Asa Fœtida asaf.

NERVES. Mind. Gullet. Digestive tract. Periosteum: Ears. Nose. Tibia. Left side.

Night. In room. Rest. Eating. Suppression. Mercury. Noise. Sitting. Warm wraps.

Motion in open air. Pressure.

Full, stout aspect, but intolerably nervous and OVERSENSITIVE. Fits of violent, hard throbbing, pressure, sharp sticking, etc. Clavus. Easy relapses. Bone aches. Pains extend outward, are associated with numbness and change place or are > by touch. Boring. Blueness. Foul, thin acrid secretions.

Magnifies her symptoms. Craves sympathy. Fickleness. Fainting. Hysteria. Clutches throat. Occipital ache > stool. Eyelids stick to ball. Numb about eyes. Ozœna. Puffy, purple face, as if heated. Greasy taste. Everything presses toward throat. Globus. Spasm of gullet and stomach. Rancid or explosive belching. Regurgitations. Flatulence; sudden; pushing upward, hysterical. Wind colic. Reverse peristalsis. Bowels seem knotted. Foul, dark watery diarrhœa. Spasmodic tightness of chest. Heart seems full, distended. Reflex heart symptoms, of nervous origin. Dark red swelling. Eruption of air vesicles. Bluish ulcers; with high sensitive edges. Foul, burrowing pus. Caries.

Related: Aur. Lach. Sumb. Val.

A very great sensitiveness, hypersensitiveness, particularly of those in whom the venous system preponderates over the arterial; very weakly and delicate persons. It affects the left hypochondriac region; left side of the abdomen; left side of the neck, and nape of the neck: left upper extremity and left lower extremity; left ear; general symptoms left side.

Dissatisfied with one's self; complaints about one's troubles.

Inner semi-lateral, on either side, but generally on the left. Heaviness and pressure in the forehead and right half of the head.

Fetid or purulent discharge; badly smelling.

Ozæna with discharge of green fetid pus.

Pressure in œsophagus as if a body were ascending, obliging one to swallow frequently; globus hystericus.

Fatty taste. Rising in the throat. Loathing; inclination to vomit; pressure in from below upwards into the œsophagus; pulsations in the pit of the stomach, perceptible to the hand and eye even.

Heaviness in; stitches; lancinations; dartings; bloated. Flatus very offensive. Sensation as if peristaltic motion were taking place from below upwards. Inner region of the spleen.

Stool stinking; slow; difficult; hard. Diarrhœa of most disgusting odor. Fetid flatus.

Female: Labor-like pains in the uterus, of cutting and bearing down character. Deficiency of milk. Nipples.

Urine smells like Ammonia.

Bones of the arm; sensation as if bones were bending; darting pain in; caries in; caries of the periosteum; painfulness in; painfulness of the periosteum, accompanied with great sensitiveness; enlargement of; softening or swelling of; swelling of the periosteum.

Itching, better by scratching; pricking, burning skin. Ulcers in general; hard on circumference; with bloody pus; with thin pus; painful ulcers; painful on the edges; sensitive on the circumference, with high, hard edges; prickings on circumference.

Big toe. Pain, jerking in outer parts particularly; pressing from within outwards; darting in outer parts, in inner parts, from within outward; in the muscles; burning darting in the muscles; quivering in the external parts; tension in inner parts; in right side of back, near scapula. Intermittent, pulsative, oppressive, darting, also tearing pains, from within outwards; often relieved by scratching or rubbing.

Asthma of different kinds. Old ulcers on forearm, wrist, hand; ulcers, especially when affecting the bones; thin ichorous pus.

From scratching; from being touched.

China, Mercur., Pulsat.

China, Mercur.

Sensation of a ball rising in the throat obliging frequent swallowing to keep it down, and causing at times difficult breathing. Particularly adapted to nervous, hysterical, scrofulous individuals, with venous, hemorrhoidal constitutions.

Gum of the Stinkasand (ASAFOETIDA)

The flatulence and spasmodic contraction of stomach and œsophagus with reverse peristalsis are the most marked symptoms. In its selection, its relation to the hysterical and hypochondriacal patients, must be borne in mind. Besides these superficial symptoms, it has been found to affect favorably deep ulcerations, caries of bones, especially in the syphilitic organism; here the extreme sensitiveness and terrible throbbing, nightly pains, guiding to its use.

Irritable; complains of her troubles; sensitive. Boring above eyebrows. Pressive pain from within outward.

Orbital neuralgia; better, pressure and rest. Iritis and intraocular inflammations, with boring, throbbing pains at night. Stitches under left frontal eminences. Boring pains in and around eyes. Syphilitic iritis. Superficial corneal ulcer with digging pains; worse at night.

Offensive otorrhœa, with boring pains in mastoid bone. Mastoid disease with pain in temporal region with pushing out sensation. Offensive, purulent discharge.

Syphilitic ozæna, with very offensive purulent discharge. Caries of nasal bones (Aurum).

Globus hystericus. Ball rises in throat. Sensation as if peristaltic motion were reversed, and œsophagus were driven from stomach to throat.

Great difficulty in bringing up wind. Flatulence and regurgitation of liquid. Hysterical flatulence. Great distention. Sensation of emptiness and weakness, with distention and beating in stomach and abdomen. Forcible eructation of gas. Pulsation in pit of stomach. Violent gastralgia; cutting and burning in stomach and region of diaphragm. Gurgling and rolling of wind, which escapes afterwards with loud and difficult eructation.

Mammæ turgid with milk in the unimpregnated. Deficient milk, with oversensitiveness.

Distended, griping, with hunger. Obstinate constipation. Pain in perineum, as if something dull pressed out. diarrhœa, extremely offensive, with meteorism, and regurgitation of food.

Spasmodic tightness, as if lungs could not be fully expanded. Palpitation more like a tremor.

Darting pain and caries in bones. Periosteum painful, swollen, enlarged. Ulcers affecting bones; thin, ichorous pus.

Itching, better scratching; ulcers painful on edges. Suppressed skin symptoms produce nervous disorders.

Worse, at night; from tough; left side, during rest, warm applications. Better, open air; from motion, pressure.

Antidotes: China; Mercur.

