Aconitum Napellus acon.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

MIND: Brain. NERVES: Medulla. Sympathetic. Vagus. Respiratory centre. HEART: Arterial. Circulation. Viscera: Larynx. Chest. Abdomen. Joints.

Worse

Violent emotions: FRIGHT. SHOCK. Vexation. Sleeping in sun. Chilled by: COLD, dry winds. While sweating. Pressure and touch. Noise. Light. Dentition. During menses. Night; in bed, P.M. lying on side.

Better

Open air. Repose. Warm sweat.

General

Robust habit. Sudden, violently acute, painful effects, a big storm that soon blows over. Tension. Congestion; often apoplectic. Excited nervous and vascular systems. Inflammation. Congestion to head and chest: acute. Inflammation: internal; rheumatic. Bright red hæmorrhage (Bell.). Acute senses. Sticking, tearing pains. Parts feel numb, big, burn, tingle, prickle or crawl; remain sore or numb after the pains. Neuralgia. Crepitation. Painfully sore externally, with internal heaviness. Collapse.

Particulars

TERROR. ANXIETY. AGONIZING FEAR; of death, crowds, etc. RESTLESS , excited, nervous, feverish, impatient and anxious. Beside himself; frantic from intensity of the pain; WITH FEAR; screams, moans, gnaw the fist, bites the nails (Ars.), wants to die. Delirium. Convulsions. Forebodings; predicts time of death. Sensitive. Music saddens. Anxiety, congestion and pain. Head heavy. As of a hot band about head, or boiling heat in brain. Hair seems on end. Violent squeezing or bursting, in forehead or eyes; crackling in, throbs in l. forehead (r. Ant-t. Bell. Ign.); aches, with more urine; burning in. Shooting in eyeballs. Numb nose; with epistaxis (Bell. Med.). Nose runs hot water. Coryza. ANXIOUS LOOK (Spo.). Eyes glitter; stare; bleared; foreign bodies in. Hot, red cheeks. Face: ghastly look; alternately red and pale; one cheek red and hot, other pale and cold. Face pales on rising. Faintness. Toothache. Throbbing in teeth and in head. Everything tastes bitter. Water has a bad taste. Chokes on swallowing. BURNING THIRST; craves acids, beer; < after ices. Appetite: milk agrees. Projectile vomiting (Ver-v.). Violent bilious or bloody vomitus. Stools of pure blood; slimy, grass green, or white; < hot days and cold nights (Dul. Merc-c.). Dysentery. Itching, sticking at anus. Retained, scanty, red or bloody urine. Agonizing dysuria. Cystitis. Urethral chill. Orchitis. Suddenly suppressed menses. Respiration short; during sleep; anxious; hard; sits erect. Dry, hoarse, painful cough, or short, barking, ringing, or whistling cough, < from every inspiration. Grasps larynx; < night or drinking. Laryngitis. Croup with fever. Violent rushes of blood to chest. Pneumonia. Stitches in chest. Oppression of left chest. Pleurisy. Heart feels swelled. Carditis. Complaints of heart worse from sitting erect. Palpitation, anxious; with pain down l. arm. Red finger-tips. Powerless legs. Red, shining swelling. DRY, HOT SKIN, or as if ice water on it. Miliary eruptions. Sleepless and nervous. Pulse fast, bounding, shaking, forcible and tumultuous or wiry. Pulse very irritable. Arterial tension (Ver-v.). CHILL; in waves; alternates with heat. HIGH FEVER. Dry, burning heat; in eyelids; nose, mouth, throat, lungs; on palms; must uncover. Sweat: on uncovered parts; wants covers; drenching. Back and sacrum feel bruised. Remote effects of fright (OP.). Cries out and grasps genitals.

Related

Complementary: Sul. Related: Bell. Cham. Cof.

Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica

H. C. Allen · Keynotes and Characteristics with Comparisons of some of the Leading Remedies of the Materia Medica · homeoint.org / Medi-T HTML text; edition not stated by the mirror (first edition 1898, Allen d. 1909)

Keynote

It is generally indicated in acute or recent cases occurring in young persons, especially girls, of a full, plethoric habit who lead a sedentary life; persons easily affected by atmospheric changes; dark hair and eyes, rigid muscular fibre. Complaints caused by exposure to dry cold air, dry north or west winds, or exposure to draughts of cold air while in a perspiration; bad effects of checked perspiration. Great fear and anxiety of mind, with great nervous excitability; afraid to go out, to go into a crowd where there is any excitement or many people; to cross the street. The countenance is expressive of fear; the life is rendered miserable by fear; is sure his disease will prove fatal; predicts the day he will die; fear of death during pregnancy. Restless, anxious, does everything in great haste; must change position often; everything startles him. Pains; are intolerable, they drive him crazy; he becomes very restless; at night. Hahnemann says: "Whenever Aconite is chosen homeopathically, you must, above all, observe the moral symptoms, and be careful that it closely resembles them; the anguish of mind and body; the restlessness; the disquiet not to be allayed.". This mental anxiety, worry, fear accompanies the most trivial ailment. Music is unbearable, makes her sad (Sab., during menses, Nat. c.). On rising from a recumbent position the red face becomes deathly pale, or he becomes faint or giddy and falls, and fears to rise again; often accompanied by vanishing of sight and unconsciousness. Amenorrhoea in plethoric young girls; after fright, to prevent suppression of menses. For the congestive stage of inflammation before localization takes place. Fever; skin dry and hot; face red, or pale and red alternately; burning thirst for large quantities of cold water; intense nervous restlessness, tossing about in agony; becomes intolerable towards evening and on going to sleep. Convulsions; of teething children; heat, jerks and twitches of single muscles; child gnaws its fist, frets and screams; skink hot and dry; high fever. Cough, croup; dry, hoarse, suffocating, loud, rough, croaking; hard, ringing, whistling; on expiration (Caust. - on inhalation, Spong.); from dry, cold winds or drafts of air. Aconite should never be given simply to control the fever, never alternated with other drugs for that purpose. If it be a case requiring Aconite no other drug is needed; Aconite will cure the case. Unless indicated by the exciting cause, is nearly always injurious in first stages of typhoid fever.

Aggravation

Evening and night, pains are insupportable; in a warm room; when rising from bed; lying on affected side (Hep., Nux m.).

Amelioration

In the open air (Alum., Mag. c., Puls., Sab.).

Relations

Complementary: to Coffea in fever, sleeplessness, intolerance of pain; to Arnica in traumatism; to Sulphur in all cases. Rarely indicated in fevers which bring out eruptions. Aconite is the acute of Sulphur, and both precedes and follows it in acute inflammatory conditions.

Key-Notes to the Materia Medica

Henry N. Guernsey · Key-Notes to the Materia Medica · homeoint.org / Médi-T HTML text (Guernsey d. 1885; public domain)

General

Aconite has a specific and singularly marked action on the serous membranes and on the muscular tissues.

We think of Aconite, therefore, when sudden inflammation, very violent in character, arises, and especially if it is caused by exposure to dry cold air, either in a dry cold room or by a draught of air, whereby perspiration or the insensible exhalations of the body are suddenly suppressed, and a violent chill is the consequence. In chronic cases, when the cause of the disease can be distinctly traced to such a source, even if years have intervened. Among chronic affections arising from this cause, are coughs, catarrhs, spitting of blood, pain in the chest, heart disease, etc., etc.

Mental

The genius of this highly useful remedy is through the mental sphere, and it is always important to consider the mental symptoms. Almost certainly this remedy should never be given in cases where the sickness or suffering is borne with calmness and patience. On the contrary, if Aconite is to be even thought of, we will find mental uneasiness, worry, or fear, accompanying a most trivial ailment, such as inflammation of the eyelids. And the more thoroughly this state of the mind exists, the more surely will Aconite be indicated. Great and uncontrollable anguish, anxiety, and great fear, are characteristic of the Aconite disease.

In nervous states with much fear, accompanied by weakness and want of appetite; great fear; afraid to go out of the house; fear of a crowd; fear that he will not recover, and predicts the expected day of his death,--is very characteristic. Complaints caused by fright and the fear remains.

It has much sensitive irritability, and sadness with fear. Fitful moods; now very cheerful and happy, singing, laughing, and talking in great glee; then sadness and fear, despondency and gloom.

In the delirium is unhappiness, worry, despair and raving, with expression of fear upon the countenance; but there is rarely unconsciousness.

Head

Head excessively hot. Sensation as if everything would push out at the forehead. Vertigo on assuming an upright position, whether rising from the bed or a chair, and is afraid to rise again. (Opium has this symptom, and Nux vomica has it on rising from a chair: but neither of these have the mental symptoms.) Headache, burning, as though the brain were moved by boiling water. Terrible pain at the root of the nose, with much disturbance of the mind; he is afraid to go out of the house; is afraid something is going to happen. Sensation as if the hair were standing on end all over the head. Vertigo increased by shaking the head, with inclination to fall to the right side; staggering to the right.

Eyes

Great aversion to light, or a strong desire for it. Sufferings from foreign bodies, as speck of dust or iron; the eye feels very sore, is painful and inflamed.

Red and hard swelling of the eyelids, the edges looking red and sore; are very sensitive and painful. This state of his eyes worries and troubles him exceedingly; cannot attend to his business because of it. Profuse lachrymation with intense pain.

Cannot bear the reflection of the sun from the snow; on going out after fresh fall of snow, the reflection from the sun shining thereon causes specks, sparks, and scintillations to dance before the eyes. Eyeballs feel painfully dry, and the pressure of the lids hurts them. Purulent ophthalmia if there is redness, inflammation, and great sensitiveness.

Ears

Hearing very sensitive; noise and music trouble and worry the patient.

Nose

Bleeding of the nose, especially in young, plethoric persons, where the flow is very abundant. Dry coryza, with headache, roaring in the ears. Fluent coryza, frequent sneezing, dropping of a clear hot water.

Face

Very red, and feels as if it had grown much larger; red while lying down, but after rising up, pale; redness of one cheek, paleness of the other; red and pale cheeks alternately. Tingling sensation of the face; it is so red it tingles. Tingling sensations are exceedingly characteristic.

Teeth

Toothache of a throbbing character, particularly from an exposure to dry cold air, causing much restlessness.

Mouth

Dry; tongue and fauces dry, with a peculiar tingling on the tip of the tongue and edges of the lips. Tingling of the œsophagus and fauces, and on looking into the throat we find it very red. Tingling when coughing and swallowing. Uvula feels elongated and coming in contact with tongue.

Taste

Everything tastes bitter, except water: and there is a desire to take a great deal of this, because it tastes good; everything else seems bitter. Burning, unquenchable thirst.

Gastric

Vomiting, with nausea and thirst. He drinks, vomits, knows be is going to die, and is in great anguish. (See Fever.)

Pressure in the pit of the stomach as if a large stone were there.

Burning sensation in the throat, in the stomach, extending from the pit of the stomach up to the tip of the tongue, with tingling of the tongue, lips, fingers, and along the spine, and tingling in various parts of the body. Much bitter vomiting; vomiting of bile, with great fear; there may be a cold sweat, which is more the result of fear than anything else. Vomiting seems to pour out as from a pump, in great profusion, deluging everything.

Abdomen

Inflammation of the peritoneum, accompanied by restlessness, sleeplessness, thirst, and sharp shooting pains, and the abdomen is tender to the touch. Inflammation of the bowels, with tearing and burning pains, restlessness, thirst, fever, dry hot skin, and diarrhœa. Incarcerated hernia, with bitter taste, bilious vomiting, restlessness, fear of death.

These conditions may arise suddenly, when Aconite will be strongly indicated. Great fear and dread will also characterize the case. Pure inflammatory dysentery, with the peculiar mental and physical symptoms, is rapidly relieved by Aconite.

Stool

Pure inflammatory dysentery; or diarrhœa with watery, brown, and bilious stools, accompanied in either case by dry hot skin, thirst, restlessness, and fear.

If a child is suffering from a watery diarrhœa, crying and complaining very much, biting his fists, and is sleepless, Aconite will usually cure in a short time.

Children

In diseases of childhood, dentition, disturbances of the alimentary canal with cerebral complications, where there is great restlessness, not a position that is satisfactory; they cry, complain, toss about, knock their heads, put their hands to the part that hurts them most, often call for mamma, and exhibit signs of fear and great unhappiness.

Urine

Scanty, red, and hot urine, arising from taking cold, especially in children; suppression of, from cold. The child screams and appears to be in great pain, because it cannot urinate. Aconite will ease the pain, quiet the child, and the urine will flow some time after. Heat and profuse perspiration, often accompanied by increased micturition.

Sexual

In males, bruised pain in the testicles, arising from exposure to dry cold air.

In females, after-pains are very severe, with great fear and restlessness. In milk fever, when the milk does not flow, and the breasts are hard and swollen, accompanied by the same mental conditions. Puerperal peritonitis, where there are darting, shooting pains, restlessness, fever, great fear and anguish.

Suppressed menses, resulting from fright, fear, or vexation, or chill in dry cold air, particularly in young and plethoric females.

Larynx and Chest

Croupy-sounding cough, particularly after falling to sleep. The patient is disturbed in hie sleep by the cough, which almost awakens him; he turns over, and as soon as he is fairly settled down to sleep again, the cough recommences, and so continually repeats itself. Croupy cough, resulting from an exposure to dry cold air, with restlessness and an uncomfortable state of the mind. Short, dry, titillating cough, every inspiration seeming to increase the cough is very characteristic. Cough with no expectoration.

Expectoration of bloody mucus with the cough. There is almost always a tingling sensation in the chest after coughing. There may be stitches in the chest and side, which are often so severe as to interfere considerably with respiration; can only get "half-inch" respirations. We sometimes find this in the worst cases of pleurisy; also the restlessness, fever, thirst., and fear. Sometimes there is an oppression of the chest without pain, which keeps one from taking a deep breath; something seems to catch the breath and stop it.

In hæmorrhage the blood comes with great ease by hemming and hawking; it comes in great quantity, and of a pure, bright, red quality; the hæmorrhage is often brought on by a little exercise, or by being in the cold dry air, or in a cold dry room; hæmorrhage is attended by a great fear of death.

Aconite cures some cases of heart disease, chiefly when the cause can be traced to an exposure to dry cold air. Palpitation of the heart, with great anguish.

Constant pressure in the left chest; oppressed breathing on the least motion; frequent stitches at the heart, and tendency to congestion of the head.

Extremities

Much tingling in the back and in the fingers, particularly while writing. Numbness of the left arm, so that the hand can hardly be moved.

Fever

Hard, full, and frequent pulse, sometimes intermitting; sometimes slow and thread-like, with heat, restlessness, thirst for great quantities of water, etc., etc. Even in intermittent fever, with mental excitement and fear of death. It is sometimes useful when there is a sensation of coldness in the blood vessels, and a peculiar shuddering sensation running from the feet to the chest in paroxysms. Sensation of great heat, with a cold clammy sweat; cannot bear to be covered. Great thirst, and though cannot retain fluids in the stomach, yet will always drink; then up it comes as from a pump, all up and out in a very short time, even before a basin or anything can be procured. In the heat of Aconite there is much agony and tossing: feels very hot and wants great amount of cold drink.

Skin

Erysipelatous inflammations; miliary eruptions: red fiend rash, which is very thick and causes great restlessness; this rash reappears every night.

Generalities

This remedy is frequently indicated where there is a great and sudden sinking of the strength, but with no alarm. Jerking and twitching of parts, also unconsciousness, contra-indicate Acon.

Burning of the internal parts, with the concomitant symptoms.

Tingling of the fingers, œsophagus,. cheeks, back, tongue and lips. Painful sensitiveness of any part of the body; does not wish to be touched on account of this sensitiveness; of course he will be irritable, and fearful of any one approaching him.

Great sleeplessness, restlessness, and constant tossing.

Sometimes a patient is suddenly attacked with great oppression of breathing, accompanied by great agony, so that he must sit straight up in bed; his pulse thread-like, and he is very sad; these attacks usually occur in the night.

Active hæmorrhage from any part of the body, uterine or any other, accompanied with fear of death, and nervous excitability.

Worse

In the evening; in the night; cannot lie on the left side in affections of the chest; worse when rising and when in a warm room. From music; from fear; during inspiration; when giddy; lying on side.

Better

In the open air and sometimes when sitting still.

Remedies following well, are

Arnica, Bellad., Bryon., Canthar., Mercur., Pulsat., Rhus tox., Sepia, Sulphur.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Numbness and tingling in all parts. Skin dry, burning hot, intense thirst for cold water, red face sometimes changing to pale. Croupy cough, awakening in first sleep, particularly with children after dry, cold west wind. Conjunctivitis resulting from exposure to dry, cold winds, from surgical operations or from a foreign body in the eye. Cannot bear the pain, or to be touched, or to be uncovered. First stages of inflammatory fevers, before localization, eruption, or exudation has occurred, characterized by great anxiety, and restlessness, often in chilly stages, before febrile symptoms have developed. Hemoptysis, the blood comes up with an easy hawking, hemming or some coughing, either after mental excitement, after drinking wine, or exposure to dry cold air. Numbness of the left arm, can scarcely move the head. Predicts the day she is to die, especially in pregnancy or child-bed. From rising up the red face turns deadly pale. Heat with thirst, hard full frequent pulse, anxious impatience, inappeasable, beside himself tossing about with agony. After a fright with vexation during menses to prevent suppression. After a violent chill, dry heat and lancinating pain in chest. Stools like chopped spinach, in summer complaint. Complaints, especially respiratory, from sudden suppression of perspiration by exposure to cold, especially cold winds.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Monkshood

General

A state of fear, anxiety; anguish of mind and body. Physical and mental restlessness, fright, is the most characteristic manifestation of Aconite. Acute, sudden, and violent invasion, with fever, call for it. Does not want to be touched. Sudden and great sinking of strength. Complaints and tension caused by exposure to dry, cold weather, draught of cold air, checked perspiration, also complaints from very hot weather, especially gastro-intestinal disturbances, etc. First remedy in inflammations, inflammatory fevers. Serous membranes and muscular tissues affected markedly. Burning in internal parts; tingling, coldness and numbness. Influenza. Tension of arteries; emotional and physical mental tension explain many symptoms. When prescribing Aconite remember Aconite causes only functional disturbance, no evidence that it can produce tissue change--its action is brief and shows no periodicity. Its sphere is in the beginning of an acute disease and not to be continued after pathological change comes. In Hyperæmia, congestion not after exudation has set in. Influenza (Influenzin)

Mind

Great fear, anxiety, and worry accompany every ailment, however trivial. Delirium is characterized by unhappiness worry, fear, raving, rarely unconsciousness. Forebodings and fears. Fears death but believes that he will soon die; predicts the day. Fears the future, a crowd, crossing the street. Restlessness, tossing about. Tendency to start. Imagination acute, clairvoyance. Pains are intolerable; they drive him crazy. Music is unbearable; makes her sad (Ambra). Thinks his thoughts come from the stomach--that parts of his body are abnormally thick. Feels as if what had just been done was a dream.

Head

Fullness; heavy, pulsating, hot, bursting, burning undulating sensation. Intercranial pressure (Hedera Helix). Burning headache, as if brain were moved by boiling water (Indigo). Vertigo; worse on rising (Nux. Opium) and shaking head. Sensation on vertex as if hair were pulled or stood on end. Nocturnal furious delirium.

Eyes

Red, inflamed. Feel dry and hot, as if sand in them. Lids swollen, hard and red. Aversion to light. Profuse watering after exposure to dry, cold winds, reflection from snow, after extraction of cinders and other foreign bodies.

Ears

Very sensitive to noises; music is unbearable. External ear hot, red, painful, swollen. Earache (Cham). Sensation as of drop of water in left ear.

Nose

Smell acutely sensitive. Pain at root of nose. Coryza much sneezing; throbbing in nostrils. Hæmorrhage of bright red blood. Mucous membrane dry, nose stopped up; dry or with but scanty watery coryza.

Face

Red, hot, flushed, swollen. One cheek red, the other pale (Cham, Ipec). On rising the red face becomes deathly pale, or he becomes dizzy. Tingling in cheeks and numbness. Neuralgia, especially of left side, with restlessness, tingling, and numbness. Pain in jaws.

Mouth

Numb, dry, and tingling. Tongue swollen; tip tingles. Teeth sensitive to cold. Constantly moves lower jaw as if chewing. Gums hot and inflamed. Tongue coated white (Antim crud).

