Baptisia Tinctoria bapt.

Boger's Synoptic Key — Materia Medica

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

Region

BLOOD. Mind. Nerves. Mucous membranes: Digestive tract. Left side.

Worse

Humid heat. Fogs. In room. Pressure. On awaking.

General

SORE, HEAVY, ACHING MUSCLES; gall-bladder, heart, etc WITH RAPID PROSTRATION; the bed is too hard, yet he feels too sick to move. Dark; mucous membranes, exudates, hæmorrhage, stools, spots in body, etc. Brown; sordes, stripe down center of tongue, stool, menses, etc. FOUL; odor of body; excretions, stool, sweat, etc. Grippe. Zymoses. Sepsis. Typhoid states. Bed sores, etc. Insensible to pain. Restless mind but lifeless body. Bewildered. Thick speech. Sensation as of a blow on occiput. Dull, drowsy, besotted look. SENSE OF DUALITY; PARTS FEEL SCATTERED ABOUT, SEPARATED, numb or too large. Dull and confused. Falls asleep while answering or does not complete his sentence. Eyes feel swelled. DUSKY, SODDEN, BESOTTED, STUPID COUNTENANCE. Dark red, tumid mouth and throat. Throat, numb inside but sensitive outside. Fetor oris. Tongue cracked, bleeds, feels thick or is heavily coated. Viscid saliva. Aphthæ. Ragged ulcers in throat. Can't swallow solids. Spasm of gullet. Easy vomiting. Diarrhœa; sudden; horribly foul, mushy, painless, dark or slaty. Symptoms radiate from small of back. Dyspnœa from weakness in chest. Air hunger; on waking, > standing. Bronchial asthma. Drowsy, stupid and languid; slides down in bed and lower jaw drops (Mur-ac.). Hyperpyrexia. Livid spots on body. Uræmia.

Related

Related: Arn. Gel. Hyo. Lach. Mur-ac. Op. Rhus-t.

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

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

Keynote

For the lymphatic temperament. Great prostration, with disposition to decomposition of fluids (Pyr.); ulceration of mucous membranes. All exhalations and discharges fetid, especially in typhoid or other acute disease; breath, stool, urine, perspiration, ulcers (Psor., Pyr.). Aversion to mental exertion; indisposed, or want of power to think. Perfect indifference, don't care to do anything, inability ot fix the mind to work. Stupor; falls asleep while being spoken to or in the midst of his answer (when spoken to, answers correctly, but delirium returns at once, Arn.). Tongue: at first coated white with red papillae; dry and yellow-brown in center; later dry, cracked, ulcerated. Face flushed, dusky, dark-red, with a stupid, besotted drunken expression (Gels.). Can swallow liquids only (Bar. c.); least solid food gags (can swallow liquids only, but has aversion to them, Sil.). Painless sore throat; tonsils, soft palate and parotids dark red, swollen; putrid, offensive discharge (Diph.). Dysentry of old people; diarrhoea of children, especially when very offensive (Carbo v., Pod., Psor.). Cannot go to sleep because she cannot get herself together; head or body feels scattered about the bed; tosses about to get the pieces together; thought she was three persons, could not keep them covered (Petr.). In whatever position the patient lies, the parts rested upon feel sore and bruised (Pyr. - compare, Arn., Pyr.). Decubitus in typhoid (Arn., Mur. ac., Pyr.).

Relations

Similar: to, Arn., Ars., Bry., Gels., in the early stages of fever with malaise, nervousness, flushed face, drowsiness, and muscular soreness. When Ars. has been properly given or too often repeated in typhoid or typhus. After Baptisia: Crot., Ham., Nit. ac. and Tereb. act well in haemorrhage of typhoid and typhus.

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)

Mental

Gloomy, unhappy state of mind. Imagines he is in pieces, and scattered about the bed, vainly attempting to get himself together.

Head

Heavy feeling in, as if could not sit up, causing a wild feeling; aggravated by noise.

Ears

Dulness of hearing.

Mouth

Ulcers in the mouth. with salivation. Centre of tongue coated yellow, with bitter taste; dryness of mouth and tongue. Stomatitis materna; in feeble women with offensive breath.

Throat

Diphtheria, with fetid breath and ulceration of the mouth; great prostration.

Gastric

Gone, empty or sinking sensation in the stomach. Vomits if a little hard substance is felt in fauces.

Abdomen

Fulness of, with borborygmus and diarrhœa; uncomfortable sensation in, as if it would be a relief to vomit.

Liver

Congestion of, during typhoid.

Stools

Frequent, small, offensive, acrid. Dysentery with low typhoid fever.

Sexual

Female: Fetid lochia with much prostration.

Chest

Tightness of; too weak to breathe.

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

Delirious stupor, falls asleep while answering a question or being spoken to. Body feels scattered about, tosses around to get the pieces together. cannot sleep because he cannot get the pieces together. Head feels large and heavy, with numbness of head and face. Confusion of mind as if drunk, wild wandering feeling. Face Rushed hot and dusky, or dark red with a besotted expression. Tongue white with reddish papillae, followed by yellow brown coating in centre, edges dark red and shining. or dry and brown down the centre, cracked, sore and ulcerated. Fauces dark red, dark putrid ulcers, tonsils and parotids swollen, can only swallow water, no pain, but great prostration. Offensive dark brown mucous or bloody stools, with typhoid tendency. Difficult breathing, the lunge feel tight and compressed, must have fresh air. Feels as if lying on a board, must change position, the bed feels so hard. Indescribable sick feeling all over, feels weak, tired and bruised.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Wild Indigo (BAPTISIA)

General

The symptoms of this drug are of an asthenic type, simulating low fevers, septic conditions of the blood, malarial poisoning and extreme prostration. Indescribable sick feeling. Great muscular soreness and putrid phenomena always are present. All the secretions are offensive-breath, stool, urine, sweat, etc. Epidemic influenza. Chronic intestinal toxæmias of children with fetid stools and eructations.

Baptisia in low dilutions produces a form of anti-bodies to the bac typhosus, viz, the agglutinins (Mellon). Thus it raises the natural bodily resistance to the invasion of the bacillary intoxication, which produces the typhoid syndrome. Typhoid carriers. After inoculation with anti-typhoid serum. Intermittent pulse, especially in the aged.

Mind

Wild, wandering feeling. Inability to think. Mental confusion. Ideas confused. Illusion of divided personality. Thinks he is broken or double, and tosses about the bed trying to get pieces together (Cajeput). Delirium, wandering, muttering. Perfect indifference. Falls asleep while being spoken to. Melancholia, with stupor.

Head

Confused, swimming feeling. Vertigo; pressure at root of nose. Skin of forehead feels tight; seems drawn to back of head. Feels too large, heavy, numb. Soreness of eyeballs. Brain feels sore. Stupor; falls asleep while spoken to. Early deafness in typhoid conditions. Eyelids heavy.

Face

Besotted look. Dark red. Pain at root of nose. Muscles of jaw rigid.

Mouth

Taste flat, bitter. Teeth and gums sore, ulcerated. Breath fetid. Tongue feels burned; yellowish-brown; edges red and shining. Dry and brown in center, with dry and glistening edges; surface cracked and sore. Can swallow liquids only; least solid food gags.

Throat

Dark redness of tonsils and soft palate. Constriction, contraction of œsophagus (Cajeput). Great difficulty in swallowing solid food. Painless sore throat, and offensive discharge. Contraction at cardiac orifice.

Stomach

Can swallow only liquids, vomiting due to spasm of œsophagus. Gastric fever. No appetite. Constant desire for water. Sinking feeling at stomach. Pain in epigastric region. Feeling of hard substance (Abies nig). All symptoms worse from beer (Kali bich). Cardiac orifice contracted convulsively and ulcerative inflammation of stomach and bowels.

Abdomen

Right side markedly affected. Distended and rumbling. Soreness over region of gall-bladder, with diarrhœa. Stools very offensive, thin, dark, bloody. Soreness of abdomen, in region of liver. Dysentery of old people.

Female

Threatened miscarriage from mental depression, shock, watching, low fevers. Menses too early, too profuse. Lochia acrid, fetid. Puerperal fever.

Respiratory

Lungs feel compressed, breathing difficult; seeks open window. Fears going to sleep on account of nightmare and sense of suffocation. Constriction of chest.

Back and Extremities

Neck tired. Stiffness and pain, aching and drawing in arms and legs. Pain in sacrum, around hips and legs. Sore and bruised. Decubitus.

Sleep

Sleepless and restless. Nightmare and frightful dreams. Cannot get herself together, feels scattered about bed. Falls asleep while answering a question.

Skin

Livid spots all over body and limbs. Burning and heat in skin (Arsenic). Putrid ulcers with stupor, low delirium and prostration.

Fever

Chill, with rheumatic pains and soreness all over body. Heat all over, with occasional chills. Chill about 11 am.Adynamic fevers. Typhus fever. Shipboard fever.

Modalities

Worse; Humid heat; fog; indoors.

Relationship

Compare: Bryonia and Arsenic may be needed to complete the favorable reaction. Ailanthus differs, being more painful. Baptisia more painless. Rhus; Muriat acid; Arsenic; Bryon; Arnica; Echinac. Pyrogen.

Baptisia confusia (Pain in right jaw and oppression in left hypochondrium, producing dyspnœa and necessity to assume erect position).

Dose

Tincture, to twelfth attenuation. Has rather short action.

Leaders in Homoeopathic Therapeutics

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

Leaders

Mind confused; as if drunk; cannot collect himself; feels scattered about, cannot get pieces together.

Face dark, dusky; eyes bleared, besotted expression.

Mouth ulcerated, with foul smell; or, dry, tongue dry in a streak down the centre.

Abdomen sensitive in right iliac region, with rumbling.

Stool loose, and urine with all other discharges; very offensive.

Awakes with oppressed feeling, must have more air.

Great prostration with aching and soreness all over. Great typhoid remedy.

Can swallow liquids only; least solid food gags.

In whatever position the patient lies the parts rested upon feel sore and bruised. (Lach., Pyr.).