Compare: Moschus; China; Mercur; Aurum.

Second to sixth potency.

Hysterical restlessness and anxiety.

The pains in the head cease, or change from touch.

Sensation of dryness in the eyes.

Hardness of hearing, with discharge of pus from the oars.

Ozæna, discharge of very offensive matter from the nose.

Sensation of numbness in the bones of the face.

Sensation of dryness in the mouth and throat. Sensation of a ball rising in the throat.

Pulsation in the pit of the stomach. Sensation of fulness in the stomach.

Diarrhœa, very offensive, with pain in the abdomen and discharge of fetid flatus.

Urine brown, and of pungent smell. Spasm in the bladder during and after urination.

Spasmodic dyspnœa, as if the lungs could not be sufficiently expanded. Stitches in the chat from within outwards.

Twitching of the muscles of the arms and legs. Ulcer on the tibia. Swelling and caries of the bones of the feet. Stitches and pulsation in the big toe.

Sense of rigor. Body heavy and bloated. Hysterical attacks. Twitching and jerking in the muscles. Dull stitches (periodically) from within outwards, changed or relieved is touch. Pains in the inside of the joints and limbs. St. Vitus' dance.

Much against his habit, he is much inclined to sleep.

Pulse small, rapid, and unequal. Heat in the face after dinner, with anxiety or drowsiness, without thirst.

Ulcers, very painful to contact, especially in the circumference, gangrenous. Inflammation and caries of the bones, with thin, fetid pus.

Bad effects, from the abuse of mercury, especially in syphilis. Moot pains are accompanied by numbness in the affected parts. Many symptoms appear while sitting, and are relieved in the open air.

Asafœtida.

Narthex asafœtida. N. O. Umbelliferæ. Tincture of the gum resin (obtained by incision from the living root).

Asthma. Bone, disease of. Chorea. Diarrhœa. Dyspepsia. Flatulence. Headache. Heart, affections of. Hypersensitiveness. Hysteria Iritis. Lactation, disorders of . Mercury, effects of. Neuralgia. Obesity. Orbital neuralgia. Ozæna. Syphilis. Tympanitis. Ulcers. Whitlow.

The symptoms of Asafœtida present an almost perfect picture of hysteria, of the flatulent order. Reversed peristalsis of stomach and bowels. Excessive abdominal distension and sensation as if everything in the abdomen would burst through the mouth. After belching of wind strong rancid taste in mouth. Sinking sensation at epigastrium, < 11 a.m. Hysteria from suddenly suppressed discharges. Many of the discharges of Asaf . are fetid: watery stools of most disgusting odour; profuse and greenish; fetid flatus. Eructations smelling like garlic. Hiccough-like contractions of diaphragm. Griping (into a ball) pain below navel while standing. Heat in spleen and abdomen. Stitches in right hypochondrium, towards the diaphragm. Asaf . affects the left side generally: left side of abdomen; left hypochondrium; left side of neck and nape; left arm; left leg. Hysterical restlessness and anxiety. Eyes inflamed, dry sensation, > in open air. The fetid smell of the drug may be regarded as one of its "signatures." Fetid discharge from nose; bones affected. The following is a strong characteristic: Bones of orbits bruised, sore, and sensitive (iritis; after abuse of Mercury . Merc . has less of the sensitiveness). Caries of bones. Multiple nodes on roof of mouth, discoloured, bone deeply involved. Deficient milk with over-sensitiveness after confinement. Periosteal affections ending in ulcers which are so sensitive that no dressing is tolerated. Pressing pains in various parts, especially pressure from within outwards, < in room, > in open air. Many symptoms come on or are < after eating or drinking. Heat in face after eating. Diarrhœa after eating. Suited to: nervous and hysterical people; phlegmatic, scrofulous, and syphilitic who have taken much Mercury . Sensitiveness to contact is a leading characteristic. Most pains are accompanied by numbness in the affected parts. Many symptoms appear while sitting and are > in open air. Touch > pain in head; on touch pains cease or change place. Scratching > itching.

Antidoted by: Puls., Caust., Camph., Chi., Merc., Val. Useful in ailments from: Puls., Merc., Alcohol. Similar to: Arg. n. > open air); Aur. (bone diseases, iritis); Castor., Chi., Caust., Crot. t. (whooping-cough); Hep. (sensitiveness round ulcers; faints from pains), Mang. acet., and Kali iod. (nodes: Mang., bluish; K. iod., pink; pain unbearable. Asaf. the nodes are multiple and discoloured); Ign., Merc., Mosch., Phos., Puls., Thuj., Val. Compare family relations: Ammoniac., Cicut., Con.

Checked skin affections.

Dissatisfied with one's self; complaints about one's troubles. — Hysterical restlessness and anxiety. — Unsteady and fickle. — Ill-humour; irritable; apprehensive. — Over-sensitive, excitable. — If he thinks of having taken the drug, it causes faintness.

Pressive pain in forehead from within outward; with it vertigo and vanishing of sight. — Single deep-penetrating stitches in left frontal eminence. — Heaviness and pressure in forehead and r. half of the head. — Drawing, pressive pains like a plug, in sides of head or temples; most on l. side. — The pains in the head cease, or change from touch. — Rush of blood to head and warmth of face. — All headaches < towards evening; in room while at rest, sitting or lying; > when rising or moving about in the open air.

Nocturnal throbbing pains in and around the head; syphilitic iritis. — Extensive superficial ulceration of the cornea, with burning, sticking, or pressive pains, from within outward; rest and pressure relieve. — Sharp pain extending through eye into head on touching. — Sensation of dryness in the eyes. — Dryness and burning in, the eyes. — Severe boring pains over the eyebrows.

Hardness of hearing, with discharge of offensive, thin pus from the ears.

Ozæna; discharge of very offensive greenish matter from the nose; bones swollen and inflamed after Mercury or in scrofula.

Sensation of numbness in the bones of the face; painless tension in various places. — Swelling of the lower lip. — Numbing pressure on chin.

Grinding of teeth. — Bluntness of teeth.

Greasy, rancid taste in mouth; and of phlegm hawked up. — Speech unintelligible; tongue white, swollen (chorea). — Constantly chewing, and working frothy slime out of mouth.

