Angustura Vera ang.

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

We think of this remedy as standing among the first for tonic spasm; trismus, etc. Caries. Certain forms of summer complaint.

Mental

Disconcerted and irritated at the least trifle.

Head

One-side headache, or both sides ache as if about to faint. Boring pains.

Eyes

Objects too far distant, must bring them closer. Eyes red, burn, nightly agglutination.

Face

Sharp pains in both cheeks, frequently dart through the eyeballs and temples, increased by stooping, walking, or mental excitement. Exostosis of lower jaws. Blue face after attacks of lock jaw.

Appetite

Irresistible desire to drink coffee, also cold water.

Stomach

Acidity, coated tongue, pappy, unpleasant taste and loss of appetite.

Abdomen

Distended; cutting pains followed by diarrhœa. Severe pain, extending in a line from navel to sternum. Taking warm milk causes stitching and cutting pains in the bowels.

Stool

Diarrhœa day and night, each evacuation preceded by cutting pains in the abdomen, usually attended with nausea in the morning; stools often whitish, thin and copious, diarrhœa becomes chronic, with loss of flesh and great debility; constipation.

Sexual

Male: Much itching of all these organs, sometimes voluptuous. Seminal emissions. Female: Troubles with the right ovary. Sensation as if the uterus were beating against the right ovary and right hip.

Larynx

A sort of whooping cough, with belching of wind. Cough occurring every P.M., at 3 o'clock.

Chest

Constriction in upper part of lungs, as if one had been running. Heart suddenly feels swollen, with great fear of dying, relieved by lying on left side; violent palpitation of, with a sensation as if it were constricted. Cutting thrusts through the chest, independent of respiration. Unequal and irregular respiration; very low and feeble voice.

Neck and Back

Much pain in neck and back, between the scapulæ, worse on motion.

Extremities

Lower: Paralysis of the legs imminent, with trembling of the feet. Jerking stitches in left thigh and in upper border of ilium, only when sitting. Much pain in the knees. Nodes on the legs and feet. Spavin in horses much disposed to stretch the limbs. Very much fatigued, most in the thighs.

Fever

Intermittent fevers, when thirst and vomiting of bile begin, with hot stage.

Generalities

Rheumatic and paralytic complaints. Great irritability and morbid liveliness. Great difficulty in walking, with threatened paralysis of legs. In tetanus, traumatic, or otherwise when there is spasmodic twitching or jerking of the muscles. Trismus, with lips drawn back, showing the teeth. Catalepsy, with the body bent backward. Wasting of soft parts. Cracking in all the joints.

Worse

From touching the parts.

Remedies following

Bellad., Lycop., Sepia, Ignat.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Bark of Galipea Cusparia

General

Rheumatic and paralytic complaints-great difficulty in walking. Crackling in all joints.

The greatest craving for coffee is a characteristic symptom. Caries of long bones. Paralysis. Tetanus. Stiffness of muscles and joints. Oversensitive.

Principal action on spinal motor nerves and mucous membranes.

Head

Oversensitive. Headache, with heat of face. Acute pain in cheeks. Drawing in facial muscles. Pain in temporal muscles, when opening the jaws. Pain in articulation of jaw, in masseter muscles, as if fatigued by chewing too much. Cramp-pain on the zygomatic arch.

Stomach

Bitter taste. Irresistible desire for coffee. Pain from navel into sternum. Atonic dyspepsia. Belching, with cough (Ambra).

Abdomen

Diarrhœa and colic. Tenesmus with soft stool; chronic diarrhœa, with debility and loss of flesh. Burning in anus.

Back

Itching along back. Pain in cervical vertebræ. Drawing in the neck. Pain in spine, at nape of neck and sacrum, worse on pressure. Twitching and jerking along back. Bends backward.

Extremities

Stiffness and tension of muscles and joints. Pain in limbs on walking. Arms tired and heavy. Caries of long bones. Coldness of fingers. Pain in knees. Cracking in joints.

Skin

Caries, very painful ulcers which affect the bone.

Relationship

Compare: Nux; Ruta; Mercur; Brucea. -Bark of Nux vomica or angustura falsa (Tetanic spasms with undisturbed consciousness, worse noise, liquids, paralyzed lower extremities, worse least touch, cries for fear of being touched. Painful jerking of legs; cramp-like pain in knees; rigid and lame limbs of paralytics. For pain in the passing of calculus).

Dose

Sixth potency.

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

Easily frightened, and starts.

Head

Tension in the temporal muscles when opening the mouth.

Eyes

The eyelids are spasmodically opened. Dimness before the eyes from obscuration of the cornea, (in the morning).

Face

Heat and bluish redness of the face. Tension in the muscles of the face. Lock-jaw ; the lips are drawn back, showing the teeth. After the attacks, the lips and cheeks remain blue for some time.

Stomach and Abdomen

Aversion to solid food, but irresistible desire to drink coffee. Thirst, without desire to drink. Painful tension in the pit of the stomach and abdomen.

Sexual Organs

Violent itching on the male organs, especially on the tip of the glans penis.

Respiratory Organs

Intermitting spasmodic breathing. Dry cough, with scraping and rattling of mucus in the chest. Hoarseness from mucus in the trachea. Painful spasm in the pectoral muscles. Painful sensitiveness of the chest, even to the slightest touch.

Back

Painful stiffness in the neck, and between the shoulder-blades.

Upper Extremities

Cramp-like drawing, down the arm to the fingers.

Lower Extremities

Drawing in the limbs, with soreness. Pain on the inner side of the ankle, when walking, causing limping.

Generalities

Weakness of the whole body, as if the marrow of the bone were stiff. The spinal marrow and the exterior muscles are principally affected. Stiffness and stretching of the limbs. Twitching and jerking along the back, like electric shocks. Spasmodic twitching. Tetanic spasms, caused by contact, noise, or the drinking of lukewarm water ; cheeks and lips become blue ; the breathing is labored during the spasms, groaning dad closing of the eyes, lips wife open, drawn up and down ; exposing the teeth. Paralysis. Cracking of the joints.