Baptisia tinctoria will quite naturally come in here, as it is often indicated after the Gelsemium stage is over in fevers. Typhoid fever can be aborted under proper homœopathic treatment, no matter what the old school says to the contrary. I have had but one case of typhoid fever run its full course in seven years, and that was a case of a young lady whose mother tried to treat her, until the disease was fully established. The symptoms indicating Baptisia are, in the first stage, great nervousness, chilliness, aching pains all over, but especially in head, back and limbs, and a sensation of soreness all over; feels as if bruised. Then the patient grows weak, prostrated, drowsy, becomes confused, the face and eyes suffused so as to give it a "besotted appearance"; the sensorium is so blunted that the patient falls asleep even before he can answer a question, or while he is in the middle of an answer. Then the tongue becomes streaked down the middle, at first white, even becomes brown in a well-defined streak down the middle, and as he comes more fully under the typhoid influence he mutters and reaches about the bed, tossing to and fro, and if he says anything he says he feels "scattered around the bed and is trying to get the pieces together." Now the bowels begin to rumble, especially in the ilio-cæcal region, which is also sensitive to touch; later still the bowels begin to discharge, and all the discharges (stool, urine and sweat) are extremely offensive. This is a true picture of a Baptisia typhoid, and I have aborted in the first stage many cases and even checked their progress (in other cases) and cured them when they had been running eight to twelve days. I have used both the low and high preparations with equal success, but now use the 30th potency.

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

Wild Indigo (United States of America.) N. O. Leguminosæ. Tincture of fresh root and its bark.

Clinical

Abortion, threatened. Apoplexy. Appendicitis. Biliousness. Brain softening. Cancer. Consumption . Diphtheria. Dysentery. Enteric fever . Eye, affections of. Gall-bladder, affections of. Gastric fever. Headache, bilious. Hectic fever . Hysteria. Influenza . Mumps. Œsophagus, stricture of. Plague. Relapsing fever . Sewer gas-poisoning . Shivering. Stomatitis. Tabes mesenterica. Tinea capitis. Tongue ulcerated . Typhus. Variola. Worms .

Characteristics

Baptisia has gained its greatest reputation as a remedy in typhoid fever, to the symptoms of which its pathogenesis strikingly corresponds. But it is only when it is used strictly in accordance with its symptoms that it will give successful results. When given as a matter of routine there are sure to be failures. Another disease in which it has proved specific in a large number of cases is epidemic influenza. The besotted countenance, bleary eyes, aching head, sore throat, pains and soreness all over the body, and profound prostration which are present in all typical cases indicate Baptisia before any other remedy.

Among the chief symptoms of the remedy are the following: Stupor, falls asleep whilst being spoken to, confused as if drunk. Cannot keep his mind together, a wild wandering feeling. This scattered feeling is further exemplified in the illusion that the body is double; limbs separated and conversing with each other; can't sleep because body seems scattered about and cannot collect pieces. There is a dull heavy sensation in head with drowsiness and heavy eyelids. The head feels large, with a numb feeling of head and face. Bruised headache; soreness as if in brain; bruised feeling in occiput; heavy feeling at base of brain with drawing in cervical muscles. Frontal headache with pressure at root of nose. The neck is tired, cannot hold head easy in any position. The eyes cannot bear light; burn; are weak; painful on reading. Weight on eyes; eyeballs sore, lame on moving. Blear-eyed. Lids partially paralysed. An illusion of smell "as of burnt feathers" has been caused and cured by it. Pain in left parotid gland. Flat, bitter taste. Tongue swollen; feels numb; speech difficult. Is coated whitish yellow, and feels burnt or scalded. Dry, parched, brown centre; cracked and ulcerated. Canker sores in mouth. Ulcerations. The sore-mouth of sucklings. Painlessness is a feature in the sore throat; putrid, painless, dark ulcers. Œsophagus feels constricted down to stomach; can only swallow liquids; cases of convulsive contraction of œsophagus and cardiac orifice, with regurgitation of food, have been cured by it. In one case, that of an old man, food could be swallowed and retained some days, but not on others. He had always liked very hot food. The œsophagus was red and granular. Bapt . 12 cured. Nausea, retching and vomiting. Sinking, gone feeling. Pain in liver; and especially in gall-bladder; in spleen; in right iliac region; in groins; glands swollen. Soreness of abdominal muscles and right iliac region. Fetid exhausting diarrhœa; dysentery in autumn or hot weather. Worms. The urine is high-coloured, scanty, alkaline, fetid. Orchitis, squeezed pain in testes. Hale considers it specific in threatened miscarriage from mental depression, shock of bad news, watching, fasting, or low fever. Patients in these conditions often complain of "dreadful sinking at the stomach," fetid breath and other symptoms of Baptisia . Many cases of phthisis are relieved by this remedy when the symptom and type of fever correspond. Lumbar backache. Feels as if lying on a board. Pain in sacrum. Weakness of lower limbs. Left foot much prickling and numbness. Numbness and soreness are very general in Baptisia patients. It has cured hysteria with prostration, numbness and fear of paralysis, wanted to die, rubbed hands continually, restlessness. The bed feels hard. There is excessive drowsiness. < On waking; < walking; < open air; < cold wind; < autumn or hot weather.

Relations

Compare: Arn., Arsen., Bry.; Gels. (malaise, nervousness, flushed face, drowsiness, and muscular soreness); Ecchin. angust., Hyo., Kali mur., Lach., Mur. ac. and Nit. ac. (typhoid); Nux v., Op., Rhus t. Follows well: Ars. is followed well by: Tereb., Nit. ac., Ham. Silic has, like Bap., ability to swallow only liquids (like milk), but unlike Bap., Silic has aversion to milk. Ecchinacea angustifolia is perhaps its nearest analogue.

Mind

Stupor; falls asleep while being spoken to, or answering; heavy sleep till aroused; awakes only to again fall asleep in the midst of his answer, which he vainly endeavours to finish. ─ Indisposed to think, want of power; mind seems weak, confused, as if drunk. ─ Cannot confine his mind: a sort of wild, wandering feeling. ─ Gloomy, unhappy state of mind. ─ Body feels scattered about, tosses around to get the pieces together; cannot sleep because he cannot get pieces together. ─ Mind wanders as soon as the eyes are closed. ─ Mentally restless but too lifeless to move. ─ Indisposed to think; inability to memorise. ─ < When thinking of pains in various parts of body.

Head

Vertigo, and weak feeling of entire system, esp. lower limbs and knees. ─ Vertigo, with paralysis of eyelids. ─ Peculiar feeling in head, which is never felt except during fever, excitement of brain such as precedes delirium. ─ Dull, heavy pressive headache. ─ Frontal headache, with pressure at root of nose; with feeling of fulness and tightness of whole head. ─ Head feels large and heavy, with numbness of head and face. ─ Sharp darts of pain in supraorbital nerve at foramen. ─ Frequent sharp pains by spells in r. and l. temple. ─ Soreness in the brain, worse on stooping. ─ Top of head feels as if it would fly off. ─ Dull, bruised feeling in occiput. ─ Skin of forehead feels tight. ─ Scalp feels sore. ─ Sensation as if head swelling. ─ Neck feels so tired she cannot hold her head easy in any position.

Eyes

Cannot bear light eyes burn but do not water. ─ Feeling as if eyes would be pressed into head eyeballs feel sore, with great confusion of sight; cannot place anything until after looking at it a few seconds; everything appears to move. ─ Severe pains in eyes on reading, compelling to stop. ─ Bloated feeling of eyes, glistening; disposition to have them half closed. ─ Eyeballs feel sore; sore and lame on moving them. ─ Partial paralysis of lids.

Ears

Dull hearing. ─ Delirium with almost complete deafness. ─ Slight pain in l. parotid gland.

Nose

Dull pain at root of nose; crampy sensation. ─ Sneezing and feeling as after a severe cold; slight bleeding from r. nostril of bright red blood, thick. ─ Epistaxis of dark blood. ─ Sensation of fulness; œdema of affected parts, esp. in choanæ. ─ Illusion of smell: as of burnt feathers.

Face

Face flushed, dusky, hot; dark-red, with a besotted expression. ─ Muscles of jaw rigid.

Mouth

Sordes on the teeth and lips. ─ Tongue yellow along the centre; first white, with reddish papillæ, followed by yellow-brown coating in centre, edges dark-red and shining; dry, brown down the centre; cracked, sore, ulcerated. ─ Filthy taste with flow of saliva. ─ Saliva rather abundant, somewhat viscid, tasting flat. ─ Numb, pricking sensation in tongue. ─ Putrid ulcers of the buccal cavity, with salivation. ─ Mouth and tongue very dry in fevers. ─ Putrid; offensive; fæcal breath. ─ Flat, bitter taste in mouth.

Throat

Pain and soreness of fauces. ─ Constrictive feeling in throat, causing frequent efforts at deglutition. ─ Throat feels swollen or full. ─ Fauces dark-red; dark, putrid ulcers; tonsils and parotids swollen; absence of pain, and great prostration. ─ Difficult deglutition; can only swallow water; œsophagus feels as if constricted from above down to stomach.

Stomach

Sinking, gone feeling at the stomach. ─ Constant desire for water, with nausea and want of appetite. ─ Great thirst. ─ Loss of appetite; averse to nourishment and stimulants. ─ All symptoms < from beer. ─ At night, frequent pain in the epigastric region; < from turning over, which he had to do all the time. ─ Full feeling in stomach. ─ Heavy gnawing in stomach. ─ Burning heat rising up to throat. ─ Pains in stomach; feeling there as of a hard substance.

Abdomen

Pain in liver, from r. lateral ligament to gall-bladder; can scarcely walk, it so augments pain in gall-bladder. ─ Constant severe pain over gall-bladder. ─ Constant pain in stomach and liver; < walking; hot sensation; heavy aching in liver. ─ Pain in liver region on going upstairs. ─ Constant aching distress in stomach and umbilical region. ─ Pain in region of spleen, with darts of pain in body, esp. in carpus, metacarpus, and phalanges. ─ R. iliac region sensitive. ─ Fulness and distension of the abdomen. ─ Abdominal muscles sore on pressure. ─ Sharp, rheumatic pains in groins, lasting a short time but returning after short interval, < from walking. ─ Glands of l. groin swollen; painful on walking.