Sensation of dryness in the mouth and throat. — Dryness of mouth, throat, and œsophagus. — Sensation of a ball rising in the throat, obliging frequent swallowing to keep it down, and causing at times difficult breathing; globus hystericus. — Sensation in the œsophagus as if the peristaltic motions were from below upward.

Ravenous hunger. — Desire for wine. — Disgust for all food. — Pulsation in the pit of the stomach, perceptible to the hand and eye even. — Rising in throat. — Loathing; inclination to vomit. — Sensation of fulness and distension in stomach. — Eructations; smelling like garlic; tasting rancid, sharp, or putrid. — Flatus passing upward, none down.

Great distension of the abdomen. — Pulsations in abdomen. — Heat in spleen and abdomen. — Colic with distension and a "rising-up" feeling; > by external pressure; at height of pain, fainting. — Sense of fulness, and as if beaten, in epigastrium and whole abdomen. — Pressive pain on drawing in abdominal muscles. Lancinations; dartings in abdominal-muscles.

Pain in perineum, as from something dull pressing out. — Stool profuse, watery, or thick, papescent, brown, and exceedingly offensive. — Diarrhœa, very offensive, with pain in the abdomen and discharge of fetid flatus. — Stool stinking; slow; difficult; hard.

Urine brown, and of pungent smell. — Urine smells like ammonia. — Spasm in the bladder during and after urination.

Faintness is worse after seminal emissions. — Urging towards genitals; aching in testes; < from touch or motion. — Needle-like stitches in penis. — Drawing in glans; < afternoon.

Labour-like pains in uterine region, with cutting and bearing-down. — Excited sexual desire. — Leucorrhœa profuse, greenish, thin, and offensive. — Swelling and inflammation of the genitals. — Mammæ turgid with milk; when not pregnant. — Deficient milk with over-sensitiveness. — Milk increased; or diminished.

Spasmodic dyspnœa, as if the lungs could not be sufficiently expanded. — Asthmatic attacks. — Obstinate titillating cough., < night. — Hoarse, ringing, short cough, excited by tickling in trachea, with asthmatic feeling therein; spasmodic contraction of thorax and accumulation of stringy mucus. — Cough on gaping. — Greasy-tasting sputa.

Oppressive pressing, aching pains in the chest. — Stitches in chest (r. side), from within outward.

Nervous palpitation, with small, quick, irregular pulse. — Continual pain about heart region. — At times heart feels bound tightly, as if it could not beat; afterwards only on exertion or walking. — Heart feels swollen to bursting.

Fine burning stitches in and behind r. scapula, extending to ribs. — Very violent sacral pains. — Cannot work on account of the backache. — Crawls run over back in afternoon.

Sensation as if bones of the arm were bending. — Darting pains in the bones; caries in; caries of the periosteum. — Tearing stitches in upper arm and forearm down to tips of fingers. — Painfulness of the periosteum, accompanied with great sensitiveness; nodes. — Twitching in the muscles of the arms. — Aching, drawing, beaten pain in wrist joints. — Whitlow, pains < night.

Psoas abscess and disease of pelvic bones. — Twitching of the muscles of the legs. — Carious ulcer on the tibia. — Pain as of a splinter sticking in r. fibula. — Swelling and caries of the tibia, and bones of the feet. — Stitches and pulsation in the big toe.

Asthma of different kinds. — Sense of rigor. — Body heavy and bloated. — Hysterical attacks. — Hysteria, with much trouble about throat or œsophagus. — Twitching and jerking in the muscles. — Dull stitches (periodically) from within outwards, changed or relieved by touch. — Pains mostly in the inside (flexor side) of the joints and limbs. — St. Vitus' dance.

Itching, better by scratching; pricking, burning skin. — Ulcers with high, hard edges, sensitive to touch, easily bleeding; old ulcers on forearm, wrist, hand; ulcers, esp. when affecting the bones; pus profuse, greenish, thin, offensive, even ichorous. — Ulcers, very painful to contact, esp. in the circumference, gangrenous.

Much against his habit, he is much inclined to sleep.

Pulse small, rapid, and unequal. — Heat in the face after dinner, with anxiety or drowsiness, without thirst. — Chills run over body from time to time.

Asafœtida.

Consciousness unaffected. θ Chorea.
Fits of joy with bursts of laughter. θ Hysteria.
Excitement of mind. See 29 .
Unsteady and fickle, cannot persevere in anything ; wants now one thing, then another ; walks hither and thither.
Anxious sadness and apprehensions of dying.
Apprehension seemingly arising from abdomen.
Apprehension. See 29 .
With heart symptoms, fear of death.
Fears paralysis or softening of brain.
Dislike for solitude.
Constant change of mind ; fits of grief, of joy ; laughter or anxious sadness.
Depression.
Fits of low spirits with heart symptoms ; low-spirited between heart attacks.
Ill humor, irritable mood, and yet indifferent to everything.
Ill humor, irritable mood, dislike to work. θ Caries.
Hypochondriac and hysteric restlessness and anxiety.
If he thinks of having taken drug, it brings on faintness.

Very sensitive and excitable ; all perception of senses lessened, but not consciousness.
Oversensitiveness, either physical or mental.
Fainting during height of paroxysm of colic.
Stupefying tension in head, mostly left side ; < afternoon or evening, sitting bent forward, after going to bed ; > sitting up.
Vertigo with violent pressing in head, vanishing of sight in evening and afterwards cold sweat on forehead and limbs ; colic ; flatulence ; portal congestion.
Unconsciousness ; with bellyache. See 19 .