Fever

Pulse accelerated, spasmodic, irregular at times, intermitting. Chill, in the morning and forenoon, preceded by thirst. Violent chill every afternoon (at 3 o'clock). Repeated chilliness over the affected parts. Heat in the evening, after entering a room, after supper, mostly in the face, at 3 A.M., disturbing sleep, followed by chilliness. Perspiration only in the morning, and on the forehead.

Skin

Caries and very painful ulcers, which affect the bones and pierce them to the marrow.

Conditions

Aggravation, from touching the affected part.

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

Bark of Galipea cusparia. Bonplandia trifoliata. (From Angustura, South America.) N. O. Rutaceæ. Trituration and tincture of the bark.

Clinical

Bone-pains. Caries. Diarrhœa. Injuries. Intermittent fevers. Myopia. Spavin in horses. Tetanus. Toothache. Whooping-cough.

Characteristics

The effects of Angustura are closely allied to those of Nux, Ruta, and Mercurius. The mental condition is one of over-sensitiveness and excitability; the slightest offence, a mere trifle, irritates as with Nux . On the other hand there is pusillanimity, which corresponds more to Ruta . Among the prominent features are: Drawing, tension, stiffness of muscles and joints; bruised, sore feeling as after a blow. Drawing of head to right side, later to left. Shortsighted. Heat in forehead at night. Exostosis of lower jaw. Trismus neonatorum (where much Mercury had been given). Drawing in upper r. molar tooth > application of cold finger. Thirst, constant desire to drink. Irresistible desire to drink coffee. Hiccough after cough. Belching with cough ( Ambra ). Every evacuation followed by shivering, crawling sensation over face. Tenesmus with soft stool. Hæmorrhoids protrude with hard, knotty stool. Seminal emissions. Itching of tip of glans penis (when walking in open air). Violent itching on scrotum. Dry, hacking cough from scratching in throat or irritation behind sternum. Irritation behind sternum through to back. Palpitation < sitting bent and > sitting up. Cutting pain from point of right scapula to breast, near nipple ( Chel .). Pain in cervical vertebræ < moving arms. Tearing as if in the bones, < at rest; > cold applications; > extension; < exertion and pressure. Spinal cord and extensor muscles principally affected; cracking in all joints. Caries of long bones. I have verified the power of Angust . over long bones in a case of acute periostitis of the tibia in a scrofulous boy. The 5x trit. speedily arrested inflammation, after the failure of Merc. viv . Symptoms < from exertion; from stooping; sitting bent over (palpitation) moving or lifting arms; drinking warm milk; 3 p.m. (loose cough); > application of cold fingers (toothache); cold application; extension; lying on left side.

Relations

Ang. is like Ruta in its action on bones, and as an antidote to Mercury; also like False Angustura (Angustura spuria, Brucea antidyssenterica, Nucis vomicæ cortex ─ see Brucea); Bell. ( < 3 p.m.; easily startled; heat in female genitals; trismus), Bry., Rhus; Cep., Cham., Coff. (toothache > by cold); Cicut., Ign., Nux (tetanus); Merc., Pho., Sil. (caries of jaw); Æsc., Alo. (piles and backache); Ant. cr., Ant. t., Lil., Nat. m., Puls., Sep. (eruptions); Hyperic., Led. (punctured wounds); Ran. bulb. (pain in pectoral muscles). Antidoted by: Coffea (not Camph.), Bry. (bellyache after milk); Chel. (sharp, cutting pain from just beneath right scapula to chest).

Mind

Timidity of character, and tendency to take alarm. ─ Pusillanimity, and want of self-confidence. ─ Ill-humour and discontent, with great readiness to take offence. ─ Extreme excitement and gaiety. ─ Absence of mind and reveries. ─ Vivacity of mind, chiefly in the afternoon.

Head

Head bewildered, with stupidity, as if after intoxication. ─ Dizziness in the open air, or on crossing a stream of water. ─ In the evening, pressive headache, with heat in the face. ─ One-sided headache, or both sides ache as if about to faint. ─ Boring pains. ─ Pain, like that of a bruise, in the brain. ─ Cramp-like pains in the head. ─ Piercing in the temples. ─ The headaches appear mostly at sunset, and continue until the patient goes to sleep. ─ Sensation of torpor in the temporal muscles, with tension on opening the mouth.

Eyes

Tension and pressure in the eyes, as from too strong a light. ─ Sensation of dryness and pain, as of excoriation, in the eyelids. ─ Redness, heat, and burning in the eyes, with nocturnal agglutination of the eyelids. ─ Spasmodic stretching open of the lids. ─ Eyes fixed, prominent, immovable. ─ Sight confused, as if by a mist, or as if the cornea were obscured (in the morning). ─ Objects too far distant, must bring them closer.

Ears

Cramp-like pain in the ears. ─ Jerkings and tearing before and in the ears. ─ Sensation as if something were placed in or before the ears. ─ Heat in the ears. ─ Diminution of hearing.

Face

Heat and bluish redness of the face. ─ Tension of the facial muscles. ─ Cramp-like pains in the cheek-bones and in the masseters frequently dart through the eyeballs and temples, < by stooping, walking, or mental excitement. ─ Trismus, with the lips strongly separated, displaying the teeth. ─ (After the spasms, the face and lips still remain bluish for some time.). ─ Exostosis at the lower jaw.

Teeth

Drawing odontalgia. ─ Throbbing in the hollow teeth.

Mouth

Dryness of the mouth and lips. ─ (In the evening), viscid, insipid, and putrid mucus in the mouth, with constant desire to drink. ─ Tongue white, and, as it were, rough. ─ Sensation of burning in the tongue.

Appetite

Bitter taste, principally after dinner and after smoking tobacco. ─ Thirst, with desire for cold drinks, or sensation of thirst without a desire for drink. ─ Disgust for food, principally solid food with irresistible desire to take coffee, or with insatiable hunger. ─ Disgust for pork. ─ Imperfect eructuations after eating, with a sensation of fulness in the chest.

Stomach

Bilious eructations. ─ Nausea while dining, or walking in the open air, with uneasy sensation of faintness. ─ Pain, as of incisive excoriation in the stomach, particularly at the beginning of a meal. ─ Cramp-like pain in the pit of the stomach. ─ Acidity, coated tongue, pappy, unpleasant taste and loss of appetite.

