Arsenicum Album ars.

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

MUCOUS MEMBRANES. MIND. RESPIRATION. Lungs; R apex. Blood. Heart. Nerves. SPLEEN. Lymphatics. Muscles. SKIN. Serous cavities. Organs.

Worse

COLD: ICES, DRINKS. FOODS. Air. PERIODICALLY: MIDNIGHT; after. AFTER 2 A.M. 14 days. Yearly. VEGETABLES. DRINKING. TIPPLING. Infections. Bad meat. Eruptions: Undeveloped. Suppressed. Quinine. Lying on part. Tobacco. EXERTION.

Better

HOT: APPLICATIONS (dry). FOOD. Drinks. Wraps. Motion. Walking about. ELEVATING HEAD. Sitting erect. Company. Sweating.

General

Sudden, intense effects. Restless, anxious and very weak. Maddening pains; BURNING LIKE FIRE, hot neddles or wires, > heat, felt, even during sleep; exciting shortness of breath (Nat-s.) or chilliness. Inveterate neuralgias. Multiple neuritis. VERY RESTLESS, < affected part. Increasingly irritable (Cimi.) or SUDDEN GREAT WEAKNESS, from trivial causes. Rapid emaciation. ACRID, SCANTY, THIN SECRETIONS; coryza, saliva, sweat, etc. PUTRID, CADAVERIC ODORS. Destructive processes. Malignancy. Sepsis. Low vitality. Pale, puffy, baggy SWELLING. Dropsy. Anæmia.

Particulars

Anxious. Oversensitive. Fastidious. EXACTING. Fault-finding. ANGUISH; despairs of recovery (Aco.). AGONIZING FEAR OF DEATH; nightly; yet tired of living. VIOLENCE; self-torture; pulls her hair; bites her nails. Suicidal impulses. Restless and suspicious. Congestion to head, > cold, but neuralgia, > heat. Pain alternates between head and stomach or body. Pain over l. eye. Restless head. Early grayness. Falling hair. Spasm of eyelids. Burning tears. Scrophulous ophthalmia. Takes colds. Nose colds descend to chest. Cold sores; in nose. Sneezing, with biting, watery coryza; but stopped nose. Hay fever. Sensitive smell; loathes odor, sight or thought of food. PALE, anxious, sunken, haggard or distorted countenance; with cold sweat. Black lips. Bluish white tongue. Nightly toothache. INSATIABLE BURNING THIRST; CRAVES ICE COLD WATER, BUT IT DISTRESSES STOMACH (Nux-v.) AND IS VOMITED AT ONCE; with anorexia; during heat. DRINKS LITTLE AND OFTEN. Gastritis. Swelled spleen. Vomiting, with purging, from ptomaine poisoning. Foul, rice water or small, acrid, burning, black, mucous or lienteric stools; < cold drinks. Scanty urine. Uræmia (Pip-m.). Profuse acrid leucorrhœa. As of a vapor in larynx. SHORT BREATH; felt in nose; must sit up; < odors, receding eruptions or ascending. Whistling inspiration. Wheezing breathing. Cough alternately dry and loose; must sit up. Frothy expectoration. Acute pain through upper third of r. lung. Asthma. Pulmonary œdema. Cough; dry, nightly; < drinking. Heart; weak; trembles; palpitates; < slight causes. Stiffness, ascends from coccyx to nape. Alternate internal and skin symptoms. SKIN; LOOKS SEARED; dry, rough, dirty or shrivelled (Op.). Free desquamation. Eczema. Acuminate eruptions. Hives after eating fish. Ulcerative tendency; chronic; with burning. Phagedena. Gangrene. Shocks on dropping to sleep. Restless sleep. Dreams of death. COLD, externally, with internal, burning heat; in spots; sensitive to, yet > in open air (Aur.). Chills; irregular; shaking; craves hot drinks; and can't get his breath. Heat, as of hot water in veins or they burn like lines of fire; burning or coldness in chest (Bry. Lach. Nat-m. Sul.). Hectic. Sweat; with insatiable thirst, dyspnœa or exhaustion; cold. Atypical or larval malaria. Old case of malarias. Waves of icy coldness in blood-vessels or intense boiling heat. Yellow fever (prophylactic).

Related

Complementary: Nat-s. Pul. Thu. Related: Sul-ac. Ver-a.

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

Great prostration , with rapid sinking of the vital forces; fainting: The disposition is: a - Depressing, melancholic, disparing, indifferent. b - Anxious, fearful, restless, full of anguish. c - Irritable, sensitive, peevish, easily vexed. The greater the suffering, the greater the anguish, restlessness and fear of death. Mentally restless, but physically too weak to move; cannot rest in any place: changing places continually; wants to be moved from one bed to another, and lies now here now there. Anxious fear of death; thinks it useless to take medicine, is incurable, is surely going to die; dread of death, when alone, or, going to bed. Attacks of anxiety at night driving out of bed, < after midnight. Burning pains; the affected parts burn like fire, as if hot coals were applied to parts (Antr.), > by heat, hot drinks, hot applications. Burning thirst without special desire to drink; the stomach does not seem to tolerate, because it cannot assimilate cold water; lies like a stone in the stomach. It is wanted, but he cannot or dare not drink it. Cannot bear the smell or sight of food (Colch., Sep.). Great thirst for cold water; drinks often, but little at a time; eats seldom, but much. Gastric derangements; after cold fruits; ice cream; ice water; sour beer; bad sausage; alcoholic drinks; strong cheese. Teething children are pale, weak, fretful, and want to be carried rapidly. Diarrhoea, after eating or drinking; stool scanty, dark-colored, offensive, and whether small or large, followed by great prostration. Haemorrhoids: with stitching pain when walking or sitting, not at stool; preventing sitting or sleep; burning pain < by heat; fissures make voiding urine difficult. Breathing: asthmatic; must sit or bend forward; springs out of bed at night, especially after twelve o'clock; unable to lie down for fear of suffocation; attacks like croup instead of the usual urticaria. Rapid emaciation: with cold sweat and great debility (Tub., Ver.); of affected parts; marasmus. Anasarca, skin pale, waxy, earth-colored (Acet. ac.). Excessive exhaustion from least exertion. Exhaustion is not felt by the patient while lying still; when he moves he is surprised to find himself so weak. Symptoms generally worse 1-2 p. m., 12-2 a. m. Skin: dry and scaly; cold, blue and wrinkled; with cold, clammy perspiration; like parchment; white and pasty; black vesicles and burning pain. Bad effects from decayed food or animal matter, whether by inoculation, olfaction or ingestion. Complaints return annually (Carbo. v., Lach., Sulph., Thuja).

Relations

Complementary: Allium s., Carbo. v., Phos., Pyr. Ars. should be thought of in ailments from: chewing tabacco; alcoholism; sea bathing; sausage poisoning; dissecting woulds and anthrax poison; stings of venomous insects.

Aggravation

After midnight (1 to 2 a. m. or p. m.); from cold; cold drinks or food; when lying on affected side or with the head low.

Amelioration

From heat in general (reverse of Sec.) except headache, which is temporarily > by cold bathing (Spig.); burning pain > by heat.

Key-Notes to the Materia Medica

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

General Characteristics

We find a great amount of anguish in the patient, and the greater the suffering the greater the anguish. Very great restlessness, which is exhibited in an anxious tossing and jerking about, every movement being followed by exhaustion. Exhaustion is not felt by the patient while lying still, but as soon as he moves he is surprised to find himself so weak. Intense burning sensation, as if from coals or fire--usually found in the abdominal cavity. Fear of death. This is not the Aconite fear, but it is an anxiety, and a feeling that it is useless to take medicine, as they are surely going to die. Deficiency of blood; dropsy of outer and inner parts; inflammation of mucous membranes; strong disposition to lie down, sensations of pressing in the inner parts; burning in the glands, ulcers in the glands.

Mental

Delirium; raving; sad; melancholy fits of anguish, compelling tossing, uneasiness, sleeplessness; despairs of life; fear of death, thinks it very near. (Acon., inconsolable anguish, fearful and apprehensive that something will happen; predicts day of death.)

Head

Acts prominently on the scalp; destitute of hair; rough and dirty looking spots. Neuralgia in left temple. Scalp is painful to touch; swelling of head and face; tinea capitis; swelling of cervical glands posterior. Ears, roaring in during paroxysms of pain.

Eyes

Internal surface of the eyelids. Aversion to light in ophthalmia. Blue color around the eyes.

Nose

Fluent catarrhal discharges, often acrid; scabs in; sneezing; cancer of.

Face

Blue color around the eyes; sunken, pale, death-like; puffed; red; bluish. Forehead. Exanthema around the mouth. Puffiness of the face.

Mouth and Throat

Eruption on margin of lips, burning; cancerous eruption with thick crust, and base with appearance of lard on lower lip. Pain in teeth relieved by hot applications. Tongue bluish, brown, or blackish; dry; desires a little water often. Burning in throat; gangrenous; everything seems to stop (lodge) in the throat. Taste saltish; bitter after eating and drinking; desire for cold water or brandy.

Stomach

Qualmishness. Vomiting of black water; of what has been drunk, it comes up immediately; at night; after eating or drinking; of green mucus; of bile; of blood; with diarrhœa. Violent pains in the stomach during vomiting. Excessive pains in stomach; weight in, as from a stone; sensation of pressure in cardiac orifice as though parts were filled with food up to the mouth. Burning in stomach; cancer in; acute and chronic gastritis. Deranged by ice, fruit, acid things, etc. Hiccough with eructations. Sea-sickness.

Abdomen

Intense burning sensation like coals of fire; right side. Pains in; excessive; at night; after eating or drinking; with vomiting and diarrhœa; causing great anguish and despair of life. Cutting in the abdomen; coldness in; excessive swelling in.

Stool and Anus

Constipation; tenesmus. Diarrhœa after eating or drinking; with vomiting; prostration; thirst; evacuations burning, dark green, slimy, black, putrid; white; undigested; painless; stool acrid, stinking, undigested; vomiting, and purging from the bowels at the same time--a strong indication for Arsen. Inflamed varices with burning.

Urine

Burning urine. Involuntary micturition. Paralysis of the bladder.

Chest

Oppressed respiration; cough, with expectoration, only during the day; taste salty. Burning in the larynx; hoarseness, worse in cold air. Dyspnœa; slow and wheezing; worse, ascending; when moving rapidly; accompanied by debility. Burning in chest. Heart very irregular; palpitation of.

Sexual

Male: Inflammation and swelling of the parts; gangrenous. Female: Menses too profuse; too soon; amenorrhœa. Leucorrhœa acrid, corroding.

Back

Affections of the back often appear.

Extremities

Right side. Affections of the shin-bones and calves of the legs; cramps in, at night. Tendency to paralysis of lower. Swelling of feet; hot, shiny. Blisters on fingers and toes.

Sleep

Yawning with stretching of the limbs (chills and fever often come on in this way). Complaints preventing sleep; concomitant to waking; waking too early; suffocating fits; sleep anxious and restless; sleeplessness in general, particularly after midnight. Anxious dreams about dead persons; with feeling of embarrassment; fatiguing, full of cares.

Fever

General coldness; chilliness without thirst (if there be thirst during the chill, except for hot drinks, do not give Ars.) Chilly after drinking cold water; after eating; chill and heat together. Wants to be warm, and to be surrounded by warmth; wants to be near a warm stove; complaints concomitant to chilliness. External and internal beat at the same time; heat of single parts; fever with thirst, little and often, followed by great prostration; heat with anxiousness; burning heat, wishing to be covered; dry cough during the fever; complaints concomitant to heat. Shuddering in general. Complaints concomitant to perspiration. Debilitating sweats, sometimes cold and clammy. Pulse small, frequent, intermittent; very feeble imperceptible. Compound fevers in general; heat and shuddering alternately; concomitant complaints during, before, and after fever.

Skin

Acute or chronic burns; burning of the skin; dry skin with sensation of heat; skin like parchment. Exanthema in general, around the mouth, especially the upper lip; blackish, burning, gangrenous, pustulous, whitish, jet black, white miliary, petechiæ, fungus hæmatodes; external swelling in general, swelling blue-black (Arsen. will change this to a greenish hue, then it will clean up nicely), burning swelling, dropsical, spongy. Skin jaundiced; general anasarca; black blisters. Tetters in general, burning, furfuraceous, prickling. Ulcers in general; indolent; mortifying; turning black; black at the bottom; bleeding, bleeding at edges, with fire-like burning, with sensation as if burnt, destitute of feeling, gangrenous, hard, on the edges, with red halo around, painful edges, spongy; spongy edges, high hard ulcers, with proud flesh in them, with bloody pus, corroding pus, inflamed.

Generalities

Rapid sinking of strength; great emaciation; least effort is exhausting. Marasmus. Convulsions. Stiffness of the limbs. Sufferings often induce shuddering, coldness, anguish, excessive failing of strength, inability to remain up.

Worse

In the night; after midnight; from anger with anxiety; before falling asleep; on awakening; on entering a cold place; in cold air, or getting cold; after drinking; from exertion of the body; during, before, and after the fever; while lying down with the head low; on ascending; after moving (movement followed by exhaustion); from cold food; from fruits, milk, wine; during perspiration; from running or walking fast; from a scald or burn; during sleep; during the first hours of sleep; Arsen. always wants to be wrapped up warm, also wants warm things, drinks, etc., etc.; during stool (as vomiting may come on, pains, etc.); from change of temperature; after undressing; in vaulted places, as milk house, cellar, etc.; from vomiting.

Better

On going down; lying with the head high; on rising; from warm or hot things; warmth in general; near a warm stove.

Remedies following

Apis, Chamom., China, Ferrum, Hepar, Iodium, Ipec., Lycop., Mercur., Nux vom., Sulphur.

Antidotes

Ipec., Hepar, Nux vom.

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

Dread of death when alone, or on going to bed; great restlessness and utter prostration. Unquenchable, burning thirst, drinks often, but little at a time; water disagrees. Disordered stomach after eating fruit or ice cream. Violent burning pains in stomach and abdomen with intolerable anguish. Black stools, thin and watery, with great prostration. Oppression of breathing, prostration and other ailments from walking fast, or ascending a height. Burning pains, especially in inner organs, skin and ulcers, relieved by heat. Bran-like, dry, scaly eruptions, with itching and burning, the latter increased by scratching, followed by bleeding. Suffering worse after midnight. Poisoning from decayed or morbid animal matter, by innoculation, inhalation or swallowing.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Arsenious Acid-Arsenic Trioxide

General

A profoundly acting remedy on every organ and tissue. Its clear-cut characteristic symptoms and correspondence to many severe types of disease make its homeopathic employment constant and certain. Its general symptoms often alone lead to its successful application. Among these the all-prevailing debility, exhaustion, and restlessness, with nightly aggravation, are most important. Great exhaustion after the slightest exertion. This, with the peculiar irritability of fiber, gives the characteristic irritable weakness. Burning pains. Unquenchable thirst. Burning relieved by heat. Seaside complaints (Nat mur; Aqua Marina). Injurious effects of fruits, especially more watery ones. Gives quiet and ease to the last moments of life when given in high potency. Fear fright and worry. Green discharges. Infantile Kala-azar (Dr. Neatby).

Ars should be thought of in ailments from alcoholism, ptomaine poisoning, stings, dissecting wounds, chewing tobacco; ill effects from decayed food or animal matter; odor of discharges is putrid; in complaints that return annually. Anæmia and chlorosis. Degenerative changes. Gradual loss of weight from impaired nutrition. Reduces the refractive index of blood serum (also China and Ferr phos). Maintains the system under the stress of malignancy regardless of location. Malarial cachexia. Septic infections and low vitality.

Mind

Great anguish and restlessness. Changes place continually. Fears, of death, of being left alone. Great fear, with cold sweat. Thinks it useless to take medicine. Suicidal. Hallucinations of smell and sight. Despair drives him from place to place. Miserly, malicious, selfish, lacks courage. General sensibility increased (Hep). Sensitive to disorder and confusion.

Head

Headaches relieves by cold, other symptoms worse. Periodical burning pains, with restlessness; with cold skin. Hemicrania, with icy feeling of scalp and great weakness. Sensitive head in open air. Delirium tremens; cursing and raving; vicious. Head is in constant motion. Scalp itches intolerably; circular patches of bare spots; rough, dirty, sensitive, and covered with dry scales; nightly burning and itching; dandruff. Scalp very sensitive; cannot brush hair.

Eyes

Burning in eyes, with acrid lachrymation. Lids red, ulcerated, scabby, scaly, granulated. Œdema around eyes. External inflammation, with extreme painfulness; burning, hot, and excoriating lachrymation. Corneal ulceration. Intense photophobia; better external warmth. Ciliary neuralgia, with fine burning pain.

Ears

Skin within, raw and burning. Thin, excoriating, offensive otorrhœa. Roaring in ears, during a paroxysm of pain.

Nose

Thin, watery, excoriating discharge. Nose feels stopped up. Sneezing without relief. Hay-fever and coryza; worse in open air; better indoors. Burning and bleeding. Acne of nose. Lupus.

Face

Swollen, pale, yellow, cachectic, sunken, cold, and covered with sweat (Acetic acid). Expression of agony. Tearing needle-like pains; burning. Lips black, livid. Angry, circumscribed flush of cheeks.

Mouth

Unhealthy, easily-bleeding gums. Ulceration of mouth with dryness and burning heat. Epithelioma of lips. Tongue dry, clean, and red; stitching and burning pain in tongue, ulcerated with blue color. Bloody saliva. Neuralgia of teeth; feel long and very sore; worse after midnight; better warmth. Metallic taste. Gulping up of burning water.

Throat

Swollen, œdematous, constricted, burning, unable to swallow. Diphtheritic membrane, looks dry and wrinkled.

Stomach

Cannot bear the sight or smell of food. Great thirst; drinks much, but little at a time. Nausea, retching, vomiting, after eating or drinking. Anxiety in pit of stomach. Burning pain. Craves acids and coffee. Heartburn; gulping up of acid and bitter substances which seem to excoriate the throat. Long-lasting eructations. Vomiting of blood, bile, green mucus, or brown-black mixed with blood. Stomach extremely irritable; seems raw, as if torn. Gastralgia from slightest food or drink. Dyspepsia from vinegar, acids, ice-cream, ice-water, tobacco. Terrible fear and dyspnœa, with gastralgia; also faintness, icy coldness, great exhaustion. Malignant symptoms. Everything swallowed seems to lodge in the œsophagus, which seems as if closed and nothing would pass. Ill effects of vegetable diet, melons, and watery fruits generally. Craves milk.

Abdomen

Gnawing, burning pains like coals of fire; relieved by heat. Liver and spleen enlarged and painful. Ascites and anasarca. Abdomen swollen and painful. Pain as from a wound in abdomen on coughing.

Rectum

Painful, spasmodic protrusion of rectum. Tenesmus. Burning pain and pressure in rectum and anus.

Stool

Small, offensive, dark, with much prostration. Worse at night, and after eating and drinking; from chilling stomach, alcoholic abuse, spoiled meat. Dysentery dark, bloody, very offensive. Cholera, with intense agony, prostration, and burning thirst. Body cold as ice (Verat). Hæmorrhoids burn like fire; relieved by heat. Skin excoriated about anus.

Urine

Scanty, burning, involuntary. Bladder as if paralyzed. Albuminous. Epithelial cells; cylindrical clots of fibrin and globules of pus and blood. After urinating, feeling of weakness in abdomen. Bright's disease. Diabetes.

Female

Menses too profuse and too soon. Burning in ovarian region. Leucorrhœa, acrid, burning, offensive, thin. Pain as from red-hot wires; worse least exertion; causes great fatigue; better in warm room. Menorrhagia. Stitching pain in pelvis extending down the thigh.

Respiratory

Unable to lie down; fears suffocation. Air-passages constricted. Asthma worse midnight. Burning in chest. Suffocative catarrh. Cough worse after midnight; worse lying on back. Expectoration scanty, frothy. Darting pain through upper third of right lung. Wheezing respiration. Hæmoptysis with pain between shoulders; burning heat all over. Cough dry, as from sulphur fumes; after drinking.

Heart

Palpitation, pain, dyspnœa, faintness. Irritable heart in smokers and tobacco-chewers. Pulse more rapid in morning (Sulph). Dilatation. Cyanosis. Fatty degeneration. Angina pectoris, with pain in neck and occiput.

Back

Weakness in small of back. Drawing in of shoulders. Pain and burning in back (Oxal ac).

Extremities

Trembling, twitching, spasms, weakness, heaviness, uneasiness. Cramps in calves. Swelling of feet. Sciatica. Burning pains. Peripheral neuritis. Diabetic gangrene. Ulcers on heel (Cepa; Lamium). Paralysis of lower limbs with atrophy.

Skin

Itching, burning, swellings; œdema, eruption, papular, dry, rough, scaly; worse cold and scratching. Malignant pustules. Ulcers with offensive discharge. Anthrax. Poisoned wounds. Urticaria, with burning and restlessness. Psoriasis. Scirrhus. Icy coldness of body. Epithelioma of the skin. Gangrenous inflammations.

Sleep

Disturbed, anxious, restless. Must have head raised by pillows. Suffocative fits during sleep. Sleeps with hands over head. Dreams are full of care and fear. Drowsy, sleeping sickness.

Fever

High temperature. Periodicity marked with adynamia. Septic fevers. Intermittent. Paroxysms incomplete, with marked exhaustion. Hay-fever. Cold sweats. Typhoid, not too early; often after Rhus. Complete exhaustion. Delirium; worse after midnight. Great restlessness. Great heat about 3 am.

Modalities

Worse, wet weather, after midnight; from cold, cold drinks, or food. Seashore. Right side. Better from heat; from head elevated; warm drinks.

Complementary: Rhus; Carbo; Phos. Thuja; Secale. Antidotal to lead poison.

Antidotes: Opium; Carbo; China; Hepar; Nux. Chemical Antidotes: Charcoal; Hydrated Peroxide of Iron; Lime Water.

Compare: Arsenic stibatum 3x (Chest inflammations of children, restlessness with thirst and prostration, loose mucous cough, oppression, hurried respiration, crepitant rales). Cenchris contortrix; Iod; Phosph; China; Verat alb; Carbo; Kali phos. Epilobium (intractable diarrhœa of typhoid). Hoang Nan. Atoxyl. Sodium arseniate 3x, sleeping sickness; commencing optic atrophy. Levico Water--(containing Ars, Iron and Copper of South Tyrol). Chronic and dyscratic skin diseases, chorea minor and spasms in scrofulous and anæmic children. Favors assimilation and increases nutrition. Debility and skin diseases, especially after the use of higher potencies where progress seems suspended. Dose. Ten drops in wine glass of warm water 3 times a day after meals (Burnett). Sarcolatic acid (influenza with violent vomiting).

Dose

Third to thirtieth potency. The very highest potencies often yield brilliant results.

Low attenuations in gastric, intestinal, and kidney diseases; higher in neuralgias, nervous diseases, and skin. But if only surface conditions call for it, give the lowest potencies, 2x to 3x trit. Repeated doses advisable.

Leaders in Homoeopathic Therapeutics

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

Leaders

Great anguish and restlessness, driving from place to place.

Great and sudden prostration, sinking of vital force.

Intense burning pains.

Intense thirst; drinks often, but little, as cold water disagrees.

Dyspnœa < on motion, especially ascending.

Vomiting and stool simultaneous; < after eating or drinking.

> by warm air or room and hot applications, relieved by sweat.

No remedy is more restless than this one. The Aconite restlessness comes in the earlier stages of inflammatory diseases, with fever of a high grade. Arsenicum in the later stages, after the patient has become greatly reduced in strength, or in low grades of fever like typhoids. The Aconite patient tosses to and fro in agony and fear. The Arsenic patient is too wealth to toss as the anguish and restlessness would incline him to. He cannot move himself around as he desires, but wants to be moved from place to place, or bed to bed, while the least exertion on his own part exhausts terribly. He has fear of death, but not like the Aconite fear, but rather an anxiety and a feeling that it is useless to take medicine for he is going to die; he is incurable.

The mental restlessness is as great as the bodily. He has attacks of anxiety that drive him out of bed at night. Even when there is no pain at all he wants to be continually changing place, walking about if strong enough, without any other reason than that he can't keep still. Often the first beneficial effect to be observed in cases calling for this remedy is that the anxiety grows less, the patient lies still, his pain is not so much less, but it does not make him so restless; he can bear it better. This is a good sign and is generally followed by amelioration of all the symptoms. It makes little difference what the disease, if this persistent restlessness and especially if great weakness is also present, don't forget Arsenic.

Arsenicum leads all the remedies for burning sensation, especially in acute diseases. It is not by any means confined to acute diseases, but is often found in chronic affections, especially of a malignant character or tending to malignancy. I think perhaps Sulphur outranks it generally for burnings in chronic affections. There is hardly an organ or tissue in the human system where these burnings of Arsenic are not found. This burning, strange as it may seem, is greatly ameliorated by heat. Hot applications if they can be gotten in contact with the part, also heat of a warm stove or warm room. This is the exact opposite of Secale cornutum, for while the part is objectively cold, it still burns, but hot applications are intolerable; they cannot even bear to have it covered; with Arsenicum, in throat complaints, in connection with acute catarrh, the burnings in throat and from the excoriating nasal discharge ameliorated by hot application. The burning in throat is better from eating or drinking hot things. This is the chief modality which enables us to choose between this remedy and Cepa and Mercurius, for all the three have fluent coryza. I once had a case of very severe gastralgia caused by suppression of eczema on the hands. I knew nothing of the suppression, but prescribed Arsenicum because the pains came on at midnight, lasting until 3 A. M., during which time the patient had to walk the floor in agony and there was great burning in the stomach. She had but one slight attack after taking Arsenicum, but, said she, when I visited her, "Doctor, would that remedy send out salt rheum?" Then I found out about the suppression which had been caused by the application of an ointment, and told her that she could have back the pain in the stomach any time she wanted it, by suppressing the eruption again. She did not want it.

Arsenicum is one of our best remedies for fevers of a typhoid character. So useful is it that Baehr says -"Since Arsenic is, more than any other remedy, adapted to the worst forms of infectious diseases it seems wrong to delay its administration until the symptoms indicating it are developed in their most malignant intensity," and further, "our advice, therefore, is that Arsenic should be given more frequently than has been customary from the very beginning of the attack, and that we should not wait until the disease has fully developed its pernicious character." I do not think this is sound reasoning or good advice, for I have never found any rule by which I could decide from the beginning that a case would later on develop into a case of the pernicious or malignant character which would ever call for the exhibition of Arsenic. While we need not wait for a case to develop to that "most malignant" intensity which calls for Arsenic, we would not on the other hand be justified in giving Arsenic or any other remedy in anticipation of a condition which might never come. Arsenicum is not the only remedy capable of curing these malignant cases, and how do we know after all that it may not be Muriatic acid or Carbo vegetabilis that will be the remedy after the case is developed. There is no safe or scientific rule but to treat the case with the indicated remedy at any and all stages of the disease, without trying to treat expected conditions or future possibilities. It would be out of place here to give all the indications for Arsenic in typhoids, as it would take too much space, and they can be found in Raue, Lilienthal or any good work on practice. Arsenic is also fine of our best remedies in intermittents, especially after the abuse of Quinine. Close individualization is necessary here as elsewhere.

Arsenic profoundly affects the alimentary canal from lips to anus. The lips are so dry and parched and cracked that the patient often licks them to moisten them. The tongue is affected in various ways. It may be dry and red, with raised papillæ; or red, with indented edges; or white as chalk or white paint; or lead colored, or dry, brown or black, especially in typhoids. The mouth is dry or aphthous, ulcerated or gangrenous. The throat the same. The thirst is indescribably intense and peculiar, in that notwithstanding its intensity the patient can take only a little water at a time. The stomach is so irritable that the least food or drink causes distress and pain, or immediately excites vomiting, or stool, or both together. Cold drinks, ice-water, or ice-cream particularly disagree and create distress. Vomits all kinds and grades of substances from water or mucus to bile, blood, and coffee ground substances.

The pains in stomach are terrible and aggravated by the least food or drink, especially, if cold. The abdominal pains also are intense, causing the patient to turn and twist in all possible shapes and directions. Diarrhœa of all kinds of stools, from simply watery to black, bloody and horribly offensive, and finally the end of the tract is reached and we have hæmorrhoids. Now in every one of these affections, ranging along the whole length of the canal, and from the lightest grade of irritation to the most intense inflammatory and malignant forms of disease, we will be apt to find everywhere present the characteristic burning of this remedy, in greater or lesser degree; and the not less characteristic amelioration from heat, and also, though not quite so invariably, the midnight aggravation.

Arsenicum also has its sphere of usefulness in diseases of the respiratory organs. First, for acute coryza it stands in the front rank, the choice often having to be made between this remedy, Cepa and Mercurius. Arsenicum has the fluent discharge which corrodes the lips and wings of the nose and more burning than the other two remedies. It often follows well after Mercurius if that remedy only partially relieves.

Arsenicum is particularly efficacious in many affections of the lungs, where the breathing is very much oppressed. Respiration is wheezing, with cough and frothy expectoration. Patient cannot lie down; must sit up to breathe, and is unable to move without being greatly put out of breath. The air passages seem constricted. It is especially useful in asthmatic affections caused or aggravated by suppressed eruptions, like pneumonia from retrocedent measles, or even chronic lung troubles from suppressed eczema. I remember a case of asthma of years' standing to which I was called at midnight, because they were afraid the patient would die before morning. Found that her attacks always came on at 1 A. M. Gave Arsenicum alb. 30th, and she was completely cured by it.

The symptom by Rollin R. Gregg, "Acute, sharp, fixed or darting pain in apex and through upper third of right lung," is a gem, and has enabled me to cure a number of cases of obstinate lung troubles. In the last stage off pneumonia of old people, with gangrenous expectoration, if the other symptoms correspond, this remedy has often saved life. The burning is often found here as elsewhere. Arsenicum is also one of our best remedies in pleuritic effusions.

Arsenicum also affects profoundly the nervous system. To the characteristic restlessness, of which we have said so much, is added great Prostration. This prostration is present in most diseases, both acute and chronic, where Arsenic is indicated. For instance, in typhoids there is no remedy that prostrates more. Carbo veg. and Muriatic acid equal it, the difference being that the Arsenic patient wants to move or be moved constantly, while with the other two remedies there is almost utter absence of any such show of life. Even if not confined to the bed, in acute or chronic diseases the patient is so weak that he is "exhausted from the slightest exertion," must lie down. Sometimes this extreme degree of prostration comes on very rapidly.

Here is a picture that shows a condition of things in chronic trouble calling for this remedy. "From climbing mountains, or other muscular exertions, want of breath, prostration, sleeplessness and other ailments." This shows how weak the patient is, and this weakness may be coupled with various forms of disease. You may say it is common for sick people to be weak. True, but the Arsenicum patient is weak out off proportion to the rest of his trouble, or apparently so; and it is a general prostration, not local like the sense of weakness in the chest of Phosphoric acid, Stannum and Sulphur; or in the abdomen like Phosphorus; or in the stomach like Ignatia, Hydrastis and Sepia. Now I do not see how I can make plainer the value of prostration as an Arsenic symptom.

When we come to the tissues we find our remedy almost universally present.

It attacks the blood, causing septic changes, exanthemata, ecchymoses, petechiæ, etc.

It attacks the veins; varices burn like fire, < at night.

It attacks the serous membranes, causing copious serous effusion.

It attacks the glands, which indurate or suppurate.

It attacks the periosteum.

It attacks the joints; causing pale swellings, burning pains, etc.

It causes inflammatory swellings with burning lancinating pains.

It causes general anasarca; skin pale, waxy or earth colored; great thirst (Apis none).

It causes rapid emaciation; atrophy of children.

It causes ulcerations, constantly extending in breadth. The ulcers burn like fire, pain even during sleep, discharge may be copious or scanty, the base blue, black or lardaceous.

Anthrax burning like fire; cold blue skin dry as parchment, peeling off in large scales.

"Sphacelus," parts look black or burn like fire.

"Gangrene," better from heat (worse, Secale).

"Parchment" like dryness, or dry scaly skin.

The skin troubles of this remedy are mostly dry and scaly, and almost always burning. It is one of our best remedies for affections caused by retrocedent or suppressed exanthemata, also for suppressed chronic eczema, etc.

But it is impossible and outside the scope of this work to mention by name all the affections of the tissues in which this remedy is useful.

Notwithstanding this, Arsenic is not a panacea. It must, like every other remedy, be indicated by its similar symptoms or failure is the outcome. Its great keynotes are Restlessness, Burning, Prostration, and Midnight Aggravation.

Modalities

Modalities: < in cold air, from cold things, cold applications; and 1 to 3 A. M. Movement.

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

Anguish, driving one out of bed at night, and from one place to another in the day-time. Restlessness. Great fear of death, and of being left alone. Despair. He finds no rest, especially at night, with anguish. Anger with anxiety, restlessness and sensation of coldness. Madness ; loss of mind (from the abuse of alcoholic drinks). Delirium.

Head

Tearing in the head, with vomiting, when raising up the head. Headache (after meals) relieved by applying cold water, or by walking in the open air. Periodical headaches. The scalp is tender to the touch. Eruptions, white, dry, like bran ; burning, itching on the forepart of the head ; when scratching it burns and bleeds violently. Burning biting boils on the scalp, with sensitiveness to touch and cold. Erysipelatous burning, swelling of the head (face and genitals) with great weakness and coldness ; worse at night.

Eyes

Inflammation of the eyes and lids, with severe burning pains. Inflammation of the inner surface of the eyelids, preventing the opening of the eye. Excessive photophobia. Specks or ulcers on the cornea.

Ears

Hardness of hearing -he cannot hear the human voice. Roaring in the ears (accompanying every attack of pain).

Nose

Swelling of and burning in the nose. Ulcers in the nose (cancer of the nose). Profuse, fluent coryza of sharp, burning, excoriating water, with hoarseness and sleeplessness. Peeling off of the epidermis.

Face

Puffiness of the face, especially around the eyes. Color pale, like earth, yellowish, (blue rings around the eyes). Distorted features ; death-like countenance. Drawing stitches here and there in the face. Burning face-ache. Crusta lactea. Cancer of the face and lips, with burning pain. Exanthema around the mouth. Lips black, dry, and cracked.

