Arnica Montana arn.

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

BLOOD. BLOOD-VESSELS. Nerves. Muscles. Digestive organs.

Worse

INJURIES: BRUISES. Shocks. Jarring. Labor. Overexertion. Sprains. TOUCH. After sleep. Motion. Old age. Alcohol.

Better

Lying: Head low (Ver-v.). Outstretched.

General

A very painful and offensive remedy. Progressive weakness. Has absorbent action. Shock: mental or physical. VERY PAINFUL BRUISED, SORENESS; all over; after the pains; of the bleeding part (Fer.), etc. Crushing pain. BED FEELS HARD, or full of lumps. As of a lump back of stomach, etc. Suddenly shifting joint (Colch.) or paralytic pains. FOUL; breath, taste, flatus, stool, etc. Typhoid. Sepsis. HÆMORRHAGIC TENDENCY; epistaxis, etc. Involuntary evacuations.

Particulars

Nervous, sanguine temperament. FEARS; being struck or approached; sickness; instant death; on awaking, etc. Morose, repellant mood. Physically restless, but mentally prostrate or apathetic; says nothing ails him (Op.); reverse (Ars.) answers slowly, with an effort. Feels well, in dangerous cases. Brain feels tired. Vertigo; of old age. Bloodshot eyes. Ruddy, congested face. Apoplexy. Fevers. Bright red, puffy fauces. Red stripe down center of tongue. Post-natal dropping. Catarrh of antrum. Eructations tasting of bad eggs. Anorexia by day, but canine hunger before midnight. Cramps from epigastrium down over bowels, then foul stools. Acrid, foamy, stools. Cutting in kidneys. Urine retained or dribbles; after labor. Must wait for urine to pass. After-pains; < suckling. Hoarseness; < exertion, colds, or getting wet. Coughs without waking, or cough causing cries. Heavy lower chest. Sore nipples. Arm pains, > hanging down. Heart-beat shakes whole body. Weakened heart muscle. Angina. Heart pains; left to right. Dusky, mottled skin. Every little hurt makes a black and blue spot. Petechiæ. Erysipelas. Symmetrical eruptions. Very sore acne or crops of small boils. Sopor; drops to sleep as he answers. Troublous or frightful dreams; awakes in terror. Coldness of part lain on. Thirst during chill. Hot head with cool body. Must uncover, but it chills him (reverse of Nux-v.).

Related

Complementary: Calc-c. Nat-s. Sul-ac. Related: Bells. Echi. Hyper. Rhus-t.

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

Nervous women, sanguine plethoric persons, lively expression and very red face. For the bad effects resulting from mechanical injuries; even if received years ago. Especially adapted to those who remain long impressed by even slight mechanical injuries. Sore, lame, bruised feeling all through the body, as if beaten; traumatic affections of muscles. Mechanical injuries, especially with stupor from concussion; involuntary faeces and urine; After injuries with blunt instruments (Symph.). Compound fractures and their profuse suppuration (Calend.). Concussions and contusions, results of shock or injury; with laceration of soft parts; prevents suppuration and septic conditions and promotes absorption. Nervous, cannot bear pain; whole body over-sensitive (Cham., Coff., Ign.). Everything on which he lies seems too hard; complains constantly of it and keeps moving from place to place in search of a soft spot (the parts rested upon feel sore and bruised, Bap., Pyr.; must move continually to obtain relief from pain, Rhus). Heat of upper body; coldness of lower. The face or head and face alone is hot, the body cool. Unconsciousness; when spoken to answers correctly but unconsciousness and delirium at once return (falls asleep in the midst of a sentence, Bap.). Says there is nothing the matter with him. Meningitis after mechanical or traumatic injuries; from falls, concussions of brain, etc. When suspecting exudation of blood, to facilitate absorption Hydrocephalus; deathly coldness in forearm of children (in diarrhoea, Brom.). Apoplexy; loss of consciousness, involuntary evacuation from bowels and bladder; in acute attack, controls haemorrhage and aids absorption; should be repeated and allowed to act for days or weeks unless symptoms call for another remedy. Conjunctival or retinal haemorrhage, with extravasation, form injuries or cough (Led., Nux.). Gout and rheumatism, with great fear of being touched or struck by persons coming near him. Cannot walk erect on account of a bruised sort of feeling in the pelvic region. Tendency to small, painful boils, one after another, extremely sore (small boils in crops, Sulph.). Paralysis (left-sided); pulse full strong; stertor, sighing, muttering. Belching; eructations; foul, putrid, like rotten eggs. Dysentery; with ischuria, fruitless urging; long interval between the stools. Constipation: rectum loaded, faeces will not come away; ribbon like stools from enlarged prostrate or retroverted uterus. Soreness of parts after labor; prevents post-partum haemorrhage and puerperal complications. Retention or incontinence of urine after labor (Op.).

Relations

Complementary: to, Acon., Hyper., Rhus. Similar: to, for soreness as if bruised, Bap., China, Phyt., Pyr., Rhus, Ruta, Staph. Arnica follows well: after, Acon., Apis., Ham., Ipec., Ver., is followed by Sul. ac. In ailments from spiritous liquors or from charcoal vapors, Arn. is often indicated (Am. c., Bov.). In spinal concussion, compare, Hyper.

Aggravation

At rest; when lying down; from wine.

Amelioration

From contact; motion (Rhus, Ruta).

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)

Special Characteristics

In all bad effects resulting from mechanical injuries. Deadness of bruises, feeling of. Head hot with body cool; bruised sensation in any part of the body; insufficient stool. Pain as if bruised, particularly of external parts; sensation of concussion, as from a fall. Pain dragging; pressing, in inner parts; in the joints, as if sprained; this pain may occur in other parts of the body also. Painful glands; tingling itching, which moves from place to place over the body, and as soon as the patient scratches in one place the itching is off somewhere else.

Mental

Hypochondriac; hopeless; peevish; sensitive; great desire to scratch, will scratch wall, bed, head, etc.

Head

Head hot and body cool: head is hot when he wakens at night; hot spots on top of. Eyes, pupils contracted. Ears, blood from.

Stomach

Belching eructations; belching, tasting of hard boiled eggs; vomiting of blood.

Abdomen

Colic. Sharp thrusts from one side to the other. Diarrhœa more than constipation.

Urine

Retention of urine; retained from over-exertion; the bladder feels full and sore; the presence of the urine hurts him.

Sexual

Male: Eruptions on the penis, testes and scrotum; bruised feeling in the testicles. Female: After-pains; return while suckling. Labor weak and ceasing. Menses too soon.

Chest

Pneumonia of the right lung, with bruised sore feeling and bloody expectoration; affections of the external chest.

Extremities

Upper: It acts prominently on the left upper extremity and the lower right. Lower: On the toes, particularly the big toe; the back of the foot: pain in the joints, as if sprained; weakness of the ankle joints; they turn easily while walking.

Sleep

Wakens at night with a hot head, and is afraid to sleep for fear of its recurrence. Anxious dreams about animals. Sleepless before midnight.

Fever

Thirst during the chill, but not during the heat or perspiration. During fever, head and upper part are hot and body is cool. Typhus, putrid breath and stool. Coldness of parts lain on, aversion to uncover.

Skin

Black and blue spots on the body (Secale); yellow-green spots, caused either by a bruise or by disease. Varicose veins, which feel bruised and sore. Small boils feel sore and bruised; painful eruptions; tingling and itching of the skin, which moves from place to place over the body; when the patient scratches in one place, the skin begins to itch somewhere else. Bed sores blue; mortification. Painful ulcers. Dropsy of inner parts.

Worse

In the night, from concussion from physical exertion; travelling; working, etc., after surgical operations; from bruises: damp cold weather; from abuse of Peruvian bark; charcoal vapors.

Medicines which follow well are

Pulsat., Bellad., Bryon., Calc. carb., China, Conium, Nux vom., Phosphor., Rhus tox., Sulphur.

Antidotes

Camphor., Ipec.

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

The head Alone or face alone, hot, the body cool. Stitches in chest left side, worse from a dry cough, worse from motion, better from external pressure. Uneasiness in the painful parts, has to change position frequently, every place seems to be too hard. All parts on which he lies ache as if sore. Bad effects from mechanical injuries, falls, bruises and contusions. Eructations tasting like rotten eggs. Typhoid fever with greatest indifference, stupor, falls asleep while answering questions, putrid breath, red spots like suggillations on the body.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Leopard's Bane (ARNICA)

General

Produces conditions upon the system quite similar to those resulting from injuries, falls, blows, contusions. Tinnitus aurium. Putrid phenomena. Septic conditions; prophylactic of pus infection. Apoplexy, red, full face.

It is especially suited to cases when any injury, however remote, seems to have caused the present trouble. After traumatic injuries, overuse of any organ, strains. Arnica is disposed to cerebral congestion. Acts best in plethoric, feebly in debilitated with impoverished blood, cardiac dropsy with dyspnœa. A muscular tonic. Traumatism of grief, remorse or sudden realization of financial loss. Limbs and body ache as if beaten; joints as if sprained. Bed feels too hard. Marked effect on the blood. Affects the venous system inducing stasis. Echymosis and hæmorrhages. Relaxed blood vessels, black and blue spots. Tendency to hæmorrhage and low-fever states. Tendency to tissue degeneration, septic conditions, abscesses that do not mature. Sore, lame, bruised feeling. Neuralgias originating in disturbances of pneumo-gastric. Rheumatism of muscular and tendinous tissue, especially of back and shoulders. Aversion to tobacco. Influenza. Thrombosis. Hematocele.

Mind

Fears touch, or the approach of anyone. Unconscious; when spoken to answers correctly, but relapses. Indifference; inability to perform continuous active work; morose, delirious. Nervous; cannot bear pain; whole body oversensitive. Says there is nothing the matter with him. Wants to be let alone. Agoraphobia (fear of space). After mental strain or shock.

Head

Hot, with cold body; confused; sensitiveness of brain, with sharp, pinching pains. Scalp feels contracted. Cold spot on forehead. Chronic vertigo; objects whirl about especially when walking.

Eyes

Diplopia from traumatism, muscular paralysis, retinal hæmorrhage. Bruised, sore feeling in eyes after close work. Must keep eyes open. Dizzy on closing them. Feel tired and weary after sight-seeing, moving pictures, etc.

Ears

Noises in ear caused by rush of blood to the head. Shooting in and around ears. Blood from ears. Dullness of hearing after concussion. Pain in cartilages of ears as if bruised.

Nose

Bleeding after every fit of coughing, dark fluid blood. Nose feels sore; cold.

Mouth

Fetid breath. Dry and thirsty. Bitter taste (Colocy). Taste as from bad eggs. Soreness of gums after teeth extraction (Sepia). Empyæma of maxillary sinus.

Face

Sunken; very red. Heat in lips. Herpes in face.

Stomach

Longing for vinegar. Distaste for milk and meat. Canine hunger. Vomiting of blood. Pain in stomach during eating. Repletion with loathing. Oppressive gases pass upward and downward. Pressure as from a stone. Feeling as if stomach were passing against spine. Fetid vomiting.

Abdomen

Stitches under false ribs. Distended; offensive flatus. Sharp thrusts through abdomen.

Stool

Straining of tenesmus in diarrhœa. Offensive, brown, bloody, putrid, involuntary. Looks like brown yeast. Must lie down after every stool. Diarrhœa of consumption; worse lying on left side. Dysenteric stools with muscular pains.

Urine

Retained from over-exertion. Dark brick-red sediment. Vesical tenesmus with very painful micturition.

Female

Bruised parts after labor. Violent after-pains. Uterine hæmorrhage from mechanical injury after coition. Sore nipples. Mastitis from injury. Feeling as if fœtus were lying crosswise.

Respiratory

Coughs depending on cardiac lesion, paroxysmal, at night, during sleep, worse exercise. Acute tonsillitis, swelling of soft palate and uvula. Pneumonia; approaching paralysis. Hoarseness from overuse of voice. Raw, sore feeling in morning. Cough produced by weeping and lamenting. Dry, from tickling low down in trachea. Bloody expectoration. Dyspnœa with hæmoptysis. All bones and cartilages of chest painful. Violent spasmodic cough, with facial herpes. Whooping cough, child cries before coughing. Pleurodynia (Ranunc; Cimicif).

Heart

Angina pectoris; pain especially severe in elbow of left arm. Stitches in heart. Pulse feeble and irregular. Cardiac dropsy with distressing dyspnœa. Extremities distended, feel bruised and sore. Fatty heart and hypertrophy.

Extremities

Gout. Great fear of being touched or approached. Pain in back and limbs, as if bruised or beaten. Sprained and dislocated feeling. Soreness after overexertion. Everything on which he lies seems too hard. Deathly coldness of forearm. Cannot walk erect, on account of bruised pain in pelvic region. Rheumatism begins low down and works up (Ledum).

Skin

Black and blue. Itching, burning, eruption of small pimples. Crops of small boils (Ichthyol; Silica). Ecchymosis. Bed sores (Bovinine locally). Acne indurata, characterized by symmetry in distribution.

Sleep

Sleepless and restless when over tired. Comatose drowsiness; awakens with hot head; dreams of death, mutilated bodies, anxious and terrible. Horrors in the night. Involuntary stools during sleep.

Fever

Febrile symptoms closely related to typhoid. Shivering over whole body. Heat and redness of head, with coolness of rest of body. Internal heat; feet and hands cold. Nightly sour sweats.

Modalities

Worse, least touch; motion; rest; wine; damp cold. Better, lying down, or with head low.

Relationship

Antidotes: Camph.

Vitex trifolia

Indian Arnica (Sprains and pains, headache in temples, pain in joints; pain in abdomen; pain in testicles).

Complementary: Acon; Ipec.

Compare: Acon; Bapt; Bellis; Hamam; Rhus; Hyperic.

Dose

Third to thirtieth potency. Locally, the tincture, but should never be applied hot or at all when abrasions or cuts are present.

Leaders in Homoeopathic Therapeutics

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

Leaders

Bruised, sore feeling all over; bed feels too hard.

Head, or head and face hot; body and extremities cold.

Ecchymoses; as from bruises.

Stupor; answers, then falls back into stupor (fevers).

Taste and eructations and stool like rotten eggs.

Recent and remote affections from injuries, especially contusions or blows.

Hæmorrhages, the result of mechanical injuries.

This is the leading remedy for bruises and the results therefrom, and the symptoms -"Weakness, weariness, sensation as of being bruised." "Felt as if bruised over the whole body," as found in the provings, explain the reason and the many cures it has made, even in the high and highest potencies, of both acute and chronic affections. The result of trauma is another evidence of the truth of our law of cure. One of the best characteristics is "Everything on which he lies seems too hard" (Pyrogen.); he must keep changing his position to get relief. This is because of the sensation of soreness as if bruised all over.

Baptisia has -"Feels as if lying on a board; changes position bed feels so hard, makes him feel sore and bruised."

Phytolacca has- "Feels sore all over from head to foot; muscles sore and stiff, can hardly move without groaning."

Rhus toxicod. has -"Soreness in every muscle, which passes of during exercise; feels stiff and sore on first beginning to move."

Ruta has -"All parts of the body on which he lies are painful as if bruised."

Here are five remedies which seem much alike, and other might be added, like Staphisagria, which has -All the limbs are sore as if bruised, and as if there were no strength in them, and

China -"He is sore all over, in the joints, the bones, and the periosteum, as if they had been sprained, like a drawing, tearing, especially in the spine, the sacrum, the knees and thighs." Now to know thus far of these remedies would be of little use for therapeutic purposes, for it would be senseless to prescribe all of these remedies mixed together, and full as much so to prescribe one of them to the exclusion of all the rest without a good reason for so doing. Fortunately there is always a possibility of making choice between them, but it is not always easy. Take, for instance, Arnica and Baptisia. Both have the symptom of sore bruised feeling. Both have feeling as if the bed were too hard. Both have stupor, from which they can be aroused, but fall quickly back into it again. Both have a dark streak running through the tongue.

