Bryonia Alba bry.

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. CIRCULATION. Liver. SEROUS MEMBRANES: HEAD. CHEST. JOINTS. ABDOMEN. Motor apparatus: Nerves. Muscles. Right side. Lymphatics. Cellular tissue.

Worse

MOTION: LEAST RAISING UP. STOOPING. EXERTION. COUGHING. DEEP BREATHING. Dry: Heat. Cold. HOT: BECOMING. ROOM. Weather. Drinking, while hot. EATING. Vegetables. Acids. Calomel. VEXATION. Touch. Suppressions. Taking cold. Early A.M.

Better

PRESSURE: LYING ON PAINFUL PART. Bandage, etc. COOL OPEN AIR. QUIET. Cloudy, damp days. Drawing knees up. Heat to inflamed part.

General

Slowly advancing, forcible processes, localizing in unyielding tissues. Very painful effects; on coughing holds sides, chest or head; in joints, etc. BURSTING, STITCHING or heavy, sore pain, going backward. AVERSE TO LEAST MOTION, even of distant parts. Dryness everywhere. Dryness of the mucous membranes. Scanty, adherent secretions. Congestion, INFLAMMATION, exudation. Streaks of red. Gastro- bilious -rheumatic type.

Particulars

Determined, taciturn, irritable and ugly. Wants to be let alone or go home. Dull. DIZZY OR FAINT ON RAISING UP. Vertigo; felt in occiput. BURSTING, SPLITTING OR HEAVY crushing headache; fronto- occipital; < moving eyes, coughing, straining at stool, etc. Pain over l. eye. Sensitive scalp; every hair pains. Oily hair. Eyeballs sore; pains behind. Dark red face. Nosebleed; vicarious. Suppressions or non-appearing discharges, eruptions, etc. Wagging lower jaw. Descending colds. Chewing motions. Dry, parched, cracked lips. Dry mouth. Tongue very dry, rough, coated along center; red at base. Soapy saliva. BITTER TASTE, or vomitus. Hawks brown lumps from posterior nares. THIRST; FOR LARGE DRINKS. Craves what he can't relish. Loathing. Nausea, < lying on r. side. Throbbing, tender epigastrium. Heavy load in stomach. Heavy, sore liver, > lying on it. Appendicitis. Peritonitis. LARGE, DRY, VERY HARD STOOLS, as if burnt. Constipation. Gushing diarrhœa on rising, < cabbage; burning; < hot weather. Lumps of tough mucus after stool. Yellow, mushy stool. Vicarious menstruation. Right chest; rusty expectoration. Wants to take a deep breath, but can't, or it excites cough. DRY, HARD, VERY PAINFUL COUGH, as if from stomach; < eating or drinking. Blood-streaked or tough expectoration. Bronchitis. Pneumonia (r.). SHARP STITCHES IN CHEST, or at r. scapula. Dry, friction sound. Pleurisy. Stony, hard mammæ; before menses. Milk fever. Heavy, hard breasts before menses. Interscapular numbness or pain going to epigastrium or from l. to heart. Lumbago, < stooping. Delirium; dreams of hard work. FULL, QUICK, HARD PULSE. Undeveloped measles. Jaundice. Chill, with hot head and red face; < warm room. Dry, burning heat; with < of all symptoms; blood seems hot. Painful, continued fevers; typhoid, catarrhal, etc.; after suppressions. Sour or oily sweat. Groins sore before menses.

Related

Complementary: Alu. Lyc. Nat-m. Related: Phyt. 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

Is best adapted to persons of gouty or rheumatic diathesis; prone to so- called bilious attacks. Bryonia patients are irritable, inclined to be vehement and angry; dark or black hair, dark complexion, firm muscular fibre; dry, nervous, slender people (Nux). Pains: stitching, tearing, worse at night; < by motion, inspiration, coughing; > by absolute rest, and lying on painful side (Ptel., Puls. - stitching pain, but < and > are opposite, Kali c.). Excessive dryness of mucous membranes of entire body; lips and tongue dry, parched, cracked; stool, dry as if burnt; cough, dry, hard, racking, with scanty expectoration; urine, dark and scanty; great thirst. Vicarious menstruation; nosebleed when menses should appear (Phos.); blood spitting, or heamoptysis. Ailments from chagrin, mortification, anger (Col., Staph.); violence, with chilliness and coldness; after anger chilly, but with head hot and face red (Aur.). Complaints: when warm weather sets in, after cold days; from cold drinks or ice in hot weather; after taking cold or getting hot in summer; from chilling when overheated; kicks the covers off; from exposure to draft, cold wind (Acon., Hep.); suppressed discharges, of menses, milk or eruption of acute exanthema. One of the chief characteristics of Bryonia is, aggravation from any motion, and corresponding relief from absolute rest, either mental or physical. Desires things immediately which are not to be had, or which when offered are refused. Children dislike to be carried, or to be raised. Delirium: talks constantly about his business; desire to get out of bed and go home (Act., Hyos.). Constant motion on left arm and leg (Apoc., Hell.); Patient cannot sit up from nausea and faintness. Great thirst for large quantities at long intervals. Headache: when stooping, as if brain would burst through forehead; from ironing (Sep.); on coughing; in morning after rising or when first opening eyes; commencing in the morning, gradually increasing until evening; from constipation (Aloe, Colin., Op.). Pressure as from stone at pit of the stomach, relieved by eructation (Nux, Pul.). Constipation: inactive, no inclination; stool large, hard, dark, dry, as if burnt; on going to sea (Plat.). Diarrhoea: during a spell of hot weather; bilious, acrid with soreness of anus; like dirty water; of undigested food; from cold drinks when overheated, from fruit or sour krout; < in morning, on moving, even a hand or foot. Mammae heavy, of a stony hardness; pale but hard; hot and painful; must support the breasts (Phyt.). Cough: dry, spasmodic, with gagging and vomiting (Kali c.); with stitches in side of chest; with headache, as if head would fly to pieces; < after eating, drinking, entering a warm room, deep inspiration.

Relations

Complementary: Alumina, Rhus. Similar: to, Bell., Hep., for hasty speech and hasty drinking. To Ran. in pleuritic or rheumatic pains of chest. To Ptelea, in aching heaviness in hepatic region; > lying on right side, greatly < lying on left side; turning to the left causes a dragging sensation. After Bryonia; Alum., Kali c., Nux, Phos., Rhus, Sulph.

Aggravation

Motion, exertion, touch; cannot sit up, gets faint or sick or both; warmth, warm fold; suppressed discharges of any kind.

Amelioration

Lying, especially on painful side (Ptel., Puls.); pressure; rest; cold, eating cold things.

Key-Notes to the Materia Medica

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

General

The great characteristic of this drug is aggravation produced by any motion. The patient cannot bear a disturbance of any kind, either mental or physical. Can't sit up in bed, as it makes the patient so sick and faint, even when rising up to take a drink of water. Moving from one side of the bed to the other is not so bad, but the patient cannot sit up. Nervous, dry, slender people, bilious temperament.

Mental

Lowness of spirits; apprehensions and dread on account of the future. Delirium, "wants to go home." Intolerance of noise.

Face

Bluish-red face; red face; exanthema on the under lip; parched, dry, and cracked lips are very characteristic.

Tongue

Furred, usually dry and hard with deep cracks.

Nose

Dry catarrh of the nose. Epistaxis especially just before the beginning of the menses, or in pregnant women, just before the time for the menses to appear.

Chest

Respiration oppressed; deep sighing: desire to take a long breath, but cannot, as there is a feeling as though the lungs will not expand sufficiently. Right chest, inner chest; cough in general; if the patient is in bed when the cough comes on, he must immediately rise up into a sitting posture; cough with expectoration in the morning and daytime, without expectoration in the evening. Expectoration grayish, bloody, brownish; concomitant complaints to cough, as there may be vomiting, or micturition, or pain in the chest with every coughing spell.

Gastric

Vomiting in general; of bile; of what has been eaten, which comes up very soon after eating, of food in mouthfuls at a time (vomiting very often excited by motion); of a watery fluid; bitter and flat taste; belching or eructations; collection of water in the mouth.

Stool

Obstruction from induration of the feces; dry, hard, burnt looking stool; feces too thick, i.e., too large.

Urine

Urine is dark; becomes turbid; often casts a pinkish stain all over the bottom of the chamber.

Sexual

Female: Menses of dark color and bad smell; epistaxis at time of. Mammæ: Feel hard and heavy, and are generally pale; increased secretion of the milk.

Joints

Affections of the shoulder; hip; arthritic pains in; swollen, presenting a pale reddish appearance. Sensation of tension in the joints.

Sensation

Burning pains in the internal and external parts; as if the parts were pushed or pressed asunder; as if the parts would burst. Pricking dartings in the outer parts, also in the inner parts, as the patient may complain that he can't walk on account of a sensation of pins and needles in the feet; darting in the muscles; swellings in general; drawing in outer and inner parts; corns pricking; dryness of the skin with heat (especially after perspiration); burning itching; pricking itching; pricking in the skin (this pricking sensation is very characteristic of Bryon.). Stinging pains. Erysipelas feels very hard, as if indurated; pale, tender.

Fever

Compound fevers in general; chilliness and heat alternately; heat and shuddering alternately; want of perspiration. Wants to drink much water during chill and fever. Chilliness in general; with thirst; with shivering. Heat in general; external heat; heat of single parts; internal heat; heat on one side only; dry heat. Pulse hard, usually quick.

Generalities

Affections of the right hypochondrium; inner lower belly; inner region of the liver; inner navel region; of right upper and right lower extremity. Disposition to catch cold; inflammation of the inner parts; sudden startings of the body; miliary eruptions, which may look scarlet or pale; petechiæ; rubeola. External swelling in general; burning; dropsical, hard, inflamed, pale swellings. Ulcers with sensation of coldness.

Sleep

Falling asleep late; not refreshing; sleeplessness in general, especially before midnight; complaints causing sleeplessness; lying on the back during sleep.

Worse

In the evening; from warmth; before falling asleep; on stooping down; while drawing breath (stitch); on taking a deep breath; from suppressed catarrh; after taking cold; while coughing; after the suppression of cutaneous eruptions; after eating; from exertion of the body; from shutting the eyes (may make the pain in the head worse); from getting heated; from lying on the side; lying on the painless side; on ascending; on moving the eyes; moving the parts affected; from cabbage; fruits; saur-krout; from vegetables with husks; from warm food; sometimes, during perspiration; on rising; from running; walking; during the first hours of sleep; during sleep; stepping heavily on the ground; when swallowing; getting warm in the open air; when walking quickly.

Better

Exhaling; after eructation; on going down, (descending); while lying down; lying on the back: lying on the painful side; when quiet: while sitting; from cold things; cold food, etc.

Remedies following

Bellad., Nux vom., Phosphor., Pulsat., Rhus tox., Sepia, Sulphur (after Sulphur, very often Psorin).

Antidotes

Acon., Camphor. Chamom., Coffea, Rhus tox.

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

Very irritable, inclined to be angry. Sensation in bed as if be were sinking deep down. Headache from ironing, or from washing the perspiring face in cold water. Parched and dry lips, likes to moisten them often, mouth dry and thirsty for cold water. Delirium about his business, worse at night, after Anxiety about his business, worse at night, not the where-withal to live. Frequent drinking of cold water relieves the bitter taste and the inclination to vomit. Desire for things immediately, which when offered, are refused. Sitting up in bed causes nausea and fainting, Gastric affections, dry mouth and tongue, tongue coated white, giddy when stooping or rising, forehead heavy, taste bitter, food lies heavy, pit of stomach sore to touch, constipation, etc. Constipation, stools hard and dry as if burnt. Coming into warm room from cold air excites cough. Joints red, swollen, stiff, with stitching pains from slightest motion. Dropsical swellings increase during the day diminish during the night. Complaints when warm weather sets in after cold days. Sharp stitching pains in the chest, cannot ham to move or draw a deep breath. Sore, bruised pain in muscles of nape as from taking cold, also in lumbar region or small of back.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Wild Hops (BRYONIA)

General

Acts on all serous membranes and the viscera they contain. Aching in every muscle. The general character of the pain here produced is a stitching, tearing; worse by motion, better rest. These characteristic stitching pains, greatly aggravated by any motion, are found everywhere, but especially in the chest; worse pressure. Mucous membranes are all dry. The Bryonia patient is irritable; has vertigo from raising the head, pressive headache; dry, parched lips, mouth; excessive thirst, bitter taste, sensitive epigastrium, and feeling of a stone in the stomach; stools large, dry, hard; dry cough; rheumatic pains and swellings; dropsical effusions into synovial and serous membranes.

Bryonia affects especially the constitution of a robust, firm fiber and dark complexion, with tendency to leanness and irritability. It prefers the right side, the evening, and open air, warm weather after cold days, to manifest its action most markedly.

Children dislike to be carried or raised. Physical weakness, all-pervading apathy. Complaints apt to develop slowly.

Mind

Exceedingly irritable; everything puts him out of humor. Delirium; wants to go home; talks of business.

Head

Vertigo, nausea, faintness on rising, confusion. Bursting, splitting headache, as if everything would be pressed out; as if hit by a hammer from within; worse from motion, stooping, opening eyes. Headache becomes seated in occiput. Drawing in bones towards zygoma. Headache; worse on motion, even of eyeballs. Frontal headache, frontal sinuses involved.

Nose

Frequent bleeding of nose when menses should appear. Also in the morning, relieving the headache. Coryza with shooting and aching in the forehead. Swelling of tip of nose, feels as if it would ulcerate when touched.

Ears

Aural vertigo (Aur; Nat sal; Sil; Chin). Roaring, buzzing.

Eyes

Pressing, crushing, aching pain. Glaucoma. Sore to touch and when moving them.

Mouth

Lips parched, dry, cracked. Dryness of mouth, tongue, and throat, with excessive thirst. Tongue coated yellowish, dark brown; heavily white in gastric derangement. Bitter taste (Nux; Col). Burning in lower lip in old smokers. Lip swollen, dry, black, and cracked.

Throat

Dryness, sticking on swallowing, scraped and constricted (Bell). Tough mucus in larynx and trachea, loosened only after much hawking; worse coming into warm room.

Stomach

Nausea and faintness when rising up. Abnormal hunger, loss of taste. Thirst for large draughts. Vomiting of bile and water immediately after eating. Worse, warm drinks, which are vomited. Stomach sensitive to touch. Pressure in stomach after eating, as of a stone. Soreness in stomach when coughing. Dyspeptic ailments during summer heat. Sensitiveness of epigastrium to touch.

Abdomen

Liver region swollen, sore, tensive. Burning pain, stitches; worse, pressure, coughing, breathing. Tenderness of abdominal walls.

Stool

Constipation; stools hard, dry, as if burnt; seem too large. Stools brown, thick, bloody; worse in morning, from moving, in hot weather, after being heated, from cold drinks, every spell of hot weather.

Urine

Red, brown, like beer; scanty, hot.

Female

Menses too early, too profuse; worse from motion, with tearing pains in legs; suppressed, with vicarious discharge or splitting headache. Stitching pains in ovaries on taking a deep inspiration; very sensitive to touch. Pain in right ovary as if torn, extending to thigh (Lilium; Croc). Milk fever. Pain in breasts at menstrual period. Breasts hot and painful hard. Abscess of mammæ. Frequent bleeding of nose at appearance of menses. Menstrual irregularities, with gastric symptoms. Ovaritis. Intermenstrual pain, with great abdominal and pelvic soreness (Ham).

Respiratory

Soreness in larynx and trachea. Hoarseness; worse in open air. Dry, hacking cough from irritation in upper trachea. Cough, dry, at night; must sit up; worse after eating or drinking, with vomiting, with stitches in chest, and expectoration of rust-colored sputa. Frequent desire to take a long breath; must expand lungs. Difficult, quick respiration; worse every movement; caused by stitches in chest. Cough, with feeling as if chest would fly to pieces; presses his head on sternum; must support chest. Croupous and pleuro-pneumonia. Expectoration brick shade, tough, and falls like lumps of jelly. Tough mucus in trachea, loosened only with much hawking. Coming into warm room excites cough (Nat carb). Heaviness beneath the sternum extending towards the right shoulder. Cough worse by going into warm room. Stitches in cardiac region. Angina pectoris (use tincture).

Back

Painful stiffness in nape of neck. Stitches and stiffness in small of back. From hard water and sudden changes of weather.

Extremities

Knees stiff and painful. Hot swelling of feet. Joints red, swollen, hot, with stitches and tearing; worse on least movement. Every spot is painful on pressure. Constant motion of left arm and leg (Helleb).

Skin

Yellow; pale, swollen, dropsical; hot and painful. Seborrhœa. Hair very greasy.

Sleep

Drowsy; starting when falling asleep. Delirium; busy with business matters and what he had read.

Fever

Pulse full, hard, tense, and quick. Chill with external coldness, dry cough, stitches. Internal heat. Sour sweat after slight exertion. Easy, profuse perspiration. Rheumatic and typhoid marked by gastro-hepatic complications.

Modalities

Worse, warmth, any motion, morning, eating, hot weather, exertion, touch. Cannot sit up; gets faint and sick. Better, lying on painful side, pressure, rest, cold things.

Relationship

Complementary: Upas when Bryonia fails. Rhus; Alumina. Illecebrum.--A Mexican drug.--(Fever with catarrhal symptoms, gastric and typhoid fever symptoms).

Antidotes: Acon; Cham; Nux.

Compare: Asclep tub; Kali mur; Ptelia.

Dose

First to twelfth attenuation.

Leaders in Homoeopathic Therapeutics

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

Leaders

All complaints < on motion.

Dryness of mucous membranes generally (lips, mouth, stomach, wants drink in large quantities, at long intervals; intestines, dry hard stools as if burnt).

Effusions in serous membranes (meninges, pleura, peritoneum, etc.).

Constipation (no desire) or diarrhœa, < mornings on beginning to move.

Stitching pains, especially in serous membranes and joints.

Sitting up causes nausea and faintness.

Suitable to dry, spare, nervous, slender persons, of irritable disposition; rheumatic tendency. Complaints in hot weather, or exposure to dry, cold air, in wet weather (Rhus tox).

Cough, dry, hard, racking, with scanty expectoration; with splitting headache; delirium, about the business of the day; (typhoid) headache; < stooping; ironing; hot weather; coughing; motion, vertigo; with nausea, and faintness; < from sitting up after lying down. Pressure, as from a stone, at pit of stomach relieved by eructation.

Vicarious menstruation; nose bleeds when menses should appear (Phos.).

Mammæ heavy, of a stony hardness; pale, but hard; hot and painful.

Rheumatism of joints, with pale swelling, great paint worse on touch or least motion.

As in Pulsatilla, so in Bryonia, the leading characteristic lies in its "modality." Three words express it -aggravation from motion.

What is aggravated on motion? Sufferings of almost any and every kind. We will not undertake to enumerate them. All that Hering says in his cards on that line is -"Joints red, swelling, stiff with stitching win from slightest motion," and this so far as it goes is genuine, but it is only the beginning of all the ailments that are < on motion.

Look in "Guiding Symptoms," under "Motion," and see the long list of symptoms aggravated by motion, and even these do not cover all. Now we begin to realize the value of this modality.