Throat

Red, dry, constricted, numb, prickling, burning, stinging. Tonsils swollen and dry.

Stomach

Vomiting, with fear, heat, profuse sweat and increased urination. Thirst for cold water. Bitter taste of everything except water. Intense thirst. Drinks, vomits, and declares he will die. Vomiting, bilious mucous and bloody, greenish. Pressure in stomach with dyspnœa. Hæmatemesis. Burning from stomach to œsophagus.

Abdomen

Hot, tense, tympanitic. Sensitive to touch. Colic, no position relieves. Abdominal symptoms better after warm soup. Burning in umbilical region.

Rectum

Pain with nightly itching and stitching in anus. Frequent, small stool with tenesmus; green, like chopped herbs. White with red urine. Choleraic discharge with collapse, anxiety, and restlessness. Bleeding hæmorrhoids (Hamam). Watery diarrhœa in children. They cry and complain much, are sleepless and restless.

Urine

Scanty, red, hot, painful. Tenesmus and burning at neck of bladder. Burning in urethra. Urine suppressed, bloody. Anxiety always on beginning to urinate. Retention, with screaming and restlessness, and handling of genitals. Renal region sensitive. Profuse urination, with profuse perspiration and diarrhœa.

Male

Crawling and stinging in glans. Bruised pain in testicles, swollen, hard. Frequent erections and emissions. Painful erections.

Female

Vagina dry, hot, sensitive. Menses too profuse, with nosebleed, too protracted, late. Frenzy on appearance of menses. Suppressed from fright, cold, in plethoric subjects. Ovaries congested and painful. Sharp shooting pains in womb. After-pains, with fear and restlessness.

Respiratory

Constant pressure in left chest; oppressed breathing on least motion. Hoarse, dry, croupy cough; loud, labored breathing. Child grasps at throat every time he coughs. Very sensitive to inspired air. Shortness of breath. Larynx sensitive. Stitches through chest. Cough, dry, short, hacking; worse at night and after midnight. Hot feeling in lungs. Blood comes up with hawking. Tingling in chest after cough.

Heart

Tachycardia. Affections of the heart with pain in left shoulder. Stitching pain in chest. Palpitation, with anxiety, fainting, and tingling in fingers. Pulse full, hard; tense and bounding; sometimes intermits. Temporal and carotid arteries felt when sitting.

Back

Numb, stiff, painful. Crawling and tingling, as if bruised. Stiffness in nape of neck. Bruised pain between scapulæ.

Extremities

Numbness and tingling; shooting pains; icy coldness and insensibility of hands and feet. Arms feel lame, bruised, heavy, numb. Pain down left arm (Cact, Crotal, Kalmia, Tabac). Hot hands and cold feet. Rheumatic inflammation of joints; worse at night; red shining swelling, very sensitive. Hip-joint and thigh feel lame, especially after lying down. Knees unsteady; disposition of foot to turn (Aescul). Weak and lax ligaments of all joints. Painless cracking of all joints. Bright red hypothenar eminences on both hands. Sensation as if drops of water trickled down the thigh.

Sleep

Nightmare. Nightly ravings. Anxious dreams. Sleeplessness, with restless and tossing about (Use thirtieth potency). Starts up in sleep. Long dreams, with anxiety in chest. Insomnia of the aged.

Skin

Red, hot, swollen, dry, burning. Purpura miliaris. Rash like measles. Gooseflesh. Formication and numbness. Chilliness and formication down back. Pruritus relieved by stimulants.

Fever

Cold stage most marked. Cold sweat and icy coldness of face. Coldness and heat alternate. Evening chilliness soon after going to bed. Cold waves pass through him. Thirst and restlessness always present. Chilly if uncovered or touched. Dry heat, red face. Most valuable febrifuge with mental anguish, restlessness, etc. Sweat drenching, on parts lain on; relieving all symptoms.

Modalities

Better in open air; worse in warm room, in evening and night; worse lying on affected side, from music, from tobacco-smoke, dry, cold winds.

Vinegar in large doses is antidotal to poisonous effects.

Relationship

Acids, wine and coffee, lemonade, and acid fruits modify its action.

Not indicated in malarial and low fevers or hectic and pyæmic conditions, and in inflammations when they localize themselves. Sulphur often follows it. Compare Cham and Coffea in intense pain and sleeplessness.

Agrostis acts like Acon in fever and inflammations, also Spiranthes.

Complementary: Coffea; Sulph. Sulphur may be considered a chronic Aconite. Often completes a cure begun with Aconite.

Compare; Bellad; Cham; Coffea; Ferr, phos.

Aconitine

(Heavy feeling as of lead; pains in supraorbital nerve; ice-cold sensations creep up; hydrophobia symptoms. Tinnitus aurium 3x). Tingling sensation.

Aconitum Lycotonum

Great yellow wolfsbane.--(Swelling of glands; Hodgkin's disease. Diarrhœa after eating pork. Itching of nose, eyes, anus and vulva. Skin of nose cracked; taste of blood).

Aconitum Cammarum

(Headache with vertigo and tinnitus. Cataleptic symptoms. Formication of tongue, lips and face).

Aconitum ferox

Indian Aconite.--Rather more violent in its actions than A. napellus. It is more diuretic and less antipyretic. It has proved valuable in cardiac dyspnœa, neuralgia, and acute gout. Dyspnœa. Must sit up. Rapid respiration. Anxiety, with suffocation from feeling of paralysis in respiratory muscles. Cheynes-Stokes breathing. Quebracho (cardiac dyspnœa) (Achyranthes.--A Mexican drug--very similar to Aconite in fevers, but of larger range, being also adapted to typhoidal states and intermittents. Muscular rheumatism. A great diaphoretic. Use 6x). Eranthis hymnalis--(Winter Aconite--acts on solar plexus and works upwards causing dyspnœa. Pain in occiput and neck).

Dose

Sixth potency for sensory affections; first to third for congestive conditions. Must be repeated frequently in acute diseases. Acon is a rapid worker. In Neuralgias tincture of the root often preferable, one drop doses (poisonous), or again, the 30th according to susceptibility of patient.

Leaders in Homoeopathic Therapeutics

E. B. Nash · Leaders in Homoeopathic Therapeutics · homeoint.org / Médi-T HTML text (Nash d. 1917; public domain)

Leaders

Fear: of death; of crowds; of going out. Anything, always fearful.

Complaints from exposure to cold, dry cold.

Congestions and inflammations, acute, first stage with great anxiety, heat and restlessness; tosses about in agony; throws off covering. Inflammatory fever.

Pains insuppressable < at night, especially in the evening; neuralgic.

Face very red and flushed, but turns pale on rising up.

Favorite points of attack: Larynx (crop), bronchi (bronchitis), lungs and pleura (pneumonia and pleurisy), joints (rheumatism), heart and circulation (erethism).

> uncovering; kicks the clothes off.

We will now take up what I call the trio of restless remedies; viz: Aconite, Arsenicum and Rhus toxicodendron.

All are equally restless, yet all are so very different that there is no difficulty in choosing between them. The Aconite restlessness is oftenest found in a high grade of synochal or inflammatory fevers. There is no better picture in a few words of the Aconite fever than is given by Hering -"Heat, with thirst; hard, full and frequent pulse, anxious impatience, inappeasable, beside himself, tossing about with agony."

The custom of alternating Aconite and Belladonna in inflammatory affections, which so widely prevails is a senseless one. Both remedies cannot be indicated at a time, and if a good effect follows their administration you may be sure that the indicated one cured in spite of the action of the other, which only hindered; or that the patient recovered without help from either. There are many cases of this kind where the doctor is congratulating himself on a cure which was only a recovery, for which he deserves no credit at all. Let us look for a moment at some of the diagnostic differences of these two remedies.

Both have great heat of the skin, but Aconite has characteristically dry, hot skin and no sweat; Belladonna has even greater surface heat, but sweats on covered parts.

Aconite tosses about in agony with great fear of death; Belladonna often has semi-stupor and jerks and twitches in sleep. Aconite has great distress in heart and chest; Belladonna everything seems to centre in the head. Aconite fears death without much delirium; Belladonna fears imaginary things, with delirium. Thus we might continue to give points of difference. No man who understands the homœopathic art of healing will ever alternate these two remedies.

Aconite is also a great pain remedy. If we were to name the three leading remedies in this respect it would be Aconite, Chamomilla and Coffea. The Aconite pains are always attended by the extreme restlessness, anxiety and fearfulness of this remedy. The patient tosses about in agony, "cannot bear the pain, nor bear to be touched, nor to be uncovered." Well, you say, all remedies have pain. Not all, and not many so intense pain. Opium and Stramonium have painlessness oftener than pain. The Aconite pains are intolerable and generally worse in the evening or at night. Then we have often alternating with or sometimes even in conjunction with the pains numbness, tingling, or formication.

In this it resembles Rhus tox., but with Aconite the pains predominate, while with Rhus tox. the numbness, with dull aching and soreness, leads. The pains of Aconite are tearing, cutting pains, which drive the patient to desperation. Right here we may as well speak of the leading characteristic of this remedy, for it is almost always present when Aconite is clearly indicated. Just one word expressed it: Fear -fear of death especially, but fear to cross the street, fear to go into society, fear something is going to happen, ever present, undefinable, unreasonable fear. No remedy has it in such a degree as this one. It is the fear as much as the pain that makes the patient so full of that agonized restlessness. The Arsenic restlessness goes with extreme prostration and reduced vitality. Rhus tox., on account of the aching pains, which make him want to move for the temporary relief he gets from the movement. Arsenic wants to move from place to place, but is not relieved. Neither Aconite nor Arsenic get such relief from movement, nor does Arsenic fear like Aconite, or at least in any such degree. Aconite, as a fever remedy, has been greatly abused. Even the old school, astonished at the results of homœopathic treatment, so superior to their so-called anti-phlogistic treatment, and finding Aconite so highly recommended and frequently used in inflammatory affections, concluded in accordance with their usual way of reasoning that Aconite could be squeezed into their pathological livery and made to do service in all kinds of fever simply because it was fever. But they soon found that however useful it might be in some cases of inflammatory fever, it was of no use in typhoids. Thus was generalization from a pathological standpoint again doomed to disappointment, as it always must be. Now many so-called homœopaths have fallen into similar error by concluding that because Aconite did quickly cure in some cases having a high grade of fever, that therefore it was always the remedy with which to treat cases having high fever. They even fell into the routine habit of prescribing this remedy for the first stage of all inflammatory affections, and follow it with other remedies more appropriate to the whole case further on. If Aconite were the only remedy having inflammatory fever, perhaps we could do no better than to zig-zag the case to a cure this way. Dunham writes: "Aconite is never to be given first to subdue the fever and then some other remedy 'to meet the case,' never to be alternated with other drugs for the purpose, as is often alleged, of 'controlling the fever.' If the fever be such as to require Aconite, no other drug is needed. If other drugs seem indicated one should be sought which meets the fever as well, for many drugs besides Aconite produce fever, each after its kind."

True words, and as one reads them who has proved their truthfulness and remembers they great author, he feels like exclaiming, "Being dead, yet speaketh." Aconite has two very important modalities, viz., fright and dry cold air. We have already noticed the value of the fear of Aconite as a symptom, connected with acute inflammatory ailments. It is no less a remedy for ailments brought on by fright, either immediate or remote. The patient has received a fright in the dark and is always afraid in the dark afterwards. From fright vertigo comes on, or fainting; trembling; threatened abortion, or suppressed menstruation, Jaundice may be induced by it, and become chronic. There are other remedies for fright, prominent among which are Opium, Ignatia, Veratrum album, etc. Now in regard to the dry cold air. No remedy has more prominently acute inflammations arising from dry, cold air. Nineteen out of twenty cases of croup arising from exposure to dry, cold air will be cured by Aconite. I live in a locality where croup abounds and have had abundant opportunity to verify this. Pleurisy, pneumonia and rheumatism also come under this head, and they are, as would be expected, almost invariably accompanied by the high fever, anguish, restlessness and fear so characteristic of this remedy. Any local congestion or inflammation coming from such exposure also comes under the same rule, always providing the other symptoms corresponds The other leading dry air remedies are Bryonia, Causticum, Hepar sulph., and Nux vomica. Here are some wet weather remedies: Dulcamara, Nux moschata, Natrum sulphuricum and Rhus toxicodendron. Such things are well to remember, for one positive indication is worth two or three vague ones.

Modalities

Modalities: < in the evening (chest symptoms and pains); lying on left side; in warm room or warm covering.

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Great, inconsolable anxiety. Complaining fear of approaching death ; predicts the day he is to die. Sensitive irritability. Sadness. Maliciousness. Fitful mood, changing from one thing to another ; now he is full of mirth, whistles and warbles a song ; and then he is disposed to weep. Delirium, especially at night -with ecstasy. Fear of ghosts.

Head

Vertigo when rising, with nausea ; vanishing of sight ; bleeding of the nose. Congestion to the head, especially towards evening, with fullness and pulsation in the head, vanishing of sight, singing in the ears, red-hot face. Inflammation of the brain-sensation of fulness and heaviness in the forehead, with the sensation as if the whole brain would start out of the eyes, with nausea and giddiness, aggravated by talking and from motion. Burning head-ache, as if the brain was moved by boiling water. Crampy sensation in the forehead over the root of the nose : it feels as if he would lose his senses. Sensation of heat in the head, which perspires, with pale face.

Eyes

Aversion to or great desire for, light. Ophthalmia, very painful, with blear-eyedness, or from foreign bodies having come into the eyes, (dust, sparks). Red, bard swelling of the eyelids.

Ears

Tearing (left ear). Roaring in the ears. Hearing very sensitive, noise is intolerable.

Nose

Bleeding of the nose, especially in plethoric persons.

Face

Red and hot. Yellow. Red and pale, alternately. Redness of one cheek and paleness of the other. When raising himself up, the red face becomes pale. Perspiration on the side of the face on which he lies. Tingling in the cheeks. Lips dry and black, peeling of.

Teeth

Toothache from cold, with throbbing in one side of the face, intense redness of the cheek, congestion of blood to the head, and great restlessness.

Mouth

Dryness of the mouth and of the tongue. Pricking and burning on the tongue. Tongue coated white. Trembling and stammering speech.

Throat

Tingling in the œsophagus. Acute inflammation of the throat (palate, tonsils and fauces) with high fever, dark redness of the parts, burning and stinging in the fauces. Stinging in the throat when swallowing and coughing. Almost entire inability to swallow, with hoarseness.

Appetite and Taste

Taste bitter. Every thing tastes bitter, except water. Aversion to food. Burning, unquenchable thirst.

Stomach

Vomiting, with nausea and thirst, heat, profuse perspiration and increased micturition. Vomiting of bloody mucus, or of what has been drunk, followed by thirst. Pressure in the stomach and pit of the stomach, as from a weight or a hard stone.

Abdomen

Tension, heaviness and pressure in the hypochondria. Inflammation and sensation of soreness in the liver. Pressure in the region of the liver, with obstruction of breathing. Inflammation of the peritoneum, with restlessness, sleeplessness and thirst. Inflammation of the bowels, with burning, tearing pain. Inflammation of the hernial stricture, with vomiting of bile.

Stool and Anus

Frequent small stools with tenesmus. Watery diarrhœa. Stools, white with dark red urine.

Urinary Organs

Enuresis, with thirst. Scanty, red, hot urine, without sediment.

Sexual Organs

Men. Sexual desire either increased or decreased, with relaxed parts. Testicles pain, as if bruised. Women. Catamenia too profuse and too protracted. Suppressed menstruation from fright. After pains, too painful and too protracted. Milk fever (with delirium). Puerperal peritonitis.

Larynx and Trachea

Inflammation of Larynx and Bronchia. Angina membranacea, with dry cough and quick breathing. Short dry cough from titillation in the larynx. Cough with stitches in the chest or small of the back. Expectoration of bloody mucus. Hæmoptysis.

Chest

Shortness of breathing, especially when sleeping or raising one's self. Anxious, labored, sobbing breathing. Stitches through the chest and side, especially when breathing and coughing. Pleurisy and Pneumonia, especially with great heat, much thirst, dry cough and great nervous excitability, only somewhat relieved when lying on the back. Asthma of Millar. Oppression of the chest preventing deep breathing. Palpitation of the heart, with great anguish. Inflammation of the heart. Chronic diseases of the heart, with continuous pressure in the left side of the chest, oppressed breathing when moving fast and ascending steps, stitches in the region of the heart, congestions to the head ; attacks of fainting and tingling in the fingers.

Back

Pain, as if bruised in the small of the back. Tingling in the back.

Upper Extremities

Tingling in the fingers, even while writing. Icy coldness of the hands. Hot hands with cold feet. Numbness in the left arm ; -he can scarcely move the hand.

Lower Extremities

The hip-joint feels as if bruised. Drawing tearing pains in the knee-joint. Unsteadiness of the knees. Coldness of the feet up to the ankles, or only of the toes, with perspiration of the toes and soles of the feet.

Generalities

Fainting, especially when rising, with paleness of the cheeks, which were red when lying. Sudden great sinking of strength. Lameness (paralysis) (left side). Cataleptic attacks, with rigor of the body, loud lamentations and grinding of the teeth. Burning in internal parts. Congestions (head, chest, heart). Inflammations (serous membranes). Stinging pains in internal organs. Tearing in external parts (Rheumatism). Tingling (fingers, œsophagus, cheeks, back). Painful sensitiveness of the body to contact : he does not wish to be touched. Attacks of pain, with thirst and redness of the face.

Sleep

Sleeplessness, with restlessness (eyes closed) and constant tossing about. Anxious dreams, with much talking and moving while sleeping. Nightmare.

Fever

Pulse. Hard, full, frequent ; sometimes intermitting ; when slow, almost imperceptible (thread like). Fever. Sensation of coldness in the blood-vessels. Chilliness. From being uncovered and from being touched. Chilliness, with thirst. Shuddering runs up from the feet to the chest. Chill, with internal heat, anxiety and red cheeks. Heat, with agonized tossing about. Dry burning heat, generally extending from the head and face, with much thirst for cold drinks. Heat, with inclination to uncover. Heat, with chilliness at the same time. Inflammatory fevers and inflammations, with much heat, dry burning skin, violent thirst, red face, or alternate red and pale face, nervous excitability, groaning and agonized tossing about, shortness of breath, and congestion to the head. Perspiration over the whole body, especially the covered parts, smelling sour.

Skin

Red, hot, swollen and shining skin, with violent pain. Rash of children. Burning in the skin. Yellow face.

Conditions

While at rest, he is better ; but during the night, in bed, the pain is insupportable. Bad effects from dry cold air, suppressed perspiration, from fright, with fear and anger. Aggravation in the evening (chest symptoms) when lying on the (left) side ; when rising ; in the warm room. Amelioration. In the open air (nervous symptoms) ; when sitting still (rheumatism).

A Dictionary of Practical Materia Medica

John Henry Clarke · A Dictionary of Practical Materia Medica · 1st edition (1900-02, three volumes); homeoint.org / Médi-T HTML digitization

General

Common Aconite. Monkshood. Wolfsbane. (Moist pastures and waste places in mountainous districts, Central and Southern Europe, Russia, Scandinavia, and Central Asia.) N. O. Ranunculaceæ. Tincture of whole plant with root when beginning to flower.

Clinical

Amaurosis . Anger . Apoplexy . Asthma . Blindness, sudden. Bronchitis. Catalepsy. Catheter fever. Chest, affections of . Chicken-pox. Cholera. Cholera infantum . Cold . Coldness . Consumption . Convulsions. Cough . Croup . Cystitis. Dengue fever . Dentition . Diarrhœa. Dropsy . Dysentery. Dysmenorrhœa. Ear, affections of . Enteritis. Erythema nodosum . Excitement . Eye, affections of . Face, flushing of. Fear, effects of . Fever . Fright, effects of . Glands swollen. Glossitis. Gonorrhœa. Hæmorrhages. Hæmorrhoids; strangulated . Headache . Heart, affections of . Hip-joint, diseased . Hodgkin's disease . Hyperpyrexia . Influenza . Jaundice. Joints, affections of . Labour . Lactation . Laryngitis . Liver, inflammation of. Lumbago . Lungs, affections of . Mania . Measles . Meningitis . Menstruation, disorders of . Miliaria . Miscarriage . Mumps . Myalgia . Myelitis . Nephritis. Neuralgia . Numbness . Œsophagus, inflammation of. Paralysis. Peritonitis. Phlegmasia alba dolens. Pleurisy. Pleurodynia, Pneumonia. Pregnancy. Puerperal fever. Purpura. Quinsy. Remittent fever. Roseola. Scarlatina. Shivering. Sleeplessness. Smell, disorders of. Stiff-neck. Testicles, affections of. Tetanus . Tetany. Thirst. Throat, affections of. Tongue, affections of . Toothache. Traumatic fever. Urethra, spasmodic stricture of . Urethral fever. Urine, suppression of . Uterus, prolapsus of. Vaccination, effects of. Vertigo. Whooping-cough. Yawning. Yellow fever .