Both have a deep red face, and all these similarities often occur in the course of a typhoid fever. How are we to choose between them? Look further. If in addition to these symptoms the patient "tosses about the bed, reaching here and there, and in his delirium complaining that he cannot get himself together." Baptisia is the remedy, or if the stool, urine and sweat are extremely offensive, it is Baptisia. If the stool and urine are passed unconsciously and there appear suggillations under the skin, Arnica is the remedy. Now here are only a few of the characteristic differences. There are others, and we must "watch out" for them. It is no harder to choose between these two remedies than it is to choose sometimes between Hyoscyamus and Opium in the same disease. Here is the place where the old physician might exhort the young as Paul did Timothy. "Study to show thyself approved, a workman that needed not to be ashamed, rightly dividing the truth, etc." Such close prescribing is business of course, and is also successful. If I came to a case that had the bruised sensation very markedly in connection with a diphtheritic throat I would not give Arnica, because it does not have that kind of throat; but Phytolacca has, and it has one other symptom of Arnica, viz.: heat and redness of head and face, while the body and limbs are cool or cold*.

I have met many such cases of diphtheria, and if prescribed early Phytolacca cures without the aid of any other remedy. Again if I found a patient with the sore, bruised sensation, who was brought into that condition by getting wet while perspiring, or by lying on damp ground, or between damp sheets, or from a strain of the muscles, Rhus toxicodendron would be the remedy.

If in cases of actual injury I should find the bruise in the periosteum or bone, I should expect more benefit from Ruta, which seems to be better also than Rhus tox. in one kind of muscular strain, viz., strain of the ciliary muscles. I have often relieved sewing girls or students of pains in the eyes from this cause and have sometimes enabled them to lay off the glasses that had been prescribed by the opticians. It is much better to use this remedy in a weakened power of accommodation than to try and compensate for it with artificial lenses. Of course where the impaired vision is purely optical this cannot be done.

So we might go on to draw the diagnostic symptoms between all the various remedies having a similar symptom if we had time and space. But it would not be the best thing to do, for every physician should get in the habit of doing this for himself.

In addition to all that has been said about the great value of the sore as if bruised sensation of this remedy, it should always be remembered in affections, acute or chronic, which are the result of trauma. Among these are concussion; fracture of the skull with compression of the brain; headaches of long standing; meningitis: apoplexy; inflammation of the eyes with suggillations, or even retinal hæmorrhages, where it expedites the absorption of the blood clots, deafness, epistaxis, newly filled teeth, affections from blows on stomach or other viscera. I once cured a man who had suffered from what he and his physician had called dyspepsia for several years. He had been obliged to give up his business because he could not eat enough to support his strength. He had been told by his physician that he would never be well again and had given up hopes himself. This condition was caused by the kick of a horse upon the region of the stomach. A few doses of Arnica 200th cured him in a short time and he resumed his business. Now I will conclude Arnica with a few characteristics that are genuine, and have been, with me, of inestimable value.

"Stupor with involuntary discharge of fæces and urine."

"Fears being struck or touched by those coming towards him."

"Putrid smell from the mouth."

"Offensive eructations or flatus, smelling like rotten eggs."

"Bruised sore feeling in uterine region, cannot walk erect."

"Soreness of parts after labor prevents hæmorrhages or pyæmia."

"Cough; child cries before paroxysms, as if sore."

"While answering falls into a deep stupor before finishing."

"Head alone, or face alone, hot, rest of body cool."

"Many small boils, painful, one after another, extremely sore."

"Prevents suppuration and septicæmia and promotes absorption."

Arnica, although an old remedy, is not so often used as it should be in general practice.

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

Depression of spirits and absence of mind. Shedding of tears and exclamations after rage. Great sensitiveness of the mind, with anxiety and restlessness. Unconsciousness, (like fainting after mechanical injuries). Declines to answer any questions. Quarrelsome.

Head

Giddiness, with nausea, when moving and rising ; better when lying. Burning and heat in the head, the rest of the body is cool, (night and morning, worse from motion, better when at rest). Pressure on one temple, as if a nail had been driven into it. Cutting through the head, as with a knife, followed by a sensation of coldness. Stitches in the head, especially in the temples and forehead. Effects from concussion of the brain.

Eyes

Inflammation of the eyes with suggillation after mechanical injuries.

Ears

Stitches in and behind the ears. Pains in the ears, as from a bruise.

Nose

Tingling in the nose, and bleeding.

Face

Heat of the face, the body being cool. Sunken, pale face. Redness of one cheek. Hot, red, shining swelling of one cheek. Burning, hot, cracked lips.

Mouth

Toothache, with swollen face. Dryness of the mouth, with much thirst. Tongue coated white. Putrid smell from the mouth.

Throat

Burning in the throat.

Appetite and Taste

Bitter taste, especially in the morning. Putrid taste. Aversion to food, especially to meat. Desire for vinegar. Thirst for cold water, without fever. Longing for alcoholic drinks.

Stomach

Frequent eructations, especially in the morning, empty, bitter, putrid, as from rotten eggs. Nausea, and empty vomiturition. After drinking, vomiting of what has been drank. Vomiting of blood, (dark, clotted).

Abdomen

Cutting, colicky pain in the abdomen. Tympanitis. Colic, with strangury.

Stool and Anus

Flatus, smelling like rotten eggs. Frequent stools -small, consisting of mucus. Involuntary stool during sleep -thin, brown, or white. Stools of undigested matter, or of blood, or pus. Diarrhœa, with tenesmus.

Urinary Organs

Tenesmus from spasms of the neck of the bladder. Involuntary discharge of urine at night, when asleep, and during the day, when running. Urine brown-red, with brick-dust sediment. Bloody urine. Frequent micturition of pale urine.

Sexual Organs

Men. Purple-red swelling of the penis and testicles, after mechanical injuries. Painful swelling of the spermatic cords, with stitches into the, abdomen. Women. Soreness of the parts after a severe labor. Violent after pains. Erysipelatous inflammation of the mammæ and nipples.

Respiratory Organs

Breath fetid, short, and panting. Excessive difficulty of breathing. Burning or rawness in the chest. Sensation of soreness of the ribs. Hooping-cough, after crying ; from tickling in the œsophagus ; with expectoration generally of foaming blood, mixed with clots of blood ; sometimes in the evening with putrid mucus, which cannot be expectorated, but must be swallowed again. Cough worse in the evening till midnight, from motion, in the warm room, and after drinking. Stitches in the chest, (left side), aggravated from a dry cough, with oppression of breathing ; worse from motion, better from external pressure.

Back

Tingling in the back. Great soreness of the back.

Upper Extremities

Tingling in the arms. Sensation of soreness of the arms. Sensation, as if the joints of the arms and wrists were sprained.

Lower Extremities

Sensation of soreness in the legs. Tingling in the legs. White swelling of the knee. Hot erysipelatous inflammation and painfulness of the foot. Gout.

Generalities

Over-sensitiveness of the whole body. Pain, as if beaten or bruised as outer parts. Pain, as if sprained in outer parts, and in the joints. Tearing, drawing, in outer parts. Pricking, from without, inward. Pressing, in inner parts. Tingling, in outer parts. Twitching of the muscles. Ebullitions, and burning of the upper part of the body, with coldness of the lower of the body. Bleeding of internal and external parts (vomiting of blood).

Sleep

Sleepiness during the day, with inability to sleep. Drowsiness, with delirium.

Fever

Pulse very variable, mostly hard, full and quick. Chilliness, internally, with external heat. Great chilliness, with heat and redness of one cheek. Chilliness as soon as he lifts the cover of the bed. Chilliness of the side on which he lays. Heat. Dry heat over the whole body, or only in the face and on the back. Perspiration smelling sour or offensive -sometimes cold. Intermittent fever ; chill in the morning or forenoon ; drawing pains in the bones before the fever ; changes his position continually ; breath and perspiration offensive.

Skin

Petechiæ. Many small blood-boils. Hot, hard, shining swelling (from the stings of insects.) Suggillation.

Conditions

Aggravation. Bad effects, even inflammations, from mechanical injuries, falls, bruises and contusions. Amelioration, in the evening at night ; from contact and motion ; even from noise.

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

Arnica montana. Leopard's-bane. Fallkraut. N. O. Compositæ. Tincture of whole fresh plant. Tincture of root.

Clinical

Abscess. Apoplexy. Back, pains in . Baldness. Bed-sores. Black-eye. Boils. Brain, affections of. Breath, fetid . Bronchitis. Bruises. Carbuncle. Chest, affections of . Chorea. Corns. Cramp. Diabetes . Diarrhœa. Dysentery. Ecchymosis . Excoriations. Exhaustion. Eyes, affections of. Feet, sore. Hæmatemesis. Hæmaturia . Headache. Heart, affections of. Impotence. Labour. Lumbago. Meningitis . Mental alienation. Miscarriage. Nipples, sore. Nose, affections of. Paralysis. Pelvic hæmatocele. Pleurodynia. Purpura. Pyæmia. Rheumatism . Splenalgia. Sprain. Stings. Suppuration. Taste, disorders of. Thirst. Traumatic fever . Tumours. Voice, affections of. Whooping-cough. Wounds. Yawning .

Characteristics

Growing on the mountains, Arnica may be said to possess a native affinity to the effects of falls. As its German name, Fallkraut, attests, its value as a vulnerary has been known from remote times. It may be said to be the traumatic par excellence . Trauma in all its varieties and effects, recent and remote, is met by Arnica as by no other single drug, and the provings bring out the appropriateness of the remedy in the symptoms it causes. Tumours in many parts, following injury, have been cured by Arnica , including scirrhous tumours of the breast. Nervous affections as chorea after falls. It is suited to plethoric red-faced persons; " Arnica is particularly adapted to sanguine, plethoric persons, with lively complexions and disposed to cerebral congestion. It acts but feebly on persons who are positively debilitated, with impoverished blood and soft flesh. This may be the reason why it is eaten with impunity by herbivorous animals as Linneus remarks" (Teste). It is suited to persons who are extremely sensitive to mechanical injuries, and who feel the effects of them long after; persons easily made train-sick or sea-sick. Patients complain that the bed is hard no matter how soft it may be. Arn . corresponds to the effects of violent cough or sneezing; the child cries before cough comes on (or with the cough) in whooping-cough. Chronic bronchitis when patients have bruised, weak aching in the chest, or great sensitiveness of the chest on exertion, or walking. Allied to wounds are hæmorrhages, and Arnica causes and cures hæmorrhages of many kinds: dilatation and rupture of small blood-vessels. Vomiting, coughing, purging, accompanied by streaks of blood in ejecta; extravasation of blood into the conjunctiva as in whooping-cough. Hæmorrhages into the tissues of internal organs or the skin. An odd symptom of Arnica is "coldness of the nose." A case of facial (left) neuralgia, face swollen, dark red, very painful to touch, was cured with Arnica ( radix ), the guiding symptom being "cold nose." Patient had bitter taste; was very excitable, and < at night. Ussher notes that the local use of Arnica produced an extraordinary growth of hair on a limb. This suggested the use of an oil mixed with Arn . 1x in a case of baldness, which was followed with marked success. Arn . affects the left upper extremity and the right chest. There is a putridity in connection with Arnica excretions, as with Baptis ., which it resembles in typhoid conditions: putrid breath; fetid sweat. With Arnica there is apt to be incessant passing of stool and urine in these states. Nash gives the following as "leaders": "Stupor, with involuntary discharge of fæces and urine." "Fears being touched or struck by those coming near him." Putrid smell from mouth." "Bruised, sore feeling in uterine region; cannot walk erect." "While answering falls into a deep stupor before finishing." "Head alone, or face alone, hot; rest of body cool." "Many small boils, painful, one after another, extremely sore." "Suddenness" is a feature of Arn. pains and action. P. P. Wells relates a cure of double pleuro-pneumonia in a child with sudden stabbing pains on both sides of the chest almost preventing breathing. Arnica instantly caused a violent aggravation, the next instant relief was perfect, and the child fell asleep breathing naturally. I once ran a piece of wire into the tip of one of my fingers, causing paralysing pain. I applied Arn . 1x at once, and the pain was better instantly ─ seeming to be wiped out from the point of injury up the arm. There is < in damp, cold weather with Arnica , which is included by Grauvogl among the remedies suited to the hydrogenoid constitution (comp. Baryt. c .). Motion and exertion < . (Bruised, aching sensation in chest on walking.) > Lying down, and lying with head low; but < lying on left side.

Arnica should not be used externally where there is broken skin. For torn and lacerated wounds Calendula must be used locally.

Relations

Teste takes Arn. as the type of his first group, which includes Ledum, Crot. t., Fer. magnet., Rhus t., Spig. Compare: Abrot., Absinth., Calend., Chamom., Cina, Gnaphal., and other Compositæ. Complementary: Acon. Similar to: Acon., Am. c., Croton (swashing in abdomen), Arsen., Baptis. (typhoid states ─ Bap. "feels ill," Arn. "feels well," resents being thought ill), Bell., Bry., Cham., Chi., Euphras., Calend., Hep., Hyper., Ham., Ipec., Led., Merc., Puls., Ran. scel., Rho., Ruta, Staph., Silic, Symph., Sul., Sul. ac., Verat. Follows well: Aco., Ipec., Verat., Apis. Followed well by: Aco., Ars., Bry., Ipec., Rhus t. Action aided by: Arsen. (dysentery and varicose veins). Injurious in: Bites of dogs or rabid or angry animals. Antidote to: Am. c., Chi., Cicut., Fer., Ign., Ipec., Seneg. Antidoted by: Camph., Ipec. (to massive doses); Coffee (headache); Aco., Ars., Chi., Ign., Ipec. (to potencies). Wine increases unpleasant effect of Arnica.

Causations

Mechanical injuries. Fright or anger. Excessive venery (vaginitis in the female, impotence in the male).

Mind

Hypochondriacal anxiety with fear of dying and disagreeable temper. ─ Declines to answer any questions. ─ Great agitation and anguish, with groans. ─ Unfitness for exertion, and indifference to business. ─ Apprehension and despair. ─ Over-excitement and excessive moral sensibility. ─ Great sensitiveness of the mind with anxiety and restlessness. ─ Tendency to be frightened. ─ Quarrelsome. ─ Combative, quarrelsome humour. ─ Tears. ─ Shedding of tears and exclamations of rage. ─ Opinionated. ─ Foolish gaiety, levity, and mischievousness. ─ Absence of ideas. ─ Depression of spirits and absence of mind. ─ Says there is nothing the matter with him (in typhoid fever, &c.). ─ Abstraction and musing. ─ Unconsciousness (like fainting after mechanical injuries). ─ Delirium.

Head

Whirling giddiness with obscuration of the eyes, chiefly on getting up after sleeping, on moving the head, or in walking. ─ Giddiness, with nausea; when moving and rising; better when lying. ─ Vertigo when shutting eyes. ─ Pressive pains in the head, principally in the forehead. ─ Cramp-like compression in the forehead as if the brain were contracted into a hard mass, chiefly when near the fire. ─ Pain, as if a nail were driven into the brain. ─ Dartings, pullings, and shootings in the head, principally in the temples. ─ Incisive pain across the head. ─ Cutting through the head, as with a knife, followed by a sensation of coldness. ─ Stitches in the head, esp. in the temples and forehead. ─ Effects from concussion on the brain. ─ Pain in the head over one eye, with greenish vomiting (after a strain of the back). ─ Heat and burning in the head, with absence of heat from the body. ─ Burning and heat in the head, the rest of the body is cool (night and morning, < from motion, > when at rest). ─ Heaviness and weakness of the head. ─ Pains in the head, brought on, or aggravated by walking, ascending, meditating, and reading, as well as after a meal. ─ Tingling at the top of the head. ─ Immobility of the scalp.

