everything seems to turn round before eyes, with tendency to fall forwards, esp. on walking and getting out of bed.─Vertigo: in forenoon; pressing head down when sitting; on rising from bed and on waking; on stooping; on turning round (on turning in bed from r. side to l.); everything seems to turn in circle; with flickering before eyes and dulness of head; and nausea woke her 5 a.m., > lying with head high; on crossing a stone bridge the stones seemed to sink under feet; > lying down; keeping quiet; by cold applications.─Intermittent reeling like vertigo; < moving head, like a thrust from vertex to forehead, for the moment depriving him of his senses.─Burning on the vertex.─Vertigo, with shocks in head and dizziness.─Violent headache, as if the head would burst.─Sensation of congestion of blood to head; head feels heavy.─Stitches through head, extending to neck and chest.─Heat in head, with redness of face, nausea and vomiting.─Periodical headaches during, after, or before menses.─Headache in morning, on waking; on turning, and while moving body or head; when running; or in cold air; or after being thwarted.─Heaviness of head, every day, esp. in occiput, forcing eyes to close; < in the morning; from warmth and motion; > when sitting, lying, or perspiring.─Headache, as if head were about to split; or as if it were tight and compressed, esp. when writing.─Fits of headache, with nausea and vomiting (eructations, colic, and trembling of limbs).─Aching and compression in head, esp. in temples and above eyes, < by frowning.─Acute pullings and shootings in head, esp. above eyes, with want to lie down, and clouded sight.─Lancinating shocks across head.─Throbbing, pulsation, and hammering in head, esp. during movement, > when lying with head high; > by perspiration.─Rheumatic (tearing) pain in head, from root of nose extending to forehead, with nausea, vomiting, vanishing of sight; < in morning when waking from sleep, from mental exertion and motion; > sitting still or lying down.─Throbbing and drawing pains in forehead.─Sensation on moving head as if brain wavered.─Painful sensitiveness of scalp, as if excoriated.─Contraction and mobility of scalp.─Tendency of head to become easily chilled.─Sweat on head, esp. in morning and at night.─Scurf on scalp.─Great sensitiveness of scalp; with greasy, shining face; sensitiveness of forehead and the borders of hair; < in warm room, > in open air.─Itching eruption of margins of hair at nape of neck.─Abundant falling off of hair (as soon as it is touched, more on forepart of head and temple), even of whiskers; and on the genitals, esp. during child-bed.
3. Eyes.─Itching in eyes.─Shootings, smarting, and burning in eyes.─Inflammation of eyes.─Corrosive lachrymation (morning).─Frequent lachrymation.─Secretion of humour in external canthi.─Nocturnal agglutination of eyes.─Eyelids continually red and ulcerated.─Inflammation of eyes with ulcerated lids and glutinous mucus in (external) canthi.─Spasmodic closing of lids, esp. in morning, in the evening (during twilight) and at night.─Eyes give out on using them.─(Headache associated with eye-strain; esp. headache on waking.).─Feeling as if balls were too large and compressed.─Pressure in eyes on looking intently at anything.─Sensation of sand in eyes, mornings.─Cloudiness of sight when stooping and walking, as well as on reading and writing.─Sight confused, as from down before eyes, or looking through a veil.─Letters appear confused, when reading.─Diplopia.─Hemiopia (perpendicular).─Presbyopia.─Weakness of sight, as from incipient amaurosis.─Black specks, luminous marks, and sparks before eyes.─Fiery, zigzag appearance around all things.─Affections of r. eye; angles of eyes; momentary loss of sight.─Myopia.
4. Ears.─Shootings in ears.─Pulsations and beatings in ears.─Swelling and heat of ears.─Discharge (of pus) from ears.─Hardness of hearing.─Tinkling, ringing, rumbling, and humming in ears.─Painful cracking in ear when masticating.─Itching behind ears.
5. Nose.─Numbness and insensibility of one side of nose.─Inflammation and swelling of nose, on one side (l.) only, with pain when touched.─Boring in bones of nose. Excoriation of interior of nose, with swelling of interior wings.─Scabs and scurf in nose.─Scurf on the nose.─Loss of smell and taste.─Abortive sneezing.─Obstruction and dryness of nose.─Dry coryza, sometimes in morning only.─Violent coryza, fluent or dry, with loss of smell and taste, and sneezing.─Bleeding of nose (when coughing at night) when stooping.─Blood clotted.─Painful burning pustules below septum of nose, afterwards confluent and covered with a scab.
6. Face.─Face yellowish, pale, livid, earthy.─Face shining, as if greasy.─Swelling of face.─Itching and eruption of pimples on face and forehead.─Heat in face.─Pains in zygomatic process, during mastication, like those of ulceration.─Lips dry, chapped, cracked, or excoriated and ulcerated, with scabs, and burning and smarting eruption.─Fever blisters on the lips.─Ulcer on (l.) cheek.─Tingling and numbness of lips.─Tettery eruption round mouth.─Swelling of lips.─Sanguineous vesicles in internal surface of upper lip, with burning pain when touched.─Granulated and ulcerated eruption on chin.─Frequent swelling of submaxillary glands.
7. Teeth.─Teeth very sensitive to air and touch.─Drawing, like extraction, in teeth, extending into ear and throat, after a meal, and at night, with swelling of cheek.─Lancinations, boring, and pulsation in carious teeth.─Looseness and caries of teeth.─Fistula in gums.─Gums swollen, easily bleeding, and very sensitive to cold or hot things.─Putrid inflammation of gums.─Ulcers in gums.
8. Mouth.─Ulcers and vesicles on tongue and in mouth, with burning smarting, and pain from contact with food and drink.─Blisters like pearls about the mouth; esp. in intermittent fever.─Hæmoptysis.─Speech embarrassed in consequence of heaviness of tongue.─One half of tongue numb and stiff.─Tongue stiff and, with hard palate, unusually dry.─Prolonged sensation, as of a hair on tongue.─Dryness of mouth, lips, and esp. of tongue.─Burning at tip of tongue.─Mapped tongue; red insular patches; ringworm on r. side.─Tongue: clean, shiny, bubbles of frothy saliva along sides; clean in front, dirty at back; broad, pallid, puffy, with pasty coat.─Swelling under tongue, with stinging pain; ranula.─Numbness on lips and one side of tongue (trifacial and glosso-pharyngeal paralysis.).─Copious salivation; saliva salty.
9. Throat.─A sensation during deglutition as of a plug in throat.─Spasms in the throat.─Swelling; sensation of constriction and stitches in throat.─Long-continued sore throat, with sensation as if she had to swallow over a lump.─Inflammation of throat, with shooting pain and ulceration.─Expectoration of mucus, on hawking, esp. in morning.─Frequent hawking of salty-tasting mucus.─Swelling of cervical glands.
10. Appetite.─Loss of taste (and smell).─Bitter taste in mouth.─Putrid or acid taste, as when fasting.─Putrid taste of water.─After-taste of food, esp. of acids.─Continual thirst, often with nausea, distension of abdomen, and other unpleasant symptoms after drinking.─Loss of appetite, esp. for bread, and repugnance to tobacco smoke.─(Vomiting of pregnancy with aversion to bread.).─Dislike to food, esp. when fat.─Sufferings from acid food, from bread, fat, and wine.─Immoderate appetite in afternoon and evening.─Bulimy, without appetite, with fulness and satiety, however little may have been eaten.─Desire for acids.─Longing for bitter food and drink.─Sweat on face during a meal.─After a meal, empty risings, nausea, fulness and inflation of the abdomen and stomach, somnolence, head confused, acidity in the mouth, and pyrosis, palpitation, and intermittent or accelerated pulse.─Disagreeable risings after fat food or milk.