Pain in left side of head extending to eyes, changing into intermitting, severe pain and slight fulness of brain.
A sudden pain in left temple, like an inward-pressing pointed plug.
Inner semilateral headache, oftener on left side.
Pressive pain in forehead and left side of head from within outward.
Dull pain and fulness in left side of head, with bleeding from left nostril, heart beating slowly.
Fulness and throbbing in head, heart beats feebly, with apprehension.
Fulness of head when riding in a carriage.
Pressure in sides of head or temples, like from a dull stick, better from touch.
Fulness of head, changing gradually into aching and pressing pain, as if whole brain was compressed ; with dizziness, increased heat of skin and some quickness of pulse.
Awoke with fulness of head, which gradually changed to periodically recurring pains, lasting, more or less, into next night.
Drawing, wavelike pressure through left half of forehead, ending in dull pressure on frontal eminence.
Flying stitch from within outward, in forehead, temples and sides of head.
Jerking through head.
Single, sudden, and deep penetrating stitches under left frontal eminence, like shocks followed by some sensitiveness.
Pain as if a nail or plug was driven into brain.
Crampy pain in forehead above eyebrows.
The brain seems tense.
Rush of blood to head, and warmth of face.
Congestive headache.
Sensation of swashing in head as of water, and gurgling behind upper part of frontal bone.
All headaches < towards evening, in room, while at rest, sitting or lying ; > when rising or moving about in open air.
Reading and writing make her worse.
The pains in the head cease, or change from touch.
Nervous headache of hysterical or scrofulous people.
Cold sensation in head.

Continue in Hering 44 more passages →

This remedy in olden times was frequently abused for man and beast. Our grandfathers supposed it was a protection against disease and hence they used it in the stables.

Lumps of "foetty," as they called it, where put in the corn for the horse, to keep off distempter.

What it has accomplished I am unable to say, but it is certain that these farmers looked upon Asa foetida as a great protective against disease.

It has been used also by the laity as a medicine for fainting, for hysteria, and all sorts of nervous symptoms and complaints.

The use is justified by the proving. These things are scarcely worthy of note, but it shows the general use among the people, as a domestic medicine, in crude form. It has been used more extensively in this form than in professional practice in a legitimate way.

There is one class of patients you will find who will trouble you. Those cases that come into your office with puffed, venous, purple faces; they have an appearance of plethora; the face looks puffed, bloated and dropsical at times; it is a dark red, dusky face; such a face we shall cure sometimes with Asa foetida. Carbo an., Aurum, Carbo veg. and Pulsatilla are also related to this kind of face, but it is a very troublesome face, it shows more or less cardiac disturbance and venous stasis.

The venous side of the heart will often be involved, or be about to be involved, when you have this kind of face.

I never like to see them come into my office, for they are hard cases to manage. They have deep-seated troubles, with bleeding, they are subject to sudden inflammations, and they do not rally quickly.

In this constitution we have ulcerations; a little place will ulcerate and suppurate, and the ulceration will burrow; this is just what this remedy does.

Another thing this kind of constitution will do is to set up an inflammatory condition of the periosteum with swelling, periostitis of the tibia for instance, where the circulation is not very active; inflammation of cartilages with tumefaction and purple skin, stitching pains and dropsy, ulcerations and fistulous openings. This medicine is good for just such states.

"Ulcers with extreme sensitiveness."

Patients often say,

"I get no sympathy when I am sick because I look so well;" fat, flabby and purple.

This remedy will seldom be thought of in lean persons; they seem to be free from complaints like those of Asa foetida, but in fat, flabby persons, extremely nervous, extremely sensitive to pain, full of hysteria.

Purple when out in the cold, purple when excited. In other words, you see before you the venous constitution, and these people get the worst kind of hysteria; they go off almost from no cause into fainting; from a close room, from excitement, from any disturbance; sometimes cramps come on, but more especially fainting.

They are subject to stitching pains from the bone to the surface; that is, from within out. The periosteum, becomes irritated, and glands become swollen.

Syphilis sometimes produces this kind of condition. Vascular disturbances in the body; periostitis, necrosis, induration of glands, nerve syphilis and head pains. in old syphilitics with this kind of venous face, subject to bleeding, ulcers turn black or become purple. In this there is a similarity to Lachesis.

Old scars turn purple, threaten to suppurate, take! on a venous aspect, become painful and turn black. Ulcers form at the site of old scars in old syphilitic patients and sometimes in psoric patients. Most complaints come on during rest and are better by slow motion.

There is another grand feature running through this remedy; it is full of discharges, catarrhal discharges, discharges from ulcers, watery discharges from different places and even watery stool; and all these discharges are horribly offensive and ichorous.

Deep, flat ulcers from bone and periosteal affections give out a watery, bloody discharge that is horribly offensive, with pains shooting outwards. Get the idea of the venous stasis well fixed in your mind and with this syphilitic state added to it.

There are many pains running through the remedy and they are night pains like those of syphilis, nightly bone pains, and pains in the periosteum.

The ulcers are deep, with bluish edges. Varicose veins surround the ulcers. Inflammation of the bone and periosteum, with blueness all around the ulcers.

When there has been an inflammatory condition of the periosteum, somewhat passive in character, the skin adheres to the bone, glues down to it by adhesion. It is too feeble to ulcerate, it does not get up a likely inflammation, but only a passive state, The glands all over the body are hot and throbbing, with shooting, jerking pains, in syphilis or old psoric and scrofulous complaints.

The bone pains that are felt in the head are sometimes very distressing. Old syphilitic bone pains in the head, stitching, penetrating. It seems where there are lumps and nodules, about the head, this medicine seems to burry things. Shooting, stitching, tearing pains, under left frontal eminence.

This stitching pain is sometimes described as if a nail or plug were driven into the head. These nervous headaches are syphilitic hysterical or scrofulous; hysterical pains described as rending, tearing, stitching.

All over the head there is stitching pain, but in the frontal eminence, in the temples, there is a sensation as if a nail or plug were driven in, and most of the pains seem to bore, as if they extended from the bone to the surface, and hence are said to be from within out.

It is useful in old syphilitics who are subject to eye complaints, ulcers on the eyeball, ulcers on the cornea, ameliorated in the open air, with a sensation of numbness in the eyes; inflammation of the iris, with ragged appearance of the iris; they are subject also to severe, sharp stitching pains that come from within out.

The remedy is full of burning, and so the eyeballs burn, better in the open air. Iritis, but the inflammation sometimes involves the choroid, the retina, and mucous membrane, making a general inflammatory condition of syphilitic character.

There are tearing pains in various places around the eyes; sticking, stitching pains, worse at night. Ulcers, with stitching pains, worse at night. Burning. stitching in the eyes with dryness, so that the lids stick to the balls of the eyes, pain worse at night.