Teeth

Toothache at night, extending to the ear and temple, worse when lying on the affected side, better from the heat of the stove. Grinding of the teeth. Gums bleeding.

Mouth and Throat

The mouth is reddish-blue, inflamed, burning. Secretion of abundant tough, fetid, bloody saliva. Aphthæ, stomacace. Tongue dry, brown, black, cracked. Swelling, inflammation, or gangrene of the tongue. Ulceration of the tongue, with blue color. Painful, difficult deglutition (constriction) of the œsophagus. Burning in the throat. Angina gangrenosa, (with aphthæ).

Appetite and Taste

Violent, unquenchable, burning thirst, with frequent drinking, with but little at a time. Longing for cold water, acids, or alcoholic drinks. Aversion to food, loathing the thought of eating. Bitter taste in the mouth after eating and drinking.

Stomach

Vomiting of the ingesta, (after each meal), after drinking ; of a brown substance with violent pain in the stomach ; of a black substance ; of blood ; of a green substance ; with diarrhœa after drinking the least quantity. Great painfulness and anxiety in the pit of the stomach and stomach. Burning in the pit of the stomach and stomach. Inflammation or induration of the stomach. Cramp in the stomach, (2 A.M.).

Abdomen

Hard, bloated abdomen. Burning pains, with anguish. Sensation of coldness, (upper part). Induration of the mesenteric glands. Painful swelling and induration of the inguinal glands. Ulcers about the navel. Ascites.

Stool and Anus

Burning stools, with violent pains in the bowels, with tenesmus, thirst, worse after eating. Stools acrid, burning, consisting of mucus ; black, bloody, offensive, watery and painless, involuntary. In the rectum and anus, burning and soreness. Prolapsus ani. Hæmorrhoidal tumors, with burning pain.

Urinary Organs

Suppressed or difficult micturition. (Paralysis of the bladder). Urine bloody, burning. Involuntary discharge of burning urine.

Sexual Organs

Men. Painful swelling of the genitals, and gangrene. Blue-red swelling of the glans, with rhagades. Erysipelatous inflammation of the scrotum. Women. Catamenia too early, and too profuse. Leucorrhœa acrid, corroding. Scirrhus uteri.

Respiratory Organs

Dryness, burning, and constriction in the larynx. Bronchitis, with difficult secretion of mucus. Respiration oppressed, anxious, short. Oppressed, labored breathing, especially when ascending a height ; in cold air ; when turning in bed. Suffocating spells in the evening, when lying down. Constriction of the chest, with anguish ; worse when moving. Chilliness or coldness in the chest. Heat, burning, itching in the chest. Stitches and pressing in the sternum. Cough, without expectoration, especially after drinking or eating ; when lying down ; during a walk in the cold air. Cough, with arrest of breathing ; with tough mucus in the chest ; with expectoration of frothy mucus in lumps, or tasting salty ; in day-time, without expectoration at night. Periodically returning cough, (hooping-cough), from burning-tickling in the pharynx. Hæmoptysis at night, with burning heat over the whole body. Palpitation of the heart, especially at night, with great anguish.

Back

Burning in the back. Sensation of weakness, as if bruised in the small of the back.

Extremities

Upper. Rheumatic pains from the elbow up to the shoulder, worse at night. Swelling of the arm, with putrid smelling, black blisters. Burning ulcers on the tips of the fingers. Sensation of swelling and fulness in the palms of the hands at night. Soreness between the fingers. Nails discolored. Lower. Tearing and stinging in the hips, legs, and loins. Tearing in the tibia. Old ulcers on lower limbs, with burning and lancinating pains. Ulcers on the soles of the feet and toes. Swelling of the feet, hard, burning, shining, with red spots, or blue-black blisters. Itching herpes in the bends of the knee. Varices.

Generalities

Paralysis, especially of the lower extremities. Trembling of the limbs (in drunkards). Sudden sinking of strength. Fainting, from weakness, with scarcely perceptible pulse. Burning pains of inner or exterior parts (glands). Tearing pain in the arms and legs, which do not permit one to lie on the painful side, but which are relieved by moving the affected part. Dropsy of internal and external parts. Emaciation.

Sleep

Starting of the limbs when on the point of filling asleep. Sleeplessness, from anguish and restlessness, with tossing about (after midnight). Sleep anxious, unquiet.

Fever

Pulse frequent in the morning, slower in the evening. Pulse small, contracted, frequent, weak, tremulous or intermittent. General coldness, with parchment-like dryness of the skin, or with profuse, cold, clammy perspiration. Chilliness, without thirst ; worse after drinking ; with stretching of the limbs and restlessness ; with external heat at the same time ; when walking in the open air. Internal heat, burning dry, with anxiousness at night. Intermittent fever, chill (in the afternoon) followed by dry, evening heat, and later sweat. Thirst only during the hot stage, drinks often, but little at a time. During the fever, great restlessness and anxiety, pain in the bones, small of the back, forehead ; nausea, difficulty of breathing. Perspiration at the beginning of sleep, or all night ; cold, clammy, smelling sour or offensive. During perspiration, unquenchable thirst ; after the fever, attack of headache. The concomitant complaints are more developed during the chill and fever.

Skin

Dry, burning heat -dryness- like parchment. Swelling -blue-black- dropsical. Petechiæ. White miliary eruptions. Urticaria. Red pustules, changing to ichorous, crusty, burning and spreading ulcers. Vesicular eruptions. Exanthema, black, pock-shaped, gangrenous. Carbuncles (burning). Herpes, with vesicles, and violently burning, especially a night, or with coverings like fish-scales. Ulcers, hard on the edges, stinging, burning, spongy ; with proud flesh ; turning black ; flat ; pus thin, ichorous (cancers). Sphacelus.

Conditions

Cannot rest in any place ; changing his position continually ; wants to go from one bed to another, and lies now here, and now there. Attacks of pains, with chilliness. Periodical complaints. Attacks of pain, driving one to despair, and even to madness. The pains are felt during sleep. Bad effects from poisoning, with anthrax, and other noxious substances (dissecting wounds). Aggravation, at night, after midnight, (1 A.M.). From cold in general. After drinking (wine or alcoholic drinks). From cold food (ice-cream). From milk. While lying on the affected side, or with the head low. Amelioration. From heat in general. From lying with the head high.

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

The white oxide of Metallic Arsenic, As 2 O 3 . Solution and trituration.

Clinical

Abscess . Acne rosacea. Alcoholism. Amenorrhœa. Anæmia. Aphthæ. Asthma. Atrophy. Bronchitis. Brown-ague. Cæcum, affections of. Cancer. Cancrum oris. Carbuncle. Cholera Asiatica. Cholera. Cold. Coldness . Commissures, soreness of. Cough . Coxalgia. Croup. Dandriff . Delirium tremens. Depression of spirits. Diarrhœa. Diphtheria. Dropsy. Duodenum. Dyspepsia. Ears, affections of. Eczema. Endometritis. Enteric fever . Epithelioma. Erysipelas. Eye, affections of. Face, eruption on. Fainting. Fever. Gangrene. Gastric ulcer . Gastritis. Gastrodynia. Glandular swellings . Gout. Hay-asthma. Headache. Heart, affections of. Hectic. Herpes zoster. Hodgkin's disease. Hydro-thorax. Hypochondriasis. Ichthyosis . Indigestion. Intermittent fever. Irritation . Jaundice. Kidney, diseases of . Leucorrhœa. Lichen. Lips, eruption round; epithelioma of. Locomotor ataxy. Lung affections. Lupus. Malignant pustule. Measles. Melancholia. Menstruation, disorders of . Miliary eruptions. Morphœa. Myelitis. Nails, diseased. Nettle-rash. Neuralgia . Neuritis. Nonta pudendi. Numbness. Peritonitis. Perityphlitis. Pityriasis. Plethora. Pleurisy. Pleurodynia. Pneumonia. Psoriasis. Purpura. Pyœmia. Pyelitis. Remittent fever. Rheumatic gout. Rheumatism. Rickets. Ringworm . Scaldhead. Scarlatina. Sciatica . Scrofulous affections. Sea-bathing, effects of. Sea-sickness. Shiverings. Stomach, affections of . Strains. Suppuration. Thirst. Throat, sore. Tobacco-habit. Tongue, affections of. Trachea, affections of. Traumatic fever. Typhus. Ulcers. Vomiting . Whooping-cough. Worms . Wounds. Yellow fever .

Characteristics

Arsenic is the horse's remedy; as Puls . is the sheep's, and Antim. crud . the pig's. The reprehensible fashion of "doctoring" horses with Arsenic is merely an abuse of a therapeutic fact. The horse is an animal on whose power of endurance and "wind" enormous demands are made, and Arsenic is the remedy for the effects of feats of prolonged endurance. The Arsenic habit of the Styrian mountaineers has arisen from the discovery of its power of strengthening the muscles both of the limbs and of the breathing apparatus. But in another way the horse typifies the Arsenic temperament. The mental symptoms of my drug, when pronounced, carry precedence of all others. The horse is an exceedingly nervous animal, constantly moving about, restless to a degree, and very prone to take fright ─ quite a picture of the Arsenic temperament. According to Teste Arsen . acts much more powerfully on vegetable-eating animals than on carnivora (opp. Nux v .); and it is suited to the effect's of excess of vegetable diet, melons, strawberries, and fruits in general, especially watery fruits.

The arsenic-eaters of the Tyrol can take as much as six grains of white arsenic, or the sulphide, every two days. They maintain that it imparts a sense of invigoration and enables them to carry enormous loads up perpendicular mountains. According to one account it is resorted to by populations who live on vegetable food almost exclusively. "It strengthens the muscles," an old indulger in the habit is reported to have said, "helps to digest our coarse bread and potatoes, and allows us to breathe freely and easily. Meat-eaters have no need for such a thing, but with us it is a necessity." It is difficult to say how far this is a directly "tonic," effect, and how far curative of the dyscrasia generated by the conditions of life. The fine skin and glossy hair of the young women among the arsenic-eating populations is remarkable, and is comparable to the fine coats of arsenic-fed horses. On the other hand, "staring coat" in animals, and "dry, rough, scaly, unhealthy-looking skin" in human beings are keynote indications for the remedy. In this connection may be mentioned the effects on the crew of the ship Zion , which carried arsenic as a portion of its cargo. This was exposed somewhat to the sun's rays, and the crew noticed a peculiar smell. Soon they all began to notice themselves growing stout, and on reaching Philadelphia from England they had all gained much, one to the extent of two stones in weight.

Restlessness is one of the grand characteristics of Arsenic . Even the stupor of Arsenic is interrupted by fits of restlessness with anxious moaning. Patients are anxious, full of the fear of death, restlessness compelling them to frequently change their position. Hence the applicability of the drug in many nervous affections, notably chorea. Jerks and starts on falling asleep. Irritability, desperately angry; almost furious. Despair, hopelessness, unutterable misery. The irritability and sadness of malarial cachexias; of the cachexias of quinine, mercury, and syphilis. Low types of disease; typhoid states. Inflammations of great intensity with tendency to destruction of tissue. Burning, lancinating pains. Burning is another of the leading characteristics of Arsenic. No other remedy has it in more pronounced degree. The peculiarity of the "burnings" of Ars . is that they are > by heat (herein comparing with Capsic .). The burning in the throat is > by eating or drinking hot things. On the other hand cold food and cold drinks < stomach irritations; hence Ars . is of signal use for effects of eating ices and drinking ice-water. Arsen . affects the entire alimentary tract. The lips are so dry and parched and cracked that the patient often licks them to moisten them. The mouth is aphthous, ulcerated, or gangrenous. The stomach is so irritable that the least food or drink causes distress or vomiting, or stool or both together. Abdominal pains are intense, causing the patient to turn and twist. Hæmorrhoids are exceedingly painful as if burning needles plunged in. States of lowered vitality. The Prostration of Arsen . is remarkable. With it there is the desire to move or be moved constantly. The patient is exhausted from the slightest exertion. Exhaustion is not felt while lying still, but as soon as he moves he is surprised to find himself so weak. The prostration seems out of proportion to the rest of his illness. Must lie down. Exhaustion from hill-climbing, breathless, sleepless. Thirst for little and often ( Ant. t., Lyc .), wants it very cold and immediately rejects it ( Phos . as soon as it becomes warm). Before and after the cough of Arsenic there is an attack of asthma ( Phos .) Arsen. has a great place in acute coryza and hay-fever. The fluent coryza is corrosive, reddening the upper lip, and has more burning than either Merc . or Cepa . Also it is < out of doors, and > in warmth, which distinguishes it from Cepa especially. Arsenic is predominantly right-sided. The neuralgias affect the right side most; the right lung ("acute, sharp, fixed or darting pain in apex and through upper third of right lung") is more affected than the left; also the right side of the abdomen, hence typhlitis. Many dropsical conditions are controlled by Arsen . Especially has it done brilliant work in cases of hydrothorax. It has been called the "liquid trochar," on account of the expeditions way in which it will remove a watery effusion. The patient cannot lie down; must sit up to breathe; anxious; restless; < about 1 a.m.

It is suited to the full plethoric habit. Puffiness in one of its characteristics; and from this to dropsy. All mucous membranes are irritated. The skin is cold and clammy. Scurfy eruptions. Bran-coloured scales on head coming down to forehead. Arsenic has cured epithelioma of the lips and closely corresponds to the cancerous diathesis. Many cures of cancer have been reported under its use, both in the crude and in potencies. When the subjective symptoms of Arsen . are present, it will cure in the potencies. When the homœopathicity is more crude the lower potencies will be required: in this case the Arsen . appears to act directly on the cancerous tissue and cancerous elements in the system.

Arsenic is a hæmorrhagic: it acts on both blood and blood-vessels. Varices burn like fire. Anæmia, chlorosis, pyæmia all come within the scope of Arsenic , which corresponds also to states resulting from losses of blood, as venesection, metrorrhagia, hæmoptysis.

The Conditions, especially of time and temperature, are all-important with Arsenic . Unless these correspond in the patient, failure will be more frequent than success. Arsenic is one of the greatest of periodics. I once treated some members of a family who all had attacks of fever of short duration, recurring regularly every six weeks, from living in rooms papered with arsenical papers. Its periods are: every day; every third or fourth day; every fortnight; every six weeks; every year. There is pronounced night aggravation, the pains are unsupportable with restlessness. < Midnight and after ( Acon . is rather before midnight); < 3 a.m. There is < from cold and damp; > warmth. Arsen . loves warmth like Nux v., Psor., Hepar, Silic., Mag. mur . and other hydrogenoids, and herein is differentiated from Sul., Ant. crud., Iod., Apis , and Puls . Arsen . hugs the fire and likes warm wraps. < Lying on affected side, or with head low. > Lying with head high.

Relations

Antidotes: To poisonous doses-milk, albumen, demulcent drinks, followed by emetics of mustard, Sulphate of Zinc or Sulphate of Copper (Tartar emetic is too irritating). Castor oil is the best purgative. Chemical antidotes: Animal charcoal, Hydrated peroxide of iron, Magnesia, Limewater. Dynamic antidote: Opium; it may be administered by clyster if not retained on stomach. Brandy and stimulants if there is depression and collapse. If urine is suppressed, Sweet spirits of nitre in large quantities of water.

Antidotes of potencies: Camph., Chi., Chin. sul., Fer., Graph., Hep., Iod., Ipec., Nux v., Sambuc., Tabac., Verat. Arsen. is antidote to: Carb. v., Chi., Fer., Graph., Hep., Iod., Ipec., Lach., Merc., Nux v., Phos., Sambuc., Strych., Tabac., Verat. Follows well: Aco., Agar., Arn., Bell., Cham., Chi., Ipec., Lach., Verat. Followed well by: Aran. d., Nux v., Iod., Sul. Rhus follows well in skin affections, especially in cases treated allopathically with large doses of arsenic. Complementary: All. sat., Carb. v., Phos. Similar to: Aco., Apoc., Arg. n., Bell., Bism., Calc., Can. ind., Carb. v., Chi., Ferr., Hyo., Ipec., Kreos. Lach., Lyc., Nux v., Phos., Puls., Rhus t., Sil., Tab., Verat. The restlessness of Ars. differs from that of Mag. c.; Ars. goes from room to room, from bed to bed; Mag. c. must get out of bed and walk the floor to relieve pain. The fear of death is not that of Acon., but is an anxiety and a feeling that it is useless to take medicine as they will surely die (more like Agnus). Bry. drinks much and seldom: Ars. little and often; Ars. eats much at a time, Bry. often and little.

Causation

Chill in the water. Eating ices. Poor diet. Fruits, ailments from. Drunkenness. Effects of tobacco; of quinine; of iodine. Sea-bathing and sea-travelling. Climbing mountains. Strains. Fit of passion. Care. Grief. Fright.

Mind

Melancholy, sometimes of a religious character, sadness, care, chagrin, cries and complaints. ─ Anguish, driving one out of bed at night, and from one place to another in the daytime. ─ Restlessness. ─ Great fear of being left alone. ─ Anger, with anxiety, restlessness and sensation of coldness. ─ Anxiety, restlessness, and excessive anguish which allows no rest, principally in the evening in bed, or in the morning on waking, and often with trembling, cold sweat, oppression of the chest, difficulty of breathing, and fainting fits. ─ Anxiety of conscience, as if a crime had been committed. ─ Inconsolable anguish, with complaints and lamentation. ─ Hypochondriacal humour, with restlessness and anxiety. ─ Fear of solitude, of spectres, and of robbers, with desire to hide oneself. ─ Indecision and changeable humour, which demands this at one time, that at another, and rejects everything after having obtained it. ─ Despair; he finds no rest, esp. at night, with anguish. ─ Despondency, despair, weariness of life, inclination to suicide, or excessive fear of death, which is sometimes believed to be very near. ─ Too great sensibility and scrupulousness of conscience, with gloomy ideas, as if one had offended all the world. ─ Ill-humour, impatience, vexation, inclination to be angry, repugnance to conversation, inclination to criticise, and great susceptibility. ─ Caustic and jesting spirit. ─ Extreme sensibility of all the organs; all noise, conversation, and clear lights are insupportable. ─ Great apathy and indifference. ─ Great weakness of memory. ─ Stupidity and dulness. ─ Delirium. ─ Delirium, with great flow of ideas. ─ Loss of consciousness, and of sensation; dotage; maniacal actions and frenzy. ─ Madness; loss of mind (from the abuse of alcoholic drinks).

Head

Heaviness, sensation of weakness, and confusion in the head, chiefly in a room, mitigated in the open air. ─ Stupor and confusion. ─ Vertigo, principally in the evening, on shutting the eyes, on walking, or in the open air, and sometimes with tottering, with danger of falling, intoxication, loss of sense, obscuration of the eyes, nausea, and headache. ─ Tearing in the head, with vomiting, when raising up the head. ─ Pains, throbbing, oppressive, stunning, or drawing, shooting and burning in the head, often on one side only, and chiefly above one eye, or at the root of the nose, or in the occiput, and sometimes with inclination to vomit, and buzzing in the ears. ─ Tension, tightness, and pain as of a bruise in the head. ─ Headache > by applying cold water, or by walking in the open air. ─ Periodical headaches. ─ The pains in the head often occur periodically, and esp. after each meal, in the morning, at night, and in the evening in bed; and sometimes they are insupportable, and accompanied by tears and wailings, being mitigated for a moment by cold water, but returning much more strongly afterwards. ─ Sensation, on moving the head, as if the brain struck against the cranium. ─ Cracking or buzzing in the head. ─ Pain in the scalp and in the integuments of the head, as if they were ulcerated or bruised, greatly increased by the slightest touch. ─ Excessive swelling of the head and face. ─ Erysipelatous burning, swelling of the head (face and genitals) with great weakness and coldness; worse at night. ─ Gnawing or burning itching, scurfy eruptions, pustules, and corroding ulcers on the scalp. ─ Eruptions, white, dry, like bran; burning, itching on the forepart of the head; when scratching it burns and bleeds violently. ─ Burning, biting boils on the scalp, with sensitiveness to touch and cold.

Eyes

Aching, burning, and shooting pains in the eyes, < by light, as also by the movement of the eyes, accompanied sometimes with a necessity to lie down, or with anguish which does not permit to rest in bed. ─ Eyes inflamed and red, with redness of the conjunctiva, or of the sclerotica, and injection of the veins of the conjunctiva. ─ Swelling of the eyes. ─ Inflammatory or œdematous swelling of the eyelids. ─ Inflammation of the eyes and lids, with severe burning pains. ─ Inflammation of the inner surface of the eyelids, preventing the opening of the eye. ─ Great dryness of the eyelids, chiefly in the edges, and on reading by the light (of a candle). ─ Corrosive tears. ─ Agglutination of the eyelids. ─ Spasmodic closing of the eyelids, sometimes from the effect of light. ─ Excessive photophobia. ─ Specks and ulcers on the cornea. ─ Eyes convulsed and prominent; look fixed and furious. ─ Pupils contracted. ─ Yellowish colour of the sclerotica. ─ Yellow colour, spots, or white points and sparks before the eyes. ─ Blue colour around the eyes. ─ Weakness, obscuration, and loss of sight. ─ Eyes dull and deep sunk.

Ears

Squeezing, sharp pains, shootings, voluptuous tickling and burning in the ears. ─ Tinkling, roaring, buzzing and sound, as of bells, in the ears. ─ Sensation, as if the ears were stopped, and hardness of hearing, esp. to the human voice.

Nose

Aching pains in the nose. ─ Swelling of the nose. ─ Swelling of and burning in the nose. ─ Violent bleeding of the nose. ─ Desquamation of the skin of the nose, in furfurs. ─ Knotty tumours in the nostrils. ─ Ulceration at the top of the nostrils, with flow of ichor fetid, and of a bitter taste. ─ Smell of pitch or sulphur before the nose. ─ Violent sneezing. ─ Great dryness of the nostrils. ─ Fluent coryza; with stopped nose, burning in the nostrils, and secretion of serous and corrosive mucus. ─ Cancer of nose.

Face

Face pale, hollow, and cadaverous. ─ Yellowish, bluish, or greenish colour of the face. ─ Leaden and earth-coloured tint, with greenish and bluish spots and streaks. ─ Face discomposed, with distortion of features, or with eyes deep-sunk and having a dark circle around them, and nose pointed. ─ Distorted features; death-like countenance. ─ Redness and bloated appearance of the face. ─ Hard and elastic swelling of the face, chiefly above the eyelids, and esp. in the morning. ─ Swelling of the face, with fainting fits and vertigo. ─ Papulæ, pimples, scurfy ulcers. ─ Rosacea and mealy tetters in the face. ─ Blackish tint round the mouth. ─ Lips bluish or black, dry and chapped. ─ Brownish band in the red part of the lips. ─ Skin rough and tettery round the mouth. ─ Eruption on the mouth and on the lips, near the red part. ─ Cancer of the face and lips with burning pain. ─ Hard knots and cancerous ulcers, having thick scurf with lard-like bottoms on the lips. ─ Lips excoriated, with a sensation of tingling. ─ Swelling and bleeding of the lips. ─ Swelling of the submaxillary glands, with contusive pain, and soreness on being touched. ─ Paralysis of the lower jaw. ─ Drawing stitches here and there in the face.

Teeth

Sharp aching pains, or successive pullings in the teeth and gums, chiefly at night, extending sometimes to the cheek, to the ear, and to the temples; with swelling of the cheek and insupportable pains, which impel to furious despair, or which are aggravated when one lies on the diseased side, and mitigated by the heat of the fire. ─ Convulsive grinding of the teeth. ─ Sensation of elongation and painful loosening of the teeth, with swelling and bleeding of the gums. ─ Pain in teeth > by hot applications.

Mouth

Offensive smell from the mouth. ─ Secretion of abundant tough, fetid, bloody saliva. ─ Great dryness of the mouth, or accumulation of saliva, sometimes bitter or bloody. ─ The mouth is reddish-blue, inflamed, burning. ─ Tongue bluish or white. ─ Ulceration of the tongue, with blue colour. ─ Torpor and insensibility of the tongue, as if it were burnt. ─ Tongue brownish or blackish, dry, cracked, and trembling. ─ Tongue a bright red. ─ Tongue white as chalk, as if painted white. ─ Tongue red with a silvery white coat. ─ Tongue stiff like a piece of wood. ─ Ulceration of the tongue on the anterior edge. ─ Swelling, inflammation, or gangrene of the tongue. ─ Angina gangrenosa (with aphthæ). ─ Aphthæ in the mouth. ─ Speech rapid, precipitate.

Throat

Burning in the throat. ─ Scraping, sharp pain, with burning in the throat. ─ Inflammation and gangrene of the throat. ─ Spasmodic constriction of the throat and of the œsophagus, with inability to swallow. ─ Deglutition painful and difficult, as if from paralysis of the œsophagus. ─ Sensation of great dryness in the throat and in the mouth, which induces continual drinking. ─ Accumulation of greyish or greenish mucus of salt or bitter taste in the throat.

Appetite

Bitter taste in the mouth, chiefly after having drunk or eaten, also in the morning. ─ Astringent, or putrid, or acid taste in the mouth. ─ Food appears acid, insipid, or too salt. ─ Insipidity of food. ─ Bitter taste of food, particularly of bread and beer. ─ Complete adypsia; or violent burning, choking, and unquenchable thirst, making it necessary to drink constantly, but little at a time. ─ Desire for cold water, for acids, for brandy, for coffee and milk. ─ Want of appetite and of hunger, frequently with burning thirst. ─ Insurmountable dislike to all food, chiefly meat and butter. ─ Everything that is swallowed causes a pressure in the œsophagus, as if it had stopped there. ─ Continual craving, with want of appetite and prompt satiety. ─ After a meal, nausea, vomiting, eructations, pains in the stomach, colic, and many other sufferings. ─ After having drunk, shivering or shuddering, return of vomiting and diarrhœa, eructations and colic.

Stomach

Frequent eructations, particularly after having drunk or eaten, mostly empty, acid, or bitter. ─ Regurgitation of acrid matter, or of bitter greenish mucus. ─ Frequent and convulsive hiccoughs, principally in the night. ─ Frequent and excessive nausea, sometimes rising even to the throat, with inclination to vomit, necessity for lying down, sleep, swooning, trembling, shuddering, or heat, pains in the feet, &c. ─ Flow of water from the stomach, like water-brash. ─ Vomitings, sometimes very violent, and principally after having drunk or eaten, or at night, towards the morning; vomiting of food and of drink, or of mucous, bilious, or serous matter, of a yellowish, greenish, brownish, or blackish colour; vomiting of saguineous matter. ─ While vomiting, violent pains in the stomach, sensation of excoriation in the abdomen, cries, burning internal heat, diarrhœa, and fear of death. ─ Inflation and tension of the precordial region and of the stomach. ─ Excessive pain in the epigastrium, and in the stomach, chiefly on being touched. ─ Pressure in the stomach as from a stone, or as if the heart would burst, and excessive anguish in the precordial region, with complaints and lamentations. ─ Sensation of constriction, cramp-like pains, pulling, piercing, and gnawing in the stomach. ─ Burning in the pit of the stomach and stomach. ─ Inflammation or induration of the stomach. ─ Cramp in the stomach (2 a.m.). ─ Cancer in the stomach. ─ Sensation of cold, or insupportable heat and burning in the precordial region, and in the stomach. ─ The pains in the stomach manifest themselves mostly after a meal, or in the night. ─ Tetters on the pit of the stomach.

Abdomen

Compression in the region of the liver. ─ Swelling of the spleen. ─ Excessive pains in the abdomen, principally on the left side, and often with great anguish in the abdomen. ─ Inflation of the abdomen. ─ Ascites. ─ Swelling of the abdomen as in ascites. ─ Hard bloated abdomen. ─ Violent cutting pains, cramp-like pains, digging, pulling, tearing, and gnawing in the abdomen. ─ Attacks of colic occur chiefly after having drunk or eaten, or in the night, and are often accompanied by vomiting or diarrhœa, with cold, internal heat, or cold sweat. ─ Burning pains with anguish. ─ Sensation of cold, or insupportable burning in the abdomen. ─ Pain, as from a wound in the abdomen, chiefly on coughing and laughing. ─ Swelling and induration of the mesenteric glands. ─ Much flatulency, with rumbling in the abdomen. ─ Flatulency of a putrid smell. ─ Painful swelling of the inguinal glands. ─ Ulcer above the navel.

Stool and Anus

Constipation, with frequent, but ineffectual inclination to evacuate. ─ Tenesmus, with burning in the anus. ─ Involuntary and unperceived evacuations. ─ Violent diarrhœa, with frequent evacuations, nausea, vomiting, thirst, great weakness, colic, and tenesmus. ─ Nocturnal diarrhœa, and renewal of the diarrhœa, after having drunk or eaten. ─ Burning stools, with violent pains in the bowels, with tenesmus, thirst, worse after eating. ─ Burning and corrosive evacuations; fæces with mucus, or bilious, sanguineous, serous, painless, involuntary, &c., of greenish, yellowish, whitish colour, or brownish and blackish; fetid and putrid evacuations; evacuations of undigested substances. ─ Emission of mucus by the anus, with tenesmus. ─ Prolapsus of the rectum: with much pain. ─ Itching, pain as from excoriation, and burning in the rectum and in the anus, as well as in the hæmorrhoidal tumours, chiefly at night. ─ Shootings in the hæmorrhoidal tumours.

Urinary Organs

Retention of urine, as from paralysis of the bladder. ─ Frequent inclination to make water, even at night, with abundant emission. ─ Incontinence of urine, which escapes almost involuntarily, even at night, in bed. ─ Difficult and painful emission of urine. ─ Scanty urine, of a deep yellow colour. ─ Urine aqueous, greenish, brownish, or turbid, with mucus-like sediment. ─ Sanguineous urine. ─ Burning in the urethra on making water. ─ Involuntary discharge of burning urine.

Male Sexual Organs

Itching, shooting, and burning in the glans and in the prepuce. ─ Inflammation, painful and gangrened swelling of the genital parts. ─ Glans swollen, cracked, and bluish. ─ Swelling of the testes. ─ Erysipelatous inflammation of the scrotum. ─ Nocturnal pollutions. ─ Flowing of the prostatic fluid during loose stools.

Female Sexual Organs

Venereal desire in women. ─ Catamenia too early and too copious, attended by much suffering. ─ Catamenia suppressed, with pains in the sacrum and in the shoulders. ─ Leucorrhœa acrid, corrosive, thick, and yellowish. ─ Scirrhus uteri.

Respiratory Organs

Catarrh, with hoarseness, coryza, and sleeplessness. ─ Voice rough and hoarse. ─ Voice trembling or unequal; at one time strong, at another weak. ─ Tenacious mucus in the larynx and the chest. ─ Bronchitis, with difficult secretion of mucus. ─ Sensation of dryness and burning in the larynx. ─ Spasmodic constriction of the larynx. ─ Dry cough, sometimes deep, fatiguing, and shaking, principally in the evening after lying down, or at night, obliging the patient to assume an erect posture; also after drinking; on being in the fresh and cool air, during movement, or during expiration, and often with difficulty of respiration, suffocating, contractive pain, or sensation as of excoriation in the pit of the stomach and the chest; pain, as from a bruise in the abdomen, shootings in the hypochondria, in the epigastrium, and in the chest, &c. ─ Arrest of breathing with cough. ─ Cough excited by a sensation of constriction and suffocation in the larynx, as if by the vapour of sulphur. ─ Respiration oppressed, anxious, short. ─ Oppressed, laboured breathing, esp. when ascending a height; in cold air; when turning in bed. ─ Periodical attacks of cough. ─ Cough with expectoration of sanguineous mucus, sometimes with burning heat over the whole body. ─ Difficult expectoration, or scanty and frothy.

Chest

Shortness of breath, difficulty of respiration, choking, dyspnœa, and attack of suffocation, sometimes with cold sweat, spasmodic constriction of the chest or of the larynx, anguish, great weakness, body cold, pain in the pit of the stomach, and paroxysm of cough. ─ The sufferings occur chiefly in the evening in bed, or at night, when lying down; also in windy weather, in the fresh and cold air, or in the heat of a room, or when warmly clothed, on being fatigued, on being angry, on walking, on moving, and even on laughing. ─ Respiration anxious, stertorous, and wheezing. ─ Oppression of the chest on coughing, on walking, and on going upstairs. ─ Constriction and compression of the chest, sometimes with great anxiety, inability to speak, and fainting fits. ─ Tension and pressure in the chest. ─ Stitches and pressing in the sternum. ─ Shooting pains in the chest and in the sternum. ─ Chilliness or coldness in the chest. ─ Shivering, or great heat and burning in the chest. ─ Heat, burning, itching in the chest. ─ Yellowish spots on the chest.

Heart

Violent and insupportable throbbings of the heart, chiefly when lying on the back, and esp. at night. ─ Irregular beatings of the heart, sometimes with anguish. ─ Cramp in the heart. ─ Heart-beats irritable. ─ Palpitation with anguish, cannot lie on back; < going upstairs. ─ Palpitation and trembling weakness after stool; must lie down. ─ Palpitation after suppressed herpes or foot-sweat. ─ Angina pectoris. ─ Hydropericardium. ─ Fatty degeneration.

Neck and Back

Œdematous, painless swellings of the neck and of the lower jaw. ─ Tetters between the shoulder-blades. ─ Violent and burning pain in the back, powerfully aggravated by the touch. ─ Acute drawing pains in the back and between the shoulder-blades, which necessitate lying down.

Upper Limbs

Acute drawing pains in the arms and in the hands. ─ Swelling of the arms, with blackish pustules of a putrid smell. ─ Acute drawing pains in the night, beginning from the elbow and extending to the armpits. ─ Acute pulling and shooting in the wrists. ─ Cramps in the fingers. ─ At night, sensation of fulness and swelling in the palms of the hands. ─ Excoriation between the fingers. ─ Hard swelling of the fingers, with pain in the finger-bones. ─ Ulcers at the extremities of the fingers, with burning pain. ─ Discoloured nails.