Abdomen

Bruise-like pain in the abdomen. ─ Cramp-like colic. ─ Severe pain, extending in a line from navel to sternum. ─ Cutting pains, chiefly after having taken milk (hot). ─ Shooting pain in the abdomen. ─ Borborygmi and fermentation in the abdomen, as preceding diarrhœa.

Stool and Anus

Stools frequent and copious. ─ Diarrhœa of mucus, with colicky pains. ─ Diarrhœa day and night, each evacuation preceded by cutting pains in the abdomen, usually attended with nausea in the morning; stools often whitish, thin and copious, diarrhœa becomes chronic, with loss of flesh and great debility; constipation. ─ Pressive and contractive pain in the anus, with swelling of the hæmorrhoids. ─ Burning in the anus while at stool.

Urinary Organs

Frequent want to make water, with scanty evacuation, or frequent and abundant evacuation of urine, preceded by pressure on the bladder, and followed by tenesmus. ─ Urine of an orange colour, and soon becomes turbid.

Male Sexual Organs

Much itching of all these organs, sometimes voluptuous. ─ Seminal emissions.

Female Sexual Organs

Troubles with the r. ovary. ─ Sensation as if the uterus were beating against the r. ovary and r. hip.

Respiratory Organs

Hoarseness from mucus in the aerial passages. ─ Intermitting spasmodic breathing. ─ Voice weak and faint. ─ Dry cough, with rattling and scraping of mucus in the chest. ─ Violent, deep cough, with expectoration of yellowish mucus. ─ A sort of whooping-cough with hiccough and belching of wind. ─ Cough occurring every p.m., at 3 o'clock.

Chest

Respiration convulsive (intermittent). ─ Constriction in upper part of lungs, as if one had been running. ─ Oppression of the chest, on walking quickly, and during an ascent. ─ Cramp in the chest, with painful spasms of the muscles of the chest. ─ Painful sensitiveness of the chest, even to the slightest touch. ─ Bruise-like pain in the muscles of the chest, on moving the arms.

Heart

Incisive shocks, or shootings in the chest, and in the region of the heart. ─ Violent throbbing of the heart, when seated and leaning forward, or in the evening, in bed, when lying on the left side. ─ Palpitation of the heart with anguish. ─ Heart feels suddenly swollen, with great fear of dying, > by lying on l. side. ─ Sensation of painful contraction of the heart.

Neck and Back

Painful heaviness in the nape of the neck, and between the shoulder-blades, in bed, in the morning. ─ Opisthotonos. ─ Violent itching along the back. ─ Pain in the loins, as if bruised, mostly at night, and particularly towards four o'clock in the morning.

Upper Limbs

Arms tired and heavy, as if paralysed, with stiffness in the elbow. ─ Paralytic weakness of the elbows and of the hands. ─ Cramp-like drawings in the forearm, the hands, and the fingers. ─ Coldness of the fingers.

Lower Limbs

Pain, as of dislocation, or of cramp in the coxo-femoral joints; also in the leas and in the feet. ─ Pain, as from fatigue, in the thighs and in the legs, when walking, as if they were going to break. ─ Pressive drawing in all parts of the lower extremities. ─ Pain in the joint of the foot on putting it down, producing lameness. ─ Paralysis of the legs, imminent with trembling of the feet. ─ Paralysis of the joints of the feet. ─ Drawing in the limbs, with soreness. ─ Pain in the inner side of the ankle, when walking, causing limping.

Generalities

Sensation of weakness and of stiffness in the whole body; as if the marrow of the bone were stiff. ─ The spinal marrow and the exterior muscles are principally affected. ─ Stiffness and extension of the limbs. ─ Tension in the muscles while walking. ─ Paralysis of different parts. ─ Great difficulty in walking, with threatened paralysis of the legs. ─ In tetanus, traumatic, or otherwise, when there is spasmodic twitching or jerking of the muscles. ─ Catalepsy, with the body bent backward. ─ Wasting of soft parts. ─ Convulsive starts. ─ Attacks of tetanus, excited mostly by touch, by drinking, and by noise. ─ Tetanic spasms caused (by the previously named causes) and by drinking of lukewarm water; cheeks and lips become blue; the breathing is laboured during the spasms, groaning and closing of the eyes, lips wide open, drawn up and down, exposing the teeth. ─ Commotion in the body trunk), as from an electric shock. ─ Twitching and jerking along the back, like electric shocks. ─ Cracking of the joints. ─ Caries, and painful ulcers, which attack the (long) bones and perforate them, even to the marrow.

Sleep

In the evening, great drowsiness, followed by sleeplessness before midnight. ─ Sleep disturbed by frequent dreams.

Fever

Pulse accelerated, spasmodic, irregular at times, intermitting. ─ Chill, in the morning and forenoon, preceded by thirst. ─ Violent chill every afternoon at 3 o'clock. ─ Heat in the evening after entering a room, after supper, mostly in the face; at 3 a.m., disturbing sleep, followed by chilliness. ─ Shuddering in the part affected. ─ Heat, with confusion and pain in the head, in the evening and at night. ─ Thirst and vomiting of bile begin with hot stage.

The Guiding Symptoms of Our Materia Medica

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

Mind

Disheartened.
No confidence in use of voluntary muscles ; could not finish what he attempted.
Ill-humored, oversensitive to jokes, slight offenses fill him with bitterness.
The slightest offense, a more trifle, irritates. θ Caries.
Pusillanimity.
Great gloom. θ Threatening paralysis of lower limbs.
Lively in afternoon.
Thinks about one project and nothing else, with great activity of mind.
A kind of waking dream in afternoon.
Kind of absence of mind, wants now this, then that thing.
Anxiety with outward pressing in abdomen, and outward cutting in chest, < in bed, at night.
Easily frightened and starts.

Sensorium

Vertigo : when crossing a running stream ; as if he was turned backward and around ; periodical ; from occiput forward, with pulsating in temples.
Heaviness in head, with dizziness.
When pressing head on pillow, benumbing dizziness.

Inner head

Megrim.
Pressure in both temples, as if about to faint.
Pressure in forehead with heat in face.
Headache in evening until falling asleep.