11. Stomach.─Risings, with taste of food.─Violent hiccough.─Sensation as if a foreign body were sticking in the cardiac orifice and behind sternum.─Acid and acrid risings, sometimes with taste of food.─Pyrosis, which ascends from stomach.─Nausea, esp. in morning.─Waterbrash, with revolving sensation in stomach, sometimes followed by a sour vomiting of food.─Vomiting of food and bile.─Aching of stomach in morning, or during the day, with nausea, and sudden sinking.─Pressure at epigastrium, as if there were a hard body in stomach.─Epigastrium swollen and painful, when touched and pressed, as if it were ulcerated.─Contractive cramps in stomach, sometimes with nausea.─Shocks and clawing in pit of stomach.─Pulsation in epigastrium.─Red spots on pit of stomach.
12. Abdomen.─Drawing, tension, pressure, pinching, and shootings in hepatic region (chronic inflammation of liver).─Pain, shootings, and pressure in splenic region.─(Reduces size of enlarged spleen.).─Cramp in diaphragm on stooping.─Inflammation of abdomen.─Swelling of abdomen.─Tensive, pressive, and hypochondriacal uneasiness in abdomen.─Pressive pain in abdomen.─Drawing and contractive pains in abdomen, like labour pains.─Daily cuttings and pinchings in abdomen, sometimes in morning, and at night.─Rigidity in l. side of abdomen.─Incarceration of flatus, sometimes at night.─Colic with nausea > by discharge of flatulence.─Loud grumbling and borborygmi in abdomen.─Burning in intestines.─Pain in ring when coughing, extending into testicles, as if spermatic cords would be torn to pieces.─Protrusion of hernia.
13. Stool and Anus.─Constipation, sometimes prolonged, or every second day.─Frequent, urging, and ineffectual effort to evacuate, or scanty evacuation.─Stools difficult to discharge, hard, dry, crumbling, like sheep's dung.─Hard and broken evacuations.─Difficult evacuation of fæces, often with tearing and shooting in rectum and anus.─Evacuations too frequent.─Prolonged relaxation of abdomen.─Diarrhœa like water, with colic.─Alternate constipation and diarrhœa, irregular unsatisfactory stools.─Diarrhœa, with colic, and evacuation of mucous matter.─Painless watery diarrhœa.─Involuntary evacuations.─Discharge of blood during evacuations.─Burning in anus and rectum, during and after stools.─Shootings, excoriation, and pulsation in rectum.─Cramp-like constriction, and feeling of contraction in rectum.─Prolapsus recti, and burning pain in anus, with oozing of sanguineous and sanious matter.─Painful and shooting hæmorrhoidal tumours in anus.─Excoriation in anus, and between the buttocks, esp. when walking.─Tetters in anus.─Lumbrici.
14. Urinary Organs.─Frequent and urgent want to urinate, day and night, sometimes every hour, with copious emission.─Involuntary emission of urine, sometimes on coughing, walking, laughing, or sneezing.─Nocturnal emission of urine.─Clear urine, with red sediment, resembling brick-dust.─Discharge of mucus from urethra, after the emission of urine.─Discharge of mucus from urethra during and after urination, causing itching and biting.─Discharge of mucus from urethra, which is sometimes yellowish, as in gonorrhœa.─After micturition spasmodic contraction in abdomen; burning, drawing, and cutting in urethra.─During micturition stitches in bladder, smarting, burning in urethra; smarting and soreness in vulva.─Urine dark, like coffee, or black.
15. Male Sexual Organs.─Itching, tetters, and excoriation between scrotum and thighs.─Itching and stinging on glans and scrotum.─Secretion behind glans, like gonorrhœa balani.─Phimosis.─Excessive excitement of genital organs, and of the amative feelings; or dulness of sexual desire.─Want of energy during coition.─Impotence.─Pollutions after coition.─Strong fetid odour from genital organs.─Hydrocele.─Loss of hair from pubes.
16. Female Sexual Organs.─Pressure and general bearing down towards genital organs every morning; has to sit down to prevent prolapsus.─Prolapsus uteri with aching in loins, > lying on back; cutting in urethra after micturition.─Catamenia premature and profuse; or retarded and scanty.─Sterility, with too early and too profuse menstruation.─Prolonged catamenia.─Suppression of catamenia.─Difficulty in appearance of first menses.─Headache before, during, and after catamenia.─Before catamenia, moroseness and irritability.─At commencement of catamenia, sadness.─During catamenia, cramps in abdomen.─Spitting blood at menstrual nisus; bloody saliva.─Itching in genital organs.─Repugnance to coition.─Coition: painful from dryness of vagina; burning smarting during; in anæmic women with dry mouth and dry skin.─Leucorrhœa, with headache, disposition to diarrhœa, colic, and mucous evacuations.─Acrid (greenish) leucorrhœa (increased discharge when walking), with yellow colour of face.─Abundant discharge of transparent, whitish, and thick mucus from vagina.─Vulvitis with falling off of hair.─Itching of external parts with falling off of hair.─Pimples on mons veneris.─Nausea and vomiting during pregnancy; morning sickness with vomiting of frothy, watery phlegm.─During pregnancy: dysuria; albuminuria; craves salt; congestion to chest; palpitation; hæmorrhoids; cough; escape of urine.─Labour slow, pains feeble, apparently from sad feelings and forebodings.─Loss of hair in children or during lactation.─Child refuses breast; nursing sore mouth.─Lancinating pains in breasts.─Stitches beneath nipples.─Dull stitch beneath r. nipple, also in abdomen.─Breasts sensitive to slightest touch.
17. Respiratory Organs.─Hoarseness, and sensation of dryness in larynx.─Dry cough with rattling in chest.─Accumulation of mucus in larynx in morning.─Chest embarrassed with catarrh and cough.─Cough excited by a tickling in throat, or in epigastrium, day and night, esp. on walking or taking a deep inspiration.─Cough in morning.─Choking, spasmodic cough in bed, in evening.─Short, chronic cough, with expectoration of mucus and swelling in chest.─Cough, with expectoration of bloody mucus.─Cough, with sanguineous expectoration, retching and vomiting.─Pains in head, on coughing, as if forehead were about to burst.─Whooping-cough caused by tickling in throat or pit of stomach, with expectoration (only in morning) of yellow or blood-streaked mucus, with violent pain in head, or with shocks; beating and hammering in head; involuntary micturition; stitches in liver.─Tears stream down his face whenever he coughs (whooping-cough). Breath: hot; offensive.─Shortness of breath, esp. when walking quickly.─Obstructed respiration, esp. during manual labour, > when exercising arms and in the open air.─Wheezing respiration in bed, in evening.
18. Chest.─Pains in chest (dyspnœa on ascending stairs and shortness of breathing), as if caused by internal tension.─Stitches in the chest and sides with shortness of breathing, esp. when taking a long inspiration.─Breath short and chest tight, and as if a dry stick of wood were down the throat, with cough.─Lancinating pains in chest and sides of chest, with impeded respiration, sometimes when taking a full inspiration, and when coughing.
19. Heart.─Anxious and violent palpitation of heart at every movement of body, but principally when lying on l. side.─After eating, breath impeded, with violent palpitation.─Jerking and shooting pain in region of heart.─Fluttering motion of heart.─Irregular and intermittent palpitation of heart.─Jerking movement of heart.─Enlargement of heart.
20. Neck and Back.─Aching, rigidity, and tension in nape.─Stitches in neck and back of head.─Painful stiffness of the neck.─Throat and neck emaciate rapidly, esp. during summer complaint.─Goître of a large size.─Scurf under axillæ.─Scabs in axilla; painful soreness of cervical glands when coughing.─Engorgement of axillary glands.─Contusive pain and feeling of paralysis in sacrum, esp. in morning.─Paralytic weakness nearly all day, > from lying, < from eating.─Shootings, incisive pains, and violent pulsation in sacral region.─Tearing across loins and hips.─Nocturnal pains in back.─Over-sensitiveness of spine.─Pain in back > by lying on something hard.─Lassitude, pressive tension, and pulling in back.