Eyes

Pain, like excoriation, in the eyes and in the eyelids, with difficulty in moving them. ─ Red, inflamed eyes. ─ Inflammation of the eyes with suggillation after mechanical injuries. ─ Burning in the eyes, and flowing of burning tears. ─ Eyelids swollen, and with ecchymosis. ─ Pupils contracted. ─ Eyes dull, cloudy, and downcast. ─ Eyes prominent, or half open. ─ Fixed, anxious look. ─ Obscuration of vision.

Ears

Pain, as of contusion in the ears. Acute pulling in the ears. ─ Shootings in and behind the ears. ─ Hardness of hearing, and buzzing before the ears; from blows. ─ Blood from ears.

Nose

Pain, as of contusion in the nose. ─ Tingling, in the nose. ─ Nose swollen, with ecchymosis. ─ Nasal hæmorrhage. ─ Ulcerated nostrils. ─ Coryza, with burning in the nose. ─ Cold nose ( A. radix ).

Face

Face pale and hollow, or yellow and bloated. ─ Heat in the face without heat in the body. ─ Hard swelling, shining redness and heat in one cheek, with throbbing pain. ─ Puffing of cheeks on breathing. ─ Tingling round the eyes, in the cheeks, and in the lips. ─ Pustulous eruption on the face, chiefly round the eyes. ─ Dryness, burning heat, swelling, and fissures in the lips. ─ Ulceration of the corners of the mouth. ─ Paralysis of the lower jaw. ─ Painful swelling of the submaxillary glands, and of those of the neck. ─ Trismus, with the mouth closed.

Teeth

Pain in the teeth, with swelling of the cheeks and tingling in the gums. ─ Sensation of pulling in the teeth while eating. ─ Loosening and elongation of the teeth. ─ Toothache after operation.

Mouth

Dryness of the mouth, with thirst. ─ Saliva mixed with blood. ─ Sensation of excoriation and itching on the tongue. ─ Tongue dry, or with a white coating. ─ Putrid smell from the mouth in the morning.

Throat

Sensation as if there were something hard in the throat. ─ Deglutition hindered by a kind of nausea. ─ Noise while swallowing. ─ Burning in the throat, with uneasiness, as from internal heat. ─ Bitter mucus in the throat.

Appetite

Taste putrid or bitter, or slimy. ─ Bitter taste, esp. in the morning. ─ Thirst for cold water, without fever. ─ Longing for alcoholic drinks. ─ Thirst for water, or desire to drink, with repugnance to all liquids. ─ Loathing of food ─ principally milk, meat, broth, and tobacco. ─ Liking for vinegar. ─ Want of appetite, and tongue loaded with a white or yellowish coating. ─ (In the evening) immoderate appetite, with sensation of fulness and cramp-like pressure in the abdomen, immediately after a meal. ─ Irritable and plaintive humour, after a meal in the evening.

Stomach

Frequent eructations, esp. in the morning, empty, bitter, putrid, as from rotten eggs. ─ Belches after coughing. ─ Rising of a bitter mucus or of salt water. ─ Nausea, with inclination to vomit, chiefly in the morning. ─ Nausea, and empty vomiturition. ─ Retching even in the night, with pressure in the precordial region. ─ Vomiting of coagulated blood, of a deep colour. ─ After drinking (or eating), vomiting of what has been taken, often with a mixture of blood. ─ Pressure, fulness, contraction, and cramp-like pain in the stomach and in the precordial region. ─ Shootings in the pit of the stomach, with pressure extending to the back, and tightness of the chest.

Abdomen

Shootings in the region of the spleen, with difficulty of breathing. ─ Pressure in the hepatic region. ─ Abdomen hard and swollen, with pain of incisive excoriation in the sides, chiefly in the morning, mitigated by the emission of wind. ─ Pain in the umbilical region when moving. ─ Shocks across the abdomen. ─ Pain, as of contusion, in the sides. ─ Flatulence, having the smell of rotten eggs. ─ Cutting, colicky pains in the abdomen. ─ Colic with strangury. ─ Tympanites.

Stool and Anus

Constipation, with ineffectual attempt to go to stool. ─ Stools in the form of pap, of an acid odour. ─ Flatus, smelling like rotten eggs. ─ Diarrhœa, with tenesmus. ─ Frequent, scanty, small, mucous stools. ─ Involuntary stools, chiefly during the night; thin, brown, or white. ─ Stools of undigested matter. ─ Purulent, bloody stools. ─ Hæmorrhoids. ─ Pressure in the rectum. ─ Tenesmus. ─ Thread-worms.

Urinary Organs

Tenesmus. ─ Spasmodic retention of urine, with pressure in the bladder. ─ Ineffectual attempts to make water. ─ Involuntary emission of urine, at night in bed, and in the day, when running. ─ Frequent micturition of pale urine. ─ Urine of a brownish red, with sediment, of a brick colour. ─ Emission of blood.

Male Sexual Organs

Bluish red swelling of the penis and of the scrotum. ─ Inflammatory swelling of the testes (in consequence of contusion). ─ Purple-red swelling of the penis and testicles, after mechanical injuries. ─ Hydrocele. ─ Painful swelling of the spermatic cord, with shooting in the testes, extending to the abdomen. ─ Sexual desire increased, with erections, pollutions, and seminal emission on the slightest amorous excitement. ─ Impotence from excess or abuse.

Female Sexual Organs

Discharge of blood from the uterus, between the periods, with nausea. ─ Excoriation and ulceration of the breasts. ─ Soreness of the parts after a severe labour. ─ Violent after-pains. ─ Erysipelatous inflammation of the mammæ and nipples. ─ Violent stitches in middle of l. breast. ─ Vomiting of pregnancy. ─ Threatened abortion from fall, &c. ─ Feeling as if fœtus were lying crosswise. ─ Tumour of breast.

Respiratory Organs

Dry, short cough, produced by a titillation in the larynx. ─ Cough at night during sleep. ─ Paroxysm of cough, preceded by tears, and cough with children after having wept and sobbed from caprice and waywardness. ─ Whooping-cough; child cries before the cough comes on; and after. ─ Cough with bloodshot eyes, or nose-bleed. ─ Even yawning provokes a cough. ─ Cough with expectoration of blood; the blood is clear, frothy, mixed with coagulated masses and mucus. ─ Even without cough there is expectoration of black, coagulated blood after every corporeal effort. ─ Inability to eject the mucus; what the cough detaches is therefore swallowed. ─ On coughing, shooting pains in the head, or a bruise-like pain in the chest. ─ Breath fetid; short, and panting. ─ Excessive difficulty of breathing. ─ Cough worse in the evening till midnight, from motion, in the warm room, and after drinking.

Chest

Respiration short, panting, difficult, and anxious. ─ Rattling in the chest. ─ Oppression of the chest and difficulty of breathing. ─ Respiration frequently slow and deep. ─ Shootings in the chest and sides, with difficulty of respiration, aggravated by coughing, but breathing deeply, and by movement; better from external pressure. ─ Pain, as of a bruise and of compression in the chest. ─ Burning or rawness in the chest. ─ Sensation of soreness of the ribs. ─ Stitches in the chest (l.), aggravated from a dry cough, with oppression of breathing; < from motion, > from external pressure.

Heart

Beating, and palpitation of the heart. ─ Pain from liver up through l. chest and down l. arm, veins of hands swollen, purplish; sudden pain as if heart squeezed or had got a shock (angina pectoris). ─ Heart strained; irritable; stitches in; from l. to r. ─ Painful pricking in the heart, with fainting fits.

Neck and Back

Weakness of the muscles of the neck; the head falls backwards. ─ Painful swelling of the glands of the neck. ─ Pains, as from a bruise, and of dislocation in the back, in the chest, and the loins. ─ Tingling in the back. ─ Great soreness of the back. ─ Dragging-down pain and sense of weight in loins.

Upper Limbs

Pain, as if from fatigue, and crawlings in the arms and in the hands. ─ Pain, as of dislocation, in the joints of the arms and hands. ─ Tingling, in the arms. ─ Sensation of soreness of the arms. ─ Sensation as if the joints of the arms and wrists were sprained. ─ Darting in the arm. ─ Veins in the hands swollen, with full and strong pulse. ─ Want of strength in the hands on grasping anything. ─ Cramps in the fingers.

Lower Limbs

Pains, as from fatigue or from dislocation, or acute drawing in the different parts of the lower limbs. ─ Painful paralytic weakness in the joints, chiefly of the hip and knee. ─ Want of strength in the knee, with failing of the joint when walking. ─ Tension in the knee, as from contraction of the tendons. ─ Pale swelling in the knee. ─ Sensation of soreness in the legs. ─ Inflammatory erysipelatous swelling of the feet with pain, and aggravation of the pain by movement. ─ Hot, painful, hard, and shining swelling of the great toes. ─ Tingling in the legs and feet.

Generalities

Tearing, drawing in outer parts. ─ Pricking, from without, inward. ─ Pressing in inner parts. ─ Tingling in outer parts. ─ Acute drawing, crawling, pricking, or paralytic pains, and sensation as from a bruise in the limbs and the joints, as well as in the injured parts. ─ Pain, as if sprained in outer parts, and in the joints. ─ Pains, as of dislocation. ─ Rheumatic and arthritic pains. ─ Restlessness in the diseased parts, which causes them to be constantly in motion. ─ Aggravation of pains in the evening and at night, as well as from movement, and even from noise. ─ Unsettled pains, which pass rapidly from one joint to the other. ─ Soreness of the whole body, with tingling. ─ Stiffness of the limbs after exertion. ─ Muscular jerking. ─ Stiffness and weariness of all the limbs. ─ Sensation of agitation and trembling in the body, as if all the vessels were throbbing. ─ Extreme sensibility of the whole body, chiefly of the joints and of the skin. ─ Over-sensitiveness of the whole body. ─ Bleeding of internal and external parts (vomiting of blood). ─ Ebullition of the blood, and congestion in the head, with heat and burning in the upper parts of the body; and cold, or coolness, in the lower parts. ─ Fainting fits, with loss of consciousness, in consequence of mechanical injuries. ─ Convulsions, traumatic trismus and tetanus. ─ General prostration of strength. ─ Paralytic state (on the l. side) in consequence of apoplexy. ─ Dropsy of inner parts.

Skin

Hot, hard, and shining swelling of the parts affected. ─ Stings of insects; snake-bites. ─ Red, bluish, and yellowish spots, as if from contutions. ─ Black and blue spots on the body. ─ Yellow-green spots, caused either by a bruise or by disease. ─ Bed sores; blue mortification. ─ Miliary eruption. ─ Petechiæ. ─ Many small boils, or blood-boils; one after another, extremely sore.

Sleep

Great drowsiness during the day, without being able to sleep. ─ Inclination to sleep, early in the evening. ─ Comatose drowsiness with delirium. ─ Wakens at night with a hot head, and is afraid to sleep for fear of its recurrence. ─ Anxious dreams about animals. ─ Sleep not refreshing and full of anxious and terrible dreams, and waking with starts and frights. ─ Dreams of death, of mutilated bodies, of unbraiding, of indecision. ─ During sleep, groans, talking, snoring, involuntary stools and urine. ─ Giddiness on waking.

Fever

Pulse very variable, mostly hard, full and quick. ─ Chilliness, internally, with external heat. ─ Great chilliness, with heat and redness of one cheek. ─ Chilliness of the side on which he lies. ─ Head alone, or face alone, hot, rest of body cool. ─ Shivering, principally in the evening, and sometimes with a sensation as if one were sprinkled with cold water. ─ Heat in the evening or at night, with shivering on raising the bed-clothes, even slightly, and frequently with a pain in the back and in the limbs. ─ Dry heat over the whole body, or only in the face and on the back. ─ Fever, with much thirst, even before the shiverings. ─ Before the fever, dragging sensation in all the bones. ─ Intermittent fever; chill in the morning or forenoon drawing pains in the bones before the fever; changes his position continually breath and perspiration offensive. ─ During the apyrexia, pain in the stomach, want of appetite and loathing of animal food. ─ Perspiration smelling sour or offensive ─ sometimes cold. ─ Typhus, putrid breath and stool. ─ Nocturnal acid sweat.

The Guiding Symptoms of Our Materia Medica

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

Mind

Stupefaction, loss of sight and hearing. θ Concussion of brain.
Comatose, soporous, stupid states. θ Typhus.
Lies as if dead. θ Concussion of brain ; apoplexy, etc.
Coma, insensibility. θ Congestive chills, meningitis, etc.
Stupor, with involuntary discharge of feces. θ Typhus.
Loss of consciousness. θ Angina pectoris.
Unconscious ; when spoken to answers correctly, but unconsciousness and delirium at once return.
Could be aroused and answer intelligently, but relapsed immediately into stupor.
Forgetful ; what he reads quickly escapes his memory, even the word he is about to speak. θ Typhus.
Absent-minded, thoughts wander from their object and dwell on images and fancies.
Mind clear like that of a clairvoyant ; quiet countenance, pale as chalk, thinks her death unavoidable.
Thinks rightly, but uses the wrong word for a correct idea. θ Typhus.
Confusion of the head, changing to pressive right-sided headache.
Sits as if in thought, yet thinks of nothing ; a sort of waking dream. θ Typhus.
Does not think ; confused heaviness in forehead.
Thinking tardy. θ Apoplexy.
Slowness of thinking.
Says there is nothing the matter with him. θ Putrid fever.
Muttering delirium. θ Typhus.
Delirium, low murmuring.
Delirium tremens.
Raving madness, in which patient is conscious of his condition.
Excessive inclination to hard and long literary labors.
Indisposed to think ; after a walk in open air.
She does not speak a word ; declines answering questions, dislikes sympathy. θ Typhus.
Sheds tears and makes exclamations. θ After rage.
Prays quietly for her soul.
Picks the bedclothes.
Thoughtless gayety ; great frivolity and mischievousness.
Depression of spirits.
Hopelessness ; indifference. θ After concussion.
Despondency and conviction of approaching death. θ Neuralgia.
Hypochondriacal anxiety, peevishness.
Fears being struck by those coming towards him ; fears even the possibility of being touched. θ Gout.
Violent attacks of anguish. θ Angina pectoris.
Horror of instant death. θ With cardiac distress in night.
Indifference to everything, morose.
Naturally cheerful, kindly and genial, he became downcast, waspish and peevish.
Excitable and timid. θ Paralysis.
She is extremely morose and irritable ; she does not speak a word.
Oversensitive mood, peevish, quarrelsome.
Excessive sensitiveness of mind. θ Prolapsus uteri.
(In sick :) Naturally very sensitive, his keen sensitiveness of mind became greatly exaggerated.
Excessively sensitive mind ; disposition to agreeable as well as disagreeable emotions, without weakness or excessive sensitiveness of body ; sometimes occurring alternately or simultaneously.
Susceptibility to every shock, movement or exertion, and to reading and reflection. θ Megrim.
Sensation of being good for nothing.
All occupation had to be relinquished for the time, so intense were the sufferings. θ Attacks of headache.
Languid. θ Myalgia.
Inability to perform continued active work.
Easily frightened ; unexpected trifles cause him to start.
State of mind most pitiable. θ Prolapsus ani.
Mental emotions exerted an influence in bringing on chronic attacks of headache.
Every excitement of mind, which is very irritable, aggravates all symptoms of headache. θ Prolapsus ani.
Ailments from fright or anger.
Suddenly aroused by his night-bell, and turning out of bed, brought on headache next day. θ Chronic cephalalgia.

Sensorium

Confusion of head, with decided pressure in r. half of head, especially over right brow.
Dizzy with sickness at stomach, < on rising or moving ; > when lying still.
Giddiness and incapacity for all exertion, with headache. θ Prolapsus ani.
Vertigo when shutting eyes.
Vertigo in forehead when walking, or raising and moving head. θ Angina pectoris.
Vertigo from a too copious meal, nausea, obscuration of sight.
Vertigo when assuming an erect position. θ Apoplexy.
Vertigo, it is almost imperceptible when sitting and bending head, but when righting or moving head she feels as if everything turned with her.
Vertigo. θ Paralysis.
Heaviness and confusion of head.
Vertigo with nausea when moving and rising ; > lying.