Outer head

Drawing of head to right side, later to left.
Could not turn head.
Tensive pain in temporal muscles, when opening jaws.
Pains in bones of head.

Sight and eyes

Dimness before eyes from obscuration of cornea, in morning.
Shortsightedness.
Reading makes dizzy, sleepy, and causes quivering between brows.
Dull aching over eyes while riding (improved by Coffea).

Hearing and ears

Hearing more acute.
Sensation as of something sticking in ear.
Pains now in right, then in left ear.
Burning in region of tympanum.
Heat in ears and both cheeks ; in lobe of ear.
Cramp in external ear.
Behind ears a throbbing as from large artery.
Tearing pain in an abscess over right mastoid process.

Smell and nose

Inner nose ulcerated.

Upper face

Tension in muscles of face.
Drawing in facial muscles.
Crawls over face after stool.
Heat of forehead, during night.
Sweat on forehead, in morning.
Heat in face with headache ; heat in forehead at night.
Cold cheek while body is warm.
Feels heat in both cheeks and ears without external warmth.
The red cheeks turn cold.
Acute pains in both cheeks, occasionally darting through eyeballs and temples, < stooping, stepping, or by mental excitement ; debility, depression of spirits, frequent chilly sensations and occasional attacks of nausea and looseness of bowels.

Lower face

Exostosis of lower jaw.
Trismus neonatorum in cases where much mercury had been given.
Tensive pain in temporal muscles, when opening jaws.
Pain in masseter muscles as if one had fatigued them by chewing too much.
Cramplike pain near articulation of jaw, in masticator muscles, especially when at rest ; pain > by opening or closing jaws.
Lips dry and warm.

Teeth and gums

Drawing in upper teeth palliated by a cold finger.

Taste, speech, tongue

Stitches in tip of tongue, very painful even without moving tongue.
Burning like from pepper near left edge of tongue.
Tongue white, feels rough.
Bitter taste after dinner, from smoking.
Foul or flat taste in mouth.
Dry tongue, at night.

Inner mouth

Dry, without thirst.
Tough, foul mucus in mouth during evening sleep ; could not drink enough.
Saliva runs out of mouth.
Spits an acidulated saltish fluid.

Palate and throat

Roughness and dryness on palate and in fauces without thirst, < when swallowing.

Appetite, thirst. desires, aversions

Aversion to solid food, desires nothing but warm drink.
Thirst without desire to drink.
Irresistible desire to drink coffee. θ Caries.
Aversion to meat, especially pork.
Thirst for cold water, could not drink enough during evening.
Wants now one thing, now another, which are refused when offered.
He cannot get satisfied, without having much appetite.

Eating and drinking

Crawls and uncomfortable feeling before a meal.
On commencing to eat, a cutting pain in stomach, like a sore, disappears while eating.
Cutting and stitches in belly after taking warm milk.
Nausea while eating.
After dinner : bitter taste and belching ; cutting tearing in pit of stomach ; < when moving trunk.
Heat in face after supper.

Hiccough, belching, nausea and vomiting

Empty or bitter belching.
Hiccough after cough.
Nausea in morning with gulping up of a watery fluid.
Nausea while walking out-doors, with faintness and great weakness ; nausea seemed to rise up into head and he got hungry.
Incomplete eructation with a full feeling in chest.

Scrobiculum and stomach

Painful tension in pit of stomach and abdomen.
A contraction from region of stomach up to right shoulder.
After siesta, hollow and empty feeling in stomach, with rising of tasteless water.
Cutting pains on commencing to eat.
Spasmodic pinching below scrobiculum in evening while sitting.
Dyspepsia.
Gastric derangements, indicated by acidity, coated tongue, pappy, unpleasant taste and loss of appetite.

Hypochondria

Sensation as if something was too short in right hypochondrium, contracting pressure.
Cutting under short ribs in right side when moving trunk.
Fleeting dull stitches in left side, shaking him to and fro.
Sensation as if "asleep" in left hypochondrium.

Abdomen and loins

Very loud rumbling ; in abdominal complaints.
Distension of belly. θ Arthritis.
Cutting in abdomen ; with diarrhœa ; after warm milk.
Indescribable pain extending in a line from navel up to scrobiculum and into sternum. θ After inflammation of bowels.
Dull stitches near navel.
Stitches followed by drawing.
Pressure and cutting from within outward.
Feeling as if diarrhœa would set in.
Throbbing over left groin.
Right side of abdomen and lower limbs as if beaten, and in walking breaking down from rheumatic pains.
Cutting across os pubis, with a pressure towards rectum ; cutting and rumbling after drinking warm milk.
Spasmodic pressure while sitting as if something was boring outward ; periodic throbbing and contracting.
A drawing crampy sensation in pelvis when walking.
Cramplike pain on crest of ilium, towards spine.
Dull stitches at short intervals on left os innominatum, behind hip joint, < with every motion.

Stools and rectum

Diarrhœa, day and night.
Whitish discharges ; very copious thin stools.
Shivering passing over face, with gooseflesh, after every stool.
Cured whole families of diarrhœa preceded by cutting in abdomen and nausea in morning. θ Summer complaint.
Diarrhœa consisting of nothing but stools of slime.
Insufficient stool.
Offensive flatus.
Chronic diarrhœa, with debility and loss of flesh.
Costiveness.
Urging in rectum, with crawls over face.
Pressing, contracting, tickling in rectum and anus.
With hard knotty stool, hemorrhoidal tumors come out with increased contracting pain, lessened by applications of wet cloths.

Urinary organs

Frequent scanty urinations.
Urine frequent, copious and clear ; after it urging.
Urine becomes black.
While urinating pimples on vagina burn.

Male sexual organs

Seminal emissions two nights in succession.
Voluptuous itching of tip of glans, which forces one to rub, when walking in open air.
Violent itching on male organs.
Drawing and jerking in left testicle and cord, with a crawl in scrotum and thigh.
Itching on scrotum.
Stitches on foreskin.