Stool and Anus

Frequent small, thin, dark, offensive, and acrid stools. ─ Very fetid, exhausting diarrhœa; excoriating. ─ Stool papescent, with large quantities of mucus; no pain. ─ Dark-brown mucous and bloody stools, with tenesmus and typhoid tendency. ─ Dysentery: rigors, pains in limbs and small of back; stools small, all blood, not very dark but thick; tenesmus; great prostration, brown tongue, low fever; in autumn or in hot weather, constipation; severe, with hæmorrhoids; in afternoon. ─ Stricture from piles.

Urinary Organs

Stitches in region of r. kidney; shooting in l. kidney. ─ Burning when urinating. ─ Urine rather scanty, dark-red colour; alkaline; fetid. ─ Light-green urine.

Male Sexual Organs

Orchitis. ─ Pressing pain in l. testicle; cramp, as if squeezed.

Female Sexual Organs

Menses too early and too profuse. ─ Excites abortion. ─ Lochia acrid, fetid. ─ Puerperal fever. ─ Stomatitis materna.

Respiratory Organs

Aphonia. ─ Larynx sore to touch, painful swallowing or speaking. ─ Fetid breath. ─ Awakes with great difficulty of breathing; the lungs feel tight and compressed; must have fresh air.

Chest

Constriction and oppression of the chest. ─ Weight and oppression in precordial region, with a feeling of unsatisfied breathing; afternoon. ─ Sharp pains in centre of sternum. ─ Dull stitches in l. nipple.

Heart and Pulse

Feeling of greatly increased compass and frequency of heart's pulsations; seem to fill chest. ─ Pulse at first accelerated, afterward slow and faint.

Neck and Back

Neck tired; sore down neck. ─ Stiffness and lameness of cervical muscles; < on moving head. ─ Back and hips very stiff, ache severely; < walking. ─ Feels as if lying on a board; changes position often, bed feels so hard; < in region of sacrum. ─ Dull sacral pain, compounded of a feeling as from a pressure and fatigue, from long stooping; soon extending round hips and down r. leg.

Limbs

Wandering pains in all the limbs with dizziness. ─ Drawing pains in arms and legs; aching in the limbs.

Upper Limbs

Constant twitching in l. deltoid. ─ Pain in l. shoulder, extending down arm. ─ Pains in bones of arms and hands. ─ Numbness of l. hand and forearm, with prickling.

Lower Limbs

Soreness in front of thighs, < after sitting. ─ Limbs weak and vacillating. ─ L. foot numb, prickles. ─ Burning of top of r. foot from toes to back of foot.

Generalities

Restless; does not sleep quietly; wants to be on the move. ─ Great languor; wants to lie down. ─ Tired, bruised, sick feeling in all parts of the body. ─ Weak and tremulous, as if recovering from a severe illness. ─ Great weakness, esp. in lower limbs. ─ Prostration, with disposition of fluids to decompose. ─ Indescribable sick feeling all over. ─ Numbness prickling and paralytic feeling over the whole body, esp. l. side. ─ Ulceration of mucous membranes, esp. of the mouth, with tendency to putrescence. ─ Discharges and exhalations fetid. ─ Sensation all over the body as if bruised or beaten. ─ Feels as if lying on a board; changes position, bed feels so hard makes him feel sore and bruised.

Skin

Great burning and heat in skin; < in face. ─ Livid spots over body and limbs. ─ Eruption like measles or urticaria. ─ Confluent small-pox, tardy eruption. ─ Foul, gangrenous, eating syphilitic sores.

Sleep

Delirious stupor; falls asleep while answering a question or being talked to. ─ Sleeps well till 2 or 3 a.m., then restless till morning. ─ Drowsy, stupid, tired feeling; disposition to half close the eyes. ─ Restless, with frightful dreams. ─ Wants to get out of bed. ─ Cannot sleep, limbs seem scattered about so.

Fever

Chilly going into the open air; chills over the back and lower limbs. ─ Chilly, with soreness of body. ─ Whole surface hot and dry, with occasional chills, mostly up and down the back. ─ On awaking, 3 a.m., flashes of heat; feeling as if sweat would break out. ─ An uncomfortable burning all over surface, esp. face; moves to cool part of bed; finally rises, opens window and washes. ─ Typhoid and cerebral forms of fever. ─ Beginning of typhus when the so-called nervous symptoms predominate; causes sweat to break out and relieve; typhus; critical sweat on forehead and face. ─ Fever originating from confinement on shipboard, without good care or food. ─ Fetid sweat.

The Guiding Symptoms of Our Materia Medica

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

Mind

Unconsciousness. θ Typhus.
Stupor ; falls asleep while being spoken to, or answering ; heavy sleep until aroused ; awakes only to again fall asleep in the midst of his answer, which he vainly endeavors to finish. θ Typhus.
Confusion of ideas ; confused as if drunk.
Cannot confine his mind ; a sort of wild, wandering feeling.
Cannot go to sleep, because he cannot get himself together. θ Orchitis. θ Typhoid.
Sensation as if there was a second self outside of patient. θ Typhus.
Feels scattered about, and tosses about to get the pieces together. θ Typhus.
He thinks his gouty legs are holding a conversation with each other ; a man, æt. 60. θ Gout.
He thinks his toe is holding a confab with his gouty thumb.
Mind wanders as soon as the eyes are closed.
Delirium, especially at night, or constant, low ; stupor. θ Typhus.
Delirium and incoherent talk. θ Typhus.
Delirious stupor or fierce delirium. θ Typhus.
Low muttering. θ Typhus.
Indisposed to think, want of power ; mind seems weak.
Aversion to mental or bodily exertion, or to hear conversation about sickness or injuries ; feeble mind ; fretful. θ Spasmodic stricture of œsophagus.
A sensation as if some person touched him gently while dozing. See 37 .
Perfect indifference, does not care to do anything ; inability to fix the mind on anything.
Hopeless of recovery, and certain of death. θ Typhus.
Mentally restless, but too lifeless to move.
Restless and delirious for three weeks. θ Typhus.
Want of mental force. θ Typhus.
Worse when thinking of pains in various parts of body.

Sensorium

Vertigo and weak feeling of entire system, especially of lower limbs and knees.
Dizzy when stooping.
Vertigo with paralysis of eyelids.
Giddiness and severe nausea. θ Typhus.
Head feels heavy, as if he could not sit up.
Dull, heavy sensation in head with drowsiness ; unfit for mental labor.
Frequent fainting ; tongue dry, brown, in morning.

Inner head

Peculiar feeling in head, which is never felt except during fever, excitement of brain, such as precedes delirium.
Head feels heavy as if he could not sit up, day and night, causing a wild feeling ; < from noise.
Dull, stupefying headache with fulness ; sensation as if a band were around forehead ; confusion of ideas ; stupor ; dull, heavy looking eyes, besotted expression ; feel as if had been drunk and was just recovering from its effects ; general debility and
nervous prostration.
Head feels large and heavy, with numb feeling of head and face ; stitches or shocks in various parts of head.
Dull, heavy, pressive headache.
A dull, heavy feeling in head, especially forehead and malar bones ; ears feel hot, yet cold to touch ; head feels swollen ; giddiness, as if he had taken liquor, < when walking.
Dull, heavy feeling in head with general languor ; eyes pain while reading by gaslight ; 2d day.
Dull, heavy, full feeling in forehead with slight frontal headache, with sensation as if temples were pressed by thumbs ; 1st day.
Pain in forehead over left eye in region of supraorbital foramen ; darts of pain in different parts of body ; 2d day.
Slight frontal headache after having been up awhile ; forehead hot ; 4th day.
Frontal headache, weighty. θ Typhus.
Dull, heavy headache, > from pressure on nasal bones and < from mental labor.
Fulness of head, with fluctuation when walking.
Frontal headache : with pressure at root of nose ; with feeling of fulness and tightness of whole head.
Pressive pain in forehead as if it would be pressed in, with sharp pains in both temples ; much < from motion.
Sharp darts of pain in supraorbital nerve at foramen.
Dull pain in anterior lobes of brain and right frontal sinus ; afternoon.
Severe pain passing from insertion of right sterno-mastoid muscle through head into orbit, causing a dull, heavy feeling in head, especially forehead, > by pressing below mastoid process.
Beating headache in forehead, with soreness in back of head, immediately below occipital protuberance, followed by hot stitches in temples.
Frequent pain in right temple ; sharp pain by spells in both.
Heavy pain at base of brain, with lameness and drawing in cervical muscles.
Fulness in head with pain behind right ear ; > having lain quiet for a short time.
Headache and pain behind right ear, > after dinner.
Severe pain in occiput with dull, stupid feeling all over head ; sharp pain over eyes.
Dull feeling in occiput, with pain and fulness of vessels.
Throbbing in head, over eyes, with weakness in limbs on going up-stairs.
Dull bruised ache in head. θ Typhus.
Dull, bruised feeling in occiput. θ Diphtheria.
Soreness as if in brain, frontal region, with pain, heat, vertigo ; < on stooping.

Outer head

Top of head feels as if it would fly off.
Great tightness of forehead.
Scalp feels sore.
Sensation as if head was swelling (slowly growing larger and larger), with pain at insertion of sterno-cleido-mastoid muscle accompanied by a sensation as if head was swollen behind ear, right side.
Dull, bruised ache in head. θ Typhus.
Several sharp thrusts of pain in head over right eye.
Fulness of external vessels of head and face.
Neck feels so tired, she can't hold her head easy in any position.