Inner head

Aching, darting and pressing most in forehead ; < from motion.
Aching in forehead commencing in morning, gradually extends through temples to occiput ; < in afternoon.
Dull pain in forehead ; pain in back and limbs. θ Dysentery.
Pressive pain in forehead when walking, ascending stairs, reflecting or reading.
Pains over one eye, with compression in forehead and greenish vomiting.
Pressive pain in forehead < near warm stove, as if brain was rolled up in a lump.
Rapid stitches in left frontal eminence accompanied by sensation as if an extravasation of blood had taken place.
Stitches in forehead.
Coldness in forehead changing to a heat or sometimes a darting pain ; < from shocks, motion, etc.
Pressure over eyes extending to temples.
The fulness was followed in about an hour by a slight pain in forehead, gradually increasing, extending to temples and occiput, reaching its height towards evening. θ Chronic
cephalalgia.
Pressure over eyes extending towards temples, with sensation as if integuments of forehead were spasmodically contracted.
Sticking pain in temples and forehead.
Headache in left temple returning from time to time ; fine pricking and tearing.
Headache as from a nail thrust into temple, with general sweat about 12 P. M., followed by faintness.
Pressing shooting in both temples, from without inward.
Occasional attacks of very painful headaches, which are either beating or pressing, and in one or the other temple. θ Prolapsus ani.
Pressive headache as if head was being distended from within outward ; pain seems to arise from something soft in vertex, with drawing in vertex and occiput, and tearing towards temples.
Heaviness in middle of brain.
Pressure and confusion of head.
Feels like a heavy weight in head.
Feeling of weight in head and on making any exertion, sensation as if a liquid was fluctuating in brain on day following an attack. θ Chronic cephalalgia.
Feeling at upper part of head as though brain was sore and tender.
Oversensitiveness of whole brain, or in different parts of it. θ Megrim.
Burning in brain, with natural heat of body, night and morning ; < from motion, > at rest.
Congestive and gastric headaches.
Bad effects from falls or blows on head.
Mechanical injuries ; especially with stupor from concussion ; fractures of skull, or even compression (apply externally warm cloths saturated with dilute tincture from the root ; give also internally).
Headache > from motion on pillow. θ Pneumonia.
Early in morning he dare not set about reading, nor working on first getting out of bed without incurring an attack. θ Megrim.
Headache : violent on waking ; in morning, stupefying ; from 3 to 8 P. M., pressive ; on walking in open air, pressing ; with cough, stitch in forehead ; on moving head, stitches in head ; on rising or sitting up in bed ; on reading or
reflecting, pressure in forehead ; on stooping ; on walking, pressure in forehead ; on walking upstairs, pressing in forehead.
Headache with vertigo.
Pain as if a knife was drawn through head transversely from left side ; this is immediately followed by internal coldness of head, which causes hair to stand on end.
Brain affected. θ Diarrhœa and dysentery.
Violent headache on waking in morning, which reached such a point at 8 A. M. that while walking in open air he fell from dizziness ; disappeared at 10 A. M.
Meningitis after mechanical or traumatic injuries, such as concussions, bruises, falling, concussion of brain, etc., when suspecting exudation of blood, fibrine or pus. In such cases we find great sopor and partial paralysis of tongue, oculomotors, iris or limbs.
Meningitis after lesion or concussion, provided there is no complete want of reaction.
Meningitis granulosa with characteristic inclination to vomit.
Serous or bloody exudation. θ Meningitis infantum.
Apoplexy, loss of consciousness, with involuntary evacuations from bowels and bladder, paralysis (left-sided) ; pulse full, strong ; stertor ; sighing, muttering.
Apoplexia sanguinea.
No headache. θ Apoplexia sanguinea.

Outer head

Head feels too large.
Cold sensation in a small spot on forehead as if some one touched him with a cold thumb.
Unbearable feeling as from ice on top of head ; after breakfast.
Burning or hot spots on top of head. θ Prolapsus ani.
Head hot, rest of body cool. θ Iritis. θ Prolapsus uteri.
Pain in occiput as if hair was pulled out or as from severe electric shocks.
A pressure in forehead as if these parts were crushed by a violent concussion ; this feeling extends over face into both cheek bones.
Better by lying low with head. θ Iritis.
Boring head deep in pillows. θ Meningitis infantum.
Pressive headache over eyes extending towards temples, with sensation as if integuments of forehead were spasmodically contracted.
Carries head forward or to right. θ After injury to left eye.
Recurring boils on scalp.

Sight and eyes

Photophobia. θ Apoplexy.
Early in morning fulness of head, soon followed by flickering before eyes, which was increased by reading or writing. θ Headache occurring once or twice a week for twelve years.
Diplopia after injuring eye.
If she attempts to read eyes pain and print seems to dance in a fog and vanish, so she must rub eyes.
Muscæ volitantes.
Cork from a bottle struck right eye seventeen days before, eye swollen for four days ; sees through a mist, pupil moderately dilated and immovable without a trace of exudation.
All turns black before eyes. θ Meningitis infantum.
Loss of sight after a violent blow.
Darkness before eye and loss of vision with headache. θ Prolapsus ani.
Feeling of great weight and heaviness in eyes, with intense headache.
Pressive pinching pain in inner half of right eyeball, gradually ceasing on motion in open air.
Drawing pain in right eye.
Stitches in eyes.
Shooting tearing pains in both eyes and surrounding parts : < in bed and by warmth. θ Ophthalmia.
Burning in eyes.
Insufficiency of superior oblique muscle of left eye.
Traumatic muscular paralysis in a robust man 25 years old.
Double vision and vertigo on looking downward, carries his head somewhat forward and turned to right. θ Traumatic muscular paralysis.
All high objects appear to lean forward and about to fall upon him. θ Traumatic muscular paralysis.
Pupils first contracted, twenty-four hours later dilated.
Contraction of pupils with cloudiness of head.
Dilated pupils, with sensitiveness to light.
Right eye projects from head and looks larger than left.
Eyes protrude, staring, denoting anguish.
Eyes sunken.
Eyes dull, expression stupid. θ Typhus.
Congestion to eyes ; balls bloodshot.
Eyes very red. θ Pneumonia.
Eyeball resembled a piece of raw flesh.
Conjunctiva much reddened ; photophobia. θ Rheumatic fever.
Inflammation of eyes, with suggillations after mechanical injuries.
Subconjunctival ecchymosis, resulting from whooping cough or from injuries.
Rheumatic iritis, marked by much lachrymation, photophobia and redness, with shooting and tearing pains in and around eye ; < at night and by warmth.
Retinal hemorrhage ; expedites absorption of clots.
Amblyopia after a blow on head.
Relaxed condition of bloodvessels and too fluid condition of blood predisposing to hemorrhages. θ Whooping cough.
Traumatic ulceration, with much hemorrhage into anterior chamber.
Lachrymation, shooting and tearing pains in both eyes and in surrounding parts ; < in bed and by warmth.
Considerable lachrymation. θ Ophthalmia.
Sharp fine stitches in inner canthi.
Itching in canthi.
Severe ciliary neuralgia ; head hot, body cool. θ Iritis.
Sensation of oppression and drooping in eyelids as if they could not be raised.
Difficult and painful motion of eyelids, they are swollen, and balls feel as if excoriated ; eyes and lids red ; < closing, > opening the eyes.
Œdema of dry, hot, inflamed lids, with much subconjunctival suggillation. θ Iritis.
Margin of upper lids painful when lids are moved, as if they were dry and slightly sore.
A variety of eye troubles resulting from blows and various injuries ; sometimes applied locally (tincture diluted with water) and sometimes given internally.
Bruised iris after cataract operations.
Traumatic mydriasis.
Traumatic ulceration, with much hemorrhage into anterior chamber.
Dull pain over eyes, even when not using them. θ Asthenopia.
On left orbital ridge very painful, intermitting, dull pressure.
Cramplike pressive pricking under left eye on nasal bone, extending over eyeball.

Hearing and ears

Great sensitiveness to loud sounds, with pain in ears.
Noises in ear caused by rush of blood to head ; with great sensitiveness to sound.
Buzzing and humming before ears with difficult hearing. θ Meningitis infantum ; sequel.
Hard hearing from concussions.
Deafness after typhus.
Rushing in ears with deafness of right and stitches through l. ear.
Pain internally in cartilage of left ear, as if parts had been bruised or contused.
Bruised pain in ears, stitches in and behind ears ; ears very dry.
Feeling of heat externally in left ear and cheek.
Suppurating otitis with stupor.
After suppuration of internal ears. θ Typhus.
Discharge of blood from ear.
Swelling of parotid gland. θ Measles.

Smell and nose

Swelling of nose.
Sneezes twenty or thirty times with a violent slinging motion of the head, until sinking on the bed exhausted ; hardly having recovered his breath another attack follows.
Nose pains from above down as after a violent fall on it.
Epistaxis.
Nosebleed : preceded by tingling ; copious after every exertion ; from mechanical causes ; after washing face ; whooping cough ; typhus ;
blowing nose.
Ulcerated nostrils.
Nose cold, but internally hot ; or with dry heat of face.
End of nose cold. θ Pneumonia.
Pain in glabella over root of nose.
Discharge of several drops of thin blood from nose on first blowing it in morning.
Frequent blowing of nose with traces of blood.

Upper face

Right cheek hanging, mouth drawn to left side. θ Apoplexy.
When breathing, cheek blown up, expanded. θ Apoplexy.
Countenance much sunken.
Face rather pale and a sense of chilliness rather than of heat. θ Chronic headache.
Pale, sunken ; sallow. θ Cholera infantum.
Complexion earthy, looks unhealthy. θ Diarrhœa.
Dry heat in face towards evening, extending as far as behind ears, without any thirst, nose being quite cold.
Redness and burning in one cheek, otherwise cool or, at any rate, not hot.
Face deep red, almost as red as mahogany. θ Typhus.
Face hot and red, with cold legs. θ Meningitis infantum.
Face and forehead hot. θ Apoplexy.
The puffed cheeks are highly reddened. θ Apoplexy.
Swollen cheeks, with throbbing and stinging pain.
Red swelling of right cheek, with throbbing and pinching pain ; swollen lips and great heat in head, with cold body.

Lower face

Lips burn ; are swollen and cracked.
Lower lip trembles. θ Typhus.
Bruised pain (right) articulation of jaw, from motion ; early in morning.
Lower jaw hanging.
Burning heat in lips, with moderate warmth of body.
Pimples on upper lip.
Chapped lips.
Swollen lips with heat in head.

Teeth and gums

Toothache after operation, plugging, etc.
Excruciating pains, cutting, tearing in all teeth of right upper jaw, radiating to ear ; < from external warmth or from inhaling fresh air.
Tooth feels as if forced out of its socket ; throbbing toothache.
Gums sore, swollen. θ Teething children.
Beating and tingling in gums. θ Toothache.
Toothache as if teeth had been bitten out, sprained, were wabbling, throbbing ; teeth feel as if they were pressed out by blood rushing towards them ; they are then more painful when touched.
Toothache and swelling of gums on left upper jaw.

Taste, speech, tongue

Taste : putrid ; of rotten eggs ; bitter.
Dry tongue and disinclination to talk. θ Typhus.
Dry almost black tongue. θ Typhus.
Tongue coated yellow with bitter taste ;
In morning taste of rotten eggs.
Biting sensation on tongue, with soreness burning, and stinging in back part of throat.
Violent burning from fauces through œsophagus to stomach.
Tongue : coated white ; dry, with a brown streak down middle. θ Typhus.
Tongue dry or yellow coated. θ Dyspepsia.
Tongue coated white, with a good appetite and good taste.

Inner mouth

Putrid smell from mouth. θ Typhus.
Saliva diminished.
Spits sometimes a little blood. θ Typhus.
Mouth dry, with much thirst.
Burning scraping in mouth and œsophagus ; increased saliva.

Palate and throat

Stinging in back of throat between acts of deglutition.
Chronic pains in fauces and larynx, < for a long time after an animated talk.
Burning in throat when swallowing.
Pain in fauces as if something hard or rough was lodged there ; afternoon, lying down.
Scraping burning from throat to stomach, which became a troublesome pressure in stomach.
Swallowing almost always improves.
Swallowing is prevented by a sort of nausea as if food would not go down.

Appetite, thirst. desires, aversions

Appetite disturbed, eating increases pain. θ Chronic attacks of headache.
Appetite lessened. θ Diarrhœa. θ Myalgia.
Loss of appetite and sourness of stomach of brandy drinkers, and creates a disgust for brandy.
Total want of appetite for ten days, loathing very sight of food.
Aversion : to meat ; broth ; milk ; smoking tobacco ; brandy.
Thirst for cold water, without fever.
Thirst without any external heat, pupils being little capable of dilatation.
Constant desire for drinks, but knows not for what, as all drinks are offensive. θ Diarrhœa.
Longing for vinegar or sour things ; for alcoholic drinks.

Eating and drinking

After eating, distress in epigastrium.
Vomiting of food, obstinate constipation and restless, sleepless nights. θ Concussion.
During dinner, one cheek hot.
After eating : feels < ; distress in epigastrium (after a blow) ; repletion, and colic-like pressure in several places in abdomen and sides ; fulness in pit of stomach ; pressure on a little spot ; megrim ; toothache ; indolent feeling in legs.
After too copious a meal vertigo with nausea, obscuration of sight.
After drinking : chill increased ; vomits ; drinks much, and then vomits.

Hiccough, belching, nausea and vomiting

Hiccough. θ Meningitis.
Eructations : frequent ; empty ; bitter.
Putrid eructations. θ Uterine prolapsus. θ Diarrhœa.
Eructations like rotten eggs in morning.
Belches after coughing.
Extreme nausea.
Nausea in epigastrium. θ Uterine prolapsus.
Nausea, burning scratching in throat ; general relaxation during forenoon.
Empty retching, ineffectual efforts to vomit Retching at night ; vomiting however does not come on ; in pit of stomach there is a weight as of a lump.
Vomits : least food taken ; bitter, yellow bile ; coagulated blood.
Vomiting of dark red coagula, mouth bitter ; general soreness. θ After injuries.

Scrobiculum and stomach

Stomach distended with wind ; pressure on precordia, oppression of chest.
Pain in stomach as if its coats were spasmodically drawn together, > by eating.
Spasmodic contraction of stomach causes a general pain, but mostly in posterior wall, with a sensation as if wall of stomach would be forcibly pressed towards spine, and as if spine would be made painful from that place downward.
Pinching and pressure in stomach, extended through bowels as a constriction, with much movement.
Pinching, spasmodic griping in stomach Heaviness and pressure in stomach.
Pressive cutting pains in epigastrium, with nausea and retching. θ After blows on stomach.
Soreness in stomach with putrid eructations, like rotten eggs.
Feeling of repletion in stomach with loathing. θ Angina pectoris.
Sensation of hunger in stomach.
Aching or burning distress in pit of stomach, epigastrium distended ; feels < from pressure ; foul belching.
Easy and rapid transfer of cerebral irritation to stomach, ending in nausea, retching and vomiting. θ Megrim.
Much mucus in throat and stomach.
Dyspepsia. θ Prolapsus ani.

Hypochondria

Severe pressure at epigastrium.
Pressive cutting pains in epigastrium, with nausea and retching.
Sensible to pressure in region of liver. θ Stupor.
Stitches in region of liver ; painful when turning in bed.
Pressure : in region of liver ; like a stone, both during inspiration and expiration ; felt lying on left side.
Pressing in region of left ribs below heart, day and night.
Pain and fulness in right hypochondrium from a blow.
Stitches in splenic region, with soreness on pressure. θ Splenitis, in intermittent fevers.
Stitches under false ribs, left side, interrupting breathing when standing.