Female sexual organs

Pressure in right ovary.
Occasional sensation as if uterus was swelling.
Sensation as if uterus was falling over.
Dull motions as if uterus was beating against right ovary, and in right hip.
A kind of emission in morning sleep ; afterwards vexatious.
Burning in all sexual parts.
Periodic throbbing and contraction above mons veneris, with a transient irritation in parts and a contraction seemingly in ligaments.
Uterus came down vagina in morning after rising, with quickly following stitches, > by cold washing.
A milk-like fluid passes from vagina.
Yellow discharge a day before catamenia.
Delayed catamenia.
Several nights before catamenia, very restless ; one leg on which the other was resting fell asleep, and little finger was as if dead, waking her after midnight.
On morning of her catamenia all her former symptoms appeared ; sacrum as if lame, could hardly move or stoop.
Unpleasant tickling in genitals, has to scratch ; after some blood appears it passes over.
Instead of catamenia, itching pustules appear on left outer labium, burning when urinating ; on inner labium some larger pustules, itching when touched.

Voice and larynx. trachea and bronchia

Voice louder and stronger.
Hoarseness from mucus in trachea.
A slight stitch in epiglottis.
Tickling irritation, first in upper part of larynx, makes him cough, later lower down.

Respiration

Chest feels very light, as if expiring with more ease.
Difficulty of breathing, with headache.
Intermitting spasmodic breathing.
Heaving, breathing, groaning and closing eyes.
With every inhalation, a sharp cutting pressure.
Oppression when walking fast, followed by backache and uterine symptoms.
Hiccoughing, pressing, cutting or shooting in chest, < with inhalation.

Cough

Dry cough, with scraping and rattling of mucus in chest.
Every afternoon, at three, loose cough ; in a very old woman.
Whooping cough.
Cough with belching.
A dry, hacking cough from a scratching in throat or from an irritation in windpipe or behind sternum ; later copious yellow expectoration.

Inner chest and lungs

Cramp in chest as if one had suddenly taken a violent cold.
Cutting pressure in both sides of chest, first only during inspiration ; afterwards changed to cutting thrusts, which continue even on holding breath.
Pressure in upper part of chest, like after violent running.
Constriction of lungs.
Contracting pressure on chest, on ribs above hypochondria.
Pressure on chest when lying on belly.
Constriction of chest < by slightest motion, on going upstairs, to a spasmodic asthma, with anxious palpitation.
Chest complaints with headache.
Irritation from behind sternum felt through to back, as if whole right side of chest and belly were pressed together front and back, with a sharp cutting all along sternum, in spine, < from inhalation and moving body.

Heart, pulse and circulation

Violent beating of heart, with oppression after going up-stairs.
Violent palpitation in evening when lying on left side, in bed, > when sitting up.
Violent palpitation when sitting bent over, with a painful sensation as if heart was constricted.
Sudden attack as if heart was swollen, with great fear of dying, better lying on left side. θ Dyspepsia.
A pushing pain like a concussion in region of heart.
Pulse accelerated, spasmodic, irregular at times, intermitting.

Outer chest

Painful spasm in pectoral muscles.
Painful sensitiveness of chest, even to slightest touch.
A spasmodic sensation like when chest is attacked after sudden exposure to extreme cold.
Burning pressure on sternum.
Cutting in sternum, stitches.
Pectoral muscles ache when she moves in bed, and when crossing arms.
Sharp stinging itching on last rib, right side.
Pain in right side of chest when lifting arm.

Neck and back

Drawing in neck.
Sensation of tremulousness and uneasiness in muscles of neck.
Painful stiffness in neck, and between shoulder blades.
Twitching and jerking along back, like electric shocks.
Burning in neck.
Quivering in muscles of neck, left side.
A tension in front of throat, right side, with sharp stitches.
Dull stitches between left acromion and between shoulder blades, near spine.
Right side of spine, a stitch going deep into chest.
Contracting pain under shoulder joint.
Cutting in spine, in vertebræ, as if beaten violently all along back.
Stiff pain like drawing between scapulæ and nape of neck, early in morning when in bed ; when rising she was unable to move her arms on account of pain, nor was she able to turn her neck whole forenoon ; several mornings in succession, lasting till noon, with weakness of whole
body.
Pain in cervical vertebræ as if dislocated, when lifting arm.
Much pain in spine, at nape of neck and sacrum especially, < on pressure.
Pressure in sacrum all night, wakens her.
Small of back feels lame, cannot stoop.
Dull "guggling" in sacral bone.
As if beaten in small of back, laterally, while sitting.

Upper limbs

Pressing cutting in axilla.
Cramplike drawing down arm to fingers.
After great exertion in posing for an artist, in a difficult position with uplifted and stretched arms, a weakness in arms, disabling him for any work ; complained of a stiffness in elbow joints and lamy heaviness of arms.
Cannot lift up arm on account of a tension in muscles, near axilla.
Sensation in bones of upper arm as if beaten ; rending in bone.
Heaviness in arm ; left arm in walking presses on bend of elbow as if drawing down arm ; when stretching arm, lameness, as after holding a heavy load.
Painless, quick throbbing and pricking or quivering in upper part of shoulder.
Stinging in right shoulder joint, with swelling of right side of throat, cannot turn head, followed by transient warmth through right arm.
Stiffness in elbow joint, with weakness of lower arm ; pain in elbow on moving arm ; pain in elbow joint, as after a concussion, < when moving arms and when resting on it.
Cramplike drawing in forearm and hand.
Stitches from hand up to elbow.
Heaviness of hands.
Hands swollen, cannot close them.
Sore pain in first knuckles.
In right wrist, sprained feeling and deep stitches.
In back of hand, rheumatic pressing and dull stitches.
Joint of thumb as if sprained, when bending it.
Pressing in ball of left thumb.
Drawing tearing or numbness in fingers.
Fingers of right hand cold.