Lower Limbs

Cramp in the legs. ─ Acute drawing pains in the hips, extending to the groins, the thighs, and sometimes even to the anklebones, with uneasiness, which obliges one to move the limb constantly. ─ Tearing and stinging in the hips, legs, and loins. ─ Tearing in the tibia. ─ Rheumatic pain in the legs, and esp. in the tibia. ─ Paralytic weakness of the thigh. ─ Pain, as from a bruise in the joint of the knee. ─ Old ulcers on lower limbs, with burning and lancinating pains. ─ Contraction of the tendons of the ham. ─ Tetters on the ham. ─ Cramps in the calves of the legs. ─ Affections of the shin-bones. ─ Burning and shooting ulcers in the leg. ─ Itching herpes in the bends of the knee. ─ Varices. ─ Fatigue in the legs and in the feet. ─ Swelling of the foot, burning, hard, and shining, with burning vesicles of a blue-blackish colour on the instep. ─ Corrosive and ulcerous vesicles on the soles of the feet and on the toes. ─ Pains in the fleshy part of the toes, as if they were galled by walking.

Generalities

Paroxysms of suffering with anxiety, coldness, rapid failure of strength, and wish to lie down. ─ Burning, chiefly in the interior of the parts affected, or sharp and drawing pains. ─ Nocturnal pains, which are felt even during sleep, and which are so unbearable that they excite despair and fury. ─ Aggravation of suffering by conversation, as well as after a meal, in the morning on rising, in the evening in bed, on lying on the part affected, or during repose after prolonged exercise; mitigated by external heat, as well as by assuming a standing posture, or by walking, and movement of the body. ─ Return of sufferings periodically. ─ Œdematous swellings, with burning pain in the parts affected. ─ Excessive indolence, and dread of all exertion. ─ Want of strength, excessive weakness, and complete asthenia, even to prostration, sometimes with paralysis of the lower jaw, eyes dull and deep, and mouth open. ─ Rapid failure of strength, and sensation of weakness as if from want of food. ─ Inability to walk; the patient is obliged to remain lying down. ─ When lying down, the patient feels stronger, but on rising, falls from weakness. ─ Deficiency of blood; dropsy of outer and inner parts; inflammation of mucous membranes; ulcers in the glands. ─ Emaciation and atrophy of the whole body, with colliquative sweats, great weakness, face earthy, and eyes sunken, with a dark ring surrounding them. ─ Violent convulsive attacks, spasms and tetanus. ─ Epileptic fits, preceded by burning in the stomach, pressure and heat in the back, extending to the nape of the neck, and to the brain, with dizziness. ─ Œdematous inflation and swelling of the whole body, chiefly of the head and face, with enlargement of the abdomen, and engorgement of the glands. ─ Burning pains of inner or exterior parts (glands). ─ Emaciation. ─ Trembling of the limbs, chiefly the arms and legs. ─ Trembling of the limbs (in drunkards). ─ Stiffness and fixedness of the limbs, sometimes with sharp rheumatic pains. ─ Paralysis and contraction of the limbs. ─ Paralysis, especially of the lower extremities. ─ Fainting fits, sometimes with dizziness and swelling of the face. ─ Fainting, from weakness, with scarcely perceptible pulse. ─ Sensation of torpor in the limbs, as if they were dead.

Skin

Desquamation of the skin of the body. ─ Skin dry as parchment, cold and bluish. ─ Yellowish colour of the skin. ─ Shootings, hot itching, and violent burning in the skin. ─ Reddish or bluish spots in the skin. ─ Petechiæ. ─ Inflamed spots, as from morbilli, chiefly in the head, face, and neck. ─ Miliary eruptions, red and white. ─ Conical pimples, whitish or reddish, with burning itching. ─ Nettle-rash. ─ Eruption of painful black pustules. ─ Eruption of itchy pimples, small and tickling. ─ Eruption of small red pimples, which increase and change into gnawing ulcers, covered with a scurf. ─ Vesicular eruptions. ─ Herpes, with vesicles, and violently burning, esp. at night, or with coverings, like fish-scales. ─ Skin jaundiced; general anasarca; black blisters. ─ Pustules filled with blood and pus. ─ Tettery spots, covered with phlyctenæ and furfur, with burning nocturnal pains. ─ Ulcers with raised and hard edges, surrounded by a red and shining crown; with the bottoms like lard, or of a blackish-blue colour, with burning pains or shooting, principally when the parts affected become cold. ─ Ulcers, hard on the edges, stinging, burning spongy; with proud flesh; turning black; flat; pus thin, ichorous (cancers). ─ Fetid smell, ichorous suppuration, ready bleeding, putridity, and bluish or greenish colour of the ulcers. ─ Thin crusts or proud flesh on the ulcers. ─ Spacelus. ─ Want of secretion in the ulcers. ─ Carbuncles (burning). ─ Inflammatory tumours with burning pains. ─ Warts. ─ Ulcers inform of a wart. ─ Chilblains. ─ Varices. ─ Discoloured nails.

Sleep

Constant drowsiness, with strong and frequent yawnings. ─ Nocturnal sleeplessness, with agitation and constant tossing. ─ Drowsiness in the evening. ─ Coma vigil, often interrupted by groans and grinding of the teeth. ─ Unrefreshing sleep; in the morning it seems as if more sleep were needed. ─ Starting of the limbs when on the point of falling asleep. ─ During sleep, startings with fright, groans, talking, querulous exclamations, grinding of the teeth, convulsive movements of the hands and fingers, sensation of general uneasiness, and tossing. ─ In sleep, lying on the back, with the hand under the head. ─ Light sleep; the slightest noise is heard, though the patient dreams continually. ─ Frequent dreams, full of cares, threats apprehensions, repentings and inquietude; anxious, horrible, fantastic, lively and angry dreams; dreams of storms, of fire, of black waters and darkness; dreams with meditation. ─ In the night, jerking of the limbs, heat and agitation, burning under the skin, as if there were boiling water in the veins, or cold, with inability to get warm, stifling sensation in the larynx, asthmatic attacks, great agitation, and anguish at the heart. ─ Frequent waking during the night, with difficulty in sleeping again. ─ Sleeplessness, from anguish and restlessness, with tossing about (after midnight).

Fever

Cold over the whole body, sometimes with cold and viscid sweat. ─ General coldness, with parchment-like dryness of the skin, or with profuse, cold, clammy perspiration. ─ Chilliness without thirst; worse after drinking; with stretching of the limbs and restlessness with external heat at the same time; when walking in the open air. ─ Shiverings and shuddering, chiefly in the evening in bed, or on walking in the open air, or after having drunk or eaten, and often with the addition of other sufferings, such as sharp pains in the limbs, headache, oppression of the chest, and difficulty of respiration, drawing in the limbs, anxiety and restlessness. ─ Universal heat, principally at night, and often with anxiety, restlessness, delirium, heaviness and perplexity in the head, dizziness, vertigo, oppression and pricking in the chest, redness of the skin, &c. ─ Febrile attacks, mostly in the morning or evening, often with shivering and heat slightly developed, burning thirst or perfect adypsia, quartan or tertian, or sometimes quotidian; sufferings before the attack, and sweats after, on going to sleep; apyrexia (or shivering or heat), with great weakness, dropsical affections, pains in the regions of the liver and of the spleen, dull or shooting headache, sharp and drawing pains in the limbs, in the back and in the head, pressure, fulness, tension, and burning in the stomach and in the epigastrium, prickings in the chest and in the sides, difficulty of breathing, anxiety, face puffed, earthy, &c. ─ Pulse irregular, or quick, weak, small, and frequent, or suppressed and trembling. ─ Pulse frequent in the morning, slower in the evening. ─ Frequent colliquative, or cold and viscid sweats; sweat at night, or in the evening on going to sleep, or in the morning on waking; partial sweat, chiefly on the face and legs. ─ Perspiration at the beginning of sleep, or all night; cold, clammy, smelling sour or offensive. ─ During perspiration, unquenchable thirst; after the fever, attack of headache. ─ Perspiration, which imparts a yellow colour to the linen and to the skin. ─ During the sweat, heaviness in the head, buzzing in the ears and trembling of the limbs.

The Guiding Symptoms of Our Materia Medica

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

Mind

Loss of consciousness. θ Vertigo. θ Typhus. θ Heart
disease. θ Yellow fever.
Loss of consciousness, and falling before epileptic attack.
She lay upon bed in a state of unconsciousness, muttering, eyes fixed, cold sweat on forehead, trembling all over, pulse small, hard, and very rapid.
Stupor, broken by anxious moaning. θ Child with gastritis mucosa.
Loss of memory. θ Yellow fever.
Thoughts crowd upon him ; he is too weak to keep them off or to hold on to one idea.
When alone, he falls to thinking about disease and other things, which he can scarcely keep out of his mind.
Gloomy forebodings while lying in bed, in evening, fears something may have happened to his relatives.
Thoughts of death and the incurability of his complaint. θ Cancerous inoculation.
Fixed idea that he and his family will die of starvation.
Dulness and weakness in head, cannot think, and is irritable ; as if he had a bad cold, or had lost sleep.
Mental derangements with satiety of life in drunkards.
Imbecility.
Stupidity, with loss of hearing, and almost total blindness.
Thinks he must die. θ Megrim.
Tormenting hallucination, as if there was one by his side who did all that he was doing, eating, washing, etc. θ Diabetes mellitus.
He sees all kinds of vermin on his bed, throws handfuls of them away, and tries to escape from them.
He imagines that he sees burglars in his room, and listens under the bed ; he is bathed in cold sweat.
Periodically returning fancies.
Talks wildly, with open eyes, and is not conscious of being flighty.
Delirium. θ Yellow fever. θ Typhus.
In her delirium she thinks she is well ; girl, æt. 7.
Delirium, with great prostration.
Delirium during heat, unconsciousness, mania, wants to be held ; with a tearing headache. θ Intermittent.
Mania ; headache ; terrible anxiety, noise in his ears as of many bells ; sees a man who has hanged himself beckoning him to cut him loose, on failing to accomplish this, he attempts to hang himself ; being prevented he falls into despair, and becomes so
restless he can scarcely be kept in bed, loses speech, with full consciousness, tries to write, but can make only unintelligible characters ; he trembles, weeps, his forehead is covered with anxious sweat, finally kneels down and lifts his hands in supplication.
Rage ; had to be chained.
Her desires are greater than her need ; she eats and drinks more than is good for her, and walks farther than she ought to do.
Suicidal mania.
A barber felt an inclination to cut his customers' throats.
Talking and quarrelling in sleep.
Great loquacity while awake and asleep.
(In sick :) If people came to see him, he did all the talking. θ Cancerous inoculation.
He wept and whined, but spoke little.
Hysterical crying, instead of fear.
Whimpering and gnashing teeth.
Loud moaning, groaning, and weeping. θ During catamenia.
Pitiful complaining, great anxiety and restlessness, with disagreeable sensation in abdomen, and dyspnœa.
Piercing, pitiful moaning, interrupted by fainting spells.
Lamentations, despair of life. θ Colic.
Screaming with pains. θ Headache.
Loud screaming ; says it is something within him that screams.
Picking of bedclothes. θ Typhus.
Fear drives him out of bed ; he hides in a closet.
Runs about house at night looking for thieves.
Hasty in all its motions ; grasps tumbler or anything it wants eagerly. θ Eclampsia.
Says little, but complains of fear.
Aversion to all occupation.
Placid mood ; remained the same no matter what happened.
Averse to meeting acquaintances, because he imagines he has formerly offended them, though knows not how.
Tranquillity of soul. θ In a man afflicted with melancholy.
At first great tranquillity and cheerfulness, followed in half an hour by terrible restlessness and anxiety ; t.
Inclined to cheerfulness and activity.
Feels uncomfortable and takes pleasure in nothing.
Hypersensitive, delicate mood ; sad and given to weeping ; the least thing troubles her.
Her mind is depressed, sad. θ Relapse of intermittent.
Sad and gloomy, with restless tossing.
Melancholy, sadness after dinner. θ Headache.
Melancholy after mental overexertion.
Melancholy ; after financial losses ; cannot be consoled ; thinks he will have to die, with his family, from starvation ; sleepless nights ; walks about wringing his hands, with moaning and groaning.
Deep-seated melancholic affection ; ceased after tetter-like ulcers appeared on lower limbs.
Periodical attacks of melancholy only at twilight ; sometimes at night ; woman æt. 65.
Religious melancholy ; hopelessness, despair.
Fear of being left alone. θ After vexation. θ Dysmenorrhœa.
Dread of death when alone, or on going to bed.
Fear of death. θ After vexation. θ Cholera Asiatica.
Anxiety and restlessness, < after midnight.
Hypochondriacal anxiety, which seems to originate in upper part of chest ; restlessness, no palpitation.
Anxiety and impatience.
Excessive anxiety. θ Headache. θ Hematemesis. θ Colic.
θ Intussusception. θ Œdema pulmonum. θ Hydrothorax.
θ Measles, etc.
Attacks of anxiety at night driving out of bed. θ Mania.
Great anxiety, must jump out of bed. θ Ascites.
Frequent attacks of anxiety, < at night ; fears death. θ Influenza. θ Diarrhœa.
Anxiety and restlessness. θ Chill of intermittent. θ Hepatitis.
Anxiety and restlessness with pains ; fainting from pain. θ Gastralgia.
Great anguish, tossing about. θ Colic. θ Pneumonia. θ Emphysema.
θ Intermittent.
Precordial anxiety, feels constricted.
Anxiety like that of one who has committed murder ; driven from place to place ; avoids meeting persons, thinking that he has offended them. θ Mania.
Terrible anxiety, flushing up ; restless glance, no rest by day or night ; inclination to commit suicide. θ Mania.
Great fear, restlessness, trembling, cold sweat, prostration.
Great anxiety, with constriction of chest and dyspnœa.
Great anguish and restlessness. θ Stricture of œsophagus. θ Gastralgia. θ Hematemesis.
θ Colicodynia.
Indescribable anguish, restlessness. θ Metritis. θ Pericarditis.
θ Cholera Asiatica.
Anxiety, with nausea and gnawing in scrobiculum. θ Chill.
Great despondency. θ Scurvy.
The pains seem intolerable, drive one to despair and frenzy. θ Headache.
Great indifference. θ Yellow fever. θ Typhus.
Apathy ; if roused by loud calling, they open eyes with difficulty and stare at you. θ Typhus.
Cheerfulness, alternating with ill humor.
Indecision ; the merest trifle alters his resolve.
Irritable, despondent and anxious ; cardiac anxiety, with insupportable pain. θ Intermittent.
Irritable mood, alternating with despondency. θ Icterus.
Touchiness.
Disposed to discuss the faults of others.
Disposed to quarrel. θ Hemorrhoids.
Very cross and despondent. θ Chronic intestinal catarrh.
Dissatisfied and angry with himself all day ; thinks he has not accomplished enough, and reproaches himself bitterly.
The child is irritable, whining and restless ; wants to be carried.
Irritability, with dull, confused feeling in head.
Irritability, with flushes of heat and chilliness when talking or moving.
Irritable, discouraged, restless ; vexed about trifles.
Vexed and dissatisfied with everything ; the least noise or light annoys her, she is so sensitive to external impressions.
The least thing offends him, and moves him to anger.
Vexation, with anxiety, restlessness and chilliness.
She became furious when something to eat was offered her while complaining of loss of appetite.
Obstinacy, avarice, inclined to malice and satire.
Restlessness, cannot rest anywhere, moves from place to place ; wants to go from one bed to another.
Inward restlessness, with dulness in head and stupor ; with aphasia ; with backache.
Restlessness and moaning, with sleeplessness ; anxious restlessness, with weak, irregular pulse, limbs cold on surface ; inward heat.
Great restlessness, alternating with drowsiness.
Anxious restlessness and nausea.
After a fit of passion. θ Nosebleed, asthma, cough.
After great care and grief. θ Colic in pregnancy.
The pains are aggravated by other peoples' talking.
As a consequence of fright, inclination to commit suicide.

Sensorium

Great weight in head, most in forehead.
Heaviness in head, with humming in ears ; goes off in open air, but returns on entering room.
Whirling vertigo, heaviness of head. θ Dropsy.
Vertigo and buzzing before ears. θ Bright's disease.
Vertigo : when shutting eyes, as if he would fall ; when walking over an open space ; preceding an attack of epilepsy ; before chill in intermittent.
Vertigo, reels when walking. θ Headache.
Sensation as if brain moved and beat against skull, during motion.
Roaring in head. θ Hematemesis.
Head feels confused whenever it is moved. θ Paraplegia.
Confused and stunned, after epileptic attack.
Great confusion of head.
Weakness of head, also from pain, with qualmishness and weak feeling in pit of stomach.
Sense of unusual lightness.

Inner head

Heaviness in forehead.
Severe exhausting pain over left eye ; > from warm applications, or wrapping head up warm.
Intense frontal headache, with vertigo.
Drawing pressive pain in right side of forehead.
Throbbing frontal headache over root of nose. θ Ozæna.
Pain as if bruised or sore, over nose and in forehead, rubbing relieves temporarily.
Throbbing in forehead, with nausea.
Intermitting, tearing, burning, boring pain in right supraorbital region, extending over eye and into upper teeth, not allowing a moment's rest ; > by walking about.
Periodical headache, above left eyebrow and temple, lasting twelve hours, followed by vomiting of a yellow, bitter or tenacious mass.
Tensive, pressing pain spreading from forehead and temples to occiput and nape of neck ; comes in violent attacks, as if head would burst.
Violent periodical headache, boring in a small spot in temple.
Hemicrania : reels like a hot wire thrust through ramifications of fifth pair of nerves ; must move head and feet ; alternating with colic or liver complaint.
Periodical semilateral throbbing, with nausea, buzzing in ears and vomiting ; < after eating, morning, evening, or nights in bed, with weeping and moaning ; sometimes it becomes maddening.
Beating or pressing as from a load on brain ; < rising up in bed, from motion ; > temporarily by cold washing ; improved by walking in open air.
Dizzy headache on top of head.
The pain in head and face is especially severe on left side ; cannot lean or rest on that side ; vomits bile ; stomach remains irritable.
Headache in occiput.
Pressive pain in occiput, between epileptic attacks.
Violent pressing headache ; stretching ; cold sensation in back ; great weariness, after an hour's heat, with restlessness and anxiousness. θ Intermittent.
Pressure in forehead during chill. θ Intermittent.
Occipital headache, of a pricking character. θ Retinitis albuminurica.
Dull, heavy, or throbbing pain in head. θ Yellow fever.
Tearing in brain, as if torn to pieces.
Neuralgia in brain, as if cats were tearing it to pieces. θ Cancerous inoculation.
Sensation of wabbling or swashing in brain.
Internal headache ; < from light and noise.
Neuralgic headache, with restlessness ; has to move head, even feet up or down to get relief.
Periodical headache, cannot move or fix his attention.
Stunning headache, periodical, because incapable of all movement or attention to any subject ; could only rest his head on a table, and bear it the best he could.
Constant severe headache, with vomiting, when raising head.
When moving head while walking, brain seems to strike skull.
Heat or stitches in head when coughing.
Heaviness of head is relieved by going into open air.
Megrim, with deep-seated biliary derangements ; vertigo, nausea, retching, and vomiting of bile.
Headache, with irritation of ovaries and uterus.
Paroxysm of excessively painful hemicrania, with great weakness and ice-cold feeling in scalp, followed by itching.
Periodical headache, begins at 7 A. M., reaches its climax at 11, and begins to decrease at 2 P. M., followed by extreme prostration.
Headache before chill. θ Intermittent.
Towards end of chill, stinging, pressing and drawing in forehead, extending to eyes ; < by opening eyes and motion. θ Intermittent.
Headache during heat, burning, pressing outward tearing, throbbing, stinging in forehead. θ Intermittent.
Headache after fever, pain in sacrum during.
Rarely apoplexy ; sometimes apoplexia serosa.
Chronic hydrocephalus, with great emaciation, shrivelled skin ; nightly restlessness and dyspepsia.

Outer head

He walked with head thrown back. θ Suppressed catarrh.
Great sensitiveness of head to open air ; wraps head up warmly.
Can scarcely bear hair to be touched, scalp so sensitive.
Hot head, sensitive hair, cannot bear having it touched. θ Headache. θ Suppressed
catarrh. θ Horizontal half-sight.
Head and face swollen like whole body. θ Anasarca.
Œdema of head, face, eyes, neck and chest, having a natural color.
Hard swelling on frontal eminence, resembling a nut ; worse in evening.
Erysipelatous burning and swelling of head, with great weakness and coldness ; < at night.
Head sensitive to air. θ Hemicrania.
Worse from uncovering head ; > from wrapping it up warmly.
Burning itching on head, in evening, when undressing and growing cold.
Chronic eczema of face and scalp, spreading from ear, with a fine vesicle drying down into bran-like scales.
Scalp covered with dry scales, scabs, or crusts ; sometimes extending down to forehead, ears or neck.
Head sore, with an itching, moist eruption, which forms a dry scurf. θ Scrofulous ophthalmia.
Scabs on hairy scalp.
Chronic eruptions, with pustules and vesicles filled with pus. θ Tinea.
Burning, biting boils or pustules on scalp, sensitive to touch and cold.
Losing hair on front part of head.
Falling out of hair ; also in circular patches, which become rough and dirty.
Eruptions destroy roots of hair. θ Tinea.

Sight and eyes

Sensitive to light ; especially to sunlight.
Snow dazzles eyes and makes them water.
Photophobia. θ Ophthalmia, or scrofulous catarrhal ophthalmia.
Shuts her eyes, as if she could not keep them open.
Flickering before eyes.
Everything appears green. Compare Phosphor.
Horizontal half-sight ; only objects in lowest part of field of vision could be seen. θ Suppressed catarrh.
When closing eyes, oftener < than >.
Worse when looking up or straining eyes.
Weakness of sight ; dim sight.
Vision reduced in left eye to counting fingers at two feet, r. vision 20/70. θ Retinitis albuminurica.
Sees as through a white gauze.
Has to lift head somewhat, if she wants to look at anything, because she can only see things below axis of eye, and that not very clear ; anything above axis she cannot see at all ; it is like a grey board. θ Scotodia.
Dim vision, with headache. θ Suppressed catarrh.
Sight is cloudy. θ Albuminuria.
Constant lateral motion of balls. θ Amaurosis, after suppressed eruption.
Pupils contracted or dilated.
Wild staring look.
Eyes staring, glistening. θ Typhus.
Eyes sunken or protruding.
Twitching in eyes, as if they were drawing into head, with burning heat, hot lachrymation and photophobia. θ Scrofulous ophthalmia.
A bluish circle around cornea.
Yellowness of sclerotica. θ Yellow fever.
The eyes feel as if they had no room in the orbit. θ Scrofulous ophthalmia.
Pulsative throbbing in eyes, at every pulsation a stitch ; after midnight.
Pressing and beating like a small pulse is felt in and around eyeball as frequent as one hundred in a minute ; a tormenting sensation. θ Ophthalmia.
Painful throbbing and beating in middle of left supraorbital region in a small spot.
Throbbing, pulsating in eyeball and around orbit, with general restlessness and prostration. θ Scrofulous ophthalmia.
Suborbital pain on left side, with prickings, as with needles, sometimes quite severe.
Stinging pain when trying to open lids. θ Ophthalmia scrofulosa.
Violent pain in eyes ; reaches its height in night. θ Ophthalmia.
Paroxysms of most intense pains in eyes. θ Horizontal half-sight.
Various neuralgic pains in eyes. θ Scrofulous ophthalmia.
Heat in eyes, and burning in chest, with dyspnœa. θ Choroiditis, alternating with bronchial catarrh.
Burning pains over orbit, < at night, with profuse acrid lachrymation. θ Keratoiritis.
Violent burning in eyes. θ Ophthalmia scrofulosa. θ Conjunctivitis.
Burning and swelling of eyes.
Burning pain in eye, < at night, after midnight. θ Iritis rheumatica.
Burning, watering and sticking together of lids at night ; dimness of vision. θ Dropsy.
Burning pains in eye and upper part of orbit, < at night, and accompanied by copious secretion of tears. θ Keratitis punctata.
Severe burning in eyes ; burning tears, corroding as they flow. θ Ophthalmia scrofulosa.
Pain in right eyeball, particularly during motion.
Pain deep in eye, with violent pain when moving ; profuse fluent coryza, with stoppage of nose ; ulceration high up in nose, with discharge of fetid, bitter tasting ichor ; ulcers all over face, with blue and green spots and streaks ; bluish sickly color of
face and dissatisfied expression.
Opens eye well in cool open air, but cannot in house, even in a dark room. θ Scrofulous ophthalmia.
Arsenic cases are generally relieved by warm applications ; they are very frequently periodic in their occurrence, commencing every Fall, and often changing from one eye to the other.
Iris discolored, reacting sluggishly. θ Keratitis punctata.
Progressive choroiditis disseminata, which alternated with bronchial catarrh ; when the eyes were >, the chest was <, and vice versa.
Syphilitic iritis.
Parenchymatous keratitis, with excessive photophobia ; lies in bed with face buried in pillows, hot, scalding lachrymation causes an eczematous eruption ; paroxysmal pains ; child fretful and obstinate (compare Rhus).
Keratoiritis, with burning pains in and over eyes, profuse, acrid lachrymation.
Sclerotica deep red, with great photophobia. θ Ophthalmia.
Vascular elevations on cornea, resulting from ulceration, aggravated by opening and closing eyes, with violent burning pains every afternoon.
Ulceration of cornea recurring first in one eye, then in other. θ Scrofulous ophthalmia.
Ophthalmia, with ulcers on cornea before and during catamenia.
Ulcer on outer side of cornea, with elevated edges, pain like pricking of needles, excoriation of external canthus, burning and sticking pains.
Violent inflammation of eyes and ulcers on corneæ. θ Influenza.
Ulcers of cornea, with chronic trachoma and blepharitis, after suppression of itching on scalp.
Cornea had become dim and dotted with small white scars from old ulcers. θ Scrofulous ophthalmia.
Cornea degenerated. θ Ophthalmia scrofulosa.
Inflammation of eyes and lids.
Ophthalmia of children, when skin is rough, dry and dirty looking ; intense pain from least ray of light, with profuse lachrymation.
When eyes are >, feet are swollen. θ Scrofulous ophthalmia.
Ophthalmia beginning at 5 A. M., increasing until noon, decreasing until 10 P. M.
Conjunctiva looks like a piece of a raw beef.
Bluish-red inflamed conjunctiva and swollen lids. θ Ophthalmia.
Conjunctiva injected, capillaries congested, forming an elevation around cornea ; red, granulated, in some places bluish-red. θ Ophthalmia scrofulosa.
Conjunctivitis, appearing periodically every afternoon, towards 4 o'clock.
Conjunctiva not hyperemic, but with œdematous swelling of its outer segment. θ Keratitis punctata.
Lachrymation.
Acrid tears gush from eyes. θ Scrofulous ophthalmia.
Pterygium, with dryness of lids.
Posterior synechiæ, some exudation into pupil, white punctate spots on membrane of Descemet. θ Keratitis punctata.
Trembling of upper eyelid, with lachrymation. θ Conjunctivitis.
Lids spasmodically closed. θ Ophthalmia scrofulosa.
Eyelids œdematous and spasmodically closed.
Soreness of internal surface of lids, which are swollen externally and spasmodically closed, so that opening eyes causes intense burning sticking pain.
Edges of lids painful during motion, as if dry and rubbing on ball.
Pain in margin of eyelids, on moving them, as if they were dry and rubbed against balls, both in open air and in room.
Burning in margins of lids ; in evening a feeling as of sand in eyes, obliging him to rub them.
Lids were very sore on inner margins. θ Scrofulous ophthalmia.
Brilliant, red inner margin of lids, dryness of their inner surface. θ Trachoma.
Lids inflamed only on internal surface ; they are painful, dry and rub against ball ; they burn and can scarcely be opened. θ Chronic granulated lids.
Extreme redness of inner surface of eyelids, with an uneasy sensation rather than pain, often obliging one to rub the eyes.
Ulcerations on inner surface of eyelids. θ Ophthalmia scrofulosa.
Œdema of eyelids. θ Bright's disease.
Eyelids swollen and œdematous, first upper then lower (this swelling is mostly non-inflammatory and painless) ; the œdematous lids are firmly and spasmodically closed, and look as if distended with air. [Obs. "The œdema of the lids, especially
the lower one, is not at all like the puffiness of Apis or Rhus , nor is it dependent upon infiltration of the connective tissue as it may be in Rhus , but is associated with the general cachectic Arsenic conditions."]
Agglutination of lids. θ Typhus.
Eyes sunken in their sockets, closed eyelids gummed. θ Febris nervosa putrida.
She had no lashes left. θ Scrofulous ophthalmia.
Lids hanging down. θ Typhoid.
Complaints predominate on lower eyelids.
Tearing pains around eyes on looking at light. θ Scrofulous ophthalmia.
Eruption around eyes.
Red circles around eyes and at root of nose. θ Paraplegia.
Bluish around eyes and mouth. θ Summer complaint.
Puffed around eyes. θ Neuralgia of trigeminus.
Œdema around eyes, with heat and paleness. θ Bright's disease.
Swelling under eyes.
Eyes sunken. θ Cholera Asiatica. θ Yellow fever.
Eyes sunken in their sockets ; half-closed in slumber ; fixed, dull and blue rings around them. Gastritis mucosa in a child.
Eyes dull, sunken, blue circles around them ; face earthy pale.
Eyes dull and sunken, with dark rings around them θ Yellow fever.
Eyes dull, sunken and watery. θ Typhus.

Hearing and ears

Complaints of inner ear predominate.
Unusual sensitiveness to sound.
Ringing in ears.
Roaring in ears, with each paroxysm of pain.
With attacks and during apyrexia, buzzing and singing in ears. θ Intermittent.
Humming in ears > in open air, < in warm room.
Humming in ears, with hard hearing, as if ears were stopped.
Hardness of hearing, cannot hear human voice. (Compare Phosph.)
Hard hearing. θ Typhus.
Stitching tearing from left meatus auditorius outward, more in evening.
Her left ear runs matter.
Profuse, ichorous, cadaverous smelling discharge from ear. θ Otorrhœa.
Yellow discharge from right ear, with dryness of nose ; hearing not weakened.
Rash and heat about ears.
Malignant swelling of parotid glands in scarlet fever, when remissions occur in which patient is better, but soon spell of great prostration returns.
Parotitis, with intense headache or remitting pains ; suppurating. θ Scarlatina.
Mumps, especially with metastasis to testicles.

Smell and nose

Cannot bear smell or sight of food.
Stuffed cold, with loss of smell. θ Dropsy.
Offensive smell before nose.
Smells of pitch and sulphur alternately before nose.
Dryness of nasal cavity.
Nosebleed after a fit of passion.
Nosebleed, with coryza, after vomiting.
Distressing stoppage at bridge of nose.
Stoppage of nose, alternating with fluent coryza.
Nose seems to be stopped up and still it runs. θ Coryza.
Cold in head, catarrh ; from being chilled while overheated and perspiring.
Fluent coryza, with frequent sneezing ; with hoarseness and sleeplessness ; with swollen nose.
Watery discharge causes burning and smarting at nostrils, as if sore.
Discharge of burning mucus from right nostril.
Thick, yellow, nasal discharge, with burning and throbbing.
Burning in nose. θ Coryza.
Burning, excoriating, watery discharge, with a feeling of nose being stopped up. θ Coryza.
Profuse, burning, corroding discharge, with great lassitude. θ Influenza.
Acrid running from nose, corroding upper lip, causing a scurf. θ Coryza.
Scabs in nostrils, which, when torn away, leave nostrils raw and bloody until other scabs are formed ; < in cold, > in moderate weather ; cannot breathe through nostrils when asleep.
Mortification of mucous membrane of nasal cavities. θ Sequel of measles.
Nose pointed. θ Cholera Asiatica. θ Yellow fever.
Nose cold and pointed ; nostrils red and open. θ Gastritis mucosa, in child.
From each corner of nose, a deep wrinkle down side of mouth towards chin. θ Child with gastritis mucosa. θ Typhus
abdominalis.
Nostrils dry. θ Pyæmia.
Nose swollen, burns ; coppery red, desire for liquors.
Knotty swelling of nose.
Cancer of nose.
Nostrils, corners of mouth and anus red and excoriated. θ Scrofula.
Ulcer on right ala nasi, burning, stinging, painful, forming a thick, hard crust, which came off and left a bleeding mattery surface, soon followed by another crust. θ Cancer.

Upper face

Face animated and congested. θ Paraplegia.
Drawing and stinging in face, here and there.
Changed expression of face.
Anxious expression of face. θ Eclampsia.
Anxiety and great suffering depicted on face. θ Typhus.
Appearance in face of great dejection. θ Bright's disease.
Expression anxious, but not wild ; distressed ; of suffering ; of mental agony ; surly ; wild ; hippocratic ; sunken.
Appearance : very pale ; yellow ; waxy ; grey ; earthy ; livid ; bluish ; flushed ; red and swollen ; distorted features.
The face expresses deep inward suffering.
Eyes deep sunk in, blue circles around them. θ Scrofula, with a child æt. 1 1/2.
Face distorted, pale, livid, old. θ Gastritis mucosa.
Stupid expression of countenance. θ Yellow fever.
Face distorted, sunken, anxious, hippocratic. θ Typhus.
Peculiarly distorted face. θ Typhus.
Face pale and distorted. θ Neuralgia of trigeminus.
Face pale, cold, distorted. θ Cholera Asiatica.
Face pale, sallow, distorted, anxious. θ Colic in pregnancy.
She lies in bed after vomiting blood, face distorted, pale, cold extremities, threadlike pulse. θ Hematemesis.
Painfully distorted features, bluish lips. θ Painful diarrhœa.
Face cadaverous and distorted. θ Colic. θ Intussusception.
Hollow, pale, cadaverous face, with distorted features. θ Acute rheumatism of joints.
Pale, sunken, earthy, ashen sallow, bloated countenance. θ Intermittent.
Deathly pale, collapsed face. θ Hematemesis.
Cachectic appearance. θ Intermittent.
Face pale, earthy, sallow, sunken, bloated during apyrexia. θ Intermittent.
Hippocratic face. θ Heart disease. θ Typhus.
Sunken old face, blue rings around eyes. θ Scrofula.
Face sunken, expressing great anguish. θ Dysentery.
Old look in face. θ Chronic intestinal catarrh.
Young children have faces like old men. θ After abuse of opium.
Face cold. θ Cystitis.
Face and body covered with cold, viscous sweat. θ Heart disease.
Coldness, with pale, miserable, earthy face, blue lips. θ Intermittent.
Pale, cold face, covered with cold sweat. θ Asthma.
Cold sweat on forehead. θ Hematemesis.
Face covered with cold sweat. θ Emphysema.
Face œdematous in afternoon. θ Bright's disease.
Bloated face. θ Measles.
Bloated face covered with cold sweat, after hives.
Œdematous swelling of face. θ Intermittent.
Pale face. θ Pneumonia. θ Summer complaint.
Pale, waxy face, intense thirst during and after chill, satisfied by a swallow of cold water, which was vomited as soon as swallowed. θ Intermittent.
Cold, distressing yellowish face. θ Hematemesis.
Pale, yellowish face. θ Ovaritis.
Face yellowish and livid. θ Yellow fever.
Greenish, yellow color of face.
Grey, yellowish color of face. θ Ulcer in stomach.
Complexion greenish. θ Ascites.
Face cyanotic. θ Emphysema.
Face pale, earthy. θ Gastralgia. θ Measles.
Complexion pale, earthy. θ Ascites.
Face greyish yellow, somewhat puffed.
Miserable appearance, puffed-up face, grey-yellowish. θ Relapse of intermittent, after quinia.
Greyish-yellow face, weariness, weakness, relaxed muscles, pulse soft, small, frequent, no appetite, yellowish furred tongue, bitter mouth, frequent drinking, sometimes colic ; stools diarrheic. θ Intermittent.
Unusual redness of face.
Flushed face. θ Pericarditis.
Cheeks burning hot, with circumscribed redness. θ Typhus.
Cheeks red, circumscribed. θ Bright's disease.
Fine eruption on face. θ Ophthalmia scrofulosa.
On forehead a thick black crust, beneath it an ulcer with bluish dirty base, and upturned edges, exuding dirty, offensive, corroding ichor.
Wart-like ulcer on cheek.
Itching of face so violent that he would like to scratch the parts sore ; phagedenic ulcer on lip ; swelling of upper lip, sometimes preceded by burning and stinging, itching, as from red-hot needles.
Cancerous ulcers on face ; scabbing ; burning pain.
Twitching of facial muscles.
Tearing in left half of face.
Burning, stinging pains, as from red-hot needles.
Pimples and vesicles, with acrid discharge itching, burning ; < at night, in cold air, > from warmth.
Black dots (acne punctata) in face or on forehead, skin dry and dirty looking.
Swelling of face, especially below eyelids.
Crusta lactea, dry and scaly, with diarrhœa of light-colored stools.
Nostrils and corners of mouth red and excoriated.