Abdomen and loins

Sharp thrusts through abdomen from one side to the other.
Pain around navel when moving.
Dull, heavy pain in left hypogastrium, followed in a few hours by a copious discharge. T Dysentery.
Seized in middle of night with violent cutting and burning pains in hypogastrium, mostly left ; pains intermitting, ceasing after fifteen to twenty minutes. θ Dysentery.
Colic resembling dysentery, a kind of grinding deep in hypogastrium, within hips on both sides, accompanied by nausea and slumber.
Intermittent tearing in left half of pubic eminence.
Colic with strangury.
Swashing in abdomen as of water.
Pains in abdomen and headache. θ Angina pectoris.
Right side of abdomen hard, swollen, with pain as if cutting into a wound when touched.
Abdomen bloated. θ Diarrhœa.
Hard swelling of right side of abdomen, with severe pain when touched ; > by escape of flatus.
Tympanitic distension of abdomen, frequent urging to stool.

Stools and rectum

Constricting cramps in rectum while standing.
Painful pressure in rectum.
Ineffectual urging to stool.
Frequent urging to stool, with severe pressure at anus. θ Dysentery.
Tenesmus with severe pains. θ Dysentery.
Inclination to evacuate bowels recurring every four or five hours, tenesmus being severe during stool. θ Dysentery.
Sensation of rumbling in rectum for three days, not attended by stools.
Offensive flatus ; smelling like rotten eggs.
Frequent small stools. θ Dysentery.
Frequent stool ; after every stool is obliged to lie down.
Nightly diarrhœa, with pressive colic, as if from flatulence.
Diarrheic stool with some cutting in intestines.
Frequent small stools consisting only of mucus.
Diarrheic stools yellowish or sometimes bloody.
Diarrhœa, stools resembling brown yeast.
Painless stools of undigested food.
Involuntary discharge of feces during stupor. θ Typhus. θ Meningitis infantum
(in later stages).
Stool involuntary during sleep (also urine). θ Fevers. θ Apoplexy,
etc.
Stools : of undigested food ; bloody ; purulent ; bloody, slimy, mucous, with urging and violent bellyache ; dark, bloody, mucous, with sore, bruised feeling in abdomen ; brown, fermented (like yeast) ; averse to food ;
fetid breath ; very offensive, papescent, at times involuntary ; involuntary during sleep ; frequent, small, mucous ; fluid, foamy, terribly offensive, acrid.
Tenesmus followed by a copious thin or pap-like sourish-smelling stool, giving great relief.
Urging to stool every half hour, nothing but slime being passed.
Frequent, fluid, frothy, acrid, very fetid stools, with much flatulence ; girl, æt. 2 1/2.
Scanty, slimy, dark colored, bloody stools. θ Dysentery.
Dark, bloody, mucous stools, with sore, bruised feeling in abdomen. θ Dysentery.
Excessive pain and discharges of pure blood and mucus. θ Dysentery.
Copious discharge of dark, venous blood, amounting in quantity at a time to about a quart, came on at intervals of about four hours, greatly relieving pain in abdomen for an hour or two. θ Dysentery.
Dysentery with ischuria, or tenesmus of neck of bladder with fruitless urging.
Most marked indication is long intervals between stools, namely from four to six hours. θ Dysentery.
Stool tardy. θ Apoplexy.
Obstinate constipation after a blow on epigastrium.
Constipation. θ Pneumonia. θ Paralysis.
Before stool : abdomen distended.
During stool : rumbling and pressure in abdomen ; urging, tenesmus, passing only slime and mucus.
With slimy stools : bruised pain in back.
After stool : must lie down.
Pain in anus as if it was bruised. θ Dysentery.
Pressive pains in anus and rectum, mostly in anus. θ Dysentery.
After suffering much from hemorrhoids a very troublesome and painful prolapsus of anus lasting four months.
After walking five or ten minutes prolapsus protrudes and hinders him from going any further, forces him to return without delay.
During headaches rectum does not fall down and vice versa. θ Prolapsus ani.
A man after suffering from hemorrhoids in a weakened and relaxed state. θ Prolapsus ani.

Urinary organs

Chill followed by nephritic pains, nausea and vomiting, without relief ; vomiting produces excruciating pain in epigastrium, extending to right hypochondrium and down to groin. θ Nephritis.
Piercing pains as from knives plunged into kidneys ; chilly, inclined to vomit.
Agonizing pains in back and hips as from passing calculi. θ Renal colic.
Traumatic inflammation of bladder.
Bladder affections after mechanical injuries.
Bladder feels overfilled, ineffectual urging.
Tenesmus of bladder ; urine drops involuntary.
Tenesmus from spasms of neck of bladder.
Infants scream from pain in bladder.
Constant urging while urine passes involuntary in drops.
Frequent attempts to urinate.
Has to wait a long time for urine to pass.
Retention of urine from exertion.
Ischuria with dysentery.
Spasmodic ischuria with hot hoofs, excrement in small balls (horses).
Involuntary urination at night during sleep. θ Apoplexy. θ Typhus,
etc.
Involuntary urination when running.
Involuntary urination at night with a red sediment. θ Paralysis.
Increases watery constituents of urine.
Frequent pale urine.
Extensive diuresis. θ Meningitis.
Urine in small quantity, staining napkin yellow brown. θ Cholera infantum.
Urine of a very dark brown color.
Urine brown with lateritious sediment.
Brown clear urine which immediately becomes whitish and turbid.
Urine dark brown, scanty ; brick-dust sediment.
Urine red. θ Liver complaint.
Brick-dust sediment in urine. θ Prolapsus uteri.
Scanty red urine very offensive.
Urine scanty, infrequent ; sometimes frequent urging.
Urine difficult, scanty, dark, with thick brown sediment. θ Nephritis.
Bloody urine.
Hæmaturia from mechanical causes.
Urine thick, with much pus and some blood globules, but no tubes. θ Nephritis.
Urine very acid, with increase of specific gravity.
Before urination ; agonizing pains in back and hips ; pressure in bladder.
During urination : burning pain along perineum and discharge of pus from urethra. θ After a fall on perineum.
At end of urination : cutting in orifice of urethra.
After urination : stitches.

Male sexual organs

Violent sexual desire, continued erections (weak old man).
Violent continued erections often waking.
Feeling of weakness, relaxed testicles, as after an emission ; early in bed.
Emission of semen (day or night) during an affectionate caress.
Testes indurated, swollen and tender.
Spermatic cords painfully swollen, stitches in abdomen.
Hydrocele caused by a bruise.
Penis and testicles swollen purple red ; after injuries.
Erysipelas of scrotum extending to anus.
Phymosis from friction ; parts bruised and much swollen.

Female sexual organs

Pains like from spraining in ovarian region (groin), obliging her to walk bent. θ Ovarian diseases.
Metrorrhagia after coition. θ Prolapsus uteri.
Bruised sore feeling remains after a hurt in abdomen, cannot walk erect. θ Prolapsus uteri.
Prolapsus uteri caused by a concussion leaving a sore, bruised feeling in uterine region, which prevents her from walking erect.
Ulcers of uterus with a tendency to bleed.
Menses generally too soon ; nausea in epigastrium.
Menses too frequent and profuse. θ Prolapsus uteri.
Bloody discharge between menstrual periods. θ Prolapsus uteri.
Blood bright red with mixed clots. θ Prolapsus uteri.
Uterine hemorrhage.
Labia painfully swollen.

Pregnancy. parturition. lactation

Pain between crest of right ilium and sacrum during pregnancy.
It feels as if fetus was lying crosswise.
Threatened abortion from falls, shocks, etc. ; nervous, excited ; feels bruised.
Labor pains : violent, yet they do but little good ; weak, or ceasing, wants to change position often ; feels bruised.
Metrorrhagia after coition. θ During pregnancy.
Constant dribbling of urine after labor.
Soreness of parts after labor ; prevents hemorrhage.
Hemorrhages bright red or mixed with clots ; head hot, body cool.
After pains violent ; return while suckling.
Ruptured perineum (applied externally).
Prophylactic against pyæmia in childbed fever.
Swelling of mamma from contusions.
Mastitis from bruises ; erysipelatous inflammation.
After an abscess in left mamma, the right became hard and tender, the left being opened instead of cured by inward medicine ; the right became swollen and red, pitted on pressure, the horrible cut with the knife brought no matter ; three days later the
lancet was plunged in again, pus and blood came, but not freely ; towards night breast got painful, middle of night tremendously swollen. Finally the cut closed, but left an angry bright redness of surrounding skin, which changed to a malignant purple hue, the woman became greatly
exhausted and shivered. Arnica lotion relieved at once, and very soon there followed a healthy discharge from the abscess.
Sore nipples.
Child is breathless, bruised ; or the mother has had a long, painful labor. θ Asphyxia neonatorum.
Nipples of child swollen and tender, Chamom. ; after pinching by nurses, Arnica.

Voice and larynx. trachea and bronchia

Voice deep, or low, muttering.
Hoarseness from overusing voice ; also early in morning.
Raw, scraped sensation along trachea and bronchi.
Tickling sensation in trachea.
When lying down, crackling sensation in trachea ; evening.
Hoarseness of preachers and military officers, from long preaching and commanding, also of conductors from calling out the railway stations.
In throat, sound of a subdued whistle.
Cough is difficult, most in lying position. θ Apoplexy.

Respiration

Breath fetid, short, panting.
Worse on inspiration ; > expiration.
Inspiration quick, expiration slow.
Quick inspirations and expirations.
Short, panting breathing. θ Angina pectoris.
Oppression of chest, with anguish and heat in head.
Anxiousness and dyspnœa ; when getting awake.
Dyspnœa, head hot, face red, body cool.
Dyspnœa from a blow on epigastrium.
Asthma, with inclination to move about ; sleepless, before midnight ; looks as if dying.
Asthma from fatty degeneration of heart.
Suffocative oppression of chest.
Children when angry lose their breath.

Cough

Dry, short, hacking cough.
Cough produced by itching irritation in upper part of larynx, during siesta.
Constant insupportable tickling in larynx and trachea, causing cough day and night. θ Pneumonia.
Tickling in lower part of trachea, and dry, hacking cough, most at night.
Dry cough, with tickling in chest.
Constant dry cough, which shakes whole frame.
Child weak, fretful, has a frequent short cough. θ Diarrhœa.
Cough after screaming or crying.
Cough excited by cries in children when accompanied by anger and tossing about.
After gaping he coughs.
Cough after measles.
Cough at night during sleep.
Paroxysms of cough at night during sleep, not awaking. θ Heart disease.
Whooping cough : child cries before paroxysm as though in fear of soreness it will cause ; cough causes bloodshot eyes, nosebleed ; expectoration of foaming blood, or clots of blood.
Sputa loosened with difficulty.
Spitting of frothy phlegm with water. θ Pneumonia.
Expectoration : offensive, green, purulent, blood-streaked ; when loosened must be swallowed ; day and evening scanty, difficult expectoration of transparent, glairy slime, mixed with black dots, or bloody. θ Bronchitis.
Sputa mixed with blood.
Severe hæmoptysis in a phthisical patient ; blood darkish, semi-fluid, and expelled after a hacking cough.
Hemorrhage after mechanical injuries ; slight spitting of black, thick, viscid blood, or bright red, frothy blood, mixed with mucus and coagula.
Hæmoptysis.
During cough : scratching in throat, tickling in trachea ; rawness, stitches in chest ; asthma ; catching of breath ; congestions and heat ; bruised feeling in ribs ; vomiting ;
pressure and stinging in head ; prickling on head.
Cough, with stitching in sides of chest.
Cough, producing a feeling in ribs as if all of them were bruised.

Inner chest and lungs

Great tightness of chest, with difficult breathing.
Pressive pain in (r.) chest, at a small spot, not increased by motion, touch or inspiration.
Oppression of chest, with anguish. θ Angina pectoris.
Sensation of an oppressive weight at upper part of chest, with a feeling of constriction in throat.
Pains in right side of chest, dependent on overexertion of r. arm. θ Myalgia.
Aching pains in chest.
Dull aching pain in left chest. θ Pneumonia.
Chest sore when coughing, sputa blood-streaked ; cannot raise the loosened mucus.
Burning or rawness in chest.
His chest feels affected, raw ; his sputa is sometimes tinged with blood, especially when walking.
Stitches in chest (l.), worse from a dry cough ; < from motion ; > from external pressure.
Violent stitches in middle of left chest.
Stitches in left chest near sternum, during a deep inhalation. θ Angina pectoris.
Stitching in one side of chest, with a short cough, which creates pain.
Pleurisy after mechanical injuries ; must continually change position, bed feels so hard.
Pneumothorax from external injuries.
Pneumonia after whooping cough, especially where there is much soreness on coughing.
Chest sore when coughing, sputa blood-streaked ; cannot raise the loosened mucus. θ Pneumonia. θ Pertussis.
All joints of bones and cartilages of chest feel painful, as if they were sprained, bruised ; during motion and breathing.

Heart, pulse and circulation

Pain from liver up through left chest and down left arm ; veins on hand swollen, purplish ; sudden pain, as if heart was squeezed, or as if it got a shock. θ Angina
pectoris.
Region of base of heart feels as if bruised.
"Strain of the heart," from violent running.
Irritable cardiac action. θ Myalgia.
Fatty degeneration of heart.
Great cardiac distress.
Stitches in cardiac region.
Painful pricking in region of heart.
Stitches in heart from left to right, with fainting fits. θ Angina pectoris.
Heavy breathing ; stitches, burning ; palpitation.
Congestion to head and chest, with sensation of heat in these parts, and coldness of the rest of body.
Palpitation after almost any exertion ; goes off by rest.
Beating of heart, more like a quivering. θ Angina pectoris.
Pulse not full nor rapid, temperature not increased. θ Chronic attacks of headache.
Pulse 72, less frequent and weaker than usual. θ Apoplexy.
Full, hard, slow pulse. θ Typhus.
Pulse : accelerated, full, hard ; sometimes quicker than beat of heart ; intermittent, feeble, hurried, irregular ; fluttering.
Pulse, in rest, below 60, after moving, above 120. θ Nephritis.
When the pulse grows slow it is weak. θ Very low, weak, rapid pulse. θ Typhus.
Faintness, feeble, hurried, variable pulse and irregular rhythm of heart, horror of instant death. θ With cardiac distress in night.

Outer chest

Articulations and cartilaginous connections of chest feel as if beaten, when moving, breathing, or coughing.
Violent stitches in middle of left chest.
Pain through thorax, stitches with cough, which increased the pain.
Pressive pain in right chest, at a small spot which remains unaltered either by motion, contact, or breathing.
Pains in intercostal muscles.
Pains in left side of chest, at insertion of greater and lesser pectorals ; had to lift heavy weights with left hand. θ Myalgia.
Severe pain in left side of chest and abdomen ; pain was not only along insertion of pectorals, especially their lower portion, but also along digitations of external oblique abdominis and serratus magnus, from working in a constrained position.
Red sweat on chest.

Neck and back

Weakness of cervical muscles : they do not support the head steadily.
Violent spinal pain, as from sudden rising after long stooping.
Her head feels so heavy, and is so movable from weak, cervical muscles, that it inclines easily to all sides.
Great sensibility of cervical vertebræ to pressure. θ Congestive chills.
Great soreness of back.
Fulness and pressure in lumbar region.
Sensation of a great weight across lower part of loins, and feeling of being drawn in, as if a cord was tightly drawn across.
Tingling in back.
Spine pains, as if not capable of carrying body.
Pain in region of lumbar vertebræ. θ Nephritis.
Small of back pains ; stitches when coughing breathing deeply, or walking.
Right scapula and small of back painful, as if beaten.
A peculiar painful sensation extending down back, as comes sometimes from continued stooping in hard work, in rising from bed in morning.
Pressive pain between scapulæ, which seemed to extend from posterior wall of stomach.
Pain in right scapula towards back, as after a violent blow or fall.
The small of the back is painful, as if it had been beaten.
Bruised feeling in whole body, especially in region of dorsal and cervical vertebræ, and great weakness of muscles of neck, pain as of a bruise, and compression of chest.