22. Upper Limbs.─Wrenching pains in joints of shoulders and fingers.─Lassitude and paralytic heaviness of arms.─Contusive pain in arms and hands, but esp. in shoulder-joints (sensation of lameness and of a sprain), which prevents arms from being elevated or moved.─Digging in arms.─Shocks in elbow.─Lancinations in muscles and joints of hands and fingers.─Brownish spots on back of hand.─Warts on palms.─Skin of hands dry and cracked, esp. round the nails.─Coldness of hands.─Cramp in arms, hands, finger and thumb.─Sweat on hands.─Difficulty in bending the joints of the fingers.─Numbness and tingling in the fingers.─Tingling in the hands (and feet), esp. on joints and tips of fingers and toes.─Trembling of hands when writing.─Swelling of r. hand.─Numerous flaws in the nails.─Hang-nails.─Whitish hives on arms and hands.─Panaritium.
23. Lower Limbs.─Wrenching pain in hips, with shootings.─Drawing pains in thighs, knees, and legs.─Restlessness and jerking in limbs (in legs, compelling one to move them constantly).─Paralytic weakness of legs, and esp. of joint of foot.─Pain as if knees and ankles were sprained.─Weakness and trembling of lower extremities, on rising from a seat, > from continued walking.─Jerking of muscles of thighs.─Tension in bends of limbs and sensation as if the tendons were shortened; painful contraction of tendons of ham.─Wrenching pain in joints of knee and foot.─Lassitude in knees and calves.─Cramps in lower legs and calves.─Tetters in hams.─Tension in legs and calves.─Great heaviness in legs and feet.─Burning in feet.─Swelling of feet.─Coldness of feet.─Pain as from ulceration in malleoli, when putting down foot, and on touching the parts.─Sensation as if limb had gone to sleep (feet, fingers).─Suppression of perspiration of feet.─Redness of great toe, with acute pullings and shootings, when walking, and after standing a long time.─Tetters on malleoli.─Corns on feet, with shooting and boring pains.
24. Generalities.─Pressive drawing in limbs.─Rigidity of all joints, which crack when moved.─Contraction of tendons (muscles shortened).─Jerking in the muscles and limbs.─Jerking of r. side and head.─Tendency to dislocation, and to strain back.─Old sprains.─Paralysis.─Swelling of glands.─Fungus hæmatodes; polypus; hang-nails.─Fits of uneasiness, esp. in morning or evening, with nausea, weakness, deadly paleness in face, headache, numbness of limbs, want to lie down, &c.─Bad effects of a disappointment.─After fright, chorea.─After fit of passion, paralysis. The symptoms manifest themselves, are renewed, or <, generally when lying down, and esp. at night, or in morning; and are > by rising up in bed.─The nocturnal pains suspend respiration, and occasion a sort of semi-lateral paralysis.─General ebullition of blood, with pulsation over whole body, on slightest movement.─Trembling of whole body, caused by tobacco smoking.─Congestion in head, chest, and stomach, with coldness of legs.─Obstruction from inactivity of the bowels.─Affections of the pit of the stomach; rectum; external belly.─Reddish urine; complaints after making water.─Uneasiness and inconvenience after prolonged speaking.─Great relaxation of all physical and moral powers, after fatigue.─Heaviness and indolence, esp. after having risen in morning, with repugnance to movement and walking.─Excessive soreness and lassitude in limbs, esp. in morning, and when seated.─Hysterical debility; in morning in bed.─Great weakness.─Alternate weakness and agility in limbs.─Great emaciation (more of body than face).─Tendency to take cold.─Inquietude in body, with shivering.
25. Skin.─Miliary eruption, with shooting pain.─Itching and pricking in skin.─Rash over whole body, with stinging sensation in skin.─Red tetter in hollow of knees.─Pain and redness of an old cicatrix.─Skin of hands, esp. about nails, dry, cracked; hang-nails.─Whitish hives on arms and hands.─Itching tubercles.─Nettle-rash after violent exercise (itching).─Tetters.─Furunculi.─Exanthema on mouth; lips; in intermittent fever where there are large exanthematous spots looking like large peas, on lips (cold sores); lips look puffy.─Warts; on palms of hands.─Panaritium.─Varices.─Corns.
26. Sleep.─Great drowsiness during day, with frequent yawning.─Retarded sleep, and sleeplessness at night, with ineffectual efforts to go to sleep.─Difficulty in falling asleep again, at night, after awaking.─Difficulty in waking, and excessively drowsy lassitude early in morning.─Agitated sleep, full of vivid and lascivious dreams, with prolonged erections and pollutions.─Anxious, distressing dreams, with tears and talking during sleep.─Frightful dreams of quarrels, murders, fire, thieves, &c.─Dreams of thieves in the house, making so strong an impression that patient wakes up and cannot go to sleep again until the house has been searched; fantastic dreams.─Dreams of burning thirst; starts and talks in sleep and tosses about.─Dreams which still keep possession of the mind after waking, and which are believed to be realities.─Ebullition of blood at night, with anxious heat (perspiration, violent throbbing of the arteries) and palpitation of heart.─Nightmare.─Somnambulism.─At night, pains in back, quivering, apparently of the nerves, frequent emission of urine, headache, colic, asthmatic sufferings, and great anguish of body.
27. Fever.─Frequent, internal, shudderings.─Continued shivering and want of vital heat.─Chill predominates; chilliness internally, as from want of vital heat, with icy coldness of hands and feet (evening).─Continued chilliness from morning till noon.─Shivering, with and without thirst.─Shivering and shuddering, with drowsiness, followed by slight perspiration.─Flushes of heat and shivering alternately, with headache; chilliness over back and perspiration in axilla and on soles of feet.─Continuous heat in afternoon, with violent headache and unconsciousness; they are gradually > during the perspiration which follows.─Violent perspiration > the painful symptoms present during fever.─Debilitating, somewhat sour-smelling perspiration.─Chilliness with increasing headache in forehead every day at 9 a.m. until noon; afterwards heat with gradually increasing perspiration and thirst, the headache decreasing afterwards gradually.─Heat with burning thirst.─Dejection before fever.─Before shivering, headache; during shivering, short breathing, yawning, and desire to sleep.─During heat, violent headache, dizziness, cloudiness of eyes, vertigo, and redness of face.─Fever, with pains in bones, pains in back, yellowish complexion, headache, weakness, bitter taste in mouth, ulceration at commissures of lips, want of appetite, pressure at pit of stomach, with great sensitiveness of that part to touch; quotidian or tertian fever, generally commencing in morning by shiverings, followed by heat and thirst.─In forenoon chilliness for three hours, with blue nails and chattering of teeth; this is followed by heat, lasting as long, accompanied by obscuration of sight, stitches in head much thirst, pains in back, followed by perspiration.─[Ague, fever at noon, generally 9 to 11 hard chill, great thirst for large quantities of water, longing for salt food, headache during the heat, profuse sweat and complete apyrexia leaving languor and debility.─Spleen and liver enlargement and obstinate constipation.─Pernicious fever and fever with anæmia often benefited by Nat. m. (Majumdar)].─Typhus fever, with debility, dryness of tongue, and violent thirst.─Pulse irregular and often intermittent (esp. when lying on l. side).─Pulse at one time rapid and weak, at another full and slow.─The pulsations shake whole body.─Intermittent fever: chilliness with great thirst; afterwards great heat with violent thirst and excessive headache; at last profuse perspiration.─Intermittent fevers after the abuse of Chininum sulph. (< during hot stage).─During apyrexia: stitches about the liver; languor; emaciation; fever blisters on lips.─Sweat in morning.─Profuse sweat, too easily excited by movement.─After the fever passes off the patient wishes to retain a recumbent position, does not "feel able" to get up or go about anything.
Nitric acid. Aqua fortis. HNO3. Solution.