It makes no difference what the name of the disease, if the patient feels greatly > by lying still and suffers greatly on the slightest motion, and the more and longer he moves the more he suffers, Bryonia is the first remedy to be thought of, and there must be very strong counter-indications along other lines that will rule it out.

Nor does it make much difference what organ or tissue is the seat of the disease, mucous, serous or muscular, the same rule applies.

Another very valuable modality of Bryonia is again expressed in three words -amelioration from pressure. This is the reason the patient, much to the astonishment of the nurse, wants to lie on the paintful side or part. (Opposite Belladonna, Kali carbonicum).

No one can realize the value of these two modalities until he has often met them at the sick bed and witnessed the prompt relief from the use of Bryonia.

When writing upon Pulsatilla, we noticed the characteristic action of that remedy upon the mucous surfaces. Here Bryonia acts just as characteristically, but it is so different. With Bryonia it is excessive dryness or lack of secretion in them. It begins in the lips, which are parched, dry and cracked, and only ends with the rectum and stools, which are hard and dry as if burnt. The same condition is undoubtedly present in the stomach. which is evidenced by the excessive thirst; which can only be satisfied by large draughts of water; a little does not satisfy.

The same condition obtains in the lungs and bronchia, which causes hard, dry cough with little or no expectoration, and with soreness and pain in the chest when the patient coughs. (Natrum sulphuricum has loose cough with soreness). The urine is scanty and only exceptionally (or as I would express it reactionally) copious. We must remember that every remedy has a dual action. These two actions are termed primary and secondary. I think that the so-called secondary action is only the reaction of the organism against the first or primary (so-called) action of the drug. For instance -the real action of Opium is to produce sleep or stupor, the reaction is wakefulness; of Podophyllum, Aloes, etc., catharsis; the reaction constipation, and I think that the truly homœopathic curative must be in accord with the primary (so-called) effects of every drug in order to get the best and most radical cure, but if given for the secondary (so-called) symptoms, the primary ones having passed by, we should carefully inquire for all the symptoms which have preceded those which are present; and taking both past and present, let them all enter into the picture whose counterpart is to be found in the drug which is to cure. Any other method is only palliative and not curative.

Bryonia has also a very decided effect upon the serous membranes. It is very useful in the second stage of inflammation, after the stage of serous effusion has set in. In most of these cases the first stage has been attended by symptoms calling for the exhibition of such remedies as Aconite, Belladonna, Ferrum phos., etc., but not always; and right here let me call attention to the most characteristic pains of this remedy. They are stitching pains. Now observe, the characteristic pains of inflammatory affections of the serous membranes are stitching pains; this is the reason why Bryonia comes to be such a regal remedy in pleuritis, meningitis, peritonitis, pericarditis, etc. The subjective symptoms corresponding to the remedy must go down before it, and the objectives must as surely follow. Only one remedy can equal Bryonia for stitching pains, viz, Kali carbonicum. (Stitching pains in chest are particularly found under Bryonia, Kali carb., Natrum mar., Squilla and Mercur. viv.). And there is this difference between them: The Bryonia stitches come on or are aggravated by the least motion, while those of Kali carbonicum will occur whether the patient moves or not, (Bryonia > by pressure, Kali carb., not). But in both remedies they cry out sharply with the pains. Apis has pains which cause the patient to cry out sharply, but they are stinging pains -like a bee sting. All these three are great remedies for effusions into serous cavities, and Sulphur precedes and follows equally well anyone of them.

A word right here in regard to interpolating Sulphur, when, as we express it, "the seemingly indicated remedy does not act." Some would stumble over that, and ask -as they would have a right to do- how about your similia, etc., in such a use of Sulphur? I answer -Sulphur is a remedy of wide range of action, and covers more perfectly those conditions and symptoms which are the outgrowth of psora than any other remedy; so it does meet the case complicated by psora very often, and either cures it or removes the complication so that the other remedies may act. But remember it will not always do it, and other antipsoric remedies must be chosen. It must be the simillimum for the psoric condition.

Bryonia stands alongside of Nux vomica and Pulsatilla for disorders of alimentation. All three remedies have a sensation as of a stone in the stomach, Bryonia and Nux vomica more so than Pulsatilla. Bryonia leads in thirst, Nux vomica less, and Pulsatilla little or none. All have bad taste in the mouth; Bryonia and Pulsatilla bitter and Nux vomica sour. All have nausea and vomiting; Bryonia worse on motion, as rising up, Nux vomica in the A. M. and after eating, Pulsatilla in the evening and also after eating.

The gastric derangements of Bryonia often occur as a result of dietetic errors, especially when warm weather sets in after cold. Those of Nux vomica more from continued over-eating and inactivity, the abuse of drugs, coffee, tobacco or alcoholics; Pulsatilla from too rich foods, pastries, fat foods and ice cream (in excess); a little ice cream feels good in the Pulsatilla stomach, but much overdose the matter, because it is too rich.

All three remedies have attacks of diarrhœa, although constipation is most characteristic of Bryonia and Nux vomica, and is only exceptionally found under Pulsatilla.

Bryonia diarrhœa is worse in the morning, on movement, and open occurs as an effect of over-eating in the heat of summer. Nux vomica diarrhœa is also apt to be worse in the morning, is mostly caused by over-eating and is apt to put on the dysenteric type. The Pulsatilla diarrhœa is more apt to occur in the night, from causes above mentioned, and is attended with great rumbling of the bowels.

All have white, sometimes very thickly-coated tongue, but taking into account the causes of these gastric and bowel troubles, temperament and modalities there should not be much difficulty in choosing the right remedy for any case.

So far as temperament is concerned, Bryonia is like Nux vomica, but Bryonia has much more of the "rheumatic diathesis." Both are easily irritated or angered, and are oftenest found indicated in spare, dark-complexioned subjects. Both are aggravated generally on motion, by Bryonia very much the more so, while Pulsatilla is sometimes like Rhus toxicodendron relieved by motion.

Now a few special indications for Bryonia and we will have it:

"Bursting headache, as if it would split the head open, aggravated by stooping; coughing; ironing; opening or moving the eyes; moving any way; in hot weather. Nausea and faintness when rising up, relieved when lying still."

"Epistaxis instead of menses (vicarious menstruation), also blood spitting."

"Mastitis; breasts pale, hot, hard, heavy and painful."

"Suppression of lochia with bursting headache."

"Suppression of milk, menses, measles or rash of scarlatina, or where all these are slow in appearing; of course the other Bryonia symptoms must be present."

"Frequent desire to take long breath; must expand the lungs. (Cactus, Ignatia, Nat sulph.)."

"Cough dry, < after eating, sometimes math vomiting; < moving; < coming from open air into warm room. (Nat. carb)."

"Cough hurts head and chest, holds them with hands." (Eupatorium perf., Natrum sulph.).

These are some of the peculiar symptoms which cannot be ranged under any general head, and are excellent leaders to the consideration of Bryonia, all and each of which will be found associated with the more general characteristics already noticed.

The dominant school do not know what they have lost in not being acquainted with the virtues of this remedy, as developed in our provings and clinical use, but we know what we have gained.

Modalities

Modalities: < from motions, warm weather after cold. > from quiet, lying on painful side.

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Exceedingly irritable and inclined to be angry. Restlessness, with fear of the future ; fear of death, which he thinks is near. Despair of recovery. Delirium at night of the business of the day. Unconsciousness. After having been angry he is chilly ; has a red face and heat in the head.

Head

Giddiness, with sensation of looseness in the brain when stooping, and when raising up the head. Fulness and heaviness in the forehead, as if the brain were pressed out ; with bleeding of the nose ; red, bloated face ; worse when opening or moving the eyes ; when stooping ; in the evening ; from motion ; better from closing the eyes ; from external pressure. Tearing in one (right) side of the head, extending into the cheek and jaw-bones ; worse from motion, touch and heat ; better during rest and from external pressure. Heat of the head, with dark-red face ; with coldness of the rest of the body ; with much thirst and pain in the limbs when moving them ; worse in the evening. Oily, greasy, sour-smelling perspiration on the head (and the whole body) during sleep ; at night, especially towards morning. Greasiness of the hair of the head.

Eyes

Stitches in the eyes. Burning in the eyes and edges of the eyelids. Inflammation of the eyes, aggravated by heat. Inflammation of the eyes, especially in gouty subjects. The eyes feel as if pressed out of the head. The eyes feel very sore to touch, and when moving them. Swollen eyelids, especially the upper lids.

Nose

Swelling of the nose, with very sore pain when touched. Bleeding of the nose, especially in the morning -with suppressed menstruation.

Face

Yellow paleness of the face. Hot, bloated red face. Nodosities and indurations on the face. Lips dry, swollen ; cracked.

Teeth

Toothache ; shooting from one tooth to another, or into the head and cheeks ; from an exposed nerve (sensitiveness of the decayed teeth to contact of the air) ; pain worse from smoking or chewing tobacco ; from introducing any thing warm into the mouth ; relieved, momentarily, by cold water, and when lying on the painful side.

Mouth

Dryness of the mouth, tongue and throat. Tongue coated white or yellow, especially in the middle.

Throat

Great peen in the throat. Stitches in the throat when swallowing. Sensation of swelling and constriction in the œsophagus.

Appetite and Taste

Abnormal hunger ; he must often cat something. Does not drink often, but much at a time. Taste bitter, even of food.

Stomach

Vomiting of solids, and not of fluids. Bitter vomiting when drink immediately after a meal. Vomiting, first of bile, then fluids. Pressure in the stomach after eating, especially after eating bread. Stitches in the stomach. Burning in the stomach and pit of the stomach, especially when moving. Inflammation of the stomach. Sensitiveness of the pit of the stomach to touch and pressure.

Abdomen

Bloated abdomen (dropsy). Stitches in the liver, when touching it ; when coughing and breathing. (Inflammation of the liver).

Stool and Anus

Constipation. Stools too large in size ; too hard and dry. Diarrhœa, preceded by pain in the abdomen ; during stool burning at the anus. Diarrhœa putrid ; smelling like old cheese ; worse (or only) in the morning ; during hot weather. Involuntary stools while asleep.

Urinary Organs

Diminished secretion of hot, red urine. White, turbid urinating). Burning in the urethra, (when not urinating). Cutting in the urethra, or sensation of constriction while urinating.

Sexual Organs

Men. Stitches in the testicles while sitting. Women. Menstruation too early and too profuse, with dark, red blood. Suppressed menstruation, with bleeding of the nose. During pregnancy, pain in the abdomen and burning in the uterus. Swelling and inflammation of the left labia majora. Lumps indurations and inflammations of the mammæ, with diminished or retarded secretion of milk. (Puerperal fever).

Respiratory Organs

Hoarseness and roughness of the voice (acute bronchitis). Deep, slow breathing. Difficult breathing, only possible with the assistance of the abdominal muscles. Frequent sighing, breathing. Continued inclination to draw a long breath. Breathing quick, difficult and anxious ; caused by stitches, principally in the chest, compelling him to sit up. Cough, from tickling in the throat and pit of the stomach ; in the evening and at night without expectoration ; during the day the expectoration is yellow, or consists of coagulated brown blood, or of cold mucus of a disagreeable flat taste. Cough and stitches in the head and chest ; or pain, as if the head and chest would burst. Stitches in the chest, when breathing or coughing. Heat in the chest (pleurisy, pneumonia). Palpitation of the heart, with oppression of the chest (carditis). Dry, spasmodic cough, after eating and drinking, with vomiting of food. Cough, with involuntary secretion of urine ; hoarseness ; thirst ; sneezing ; stitches in the chest and small of the back ; red face ; aggravated by motion, talking, laughing, eating and drinking.

Back

Stitches in the back and small of the back. Painful stiffness in the small of the back, compelling him to walk and sit crookedly. Painful stiffness of the neck.

Upper Extremities

Swelling of the elbow and hand joints, and upper parts of the hands. The wrist feels as if dislocated, when moving it. Rheumatic swelling of the right shoulder and upper am, with stitches. Swollen hands.

Lower Extremities

Cracking and dislocation of the hip-joint, when walking. Stitches in the hip-joint, extending to the knee. Painful stiffness of the knees, with stitches, especially when moving them. The ankle feels as if dislocated, especially when walking. Swelling of the lower extremities. Hot, inflammatory swelling of the feet, with redness. Stitches in the feet (soles of the feet, big toe). Putrid ulcers on the lower extremities.

Generalities

Over-sensitiveness of the senses to external impressions. Rheumatic and gouty pains in the limbs, with tension ; worse from motion and contact. Paralysis of the limbs. Stiffness and stitches in the joints. Swelling (pale or red) of the affected parts, with inability to move them.

Sleep

Sleeplessness before midnight, with thirst, heat and ebullitions. Drowsiness, with half-closed eyes. Yawning and sleepiness in the day-time. Delirium, as soon as he awakes.

Fever

Pulse full and hard, tense and quick ; seldom intermitting. Chilliness predominating, frequently with heat of the head, red cheeks and thirst. Chill, with external coldness of the body. Coldness and chilliness, mostly in the evening, and often only on one (right) side. More chilliness in the room than in the open air. Heat. Fever, with bitter taste and thirst. Dry, burning heat, mostly internal, as if the blood were burning in the veins. Perspiration, profuse and easily excited when walking slowly in the open, cold air. Profuse night and morning perspiration. Perspiration sour, or oily.

Skin

Yellowness. Burning itching eruptions. Rash, especially of children, and during child-bed. Petechiæ. Erysipelatous inflammations, especially of the joints. Hard knots and blotches. Putrid ulcers, feeling cold.

Conditions

Aggravation, in the evening (9 A.M.). From motion, exertion of the body, on ascending ; worse on sitting up in bed ; the patient is made sick at the stomach by sitting up ; can't sit up a moment ; gets faint, or sick, or both, on sitting up. From heat and warm food ; while coughing, after eating, while swallowing ; after the suppression of cutaneous eruptions. Amelioration, while making an expiration. On descending ; while lying, especially on the painful side ; while sitting ; from eating cold things ; on getting warm in bed.

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

Bryonia alba. White Bryony. N. O. Cucurbitaceæ. Tincture of root procured before flowering.

Clinical

Alcoholism. Amenorrhœa. Anger, effects of. Aphthæ. Apoplexy. Asthma. Bilious attack. Brain, affections of. Breast, inflamed. Bronchitis. Cancer . Chill, effects of. Chlorosis. Constipation. Consumption . Coryza. Cough . Dentition. Diaphragm, rheumatism of . Diarrhœa. Dropsy. Dyspepsia . Eczema. Enteric fever. Eruptions . Gastro-enteritis. Hæmorrhages. Hands, swollen. Headache. Heart, inflammation of . Hernia. Hiccough. Hydrocele. Hydrocephalus. Influenza . Intermittent fevers. Jaundice. Joints, pain in. Lactation, disorder of. Liver, disorders of. Lumbago . Measles. Meningitis. Menstruation, vicarious . Miliaria. Milk fever. Myalgia . Nephritis. Nose-bleed. Peritonitis . Phlegmasia alba dolens. Pleurisy. Pleurodynia. Pneumonia. Pregnancy, morning cough of ; sickness of. Puerperal fever. Pyuria. Relapsing fever . Remittent fever. Rheumatism. Scarlatina. Screaming. Side, pain in. Sleep, anxious dreams in. Spina bifida. Stiff-neck . Suppressed eruptions, bad effects of. Thirst. Tongue, coated. Toothache. Trachea, pain in. Vertigo. Waking, starts and screams on. Water-brash . Whooping-cough. Yellow fever .

Characteristics

Bryonia alba is one of the polychrest remedies of the homœopathic materia medica. The common Bryony of this country is the Bryonia dioica , which has been substituted for the B. alba , and has probably identical properties; but the Alba alone has been proved, and consequently this should always be dispensed. Less rapid in its action than Aconite , it goes deeper in its effects, and often takes up the work where Acon . leaves off. It not only disorders the circulation, but alters the blood itself. It corresponds to fevers of almost all kinds, especially rheumatic, typhoid, bilious and remitting. In these, as in all other complaints, the exquisite sensitiveness of the drug to movement of all kinds is a leading characteristic. The patient avoids even the movement of the eyes; raising head from pillow causes faintness, nausea, and vomiting. Allied to this is > from pressure; from lying on painful side. (This distinguishes Bry . from Bell . in pulmonary complaints. A case of intense pleurisy with high fever grew steadily worse under Bry . until I noticed that the patient lay on the unaffected side. Bell . was then given, and cured rapidly. Lying on the painful part keeps the part at rest .) There is also an intense headache, dull throbbing or sharp stabbing pains; sharp pain in or over eyes. "Headache or neuralgia in (left) side of head and face; > from hard pressure and cold applications; < moving. Head greasy, scalp tender; eyeballs tender." Mouth very dry; tongue coated white down the middle, the edges may be quite clean; later it becomes yellow with bitter taste; later, very dry, but still coated. If the fever is intermitting there is chill mixed with heat: during chill, head hot, cheeks deep red, decided thirst, generally for large quantities at long intervals; sweat < by least motion, sour or oily. The lips are dry and cracked. Facial eczema has been cured with it in an infant five months old, presenting these additional symptoms: Constipation, peevish, fretful, thirsty, face and lips cracked and sore, child scratched continually. The mother had had a similar eruption for some years, and it disappeared suddenly at the sixth month of her pregnancy. The mucous membranes are dry , especially those of the mouth and stomach; deficient secretion. The serous membranes are inflamed, the seat of sharp, stitching pains, < from motion; later on, exudation occurs. The muscles, likewise, are inflamed and sore. Irritability of mind and tissues runs through the remedy. Hæmorrhages are frequent. In this connection it may be remembered that Bryonia dioica is a popular remedy for "black-eye" as a local application. I have often known nose-bleed occur in patients to whom I have been giving Bryonia , especially in the night, 3 to 4 a.m., which is characteristic. This may or may not be preceded by a sense of fulness in the head. Nose-bleed occurring consequent on suppression of the menses is characteristic. The characteristic mental state of Bry . is irritability. Easily angered (with biliousness, headache, dyspepsia, &c.), and it corresponds to the effects of anger, fright, chagrin. The patient desires things to eat which cannot be had; or are refused if offered. In fever cases there is often a stupid, drowsy condition; or mild delirium, in which the patient has the delusion that he is somewhere else and "wants to go home." The headache is dull, frontal; or bursting, splitting; < by any motion or by the concussion of cough; goes from before backward. The headache of drunkards; of over-feeding. Nausea and faintness when rising up, > when lying still. Bry . is a gourmand ( Nux an epicure); dirty wash-leather, foul tongue, congested eyes, bitter nausea. Bry . is a coarse feeder. Food lies at the epigastrium like a stone; > bringing up wind. The digestion is < in summer. Symptoms < after a meal. There is intolerance of vegetable food. Everything tastes bitter. Thirst for large quantities. "Eructations of tasteless gas" is characteristic. Sour stomach. Van den Berghe has found Bry . signally curative in chlorosis. There is diarrhœa and constipation. Diarrhœa occurs: in the morning "as soon as he moves"; from cold drinks in warm weather; on every spell of hot weather. The usual Bry . state is one of constipation; there is the usual dryness of mucous membranes; atony of the bowels; stool large, dry , hard, brown or black; as if burnt or charred; crumbling. ( Plat . has sticky, tenacious stool; sticks to rectum.) Stools smell of old cheese. The liver is tender and inflamed. The kidneys also are inflamed, the urine being dark red without deposit (from excess of colouring matter). Mastitis, hard, tender. Left ovarian pain, > lying on painful side. The respiratory organs and heart are profoundly affected. Dropsical swellings, swellings of the legs, sensitive to touch. "joints red, swollen, stiff, with stitching pain from slightest motion." Synovial swellings. I have cured a case of congenital hydrocele with Bry . The Bry . patient dreams of the occupations of the day. The child kicks the covers off. Speech is hasty. "Frequent desire to take a long breath; must expand the lungs" is a characteristic.