Lower face

Severe pains along right inferior maxillary nerve.
Mouth drawn downward, bluish upper lip drawn up. θ Child, gastritis mucosa.
Eruption about mouth. θ Herpes labialis.
Slight eruption around mouth ; fever blisters (hydroa) ; corners of mouth filled with tough mucus. θ Intermittent.
Swelling of glands of lower jaw, with pain, as from contusion.
Submaxillary glands swollen and sensitive. θ Noma. θ Diphtheria.
Complaints predominate on upper lip.
Contracting quivering or jerking on one side of upper lip, especially when falling asleep ; mouth drawn down, upper lip drawn up.
Brown streak through vermilion border of lower lip as if burnt.
Bluish, blackish, or dry lips.
Lips cyanotic. θ Scrofula.
Lips covered with brown slime. θ Typhus.
Lips brown or black. θ Yellow fever.
Lips dry. θ Pyæmia.
Lips parched and dry.
Constantly licking dry, cracked lips, with great burning heat of whole body.
Lips dry and cracked. θ Typhus.
Constant licking of dry, cracked lips. θ Eclampsia.
Lips are pale, cracked, swollen and crusty during apyrexia. θ Intermittent.
Sore lips and ulcers in mouth.
Eruptions on lips.
Cancer of lips.
On left under lip, a place, size of a bean, which is swollen, inflamed, dark red, with raised papillæ, bleeding from slightest cause, with burning, stinging and drawing pain. θ Cancer.
Painful nodules externally on upper lip ; on inner side a discolored ulcer size of a bean, with raised edges.
Cancerous sore on left upper lip, destruction of tissues as far up as zygomatic bone.

Teeth and gums

Painless throbbing in roots of teeth.
Numb sensation of teeth.
Teeth seem longer, become loose, and are sensitive to pressure and to cold water.
Pain in some of teeth, as if loose and would fall out, pain not increased by chewing.
Bites tumbler when drinking.
Grinding of teeth while asleep.
Grinding of teeth. θ Typhus.
Toothache. θ Dysmenorrhœa.
Teeth are loose and elongated.
Toothache so severe as to drive to madness ; he becomes enraged.
Aching in first lower bicuspid, excited by cold weather, > by pressing teeth together ; pain causes irritability of temper, and aversion to sound of others talking, which makes it < ; nerve of tooth is exposed.
Jerking toothache, extending to temple, relieved or removed by sitting up in bed ; >, striking his head.
Toothache relieved by heat of stove.
Teeth become rapidly carious, with unbearable pain.
When teeth are drawn, dark, blackish blood squirts out.
Jerking and burning tearing in gums.
Gums and teeth covered with brown or black slime. θ Typhus.
Swollen, bleeding gums, painful to touch. θ Scurvy.
Nightly restlessness, diarrhœa, with undigested food and emaciation. θ Dentition.

Taste, speech, tongue

Taste : woody, dry ; unpleasant ; sweetish in throat ; sour ; metallic ;
bitter ; putrid early in morning.
Sweet taste in morning. θ Interval of attacks of epilepsy.
Bitter taste in mouth. θ Bright's disease.
Foul taste, offensive breath. θ Intermittent.
Food tastes too salty ; not salty enough ; insipid, sour ; beer tastes flat ; food leaves a bitter taste.
Water tastes badly ; bitter. θ Relapse of intermittent.
Loss of taste. θ Apyrexia of intermittent.
Dry tongue, and dislike to talk.
Trembling tongue ; difficult articulation, tongue heavy, as if paralyzed. θ Typhus.
Trembling, dry, bright red tongue. θ Dropsy.
Speech unintelligible ; lisping, stammering, as though tongue was too heavy. θ Typhus.
Tongue stiff, like a piece of wood. θ Typhus.
Loss of power of speech.
Tongue pale, mouth cool, much thirst. θ Anasarca.
Tongue icy cold ; dry mouth and tongue, frequently with violent thirst.
Tongue insensible as if burnt.
Tongue large, dry, yellowish. θ Retinitis albuminurica.
Violent burning on tongue.
Swelling about root of tongue, externally and internally.
Tongue and lips parched and cracked, with black and sticky coating. θ Typhus.
Dry tongue, lips and nostrils. θ Diabetes.
Lips, tongue and nostrils dry, with vomiting. θ Pyæmia.
Tongue dry. θ Ascites.
Dry tongue, and morbidly red, with papillæ considerably raised at tip.
Tongue red, dry, and cracked. θ Typhus.
Tongue like a piece of red leather, so thick that it is bent when protruded ; great thirst.
Edge of tongue red and takes imprint of teeth.
Tongue as white as chalk ; as if painted white.
Tongue white and dry ; tongue furred, whitish ; somewhat moist. θ Relapse of intermittent.
Tongue white, or brown and bluish. θ Dysentery.
Tongue furred yellowish, taste bitter. θ Intermittent.
Lead-colored tongue.
Furred tongue, bitter taste. θ Dropsy.
Tongue somewhat dry, furred thickly white. θ Bright's disease.
Coating : sides furred, with red streak down middle and redness of tip ; thickly furred, edges red ; whitish ; yellowish-white ; brown.
Tongue white and dry, or coated yellowish, during apyrexia. θ Intermittent.
Tongue brown or black. θ Yellow fever.
Tongue dry, brown or black. θ Cholera Asiatica.
Tongue black, smooth as if varnished ; dry, hard, blistered, blackish brown. θ Typhus.
Bluish ulcers on tongue.
Gangrene of tongue ; spots on tongue, burning like fire.

Inner mouth

Bad odor from mouth. θ Scurvy. θ Typhus.
Burning in mouth, pharynx and œsophagus
Dryness of mouth, with violent thirst.
Desire for cold water, but fears to take it. θ Colicodynia.
Dryness of mouth and tongue. θ With headache.
Much saliva ; must spit often.
Saliva abundant, tough, fetid, bloody.
Saliva decreased.
Aphthæ in mouth ; they become livid or bluish ; with profound weakness.
Thrush in mouth and fauces. θ Measles. θ Tuberculosis.
Painful blisters in mouth and on tongue.
Malignant ulceration of mouth.
Thrush in adults with burning, prostration, and very great restlessness. θ Diphtheria.
The cavity of his mouth was as dry as the outer skin, and to such a degree that, in spite of all his efforts, he could not moisten the least bit of bread. θ Diabetes mellitus.
Ulcer on inner cheek, irregular, jagged edges, and spongy base.
Ulcers extending from throat to roof of mouth ; tongue white ; nose watering ; cervical glands swollen. θ Diphtheria.
Stomacace.
Gangrenous sore mouth with children, mucous membrane discolored, some places blue, others pale, covered with tough mucus which lies in brown crusts on lips, confluent, discolored, very painful ulcers are formed. θ Stomacace.

Palate and throat

Places the size of a penny, nearly oblong, in fauces, red as if mucous membrane had become denuded ; vesicles size of a pin's head, filled with clear fluid, which disappeared next day, leaving dirty red spots ; next to affected places new eruption
appears. θ Angina herpetica.
Dryness, soreness, scraping and burning in fauces and throat.
Tonsils inflamed, swollen and burning like fire. θ Angina.
Sensation as if a hair had lodged in throat. θ Diphtheria.
Sensation as if a ball of mucus had lodged in throat, with taste of blood.
Accumulation of greyish or greenish mucus.
Nausea in throat.
Stinging in œsophagus, as from a splinter, soon violent tearing (schronden) merging into heat and burning. θ Angina herpetica.
Throat very sore and painful.
Œsophagitis.
Fauces and tongue very much swollen.
Pain in swallowing, great thirst, anxiety and restlessness. θ Angina herpetica.
Sore throat, when swallowing, as from an internal swelling ; burning pain.
Sensation of constriction of throat.
Burning when swallowing ; food goes down to region of larynx, when it is ejected. θ Œsophagitis.
Everything swallowed seems to lodge in œsophagus.
Swallowing very difficult and painful.
Exacerbation in evening, violent constriction of œsophagus. θ Angina herpetica.
Spasmodic constriction of œsophagus, as if a ball came up in throat. θ Hematemesis.
Burning pain in throat, difficult swallowing. θ Bright's disease.
Paralytic condition of pharynx and œsophagus ; drinks roll audibly into stomach. θ Typhus.
Malignant sore throat. θ Scarlatina.
Diphtheritic membrane is dry looking and wrinkled ; adynamic fever, restlessness, prostration, burning thirst ; fetid breath ; even gangrene ; somnolence ; occasionally starts out of bed. θ Diphtheria.
Gangrenous sore throat.

Appetite, thirst. desires, aversions

Feeling of hunger and emptiness, she has to eat a few pieces of bread while feeling cold. θ Intermittent.
Appetite increased, but most frequently loss of appetite.
Very little appetite. θ Intermittent.
Thirst, but afraid to drink. θ Colic.
Irresistible longing for water frequently disturbing sleep at night, undiminished next morning.
No thirst or appetite ; or, loss of appetite, with increased thirst.
No thirst during chilliness, during heat frequent, but does not drink much. θ Intermittent.
Burning thirst, without especial desire to drink.
Thirst without inclination to drink. θ Colic in pregnancy.
Dryness and thirst. θ Stricture of œsophagus.
Great thirst. θ Chronic intestinal catarrh. θ Hematemesis. θ Hepatitis.
θ Intestinal catarrh. θ Smallpox.
Thirst and dryness of mouth with peculiar thick white saliva.
He complains of thirst in a hoarse voice. θ Heart disease.
Thirst, unquenchable by drinking.
Excessive thirst for cold water ; small quantities even are immediately thrown up. θ Cholera Asiatica.
The most thirst during sweat. θ Intermittent.
Unusual thirst ; heat in mouth rose to such a degree that he had to drink water the whole evening uninterruptedly, without being able in least to allay thirst.
Tortured by a terrible thirst, with a high degree of emaciation and loss of strength. θ Diabetes mellitus.
Frequent unquenchable thirst. θ Cholera. θ Marasmus. θ Typhus.
θ Diabetes, etc.
Excessive thirst, drinking does not refresh.
Great thirst, but water molests stomach. θ Dropsy, etc.
Drinks often, but little at a time. θ Headache. θ Scurvy. θ Retinitis
albuminurica. θ Diphtheria. θ Gastritis. θ Peritonitis.
θ Ascites. θ Dysentery. θ Ovaritis.
θ Ovarian dropsy. θ Metritis. θ Pneumonia.
θ Hydrothorax. θ Coxalgia. θ Typhus.
θ Eclampsia. θ Measles. θ Carbuncle.
Wants very cold water, which she drinks in small quantities, all other drinks she swallows in masses. θ Summer complaint.
Appetite for bread, particularly rye bread.
Thirst for acid drinks ; desire for sour things. θ Intermittent.
Desire for something refreshing, strengthening, stimulating, after attack, as wine, coffee, etc. θ Intermittent.
Desire : for warm food ; for beer ; for brandy ; for coffee ; milk ; lard ; fruits and vegetables.
Aversion ; to sweets ; farinaceous food ; gruel ; meat ; fatty things ; butter ; meats ; food, loathes even thought of it.

Eating and drinking

Better on an empty stomach ; < after breakfast.
Eating without appetite, causes an unpleasant sensation of discomfort. θ During apyrexia of intermittent.
Appetite variable. θ Retinitis albuminurica.
Satisfying appetite, causes heat and nausea. θ During apyrexia of intermittent.
Worse from eating. θ Gastralgia.
After eating, bitter taste. θ Apyrexia of intermittent.
Sense of fulness immediately after a reasonable quantity of food.
Pain in stomach or abdomen while eating or immediately after ; can take no more food at time.
After every meal, pressing in stomach, gagging and vomiting. θ Scirrhous uteri.
After eating heavy food, burning in stomach and bowels. θ Intervals of epileptic attacks.
Nausea, gagging, vomiting, mostly two hours after meal, even lightest kind of food.
After taking nourishment, rumbling in abdomen, soon followed by painless stools, smelling like carrion. θ Scrofula.
After eating, a stool.
Bitter taste in mouth after eating and drinking.
Worse after eating. θ Colic. θ Ulcer in stomach.
Better from warm diet.
Coldness of stomach from eating fruit.
Eating but little increases chill. θ Intermittent.
Violent rigor, after eating something when cold. θ Intermittent.
Hasty drinking.
Better from swallowing some hot water. θ Diphtheria. θ Cholera Asiatica.
Violent retching and vomiting of small quantities of mucus. θ Gastromalacia.
Every drink, be it ever so small, is followed by an evacuation.
After drinking, if done without thirst, cough.
Chilliness and shivering, after drinking. (See Veratr.)
Desire for cold water, but afraid to drink, because it makes the pain < θ Colicodynia.
Cannot drink cold water, though he desires it ; it causes pain, or lies in stomach as a cold mass or foreign substance for a long time, and is very distressing.
Worse from cold drink ; from cold diet in general ; > from warm.
After ice-water or ice-cream. θ Gastralgia. θ Gastritis.
After chilling stomach by taking cold substances. θ Intestinal catarrh.
Gastro-intestinal symptoms < : after ice ; ice-cream ; ice-water ; vinegar ; sour beer ; tobacco (chewing) ; alcoholic drinks ; bad sausages ; cheese ; fruits.
Pain in stomach > by sweet milk.
Worse from milk.
Fat food disagrees, and so does wine ; the smallest quantity increases pain in stomach.
After alcoholic drinks. θ Gastritis.
Bad effects from inordinate use of spirituous liquors. θ Delirium tremens. θ Vomiting.
θ Diarrhœa. θ Hemorrhages.
Better from drinking coffee.
After rotten cheese, or mouldy English cheese. θ Colic.
After spoiled sausages. θ Colic.

Hiccough, belching, nausea and vomiting

Hiccough at hour when fever ought to have come.
Abortive eructations.
Waterbrash.
Belching. θ Intermittent.
Belching of fetid gases.
Constant nausea. θ Hematemesis.
Frequent nausea, with sweetish taste in mouth.
Nausea and complete loss of appetite.
Excessive nausea and vomiting on rising in bed. θ Gastritis.
Nausea, with heat and ebullitions. θ Hematemesis.
Nausea, must lie down.
Long-lasting nausea, with faintness, tremor ; heat all over and shuddering.
Nausea and vomiting. θ Dysentery. θ In pregnancy, etc.
Nausea and sometimes vomiting, at 11 A. M. and 3 P. M.
Nausea, retching and vomiting of bile, with headache.
Fruitless retching.
Retching. θ Hematemesis.
Vomiting and retching. θ Typhus.
Vomiting. θ Colic. θ Measles. θ Peritonitis.
Improved quite as often as aggravated by vomiting ; likewise after passing urine.
Vomiting immediately after eating. θ Gastralgia.
Vomiting immediately after eating or drinking.
Sometimes < after drinking. θ Yellow fever.
Vomiting after every swallow of water. θ Dropsy after scarlatina.
Vomiting of all he takes. θ Cancer of stomach.
Vomit : bitter, green yellow liquid ; ingesta ; brown, turbid matter ; streaked with blood ; of blood ; black, serous liquid.
Violent vomiting of food and gastric fluids.
Sour acrid vomiting. θ Gastralgia.
Vomiting of clear water at all times of day. θ Colic.
Vomiting of mucus and bile. θ Colic.
Vomiting of blood, with fainting before and after. θ Hematemesis.
Vomiting of brownish matter, with violent colic.
Vomits a tar-like substance, then clots of blood. θ Hematemesis.
Black vomit. θ Yellow fever. θ Scirrhus or ulcus ventriculi. θ Hepatitis.
Cannot retain food, vomiting of blackish masses, with sudden prostration.
Vomiting every night of what has been eaten during day.
Frequent vomiting, with apprehension of death.
After vomiting, nosebleed.
Violent burning in stomach and bowels ; < after throwing up. θ Cholera Asiatica.
Vomiting of slime or bile, with violent gagging ; burning in throat when swallowing, like fire. θ Colic.
Vomit and stool at same time.
Slimy, watery vomiting, with diarrhœa ; child. θ Gastritis mucosa.

Scrobiculum and stomach

Anxious feeling in precordia.
Better from loosening clothes.
Pain in epigastrium and stomach, principally burning, violent, like red-hot coals, also violent and pressing hard ; spasmodic contraction and constriction ; stitches or fine stinging in stomach and epigastrium. θ Gastralgia.
θ Gastritis.
Epigastrium is sensitive to slightest touch. θ Gastralgia. θ Gastritis.
Epigastric and umbilical regions sensitive to touch.
Epigastrium distended and hard.
Great anxiety about epigastric region.
Crawling sensation in stomach. θ Hematemesis.
Cramp in stomach at 2 A. M.
Weight in stomach as of a stone.
Violent contraction of stomach.
Bloating of pit of stomach. θ Chill of intermittent.
Pressure in stomach.
Pressure as of a weight and trembling in pit of stomach. θ Dropsy.
Great pressure in pit of stomach. θ Yellow fever.
Fulness in pit of stomach with heat. θ Intermittent.
Pain in pit of stomach arresting breathing.
Fulness in pit of stomach. θ Relapse of intermittent.
Pain in pit of stomach. θ Chill of intermittent.
Stomach tender to pressure.
Pit of stomach sensitive to slightest touch. θ Gastralgia.
In evening while sitting, drawing pain from pit of stomach around lower border of left ribs, as if something was torn loose.
Each time he yawns presses his hand on pit of stomach, because it then feels as if being torn out. θ Paraplegia.
Terrible sensation of sickness, weakness and anxiety in region of stomach. θ Hematemesis.
Gnawing in pit of stomach.
Violent tearing, boring pain and cramp, in stomach and intestines.
Lancinating in stomach, sometimes into chest, or only at night.
Heartburn ; severe aching in stomach and epigastrium extending to middle of chest ; burning, as if stomach and œsophagus were being made raw by an acrid corroding substance ; several attacks a day, with indescribable nausea and weakness, to fainting. θ Gastric
complaints.
Constant painful burning in region of stomach. θ Intermittent.
Burning in stomach like glowing coals. θ Gastralgia.
Burning pain in stomach. θ Cancer of stomach. θ Ulcers in stomach. θ Hematemesis.
θ Intermittent.
Burning in stomach ; sensitive to pressure. θ Typhus.
Burning in stomach with constriction in abdomen. θ Melancholy.
Burning in region of pylorus. θ Scirrhus.
Intense heat and burning in stomach and pit of stomach.
A cold and heavy feeling in stomach, chilliness and a hot fever at same time.
Subacute gastritis ; least food distresses or is at once vomited.
Acute gastritis, painful vomiting of grass green solids or fluids, or after drinking.
Hematemesis ; often with black stools ; stitches in spleen, cold sweat on forehead ; burning in stomach, thready pulse, moaning, etc.
Induration in stomach. θ Scirrhus.

Hypochondria

Pain begins with stitches in right side under ribs, or spreads from left hypochondriac region over whole abdomen, up into œsophagus and to back and to shoulder blade. θ Gastralgia.
θ Gastritis.
Sensitiveness of distended epigastrium and lower abdomen, which is tense, drawn in, painful, and twitches when pressed over cecal region ; meteorism. θ Typhus.
Tension in right hypochondriac region, with pressing pain in liver, which is perceptibly enlarged. θ Hepatitis.
Pressure and tension in right hypochondrium. θ Relapse of intermittent.
Burning or stitching pain in epigastrium and region of liver. θ Yellow fever.
Painful bloatedness in right hypochondrium, with burning pain. θ Hepatitis.
Pain in region of liver, increased on pressure.
Stitches in right hypochondrium, extending to region of stomach ; ending as violent pressure over whole abdomen.
Painful bloatedness in right hypochondrium with violent burning pain. θ Hepatitis.
Induration of liver.
Liver could be felt, and hurts when touched. θ Relapse of intermittent.
Gall-stones with cholera-like symptoms. (Cinchona.)
Jaundice : after intermittent fevers, especially abuse of quinine : after mercury.
Tension and pressure in left hypochondrium. θ Heat of intermittent.
Hypochondriac region swollen ; < left. θ Apyrexia of intermittent.
Both hypochondria sore to touch. θ Bright's disease.
Tensive, pressive pain in spleen.
Drawing, stitching pain under left hypochondrium ; burning in stomach followed by vomiting of blood.
Stitches in spleen precede vomiting of blood, which is partly coagulated, partly fluid, and dark. θ Hematemesis.
Induration and enlargement of spleen.
Liver and spleen swollen. θ Dropsy. θ Intermittent.
Soreness to touch in region of spleen. θ Quotidian.
Tension and pressing pains in spleen with heat. θ Intermittent.
Dull pain in left hypochondrium. θ Intermittent.
The spleen expanded, tumefied. θ Intermittent.

Abdomen and loins

Coldness and chilliness in abdomen.
Tension in abdomen.
Crampy pains in bowels. θ Yellow fever.
Writhing or twisting sensation in abdomen.
Pains about navel, aggravated by lying on back.
Violent bellyache day and night with but short remissions ; constipation. θ Colic.
Cutting pains in abdomen. θ Before intermittent.
Terrible cutting bellyache with frequent thin evacuations, fainting and cold sweat. θ Diarrhœa.
Violent pains in abdomen, with great anguish, has no rest anywhere, rolls about on floor and despairs of life.
Periodical colic.
After a chill for half an hour violent squeezing and constricting pain in umbilical region, twists and squirms in bed. θ Colic.
Wind colic, > when lying down, and growing warm in bed.
Verminous colic ; upper lip is drawn up. θ Horses.
Tearing in abdomen with icy coldness of hands and feet, and cold sweat on face.
Violent tearing and cutting in upper part of abdomen, lower part distended, soft, but painful to touch. θ Diarrhœa.
Deep heavy pain in abdomen, felt as if his intestines were tied up, with burning. θ Colicodynia.
Burning in intestines.
Burning pain in abdomen. θ Chronic intestinal catarrh. θ Peritonitis.
Burning lancinations in abdomen, with great restlessness, tossing and turning. θ Peritonitis.
Violent, burning, pinching, constricting pain in stomach and both sides of abdomen drawing to navel, with oppression of chest, in repeated attacks, every half hour. θ Colic
in pregnancy.
Violent burning in abdomen and scrobiculum. θ Dysentery.
Burning in bowels ; sensitive to pressure. θ Typhus.
Peritonitis, when there is sudden sinking of strength, anxiety, cold sweat.
Intussusception with pains in abdomen, increased by motion ; sensitive to pressure.
Abdomen drawn in. θ Colic.
Rumbling in bowels.
Bloated abdomen. θ Hematemesis. θ Dysentery. θ During.
apyrexia of intermittent.
Abdomen distended and painful. θ Gastritis mucosa.
Abdomen much distended, sore aching pain on touching it. θ Albuminuria.
Abdomen sensitive and tympanitic. θ Dysentery.
Abdomen distended, particularly left hypochondrium, which is hard and painful to touch. θ Intermittent.
Abdomen hard and distended ; palpitation reveals indurated mesenteric glands. θ Scrofula.
Sensation as if abdomen would burst, before stool.
Meteorism of abdomen without pain, everywhere tympanitic sound. θ Gastric complaints. θ Gastromalacia.
Meteoristic distension of abdomen. θ Typhus.
Ascites : from heart, hepatic or spleen diseases, also post-scarlatinal ; from Morbus Brightii ; faint from least motion ; suffocative spells at night ; anguish, thirst, etc.
Pain in right side of abdomen, near lumbar region, spreading through abdomen to right groin and same side of scrotum.
Ulcer above navel.
Painful swelling of inguinal glands.
Groins : contractive pain in left ; as if sprained in right, when stooping ; digging, burning like a boil ; stitches.
Chafed about groins, extending to genitals.
Stitches from abdomen down into vagina.

Stools and rectum

Painful spasmodic protrusion of rectum.
Rectum remains protruded after hemorrhages from rectum.
Rough pricking sensation in rectum, as if she was passing sand.
Evacuation of a lump resembling tallow, with tendinous substances.
Fetid flatus.
Constipation with pain in bowels.
Constipation of bowels. θ Colic. θ Typhus.
Diarrhœa alternating with scybalous stools of a whitish-clay color. θ Bright's disease.
Bilious dysentery with great exhaustion after every exertion ; great distress and restlessness, worse after midnight.
Black stools. θ Hematemesis. θ Hepatitis.
Stool soft, insufficient. θ Relapse of intermittent.
Fluid feces mixed with blood, chocolate color, more about midnight. θ Dysentery.
Evacuation of dark blood preceded by violent screaming. θ Dysentery.
Watery, stinking stools, mixed with bloody mucus or undigested food.
Stools containing more or less pus, sometimes fluid fecal matter, nearly always fluid or coagulated blood ; penetrating, rotten, sweetish smell.
Offensive diarrhœa. θ Scurvy.
Diarrhœa copious, smell of rotten eggs. θ Child's gastritis mucosa.
Brownish, slimy, cadaverous-smelling stools. θ Gastromalacia.
Discharge from bowels of a fetid foul smell. θ Intestinal catarrh. θ Dysentery.
Evacuations have a rotten smell, are involuntary with great prostration. θ Dysentery.
Stools frequent watery, blackish-brown ; ichorous ; clay-like, tinged with blood ; offensive ; pus-like mucus ; penetrating odor. θ Typhus.
Thin, rotten-smelling or bloody stools and involuntary passages. θ Typhus.
Small, diarrheic, offensive stools. θ Intermittent.
Diarrhœa. θ Colic. θ Typhus. θ Measles.
Diarrhœa painful or painless. θ Intestinal catarrh.
Diarrhœa painless, involuntary θ Yellow fever. θ Typhus.
Diarrhœa very prostrating, often involuntary. θ Influenza.
Diarrhœa < in middle of night. θ Coxalgia.
Diarrhœa < after midnight and after eating, with great prostration.
Stools slimy, papescent, brownish. < in night and towards morning. θ Diarrhœa.
Diarrhœa with cutting pain, violent thirst, coldness of body and cold sweat on face, attacks are < from motion.
Violent burning in umbilical region, before and during loose stools, which consist of mucus ; great thirst for cold water, profuse sweat, anxiety, tossing about. θ Fall
diarrhœa.
Emaciation, old face, profuse greenish muddy evacuations, with swollen feet. θ Diarrhœa of children.
Stools brown and watery ; yellow skin ; wasted to a skeleton ; abdomen tympanitic, old face. θ Diarrhœa during dentition.
Slimy undigested passages. θ Scrofula.
Diarrhœa : slimy, green mucus ; of pieces of mucus, with tenesmus, and cutting pain in anus ; stools small with tenesmus ; first dark green feces, afterwards dark green mucus ; black mucus, with
persistent vomiting ; black, acrid and putrid ; yellow, with tenesmus and burning pain ; like dirty water ; of blood and water ; with emaciation and loss of strength ; almost constant, with much intestinal rumbling ; < after midnight, also in
morning after rising ; after eating ; violent, with frequent discharges ; with straining ; with colic ; with vomiting, or with great weakness ; more frequent than constipation ; most frequently painless.
Involuntary stools and urine.
Diarrhœa after chilling stomach by taking cold substances, particularly ice-cream.
Cholera infantum : simultaneous vomiting and purging, great exhaustion ; vomiting and purging aggravated by food and water.
Purging, with extreme coldness of extremities.
Burning evacuations from bowels with violent colic.
Sensation before stool as if the abdomen would burst.
Twisting in the abdomen before every stool.
Diarrhœa following burns. Comp. 45 .
Before stool, torturing sensation as though the abdomen was being constricted. θ Dysentery.
Before stool : chilliness, anxiety, fainting, cutting in abdomen ; vomiting ; thirst ; coldness in back before every evacuation.
During stool : chilliness, nausea, vomiting, backache, straining and burning in anus and rectum.
Diarrhœa with tenesmus. θ Yellow fever.
Tenesmus with burning in anus and rectum. θ Dysentery.
Stool irregular, mostly diarrheic, with burning in anus. θ Intervals of epileptic attacks.
A feeling of contraction in rectum during stool. θ Dysentery.
Tenesmus and burning of anus and rectum during stool ; also burning after, with trembling.
Discharges burning. θ Intestinal catarrh.
Burning in anus with small evacuations of mucus and continual eructation. θ Diarrhœa.
After stool : cessation of acute abdominal pains ; distension, straining about navel ; burning in rectum ; oppression, eructations, weakness with trembling and faintness, with desire to lie down ; palpitation, perspiration.
Unbearable tenesmus with burning pains. θ Hemorrhoids of bladder.
Thin, lumpy stools, of all colors, excoriating anus. θ Chronic intestinal catarrh.
Fissures of anus. θ Hemorrhoids.
Burning and stinging tumors in anus, size of a walnut, preventing sitting down.
Anus red and sore ; evacuations excoriate.
Burning in anus like fire.
Hemorrhoids : with stitching pain when walking or sitting, not when at stool ; with burning pain, relieved by heat ; with bleeding and protrusion ; painful, swollen, with tenesmus, burning, particularly at night, preventing sleep.
Hemorrhages from bowels dark, offensive. θ Typhus abdominalis.

Urinary organs

Stitches in renal region when breathing or sneezing. θ Morbus Brightii.
Abscesses in kidneys.
Scarlatina begins with uremic symptoms.
Uræmia, anguish, with thoughts of murder, especially in drunkards.
Uræmia, with vomiting, colic, spells of suffocation. θ Emphysema. θ Heart disease.
Acute cystitis, with high fever and restlessness ; face and limbs become cold ; violent burning in bladder ; great thirst.
Chronic cystitis, with retained urine ; what passes is turbid and purulent.
Paralysis of bladder.
Symptoms of paralysis of bladder. θ Hæmaturia.
Bladder greatly distended and paralyzed. θ Chronic cystitis.
Atony of bladder in old persons.
Tearing deep in urethra.
Atony of bladder, no desire to urinate, and no power to do so ; seems to have lost all control over power to emit ; especially after parturition.
Suppression of urine. θ Cholera Asiatica.
Difficult urination.
Retention of urine. θ Typhus. θ After parturition.
Inability to void urine. θ Chronic cystitis.
Great desire, but passes no urine.
Involuntary micturition. θ Typhus.
Urine scanty, passed with difficulty, burning during discharge. θ Strangury.
Wetting bed.
Involuntary dribbling of urine, day and night.
Urine scanty, with diarrhœa, or hot stage of fever, or frequent and copious during chill.
Scanty secretion of urine. θ Hæmaturia.
Urine scanty, turbid. θ Apyrexia of intermittent.
Urine thick and scanty. θ Albuminuria.
Scanty urine, with brick-dust deposit. θ Hydrothorax acutus.
Urination after sweat, brown, soon turbid, but without sediment. θ Intermittent.
Urine very scanty ; very much sediment. θ Anasarca.
Fetid urine. θ Dysentery.
Urine like thick beer ; rotten smell. θ Typhus.
Urine dark, like dung water ; nitric acid precipitates albumen. θ Dropsy after scarlatina.
Urine turbid, mixed with pus and blood. θ Cystitis.
Bloody urine. θ Hæmaturia. θ Hemorrhoids of bladder.
Urine cloudy, high colored, scanty, pale, albuminous. θ Pneumonia.
Albumen in urine. θ Bright's disease. θ Scarlet fever.
Well-marked albuminuria ; epithelium, fatty degeneration or atrophy of Bellinian tubes, tufts and capsule of Muller. θ Morbus Brightii.
Sugar in urine.
Urine profuse, pale and clear as water. θ Intermittent. θ Rheumatism.
Urination frequent during cold stage. θ Intermittent.
Frequent urging, with profuse discharge.
Urine : dark brown ; dark yellow ; turbid ; sediment of red sand ; mixed with pus and blood ; greenish.
Burning pain in urinary organs. θ Hæmaturia.
Burning pain, especially at commencement of urinating. θ Cystitis.
During urination, burning in urethra ; constriction in left groin.
After urination, feeling of weakness in upper part of abdomen.