Upper limbs

Violent twitching pain from shoulder joint to middle finger.
Anterior surface of arms feels bruised.
Arms feel weary as if bruised by blows ; he was unable to bend his fingers inward.
Cannot lift right arm. θ Apoplexy.
Sensation as if joints of arms and wrists were sprained.
Pains in arms and hands, as if knocked against something hard.
Forearm and hand much swollen and red, surface covered with vesicles.
Slight cracking and sensation of dislocation in right wrist when moving hand.
Left wrist powerless ; feels as if he could not use arm.
Tearing, twitching, drawing pain during rest on ulnar side of dorsum of right hand.
Veins of hand distended, with full, strong pulse.
Erysipelatous inflammation, left hand dark blue, and covered with large and small vesicles, which gave skin the appearance of a rhinoceros hide.
Drawing in right thumb.
Acute bruised pain in balls of thumbs.
Cramps in fingers of left hand. θ Angina pectoris.
Ends of fingers cold. θ Pneumonia.
Violent twitching pain, extending to middle finger.
Pressive pain in joints of right ring and little fingers.
Tearing in tips of left ring and little finger.
Drawing pain in skin of dorsum of left little finger.
Itching pimple between thumb and index finger ; when touched, a fine stinging pain, as if a splinter were in it.

Lower limbs

Abscess of psoas muscle.
Drawing pressing pains in left hip joint, thigh being extended, when sitting.
Hips pain as if sprained.
Boring, tearing pains shifting from right hip joint to various parts ; < at night, cannot find an easy position ; bearable during day, and during motion. θ After a sprain.
Formication ; lame feeling ; must often change position, bed or chair seems so hard. θ After exertion, long marches, etc. θ Sciatica.
Pain in thighs when walking, as from a blow, or contusion.
Thighs livid, with blue yellow marks, as if black and blue.
Blue spots appeared on thighs, which felt as if bruised when touched ; these spots were more numerous after mental emotion or exertion.
Carbuncle on thigh.
Large open, inflamed carbuncle, red ; on inner side of left thigh.
Knee joints suddenly bend when standing, feet numb, insensible.
Prick in knee when touched.
Complains of a feeling as if knee was dislocated, and of a paralytic weakness of whole limb. θ After an injury.
Hygroma patellæ.
White swelling of knee.
Intense burning at a small spot on outside of left tibia.
Pain in calf of right leg, as from a blow, with lassitude of legs.
The right lower limb cannot be used as usual. θ Apoplexy.
Tingling in legs.
Arthritic pains in foot, < towards evening ; fears passersby may strike it ; big toe joint red, feels sprained.
Arthritic pain in foot, with a little fever towards evening.
Tearing pain in right external malleolus, and on dorsum of foot.
Drawing in outer half of back of left foot.
Want of power in ankles and feeling of a heavy weight in each instep.
Tarsal joint pains as if sprained.
Violent burning in feet.
Feet feel tired or inflamed after a walk.
Hot erysipelatous inflammation and painfulness of foot.
A splinter ran deep into sole months ago, producing a great deal of proud flesh, came out after inner and outer use.
When walking, on raising left foot, and bending left ankle, crawling in outer half of left sole, as if nerve was pulled.
Tearing in left little toe.
Corns (pare them and apply externally).
Young lady subject to headache and neuralgia ; when headache got >, the same pain would come on in some small spot on lower extremities.

Limbs in general

Heaviness in limbs.
Paralytic pain in all joints during motion, as if bruised.
Limbs as if bruised at rest or in motion ; painful concussion from jolting of carriage or stepping firmly.
Soreness in limbs. θ Meningitis.
Limbs ache as if beaten. θ Intermittents.
Tearing, with soreness, numbness, swelling, or tingling.

Rest. position. motion

Motion : dizziness and sick stomach < ; stitches in head ; aching and pains in forehead < ; vertigo < ; burning in brain < ; pinching in eyeball > ; pains in chest < ; pulse 120 ; paralytic pains in all joints < ; bruised feeling of
limbs ; chills <.
In walking, feeble, as if suddenly blighted with old age.
Walking : in open air relieves pinching in right eyeball ; pressure in forehead ; when running, urine involuntary ; small of back pains ; thighs pain as from a blow ; crawling in outer half left sole ; vertigo ; prolapsus ani ; cannot think
after walk in open air.
Walks bent : prolapsus uteri.
Stooping : headache.
Running : involuntary urination.
Rising : dizziness and sick stomach < ; headache.
Sitting : pain in left hip joint ; headache.
Undisturbed horizontal posture alleviated some, and a few hours of sleep made it to disappear. θ Chronic attacks of headache.
Ascending : pressive pain in forehead.
Standing : cramps in rectum.
Must lie down : after stools ; from weakness.
Lying : dizziness and sick stomach > ; on left side, pain in region of liver ; stinging in skin ; feels hot, etc. ; must lie stretched out on back ; must lie down after stool ; pain in fauces as from something rough ; relieves vertigo ; must lie
stretched out on back, megrim ; with head low, iritis is better.
Better when lying on side or on back.
At rest : burning in brain > ; pain in eyes < ; pulse 60 ; limbs feel bruised.
Turning in bed : liver painful.
Complaints from exertion : hoarse, overusing voice ; palpitation ; formication, lame ; paralysis ; bruised feeling ; sciatica ; weary, faint ; retained urine ; nosebleed.
Every exertion : walking, stooping, talking, increases pain to an almost insufferable extent. θ Chronic attacks of headache.
Inclination for motion : asthma, etc., boring pains, better.
Better with head low or in a horizontal position ; < rising from a seat or assuming an erect position.
Complaints when overhurried : urine involuntary when running, etc.

Nerves

Twitching of muscles.
Head feels hot to him, body feels chilly and cold, between frequent attacks of violent convulsions. θ After Acon.
Tired feeling, as after hard work or as if beaten. θ Intermittent.
General weakness.
Great weakness. θ Apoplexy.
Great weakness followed by fearful exhaustion and shivering, after repeated useless lancing of abscesses of mamma.
Weary, bruised, sore, great weakness, must lie down, yet bed feels too hard.
Weakness, weariness, sensation as of being bruised ; these symptoms oblige him to lie down.
Much reduced by long continuance of intermittent.
General relaxation during forenoon, with nausea.
General fatigue, lassitude and sleepiness.
Went to bed languid and exhausted.
Lassitude and sluggishness of whole body ; scarcely able to stand.
Loss of strength and of all sense of health.
Great sinking of strength.
Great prostration. θ Typhus.
General sinking of strength ; he can scarcely move a limb. θ Typhus.
Paralysis depending on extravasation of blood in brain.
Paralysis : generally painful ; left-sided (after apoplexy) ; partial, from concussion of spine or brain.

Sleep

Frequent yawning in evening, without sleepiness.
Sleepiness ; too sleepy early in evening.
Languor, drowsiness. θ Cholera infantum.
Drowsy state. θ Meningitis infantum.
While answering, falls into a deep sleep before finishing. θ Typhus.
Somnolence.
Is often kept awake until 2 to 3 A. M. from heat, restlessness and constant desire to change position ; or from prickling stinging biting, now here, now there, on body.
Sleep restless, frequently wakened by dreams.
Restless sleep. θ Apoplexy.
Sleep at night restless and interrupted. θ Diarrhœa.
Unrefreshing sleep, loud blowing breathing.
Lies preferably with head low or horizontally.
Sleepless all night, has to lay limb now here and now there, but no relief. θ Caries.
Passes many nights sleepless. θ Prolapsus ani.
Cannot fall asleep, fantastical visions while lying awake.
During sleep loud talking, whimpering, loud blowing in and expirations ; feces and urine pass involuntarily ; head jerked backward.
Loud crying out in sleep. θ Meningitis infantum.
Involuntary expulsion of feces while asleep.
Sleep was much disturbed.
On falling asleep : starts as in fright ; is aroused by heat.
Frequent starting in sleep. θ Meningitis infantum.
Falling asleep, lying on one side, he has pleasant dreams, but awakes with a violent pain in shoulder joint and arms ; hands fall asleep.
Falling asleep while lying on back ; awful dreams of robbers and murderers, and of being buried alive, suffocation, etc.
Dreams : vivid ; frightful, of graves, black dogs, struck by lightning, etc. ; unrefreshing, anxious, with talking. θ Typhus.
Many vivid dreams. θ Meningitis infantum.
Dreams repeat ; had the very same often before.
Awoke six or seven times, each time from dreaming that he was dying, his bed surrounded by friends, to take their last leave.
When getting awake, they stare and look about anxiously, with small pupils. θ Meningitis infantum.
On waking in morning, paralyzed on right side.
Worse after a long sleep, or on awaking.
Early after getting up, he dare not at once read or work mentally, without getting a spell. θ Megrim.

Time

Night : retching ; urine, stool involuntary ; coughs in sleep ; boring, tearing, right hip joint.
Night : violent, cutting pains in hypogastrium ; involuntary urination ; cough, with heart disease.
At 12 P. M. : sweat, with headache.
Early morning : fulness in head ; great thirst ; dry heat.
Morning : nose bleeds on blowing ; taste of rotten eggs.
Forenoon nausea ; chilly.
Noon : one cheek warm during dinner.
Afternoon : aching in forehead < ; pain in fauces as of something hard, rough.
Day and evening : expectoration scanty.
Towards evening : headache < ; arthritic pains <.
Evening : dry heat of face ; crackling in trachea ; sleepy too early.
Evening until midnight : cough.
Night and morning : burning in brain.
Day and night : cough.

Temperature and weather

Inclination for open air ; > in open air.
Warmth : pain in eyes ; teeth <.
Near warm stove : pressive pain in forehead <.
Sudden cooling after overheating, followed by a consumptive cough.
Wants his cold feet covered.
Worse in damp, cold weather. θ Paralysis.
Temperature changeable, one time cold, and another warm. θ Diarrhœa.
Longing to be in the free open country air.
All Summer and Autumn. θ Dysentery.
Washing whole body with cold water is the only thing that gives relief for the time. θ Prolapsus ani.
Chilly when uncovering.

Fever

Frequent violent attacks of chills. θ Nephritis.
Chilly morning or forenoon ; before chill, yawning, thirst for large quantities of water ; drawing in periosteum.
Chill : most in evening, with much thirst already before chill ; after every sleep ; felt in pit of stomach ; one-sided ; on side lain on.
During chill, thirst, head and face hot.
Violent chill, lasting six hours, succeeded by fever for eight hours, both returning every day towards evening. θ Dysentery.
Shivering over whole body and head, at same time heat in head, and redness and heat in face, accompanied by a coolness of hands and a feeling as of hips, back and anterior surface of arms being bruised.
Chilly internally, with external heat.
Chilly, with heat and redness of one cheek.
Head feels hot to him, body chilly and cold ; < between frequent attacks of convulsions.
Upper part of body warm, lower part cold. θ Paralysis.
Head and breast warm, abdomen and limbs cold. θ Cholera infantum.
Heat of upper part of body, coldness of lower.
Heat alone, or face alone hot, body cold.
Great internal heat ; hands and feet being cold.
Dry, general heat after waking ; early morning, violent thirst ; uncovering makes him chilly ; chilly even when moving in bed.
Dry heat over whole body after waking early in morning.
Heat, with indifference, stupor ; drinks less. θ Typhus.
Flushes of heat, with thirst. θ Typhus.
Continuous heat, with such weakness that when attempting to sit up he faints.
Sweat : sour or offensive ; sometimes cold.
Offensive odor of moist skin ; breath putrid. θ Typhus.
Worse when sweating ; sweat partial on front of body ; aversion to uncover.
General sweat about midnight, followed by faintness. θ With headache.
The exhalations smell sour ; nightly sour sweat.
All three stages, rigor, heat and sweat well marked.
Thirst great before and during chill, less during heat and with sweat almost gone. θ Intermittent after quinine.
Malaria intermittent.
During apyrexia in intermittent fever, headache, yellow face, bitter taste, aversion to meat.
Traumatic fevers.
Hectic fever, emaciation. θ After a blow on stomach.
Typhus or dysentery with little pain in abdomen.
Typhoid conditions.
Putrid fevers.

Attacks, periodicity

Worse during increase of moon.
Periodical attacks of megrim.
Spasms of cough.
Heat in oft-repeated short attacks.
Periodically repeated rheumatic pleurisy.
Every day : violent chill ; nightly diarrhœa.

Locality and direction

Unilateral commencement of pains. θ Megrim.
Right : pressure in half of head, especially over brow ; headache ; carries head to right after injury to left eye ; drawing pain in eye ; eye projects from head ; pressive pain inner half right eyeball ; rushing in ears, deaf in right ;
cheek red, swollen ; jaw pains ; cutting in teeth right upper jaw ; pain and fulness in hypochondrium ; right side of abdomen hard, swollen ; pains in side of chest from excessive use of right arm ; scapula painful ; sharp drawing back of hand ; wrist
as if dislocated ; pressive pain joints of ring and little fingers ; pains shift from hip ; calf pains as from a blow ; malleolus pains.
Left : pain in head ; stitches in frontal eminence ; pain as if knife was drawn through head transversely ; pricking under eye ; stitches in ear ; cartilage as if bruised ; ear and cheek hot ; pressure in liver, lying on l. side ; pressure in
ribs below heart ; stitches under ribs ; dull heavy pain in hypogastrium ; pain from liver to left chest and down left arm ; aching in side of chest ; stitches middle left chest ; left scapula to middle finger ; pain in abdomen ; drawing pressive pain
in hip joint ; hand dark blue ; wrist powerless ; paralysis ; cramps in fingers ; drawing in skin of little finger ; hip ; tibia burns ; foot ; little toe ; crawling in sole ; epigastrium to right hypochondrium.
Left to right : abscess of mamma ; stitches in cardiac region ; pain as if a knife was drawn through head.
Within outward : pressive headache.