Lower limbs

Lower Limbs
Sudden heaviness and weakness in lower limbs, cannot walk quickly, limbs feel stiff.
Pressing, tearing, stinging in lower limbs.
Tearing in thigh on bending knee.
Heaviness in feet.
Cramp in feet, < in rest.
Pain on inner side of ankle, when walking, causing limping.
Pressing pain in heels.
Threatening paralysis of legs with trembling of feet. θ Arthritis.
Pain in knees.
Nodes on legs and feet.
Spavin with horses.
Hip joint as if exarticulated, can hardly walk.
Frequently in hip a cramplike pain when moving, as if stiff or dislocated.
Constriction in right hip.
In both hip joints, deep in tendons, a pressing drawing pain when rising from seat.
Boring laming pain along ischiatic nerve on posterior part of thigh.
Exceedingly painful stitches in thigh and crest of ilium, only when sitting.
Muscles of thigh as if lame ; when moving, a painful tension.
Tearing as if in bones, < in rest.
When stretching, a pressing tension in anterior muscles of thigh.

Limbs in general

Drawing in limbs, with soreness.
Gets stiff after sitting a while.
Cracking in all joints.

Rest. position. motion

Nausea when walking, as if she would faint ; she has to sit down.
Great difficulty in walking, with threatening paralysis of legs.
Very much disposed to stretch his limbs.
In rest : cramp in muscles of jaw, tearing in arms, pinching in loins, tearing in thighs, cramp in front part of foot ; cramps in feet < ; tearing in bones of legs <.
After lying down : cutting stitches in ribs.
Lying on side : painful ; left side falls asleep ; prickling in calves.
Lying in bed : anxiety.
Lying on belly : contractive pressure in chest.
Lying on left chest : palpitation < ; swollen sensation of heart >.
Sitting bent over : violent palpitation.
Sitting : vertigo from occiput to forehead ; heaviness in head ; cramp below pit of stomach ; pinching below scrobiculum ; cutting across pubes ; palpitation of heart > ; stitches on breast bone, below and near sacrum ; startling stitches in
thighs and hip bone ; pressing on shin ; dull drawing in right foot joint ; burning heat on right ankle ; cramps in sole of foot ; tearing in sole ; stiffness ; falling asleep.
Rising from seat : pain in hip joint.
Stooping : pain in face, temple and ankle < ; soreness in forehead ; palpitation ; pressing in left brain ; lameness of small of back.
Stretching : tension in anterior muscles of thigh.
Moving trunk : tearing in pit of stomach ; cutting under short ribs ; pressure over whole side, chest and abdomen.
After rising : prolapsus uteri in morning.
Stepping : makes pain in face, temple and eyeball < ; pain in sacrum and lower foot.
Walking fast : contraction in head and chest ; backache ; cramp ; legs feel stiff ; oppression.
While walking : head is drawn to right ; pains in bladder and pelvis ; left arm heavy ; whole side rheumatic, thighs, knee, shin, foot ; itching of glans penis ; nausea, pains in ankle < ; chills over back.
Walking over running water : vertigo.
When moving : stitch in back ; hips as if out of joint ; tension in front of right thigh.
Bending thumb : pains in joint.
Motion : changes constriction in chest to spasmodic asthma ; in bed, aching of pectoral muscles, < stitches behind hip joint ; of arm < pain.
Ascending stairs : spasmodic asthma following constriction in chest ; palpitation.
Cannot lift arm : tension in muscles near axilla.
Lifting arm : pain in right side of chest ; pain in cervical vertebræ.
Opening jaw : tensive pain in temporal muscles ; pain in masticator muscles >.

Nerves

Cured tetanus in a horse ; given because animal showed a spasmodic twitching.
Rheumatic and paralytic complaints. θ Paralysis.
Great irritability and morbid liveliness.
Great loss of power, as if marrow in bones was stiff.
Very much fatigued, most in thighs.
Weariness with stiffness between shoulders.

Sleep

Attacks of gaping with cramps in jaws, and apprehensive about it.
A backward drawing of head, > after gaping.
Sudden attacks of anxiety at night.
Heat, mostly in face at 3 A. M., disturbing sleep, followed by chilliness.
Falls asleep when reading.
While lying in bed, anxiety as if she never would get awake again.
Restless sleep, wakens often ; many dreams.

Time

At night : sudden attacks of anxiety ; outward cutting in chest, < heat of forehead ; pain between shoulder blades ; sacrum as if beaten ; heat, sweat and thirst.
All night : pressing in sacrum as if broken, awakens her, < at 4 A. M. ; getting up lessens it.
After midnight : numbness of leg and finger awakens her.
Cannot sleep after 3 o'clock, heat prevents it.
In morning : in bed, heat on head ; sweat on forehead ; stiff between shoulders ; crawling in feet ; pressing in foot ; chill ; sweat ; misty before eyes, tension in them ; lids agglutinated, looseness
after bellyache ; chilliness without heat.
After rising : uncomfortable ; thirsty ; bellyache ; stiff neck.
When getting up : uterus sinking down in vagina ; unable to move her arms, pain.
Morning : nausea, gulping up watery fluid ; cutting in abdomen.
Forenoon : stiff neck ; backache ; chill over back ; chill.
Afternoon : a kind of waking dream ; lively ; excitement ; burning in eyes ; milky leucorrhœa ; cough ; at 3 o'clock, crawls followed by warmth.
Evening : vertigo ; headache ; heat in head ; pain in eyes ; toothache ; pain in chest ; very sleepy ; hot ; mouth foul, etc., with thirst ; pinching below
scrobiculum.
Evening in bed : itching.
Palpitation in evening in bed.
Day and night : diarrhœa.

Temperature and weather

Cold finger lessens toothache.
Cold applications lessen pain in hemorrhoids.
Cold water : thirst for.
Cold washing relieves stitches in uterus.
Covering neck, it is too warm ; uncovering, too cool.
Warm drink desired.
Heat in evening after entering a room.
In open air : vertigo, headache and heat.
Better in open air : forehead as if beaten inwardly ; muscles of neck as if beaten ; crawls and goose-flesh.
In open air : great serenity ; nausea and fainting ; pain in side of abdomen ; voluptuous itching on point of glans ; rattling in chest ; pain in elbow joint ; stitches in patella, in ligaments of knee ; pressing pain in foot ; great gaping
and tiredness ; nausea while walking.
In bed : anxiety <.
Must uncover arms when skin is irritable.
Traveling through swamps in a hot climate : intermittent.