Characteristics

The Wolfsbane "grows in the damp and covered parts of almost every mountainous country in north or middle of Europe, especially in the Jura, Switzerland, Germany, and Sweden." Teste mentions that it has the reputation of being much more poisonous to carnivorous animals than to the herbivora. This he partly endorses, and it has recently been apparently confirmed by a vain attempt to poison an elephant with Aconitine in this country. A carrot was scraped out and enough Aconitine to poison 2,000 men was put in. The elephant ate it readily, but nothing at all happened, and three hours later a large dose of prussic-acid had to be administered, which proved fatal in a short time.

Before Hahnemann's time Aconite had a reputation as a sudorific, and in cases of rheumatism, sciatica, and tumours, but it was not till Hahnemann proved it that its properties were really, understood. Aconite is more closely associated with the rise and progress of homœopathy than any other member of the materia medica. If Cinchona was the "Newton's apple" of the homœopathic discovery, Aconite was the remedy by means of which Hahnemann was able to meet most of the conditions which in his day were treated by blood-letting. It was Aconite more than any other remedy which paved the way for the disappearance of blood-letting from general medical practice. One of the deadliest and most rapidly acting of poisons, through Hahnemann's discoveries has been turned into the best friend of the nursery. Aconite in potencies above the 3rd is a perfectly safe medicine for any age. Sensitive patients complain of its depressing action when repeated, and I have known instances in which the characteristic prostration of mind and body has occurred after Aconite had been given in the potencies. But such cases are exceptions, and are not attended with danger when they do occur. The great majority of patients to whom Aconite is given in the potencies experience nothing of the kind.

The rapidity of action of Aconite determines its appropriateness for conditions in which the symptoms set in with great intensity, such as Asiatic cholera, certain fevers, and acute inflammations. To this list may be added attacks of sudden blindness. But it must not be supposed that the sphere of Aconite is limited to acute cases. When the symptoms correspond it will cure cases of great chronicity ─ for example, cases of indurated glands.

Dr. Hughes has acutely remarked that the condition to which Aconite is homœopathic is one of tension ; and this word gives the best idea of the action and sphere of Aconite . There is emotional and mental tension, as shown in fright or fear and its consequences, anxiety, and fear of death; tension of the systemic vessels, as in the effects of a chill, Asiatic cholera, and hæmorrhages; muscular tension, as in tetanus; tension of involuntary muscles, as in heart spasms, and tension of the semi-involuntary muscular apparatus of respiration, as in asthma; and finally tension of the special senses in heightened sensation and heightened sensitiveness to pain; in a feeling of numbness in parts, as if bound tightly, and also a sensation of being tightly bound in the limbs and in other parts. Hence it is that Aconite in its therapeutic action corresponds to the effects of a number of conditions which excite a state of tension. Plethora may be classed under this head. Plethoric persons of a lively character, bilious and nervous constitutions, high colour, brown or black hair, are specially suited to Acon . Active, sanguineous congestions of all kinds, especially those following chill. Guernsey puts it in another way: "The pure and fully developed blood globule, in its most perfect type, when diseased, has a great affinity for Acon . When the blood globules are disorganised it is seldom indicated. We think of Acon . in sudden inflammation, especially if caused by cold, dry air , suppressing exhalations of the body." Teste relates a remarkable case of an Englishman who had been obliged to take a long sleigh journey in North Russia in midwinter, who suffered thereafter for two years from violent paroxysms of palpitation and acute stitching pains in the heart region, threatening cerebral apoplexy. Aneurism had been diagnosed by leading physicians in England and on the Continent. Teste localised the affection to neurosis or spasm of the pectoralis major muscle, and proved his diagnosis by promptly curing it with Acon . The keen, cutting winds of the mountains amongst which the plant flourishes give the signature of this remedial action.

There are not many drugs which have causation so strongly marked among their characteristics. Chill, fright, injury, or surgical operation ─ the effects of these will be met in large majority of cases by Acon ., the timely administration of which will ward off serious results.

The reaction from the primary effect of chill gives another characteristic of Acon . ─ that of fever. With the Acon . fever there are: Restlessness and tossing about, and the tension state is evidenced still in the anxiety with which it is accompanied, sometimes amounting to fear of death. The mental exaltation sometimes goes so far as to the predicting of the day and hour of death. Clairvoyance. Extreme sensitiveness to light and sound and all sensations including pain. When the sickness is borne with calmness and patience Acon . is not likely to be required. It was the feverish restlessness of the Acon . provings that led Hahnemann to infer its homœopathicity to so many fever states; and it is the presence of this restlessness, anxiety, fear, and exalted sensibility which are its leading indications in cases of all kinds.

Some characteristics of Acon . are the following: Active hæmorrhages in stout, plethoric people. Passes almost pure blood by stool. In hæmoptysis the blood comes up with great ease by hemming and coughing, bright red in large quantities, from cold, dry winds, with great fear, anxiety, and palpitation. Every inspiration increases the cough. After the cough tingling sensation in chest. Unquenchable thirst: everything tastes bitter, except water ( Chi . everything, including water). In croup the child grasps the throat with every coughing fit. Coldness, numbness, and tingling characterise the paralyses and neuroses of Acon . Facial paralysis from exposure to cold, dry winds. The fear and apprehension of Acon . is shown in dread of crossing streets. There is intolerance of music. Some curious symptoms are: Imagines some part of body is deformed. Imagine they do all their thinking from the stomach. Predicts the hour of death (clairvoyance).

Acon . is one of the great pain remedies, vying with Cham . and Coffea in the intensity of the pain it causes. Pains are intolerable, driving to desperation. The pains of Acon . are tearing, cutting; are attended with restlessness; accompanied by numbness, tingling, or formication. Acon . cannot bear the pain, cannot bear to be touched, cannot bear to be covered. The toothache of Acon . is one-sided, with red cheek on same side.

Guernsey gives the following excellent directions: "If a child is suffering from a watery diarrhœa, is crying and complaining very much, biting his fists and is sleepless, Acon . will usually settle this trouble in a short time. The disturbed condition of the mind will cease and quiet sleep will follow. The mother will now remark: "Doctor, he is all right, except his bowels, and they are as bad as ever." Now, do not give another remedy, but wait and see if Acon . will not complete the cure by itself." Again: Scanty, red, and hot urine, arising from taking cold, especially in children. The child screams and appears to be in great pain because it cannot urinate. Acon . will ease the pain, quiet the child, and the urine will flow some time after. In adults, incontinence of urine will sometimes be relieved by Acon .

There is a great and sudden sinking of strength; fainting on attempting to get up; with anxiety, restlessness, numbness, tingling, formication.

Acon . has a very wide sphere of usefulness in affections of the eye. Inflammation, of many kinds, from cold, injury, dust, surgical operations, scrofulous inflammation with enlarged glands, all come within its range. Some remarkable cases of sudden blindness have been cured by it. Hirsch of Prague records two such cases, one in a man of thirty, who went to bed well, having walked home in rough and stormy weather after spending the evening in a hot room. Acon . 3 was given, and the following night he perspired freely, and in the morning his sight was thoroughly restored. Hirsch himself suddenly lost his sight whilst bathing in hot weather. He took Acon . 3 in water as he had given it to his patient. In two hours he began to perspire, and after a six-hours' sleep awoke well. Lippe has recorded the case of a lady whom he found much distressed, anxious, fearing paralysis. In her usual, health she had taken a full dinner, and when reading afterwards, the letters danced before her eyes, and the print became blurred; then face and nose became numb; pulse small, 120 a minute. One dose Acon . c.m. (Fincke) was given. The numbness disappeared in half an hour; Pulse 72; the sight was perfect when she closed either eye, but everything looked indistinct when she kept both open. This symptom disappeared next morning; a slight lightness of the head remaining that day.

The time of the aggravation of Acon . symptoms is chiefly night and about midnight. Heat , as well as cold , is injurious to the Acon . patient; sunstroke is among the conditions which call for it; and Acon . will cure many headaches caused by exposure to the sun, and also sun-erythema. Headaches are generally > in open air, < in warm room; toothache and cough < in open air. > From uncovering. Warm room < chill; in fever, the bed is intolerable; he wants to uncover. Sweat on affected or covered parts. There is < from wine or stimulants; < from drinking (any kind of liquid). Rest > the symptoms generally, but during the night the pains are intolerable, limbs feel tired and rigors are worse. Lying relieves headache and vertigo, and aggravates other complaints. Lying on back > cough and stitches in chest; lying on side < stitches in chest and cough: the cheek lain on sweats. Rising from a seat = vertigo. Vertigo, pallor, faintness on sitting up in bed. Bending double > colic and dysmenorrhœa pain. Motion < pains in muscles, joints, and stiffness.

Relations

Aconitum napellus is related in its action to the other Aconites and to Aconitinum, and also to the Ranunculaceæ, Actæa rac., Actæa spic., Pæon., Podoph., Ranunculus, Staph. Teste places in the Aconite group: Coccul., Cham., Dulc., Cannab. i., Con. But he admits that the relationship is not close, and that Acon. is really without analogues. It is antidoted by: Acet. ac., Alcohol, Paris. It antidotes: Bell., Cham., Coff., Nux v., Pet., Sep., Spo., Sul. It is often indicated after: Arn., Coff., Sul., Verat. It is complementary to: Coff. (in fever, sleeplessness, intolerance of pain); Arn. (bruises, injury to eye); Sul. It relieves ailments from: Act. rac., Cham., Coff., Nux v., Pet., Sep., Sul. Abuse of Acon. calls for Sul. Acon. should be compared with Stram. and Op. in effects of fright; and with Sul. in most of its symptoms. Sul. is the chronic of Acon.; it will often complete an action that Acon. begins, and will cure cases in which Acon. is apparently indicated but fails to relieve. Compare also: Pul., Lyc., Sec., and Camph. ( > from uncovering). Hep. and Coff. (intolerance of pain). Chi. (white stool). Gels. (effects of bad news, fright, anger). Nux and Bry. (diarrhœa from anger). Bry. (effects of cold, dry winds).

Causation

Fear. Fright. Chill. Cold, dry winds. Heat; especially of sun. Injury. Surgical operation. Shock.

Mind

Great agitation and tossing of the body with anguish, inconsolable irritability, cries, tears, groans, complaints, and reproaches. ─ Sensitive irritability. ─ Fearful anticipations of approaching death; predicts the day he is to die. ─ Sadness. ─ Presentiments, as if in a state of clairvoyance. ─ Anthropophobia and misanthropy; has no affection for anybody. ─ Maliciousness. ─ A strong disposition to be angry, to be frightened, and to quarrel. ─ The least noise, even music, appears insupportable. ─ Humour changeable; at one time sad, depressed, irritable, and despairing; at another time gay, excited, full of hope, and disposed to sing and dance. ─ Vexed at trifles; takes every joke in bad part. ─ Dislike to talk; answers laconically. ─ Alternate paroxysms of laughter and tears. ─ Great, inconsolable anxiety. ─ Anxiety respecting one's malady, and despair of a cure. ─ Fear of spectres. ─ Fear of the dark. ─ Disposition to run away from one's bed. ─ Mind, as it were, paralysed, with incapability of reflection, and a sensation as if all the intellectual functions were performed in the region of the stomach. ─ Paroxysms of folly and madness. ─ Unsteadiness of ideas. ─ In the delirium is unhappiness, worry, despair and raving, with expression of fear upon the countenance; but there is rarely unconsciousness. ─ Delirium, chiefly at night; with ecstasy. ─ Weakness of memory. ─ Ailments from fear, fright, vexation.

Head

Head affected, as if the brain was nailed up, principally in the heat of a room. ─ Vertigo, particularly on rising from bed, or else on getting up from one's seat, on stooping, on moving or shaking the head, and often with a sensation of intoxication or dizziness in the head, loss of consciousness, dimness of the eyes; nausea, and sensation of weakness at the pit of the stomach. ─ Vertigo, with inclination to fall to r. side. ─ Vanishing of sight; bleeding of the nose. ─ Sensation, as though the brain were rolling loosely id the skull; increased by the least motion, and even by speaking and drinking. ─ Pain in the head, with inclination to vomit, also vomiting. ─ Head, as if bruised, with sensation of bruising in the limbs. ─ Stupefying pain in the head with sensation of compression and drawing together as from cramp, principally in the forehead and at root of the nose. ─ Weight and fulness in the forehead and in the temples, with expansive pressure, as if everything was going to issue forth through them, chiefly on stooping forward. ─ Feeling as of a board before forehead. ─ Shooting, blows and beatings in the head. ─ Drawing cephalalgia, sometimes semi-lateral. ─ Sensation as if a ball were mounting in the head, and spreading a coolness over it. ─ Congestion of blood in the head, with heat and redness of face, or with a sensation of heat in the brain, sweat on a shrivelled skin, and paleness in the face. ─ Sensation of heat in the head, which perspires, with pale face. ─ Inflammation of the brain. ─ Sensation of fulness and heaviness in the forehead, with the sensation as if the whole brain would start out of the eyes, with nausea and giddiness, aggravated by talking and from motion. ─ Heat and ebullition in the head, as if there were boiling water in the brain. ─ A roaring and cracking in the head. ─ Sensation in the vertex, as if dragged by the hair. ─ Sensation as if the hair were standing on end all over the head. ─ Pain in the head, as if in consequence of cold or suppressed perspiration, with a buzzing in the ears, cold in the head and colic. ─ Aggravation of the pains in the head by movement, by speaking, by rising from a recumbent position, and by drinking; relief experienced in the open air.

Eyes

Eyes red and inflamed, with deep redness of the vessels, and intolerable pains. ─ Profuse lachrymation. ─ Heat and burning in the eyes, with pressive and shooting pains, esp. on moving the balls. ─ Swelling of the eyes. ─ Dilated pupils. ─ Lids feel dry, hard, heavy; sensitive to air. ─ Red, hard swelling of the lids. ─ Eyes sparkling, convulsed, and prominent. ─ Look fixed. ─ Cannot bear the reflection of the sun from the snow; it causes specks, sparks, and scintillations to dance before the eyes. ─ Excessive photophobia; or a strong desire for light. ─ Black spots and mist before the eyes. ─ Disturbed by flickering; fears he may touch others passing by. ─ Vision as if through a veil; difficult to distinguish faces; with anxiety and vertigo. ─ Sudden attacks of blindness. ─ A sensation of drawing in the eyelids with drowsiness. ─ Ophthalmia, very painful, with blear-eyedness, or from foreign bodies having come into the eyes (dust, sparks); from operations.

Ears

Tingling and buzzing in the ears. ─ Tickling and sharp pain in the ears. ─ Sensation as if something was placed before the ears. ─ Excessive sensibility of hearing; all noise is intolerable. ─ Music goes through every limb; makes her sad. ─ Tearing (l. ear). Roaring in the ears.

Nose

Stunning compression or cramp at the root of the nose. ─ Bleeding at the nose; bright red; esp. in plethoric persons. ─ Excessive sensibility of smelling, esp. for unpleasant odours. ─ Violent sneezing, with pain in the abdomen, and in the l. side. ─ Coryza, with catarrh, pain in the head, buzzing in the ears and colic. ─ Coryza caused by cold, dry winds. ─ Checked coryza with headache; > in open air, < from talking. ─ Fluent coryza, frequent sneezing; dripping of a clear, hot water; fluent mornings.

Face

Anxious expression; frightened. ─ Face bloated, hot, and red, or bluish; or alternately red and pale; yellow. ─ On rising, the face, previously red, assumes a deadly paleness; afterwards becomes red. ─ Red and pale alternately. ─ Redness of one cheek, with paleness of the other, or red spots on both cheeks. ─ Sweat on the forehead, upper lip, and on the cheek which has pressed the pillow. ─ Distortion of features. ─ Crawling pain and sensation of swelling in the cheeks. ─ Tense drawing in trigeminus nerve, then shooting, wandering, intermittent, then constant pain, sometimes pressure. ─ Pain, as of ulceration, in the cheek-bones. ─ Semi-lateral prosopalgia, with swelling of the lower jaw. ─ Lips black and dry, peeling off. ─ Tingling in the cheeks. ─ Burning, tingling, and shooting pains, with successive drawing in the jaws. ─ Dropping of jaws. ─ Trismus.

Teeth

Lancinating shocks or throbbing pains in the teeth, often with congestion of blood towards the head, and heat in the face. ─ Toothache from cold, with throbbing in one side of the face, intense redness of the cheek, and great restlessness. ─ Grinding teeth.

Mouth

Sensation of dryness, or dryness in the mouth and on the tongue. ─ Tongue white. ─ Coated, or thick yellow-white. ─ Itching, prickings and burning sensation in the tongue; with accumulation of saliva in the mouth. ─ Paralysis of the tongue. ─ Numbness of tongue; also about lips. ─ Speech tremulous and stammering. ─ Pain, as of excoriation, in the orifices of the salivary ducts, as if they were ulcerated. ─ Trismus, with salivation. ─ Uvula feels elongated and coming in contact with tongue.

Throat

Pain in the throat, with deep redness of the parts affected, and difficult deglutition. ─ Tingling in the œsophagus. ─ Scraping, tingling sensation of strangling, burning and pricking in the throat, chiefly in swallowing. ─ Acute inflammation of the throat (palate, tonsils and fauces) with high fever, dark redness of the parts, burning and stinging in the fauces. ─ Burning and numbness in throat; throat almost insensible. ─ Pricking, burning in throat and along Eustachian tubes, compelling swallowing. ─ Sensation of contraction in the throat, as if caused by acrid substances. ─ Stinging in the throat when swallowing and coughing. ─ Almost entire inability to swallow, with hoarseness.

Appetite

Taste in the mouth bitter; or putrid. ─ All kinds of food and liquids, except water, tasting bitter. ─ Burning and unquenchable thirst; sometimes with a desire for beer. Excessive hunger and thirst, but eats slowly. ─ Generally < from drinking. ─ Gastric catarrh from drinking ice-water when over-heated. ─ Generally > from cold drink, esp. anxiety. ─ Loss of appetite and a distaste for food. ─ Beer lies heavy on the stomach. ─ Desires: wine; brandy; beer; bitter drinks. ─ Wine generally > .

Stomach

Hiccough. ─ Eructations of wind, and abortive risings in the throat. ─ Flow of water from the stomach, as in water-brash, with nausea. ─ Inclination to vomit, as after having eaten something sweetish or fat. ─ Bilious vomitings, greenish, or mucous and bloody. ─ Vomiting of pure blood. ─ Vomiting of bloody mucus, or of what has been drunk, followed by thirst. ─ Gagging and retching. ─ Vomiting of lumbrices. ─ Vomiting, with nausea and thirst, heat, profuse perspiration and increased micturition. ─ Pains in the stomach after eating or drinking. ─ Sensation of swelling, tension, and pressure as of a weight in the precordial region and in the stomach, sometimes with difficult respiration. ─ Pressure in the stomach and pit of the stomach, as from a hard stone. ─ Pit of stomach sore to touch and meteorismic. ─ Sensation of contraction in stomach, as is from acrid substances.

Abdomen

Constriction, tension and pressure in the hypochondriac region, sometimes with fulness and a sensation of weight. ─ Burning pain, shootings, stinging and pressure in the hepatic region, with difficult respiration. ─ Painful sensibility to touch in the region of the liver. ─ Inflammation and sensation of soreness in the liver. ─ Pressure in the region of the liver, with obstruction of breathing. ─ Jaundice: of newborn; from fright; from chill. ─ Drawing pains in the abdomen while in a crouching posture (as when at stool). ─ Constriction, pinchings and burning in the umbilical region, sometimes with retraction of the navel. ─ Unbearable cutting pains in the morning while in bed. ─ Tension and painful throbbing in the abdomen, principally in the epigastrium. ─ Swelling of the abdomen as in ascites. ─ Painful sensibility of the abdomen to the touch, and to the least movement. ─ Flatulent colic, chiefly at night, and pressure, tension, and borborygmus, with rumbling in the abdomen.