There is a misty appearance before the eyes, dullness as if looking through a fog. It also seems as if the atmosphere were filled with little floating black flies.

"Muscae volantes."

You have looked into the air and seen little gnats and mosquitoes; well it appears to these patients as if these were there when they are not there. The discharge from the eyes is ichorous, bloody and often offensive.

This same syphilitic miasm may attack the car and the bones of the car. These bones may decay and the hearing be lost.

"Burning in the ear with discharge of foetid pus."

Stitching pains in the ears from within out.

A horribly offensive discharge comes from the nose; ulcers high up in the nose; caries of the bones of the nose; syphilitic ozoena. Putrid old catarrhs.

"Feeling as if the nose stopped high up, as if he could not breathe through it, with fullness of the head, when riding in a carriage." (Aurum, Aurum mur.)

Numbness is a great feature of this remedy, numbness of the scalp, or deep in the head; numbness here and there; numb, dead feeling associated with the pain; numbness after pain; often numbness after sleep.

Other nervous manifestations occur besides those that are hysterical. It has choreic motions. You would expect such a peculiar nervous constitution to have almost everything among its nervous symptoms.

"Constantly chewing and working frothy slime out of mouth, with swollen tongue."

"Speech unintelligible."

"Grinding of teeth; starting at night."

Swelling of the lips, and of the whole buccal mucous membrane, especially the lower lip, with burning in the mouth.

There are syphilitic symptoms in the throat, attended with the usual burning, darting, stitching in ulcers; pain when swallowing; a sensation of a ball rising in the throat, such as occurs in globus hystericus; choking, must constantly swallow.

Hysterical and choreic affections of the oesophagus and trachea. Spasms of the oesophagus. This lump in the throat, or suffocation, is a sort of hysterical spasm of the oesophagus.

"Dryness and burning in the oesophagus."

In the stomach troubles, if you have ever seen a typical case of Asa foetida, you will wonder where all the air comes from; it comes up in volumes.

"Hiccough-like contractions of the diaphragm."

Choreic jerkings of the diaphragm, with expulsion of wind like the sound of a pop-gun going off almost every second. It is a condition that the patient has no control over; It is like the shooting off of little, guns forcing loud belching, loud eructations of wind from the stomach.

There are a few symptoms mentioned in the text just here that are worthy of note.

"Pulsation in pit of stomach; perceptible to sight and touch."

"Pressing, cutting, stitching pains."

A queer observation has been made that flatus was not passed downward, but all upwards.

"Eructations; smelling like garlic; tasting rancid, sharp or putrid."

Always horribly offensive. Offensiveness is a characteristic of the remedy. And then there is a

"gone empty feeling in the pit of the stomach," not a pain.

"Pulsations after eating."

"Meteorism of the stomach."

The remedy has many gastric and abdominal complaints; full of bellyache; stitching pains, colic. The diarrhoea is more or less troublesome.

These patients are afflicted with diarrhoea from the slightest indigestion, after any indiscretion in diet, a painful watery diarrhoea.

"Liquid stools of most disgusting smell."

"Blackish-brown papescent offensive stools, which relieve."

"Bearing down in genitals, worse when riding in a carriage."

"Uterine ulcer sensitive and painful."

This medicine has been very useful in palliating uterine cancer in such constitutions as described those with purple faces, never the very pallid ones.

Women of feeble, flabby, venous constitutions are subject to hemorrhages and miscarriages. Women who are not pregnant sometimes have the breasts fill up with milk, wonderfully annoying thing, and but few remedies have it; this is one of the few.

It has also deficiency of milk.

"Ten days after delivery milk diminished."

These patients sometimes get hysterical asthma; all sorts of disturbance in breathing, dyspnoea.

"Asthmatic feeling in trachea."

"Asthmatic attacks at least once a day all her life, brought on by every bodily exertion, coition, especially by every satisfying meal."

Attacks of dyspnoea after coition, like Ambra.

"Obstinate titillating cough < at night."

Many of these complaints are worse at night; nightly aggravations. Syphilitic complaints are commonly worse at night and such anti syphilitic remedies as Mercurius, Staphysagria, Hepar, Nitric acid, etc. are all worse at night.

Among the other chest complaints, I will read a few of those that are marked here prominently and are striking ones.

"Pressure and burning of the sternum."

"Compression of chest as from a heavy weight."

"Stitches in chest."

"Single, violent stitches from within outward, at short intervals."

This remedy is full of rheumatism and gouty symptoms; gouty affections in general, in nervous constitutions.

When such a nervous constitution finally produces gouty formations, the nervousness often disappears; for it has been relieved by the deposit in the joints; a transformation scene has taken place.

Unsteady and fickle, cannot persevere in any thing; wants now one thing, then another, walks hither and thither.
Fits of great joy, with occasional burst of laughter.
Apprehension of dying.
Anxious, sadness.
Ill-humor, irritable mood.
Hysterical restlessness and anxiety.

Oversensitiveness either physical or mental.
Fainting during the height of the paroxysm, of colic.
Stupefying tension in the head mostly left side, worse afternoon or evening; sitting bent forward; after going to bed; better sitting up.

Pressure in sides of head or temples, like from a dull stick, better from touch.
Flying stitch from within outward, in the forehead, temples and sides of the head.
Sensation of swashing and gurgling behind the upper part of the frontal bone.
All the headache are worse towards evening; in the room, while at rest, sitting or lying. Better when rising or moving about in the open air.

Cold sweat on the forehead.

Mist before the eyes.
Sensation of dryness in the eyes.
Nocturnal throbbing pains in and around the eye and head. θ Syphilitic iritis.
Sharp pain extending through the eye into the head, upon touching.
Extensive superficial ulceration of the cornea, with burning, sticking or pressing pains, from within outwards; rest and pressure relieve.

Hardness of hearing, with thin, purulent discharge of offensive of odor.

Offensive discharge from the nose.
Stench from nose.
Unpainful tension over nasal bones, with numbness.
Swelling and inflammation affecting bones, with feeling as if nose would burst.

Flushes in the face.
Small tubercles in the cheeks.

Lips puffed up, lower lip and left angle most.
Drawing pains and caries of lower maxilla, with salivation.