Sensations

As if brain was rolled up in a lump ; as if head was being distended, or feels too large ; as if an extravasation of blood had taken place in forehead ; as if integuments of forehead were spasmodically contracted ; as from a nail thrust into temple ;
as of a heavy weight in head ; as if a liquid was fluctuating in brain ; as if brain was sore and tender ; as if some one touched forehead with cold thumb ; as of ice on top of head ; as if eyes could not be raised ; eyeballs as if excoriated ; as if lids
were dry and slightly sore ; as if parts of ear had been bruised ; as if a knife was drawn through head transversely from left side ; as if forehead and cheekbones were crushed ; as if hair was pulled out in occiput ; as if teeth were forced or pressed out ; as
if something hard or rough was lodged in fauces ; as of a lump in pit of stomach ; as if wall of stomach was forcibly pressed towards spine and as if spine would be made painful from that place downward ; as of water in abdomen ; as if cutting into a wound in abdomen when
touched ; colic as if from flatulence ; back pains as if beaten ; as if knee was dislocated ; as if coats of stomach were spasmodically drawn together ; as if squeezed together, cardiac pain ; as if a cord was tightly drawn across lower part of loins ; as
if fetus was lying crosswise.
Excruciating pain : in teeth of upper jaw ; in epigastrium ; in back and hips.
Stitches : rapid, in left frontal eminence ; in forehead ; in eyes ; in inner canthi ; through left ear ; in region of liver ; in splenic region ; under false ribs ; through abdomen ; in urethra ; in abdomen ; in chest ; in
cardiac region ; in small of back.
Cutting : in teeth ; in epigastrium ; in hypogastrium ; in intestines ; like knives through kidneys ; in orifice of urethra.
Shooting : in and around eyes.
Sharp thrusts : through abdomen.
Sticking pain : in temples and forehead.
Stinging : in throat.
Pricking : and tearing in forehead ; in knee.
Darting : in forehead.
Splinter pain : in pimple between thumb and index finger.
Tearing : towards temples ; in and around eyes ; in teeth ; in left half of pubic eminence ; in right hand ; in right hip joint ; in right foot ; in left little toe ; in finger tips ; in limbs.
Drawing : in vertex and occiput ; in right eye ; in right hand ; in left hip joint ; in left foot ; in right thumb ; on back of left little finger ; in periosteum.
Biting sensation : on tongue.
Stinging : in back part of throat ; in head.
Burning : in brain ; in eyes ; in cheek ; in lips ; in throat ; from fauces to stomach ; in stomach ; in hypogastrium ; along perineum ; in chest ; in cardiac region ; on outside of left tibia ; in feet ; in calf of
right leg.
Scraping burning : in mouth and œsophagus.
Raw scraped sensation : in trachea and bronchi.
Soreness : in upper part of head and brain ; in back part of throat ; in stomach ; of parts after labor ; of chest ; of back ; in limbs.
Aching : in forehead ; through temples to occiput ; in stomach ; of chest ; in limbs.
Pressure : in right half of head over brow ; in forehead ; in eyeball ; in stomach ; on precordia ; at epigastrium ; in region of liver ; in anus and rectum ; in bladder ; in right chest, at a small spot ; in lumbar region ;
between scapulæ ; in left hip joint ; in finger joints.
Pressing shooting in temples.
Pinching : in eyeball ; in stomach.
Grinding : deep in hypogastrium.
Griping : in stomach.
Boring : from right hip joint to various parts.
Arthritic pains : in foot.
Sprained sensation in teeth ; in groin ; in joints of bones and cartilages of chest ; in joints of arms ; in hips ; in big toe ; in tarsal joints.
Sensation of dislocation ; in right wrist ; in knee.
Bruised feeling : in and behind ears ; in nose ; in articulation of right jaw ; in abdomen ; in anus ; in back ; in ribs ; in joints of chest ; base of heart ; in right scapula and small of back ; in whole back ; in thighs, in
arms ; in balls of thumbs ; in lower limbs.
Twitching pain : from shoulder joint to middle finger ; in dorsum of right hand ; in middle finger.
Cramps : in fingers of left hand.
Cramplike, pressive pricking in left eye and nasal bone.
Dull pain : in forehead ; back and limbs ; over eyes ; in left hypogastrium.
Undefined pain : over one eye ; in ears ; over root of nose ; around navel ; in abdomen ; in bladder ; between crest of right ileum and sacrum ; in right side of chest ; intercostal muscles ; in lumbar vertebræ ; in calf of right
leg.
Throbbing : stinging or pinching in swollen cheek ; toothache.
Fluctuating sensation : in brain ; in abdomen.
Constricting cramp : in rectum.
Tightness : of chest.
Constriction in throat ; constricting cramps in rectum.
Electric shocks : in occiput.
Fulness : in pit of stomach ; in right hypochondrium ; in lumbar region.
Heaviness : of the head ; in middle of brain ; in eyes ; in stomach like a weight at upper chest ; in insteps ; in limbs.
Heat : in forehead ; of head ; in left ear and cheek.
Coldness : in forehead ; in head, after knifelike pain ; as if touched with a cold thumb on forehead ; like ice on top of head ; of nose ; of body.
Crackling sensation : in trachea.
Crawling, as if nerve was pulled, in sole of left foot.
Tingling : in nose ; in gums ; in back ; in lower limbs.
Scratching : in throat ; crackling sensation in trachea.
Prickling : in head.
Tickling in trachea.
Itching in canthi ; all over.

Tissues

Concussions and contusions.
Bleeding of internal and external parts.
Venous enlargements, varicose tumors on lower limbs. θ Dysentery.
Burrowing pus, not painful.
Prevents suppuration.
Prevents formation of pus by withdrawing water from serum ; the watery contents of urine increase without increased drinking. Grauvogl.
Exudations in brain and spine.
Dropsy of internal parts.
Hyperinosis is rather a contra-indication for Arnica.
Muscles rigid.
Septicemia ; tendency to typhoid forms.
Myalgia ; particularly after overexertion.
Jactitation of tendons.
Painful sensitiveness of all joints and of skin, on making slightest motion.
Gout and rheumatism.
Bones (periosteum) ache. θ Intermittent.
Paralysis of sphincters. θ Typhus.
Inflammation of skin and cellular tissue ; tender on pressure.
Emaciation. θ Hectic fever. θ Subacute pneumonia.

Touch. passive motion. injuries

Better from gentle pressure. θ Iritis.
Stitches in chest >.
Painfulness of limbs to touch.
Everything on which he lies seems too hard.
Bed-sores ; especially sacral region and hips. θ Typhus.
Worse after riding ; sick stomach from car or carriage riding.
After overlifting, attacks of violent sneezing.
Sprains, with much swelling, bluish redness, intense soreness.
After bruises with blunt instruments. θ Iritis.
Concussions ; falls ; mechanical injuries.
Contusions without laceration.
Friction : phymosis.
Stings of bees or wasps ; splinters.
Compound fractures, and their profuse suppuration.
Pressure : aching in epigastrium < ; liver sensitive ; spleen sore ; stitches in chest >.
Mechanical injuries : concussion of brain while there are unconsciousness, pallor or drowsiness ; weak, intermitting pulse ; cold surface, and other indications of depressed vitality from shock ; threatened abortion ; ovarian
troubles ; orchitis ; mastitis, etc., etc.

Skin

Intense pricking or itching on entire body.
Skin hot and dry. θ Pneumonia.
Hot, red, œdematous skin.
Petechiæ, ecchymoses.
Hot, hard, shining swelling, from insect-sting.
Red spots first on limbs, then upon trunk.
Bed-sores ; especially sacral region and hips.
Erythema nodosum.
Phlegmonous erysipelas.
Erysipelatous inflammation, left hand dark blue.
Eruption like pin-heads, with redness of skin.
Irritable and slightly vesicular eruption.
Numerous small semitransparent vesicles with red bases, on some parts confluent, great and excessive irritation from itching. The course of the eruption was : first heat and great itching of skin, then redness, then vesicles, increasing in size, with intolerable itching ;
slight desquamation, followed with some redness of skin ; where irritation had been worst the skin remained for some time hard, leathery.
Many small boils painful, one after another ; extremely sore.
Carbuncle.
Varicose ulcers : torpid ; dirty, bluish bottom ; no pus, but watery, fetid secretion, half-transparent crusts, like thick glue, fetid ; painful ulcers.

Stage of life, constitution

Dark hair, rigid muscle.
Hydrogenoid constitution of Grauvogl.
Light complexion, sandy hair, sanguine. θ Whooping cough.
Nervous, cannot stand pain. θ Prolapsus uteri.
Especially suitable to those who remain long impressed by even slight mechanical injuries.
Nervous women, sanguine plethoric persons, with red face. θ Prolapsus uteri.
In cases of sanguine plethoric people with lively expression, very red face, disposed to cerebral congestion. θ Prolapsus uteri.
Full-blooded, strong, old people.
Strong man, much dosed with quinia.
A lymphatic man leading a sedentary life, made a kind of opodeldoc of arnica and soon got many and alarming symptoms, lasting fully a month.
Girl, æt. 2 1/2, cured by the tincture, of diarrhœa of several weeks' standing.
Man, æt. 25, bilious temperament.
A woman, æt. 35, nervous temperament, dysentery.
Man, æt. 57, short, thick, apoplectic habit, dark red face, accustomed to spirituous drinks. θ Paralysis of right side.
A robust man, æt. 50, inflammation of eye after a cold.
Man, æt. 67, acute stitches in ears followed by stupor, after an unusually cold bath.

Relations

Antidotes to massive doses : Camphor, Ipec .
After Cinchon . low, given for the chills. θ Nephritis.
Antidotes to potencies : Acon., Arsen., Cinchon., Ignat., Ipec .
Arnica antidotes : Amm. carb., Cinchon., Cicut., Ferrum, Ignat., Ipec., Senega .
It follows well after : Acon ., Ipec., Veratr . ; after Apis in hydrocephalus.
After it follow well : Acon., Arsen., Bryon., Ipec., Rhus tox., Sulph. ac .
Headache is most quickly and certainly removed by a cup of coffee. θ Prolapsus ani.
Arnica is indicated in ailments from spirituous liquors or from charcoal vapors.
Arsen . aided Arnica in dysentery with varicose veins.
Complementary to Acon .
Alternated successfully in cases where the change of symptoms indicate it, with Acon . and Rhus tox .
Injurious after the bite of a dog or any rabid or angry animal.
Wine increases the unpleasant effects of Arnic .
Hyper . is preferable in spinal concussions.
Cognates : Acon. ; Amm. carb. ; Croton (swashing in abdomen) ; Arsen. ; Baptis. ; Bellad. ; Bryon. ; Chamom. ; China ; Euphras . (injuries to eye) ; Calend. ;
Ferrum ; Hepar ; Hyper. ; Hamam. ; Ipec. ; Mercur. ; Pulsat. ; Ran. scel . (Pains in intercostal muscles) ; Rhus tox. ; Ruta ; Staphis. ; Silic. ; Symphyt. ; Sulphur (traumatic
pleurisy) ; Sulph. ac. ; Veratr .

Lectures on Homoeopathic Materia Medica

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

Mind

The Arnica patient is morose, wants to be let alone, does not want to be talked to, does not want to be approached. He does not want to be approached, both because he does not wish to enter into conversation, a mental state, and also because he does not wish to be touched on account of the great bodily soreness.

These are the two most striking things in this medicine. Irritable, morose, sad, fearful, easily frightened, imagines all sorts of things, especially that he has heart disease, or that he will mortify, or that some deep-seated trouble is upon him. Full of nightmare, dreadful dreams, dreams of muddy water, robbers, etc.

Horrors in the night. He frequently rouses up in the night, grasps at the heart, has the appearance of great horror, fears some dreadful thing will happen. A sudden fear of death comes on at this time, rousing him up in the night; he grasps at the heart, and thinks he is going to die suddenly. He is full of dreadful anguish, but finally he comes to himself, lies down and goes off into a sleep of terror, jumps up again with the fear of sudden death and says:

"Send for a doctor at once."

This is repeated night after night in persons Who are fairly well in the daytime, who have no sympathy because there seems to be no reality in their sickness, only a mental state. It is also seen in persons who have gone through a railroad accident, or through some shock, who are sore and bruised from injury.

They rouse up in the night with a fear of sudden death, with an expression of terror; the horrors they really went through are repeated. This is similar to Opium, only the Opium fear remains, even in the day time. Arnica dreams of it.

When sick in bed afflicted with a zymotic disease, with violent fever, or with fever after an accident or injury, he becomes greatly prostrated, stupid and unconscious. He can be aroused and will answer a question correctly, but goes into a stupor, or be hesitates about a word and is unable to find correct words when trying to answer and goes back into the coma.

When roused up, he looks at the doctor and says:

"I do not want you; I did not send for you; I am not sick; I don't need a doctor."

He will say this even when he is seriously ill. I have seen an Arnica patient lie back upon his pillow after emptying the stomach of a black fluid like blood, seriously ill, with the face mottled, in zymotic sickness or such as threaten malignant chill, that one would think he was almost going to die, look up and say:

"I am not sick; I did not send for you; go home."

Yet when in a state of health he was friendly, kind-hearted, knew me well, glad to shake hands with me; but now he is irritated at seeing me there and insists there is nothing the matter with him. Such is the "shock" state, almost a delirium. After finishing such a sentence he will lie down in a stupor, will lie in bed drawn up in a heap and merely groan when spoken to.

He wants to be left alone, does not want to be bothered, does not want to be talked to. That state ushers in complaints after a shock that has shaken the whole system, that has disturbed the circulation.

When a symptomatic typhoid is coming on, i.e., when an intermittent or remittent is taking on symptoms that are typhoid in character, when the tongue becomes shiny, and sordes appear about the teeth and lips, when there is sinking, and soreness all over the body, there are times when this mental state that I am describing will appear and the patient must have Arnica.

Arnica will interrupt the progress and prevent a typhoid state. Arnica is sometimes suitable to the scarlet fever, when the eruption does not come out, in those severe forms when the body is dusky, mottled and covered with red spots; the patient is constantly turning and that mental state is coming on with moroseness, and stupidity. It is a wonderful remedy, a misunderstood remedy, a misused remedy, because it is almost limited to bruises.

It is one, of sheet anchors in certain seasons, in the malarial valleys of the West, for intermittent fever In congestive chills, in those dreadful attacks with prostration, stupor, mottled skin, with congestion that comes on suddenly, with anxiety.

The doctors know these fevers, they dread them, and can only cope with them by using such remedies as Arnica and Lachesis and other deep-acting medicines. It is not true that these patients must have Quinine.

For many years I practiced among these cases, and I have seen numerous congestive chills and had no need for Quinine. I would rather have my repertory and a few potencies than all the Quinine in the drug -stores.

The sugar pills cure safely, permanently and gently, while the Quinine never cures, but suppresses, and there is nothing in the after history of that patient drugged with Quinine and Arsenic but congestion and violence so long as he lives.

"Horror of instant death, with cardiac distress in night."

From that it spreads on throughout the system, but hat horror of instant death is a striking feature and it comes on regardless of heart disease.

A horror in the night when there is nothing to come upon the patient; a horrible congestion, which affects especially the cerebellum and upper part of the spinal cord.

"Stupor with involuntary discharges."

"Coma, insensibility."

"Lies as if dead."

There symptoms come in the low forms of disease, in the typhoid type of disease. Many of the remittent fevers, if badly treated, or permitted to run their course under bad nursing, will turn into a continued fever.

While the true idiopathic typhoid comes on after many weeks of gradual decline, a symptomatic typhoid may come on suddenly, and it has symptoms of graver form than ordinary typhoid. The idiopathic typhoid will seldom kill and will generally run to a favourable termination, if the doctor stays at home.

This remedy is full of delirium in these low types of fever, even delirium like delirium tremens.

"Hopelessness; indifference."

"Hypochondriacal anxiety, peevishness."

"Fears being struck by those coming towards him."

That is both bodily and mental.

Physical state

Now, with this mental state thoroughly in mind, we are prepared to take up the general physical state, which has in all complaints, all over the body a feeling as if bruised. It is not strange that Arnica is used for bruises, but it is very foolish to put it on the outside and to rub it on in the form of the tincture.

It produces in its pathogenesis mottled spots, like bruises. If you take Arnica internally, in large doses, you will have mottled spots, bluish spots, which become yellowish, due to ecchymoses, from extravasations of the smaller capillaries.

This is, to a certain extent, what takes place in bruising. It is an extravasation of blood from the capillaries, and sometimes from the larger vessels.

But all over the body he is sore and bruised, as if he had been beaten. If you watch an Arnica patient in order to get the external manifestations of his state, you will see him turning and moving.

You will at once ask yourself, Why is he restless? and if you compare remedies in your mind, you will say, He is like Rhus tox.; he stays in a place a little while and then he moves.

No matter if he is only semi-conscious; you will see him make a little turn, part way over, and then a little further over, and so on until he is over on the other side.

Then he commences again, and he will shift a little and a little, and so he turns from side to side. The question is, why does he move so, why is he restless?

It is an important matter to solve. We notice the awful anxiety of the Arsenicum patient that keeps him moving all the time.

We notice the painful uneasiness felt all over the body with the Rhus patient so that he cannot keep still.

The Arnica patient is so sore that he can lie on one part only a little while, and then he must get off that part or to the other side. So if we ask him,

"Why do you move so?"

he will tell us that the bed feels hard. That is one way of telling that the body is sore.

A more intelligent individual will say it is because he is so sore and feels as if bruised and beaten, and he wants to get into a new place.

Soreness

This state of soreness is present if it be a symptomatic typhoid, an intermittent fever, a remittent fever, or after an injury when he is really bruised all over. You get the same continual uneasiness and motion, moving every minute. He moves and thinks that now he will be comfortable, but he is comfortable only for a second.

The soreness increases the longer he lies, and becomes so great that he is forced to move. With Rhus tox. the longer he lies the more restless he grows and the more he aches, until he feels as if he will fly if he does not move.