Stool and Anus

Suppression of stools. ─ Frequent, soft, small stools, with tenesmus. ─ Loose, watery stools. ─ Stools like chopped spinach. ─ White stools, with dark red urine. ─ Choleraic discharges with collapse, deathly anxiety, and restlessness. ─ Involuntary stools, from paralysis of the anus. ─ Constipation; clay-coloured stools. ─ Nausea and sweating before and after loose stools. ─ Pains in the rectum. ─ Violent pain in rectum, with chill and fever, inflammation, tenesmus, bloody discharges (dysentery). ─ Pressure and pricking in the anus. ─ Bleeding piles, with heat and sharp stitches; blood bright. ─ Diarrhœa, with flux of urine and colic. ─ Sensation as of a warm fluid escaping from anus.

Urinary Organs

Suppression of urine, with pressure in the bladder and pains in the loins. ─ A frequent desire to discharge urine, accompanied by anxiety and pain. ─ Flow of urine, with sweat, diarrhœa, and colic. ─ Involuntary emission of urine, from relaxation of the neck of the bladder. ─ Enuresis, with thirst. ─ Urine scanty, burning, deep red, and with a sediment of a brick colour (arising from taking cold, esp. in children); suppression of, from cold. ─ Bloody sediment in the urine. ─ Scanty, red, hot urine, without sediment. ─ Heat and tenesmus in the neck of the bladder.

Male Sexual Organs

Venereal inclination alternately increased and diminished. ─ Amorous paroxysms. ─ Smarting in the parts. ─ Contusion like pains in the testicles. ─ Testicles feel swollen, hard, as if surcharged with semen. ─ Orchitis. ─ Gonorrhœa, first stage. ─ Itching in the prepuce. ─ Shootings and pinchings in the glans when making water.

Female Sexual Organs

Menses too abundant and too protracted. ─ Suppressed menstruation from fright; from cold feet. ─ After-pains too painful and too protracted. ─ Milk fever (with delirium). ─ Puerperal peritonitis. ─ Maniacal fury on the appearance of the menses. ─ Stitching pains move to r. of fundus uteri; sharp shooting pains, abdomen exceedingly sensitive. ─ Ovaritis from suddenly checked menstrual flow. ─ Labour-like pressing in womb (dysmenorrhœa). ─ Uterine hæmorrhage; active, much excitability; giddy, cannot sit up; fear of death. ─ Vagina dry, hot, sensitive. ─ Leucorrhœa, copious, tenacious, yellow. ─ Increase of milk in breasts.

Respiratory Organs

Sensation of numbness in the trachea. ─ Attacks of paralysis in the epiglottis, with a tendency to choking. ─ Pain in the larynx. ─ Larynx sensitive to touch and to the inspired air, as if denuded. ─ Laryngeal complaints after straining the voice. ─ A croaking voice. ─ A constant desire to cough, produced by an irritation or a tickling in the larynx. ─ Inflammation of larynx and bronchia. ─ Cough from having drunk or smoked. ─ Short and dry cough, principally at night. ─ A convulsive cough, hoarse or croaking, sometimes with danger of suffocation, and constriction of the larynx. ─ Angina membranacea, with dry cough and quick breathing. ─ Croup. ─ Expectoration of thick and whitish matter, or of bloody mucus, or spitting of blood while coughing. ─ Shootings and pains in the chest on coughing. ─ Cough, with stitches in the chest or small of the back. ─ Cough: < after eating or drinking; when lying; evening; night, more after 12; during sleep; from tobacco smoke; from vexation, esp., fright; when over-heated; from dry, cold winds; from walking in open air; assuming upright position; from deep inspiration; from speaking.

Chest

Short breathing, chiefly during sleep, and on getting up. ─ Breathing painful, anxious, and attended with groans, rapid and superficial, or full, noisy, and with the mouth open. ─ Breathing slow during sleep. ─ Breath hot. ─ Breath fetid. ─ Constriction and anxious oppression of the chest, with difficulty of breathing. ─ Asthma of Millar. ─ Attack of suffocation, with anxiety. ─ Sensation of heaviness and of compression at the chest. ─ Painful pricking in the chest, chiefly when breathing, coughing, and moving (even the arms). ─ Stitches through the chest and side, esp. when breathing and coughing. ─ Prickings in the side, with a lachrymose and plaintive humour, soothed, in some degree, by lying on the back. Pleurisy and pneumonia, esp. with great heat, much thirst, dry cough and great nervous excitability, only somewhat relieved when lying on the back. ─ Itching in the chest. ─ Pains as of a bruise in the sternum and in the sides. ─ Sensation of anguish in the chest, which interrupts respiration.

Heart

Palpitation of the heart, with great anxiety, heat of body, chiefly in the face, and great weariness in the limbs. ─ Shootings in the region of the heart when moving or going upstairs. ─ Sensation of compression and blows in the region of the heart. ─ Inflammation of the heart. ─ Chronic diseases of the heart, with continuous pressure in the l. side of the chest, oppressed breathing when moving fast and ascending steps, stitches in the region of the heart, congestions to the head; attacks of fainting and tingling in the fingers. ─ Fainting with tingling. ─ Pulse full, strong, hard; slow, feeble; threadlike with anxiety; quick, hard, small.

Neck and Back

Weakness and pain, as from a bruise in the nape of the neck. ─ Pain, as if from a bruise, in the back and loins. ─ Painful stiffness in the nape of the neck, the loins, and the hip joints. ─ Pain, as of boring in the back and in the loins, tingling, and of pricking in the back.

Upper Limbs

Pain, as from a bruise, and weakness in the arms, principally in the shoulders, with swelling. ─ Heaviness in the arms, with numbness in the fingers. ─ Numbness of the left arm; he can scarcely move the hand. ─ Paralytic weakness of the arm and hand, esp. in writing. ─ A sensation of drawing in the arms. ─ Hands dead. ─ Swelling of the hands. ─ Heat in the hands with cold in the feet. ─ Cool sweat on the palms of the hands. ─ Icy coldness of the hands. ─ Tingling in the fingers, particularly when writing. ─ Inflammatory swelling of the elbow, with numbness, and a paralytic state of the fingers.

Lower Limbs

Pain, as from a bruise in the hip joints, esp. after having slept, or having lain down for some time. ─ A sensation of drawing with paralytic weakness in the legs. ─ Shooting pain in the hip joint, even to the knee; pain which forces a cry at every step. ─ Want of strength and of stability in the joints of the hip and of the knee. ─ Drawing, tearing pains in the knee-joint. ─ Inflammatory swelling of the knee, with shining redness, shooting pains, stiffness, and great sensibility to touch. ─ Sensation of stiffness in the legs on moving them. ─ Pain in the insteps, with despair and fear of death. ─ Numbness in the legs. ─ Heaviness of the feet. ─ Cold in the feet, chiefly in the toes, and sweat on the soles of the feet. ─ Tingling, commencing in feet and spreading upwards.

Generalities

Shooting, or rheumatic pains, which are reproduced by wine or other stimulants. ─ Sufferings which, particularly at night, seem unbearable, and which generally disappear in a sitting posture. ─ Attacks of pain with thirst and redness of the cheeks. ─ Distressing sensibility of body, and esp. of the parts affected, on every movement, and on the slightest touch. ─ Pain as from a bruise, and sensation of heaviness in all the limbs. ─ A sensation of drawing with paralytic weakness in the arms and legs. ─ Failure of strength and stability, pains and cracking in the joints, principally of the legs. ─ Rapid and general decay of strength. ─ Fainting, esp. when rising, with paleness of the cheeks, which were red when lying. ─ Attacks of fainting, chiefly on rising from a recumbent posture, and sometimes with congestion of blood in the head, buzzing in the ears, deadly paleness of countenance, and shuddering. ─ Congestions (head, chest, heart). ─ Uneasiness, as if from suppressed perspiration, or in consequence of a chill, with pain in the head, buzzing in the ears, colic and cold in the head. ─ Sensation of cold and of stagnation of blood in all the vessels. ─ Shaking in the limbs. ─ Cataleptic attack, with cries, grinding of the teeth, and hiccough; rigor of the body and loud lamentations. ─ Tetanus. ─ Swelling of the whole body, which assumes a blackish colour.

Skin

Crawling sensation in the skin, with itching and desquamation, principally in the parts affected. ─ Skin dry and burning. ─ Swelling and burning heat of wounded parts. ─ Yellow face. ─ Yellowish colour of the skin. ─ Red, hot, swollen and shining skin with violent pain. ─ Shootings, with a sensation of excoriation here and there. ─ Spots similar to flea-bites on the hands, on the body, &c. ─ Small pimples, red and broad, attended by itching. ─ Morbilli. ─ Rash of children. ─ Purpura miliaris.

Sleep

Great desire to sleep, even while walking, and principally after dinner. ─ Drowsiness, with anxious thoughts and rapid respiration. ─ Confused reveries, in which the eyes are closed, without sleeping. ─ Sleeplessness from anxiety, with constant agitation and tossing. ─ Sleeplessness, with restlessness (eyes closed) and constant tossing about. ─ Startings in sleep. ─ Anxious dreams, with nightmare. ─ Anxious dreams, with much talking and moving while sleeping. ─ Dreams with a sort of clairvoyance. ─ Light sleep. ─ Impossibility of lying on the side. ─ During sleep, lying on the back, with the hand under the head; or in a sitting posture, with the head inclined forward.

Fever

Dry, burning heat, with extreme thirst, sometimes (esp. at the beginning of the disease), preceded by shiverings, with trembling. ─ Heat, chiefly in the head and face, with redness of the cheeks, shuddering over the entire body, oppressive headache, temper lachrymose, disposed to complaining and to contradiction; or, a sensation of heat in the whole body, with redness of the cheeks, pain in the head on turning the eyes, and levity of mind. ─ Shivering, if uncovered in the least while the heat exists. ─ Cold over the whole body with internal heat, forehead cold, and tips of the ears hot; or with redness of cheeks and pains in the limbs; or with stiffness of the whole body, heat and redness of one cheek, and coldness and paleness of the other; eyes open and fixed, pupils contracted, and dilating with difficulty. ─ Sensation of coldness in the blood vessels. ─ Cold and shivering in the fingers, followed by cramps in the calves of the legs and in the soles of the feet. ─ Heat of face, with mournful and despairing thoughts, and an inclination to vomit, preceded by cold and shiverings in the feet and hands. ─ Shuddering runs up from the feet to the chest. ─ Frequent shudderings, with burning heat and dryness of the skin. ─ Inflammatory fevers and inflammations, with much heat, dry, burning skin, violent thirst, red face, or alternate red and pale face, nervous excitability, groaning and agonised tossing about, shortness of breath, and congestion to the head. ─ Continual sweat, esp. on parts that are covered. ─ Sour sweat. ─ Pulse hard, frequent, and accelerated; full, sometimes intermitting; when slow, almost imperceptible (threadlike).

The Guiding Symptoms of Our Materia Medica

Constantine Hering · The Guiding Symptoms of Our Materia Medica · 1879–91

Mind

Now perfectly conscious, now raving.
Clairvoyance ; conscious that his beloved, miles away, was singing a certain piece.
Dulness and confusion of mind.
Unconscious, as if dying ; speechless. θ Apoplexy.
Insensible, stupid ; also during convulsions.
Stupid, eyes closed, facial muscles twitch, mouth compressed, no power of speech.
Memory lively, or weak ; what has just been done seems like a remote dream ; cannot remember dates.
Ideas haunt him, cannot get rid of them.
Cannot finish a half-written idea without great effort.
Attention distracted while reading, thought seems to cease.
Cannot reflect, ideas seem to come from stomach ; after two attacks of vertigo, thought is again normal.
Excited, or sits buried in thought.
Rapid change of thought ; great exertion is required to fix train of thought.
On attempting to think of one thing, another intrudes ; this is soon supplanted by another and so on.
Diminished intellectual power, cannot perform even light mental work.
Lively imagination.
Ecstasy ; inclined to be gay, to dance and sing.
Delirium, crying out, staring look. θ Inflammation of brain.
Delirium, with convulsive motions. θ Myelitis.
Delirium, with great heat, dilated pupils or convulsions ; childish, nonsensical talk.
Delirium, with talk about death. θ In childbed.
Delirium, especially at night, raves, springs out of bed ; in morning, excessive sweat.
Pains are so intolerable, they drive him crazy ; he becomes very restless.
Desire to be alone ; shuns people.
Disposition to weep ; cried violently, with facial jactitation.
Loquacity ; speech hurried.
Alternate laughter and crying ; at one time gay, at another gloomy.
Moaning, anxious lamentations ; reproaches from trifling causes.
Screams aloud at slightest touch, screams with pains ; cannot bear light ; will not be touched or uncovered ; buzzing in ears.
Impatience, throws himself about, constantly changes position.
Restlessness, agony, internal anxiety ; does everything in great haste ; must move about or change position often.
Cannot continue long at one thing.
Dislikes to talk ; answers laconically yes or no.
Music is unbearable, it makes her quite sad.
Sadness with solicitude ; concerned about future ; about her recovery or fears loss of reason.
Extreme timidity, especially after a fright ; afraid in dark.
Fears to go where there is any excitement or many people ; thinks she is jostling against every one she meets ; countenance expressive of timidity ; constant dread lest she stagger and fall. θ During
pregnancy.
Fear of ghosts.
(In sick :) Fear of death : during pregnancy or confinement ; with prolapsus uteri ; with great loquacity or anxiety in region of heart.
Thrice he became blind and affirmed that death was at hand.
Predicts day of death ; bids her friends good-bye. θ In childbed.
Inconsolable anxiety, piteous wailing ; peevish and impatient.
Anxiety : transiently > by drinking cold water ; followed by apathy ; with cold sweat (prolapsus uteri).
Has no affection for anybody. θ During pregnancy.
Morose, misanthropic, peevish ; malicious mood.
Children get angry and have spells of rage.
Vexed at trifles ; takes every joke in bad part.
Quarrelsome, with constantly varying delirium ; chatters like a child, is gay.
Obstinate, tosses about impatiently.
Sinks into lethargy, but rarely sleeps ; complains of crawls.
Ailments from fright : afraid in dark ; vertigo ; faintness ; trembling ; cardiac weakness ; threatened miscarriage ; impending cessation of menstrual flow ; burning in stomach.
Remote effects of fright, especially jaundice.
Ailments from vexation, with fear or vehemence : congestion ; palpitation ; fever ; anxiety, beside himself ; threatened miscarriage ; apoplectic congestion.

Sensorium

Confusion : as after drunkenness, with pressure in temples ; early in morning on awaking.
Head feels dull, stupefied. θ Coryza. Fevers.
Dull, stupid ; pressure outwards, < sitting up ; with anxiety and fear of death. θ Sunstroke.
Apoplexy or apoplectic congestions.
Vertigo : after fright ; from congestion, as in sun ; on stooping ; staggers to right ; as if drunk, with nausea, < on rising from seat, > while walking, none while sitting ; blackness before eyes when shaking
head ; with nosebleed ; from sudden suppression of catamenia by cold.
On rising from a recumbent posture, red face becomes deathly pale, or he becomes dizzy and falls over, he fears to rise again ; often accompanied by nausea, vanishing of sight or unconsciousness.
Vertigo, headache, nausea, gagging, coldness. θ Cholera.
Turns suddenly red and falls unconscious. θ Teething child.
From a fall or concussion ; face pale or red, but no stupor.
Fulness of head, with erratic pains in right supraorbital, temporal or frontal regions.
Suddenly faints while standing to urinate ; all blood seemed to rush to head ; he fell unconscious.
Alternate stupefaction and restlessness, with mild delirium twitchings, starts as in a fright, pulse frequent. θ Brain fever.
Stupor, with cold feet.

Inner head

Constant burning in forehead. θ Jaundice.
Burning headache, as of brain agitated by boiling water.
Headache, as if a hot iron was bound around head.
Fulness and heavy feeling, as if everything would push out of forehead.
Squeezing in forehead above root of nose, feels as if she would lose her reason ; < walking in open air.
Furious headache, vision obscured, pain mostly pressing and contracting in upper part of forehead ; face swollen, pale ; < from light or noise ; > lying quietly in a dark room.
Pressing shooting pain in forehead. θ Coryza.
Violent headache limited to a small spot over left supraorbital ridge.
Pulsation in left side of forehead along with attacks, as from severe blows in right side of forehead.
Headache in vertex, as if compressed uniformly by a pitchcap ; ceases when walking in open air.
Sunstroke ; especially from sleeping in sun's rays.
Headache, as if brain was moved or raised ; < during motion, drinking, talking or sunlight.
Congestive headaches. θ Menorrhagia.
Congestion, anxiety ; face hot and red, or pale ; carotids pulsate strongly ; pulse full, strong, or small and quick ; < toward evening. θ Apoplexy.
Headache, with increased secretion of urine.
On going into a warm room, forehead feels as if compressed.
Throbbing in temples. θ Rheumatic ophthalmia.
Pressure in forehead, temples and top of head.
Headache and roaring in ears. θ Coryza.
Pressive, stupefying headache ; sleeplessness. θ Childbed fever.
Congestion to head. θ Heart disease.
Head hot, throbbing carotids, limbs cold ; left side lame ; staring ; burning pain in brain. θ Apoplexy.
Inflammation of brain in children.
Congestion to head. θ Cystitis.

Outer head

Head excessively hot.
Bends head far back. θ Croup.
Sensation in vertex as if pulled by the hair.
Sensation of crackling, as from bending tinsel, in temples, forehead and nose ; < toward evening from motion ; > from sitting.
Formication of scalp, > by heat.
Constantly tosses head about. θ Croup.
Sensation as if hair stood on end.
Vertex feels hot to touch ; hair bristles up.
If he raises his head, he vomits phlegm or what he drank. θ Inflammation of brain.
Constantly puts hand to head. θ Meningitis.
Better lying with head high.
Stitches under scalp.
Sweat on head ; > out of doors.
Cold sweat on forehead.

Sight and eyes

Disturbed by flickering ; fears he may touch others passing by.
Vision of sparks, with burning and twitching in eyes.
Vision as if through a veil ; difficult to distinguish faces ; anxiety and vertigo.
Total blindness after catching cold.
Optical illusions in dark colors, or black.
Sensitive to light, especially sun ; light dazzles.
Desire for light ; photomania.
Eyes excessively hot and dry ; conjunctiva of lids very red, constant winking and closing of lids, could hardly force them open ; temporary relief from cold water ; asthenopia from straining eyes.
Staring. θ Apoplexy. θ Asthma.
Eyes glaring. θ Pleuritis. θ Pneumonia.
Eyes contorted. θ Tetanus.
Pupils contracted, then dilated.
Eyeball feels enlarged, as if coming out of socket.
Sclerotica yellow. θ Enteritis.
Eyes bloodshot.
Sticking pains in right eyeball.
Rough feeling, as from sand in left inner canthus.
Inflammatory conditions, resulting from irritant action of foreign bodies, as chips of steel, or stone, or coal, in cornea, which produce dry rubbing of lid over ball, with injected vessels ; irritation caused by ingrowing lashes.
In true sclerotis, acute stage, with contracted pupils, sticking or tearing pains, photophobia, a blue circle around cornea and violent aching in balls.
Eyes red, inflamed, vessels deep red ; burning, pressive shooting pains, especially on moving balls ; no discharge ; conjunctivitis from exposure to cold, dry winds.
Catarrhal inflammation, first stage prior to exudation ; chemosis of conjunctiva, with pains so terrible that one wishes to die.
Ophthalmia neonatorum ; in beginning.
Acute aggravations of granulated lids and pannus of cornea, with excessive hyperemia, heat and dryness especially if induced by overheating from violent exercise, or by exposure to dry, cold air.
In earlier stages of violent acute inflammations of deep structures of ball, when it becomes sensitive to touch and feels as if it were protruding ; rarely after exudation.
Itching, smarting, burning in eyes, < in evening.
Sticking and tearing pains around eyes ; < at night.
Violent pain over right eye.
Stitches in upper orbital region, from pressure and toward evening.
Upper half of eyeball sore when moved ; feels as if it would be forced out of orbit (> on stooping).
Eyes water, < evening and night ; tarsi sore, red, inflamed.
Profuse lachrymation with intense pain ; tears flow, with or without local inflammation.
Copious tears and red conjunctiva. θ Coryza. θ Cough.
Lids feel dry, burn and are sensitive to air.
Pressure in upper lids as if whole ball was pushed into orbit, causing a bruised pain in eye.
Lids hard, swollen, red, with a tense feeling ; < mornings.