Male sexual organs

Male Sexual Organs
Sexual desire increased.
Involuntary seminal emissions.
Sexual power lost.
Emission during diarrheic stool.
Prickling in side of glans.
Burning in glans penis during micturition. θ Intervals of attacks of epilepsy.
Glans blue red, swollen and cracked.
Excessively painful inflammation and swelling of genitals, increasing almost to gangrene.
Erysipelatous inflammation of scrotum.
Scrotum œdematous.
Rawness of scrotum, with a bluish look. θ Little children.
Hydrocele (scrofulous infants).
Inflammation and swelling of genital organs, threatening gangrene.
Serpiginous ulcers on genitals.
Chancres (after mercury), with too florid granulations, margins of ulcers hard and bleeding at least touch, with a thin, offensive discharge.
Phagedenic chancres, livid hue, with intense burning ; even sloughing.
Constitutional syphilis, with indescribable feeling of weakness, or with dropsy and malignant ulcerations.
Bubo, when assuming a gangrenous aspect.
Cramplike cutting colic, darting through abdominal ring and perineum ; testes swollen ; epididymitis.
Inguinal glands painful, swollen and indurated.
Intertrigo of children, particularly in groins and extending to scrotum.

Female sexual organs

Increased sexual desire, with involuntary discharge of mucus.
Burning or tensive pain in ovary.
Pressive stitching pains in region of right ovary.
Drawing, stitching pain from region of ovary into thigh, which feels numb and lame ; < from motion, bending, or sitting bent.
Burning in region of right ovary, circumscribed swelling, feverishness, sallow complexion, emaciation ; instead of menses, a thin, whitish, offensive discharge. θ Ovaritis
caused by a kick.
Burning pain in region of ovaries. θ Ovarian dropsy.
Intense burning or tensive pain in ovary, with great restlessness, some relief being afforded by constantly moving feet.
Tumors painful (burning, lancinating), or painless.
Ovarian tumor, with pain in leg, cannot keep foot still.
Ovarian tumor on right side, filling entire abdominal cavity, could not stoop to dress her feet.
Burning throbbing, lancinating pain in uterine region. θ Scirrhus. θ Burning
pain in uterine region. θ Metritis. θ Uterine cancers.
Violent burning pain in genitals, with hard, nodulous swelling of uterus, os uteri swollen like a pad, hard, extremely sensitive ; shooting stinging pains to upper part of abdomen ; burning thirst and dryness of mouth and throat ; < from
every motion. θ Scirrhus uteri.
Polypus on cervix uteri.
Catamenia too profuse and of long duration.
Catamenia too early and too profuse.
Menses too often and venous. θ Retinitis albuminurica.
Exhausting menorrhagia.
Menorrhagia in feeble females, cachectic, affected with rheumatism, disorganization of uterus or ovaries, in eruptive fevers, and, when aphthæ break out, indicating a low state of the system.
Hemorrhage, with lancinating burning pains.
Sudden profuse discharge of dark blood.
Painful menstruation ; external warmth relieves.
During menstruation, stitches in rectum, extending into anus and vulva ; stinging cutting pain extending from epigastrium into hypogastrium, sides of abdomen and back ; toothache.
After menstruation : discharge of bloody slime, or stinking watery discharge from vagina and anus.
Suppressed menstruation. θ Hæmoptysis. θ Intermittent.
Absence of menses for a long time, in women of pale, waxlike complexion, who are greatly debilitated ; least exertion causes great fatigue ; restless sleep, with fatiguing dreams.
Thin, whitish, offensive discharge instead of menses. θ Ovaritis.
Leucorrhœa acrid, corroding, thick and yellow, dropping out while standing and emitting flatus.
Acrid, corroding, burning discharges ; watery ; light or dark-colored, often very offensive. θ Uterine cancer.
Stitches from abdomen down into vagina.
Dryness of vagina. θ Scirrhus uteri.
Lancinations from rectum to anus and pudenda. θ Dysmenorrhœa.
Inflammation and swelling of genitals.
Itching of genital organs.

Pregnancy. parturition. lactation

Morning sickness during pregnancy, with spells of faintness ; retching, with empty stomach, preceded by burning in stomach and œsophagus.
Violent motion of child and colic. θ Pregnancy.
Metritis in childbed, with signs of dissolution of blood.
Ascites in consequence of puerperal peritonitis.
Promotes expulsion of moles.
After parturition, atony of bladder.
Burning pains in mamma ; relief from motion.
Cancer of breast, burning pain ; external warmth relieves.

Voice and larynx. trachea and bronchia

Voice hoarse. θ Cholera Asiatica. θ Typhus. θ Heart
disease.
Voice weak, scarcely audible. θ Colic in pregnancy.
Aphonia.
Voice low, trembling, rough, hoarse, coarse, crowing or squeaking. θ Typhus.
Voice : trembling ; weak ; unequal, now strong and again weak ; hoarse ; rough ; hollow ; loss of voice.
Spasm of glottis.
Larynx constricted during cough.
Feeling of dryness, with burning in larynx and trachea. θ Laryngeal phthisis.
Sensation as if one were inhaling dust.
Bronchitis, with difficult secretion of mucus.
Larynx sensitive to pressure ; hoarse by day ; suffocative spells at night. θ Croup.
Influenza in children ; sudden onset, much prostration, child looks as though it had been sick a week ; violent sneezing, with blood-tinged discharge.
Sudden catarrh, threatening suffocation at night.
Croupous inflammation of larynx, which is sensitive to pressure ; hoarseness by day, dyspnœa and suffocative attacks at night. θ Croup.
Croup, with coryza ; stoppage, cannot breathe through nose ; worse at night, with restlessness.
Simulating membranous croup ; caused by checked or non-appearing eruption, especially hives or urticaria.
Gangrenous croup.

Respiration

Frequent inclination to sigh with a childish crying mood.
Putrid exhalations.
Noiseless, hardly audible breathing. θ Heart disease.
Whistling expiration.
Wheezing respiration, with cough and frothy expectoration.
Rattling breathing. θ Typhus.
Deep, quick inspiration, difficult, interrupted expiration.
Breathing quick, short, loud rattling. θ Bright's disease.
Breathing short and anxious. θ Typhus.
Oppression and short breathing. θ During heat after intermittent.
Panting breathing.
Groans and moans in breathing. θ Hematemesis.
The breathing becomes more and more weak, until finally she is only able to breathe and talk very low by inclining chest forward.
Sensation as if inhaling dust.
Talking aggravates symptoms. θ Intermittent.
Laughing causes difficulty in breathing.
Every little excitement gives her a hysterical asthma.
Want of breath ; he complains in a hoarse voice. θ Heart disease.
Loss of breath immediately on lying down, in evening, with whistling and constriction in trachea.
After going to bed, tightness on chest, whistling expiration. θ Asthma.
Turning in bed, takes away his breath. θ Hydrothorax.
Breath oppressed and pulse irregular. θ Retinitis albuminurica.
When walking in open air, suffocative sensation forcing him to cough.
Arrest breathing with cough.
Difficult inhalation with constant anxiousness and short crowing cough. θ Anasarca.
Breathing anxious, hurried, labored, snoring, rattling. θ Typhus. θ Yellow fever.
Respiration oppressed, anxious, short.
Burning or feeling as if excoriated and raw in chest.
Constriction of chest, with anguish ; worse when moving.
Air passages seem constricted, cannot breathe fully.
In cold air, want of breath.
Windy weather increases dyspnœa even when well-protected and while in a warm room.
Oppression increased : by stormy weather and heavy air ; walking quickly ; ascending ; warm and tight clothing ; especially from changes of warmth to cold.
After suppressed coryza : panting breathing, gasping for air ; sensation as if there was dust in air, worse about midnight and from motion, with groaning and restless tossing. θ Asthma.
Gasping for breath, feels as if she would smother.
On lying down at night, feels an oppression of chest, breathing became short, is obliged to sit up in bed ; < after midnight ; drinking coffee or sugar with water relieves somewhat ; symptoms worse on going up-stairs, gets out of breath. θ Asthma.
Breathing asthmatic ; must incline chest forward ; must spring out of bed at night, especially about 12 P. M.
Cramp in chest (asthma) as soon as he lies down to sleep, as if too narrow, expiration whistling ; throat and chest as if bound together, so that he had to sit up, bending forward, from which he got some relief ; gradually breathing became more and
more difficult and expiration difficult and fine in tone, like highest falsetto ; feels anxious to despair and anxious sweat all over ; this degree of violence lasted three or four hours and only abated after midnight.
Patient unable to lie down ; on attempting to do so, such difficulty of breathing that she nearly died of strangulation. θ Dropsy.
Asthma when fatigued, as from anguish.
Violent attack of asthma in consequence of a cold in mid-Summer.
Asthma from suppressed itch.
In asthma of old people, who have occasional attacks of morning diarrhœa, rheumatism, scanty secretion of urine, and too violent impulse of heart sound.
Asthma about 2 A. M.
Great dyspnœa and pain in lower chest, on full inspiration.
Dyspnœa when vexed.
Dyspnœa increased after coughing, with sensation of contraction of chest or stomach. θ Asthma.
Considerable dyspnœa. θ Bronchitis. θ Tuberculosis. θ Hydrothorax.
θ Scarlatina. θ Post-scarlatinal dropsy. θ Paraplegia.
Dyspnœa < from motion, cannot lie on back or sides, has to sit bent forward, lower extremities are cold and œdematous. θ Dropsy after scarlatina.
Great dyspnœa ; face cyanotic and covered with cold sweat ; great anxiety. θ Emphysema.
Arrest of breathing and suffocative apprehension, sometimes with weakness and excessive debility, or at night.
Suffocative spells in evening, after lying down. θ Asthma.
When lying down at night, however carefully, sense of suffocation. θ Hydrothorax.
Suffocating spells, most at night. θ Ascites.
Suffocating oppression at night in bed ; with weakness.
Has to sit up ; when lying on back, suffocative attacks. θ Asthma.
When coughing or immediately after, feels contracted and as if suffocating, labors with great difficulty to re-establish free respiration.
Paroxysms of suffocation. θ Whooping cough.
Suffocative attacks, with palpitation, in night.

Cough

Oppression and spasms in chest, with hacking cough. θ Chill in intermittent.
Deep, dry, unceasing cough.
Severe, spasmodic cough. θ Dropsy after scarlatina.
Dry cough. θ Typhus.
Dry cough, short and hacking, with sense of excoriation in chest, or soreness from pit of stomach upward, with short, difficult breathing.
Cough after every mental emotion ; coughing spells are preceded by great anxiety and restlessness ; vomiting of food and drink as soon as taken, vomiting brings on cough. θ Whooping
cough.
Cough excited by smoky sensation, or as of vapors of sulphur in larynx, or by constant titillation in larynx.
Cough, without expectoration, especially after drinking or eating ; when lying down ; during a walk in cold air.
Cough after drinking, from continuous irritation or tickling in bronchi.
Cough during motion, with want of breath.
Cough when going into cold, open air.
Night cough ; must sit up as soon as cough commences.
Croup-like cough, with suffocating, spells, < after midnight. θ After suppressed hives.
Cough in morning.
Clear-ringing, crowing, or whistling whooping cough, excited by a burning tickling in trachea and in throat-pit, as if from vapor of sulphur, at night without expectoration, in daytime with expectoration of mucus, scanty and generally frothy, or in lumps, of
various taste and color (bitter, putrid, purulent, saltish, offensive, grey yellow), sometimes mixed with florid blood ; returning periodically with increasing violence.
Whooping cough, with cholera infantum.
Whooping cough, with arrest of breathing, tough mucus in chest ; sputa of frothy mucus in lumps ; asthmatic symptoms ; debility ; cold surface.
During whooping cough, palpitation of heart ; cough returns periodically with increasing violence ; child whines and cries.
Cough preceded by jerking in hips, which seemed to excite the cough.
Cough awakens him ; as if he would be suffocated ; throat swelled.
When coughing, soreness in chest and pain as if something was digging into throat from before backward.
During cough : catching of breath ; soreness in chest, stitches in sides or in epigastrium ; heat of head ; collection of water in mouth.
Cough : with arrest of breathing ; with tough mucus in chest ; with expectoration of frothy mucus in lumps, or tasting salty, in daytime ; without expectoration at night.
A heavy feeling and aching in chest, after coughing. θ Bright's disease.
Cough most frequently with expectoration, which generally appears only during day.
Cough < at night, and whenever he lies on his back expectoration is profuse, white, frothy, sometimes thick and yellow ; attack of coughing followed by sweat and great weakness. θ Bronchitis.
Expectoration : difficult ; scanty and frothy ; consisting of tenacious mucus, which is lodged in chest ; frothy saliva ; thick yellow ; grey, green, bitter, salty ; mucus,
streaked with blood.
Tenacious mucus, hard to get up, rattling in chest, old people. θ Pulmonary catarrh.
Frequently recurring cough, with expectoration of bloodstreaked mucus ; retching and vomiting of food and drink ; this cough frequently interrupts few moments of sleep she can get by laying her head on a table before her. θ Dropsy.
Cough, with bloody sputa.
Hacking cough every morning, with expectoration of bright red fluid blood, with burning in left chest. θ Hæmoptysis.
Hæmoptysis at night, with burning heat over whole body.
Foaming bright red blood bursts forth in a stream, with slight hawking ; ebullition and burning and fulness in chest. θ Hæmoptysis.
Hæmoptysis after loss of blood ; burning heat all over, especially with pain between scapulæ ; in drunkards, or from suppressed menses.

Inner chest and lungs

Feels as if she had a load in upper part of both lungs.
Tightness of chest, as if bound with a hoop.
Constriction of chest, with great anxiety and restlessness, evenings ; burning, or feeling as if excoriated and raw.
Constriction of chest, with anguish and oppressive anxiety at pit of stomach.
Constriction of chest, when going up hill.
Great oppression and constriction of chest. θ Cholera Asiatica.
Constriction of chest. θ Chill of intermittent.
Burning and heat in chest. θ Pneumonia.
Burning in chest and stomach. θ Hæmoptysis.
Pain in chest, with cough and restless sleep. θ Bright's disease.
Chilliness in chest, evenings.
Great heat in chest, extending below diaphragm.
Catarrh on chest, great suffocation ; child, tosses about in agony.
Wheezing at chest, with bruised pain between shoulders.
Loud sibilant rales over every part of chest. θ Bronchitis.
Stitches : in upper right chest ; in left chest only during inspiration ; in sternum, from below up, when coughing.
Acute, sharp, fixed or darting pain in apex and through upper third of right lung.
Pleuritic effusion, great dyspnœa from slightest motion ; can lie only on affected side ; tongue thickly coated dirty yellow ; feet swollen. θ Ascites.
Chronic pleurisy ; dark and offensive expectoration ; great weakness on attempting to move or sit up.
Pneumonia from taking cold during a fatiguing journey.
Pneumonia, with dark, offensive sputa ; great weakness, not felt until attempts are made to move or sit up.
Burning and heat in chest ; pale face ; cold extremities ; anxious tossing. θ Pneumonia.
Posterior lobes of both lungs affected. θ Pneumonia.
Chronic pneumonia, with purulent sputa ; asthma.
Asthmatic attacks accompanying emphysema.
Hydrothorax.
Gangrene of lungs, with green, ichorous sputa.
Impending paralysis of lungs ; rattling in windpipe.

Heart, pulse and circulation

Cramp in heart.
Heartbeats are irritable.
Sounds of heart, especially the "choc" rather violent ; not agreeing with pulse.
Palpitation as from a distance. θ Anasarca.
Trembling, irregular motion of heart. θ Heart disease.
Intermitting beats of heart ; somewhat irregular and intermitting pulse, accompanied by a whistling sound. θ Heart disease.
Palpitation of heart, violent, excessive, with great anguish, especially at night.
Palpitation of heart, with anguish ; cannot lie on back ; < by going up-stairs.
Violent palpitation, most in night, visible and audible.
Palpitation of heart and tremulous weakness after stool ; must lie down.
Severe paroxysms of palpitation or attacks of syncope during endocarditis.
Tumultuous action of heart, alternating with feeble, irregular beating. θ Hydropericardium.
Palpitation. θ Paraplegia. θ Dysentery. θ Hydrothorax.
θ Heat of intermittent. θ Measles.
Heart disease with emaciation.
Palpitation after suppressed herpes or foot sweat.
Angina pectoris ; sudden tightness above heart ; agonizing precordial pain ; pains into neck and occiput ; anxiety, oppression ; breathing difficult, fainting spells ; least motion makes him lose his breath ; sits bent
forward or with head thrown back ; < at night, especially from 1 to 5 A. M.
Rheumatism affecting the heart, with great prostration, cold, sticky sweat ; great anxiety and oppression ; burning about heart ; pulse small, rapid and feeble.
Valvular disease with intermittent pulse, dyspnœa, anasarca, complains more towards evening, or at night, on going up-stairs, after deep inspirations, or getting angry.
Right ventricle hypertrophied. θ Retinitis albuminurica.
Fatty degeneration of heart.
Hydropericardium with great irritability, anguish and restlessness ; especially in uræmia, etc.
Idiopathic heart disease.
Pulse very frequent in morning but slower at night. θ Intermittent.
120-130 beats of pulse in the minute. θ Hematemesis.
Pulsation through whole body. θ Heat of intermittent.
Quite small pulse. θ Scarlatina.
Very quick pulse. θ Hepatitis.
Frequent, quick, small pulse. θ Measles.
Frequent, weak pulse. θ Dysentery.
Pulse : accelerated ; quick and small ; quick and weak ; small and weak ; irregular ; trembling ; imperceptible.
Small, rapid pulse. θ Dropsy.
Pulse very much accelerated, small and weak ; sometimes intermitting.
Pulse small, soft, frequent. θ Relapse of intermittent.
Pulse frequent, small, trembling. θ Typhus.
Pulse too small and frequent, with œdematous limbs. θ Dysentery.
Quick, trembling, threadlike pulse. θ Hematemesis.
Pulse small and undulating. θ Anasarca.
Pulse hardly to be felt, so frequent. θ Dysentery.
Pulse scarcely perceptible, and quick, trembling. θ Gastritis mucosa.
Pulse sometimes imperceptible ; threadlike.
Pulse hardly to be felt, with cold limbs. θ Colic.
Nothing to be felt but a trembling motion of the pulse. θ Dropsy.
Pulse irregular, frequent, small, trembling. θ Yellow fever.
Pulse sometimes suppressed, with strong beat of the heart.

Outer chest

Stitches and pressing in sternum.
Distension of chest. θ Whooping cough.
Burning and itching in chest.
Sore raw feeling of chest, from stomach upward.
Chilliness or coldness in chest.
Heat, burning, itching in chest.
Yellow spots on chest.

Neck and back

Stiffness of neck.
Nape stiff, as if bruised or sprained.
Neuralgic pains on left side of neck.
Blueness of external throat from distension of veins.
Colorless, smarting eruptions on neck, shoulders and sides.
Cervical glands enlarged, felt like a series of hard nodules under the skin.
The pressing pain becomes burning and shooting ; pain in sacrum as if broken, anxiety, restlessness, rush of blood, most to the head. θ Metritis.
Drawing pains : between scapulæ, necessitating lying down ; from small of back to shoulders.
Backache after hard work. θ Rheumatism.
Insupportable backache towards evening and on rising from a seat. θ Rheumatism.
Cold creeps on back, evening and night.
A sense of warm air streaming up spine into head. θ Precedes epileptic attacks.
Burning in spine. θ In epileptic attacks.
Burning in back.
Burning pain in back while lying quietly upon it. θ Ovaritis.
Greatly exhausted from sexual excesses ; pulling and tearing in back and legs ; formication along the spine ; flesh pale, soft, bloated.
Paralysis of lower third of spinal cord.
Spinal affection with gressus gallinaceus. θ Paralysis.
Small of back as if broken. θ Hemorrhoids.
Bruised pain in small of back, with sensation of weakness.
Loss of strength in small of back.
Stiffness in spinal column, beginning in region of os coccygis.
Ulceration of sacrum after typhoid.

Upper limbs

Violent tearing and jerking pains in right shoulder joint and shoulder, extending to arm, elbow joint, and forearm. θ Rheumatism.
Soreness in the axilla.
Rheumatic pains from elbow up to shoulder, > at night.
Pain in the arm of the side on which one rests, at night.
Drawing and lacerating in the arms, particularly at night.
Complaints predominant on upper arm.
Peculiar neuralgia in left arm suddenly after meals.
Violent neuralgia of left arm followed by lame feeling.
Upper limbs weak ; flexors of fingers retracted.
Paralytic feeling in upper limbs. θ Pericarditis.
Painful tubercles on the arm.
Swelling of the arm, with putrid smelling, black blisters.
Drawing and tearing from elbow up into axilla, at night.
Violent rheumatic pains in right elbow.
Small reddish spot on left elbow joint, soon forming a blister, becoming in a few hours as large as a hazel-nut and turning black ; similar blisters appear on right elbow and next day on left leg.
Hands and lower half of forearm dark and livid, as in malignant cholera.
Swelling on the forearm, size of a goose egg, after becoming inflamed all around, dropped off. θ Cancerous inoculation.
Trembling of hands.
Sensation of swelling and fulness in palms of hands at night.
Fistulous opening in palm of hand discharging ichorous pus, pain and sensitiveness great. θ From a felon.
Tingling in fingers. θ Pericarditis.
Hands can be extended, but not the fingers.
Burning and shooting in a finger connected with case produced by a wart having been pulled out.
Soreness between the fingers.
Drawing, jerking and tearing from tips of fingers into shoulder.
Vesicles filled with blood on tips of fingers ; ulcers and scabs under nails.
Burning ulcers on tips of fingers.
Indurations in the soft parts between metacarpus of thumb and index finger, and some along forearm between radialis and supinator longus, size of a common bean. θ Cancerous
inoculation.
Spongeous excrescence on thumb, size of a raspberry, very painful, slightest touch increases pain very much. θ Cancerous inoculation.
Under nail of thumb a very sensitive, radiating pain, a few days after operating on a cancerous mamma, the thumb-nail being cut too close.
Nails discolored ; at first red, then black ; later replaced by new nails, thin and transparent.
Blue nails. θ Chill of intermittent.

Lower limbs

Drawing, stitching pain from region of ovary into thigh, which feels numb and lame ; < from motion. θ Ovaritis.
Horses hip-shot from inflammation of kidneys, standing crooked, legs drawn together.
Pain back of great trochanter, extending down thigh, posteriorly, then towards knee ; anteriorly, embracing patella, down tibia to ankle ; pain relieved somewhat by flexion of knee.
Deep drawing boiling sensation ; hopeless, pale, emaciated ; dyspnœa or fainting spells from slightest exertion. θ Sciatica.
Neuralgia in hip, with severe burning, tearing and drawing pain, not allowing affected part a moment's rest. θ Sciatica.
Sciatica brought on by staying in damp, cold cellar.
Tearing and shooting in hip, thigh and groin.
Twitching in hips. θ Whooping cough.
Violent drawing, tearing pain in hips and left foot.
Cramp in thighs, calves and toes in evening, in bed ; followed by lassitude.
Complaints predominate on inner side of thigh.
Intolerable itching of thighs.
Buttocks sore to touch.
Spells of violent pain on posterior surface of thigh, calves and heels ; < from every attempt to walk, relief from bending knee and hip joints (flexing, etc., in abdomen). θ Rheumatism.
Gressus gallinaceus.
Pain in knee joint, as if beaten.
Swelling and pain of knees.
Cracking of knees when walking.
Stiffness and immobility of knees and feet. θ Scirrhus.
The knees feel as if bandaged.
Periodical elastic swelling of knee, can bear moderate pressure without increasing the pain ; pain in knee very severe, extending to hip and ankle joint, as of scraping over long bones. θ Rheumatism.
Stiffness of knees and feet, alternating with tearing pains.
Itching herpes in bends of knees. θ Scabies.
Itching tetters in hollow of knee.
Coldness, especially of knees and feet.
Knees cold, head and ears hot.
Tearing in tibia.
Cramp in calves.
Cramp and drawing in muscles of calves. θ Colic.
Frequent cramp in calves. θ Intervals of epileptic attacks.
Uneasiness in lower limbs, cannot lie still at night, has to change position of feet constantly or walk about to get relief.
Sensation as if lower limbs would break down, on going up-stairs.
Weariness in feet.
Weakness of feet, numbness.
Numbness, stiffness and insensibility of feet, with occasional swelling and great pain.
Drawing pain in legs when resting feet upon floor, while sitting.
Dull aching pain in right leg below knee, somewhat increased by walking, but especially < at night after becoming warm in bed ; oval prominence on tibia about four inches below knee, hard and immovable and very sensitive to touch, with slight redness ; later, similar pain
and tenderness on outer surface of right ulna.
Pain in lower limbs. θ Intermittent.
White swelling of limb, with intermittent fever and weakening diarrhœa. θ Phlegmasia alba dolens.
Swelling of lower limbs, with violent pain.
Œdematous swelling of left leg.
Œdema of legs. θ Gonarthrocace.
Swelling of feet. θ Bright's disease.
Feet œdematous, swollen, ice cold and numb. θ Heart disease.
Feet œdematous. θ Apyrexia of intermittent.
Extremities œdematous. θ Albuminuria.
Instep œdematous, leg and thighs very much swollen, the skin erysipelatous. θ Pyæmia.
Swelling of feet, œdematous ; great exhaustion.
Hard blue red swelling of feet.
Swelling of feet, hard, burning, shining, with red spots or blue black blisters.
Hot and shining swelling of feet.
Horses : swelling of forefeet ; ailments of hoof or cleft of hoof.
Distension of veins of feet. θ Varices.
Right limb swollen and full of suppurating pimples, with an unbearable itching.
After suppressed foot sweat. θ Palpitation of heart.
Intolerable itching of feet.
Itching swelling of feet.
Old ulcers on lower limbs, with burning and lancinating pains.
Old ulcers on legs, with burning and stinging.
Pain in an ulcerated leg so violent that it waked her up at 4 A. M., and prevented her from sleeping.
Ulcer on foot surrounded by a gangrenous crust.
After opening an abscess on left heel, edges of wound mortified. θ Peritonitis of os calcis.
Tearing in heels.
Loss of power of toes ; walking is performed with soles.
Stitches which cause her to shudder, from little left toe to great toe.
Violent tearing, drawing pain from ankle bones down over heel to sole of foot, only ameliorated when leg is flexed on abdomen. θ Rheumatism.
Cold feeling in soles of feet.
Soles of feet as if made of wood and do not feel the ground.
Festering sores or ulcers on soles of feet and toes.
Blisters on bottom of feet, at night discharging a light yellow fetid water.
Rending pain in soles.
Spreading blisters form ulcers on soles and toes.
Sore pain on balls of toes, while walking, as if chafed.
Toes drawn downward.
Crumbling, misshapen toe nails.

Limbs in general

Heaviness of limbs. θ Intermittent.
Neuralgia of extremities.
Painful feeling of fatigue, penetrating to marrow in bones of limbs. θ Rheumatism.
Gouty and rheumatic pains, drawing and lacerating, particularly in limbs, with inability to lie on affected part, and diminution of pains when moving it.
Aching in all the limbs. θ Bright's disease.
Neuralgic pains in forearms and legs, increase and decrease gradually ; < from cold air or cold water.
Pain in limbs, jumping from place to place.
Restlessness of limbs during whooping cough.
A general lack of will-power in upper and lower limbs ; numbness, or sensation of heaviness.
Trembling of limbs. θ In drunkards.
Twitching ; trembling ; violent starting while falling asleep.
Excessive weakness and exhaustion of limbs oblige him to lie down.
Contraction of limbs from paralysis of extensors.
Hands and feet as if mummified ; skin hangs in folds.
Stiff, lame limbs. θ Yellow fever.
Hands and feet swollen, burning pain, but feel cold to touch.
Limbs cold. θ Cystitis. θ Pneumonia.
Cold hands and feet, with occasionally cold feeling all over. θ Colicodynia.

Rest. position. motion

From climbing mountains or other muscular exertions : want of breath, prostration, sleeplessness and other ailments.
Cannot remain in same position.
Lying in bed : gloomy forebodings ; asthma.
Lying on back : pains about navel < ; burning pain in back.
Lying down : must, on account of weakness ; pains worse.
Sitting up in bed : toothache better.
Must sit up in bed : asthma.
Sitting : stitching in hemorrhoids.
Sitting bent : ovarian pains worse.
Half-sitting posture : sleeps in that way.
Motion : flushes and chilliness with irritability ; sensation of brain beating against skull ; head confused in paraplegia ; headache < ; eyes more painful ; ovarian pains < ; constriction of chest < ; > gouty and rheumatic pains in limbs ;
causes fainting ; < heat.
Walking : reels with headache ; relieves pain in supraorbital region and teeth ; headache < ; stitches in hemorrhoids ; cough in open air ; causes fainting ; in open air, shuddering.
Ascending : asthma < ; constriction of chest ; aggravates valvular troubles.
Must move : head and feet in hemicrania ; cannot lie still.
Bending over : ovarian pains worse.
Rising up in bed : beating in head < ; excessive nausea And vomiting.
Turning in bed : breathless.

Nerves

Cannot rest in any place ; changing his position continually ; wants to go from one to another, and lies now here and now there.
Restless, constantly moving head and limbs.
It was impossible for her to remain in same position, and with the slightest change of position of the affected limb, she had to scream. θ Acute rheumatism.
During spells, restless ; moves head and limbs to and fro, and imagines that he gets some relief from so doing. θ Megrim.
Tossing about from side to side. θ Summer complaint.
Great restlessness, cannot remain seated, runs around, creeps on hands and feet. θ Cystitis.
Great restlessness with fear and anxiety.
Restless, fretful, dread of death. θ Headache.
Great restlessness and anxiety, constant moving of head and limbs, whilst the trunk lies still on account of too great weakness. θ Typhus.
Anxious restlessness. θ Gastritis. θ Peritonitis. θ Ovarian
dropsy. θ Uterine cancer. θ Panaritium. θ Scarlatina.
Great restlessness with much thirst. θ Iritis rheumatica.
Great restlessness and exhaustion. θ Prosopalgia.
Great restlessness after suppressed hives.
Great restlessness. θ Neuralgia of trigeminus. θ Scurvy. θ Cancer
of stomach. θ Dysentery. θ Cystitis. θ Ovaritis.
θ Dysmenorrhœa. θ Œdema pulmonum. θ Asthma.
θ Chronic intestinal catarrh. θ Coxalgia. θ Eclampsia.
θ Measles. θ Smallpox. θ Carbuncle.
θ Herpes.
Restlessness and anxiety. θ During heat of intermittent.
General discomfort. θ Before intermittent.
Trembling. θ Hematemesis. θ Chlorosis.
Trembling of limbs. θ Dysentery. θ Typhus. θ In
drunkards. θ With cough.
Subsultus tendinum.
Jerks in body when falling asleep, like electric shocks.
After grief, clonic spasms ; face and limbs were convulsed, he uttered a roar involuntarily while conscious ; a man, æt. 65.
Clonic or tonic spasms in different places. θ Cholera Asiatica.
Spasms preceded by burning heat of whole body. θ Eclampsia.
Hysterical spasms, followed by exhaustion.
Before spasm, drawing in limbs, longing to lie down ; when they come on, sudden jerk through body or icy coldness from head down back ; loss of consciousness, stretches and writhes, and then draws limbs together ; abdomen rises and falls rapidly
with rumbling ; at times distortion of facial muscles. θ Tetanus.
Epileptic convulsions preceded by a sensation of warm air streaming up spine into head, vertigo, loss of consciousness and falling down.
Convulsion with opisthotonos ; foam at mouth.
Convulsions. θ With whooping cough.
Epileptic attacks (oftener Calcarea arsenica).
Tetanus.
Stiffness and immobility of all joints.
Inability to make any movement. θ Typhus.
Feels extremely tired all over.
Thinks himself strong until he attempts to rise. θ Typhoid.
Weary, averse to all bodily effort ; weariness increases so that he cannot sleep.
Exhaustion from slightest exertion, must lie down.
Great exhaustion. θ Dysentery. θ Uterine cancer. θ Tuberculosis.
θ Gonarthrocace. θ Ascites. θ Scirrhus
mamma. θ Hematemesis.
The child is very weak ; the slightest effort seems to exhaust it, such as vomiting, etc.
Weakness, obliging him to lie down, he feels stronger when doing so.
Great weakness and restlessness. θ Hemorrhoids. θ Hæmoptysis.
Great weariness and weakness. θ Intermittent.
Pains very debilitating. θ Toothache.
Excessive debility. θ Scurvy. θ Carbuncle. θ Chlorosis.
Great debility and fainting. θ Rheumatism. θ Carbuncle.
Debility from overworking.
Rapid and complete prostration.
Prostration, vertigo, singing in ears, deafness. θ Typhus.
Extreme prostration. θ Megrim. θ Cancer of stomach. θ Chronic
intestinal catarrh. θ Asthma. θ Pneumonia. θ Tuberculosis.
θ Paralysis. θ Typhus. θ Scarlatina.
Extreme prostration and rapid emaciation. θ Typhus. θ Intermittent.
Aphasia ; left arm and foot paralyzed. θ After apoplectic condition with great prostration.
Great prostration, with waxy paleness and coldness of skin.
Relaxation of muscles.
Prostration in his feet.
Soon prostrated by illness. θ Gastritis.
Sudden prostration. θ Intestinal catarrh. θ Cholera Asiatica.
Excessive prostration ; general rapid sinking of strength.
Great sinking of strength. θ Apyrexia of intermittent. θ Measles. θ Smallpox.
Sudden sinking of strength. θ Latter stage of peritonitis. θ Metritis.
Very rapid sinking of strength. θ Intermittent. θ Yellow fever.
Sudden sinking of strength ; cold sweat, fear of death.
Sliding down in bed. θ Typhus.
Frequent fainting.
Violent deep fainting fits.
Faint, anxious and weak, early in morning.
Fainting with vertigo and swelling of face.
Fainting. θ Hematemesis. θ Gastralgia. θ Intermittent.
θ Dysentery. θ Chlorosis.
Sometimes shortly after paroxysm fainting spells, especially if she has an urging for stool. θ Relapsed intermittent.
Fainting from motion, from walking about, from coughing or speaking. θ Hematemesis.
Slight attacks of fainting-like weakness with constriction of chest. θ Acute rheumatism of joints.
Fainting attacks with exhaustion. θ Typhus.
Fainting from weakness, with scarcely perceptible pulse.
Electro-muscular contractility diminished.
Want of bodily irritability.
Paraplegia.
Complete paraplegia, skin of legs cold, soft, flaccid ; slightest spontaneous motion impossible.
Cannot talk, left arm and foot lame after an apoplectic condition with great prostration.
Paraplegia ; skin of legs cold, flaccid ; great prostration.
Paralysis : with gressus gallinaceus, also from lead poisoning ; after neuralgia ; of limbs which were œdematous before ; particularly of extensors ; with atrophy of muscles ; generally of both sides ; especially of lower extremities ; more
frequent than apoplexy.