Clinical.─Actinomycosis. Anus, fissure of. Axilla, offensive perspiration of. Bladder, chronic catarrh of. Breath, offensive. Bright's disease. Bronchitis. Bubo. Chancre. Cheloid. Chilblains. Choking, easy. Climacteric. Cold, easily taken. Condylomata. Constipation. Corns. Cough. Dysentery. Dyspepsia. Ear, affections of. Epilepsy. Eyes, affections of. Feet, perspiring. Fistula; lachrymal. Freckles. Frost-bites. Glandular swellings. Gleet. Gums, sore. Hæmaturia. Hæmorrhages. Herpes. Herpes preputialis. Ingrowing toe-nail. Iritis, syphilitic. Irritation. Jaw-joint, cracking in. Menstruation, excessive. Metrorrhagia. Mouth, sore. Mucous patches. Muscæ volitantes. Myopia. Nails, affections of. Ozæna. Paralysis (l. side). Perspiration, abnormal. Phimosis. Polypus. Proctitis. Prostate, suppuration of. Ranula. Rectum, affections of. Rickets. Salivation. Spine, injury to. Syphilis. Taste, disordered. Tongue, ulceration of. Ulcers. Warts. Wens. Whooping-cough.
Characteristics.─When strong Nitric acid comes in contact with the skin it destroys the upper layers and turns them yellow, but as it coagulates their albumen it to a certain extent forms a barrier against its own further action, its action therein differing from that of Sulphuric acid. When swallowed it acts as an irritant poison; when its fumes are inhaled it may destroy life by suffocative spasm of the glottis or by intense bronchitis. It is used in old-school practice as an escharotic for warts and warty tumours; for phagedænic ulcers, chancres, poisoned bites. The dilute acid is used internally in fevers to quench thirst; in bronchitis and phthisis to diminish the excessive secretions; in some cases of syphilis; in phosphaturia. It has even been injected into the bladder in a dilute form to dissolve calculi (Brunton). In the light of provings and poisonings all these uses are seen to have more or less specific relationship. "Phthisis," "syphilis," and "warty growths" represent Hahnemann's three miasms, Psora, Syphilis, and Sycosis; and Nit. ac. belongs almost equally to all three. But in addition to its miasm relationship, Nit. ac. has drug relationships of great importance. It is one of the chief antidotes of Merc., and it is in cases of syphilis that have been overdosed with Merc. that its action is most brilliant. I have known it do equally well when used after over-dosing with Kali iod., whether in syphilitic or non-syphilitic cases. In phthisical cases it follows the action of Kali c. in homœopathic practice. In sycotic cases Thuj. follows it well. The localities in which the action of Nit. ac. is very strongly marked are─(1) the muco-cutaneous orifices and adjoining parts. Burnett made a brilliant cure of actinomycosis with Nit. ac. 3x in a patient who had been the round of the London consultants, and had doubtless taken much Kali iod. The localities in which the disease manifested itself, the region of the mouth and anus, gave Burnett his indication. The mouth (especially its angles) and anus are prominent seats of syphilitic action, and also of the action of the other miasms, the condylomata and fissures of sycosis; the fissures, fistulæ, hæmorrhoids, and sore mouth of psora. The right eye, the male genitals, and the bones are other localities for which Nit. ac. has a very strong affinity. In his directions about this remedy Hahnemann makes the remark that it is rarely required by patients who suffer from constipation. In my experience this is absolutely wrong. Constipation, as the symptoms of the Schema would indicate, is a prominent indication for Nit. ac., and I have cured almost as many cases with this as with any other single remedy. I have generally found, when I have had an opportunity of testing them, that Hahnemann's positive directions are thoroughly trustworthy; but his negative directions are quite as likely to be wrong as right. The characteristic discharges of Nit. ac. are offensive, thin, excoriating; if purulent they are a dirty yellowish green, not laudable pus. Ulcers have profuse exuberant granulations, and bleed easily. The dressing causes bleeding, and every touch causes "sticking pain as if from splinters." This is a grand keynote of Nit. ac., and will serve to indicate it wherever it is found. It requires a touch or movement to elicit it. When it occurs in the throat it requires the act of swallowing to set it up; in the anus, the passage of the stool; in ulcers, the touch of a dressing. It may occur from touch in any part of the body; in abdomen; in Ingrowing toe-nails. In the phthisical cases calling for Nit. ac. the chest walls are extremely sore to touch; there is sudden rush of blood to chest; hectic; frequent hæmorrhages, bright red, profuse; sharp stitches through right chest to scapula. Great dyspnœa, cannot talk for getting out of breath; morning hoarseness; cough tickling, seems to annoy all night; at times loose and rattling; loud râles through chest; sputa offensive, bloody, purulent, dirty green; exhausting diarrhœa; exhausting sweats towards morning, chilly; heat in flashes or only on hands and feet. The suffocating effect of Nit. ac. fumes is an indication of its affinity for the respiratory organs. Here is an example (H. W., xxiv. 537): A two-gallon bottle of Nitric acid in the store of Mr. Harold Woolley, of Manchester, had become fractured. Water was thrown upon the bottle, and whiting placed about it to neutralise the fumes which issued from the fracture. Mr. Woolley superintended the process, and was in contact with the fumes for two hours. This happened in the afternoon. Next day Mr. Woolley complained of being unwell, and although medical aid was promptly summoned he died at five o'clock in the afternoon, death being attributed to "rapid congestion and inflammation of the lungs, in consequence of inhaling the fumes."─Nit. ac. is indicated in typhus when pneumonia supervenes; and when hæmorrhage from the bowels occurs. The stools are green, slimy, offensive, may be purulent; the hæmorrhages are profuse and bright red. With diarrhœa there is rawness and soreness of anus; the stool is putrid; in children may contain lumps of casein. Slimy stools, from excess of mucus passed with much straining. Or they may be (especially in scrofulous children) pale, pasty, sour, offensive. A keynote of Nit. ac. stools, whether loose or constipated, is pain after stool. There is pain during stool as if anus and rectum were torn and pierced, and violent pains after stool, lasting for hours. All the other orifices of the body are affected by Nit. ac.: Chancres and herpes about penis and prepuce; growths about vagina and cervix; leucorrhœa, immediately after menses; flesh-coloured, stringy, offensive. The nose, ears, and eyes are also influenced, and Nit. ac. is one of the first remedies in syphilitic eye affections, as iritis. Among the hæmorrhages of Nit. ac. is hæmaturia. Goullon published a case in Archiv., ii. 36. (New Series), translated by Mossa, Rev. H. Française, ix. 136. A painter's apprentice, 15, after gilding an object, was seized with vertigo, with coldness, and soon with violent pain in bladder region. Next day he passed pure blood, bright red, with frequent strangury; the urine separated itself distinctly from the blood. During short intervals the blood did not flow. Tongue white, swollen. Nit. ac. 3 one drop was given, and in twenty-four hours the boy was cured. The urine of Nit. ac. affords one of the most important of all its keynotes: Urine of a strong odour, like horses'; or extremely offensive. Whenever this occurs as a concomitant in any case it is likely that other symptoms will point to Nit. ac. Fetid sweats on feet, hands, or in axilla no less point to Nit. ac. Among the hæmorrhages of Nit. ac. are those occurring in cachectic women after confinement or abortion. H. N. Coons (Amer. Hom.) records the case of an anæmic woman, four weeks after miscarriage, had constant pelvic hæmorrhage, at times coming with a gush; constant heavy feeling, much < standing or walking. Nit. ac. 2x, 20 drops in three ounces of water, a teaspoonful every two hours, quickly arrested bleeding and cured. As showing the value of peculiar symptoms, D. C. Perkins relates (Amer. Hom., xxii. 12) the case of a woman who said she was very ill, but could only describe her illness by saying that she" felt like a pulp-mill." Nit. ac. has "borborygmus as if a boiler was working in the bowels," and Nit. ac. proved to be the remedy. The sensitiveness to touch runs through the entire symptomatology, including the symptoms of the mind. The mind is weak, no ideas; if she exerts her mind thoughts vanish. Mind easily affected, inclined to weep. Hopeless despair. On the other hand, there is nervous excitability (especially after Merc.