Hearing and ears

Averse to noises, they startle him ; they are intolerable.
Music goes through every limb ; makes her sad.
Roaring in ears ; humming ; ringing.
Left ear deaf, with buzzing in whole head. θ Apoplexy.
Tearing pain (left ear) ; pains in right ear.
Stinging in ear ; meatus red and narrowed ; external ear hot and red ; noise intolerable.

Smell and nose

Sense of smell very acute, especially for unpleasant odors.
Distressing cramp or pressure at root of nose.
Nosebleed ; blood bright red. θ Plethora. θ Fever. θ Endocarditis.
θ Measles.
Nose-bleeding and headache. θ Menorrhagia.
Frequent sneezing.
Nose dry, stopped up, cannot breathe through nose.
Coryza : dry, with headache, roaring in ears, fever, thirst, sleeplessness, caused by cold, dry winds ; checked with headache ; > in open air, < from talking ; fluent,
frequent sneezing ; dropping of a clear, hot water ; fluent mornings ; inner nose red, swollen, interfering with breathing.

Upper face

Anxious expression ; frightened.
Face : pale, with restlessness and expression of anxiety ; burning fiery red ; red and pale alternately ; livid ; lips blackish ; bloated,
unequally red ; feels as if it was growing larger.
Red cheeks with fear of death. θ In pregnancy.
One cheek red, the other pale.
Between attacks, face pale ; now and then flying heat. θ Croup.
Face and whole body pale. θ Measles.
Face dark red. θ Apoplexy.
Face dark red, lips blue. θ Croup.
Rush of blood to face. θ Fever.
Convulsive twitching of facial muscles.
Neuralgia of trigeminus, left side ; face red and hot ; restlessness, anguish ; rolling about, screaming.
Rheumatism in face and teeth.
Sweat on cheek on which he lies.
Sensation as if muscles were firmly but not spasmodically contracted ; numbness, heavy feeling of whole face.
Creeping, tingling, crawling in face.

Lower face

Lips : blue, dry, black, peeling off ; swollen, inflamed.
Complaints on upper lip.
Burning and numbness of lips and mouth ; heat and tingling.
Burning of lips and tongue, as after eating pepper or smoking.
Swelling of lower jaw, with aching in face.
Stitching thrusts in lower jaw.
Mouth drawn to one side (right). θ Convulsions.
Lips on left side motionless, during breathing. θ Apoplexy.
Trismus.
Constantly moving lower jaw, as in chewing. θ Meningitis.

Teeth and gums

Cold feeling in incisors.
Grinding teeth.
Teeth sensitive to air.
Toothache : even in sound teeth ; with throbbing in one side of face, intense redness of one cheek, congestion to head, restlessness ; most left-sided, or going from right to left ; caused by dry, cold
winds ; taking cold in raw air ; during pregnancy ; especially in young, plethoric sedentary persons.
Teeth feel as if they would fall out.
After getting wet, tearing, beating pain in a carious molar, increasing after going to bed.

Taste, speech, tongue

Taste : bitter ; everything tastes bitter except water ; slimy (jaundice) ; foul ; fishy ; flat ; nauseous, compels hawking of tough mucus, which he swallows.
Mouth as if filled with air tasting of rotten eggs.
Things which formerly tasted strong now have no taste.
Worse from talking ; stinging, choking, in throat. θ Headache. θ Checked
coryza.
Trembling and temporary stammering.
Speech imperfect, lisping. θ Apoplexy.
Tongue feels swollen, burning, prickling and tingling.
Tongue numb ; also mouth and lips.
Sensation of dryness and numbness in middle of tongue without thirst.
Sensation of dryness and rawness in middle of tongue.
Burning on tip of tongue and lips.
Burning vesicles on tongue.
Sensation of cold air passing over tongue.
Tongue coated white or thick yellow-white. θ Bilious fever.
Tongue dry, furred, white. θ Fevers.
Tongue red, with great thirst. θ Liver complaint.
Tongue dry, red on sides, centre thinly coated white. θ Peritonitis.
Tongue red and dry. θ Cystitis.
Chronic affections of tongue.

Inner mouth

Mouth dry.
Burning, biting in mouth.
Saliva frothy, copious, streaked red, sweet taste in mouth.
Accumulation of water in mouth. θ Seat worms.
Orifices of salivary ducts sore, as if corroded.
Yellowish-white thick fur in mouth. θ Jaundice.

Palate and throat

Dry feeling in palate and posterior nares.
Redness of uvula and soft palate.
Uvula : swollen and elongated ; feels as if elongated and coming in contact with tongue. θ Cough.
Feeling of dryness and as if something stuck in throat.
Acute inflammation of throat (palate, tonsils and fauces with high fever, dark redness of parts, burning and stinging in fauces.
Burning sensation in back of throat, causing him to hawk.
Severe sticking pains in posterior fauces.
Burning and numbness in throat ; throat almost in sensible.
Pricking, burning in throat and along eustachian tube compelling swallowing.
Roof of mouth and fauces dotted with eruption. θ Scarlatina.
Burning sensation in pharynx.
Constriction of throat, causing hawking and spitting even to an irritation to vomit.
Swallowing : stinging choking in throat.
When swallowing food, it feels as if it had lodged in cardiac region. θ Stricture of œsophagus.
Swallowing much impeded. θ Tonsillitis.
Muscles extremely sore in swallowing.
Almost entire inability to swallow. θ Hoarseness.
Urging to swallow.
Burning from mouth along œsophagus to stomach.
Tingling in œsophagus.

Appetite, thirst. desires, aversions

Lively sensation of hunger, renewed soon after eating.
Excessive hunger and thirst, but eats slowly.
Thirst burning, unquenchable. θ During all stages of fever. θ Local
inflammations.
Excessive thirst, yet can retain nothing. θ Cholera.
No appetite ; loathing of food, qualmishness.
Desires : wine ; brandy ; beer ; bitter drinks.

Eating and drinking

Worse before breakfast.
After eating : distressed feeling ; vomits food (liver complaint) ; bitter vomit ; violent pain in stomach, with warmth and tenderness ; hiccough ; nausea (after meat broths).
Momentary relief from cold water. θ Anxiety.
Generally worse after drinking.
Gastric catarrh from chilling stomach with ice water, especially when overheated.
Drinking ice water excites cough ; generally better from cold drink, especially anxiety.
Worse from smoking. θ Palpitation.
Wine generally relieves, but sometimes brings on congestions, hæmoptysis or palpitation, and augments rheumatic pains.

Hiccough, belching, nausea and vomiting

Painful hiccough.
Better from eructations. θ Tension in stomach.
Nausea in œsophagus or stomach, rarely in throat.
Violent but ineffectual urging to vomit. θ Gastric catarrh.
Gagging, retching, gasping for breath. θ After scarlatina.
Vomiting : of lumbrici ; of bile ; of green masses, with diarrhœa of same appearance ; of mucus ; of blood, of bloody mucus ; of what has been drunk, followed by thirst.
Vomiting bile. θ Incarcerated hernia with inflammation.
Vomiting with anxiety, heat, thirst, profuse sweat and increased micturition.
Green vomit, like verdigris. θ Meningitis.
Vomiting, meteorism and inability to make water. θ Peritonitis.
On sitting up, vomits clear water. θ After a fall on head.
Vomiting and purging of a green water. Cholera.
Vomits sour phlegm. θ Cholera sporadica.
After repeated vomiting and stools, still complained of a feeling as if a cold stone lay in stomach.

Scrobiculum and stomach

Region of pit of stomach sore to touch and meteoristic. θ Jaundice.
Burning from stomach up through œsophagus to mouth.
Sudden excruciating pain, with gagging, retching, vomiting blood, gasping ; cold sweat on forehead ; congestion of mucous lining of stomach. θ Scarlatina ;
desquamation.
When breathing, pit of stomach is drawn to spine. θ Croup.
Palpitation in pit of stomach, with peevish anxiety.
Pressure in stomach and pit of stomach, as from a weight or hard stone.
Stitch-like, burning, pressing pain in pit of stomach, with fear of death. θ Gastritis from chilling stomach.
Warmth in stomach.
Pressive, tensive pain, as from fulness or an oppressive weight in stomach and hypochondria.

Hypochondria

Anxious feeling in precordia.
Liver somewhat sensitive to deep pressure.
Burning, stinging, hepatic pains.
Hot, tense swelling under right short ribs.
Pressure and constriction in hepatic region, with obstruction of breathing.
Acute hepatitis, with violent fever.
Pain on pressure over left lobe of liver.
Tension and heaviness in hypochondria.
Agony, has to sit straight up, can hardly breathe, pulse thread-like, vomituritio, sweats with anxiety ; abdomen swollen, particularly under short ribs. θ After
scarlet fever.
Stitches in region of liver taking the breath.
Severe and constant pain in epigastrium, pressing outward. θ Jaundice.
Stitches and heat in diaphragm.
Pain going to umbilicus, or changing from stomach to liver. θ Jaundice.
Jaundice : during pregnancy, liver atrophied ; in newborn children ; after fright ; from a cold, with catarrh of small intestines.
Splenitis with inflammatory fever.

Abdomen and loins

Colic forces him double, yet relieved in no position. θ Inflammatory after a cold.
Colic involving bladder, contraction of hypogastrium in region of bladder ; constant ineffectual urging to urinate.
Cutting in intestines, extending through chest to right shoulder, almost making him cry out, during stool.
Burning in umbilical region.
Umbilical region hard, swollen. θ Seat worms.
Meteorism, vomiting, inability to urinate. θ Peritonitis.
Abdomen burning hot, tense, tympanitic, sensitive to least touch, cutting pains, fever, anguish. θ Peritonitis.
Abdomen puffed and hard.
A feeling of weight, as if a heavy load were resting on abdomen and bearing one down.
Paralyzed, inactive feeling in intestines, < about transverse colon.
Hernia, recent and small, also incarcerated with bilious vomiting and cold sweat ; burning as from coals of fire.
Sensitiveness of lower abdomen to touch.
Pain in loins, as if bruised.

Stools and rectum

Diarrhœa : watery ; frequent small stools ; like chopped spinach (summer complaint) ; bilious, of infants, with colic, which no position relieves ; from getting wet ; slimy, bloody, violent pains in bowels ; tenesmus, also
between discharges.
Scanty, loose, frequent, with tenesmus ; small, brown, painful ; at last bloody. θ Dysentery.
Pure blood passes without feces. θ Dysentery.
Urging ; slimy stools ; intolerable nightly tingling, itching at anus. θ Seat worms.
Dysentery or inflammatory diarrhœa during hot days and cold nights.
Cutting, griping, followed by frequent urging to stool, after anger or fright.
Hemorrhage from bowels bright red, in streams.
Alternate slimy stools and constipation. θ Icterus.
Constipation ; clay-colored stools.
Stool and urine suppressed. θ Myelitis.
Stool white, with dark red urine.
Stool white, with saffron-colored urine. θ Jaundice.
Stools black, with dry skin and fever ; despondency, anxiety.
Cholera, congestive stage ; stage of reaction.
Involuntary stools, passing when flatus passes.
Bleeding piles ; stinging and pressure in anus, burning and heat in piles.
Sensation as of a warm fluid escaping from anus.

Urinary organs

Stinging and pressing pains in region of kidneys. θ Nephritis.
Kidneys act but slightly ; urine contained albumen and fragments of casts (poisoning).
Renal region sensitive, with shooting pains. θ Nephritis.
Violent burning in bladder. θ Cystitis.
Inflammation of bladder ; constant urging, water passes in drops, with burning, admixed with blood ; tension, heat and tenderness over pubes.
Burning in neck of bladder when not urinating.
Tenesmus of neck of bladder.
Painful anxious urging to urinate.
Children reach with hands to genitals and cry out. θ Cystitis.
Burning in urethra when urinating.
Must rise each night between 12 and 3 A. M. to urinate. θ In pregnancy.
Dysuria during pregnancy.
Urine scanty, red and hot. θ Rheumatism. θ Peritonitis.
Urine : hot, dark colored ; red, with white feces ; red and clear.
Urine dark brown, frothy or yellow. θ Jaundice.
Urine turbid. θ Enteritis.
Urine yellow-red and no sediment. θ Peritonitis.
Ischuria. θ Cholera.
Involuntary urination. θ Apoplexy.
Enuresis, with thirst.
Diuresis, with headache and profuse sweat.
Retention or suppression of urine, with pressure in bladder or stitches in region of kidneys.
Retention from cold, especially in children, with much crying and restlessness.
Hæmaturia, with hemorrhoids of anus or bladder ; burning distress in urethra.
During urination : faint feeling ; splashing sensation in region of bladder ; pinching about navel ; pain in glans penis.

Male sexual organs

Increased sexual desire ; lascivious dreams ; fits of lasciviousness.
Sexual desire lessened, parts relaxed ; tingling.
Emissions even after coitus.
Testicles feel swollen and hard, as if surcharged with semen.
Bruised pain in testicles.
Violent orchitis.
Slight drawing pain in right testicle and slight uneasiness in r. renal region.
Scrotum drawn up.
Skin of left side of scrotum studded with minute vesicles, pouring out a humid discharge.
Several painful, fugitive stitches in glans, as though poles of a galvanic battery had been applied to part ; pains came on most unexpectedly.
Gonorrhœa, first stage.

Female sexual organs

Stitching pains, more to right of fundus uteri ; sharp, shooting pains, abdomen exceedingly sensitive.
Ovaritis from suddenly checked menstrual flow.
Prolapsus uteri, occurring suddenly, with inflammation, bitter vomit, cold sweat, or dry, hot skin ; with or without hemorrhage.
Labor-like pressing in womb ; has to bend double, but relieved in no position. θ Dysmenorrhœa.
Uterine hemorrhage, active, much excitability, giddy, cannot sit up, fear of death.
After a fright with vexation ; during catamenia, to prevent suppression.
Menses too late, diminished and protracted ; plethoric females, who lead a sedentary life.
Menses profuse in plethoric women.
Menses suppressed by getting feet wet, or by a cold bath.
Amenorrhœa during puberty ; nosebleed ; palpitation ; congestions.
Restores menses of plethoric women, after their suppression from any cause.
Inflammation of genitals. θ Prolapsus uteri.
Vagina dry, hot, sensitive.
Leucorrhœa copious, tenacious, yellow.

Pregnancy. parturition. lactation

During pregnancy ; restlessness, fear of death, predicts time of death ; jaundice ; blood-spitting ; disturbed between 12 and 3 o'clock at night, compelled to get up to urinate ; has no
affection for anybody.
Impending abortion from fright, with vexation ; circulation excited, rapid breathing.
Pains of labor : distressing ; vagina hot, dry, tender and undilatable ; violent, following in rapid succession, particularly with a large child (head seems immovable), contractions insufficient, pains overwhelming ; shrieking ; red, sweating face ;
thirsty ; head and hands glowing, pulse hard, skin scarcely moist, increased action of heart ; ineffectual from defective position of child.
Puerperal convulsions, cerebral congestion, hot, dry skin, thirst, restlessness and fear of death.
After tedious and difficult parturition.
After-pains too painful, too long-lasting.
Milk-fever with delirium ; mamma hot, hard, tense, with scanty milk.
Lochia offensive, bloody, slimy. θ Childbed fever.
Return of lochial discharge, when women commence going about after confinement.
Childbed fever after suppression of lochia ; mamma lax, no milk ; dry, hot skin ; hard, frequent pulse, or tensive, contracted ; fearful, wild, staring, glittering eyes ; dry tongue, great thirst ; inflated abdomen, sensitive to slightest touch.
Newborn children : asphyxia, apoplectic symptoms, hot, purplish, breathless, pulseless ; icterus ; ophthalmia ; retained urine ; vomit blood, with bloody stools.

Voice and larynx. trachea and bronchia

Voice tremulous ; croaking.
Hoarseness and rattling. θ Coryza.
Hoarseness, with pain when talking. θ Measles.
Hoarseness after speaking or singing.
Voice crowing, croupy.
Voice husky, can scarcely speak, points to larynx, wants to cough, but cannot. θ Croup.
Larynx sensitive to touch and to inspired air, as if denuded.
Laryngitis, with inflammatory fever ; also with suffocative spasms (spasms of glottis).
Laryngeal complaints after straining voice.
Dryness in windpipe causing a frequent little cough.
Croup : awaking in first sleep ; child in agony, impatient, tosses about ; dry, short cough, but not much wheezing nor sawing breathing ; cough and loud breathing during expiration ; every expiration ending with a hoarse,
hacking cough ; after exposure to dry, cold winds.
Burning low down in larynx. θ Peritonitis.

Respiration

Breath cold. θ Cholera.
Breath hot. θ Croup. θ Blood-spitting.
Breath fetid.
Breathing : short, in sleep, after 12 P. M. ; labored, anxious or quick, and superficial ; deep, slow, sighing ; difficult, must breathe deeply ; slow,
rattling (apoplexy), whistling (croup in old age), short, when raising one's self.
Asthma from active hyperemia of lungs and brain ; face red, eyes staring ; after emotions ; can talk but little at a time.
Asthma after suppression of acute rash ; feeling of band around chest ; muscles of chest rigid ; occasionally vomiting ; urine scanty, dark ; after paroxysm, sputa yellow or blood-streaked.
Agony, sits up straight, can hardly breathe ; pulse like a thread, vomituritio ; sweat, with anxiety ; swelling under short ribs. θ After scarlatina.
Oppression of chest when moving fast or ascending. θ Heart disease.
Inhalation difficult and noisy. θ Tracheitis.
Worse during inspiration ; better during expiration.
Constant short, dry cough, with feeling of suffocation, which increases with every inspiration.
Difficult breathing. θ Endocarditis.
Breathes only with diaphragm. θ Pneumonia.
Cannot breathe freely from a sensation as if lungs would not expand ; frequently takes deep breaths.

Cough

Clear ringing or whistling cough, caused by burning, pricking in larynx or trachea.
Cough short, dry, forcible, excited by scratching in throat.
Short cough after 12 P. M., from tickling in larynx ; the more he attempts to repress it, the more severe it becomes.
Cough hoarse, dry, loud ; spasmodic, rough, croaking, with danger of suffocation ; dry, hard, ringing. θ Infantile bronchitis.
Dry cough, with shooting in chest ; with raw pain in chest, caused by change of temperature.
Wants to cough, but cannot. θ Croup.
Cough hollow, hoarse, choking, causing blueness of face.
Violent hollow cough at night ; shorter and more panting during day. θ Laryngitis.
Dry, barking cough. θ Measles.
Dry, whistling cough ; beginning of pertussis ; feverish, anxious, restless.
Hæmoptysis : blood comes up with an easy hawking, hemming or slight cough ; expression of anxiety ; great fear of death ; palpitation, quick pulse, stitches in chest ; caused by mental excitement ; exposure to dry, cold air, or
after taking wine.
Sputa : absent ; thin, gelatinous, more mornings and during day ; scanty, falls in round lumps, dark cherry-red (pneumonia) ; bloody
or blood-streaked ; bright red blood.
Expectoration brownish-red, rust-colored ; cough frequent, with severe pains from shock through chest.
Cough awakens him from sleep, is dry, croupy, suffocating ; great anxiety.
Cough > lying on back ; < on side.
Cough with nervous excitability.
Cough worse : after eating or drinking ; lying, must sit up from a constrictive feeling and suffocation (tracheitis) until 3 A. M. ; evening, night, more after 12 P. M. ; from tobacco smoke ; during
sleep ; from vexation, especially fright ; when overheated ; from dry, cold winds, or currents of air ; from walking in open air ; when assuming an upright position ; from deep inspiration ; from speaking.