Sight and eyes

Cannot bear light ; eyes burn, but do not water. θ Chronic sore eyes.
Eyes weak.
Occasionally delirium with confusion of sight. θ Diphtheria.
Feeling as if eyes would be pressed into head ; eyeballs feel sore with great confusion of sight ; cannot place anything, until after looking at it a few seconds ; everything appears to move.
Severe pain in eyes while reading, compelled to stop.
Severe pain in left eye, < from pressing on crown of head, with dull headache.
Eyes dull. θ Typhus.
Left eye for a moment feels very weak, followed by stitches in upper eyelid.
Stitches in right eye ; also in left as from needles.
Sharp pain over right eye, then over left.
Weight over eyes. θ Typhus.
Bloated feeling of eyes, glistening ; disposition to have them half closed.
Eyes feel swollen, slight lachrymation with burning.
Eyeballs feel sore ; sore and lame on moving them.
Soreness in front of head when moving eyes or turning them upward.
Vessels congested, eyes look red, inflamed.
Eyes still injected with burning pain in them, causing running of right nostril ; < from reading and from light of candle.
Eyes in morning still injected and pain, and contain thick, yellow pus, which cause them to burn ; < while reading.
Chronic sore eyes.
Partial paralysis of lids ; difficulty in keeping them open.
Pain in region of supraorbital nerve, > from pressure.
Pain in orbital plate of superior maxillary bone (left eye), relieved by pressure.

Hearing and ears

Dull hearing. θ Typhus.
Roaring in ears with mental confusion.
Delirium with almost complete deafness. θ Diphtheria.
Ears feel hot and burn, yet cold to touch.
Right ear sore and neck tired.
Soreness in right ear, running down neck.
Pain below left ear, midway between mastoid process and angle of lower jaw.
Slight pain in left parotid gland.

Smell and nose

Soreness extends to posterior nares.
Severe drawing pains along nose.
Right nostril stopped up.
Nose stopped up as if had taken a bad cold ; when sneezing and blowing nose, slight bleeding from left nostril of bright red blood (thick) ; 2d day.
Thick mucus from nose.
Dull pain at root of nose. θ Catarrh.
Sneezing and feeling as after taking cold.
Crampy sensation at root of nose.
Unpleasant sensation at root of nose (especially left), as if water had passed through posterior nares while drinking.
Epistaxis and oozing of dark blood from nose for two or three days. θ Typhus.
Sensation of great fulness, œdematous swelling of affected parts, especially in choanæ. θ Diphtheria.

Upper face

Looked ill for two weeks. θ Typhus.
Anxious, frightened look. θ Cough.
Yellowish cheeks ; central deep flush. θ Typhus.
Face : sallow ; dark red, with besotted expression ; flushed, dusky ; hot and perceptibly flushed.
Burning, prickling of left side of face and head.
Burning heat in face with flushed cheeks. θ Diphtheria.
Cheeks burn.
Cheeks flushed, dark violet. θ Cough.
Heat all over, most in face. θ Typhus.
Critical sweat on forehead and face. θ Typhus.
Face and whole head feel numb.
Muscles of jaw rigid.

Lower face

Pain in articulation of lower jaw. θ Typhus.
Jaw dropped. θ Typhus.
Cracked lips, with bleeding and ulceration of bowels. θ Typhus.
Pain in region of right mastoid process.

Teeth and gums

Teeth and gums sore ; by pressing with finger large quantities of blood ooze out.
Sordes on teeth and lips ; tongue ulcerated. θ Typhus.

Taste, speech, tongue

Taste : flat, bitter, sometimes putrid.
Filthy taste with flow of saliva.
Foul or bitter nauseous taste in mouth. θ Typhus.
Tongue swollen, thick, making talking difficult.
Slight heat or burning at root of tongue.
Tongue red and dry in middle. θ Typhus.
Tongue feels dry on rubbing against roof of mouth ; smarts, feels burned.
The roof of tongue is swollen and feels numb. θ Diphtheria.
Tongue of a dark hue. θ Cough.
Dry, parched, thickly coated tongue. θ Typhus.
Tongue dry, brown down centre. θ Typhus.
Tongue covered with a thick, brown crust. θ Typhus.
Tongue baked down centre. θ Typhus.
Tongue at first white with red papillæ here and there, followed by a yellow-brown coating in centre, edges being red, shining.
Tongue coated white, yellow or yellowish-brown, and feels as if burned or scalded. θ Diphtheria.
Tongue yellowish-white, deeply furred. θ Typhus.
Tongue has a yellow centre, or yellowish-brown coating, dry. θ Typhus.
Foul tongue. θ Typhus.
Tongue feels as though it had been scraped, and sensation extending to fauces.
Tongue cracked down centre.
Cracked, sore, ulcerated tongue. θ Typhus.

Inner mouth

Stomatitis materna ; breath fetid ; feeble state.
Fetid odor ; also after mercury.
Mouth and tongue very dry. θ In fevers.
Filthy taste, with flow of saliva.
Saliva rather abundant, somewhat viscid, tasting flat.
Copious saliva : followed by sore throat, scraping, burning ; slight pain in right lung.
Copious flow of saliva ; ulcers in mouth.
Cancrum oris, copious saliva ; gums loose, flabby, dark red, or purple ; fetid.
Aphthæ. θ Typhus.
Sore mouth of sucklings and consumptives.
Canker sores in mouth.
Ulcerations extending from mouth, through alimentary canal, with watery discharges from bowels.
Putrid ulceration of buccal cavity, with salivation ; well-developed ulcers, slight pain.

Palate and throat

Pain and soreness of fauces. θ Diphtheria.
Hot feeling in fauces, passing up into ears ; sensation as if had eaten pepper.
Fauces dark red ; dark, putrid ulcers ; tonsils and parotids swollen ; unusual absence of pain. θ Diphtheria. θ Putrid
sore throat, etc. θ Typhus. θ Variola.
Scraping and burning, raw sensation in pharynx ; much viscid mucus ; copious flow of saliva ; ulcers in mouth.
Dry scraping in throat when swallowing ; tongue coated white, especially at root ; fetid perspiration of body, and especially hands ; eyes much injected ; face and ears hot and very red ; absence of thirst ; heaviness in chest, with dull pain in region of
spleen.
Burning and heat in fauces, as from heartburn, extending into ears ; < from belching, which causes pain to extend into chest, and there producing a weak feeling.
Tonsils and soft palate swollen, with constant inclination to swallow, not accompanied by pain. θ Diphtheria.
Stitches in right tonsil.
Tonsils and soft palate very red, but not painful.
Pricking in upper part of pharynx ; raw sensation.
Tickling in throat provoking cough ; uvula elongated.
Sore throat.
Throat sore ; averse to open air.
Mucus abundant and viscid, can neither be swallowed nor expectorated.
Mucus rattles in throat. θ Typhus.
Œsophagus feels as if constricted from above down to stomach ; can only swallow water.
Constrictive feeling causing frequent efforts at deglutition ; throat sore, feels contracted.
Throat feels swollen, full ; tonsils and soft palate congested ; frequent inclination to swallow, causing pain in root of tongue.
Spits out liquids put in mouth. θ Typhus.
Can swallow liquids only ; least solid food gags. θ Spasmodic stricture of œsophagus. θ Diarrhœa.
Children cannot swallow solid food ; the smallest solid substance causes gagging, thus they cannot use anything but milk ; sometimes thin, watery, offensive passages day and night. (Compare Silicea).
Unable to swallow. θ Typhus.
Paralysis of organs of deglutition. θ Typhus.

Appetite, thirst. desires, aversions

Loss of appetite. θ Typhus.
Constant desire for water, with nausea and want of appetite. θ Typhus.
Spitting out of liquids put into her mouth.
Great thirst. θ Typhus.
A good deal of thirst. θ Typhus.

Eating and drinking

All symptoms < from beer.
After breakfast, dull feeling.
Hiccough, Belching, Nausea and Vomiting

Hiccough, belching, nausea and vomiting

Nausea, with inclination to vomit, relieved for a short time by eructations.
Feels as if she wants to raise a great deal.
Pressure at stomach, belching of large quantities of wind.
Nausea with eructations, followed by painful vomiting.
Feeling as if he would vomit, but no nausea, with severe shooting in left kidney and to left of umbilicus.
Retching and vomiting. θ Typhoid fever.
Feeling as if it would be a relief to vomit.

Scrobiculum and stomach

At night frequent pain in epigastric region ; < from turning over, which he had to do all the time.
Full feeling in stomach.
Heavy gnawing in stomach ; 3d day.
Burning heat in stomach rising up towards throat ; 2d day.
Sinking, "gone" feeling at stomach, fainting ; tongue brown in morning. θ Dyspepsia after typhus.
Constant burning distress in epigastrium, severe colicky pains in umbilical, and especially hypogastric region ; rumbling in bowels ; desire to vomit, but without nausea.
Cramp in stomach ; evening.
Severe pain every few minutes in cardiac region of stomach.
Sinking feeling in stomach, with shoulder pains.
Sinking sensation in stomach. θ Typhus.
Pains in stomach ; feeling there as of a hard substance.

Hypochondria

Sensation of weight and oppression in precordial region, with a feeling of unsatisfied breathing ; afternoon.
Dull pain at pit of stomach, with constriction of diaphragm.
Constant pain in stomach and liver ; < walking ; hot sensation ; heavy aching in stomach and liver.
Pain in region of liver on going up-stairs.
Pain in liver, from right lateral ligament to gall-bladder ; can scarcely walk, it so augments pain in gall-bladder.
Must stir about, yet motion is painful ; pain over gall-bladder.
Constant aching distress in stomach and umbilical region, with a great deal of pain in region of gall-bladder ; pain extends to spine.
Pain in region of spleen, with darts of pain in body, especially in carpus, metacarpus and phalanges ; 2d day.

Abdomen and loins

Severe colicky pains in umbilical and hypochondriac regions, recurring every few seconds ; rumbling desire for stool.
Pain in abdomen with diarrhœa. θ Typhus.
Griping pain in bowels while at stool.
Distress, dull pain in umbilical region.
Distended abdomen ; fulness ; flatulence, rumbling, feels as if vomiting would relieve ; mushy stools.
Sharp, shooting pains in bowels, with constant pain in hypochondriac region.
Dull aching, distress in bowels.
Right iliac region sensitive. θ Typhus.
Abdominal muscles sore on pressure, with acute intermitting pain. θ Typhus.
Abdominal tenderness, with flatulency ; 10th day. θ Typhus.
Cutting in bowels, relieved for a short time by passage of flatus, which causes burning at anus.
Pain in abdomen on pressure, with dull aching in lumbar region on going to bed.
Sharp rheumatic stitches in right groin, lasting but a little while, but after a short interval returning as before.
Severe pain in left groin ; < from walking, > from rest, but returning again on motion.
Glands of left groin swollen ; painful on walking.