─-it is the excitable form of mercurialism that Nit. ac. best meets); peevishness; irritable, quarrelsome; fits of rage and cursing; inveterate ill-will unmoved by apologies. The head is sensitive to the slightest jar; to the rattle of waggons in the street, or even to the step of one walking across the floor. The head is very sensitive, even to pressure of hat; sensitive to combing, and on part lain on. Eruptions and ulcers bleed easily when touched. Eyes are sensitive to light. The ears present an exception, for deafness is > riding in a train or carriage. Sensitiveness of the head while out driving and stopping suddenly. The tongue is sensitive even to soft food. Nit. ac. is suited to: Persons of dark, swarthy complexion, with black hair and eyes; lean persons of rigid fibre; brunette rather than blonde nervous temperament. Persons suffering from chronic diseases who take cold easily and are disposed to diarrhœa. Old people with great weakness. Hydrogenoid constitutions. Peculiar sensations are: As if head in a vice from ear to ear over vertex. As if some one were forcibly pressing head; head tightly bound; constricted by tape; contused. As of a gathering in left temple. Pain as from splinters in eruption. As if warm water were flowing from and over eyes (first right, then left). As if teeth soft and spongy. As if abdomen would burst. As if a boiler working in bowels. As if a band round bones. As if dogs were gnawing flesh and bones, and as if sinews were being pulled up. As if ball of great toe had been frozen. As if splinters in great toe; in carbuncles, &c. Cramp-like pains, stinging, shooting, burning, pressure, and soreness. Excessive physical irritability, hysteria. Pains, even slight ones, affect him violently. Prostration, sick feeling, faints from least motion. Epilepsy > riding in carriage. Left-sided paralysis. Twitchings in various parts; frequent starts in upper part of body. Easily takes cold. Emaciated. Tedious suppuration. A characteristic accompaniment of Nit. ac. is "Profuse sweat breaks out on hands and feet." When this occurs in spinal injuries Nit. ac. is the remedy (B. Simmons, H. P., ix. 327). W. M. James (Med. Cent., vi. 325) cured this remarkable case: A girl had frequent attacks of petit mal, sometimes as many as fifty a day between the periods. At the beginning of the menses she had spasms so violent that they dislocated both humeri. Nit. ac. 200 given persistently put an end to the attacks, gradually. The first few times after commencing Nit. ac. there were spasms but no dislocation. Mohr (H. R., xiii. 210) gave Nit. ac. 3x to a man who suffered from cancer of the liver with bloody diarrhœa, followed by constipation; violent pains in stomach and liver; unable to sleep; or unable to take any food without much pain, mostly vomiting. Nit. ac. removed the pain and relieved the constipation entirely, and the patient died without an hour's suffering from the time he received Nit. ac. J. H. Fulton cured with one dose of Nit. ac. 200 R. M., 28, who had had bleeding piles for eighteen months. He had frequent bloody and slimy stools; but always bright red blood after stools, from a dessertspoonful to half a teacupful. When the stools were hard there was much pain in passing them. Burning in anus after stools (Med. Adv., xxxiii. 268). The symptoms are < by touch; pressure (of hat); > riding in carriage. < Eating (during and after eating, sweat). < Milk and fat food. < Exercise, exertion, effort, raising. arm, walking, standing. < Exerting mind. Lying down > headache. Night-sweat on parts lain on. Many symptoms come on towards morning. Cannot sleep after 2 a.m. Cough < on rising, during day, and at bedtime. Many symptoms, including bone-pains, come on in night. Warmth and cold both <. Warm weather < hæmorrhoids; covering up = night-sweats. Least exposure = chills. Cold or warm things = tearing and shooting in teeth. Washing = warts to bleed. Cold weather < chilblains. Cold water > warm water feeling in eyes. Winter < chronic cough; hiccough; chilblains.
Relations.─Antidoted by: Calc., Hep., Merc., Mez., Sul. It antidotes: Calc., Dig., Merc. Compatible before: Calc., Puls., Sul.; Arn. (collapse in dysentery); Kre. (diphtheritic dysentery); Sec. (gangrene of mucous membrane); Sul. (scrofulous ophthalmia). Compatible after: Calc., Nat. c., Puls., Sul., Thuj. (Nupia); Carb. an. (bubo); K. ca. (phthisis, &c.); Aur. (abuse of Merc.); Mez. (secondary syphilis); Hep. (throat, &c.). Complementary: Calad., Ars. Resembles: Ars. (morbid fear of cholera). Incompatible: Lach. Compare: Medorrh., Syph., Pso., Mur. ac., Nit. mur. ac. Merc. (Merc. suited to light-haired people; Nit. ac. to dark). Dark-haired people, Iod. > Riding in carriage, Graph. (Graph. is not sensitive; Nit. ac. is). Spinal injuries, Arn., Rhus, Hyper., Calc. Punctured wounds, Led. < On awaking, Lach., Nat. m., Sul. < Hat on, Carb. v., Calc. p., Nat. c. Ingrowing toe-nail, Mgt. aust. Stringy leucorrhœa, K. bi. Pains appear and disappear suddenly, Lyc., Bell. Pains affect violently, Aco., Cham., Hep. Sensitiveness, Hep. Choking easily, K. ca. < Warmth or cold, Merc. Dyspepsia from effects of salt, Nit. s. d. Shooting from below upward in vagina, Sul., Sep., Pul., Pho., Alum. Piles < walking, Æsc. h. Phimosis, Can. s., Merc., Sul., Thuj. Strong odour of urine, Benz. ac. Brownish scattered spots in dark-haired people, Petr. Splinter pains, Arg. n., Hep., Sul. Ulcers, Merc. (Merc. more superficial, Nit. ac. deeper, granulating, bleeding easily). Sore, excoriated anus, Merc., Sul., Cham., Ars., Pul., Syph., Chi. Straining at stool, Merc., Nux (with Merc. there is straining before, during, and after stool; with Nux there is complete > after stool; with Nit. ac. there is excoriating, cutting pain going on for hours after stool). Ulcers threatening to perforate cornea, Sil., Calc. (Nit. ac. follows Calc.). Condylomata, enlarged tonsils (syphilitic or sycotic), fissures, balanorrhœa, greenish leucorrhœa, Thuj. (Nit. ac. has more aching in bones, especially bones without muscular coverings, as shin bones). Disposition to swear, Anac. Diphtheria, sore mouth, scarlatina, Ar. t. Constriction at anus, Lach.
1. Mind.─Sadness, despondency.─Excessive melancholy and fits of anguish, esp. in evening, or at night.─Uneasiness respecting health, with fear of death.─Excessive nervousness, great excitability, esp. after the abuse of Mercury.─Easily startled and frightened.─Unfitness for labour.─Concentration in self.─Taciturn, disinclined to communicate anything.─Vexed at trifles.─Attacks of rage, despair, with cursing and maledictions.─Irritability and obstinacy.─Passion.─Prolonged rancour.─Fits of rage and despair, with oaths and imprecations.─Inclination to weep.─Nostalgia.─Timid and apprehensive disposition.─Weakness of intellectual faculties, with unfitness for intellectual labour.─Excessive weakness of memory.─Comes over with feeling as if would go out of her mind, with burning feeling on vertex (Agg. from 3x, R. T. C.).─Woman, 20, intemperate, syphilitic, poor physical condition, restless, destructive of clothing, talking incoherently and continuously sleepless, excited at any one's approach, using profane and vulgar language (cured with 2x. G. S. Adams, Westb. As. Rep., 1889).