Sleep

Yawning and stretching.
Frequent spasmodic yawning. θ Paraplegia.
Every two or three seconds she has to gap ; girl, æt. 7. θ Summer complaint.
Inability to go to bed.
Jerking of limbs when falling asleep ; sometimes excited by pains felt in distant parts.
Frequent attacks of somnolence in daytime while sitting.
Half slumber broken by moaning and grating teeth. θ Typhus.
Drowsiness interrupted by uneasy dreams and great anxiety.
Slumber and slight delirium.
From midnight till morning light slumber, disturbed by frequent waking with a burning or sore pain in chest. θ Asthma.
When chill lessens falls into a deep sleep ; gets awake after heat has lasted a while. θ Intermittent.
Sopor from which she often awakes, but only for a short time. θ Typhus.
Sopor in evening.
Sleep full of tiresome dreams ; unrefreshing.
Dreams : full of care, sorrow and fear ; about thunderstorms ; of fire ; of black water and darkness ; of death and dead persons ; misfortunes ; embarrassments and vexations.
Talks in his sleep, divulged a secret which otherwise would not have passed his lips. θ Cancerous inoculation.
Trembling in sleep ; grasping at head. θ Typhus.
Grasping at flocks.
At night sleep, alternating with raving and different visions.
Only half asleep, constantly disturbed with moaning and grating of teeth.
Frequent startings in and from sleep.
Jumps out of bed.
Worse during sleep.
Pains are felt most at night, during sleep or after lying down.
Fatigue seemingly increased by sleep.
Restless, anxious, < at night. θ Rheumatism.
Sleep restless, disturbed by frightful dreams. θ Intermittent.
Restless nights, weak, fatigued, greyish-yellow complexion ; no appetite. θ Intermittent.
Worse at night. θ Colic. θ Pericarditis. θ Carbuncle,
etc.
Pains < at night. θ Scirrhus uteri.
Complains of pains and restlessness at night. θ Scrofulous ophthalmia.
Itching and burning < at night. θ Crusta lactea.
Nightly burning pain like fire with great restlessness. θ Scirrhus mamma.
Nightly burning or a terrible itching. θ Eczema.
Severe burning pain < at night. θ Herpes.
Burning as if hot water was flowing through bloodvessels, with anxious heat and restlessness, and with desire to uncover.
Sleep anxious, unquiet.
Sleep in a half-sitting posture.
If getting awake at night, difficulty to fall asleep again.
Sometimes awakened with horrible anxiety, palpitation and restlessness, fear of death.
Awakens from restless sleep with anxiety and palpitation, after improvement has commenced. θ Intermittent.
Wakens from sleep after heat with singing and buzzing in ears, and very little sweat. θ Intermittent.
Awakened by pains ; especially about midnight.
Worse about midnight. θ Diphtheria. θ Peritonitis. θ Intestinal
catarrh. θ Chronic catarrh of bowels. θ Metritis. θ Dysmenorrhœa.
θ Uterine cancer. θ Panaritium. θ Sciatica.
θ Measles. θ Œdema pulmonalis. θ Typhus.
θ Gastralgia.
Sleep disturbed after 3 A. M. ; she gets up in a fright.
The evening aggravation continues until after midnight. θ Acute rheumatism.
Awoke about 3 A. M., feeling burning hot internally though cool externally to touch ; then came a heavy lumbar headache, with heaviness and distress in stomach. θ Ophthalmia.
Sleepless until 3 A. M.
Great restlessness during sleep ; constant tossing and turning ; everything seems to worry.
Sleeplessness, with restlessness and moaning.
Nightly restlessness, with great anguish about heart.
Sleepless from anguish, restless, tossing about, < after midnight.
Sleepless, pulse 100, delirious at night, unquenchable thirst and loss of appetite. θ Pyæmia.
Sleepless nights with coryza.
Sleeplessness. θ Gonarthrocace.
Sleepless, and towards morning a slumber with frightful dreams. θ Bright's disease.
Sleeplessness < night before an attack. θ Apyrexia in intermittent.
Sleeplessness. θ Ulcer on heel ; periostitis of os calcis.
From climbing mountains or other muscular exertions : want of breath, prostration, cannot sleep, and other ailments.
Nightly sweats.
After sleep and end of heat, great desire for something refreshing ; she wants wine with water, coffee, etc. θ Relapsed intermittent.
After sleep, great weariness. θ Intermittent.
After sleep, feels as if he had not slept enough ; eyes are weary ; cannot get out of bed.

Time

Evening : periodical throbbing in head ; swollen frontal eminences < ; otalgia < ; loss of breath ; constriction of chest and anxiety ; chilliness in chest ; cramp in legs ; sopor ; crawling.
At 2 P. M. : headache begins to lessen.
At 3 P. M. : chill.
At 10 P. M. : ophthalmia decreased.
At 12 P. M. : springs out of bed with asthma.
After midnight : restlessness and anxiety < ; ophthalmia < ; diarrhœa < ; asthma > ; coldness of extremities < ; heat with anxiety.
Night : periodical throbbing in head ; pains of erysipelas < ; pulsating stitches in eyes ; pains in and over eyes reach their acme ; diarrhœa < ; hemorrhoids more painful ; croup < ; cough < ; no expectoration ; hæmoptysis ; palpitation
< ; valvular troubles are aggravated ; rheumatic pains in arm < ; cannot lie still ; pains < ; restlessness < ; itching and burning < ; chilliness ; heat.
Day and night : colic.
Midnight till morning : restless slumber.
At 2 A. M. : cramp in stomach ; asthma ; fever and sweat.
From 1 to 5 A. M. : angina pectoris.
Until 3 A. M. : sleepless.
About 3 A. M. : awaked by fever and backache.
After 3 A. M. : sleep disturbed.
After 4 A. M. : no sleep from pain in ulcerated leg.
Morning : periodical throbbing in head ; putrid sweet taste ; diarrhœa ; hacking cough ; faint, anxious, weak, sweat ; rigor with cramp in chest.
At 5 A. M. : ophthalmia begins.
At 7 A. M. : headache begins.
From 10 to 11 A. M. : chill.
At 11 A. M. : headache reaches climax.
Forenoon : coldness ; fever attacks mostly begin.
Noon : ophthalmia at acme ; paroxysm of fever.
Afternoon chill towards 4 o'clock : conjunctivitis periodical.
Daytime : expectoration ; chill, sweat at night.

Temperature and weather

Changes of warmth and cold : oppressed breathing.
Cold washing : beating in head >.
Cold damp cellars : induce attacks of sciatica and asthma.
Cold weather : sore nose < ; excites toothache.
Stormy weather : oppressed breathing.
Cold water : makes teeth sensitive.
Sea bathing : induces many complaints.
Open air : headache < ; heaviness of head > ; head sensitive to ; ophthalmia > ; humming in ears > ; suffocative cough when walking.
Uncovering ; head <.
Warm wraps : head >.
Warm applications : generally > ophthalmia.
Warm clothing : oppressed breathing <.
Warm room : humming in ears <.
Heat : hemorrhoids >.
Hot stove : toothache >.

Fever

The paroxysm begins with stretching, gaping, unpleasant feeling, greater weariness and slight crawls over the back after drinking. θ Intermittent.
Gaping, stretching, awkward feeling and great weariness, has to lie down, before the paroxysm. θ Relapse of intermittent.
Every morning stretching of limbs, gaping, emptiness in head, thirst, and after drinking immediately chilliness and crawling. θ Quotidian intermittent.
Before chill, fainting, cutting in abdomen like knives, empty eructations with pain in stomach, begins with anxiety ; frequent vomiting of yellowish-bitter water ; vomiting of food with constant nausea ; vomiting of bile and mucus with great straining : when chill
passes off they fall into a deep sleep. θ Intermittent.
Coldness, gaping, headache, and greater weakness ; soon after rigor with headache. θ Intermittent.
Attacks begin with vertigo, great prostration, gradually increasing heat, ending in long-lasting sweat. θ Intermittent.
Nursing children have no distinct chill ; must be covered ; very thirsty.
Internal coldness, skin not feeling cold.
Skin cool. θ Ascites.
Cold dry skin. θ Dysentery.
Coldness over entire body. θ Hematemesis.
Coldness of body with much thirst. θ Typhus.
Coldness of body. θ Yellow fever.
While sitting, or in bed, feet are cold. θ Intermittent.
Coldness of extremities ; < after midnight.
Sensation of coldness in ulcers.
Coldness of whole body, pale, sunken face, very sickly appearance, lips pale, rigor, pains in limbs, contraction of chest, breathing impeded, restless, trembling. θ Quotidian.
Coldness at night, stretching, headache, and pain in right eyeball, troublesome when moving eye. θ Intermittent.
Concomitants of cold state : colic and loose stool, nausea, head benumbed, unconsciousness, tearing in lower limbs, drawing in all limbs, as if beaten in thighs, cramps in chest, difficult breathing, stretching of limbs, desire to urinate and frequent
urination, hunger. θ Intermittent.
With shivering and coldness appear pains or other complaints. θ Intermittent.
Crawling in evening with stretching of limbs and anxious restlessness.
Shuddering : particularly after drinking, with chilliness ; after dinner ; when walking in open air ; at beginning of fever before chill.
Feels chilly and hovers near stove. θ Megrim.
Congestive chills.
Chill gradually increasing to shaking rigor.
Violent chill with shaking ; every afternoon at 3 o'clock, or in evening.
Chill without thirst at 10 or 11 A. M., shaking chill felt as though running down his back, blue surface, shrunken skin. θ Intermittent.
Night chilliness, only on face and feet.
Chill as from cold water trickling down back.
Chill on lower part of body.
Coldness and chill renewed after drinking and after eating. θ Intermittent.
Drinking increases chill and causes vomiting. θ Intermittent.
Chill : > after eating ; more hunger than thirst ; > after rising from bed ; < out-doors.
Clonic spasms during chill.
Blue nails and lips during chill.
Amelioration of pains after chill. θ Intermittent.
During chill and heat many of concomitant symptoms become aggravated.
Chill and no thirst, 10 A. M. ; skin shrunken ; lips and nails blue.
During chills generally no thirst. θ Intermittent.
Soon after prodromic coldness of body, blue nails, chill in back, rigor, inner trembling, with violent pains in back and sacrum, contraction of chest, difficult breathing and emptiness in head. θ Relapse
of intermittent.
Forenoon coldness, morbid appearance, blue lips, violent headache, rigor, shaking of teeth, contraction of chest. θ Intermittent.
As soon as rigor is abating, she gets an irresistible hunger, she has to eat something, notwithstanding that she knows it renews the chill. θ Relapse of intermittent.
Often rigor with gooseflesh. θ Dropsy.
Cold as ice.
Undefined development of chill and heat ; either simultaneously, or in alternation.
Chilly and feverish, mostly towards sundown.
Heat mixed up with chill. θ Intermittent.
Frequent chilliness alternates with heat. θ Rheumatism.
Internal chill, with external heat and red cheeks.
Burning heat internally, with a cold external surface. θ Scarlatina.
Cold inside and burning hot outside. θ Intermittent.
Chill without thirst followed by heat with much thirst and no sweat ; or sweat comes hours afterwards, whereupon ailments all increase ; liver and spleen are swollen. θ Dropsy.
One hour after chill heat all over, burning, dry, very frequent drinking. θ Intermittent.
Intermittent begins with chill or thirst, followed by heat sooner or later, with much thirst and no sweat, or sweat at a later hour, whereupon all earlier ailments are increased.
After coldness at night for two hours, dry heat, mouth dry, thirst ; restless, anxious, throbbing and beating through whole body ; sleepless. θ Intermittent.
Chill without thirst followed by heat with much thirst and no sweat, or sweat at a later hour, whereupon all earlier ailments increase ; liver and spleen are swollen, even dropsical symptoms present themselves. θ Intermittent.
Intermitting chills, fever and sweat. θ Tuberculosis.
Heat following chill is dry, unbearable, lasts three or four hours, with painful tension and pressure in both hypochondria ; fulness in epigastrium ; pressing pain in forehead ; restlessness, anxiety and thirst. θ Relapse
of intermittent.
After coldness, heat, with burning in whole body, it runs hot through all veins ; anxiety, restlessness, great weariness ; thirst, and desire for acids ; pain in left hypochondrium. θ Quotidian
intermittent.
With chill, forehead hot, heat in face and cold hands. θ Intermittent.
Cold feet and hot hands.
Coldness of knees, with heat of head and ears.
External coldness, with cold, clammy sweat. θ Whooping cough.
General coldness, with parchment-like dryness of skin, or with profuse, cold, clammy perspiration.
During day chill, at night sweat.
Cold or sweat on diseased parts.
Cold, dry skin, alternating with cold sweat. θ Dysentery.
Dry, burning heat.
Persistent burning heat of skin. θ Measles. θ Hepatitis.
Great burning. θ Carbuncle.
Heat predominates, lasts from two to four hours, violent burning, almost unbearable, glowing heat all over. θ Intermittent.
Internal burning heat.
Complains of violent internal heat and thirst while vomiting.
Heat at night, as if hot water was poured over one.
Sensation as if blood in arteries was boiling hot.
Internal burning, dry heat ; inclination to uncover.
In fevers, patient desires to be kept covered ; drinks little and often ; cold water disagrees, produces chilliness, pain, instant vomiting.
(In sick :) Burning heat, with unquenchable thirst.
Burning fever, great thirst, drinking little but often ; marked prostration ; dry, parched tongue. θ Intermittent.
Thirst only during hot stage, drinks often a little.
Dry heat evening and night, with thirst and frequent drinking of but a small quantity at a time.
Heat, with desire for drink, but no thirst.
Heat intense, burning, delirium and unconsciousness.
Feeling of heat, with anxiety after 12 P. M.
Internal heat, burning dry, with anxiousness at night.
Heat and restless anxiety. θ Icterus.
Heat increases gradually, with restlessness, anxiety and tension, with pressure in spleen. θ Intermittent.
Great heat and restlessness, with nosebleed.
Heat at night without thirst and without sweat.
Heat increased by motion, talking, coughing, when walking ; lessened by coffee.
Internal heat, with burning in veins. θ Whooping cough.
Heat increasing gradually, with restlessness, anxiety, pain in spleen ; fulness in pit of stomach ; thirst for sour drinks. θ Intermittent.
Heat, with abatement of headache ; restless ; thirsty ; great weariness and sleep. θ Intermittent.
After heat commences, pains and other complaints having commenced with cold state lessen, or are replaced by new symptoms. θ Intermittent.
During heat : anxiety, restlessness ; burning intolerable ; thirst, especially for warm drinks ; tension about spleen ; nosebleed.
Concomitants of heat : restlessness, anxiousness ; coming from scrobiculum ; throbbing and pulsating in whole body ; delirious ; painful tension in hypochondriac regions, most in left ; gnawing and burning in region of
stomach ; pain in bones, small of back, forehead ; nausea, difficulty of breathing ; skin dry and burning ; thirst, dry mouth, with frequent drinking, but not much, sometimes a great desire for acids and acidulated drinks. θ Intermittent.
At end of heat, often nausea, vomiting, especially after drinking ; weariness and sleep. θ Intermittent.
After heat lessened, great drowsiness and sweat in sleep. θ Quotidian intermittent.
She feels very much exhausted after heat, and finally falls asleep. θ Relapse of intermittent.
After fever, attack of headache.
Fever and sweat every afternoon.
Heat at night, with sweat of face and feet.
Fever at 2 A. M. ; sweat in face and on feet, and tension in hypochondria and epigastrium, producing anxiety and colicky pains.
First heat, then sweat.
Sweat at end of fever, with cessation of all previous symptoms.
Sweat comes some time after heat, or not at all. θ Intermittent.
Sweat staining brownish, yellow.
Sweat cold, clammy, smelling sour, or offensive ; with exhaustion.
Cold, clammy sweat. θ Peritonitis. θ Typhus. θ Yellow
fever. θ Cholera Asiatica.
Cold sweat. θ Cystitis. θ Summer complaint. θ Dysentery.
θ Pericarditis. θ Apyrexia intermittent. θ Scarlatina.
Sweat, with aversion to uncover.
Sweating on going to sleep ; goes off after sleeping a little.
Nightly sweats.
Sweat in morning, after nightly heat.
Profuse morning sweat, which does not relieve. θ Rheumatism of knee.
Sweat abating after sleep.
Sweat periodical.
Sweats too easily, or while sitting, while eating, and after eating or drinking.
Sweat lessened by motion.
Sweat not appearing at all. θ Intermittent.
Sweat not before night, and scanty, often only in face and on chest, of short duration. θ Relapsed intermittent.
Sweat on back parts, occiput, neck, etc.
Profuse sweat about knees, at night.
Sweat on lower part of body.
All symptoms of first stages > during sweat. θ Intermittent.
Only free from pain during sweat. θ Rheumatism.
Sweat does not appear during heat, but later, combined with thirst, often buzzing of ears, heaviness of head ; vertigo and trembling. θ Intermittent.
Concomitants of the sweat : anxiety ; talkativeness ; face pale or red ; nausea, bitter vomit ; unquenchable thirst ; nose running ; fingers like dead ; swelling of feet.
Sleep after sweat.
Cold perspiration, with great prostration.
Cough ends with sweat. θ Whooping cough.
Cold and clammy sweat, with great exhaustion from least effort.
Sweat weakening, even to fainting.
Paroxysms irregular, most daily, in morning, sometimes omitting a day or two.
Attacks begin mostly in forenoon. θ Intermittent.
In morning, rigor, with cramp in chest ; later, dry, burning hot skin ; pulse small, weak, frequent ; complains of headache ; dry mouth and lips ; incessant drinking, but little at time ; great desire for sour things ; restless and moaning ; heat
lasted three hours ; evening after fever ; great weakness and soreness in limbs ; no sweat, but frequent drinking. θ Intermittent.
The third day, in forenoon, coldness, pale face, rigor, trembling, restlessness and crying, followed by heat, with sleep and moaning ; finally a little sweat and frequent drinking. θ A
boy with intermittent.
Paroxysm coming on about 12 noon, or 1 o'clock P. M. θ Intermittent.
With various stages of fever always appear other symptoms. θ Intermittent.
After paroxysm : weakness, fulness in upper abdomen ; less appetite ; desire for something refreshing, or wine or coffee ; slow, insufficient stool. θ Intermittent.
Evening after paroxysm, indisposed, cross ; several diarrheic stools. θ A boy with intermittent.
After paroxysm, great weariness and weakness, no appetite ; constant desire for acids or something refreshing. θ Quotidian.
Icterus after intermittent.
Never clear of symptoms during apyrexia. θ Intermittent.
Quotidian and other intermittent fevers.
Chill in afternoon, followed by dry evening heat, and later sweat.
Quotidian, tertian and quartan fevers, with indistinct chilliness and heat, with great restlessness and thirst, or else without thirst during chilliness and heat.
Intermittent incompleta ; chill intermixed with heat, or heat and chilliness follow each other in rapid succession.
Absence of either chill or heat or sweat. θ Intermittent.
Intermittent relapsing after quinine.
Fevers which are intermittent and tend towards a typhoid state.
Typhoid fever : slow, protracted cases, with mild delirium ; loss of consciousness ; great anxiety ; erethism, even with the greatest prostration ; hippocratic face ; cheeks burning hot, circumscribed red ; face distorted ; eyes glistening, staring
or sunken, or closed with sticky matter ; lips dry, cracked, even black ; mouth lined with a brown or black slime ; great thirst, but drinking little at a time ; fluids roll audibly into stomach ; stools watery, foul, often involuntary ; oppression ; dry
cough, fetid breath ; white, miliary eruption ; petechiæ ; blood oozes from dry lips and from anus ; skin hot, dry, parchment-like ; or covered with cold, clammy sweat ; cadaverous odor from body ; weakness so great he slides down in bed ; lower jaw
drops.
Putrid fever.
Yellow fever ; black vomit ; indifference, stupid expression ; delirium, etc.
Irritative fever ; hectic ; marked emaciation ; hot, dry skin by day, sweating at night ; exceedingly irritable both in mind and body.
Hectic fever. θ Gonarthrocace.
Typhoid symptoms. θ Scarlatina.
Asthenic cases of smallpox.

Attacks, periodicity

Typhus tertianus anteponens.
Periodical complaints ; return of complaints when year comes round.
Every morning : stretching of limbs, gaping ; emptiness in head.
Every afternoon : burning pains in eyes ; violent chill with shaking ; fever and sweat.

Locality and direction

Right : pain in eyeball ; otorrhœa ; burning mucus from nostril ; pain in hypochondrium ; pain in abdomen and groin ; pains in ovary ; stitches in upper chest ; ventricle hypertrophied ; tearing and jerking in shoulder ;
rheumatic pains in elbow ; leg swollen and covered with suppurating pimples.
Left : pain in head and face ; pains in supra and infraorbital regions ; otorrhœa ; cancerous sore on upper lip ; drawing around lower border of ribs ; drawing, stitching under hypochondrium ; contractive pain in groin ; burning in chest ;
stitches in chest during inspiration ; neuralgia in left arm ; reddish spot on elbow joint ; blisters on leg ; paralysis of arm and foot ; joints of hand deformed ; abscess in heel.
From below up : stitches in sternum ; warm air streaming up spine.

Sensations

As if there was some by his side who did all that he was doing ; as if brain moved and beat against skull ; like a hot wire thrust through ramifications of fifth pair of nerves ; as of sand in eyes ; as if bruised over nose and in forehead, as if head would
burst ; brain as if torn to pieces ; as if cats were tearing brain to pieces ; as if eyes were drawing into head ; as if eyes had no room in orbit ; as if lids were dry and rubbing on ball ; lower lip as if burnt ; as from red-hot needles in swollen upper
lip ; as if teeth were elongated and loose ; tongue as if paralyzed ; as though tongue was too heavy ; tongue as if burnt ; as if stomach and œsophagus were being made raw by an acid corroding substance ; r. groin as if sprained ; as if she was passing
sand through rectum ; chest as if excoriated ; as if chest was bound with a hoop ; nape as if bruised ; as if hot water was flowing through bloodvessels ; as if had not slept enough ; as if cold water was trickling down back ; as if something were torn
loose in left hypochondrium, also in pit of stomach, when yawning ; as if intestines were tied up (colic) ; as if abdomen would burst before stool ; as if inhaling dust ; as if something was digging into throat from before backward ; as if she had a load in upper
part of both lungs ; as if lower limbs would break down on going up-stairs ; a sense of warm air streaming up spine ; as if broken, small of back ; as if bandaged, knees ; as of scraping over long bones in leg ; as if made of wood, soles of feet.
Painful feeling of fatigue penetrating to marrow, in limbs.
Like cold water running down back.
It runs hot through all the veins. θ Heat of intermittent.
Undefined pain : in eyes ; in eyelids ; in epigastrium, stomach and abdomen ; about navel ; in right side of abdomen spreading to right groin and scrotum ; between scapulæ ; in arm lain on ; in sacrum ; in liver ; in knees ; in
lower limbs ; in spleen ; in gangrenous ulcers.
Agonizing pain : from precordial region into neck and occiput.
Lancinating : in stomach ; in chest ; and burning in abdomen ; in uterine region, from rectum to anus and pudenda ; in old ulcers on legs ; in inflammatory swellings ; in scirrhus.
Cutting : like knives, in abdomen, darting through abdominal ring.
Lacerating : in arms ; in lower limbs.
Darting : through upper right lung.
Piercing pain : in muscles.
Boring : in right supraorbital region, over eye into teeth ; in a small spot in temple ; in stomach and intestines.
Stitches : in head ; from left meatus auditorius outward ; in epigastrium and stomach ; in spleen ; in right hypochonder ; in region of liver ; in left hypochonder ; from abdomen into vagina ; in groins ; in hemorrhoids ; in renal
region ; in rectum ; in sides ; in upper right chest ; in left chest ; in sternum ; stitches from ovary into thigh.
Sticking : in ulcer on cornea ; in lids.
Stinging : in forehead to eyes ; in eyelids ; in ulcer on right ala nasi ; in face ; in upper lip ; in œsophagus ; in stomach and epigastrium ; in abdomen ; in hemorrhoids ; in old ulcers on legs.
Pricking : occipital headache ; suborbital left side ; in ulcer on cornea ; in rectum ; in glans penis ; in orbit.
Shooting : in finger, after removal of wart ; in hip.
Tearing pain : in right supraorbital region ; over eye into teeth ; in brain ; around eyes ; from left meatus auditorius outward ; in left half of face ; in stomach and intestines ; in abdomen ; in urethra ; in back and legs ; in
right shoulder and joint and down arm ; from elbow into axilla ; from tips of fingers into shoulder ; in hip ; in left foot ; in knees and feet ; in tibia ; in heels ; in joints.
Rending : in soles of feet ; in muscles.
Drawing : in face ; from pit of stomach around lower border of left ribs ; under left hypochondrium ; in legs ; between scapulæ ; from small of back to shoulders ; in arms ; from elbow into axilla ; from tips of fingers into shoulder ;
from ovary into thigh ; sciatica ; in hip ; in legs ; in left foot ; in limbs ; in joints.
Drawing stitching : from region of right ovary into thigh.
Drawing pressing : in right side of forehead ; from forehead to eyes.
Burning : in right supraorbital region ; over eye into teeth ; in forehead ; erysipelatous in head ; on head ; in eyes ; over orbit ; in ulcer on cornea ; on eyelids ; at nostrils ; in nose ; in ulcer in right ala nasi ; of
cheeks ; in upper lip ; in cancerous ulcers on face ; pimples and vesicles on face ; in gums ; on tongue ; in mouth ; in throat ; in epigastrium ; in stomach ; in bowels ; in region of pylorus ; in region of liver ; in right
hypochondrium ; in umbilical region, in anus and rectum ; in intestines ; in hemorrhoids ; in bladder ; in urethra ; in glans penis ; in ovaries ; uterine region ; in genitals ; in mamma ; in cancer of breast ; in larynx and
trachea ; in chest ; in left chest ; about heart ; in spine ; in back ; in finger ; in ulcers on finger tips ; in hip ; in old ulcers on legs ; in veins ; in skin ; in joints ; in inflammatory swellings ; in ulcers ;
in scirrhus ; anthrax.
Smarting : at nostrils, eruptions on neck, shoulders and sides.
Soreness : of eyelids ; in chest ; in axilla ; between fingers ; in balls of toes.
Raw feeling : in chest.
Beating : in eyes.
Pressing : as from a load on brain ; in forehead ; in occiput ; in forehead to eyes ; in epigastrium and stomach ; in both hypochonders ; in sternum.
Tensive pressing pain : from forehead and temples to occiput and nape of neck ; in spleen.
Pressive stitching in right ovarian region.
Jerking : toothache ; in gums ; from tips of fingers into shoulder ; through entire body ; of limbs on falling asleep.
Pinching : in stomach and abdomen.
Digging : in groins.
Gnawing : in pit of stomach.
Corroding : in stomach and intestines.
Boiling : in leg (sciatica).
Writhing or twisting : in abdomen.
Cramp : in stomach ; in intestines ; in bowels ; in chest ; in heart ; in thighs, calves and toes.
Constriction : of throat ; of œsophagus ; of stomach ; in abdomen ; in umbilical region ; in left groin ; of chest.
Neuralgic pain : in brain ; in eyes ; on left side of neck ; in left arm ; in hip ; in forearms and legs.
Rheumatic pains : from elbow up to shoulder ; in right elbow ; in limbs.
Gouty pains : in limbs.
Sprained feeling : in neck.
Bruised feeling : over nose and in forehead ; in swollen submaxillary glands ; in small of back ; between shoulders ; in neck ; in knee joint and thighs as if beaten.
Aching : in first lower bicuspid ; in stomach and epigastrium, extending into chest ; in chest after coughing ; dull, in right leg below knee ; in all limbs.
Dull pain : in left hypochondrium.
Tension : in both hypochonders ; in abdomen ; in ovary ; about spleen ; in epigastrium.
Tightness : of chest ; above heart.
Fulness : in pit of stomach ; after eating ; in chest ; in palms ; in upper abdomen.
Heaviness : in head ; in stomach ; in chest ; of limbs.
Weight : in head, forehead ; as of stone in stomach.
Throbbing : in eyes over root of nose ; in forehead ; pain in head ; in eyeball and around orbit ; in roots of teeth ; in uterine region ; in whole body (heat of intermittent).
Twitching : in eyes ; of facial muscles ; in hips.
Trembling : in pit of stomach.
Wabbling or swashing in brain.
Crawling : in stomach ; in limbs.
Tingling : in fingers.
Formication : along spine.
Stiffness : of neck ; of knees and feet.
Numbness : of teeth ; of feet ; of thigh.
Weakness : in head ; in pit of stomach ; in back ; in feet.
Weariness : in feet.
Exhausting pain : over left eye.
Uneasiness : in lower limbs.
Paralytic feeling : in upper limbs.
Stunning sensation : headache.
Heat : in head ; in eyes ; in œsophagus ; in stomach and epigastrium ; over whole body ; in chest.
Coldness : ice cold feeling in scalp ; in stomach ; in abdomen ; in chest ; in soles of feet ; internally ; in ulcers ; in back ; of body ; of limbs.
Itching : in scalp ; on head ; of face ; in upper lip ; pimples and vesicles on face ; of genitals ; in chest ; of thighs ; of feet ; of skin.

Tissues

Hemorrhages bright red or black, fluid ; blood coagulates slowly or not at all.
After great losses of blood from uterus. θ Metritis.
After venesection or loss of blood otherwise. θ Hæmoptysis.
Anemia.
Chlorosis with trembling, frequent fainting, extreme debility.
Pyæmia.
Septic changes in blood, exanthemata, ecchymoses, petechiæ, decubitus. θ Typhus.
Inflammation all around indurations on forearms, and spongeous excrescence on tip of thumb. θ Cancerous inoculation.
Burning in skin and veins. θ Hemorrhoids.
Burning in veins. θ Metritis.
Phlebitis with typhoid symptoms.
Inflammatory swellings with burning pains.
Distended veins of feet.
Varices burn like fire, particularly at night.
Thrombosis.
Violent pains in region of groins, thrombosis of great veins of that region. θ Pyæmia.
Chronic inflammation of serous membranes, with copious, serous effusion.
Cold swelling of glands.
Scrofulous affections ; indurated glands, etc.
Scrofulous inflammation.
Diseases of mucous membranes.
Acrid secretions.
Inflammation of periosteum ; tearing in bones ; diseases of bones.
Tearing, burning pain in limbs, particularly in joints, with pale swelling of affected parts, preventing sleep. θ Rheumatism.
Tearing, drawing pains in all joints of left side, with swelling ; joints of fingers and left hand deformed, contracted, immovable. θ Rheumatism.
Rending, piercing pain in muscles.
Muscles and skin rigid.
Muscles relaxed. θ Relapse of intermittent.
Elastic swellings.
Inflammatory swellings, with burning, lancinating pains.
Face, abdomen, and all limbs, especially legs, are dropsically swelled.
Ascites.
Dropsy in various parts, albumen in urine. θ Bright's disease.
Dropsy with unquenchable thirst.
Post-scarlatinal dropsy. θ Ascites.
Dropsy with turbid urine.
Dropsical swelling all over. θ Ovarian dropsy.
Dropsical affections. θ Scarlatina.
General anasarca, ascites and hydrothorax, with albuminuria.
General anasarca, with wax-like skin and great debility.
General anasarca ; skin pale, waxy or earth-colored ; great thirst. θ Albuminuria.
Anasarca, followed by oily, sweetish-smelling sweat.
Rapid emaciation, great loss of flesh, with cold sweat ; debility.
Emaciation and withering of affected parts.
Great emaciation, clay-colored face, blue margins around eyes, great weakness of all limbs, want of disposition to do anything and constant inclination to rest ; diarrhœa ; sometimes dry, hacking cough and night sweats. θ Atrophy
of children.
Rapid emaciation ; atrophy of feet and finger tips.
Emaciation in children, with indigestion and diarrhœa, < in forenoon and after midnight ; small, yellow, watery, offensive stools, with thirst for small quantities of water ; afterwards dry, hacking cough and night sweats setting in.
Emaciation. θ Cancer of stomach. θ Chronic intestinal catarrh. θ Ovaritis.
θ Scirrhus mamma. θ Coxalgia. θ Gonarthrocace.
θ Typhus.
Emaciation, with want of appetite, or rather aversion to food. θ Horses.
Atrophy of children ; marasmus ; consumption.
A spongy excrescence on thumb, gets larger and larger, and pain more violent, so that it finally radiates to head. θ Cancerous inoculation.
Ulceration constantly extending in breadth.
Superficial ulcer, penetrating daily deeper, increasing in circumference, edges more and more everted.
Acrid, burning, corroding discharges, often extremely offensive.
Ulcers burn like fire ; pain even during sleep ; copious bloody pus or ichor ; bases blue, black, or lardaceous ; proud flesh ; > from heat.
Ulcers spread in circumference rather than in depth.
Ulcers with deficient pus ; with thin scurf and slight bleeding when bandaged.
Modifies the lancinating, burning pains ; or, in ulceration, the offensive excoriating discharges. θ Scirrhus.
Retards decomposition (in those fatally poisoned).
Anthrax, burning like fire ; cold, blue skin, dry as parchment, peeling off in large scales.
Sphacelus : parts look black, and burn like fire ; fetid smell.
Gangrena senilis sicca, with coldness, desire for more covering ; > from warmth.
Gangrene : > from heat ; (< from heat, Secale).
Gangrenous ulcers half an inch broad, causing insufferable pains, surrounded and partially covered with a gangrenous crust. θ Periostitis of os calcis.