Stools and rectum

Diarrhœa, with pain and soreness in bowels. θ Typhus.
Soft, papescent stool, with large quantities of mucus.
Stools of pure blood, or bloody mucus.
Fetid, exhausting diarrhœa, causing excoriation.
Thin, watery, offensive diarrhœa day and night ; child can swallow nothing but milk ; smallest quantity of solid food gags.
Aphthous diarrhœa.
Involuntary diarrhœa ; 9th to 11th day. θ Typhus.
Evacuation light yellow or brown, thin and watery. θ Typhus.
Stools soft, papescent, with large quantities of mucus.
Dark brown mucous and bloody stools, with typhoid tendency ; brown tongue, etc.
Stools : dark, thin, fecal, offensive.
Fetid stools. θ Typhus.
Dysentery : rigors, pains in limbs and small of back ; stools small, all blood, not very dark, but thick ; great tenesmus ; great prostration, brown tongue, low fever ; in the Autumn, or in hot weather.
Colicky pains before stool. θ Dysentery in old people.
Stool very small and difficult to pass, it resembles sheep dung ; pain in bowels after stool ; 2d day.
Constipation ; stool very small, passed only by very great straining and urging ; 3d day.
Stool like sheep dung, dry and crumbling ; pain before stool, weakness after stool.
Constipation and diarrhœa ; stools dark and bloodstreaked. θ Diphtheria.
Before stool : severe colic, more in hypogastrium.
During stool : tenesmus ; colic.
After stool : tenesmus ; relief of colic.
Constipation ; hemorrhoids in afternoon.
Stricture from piles.

Urinary organs

Stitches in region of right kidney.
Shooting pains in region of left kidney.
Urine scanty, dark red ; light green.
Burning when urinating.
Urine very highly colored and scanty. θ Typhus.
Urine alkaline, fetid. θ Typhus.
Passes water often with a great deal of fiery pain, water is clear, scum on it in variegated colors ; red sand is passed with urine, and is seen at once on bottom of vessel.
Increased secretion of urine at night.

Male sexual organs

Dull drawing in right groin and testicle, also in legs and knee joints.
Orchitis ; cannot sleep because he feels as if his body was scattered about bed.
Pressing pain in left testicle, as if it had been squeezed, lasting but a short time.
Cramps in testes, as if they had been squeezed.

Female sexual organs

Menses too early and too profuse.

Pregnancy. parturition. lactation

Excites abortion.
Threatened abortion. θ Typhus.
Lochia acrid, fetid ; great prostration.
Puerperal fever, with typhoid symptoms.
Stomatitis materna.

Voice and larynx. trachea and bronchia

Hoarseness or aphonia.
Aphonia. θ Diphtheria.
Larynx very sore to touch, painful swallowing or speaking.
Hoarseness, must use great effort to be understood.
Swelling of epiglottis, mornings.
Increased secretion from bronchial tubes and fauces, with expectoration of mucus.
As if she wanted to raise a great deal.

Respiration

Fetid breath. θ Typhus.
Asthmatic oppression of chest, with frequent yawning ; < from motion ; > after rest.
Snoring respiration.
Oppressed breathing, 6 P. M., with cough ; right lung sore ; sneezing.
Awoke with great difficulty of breathing ; lungs felt tight, compressed ; could not get a full breath ; must open window and get his face to fresh air ; burning heat of skin ; dry
tongue ; accelerated pulse ; peculiar feeling of brain.
On lying down difficult breathing, but no constriction of chest, must rise ; afraid to go to sleep, fears nightmare and suffocation ; arises from want of power in lungs, not constriction.
Dyspnœa, with a tight cough.
Stitches in sternum on inhalation.

Cough

Tickling in throat provoking cough ; uvula elongated.

Inner chest and lungs

Tightness of chest ; constriction.
Pain in right lung ; less pain in left, with soreness.
Pain through left chest.
Sharp pains when taking a long breath.
Dull, oppressive pain in left chest at origin of serratus magnus ; < on inspiration and motion ; pains in metacarpal bones.

Heart, pulse and circulation

Throbbing of heart so as to be distinctly heard.
Compass and frequency of heart's pulsations seem increased ; pulsations seem to fill chest.
Pulse at first accelerated, afterwards slow and faint.
Pulse 70 ; rises about 2 P. M. to 100.
Pulse 100-125, hard in evening. θ Typhus.
Pulse slow, round, full.
Pulse 110, variable, weak, thready. θ Typhus.
Pulse slow and weak.
Pulse small and quickened. θ Typhus.
Pulse 100 and feeble. θ Typhus.
Pulse 120 and thready.
Pulse 120, small and weak. θ Cough.
Pulse accelerated or slower than in health. θ Diphtheria.

Outer chest

Sharp pain in centre of sternum.
Dull stitches in left nipple.
Dull heavy pains in region of origin of pectoralis minor, lasting about ten minutes, followed by a bruised feeling.

Neck and back

Neck so tired she cannot hold her head easy in any position ; sore down neck.
Cervical muscles stiff, lame.
Pain under right scapula ; better on motion.
Back and hips very stiff, ache severely.
Catarrhal pneumonia ; elevated temperature ; pulse over a hundred, even with excessive cough and hemorrhages ; cavities ; night sweat and diarrhœa (relieves greatly).
Dull lumbar backache, worse walking.
Dull sacral pain, compounded of a feeling as from pressure and fatigue, from long stooping ; soon extends around hips and down right leg.
Feels as if lying on a board ; changes position often, bed feels so hard ; worst part in region of sacrum. θ Typhus.
Rheumatic pains in muscles of back, followed by burning.
Pain in right subscapular muscle ; < on motion of arm ; > from pressing part against something hard ; 3d day.
Pain under right scapula ; > on motion.
Pain in sacrum. θ Typhus.

Upper limbs

Severe pain in left shoulder joint, causing a disagreeable, sickening feeling at stomach ; also darts of pains in various parts of body ; < during rest and when thinking of them.
Pain in left shoulder, extending down arm.
Feels sore and stiff about shoulders and chest.
Pain in right elbow, causing a weakness in arm and hand, scarcely able to hold pencil while noting this symptom.
Rheumatic thrusts in left ulna (lower part), with pain in different parts of body ; < at rest.
Severe rheumatic stitches in metacarpal bone of left index finger, lasting several minutes.
Rheumatic stitches in left radius, lasting but a little while.
Numbness of left hand and forearm, with prickling ; < from movement ; sharp darting pains through fingers.
Hands feel large, tremulous.
Rheumatic pains in left wrist and stitches in right eye.
Tearing pains in carpal bones of right hand, lasting but a short time, followed by several sharp pains in phalanges of left hand.
A sharp dart of pain in first phalanx while writing.
Pain running up and down bones of left forearm ; 3d day.
Tearing pain in palm of left hand, and also darts in various parts of body ; 2d day.
Terrible rheumatic pains in metacarpal bones of left hand, lasting but a few moments, though very severe ; also pain in left knee and shoulder ; 1st day.
Tearing pain in right metacarpus ; 2d day.
Rheumatic pain in metacarpal bone and phalanges of left thumb (long, severe thrusts), lasting several minutes, every thrust causes a momentary sickness at pit of stomach ; 1st day.
Sharp stitches under left thumb nail, lasting but a few moments, but returning in a short time as before ; 2d day.
Rheumatic pain in phalanges of middle finger right hand, and also in right shoulder joint ; 1st day.
Pain in metacarpal bone of right little finger ; 1st day.

Lower limbs

Lower limbs feel weak and vacillating when walking.
Soreness in anterior of thighs ; < after sitting awhile.
Drawing in hips and calves.
Several rheumatic stitches in outer hamstring.
Severe pain in left knee (outer side), running down into fibula.
Rheumatic pain in left knee joint.
Dull pain in right patella and right tarsal bones.
Cramp in calves whenever he moves them.
Pains in lower part of left ulna and tarsus.
Left foot numb, prickling.
Burning of top of right foot, from toes to back of foot.
Rheumatic pain on inner side of right os calcis ; 1st day.
Tearing pains in os calcis of right foot, lasting about half a minute ; 1st day.
Rheumatic pains in phalanges of right great toe ; 1st day.
Pain in first phalanx of right great toe, as if hair on it was steadily and continually pulled ; < at rest, > on motion ; after moving a little while toe feels hot, and then pain leaves, but when at rest heat leaves, and pains return.

Limbs in general

Rheumatic pain in right (lower part) ulna, also in muscles on posterior part of right thigh and metacarpal bones of right index finger.
Rheumatic pain in right shin bone, also in bones of left wrist and hand ; 1st day.
Aching in limbs.
Drawing in arms and legs.
Rheumatic pains in left elbow and knee, and also right ankle and heel ; 1st day.
Rheumatic stitches in right subscapular muscle, with pains in different parts of body, especially in metacarpal bones and phalanges, lasting but a few moments ; pains in hand seem to be deep in bones ; 1st day.
Aches from his finger ends to his toes.

Rest. position. motion

Lying quiet : pain behind ear better.
Rest : pain in left groin > ; asthma > ; darts of pain through body < ; pain in left ulna < ; pain in great toe worse.
After sitting : soreness in thighs.
Lying down : difficult breathing.
Motion : pain in forehead < ; eyeballs sore ; asthma < ; pain in left chest < ; pain under right scapula > ; cramp in calves ; pain in right great toe better.
Ascending : limbs weak ; pain in liver.
Descending : arms and calves feel sore.
On rising : faintness.
Turning over : pains in epigastrium worse.
Stooping : dizziness ; soreness anterior brain worse.
Walking : fluctuation in head ; pain in stomach and liver ; pain in left groin < ; lumbar backache < ; lower limbs weak.