2. Head.─Vertigo when walking and when seated.─Vertigo, which compels lying down, esp. in morning and evening.─Vertigo, with weakness, nausea, or headache.─Pressing headache from without to within, with nausea; < by noise; > on lying down or when riding in a carriage.─Headache, on waking in morning.─Great sensitiveness of head to noise of carriages, or to a heavy tread.─Attacks of headache, with nausea and vomiting.─Sensation of fulness and heaviness in head, with tension and pressure extending into eyes.─Tearing in forehead, vertex, and occiput.─Lancinations in almost all parts of head, which sometimes compel patient to lie down, and disturb sleep at night.─Pulsative headache.─Congestion of blood to head, with internal heat.─Flushing and great heat of head, with tendency to perspiration of head and general wave of heat (produced in man, 60, when taking 30th─R. T. C.).─Drawing and pressive pains in bones of head, with sensation as if they were constricted by a tape, < in evening and at night; > from cold air and while riding in a carriage.─Painful sensitiveness of scalp; a head-dress is oppressive.─Tension in scalp.─Itching of scalp.─Humid eruption on head.─Humid, stinging-itching eruption on vertex and on temples, extending down to whiskers, bleeding very easily on scratching it, and feeling very sore when lying on it.─Inflammatory swellings on the scalp, suppurating or becoming carious; most painful from external pressure or when lying on them.─Wens.─Falling off of hair, with humid eruptions, paining as if splinters were thrust in, or when touched; also on the genitals, after abuse of Mercury; with nervous headaches, great debility and emaciation.─Ulcerated, running, and burning places on head.
3. Eyes.─Eyes dull and sunken.─Aching and shootings in eyes.─Pressure and stinging in eyes.─Inflammation of eyes, esp. after suppressed syphilis or after the abuse of Mercury.─Ulceration of eyes.─Fistula lachrymalis.─Specks on cornea.─Swelling of lids.─Frequent lachrymation, esp. when reading, with painful sensitiveness of eyes.─Difficulty to open eyes in morning (they are surrounded by a yellow circle).─Paralysis of upper lids.─The pupils contract with difficulty.─Myopia.─Diplopia.─Mist, spots, nets, sparks, and black spots dancing before eyes.─Sight confused, eyes clouded.─Eyes dazzled by daylight.─Double vision of horizontal objects.─Obscuration of sight while reading; short-sighted.─Iritis, which continually relapses; also old cases spoiled by Mercury.─(Smarting of eyes after iritis.─Constantly recurring pustular ophthalmia.─Proliferation of cornea, result of scrofulous inflammation).
4. Ears.─Shootings in ears.─Stitches in the (r.) ear.─Dryness in interior of ear.─Ulceration of mastoid apophysis.─Discharge from ears.─Excoriation behind ears, with itching and suppuration.─Obstruction of ears.─Hardness of hearing, esp. when relieved by riding in a carriage or in the cars, i.e., hears better (like Graphit.).─Hardness of hearing, principally from elongation, induration and swelling of tonsils (after the abuse of Mercury).─Clapping, throbbing, and rumbling in ears.─Beating and humming in ears.─Echo in ears of one's own speech.─Cracking in ears during mastication.─Swelling of parotids.─Swelling of glands beneath and behind l. ear with stitches and tearing extending through the ear.─Wen on the lobe of the ear.─[Nit. ac. has a special but very ill-defined power in deafness and tinnitus.─Woman, 55, deaf fifteen years with tinnitus in both ears, constant in l., intermittent in r., not > in noise; Nit ac. 200 caused great < of noises for two days, then gradual cessation with complete relief of tinnitus in three days.─In another lady Nit ac. 6 always = noises.─In young man Nit ac. always = heavy, dull deafness with fulness of head as from a cold, a regular eustachian blockage.─Deafness after measles, hiccough and clear expectoration (cured).─R. T. C.]
5. Nose.─Redness of point of nose, which is covered with scabby vesicles.─Itching tetters on alæ nasi.─Shooting prickings in nose (as from splinters) when touched.─Pain, as of excoriation, and burning, with scabs in nose.─Bleeding of nose, excited by weeping, or in morning; the blood that is emitted is black.─A fetid odour is perceived when breathing through nose.─Fetid odour from nose.─Condylomatous excrescence, like a sycosis in nose.─Abortive sneezing.─Dryness and obstruction of nose.─Violent fluent coryza, with headache, cough, swelling and ulceration of nose (the mucus is only discharged through the posterior nares).─Dry coryza, with dryness of throat and nose.─Coryza, with dry cough, headache, hoarseness, and stitches in throat.─Wings of nose inflamed and swollen.─Discharge of thick and corrosive mucus from nose.─Fetid and yellowish mucus in nose.─Large soft protuberances on alæ covered with crusts; syphilis.─(Ozæna with clear discharge.)
6. Face.─Paleness of face, with eyes deep-sunk.─Yellow colour of face, and esp. round eyes, with redness of cheeks.─Dark yellow, almost brown complexion.─Dark freckles on face.─Cramp-like pain and tearing in cheeks and zygomatic process.─Swelling of cheeks.─Bloatedness around eyes on waking early.─Eruption of pimples on face, forehead, and temples.─Scurfy pustules on face, with margins, large, red, and covered with scabs; syphilis.─Erysipelatous swelling of cheek, with shooting pain, nausea, and fever.─Furfuraceous skin over whole face.─Itching eruption and tetters in whiskers.─Black pores in face.─Swelling (and itching) of lips.─Lips cracked.─Ulceration of lips, commissures.─Ulcers on red of lips.─Furunculi on chin.─Painful swelling of the submaxillary glands.─Cracking of jaws when chewing and eating.
7. Teeth.─Odontalgia, with jerking, shooting, drawing, or pulsative pain, principally at night, or in bed, in evening.─Pain in carious teeth.─The teeth feel elongated.─Pain on chewing.─Stitching or boring pains in teeth when touched by anything cold or warm.─Teeth become yellow and loose.─Gums bleed, and are white and swollen.─Stomacace.
8. Mouth.─Offensive and putrid (cadaverous) smell from mouth.─Excoriation of tongue, palate, and internal surface of gums, with acute shooting pains.─Ulcers (mercurial and syphilitic) in mouth and fauces, with pricking pains.─Ulcerated spots on inner surface of cheeks, with sticking pains as from a splinter.─Corners of mouth ulcerated; with stitches.─Tongue is very sensitive; even mild food causes a smarting sensation.─White, dry tongue, in morning.─Tongue: coated green (with ptyalism); coated yellow, sometimes white in mornings.─Blisters and ulcers on tongue; and margins, with burning pain when touched.─Bites tongue when chewing; and cheeks.─Tongue sensitive, even to soft food, which causes smarting.─Profuse flow of saliva.─Saliva bloody in morning.─Saliva has foul odour.─Sour taste in mouth.─Mucous membrane of mouth swollen and ulcerated; with pricking pains; after abuse of Mercury.─Ranula.─Salivation (also with ulcers on the fauces), sometimes from febrile attacks.─Great dryness of the mouth, with burning thirst.
9. Throat.─Ulcer, with shooting pain in the mouth and throat.─Inflammation of the throat; with shooting pains; also after the abuse of Mercury, or with burning and soreness, esp. on swallowing liquids.─Tonsils (uvula and fauces) red and swollen.─Great dryness and heat in the throat.─Much mucus in the throat posteriorly.─Sore throat on swallowing, as if swollen; raw and ulcerated.─Burning sensation, and pain as of excoriation, in throat.─Swallowing very difficult, as from constriction of the pharynx.─Diphtheritic patches on tonsils and fauces, extending to mouth, lips, nose.
10. Appetite.─Loss of appetite.─Milk is not digested.─Bitter taste in mouth, esp. after eating.─Complaints < while eating; from abuse of Mercury.─Sour taste., with burning in throat.─Sweetish taste in mouth.─Violent thirst even in morning, on rising.─Dislike to meat, and things sweetened with sugar.─Repugnance to bread, which leaves a sour taste, and causes vomiting.─Craving for earth, chalk, lime, or fat food, and herring.─Sharp hunger, with disgust to life.─Difficulty in digesting milk.─Nausea from fat food.─Sweat, during and after a meal.─After drinking, during a meal, pain, as from excoriation in throat, œsophagus, and stomach, or else colic.