Fever

Repeated chilliness over affected part.
Early in morning in bed, chilliness without subsequent heat.
Chill in morning and forenoon, preceded by thirst.
Violent chill every afternoon at 3 o'clock.
Chills over back when walking up and down room.
Coldness, followed by heat same day ; recurring now in evening, then at noon, then in morning, with thirst in beginning of fever and vomiting of bile ; after traveling through swamps in a hot climate. θ Intermittent.
Cold hands and chilliness in back.
Flushes of heat, with sweat and anxiety.
Sweat only in morning ; on forehead.
Crawls up back, with restlessness extending to inner parts, causing trembling, with dry warm lips without thirst, later some heat.

Attacks, periodicity

Periodical vertigo ; throbbing and contracting in abdomen.
After every stool : shivering over face, with gooseflesh.
Every afternoon at 3 o'clock : loose cough ; violent chill.
Several mornings in succession : pain between scapulæ and nape of neck.
Two nights in succession : seminal emissions.
A day before catamenia : yellow discharge.

Locality and direction

Right : abscess over mastoid process ; drawing in side of face ; contracted feeling in hypochondrium ; cutting in side ; contraction from region of stomach up to shoulder ; side of abdomen and leg feel as if beaten ; pressure in ovary ;
beating of uterus against ovary and hip ; constriction of hip ; side of chest feels pressed together ; sharp stinging in side of chest, in arm ; swelling of throat ; wrist feels sprained ; transient warmth through arm ; fingers cold.
Left : burning on edge of tongue ; flying stitches here and there in side ; as if asleep in hypochondrium ; throbbing over groin ; crampy pain in os innominatum ; drawing and jerking in spermatic cord ; pustules on labium of vulva ; thumb feels
sprained ; caries of ankle.
From right to left : head is drawn ; earache.
To right shoulder from stomach : contraction.
Within outward : pressing in abdomen and cutting in chest, with anxiety.
Without inward : crawlings with trembling.
Below upward : crawlings in back.
Nausea rises up in head. See 16 .
Vertigo from occiput to front.

Sensations

Weakness of whole body, as if marrow of bones was stiff ; vertigo, as if he was turned backward and around ; as if about to faint ; as if something was sticking in ear ; as if one had fatigued masseter muscles by chewing ; as if something was too short
in right hypochondrium ; as if "asleep" in left hypochondrium ; as if diarrhœa would set in ; side of abdomen and lower limbs as if beaten ; as if something was boring outward in abdomen ; as if uterus was swelling ; as if uterus was falling
over ; as if all tendons were stretched ; as if uterus was beating against right ovary and in right hip ; little finger as if dead ; sacrum as if lame ; chest light as if expiring with more ease ; cramp in chest as if from sudden violent cold ; as if whole
right side of chest and belly was pressed together, front and back ; as if heart was constricted ; as if heart was swollen ; as if beaten violently all along back ; cervical vertebræ as if dislocated ; small of back, laterally, as if beaten ; bones of upper arm
as if beaten ; joint of thumb as if sprained ; hip joint as if exarticulated ; hip as if stiff or dislocated ; muscles of thigh as if lame ; tearing as if in bones ; as if marrow of bones was stiff ; anxiety as if she would never get awake again ;
forehead as if beaten inwardly ; muscles of neck as if beaten.
A kind of motion through whole body, now a prickling now a stinging.
Hollow and empty feeling : in stomach.
A pushing pain like a concussion in region of heart.
Stitches : in tip of tongue ; in belly ; fleeting and dull in left side ; dull near navel ; in abdomen ; dull on left os innominatum ; in foreskin ; in prolapsed uterus ; a single stitch in epiglottis ; below and near sacrum ; in
front of throat, right side ; dull near spine between scapula, left side ; in sternum ; a stitch right side of spine, penetrating chest ; from hand to elbow ; in right wrist ; dull in back of hand ; in thigh and crest of ilium.
Cutting : in stomach ; in belly ; in pit of stomach ; under short ribs, right side ; in abdomen ; in os pubis ; in abdomen before stool ; with irritation ; in both sides of chest ; along sternum ; in sternum ; in spine ; in
vertebræ ; in axilla ; thrusts in chest.
Darting : through eyeballs and temples ; through chest.
Shooting : in chest.
Stinging : in right shoulder joint ; on last rib, right side ; in lower limbs.
Boring : along ischiatic nerve.
Tearing : in abscess over right mastoid ; in pit of stomach ; in fingers ; in lower limbs ; in bones of lower limbs ; in thigh.
Spasmodic pinching : below scrobiculum.
Burning : in region of tympanum ; as from pepper on edge of tongue ; in pimples on vagina ; in female sexual parts ; pressure on sternum ; on neck.
Drawing : in facial muscles ; in upper teeth ; in abdomen ; in pelvis ; and jerking in left testicle and cord ; in neck ; between scapulæ ; cramplike down arms to fingers ; in limbs, with soreness.
Stiff pain like drawing between scapulæ and nape of neck.
Contractive pain : under shoulder joint.
Tensive pain : in temporal muscles ; in pit of stomach and abdomen ; in anterior muscles of thigh.
Pressing pains : in heels.
Pressure : in temples ; in forehead ; in right hypochondrium ; and cutting in abdomen from interior outward ; towards rectum ; spasmodic in abdomen ; in rectum ; in anus ; in right ovary ; in chest ; in upper part of chest ; on
chest ; in sternum ; in sacrum ; in axilla ; rheumatic in back of hand ; in ball of left thumb ; in lower limbs ; in heels ; and drawing in hip joints.
Constriction : in chest ; of lungs ; in heart ; in right hip.
Contraction : from region of stomach to right shoulder ; in rectum ; above mons veneris ; of chest ; under joint of shoulder.
Contracting pressure : in hypochondrium ; on chest ; on ribs.
Cramplike drawing : down arm to fingers.
Cramp : in external ear ; cramplike pain in masticator muscles ; on crest of ilium towards spine ; in chest ; in hip ; in feet.
Aching : over eyes ; in pectoral muscles.
Pains : in bones of head ; now in right now in left ear ; acute in both cheeks ; in masseter muscles ; running from abdomen to sternum ; in right side of chest when lifting arm ; in spine, cervical portion and sacrum ; in elbow ; sore in
knuckles ; in knees ; on inner side of ankle.
Indescribable pain : from navel to scrobiculum into sternum.
Pricking : in top of shoulder.
Throbbing : in temples ; behind ears ; over left groin ; periodic in abdomen ; above mons veneris ; in upper part of shoulder.
Swelling : in uterus ; in heart.
Tension : in muscles of face ; as if something was too short in right hypochondrium ; in front of throat, right side ; in muscles, near axilla ; in thigh.
Painful spasm : in pectoral muscles.
Painful sensitiveness of chest.
Spasmodic sensation : in chest.
Quivering : between brows ; in cervical muscles ; in top of shoulder.
Twitching : and jerking along back, like electric shocks.
Sprained feeling : in right wrist ; in joint of thumb.
Weakness : of lower arm.
Lameness : in sacrum ; in small of back ; of arms after exertion ; in anterior muscles of thigh.
Lightness : in chest.
Heaviness : in head ; in legs ; of arms and hands ; in feet.
Stiffness : painful in neck ; between shoulders and drawing between scapulæ and in nape ; in elbow joints ; from sitting awhile.
Tremulousness : and uneasiness in cervical muscles ; of feet.
Dryness : of lips ; of tongue ; of mouth ; on palate.
Roughness : on tongue ; on palate.
Numbness : in fingers.
"Gone-to-sleep" feeling : in left hypochondrium ; in leg on which she is resting ; little finger as if dead.
Heat : in ears and cheeks ; of forehead ; in face.
Coldness : of cheek ; of fingers.
Crawls : over face, before a meal ; over face, with urging in rectum ; in scrotum and thigh ; up back.
Tickling : in rectum and anus ; in genitals ; irritation in larynx.
Itching : tip of glans ; on male organs ; on scrotum ; pustules on labiæ ; on last rib, right side.