Inner chest and lungs

Tightness of chest.
Oppression of chest, feeling of great weight, must breathe deeply, with anxiety.
Pressure, weight and burning under sternum.
Pain in middle of chest drawing toward back, < with every motion of body. θ Œsophagitis.
Stitches in right side of chest, but only when lying on that side. θ Endocarditis.
Stitches : when breathing ; with cough ; from lowest rib, right side, through lung to apex of scapula ; at every inspiration ; in left chest ; last rib, right side, through to back ; transient,
now here, now there ; < bending sideways ; between scapulæ, on deep breathing ; and burning shooting in chest.
Cannot lie on right side, only on back. θ Pleurisy.
Lancinating through chest, with dry heat, difficult breathing, often violent chill.
Synochal fever, hot sweat, oppression ; children have rattling in chest ; sensation of fulness in chest ; must lie on back. θ Pneumonia, first
stage.
Cough after drinking, sputum thin, frothy, blood-streaked ; burning, shooting in chest ; dulness on percussion. θ Pneumonia, second stage.
Heat in lungs.
Rush of blood to lungs. θ Childbed fever.

Heart, pulse and circulation

Palpitation, anxiety, restlessness ; < lying ; face pale, anxious. θ Blood-spitting.
Hyperemia of lungs, violent palpitation of heart ; face red ; spitting of blood.
Palpitation ; feeling as if boiling water was poured into chest.
Oppression about heart, burning flushes along back.
Anxiety about precordia, heart beats quicker and stronger ; fear of death. θ During pregnancy.
Anxiety, difficulty of breathing, flying heat in face, sensation of something rushing into head.
Feeling of fulness ; pulse hard, strong, contracted ; stitches at heart ; lies on back, with raised shoulders ; constriction of chest. θ Pericarditis.
Uncomplicated cardiac hypertrophy ; especially with numbness in left arm and tingling in fingers.
Great agitation of heart, anxiety. θ Acute rheumatism.
Heart beats quickly, pulse slow, apparently intermitting with attacks of powerlessness.
Heart's action feeble, quick, incomplete ; pulse small and weak ; cardiac weakness.
Intense pains in all directions, especially down left arm, with numbness and tingling ; anxiety, fear of death, coldness, cold sweat ; feeble pulse. θ Angina
pectoris.
Fainting, with tingling. θ Hypertrophy.
Pulse quicker than beat of heart ; during three beats apex strikes only once.
Pulse strong, full, hard. θ In fever and inflammations.
Full, strong, hard pulse, with heat and thirst. θ Meningitis infantum.
Pulse : small, intermitting, irregular (asthma) ; accelerated, with heat of skin (jaundice) ; contracted, full, powerful, over 100 per minute ; full, powerful, intermitting every six beats with cardiac heaviness ; slow,
intermittent ; slow, feeble, weak and small ; like a thread, with anxiety ; quick, hard and small (peritonitis).
Carotids beat violently. θ Apoplexy.
Veins of throat expanded. θ Inflammation of lungs.

Outer chest

Muscles rigid. θ Asthma.

Neck and back

Neck sore and painful ; glands swollen. θ Scarlet fever.
Drawing in muscles of throat and neck.
Weariness in neck on motion as if involving single muscles, especially evenings and nights.
Tearing in nape of neck.
Painful stiff neck, < moving neck ; pains down neck to r. shoulder.
Bruised pain between shoulders.
Drawing, tearing pain in scapulæ.
Stiffness of back.
Burning, shooting in spine.
Cutting pains extending in a circle from spine to abdomen.
Crawling in spine, as from beetles ; formication.
After injury or checked sweat. θ Spinal meningitis.
Pain in small of back, last lumbar vertebra, as if beaten.
Numbness of small of back, extending into lower limbs. θ Spinal meningitis.
Spasms from inflammatory affections of spine.
Slightest touch of spine excites spasms.
Tensive, pressive pain in lumbar and sacral regions, noticed on stepping.

Upper limbs

Tearing pain in shoulder-joint.
Formication in arms, hands and fingers.
Arms hang powerless, as if paralyzed by blows. θ Meningitis.
Numbness of left arm ; can scarcely move hand ; tingling of fingers. θ Heart disease.
Shooting, tearing, erratic ; in arms, forearms, wrists and finger-joints.
Shooting in wrist joint as if from needles.
Automatic motion of left hand ; he strikes his face. θ Measles.
Drawing and tearing pains in wrists and fingers.
Trembling of hands.
Paralysis of wrists.
Palms of hands quite insensible.
Creeping pain in fingers.
Creeping in fingers, also while writing.
Hands icy cold ; cold, sweaty palms.
Finger-nails blue.
Hot palms.
Red pimples on back of hands ; stinging itching.

Lower limbs

Hip and hip-joint (left) swollen, hot and exceedingly painful to touch ; feverish, thirsty, anxious. θ Acute articular rheumatism.
Drawing tearing in left hip-joint on moving.
Sensation as if drops of cold water trickled down front of thighs.
Thighs when walking feel as if tightly bandaged.
Drawing pain, especially in joints of limbs.
Drawing in tendinous expansions of lower limbs.
Lower limbs sore. θ Peritonitis.
Shooting, tearing pains in legs, knees, ankles, toes, etc.
Legs almost powerless ; after sitting, numbness. θ Spinal meningitis.
Numbness in gouty limb.
Trembling of limbs.
Unsteadiness of knees ; bend while standing or walking.
Knees swollen ; painful, throbbing, cutting, stinging pains ; cannot sleep, had to sit up. θ Acute rheumatism.
Knifelike pains in knee joint.
Legs stiff when moved, after taking cold.
Coldness of knee, alternating with flying shooting.
Cramps in calves, also in feet.
Legs and feet feel numb ; tingling, commencing in feet and spreading upward.
Ankles feel as if tied with a ligature.
Hot pricking in toes ; they "go to sleep" while walking.
Coldness of feet and ankles ; soles and toes cold and sweaty.

Limbs in general

Drawing, tearing pains in limbs.
Transient pains, like bone pains, in long bones of limbs and in metacarpal bones.
Rheumatic inflammation of joints, < evening and night ; intense, bright red, shining swelling of parts ; sensitive to least contact, with high fever.
Crawling in upper and lower limbs.
Trembling and tingling in limbs, accompanied by shooting pains.
Convulsive trembling of limbs.
Convulsive contraction of limbs.
Slight starting of limbs, alternating with trembling. θ Meningitis.
Limbs feel weak, heavy and painful. θ Coryza.
Limbs feel tired during repose.
Lameness and numb feeling in affected parts ; pain intolerable. θ Rheumatism.
Numbness, icy coldness and insensibility of hands and feet. θ Meningitis.
Bruised, heavy feeling.
Coldness of extremities.
Hot hands and cold feet.
Twitching of fingers and toes.

Rest. position. motion

Rest : generally >, but during night, in bed, pains intolerable ; limbs feel tired ; rigors <.
Lying : headache > ; palpitation < ; shudders ; fever unbearable.
Lying on back : cough > ; stitches in chest >.
Lying with head high : headache >.
Lying on right side ; stitches in chest.
Lying on side : cough < ; cheek lain on sweats.
Must lie down : with vertigo.
Cannot sit up : uterine hemorrhage.
Sitting : vertigo > : crackling in forehead >.
Sitting up : pressure in sunstroke < ; cough <.
Must sit up : in difficult breathing ; with painful knees.
Rising from a seat : vertigo.
Rising from recumbent posture : red face becomes pale.
After sitting : legs numb.
Rising : shortness of breath ; fainting.
Springs out of bed : in delirium at night.
Changes position constantly : when impatient ; during anxiety ; at night ; puts hand to head.
Standing : faints while urinating ; causes great weakness.
Stooping : vertigo < ; as if eyeballs were forced out >.
Bent backward : head in croup ; body in spasms.
Bending sideways : stitches in chest.
Must bend double : colic ; dysmenorrhœa.
Shaking head : vertigo ; blackness before eyes.
Raising head : vomits.
Walking : vertigo > ; squeezing in forehead < ; vertex headache > ; cough < ; thighs feel as if bandaged ; unsteady knees ; toes "go to sleep."
Stepping : tensive, pressive pain in back.
Must walk or move about : at night restlessness, fever.
Motion : sensation as if brain moved < ; crackling in temples, forehead and nose ; of eyeballs painful ; pain in chest < ; weariness in neck < ; stiff neck < ; drawing, tearing in left hip ; legs stiff ; chill ; rigors >.
Violent exercise : produces overheating and conjunctivitis.

Nerves

Restless, though motion < pain. θ Pleurisy.
Nervous excitability. θ Prolapsus uteri.
Timid and uncertain in his actions.
Excessive restlessness and tossing about for several hours.
Trembling and tendency to palpitation.
Jerks of left leg or arm, grinding teeth ; comatose ; restless, moaning. θ Measles.
Convulsions of teething children ; heat, startings, twitches of single muscles ; child gnaws its fists, frets, cries ; costive or dark, watery stools.
Spasms of eyes ; clenched jaws ; body becomes rigid and bends backward ; limbs distorted with spasms.
Loud lamentations ; body rigid and bent backward ; fists clenched across throat ; gnashing of teeth ; eyes drawn up spasmodically under lids.
Towards noon convulsions of whole body. θ Myelitis.
Whole body feels as heavy as lead ; swollen in size and stature, except head and neck.
Great muscular weakness, weariness, prostration, almost total inability to stand.
Progressive failure of strength.
Feeling very drowsy, languid and unable to rise from couch ; obliged to discontinue all work ; system feels prostrated with sense of inward fever.
Numbness, tingling ; left side. θ Paralysis of limbs.
Sudden falling down senseless. θ Apoplexy.
Collapse ; cholera.
Faintness on attempting to sit up.
Formication, now in one, now in another part.

Sleep

Sleepiness ; spasmodic yawning.
On going to sleep ; fever becomes intolerable ; jerks ; restless tossing.
Somnolency, eyes closed ; in a little child.
Senseless ; snoring. θ Apoplexy.
Sleeping light, imagines in morning he has not slept at all, yet not weak.
During sleep : delirium ; starts ; profuse sweat ; hot, restless and talking ; slow breathing.
Restless nights ; must walk or move about ; alternately cold and hot, partial sweat.
Excessive wakefulness ; nervous sleeplessness.
Sleeplessness after midnight with anxiety, restlessness, continual tossing about ; eyes closed.
Sleeplessness caused by fear, fright or anxiety, with fear of future. θ Consumption of lungs.
Vivid dreams of day's occurrences.
At night anxious dreams, several times waking with start.
Long dreams with anxiety in chest, taking away breath and causing him to awaken.
Anxious heavy dreams with oppression of chest.
Awakened : by asthma ; by nightmare ; with starts ; by cough.
Worse after sleep.

Time

Night : delirium ; sticking, tearing around eyes < ; lachrymation ; violent hollow cough ; weariness of neck ; rheumatic pains in joints < ; sleepless ; dreaming ; shuddering ; alternate heat and chill ; pains intolerable.
Midnight : burning in throat, causing hawking.
After midnight : short breath during sleep ; short cough ; sweat.
Midnight to 3 A. M. : must rise to urinate.
Until 3 A. M. : cough worse.
Morning : excessive sweat ; anxious lamentations ; confused as if drunken ; swollen eyelids < ; coryza fluent ; thin, gelatinous sputum ; thinks he has not slept.
Towards noon : convulsions.
Day : short cough and panting ; thin, gelatinous sputum.
Towards evening : congestion to head < ; crackling in head ; stitches in orbital region ; fever unbearable.
Evening : congestive headache < ; crackling in temples, forehead and nose ; itching, burning, smarting in eye ; stitches in eye < ; lachrymation ; cough < ; weariness of neck ; rheumatic pains in joints < ; sudden chill.

Temperature and weather

Heat of sun : headache <.
Rays of sun : produce erythema ; sunstroke.
Heat : relieves formication of scalp.
Warm room : forehead feels compressed ; chill <.
Overheating : causes eye troubles ; cough results.
In bed : fever unbearable.
When covered : sweats.
Uncovering : will not be uncovered.
Open air : headache in forehead < ; vertex headache > ; sweat on head > ; eyelids sensitive ; headache from checked coryza > ; teeth sensitive ; cough <.
Cold, dry winds : conjunctivitis, coryza, toothache, croup ; cough < ; articular rheumatism.
Raw air : produces toothache.
Cold water : relieves conjunctivitis and anxiety.
Ice water : causes gastric catarrh ; excites cough.
Cold bathing : suppresses menses.
Getting wet : causes tearing and beating in carious molar ; diarrhœa ; suppresses menses.
Hot days, cold nights : dysentery.

Fever

Sensation of coldness in bloodvessels.
Chill : anxious ; on slightest movement ; being uncovered or touched ; ascends from feet to chest ; with formication between shoulders and down back ; finger tips cold, nails blue, <
in a warm room.
Shuddering on lying down at night.
Rigor commencing in limbs and going over whole body, with goose-flesh ; < in rest ; disappearing on motion.
Skin cool, dry or cold and viscous ; or cold to touch, but patient feels as if burning. θ Cholera.
Whole body stiff and cold. θ Myelitis.
Rigors and vomiting. θ Puerperal convulsions.
Frequent shudders. θ Inflammation of lungs.
Cold crawls over back, with hot skin. θ Catarrh.
Sudden chill in evening, followed by heat.
After a violent chill, dry heat with difficult breathing and lancinating pain through chest.
With chill, internal heat, anxiety, red cheeks ; body chilly, hot forehead and ears, internal heat.
Chill at beginning violent, more in evening after lying down, often with one hot cheek and contracted pupils.
Alternate heat and chill all night ; restless, wants to uncover, yet chilly therefrom.
Face hot, hands and feet cold ; face flushes, with cold hands and feet, mostly evenings.
Skin hot and dry, with anxious tossing about. θ Meningitis.
Heat and dry skin. θ Prolapsus uteri.
Heat with thirst, hard, full and frequent pulse, anxious impatience, unappeasable, beside himself, tossing about with agony.
Heat, with agonized tossing about.
Dry, burning heat, generally extending from head and face, with much thirst for cold drinks.
Heat, with inclination to uncover ; fever unbearable towards evening and after getting into bed.
Heat, with chilliness at same time.
Red cheeks, with obstinacy, complaining mood ; burning in region of navel and pressive headache.
Thirst for beer during heat ; burning thirst during heat.
Inflammatory fevers and inflammations, with much heat, dry burning skin, violent thirst, red face, or alternate red and pale face ; nervous excitability, groaning and agonized tossing about ; shortness of breath, and congestion to head. θ Synochal
fever.
Profuse sweat, with copious flow of urine and diarrhœa.
Free sweat.
Profuse sweat during sleep, even in consumptives ; sweat after 12 P. M.
Long continued, general sweat, of a somewhat sour odor.
Affected parts and covered parts sweat ; likes to be uncovered.
Worse while sweating ; better afterward.
Profuse sweat relieves rheumatic pains.
Bad effects of suppressed sweat : catarrhs ; fever ; local inflammations, etc.
Cold sweat.

Attacks, periodicity

Attacks of pain, with redness of face and thirst.
Suddenly : turns red and falls unconscious ; faints while standing to urinate ; excruciating pain in stomach (scarlatina).
Alternately : heat and chill ; stupefaction and restlessness ; face red and pale ; slimy stools and constipation ; coldness and shooting in knee.

Locality and direction

Right : staggers to side ; erratic pains in head ; pains like severe blows in forehead ; sticking in eyeballs ; pains over eye ; ear painful ; mouth drawn to right side ; tense swelling under short ribs ; drawing in testicle and
uneasiness in renal region ; stitching pains in fundus uteri ; stitches in chest ; pains in neck and shoulder.
Left : pain in small spot over supraorbital ridge ; pulsations in forehead ; side lame ; apoplexy ; as if sand in inner canthus ; deafness, with buzzing in head ; tearing in ear ; neuralgia of trigeminus ; lips motionless during
breathing ; toothache ; lobe of liver painful ; side of scrotum studded with vesicles ; stitches in chest ; numbness of arm ; tingling in fingers ; hip swollen ; jerking of arm or leg ; side lame.
Within outward : pressure in head ; fulness in forehead ; eyeballs feel as if protruding ; pressing in epigastrium.
Out inward : pressure in upper eyelids.
Below upward : cutting in intestines ; numbness and tingling in lower extremities ; chill.
Left to right : paralysis (poisoning).
Right to left : toothache ; blows in forehead, pulsations.
Front to back : pain in chest.
Towards right side : staggers to right in vertigo.
Limited to a small spot : headache over left supraorbital ridge.

Sensations

Pains intolerable ; more so at night.
Stitches here and there ; erratic.
Stinging burning, as if in skin.
Tearing, cutting, wandering pains. θ Rheumatism, etc.
Neuralgia with congestions, from dry cold air or checked sweat.
Trembling, like a boiling and seething, as if parts were going to sleep ; or as if becoming drunk ; always with an unpleasant sensation of coldness.
As if bruised or beaten in different parts.
As if ideas came from stomach ; as if she would lose her reason ; as if brain was agitated by boiling water ; as if a hot iron was bound around head ; as if everything would push out of forehead ; pulsation as from severe blows in forehead ;
vertex as if compressed by a pitch-cap ; headache as if brain was moved or raised ; as if pulled by hair on vertex ; as from bending crackling tinsel in temples, forehead, nose ; as if hair stood on end ; as if eye would be forced out of orbit ; as if eyeball
was pushed into orbit ; music goes through every limb ; as if face was growing larger ; as if muscles of face were spasmodically contracted ; tongue feels as after eating pepper or smoking ; as if teeth would fall out ; mouth as if filled with air tasting of
rotten eggs ; as of cold air on tongue ; as if uvula was elongated and touching tongue ; as if something had stuck in throat ; as if food had lodged in cardiac region when swallowing ; as if a cold stone lay in stomach ; anxious feeling in precordia ; as if
a heavy load were resting on abdomen ; splashing in region of bladder ; as though poles of a galvanic battery had been applied to glans penis ; feeling of a band around chest ; feeling of suffocation ; as if boiling water was poured into chest ; as of beetles
crawling on spine ; arms as if paralyzed by blows ; as of needles in wrist joints ; as if drops of water trickled down front of thighs ; as if thighs were tightly bandaged when walking ; ankles as if tied with a ligature.
Violent pain : over right eye ; in stomach ; down left arm.
Burning : headache ; in eyes ; of lids ; of lips and mouth ; of tongue ; on tip of tongue ; vesicles on tongue ; in fauces ; in back of throat ; in throat ; along eustachian tube ; in pharynx ; along œsophagus to stomach ;
from stomach up to mouth ; in pit of stomach ; in hepatic region ; in umbilical region ; in hernia, like coals of fire ; in anus ; in bladder ; in neck of bladder ; in urethra ; in larynx ; under sternum ; in spine.
Prickling : in tongue ; in throat ; in larynx or trachea ; in toes.
Smarting : in eyes.
Stitches : under scalp ; in orbital region ; in pit of stomach ; in region of liver ; in diaphragm ; in region of kidneys ; in glans ; to right of fundus uteri ; in chest.
Shooting pains : in renal region ; in uterus ; in chest ; in upper limbs ; in legs, knees ankles, toes.
Stitching thrusts : in lower jaw ; in spine.
Knifelike pains in knee joint.
Stinging : in ear ; in throat ; in fauces ; in hepatic region ; in anus ; in region of kidneys ; in knees.
Sticking pains : in right eyeball ; in sclerotitis ; around eyes ; in posterior fauces.
Cutting : in intestines ; in a circle from spine to abdomen.
Twitching : in knees ; in eyes.
Choking : in throat.
Swollen feeling : of tongue ; of testicles ; of many parts, generally with shuddering, cold or rigor.
Pain : in right ear ; in epigastrium ; in glans penis ; in middle of chest.
Tearing pains : in sclerotitis ; around eyes ; in left ear ; in a carious molar ; in nape of neck ; in scapulæ ; in shoulder joint ; in wrists and fingers ; in left hip joint ; in limbs.
Pressive shooting : in eyeballs.
Aching : in eyeballs ; in face.
Bone-pains : in long bones of limbs and metacarpal bones.
Drawing pain : in right testicle ; in muscles of neck and throat ; in scapulæ ; in wrists and fingers ; in left hip-joint ; in joints of limbs ; in tendinous expansions of lower limbs ; in limbs.
Pinching : about navel.
Squeezing : in forehead, above root of nose.
Pressing shooting : in forehead, coryza.
Pressure : in upper part of forehead ; in temples ; in vertex ; in upper lids ; at root of nose ; in stomach and pit of stomach ; in hepatic region ; in anus ; in region of kidneys ; in bladder ; under sternum ; in lumbar and
sacral region.
Bruised pain : in eye ; in loins ; in testicles ; between shoulders ; in small of back.
Fulness : in forehead.
Throbbing : in temples ; in one side of face ; in carious molar ; in pit of stomach.
Constriction : of throat ; in hepatic region.
Contracting : in upper part of forehead.
Cramps : at root of nose ; in calves.
Tensive pain : in lumbar and sacral regions.
Tense feeling : in eyelids ; in stomach and hypochondria.
Tightness : of chest.
Heaviness : in forehead ; in hypochondria ; in abdomen, bearing down ; under sternum ; in limbs.
Paralyzed feeling : in intestines.
Formication : of scalp ; on spine ; between shoulders ; in arms, hands and fingers.
Creeping : in face ; in fingers.
Creeping pain : in fingers.
Crawling : in face, in spine ; in limbs.
Tickling : in larynx.
Tingling : in face, lips and mouth ; in tongue ; in œsophagus ; at anus ; in sexual parts ; in left arm ; in fingers ; in feet, spreading upward ; in limbs.
Roughness : as from sand in inner canthus.
Rawness : in middle of tongue.
Raw pain : in chest.
Distressed feeling : after eating.
Labor-like pressing : in womb.
Scratching : in throat causing cough.
Soreness : neck ; of lower limbs.
Weariness : in neck.
Stiffness : of back.
Tired feeling : in limbs during repose.
Numbness : of lips and mouth ; of tongue ; in left arm ; of small of back ; in gouty limb ; in legs and feet ; with rheumatism of hands and feet.
Stinging itching : pimples on hands.
Itching : of eyes ; at anus.
Heat : in eyes ; of external ear ; of lips and mouth ; in stomach ; in diaphragm ; in vagina ; in lungs ; of palms ; in left hip joint.
Coldness : in incisors ; of hands ; of palms ; of knee ; of extremities ; in bloodvessels.
Dryness : of eyes ; of lids ; of tongue ; in palate ; in posterior nares ; in throat ; in windpipe.