11. Stomach.─After a meal, fulness in stomach, lassitude with heat, sweat, and palpitation of heart from least movement, or nausea, risings, flatulency, headache with vomiting, sleep, anguish, &c.─Nausea after eating with heaviness and dulness of head.─Sour risings.─Inclination to vomit.─Pyrosis.─Water-brash, after drinking quickly.─Hiccough.─Frequent nausea, and inclination to vomit, often attended by anguish, trembling, and shivering.─Bitter and sour vomitings, with frequent risings (after a meal).─Stomach and abdomen tense after a moderate meal, clothes seem too tight.─Aching of stomach.─Burning, or sensation of coldness in stomach.─Pain in cardia, on passing of food into stomach.─Cramp in stomach.─Lancinations in epigastrium.
12. Abdomen.─Stitches in hepatic region, < from motion.─Tensive pressure and shootings in the l. hypochondrium.─Pains in the abdomen, like those which follow a chill.─Excessive inflation of abdomen, also in morning.─Frequent pinchings and incisive pains in abdomen (esp. in morning in bed).─Pain, as from ulceration, in the lower part of the abdomen.─Shootings in abdomen, esp. when touched.─Inguinal hernia, even in children.─Swelling and suppuration of inguinal glands.─Tendency to suffer from a chill in abdomen (colic from cold).─Accumulation of flatus in abdomen.─Borborygmus as if a boiler was working in abdomen.─(Sensation in abdomen like machinery working.).─Rumbling and borborygmi in abdomen.─Incarceration of flatus (in upper abdomen), esp. morning and evening.
13. Stool and Anus.─Difficult and irregular evacuations.─Before stool: colic; cutting constant pressing in rectum; constant but fruitless desire.─During stool nausea; tenesmus; spasm of anus; cutting in anus and rectum; acute pain in abdomen; sensation as if fæces remained and could not be expelled; splinter-like pains in rectum (with ineffectual urging); burning; tearing; palpitation of heart.─After stool-continued urging; exhaustion; irritation, anxiety, general uneasiness; anus sore, raw; cutting, straining, shooting in rectum, continuing for hours; prolapse with sensation of constriction in anus; stitching pains; hæmorrhage; discharge of prostatic fluid.─Constipation.─Inability to evacuate fæces.─Constant ineffectual desire, not > by stool.─Fæces hard and dry.─Constipation with fissure symptoms: bleeding, pain, distending stool.─Evacuations too frequent.─Urgent desire to evacuate.─Loose evacuations, sometimes mucous, or of a putrid smell.─Offensive and undigested evacuations.─Much discharge of blood after stool.─Sanguineous, dysenteric evacuations, with tenesmus.─Black, offensive blood; mucous pseudo-membranes, with straining and burning in rectum.─Colic, before stools.─After stools, excitability and dejection.─Burning pain, and itching in anus and rectum; with prolapse.─Sticking in rectum, and spasmodic contraction in anus during stool; fissures.─Oozing excoriation at anus.─Hæmorrhoids, protruding, painless or burning.─Pain as if rectum would be torn asunder during a stool.─Swelling of hæmorrhoidal tumours in anus, which bleed at every evacuation.─Moisture on anus.
14. Urinary Organs.─Frequent want to urinate, with scanty emission of a fetid urine, deep-coloured or brownish.─Incontinence of urine.─Painful emission of urine.─Micturition in a thin stream, as from a stricture.─Urine cold when it passes.─Fetid urine, having an intolerably offensive, strong smell, or smells like horse's urine.─Urine reddish; usually offensive.─Red sediment and sand in urine.─Smarting and burning in urethra when urinating.─Discharge of mucus, which is sometimes sanguineous, or of pus from urethra.─Swelling (dark red) of orifice of urethra.─Needle-like stitches in orifice of urethra.─Ulcers in urethra.─Discharge of prostatic fluid after a difficult stool.
15. Male Sexual Organs.─Affections of male genital organs in general; glans penis; erections.─Violent itching in genital organs.─Falling off of hair from parts.─Excoriation between scrotum and thighs.─Red spots covered with scabs on prepuce.─Small, itching vesicles on prepuce, bursting soon and forming a scurf.─Secretion behind glans, as in gonorrhœa balani.─Swelling, inflammation of prepuce, and phimosis.─Paraphimosis.─Ulcers, like chancres (after Mercury; esp. with exuberant granulations), on prepuce and glans (with pricking, stinging pains).─Deep, fistulous, irregular, ragged ulcers on the glans, with elevated, lead-coloured, extremely sensitive edges.─Syphilis; secondary syphilis.─Excrescences, like sycosis, on prepuce and glans, with smarting pain and bleeding when touched, with oozing of a fetid and sweetish pus.─Red, scurfy spots on the corona glandis.─Relaxation of testes.─Inflammatory swelling of testes, with painful drawing of the spermatic cord, as far as side of abdomen.─Absence of sexual desire and of erections.─Great lasciviousness, with copious discharge of prostatic fluid.─Painful, and almost spasmodic, nocturnal erections.─Frequent pollutions.
16. Female Sexual Organs.─Itching, burning pain, and sensation of dryness in vulva.─Great failing off of hair of genitals.─Stitches up vagina, or from without inward, when walking in open air.─Violent stitches in vagina.─Excoriations in vulva between thighs.─Ulcer, with burning itching in vagina.─Excrescences on vaginal portion of uterus as large as lentils; great voluptuousness of mucous membrane in genitals after coitus.─Uterine hæmorrhages from overexertion of body.─Metrorrhagia, a principal remedy (R. T. C.).─Coffee-ground, offensive discharge from uterus at climaxis, or after labour.─Before menses: throbbing in nape of neck and small of back.─Menses: too early and too profuse, blood very dark and thick; irregular, scanty, and like muddy water.─During menses: eructations, cramp-like pail, in abdomen as if it would burst; very offensive urine; bruised pain in limbs; down thighs; labour-like pains in abdomen and back; palpitation of heart, anxiety, trembling; heaviness; burning in eyes; toothache and swelling of gums.─After menses: violent pains through abdomen and a sudden gush of "muddy water"; brown or thick leucorrhœa, finally a thin, watery, flesh-coloured, offensive discharge, sometimes acrid; greenish, mucous leucorrhœa.─White glairy leucorrhœa, followed by backache (cured, R. T. C.).─Menses reappear: a few days after cessation, and are pale red; fourteen days after cessation, not profusely.─Stringy mucous leucorrhœa, flesh-coloured.─(Leucorrhœa staining, yellow.─Leucorrhœa leaving spots with black borders on linen.).─Catamenia too early; or suppressed.─Cramps in the hypogastrium, and bearing down towards the genital organs, during catamenia.─Fetid, mucous, corrosive leucorrhœa.─Fetid discharge of a reddish brown colour (like brown water) from vagina.─Hard nodosities on breast.─Atrophy of breasts.
17. Respiratory Organs.─Hoarseness, with coryza, cough, and shooting pains in throat.─Roughness in bronchia.─Bronchitis.─Scratching and stinging in larynx, with hoarseness; esp. when talking for a long time.─Whistling inspiration with râles.─Scraping and shootings in the trachea, esp. after reading aloud, or after a long conversation.─Cough, with shootings and pain in throat and chest, as if parts excoriated.─Cough only in day.─Dry, barking cough, esp. in evening, on lying down.─Violent, shaking, barking cough, caused by tickling in larynx and pit of stomach, with expectoration during day of blood, mixed with clots, or of yellow, acrid pus, tasting bitter, sour, or salt, and of offensive smell.─Cough, with vomiting.─Cough causing anxiety and vomiting of mucus and food.─Rough, dry cough before midnight.─Shaking cough at night, with obstructed respiration, almost as in whooping-cough.─When coughing, lancinations in loins, or pain in head, stomach, and hypochondria, or pain, as from excoriation, and shootings in chest.─Empyema with considerable muco-purulent sputum.─Purulent, yellowish expectoration with cough.─Short cough, with expectoration of black, coagulated blood.─Phthisis pulmonalis (after Kali carb.).