Tissues

Spinal marrow and extensor muscles are principally affected.
Constricting sensation in varices.
Cracking in all joints.
Caries, ulcers very painful ; penetrate to marrow.
Caries and very painful ulcers, which affect bones and pierce them to marrow.
Caries of tubular bones, particularly if patient has longing for coffee and has a very touchy, sensitive mind.
Caries, with crumbling off of pieces of bone.
Rheumatic and paralytic complaints.

Touch. passive motion. injuries

Great exertion of arms brought on a lameness.
Traumatic tetanus : the lady ran a pin into her foot ; two weeks after she was taken with tetanic pains, striking from the point injured back to the heel, then up the limb and up her back ; she had also darting spasmodic pains in her neck, and darting shooting pains from
the nape of the neck to the jaws, both sides ; jaws stiff, not closed. Angust. [30], every thirty minutes. In an hour the pains abated, and she gradually recovered.
Rubbing : lessens itching on limbs.
Touch : causes itching on inner labia ; chest sensitive.
Pressure of arms crossed causes aching in pectoral muscles.
Pressure : < pain in spine.
Riding causes dull aching over eyes.
Scratching : relieves itching of female genitals after bleeding some.

Skin

Skin irritable, burns, has to uncover arms.
Itching, evening in bed, after rubbing painful ulcerations.
Itching of tip of glans penis ; so intense must rub it.
Pruritus, impetigo.
Flat ulcers eating into bones ; appear after friction.

Stage of life, constitution

Old woman : loose cough every afternoon at 3 o'clock.
A young girl : caries of left ankle.

Relations

Symptoms caused by Angust. : bellyache after warm milk ; relieved by Bryon .
Angust . was curative after Pulsat . helped inflammation of bowels. See 19 .
Antidote : Coffea , not Camphor .
Belongs to family of Rutaceæ, which are general antidotes to mercury.
Has been given where Cinchon . failed to cure fever.
Hahnemann noticed the similarity of effect between Angus. vera and falsa , or spuria ; a very surprising observation, but confirmed by facts, even cures of tetanus.
Similar to Bellad . (aggravation in afternoon, 3 P. M. : easily startled, heat in female genitals) ; Bryon . and Rhus tox . (in rheumatism) ; Bryon.,
Cepa, Chamom . and Coffea (in toothache relieved by cold) ; Bellad., Cicut., Ignat . and Nux vom. (in trismus) ; Mercur., Phosphor ., and Silic .
(in caries of lower jaw) ; Æscul . and Aloes (piles, backache). Ant. crud., Ant. tart., Lilium, Natr. mur., Pulsat . and Sepia (in
eruptions) ; Hyper . and Ledum (punctured wounds) ; Ran. bulb . (in pains in pectoral muscles).

The Therapeutics of Fevers

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

Characteristic

Very much fatigued, feels it most in the thighs.

Caries and very painful ulcers, which affect the bones and pierce them to the marrow, particularly if the patient has longing for coffee and a very touchy, sensitive mind; very susceptible, will not bear the slightest joke (Ign.).

Timid; dyspeptic.

Traumatic tetanus (Hyper.).

Aggravation

From touching the affected part; 3 P. M., in afternoon.

Type

Periodicity not marked.

Time

3 P. M.—(Apis, Ars., Chin. s.)

Cause

Fevers occurring in tropical countries; after travelling through swamps in a hot climate (Ced.).

Chill

Violent chill every afternoon at 3 P. M. (Apis). Shivering with goose-flesh, without thirst, for several days in succession. Severe cold sensation over back; cold hands, fingers and feet; drawing pain in elbows, knees and toes (pains in ankles and wrists, Pod.). Chill lasts half an hour. Creepings up the back, with restlessness extending to inner parts, causing trembling with warm lips without thirst. Coldness, followed by heat the same day; recurring now in the evening, then at noon, then in the morning, with thirst in the beginning of the fever, and vomiting of bile.

Heat

Warmth of the whole body, except head, towards evening, so that she is unable to sleep again after 3 A. M. (worse at 3 A. M. and 3 P. M., Thuja). Cold cheeks. The heat ascends (Sep.). Flushes of heat with anxiety.

Sweat

Perspiration at night in bed. Sweat only in the morning; on the forehead.

Analysis

This remedy, like Cedron, is adapted to fevers of tropical climates. The paroxysm in each occurs at 3 P. M. (Apis), and is severe and prostrating.