Tissues

Has but little effect on disorganized blood-globules, hence seldom useful in true typhoid states.
Acts more on arterial system.
Plethora ; active capillary congestions (from overactive serous membranes).
Local congestions and inflammations.
Neuritis, with tingling.
Complaints in joints : shooting, cramp, cracking, loss of power ; drawing in joints and aponeuroses.
Articular rheumatism, much fever, restlessness and anxiety ; swellings are red and hot or pale ; shifting from one point to another ; especially if caused by suddenly checked sweat or by dry cold air or winds.
Acute catarrhs, with usual Aconite fever.
Skin and muscles rigid.
Muscular rheumatism with high fever.
Glands painful, hot, swollen.

Touch. passive motion. injuries

Touch : causes loud screams ; pains worse ; eyeballs sensitive ; soreness in pit of stomach < ; pains of peritonitis < ; lower abdomen sensitive ; larynx sensitive ; excites spasms ; hip painful ; rheumatic swelling of joints
sensitive ; chilly.
Pressure : stitches in supraorbital region < ; liver sensitive.
Scratching : no effect on itching.
Fall or concussion : vertigo.
Foreign bodies : irritation and inflammation of eyes.
Wounds painfully sensitive after surgical operations ; fever.
Shock from injury or surgical operations.

Skin

Skin dry ; absence of sweat.
Tingling over whole surface.
Red, shining, hot swellings ; violent pains.
Fine prickings, as from needles, here and there.
Spots like flea-bites ; itching unchanged by scratching.
Erythema from sun's rays ; papular erythema.
Erysipelas, smooth skin ; violent fever.
Yellow skin. θ Jaundice. θ During pregnancy.
Red rash all over, except on abdomen. θ Childbed fever, second week.
Measles : dry, barking cough ; painful hoarseness ; eyes red ; cannot bear light ; tongue red ; jerks of left leg or arm, or grinding of teeth ; restless moaning and lamenting ; lying in a comatose state ; pains in
joints ; free sweat.
In red miliary fever : increasing restlessness, agonizing anxiety and heat of body.
Rash of children.
Seldom in scarlatina, except as specified below or during desquamation.
Scarlet rash, with high fever.
Scarlet fever, with dry skin and very great restlessness and distress ; must frequently sit erect in bed in consequence of dyspnœa.
Skin cold and dry ; cold, clammy.
Single long dartings, here and there, mixed with a raw sensation, ending with pain as of a wound.

Stage of life, constitution

Children's diseases ; with high fever.
Especially persons with tonicity (rigidity) of fibre.
Old age ; sleeplessness.
Contraindicated in fevers which bring out eruptions or are otherwise salutary, unless there is agonizing tossing with dry skin.
Dark hair and eyes.
Persons leading a sedentary life ; plethora, etc.
Tendency to apoplectic congestion ; plethora.

Relations

Antidotes to Acon. : Acet. ac., Paris, Vin .
Is antidote to : Bell., Cham., Coff, Nux v ., Petr., Sep , Sulph, Verat ., and secondary symptoms of Morphine .
After Acon. follow well : Arn ., Bell ., in gastric states ; after pulmonary febrile affections : Ip., Bry., Hep, Puls ., Sep . and Sulph . ;
in colic : Ars . ; in cough : Bry ., Spong . ; in croup : Spong . or Hep . ; in
strangury of children : Puls . ; in dysentery ; Merc .
Acon . may often be indicated after Arn ., Coff ., Sulph . and Verat .
Complementary to Coffea , in fever, sleeplessness, intolerance of pain ; to Arn . in bruises ; to Sulph . high in all cases.
Ailments from : Act. rac ., Cham ., Coff ., Nux v ., Petr., Sep ., Sulp .
Abuse of Acon . calls for Sulphur .

Lectures on Homoeopathic Materia Medica

James Tyler Kent · Lectures on Homoeopathic Materia Medica · homeoint.org / Séror HTML text (Kent d. 1916; public domain)

Introduction

Aconite is a short-acting remedy. Its symptoms do not last long. It is a violent poison in large doses, either destroying life or passing away in its effects quite soon, so that if the patient recovers, the recovery is not delayed. There are no chronic diseases following it.

Like a great storm, it comes and sweeps over and passes away. By a little meditation we will discover what kind of sickness all this is like, and what kind of a patient is most likely to have that short, sudden sickness.

If we think a moment from experience and homoeopathic observation, we will remember that vigorous, plethoric individuals, when they take cold, come down violently, whereas feeble people, sickly people, come down and recover slowly from acute diseases, and do not become so violently and so suddenly sick.

From this, and from examining the sudden effects of Aconite, it will be easy to see that persons who come down with Aconite sicknesses are plethoric individuals.

Strong, robust people, rugged children and infants become sick, not a very slight cold, or from slight exposure, but from more violent exposure. From being exposed with deficient clothing; from (sudden, violent changes; from prolonged exposure to the cold, north, dry wind.

A vigorous person caught out with thin clothing, or remaining out in the cold, dry air of mid-winter, with its sudden, violent changes, comes down even before night with violent symptoms. This is the class of patients, the plethoric and vigorous, who have a strong heart, active brain, vigorous circulation, and come down suddenly from violent exposure, that need Aconite.

Aconite has in its nature none of the results usually following inflammation. The storm is over so quickly that it seems mostly to conform to the earlier condition. In these vigorous patients sudden congestions are likely to be thrown off by good reaction.

The patient seems to be threatened with a sudden and violent death, but recovery is quick. So, as was observed by Dunham, it is a great storm and soon over. Dunham's discussion of this remedy in his Materia Medica is very poetical and well worth reading.

Generals

Attacks come on suddenly from exposure to a dry, cold wind. In plethoric children we have an illustration of that in, the sudden congestion of the brain with intense fever, or with convulsions.

We get illustrations of its suddenness and violence in any organ of the body, the brain, the lungs, the liver, the blood, the kidneys. It is suited to the complaints that come on suddenly from the very cold weather of winter, or from the intensely hot weather of summer.

It has the lung and brain complaints of winter, and the bowel inflammations and stomach disorders of summer. We know how these plethoric individuals become suddenly overheated and become violently sick.

Their sudden attacks are frightful to look upon. All these inflammatory conditions are attended with great excitement of the circulation, violent action of the heart, a tremendous turmoil of the brain, a violent shock. with intense fear.

Mind

The mind symptoms that are nearly always associated with Aconite conditions stand out in bold relief.

The patient feels the violence of his sickness, for he is under great nervous irritation and excitement.

Fear is depicted upon his countenance, and the heart's action is so overwhelming the first thing he thinks of is that he must die; this must mean death, which he fears. It stands out upon his countenance.

He says:

"Doctor, there is no use; I am going to die."

Many times he actually predicts the moment or the hour of his death. If a clock is in the room, he may say that when the hour hand reaches a certain point he will be a corpse.

When we see this intense fear, this awful. anxiety, great restlessness, the violence and the suddenness of these attacks, we have a case, perhaps, that is dying from the poison of Aconite, or one who needs Aconite.

One who has a sickness resembling the poison of Aconite needs the smallest possible dose of Aconite. It is a very short-acting medicine, and that must be remembered.

It hardly matters what part of the body we are considering we will find inflammatory conditions. But regardless of the region or the locality of the inflammation, that which I have described is the appearance of the patient. Such are the symptoms that will stand out, that you will observe first - the appearance of the face, the mind symptoms, the restlessness, the intensity.

Now, there are many little mental symptoms that are of much less importance than this fear, this anxiety, symptoms that will be masked by these marked symptoms that indicate the patient. He has lost all affection for his friends. He does not care what becomes of them, he has not the slightest interest in them. It sometimes may be a state of indifference.

What I have brought out will enable one to readily see that this picture does not belong to all the remedies in the Materia Medica. In fact, it belongs only to Aconite. No matter what remedy you compare this with, you would find it only under Aconite.

You will find some of the features in the text under other remedies, but those which I have mentioned collectively will be found only under Aconite.

Take the mental symptoms, intensity marks every one of them. If it is a delirium, it is an intense delirium, with excitement, with fear, with anxiety.

Patients in delirium, with excitement and fear, will weep, as in great torment.

Great excitement, fear, fear of death. You wonder what she is weeping about. There are all sorts of moods intermingled also with the fear of Aconite.

There is moaning and irritability, anger, throwing things away, all attended. with the violence and anxiety. These features that I described as uppermost are intermingled with all the other symptoms.

"Screams with pain."

The pains are like knives, they are stinging, cutting, stabbing. The intensity of the Aconite suffering is wonderful, so that if the nerves take on neuralgic pains the pains are intense. It is the feeling that some awful thing must be upon him or he could not have such dreadful suffering.

It says in the text, "predicts the day of his death."

This to a great extent is the result of the awfulness that seems to be overwhelming him. And this mental picture is always present, in pneumonia, in inflammatory conditions of any part of the body, in inflammation of the kidneys, of the liver, of the bowels, etc.

Vertigo

Dizziness prevails throughout all this symptom picture.

"Vertigo, turning and whirling."

A woman out shopping runs up suddenly against a dog and becomes violently dizzy, she cannot even get to her carriage.

"Vertigo that comes on from fear, from sudden fear, and the fear of the fright remains."

There is a remnant of that fear left, but it will lead you no more strongly towards Opium.

"Complaints from fear. Inflammation of the brain from fear, dizziness from fear."

Even congestion of parts as a result of fear. A turmoil in the whole sensorium. Things go round and round.

Head

The headaches can hardly be described, they come with such violence. Tearing burning in the brain, in the scalp, attended with fear, with fever, with anguish; headache from taking cold, from suppressing catarrh in the nose.

Catarrh stops suddenly in plethoric people, from exposure, from riding in the dry, cold wind such as we have in this northern climate in winter.

"Violent headache over the eyes.

Congestion of the brain, with congestive headache, with anxiety, with hot face."

Eyes

The symptoms that would lead you to give Aconite for affections of the eye are numerous.

Eyes take on sudden inflammation. Congestion of the eye. Blood red appearance of the eye.

Sudden inflammation of all the tissues; conjunctivitis, etc., from taking cold, from exposure to dry, cold winds.

There is a teaching that has long prevailed: give Aconite for the first stage of an inflammation. It is not good teaching, although it is recommended in all of our books. It does not say for what kind, of a constitution, or how it comes about.

Do not practice that way. Get all the elements for an Aconite case, if possible, or give a better remedy. Another practice has prevailed, viz., giving Aconite for fever. Aconite was the fever remedy of many of our early routinists, but it is a bad practice.

Aconite has an inflammation of the eyes that comes on so suddenly that one wonders how that inflammation came in so short a time.

The eyes take on great swelling without any discharge, or only very watery mucus. The sudden inflammations that come on with thick discharges would never be Aconite.

Fever and Chills

Aconite has no results of inflammation. Those conditions that are about to take on the results of inflammation will always indicate some other remedy. You are not to think of Aconite in fever unless the Aconite patient is present.

With the Aconite fever there will be sensitiveness to light.

"Great restlessness with fever."

Eyes staring, with pupils contracted, "violent aching and inflammation of the deep structures of the ball."

Give Aconite only when the symptoms agree. An inflammation that is about to run a prolonged course, to take on suppuration, or if it is mucous membrane to take on discharge of pus, will never show you the symptoms of Aconite.

Never give Aconite in blood poisoning, such as we find in scarlet fever, in typhoid fever, etc. We find nothing of the violent symptoms of Aconite in such conditions. The nervous irritation is never present, but the opposite, the stupor, the laziness, the purple skin - whereas Aconite is bright red.

Never give Aconite for any form of zymosis, for it has no zymotic history. There should be no thought of Aconite in the slow coming, continued fever. Aconite has no symptoms like the slow types of continued fevers.

The Aconite fever is generally one short, sharp attack of fever. It is in no way related to an intermittent fever, as it has no such symptoms.

You might find something that would deceive you in one attack of intermittent fever, but the very fact that there was a second one would shut out Aconite. Some remedies have periodically or waves, Aconite has no such a condition.

The most violent attack of fever will subside in a night if Aconite is the remedy. If it is not it is a pity that you made a mistake in giving it, for it will sometimes do mischief. All things that exist in a sickness must be taken into account, not only what the remedy does cover, but what it does not cover.

Aconite has inflammation of the eyes, with burning and sudden swelling; the lids swell so rapidly that they cannot be opened except with great difficulty, and when they are forced open by seizing the margins of the lids with a pair of forceps drops of hot water will fall out, but no pus.

This comes on rapidly from taking cold. Whenever there are inflammations of the mucous surfaces bloody water is apt to flow.

Suddenly the blood vessels become engorged and ooze, the blood vessels rupture and the capillaries ooze.

Ears

Inflammation of the ear comes on just as suddenly.

"Throbbing, intense, cutting pains in the ear."

The child comes home after being out in the cold north wind, and is not sufficiently clad, and now it screams and puts its hand to the ear. The attack comes on early in the evening, after being out in the daytime.

Fever and anxiety; child must be carried. The suffering is intense. Noise intolerable. Music goes through every limb, so intense is the sense of hearing.

Everywhere in the body will we find that same intense condition of the nerves. Wherever there are complaints they are intense, violent, and the patient is always in a state of anxiety and irritability.

"Stinging, burning, rending, tearing, cutting pains in the ear."

Coryza

Coryza if attended with violent headache, coming on in the night after exposure and taking cold during the day, suddenly, this short acting, very quick-acting remedy will be indicated.

The coryza that comes on from Carbo veg. comes on several days after the exposure. The coryza that comes on from Sulphur also develops several days after the exposure.

The Carbo veg. patient becomes overheated and takes cold by keeping on his overcoat when he comes into your office. In Aconite he goes out in cold air with his light clothing, and comes down, if he is a plethoric individual, before midnight.

But especially is it often indicated in the coryza of the rosy, chubby, plethoric baby. Not in the sickly or pale ones.

These sickly ones will come down later; their vital activities are so reduced that their complaints do not come on sometimes for two, or three days.

So that if you take a sickly one and a vigorous one in the same family and expose them both one will have croup tonight and need Aconite, and the other will have it the next morning and need Hepar.

Face

The symptoms likely to occur with coryza are nosebleed, headache, anxiety and fear. The anxious expression is one of the first things observed in the Aconite sufferer. The Aconite pneumonia will often show itself on the face.

Look at the face; there is great anxiety. It shows much of the proving of Aconite. You know there is much in the expression of the face that will enable one to read all that is going on in the body; it tells the story,

The pleasures and sadness, and the distress of the human family, much of which you can generalize, and see at a glance that some great thing has happened. You have only to guess once or twice before you hit it. Here you have the anxiety.

"One cheek red and the other pale" is in a good many remedies, but the anxious expression, and the fear, and the heat, and the restlessness, and the suddenness with which it comes on in a plethoric individual yesterday it was very dry and windy - and you will at once place this symptom with Aconite.

But it might be one of several other remedies, were other conditions present.

"Neuralgic pains in the face, like hot wires running along either side of the face."

The individual rides in the cold, raw wind, and his face was exposed to the cold wind. He becomes numb, then pain sets in, intense pain.

He cries out and shrieks with the knife-like cutting pains. Aconite will relieve.

"Crawling, creeping like ants"; Aconite has that sensation along the course of the nerves. It has a sensation like ice water poured along the course of the nerves.

Sciatica when the sensation is felt down the nerve like ice water.

"Creeping, tingling and crawling in the face, with or without pain."

There is intense heat intense fever in the face. The side of the face laid on will often break into a sweat, and if the patient turns over, that side will at once become dry, and the other side will at once break out in a sweat.

Mouth and teeth

Oh, what a comforting remedy it is for toothache.

It has been so useful in toothache that nearly every old lady nowadays knows enough to put a drop of Aconite on a bit of cotton and put it in the old hollow tooth. It will quite often palliate.

A dose of Aconite will act much better. But the violence of the toothache; again the same old story, from the dry, cold winds, plethoric individuals, with hollow teeth, pain intense, cutting, shooting pains in the teeth.

Sometimes these pains are in sound teeth and affect the whole row of teeth. Violent pains from exposure, such as riding in the wind. The pains are relieved and go away speedily after a dose of Aconite.

Disturbances of taste, disordered stomach. Everything tastes bitter, except water; and, oh, how the Aconite patient longs for water. It seems almost impossible for him to get water enough and it agrees well.

Burning is a symptom that runs all through the remedy, you will find it descriptive of all the pains. Burning in the head, burning along the course of nerves, burning in the spine, burning in fever, sometimes burning as if covered with pepper.

Throat, palate and tonsils

Aconite is a very useful medicine in inflammation of the throat, when there is burning, smarting, dryness, great redness of the tonsils, or the fauces, the whole throat.

Sometimes the soft palate is greatly swollen. A high grade of inflammation, acute inflammation of all that can be seen and called throat. But that alone would not indicate Aconite.

It cures that kind of case, it cures inflammation of the throat, but every homoeopathic physician knows that forty or fifty remedies could be selected just as well as Aconite from all that I have said.

I have only mentioned a nondescript case. No homoeopathic physician could prescribe upon that kind of evidence.

But you note the kind of throat - every physician must ask himself the question:

"What would make that kind of a throat an Aconite case?"

And then the question would come up, could he not prescribe for it as well if he had not seen, the throat?

The throat does not do much towards representing, to an intelligent physician , the patient.

If it was necessary to represent to the mind of the physician the inflamed part itself, how would he treat the liver?

He cannot see it. How would he prescribe for the stomach? He cannot see it. We are then compelled to fall back upon that which represents to the intelligent physician the very nature of the patient himself, and then at once we will see the reason for some of these things.

If you present and Aconite patient well before the mind you can prescribe. It would be well to see anything that is visible. If you could see, the liver, I would say look at it. If you could see the heart, I would say examine it.

What is it in this throat that really represents the patient?

Of course, any soreness of the throat makes it difficult swallow. I mean to infer that there is nothing in the soreness to represent to the physician the Aconite patient. If that individual were a plethoric individual, if he had been riding in a cold, raw wind a good part of the day, and he had wakened in the night with a violent burning, tearing sore throat, and he could not swallow, and the fever came on high, and he had thirst for cold water and he could not get enough of it, he was in an anxious, feverish state, you have then a patient to prescribe for.

Many times will patients become intelligent enough under your observation to write just what some member of the family acts like. You know just what the patient looks like.

The black man will sometimes give the best kind of a description, better than the Vassar girl, who writes us:

"Doctor, will you please send the medicine have looked into the throat and it is red."