Nerves

Restlessness. θ Typhus.
Morbid irritability of nervous system, preventing sleep. θ Typhus.
Restless, uneasy, could confine himself to nothing ; wanted to be moving from place to place, evening. θ Typhus.
Dull, heavy feeling in whole body, with indifference to everything.
General malaise for several days. θ Typhus.
General weak feeling, but especially of lower limbs.
Feels weak, tremulous, as if recovering from sickness, and yet incapable of vigorous mental or physical exertion.
Entire system feels weak, especially lower limbs and knees ; vertigo.
A weak, languid feeling in body (especially arms, extending into hands and fingers), scarcely able to hold pencil while writing, causing one to feel as limber as an old rag ; perfect indifference ; no desire to do anything.
Feel weak and languid, sore and bruised, especially arms and calves of legs feel sore on going down-stairs.
Feel weak and exhausted after a little labor, soon becoming tired.
Feels weak, tremulous, as after severe sickness.
Faintness on rising. θ Typhus.
Great languor ; wants to lie down.
Lassitude and weakness of whole body, with indifference ; 3d day.
Great prostration and restlessness. θ Cough.
Prostration and trembling. θ Typhus.
Prostration. θ Diphtheria.
Disagreeable prostration, with soreness of muscles. θ Typhus.
Great prostration of strength, as during convalescence from some severe sickness, when treated by strong drugs and medicine ; 1st day.
Indescribable sick feeling all over.
Slides down in bed ; feels as if sinking away. θ Typhus.
Lay in semiconscious condition when she appeared dying. θ Typhus.
Paralysis of whole left side ; left hand and arm are numb, powerless.

Sleep

Excessive drowsiness.
Feels very drowsy, can hardly keep awake ; 3d day.
Drowsiness, can only keep awake by great effort ; pains in body still continue ; 1st day.
Drowsy, stupid, tired feeling ; disposition to half close eyes.
Feels dull and sleepy ; with slight headache ; 3d day.
Feels sleepy and drowsy ; lay down to doze, but soon lower limbs suddenly start as if had been frightened.
Feels drowsy ; while sitting on a chair and lying with head on arms, and arms on table (dozing, yet conscious), had a sensation as if some person touched him very gently in both sides ; followed by a want of power to sit up, made several efforts to do so, but was perfectly
helpless ; in a short time had a similar attack of about same duration, but more severe ; felt weak for some time afterwards.
Delirious stupor : falls asleep while answering a question or while being talked to.
Lies semicomatose, looks as if dying. θ Typhus.
Slept well until about 3 A. M., then restless until morning, tossing about.
Restless ; does not sleep quietly.
Sleep restless, frequent wakings ; 3d day.
Wants to get up and yet does not want to. θ Typhus.
Sleepless, with wandering of mind. θ Typhus.
Delirious disturbance at night, varying from a mere uneasiness and inability to sleep to delirium proper. θ Typhus.
Cannot sleep ; head or body feels scattered about bed ; tosses about to get pieces together. θ Typhus and other diseases.
Wants to get out of bed. θ Typhus.
Restless, with frightful dreams. θ Typhus.
Sleep restless and troubled with dreams, but inability to remember what had been dreamed, and weariness, as if had not slept enough ; 2d day.
Sleep restless, troubled by vivid dreams, and also frequent wakings ; 2d day.
Sleep last night restless, tossing about, troubled with continual dreams, they continuing up to moment of awaking, yet unable to tell, or even to remember what had been dreaming of ; 3d day.
Sleep very restless, dreams ; heavy gnawing at stomach ; pains in hands ; 4th day.
Nightmare.
Sleeplessness. θ Typhus.
Worse on awaking : difficult breathing ; parts rested on feel very painful ; flashes of heat.

Time

At 3 A. M. : restless, tossing ; flashes of heat.
Morning : tongue brown and dry ; pain and injection of eye ; swelling of epiglottis ; chilly sitting by fire.
All day : chilliness.
Afternoon : pain in anterior brain ; weight and oppression in precordial region ; hemorrhoids < ; fever increases.
At 2 P. M. : pulse rises from 70 to 100.
At 6 P. M. : oppressed breathing.
Evening : cramp in stomach ; pulse hard ; chilly.
Night : delirium ; increased secretion of urine ; fever ; heat, burning in legs prevents sleep.

Temperature and weather

Autumn or hot weather : dysentery worse.
Great aversion to open air. θ Spasmodic stricture of œsophagus.
Chilled by standing in cold wind ; fever returned, with rapid prostration. θ Typhus.

Fever

Shivering. θ Typhus.
Shivering preceded by a sense of weakness. θ Typhus.
Chilly all day ; whole body feels sore.
Chilly on going into open air ; chills over back and lower limbs ; evening.
Chilly over back while sitting by a fire ; forenoon.
Chilliness alternated with heat. θ Typhus.
Chilliness of lower limbs and back, with fever at night. θ Diphtheria.
Chill followed by fever, with severe aching in muscular portion of body. θ Typhus.
Whole surface hot and dry, with occasional chills, mostly up and down back.
Extremities feel hot, except feet, which are cold.
Flashes of heat from small of back in all directions ; dull, heavy aching, great prostration.
On awaking at 3 A. M., flashes of heat, feeling as if sweat would break out.
Gentle flashes of heat over whole body.
Fever set in with headache. θ Typhus.
General fever and malaise.
Heat of face, flashes over face.
Burning, pungent heat over whole body, especially in face. θ Typhus.
Heat at night ; burning in legs preventing sleep.
Heat of skin. θ Typhus.
Uncomfortable burning all over surface, especially face ; had to move to a cool part of bed, and finally to rise and open a window and wash his face and hands.
Gentle flushes of heat over whole body, followed by a slight perspiration.
Frequent sweats. θ Typhus.
Causes sweat to break out and relieves ; critical sweat on forehead and face. θ Typhus.
Fetid sweat.
Chills, fever and sweat every other afternoon.
Fever cases, with peculiar delirium ; dulness of intellect and abdominal tenderness.
Sensation as if there was a second self outside of patient. θ Typhus.
Fever, delirium, headache, pain in back and limbs ; (compare Rhus). θ Typhus.
General fever and malaise. θ Typhus.
Aspect of low fever. θ Typhus.
Determination of blood to surface and profuse sweating. θ Typhus.
Early stages : white tongue, red edges ; or brown, or yellow brown down centre ; bitter or flat taste ; cannot digest food ; stools frequent, yellow ; gurgling and slight sensitiveness of right iliac region ; pulse high ; fever tends to
increase ; parts rested on are sore. θ Typhus.
Typhus and typhoid fever, with a tendency to putrescence.
Fever originating from confinement on shipboard, without good care or food.
Beginning of typhus, when so-called nervous symptoms predominate.
Cerebral forms, especially with excessive drowsiness, delirium, confusion of ideas, stupefying headache ; restless sleep, head feels scattered about ; frightful dreams ; great debility and nervous prostration, with erethism, etc.
Typhoid and cerebral forms of fever ; delirium, drowsiness, confusion, gives slow answer or falls asleep attempting a reply ; erethism ; tries to escape from bed ; sleepless because she cannot get herself together ; head feels scattered, and she tosses about to
get pieces together ; sensation of a second self outside of patient ; indifferent ; low delirium, stupor ; sordes on teeth ; face dark, besotted looking ; hearing dull ; epistaxis ; involuntary, scanty stool ; difficult breathing ; fever
increases each afternoon.

Locality and direction

Right : pain in temple ; pain behind ear ; pain over ear ; stitches in eye ; running from nostril ; ear sore ; nostril stopped ; pain in mastoid process ; pain in lung ; stitches in tonsil ; iliac region sensitive ;
stitches in groin ; stitches in kidney ; pain under scapula ; pain down leg ; pain in elbow ; pain in eye ; pains in hand ; pain in shoulder joint ; pain in little finger ; pain in patella ; burning top of foot ; pain in os calcis ;
pain in great toe.
Left : pain over eye ; pain in eye ; eye weak ; stitches in eyes ; pain in orbit ; pain below ear ; pain in parotid gland ; bleeding from nostril ; burning side of face and head ; shooting in kidney ; pain in groin ; pain in
testicle ; pain through chest ; stitches in nipple ; pain in shoulder joint ; pain in ulna ; stitches in radius ; numbness of hand and forearm ; pain in waist ; pain in bones of forearm ; pains in hand ; pain in knee and shoulder ; pain
in thumb ; stitches under thumb nail ; foot numb ; paralysis of whole side.
Above downward : pain in shoulder.
Below upward : heat in stomach.