The typical Bryonia patient is of dark complexion and hair, choleric, bilious tendency with firm fleshy fibre; tendency to great irritability and bad temper; but Bryonia has a wide range, and no great stress must be laid on the absence of these features. Teste takes Bryonia as the type of a group which includes All. sat., Lyc., Digit., Nux v., Coloc ., and Ignat . All these act with much more power on carnivorous than on herbivorous animals. They are thus appropriate to persons who over-eat or eat excessively of meat, and have strong constitutions; "persons accustomed to rich living, with rich blood, firm resisting flesh." Teste regards the digestive canal, and more particularly the stomach, as the principal seat of the action of Bry . With regard to the burning thirst of Bry ., which is < by drinking beer, he says, the gastric derangement of Bry . "absolutely requires water as a dissolvent ." The constipation of the remedy is not due to inertia merely; it depends on "a more or less marked antiperistaltic movement of the rectum: hence the pains and the ataxic phenomena that accompany it sometimes, as is the case, for example, in the period of constipation of low typhoid fevers, &c." A peculiar and characteristic symptom of Bryonia in brain affections is: Constant motion of the mouth as if chewing. Complaints from taking cold or getting hot in summer; from cold drinks in hot weather. Complaints when warm weather sets in after cold days. Most symptoms are < by warmth and in warm room (cough, chilliness). < From warm food; but there is thirst for large draughts of cold water, which > . Rash > getting warm in bed. Pains in joints and limbs > by warmth. Toothache is > by pressing head into pillow; by cold applications. Chilliness predominates. Dry, burning heat as if blood burning in veins. Sweat profuse night and morning; sour or oily. Cough, headache, diarrhœa < in morning. Nose-bleed < 3-4 a.m. Symptoms generally < evening (9 p.m.). < While coughing; after eating; while swallowing; from motion of all kinds; exertion; ascending; sitting up in bed (can't sit a moment gets faint, or sick, or both on sitting up). < After suppression of eruption or discharge. Headache following checked coryza. > Descending; lying, especially on painful side; sitting. > From pressure.

Relations

Bryonia is antidoted by: Acon., Alum., Camph., Cham., Chel., Clem., Ign., Mur. ac., Nux, Puls., Rhus, Seneg. Teste found, by accident, Fer. mur. the best antidote in his experience. It antidotes: Alum., Chlorum, Chi., Frag. vesc., Merc., Rhus. Compare: The Cucurbitaceæ (all have belching, with unaltered taste of food); Aco. (pallor on rising up. Aco. has more restlessness and tossing about; is full of fears; Bry. must keep still); Amm., Ant. c. (nausea, vomiting, and diarrhœa; aversion to milk); Arn. (hæmorrhages, wounds, soreness all over; also Bap.); Ars. (unlike Bry., drinks often and little, and eats seldom but much); Asclep. tub. (pleurisy); Bell. (delirium, hasty speech, hasty drinking. Bell. has headache < lying down, Bry. must lie down; Bell. has < lying on painful side, Bry. > lying on painful side; Bell. has "chewing motion of jaws" but without the dry, cracked lips of Bry.). Calc. c. (very like Bry., but the resemblance is too close for compatibility. They should never be given one after the other without an intercurrent remedy between. Calc., like Bry., Chi., and Bell., has "as soon as he closes his eyes sees all sorts of objects"); Carb. v. (miliaria); Caust., Cham., Ign., Ipec. (miliaria); Kali c. (miliaria, bilious affections, chest affections; sharp pains in right hypochondrium shooting up into chest; sharp pain coming from lower lobe right lung, but Kali c. has not necessarily < by motion); Kre., Lach., Lyc., Merc., Nat. s. (morning diarrhœa); Nat. m. (headache in morning, oily, sour sweat on face; Bry. on head generally; cracked lips; Bry. and Nat. m. go well together, and are often complementary); Nit. ac., Nux (digestive organs; corresponds to epicures, Bry. to gourmands); Op., Pet., Pho., Pod., Puls. (morning diarrhœa); Ran. b. (pleurisy, rheumatic affections); Rhus (rheumatism; headache; typhoid. Rhus is restless and > by movement and by warmth); Rumex (morning diarrhœa); Sep., Sil., Spi. (pleura); Sul., Squil. (pleura). Pul. and Chi. have nausea < on sitting up. Ars. has gagging at the end of a cough like Bry., Cimex, gagging and belching after cough. Aco. is like Bry. in effects of cold, dry winds (cold, moist winds, Nx. m., Calc., Ars., Dulc.); Ham. and Millefol. (hæmorrhages). Bry. follows well: Aco., Amm. Nux, Op., Rhus. Is followed well by: Alum., Ars., Kali c., Nux, Pho., Puls., Rhus, Sul. Complementary: Alum., Rhus. Alumina is the "chronic" of Bry.; and Kali c. and Nat. m., hold a similar but less pronounced relation to it.

Causation

Anger; fright; chagrin. Suppressed eruptions and discharges. Alcohol. Gluttony. Wounds. Cold winds.

Mind

Anxiety and inquietude, with fear of the future. ─ Frequent tears. ─ Despair of being cured, with fear of death. ─ Restlessness, with fear of the future; fear of death, which he thinks is near. ─ Fear, with desire to run away. ─ Discouragement. ─ Aversion to conversation. ─ Exceedingly irritable and inclined to be angry. ─ After having been angry he is chilly; has a red face and heat in the head. ─ Irascibility and passion. ─ Want of memory. ─ Momentary absence of mind. ─ Giddiness. ─ Desire for things which are rejected when obtained. ─ Delirium (at night) and ravings about the transactions of the day. ─ Unconsciousness.

Head

Confusion, giddiness, and cloudiness of the head. ─ Giddiness, with sensation of looseness in the brain when stooping, and when raising up the head. ─ Staggering and drunkenness, as if from congestion of the head. ─ Staggering backward. ─ Tendency to run backward. ─ Vertigo only when stooping. ─ Swimming in the head, esp. on rising from a seat, or on getting up after lying down. ─ Cephalalgia, as after a nocturnal debauch. ─ Headache after every meal. ─ Attack of headache, with vomiting, nausea, and urgent inclination to lie down. ─ Headache in the morning as soon as the eyes are, open. ─ Great fulness and heaviness of the head, and digging with pressure towards the forehead, and, when stooping, a sensation as if everything were going to fall out through the forehead. ─ Expansive pressure, or compression of the brain. ─ Shootings in the head, sometimes on one side only. ─ Pulsative starting pains, increased by movement, with aching in the eyes. ─ Congestion in the head, with heat in the brain. ─ Burning pain in the forehead. ─ Headache aggravated by movement, or rapid walking, or when the eyes are opened. ─ Painful sensibility of the scalp, as if from excoriation. ─ Drawing and starting pains in the head, from the cheek-bone to the temple, increased by contact. ─ Tearing in one (r.) side of the head, extending into the cheek and jaw-bones; worse from motion, touch, and heat; better during rest and external pressure. ─ Burning heat of the head, externally. ─ Heat of the head with dark-red face; with coldness of the rest of the body; with much thirst and pain in the limbs when moving them. ─ Cold sweat on the forehead. ─ Hair very greasy. ─ Oily, greasy, sour-smelling perspiration on the head (and the whole body) during sleep; at night, esp. towards morning.

Eyes

Pains in the eyes on moving them. ─ Aching of the eyes, as if they were going to start out of the head. ─ Pressure on the eyes, as if from sand, esp. morning and evening. ─ Stitches in the eyes. ─ Shooting and drawing pains in the eyes. ─ Burning pain in the eyes. ─ Inflammation of the eyes and of the eyelids, with redness. ─ Inflammation of the eyes, < by heat. ─ Inflammation of the eyes, esp. in gouty subjects. ─ The eyes feel very sore to the touch, and when moving them. ─ Painful swelling of the eyes, with suppuration, and the conjunctiva swollen and red. ─ Red swelling of the eyelids, esp. of the upper lids, with aching pains. ─ Furfuraceous tetters on the eyelids, with burning itching. ─ Stye on the eyelid. ─ Abscess in the internal angle of the eye. ─ Nocturnal agglutination of the eyelids, with lachrymation during the day, esp. in the sun, and with confused sight. ─ Eyes dull, glassy, turbid, or sparkling, and, as it were, drowned in tears. ─ Presbyopia. ─ Confusion of the letters when reading. ─ Blackness or flames before the eyes. ─ Photophobia.

Ears

Contractive pains in the ears, with diminution of hearing. ─ Shootings in the ears, while walking in the open air, and afterwards. ─ Swelling, like a knob, before and behind the ear (parotitis). ─ Bleeding from the ears. ─ Sensation in the ears, as if they were stopped. ─ Buzzing in the ears. ─ All noise is insupportable to the ears.

Nose

Swelling of the nose, with painful sensibility to the touch, and obstruction of the nose. ─ Inflammation and ulceration of the nostrils. ─ Ulcer in the nostrils, with gnawing pain. ─ Frequent bleeding of the nose, sometimes in the morning, or when the catamenia are suppressed, or even when sleeping. ─ Epistaxis, esp. just before the beginning of the menses, or in pregnant women, just before the time for the menses to appear. ─ Dryness and obstruction of the nose, sometimes obstinate. ─ Fluent coryza, with shooting and aching in the forehead. ─ Dry coryza, sometimes obstinate. ─ Catarrh with dryness, sudden suppression of discharge and headache. ─ Hard mucus, drying in crusts.

Face

Face of a pale, yellow, earth-coloured hue. ─ Face red and burning. ─ Red spots on the face. ─ Hot, bluish, and brownish swelling of the face. ─ Pains in the face, mostly aching, mitigated by external pressure. ─ Swelling of the face, sometimes on one side only, or under the eyes and at the root of the nose. ─ Swelling of the cheek, close to the ear. ─ Small nodosities and indurations in the face, like subcutaneous glands. ─ Lips swollen and cracked, with bleeding, and sensation of burning on being touched. ─ Lips dry. ─ Exanthema on the under lip; parched, dry, and cracked lips (very characteristic). ─ Eruption on the lips, with burning smarting.

Teeth

Toothache; shooting from one tooth to another, or into the head and cheeks; from an exposed nerve (sensitiveness of the decayed teeth to contact of the air); pain < from smoking or chewing tobacco; from introducing anything warm into the mouth; > momentarily by cold water, and when lying on the painful side. ─ Toothache, with urgent inclination to lie down, < at night by hot things. ─ Jerking, pulling odontalgia, with a sensation as if the teeth were too long, or as if they were loose, esp. during a meal and afterwards. ─ Pains, as of excoriation in the gums, with loosening of the teeth. ─ Gums spongy.

Mouth

Dryness of the mouth, with burning thirst. ─ Dryness of the mouth, tongue, and throat. ─ Accumulation of a soapy and frothy saliva in the mouth. ─ Salivation. ─ Putrid smell of the mouth. ─ Tongue dry, loaded with a white coating, or dirty, or yellow; esp. in the middle. ─ Tongue furred, usually dry and hard with deep cracks. ─ Dark coloured and wrinkled state of the tongue. ─ Burning blisters on the edge of the tongue. ─ Speech indistinct, from dryness of the throat.

Throat

Sore throat, with hoarseness and difficult deglutition. ─ Pain, as of excoriation in the throat, during empty deglutition. ─ Sensation of swelling and constriction in the œsophagus. ─ Sensation of dryness, and great dryness, in the throat. ─ Pressure in the pharynx, as from a hard and pointed body. ─ Shootings in the throat on contact, also on turning the head and on swallowing. ─ Tenacious mucus in the throat, which is not detached without effort.

Appetite

Loss of appetite. ─ Taste insipid, clammy, putrid. ─ Insipidity of food. ─ Sweetish taste. ─ Bitter taste of all food, or only after meal-time, or at other times, as well as in the morning. ─ Burning thirst, sometimes after a meal, increased by taking beer. ─ Infrequent, but copious, drinking. ─ Bitter taste and thirst. ─ Great desire for wine, for acid drinks, for coffee, and even for things which are not eaten. ─ Abnormal hunger; he must often eat something. ─ Morbid hunger, which forces frequent eating, and little at a time. ─ Bulimy, often with absence of appetite, or with thirst and transient heat, sometimes even in the night. ─ Loss of appetite after the first morsel has been eaten. ─ Repugnance and disgust for food. ─ After every meal, risings, with pressure on the stomach and on the epigastrium, colic or vomiting, principally after having eaten bread.

Stomach

Risings, especially after having eaten, mostly bitter or sour, with a taste of the food. ─ Empty risings. ─ Regurgitation if the food after every meal. ─ Hiccough. ─ Nausea and inclination to vomit, esp. after eating food which has pleased the palate, or on rising after lying down. ─ Nausea, with inclination to vomit and anxiety, when sitting, or on forcing one's self to drink. ─ Nausea in the morning. ─ Retching, with water-brash. ─ Vomiting soon after drinking, and esp. on drinking after a meal. ─ Bitter vomiting, when drinking immediately after a meal. ─ In the evening, vomiting of viscid mucus. ─ Vomiting in general of what has been eaten, which comes up very soon after eating, of food in mouthfuls at a time (vomiting very often excited by motion); of a watery fluid; bitter and flat taste; belching or eructations; collection of water in the mouth. ─ Vomiting of food, with hiccough and retching, or vomiting of bitter water, or of bile, even at night. ─ Vomiting of solids, and not of fluids. ─ Vomiting of blood. ─ Shootings in the left side of the abdomen, during the vomitings. ─ Pressure in the stomach after eating, esp. after eating bread. ─ Pressure, as if from a stone in the stomach, esp. after a meal, or on walking, sometimes accompanied by ill-humour. ─ Incisive pains in the pit of the stomach, as from knives. ─ Contractive pains in the stomach, sometimes with vomiting of food. ─ Squeezing in the pit of the stomach, and painful tension on being touched, with sensation of heat. ─ Shootings in the stomach, when lying on the side, as well as in the pit of the stomach, during movement and walking, or making a false step. ─ Pain, as of excoriation, in the pit of the stomach, sensible to the touch, or on coughing. ─ The least pressure on the pit of the stomach is insupportable. ─ Sensation of burning in the pit of the stomach, and in the stomach, esp. when moving. ─ Inflammation of the stomach. ─ Sensation of swelling in the pit of the stomach.

Abdomen

Pains in the liver, mostly shooting, tensive, or burning, esp. on being touched, on breathing, or on coughing. ─ Tractive pains in the hypochondrium, extending to the stomach and the back, in the morning and after dinner, sometimes with vomiting. ─ Hard swelling in the hypochondriac and umbilical regions. ─ Shootings in the region of the spleen. ─ Colic with tension of the abdomen, and water-brash. ─ Inflation of the abdomen, with pressure in the epigastrium, esp. after dinner. ─ Inflammation of the liver. ─ Tearing in the stomach, from the hips to the pit of the stomach. ─ Cramp-like pains, pinching, or cuttings and shootings in the abdomen, chiefly after eating or drinking (esp. hot milk), sometimes with loose evacuations. ─ Hard swelling round the navel. ─ Dropsical swelling of the abdomen. ─ Gurgling and borborygmi in the abdomen, with escape of flatus; sometimes only in the evening, in bed.

Stool and Anus

Constipation. ─ Fæces too large, with difficult evacuation. ─ Stools too large in size; too hard and dry. ─ Fæces scanty, but hard, and as if burnt. ─ Diarrhœa, with colic, sometimes alternating with constipation and gastralgia. ─ Loose evacuations, of a putrid smell, as of rotten cheese; (worse (or only) in the morning; during hot weather). ─ Involuntary stools while asleep. ─ Evacuations of undigested substances. ─ Diarrhœa in the morning; on beginning to move about. ─ Diarrhœa preceded by pain in the abdomen. ─ Nocturnal diarrhœa, with burning pain in the anus. ─ Colliquative diarrhœa. ─ Constrictive colic, during an evacuation. ─ Loose and frequent evacuations, of a brownish colour (in the case of infants at the breast).

Urinary Organs

Urine scanty, reddish, brownish, and hot. ─ White, turbid urine. ─ Urine is dark; becomes turbid; often casts a pinkish stain all over the bottom of the chamber. ─ Urgent inclination to make water, without power of retention. ─ Frequent emission of aqueous urine. ─ Inclination to make water, with suspended respiration, on lifting loads. ─ Inclination to make water at night. ─ Involuntary emission of hot urine, when moving. ─ Sensation of burning, and incisive pains in the urethra, before making water. ─ Cutting in the urethra, or sensation of constriction while urinating. ─ Sensation of contraction. ─ Shooting and burning pains in the urethra.

Male Sexual Organs

Red, itching, miliary eruption on the glans penis. ─ Shootings in the testes. ─ Stitches in the testicles while sitting.

Female Sexual Organs

Catamenia suppressed. ─ Suppressed menses, with bleeding of the nose. ─ Catamenia premature. ─ Menstruation too early and too profuse, with dark, red blood. ─ Menses with bad smell. ─ Acute, tractive pains in the limbs, during the catamenia. ─ Flow of blood between the periods. ─ Metrorrhagia of a deep red blood, with pain in the loins and in the head. ─ Burning pains in the fundus uteri, during pregnancy, increased by movement, diminished by pressure and repose. ─ Swelling and inflammation of the labia majora ( < l.). ─ Swelling of one of the labia, with a black and hard pustule. ─ Lumps, indurations, and inflammations of the mammæ, with diminished or retarded secretion of milk. ─ (Puerperal fever.)

Respiratory Organs

Hoarseness, with tendency to perspiration, cough and rattling in the chest. ─ (Acute bronchitis). ─ Deep, slow breathing. ─ Difficult breathing only possible with the assistance of the abdominal muscles. ─ Frequent sighing, breathing. ─ Continued inclination to draw a long breath. ─ Breathing quick, difficult, and anxious; caused by stitches principally in the chest, compelling him to sit up. ─ Stitches in the chest, when breathing or coughing. ─ Inclination to cough, as if from viscid mucus, afterwards pains, as of excoriation, in the larynx, aggravated by speaking, or by smoking tobacco. ─ Cough, mostly dry, excited by a tickling in the throat, or as if caused by smoke in the larynx, with a necessity for breathing often. ─ Cough, from tickling in the throat and pit of the stomach; in the evening at night without expectoration; during the day the expectoration is yellow, or consists of coagulated brown blood, or of cold mucus of a disagreeable flat taste. ─ Cough and stitches in the head and chest; or pain as if the head and chest would burst. ─ Cough: with involuntary secretion of urine; hoarseness; thirst; sneezing; stitches in the chest and small of the back; red face; aggravated by motion, talking, laughing, eating, and drinking. ─ Cough, as if from irritation of the stomach. ─ Cramp-like, suffocating cough, esp. after midnight, or after having eaten or drunk, and often with vomiting of food. ─ Cough in the morning, with water-brash. ─ Cough which seems to bruise the chest. ─ Cough, with shootings in the sides of the chest, or with aching pains in the head, as if it were going to split, as well as with shooting pains in the pit of the stomach, or with pains in the hypochondria. ─ Cough, with expectoration of mucus of a dirty reddish colour. ─ Cough, with yellowish expectoration. ─ Cough, with expectoration of pure blood, or of slimy matter with streaks of blood. ─ On coughing, pain, as of excoriation, in the pit of the stomach. ─ Fit of choking before the paroxysm of nocturnal cough.