Bluntness of the teeth.
Severe drawing in the lower incisors.
Soreness of the gums.

Greasy taste in the mouth and of the phlegm hawked up.

Saliva predominantly decreased, except in mercurial caries, when acrid salivation exists.
Burning in the mouth.

Burning followed by soreness, in the fauces.
Darting stitches, from chest upward towards œsophagus.
Tender feeling in the throat.
Sensation of a ball rising in the throat, may cause difficulty in breathing.
Dryness and burning in the œsophagus.
Sensation in the œsophagus as if the peristaltic motions were from below upwards; globus hystericus.

Desire for wine.
Great disgust for all food.
Bear tastes slimy, aversion to it.

After eating: pressure in the stomach, stitches about the lower ribs, tension in the abdomen; squirming and twisting in the bowels; great difficulty in breathing; febrile state.
After drinking; heaviness and cold feeling in the intestines; diarrhœa.

Eructations; smelling like garlic; tasting rancid, sharp or putrid.
Flatus passing upwards, none down.
Hiccough-like contractions of the diaphragm.

Pulsation in pit of stomach. 11 A.M. cause faint feeling.
Sensation of fullness in stomach.
Empty, "gone" feeling in epigastrium.
Pressing, cutting, stitching pain in spells, not regular.

Heat in the spleen and belly.
Violent pressure in scrobiculum towards liver, while sitting.
Stitches as if in diaphragm, right side.

Bellyache, as if the intestines were torn or out; places in the side sore as if raw, with it a feeling as of something rising from chest to throat; pressure relieves.
Wind colic, with abdominal pulsations; very painful distention of abdomen, rumbling; relieved by passing wind.

Watery stools of disgusting odor; discharge profuse and greenish.
Very offensive diarrhœa, with colic; discharge of fetid flatus.
Obstinate constipation, with abdominal and hemorrhoidal cramps.
Only slime passes, no feces.

Brown and of pungent odor.
Spasms in the bladder, during and after urination.

Needle-like stitches in the penis.
Drawing in the glans, more during the afternoon.

Excited sexual desire.
Menses, too frequent, too scanty and last but a short time.
Labor-like pains in uterine region, with cutting and bearing down.
Bearing down in genitals, worse when riding in carriage.
Uterine ulcer, sensitive and painful.
Leucorrhœa profuse, greenish, thin and offensive.
Swelling and inflammation of the genitals.

Mammæ turgid with milk, like in the ninth month; without being pregnant.
Deficiency of milk, with oversensitiveness.

Voice weaker, hoarse.
Spasms of glottis, alternating with contraction of fingers and toes.

Spasmodic tightness of the chest as if the lungs could not be fully expanded.
Constriction of chest, extending to the throat; hurried breathing.

Irritation to dry cough.
Cough on gaping.
Whooping-cough, even of sucklings sounding like croup; rattling breathing, anxious and restless, chest and abdomen hot, urine pale.
Hoarse, ringing, short cough, excited by tickling in the trachea, with asthmatic feeling therein; spasmodic contraction of thorax and accumulation of stringy mucus.

Pressure and burning under sternum often with cough.
Compression of chest, as from a heavy weight.
Pressing stitches in the chest.
Burning in chest, runs through both arms, through lower limbs down into toes.
Single violent stitches from within outwards, at short intervals; renewed when the chest is touched.

Nervous palpitation, with small pulse; from overexertion or suppression of discharges (in women).
Pulse: unchanged; unequal; generally very much accelerated, but small.
Pressure in region of heart as if heart was too full and expanded, pulse small.

Drawing downwards, in the left side of neck, on motion.
Stitches in the muscles of the back.
Dull pains, or drawing and cutting below the scapulæ.
Burning along the vertebræ, to the left side.
Aching inwardly, along the last dorsal and first lumbar vertebræ.

Quivering in the shoulder-joint; in deltoid muscle.
Stitches and jerking in the upper arm.
Drawing pain along the upper arm down to the elbow, a fine stitch in the elbow.
Tearing in the forearm down to the tips of the fingers.
When moving the fingers, pain in the forearm.
Tearing stitches followed by burning in the right forearm.
Scraping sensation on the styloid process of the ulna.

Psoasitis if suppuration seems impending.
Caries of the tibia.
Swelling around the ankle, cannot use the foot.
Sticking sensation on the ball of the great toe when putting the foot to the ground.
Pain as if a splinter of bone was sticking in the right fibula just above the outer malleolus. θ After a sprain.

Twitching of muscles of arms and legs.
Pain mostly on the flexor sides of the limbs.

Rest: 3, 5. Motion: 31. Sitting: 3, 18. Sitting up: 2. Sitting bent forward: 2. Lying: 3. After lying down : 2. Rising: 3.
Constant change of position.

Hysteria, with much trouble about throat or œsophagus.
Twitching and jerking of the muscles.
Chorea.
Clumsiness of the body.

Inclined to sleep.
Sleeplessness at midnight.
About midnight violent pains through left half of body.

About 11 A.M.: 17. Afternoon: 2, 22, 40. From 3 to 4 P.M.: 40. Evening: 2, 3. Night: 43. Dark till 2 A.M.: neuralgia. Midnight and afternoon: 37.

Worse in-doors, better out-doors.
Desires for open air.
Room: 3. Open air: 3.

Crawls run over back, in afternoon.
Chill, coldness and dryness of the skin; also in caries, etc.
Every day between 3 and 4 P.M., coldness and trembling, with unbearable stitches in the head.
Heat in the face, after dinner, with anxiety and sleepiness, without thirst.
Occasional cold, most skin.

Intermittent pinching pain in ulcers.

Right: 18, 32, 33. Left: 2, 31, 37. Within outward: 3, 5, 28. Below upwards: 13, 16, 19, 26, 32. Above downwards: 28, 31, 32.

Numbness with the pains.
Burning or pressing, piercing pain in the muscles.
Crushing pains, worse at night.
Great heaviness of the whole body.
Pain like from splinters.

Glands hard, swollen, hot and throbbing, with shooting-jerking pains.
Neuralgia of the stump after amputation of the thigh.
Ostitis, caries, bluish redness and swelling of the parts.
Ulcers with bluish edges, hard, painful to the slightest touch; transparent and thin, very offensive and ichorous pus.
Soft enlargement of bones, also curvature.
Body bloated.