Sensations

As if there was a second self ; as if scattered about ; as of a band around forehead ; as if temples were pressed by thumbs ; as if top of head would fly off ; as if head was swelling ; as if eyes were pressed into head, as if he had eaten
pepper ; as if water had passed through posterior nares ; as of a hard substance in stomach ; as if lying on a board ; as if hair on first phalanx of right great toe was pulled.
Peculiar feeling of brain.
Sharp pain : in temples ; over eyes ; in bowels ; in left groin ; in chest ; in sternum ; in left knee.
Sharp thrusts : over right eye ; in left ulna ; in left thumb.
Darting : in body ; in carpus, metacarpus and phalanges.
Cutting : in bowels.
Hot stitches : in temples.
Stitches : in head ; in upper eyelid ; in right eye ; in left eye like needles ; in right tonsil ; in right groin ; in right kidney ; in sternum ; in left nipple ; in metacarpal bone of left index finger ; in left radius ; under
left thumb nail ; in outer hamstring ; in right subscapularis muscle.
Shooting : in bowels ; in left kidney.
Pricking : in pharynx.
Prickling : of left side of face and head ; in left hand and forearm ; of left foot.
Tearing : in right metacarpus ; in right os calcis.
Drawing : in cervical muscles ; along nose ; in right groin and testicle ; in legs and knee joints ; in hips and calves ; in arms and legs.
Fiery pain : when urinating.
Burning : of eyes ; of left side of face and head ; of cheeks ; at root of tongue ; in throat ; in fauces ; in stomach ; at anus ; when urinating ; in muscles of back ; dorsum of r. foot ; in legs ; all over skin.
Soreness : in back of head ; as if in brain ; of eyeballs ; in front of head ; of right ear ; from nose to nares ; of teeth and gums ; of fauces ; of abdominal muscles ; in bowels ; of larynx ; of right lung ; down
neck ; about shoulders and chest ; in anterior of thighs.
Pressure : in forehead ; at stomach ; in left testicle.
Aching : in stomach and liver ; in bowels ; in lumbar region ; of back and hips ; in limbs ; from finger ends to toes.
Bruised ache : in head ; in occiput ; in pectoralis minor.
Squeezed pain : in left testicle.
Rheumatic pain : in back ; in left wrist ; in left thumb ; in right middle finger and shoulder joint ; in left knee ; on inner side of right os calcis ; in right and left ulna ; in muscles of posterior part of right thigh ; in metacarpal bone
of right index finger ; in right shin bone ; in bones of left wrist and hand ; in left elbow ; in right ankle and heel.
Cramp : at root of nose ; in stomach ; in testes ; in calves.
Colicky pains : in umbilical and hypogastric region.
Griping : in bowels.
Scraped feeling : on tongue ; in throat.
Gnawing : in stomach.
Dull pain : in anterior lobes of brain and frontal sinus ; at root of nose ; in spleen ; at pit of stomach ; in umbilical region ; in left chest ; in sacrum ; in right patella and tarsal bones.
Undefined pain : in right temple ; behind right ear ; in region of supraorbital nerve ; in limbs and small of back ; over l. eye ; below left ear ; in left parotid ; in right mastoid process ; in articulation of jaw ; in right lung ;
in root of tongue ; in epigastric region ; in cardiac region of stomach ; in liver ; in gall-bladder ; in spleen ; in abdomen ; in right lung ; through left chest ; under right scapula ; in sacrum ; in l. shoulder ; down arm ;
in right elbow ; in metacarpal bone of right little finger ; in lower part of left ulna and tarsus.
Throbbing : in head ; over eyes.
Beating : in forehead.
Fulness : of head ; in stomach.
Heaviness : of head ; over eyes ; in chest ; in whole body.
Weight : in precordial region ; over eyes.
Oppression : in precordial region.
Tightness : of head.
Constricted feeling : in œsophagus ; of diaphragm ; of lungs.
Bloated feeling : of eyes.
Swollen feeling : of head ; of tongue.
Large feeling : of head and hands.
Tired feeling : in neck.
Weak feeling : general ; in chest.
Weakness : in arms and hands ; of lower limbs ; in knees ; of body.
"Gone" feeling : at stomach.
Shocks : in head.
Numbness : of hand ; of face ; of tongue ; of left hand and forearm ; of left foot.
Tickling : in throat.
Heat : in ears ; in forehead ; in face ; in fauces ; in stomach ; in liver ; of the skin.
Dryness : of the skin.

Tissues

Prostration with disposition of fluids to decompose.
Stiffness of all joints, as though strained ; rheumatic pains and soreness all over body.
Discharges and exhalations fetid ; breath, stools, urine, sweat, ulcers.
Ulceration of mucous membranes, especially those of mouth ; also with tendency to putrescence.
Enlarged glands.
Diseases of mucous membranes.
Derangements of mucous surfaces, generally with vomiting and purging.

Touch. passive motion. injuries

Touch : larynx sore.
Pressure : abdominal muscles sore ; headache > ; pain in mastoid region > ; pain region of supraorbital nerve > ; pain left orbit >.
Pressing on crown of head : pain in left eye <.

Skin

Burning all over skin, < in face.
Livid spots over body and limbs, not elevated, of irregular shape, size of a pea up to bean, without any sensation.
Rose-colored spots on 9th day. θ Typhus.
Eruption like measles or urticaria.
Pimples thick on palatine arch, tonsils and uvula ; breath fetid ; salivation ; prostration. θ Variola.
Foul, gangrenous, phagedenic syphilitic sores.
Smallpox confluent, tardy eruption.
Gangrenous sores, aphthæ, sore nipples (locally).

Stage of life, constitution

Lymphatic temperament.
Children : offensive diarrhœa.
Old people : dysentery.
Girl, æt. 7, after being physicked, etc., for a cough ; great prostration, etc.
Old woman, æt. 79 ; Üdema.

Relations

Cognates : Arnic ., Arsen ., Bryon., Gelsem ., (especially in the malaise, nervousness, flushed face or drowsiness, and muscular soreness in early stages) ; Hyosc.,
Kali chlor., Laches., Mur. ac., Nitr. ac . (in typhoids) ; Nux vom., Opium, Rhus tox .
When. Arsen . has been given in typhus improperly.
Silic ., like Baptis ., has ability to swallow only liquids, (like milk), but unlike the latter, it has also aversion to milk. See 13 .
Terebinth . and Nitr. ac . acted well after Baptis . θ Typhus.
Hamam . speedily checked copious, repeated epistaxis. θ Typhus.

Lectures on Homoeopathic Materia Medica

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

Generalities

Baptisia is suitable for acute diseases. It is principally a short-acting medicine, suitable for complaints that are not long lasting. So far as we know it is not an antipsoric, does not go deep into the life.

All of its acute diseases and complaints have the appearance of Zymosis, like scarlet fever, diphtheria, typhoid, and gangrenous complaints. There is one thing that is unusual about it, it brings on this septic state more, rapidly than most other remedies.

The zymotic complaints of Ars., Phos., Rhus, and Bry., are much slower in their pace. But Baptisia is suitable for typhoids that come on rapidly, and hence it is not so often suitable in idiopathic typhoids.

When an individual comes down suddenly from cold, from malaria, from drinking poisonous waters, and from any zymotic or septic cause he is hurled into bed in a few days, instead of going through a period of four, five or six weeks. The old idiopathic typhoid fevers come on slower.

Baptisia is suitable for those blood poisons that are highly septic such as the puerperal state, such as scarlet fever. He comes down perhaps with the appearance of a sudden violent break down, with a remittent fever.

But all at once it turns continued, and takes on septic symptoms. So much for its progress and its pace. Every medicine must be observed as to its velocity, as to its pace, as to its periodicity, as to its motion, and its wave.

Looking and smelling

We get that by looking at the symptoms. You take an individual who has been down in a mine, in the swam, down in the mud, in the sewers, who has inhaled foul gases, who goes into bed with a sort of stupor, from the very beginning he feels stupid. It is not gradual, but he goes down very suddenly, and he is stupid.

He is prostrated. His face is mottled. Sordes begin to appear on the teeth much earlier than in the regular typhoid. The abdomen becomes distended much earlier than in a regular typhoid; that is one who is accustomed to observing those things knows they are postponed for a number of days; while with this remedy the third day the abdomen is distended, his mouth is bleeding, and is putrid.

His odors are horrible; and he is in a marked state of delirium, such as would not be expected until the typhoid is out for many days. So it has rapid running diseases. It has velocity.

That is, he is going down toward death rapidly. He is increasing in his prostration more rapidly than usual. It is not a gradual decline of days and weeks.

He goes into a state of stupor. When aroused he takes on delirium. It does not matter whether it is scarlet fever, or typhoid fever, or a septic surgical fever, or a puerperal fever, or what.

He has fever, and if you look at him, and talk to him, and turn him over, and rouse him up, and make him realize that you want to say something to him - which is difficult - he gives you the impression that he has been on a big drunk.

That is the first thought you will have in a Baptisia case. His countenance is besotted. It is bloated and purple and mottled. Blood oozes from the mouth. You have seen the besotted countenance of drunkards, and it is like an old drunkard.

Mind

His mind seems to be gone. He does not know what be is talking about lie is in confusion, and when aroused be attempts to say some thing, and utters a word or two and it all flits away, and he is back in his state of stupor again.

No matter what disease that comes in, no matter what inflammation is present, no matter what organ is inflammed, if that state of the blood that can give rise to such symptoms and such sepsis is present, if that state of the mind is present, it is Baptisia.

Discharges

All of the discharges are putrid. The odor is cadaverous, pungent; penetrating. His perspiration, if he has any, is sour, foetid, pungent, and penetrating.

If he has no sweat the body gives off an odor that is unaccountable. The odor is so penetrating that on going into the front door the whole house, if the room is open, is filled with the odor. The odor from the stool is putrid and so penetrating that it can be detected on first going into the house.

Now, a strange thing that runs through the remedy is a peculiar kind of mental confusion, in which he is in a constant argument with his parts.

Delirium

He seems to feel that there are two of him. He realizes a dual existence whenever he is roused up. He will begin talking about the other one in bed with him.

It is said clinically that

"his great toe is in controversy with his thumb."

Or, "one leg is talking to the other leg."

Or, one part is talking to another part; or, he is scattered around over the bed; tumbles and you ask him what he is trying to do.

"why, I am trying to get those pieces together."

He never succeeds; he is in delirium, Of course these are only examples; you will get a new phase every time you get a Baptisia case.

Most of the time he is un conscious except when roused. Sometimes mutters. You will see his lips go, and you rouse him to see what he is about, and he is trying to get the pieces together.

"Confused as if intoxicated."

There are stages when he is not quite so stupid, and he is sleepless and restless. That is the exception. Most, generally you will find him lying upon one side curled up like a dog, and he does not want to be disturbed.

Again, when the stupor is not so great he is restless and turns and tosses. In that case he cannot sleep, because he cannot get the pieces together. He feels if he could once get matters together he could go to sleep, and these parts that are talking to each other keep him awake. His mind wanders as soon as his eyes are closed. Dullness, especially at night. Indisposition to think. Mind seems weak.

There you find the whole picture of the mental aspect in all complaints, in all acute diseases but they all come on in a hurry.

They are zymotic, of a low form such as scarlet fever, such as malignant diseases; and yet it takes on a continued type of fever.

These patients will die in from ten to twelve days if let alone. Whereas, ordinary typhoid will run for weeks, and sometimes die at the close of four weeks in a crisis.

The bleedings are black and offensive. The putridity is marked. In the mouth, the mucus from the throat and nose is bloody and putrid. It has a diarrhoea.

Stools

Thin, faecal, watery, yellow. It has a typical typhoid discharge; the most typical typhoid stool is like yellow corn-meal mush, coming on many times a day, but soft, pappy, just about the consistency of soft mush.