18. Chest.─Wheezing respiration, esp. during manual labour.─Obstructed respiration.─Shortness of breath.─[Panting breathing, esp. when reading or stooping over a desk, in schoolboys (cured).─Dyspnœa and vertigo in children (cured). R. T. C.].─Loss of breath and palpitation of heart on walking and going up stairs.─Contractive cramps in chest.─Shooting and stitches in chest and sides (r. side and scapula).─Pain, as from excoriation, in chest, on breathing and coughing.─Rapid congestion and inflammation of the lungs.
19. Heart.─Dyspnœa, palpitation of the heart and anguish when going up stairs.─Congestion in chest, with anguish, heat, and palpitation of heart.─Nervous palpitation caused by slightest mental excitement.─Pulse very irregular; one normal beat is often followed by two small rapid beats─the fourth entirely intermits; alternate hard, rapid, and small beats.
20. Neck and Back.─Neck stiff and sore from least cold.─Rigidity of the nape of the neck.─Swelling of the glands of the neck and axillæ.─Offensive sweat in axillæ.─Suppuration of the axillary glands.─Pain in the back and loins after a chill.─Drawing in lumbar region, as if stiff.─Pain between the scapulæ.─Neuralgic pains up back, esp. l. side.─Pain in back and down thighs.─Itching on back.─Stitches in sacral region.─Shootings in and between shoulder-blades, with stiffness of the neck.
21. Limbs.─Tearing or pulling in limbs, esp. after a chill.─Cracking joints.─Frozen limbs.─Epileptic fits, preceded by pulling in limbs, and followed by rigidity of body and stertorous breathing.
22. Upper Limbs.─Pressive pain in shoulder-joint.─Drawing in arms.─Jerking in muscles of arms.─Contusive pain in arms, which hinders them from being lifted up.─Drawing (rheumatic) and tearing in forearms and hands.─Weakness and trembling of the forearms and hands.─Warts on arms.─Cracks and rhagades in hands.─Coppery spots on hands.─Coldness of hands.─Roughness of skin of hands.─Tensive pain in joints of fingers.─Swelling of fingers, esp. at joints, with shooting pain.─Falling asleep of hands.─Fingers dead and benumbed in cold air.─Chilblains on fingers and hands.─Tetters between fingers.─White spots on nails.
23. Lower Limbs.─Wrenching pain in hip, which causes lameness.─Tensive pain in r. hip-joint.─Digging, gnawing pains in flesh and bones.─Bruised pain as from excessive fatigue.─Lassitude, heaviness, and coldness in legs and feet.─Constant coldness of feet.─Drawing tearings (rheumatic) in legs and feet.─Restlessness in legs in evening.─Itching in thighs.─Pains in thighs, on rising from a seat.─Pain in ham, which prevents resting on foot.─Rigidity and shooting in knee.─Failing of joints of knee and foot.─Pain in patella, impeding walking.─Weakness of knee.─Legs (< l.) very sore in front along shin from ankle to knee; bound flannel on them to see if it would >.─Violent cramp in calf of leg, esp. at night and towards morning, as well as on walking, after having been seated.─Jerking in calves of legs.─Shootings in heel, when resting on it.─Sweat on feet, sometimes fetid, with excoriation between toes.─Chilblains on toes.─Ingrowing of toe-nails; where nail seems to have grown into flesh, but in reality has not─very sore, with more or less ulceration, and a feeling as if a sharp splinter were being stuck into affected part on any contact.
24. Generalities.─Shooting pains, as if caused by splinters stuck into affected part on slightest contact with anything; same in throat on swallowing.─Sensation as if a band were around affected part or parts; as though a band around bones; jerking pain in inner parts.─Rickets.─Inflammation, swelling, and suppuration of glands.─Pains on change of weather.─Pains which are perceptible during sleep.─Aggravation of the symptoms in the evening and at night.─Riding in a carriage > most symptoms.─Great weakness and general lassitude, with trembling, heaviness of legs, and desire to remain lying down, esp. in evening or morning.─Hysteria.─Epileptic attacks.─Syphilis (secondary).─Sycotic condylomata; and sycosis.─Jaundice, with constipation.─Pains in bones.─Frequent drawing pains in almost all parts of body, suddenly appearing and disappearing.─Epileptic attacks after midnight, beginning like a mouse moving up and down l. side, then loss of consciousness.─Excessive emaciation.─Tendency to take cold.─Affections in general, of any kind, appearing in r. eye (e.g., as if a grain of sand was there); r. side of neck; nape of neck; l. hypochondriac region; l. chest; inguinal glands; l. lower extremity; bones of head.
25. Skin.─Dryness of the skin.─Itching nettle-rash, also on face, and esp. in open air.─Blackness of pores.─Brown sphacelus.─Reddish-brown spots (scattered over body, esp. if in dark-haired people) and deep-coloured ephelis on skin.─Copper or violet-coloured spots.─Itching tetters.─Pimples, or exanthema in general; stinging exanthema.─Pain from chilblains and corns on feet.─In a moderately cold temperature limbs become as if frozen, inflamed, and itching, and skin cracks.─Large furunculi.─Mercurial ulcers.─Carious ulcers.─Complaints < from punctured wounds.─Wounds and ulcers, with lancinations as by splinters, or with burning pains (esp. when they are touched), and which bleed easily.─Inflammation and painful sensitiveness of the bones.─Caries.─Inflammation, swelling, and suppuration of the glands.─Ulceration of the bones.─Rachitis.─Ulcers with sanious, sanguineous, and corrosive suppuration.─Pains in old scars on a change of weather.─Condylomata moist, like cauliflower, hard, rhagadic, or in thin pedicles.─Tightness of skin.─Swelling of glands.─Warts.─Wens.
26. Sleep.─Inclination to sleep during day, from weakness, with vertigo.─Sleep retarded in evening, and early, difficult (or too late) awakening in morning.─Sleeplessness, as from over-excitement.─Complaints concomitant to waking; too much perspiration, which smells badly.─Complaints < in evening; in night; on awakening.─Incomplete and agitated sleep, and frequent awaking with pain and a start.─Sleep unrefreshing.─At night, bleeding at nose, headache, toothache, thirst, gastralgia, colic, pains in limbs, nightmare, anguish, palpitation of heart, nausea, vomiting, and many other sufferings.─Anxious sleep, with throbbing.─Many fantastical, voluptuous, anxious, frightful dreams, often with cries, plaintive groans, talking, and starts with fright.─Dreams of death, of spectres, of business of day, of crimes, of festivities, &c.─Shocks in body and jerks in limbs during sleep.
27. Fever.─Chilliness mostly in the afternoon and evening, and after lying down.─Chilliness, with internal heat at same time.─Chilliness in morning in bed, after previous heat.─Heat esp. on hands and face.─Flushes of heat with perspiration on hands.─General coldness of skin.─Continued (chilliness or) coldness.─Fever in afternoon; shivering and heat.─Internal heat, without thirst, continued, or by fits.─At night internal, dry heat, with inclination to uncover oneself.─Heat with perspiration and debility after eating.─Perspiration every night, or on alternate nights; the most profuse on the side on which one lies.─Dry heat at night, with violent thirst.─Nocturnal sweat, fetid or acid.─Acid sweat, like horse's urine, by day.─Intermittent fever.─Chilliness in afternoon (an hour and a half, while in open air), followed by dry heat when in bed, accompanied by all sorts of fancies while in a state of half-waking, without sleep; sleep and perspiration only come on towards morning.─Chilliness in the afternoon, for an hour; afterwards profuse perspiration for two hours over whole body; there is no thirst either in the cold or hot stage.