Touch. passive motion. injuries

Touch : scalp sensitive ; gums sensitive ; stomach sensitive ; splenic region sore ; abdomen painful.
Cannot lie on affected part : gout and rheumatism.
Rubbing : > sore pain in forehead.
Striking head : > toothache.
Desires to be covered : during fever.
Desires to be uncovered : during sweat.
Child > when carried about quickly.
Poisoning from decayed morbid or animal matter, by inoculation, inhalation, or swallowing.
Dissecting wounds.
After opening an abscess on heel, edges of wound mortified. θ Periostitis of os calcis.
After a bite into arm by a furious cat, pain ran up to shoulder ; delirium ; dry burning fever heat ; inclination to vomit.
After a violent kick from a cow against right ovary, aching shooting down into thigh ; limb feels numb and lame ; > in rest and at night ; < from motion ; < sitting bent or stooping ; burning pain, fever, waxy face ; emaciation ; in place of
catamenia, thin offensive ichor.

Skin

Oversensitiveness of skin.
Burning and itching. θ Scabies.
Burning itching, parts painful after scratching.
Itching aggravated by scratching.
Itching of skin, if scratched a sore, burning sensation is left. θ Eczema.
Itching of skin after suppressed eruption. θ Amaurosis.
Skin pungent, hot and dry. θ Typhus.
In sickness without fever, dryness of skin.
Parchment-like dryness of skin.
Skin dry, shrivelled, wrinkled.
Skin rough, dry and dirty looking.
Coldness and blueness of skin.
Child emaciated to a skeleton ; skin white, dry, and like parchment. θ Scrofula.
Skin dry and scaly.
Disease began as a red spot, spread somewhat like a ringworm : covered with silvery scales ; scalp covered with a thick crust. θ A sort of lepra.
Bran-like, dry, scaly eruptions, with itching and burning ; the latter increased by scratching, followed by bleeding.
Eruption like fish scales.
Skin peels off in large scales.
Scales continually falling off, destroying hair.
Dry, scaly eruption, sometimes with a fetid, purulent secretion. θ Eczema.
Skin pale. θ Apyrexia of intermittent.
Wax-like, dirty white skin. θ Intermittent.
Skin very white and pasty-looking, later yellow, scaly.
Yellow skin. θ Typhus.
Dark brown color of whole body.
Brownish-white spots on skin.
It suits patients with liver spots, whose skins have a brown, muddy, unwashed appearance on parts covered by clothes.
Blue spots, particularly on abdomen, genitals and whites of eyes.
Skin wrinkled, dry, cold, blue. θ Cholera Asiatica.
Dark blisters on fingers or toes, burning like fire : spreading, having dark edges.
Very painful black eruption.
Black vesicles causing burning pain.
Red scorbutic-looking eruption.
Eruption resembling red petechia, from the size of a fleabite to that of a lentil.
On many places blood-filled blisters. θ Hemorrhoids.
Petechia, miliary eruption, or nettlerash. θ Dysentery.
Petechia, intermixed with scarlatina.
Black ecchymoses under skin in various places ; swollen gums. θ Morbus maculosus.
Petechiæ. θ Typhus.
White, miliary eruption. θ Typhus.
White rash. θ Febris puerperalis.
Eczema ; sore burning. θ After scarlatina.
Roseola spots on chest and abdomen. θ Typhus.
Acne simplex.
Furuncles.
Eruptions most frequently dry.
Fine itching eruption, like sand.
Eruption caused by unsuitable food, salt fish, salt meat.
Measles, persistent burning skin ; rash too soon, or leaves suddenly ; face pale, earthy, or bloated ; thrush in mouth ; black measles, with sudden sinking of strength and nervous restlessness.
Attacks like croup appearing instead of usual eruption of hives or nettlerash.
Urticaria, with much burning and restlessness ; also after its recession. See croup.
Erysipelas ; also about joints.
Scarlatina, eruption delays, or suddenly pales, becomes livid, or intermixed with petechiæ ; malignant sore throat ; dropsy ; or eruption well out, but with disproportionate weakness, mild delirium, vomiting, etc.
Post-scarlatinal dropsy ; waxy skin ; morbus Brightii.
Vesicular eruptions ; itch-like pimples.
Inveterate cases of scabies.
Vesicles filled with blood on tips of fingers ; ulcers, with crusts under nails.
On trunk and limbs blisters filled with extravasated blood. θ Hemorrhoids.
Pimples and vesicles. θ Crusta lactea.
Large pale-red pustules, most painful at night.
Pimples burning violently, causing almost unendurable anguish.
Acuminated, whitish pimples, filled with watery fluid, commencing with itching and burning, especially on abdomen and hands, and between fingers.
Pustular eruptions. θ Scabies.
Small pustules, itch-like elevations break and exude a corroding fluid, which forms eating ulcers.
Red pustules, changing to ichorous, crusty, burning and spreading ulcers.
Variola, asthenic cases ; pustules sink, areolæ grow livid, also in hemorrhagic and septic forms.
Psoriasis guttata.
Tettery, crustaceous eruption.
Herpetic eruption, itching and burning.
Herpes, with vesicles, and violent burning, especially at night ; coverings like fish scales. θ Ichthyosis.
Suppurating herpes, with burning pains.
Delaying eruption. θ Scarlatina.
When scarlet rash leaves surface and goes to lungs and heart, ominous palpitation with stitches in epigastrium.
Eruption suddenly growing pale, livid. θ Scarlatina.
Too early and sudden disappearance of rash. θ Measles.
Pustules sink in and their areolæ grow livid. θ Smallpox.
Acute eruptions disappear suddenly with rapid prostration.
After suppressed measles or scarlatina. θ Pericarditis.
After suppressed herpes circinatus. θ Palpitation of heart.
Eruption on all parts of body except face and hands ; began as a small rose-colored spot, spread rapidly, somewhat after fashion of a ringworm, and was soon covered with silvery scales which would sometimes rub off and be replaced ; scalp covered with a thick
crust ; no sensation except when an oily substance was applied, when there was a slight itching ; there were an hundred or more of these patches ranging from size of a pea to that of a silver dollar. θ Lepra ; child
æt. 7.
Burning ulcers.
Burning in ulcer compels scratching and rubbing, which make it worse.
Surface of whole ulcer burns and is very sensitive. θ Cancerous ulcer.
Painful sensitiveness of old ulcers.
Ulcers : cancer-like, particularly painful in morning, with burning in and at margin ; with elevated edges : with thin, bloody pus ; with fetid ichor and proud flesh ; flat with a bluish-white base ; even with surface, with copious discharge of a
carrion-like odor ; flat with copious discharge ; on legs ; old, with burning and stitching ; with raised callous edges ; with red, shining halo ; with fetid, watery discharge or proud flesh ; hard on edges, stinging, burning, spongy ; with proud
flesh : turning black ; pus thin, ichorous (cancers) ; discharge black, coagulated blood ; with thin scurf on surface and easily bleeding when dressed ; with fetid ichor and proud flesh which soon become putrid, blue and green ; small, ichorous over whole body,
painfully sensitive ; discharging thick, greenish, offensive ichor, violent itching and burning, < at night, > from warmth, < from cold air ; phagedenic, constantly extending in breadth.
Ulcer on leg covered with grey crust and surrounded by an inflamed border.
Surface of ulcers unclean, blackish, stinking, exuding acrid ichor ; thick edges covered with pustules, hard, border inflamed. θ Ulcers on legs.
Discharge of fetid pus. θ Gonarthrocace.
Cadaverous smell scents room. θ Typhus.
Gangrene ; sphacelus ; cancerous ulcers ; carbuncle.
Anthrax burning like fire.
Reddish bluish spots becoming gangrenous. θ Carbuncle.
Gangrenous vesicles on serous swelling.
Gangrenous aspect of sores.
Panaritium assuming a gangrenous aspect.
Serpiginous ulcers.
Gangrenous condition of mucous membrane of nasal cavities. θ Sequel of measles.
Gangrenous sores ; affected part hot, violent pain, inflammation around sore ; around vesicles part is painful, stinging, tearing ; a vesicle size of a filbert turned black.
Painful gangrenous sores after an abscess on left heel was opened.
Old scars burn.
Warts.

Stage of life, constitution

Hydrogenoid constitution.
Young, anemic people. θ Scrofulous constitution.
Tubercular syphilitic skin disease.
Woman, æt. 35, some years dating from suppression of an eruption on scalp, scaly and very itchy. θ Trachoma with blepharitis.
Malarious air. θ Intermittent.
A boy, æt. 3, after being out of humor for several days, inclined to sleep, loss of appetite and loose stools. θ Intermittent.
Girl, æt. 15, exceedingly weak and exhausted from first, has to lie down all the time. θ Intermittent.
Girl, æt. 18, strongly built. θ Tertian intermittent.
A young woman of sanguine temperament suffered with a tertian intermittent, had to swallow quinine and still the fever returned.
A multipara ; nervous constitution, melancholic temperament, after maltreatment by Chin. sulph. ; relapses from Fall, 1851, to March 17, 1852.
Man, æt. 40, lean, cachectic ; drinking spirituous liquors. θ Quotidian for a week.
Man, æt. 40, strong, large. θ After catarrh, intermittent.

Relations

Antidotes to poisonous doses : milk, albumen, etc., should be given at first to envelop poison until antidote or emetic can be obtained. Induce vomiting by emetics of mustard, sulphate of zinc, or sulphate of copper, etc., but avoid tartar emetic, and other substances
which strongly irritate mucous membrane of stomach. Lime-water is useful by diminishing solubility of arsenious acid. Demulcent drinks in large quantities are useful. To counteract that portion of arsenic not expelled from stomach, freshly prepared ferric hydrate or
magnesia should be given in large quantities. Castor oil is best purgative to expel arsenous acid from intestines.
Chemical antidotes, such as : animal charcoal, hydrated peroxide of iron, magnesia , and lime-water may prove useful.
Opium is of service as a dynamical antidote. If stomach rejects it, administer in form of clysters. Hepar is a useful antidote.
Use brandy and stimulants when there is much depression and collapse.
If urine is suppressed give large quantities of water containing sweet spirits of nitre.
Antidotes to potencies of arsenic : Camphor., Cinchon., Chin., Sulph., Ferrum., Graphit., Hepar., Iodine., Ipec., Nux vom., Sambuc., Tabac., Veratr .
Arsenic antidotes : Carb. veg., Cinchon., Ferrum., Graphit., Hepar., Iodum., Ipec., Laches., Mercur., Nux vom., Sambuc., Tabac., Veratr .
Arsenic has been found useful in ailments from : chewing tobacco, alcoholism, sea-bathing, sausage poisoning, dissection wounds, anthrax poison, Strychnia., Phosphor., Digit., Plumbum ; Iodine., Cinchon., Ipec., Carb.
veg., Graphit., Laches ., and Veratr .
Arsenic has cured after failure of : Agar . (oscillation of eyeballs) ; after Bellad., Chamom., Cicut . and Calomel (in inoculation
during operation for scirrhus of mamma).
Arsenic has proved of use after : Morphia in scirrhus uteri.
Arsenic is suitable after : Acon., Arnic., Bellad., Cinchon., China., Ipec., Laches., Veratr .
Remedies useful after Arsenic : Aran. diad., Nux vom., Iodium , Sulphur (retinitis albuminurica, scrofulous ophthalmia, amaurosis, etc.).
Complements : All. sat., Carb. veg., Phosphor .
Arsen. alb . is most similar to Arsen. met .
Compare with : Acon . (arterial excitement, angina pectoris, etc.) ; Apoc . (dropsy from heart disease) ; Arg. nitr . (diarrhœa, dysentery) ; Bellad.,
Bismuth . (hasty drinking, vomiting) ; Calc. carb . (delirium tremens) ; Cann. ind . (delirium) ; Carb. veg . (asthma, collapse) ; Cinchon .,
(debility, sallow face, etc.) ; Ferrum (dropsy after abuse of quinine, but mucous membrane is pale) ; Hyosc . (suppression of urine) ; Ipec . (sick stomach, vomiting,
asthma, etc.) ; Kreosot . (vomiting) ; Laches . (gangrene, erysipelas, etc.) ; Lycop . (cough, etc.) ; Nux vom . (alcoholism) ;
Phosphor . (fatty degeneration, debility, etc.) ; Pulsat . (gastralgia, etc., from ice-cream, cake, etc.) ; Rhus tox . (typhoid) ; Silic .
(suppressed foot sweat) ; Tabac . (deathly nausea, cold sweat) ; Veratr . (œsophagitis).

Lectures on Homoeopathic Materia Medica

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

Generalities

From the time of Hahnemann to the present day Arsenicum has been one of the most frequently indicated medicines, and one of the most extensively used. In the Old School it is most extensively abused, in the form of Fowler's solution.

Arsenic affects every part of man; it seems to exaggerate or depress almost all his faculties, to excite or disturb all his functions. When all our medicines have been as well proved we will effect wonderful cures. It is a substance easily proved because of its active nature, and from its very abuse we have learned much of its general nature.

While Arsenic impresses the whole economy and disturbs all the functions and tissues of man, there are certain prevailing and striking features in it.

Striking features

Anxiety, restlessness, prostration, burning and cadaveric odors are prominent characteristics.

The surface of the body is pale, cold, clammy, and sweating, and the aspect is cadaveric. In chronic sickness with great debility, anaemia, from long exposure to malarial influence, in the poorly fed and from syphilis this remedy is of great service.

The anxiety that is found in Ars. is intermingled with fear, with impulses, with suicidal inclinations, with sudden freaks and with mania.

It has delusions and various kinds of insanity; in the more active form, delirium and excitement. Sadness prevails to a great extreme. So sad that he is weary of life; he loathes life, and wants to die, and the Arsenic patient does commit suicide. It is a remedy full of suicidal tendencies.

The anxiety takes form also in the restlessness, in which he constantly moves. If he is able to get up lie goes from chair to. chair; the child goes front nurse to mother, and from one person to another. When in bed, unable to sit up, the patient tosses and turns from side to side; if he is able, he climbs out of bed and sits in the chair, keeps moving from one place to another, and when thoroughly exhausted, he gets back into bed again.

The restlessness seems to be mostly in the mind; it is an anxious restlessness, or an anguish, with the idea that anguish is a deathly anxiety. That is an effort to express it in the extreme. It seems that he cannot live, and it is not pain that drives him to anguish, but it is an anxiety intermingled with restlessness and sadness.

This state prevails in all diseases intermingled with prostration. An uneasiness comes in the early stage of disease, and lasts but until the prostration becomes marked. While lying in bed, at first he moves his whole body, moves himself in bed and out of bed; but the prostration becomes so marked that he is able to move only his limbs until at last he becomes so weak that he is no longer able to move and he lies in perfect quiet in extreme prostration.

It seems that prostration takes the place of anxiety and restlessness, and he appears like a cadaver. So remember that these states of anxiety and restlessness go towards the cadaveric aspect, towards death. This is seen, for instance, in the typhoid, where Arsenicum is indicated. At first there is that anxious restlessness with fear, but the increasing weakness tends towards prostration.

Running all through the remedy there is the burning mentioned as one of its most marked generals. There is burning in the brain, which makes him want to wash his head in cold water. This sensation of heat in the inner head with pulsation is ameliorated by the cold bathing, but when there is a rheumatic state that affects the scalp and outward nerves, and there is burning, the burning then is ameliorated by heat.

When the headache is of a congestive character, with the sensation of heat and burning inside the head, and there is a feeling as if the head, would burst, and the face is flushed and hot, that headache is better from cold applications and in the cool open air.

So marked is this that I have seen the patient sitting in the room with clothing piled on to keep the body warm and with the window open to relieve the congestion of the head.

Therefore, we say a striking feature belonging to this medicine is relief of all the complaints of the body from wrapping up and from warmth in general, and relief of the complaints of the head by cold, except the external complaints of the head, which are better from heat and from wrapping up. The neuralgias of the face and eyes, and above the eyes, are better from heat.

The burning is felt in the stomach; there is burning in the bladder, in the vagina, in the lungs. It feels as if coals of fire were in the, lungs at times, when gangrenous inflammation is threatened, and in certain stages of pneumonia.

There is burning in the throat and burning in all the mucous membranes. The skin burns with itching, and he scratches until the skin is raw, and then it burns, but the itching ceases; as soon as the smarting lets up a trifle the itching commences again. All night the itching and burning alternate, burning for a minute, when be scratches it until it is raw, but soon the itching begins again and it seems that he has no rest.

The secretions and excretions of Arsenic are acrid ; they excoriate the parts, causing burning. The discharge from the nose and eyes causes redness around the parts, and this is true of all the fluids from the various orifices.

In ulcers there is burning, and the thin, bloody fluid discharged excoriates the parts round about. The odor of the discharge is putrid. If you have ever discovered the odor of gangrene, of mortified flesh, you know the odor of the Arsenicum discharges.

The stool is putrid, like decomposed flesh, putrid blood. The discharges from the uterus, the menstrual flow, the leucorrhoea, the faeces, the urine, the expectoration, all the discharges are putrid. The ulcer is so putrid that it smells like decomposing flesh.

Arsenic produces a tendency to bleeding. The patient bleeds easily and may bleed from any place. There is vomiting of blood; bleeding from the lungs and throat. Bloody discharge from the mucous membrane, at times, when inflammation is running high; haemorrhage from the bowels, kidneys, bladder and uterus; anywhere that mucous membrane exists, there may be haemorrhage. Haemorrhage of black blood and discharges that are offensive.

Gangrene and sudden inflammatory conditions like gangrenous and erysipelatous inflammations are common in Arsenic. Parts suddenly take on erysipelas, or parts that are injured suddenly take on gangrene.

Gangrene in internal organs, malignant inflammations, erysipelatous inflammation. No matter how you look upon the condition, no matter what it is called, if it is a sudden inflammation that tends to produce malignancy in the part it belongs to Arsenicum. Inflammation will go on in the bowels for a few days attended with a horribly offensive discharge, vomiting of clots of blood, great burning in the bowels with tympanitic condition.

You may almost look upon this as a gangrenous inflammation, so violent, sudden and malignant is it, and it has the anxiety, prostration, fear of death, and chilliness, the patient wanting to be covered warmly.

When with this inflammation of the bowels the patient is relieved by heat, it means Arsenic.

You should remember that Secale has a similar state; it has all the tympanitic condition, all the ulceration and prostration, all the offensive odor and expulsion of offensive clots, and all the burning, but the Secale patient wants to be uncovered, wants things cold, wants the windows open.

The only distinguishing feature between these two remedies in a case may be that Secale wants cold and Arsenicum wants heat, but this is the way we individualize in our homoeopathic prescribing.

When there is gangrenous inflammation in the lungs, we find the patient has been taken with a chill, there has been restlessness, prostration, anxiety and fear; as we enter the room we detect a horrible odor, and on looking into the pan we see the patient has been spitting up by the mouthful, black, foul expectoration.

Look and see if the patient wants to be covered warmly; if he is easily chilled, and heat feels good; then it is a hard thing to cover that case outside of Arsenicum. The prostration, the vomiting, the anxiety, the restlessness the cadaveric aspect are present, and where will you find a remedy with that totality outside of Arsenic.

I have many times gone a long distance to detect, from the very aspect of things, these symptoms that could be gotten while walking from the door to the bedside. Every symptom is Arsenic; he looks like in acts like it and smells like it. You may go to a patient with high grade inflammation of the bladder, with frequent urging to urinate, straining to urinate, and there is bloody urine intermingled with clots.

It has been found by the attending physician when he introduces the catheter to draw off the urine that clots dam up the catheter, a little is drawn off and then it stops. We have a history of restlessness, anxiety, fear of death, amelioration from heat, great prostration.

You must give Arsenic, not because there is inflammation of the bladder, but because it is a rapidly progressing inflammation, and because it is gangrenous in character. The whole bladder will be involved in a short time, but Arsenic will stop that.

So it is with all the internal organs, the liver, lungs, etc.; any of them may take on violent and rapid inflammation. We are not now speaking of the particulars, but only illustrating the general state of Arsenic, in order to bring out what runs through the whole nature of it.

We shall find when we take up the remedy and go through it in a more particular way these features will stand out everywhere.

Mind

The mental symptoms show in the beginning anxious restlessness, and from this a continuation towards delirium and even insanity with all that it involves; disturbance of the intellect and will.

"He thinks he must die."

I went to the bedside of a typhoid patient once with all the general aspect I have described; he was able to talk, and he looked up at me and said:

"There is no use of your coming, I am going to die; you might as well go home; my whole insides are mortifying."

His friend was seated on one side of the bed, giving him a few drops of water, and just about as often as he could get there with it he wanted it again.

That was all he wanted; his mouth was black, parched and dry. He got Arsenic. One of the characteristic features of Arsenic is thirst for small quantities often, just enough to wet the mouth. It is commonly used as a distinguishing feature between Bry onia and Arsenic for the purpose of memorizing the Bryonia has thirst for large quantities far apart, but Arsenicum little and often, or violent unquenchable thirst.

"Thoughts of death and of the incurability of his complaints."

"Thoughts crowd upon him; he is too weak to keep them off or to hold on to one idea."

That is, he lies in bed tormented day and night by depressing ideas and distressing thoughts. This is one form of his anxiety; when tormented with thoughts, he is anxious. In the delirium he sees all kinds of vermin on his bed.

"Picks the bedclothes."

"Delirium during sleep, unconscious mania."

"Whimpering and gnashing teeth."

"Loud moaning, groaning and weeping."

"Lamentations, despair of life."

"Screaming with pains."

"Fear drives him out of bed, he hides in a closet."

These are instances of insanity that take on first a state of anxiety, restlessness, and fear. Religious insanity, with the delusion that she has sinned away her day of grace, the biblical promise of salvation do not apply to her, there is no hope for her, she is doomed to punishment.

She has been thinking on religious matters until she is insane. Finally she enters into a more complete insane state, a state of tranquility; silent, and with aversion to talk. So we see one stage enters into another; we have to take the whole case together; we have to note the course that the case has run in order to see it clearly and note that in one stage there were certain symptoms and, in another stage, other symptoms.

For instance, we know that in the acute conditions of Arsenicum there is either thirst for ice cold water, and for only enough to moisten the mouth, or there is thirst for water in large quantities and yet it does not quench the thirst; but this thirsty stage goes on to another in which there is aversion to water, and hence we see that in chronic diseases.

Arsenicum is thirstless. So it is in a case of mania; in the chronic state he is tranquil, but in the earlier stages, in order to be an Arsenicum case, he must have gone through the Arsenicum restlessness, anxiety and fear.

Fear is a strong element in the mental state, fear to be alone; fears something is going to injure him when he is alone; full of horror; he dreads solitude and wants company, because in company he can talk and put off the fear; but as this insanity increases he fails to appreciate company and the fear comes in spite of it. He has a violent increase of his fear and horror in the dark and many complaints come on in the evening as darkness is coming on.

Many of the mental troubles, as well as the physical troubles, come on and are increased at certain times. While some complaints, pains and aches are worse in the morning, most of the sufferings of Arsenicum are worse from 1-2 P.M. and from 1-2 A.M. After midnight, very soon after midnight sometimes, his sufferings begin, and from 1-2 o'clock they are intensified. Extreme anxiety in the evening in bed.

"Averse to meeting acquaintances, because he imagines he has formerly offended them."

Great mental depression, great sadness, melancholy, despair, despair of recovery. He has dread of death when alone, or on going to bed with anxiety and restlessness. He thinks he is going to die and wants somebody with him.

The attacks of anxiety at night drive him out of bed. This is an anxiety that affects the heart, and so the mental anxiety and cardiac anxiety almost seem to coincide. A sudden anxious fear comes over him at night; he jumps out of bed with fear that he is going to die, or that he is going to suffocate.

It is full of dyspnoea, cardiac dyspnoea, and varying forms of asthma. The spells come on in the evening in bed or after midnight; from 1-2 o'clock he is attacked with mental anxiety, dyspnoea, fear of death, coldness, and is covered with, cold sweat.

"Anxiety like one who has committed murder."

This is one form of his anxiety; he finally works up to the idea that the officers are coming after him, and watches to see if they are coming in to arrest him. Some unusual evil is going to happen to him; always looking for something terrible to happen.

"Irritable, discouraged, restless."

"Restlessness, cannot rest anywhere."

"As a consequence of fright, inclination to, commit suicide."

The Arsenicum patient with this mental state is always freezing, hovers around the fire, cannot get clothing enough to keep warm, a great sufferer from the cold.

Chronic Arsenicum invalids cannot get warm; they are always chilly, pale and waxy, and in such invalids, after they have bad several unusual weak spells, dropsical conditions come on.

Arsenicum is full of puffiness and dropsy; oedematous condition of the extremities; dropsy of the shut sacs or of the cavities; swelling about the eyes; swelling of the face, so that it pits upon pressure. Arsenicum in these swellings is especially related to the lower eyelid rather than the upper, while in Kali carb. the swelling is more in the upper eyelid than the lower, between the lid and the brow.

There are times when Kali carb. looks very similar to Arsenic, and little features like that will be distinguishing points. If they run together in generals, then we must observe their particular peculiarities.

Periodicity

In the headaches we have a striking general feature of Arsenicum, brought out in their periodicity. Running all through this remedy there is periodicity, and for this reason it has been extensively useful in malarial affections which have, as a characteristic of their nature, periodicity.

The periodical complaints of Arsenic come on every other day, or every fourth day, or every seven days, or every two weeks. The headaches come on these cycles, every other, or third, or fourth, seventh or fourteenth day.

The more chronic the complaint is, the longer is its cycle, so that we will find the more acute and sharp troubles in which Arsenic is suitable will have every other day aggravations and every fourth day aggravations: but, as the trouble becomes chronic and deep-seated, it takes on the seventh day aggravation, and in the psoric manifestations of a long, lingering and deep-seated kind there is a fourteenth day aggravation.

This appearing in cycles is common to a good many remedies, but is especially marked in China and Arsenic. These two remedies are similar to each other in many respects, and they are quite similar in their general nature to the manifestations that often occur in malaria. It is true, however, that Arsenic is more frequently indicated than China. In every epidemic of malarial fever that I have gone through I have found Arsenicum symptoms more common than those of China.

These headaches bring out the interesting point that we mentioned above. Arsenicum has in its nature an alternation of states, and this carries with it certain generals. Arsenicum in all of its bodily complaints is a cold remedy; the patient sits over the fire and shivers, wants plenty of clothing, and wants to be in a warm room.

So long as the complaints are in the body this is so; but when the complaints are in the head, while he wants the body warm he wants the head washed in cold water, or wants the cold air upon it.

The complaints of the head must conform to the generals that apply to the head, and the complaints of the body must be associated with the generals that apply to the body. It is a difficult thing to say which one of these two circumstances is most general, and it is sometimes difficult to say which one is the general of the patient himself, because he confuses you by saying:

"I am worse in the cold," but when his headache is on he says:

"I am better in the cold, I want to be in the cold."

It is really only the head, and you have to single these out and study them by the parts affected. When things are so striking you must examine into it to see what it is that brings about modality.

You will see a similar state running through Phosphorus; the complaints of the stomach and head are better from cold, i. e., he wants cold applications upon the head with head sufferings, and wants cold things in the stomach with stomach complaints, but in all the complaints of the body be is ameliorated from heat.

If he steps out into the cool air, he will commence to cough, if he have a chest trouble. So we see that the modalities that belong to the part affected must always be taken into account. For instance, you have a patient suffering from neuralgia or rheumatic affections and these same pains, extend, to the head, then he wants the head wrapped up because they are ameliorated from heat.

But when it comes to cases of congestive conditions of the head, he then is better with his head very cold. Now, as I have said, there is an alternation of these states in Arsenicum.

I will illustrate by mentioning a case.

Once a patient had been dragging along with periodical sick headaches. The sick headaches were better from cold water, cold applications to the head, could hardly get them cold enough, and the colder the better. These headaches came every two weeks, and so long as they were present he desired cold to the head.

Then these periodical headaches would be better, for long periods; but when they were away he was suffering from rheumatism of the joints, which was also periodical, and also more or less tenacious, and when this rheumatism of the joints and extremities, with more or less swelling and oedema, was present he could not get warm enough; he was at the fire and wrapped up; he was relieved by heat, and wanted warm air and a warm room.

This would last for a period and then subside, and back would come his sick headaches and last for a while. That is what I meant by the alternation of states. Arsenicum cured that man, and he never had any of them afterwards.

The alternation of states sometimes means that there are two diseases in the body, and sometimes the remedy covers the whole feature in alternation of states.

I remember another case, which will illustrate this peculiar nature of alternation of complaints, which is shared by other remedies besides Arsenic.

A patient suffered from a pressure in the top of the head, such as I recently described to you under Alumen.

She would suffer for weeks from that pressure on the top of the head, and the only relief she could get was from hard pressure; she tired herself out with hard pressure and would contrive all kinds of weights to put upon the head.

That would go away in the night and she would wake up the next morning with constant urging to urinate. The irritable bladder alternated with pain on top of the head.

Alumen cured. In many of these anti-psoric remedies we have an alternation of states.

This illustrates the necessity for getting the symptoms of all the states that present themselves for cure, otherwise you will many times prescribe in a chronic case of psoric character and temporarily relieve it, when back comes another aspect of it.

You have only hastened the disease a little faster than it would go if let alone. But that is not homoeopathic prescribing. Be sure, when a remedy presents one state, that it is a clearly indicated in the other state, otherwise that remedy is not the similimum.

You must hunt until you find the remedy that has both states, or you will be disappointed. We sometimes do not discover this alternation of states until we have brought it back two or three times by incorrect prescribing.

Some people are so reticent and so difficult to get symptoms from that we do not always get these symptoms.

But you examine your record and you find where - you have made a foolish prescription, that you drove a new condition away and back came the first trouble, and you kept on with this see-saw business.

Now remember in doing this your patient is not improving, and that you must re-study the whole case, taking the alternating states into, account. In Arsenic, the head symptoms alternate with physical symptoms.

You will find running through certain remedies, as a part of their nature, that mental symptoms alternate with physical symptoms; when the physical symptoms are present, then mental symptoms are not trates the necessity for getting the symptoms of all the states that is determined it is a good point, but sometimes you do not find a remedy, because many of our remedies are not well recorded; they have not yet been observed in their alternations and marked as such.

We find in Podophyllum the peculiar feature that the headaches alternate with diarrhea; he is subject to sick headaches and to diarrhea, and one or other will be present.

In Arnica the mental symptoms alternate with uterine symptoms. The uterine symptoms, when ob served, look like Arnica, but these go away in the night and mental symptoms come on, the mind being heavy, gloomy and cloudy.

When you have remedies that have these manifestations it requires a greater depth of vision to see the alternation of states, because these things are not always brought out in the proving, for the reason that one prover had one group of symptoms, and another.

Yet a remedy that is capable of bringing out the two groups of symptoms is sufficient to cure this alternation of states. The periodical headaches of Arsenic are found in all parts of the head.

They are the congestive headaches with throbbing and burning, with anxiety and restlessness; hot head and relief from cold, There are headaches in the forehead, which are throbbing, worse from light, intensified from motion, often attended with great restlessness, forcing him to move, with great anxiety.

Most of the headaches are attended with nausea and vomiting. The sick headaches are of the worst sort, especially those that come every two weeks. In some of these old, broken-down constitutions you will find he is cold, pallid, sickly; he is always chilly and freezing except when the headache is on, and it is better from cold; the face much wrinkled, great anxiety and no desire for water.

Remember that it was said in the acute state of Arsenic there is thirst, thirst for little and often, dry mouth and desire for water enough to moisten the lips, but in the chronic states of Arsenic he is generally thirstless.

Headaches

There are headaches on one side of the head involving the scalp, one-half of the head, worse from motion, better from cold washing, better from walking in the cold air, though very often the jar or stepping starts up a feeling as of a wave of pain, shaking, vibration or looseness in the brain; such are the sensations and these are conditions of pulsation.

Then there are dreadful occipital headaches, so severe that the patient feels stunned or dazed. They come on after midnight, from excitement, from exertion; they come on from becoming heated in walking, which produces determination of blood to the head. Nat. mur. is a medicine. analogous to this in its periodicity and in many of its complaints. It has congestive headaches from walking and becoming heated; especially from walking in the sun.

The Arsenicum headaches are generally worse from light and noise, better from lying down in a dark room, lying with the head on two pillows. Many of the headaches commence in the afternoon from I to 3 o'clock, after the noon meal, grow worse into the afternoon, lasting all night.

They are often attended with great pallor, nausea, prostration, deathly weakness The pain is paroxysmal; violent head pain during the chill of an intermittent fever; headache as if the skull would burst during an intermittent fever. Arsenicum has this head pain of a congestive character in intermittent fever, as if the head would burst.

A peculiar feature of the thirst is that there is no thirst during the chill except for hot drinks; during the heat there is thirst little and often for water enough to moisten the mouth, which is almost no thirst, and during the sweat there is thirst for large drinks.

Thirst begins with the beginning of the heat and increases as the dryness of the mouth; he desires only to moisten the mouth until he breaks out in a sweat, and then the thirst becomes a desire for large quantities very often, and the more he sweats the more desire he has for water.

The headache is during the chill; it increases, so that it becomes a congestive, throbbing headache during the chill and heat; this grows better towards the end of the heat as the sweat breaks out, it is ameliorated by the sweat.

In chronic headaches, congestive headaches and malarial complaints, a tendency to shrivel is observed upon the skin; a prematurely old, wrinkled appearance of the skin comes on. The mucous membrane of the lips and mouth often shrivels and becomes wrinkled.

This is also found in the diphtheritic membrane of the throat as a peculiar feature of Arsenic, and belongs, as far as I know, to no other remedy. The exudation in the throat is leathery looking and shriveled.

A shriveled membrane is not a sure indication for Arsenic, but when Arsenic is indicated you would be likely to find this kind of membrane; such cases as are very malignant in character, very offensive, putrid, those with a gangrenous odor.

At times the head is in constant motion when there are complaints in the body, because parts of the body are too sore to be moved; then the motion of the head comes on because of restlessness and uneasiness, and he keeps it in motion even though it does not ameliorate.

The face and head are subject to oedema; dropsy of the scalp and erysipelatous inflammation of the face and head.

The scalp pits upon pressure and there is a little crepitation under it from pressure. The scalp is subject to eruptions and is very sensitive. So sensitive is the scalp that the hair cannot be combed; it seems as if the touch of the comb or brush when rubbing over the scalp went into the brain.

Sensitiveness is a feature of Arsenic; sensitiveness to smell and touch; over sensitiveness of all the senses. A peculiar feature that perhaps I have not brought out is the over sensitiveness to the circumstances and surroundings of the room.

The Arsenicum patient is an extremely fastidious patient. Hering once described him as "the gold headed cane patient." If this is carried out in a woman who is sick in bed she is in great distress if every picture on the wall does not hang perfectly straight.