Touch: 3, 28, 46. Pressure: 5, 19.
Riding in carriage: 23.

Ulcers, with high, hard edges, bluish, etc., sensitive to touch, easily bleeding; pus profuse, greenish, thin, offensive, over ichorous.
Shooting pain around the ulcer.
Ulcers grow black.
Old scars break open and turn black.

Phlegmatic temperament.
Scrofulous, bloated, clumsy children.
Venous, hemorrhoidal constitution.
Nervous people.
Syphilitic patients who have taken much mercury.

Cognates: Aurum (bone diseases; iritis, etc.); Arg. nitr.; Ammoniacum (family relation); Castor., Cinchon., Caustic., Conium (family relation); Hepar (sensitive around ulcers, faint with pains) Ignat. (hysteria), Mercur. (syphilis); Moschus (hysteria, spasm of lungs, fainting, etc.); Pulsat.; Thuja; Valer.
Antidotes to Asaf.: Pulsat., Caustic., Camphor, Cinchon., Mercur., Valer.
If Asaf. has been abused in large doses electricity may be useful.

A tincture (solution) is made of the gum-resin obtained from Narthex Asafœtida, Falc., a plant of the natural order Umbelliferæ.

Most marked on the nervous system, producing effects like hysteria and chorea. ▶ Especially valuable in globus hystericus and flatulence.

Con., Puls., Croc., Mezer., Cinnab., Nit. ac.

Hæmorrhages. ▶ Trembling over whole body, with cold skin and small, weak pulse. ▶ Stitches; in tips of toes, in skin of right axilla, on right cheek; fine, superficial here and there, so that he must rub. ▶ A good night's sleep was followed in morning by oppression of chest, quick breathing and beating of pulse and heart, distention of abdomen, then aching in stomach, all amel. stools partly solid, partly papescent, dark brownish and blackish, smelling of the drug, also the rheumatic pains in back of head extending to arms and drawing, rending pain back of neck, were amel. after the stools.

Pain in left chest, in elbows, below left scapula, in hands, shoulders. ▶ Pressing in joints of right hand and in right temple at 6 A.M. on waking, with pressing in nape of neck. ▶ After rising pressure in forehead, drawing in muscles of right forearm, in muscles of left cheek, pressure in right tibia and left calf, and drawing and pressing in different places in forehead. ▶ Pains return frequently and jump from one place to another. ▶ Drawing aching below edge of left ribs when walking and in muscles of scapulæ. ▶ Drawing in muscles of scapulæ, thighs, fingers and in right cheek. ▶ Drawing in spots in skull, in feet, forearms, quickly jumping from one place to another, in wrists, on soles, in calves and temples (Puls.).

Restlessness. ▶ Heaviness in whole body. ▶ Weakness (in evening, then very sound sleep); in evening, with sleepiness; on motion; with limps sinking down heavy and relaxed and vertigo. ▶ Pains appeared when walking, but were agg. when sitting. ▶ Pains amel. towards 9 P.M. ▶ Pains appear less frequently towards evening. ▶ Symptoms disappear in evening, except distention of abdomen. ▶ Relieved by emission of offensive flatus.

It has been found useful in various forms of destructive syphilitic processes, deep ulceration, caries of the bones, especially of the tibia; in these cases the characteristic indications are the terrible throbbing pains at night, with extreme sensitiveness of the affected part. ▶ It has been used for various forms of hysteria, with extreme sensitiveness to external impressions. ▶ Hysterical spasms, with suppression of habitual discharges. ▶ Hystero-epilepsy.

Ill humor and dislike for work. ▶ Irritable, yet indifferent to everything. ▶ Fretful and apprehensive mood, which seems to arise from abdomen.

Stitches. ▶ Aching; in brain; in joints and bones during night when waking and in morning; on small places; with heaviness; with heat and confusion when sitting and reading; alternately increasing and decreasing; extending to eyes and nose; A. like an emptiness. ▶ Vertigo. ▶ Drawing in skull. ▶ Heaviness; with fulness and confusion, then aching over whole brain. ▶ Fulness; after waking, which gradually changed to periodical pains, lasting into next night. ▶ Rush of blood, with warmth of face and headache. ▶ Tension in brain; stupefying tension in head, agg. left side. ▶ Confusion; with stitches in forehead and temples; with pressure in temples; with aching and sensation as if a string were drawn across brain; changing gradually to a pain as if the whole brain were compressed, with vertigo, heat of skin and quickness of pulse; making thought difficult. ▶ Weakness.

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Pronounced on the nervous system, producing symptoms like hysteria and chorea (globus hystericus, flatulence, etc.).
Experiments on healthy persons, with large doses, have proved very uncertain.

Twitchings and tremblings of muscles in various parts of the body.
Intermittent shooting pains from within outward, relieved by touch, but not affected by changes of position.
General heaviness of the body.
Adapted to hysterical, nervous people, particularly with symptoms of chorea.
It has been found useful for various forms of syphilitic destruction of bones, particularly of the tibia, characterized by throbbing pains at night and some sensitiveness of the inflamed part.
In general, there is extreme sensitiveness to external impression.

Great excitability and sensitiveness, yet with complete indifference to everything.
Hypochondriac or hysterical restlessness and anxiety.
Changeable mood.

General rush of blood to the head and throbbing.
Pressing down in the sides of the head from within outward.
Similar pains in the temples and forehead.
Pains in the sides of the head, as from a penetrating plug.

Dryness.
Burning in the eyeballs and pain pressing outward.
Pressure on the margin of the left orbit.
Dragging pains in the bones and supra-orbital region.
(Boring pains through the orbits, or throbbing pains at night > by pressure and by rest, indicate this a remedy for neuralgia and also for syphilitic iritis and other inflammations within the eyeball.)

Pressure as though the nose would burst.
(Bones swollen and inflamed. Offensive purulent discharge from the nose.)

A tense, numb feeling in the malar bones and bones of the face.
Oppressive, numb feeling in the chin.

Extreme dryness of the mouth, and burning, extending into the throat.