Chest

Respiration difficult, or short, rapid, and anxious, or sighing. ─ Oppression, with fits of choking. ─ Respiration impeded by shootings in the chest. ─ Respiration deep and slow, esp. while making any exertion. ─ Constant occasion to make a deep inspiration. ─ Fit of dyspnœa, even at night, sometimes with shooting colic and inclination to evacuate. ─ Pressure on the chest, as if from a weight, with oppression. ─ Contractive pain in the chest, excited by the cold air. ─ Tension in the chest, on walking. ─ Shootings in the chest and in the sides, as from an ulcer, esp. when coughing or breathing deeply, obliging the patient to remain seated, and when lying down to rest only on the back; aggravated by every movement. ─ Heat in the chest (pleurisy, pneumonia). ─ Heat and burning pain in the chest, with anxiety and tightness. ─ Sensation in the chest as if all there were detached, and were falling into the abdomen.

Heart

Beatings of the heart; frequently very strong, and attended by oppression (carditis). ─ Frequent sharp pain, stitching in cardiac region.

Neck and Back

Painful stiffness of the neck. ─ Rheumatic stiffness and tension in the nape of the neck, and in the neck. ─ Red spots on the sides of the neck. ─ Red miliary eruption on the neck, with violent itching. ─ Sweat in the arm-pits. ─ Sacral pains, with rigidity, which does not allow of walking upright. ─ During rest, pain, as if caused by a bruise in the loins. ─ Contractive, cramp-like pain all over the back. ─ Shootings in the loins and in the back. ─ Painful stiffness in the small of the back, compelling him to walk and sit crookedly. ─ Shootings under the left shoulder-blade, extending to the heart, greatly aggravated by cough and respiration. ─ Pressure on the shoulder, with shootings on breathing deeply.

Upper Limbs

Rheumatic swelling of the r. shoulder and upper arm, with stitches. ─ Tractive pains in the joints of the shoulders and of the arms, with tension, shootings, and shining red swelling. ─ Tractive pains in the whole arm, and to the ends of the fingers. ─ Convulsive movements, startings, and trembling of the arms. ─ Burning pains and weariness in the arms. ─ Constant trembling of the arms, and of the fingers. ─ Swelling of the arm, round the elbow. ─ Swelling of the elbow and hand joints, and upper parts of the hands. ─ The wrist feels as if dislocated when moving it. ─ Shootings in the joints of the elbow, and of the hand, with heaviness of the hands. ─ Red miliary eruption on the forearm. ─ Pain of dislocation in the joints of the hands, on moving them. ─ At night, inflammation in the back of the hand, with burning pain. ─ Swelling of the hands. ─ Sensation of torpor in the palms of the hands. ─ Shooting pains in the fingers when writing. ─ Hot and pale swelling of the joints of the fingers. ─ Starting of the fingers on moving the hands.

Lower Limbs

Cracking and dislocation of the hip-joint, when walking. ─ Stitches in the hip-joint, extending to the knee. ─ Drawing pains in the thighs. ─ Shootings in the thigh, from the buttock to the ankle, with insupportable pain on being touched, and during movement, as well as with great sweat over the whole body. ─ Weariness and instability of the legs, esp. on going up stairs. ─ Paralysis of the legs. ─ Tensive and painful stiffness of the knees. ─ Red and shining swelling of the knees, with violent shootings, esp. on walking. ─ Painful stiffness of the knees, with stitches, esp. when moving them. ─ Staggering and yielding of the knees, while walking. ─ Tensive shootings and cramp-like pains in the knees, with tension extending to the calves of the legs. ─ Sharp pains in the knees, extending to the tibia. ─ Tensive and drawing shootings from the calves of the legs to the ankles, with red, shining swelling of the parts affected. ─ The ankle feels as if dislocated, esp. when walking. ─ Putrid ulcers on the lower extremities. ─ Cramp in the calves of the legs, night and morning. ─ Lassitude of the legs when walking and standing for any time. ─ Swelling of the legs, extending to the feet. ─ Pain, as of dislocation, in the foot when walking. ─ Swelling of the feet, with redness and heat; pain, as from a bruise, on stretching the feet, tension on moving them; and pains, as from ulceration, on being touched. ─ Shootings in the feet, the soles of the feet, and the toes, esp. when resting on the foot. ─ Corns, with pressure, or with burning shootings, or with pain of excoriation on being touched.

Generalities

Over-sensitiveness of the senses to external impressions. ─ Rheumatic and gouty pains in the limbs, with tension; worse from motion and contact. ─ Tension, drawing pains, acute pullings and shootings, esp. in the limbs, and chiefly during movement, with insupportable pains on being touched, sweat of the part affected, and trembling of that part when the pains diminish. ─ Stiffness and shootings in the joints, on being touched and when moved. ─ In the evening, pain, as from fatigue, in the limbs, with paralytic weakness. ─ Torpor and numbness of the limbs, with stiffness and pain of fatigue. ─ Pale, tense, hot, swelling. ─ Red, shining swelling of some parts of the body, with shooting during movement. ─ Pain, as from a bruise, or of subcutaneous ulceration, or as if the flesh were detached from the bones. ─ Dragging, with pressure, on the periosteum. ─ Swelling and induration of the glands. ─ Hard nodosities, in several parts of the skin, like small indurated glands. ─ Pain, with shivering and cold in the body. ─ Disposition to catch cold; inflammation of the inner parts. ─ Startings of the muscles and of the limbs. ─ Convulsions. ─ Aggravation of the pains and sufferings at night, or in the evening, towards nine o'clock, as well as after having eaten, and from movement; amelioration during repose. ─ Affections of the r. hypochondrium; inner lower belly; inner region of the liver; inner navel region; of r. upper and r. lower extremity. ─ General uneasiness, sensation of squeezing, with shiverings, caused by the pressure of the clothing. ─ Sensation of pulling throughout the whole body. ─ Trembling of the limbs on rising after lying down. ─ Want of strength in the limbs on walking, after having been seated. ─ Great weariness and weakness, esp. in the morning, or on walking in the open air. ─ Necessity to remain in a recumbent posture. ─ Syncope. ─ Sensation of weakness, esp. on walking in the open air.

Skin

Yellow colour of the skin. ─ Skin moist and clammy. ─ Burning and pricking over the whole body, as if from nettles, after slight emotions. ─ Erysipelatous inflammation, esp. in the joints. ─ Nettle-rash. ─ Miliary eruption, esp. in children, and lying-in women. ─ Phlyctænoid eruptions, with gnawing or burning itching. ─ Hard knots and blotches. ─ Furfuraceous tetters, with burning itching. ─ Petechiæ. ─ Putrid ulcers, feeling cold. ─ Ulcers, with sensation of cold or with pulsative or smarting pains. ─ Chilblains. ─ Corns, with pressure, or burning shootings, or pains of excoriation on being touched.

Sleep

Constant inclination to yawn. ─ Great sleepiness during the day, esp. after dinner. ─ Drowsiness, with half-closed eyes. ─ Failing asleep late; not refreshing; complaints causing sleeplessness; lying on the back during sleep. ─ Comatose sleepiness, interrupted by anxious delirium. ─ Sleeplessness, esp. before midnight, caused by heat. ─ Sleeplessness before midnight, with thirst, heat, and ebullitions. ─ Ebullition of the blood, and anxiety, esp. in the chest. ─ Sleep disturbed by thirst; with bitter taste in the mouth on waking. ─ Inability to remain lying on the r. side. ─ Starts, with fright, on going to sleep and during sleep. ─ Unquiet sleep, with confused dreams, and great flow of ideas. ─ On going to sleep, cries and delirium, as soon as the eyes are closed. ─ Delirium as soon as he awakes. ─ Disagreeable, vexatious dreams. ─ Vivid dreams of the transactions of the day. ─ Nocturnal delirium, and visions with the eyes open. ─ Groans, esp. towards midnight. ─ Somnambulism. ─ Nightmare.

Fever

Pulse full and hard, tense, and quick; seldom intermitting. ─ Chill, with external coldness of the body. ─ Coldness and chilliness, mostly in the evening, and often only on one (r.) side. ─ More chilliness in the room than in the open air. ─ Cold and shivering in the body, even in bed, in the evening, or accompanied by pains in all the limbs and cold sweat on the fore" head. ─ Shiverings, with trembling, often with heat in the head, redness of the face, and thirst; or followed by heat, with sweat and thirst. ─ Before the shiverings, vertigo and cephalalgia; then shivering with tension and drawing in the limbs. ─ Fever, with bitter taste and thirst. ─ Dry, burning heat, mostly internal, as if the blood were burning in the veins. ─ Dislike to food and drink during the shiverings. ─ Heat, at first alternately with shiverings, then burning heat and thirst, afterwards copious sweat. ─ Universal dry heat, external and internal, almost always with a strong desire for cold drinks. ─ Want of perspiration. ─ Wants to drink much water during chill and fever. ─ Heat on one side only. ─ During the heat, vertigo and cephalalgia. ─ Febrile attack, with cold, and shivering predominating; type, tertian; nausea, and necessity to remain in a recumbent posture, or with shooting pains in the side and in the abdomen, and thirst during the shiverings and the heat. ─ At the termination of the fever, dry cough, with vomiting, shootings and oppression in the chest. ─ Cold sweat on the forehead and on the head. ─ Copious sweat while walking slowly in the open, cold air. ─ Greasy sweat, day and night. ─ Sweat, with anxiety and inquietude. ─ Sighing-like breathing, short cough, and pressure on the chest. ─ Profuse sweats, night and morning, sometimes of a sour smell. ─ Compound fevers in general; chilliness and heat alternately; heat and shuddering alternately.

The Guiding Symptoms of Our Materia Medica

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

Mind

Partial loss of consciousness. θ Hydrocephalus.
Unconscious, could not speak. θ Cholera Asiatica.
Stupefaction ; weak memory.
So weak in mind that his ideas vanish as if he would faint, together with heat in face, especially on standing.
Confusion in head, with drawing in occiput, extending into neck before going to sleep.
Head confused and aching, as after a night's dissipation ; does not wish to rise, morning on awakening.
Difficult comprehension.
Sees visions and faces when closing eyes. θ Typhus.
Fancies ; mental excitability.
Nightly delirium ; delirious talk, especially about business, < after 3 A. M.
Delirious, at daybreak.
Talking of business of day in his delirium at night. θ Diarrhœa. θ Typhus.
The patient desires to go home. θ Typhus.
Desire to get out of bed and go home. θ Diarrhœa.
Desire for things that cannot be had, which are refused, or not wanted when offered.
Irrational talk or prattle of his business.
Taciturnity.
Weeping mood, with headache and other complaints.
Great depression and very morose mood without any cause, quite contrary to his habit.
Great sense of insecurity, with mental depression.
Apprehensiveness ; fearfulness.
Apprehensive ; uneasiness and dread of future.
Anxiety and restlessness.
He became very anxious in room, > in open air.
Anxiety in whole body compelled him to do something constantly, wherever he went he found no rest.
Anxiety about future, particularly in childbed or after.
She fears not to have wherewithal to live.
Anxiety, worse in room, better in open air.
Anxious, peevish and hasty disposition.
Fear of death, which he thinks in near.
Fear of death. θ Pertussis.
Anxious feeling referred to sternum or cardiac region ; pressing or painful sensation.
Easily startled, with headache.
Despair of recovery. θ Pertussis.
Great despondency ; disinclined to think ; exhaustion of intellectual powers.
Both mental and bodily quietness is required.
Mood irritable, weeping and morose ; wishes to be alone.
Very irritable ; inclined to fright, fear and vexation.
Very irritable ; inclined to be angry ; after getting angry, chilly or a red face and heat in head.
Peevishness ; ill humor. θ Diarrhœa.
Peevishness, irritability and violence. θ Pertussis.
Morose ; everything puts him out of humor.
Contradiction easily provoked anger during whole proving.
Obstinate and passionate.
Mental exhaustion.
Somnambulism.
Restlessness : wants change ; with fear of future ; fear of death, which he thinks is near ; with nocturnal heat.
Bad effects from mortification, violence and anger.
Ailments arising from chagrin, and other conditions, when attended with chilliness and coldness of body.
After having been angry, he is chilly, has red face and heat in head.
As consequence of fright : painful rigidity of limbs.

Sensorium

Sensorium blunted.
Distracted state of sensorium.
Stupefaction of head.
Great confusion in head : especially in frontal region ; after rising from bed ; with drawing in occiput, extending into neck before going to sleep.
In morning, on waking, head confused and aching as if he had been drunk the evening previous ; does not wish to rise.
Dizzy in morning, and weak in limbs whole day.
Dizziness on turning head, or on stooping.
Giddiness, especially when rising from a seat, or from a recumbent position.
Giddiness, with sensation of looseness in brain when stooping, and when raising up head.
Swaying to and fro.
In morning, on rising from bed, dizzy and whirling, as if head was turning in a circle.
Sensation in bed as if she was sinking deep down.
Tendency to run backward.
Vertigo : as though all objects were reeling ; as though brain was turning around ; as if head was turning in a circle ; on rising, or on raising head ; with reeling backward.
Slight vertigo on raising head after inclining it forward.
Vertigo like whirling if he sits up in bed, with nausea in middle of chest, as if faintness would ensue.
Vertigo as if one was being turned around, or as if everything whirled about when standing.
Vertigo conjoined with headache in occiput ; < from motion.

Inner head

Vertigo and confusion of head on slightest motion.
Pressive frontal headache very much < by stooping.
Pressing outward in frontal region and left eyeball, especially on stooping, from above downward in evening.
Fulness and heaviness in forehead : as if brain was pressed out ; with bleeding of nose ; red, bloated face ; < when opening or moving eyes ; when stooping, in evening ; from motion ; > from closing eyes ; from external pressure.
A pressive pain in forehead, so that he can scarcely stoop.
Pressive pain in forehead and occiput ; < by motion.
Headache, as if everything would press out at forehead.
Pressive pain above left eye, followed by dull pressive pain in occipital protuberances, thence spreading over whole body ; on quick motion, and after eating, pain so severe that it seemed a distinct pulsation within head.
Great fulness and heaviness of head, with digging pressure in direction of forehead.
Tearing across forehead, then in cervical muscles, then in r. arm.
Burning in forehead.
Headache in forehead and temples, with pressure from within out, and sensation when stooping as if everything would fall out of skull.
Pain in right temple ; a tensive twisting in single muscle fibres.
Pain in both temples, pressing from within outward.
Slight drawing in temporal bones, from above downward towards zygoma, especially on left side.
Drawing, tearing pain in right temple, mostly extending to upper molars and muscles of neck . drawing and tensive headache in temporal region.
Tearing in one (r.) side of head, extending into cheek and jaw bones ; < from motion, touch and heat ; > in rest and from external pressure.
Continued stitch deep in brain, on left side, when coughing.
Sensible beating in vertex, with same and fulness in cranium in region of cerebellum.
Sensation of weight pressing on vertex.
Throbbing headache on top of head, morning when waking.
(In sick :) Sticking, jerking, throbbing headache, from forehead to occiput.
Headache in occiput, extending to shoulders, while lying on back in bed, after waking in morning.
Pressive pain in occiput, drawing down into neck, relieved towards noon.
In morning in bed, after waking, while lying upon back, headache in occiput, which extends to shoulders, like a heaviness when pressed upon a sore spot.
Severe shooting pains, extending to vertex or occiput, < at night or from motion of eye.
Sharp pain in left occipital protuberance, coming and going suddenly.
Violent headache, like a great weight in head, as if he would incline it to either side, with pressure in brain from within outward, and great desire to lie down.
Headache, as if something pressed skull asunder.
Pressure and burning pain in head. θ Pertussis.
Pressure in head, as if brain was too full and pressed outward, mostly when sitting.
Headache, as if head would burst, with dry and parched lips.
Jerking, throbbing headache.
Stitches in head from forehead to occiput ; on stepping hard.
Stitches in head. θ Pertussis.
Splitting headache.
Great heaviness of head and pressure of brain forward.
Congestive headache, as if forehead would burst open, with epistaxis.
Heat in head.
Rush of blood to head.
Apoplexy.
Encephalitis. θ Metastasis of miasmatic or exanthematous diseases.
Headache commences in morning, not on waking, but when first opening and moving eyes.
Headache as though head would burst, commencing in morning and gradually increasing till evening.
Headache, as after revelling at night.
Headache in morning, after rising ; a twitching-drawing in malar and maxillary bones.
In morning, before breakfast, pain as if head was compressed, with heaviness in it, mingled with stitches ; she could not raise eyes on account of pain, and if she stooped, she could not rise.
Headache after every meal.
Headache after washing himself with cold water when face was sweating, in such cases opening eyelids increases headache.
Always on coughing motion i head like pressure.
Headache when stooping, as though all contents of head would issue from forehead.
Headache from ironing.
The headache is expanding, < by slightest motion, as the simple effort of opening eyes, by stooping, after eating, and when coughing, and often accompanied by nosebleed ; > by pressure and closing eyes.
Headache from constipation ; dull pain in forehead, and peculiar pressing sensation in temples.
Headache > by tying up head.
Obstinate headache with constipation ; headache almost every day, beginning immediately after rising and increasing during day ; < from mental exertion and coffee ; frequent vomiting of a little bilious fluid ; stools dry, hard, as if burnt.
Gastric, rheumatic and congestive headache, characterized by vertigo, heaviness of head, pressure in head and rush of blood to head.
Rheumatic headache in cold, raw, wet seasons.
Hemicrania ; hysterical headache.

Outer head

A small painful spot on forehead.
Increase of pain under vertex, with soreness of scalp, just over same ; painful soreness of vertex, it feels bruised.
Burning on vertex near forehead.
Heat of head : in morning ; with dark red face ; with coldness of rest of body ; with much thirst and pain in limbs when moving them ; < in evening.
Tension and tearing in external head, < from motion, touch, and in a warm room ; > lying quiet and on painful side.
Scalp very tender to touch ; child cannot bear even a soft brush. θ Dandruff.
Soreness in occiput and behind ears ; < from touch and in dry weather ; > lying on painful side and after sweat.
Oily, greasy sour-smelling perspiration on head (and whole body) during sleep, especially towards morning.
Hair seems very greasy, with a cool head ; hands become fatty while combing hair.
Dandruff ; scalp rough and uneven.
Burning heat or cold sweat on head.
Coldness on vertex, with cold hands, chilliness, inner heat and disagreeable throbbing through whole body.