Stomach

With the stomach symptoms what an anxious patient we have! The pains are dreadful.

Burning pains, tearing pains, with anxiety, with restlessness, with fever, coming on from taking cold - not from overeating, but from taking cold, which has settled in the stomach; from exposure to an ice bath, or in a very hot summer from intense heat, associated with an irritable brain in vigorous children.

Vomiting and retching, tearing, as it were, the very inside out by the awful retching. The vomiting of blood, bright red blood.

This is descriptive of the general stomach trouble. During this febrile state he craves bitter things, wine and beer, and brandy, but they will come up as soon as they reach the stomach.

He craves pungent things, nothing tastes bitter enough.

"If he could only get something bitter." And yet his food tastes bitter, everything he eats tastes bitter, everything except water.

The word in the text is a clinical word; it says "gastric catarrhs."

It is a very sharp, acute inflammation of the stomach. Retching, vomiting, of bile, vomiting of blood. Ineffectual urging to vomit, when there is nothing in the stomach.

With it there will be anxiety, restlessness, fear of death. The fear depicted upon the countenance makes an awful expression.

Aconite is a useful medicine in inflammation of the liver, when it comes suddenly. It is not very useful in repeated attacks, but in the first attack.

Liver

Violent inflammation of the liver, with violent tearing pains and much burning. Then comes the restlessness, the awful tortures of anxiety, moving constantly, fear of death, red face, glassy eyes, great thirst.

"Anxious restlessness" covers nearly all of these things.

Abdomen

In the abdomen there are shooting pains, burning, stinging pains, after exposure to cold, becoming chilled.

We will soon come to think that it does not make much difference where the disorder occurs, we must have the Aconite patient.

We also have inflammatory troubles of all the viscera of the abdomen. It may be a violent catarrhal inflammation. It may be a catarrhal condition of the lower portion of the colon, or a catarrhal condition of the rectum, when we will have a dysentery.

In dysentery, that which is found in the commode is almost pure blood, blood and a little slime. It seems impossible for him to leave the commode.

Vomiting a little blood and passing bloody mucus from the rectum. Always they will predict they will die tonight, or in a few hours. They look as if they realized the sensation of death.

The whole body is in a state of anguish, but the tenesmus and cramp, the urging to stool are simply terrible. It has a watery diarrhea, but that is not a very important symptom, although it is doubly marked in Hering.

But when pure blood is passed, and mucus, with tenesmus, or when a little green mucus is passed by infants with summer troubles, pure blood or grass-green discharges with fever coming on suddenly, in bright, rosy little ones, think of Aconite.

Most of the bowel troubles come on from intense heat, in the children. The infant takes on inflammation of the liver from the heat, and the stool becomes white like milk, of putty consistency. The child becomes yellow and screams with pain.

Urinary organs

It is useful in urinary troubles, bladder and kidney troubles. inflammatory conditions, and with bloody urine.

Scanty urine, suppressed urine, or retained urine. Retention from shock. This retention from shock makes it one of our best remedies for retention in the new-born.

The infant just born into the world has undergone a shock.

At your next visit the nurse says,

"The child has not passed urine."

The functions of that little one are not yet established, because of the great shock the little one has gone through.

Inflammation of the bladder, with cutting, tearing pains. Burning pains with burning urine. Urine is hot, dark, colored red; red and clear, or bloody.

Retention from cold, especially in children, with crying and restlessness. With inflammatory conditions of the bladder, either in adults or in infants, there will be all the mental states representing the Aconite patient.

Genital

Aconite cures most violent cases of orchitis, which come on suddenly.

Orchitis from cold, from being chilled, in plethoric men. But in the common orchitis from suppressed gonorrhoeal discharges Aconite is useless.

The woman is a natural Aconite patient, with her sympathetic natural sensitiveness. She usually takes on complaints from nervous shock, from fear, and she naturally takes on complaints from causes other than those from which men take on sickness.

It is very seldom that fear will give a man inflammation, but fear is a common cause of inflammation of the uterus, and of the ovaries, in plethoric, vigorous, excitable women.

Fear will often cause abortion, but when Aconite is given early enough it will check the abortion that comes from fear.

We will have the stitching, burning, tearing pains of Aconite sometimes following fear or sudden emotion.

Sometimes a pregnant woman will say,

"Doctor, there is no use your planning for my confinement.

I know I am going to die in that confinement."

If there is any one thing that is a really strong symptom to prescribe on it is that, A dose of Aconite, and then change the subject, she goes away, and in a few days you ask her about that fear and she says, "Oh, never mind that."

Many little things like that can be singled out. But that state of fear is a very peculiar thing, and really represents the whole nature and being of the woman.

She predicts the day of her death. The reason that Aconite is so often the infant's remedy is because the infant is so often made sick from fright.

"Inflammation of the genitals in plethoric women."

Aconite is more frequently indicated in women and children than in men. Sensitive, vigorous, excitable women.

It is indicated in men in inflammatory conditions from becoming chilled in dry, cold air, and it is wonderful how you can convince a patient who needs Aconite what wonderful things there are in Homoeopathy by showing him how rapidly, with Aconite, you can put him in a sweat and break up a sharp fever when that is a recent and single attack.

"After tedious and difficult parturition.

Violent after-pains.

Shooting, tearing after-pains, with febrile conditions."

Uterine haemorrhage with bright red blood and fear of death. It is wonderful what Aconite will do in some cases arising from taking cold in the puerperal state, but do not mix that up with puerperal fever.

The first is a simple form, non-septic; perhaps the breast is involved, with soreness in the breast, suppression of the milk and febrile conditions; but if there is suppression of the lochia do not give Aconite.

New-born children, with difficulty of breathing, after the use of forceps, or from a tedious labor; the child is breathless, there is difficulty with the heart, and in a few hours fever comes on. Aconite is a very simple remedy.

The retention of urine in the infant is so commonly an Aconite condition that you will hardly ever need to use any other medicine.

The little one cannot yet talk, it cannot manifest very much, and, to a certain extent, the practitioner is compelled to be somewhat routine in these affairs, and the routine practitioners have been more or less successful with Aconite for the retention of the urine. Again, it is true that in many cases, of retention of the urine in the mother, it will disappear after a dose of Causticum.

Throat

Aconite is a great routine croup remedy, one that is misused; but it is indicated in all those cases of croup which come on suddenly in plethoric children, from exposure to dry, cold wind, having been out in the cold wind with the mother during the day.

The child is put to bed and rouses up from the first sleep, perhaps at 9 or 10 or 11 o'clock, grasps the throat, coughs violently, a croupy, choking cough, with hoarse bark.

Hardly any other remedy can correspond to that rapidity of action, taking cold in the daytime and developing itself so suddenly.

Croup that comes on from exposure today, and does not develop until tomorrow morning or tomorrow evening, may correspond to quite a number of other remedies but especially Hepar, which is slower in its pace.

And it is more suitable in children somewhat run down and subject to frequent attacks of croup.

Spongia is also similar, but it lacks many of the elements more likely to occur in run-down children, those always taking cold.

It would be a difficult matter to distinguish between the appearance of the Aconite and the Spongia croup so far as the croup is concerned, because both have all the anxious appearance found in croup.

The Aconite croup is a violent croup, inflammation of the larynx, and, at the same time, spasms of the larynx, coming on with great rapidity.

The Spongia croup is less inflammatory, the inflammation grows with the spasms; but while Spongia may rouse up at 11 o'clock at night, suffocating and choking, it has not the intense febrile excitement that belongs to Aconite, nor the anguish, although it has all the dryness that is found in Aconite.

Aconite conditions are dry as a usual thing, or there is only a little watery discharge.

Spongia is entirely dry; if there is an inflamed mucous membrane, it is dry. We have in the croup symptoms in Aconite: Larynx sensitive to touch.

"Croup, waking in first sleep, after exposure to dry, cold winds."

Lungs and respiration

Aconite is full of disturbances of respiration, dyspnoea from contraction of the smaller bronchial tubes, which we find resembles asthma.

It is indicated in that dyspnoea that belongs to capillary bronchitis, in that dyspnoea that belongs to cardiac excitement in plethoric persons, from taking cold, becoming exposed or from shock.

Dyspnoea from fear, such as occurs in nervous women, excitable, easily affected, nervous, plethoric women. Breathing short, labored, anxious, quick,

It is an asthmatic dyspnoea and there is usually dryness of the mucous membranes of the small bronchial tubes.

"Sits up straight and can hardly breathe."

Aconite has such a sudden violent cardiac irritation, pulse fluttering, weak, full and bounding; sits up in bed, grasps the throat, wants everything thrown off; before midnight, a hot skin, great thirst, great fear-everything is associated together.

"Anguish with dyspnoea.

Sudden attacks of pain in the heart, with dyspnoea." All go together.

"Great suffocation."

From this fear and from anxiety he breaks out in profuse sweat; he is drenched with sweat - and yet he is hot.

When this anxiety passes off he becomes hot. So there is heat and sweat with this awful anxiety. Pulse like a thread.

"Better during expiration."

The spasm of the larynx often comes on during inspiration.

"Worse during inspiration.

Constant short, dry cough.

Difficult breathing.

Breathes only with the diaphragm.

Chest troubles, such as pneumonia."

Aconite produces a very rapid inflammation of the viscera of the chest, of the pleura, of the lungs, of the mucous membrane lining the air passages. In pneumonia we have this dyspnoea, the suddenness with which it comes on. If it spreads rapidly it may go into pneumonia.

Inflammation runs so high that the mucous membrane oozes blood, cherry red, or the mucus that comes up is white and heavily streaked with bright red blood.

You go to the bedside of broncho-pneumonia and you will find in the pan mucus streaked with bright red blood. Now, take the violence with which that comes on, the restlessness and anxiety of the individual - he predicts the hour of his death - that would be the case with the Aconite patient.

In the case of pneumonia where the lung is involved, it is likely to be the upper half of the left lung when Aconite is indicated.

Sometimes the whole mucous membrane, the visible throat, the larynx, trachea, the bronchial tubes, will all ooze blood, sometimes a mouthful of blood, so violent is the inflammation.

In these chest troubles there is much pain. Shooting, burning, tearing pains, and the patient is compelled to lie in a somewhat elevated position, on the back.

Cannot lie upon either side, but upon the back. Lying on the side increases the pain. The dry cold winds. Sudden shocks, in persons of good, strong, vigorous circulation. The Haemoptysis that is spoken of is not such as occurs in phthisis, but is involuntary; the blood comes up with a slight cough.

Some one might be deceived to give it in such cases in broken down constitutions in sickly patients; but it is not to be administered in such cases, we have much better remedies.

The patient does not always become a pneumonia patient, but inflammation of the small air passages may be all that is present.

"Dry cough, vomiting and retching, intense fever, spitting of blood."

No expectoration except a little watery mucus and blood. It occurs a good deal in this way.

Dry cough, sensation of dryness of the whole chest, sensation of dryness in the larynx and throat. Pours down great quantities of cold water, and once in a while after a violent coughing spell he gets up a little blood. But the expectoration is generally mucus.

Pneumonia is generally attended with an expectoration looking like iron rust, as if iron rust had been mixed in with it. Such medicines as Bryonia and Rhus tox , and a few others have that expectoration as a common feature, as natural to the remedies themselves, but Aconite is the cherry - red, bright red expectoration. Its hemorrhages are bright red, and sometimes copious.

All these coughs in pneumonia, in croup, and chest troubles come on suddenly, and if he goes to sleep he will have spasm of the larynx, with dryness of the larynx. He goes to sleep and the larynx becomes dry and he wakes up and grasps his larynx; he thinks he is going to choke.

All these come on from cold winds. Vigorous persons get into a draft and get a chill that will bring on Aconite symptoms.

Aconite has in all inflamed parts a sensation as if hot steam were rushing into the parts, as if warm blood were rushing into the parts, or "flushes of heat in the parts." Along nerves, a sensation of heat, or sensation of cold.

The pulse in the highest form of the fever is full and bounding; strong, vigorous pulse. When the attack is first coming on and the awful anxiety and nerve tension are present the pulse is very small, but after the heart's action is well established, then the pulse becomes stronger.

"Tearing pains down the spine.

Painful, stiff neck.

Crawling in the spine like insects".

That is a peculiar feature, this crawling sensation; it comes from cold, from being suddenly chilled.

Extremities

"Trembling of the hands" associated with these sudden acute attacks.

"Creeping pains in the fingers" associated with these sudden acute inflammatory attacks.

"Cold as ice. Feet cold as ice.

Hot palms."

Hot hands and cold feet are sometimes present. Rheumatic conditions of the joints. Those that come on as a first attack. Not old rheumatic and gouty attacks, but those that come on as acute rheumatism, those that come on from sudden exposure to cold, from long rides in a dry, cold wind.

They also are attended with fever, with anxious restlessness, with a critical state of mind so often described.

"Trembling, tingling, convulsions of the muscles."

But the nerves are full of Aconite symptoms and Aconite sufferings. Aconite is a wonderful remedy for neuritis in plethoric persons.

Numbness along the course of the nerves, from cold, from exposure. Numbness and tingling, along the course of the nerves, especially those that run close to the surface.

"Inflammation of the nerve sheaths.

Nervous excitability.

Excessive restlessness."

Relations

Sulphur has a strong relation to Aconite. It has many Aconite symptoms. In many of the old chronic cases where Sulphur would be used in strong, vigorous constitutions Aconite will be suitable for a sudden attack, and Sulphur for the chronic.

In sudden attacks that Aconite conforms to, that is the whole attack, there may be left in that constitution a tendency to return of a similar attack.

Aconite has no power over that tendency, but Sulphur has. Of course, most of the symptoms must agree but it will seem to you frequently where Aconite has been suitable in the acute disease that Sulphur symptoms will follow, and many times a very violent attack leaves a weakness in the constitution which Aconite has no power to contend with. It has no power to keep off recurrent attacks. It does all that it is capable of doing, and that is the end of it. But it is not so with Sulphur.

After Aconite follow well Arnica and Belladonna . Sometimes it is true it will appear to you that Aconite is capable of coping with all there is in the disease.

But there seems to be a lingering something that holds on, and such medicines as Arn. and Bell., and Ip. and Bry., do have to come in to finish up the attack or sometimes Sulphur. Very commonly Silica. So we have to study the relations of medicines.

If you have administered Aconite in too many doses, or given it too strong, and your patient is slow in recovering from the attack, or your patient has taken Aconite himself unwisely, then Coffea or Nux will often put the patient into a better condition.

The Therapeutics of Fevers

H. C. Allen · The Therapeutics of Fevers · 1902 Library of Congress printing (Allen d. 1909; public domain)

Characteristic

Aconite is most frequently indicated in recent cases occurring in young persons, especially girls of a full plethoric habit, who lead a sedentary life; persons easily affected by atmospheric changes; dark hair and eyes, rigid muscles.

Complaints from exposure to dry, cold air; dry north or west winds (land winds); drafts of air while in a perspiration; bad effects of checked perspiration.

On rising from a recumbent posture, the red face becomes deathly pale, or he becomes faint or giddy and falls over; he fears to rise again; often accompanied by vanishing of sight and unconsciousness.

GREAT FEAR AND ANXIETY OF MIND, with great nervous excitability; afraid to go out, to go into a crowd where there is any excitement or many people, to cross a street.

His countenance is expressive of fear; his life is rendered miserable by it; is sure his disease will prove fatal; predicts the day he will die; fear of death during pregnancy.

This mental anxiety, worry, fear accompanies the most trivial ailment.

Music is unbearable, makes her sad (Sab.—during menses, Nat. c.).

Restless, anxious, does everything in great haste; must change position often; everything startles him.

Hahnemann says: "Whenever Aconite is chosen homeo-pathically, you must, above all, observe the moral symptoms, and be careful that it closely resembles them; the anguish of mind and body; the restlessness; the disquiet not to be allayed."

Aggravation

In the evening and night the pains are insup-portable; in a warm room; when rising in bed; lying on affected side (Hep., Nux m.).

Amelioration

During the day; in the open air (Alum., Mag. c., Puls., Sab.); while at rest (except at night in bed); after perspiration; from wine.

Relations

Aconite is the acute of Sulphur, and both pre-cedes and follows it in acute inflammatory conditions.

Abuse of Aconite requires Sulphur.

Type

Quotidian; quartan. No regularity; periodicity not marked. Apt to become synochal, or inflammatory symptoms with congestion of local organs, as head and chest, may form a complication.

Time

Usually in the evening.

Cause

Dry, cold north or west winds; hot days and cool nights; getting wet (Dulc., Rhus); suppressed perspiration by uncovering or sitting in a draft; by fright; rheumatic exposure.

Chill

Ascends from feet to chest, with internal heat and sen-sation of hot water in the head; chilly when uncovered or even touched; chilliness on the slightest movement, even by lifting of bed clothes (Nux); cold sensation in blood vessels (Ars., Rhus).

Coldness, with redness and heat of one, coldness and pale-ness of the other cheek (Cham., Ipec.). Chill with one hot cheek; contracted pupils; anxiety; or body chilly, with red face, hot cheeks, hot forehead and ear lobules; face hot, hands and feet cold. Chill in extremities to head and face; heat, vice versa.

From extremities to chest and head; one cheek red and hot, the other cold and pale (Cham., Nux); < slightest move- ment or lifting of bed clothes (Nux).

Heat

With thirst. Towards evening, dry heat in the face, with anxiety; high fever; DRY, BURNING HEAT, which extends from head and face; burning heat, with chilly shiverings running up the back. Great fear; nervous excitability; RESTLESSNESS AND ANXIOUS TOSSING ABOUT; excessive anguish and oppression. Cough during heat, with palpitation and pleuritic stitches in the chest (cough during chill and heat, Bry.—cough before and during the chill, Rhus). Red face while lying, and pale face and fainting when rising up. Great thirst for large quantities of water; everything else tastes bitter (thirst for large quantities in every stage, Bry., Nat. m.—only during heat, Ipec.). Can not bear to be covered, yet fears to be uncovered (Camph., Sec.). Long lasting dry heat.

Skin dry and hot; face red, or pale and red alter- nately; burning thirst for large quantities of cold water; intense nervous restlessness, tossing about in agony; becomes intol- erable towards evening and on going to sleep; long lasting.

Sweat

Must be covered as soon as sweat begins; covered or affected parts sweat most profusely (Ant. t.) or perspiration only on side on which he lies (Cinch., Nit. ac.); sweat on single parts only (Bry.). Profuse warm perspiration over whole body, by which nervous excitability, restlessness and anxiety are relieved (sweat brings relief of all suffering, Nat. m.). General warm steaming sweat. Most on parts covered. Profuse during sleep. Worse while sweating.

Must be covered soon as it begins.

‘‘Aconite will sometimes be found serviceable in relieving op- pression of the heart and respiration, when this is great during the paroxysm. It is the one exception to the rule which requires the remedy for this fever to be given in the intermission. Where this oppression is great, and the other symptoms do not contradict it, a few pellets of the appropriate potency may be dissolved in water and a teaspoonful given every fifteen, twenty or thirty minutes, according to the symptoms, till relief is obtained. This, if the remedy be in place, will not impede the action of the spe- cific remedy for the case.

This remedy will be the more appropriate if the oppression be ac- companied by the characteristic loud complaining, and the equally characteristic fear of death.’’—Dr. Geo. H. Clark.

Tongue

Coated white; papillæ red and elevated. "Strawberry tongue."

Pulse

During chill, intermittent, thread-like; during heat, quick, full, hard, bounding. Cold sensation in the blood vessels.

Apyrexia

Never clear. Loss of appetite; sleep restless and disturbed by dreams; very anxious about recovery; weak and exhausted by slightest exertion, either mental or physical.

Is rarely indicated, per se, as the remedy to cure. Cause, often the characteristic indication; then it acts promptly and cures permanently.

Unless indicated by the exciting cause, is nearly always injurious in the early stages of typhoid.

"Aconite is never given first to subdue the fever, and then some other remedy to meet the case; never to be alternated with other drugs for the purpose of controlling the fever. If the fever be such as to require Aconite, no other drug is needed. If other drugs seem to be indicated, one should be sought which meets the fever as well; for many drugs beside Aconite produce fever, each after his kind ''—Dunham, I, p. 87.

Analysis

CAUSE; nearly always guiding; exposure to dry, cold winds, drafts of air, effects of checked perspiration, getting wet when heated.