A hysterical rising, as if a ball or some body rose up the œsophagus to the throat, constantly obliging one to swallow, which affords temporary relief.
Spasmodic contractions of the œsophagus; a feeling as if peristaltic motions were reversed.

A feeling of pressure after eating.
A feeling of distention.
Pulsating in the pit of the stomach.
Indigestion caused by fat food.

Distention of the abdomen.
Griping and great flatulence.
Pressing pains in the region of the liver.
Sticking pains from within outward in the sides of the abdomen.
Abdominal muscles contracted into a ball.
Flatulent colic.

Pain in rectum like a dull pressing outward.
Ineffectual urging to stool.
Diarrhœa watery, brown, offensive, with a great deal of gas, affording general relief.

Urine brown, of a pungent odor.
Spasmodic contraction of the bladder during and after urinating.

Bearing down pains in the uterus.
Swelling of the external genitals.

A spasmodic tightness of the chest, as though the lungs could not be expanded.
Respiration oppressed, rapid, with small pulse.

Palpitation like a trembling.
Pulse small, quick and irregular.

Stitches in the scapulæ, muscles of the back and loins.

Twitchings.
Painful throbbing in the great toes.
(Caries of the tibia.)

Creeping chills over the body.
Flushes of heat in the face, without thirst, but with anxiety and sleepiness.

Asa. / Asia / Asa.

Asafoetida- So tender,
In the nerve, and on the bone,
Is by fetor, and offender,
As by sore and fluxion shown:
And when on hysteric bender
Chokes, with globus, fitly done.

Asa,- Has Decay of Bone.

Asa Pho-The, the rich Florentine, is lame and uses a staff.

This Asa,- Who is subject to fetid secretions,- Is in the Car, joking with Echi Kip, the baptist.

Bone Decay: Asa., Pho., Therid., Aur., Flu. a., Cal. f., Lyc., Mer., Sil., Sul., Stap.

Fetid Secretions: Asa., Carb. v., Arg. n., Kreo., Echina., Kal. p., Bap.

Indicated in complaints with great gastric flatulency and nervous excitability. Especially useful in the treatment of hysterical cases, suffering much from gastric flatulency and resulting palpitation of the heart. Important also in syphilitic affections, especially of the nones, with pronounced sensitiveness and night-pains.

Globus hystericus.

Discharge of fetid, green, purulent matter from nose and ears.

Great sensitiveness and aching in the bones; periosteal swelling and pain.

Fatty taste; loathing of food; nausea.

Great difficulty in bringing up gas from the stomach; conscious that the eructations of flatus would relieve.

Great oppression in chest and about the heart, with prompt relief from belching gas.

Ulcers on wrist, hands, forearm, near the bone, with thin, ichorous discharge, better from being rubbed.

Darting, throbbing, tearing pains, from within outward.

Worse on the left side (ear, neck, abdomen, extremities).

Better in the open air; from belching gas; from motion.

Very excitable and sensitive disposition with indifference to everything. Hypochondriacal and hysterical restlessness and anxiety. Vacillating mood, and inconstancy.

Congestion to, with throbbing. Fleeting stitching in forehead, sides or temples, which jerk outward thro' head. Pressure as of a dull instrument or plug in side and temples. Outward pressure, with pressing over eyes as if sleepy. Stupefying tension, most in left side. Worse: Afternoon and evening, rest, in room, after lying down, sitting bent. Better: Walking in open air: raising up, touch.

Burning in balls, also extending from within outward. Dry feeling in.

Difficult hearing with suppuration of.

Pressure in, as if it would burst. (Ham'.) Sense of numbness in bridge of. Offensive, purulent discharge from.

Sense of tensive numbness in bones of. Pressive numb feeling in chin.

Dryness and burning in, and in pharynx. Sensation of a body ascending into throat.

Pressure in, after eating. Feeling of fullness in region of. Pulsation in pit of. Disordered, after fat food.

Hypochondria: Pressure or sticking pains from within outward in liver.

Eructations: Acrid, rancid, as after fat food.

Sticking pain from within outward in sides of.

Flatulence: Pinching flatulent colic. Much stinking flatus.

Ineffectual urging to. Foul smelling diarrhoea with bellyache and discharge of stinking flatus.

Brown acrid smelling. Spasm of bladder during and after urination.

Compression of chest with rapid breathing and a small pulse. Spasmodic tightness of chest, as if lungs could not be sufficiently expanded.

Pressure, with difficult respiration. Throbbing in. Sticking from within outward in. Palpitation.

Sticking in scapulae, muscles of back and loins.

Twitching of muscles of arms and hands.

Twitching of muscles of legs and feet. Swollen ankles. Sticking and throbbing in great toe.

Jumping and quivering of muscles in many parts (Phel.) Continued dull sticking pains from within outward. Lancinating pains and lancinating burning pains. Intermittent pains. Puffiness and heaviness of body. Chorea. Hysterical attacks. Most of the pains are associated parts. Great sensitiveness to touch. The pains are ameliorated or change place from touch, but on the other hand are not affected by a change of position (sang.)

Painful osteitis. Softening and curvature of (rachitis). Interstitial distension of. Caries with thin, ichorous, fetid pus.

Hot, dark - red swelling of single parts. External inflammations with inclination to suppuration. Gangrenous ulcers with unhealthy pus and painful areolae.

Unusually great desire for.

Pulse: Small, but greatly accelerated and irregular. Chill: Coldness and dry skin. In afternoon, shouldering running over body, especially over back.

Heat: Of face after dinner, with anxiety and sleepiness, but without thirst. Sweat: Entirely wanting, only seldom a somewhat cold moisture on skin.

Allied Remedies: Arg-n., Aur., Caust., CHIN., Men., MERC., Nit-ac., Phos-ac., Plat., Puls. Sep.

Twitching and jerking in the muscles.

Pricking, stinging, and darting pain, which is periodic from within outwards, by touch relieved or changed.

Sense of rigor.

Body heavy and bloated.

Pains on the inside of the joints of the limbs.

Dark, red, and hot swellings.

Hysterical attacks.

St. Vitus's dance.

Swelling of the glands.

Painful inflammation of the bones.

Caries, with thin offensive pus (tibia).

Many symptoms appear while sitting, and are relieved in open air.