Sight and eyes

Dread of light. θ Intermittent.
Aversion to light, particularly sunlight.
Optical illusions in bright or prismatic colors ; appearance of all the colors of the rainbow ; every object seemed covered with them.
Letters run together when reading.
Eyes sparkling ; watering ; dull or glassy.
Dim vision.
A bluish haze appeared before vision, (vision 20/50) with severe pain over eye like a needle going through eyes and head (compelling her to go to bed), with heat through whole head, < by stooping. θ Hyperemia
of optic nerve and retina.
Very sensitive pressive pain (coming and going) in left eyeball, especially violent on moving ball, with a feeling as if eye became smaller and was retracted.
Eyes very sore, feel as if pressed out of head.
Eyeballs excessively painful, cannot bear to have them touched.
Ciliary neuralgia ; pains very sharp and severe, making patient scream out ; pains < by opening eye and any motion of ball ; eyes must be kept closed and at rest ; pains usually sharp, passing through eye into head or from eye
downward into malar region and thence backward to occiput ; seat of pain becomes sore as a boil, least exertion, talking, moving or using eyes, aggravates.
Stitches in eyes.
Soreness and aching of eyes when moving them.
Pressing, crushing pain in eyes, < on motion.
Burning in eyes and edges of lids.
Sensation as if there was sand in eyes ; pressure.
Aching and pulsation in left orbit.
Inflammation of eyes, aggravated by heat.
Inflammation of eyes and lids, especially in newborn infants and gouty subjects.
Inflammation of eye, redness, photophobia, at same time violent pains in teeth and face ; < from warmth and > by cold.
Inflammation extends to choroid ; opacities in vitreous ; iris tremulous ; great ciliary injection ; pus in anterior chamber ; eyeball sore on moving, darting pains from l. eye through head, with heaviness of head afternoons. θ Acute
irido-choroiditis.
Rheumatic iritis, caused by cold, with steady aching pain in back part of eye, extending through to occiput ; < at night and on motion.
Choroiditis uncomplicated with iritis, especially in serous or exudative forms.
Eyeball feels full, as if pressed out, with sharp shooting pains in eye and head, < at night. θ Glaucoma.
Periodical inflammation of eyes, with colic.
Burning redness of eyes. θ Rheumatic attack.
Painless twitching and drawing together of left upper lid, with sensation of heaviness therein.
Puffiness of right upper lid.
Swollen eyelids, especially the upper. θ Pertussis.
Lids swollen and puffed.
Burning in eyes and edges of eyelids.
Itching and burning of margin of lids.
Dry burning-itching tetters on lids.
Scalding in corners of eyes aggravated at night.
Frequent lachrymation.
Severe burning and lachrymation of right eye.
Morning, agglutination and frequent lachrymation.
Discharge of mucus from eye, obstructing vision.
Rheumatic inflammation of eyes.

Hearing and ears

Intolerance of noise.
Ringing ; roaring ; humming or chirping.
Roaring, humming in left ear, resembling pouring of water over a dam.
Head feels light, with constant wabbling in both ears.
Discharge of blood from ears. θ Vicarious menstruation.
Feeling of stoppage in ears.
Obstruction in external meatus.
Swelling, redness, painful sensitiveness and heat of external r. ear ; at times piercing stitches deep into ear ; swelling and painfulness of right parotid gland, especially sensitive to even slight touch of steel bows of spectacles.
Otorrhœa following inflammation.
Complaints predominating in external ears.
Boil in front of ear.
Threatening suppuration of parotid.

Smell and nose

Frequent sneezing.
When coughing, sneezing twice.
Sneezing between coughs.
Loss of smell.
Nosebleed in morning after rising ; less frequently during day, but sometimes during sleep.
Bleeding of nose, especially in morning, with suppressed menstruation.
Nosebleed. θ Pertussis.
Nosebleed in morning awakening from sleep ; blood florid. θ Vicarious menstruation. θ Scarlatina.
Epistaxis and checked menses, or in place of catamenia with other menstrual derangements.
Dry cold in head.
Dry nasal catarrh. θ Pertussis.
Fluid, thin, light-colored discharge from right nostril.
Catarrh extending to frontal sinuses or into chest.
Fluent coryza, watery or greenish.
Fluent coryza, beginning with violent frequent sneezing ; also stitching headache when stooping, with hoarseness.
Profuse coryza without cough.
Swollen nose with inflamed nostrils.
Swelling of nose, with very sore pain when touched.
Swollen nose, with nosebleed for several days.
Inflamed and ulcerated nostrils.
Nose much swollen, with sharp pain ; sore to touch.
Swelling of tip of nose, with twitching pain in it, and on touch feeling as if it would ulcerate.

Upper face

There is a motion, more or less constant, of jaws, as if chewing.
Pinching pressure in articular cavity of right jaw, more violent on motion.
Dull aching, in alveoli of upper jaw, right side, now jumping, then mild.
Twitching, tearing in right malar bone up to right temple, externally sore to touch.
Painful pressure under right cheek bone > by external pressure.
Bloatedness, or swelling of face.
Face swollen, even to closing eyes.
Red, burning, hot face.
Red spots on face and neck.
Red, round, hot spot on cheek, over malar bone.
Face bluish-red, with difficult inspiration.
Hot, bloated, red face.
Face red, hot puffed. θ Pertussis.
Yellow paleness of face, or livid color.
Nodosities, indurations and boils on face.
Tetters in face ; after washing, red and smooth.

Lower face

Complaints predominate on lower jaw and lip.
Drawing and tearing pain, from temple down to malar bone and lower jaw. Compare prosopalgia. θ Trismus.
Twitching in both corners of mouth.
Constant motion of mouth, as if chewing. θ Brain affections of children.
Upper lip and nose swollen, red, and hot.
Lower lip dry, black, thickly incrusted, everted and very sensitive.
Lips dry, swollen, cracked. θ Diarrhœa. θ Typhus.
Mouth and lips very dry.
Dryness of lips and tongue, with thirst, drinking much at a time, but not often.
Great dryness of lips, of tongue and of hard palate, while tip of tongue was moist.
Parched and dry lips, likes to moisten them often ; mouth dry, very thirsty for cold water.
Lips parched, dry and cracked.
Children pick lips. Compare Rhus tox.
Lips cracked and bleeding. θ Pertussis.
Lips swollen, with a biting, burning eruption.
Scrofulous, swollen lips.
Ulcerated lips.

Teeth and gums

Toothache about 3 A. M., as if an exposed nerve in a hollow tooth was paining from cold air, < lying on painless side, goes away if one lies on painful side.
In evening, in bed, jerking toothache, now in upper, now in lower back teeth ; when pain is in upper teeth and they are pressed by tip of finger, pain suddenly ceases and changes to corresponding lower teeth.
Jerking toothache when smoking.
Drawing, at times jerking toothache in left upper back teeth, only during and after eating, when teeth seem too long and wobble.
Pain as if a tooth was screwed in and then pulled out, > by cold water, > on walking in open air, together with tearing in cheeks and pinching in ears, at night till 6 A. M.
Drawing, jumping toothache when eating, just after eating, or evening in bed ; < from warmth.
Darting, or flushing pain in teeth.
Toothache from an exposed nerve ; sensitiveness of decayed teeth to contact of air.
Teeth feel too long and loose.
Tearing, stitching toothache while eating, extending to muscles of neck, < by warmth.
Toothache shooting from one tooth to another, or into head and cheeks.
Worse from brushing teeth. Compare Staphis.
Toothache on introducing anything warm into mouth.
Toothache > by cold water, or lying on painful side.
Toothache < from smoking or chewing tobacco ; from taking anything warm into mouth.
Teeth and gums sore.
Painful swelling of gums.
Aching of gums with teething children. Similar to Dolichos.
Teeth are loose.
Toothache : shooting from one tooth to another, or into head and cheeks ; from an exposed nerve (sensitiveness of decayed teeth to contact of air) ; pain < from smoking or chewing tobacco, from introducing anything warm into mouth ; >, momentarily, by cold
water, and when lying on painful side.

Taste, speech, tongue

Loss of taste.
Taste : flat, insipid, pasty, sweetish, putrid, sickly, disgusting, nauseous, bitter.
She has almost no taste for food ; when not eating, mouth is bitter.
Bitter taste remains in posterior part of palate after dinner.
Everything tastes bitter ; cannot swallow food.
Taste bitter or putrid, with offensive breath.
Nauseous, bitter taste in mouth in morning.
Dry tongue.
Trembling of tongue.
Great dryness of tongue, mouth and lips. θ Constipation.
Tongue dry, rough, cracked and dark brown.
Dryness of tongue, with sensation of prominent papillæ.
Dryness of lips, tongue and hard palate, while tip of tongue is moist.
Small aphthæ on tip of tongue.
Fine pricking in anterior third of tongue.
Tongue coated greyish, or thickly yellow, with lips dry and cracked.
Tongue thinly coated yellow, with sunken raphe, or longitudinal fissure.
White tongue with red edges.
Tongue dry and red, brown, white or yellow. θ Diarrhœa.
Tongue thickly coated white. θ Diphterits.
Tongue coated white or yellow, especially in middle.
Very much furred tongue.
Dark brown colored, bilious.
Tongue viscous, bilious.
Dry, white, filthy tongue. θ Rheumatic attack.

Inner mouth

Offensive smell from mouth, with hawking of offensive tough mucus, sometimes in round cheesy lumps, size of pea.
Bad odor from mouth, as of the monthly.
Accumulation of frothy, soap-like saliva in mouth and throat, which, at times, almost chokes patient. θ Typhoid.
Accumulation of saliva in mouth. θ Pertussis.
Dryness in mouth, so that tongue sticks to palate.
Dryness in mouth, without thirst, or with thirst for large quantities of water.
Dry mouth during chills. θ Intermittent.
Mouth and lips very dry ; only momentarily relieved by drinking.
Dryness of mouth, tongue and throat.
Feeling of dryness in mouth. θ Diphtheritis.
Aphthæ ; with infantile diarrhœa ; open fontanelles.

Palate and throat

A great deal of phlegm comes down from choanæ.
Scraping and roughness in back of throat.
Back of throat seems swollen ; feels as if he had a severe coryza, which hinders him when reading.
Tough mucus in fauces, loosened by hawking.
Harassing, fatiguing hawking of mucus ; fears he will suffocate ; retching ; cannot sleep ; flighty ; sees faces when closing eyes.
Sensation of pressure and fulness in throat.
Pressive pain in right tonsil.
Slight pain in left tonsil.
Stitches in throat when swallowing.
Sticking pain on swallowing, on feeling of throat, and on bending neck.
Itching needle like stitches in throat (especially when walking rapidly), which irritate and cause scratching ; disappear after scratching.
Stitches and scratching in throat. θ Pertussis.
Constant disposition to swallow, with sharp, stinging pain in external parts (r. side), on a line with promontory of larynx.
Great dryness in fauces and throat, sometimes with burning.
Dryness of pharynx, with smarting just behind pomum adami.
Feeling of numbness from stomach up through œsophagus, with diarrhœa and tenesmus.
Pain in throat ; throat is dry and raw on empty swallowing ; on drinking this sensation disappears for a short time, but soon returns ; < in a warm room.
Crawling sensation in throat inducing a cough, followed by mucous sputa.
Sensation of swelling and constriction in œsophagus.
Quickly prostrated ; shuns all motion ; complains on moving, or when being moved, of pain everywhere ; white tongue ; feeling of dryness in mouth without particular thirst or with desire for large quantities. θ Diphtheria.
Aphthous patches on mucous membrane of mouth and fauces.
Constitutional tendency to a aphthous formation in throat.

Appetite, thirst. desires, aversions

Too great appetite.
Unnatural hunger for six days.
Abnormal hunger ; he must eat often.
Eats little and often.
Loss of appetite ; thirst for cold water.
Aversion to food.
Desires things, immediately, which when offered are refused.
Desire for unusual things ; acids, sweets, strong coffee, oysters, etc.
Desire for acids.
Hasty and eager drinking. θ Brain diseases.
Great thirst day and night.
Great thirst (obliged to drink much cold water), internal heat without feeling hot externally.
Great thirst ; desire for large quantities of cold water.
Thirst for large quantities at long intervals.
Great thirst ; she can and must drink a great deal at once ; drink does not distress her.
Thirst during stool.
Violent thirst for cold water ; drinks a great deal at a time. θ Pertussis.
No appetite for milk ; but if he takes it, the appetite therefor returns and he begins to relish it.
Desire for warm drink, and relieved by it.
Desire for cold and acid drinks. θ Diarrhœa.
Aversion to greasy food.
Desire for things which are not to be had, or are refused when offered. θ Diarrhœa.

Eating and drinking

Some complaints > on an empty stomach.
A great many symptoms directly after dinner and during first half of afternoon.
Almost always < after eating, particularly after a satisfying meal.
After eating, constricting pain in stomach, then cutting in epigastrium, followed by vomiting of food ; < from motion.
After eating : sensation of weight in stomach, as of a heavy stone ; eructations, flatulency. θ Gastric derangement.
Pressure in stomach after eating, especially after eating bread.
Snapping noises in left side of stomach, as if victuals were pushed to left side.
After eating oysters or chicken salad, tasteless eructations.
Sauerkraut, cabbage, potatoes and other vegetables, particularly nitrogenized foods, disagree.
Incarceration of hernia after eating cold fruit.
Nausea : on assuming an erect position ; after eating ; with waterbrash.
After eating : belching, tasting of food ; diarrhœa.
Gastric derangement after old sausages, old cheese, cabbage, sauerkraut, fruit, turnips, salads, milk, etc.
Stomach distended with wind after eating, especially after oysters and chicken salad in evening.
Bitter vomiting when drinking immediately after a meal.
Distension of abdomen, especially after eating.
Worse after eating or drinking. θ Pertussis.
Spasmodic cough after drinking. θ Aphthæ.
Headache when drinking after being heated.
A glass of wine in evening caused heartburn.
Frequent drinking of cold water relieved bitter taste and inclination to vomit.

Hiccough, belching, nausea and vomiting

Hiccough.
Hiccough after eating, on every shock caused by it pressure in forehead, as if brain shook from behind forward.
Frequent empty eructations, mostly bitter. θ Pertussis.
Bitter or sour belching with sour or tasteless waterbrash.
Eructations after eating, bitter, sour, or tasting of what has been eaten.
Shooting pain with belching.
Pressive pain, with continuous eructations and vomiting afterwards of greenish-yellow mucus ; often by every step stomach is made very sensitive.
Heartburn from wine, evenings.
Profuse waterbrash and vomiting after eating.
Gulping up of food after every meal ; sometimes sour.
Food is thrown up immediately after eating ; constipation ; lips dry and cracked.
Something bitter rises into mouth, without eructations, with nausea.
Nausea : in abdomen ; in stomach and œsophagus ; before stool ; after meals eaten with relish ; on waking in morning ; increased or brought on by slightest motion, must lie quiet ; desires to keep still, with splitting
headache ; with bitter eructations ; when rising up and while sitting up in bed, has to lie down again ; after eating, sometimes with vomiting of food, retained by keeping very quiet after meal ; and vomiting in morning when waking.
Nausea. θ Pertussis.
Constant nausea and thirst. θ Constipation.
Nausea and fainting on sitting up. θ Diarrhœa.
After nausea : canine hunger.
Nausea and vomiting, morning and evening, chiefly water and mucus.
Nausea and vomiting during heat. θ Intermittent.
Empty retching, with waterbrash.
Vomiting and belching.
Vomiting : of solid food, not of drink (pertussis) ; of food, immediately after eating ; after eating bread ; of food and a fluid consisting of mucus and bile, tasting very bitter : during stool ; after drinking ; bitter, when
drinking immediately after meal ; first of bile, then of food (pertussis) ; of food when coughing ; sour with eructations ; bitter, musty or putrid liquid, which leaves similar taste in mouth ; of bitter substances, or of yellow green mucus (diarrhœa) ; of
food, with hiccough and retching ; of blood ; during cholera season ; of bile, with pain and heaviness in region of liver, radiating to right shoulder ;
Vomiting and rumbling after chills. θ Intermittent.
After vomiting : sensation as if stomach was distended.
Gulping up of phlegm during night.
Severe stitches in left side accompanying vomiting ;

Scrobiculum and stomach

Pain in pit of stomach.
Pressure in pit of stomach as if there was a stone in it ; goes off with much eructation.
Pressure of fulness in pit of stomach ; < by motion.
Pressure and stitches in pit of stomach and right hypochonder. θ Icterus.
Feeling as if pit of stomach was swollen.
Soreness in pit of stomach when coughing.
Sensitiveness of pit of stomach to touch and pressure.
Heat in pit of stomach ; < during every inspiration.
Large abscess at pit of stomach after a blow.
Epigastric region painful to pressure.
Epigastric region painful to touch ; cannot endure clothes.
Cutting as with knives in epigastric region.
Burning in stomach and pit of stomach ; especially when moving.
Tension in pit of stomach, with feeling of heat.
Stitching pain in region of stomach ; < from motion, especially from a misstep.
Stitches in stomach.
Stitching in stomach when lying on side ; also in pit of stomach when making a false step.
Pains in stomach. θ Pertussis.
Gastric derangement from taking cold.
Stomachache with anxiety.
Burning in stomach and pit of stomach, especially when moving.
Stomach becomes extremely to touch or pressure.
Inflammation of stomach.
Swelling of stomach.
Stomach full and sensitive to pressure.
Sensation as though a stone lay in stomach ; epigastric region painful to touch.
Gastralgia : with inclination to commit suicide ; after a meal, or even while eating, patient complains of a pressure in pit of stomach as from a stone ; > by eructation, < by motion and attended with constipation.
Pressure in stomach after eating, like from a stone ; makes him fretful.
Pressure in stomach as soon as he has eaten, and even while eating.
Constrictive pain in region of stomach as if that part was rolled up into a ball ; relief was obtained by drawing legs up against abdomen.
Distension of stomach and eructations of wind.
Feeling of emptiness of stomach, with distension of abdomen.
Numbness in stomach. See 13 .
Painful tension of stomach, with soreness when touched. θ Rheumatic attack.
Burning in pit of stomach. θ Rheumatic attack.
Food oppressed stomach ; felt like a wad a epigastrium : often food regurgitated.
Pain excessive when in motion ; perfect relief from quiet or from eructations of wind.
Gastric affections ; dry mouth, tongue and throat, without thirst ; tongue coated more in middle ; giddy when stooping or rising ; forehead heavy ; face bloated or sallow, yellowish ; taste bitter ; food lies heavy,
particularly bread ; pit of stomach sore to touch, constipation, etc.
Derangements of stomach, with gastric fever, chills and coldness.
All gastric symptoms easier when keeping quiet.
Gastric affections in young girls.