Those who are sensitive to disorder and confusion and the disturbed and made worse until everything is placed in order have a morbid fastidiousness which has its similimum in Arsenic.

Eyes

The eye symptoms of this remedy are very prominent. In old cases of suppressed malaria, in broken down constitutions, in pallid, sickly people who are subject to general catarrhal conditions, and such catarrhal conditions as localize more especially in the nose and eyes, the eye symptoms will be troublesome.

There are discharges from the eyes. It may be a conjunctivitis, in a general way involving the lids and the globe, going on sometimes to ulceration with thin, bloody discharge, increasing to thick, acrid discharge that excoriates the eye, making the canthi red and causing granulation with burning.

The burning is better from washing in cool water and also better from dry heat. Very often ulcers appear on the globe of the eye, often upon the cornea.

It has various kinds of hypertrophy beginning in patches that will form scars, and in old ulcerated patches little growth similar to a pterygium growing towards the centre of the eye and threatening blindness.

The inflammations are sometimes attended with swelling, burning and excoriating discharge; this swelling is bag-like in character, and so we find "baggy" lids and little bags forming under the eyes.

The face is waxy and pale, presenting the appearance of a broken down constitution or a dropsical condition.

The catarrhal state involves throat and nose, and it is sometimes difficult to separate the nose symptoms, from the throat symptoms.

The Arsenicum patient is always taking cold in the nose, always sneezing from every change in the weather. He is always chilly and suffers from drafts, and is worse in cold, damp weather; always freezing, chilled through.

These pale, waxy, broken down constitutions with catarrhal discharges from the nose on looking at a bright light become blind.

Sneezing and coryza with inflammatory conditions through the whole nasal cavity, throat, larynx and chest.

The cold begins in the nose and goes down into the throat, very often causing hoarseness with dry, tickling, hard, rasping cough.

It is a difficult matter to find remedies for a coryza that begins in the nose and extends into the chest with bronchial troubles; very often you require a change of remedy, as the chest symptoms often run to a different remedy. It is difficult to find a remedy that covers the symptoms of both nose and chest.

Arsenicum is the remedy for old, chronic catarrhal troubles of die nose where the nose bleeds easily, and he is always sneezing and taking cold, always chilly and pallid, tired, restless, full of anxiety in the night and has troublesome dreams.

The mucous membrane is easily inflamed, producing patches of red and ulcers that bleed easily. Great crusts form in the back of the nose.

There is a striking tendency too ulcerate in Arsenicum. If it is a sore throat it ulcerates; if colds settle in the eyes, they may end in ulceration; catarrhal troubles in the nose end in ulceration; and this ulceration tendency, no matter where the troubles locates, is a very strong feature of Arsenicum.

It is the remedy for catarrhal complaints of the nose and other places in broken down constitutions from syphilis or malaria, or a constitution that has gone through blood poisoning of some kind, either poisoning from a dissecting wound, or from erysipelas or typhoid fever or other zymotic states improperly treated, or poisoning with quinine and like substances that break down the blood and establish a state of anaemia. If an ulcer comes upon the leg, if a leucorrhea comes on, if any discharge is established the patient is relieved thereby.

Now let some of these discharges slack up and you have a chronic state apparently from retained secretions, but it is a form of blood poisoning. So it is with suppressed ear discharges, suppressed throat discharges, suppressed leucorrhea and ulcerations.

Arsenicum is one of the medicines that will conform to the anaemic state that follows each suppression. At the present day it is fashionable to use the cautery, to make local applications to stop leucorrhoea and other discharges and to heal up ulcers.

Now, when these external troubles go there is an anaemic state established in the economy, the patient becomes waxy and pallid, sickly looking, and these catarrhal discharges come on as a means of relief because of the suppression of some other condition.

For instance, since the suppression of a leucorrhoea the woman has had thick, bloody or watery discharge from the nose. It is frequently suitable to the constitution when an ulcer has been dried up by salves, or an old car discharge has been stopped by the outward application of powders. The doctor thinks he has done a clever thing in stopping such discharges, but he has only succeeded in damming up the secretions which are really a relief to the patient.

Such medicines as Sulphur, Calcarea and Arsenicum are suitable for the catarrhal discharges that come from these suppressions, in broken down constitutions.

Arsenic is also like unto the condition that has been brought about from the absorption of animal poisons. It goes to the very root of the evil, as it is similar to the symptoms brought on from a dissecting wound. Arsenic and Lachesis are medicines that will go to the cause at once and antidote the poison, establishing harmony and turning things into order.

The nose symptoms, then, of Arsenic are very troublesome and furnish and extensive part of the symptom image of an Arsenicum patient. They always take cold easily, are always sensitive to cold and the catarrh is always roused up on the slightest provocation.

When an Arsenicum patient is at his best he has discharge more or less of a thick character, but when he takes a little cold it becomes thin; the thick discharge that is necessary to his comfort slacks up, and then he gets headache and on comes thirst, restlessness, anxiety and distress.

This goes on to a catarrhal fever of two or three days duration, and then the thick discharge starts up again and he feels better; all his pains and aches disappear. It has been of great service in epithelioma of nose and lips.

Inflammation of the throat and tonsils with burning, increased by cold and better by warm drinks. There is redness and a shriveled condition of the mucous membrane.

When there is blood poisoning going on, as in diphtheria, and exudate appears upon the mucous membrane and it becomes gray and shriveled, ashy colored, and this sometimes covers the whole of the soft palate and the arches. It looks withered. He is prostrated, anxious, sinking, weak, not a great deal of fever, but much dryness of the mouth.

The catarrhal state goes down into the larynx with hoarseness, and into the trachea with burning, worse from coughing, and then comes constriction of the chest, asthmatic dyspnoea and dry, hacking cough with no expectoration.

This testing cough is attended with anxiety, prostration, restlessness, exhaustion and sweat, and the cough does not seem to do any good.

The cough is the early part of it and keeps on as a dry, rasping, harsh cough for several days without doing any good; and then asthmatic symptoms come on, when be expectorates great. quantities of thin, watery sputum.

There is constriction about the chest a great sense of tightness and wheezing, and he feels he will suffocate. Bloody mucus is expectorated at times, but the symptoms are more generally of a catarrhal character.

Symptoms of pneumonia sometimes appear with the rusty expectoration. The expectoration is excoriating. There is in the chest a sense of burning, as if coals of fire were in the chest, and it goes on to bleeding and liver-colored expectoration.

Arsenicum is a bleeding medicine, one that predisposes to haemorrhage, and bleeding takes place from all mucous membranes; commonly of bright red blood, but in this region the parts take on a gangrenous state and the hemorrhages become black and there are little clots like portions of liver.

The same are found in the vomited matter and in the stools. The expectoration is horribly offensive, so much so that you soon get the idea that there is a state of gangrene.

The patient is at this time going into a state that perhaps cannot be any better described than a gangrenous inflammation; there will be signs to indicate the inflammatory condition, and there will be the smell of the expectoration which you will detect as soon as you open the door,

The expectoration is a thin, watery fluid intermingled with clots. In the pan you will find this watery expectoration looking like prune juice, and in the midst of it will be clots of blood; the offensiveness is horrible. He has gone through the period of restlessness and is now prostrated, sinking, pallid, and likely enough covered with a cold sweat.

Stomach and bowels

When we come to the stomach we find everything that may be called a gastritis, vomiting of everything taken, even a teaspoonful of water, extreme irritation of the stomach, great prostration, horrible anxiety; dry mouth; a very little hot water will sometimes comfort him for a minute, but soon it must come up; cold fluids are vomited immediately. The whole oesophagus is in a state of inflammation; everything burns that comes up or goes down. Vomiting of bile and blood.

Extreme sensitiveness of the stomach is present; he does not want to be touched. Heat applied externally relieves, and there is a temporary relief from warm drinks; the heat is grateful. In the bowels we have much trouble; this remedy has all the symptoms of peritonitis; distension of the abdomen, a tympanitic state; cannot be handled or touched, yet he will keep moving because he is so restless, he cannot keep still, but finally he becomes so weak that exhaustion takes the place of restlessness.

Dysentery is likely to come on, with involuntary passages of urine and faeces, one or both, with haemorrhage from the bowels and bloody urine.

As the bowels move, we get the cadaveric odor to the stool, a smell like putrid flesh. The stool is bloody, watery, brown like prune juice, or black and horribly offensive.

Sometimes dysenteric in character with dreadful straining and burning of the anus; every stool burns as though there were coals of fire in the rectum; burning it! the bowels, burning all the way through. The pain in the abdomen is better from the application of hot things. The tympanitic condition is extreme.

Sometimes there is a gastro-enteritis that takes on a gangrenous character that in olden times used to be talked about as gangrene of the bowel, a mortification that always ended in death.

A thick, bloody discharge is passed with a horrible odor, all substances are vomited, the patient desires to be in a very warm room, wants to be well covered, wants hot applications and warm drinks, looks cadaveric and smells cadaveric, with a dry, pungent odor that penetrates everything, but if he wants the covers off, wants a cool room and windows open, wants to be sponged with cold water, and wants ice cold drinks then he must have Secale.

Bowels

I want to warn you against the too promiscuous use of Arsenic in the summer complaints of young babies, for dysentery and cholera infantum. It has so many little symptoms that are so common to these complaints. that if you do not look out and are not warned you will be likely to give your patient Arsenic, suppress some of the symptoms, changing the aspect of the case so that you cannot find a remedy for it and yet not cure the case with Arsenic.

There is a strong tendency to be routine and give Arsenic without a sufficient number of generals being present; i.e., if you give it on particulars and not on the generals of the case.

This medicine is full of diarrhea and dysenteric symptoms; in these conditions there will be the pallor, the anxiety, the cadaveric aspect and the cadaveric odors.

In the dysentery there is most distressing and frequent urging to stool, scanty, slimy, black, fluid, inky stools with cadaveric smell, great prostration, restlessness and pallor. In the bowel troubles, in low forms of disease, the stool becomes involuntary.

This is a condition of the rectum, a relaxation of the rectum, great prostration. Involuntary stool generally indicates either local or general exhaustion, and in this remedy there is terrible exhaustion, so that there is involuntary diarrhea in typhoid and in low forms of zymotic disease; involuntary urine.

Purging is sometimes present in Arsenic, but generally be does not have much purging, such as we find in Podophyllum, Phos. ac. Usually there will be little, frequent gushes, little spurts with flatus and the great exhaustion that occurs in cholera, little spurts with mucus, slimy, whitish stools.

Arsenic is not so commonly indicated in cholera, i. e., during the gushing period, but sometimes after the gushing is over and the vomiting and purging have passed, leaving a state of extreme exhaustion, we have a state that appears like coma, the patient looks almost as if dead, except that he breathes. We find, then, that Arsenicum will establish reaction.

Cholera infantum with great prostration, sinking and cadaveric appearance, great coldness, covered with told sweat, cold extremities, cold as death; cadaveric, sickly, foul, pungent, penetrating odor in the room from the faeces and urine and even of what is vomited.

The passages from the bowels are acrid, excoriating, causing redness and burning. Very often the burning extends into the bowels.

The rectum and anus burn, smarting all about the anus. It has tenesmus, painful, unbearable urging, great distress in the lower bowel, in rectum and anus, terrible state of anxiety of the patient and the pain is so violent and the suffering so intense, the anguish so intense, that he can think of nothing but death the fearfulness and frightful feelings are such as he has never experience in his life, and he feels confident these mean he is going to die.

This, like all other complaints, is attended with restlessness, and when not at stool he is walking the floor, going from bed to chair and from chair to bed. He will get on the stool and then back to bed, then he is hurried to stool again, sometimes he loses it.

Sometimes there is a chronic hoemorrhoidal state with burning, and the hemorrhoids protrude when at stool, he is much exhausted after getting back into bed after a stool, with these protruding lumps which are like grapes and feel like coals of fire. They are hot, dry and bleeding. Fissures of the rectum that bleed at every stool, with burning Itching and eczematous eruptions about the anus with burning.

This kind of pain may be felt anywhere in the body; burning is characteristic of Arsenic, stitching is characteristic of Arsenic. Now, put these together and the patient often describes it as being stuck with red hot needless all over him. This red hot sensation, which is a common feature all over, is felt at the anus, and especially when there are hemorrhoids, burning and sticking like hot needles in the hemorrhoids

At times when a patent is coming down with the early stage of a violent attack he will have all the rigor and chill that it is possible to find in the Materia Medica and that can be found in disease. Rigors and chills of violent character, and at such times he describes a feeling as if the blood flowing through the vessels were ice water. He feels a rushing through the body of ice cold waves.

When the fever comes on, he is intensely hot from head to foot, before the sweat has appeared, he feels that boiling water is going through the blood vessels. Then comes on the sweat and dyspnoea and all complaints in which he is prostrated and becomes cold.

While the sweat some times relieves the fever and pains, yet it is prolonged and attended with great exhaustion and does not relieve his exhaustion.

Many of his complaints are increased with the sweat; for instance, thirst is increased, the drinking is copious and does not relieve, it seems he cannot get enough and patients will say:

"I can drink the well dry," or

"Give me a bucket of water."

Such things are indicative of the state of thirst. During the fever he wants little and often; during the chill he wants hot drinks.

Arsenicum is a very useful medicine in the eruptions of the genitals with burning.

In little ulcers that burn, even when they are syphilitic; herpetic vesicles that appear upon the foreskin and upon the labia; chancre or cancroids with burning, smarting and stinging, but especially in those that are weak, that offer no willingness to heal, but that do the very opposite, that spread, those that we call phagedenic, those that eat from their outer margins, become larger and larger.

Ulcerations

Arsenic and Merc corr . are the two principal medicines for spreading ulcerations such as eat in every direction, very offensive. Such ulcerations as follow the opening of a bubo in the inguinal region where there is no tendency to heal.

A little, watery, offensive discharge keeps coming and extending, ulceration keeps spreading round about the opening, no tendency to heal.

Or the patient has been in the hands of a surgeon who has passed his knife down the threatening suppurating bubo and it has been followed by red, angry, erysipelatous appearance and shows no tendency to heal.

The edges have been removed by ulceration, and now the surface has cleared off, leaving a surface the size of a dollar; sometimes becoming serpiginous. These ulcers are sensitive to touch and burn like fire.

Genitals

In the male and female sexual organs there are many symptoms of importance. In the male organs a dropsical condition, dropsy of the penis, oedematous appearance, so that the penis is enormously swollen and looks like a water bag; the scrotum, especially the skin of the scrotum, greatly swollen and humid round about, the parts.

In the female the labia are enormously swollen with burning, stinging pains, hard and swollen. Erysipelatous inflammation of these organs, ulcerations, of a syphilitic character; these when such symptoms burning, smarting and stinging are present.

In the female, violent, burning pains in the genitals with or without swelling, burning that extends up into the vagina, with great dryness and itching of the vagina.

The leucorrhoeal discharge excoriates the parts, causing itching and burning with great suffering. Whitish, watery, thin discharges that excoriate; so copious sometimes that it will run down the thighs.

The Arsenicum menstrual flow is very often excoriating in character. Copious leucorrhoeal flow intermixed with menstrual flow, very profuse and very acrid.

Suppressed menstruation going on for months; amenorrhoea in prostrated, nervous patients, wrinkled, careworn, haggard facet.

Of course, Arsenic has a wonderful reputation in the old school for anaemia, and it is said to be as good as Ferrum for anaemia.

Ferrum and Arsenic are the strong drugs for anaemia, so that it is not to be wondered at that these pallid mortals find benefit from Arsenic.

"During menstruation, stitches in the rectum."

"Leucorrhoea acrid, corroding, thick and yellow," etc.

After parturition the woman does not pass the urine; no urine in the bladder; suppression, or the bladder is full and it does not pass.

In connection with this subject you will find Causticum the most frequently indicated remedy when you go back and the woman has not passed the urine and it is time that she should; you will frequently find it indicated when you have no other symptoms to go on. Aconite will be more frequently indicated than any other remedy if the infant has not passed the urine.

This is keynote practice and is to be condemned when there are other symptoms to indicate a remedy.

If there are no other symptoms study Aconite and Causticum and see if there is any reason why they should not be given.

Cancer

Another feature in connection with the woman, Arsenic is a wonderful palliative in cancerous affections, such as occur in the uterus and mammary glands.

Burning, stinging pains have entirely disappeared, in incurable cases, of course. It becomes one of the palliatives.

Larynx and chest

Arsenic has loss of voice, laryngitis, with dry teasing cough; a cough that does not seem to do any good; hacking constantly, dry, hacking cough.

Study its relation to asthma and difficult breathing, dyspnoea. Arsenic has cured some long standing cases of asthma of a nervous character; asthma that comes on after midnight, in patients who suffer from the cold, those who are very pallid, dry wheezing cough, must sit up in bed and hold the chest, anxious restlessness with prostration.

The heart symptoms are troublesome to manage when they get to be like Arsenic; the symptoms correspond to a state of great weakness, great palpitation, palpitation from the least exertion or excitement, great anxiety, anguish, weakness; he cannot walk, he cannot go upstairs, he can hardly move without increasing the palpitation; every excitement brings on palpitation.

"Severe paroxysms of palpitation or attacks of syncope during endocarditis."

Arsenicum corresponds to most serious complaints of the heart, corresponds to many of the incurable complaints of the heart; i. e., when you see Arsenic corresponding in all of the symptoms with these marked cardiac affections, dropsy of the pericardium, etc., you have a class of cases that are very serious,

"Angina pectoris," etc.

"Rheumatism affecting the heart," etc.

"Hydropericardium with great irritability," etc.

"Pulse frequent, small, trembling."

"Pulsation through whole body," etc., etc.

Again this goes on to another state when the heart becomes weak, pulse thread-like, patient pale and cold, covered with sweat, pulse very feeble. When this is not a state of the heart itself then Arsenic becomes a wonderful remedy; that is, it is capable of cure.

Fever

I want to say a few things concerning a few essentials, some few things most general to the Arsenicum type of intermittent.

You can read the general state of intermittent fever and fevers generally and apply what has been said.

Arsenic has all the violence of the chill that you can find in any remedy, with excitement, headache, prostration, dry mouth, desire for hot drinks and to be covered up warmly, with all the anxious restlessness and prostration that you can find in any medicine; but the time of the Arsenic case is an important thing.

A striking feature of the Arsenic time of chill is its irregularity, coming not twice alike, coming at any time. It has afternoon chill and after midnight chill, sometimes in the morning, sometimes at 3 or 4 P.M., sometimes at 1 P.M.

It has a striking periodicity in its nature. Hence it has an intermittent nature. It has a striking feature of thirst.

During the chill, while there is sometimes great thirst, he has aversion to cold things, hence can take only hot drinks, hot teas, etc.

During the fever the thirst increases because he has dry mouth, and he drinks little and often, just a teaspoonful to wet his dry mouth.

Water does not quench his thirst, for he wants but a tablespoonful, little and often. This runs on into the sweat with prostration, increased coldness, desire for copious drinks, unquenchable thirst for cold drinks.

The chill is attended with great aching in the bones, likely to commence in the extremities, and during the chill there is a great head congestion with purple fingers and toes.

Put these things together and the prostration that occurs with the awful anxiety, and you can most always in a general way pick out the Arsenic case.

But it has so many details in its chill, fever and sweat that if you take the details of symptoms and leave these general features out you will be likely to be able to cover almost any case of chills, i.e., you may think you will, but unless some of these general nates are present that stamp it as Arsenic you will fail.

It is one thing to stamp the whole case as Arsenic and another thing to say that these are Arsenicum symptoms.

So it is with China and Quinine ; they have numerous particular symptoms, and yet to make the case a China or Quinine case the striking general features must be present.

The Therapeutics of Fevers

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

Characteristic

Great prostration,* with rapid sinking of the vital forces.* Fainting.

The disposition is: a. Depressed, melancholic, despairing, indifferent. b. Fearful, restless, anxious, full of anguish. c. Irritable, sensitive, peevish, easily vexed.—Dunham.

Mentally restless, but physically too weak to move; cannot rest in any place ; changing places continually ; wants to be moved from one bed to another, and lies now here, now there.

Anxious fear of death; thinks it useless to take medicine, is incurable, is surely going to die; dread of death, when alone, or, going to bed.

Burning pains > by heat, is very characteristic.

Burning pains, the affected parts burn like fire.

Excessive anxiety; great anguish; extreme restlessness; fear of death.

Burning thirst, without special desire to drink; the stomach does not seem to tolerate, because it cannot assimilate cold water; it is wanted but he cannot drink it.

Great thirst for cold water; drinks often but little at a time, simply to moisten the dry mouth and lips; eats seldom but much.

Teething children are pale, weak, fretful, and want to be carried rapidly.

Cannot bear the smell or sight of food (Colch., Sep.).

Desires: acids, beer, brandy, wine, coffee, warm food, milk, fruits and vegetables.

Aversions: sweets, meats, fatty things, farinaceous food; loathes even the thought of food.

Gastric derangements: after cold fruits; ice cream; ice water; sour beer; bad sausage; alcoholic drinks; strong cheese.

Bad effects from decayed food or animal matter, whether by inoculation, olfaction or ingestion.

Diarrhœa after eating or drinking; stool scanty, dark color, offensive odor, followed by great prostration.

Rapid emaciation: with cold sweat and great debility (Ver.—of affected parts, Tub.).

Excessive exhaustion from least exertion.

Exhaustion is not felt by the patient while lying still; when he moves he is surprised to find himself so weak.

Skin: dry and scaly; cold, blue and wrinkled; with cold, clammy perspiration; like parchment; white and pasty; black vesicles and burning pain.

Breathing: asthmatic; must sit or bend forward; springs out of bed at night, especially after twelve o'clock; unable to lie down for fear of suffocation; attacks like croup instead of the usual urticaria.

Relations

Complementary: All. s., Carbo v., Phos., Pyr.

Aggravation

After midnight (1-2 A. M.; 1-2 P. M); from cold; cold drinks or food; when lying on the affected side or with the head low.

Amelioration

From heat in general (rev. of Sec.) except headache, which is temporarily $>$ by cold bathing (Spig.).

Type

Quotidian; tertian; quartan; double tertian and quartan. Anticipating (Bry., Cinch., Nux). Every fourteen days. Yearly (Lach., Nat.). Irregular, both in type and stage (Nux). Remitting and relapsing both tend to typhoid and typhus, especially after abuse of Quinine.

Septic, typhoid, typhus or yellow fever.

Time

All periods—mostly afternoon paroxysms, 1 to 2 P. M.; 12 to 2 A. M.; 3 to 6 P. M.; 5 P. M.; 12 M. Every fourteen days (Cal., Cinch., Puls.).

Anticipates, one hour every other day.

Yearly return of complaints (Carbo v., Sul., Thuya).

Fever without chill—2 A. M.; 4 P. M.; 10 P. M.

Afternoon intermittents of nursing children, without chill, must be covered, and very thirsty; fever lasting all night.

Characteristic; 1 to 2 P. M.—12 to 2 A. M. Anticipates. "Sleepy, night before the paroxysm."—H. V. MILLER. Time.—Not characteristic. 5 A. M.—5 P. M. Anticipates or postpones. "Restless sleep, night before the paroxysm."—HAHNEMANN.

Prodrome

"Sleepiness night before paroxysm."—H. V. MILLER.

Yawning and stretching; malaise; debility; weakness; headache; vertigo; great weariness and inclination to lie down; slight creepings over the back after drinking; cutting pain in chest and bowels like knives, and watery diarrhœa; shuddering. Every morning stretching of limbs, gaping, emptiness in head, anxiety, thirst, and immediately after drinking chilliness and crawling.

No thirst. Headache, with vertigo and pale face; pain in bowels and watery diarrhœa. Prodrome.—Great thirst. Canine hunger, headache, with flushed face and palpitation of the heart.

Chill

Without thirst; irregularly developed; never clearly defined; simultaneously, or alternating with heat; mingling of heat and chilliness; all ameliorated by external warmth (Ign. —aggravated by external heat, Apis, Ipec.). Irregular chills at any time of day. Shuddering when walking in the open air. Generally little if any thirst during chill, then prefers hot drinks; if thirsty, frequent drinking but little at a time, but drinking increases the chilliness and causes shuddering, nausea and vomiting (drinking hastens and aggravates chill and causes nausea, Eup. perf.—causes headache, Cimex—every drink causes shivering and chill, Caps.); oppression of the chest (Apis); coldness of abdomen (Men.); blue nails and lips (Nux); tastelessness of food; shuddering without thirst, worse in the open air. Internal chill, with external heat and red cheeks; coldness of body and dryness of the skin; burning heat of skin, cold to the touch; headache.

Coldness of the whole body; pale, sunken face; very sickly appearance; lips pale, rigor, pains in limbs, back and chest; breathing impeded, restless, trembling.

Crawling in the evening, with stretching of limbs and anxious restlessness. Chill gradually increasing to shaking rigor.

Concomitants of chill: colic and nausea. diarrhœa, unconsciousness, drawing, tearing in limbs, thighs feel as if beaten, cramps and contraction in chest, difficult breathing, desire to urinate and frequent urination; hunger.

With the shivering and coldness, aggravation of other complaints. Coldness and chilliness renewed after drinking and after eating.

"Chill in forenoon not relieved by anything; external coldness, with cold, clammy sweat."—HERING.

Chill or chilliness without thirst; if there be thirst during chill except for hot drinks, do not give Arsenic.—H. N. GUERNSEY.

Irregular; mingling of heat and chilliness; chills alternating with heat; ameliorated by external heat. Thirst slight, if any for hot drinks. Chill.—Regular; violent chill over whole body, with icy cold hands and feet; external heat increases chill. No thirst during chill.

Light, irregular, mingling with heat, > by external heat. Thirst, if present, for warm drinks.

Heat

The hot stage of the fever is intense, long lasting, dry, burning and pungent to the touch, with inclination to uncover (Apis, Sec.) and insatiable thirst for cold water; drinks little and often, with vomiting after drinking several times. Internal, burning, dry heat at night, must be uncovered. Burning heat as if hot water were poured over one, or as if hot water were coursing through the blood-vessels (Bry., Rhus). Oppressed breathing (Apis); great restlessness, and pressing, burning pain in region of the spleen. Burning pain in stomach and bowels.

During chill and heat, aggravation of previously existing symptoms. Heat following the chill is dry, burning, unbearable, lasts three or four hours, with painful pressure and tension in both hypochondria; fulness in epigastrium; pressing pain in forehead; restlessness, anxiety and unquenchable thirst; sometimes a great desire for acids and acid drinks.

Dry, burning, intense, as if hot water were coursing through the blood vessels. Great restlessness; uncovering brings relief. Insatiable thirst; drinks little and often. Heat.—With distended veins and congestive headache, often delirium. Wants to uncover, but chilly when uncovered. Rarely any thirst; if any, at close of heat. Hunger instead of thirst.

Dry, burning, intense; great restlessness; uncovering >; unquenchable thirst, drinks little but often.

Sweat

This stage is as variable as that of chill—with unquenchable thirst for large quantities of cold water (Cinch.), which causes vomiting. Sweat, with cessation of all the previous symptoms (Nat.—of all except headache, which is increased, Eup.). Sweat; sometimes offensive and sour smelling. Sweat during first sleep, or during entire night; cold, clammy sweat. Sweat with excessive thirst. Sweat with thirst, coming on several hours after the heat, or, which is oftener the case, there is no sweat at all, the dry heat continuing all night. After the paroxysm—with or without sweat—great weakness and prostration and a desire for stimulants, wine or coffee. There is more headache than in the hot stage, unless there be copious sweat (most intense in hot stage, Nat.). Drinks large quantities in sweat; little and often in chill and heat.

With the various stages of the fever always appear other symptoms.

Rarely occurs, light if any; but cold and clammy. Unquenchable thirst for large quantities of cold water, with vomiting after drinking. Sweat.—Debilitating; profuse. On being covered, he sweats profusely all over. Sweating during sleep. Thirst returns; for large quantities, or little and often.

Often wanting; if any cold and clammy; great thirst for large quantities of cold water, with vomiting after drinking.

The mental restlessness, physical weakness and profound pros- tration are always present in every form of fever.

Anxiety, fear of death, fears disease is incurable, < when alone or when retiring.

Incomplete stages; obscurity of either chill, heat or sweat.

Tongue

Sides furred with red streak down the middle (Ant. t.) and red tip; yellowish-white; brown; bluish. Water tastes bitter; desire for acids; brandy. Aversion to food (aversion to meat, Arn.).

Sides furred, with red streak down the middle. Tongue brown; blue; desire for acids; aversion to food. Tongue.—White; yellow. Thick, dirty coating; taste too acute; food tastes bitter; too salt; hungry.

Pulse

Weak, small, easily compressible. Very frequent in morning, slower at night. Pulsations through whole body (Arn., Nat.). Burning or cold sensations in the blood-vessels (Rhus).

Weak, small and easily compressible. Frequent in morning; slower at night. Pulse.—Hard; full; quick. Uncommon distension of blood-vessels.

Apyrexia

Never clear of symptoms. Great debility; lassitude; weakness of all the limbs and constant inclination to lie down (Arn.). Face pale, sunken, sallow, clay-colored, bloated; dull aching in region of liver and spleen, painful on pressure, with sensation as if swollen. Abdomen bloated (Apis); fœtid, watery, diarrheic stools, which are very debilitating; urine scanty and turbid. Constant desire for acids or something refreshing. The patient is constantly chilly and must be in a warm room. Gen- eral anæmic appearance (Eup., Cinch., Fer.). Skin pale, often covered with cold perspiration. Icterus after the fever. Fevers contracted at sea-shore watering places, coming on in the autumn, or “wintered over” and not coming on until spring (Gels.).

“The paroxysm is not complete. One (especially the cold) stage is generally wanting.”—CARROLL DUNHAM.

The following admirable analysis of the indications for Arsenic in intermittent (or other) fever is by Dr. Wurmb in *Homœopathische

Clinische Studien*, 1, p. 179:

“Arsenic is one of those few drugs whose action is distinguished not alone by its intensity, but equally by its extent; it involves the entire organism. Every system, every organ of the body, every nervous filament, is so subjected to its powerful influence that we are not able to say which of its symptoms are primary, which are secondary, and where the focus of its action chiefly lies.

We see the entire nerve-life attacked in all directions, from the slightest excitement to the most violent irritation; from the mere sensation of weakness to actual paralysis, and then we see, like- wise, another series of disturbances arise from its action, which advance in regular gradation from the most inconsiderable acceler- ation of the circulation to the most violent febrile storm; from the slightest irregularity in the vegetative sphere to a cachectic dyscrasia; yes, even to decomposition and destruction of the organic substance.

“In addition, we remark the striking similarity between the symptoms of chronic arsenical poisoning and those of the inter- mittent cachexy, as well as the fact that Arsenic has the property of causing the periodical recurrence of symptoms in so high a degree as to surpass in this respect all other drugs; in a word, no other drug known to us has such a power of affecting so intimately and so variously those organs that are especially affected in inter- mittent fever, and none corresponds so well as Arsenic does to all the requirements of a remedy for intermittent.

“Arsenic is indicated in cases which are distinguished not only by weakness in the vital power and deterioration of the organic substance, but also and at the same time by symptoms of excita- tion of the circulation, or of the nervous system alone, or of both together. Again, it seems to be more especially indicated the more malignant the influence from which the disease has sprung.

Marsh-miasm is the chief of these influences; in this originate the most serious and most dangerous cases of fever, and in these

Arsenic is often the only remedy that will rescue the patient.

Again, the longer the disease has lasted the more is Arsenic generally indicated, because the more deeply have the organs and tissues been affected, the more nearly has the patient’s condition approached that known as the intermittent cachexia, and which so nearly resembles the arsenical cachexia. Especially is this the case when the liver and the spleen have become swollen.

“The intermittents which find their homeopathic remedy in

Arsenic present in their paroxysms the following peculiarities:

The paroxysms are general, violent and of long duration; the stages are either distinctly developed and equally proportioned to each other, or else, as is most frequently the case, one of the stages is absent or is very feebly present; if the latter be the case, it is generally the cold stage which fails, and the hot is all the more violent. The more intense the heat, the longer it continues, the higher the degree of development of the accompanying excite- ment in the vascular system, and the more burning and insatiable the thirst, the better is Arsenic indicated. The sweating stage may be altogether wanting, or the perspiration may be very copious; it breaks out generally several hours after the hot stage and lasts a long time.

“With the paroxysms are associated many distressing acces- sory symptoms, which are connected, some with the disturbances in the nervous system, some with those of the vascular system, e. g., spasms, pains, delirium, paralyses and the anguish and rest- lessness that are so characteristic of Arsenic.

“The apyrexia is not pure, but is disturbed by symptoms of the most various kinds; restlessness, sleeplessness, spasms, di- gestive disorders, feeling of weakness and general prostration, and it is especially characteristic for Arsenic that after every paroxysm there is a notable increase of prostration.”

Arsenicum. Cinchona.

Great weakness and prostration; pale, sunken face; fetid, watery diarrhœa; abdomen bloated; great desire to lie down. Apyrexia.—Sweats easily; exhausting night-sweats; pain in both hypochondria; complete loss of appetite.

Arsenicum is often given (by some homeopaths) in alternation with Cinchona or some of its alkaloids in this disease; but with the above comparison, to those who differentiate, there ought to be little danger of confounding them. Where one is indicated the other never is. Fowler's solution, and massive doses of the lower triturations of Arsenicum, frequently repeated, are wholly unnec- essary in the treatment of intermittent or any other fever. If the remedy be indicated, the potentized drug will effect a more prompt and radical cure.

Arsenicum is probably more often indicated than any other remedy, in the so-called "dumb ague," "masked intermittent," so often met with after abuse of Quinine. Also, in the afternoon intermittents of nursing children—who never have chills, and from whom it is impossible to obtain many indications—it fre- quently suffices to complete a cure. The general constitutional symptoms are guiding.

In typhoid and continued fevers no remedy perhaps is so often abused as Arsenicum, when it is too frequently repeated in the 3x or 6x for "typhoid fever" not for the symptoms of the patient.

In the characteristics of Arsenicum will be found such complete indications for its use in any stage of typhoid, typhus or yellow fever that the baneful effects of a routine practice may be avoided.

Analysis

Time, 1-2 P. M. or 12-2 A. M. is always guiding.