This remedy has that stool, but it is not the commonest form - but the black, the brown, the dark. In treating a good many cases of typhoid it was my fortune to observe a large number of Baptisia cases, which the remedy cured promptly.

The stool where the Baptisia did the most service was like ground up slate, slate colored, brownish. The odor was penetrating. In addition to that I have seen this medicine cure that kind of diarrhoea when it was slate colored, even thin as water, if it was horribly putrid like decomposed meat; like the cadaver, attended with great prostration.

I have seen it cure that diarrhoea when there were none of the elements of typhoid fever present a simple prostrating form of diarrhoea.

Exhaustion. Exhaustion comes rapidly. In three days he has a deathly sinking coming over him.

Headaches

The headaches are nondescript. Only those congestive attacks, frontal headaches - violent pains in the head, and especially in the occiput, such as occur in the low forms of disease.

I hardly ever go into the details of headaches. Baptisia is not a headache remedy. It is not a remedy that we would single out to treat headaches with, except such violent pains in the head of a congestive character that are associated with this low form of fever.

Face

It has characteristic eye symptoms. Congestion. Redness.

Pains in the eyes, and back of the eyes. So it has with hearing. So it has with nasal symptoms. But associated with fevers. But as soon as we come to the face we begin to realize the Baptisia symptoms, that besotted expression.

The countenance shows that. The eyes show it, the face shows it. And these are the symptoms:

"Dark red with besotted appearance. Hot and perceptibly flushed; dusky."

That tells the whole story. Burning; beat in the face.

"Critical sweat on forehead and face. Anxious, frightened look."

On rousing from sleep looks as if he had a horrible dream.

And then comes the mouth, and the teeth, and the throat, and the tongue, all show marked Baptisia features.

The tongue is swollen, painful, offensive. Covered with black blood. Raw; denuded. Stiff and dry as leather. Described as if it was made of wood, or burnt leather; ulcerated. Ulceration runs all through the remedy.

Aphthous patches. These little ulcers that start no bigger than a pin-head become black and are so offensive and run together so that the whole surface of the mouth will be in a state of ulceration; raw and denuded, oozing a thick saliva that is putrid.

Throat

The throat takes on ulceration; is raw and bleeding.

There may be diphtheritic exudations in the throat, but round about it there are those low, dark, offensive surfaces. The throat is greatly swollen, and it is with difficulty that he can swallow.

Baptisia has been a very useful remedy in gangrenous sore mouth and sore throat.

"Cancrum oris." The ulcers spread rapidly and eat rapidly.

They are really phagedenic. Sordes form rapidly on the teeth. And when he is roused from sleep after a few hours of stupor there is a building up on the lips and around the corners of the mouth ridges of dry blood; very offensive.

Bleeds much from the mouth, throat and nose. Thick oozing. Putrid.

"Tongue red, and dry in the middle, The roof of the mouth swollen and feels numb. Foul or bitter nauseous taste in the mouth. Tongue of a dark hue. Tongue dry, brown down the centre. Tongue covered with a thick, brown crust. Tongue yellowish white, deeply furred."

Ulcers all over the mouth. Baptisia has cured the ulcerated sore throat of young mothers - and nursing sore mouth in children, when the parts become dusky and ulcers spread, and the mouth is putrid, and prostration is coming on rapidly. The child or the mother is growing weak with great rapidity, is becoming prostrated.

Now, all this without fever.

Many of these ulcerative states in Baptisia are not attended with fever, it seems sometimes as though there were not life enough to get up a fever. Aphthous appearance in typhoid, in children, and with nursing mothers.

Canker sores in the mouth.

"Putrid ulceration of the whole buccal cavity."

Now, with all this trouble saliva pours into the mouth, is thick and ropy and runs all over the pillow; like we find in Mercury.

The sore throat may be gangrenous. A strong feature of it is that the ulcers are rapid and painless, as if numb, without sensation. But it has a painful sore throat.

"Fauces dark red; dark, putrid ulcers; tonsils and parotids swollen. Putrid sore throat. Tonsils and soft palate swollen, not accompanied by pain."

Great swelling; great tumefaction; purplish.

The darker it is the more likely would I be to think of Baptisia -but never a bright red. I have never seen the Baptisia mental state associated with a bright red appearance. That low form of mental state is associated with blood decomposition, with duskiness, with a dark appearance of the skin, and of the mucous membranes. Not bright red, not pink, as we find in Bell.

Bell is more commonly bright red, although it has duskiness, but nothing to the extent of Baptisia.

There is nothing like the putridity in Bell. that there is in Baptisia.

"Oesophagus feels as if constricted from above down to stomach."

Oesophagus

Now, we have another phase of it. From the sore throat the trouble extends into the oesophagus, and the oesophagus is at first in a state of spasm. Later it is paralyzed. Fluids will at first go down the throat, but he cannot swallow a particle of solids.

The bolus of food will go into the upper end of the oesophagus and there it chokes him and feels like a lump, and he chokes and struggles and gags and throws it back, and then takes water or fluids.

He can swallow fluids but he cannot swallow solids. Every particle of solid food gags; but he can swallow liquids. Natr. mur. and quite a number of other remedies have spasms of the oesophagus coming on with nervous complaints, but in this low state I know of no other medicine having that one symptom, having these features, and the paralysis, and the spasmodic condition of the oesophagus.

"The oesophagus feels as if constricted from above down to the stomach."

Constrictive feeling causing frequent efforts at deglutition; throat sore, feels constricted. Can swallow only liquids. Children cannot swallow solids. The smallest solid substance causes gagging, thus he cannot use anything but milk; sometimes, thin, watery, offensive passages day and night; associated with the putridity, with the offensiveness, with the duskiness and with the prostration.

You need to know no more, if it is diphtheria, or scarlet fever, if it is typhoid fever, that will lead you to a certain remedy.

"Paralysis of the organs of deglutition."

To draw out from every remedy that which is positive to get the associations that make up a particular remedy and that only is the duty of every clinician.

Abdomen

The abdomen is distended; the stomach is distended. We may have these symptoms in inflammation of the liver, when this remedy would be useful. Along with the diseases that I have mentioned, tympanitic abdomen.

Great soreness in the right iliac fossa; so sore and tender, no bigger than a fist; but all of this putridity, - I am sure, would prevent you from using a knife to cut off that little appendix.

"Foetid, exhausting diarrhoea. Aphthous diarrhoea which means that the parts of the anus that roll out are ulcerated, little aphthous patches inside of the margin."

"Involuntary diarrhoea."

Involuntary urine and stool in these low forms of disease.

"Dark brown, mucous and bloody stools. Foetid stools."

It has dysentery. After confinement the lochia stops. Great tenderness of the abdomen. All these putrid signs-breaking down of the blood, the appearance of the face, the sudden prostration, suddenly becoming stupid; and add to that the mental symptoms-these are all signs for Baptisia in puerperal fever.

Now, intermingled with this after the case has been running on a few days the limbs become helpless and tremulous.

The tongue when it is put out is tremulous. The hand when it is raised is tremulous, and the limbs are tremulous. Quivering all over the body. Prostration. increases. The jaw drops and he lies upon the back unconscious, with the mouth wide open. He gradually slides down toward the foot of the bed.

A peculiar sort of paralytic weakness. This is how the prostration increases with the disease; but even yet when he is as low as this, with the signs present, Baptisia will break that fever. Baptisia will stop the typhoid fever, when it is indicated. Prostration and trembling Huddles down in bed, feels as if sinking away.

Lies in a semiconscious condition when she appears dying. Excessive drowsiness. Delirious stupor, Lies in a semi-comatose state.

"Discharges and exhalations foetid."

Breath, stool, urine, ulcers; all putrid. Ulceration of mucous membranes.

The Therapeutics of Fevers

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

Characteristic

For the lymphatic temperament.

Great prostration, with disposition to decomposition of fluids (Pyr.); ulceration of mucous membranes.

All exhalations and discharges fetid, especially in typhoid or other acute diseases; breath, stool, urine, perspiration, ulcers (Psor., Pyr.).

Aversion to mental exertion; indisposed, or want of power, to think.

Perfect indifference, does not care to do anything; inability to fix mind on work.

Stupor; falls asleep while being spoken to or in the midst of his answer (when spoken to, answers correctly, but delirium returns at once, Arn.).

Face flushed, dusky, dark-red, with a stupid, besotted, drunken expression (Gels.).

Can swallow liquids only (Bar. c.); least solid food gags (can swallow liquids only, but has aversion to them, Sil.).

Painless sore throat; tonsils, soft palate and parotids dark red, swollen; putrid, offensive discharge (Diph.).

Dysentery of old people; diarrhœa of children, especially when very

Prodrome

Great languor; wants to lie down. General malaise; feels weak, tremulous, as after severe illness; sore, bruised (Arn., Pyr.).

Chill

Chilly all day; whole body feels sore, bruised (Arn.). Chills; up and down the back (Gels.); over the back, and limbs; over the back while sitting by the fire; on going into the open air; with severe aching in muscles of whole body.

Heat

Whole surface hot and dry, with occasional chills, mostly up and down the back (Ars.). Flushes of heat; from small of back in all directions (Gels.); over the face; over the whole body; 3 A. M. with feeling as if sweat would break out. Uncomfortable burning all over surface, especially face, as if sweat would break out; had to move to a cool part of the bed. Heat at night; burning in legs prevent sleep; limbs hot, but feel cold to touch.

Sweat

Fetid, frequent, but not profuse.

Tongue

White at first, with red edges and papillæ; brown streak down centre; later, dry, cracked, ulcerated. Taste flat or bitter; cannot digest food.

Pulse

Small, thready, weak, variable, 120–160; temperature, rises rapidly to 103–106.

Apyrexia

Indescribable sick feeling all over. Generally weak, restless. uneasy; can confine himself to nothing; wants to be continually moving from place to place.

Analysis

Dark red, flushed face, with stupid, besotted expression.

The peculiar delirium and stupor.

The bruised soreness of parts lain upon.

The marked early prostration, and tendency to a low type of fever with decomposition.