Hypochondria

Burning pains along anterior connection of diaphragm with ribs.
Pressure in epigastrium ; < after eating and when walking ; sometimes extending to umbilical regions, even to bladder and perineum.
Stitches and soreness in epigastrium and hypochondrium. θ Pertussis.
Tensive pain in region of liver.
Tensive, burning pain in hepatic region.
Tensive pain below false ribs in right hypochondrium, especially sensitive on deep inspiration.
Transient stitches in right hypochondrium, with painful sensitiveness of this region to hard pressure or deep inspiration.
Burning and stitching pain in hepatic region.
Stitches in liver, when touching it, when coughing and breathing. θ Inflammation of liver.
Congestion of liver.
Sticking pain in liver. θ Pertussis.
Pains in liver, mostly stinging or tensive and burning.
Icterus.
Stitches most frequent in region of spleen.
Stitching pain in spleen ; during chills. θ Intermittent.
Hard swelling of spleen ; crepitation on motion of legs ; pain in left hell ; bronchial catarrh ; in an old man.

Abdomen and loins

Tearing pain from hip through abdomen to epigastrium.
Nausea in abdomen.
Sudden painful cuttings in intestines, with a feeling as though one was digging him with fingers, compelling him to bend double, > by profuse pasty evacuations.
Dull griping and cutting in intestines, prior to passage of flatus ; motion and standing increase pains.
Griping pains about navel.
Pains sticking and shooting in both sides of abdomen ; < from motion ; changing into stitches from belly to stomach.
Stitches and other pains hinder respiration.
Stitches in abdomen. θ Pertussis.
Pains in abdomen flying upward.
Painless twitching in left side of abdomen, between navel and left flank, as of twitching in muscles of walls of abdomen, followed by sticking pains deep in left side of back.
Pain on a limited spot in abdomen, dull, with a throbbing sensation. θ Enteritis.
Slight, crampy, cutting pain, with heat in right hypogastric region, < by every inspiration.
Slight, colic at time of rising and through forenoon.
Colic < from motion.
Heat rising from abdomen into epigastrium and chest ; with heartburn ; < at night ; with dry mouth and thirst.
Pain in abdomen, as if diarrhœa would ensue.
During colic, must keep very still ; stools hard and dry, as if burnt.
All day long feeling in abdomen as though diarrhœa would set in ; same sensation exists in anus.
Cutting pains before stool.
Colic before stool.
Movement of flatus produces pain.
Rumbling and gurgling in bowels.
Abdominal plethora.
Distension of abdomen and rumbling, especially after eating. θ Pertussis.
Sense of distension and actual swelling about umbilicus.
Great distension in abdomen towards evening.
Distended abdomen ; continued motion in abdomen, colic, then constipation ; feels as if something lay in abdomen.
Distension of abdomen > by passage of offensive flatus.
Bloated abdomen θ Dropsy.
Great sensitiveness of abdomen.
Abdomen very sensitive, as if sore.
Tenderness of abdominal walls.
Peritonitis, with stinging, burning pains ; abdomen very sore to touch, with constipation, especially if in a rheumatic subject.
Gastro-enteritis.
Hysterical spasms in abdomen.
Abdominal complaints from concussion or overlifting.
Pressing pain towards left inguinal ring when sitting down.
Pain in inguinal ring tensive, going down thighs. θ Quotidian fever.

Stools and rectum

A sense of pressure, heat, weight and powerlessness of sphincter ani and rectum.
After attacks of colic, escape of wind.
Passage of offensive flatus.
All day long, discharge of flatus.
Constant, or rather frequent, short emissions of offensive flatus.
With passing of flatus, sensation as though a diarrheic stool would come on.
Constant urging to stool, without succeeding. θ Enteritis.
Urging to stool, followed by copious, pasty evacuations : with relief of symptoms, except that confusion of head remained.
Griping and pinching in abdomen and in region of navel, as after taking cold, for several days, and a profuse, thin evacuation follows.
Awaking in morning with colic and urging to stool ; has to get up, stool follows. θ Intermittent.
Fermentation in abdomen ; almost impossible to retain stool. θ Diarrhœa.
Involuntary stool while asleep.
Diarrhœa preceded by colic, at night or early morning, after rising and walking about ; coming on so sudden, that escape is hard to prevent.
Slight pinching and moving in intestines, followed by watery stool ; with passage of flatus ; pinchings do not disappear, but are frequently repeated during afternoon : with a sensation of soreness in intestines, together with a dragging downward and outward ;
with two profuse watery evacuations in one hour ; followed by a slight burning in anus.
Diarrhœa generally painful.
Colic with stool, like a constriction and griping with hand, which causes diarrhœa.
Bilious diarrhœa, with lancinating pain.
Loose stools, painless and undigested.
Frequent stools.
In morning a pasty, afterwards a liquid stool, of a strong odor ; followed by burning and soreness in anus.
Very offensive, profuse stool.
Diarrhœa putrid, smelling like old cheese ; worse (or only) in morning ; during hot weather.
Very offensive, pasty evacuations.
Diarrhœa-like, bilious, acrid stools ; soreness in anus, continuing eight days.
Bilious diarrhœa.
Stools like dirty water, with whitish granulated sediment of undigested food.
Brown, thin, fecal stools.
Thin, bloody stools.
Before stool : colic ; nausea.
Vomiting and purging during cholera season.
Hard stool passed with great exertion, with confusion of head.
Much straining in order to get through defecation.
During stool : burning in anus ; prolapse of rectum ; motion like fermentation in abdomen ; pain in stomach ; vomiting ; coldness and rigors ; thirst ; drowsiness.
During stool burning in anus. θ Diarrhœa.
Diarrhœa-like stool followed by prickling and burning in anus.
Slight burning with evacuation of stool and urine.
A pasty evacuation with burning in anus, soon after waking ; a second fluid stool in half an hour ; urinated very often, much each time, when at stool.
After stool : burning in rectum ; heat ; sleepiness.
Urging followed by copious pasty evacuations, with relief of all symptoms excepting confusion of head.
Almost always better after stool.
With diarrhœa great weakness in morning and forenoon. θ Intermittent.
Involuntary stools while asleep.
Diarrhœa especially at night and burning in anus with every passage.
Diarrhœa in morning, or worse in morning.
Diarrhœa in morning, after getting up, preceded by cutting pains in bowels.
Soft stool in morning.
Stools soft, getting thinner and thinner in morning after getting up till 10 A. M. θ Intermittent.
Much eaten at supper appears undigested in morning diarrhœa. θ Intermittent.
Diarrhœa after eating fruit or sauerkraut.
Diarrhœa during a spell of hot weather.
Stool pasty with much flatus, followed by hard portions, and again by soft, so that he believed he would scarcely finish evacuation.
Stool very unsatisfactory, only after much straining, which caused a rush of blood to head, and a feeling of confusion in head.
Retention of stool, infrequent, large in form, solid ; passing with difficulty, attended by prolapsus and burning.
Stools too large in size.
Hard, tough stool, with protrusion of rectum.
Obstinate constipation ; stools very dry, large and hard, only passed after much straining.
Dry, parched stool passed with effort in morning.
Hard, black, dry and scanty stool.
Stools hard, dark and dry, as if burnt.
Chronic constipation, often causing severe headache ; stools very hard and dry, often expelled with difficulty.
Constipation of sucklings and lying-in women.
In horses : dung in small balls (hard) ; alternate lameness and swelling of hock joints, especially if feet swell while at rest.
Constipation : tedious costiveness with difficult evacuation of small, hard stools, as if burnt. θ Rheumatic attack.
Two pasty offensive evacuation in afternoon, followed by burning in anus.
Sensation of plug in anus, at 6 A. M.
Burning pain in anus. θ Rheumatic attack.
Aching hemorrhoids.
Mucus and blood preceded by hard stool. θ Cholera infantum.
Burning at anus during stools.
Diarrhœa alternating with constipation.

Urinary organs

Nephritis.
Pain in region of kidneys.
Urine : copious and pale ; scanty and dark ; white, turbid ; brown, like beer ; hot and red ; deposits white sediment ; hot, scanty and red.
While water passes, a cutting or a constriction in urethra.
Brick-dust sediment in urine.
Great urgency, almost irresistible desire to urinate.
Frequent urination.
Urging to urinate from heavy lifting. θ Dyspnœa.
Pressure to urinate and involuntary discharge of urine.
Obliged to rise at night to urinate.
During exertion, urine passes involuntarily.
Urine frequent, but scanty, only exceptionally copious.
Between 6 and 7 P. M. urinated very often, much each time, when at stool.
Diminished secretion of urine ; hot, red.
White, turbid urine.
Urine profuse. θ Intermittent.
Small discharge of urine ; hot, of dark color ; when standing a short time becoming thick. θ Rheumatic attack.
Cutting in urethra ; sensation of constriction while urinating.
Before urinating : burning and cutting.
During urinating : burning and constricted feeling in urethra ; abdominal pains.
Burning, pressing, drawing and tearing in urethra.
Urine deposits a pinkish sediment, covering bottom of vessel.
During motion some drops of urine pass out of urethra without sensation.
Urine passed through night deposited a white sediment ; its color was reddish-yellow.
Burning in urethra, when not urinating.

Male sexual organs

Increased sexual desire.
Stitches in right testicle and spermatic cord.
Stitches in testicles while sitting.
Gleet ; burning ; green discharge.
Red itching eruption on glans penis.

Female sexual organs

Severe pain in region of r. ovary, like from a sore spot, causing an irritation and dragging ; pain extended down to thighs, while at rest ; pain aggravated by touch.
Stitching pains in ovaries on taking a deep inspiration ; can hardly bear least touch on affected parts ; < on motion.
Pain in right ovary ; < when touched.
Ovaritis with rheumatic affections and in confinement.
Uterine sufferings are increased by least motion.
Prolapsus uteri.
Dropsy of uterus ; swelling increases during day and diminishes at night.
Burning pain in fundus of uterus, right side.
Pinching and uneasiness in abdomen, as if menses should appear.
Hastens coming on of menses and increases flow.
Menstruation too early and too profuse, with dark red blood ; backache, splitting headache ; < from motion.
Suppressed menses, with frequent bleeding of nose.
Catamenia too profuse and of long duration.
Amenorrhœa with abdominal and urinary symptoms.
During menstruation : pain in back and loins ; tearing in limbs ; headache ; nausea.
Membranous dysmenorrhœa.
When menses do not appear, bleeding from ear or nose.
Flooding of dark blood, with pain in small of back, and headache.
Swelling and inflammation of left labia majora.
Hard, black pustule on a swollen portion of left labia majora.

Pregnancy. parturition. lactation

Nausea and vomiting of pregnancy.
During pregnancy : pain in abdomen and burning in uterus ; constipation ; spasmodic pains with chill, particularly after anger.
Threatened abortion.
Spasmodic labor pains.
Rheumatic pains in uterus.
After pains excited by least motion, even taking a deep inspiration.
Lochia too profuse, with burning pain in region of womb.
Lochial discharge often very offensive.
Suppression of lochia, with sensation as if head would burst.
Peritonitis puerperalis.
Milk fever, with rheumatic pains in breast.
Puerperal fever ; particularly when breasts are distended with milk ; deep inhalations are painful ; stitches in abdomen ; thirst for large quantities of water ; she cannot lie upon either side ; abdomen distended.
Suppression of sweat during confinement and ill effects therefrom.
Nursing women have taken cold ; ache all over ; head as if it would burst ; lips dry ; parched ; breasts swollen, feel heavy ; milk suppressed.
Rash, especially of lying-in women and their infants.
Drawing or lancinating pains from hip to foot ; < from touch or motion. θ Phlegmasia alba dolens.
Excessive flow of milk.
Oozing out of milk ; secretion generally increased.
Scanty secretion of milk.
Tensive burning and tearing pain in mamma.
Inflamed mamma.
Stony heaviness of breasts.
Breasts feel heavy, are pale, but hard and painful.
Breasts have a stony hardness in them ; they are hot and pain, but not very red.
Left mamma swollen ; pains < when lifting arm.
Nipples very hard.
Infant screams after nursing ; wind passes ; slimy, green diarrhœa.
Inflammation of mamma, with a sensation of heaviness ; a sort of stony heaviness ; mamma hard and pale (red streaks indicate Bellad.) ; suffering < by motion (< from a jar or jolt indicates Bellad.).
Inflammation of breasts, with suppression of flow of milk.
During weaning, swelling of breasts and axillary glands, particularly left.
With cows : painful swelling of udder.
Infant, sore mouth ; child does not like to take hold of breast, but after mouth becomes moistened it nurses well.
Lumps, indurations and inflammation of mamma, with diminished or retarded secretion of milk. θ Puerperal fever.
Children ache from being lifted or pressed.
Costive infants.
Children do not want to be carried, but lie quiet.
First stage of mammary abscess.
Prevents gathered breasts in most cases during lactation and after weaning. Phytol. follow well.

Voice and larynx. trachea and bronchia

Tickling in larynx. θ Acute bronchitis.
Voice nasal or raised.
Hoarseness : with inclination to sweat ; with singers.
Hoarseness. θ Pertussis. θ After measles.
Sensation of apple-seed cell lodged in upper larynx, or rima glottidis.
Bronchial croup ; hoarseness, with tendency to perspire ; dry, hacking, painful cough, < in going from cold into warm air ; gasping for breath before a fit of coughing ; after measles ; also in rheumatic diathesis.
Soreness in trachea. θ Pertussis.
Tough mucus in trachea, loosened only after frequent hawking.
When he goes into a warm room from open air, a sensation as if vapor was in trachea, which causes him to cough ; he feels as though he cannot inspire enough air.
Irritation to cough as though some mucus was present ; after he has coughed some time, a pain is felt there mingled with pressure and soreness ; pain is < while talking or smoking.

Respiration

Respiration with moist sound.
Breathing accelerated as though by a feeling of heat in epigastrium and chest.
Shortness of breath. θ Pertussis.
So weak she can scarcely speak, in morning. θ Intermittent.
Respiration quick and deep, but without motion of ribs.
Breathing > in cold air and from drinking cold water.
Amelioration, while making an expiration.
Worse from talking and laughing. θ Pertussis.
Breathing impeded by pressing pains, either just above epigastrium or over whole chest, or on sternum.
Cannot take a long breath on account of stitches in chest.
During inhalation, stitches through chest to scapulæ.
Stitches from left to right side of chest, during inspiration.
Breathing quick, difficult and anxious ; caused by stitches, principally in chest, compelling patient to sit up.
Shortness of breathing aggravated by slightest motion.
Panting for breath. θ Pertussis.
Crowing or grating breathing. θ Hydrocephalus of a child.
Breathing quick, difficult and anxious ; caused by stitches most in chest, compelling to sit up.
Deep, slow breathing.
Disposition to deep inspiration. θ Pertussis.
Inclined to draw a long breath ; sighing ; sobbing.
Constant disposition to sigh, and sigh deeply.
Tormented with a desire to take a long breath, which is hindered by a stitch in chest.
Frequent sighing-breathing.
Deep, slow breathing.
Difficult breathing, only possible with assistance of abdominal muscles.
Attacks of dyspnœa and suffocation. θ Pertussis.
A suffocating feeling as from tight neckwear.
Asthma, with a feeling as if something should expand, but would not.
Paroxysms of asthma, at night, with stitching pains in abdomen.
Asthma and cough, with pains in middle of chest, preventing sleep at night, cannot lie ; tongue thick white, furred.

Cough

Dry cough.
Hacking dry cough from upper part of trachea.
Hacking cough from a definite spot in trachea, becoming sensitive ; < from talking and smoking.
A dry, hacking cough ; single spasmodic forcible shocks towards upper part of trachea, which seems to be covered with dry, tough mucus, even tobacco smoking causes it.
Grippe with moist cough or rheumatic pains.
Dry, spasmodic cough, after eating and drinking, with vomiting of food, after a crawling and tickling in epigastrium.
Cough excited by tickling in throat and in epigastrium. θ Pertussis.
Cough excited : by nausea, by eating or drinking, by creeping or tickling in throat or stomach, on entering a warm room.
Nausea excites cough and coughing after vomiting.
Dry cough, excited by a creeping or tickling in throat or stomach.
Cough from tickling in throat and pit of stomach ; in evening and at night without expectoration ; during day expectoration is yellow, or consists of coagulated brown blood, or of cold mucus of a disagreeable flat taste.
Cough from a sensation of vapor in trachea, preventing getting enough air.
Cough with sneezing.
Spasmodic cough, as from vapor of sulphur. θ Pertussis.
Dry, spasmodic cough, principally in night, and after drinking and eating, when entering a warm room, and after taking a deep inspiration.
Cough < after eating or drinking, with vomiting of what had been eaten.
It seems to be impossible to drink without coughing. θ Pertussis.
Cough on coming from open air into a warm room.
Cough with stitching pains in brain.
Cough and stitches in head and chest ; or pain as if head and chest would burst.
Cough with stitches in sides of chest, or with headache as if head would fly to pieces.
Whooping cough with much sneezing.
Cough with vomiting and slimy mouth.
Cough with gagging, without nausea.
Dry cough, as if coming from stomach ; together with a crawling and tickling in pit of stomach.
Cough, mostly dry, caused by titillation in throat ; or spasmodic and suffocating, after eating and drinking, with vomiting of food.
During cough : scratching in throat ; shortness of breath ; catching of breath ; thoracic pains, > by pressure ; bruised feeling in hypochondriac regions, > by pressure ; pressing in head ; bursting pain in head and chest ; stitches in head,
throat and chest, sides and epigastrium, or hypochondria ; pains in abdominal muscles ; nausea and vomiting of food ; sore pain in epigastrium ; lachrymation ; toothache.
Cough : with involuntary discharge of urine ; hoarseness ; red face ; < by motion, talking, laughing, eating and thirst ; sneezing ; stitches in chest and small of back ; drinking.
Cough with rawness in larynx.
Cough with stitches in intercostal spaces and in sternum.
While coughing, they press with hand upon sternum as though it needed support ;
Cough with soreness in epigastrium and abdominal muscles.
Dry cough with pleuritic stitches ; during heat. θ Intermittent.
Cough compels to spring up in bed involuntarily. θ Typhoid pneumonia, etc.
Painful cough and difficult breathing. θ Pneumonia of infants.
Cough shaking whole body ; pain felt in head or in abdominal muscles.
Expectoration not constant ; morning and evening, sometimes also during day.
Sputa at first difficult to dislodge.
Sputa tough and hard to separate, falling in a jelly-like lump, light in color, almost a yellow or soft brick shade. θ Pneumonia.
Cough from a constant crawling upward in throat, followed by expectoration of mucus.
Cough with yellowish expectoration, or mucus streaked with blood.
Dry cough with brick-dust-colored expectoration.
Sputa not frequent, scanty, tough, sometimes bloody.
Cough evening and night, without expectoration ; morning and daytime with it, of mucus yellow or mixed with coagulated brownish blood. θ Pertussis.
Expectoration brown, like liver.
Cough, with bloody, rusty, tenacious expectoration.
Sputa of an unpleasant flat taste. θ Pertussis.
Sputa often cold. θ Pertussis.