With Rhus tox. the uneasiness passes off after moving, and with Arnica the soreness passes off if he gets into a new place. With Arsenicum you see him moving about and look wild, and he is anxious, and this anxiety forces him to move, and he gets no rest, for he keeps going. The Rhus tox. and Arnica patients get better from every little motion.

The Arnica patient bleeds easily; his blood vessels seem to be relaxed, and extravasation is easy. Blue spots come easily upon the skin, and internally the mucous membranes bleed easily.

The parts that are inflamed bleed. He is subject to catarrhal conditions, and if he has a cough he bleeds easily. The mucus that is hawked out of the chest and throat is streaked with blood, or dotted with tiny pin-head blood clots. His urine contains blood and there is bleeding from the various orifices of the body. There is not sufficient tone in the fibres of the vessel to hold the blood within the vessel walls and they ooze.

All over the body there is a lameness, and soreness, and a feeling as if bruised; a rheumatic lameness; the joints are swollen, sore and lame. If an acute disease becomes more severe, we shall find the mental symptoms as described, and there will be an increasing soreness in the muscles. Arnica is very suitable for that sore, bruised condition of the body, therefore Arnica is a very important remedy in injuries, bruises and shocks, injuries of joints, injury of the back with lameness and soreness.

In such conditions Arnica becomes one of the first remedies, and unless there are general decided symptoms calling for other remedies it should be the first remedy. Arnica will very often take all the soreness out of a sprained ankle and permit him in a few days to go walking about, to the surprise of everybody.

The black and blue appearance of sprained joints will go away in a surprisingly short time, the soreness will disappear, and he will be able to manipulate that joint with surprising ease. I have seen a sprained ankle when it was black and blue, so swollen that the shoe could not be put on, but after a dose of Arnica, the swelling disappeared in an astonishing way, the discoloration faded out and the patient was able to stand on the foot.

No such result can be obtained with the use of Arnica lotion externally. A high potency of Arnica is most satisfactory in bruises, and when no decided contra-indication is present Arnica is the first remedy; but for the weakness of tendons that follows such a condition Arnica is not always sufficient, and the Rhus tox. is its natural follower.

If the weakness and tenderness remain in the joints, follow the Rhus with Calcarea. One will not, of course, give these remedies all on the same day, and not in the same glass, but will wait until all the good has been gotten out of the Arnica before following with Rhus.

It is quite a common thing for aching and restlessness and weakness to come into a part that has been injured, and Rhus is then a suitable remedy; and it is quite common for a joint that has been badly treated to remain sore and weak, and then Calcarea comes in as a natural follower of the Rhus tox. and then we have to resort to Causticum,

Staphysagria, and other remedies, because of some peculiar feature in the case, but these remedies are all related more or less to Arnica, Rhus and Cal carea . For another class of injuries compare Ledum and Hypericum.

Arnica is useful in some chronic cases; especially in old cases of gout. It is quite a common thing for old cases of gout to rouse up into a new soreness of joints, with great sensitiveness.

You will see the old grandfather sit off in a corner of the room, and if he sees little Johnnie running towards him, he will say:

"Oh, do keep away, keep away."

Give him a dose of Arnica and he will let Johnnie run all over him. He does not want to be touched or approached; he feels that anything that is coming towards him is going to hurt him. He is extremely sensitive, his joints are sore and tender, and he is afraid they will be hurt.

This medicine has erysipelatous inflammation. If you have an erysipelas of the face with the mental state described, with soreness, and sort bruised feeling all-over the body, you need not wait longer before prescribing Arnica.

The sore, bruised feeling all over the body, and the mental state, would decide in favor of Arnica against any medicine.

In inflammation of the kidneys and bladder, of the liver, and even in pneumonia, the mental state and the sore, bruised feeling all over the body would enable you to do astonishing work in such cases, even though Arnica has never produced pneumonia.

It has all there is of the rusty expectoration, with all the soreness of the chest and catarrhal state, the coughing and gagging, and sore, bruised feeling all over the body, and then add to this the condition of stupor and the mental state that belongs to the inflammatory condition of any organ and is especially strong in this medicine. We do not have to worry about any particular fineness of diagnosis to settle upon Arnica.

Arnica has aversion to meat, broth and milk. There is great thirst at particular times, for instance, during the chill of intermittent fever he has thirst, while at other times he is thirstless.

"Vomiting of dark-red coagula, mouth bitter; general soreness." Vomiting of black, inky substances.

Arnica is a useful remedy in inflammatory conditions of the abdomen, liver, intestines, with tumefaction tympanites, prostration, tendency to uneasiness, and so sore that he cannot be touched. This state also comes with typhoid.

Do not forget the symptoms of Arnica in appendicitis. You do not need to run for the surgeon for every case of appendicitis if you know Bryonia, Rhus tox., Belladonna, Arnica and similar remedies. The homoeopathic remedy will cure these cases, and, if you know it, you need never run after the surgeon in appendicitis except in recurrent attacks.

If you do not know your remedies, you will succumb to the prevailing notion that it is necessary to open the abdomen and remove the appendix. It is only deplorable ignorance that causes appendicitis to be surrendered to the knife.

Offensiveness is a feature of Arnica; there is offensiveness of the eructations, and the flatus. The stool is horribly offensive.

"Nightly diarrhea."

"Stool involuntary during sleep."

"Stools of undigested food, purulent; bloody slimy, mucus: Dark blood, very foetid stool.

Here we see the tendency to oozing from the mucous membranes. Black watery stools with black vomit.

"Retention of urine from exertion,"

from overwork, from injury, from concussion of the brain, from some violent accident. The urine is brown, or inky, dark.

"Piercing pains as from knives plunged into the kidneys."

"Urine very acid, with increase of specific gravity."

Pregnancy

Another feature of Arnica occurs in pregnant women. The extreme sensitiveness, soreness or tenderness throughout the whole body is especially felt in the abdominal viscera, in the uterus and pelvic region.

Sensitiveness to the motion of the foetus sore and bruised; the motions of the foetus are very painful and keep her awake all night. Arnica will remove that soreness and she will not distinguish the motion of the foetus It is not an increased motion of the foetus, but that she is sensitive to it.

"Constant dribbling of urine after labor."

A general feature also of the remedy is that the body is cold and the head hot; the whole body and the extremities are cold, but the head feels hot.

This is a marked condition in sudden congestive attacks, in congestive chill and congestive intermittent fevers. This, sometimes, is the very beginning of a severe attack when there has been almost no warning except a night or two of bad dreams and distress, fearfulness and stupefaction, with soreness in the body. If he comes out, of this, an increased soreness in the body comes on, which grows worse and worse until he is sore and bruised all over.

Children

Children going into severe attacks of infantile fever may threaten convulsions, the head is hot and the body cold. Most physicians will think of Belladonna , which has such cold extremities and such a hot head. Do not forget Arnica, especially in those children who seem to have an aversion to being touched, and scream out every time the mother takes bold of the leg or arm.

Look into the history a little and you will see that this is a soreness, and if you strip the child you may observe dusky spots, which give an added indication of Arnica.

This is a whooping-cough remedy; you can easily conjure up what the indications are for whooping-cough; aggravation from touch, sore, bruised condition, spasmodic cough with expectoration of blood, or dark blood-streaked mucus, or little tiny pin-head dots all through the mucus. Vomiting of food with black mucus. The mental state of the child can easily be imagined.

The child is cross and fretful.

"Cough excited by cries in children when accompanied by anger and tossing about."

"Paroxysms of cough at night."

"Whooping cough; child cries before paroxysms as though in fear of soreness."

You can easily apply that which we have seen in the remedy to the various diseases that come on. Stitching pains in whooping cough, pleuritic pains with catarrh of the chest, with pneumonia or pleurisy, inflammatory conditions.

It has also more lingering complaints, "fatty degeneration of the heart."

Stitches in the cardiac region, stitches from left to right.

"Weary, bruised, sore, great weakness, must lie down, yet bed feels too hard."

It will be well to read over all these symptoms; there are numerous particulars in the remedy, many little symptoms that are of great interest.

It follows well after Aconite and is complementary to Aconite, Ipeca and Veratrum.

The Therapeutics of Fevers

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

Characteristic

Hydrogenoid constitution. Dark hair; rigid muscles. Plethoric; red face. Especially adapted to those who remain long impressed by even slight mechanical injuries.

Nervous, cannot stand pain; whole body over-sensitive (Cham., Coff., Ign.); sore bruised feeling all through the body, as if beaten.

Everything on which he lies, seems too hard; complains constantly of it, and keeps moving from place to place, in search of a soft spot (must move continually to obtain relief from the pain, Rhus.—See Bapt., Pyr.).

Heat of upper part of body; coldness of lower.

The face, or head and face alone is hot, while the body is cool.

Diseases of traumatic origin, muscles chiefly involved; with stupor from concussion; from blunt instrument (Symp.).

Unconscious; when spoken to answers correctly but unconsciousness and delirium at once return (falls asleep in the midst of a sentence, Bapt.).

Fears being touched or struck by persons coming near him.

Belching; eructations; foul, putrid, like rotten eggs.

Constipation: rectum loaded, feces will not come away; ribbon-like stools from enlarged prostate or retroverted uterus.

Cannot walk erect on account of a bruised sore feeling in pelvic region (Bellis).

Soreness of parts after labor; prevents post-partum hemorrhage and puerperal complications.

Retention or incontinence of urine after labor (Op.).

Tendency to small painful boils, one after the other; extremely sore (small boils in crops, Sulph.).

Relations

Complementary: to Acon., Hyper., Rhus.

Similar: to for soreness as if bruised; Bap., China, Nat. m., Phyt., Pyr., Rhus, Ruta, Staph.

Arnica follows well: after, Acon., Apis, Ars., Ham., Ipec., Ver.; is followed by, Sul. ac. and Psor.

Antidotes abuse of quinine and other suppressive measures.

Aggravation

At rest, when lying down; from wine.

Amelioration

From contact, motion (Rhus, Ruta).

Type

Tertian; quartan. CONGESTIVE. Malaria intermittens. Cerebral typhoid; typhus.

Time

Not characteristic; usually 4 A. M., 8–10:30 A. M.; afternoon or evening, 5–8 P. M.

Prodrome

Thirst for large quantities of cold water, sometimes with vomiting (Eup. perf.). Much yawning and stretching; drawing pain as if in the periosteum; aching in wrists; skin blue; drinking refreshes (Nat. m.).

Drawing pains as if in the periosteum.

Thirst.—For large quantities of cold water, which refreshes him.

Pain in back and bones of extremities, as if broken.

Thirst.—He cannot drink enough, but drinking hastens chill, and produces nausea.

Chill

With thirst, and, if he drinks a great deal, vomits afterwards (Ars.). Chill, as if cold water were poured over him (Rhus—as if cold water were dashed over him, Ant. t.). Chill with pain in muscles of back and extremities as if bruised; aching in bones (Nat., Rhus); soreness of the whole body (whole body feels sore, Bapt.). Chill felt most severely in PIT OF STOMACH. Chill after every sleep; with heat and redness of one cheek; with burning of head alone, or face alone, rest of body being cold. Internal chill with external heat (Ars., Thuya). Chilliness on one (right) side; on side on which he lies. Chilly, with heat and redness of one cheek. Shivering over the whole body and the head, at same time heat in the head and redness and heat in the face, accompanied by a coolness of the hands, and a feeling as if the hips, the back and anterior surface of the arms were being bruised. Morning chill while in bed; begins before she rises and lasts four hours. Chilly from the slightest movement of the bed-clothes (Acon., Rhus—constant desire to be covered up, Nux). Skin of arms and hands mottled blue (Nux).

With thirst, pain in muscles of back and extremities, as if bruised; great soreness of whole body.

With thirst, but drinking causes nausea. Headache, with intense pain in back and bones, as if broken.

Heat

Thirst continued, but less than during chill, except early in the morning, when it is violent. Dry, general heat, with indifference, stupor and such weakness, that when he attempts to sit up he faints (Acon.). During heat, slightest lifting of bed-clothes, or even moving in bed, makes him chilly (Apis, Nux, Rhus, same in all stages of paroxysm). Great internal heat, with coldness of hands and feet. The heat becomes intolerable to him (Apis, Puls.), and he tries to uncover himself, but upon uncovering he feels chilly. Dry heat over the whole body after waking early in the morning. Burning heat in one spot, which is cold to the touch; alternate heat or coldness here and there over the entire body.

Upper part of body warm, lower part cold.

Less thirst, but increased soreness of flesh; must lie down, yet bed feels too hard; he cannot find a soft place and keeps constantly changing position in search of one.

Less thirst, but increased cephalalgia and bone pains. Vomiting of bitter bile before heat begins (Lyc., sour vomiting).

Sweat

Sour, fetid, offensive, like mouldy earth; in old cases, sometimes cold and clammy. The exhalations smell sour; the night-sweat is sour. Worse when sweating (Ant. c., Ipec.). Partial sweat on front of body; on plantar surface of hands and forearms. General sweat about midnight followed by faintness. Headache (which begins in hot stage) and soreness continue, but pain and drawing in the periosteum, which occurs before the chill, disappear gradually (all pains disappear with sweat, Nat.).

Generally absent in recent attacks. In old cases, sour, and offensive.

Generally absent, scanty if any. Headache continues for several hours after fever is gone; sweat relieves all pains except cephalalgia (all pains, Nat. m.).

Tongue

Never clean. Dry, yellow, or dirty white coating, and often, in acute cases, with a brown streak down the middle. Breath sour, fetid. Taste bitter, putrid, of rotten eggs. Longing for alcoholic drinks; for acids. Repugnance to food.

Pulse

Variable; full, hard, or weak and slow; in evening strong pulsations through whole body.

Apyrexia

Headache, soreness and bruised feeling of muscles continue; eructations tasting like rotten eggs. Yellow face; bitter taste; aversion to meat; and, especially in chronic cases, debility and aversion to exercise. The apyrexia is not marked in recent attacks, but is always a characteristic in chronic cases where large quantities of Quinine have been taken, then the soreness and bruised feeling are always indicative.

All three stages, chill, heat, and sweat are well marked; and in each stage the same characteristic of the remedy is usually found.

Arnica.

Bruised feeling and soreness continue through every stage, and persist during apyrexia.

Eup. perf.

Bone pains begin before the chill, but disappear with disappearance of sweat. None in apyrexia. Loose cough; night-sweats.

In the Materia Medica Pura, Hahnemann recommends Arnica as a remedy, that in its pathogenesis corresponds with the Quinia cachexia; and clinical experience for many years has confirmed his observation. Arnica is probably more frequently indicated in cases maltreated with Quinine than any other remedy; and here lies its chief value in the treatment of fevers. It is also a fact, that in acute cases, where Arnica is indicated, relapses are more frequent perhaps than with any other indicated remedy. It apparently antidotes the previous mal-treatment, but some other remedy is required to complete the cure. The patient does not feel well, but can scarcely tell why, and in four or five days has another paroxysm. This paroxysm, however, will differ materially from the preceding ones, Arnica having apparently paved the way for Apis, Arsenicum, Ipecac, or Natrum muriaticum (which follow Arnica well) to complete the cure. Arnica is often the best remedy with which to begin the treatment of a case mal- treated by Quinine or patent "ague cures." Psorinum or Sulphur may prevent tendency to relapse.

The "key note" of Arnica is the same in fevers as in all other diseases (Quinine drugging always an additional indica- tion), viz.: Bruised, sore, weary ; great weakness, and must lie down in consequence, yet bed feels too hard ; hence fre- quent change of position in search of a soft place, which may cause pain. In old cases, where Arnica is indicated, the symptoms of apyrexia should be carefully studied.

Analysis

Frequent suppression of urine.

Prodrome; thirst and drawing pains in bones and periosteum.

Chill; with thirst; bruised, sore, weak; bed feels hard, frequent change of position in consequence.

Heat; motion or slightest uncovering makes him chilly; heat intolerable.

Sweat; sour, offensive, like mouldy earth.