Inner chest and lungs

Constriction of chest ; she felt the need of breathing deeply (as if chest was stopped and she could get no air), and if she attempted to breathe deeply there was pain in chest, as if something was being distended which could not be completely distended.
Sensation of heaviness beneath sternum, extending toward shoulder, impeding respiration ; deep inspiration was difficult ; oppression of right side of chest, with very fine, extremely severe stitches in right axillary gland.
Sense of fulness ; stuffed feeling throughout chest.
Stitch in upper part of chest, through shoulders, on inspiring.
Stitching, lancinating pains are most frequent in chest ; on inspiration or on turning around in bed ; situated in sides of chest or extend through from front to scapulæ.
Stitches in right side of chest between third and fourth ribs, while sitting.
Stitches in chest and sides of chest, especially when coughing or drawing a long breath, obliging one to sit up, or lie on back ; < by motion.
Sharp stitching pain in chest below right nipple, extending outward, only on expiration.
Pricking pains below right nipple from within outward, in cavity of chest ; felt only during inspiration.
Chest very sensitive, with stitches in left side of it on inspiration ; whole forenoon.
Short but violent stitches in right side of chest, must hold breath, could not cry out.
Tearing stitches in left side of chest extend from behind forward, > during rest, < during motion and on deep inspiration.
Stitching pain in region of diaphragm, < from motion or coughing.
Stitches in chest, when breathing or coughing
Stitch in side < by cough, breathing and motion.
Stitches, soreness and burning pains in chest. θ Pertussis.
Sharp pain in left inframammary region ; < during inspiration.
Complaints predominate in lower of chest.
Rheumatic pleurodynic pains in chest and lungs.
Chill in left chest.
Burning in right half of chest.
Heat in chest. θ Pleurisy. θ Pneumonia.
Heat and burning pain in chest.
Inflammation of first and second divisions of bronchi, with an irritative, shaking, dry cough ; heat ; pain and soreness behind sternum ; < daytime and by motion.
Inflammatory affections of chest supervening in course of pertussis.
Pleuritic pains in advanced stage of phthisis.
Pleurisy with fluid exudation.
Pleuritis ; pneumonia.
Pleuro-pneumonia, with stabbing pains ; frequent respiration ; bloody expectoration ; high fever ; bursting headache ; < on motion and deep inspiration.
In pneumonia with scanty expectoration, tough, falling in a round jelly-like lump, in color almost a yellow or soft brick shade.
Acute, inflammatory condition in catarrh of old people.
Hydrothorax.
Incipient phthisis.

Heart, pulse and circulation

Irritable heart ; beating 54 when sitting, but on rising ever so quietly, going up to 110 or 115 and gradually subsiding again.
Frequent sharp pain in cardiac region.
On going up-stairs a little rapidly, heart flutters and palpitates so much as to put him out of breath.
Stitching pains in sides of thorax make it almost impossible to expand chest.
Stitching pain in region of heart.
Cramp in region of heart, < by walking, raising one's self, or using slightest exertion, even raising arm.
Oppression in region of heart.
Heart beats violently and rapidly.
Palpitation of heart ; frequently violent, and with oppression of chest. θ Carditis.
Palpitation of heart. θ Pertussis.
Endocarditis.
Burning in veins.
Pulse : quick, full, hard, rapid and tense ; at times intermittent, with strong orgasm of blood.
Pulse frequent at night, slower during day.
Pulselessness. θ Cholera Asiatica.

Outer chest

Soreness of ribs, as if beaten.
Painful spot, as from a bruise, on second rib, right side extending to sternum.
A painful spot on second rib of right side, extending to sternum, as after a blow or bruise.
Pressive pain in precordial region.
Rheumatism of muscles of chest.
Stitches in sternum on coughing ; was obliged to hold chest with hand ; even pressing upon it caused a sticking.
Seat of pain in chest is sensitive to pressure and when arms are moved.

Neck and back

Pain in nape of neck, as after taking cold.
Painful stiffness of muscles of right side of neck, from touch and on moving head towards shoulders.
On right side of nape of neck, towards shoulder, painful stiffness of muscles on moving head.
Drawing and stiffness of muscles of right side of neck.
A pain in nape of neck near occiput, like a pain and weakness together, as if head was weak.
Rheumatic stiffness and tension in nape of neck and back.
Painful stiffness of neck.
Glands on neck sore to touch.
Sharp rheumatic pain in tendon of trapezius (l.) on turning head to left.
Dull stitches between scapulæ, extending from behind forward, in afternoon while lying.
Stitches under left scapula through to heart.
Alternating dull, aching and sharp pain, beneath right scapula, at its lower or inferior angle.
Rheumatic pain in back, between inferior angles of scapulæ.
In back, stitching and jerking pressing between scapulæ, extending through to epigastrium when sitting.
Shooting stitches in back through chest.
A drawing down back when sitting, disappearing on motion.
The pain extended through thorax to lower portion of sternum (pain in first dorsal vertebræ).
Stitches in back and small of back.
Creeping chilliness in back, from above downward.
Pain in back before paroxysm.
Eruption on back, aching like a sore.
Dull aching in lumbar muscles.
Stiffness, tearing and tenderness in joints and muscles of lumbar region, prevent motion and stooping ; most when standing or sitting, > when lying.
In lumbar and sacral region, pain as if beaten.
Stitches in sacral region and back. θ Pertussis.
Pain in small of back, which makes walking or turning difficult ; as if bruised, when lying on it.
Painful stiffness in small of back, compelling him to walk and sit crookedly.
Pain in small of back, like a painful stiffness, not allowing one to stand erect.
Pressive drawing pain in small of back and loins, which makes turning very difficult ; it awoke him from sleep.
Pain in small of back ; < by every motion. θ Rheumatic attacks.

Upper limbs

Left arm and hand in a weaving motion up and down ; each time uttering a sigh.
Painful pressure on top of right shoulder, < upon touch ; on deep breathing it becomes a dull stitching, which extends downward and outward to shoulder joint.
Painful tension and pressure in right shoulder, when at rest.
Tearing in shoulder joints and upper arms, with tension and stitching, and shining red swelling of parts.
Rheumatic swelling of right shoulder and upper arm, with stitches.
Complaints predominant on upper arm Drawing and tearing pains in right upper arm.
Rending in shoulder joints and upper arms, with tightness and piercing. θ Rheumatic attacks.
Arms incline to sink by one's side.
A feeling in right elbow as if arm was broken, with a troublesome paralytic pain ; it changed afterwards to a drawing pain ; it extended to shoulder joint and lasted all day.
Swelling of elbow and hand joints, and upper parts of hands.
Swelling of elbow joint, and somewhat above and below it as far a middle of upper and forearm, and soles of feet.
Swelling about elbow joints ; < in left. θ Rheumatic attacks.
Swelling of right elbow joint, with stitches.
Swelling of arm around elbow.
Tearing pains on inner surface of forearm, in a line from elbow to wrist.
Fine stitches in wrists, if hands become warm, and during rest ; they do not disappear on motion.
Swollen hands.
Complaints predominate in palm of hand.
Stitching pain in fingers when writing.
On writing or taking hold of anything, a sensation as if finger joints were swollen and puffed ; they are painful on much exertion and on touch.
Rather hot, pale swelling in last joint of little finger, with sticking in it on moving finger, or on pressing it.
Hot, pale swelling of finger, or on pressing it.

Lower limbs

Inflammation of psoas muscles.
Pains in right trochanteric and gluteal region, of an aching, cramplike and bruised kind ; < at every motion.
Pains in left lumbar region extending to thigh ; < in afternoon, when sitting up and by movement ; walks with crutches. θ Sciatica.
Stabbing pain in hips.
Shooting pains extending towards hip.
Stitches in hip joint, extending to knee.
In morning, feels lame and bruised, particularly in right hip.
Cracking and feeling of dislocation of hip joint, when walking.
Sciatica : pains < sitting up, by moving, and late in evening ; lies best on painful side ; often < by cold water.
A few large stitches, like knife stitches in hips.
Great painfulness of right thigh ; pain comes from head of femur, extends along anterior surface of thigh to knee.
Great weariness in thighs, he can scarcely go up steps ; less when going down steps.
When walking bent, sticking pain from hip into knee.
Complaints predominate on front side of thigh, in patella, and in calf of leg.
Stitches in knee when walking.
Pain in right knee, so that in evening he could scarcely walk, and was obliged to keep leg very quiet ; inner side of knee very painful to touch ; next morning, while in bed, there was no pain, but after being up a while pain returned.
Painful stiffness, with stitches, especially when moving them.
Synovial inflammation of knee joints.
A feeling in right knee cap as if he had been kneeling a long time.
Tearing pain in shins.
Tensive sensation in bend of knee, which afterwards changed to a drawing and wrenching along crest of fibula, lasting several minutes.
Knees totter and knock together when walking.
Swelling of knee, with tensive pain in ligaments.
Knee joints swollen, red, shining, motion impossible. θ Rheumatism.
Pinching-tearing in right calf.
Tightness in calves.
Bruised pain on outer side of left calf, on moving and turning foot, as also on touch ; during rest a numb sensation in this place.
Tension in ankles on motion.
The ankle feels as if dislocated, especially when walking.
Tensive pain on back of feet, even when sitting.
Pain in feet as if sprained.
Hot swelling of instep, with bruised pain on stretching out foot ; foot seems tense on stepping on it, and on touch it pains, as if suppurating, like an abscess.
Feet are tense and swollen in evening.
Hot, inflammatory swelling of feet, with redness.
Gouty swelling of feet, with redness, heat and tensive pain.
Sensation in tendo-achillis as if bruised. θ Rheumatic attack.
Horses : during distemper, hard swelling and coldness of feet, especially of hind feet.
Stitches in soles.
Prickling in soles of feet when walking.
Severe pain in sole of foot, with great lameness, could not walk ; not much swelling.
Sudden pains in balls of great toes.
Stitches in big toe.
The legs are so weak that they will scarcely hold him, on commencing to walk, and even when standing.
Swelling of lower limbs.
Weariness and stiffness of lower limbs.
Swelling of legs, down to feet.
Putrid ulcers on lower limbs.
Gouty affections of lower extremities ; pain < from motion.

Limbs in general

Tensive or stitching pains in limbs.
Pains in limbs and joints ; > by warmth.
Violent pain in limbs during heat. θ Intermittent.
Pain in limbs ; < by motion and during heat. θ Intermittent.
Rheumatic pains in tops of shoulders and in left knee.
Rheumatic and gouty pains in limbs, with tension ; < from motion and contact.
Acute articular rheumatism, swelling pale red, pain < on slightest motion, fever, pulse 130.
Limbs move, but sluggishly.
Laming and bruised feeling in extremities.
Weariness and stiffness of limbs, especially the lower.
Weakness of limbs obliges him to sit.
Weariness and heaviness in all limbs ; feet can scarcely carry her on account of heaviness, when walking.
All limbs seem bruised and paralyzed, as if he had lain upon a hard bed.
Paralysis of limbs.
Limbs and joints swell, become red, and are very sensitive to touch or motion.
Heaviness in limbs, which seem like lead.
Horses : walk stiff from lameness of joints.
Constant threshing with left arm and leg. θ Hydrocephalus.
Ulcers on fingers and toes.
Tearing, stinging pains, most in limbs, particularly when moving parts, with intolerance of touch. θ Rheumatic attack.

Rest. position. motion

Rest : tearing in right side of head > ; pain in stomach > ; all gastric symptoms > ; feet swell ; stitches in wrists ; numb sensation on outer left calf.
Lying : on back, headache in occiput in morning ; headache with pressure in brain < ; on painful side, tension and tearing in head > ; on painful side, soreness in occiput and behind ears > ; in bed, hazy vision and sticking pain over eye > ; on painless side,
toothache < ; on painful side, toothache > ; on side, stitching in stomach ; asthma and cough < ; stitching between scapulæ ; stiffness ; tearing and tenderness in lumbar region > ; pain in small of back < ; compelled to lie down.
Sitting : in bed, vertigo and faintness ; pressive headache ; in bed, nausea ; pain towards inguinal ring ; stitches in testicle ; stitches in chest > ; stitches between third and fourth ribs ; stitching and jerking between scapulæ to
epigastrium ; stitching, tearing and tenderness in lumbar region < ; pain in lumbar region < ; sciatica < ; tensive pain on back of feet ; heat or chill worse.
Rising : reluctant to rise in morning ; giddiness ; vertigo with reeling ; to erect position after eating, nausea and waterbrash ; heartbeat goes from 54 to 110 ; from bed, faintness.
Standing : weak mind, faintness ; vertigo and whirling ; griping and cutting in intestines < ; stiffness, tearing and tenderness in lumbar region < ; stands inerect from pain in back ; weakness of legs.
Stooping : or turning head, dizziness ; giddiness with looseness of brain ; fractal headache < ; pressing in frontal region and left eyeball < ; fulness in forehead < ; sensation of falling in head ; difficulty in resuming erect position ; heat in head
< ; stitching headache ; stiffness, tearing and tenderness in lumbar region <.
Bending : neck, sticking pain ; drawing legs on abdomen ; constriction in epigastrium > ; turning head to left, pain in tendon of trapezius ; cutting in intestine > ; turning, pressive drawing in back and loins < ; bending and stretching limb, swollen instep,
bruised pain.
Walking : stitches from forehead to occiput, stepping hard ; stomach sensitive ; misstep, stitching in stomach < ; pressure in epigastrium < ; ascending stairs, palpitation and breathlessness, pain in small of back < ; crooked, from stiffness in back ;
cracking and feeling of dislocation in hips ; bent, sticking from hip to knee ; stitches in knee ; knees totter and knock together ; feeling as of ankle dislocated ; foot feels tense ; prickling in sole of foot ; pain in sole ; weakness of legs ;
weariness and heaviness ; weakness and weariness ; < ascending stairs, > descending.
Motion : anxiety > ; vertigo and headache < ; fulness in forehead ; < moving eyes ; pressure in forehead and occiput < ; severe pulsating pain in head ; tearing in right side of head < ; of eyes, shooting pains in head < ; of eyes, increases
headache ; expanding headache < ; headache better closing eyes ; limbs pain ; tension and tearing in outer head < ; of eyeball, sensitive pressure < ; of eyes, ciliary neuralgia < ; eyes sore and aching ; of eyes, pressing crushing pain < ; rheumatic iritis
and aching in back of eye to occiput < ; pinching pressure at articulation of right jaw ; complains of pain everywhere ; constriction and cutting in stomach after eating, with vomiting < ; on shock from hiccough, pressure in forehead as of brain shaking ; nausea < ;
fulness and pressure at pit of stomach < ; burning at stomach < ; stitching in epigastrium < ; pain in stomach excessive ; moving legs, crepitation ; griping and cutting in intestines < ; sticking and shooting pain in abdomen < ; colic < ; urine passes
involuntarily ; dribbling of urine without sensation ; pain in ovaries < ; uterine suffering < ; backache and headache < ; after pains brought on ; lancinating pain from hip to foot < ; inflammation of mamma (suffering) < ; short breath < ; redness of face
< ; stitches in chest < ; inflammation of bronchi < ; Pleuro-pneumonia < ; cramp in heart < ; drawing down in back disappears ; stiffness, tearing and tenderness in lumbar region < ; sprained pain in wrist ; pain and swollen sensation in finger joints ;
sticking in little finger ; aching in gluteal region < ; pain in lumbar region < ; sciatica < ; pain in knee < ; stiffness and stitches in knee < ; knee swollen, cannot move ; bruised pain in outer calf ; tension in ankles ; gouty pains < ; pain in limbs
< ; rheumatic pains < ; limbs and joints swollen and sensitive ; tearing and stinging in limbs < ; indisposed to exertion ; weariness and sweat after exertion ; aching of arms and feet ; faintness ; chills < ; sweat easily excited ; stitching about
large joints ; soreness in periosteum and ligaments ; affected parts swollen, cannot move them ; stitching pain in swollen joints ; stinging in gouty swellings ; of arms, pain in left mamma and chest.

Nerves

Oversensitiveness of all the senses.
Increased bodily irritability.
Spasm developed through repercussion of measles.
Spasmodic complaints ; starting, twitching of limbs.
Hysteric spasms.
Clonic spasms.
Is often indicated after spasms have been controlled, and there remain fulness of pulse, abdominal tenderness and perspiration.
Feels lazy, and indisposed to work.
Weaving motion of left arm and leg. with sighing. See 32 .
Is compelled to lie down.
Great weariness in morning and afternoon.
Loss of strength on slightest exertion.
Great weariness and sweat over whole body after a slight exertion.
She is weak, arms and feet ache if she does any work, arms sink down ; if she goes up-stairs she can scarcely get along.
Great weakness and exhaustion ; worse from walking.
The feeling of weakness becomes very great, especially great fatigue after a long walk.
On rising, great exhaustion and weakness, which increased during forenoon, while walking, so that he had to drag himself about ; on going up-stairs there was excessive weakness in knees and legs.
Fainting in morning, getting up, or when rising up in bed.
Sudden prostration, shunning all motion.
Uncommonly wearied and prostrated.
Great prostration.
Very tired and prostrated ; great weariness.
Weariness, prostration in whole body.
Great prostration and uneasiness.
Great prostration. θ Constipation.
Faintness : when rising from bed ; from slightest motion.
On rising from bed he was attacked with faintness, with cold sweat and rumbling in abdomen.
Great lameness, and desire to keep quiet.
Paralysis generally of both sides.

Sleep

Very much inclined to yawn ; frequent yawning the whole day.
Excessive gaping. θ Rheumatic attack.
Drowsiness : with half-closed eyes ; during and after stool.
Much sleepiness during day when alone.
Great sleepiness by day, with yawning, lassitude, stretching, etc., yet at night no sleep on account of tumultuous course of blood, anxiety and heat.
In evening, before falling asleep, she starts up in fright.
He could not sleep well ; a warmth and anxiety in blood prevented it until 12 o'clock.
Sleeplessness most before midnight. θ Rheumatic attack. θ Pertussis.
Sleeplessness on account of uneasiness in blood and anxiety ; thoughts crowd upon one another.
A concourse of anxious thoughts keeps him awake till 3 or 4 A. M.
Sleeplessness before midnight, with thirst, heat and ebullitions.
Sleeplessness, especially before midnight, owing to heat and anxiety, especially on chest.
No sleep before midnight, on account of a frequent shivering sensation over one arm and foot, followed by sweat.
Sleepless night, with heat and restlessness, every other night sweat and better. θ Spoiled intermittent.
Sleep full of dreams.
Night very restless, disturbed by frightful dreams ; frequent waking.
He started from an anxious dream and screamed out.
Dreams : about household affairs ; about business of day.
Dreams of dispute and vexation
Night restless, he could scarcely sleep for half an hour, and during his slumbering was continually busy with what he had read evening previous.
Sleep walking ; produced and cured.
Delirium at night of business of day.
Nightmare.
Delirium, as soon as he awakes.
Comatose sleep, broken by delirium.
Often a prattling and muttering delirium during sleep.
During night a bitter taste.
During sleep : masticating motions of lower jaw ; feces pass off ; starting and jumping motion evening during sleep, seems to aggravate sufferings.
Chilliness in evening in bed, after lying down.
Insists on leaving bed.
On wakening, pain in liver and kidneys.
After midday nap he was chilly ; head confused.
Immediately after lying down in bed, in evening, sensation of heat, with external heat over him, without thirst through the whole night ; he turned from one side to the other, did not dare to uncover any part, because it immediately caused violent pain in
abdomen, a painful griping, sticking or sticking griping, as if flatus moved spasmodically here and there, with loss of sleep from a multitude of crowding thoughts ; in morning this condition disappeared, without his noticing any flatulence.

Time

Night : delirium, < after 3 A. M. ; shooting pain in head < ; towards morning, sour oily sweat on head (and body) ; rheumatic iritis and aching in back of eye to occiput < ; fulness of eyeball, with shooting pain in eye and head < ; scalding in
corners of eyes < ; toothache, with tearing in cheeks and pinching in ears, till 6 A. M. ; gulping up of phlegm ; heat in abdomen and heartburn < ; diarrhœa preceded by colic ; involuntary stools ; urine reddish-yellow, white sediment ; dropsy of uterus
> ; cough from tickling ; dry spasmodic cough ; pulse frequent ; dry heat ; sweat profuse, at 3 A. M. ; copious sour sweat ; 3 A. M. toothache.
Morning : head confused and aching ; delirium ; does not wish to rise ; dizziness ; head whirls and turns in circle ; throbbing on top of head ; on waking pain in occiput to shoulders ; headache when first opening eyes ; bursting headache
before breakfast, compression and heaviness of head with stitches ; head hot ; agglutination and tears in eye ; nosebleed on awakening ; toothache, 3 A. M. ; nauseous, bitter taste ; nausea on waking ; nausea and vomiting ; colic and urging to
stool ; diarrhœa preceded by colic ; pasty stool ; stools get thinner and thinner ; dry, parched stool ; sensation of plug in anus ; too weak to speak ; expectoration ; lame and bruised in r. hip ; pain in knee returns ; weakness and
exhaustion on rising ; griping with loss of sleep > ; heat in head ; sweats profuse ; weakness of limbs.
Noon : pressive pain in occiput to neck <.
During day : dropsy of uterus increased ; inflammation of bronchi < ; pulse slower ; great weariness ; sleepiness ; skin dry ; dropsical swellings <.
Afternoon : heaviness of head ; forepart of, many symptoms ; stitches between scapulæ ; pain in lumbar region < ; weakness of limbs.
Evening : fulness in forehead < ; bursting headache < ; heat of head, coldness of body and pain in limbs < ; toothache in back teeth ; drawing-jumping toothache in bed ; heartburn from wine ; nausea and vomiting ; distension in abdomen ; frequent
urination, 6 to 7 P. M. ; cough from tickling ; expectoration ; sciatica < ; pain in knee < ; feet tense and swollen ; starts with fright on falling asleep ; chilliness after lying down ; coldness and chilliness ; hot cheeks, chill all over,
gooseflesh and thirst.

Temperature and weather

In-doors : very anxious ; chilliness <.
Warmth : tearing in right side of head < ; tension and tearing in head < ; inflammation of eyes, with pains in teeth and face < ; drawing-jumping toothache < ; tearing-stitching toothache < ; in room, pain in throat < ; warm drinks, > ; weather, diarrhœa ;
air, dry, painful cough < ; air, vapor in trachea causing cough ; dry, spasmodic cough < ; chills < ; stitches in wrist when hands warm ; pains in limbs and joints <.
Open air : anxiety > ; pain as of tooth screwed in and pulled out > ; decayed teeth sensitive.
Cold : headache on washing after sweating ; raw and wet, rheumatic headache ; inflammation of eyes, with pains in teeth and face > ; face red and smooth after washing ; toothache as of cold air ; water, pain as of tooth screwed in and pulled out, >
momentarily ; water, internal heat > ; fruit, incarceration of hernia after ; water, bitter taste and nausea > ; air, breathing > ; water, sciatica <.
Dry air : soreness in occiput and behind ears <.
Cerebral disturbance from getting wet.
Diarrhœa after taking cold or getting hot in summer.
Complaints when warm weather sets in after cold days.
Complaints from cold drinks in hot weather.
Kicks covers off.

Fever

Chilliness.
More chilliness in room than in open air.
Chilliness and coldness of body, also in bed.
Coldness and chilliness, mostly in evening, and often only one one (r.) side.
Chilliness during stool.
Skin icy cold, shrivelled. θ Cholera Asiatica.
Coldness and shivering over whole body.
Before chill, vertigo and headache. θ Intermittent.
Chill, with external coldness of body.
Chills begin on lips, and on tips of fingers and toes ; great thirst during all stages. θ Intermittent.
Right-sided chill. θ Intermittent.
Chill with thirst.
Chill : > by drinking ; after sleep ; < by exercise ; < in a warm room.
Chilly sensation about ulcers.
Chill or heat on diseased part.
Chilliness predominating, frequently with heat of head, red cheeks and thirst.
Chilliness with heat in head and red face. θ Rheumatic attack.
Chills with heat.
Shaking chill, frequently with heat in head, internal ; generally with intense desire for cold drinks.
Chills with thirst ; heat of face with flushed cheeks. θ Intermittent.
In evening : hot and red cheeks with chill all over, with gooseflesh and thirst.
Heat or chill lessened while sitting.
Fever, with dry, burning heat, mostly internal ; blood seems to burn in veins.
Heat in head : and face ; in morning ; in forenoon ; feels as though it would come out at forehead.
Dry heat at night.
Heat with desire to uncover.
Feeling of heat in face, with redness and thirst.
Fever, with bitter taste and thirst.
Heat with thirst. θ Intermittent.
Heat only internal or on single parts of body, with great thirst.
Great aggravation of sufferings during heat.
Heat after stool.
Sweat in morning.
Cold sweat on forehead and whole head.
Sweat in short spells and only on single parts.
Profuse night and morning sweat.
Profuse night sweat after 3 A. M.
Dry skin during day, copious sour sweat in night and towards morning.
Sour smelling profuse sweat during a good night's sleep.
Sweat profuse, sour or oily. θ Intermittent.
Unctuous, oily sweat. θ Pertussis.
Sweat easily excited by exercise. θ Intermittent.
Sweat on slight exertion ; even when walking in cool air.
Sweat relieves.
Sweat over whole trunk and head, but not on parts affected. θ Rheumatic attack.
Thirst only during fever. θ Intermittent.
Intermittent connected with incipient tuberculosis, with preponent and recedent type.
Nervous fever with pain in limbs.
Typhoid fevers ; accumulation of frothy, soap-like saliva in mouth and throat, which at times seems to choke patient ; diarrhœa ; dry lips ; great thirst.

Attacks, periodicity

Appearing and vanishing quickly : sharp pain in left occipital protuberance.
Alternately : restless every other night ; periodical sweats on single parts ; intermittent with proponent and recedent type.

Locality and direction

Right : tearing from forehead to arm ; drawing-tearing in temple ; tearing in head ; burning and lachrymation of eye ; heat and swelling of r. ear ; parotid swollen and sensitive ; thin, light discharge from nostril ; pinching pressure
at articulation of jaw ; dull aching in alveoli of upper jaw : twitching-tearing in malar bone to temple ; painful pressing under r. cheek bone ; stinging pain near larynx on swallowing ; stitches in testicle and spermatic cord ; pain in ovarian region ;
burning in fundus of uterus ; oppression of chest, with stitches in axillary gland ; stitches between third and fourth ribs ; pricking pain below nipple ; burning in chest ; painful spot on second rib to sternum ; aching and sharp pain beneath scapula ;
painful pressure on shoulder ; rheumatic swelling of shoulder and upper arm, with stitches ; aching pain in gluteal region ; lame and bruised in hip ; great pain in thigh ; pain in knee ; pain in knee-cap as of long kneeling ; pinching-tearing in
calf ; coldness and chilliness of body.
Left : pressing out in eyeball ; pressure above eye ; drawing in temporal bone ; stitch in left side of brain when coughing ; sharp pain in occipital protuberance ; continued stitch deep in brain ; sensitive pressure in eyeball ; darting pains from
eye through head ; snapping in stomach as of food pushed to left side ; stitches in side on vomiting ; pain in heel ; twitching in abdomen ; stitching in back ; heat in hypogastrium ; pain towards inguinal ring ; inflammation of labium major ;
mamma swollen ; swelling of breast and axillary glands during weaning ; stitches in chest ; chill in chest ; rheumatic pain in tendon of trapezius on turning head to left ; stitches under scapula to heart ; swelling in elbow joints ; bruised pain on outer
calf ; rheumatic pains in knee ; constant threshing with arm and leg ; weaving motion in arm and leg.
Within out : headache in forehead and temples ; pressive pain in temples ; violent headache, with pressure in brain ; continued stitch in brain ; stitches in head and chest ; pricking pain below right nipple.
Above downward : drawing from occiput into neck ; tearing in forehead, extending to right arm ; drawing in temporal bones ; drawing-tearing in right temple to neck ; tearing in head extending into jaw bones ; headache in occiput to shoulders ; pressive
pain in occiput into neck ; drawing and tearing from temple to malar bone ; pressure in epigastrium to umbilicus and bladder ; pain in inguinal region ; drawing in intestines ; pain in ovarian region ; lancinating from hip to foot ; pain in thorax to lower
part of sternum ; creeping chilliness in back ; dull stitching on shoulder ; tearing from elbow to wrist ; pain in lumbar region to thigh ; stitching in hip to knee ; pain along thigh to knee ; swelling of legs to feet.
Below up : twitching-tearing in right malar bone to temple ; tearing in hip to epigastrium ; pains in abdomen ; heat from abdomen to chest ; drawing in elbow to shoulder ; shooting pain to hip ; chills begin at fingers and toes.
Left to right : stitches in chest during inspiration.
Right to left : painful spot on second rib to sternum.
Before back : sticking, jerking, throbbing headache from forehead to occiput ; sharp pains in eyeballs to occiput ; darting pains from left eye through head ; aching from eye to occiput ; stitches through chest to scapulæ ; pain in lumbar region.
Behind forward : shaking of brain from hiccough ; stitches in left chest ; stitches below scapulæ ; stitches and pressing between scapulæ and epigastrium.

Sensations

Oversensitiveness of senses to external impressions.
Every spot in body is painful to pressure ; < mornings.
Drawing rheumatic pains in various parts of body.
Transient drawing and tension in almost all limbs and joints.
As if head was turning in a circle ; as if she was sinking deep down in bed ; as if everything would press out at forehead ; as though eye became smaller ; as if eyes were pressed out of head ; as if there was sand in eyes ; as if a tooth was screwed in and
then pulled out ; as if brain shook from behind forward from hiccough ; as if there was a stone in pit of stomach ; as if pit of stomach was swollen ; as if region of stomach was rolled up like a ball ; as if something lay in abdomen ; as if head would
burst ; as if vapor was in trachea ; elbow feels as if arm was broken.
Rending : in shoulder joints and upper arms.
Splitting pain : in head.
Tearing : across forehead ; in cervical muscles ; in right arm ; in right temple ; in external head ; in right malar bone ; in cheeks ; in teeth ; from hip to epigastrium ; in urethra ; in limbs during menstruation ; in
mamma ; in lumbar muscles ; in shoulder joints and upper arms ; in right upper arm ; on inner side of forearm ; in shins.
Cutting : in epigastrium ; in intestines ; before stool ; in urethra ; during urinating.
Stabbing : in chest ; in hips.
Lancinating : during diarrhœa ; from hip to foot ; in chest.
Beating : in vertex ; in cranium, in cerebellum.
Darting : through head ; in teeth.
Piercing : in shoulder joints and upper arms.
Stitching : deep in brain, left side ; in head ; from forehead to occiput ; in eyes ; deep in ear ; in teeth ; in throat ; in left side ; in stomach ; in abdomen ; in liver ; in spleen ; in right testicle and cord ; in
ovaries on inspiration ; in chest ; in intercostal spaces and sternum ; in right axillary gland ; in epigastrium and hypochondrium ; in region of heart ; between scapulæ ; under left scapula to heart ; in sacral region ; in shoulder joints and
upper arms ; in r. elbow joint ; in wrist ; in fingers when writing ; in hip joint to knee ; in knees when walking ; in soles ; in big toe ; in all serous membranes ; in hepatic region ; in region of diaphragm.
Shooting : extending to vertex or occiput ; in eye ; in teeth ; in stomach ; in abdomen ; in back through chest ; towards hip.
Stinging : in throat ; in liver ; in abdomen.
Sticking : in head ; in throat ; in liver.
Neuralgic pains : in eyes and head.
Bursting pain : in head and chest.
Splitting pain : in head.
Pricking pains : below right nipple.
A pricking sensation "like pins and needles" on soles or on other parts of body, or with an eruption.
Prickling : in anterior third of tongue ; at anus ; in soles when walking ; in soles of feet ; of skin (nettlerash).
Pinching : pressure in articulation of right jaw ; in ears ; in abdomen ; in right calf.
Griping : in intestines ; during stool.
Digging : in forehead ; in teeth as from cold.
Rheumatic pain : in uterus ; in chest and lungs ; in tendon of trapezius ; in back ; in limbs ; in shoulders.
Aching : of head in morning ; headache, in occiput ; tensive, in temporal region ; in head when stooping ; expansive headache ; in eyes ; in left orbit ; from eye to occiput ; dull, in alveoli of upper jaw ; of gums during teething ;
in back ; beneath right scapula ; in lumbar muscles ; and bruised feeling in right gluteal region.
Pressure : in cardiac region ; in frontal region ; above left eye ; in occipital protuberance ; outward in head ; on vertex ; in occiput ; in temples ; in left eyeball ; under right cheek bone ; in throat ; in stomach ;
towards left inguinal ring on sitting ; in urethra ; at larynx ; over chest and sternum ; in precordial region ; on top of right shoulder ; in right hypochonder ; in epigastrium ; in sphincter ani and rectum.
Pressive pain : in left tonsil.
Pressing, crushing pain : in eyes.
Burning : in forehead and temples ; in eyes ; in right eye ; in stomach ; along diaphragm and ribs ; in liver ; in abdomen ; at anus ; with stool and urine ; in rectum ; in fundus of uterus ; in mamma ; in chest ; in
veins ; spots on skin ; in hepatic region ; in urethra.
Scalding : in eyes.
Smarting : behind pomum adami.
Drawing : in occiput ; in temporal bones ; tearing in right temple ; in left upper lid ; in back teeth ; in urethra ; from hip to foot ; in muscles of neck, right side ; in right upper arm ; along crest of fibula ; in urethra.
Constricting pain : in stomach.
Twisting : tensive in single muscle fibres.
Jerking : from forehead to occiput ; toothache in evening ; pressing between scapulæ.
Twitching : drawing in maxillary bones ; of left upper lid ; in right malar bone ; in corners of mouth ; in abdomen, left side ; in nose.
Soreness : of eyes ; of nose ; of right malar bone ; of teeth and gums ; in epigastrium ; of abdomen ; in intestines ; of larynx ; behind sternum ; of cervical glands ; in pit of stomach ; in anus ; in trachea ; in
ribs.
Rawness : in throat ; in larynx.
Tension : in temporal region ; in external head ; at stomach ; in region of liver ; down thighs ; at sphincter ani ; in mamma ; in nape of neck ; in right shoulder ; in knee ; in ankles ; on back of feet ; in hepatic
region.
Pain : in head ; above left eye ; in occiput ; in right temple ; in both temples ; sharp ; in left occipital protuberance ; pressive, in head ; dull, in forehead ; in small spot on forehead ; in vertex ; in limbs on
motion ; like of needle through eye and head ; severe, in eye ; violent, in teeth and face ; in left tonsil ; in throat ; in pit of stomach ; constricting ; in stomach ; in region of liver ; in abdomen ; in kidneys ; in right
ovarian region ; in back and loins during menstruation ; rheumatic, in uterus ; in breasts ; on inspiring ; in abdominal muscles ; in cardiac region ; in inframammary region ; rheumatic, in chest and lungs ; in nape of neck ; in lumbar and
sacral region ; in small of back ; paralytic, in right elbow ; in wrist as if sprained ; in left lumbar region to thigh ; in right thigh to knee ; in left calf ; in sole of foot ; in ball of great toe ; in liver and kidneys on awakening ; in
left heel.
Sensitiveness : of external right ear ; of right parotid ; of lower lip ; of teeth to air ; at pit of stomach ; of abdomen ; in lumbar muscles Bruised feeling : in hypochondriac region ; on outer side of right calf.
Scraping : and roughness in throat.
Scratching : in throat.
Tickling : in epigastrium ; in throat or stomach, exciting cough ; in larynx.
Crawling : in throat ; in epigastrium ; in throat, exciting cough.
Crepitation : moving legs.
Cracking : of hip joint on walking.
Throbbing : on top of head ; throughout body ; in abdomen.
Pulsation : in left orbit.
Beating : in vertex.
Looseness : of teeth.
Lightness : of head, with wabbling in ears.
Constriction : of chest.
Emptiness : of stomach.
Fulness : in forehead ; in cranium ; of eyeball ; in throat ; at stomach ; at right hypochondrium ; throughout chest.
Tightness : in shoulder joints and upper arms ; in calves.
Swollen : as if, at pit of stomach ; finger joints as if swollen when writing.
Heaviness : in forehead ; in head ; of head, in afternoon ; of left upper lid ; in stomach ; in region of liver ; at sphincter ani ; of breasts ; beneath sternum ; in limbs.
Plug : ears feel stopped ; at epigastrium.
Uncomfort : in abdomen as of menses.
Weakness : of thighs ; of limbs ; after slight exertion.
Weight : in stomach.
Faintness : mental weakness ; in morning when rising ; from slightest motion.
Trembling : of tongue.
Numbness : in stomach and œsophagus ; in calf.
Coldness : after anger ; on vertex ; of hands, and chilliness ; chill in left chest ; chilliness in back ; chilliness in evening in bed ; chilliness during stool ; of skin ; of whole body.
Itching : at margin of lids ; in throat ; on glans ; eruption on skin ; between fingers.
Dryness : of lips, tongue and hard palate ; of throat.

Tissues

Plethora.
Burning sensation in veins.
Inflammation of mucous and serous membranes. θ Acute catarrh. θ Pleuritis.
θ Pericarditis. θ Peritonitis.
Stitches in all serous membranes.
Inflammations that have advanced to stage of serous effusion.
Rheumatic affection of joints. Compare Merc. subl.
Drawing and pain as if luxated in medium and smaller joints.
Stiffness and stitches in joints.
Stitching pains in region of large joints as in shoulder, over trochanter, and at knee ; all aggravated by motion, touch, or any jar or shock.
Arthritic affections ; nodosities.
Erysipelas of joints.
Rheumatism, with redness and swelling of joints ; motion is intolerable.
Rheumatism, muscular and articular.
Soreness appears to be sheath of tendon, but principally in periosteum and ligaments ; there do not appear to be that swelling of joints, stiffness and dread of motion that usually characterize rheumatism ; but motion always increases pain.
Swelling (pale or red) of affected parts, with inability to move them.
Joints red, swollen, shining, stiff, with stitching pain from slightest motion.
Fixed, acute rheumatism, aggravated by motion ; travels slowly from joint to joint.
Violent pains in scrofulous swollen joints.
Gouty, red, shining swelling of single parts, with stinging when moving them.
Hardness in groups of muscles affected by neuralgia.
Involuntary muscles seem not to be greatly embarrassed ; sphincters not relaxed.
Swelling and induration of glands and other parts, pale, tender.
Dropsical swelling increase during day and diminish during night.
Dropsy.
Emaciation predominates.
Suppuration of cellular tissue.
In acute abscess, promotes resorption of pus.

Touch. passive motion. injuries

Pressure : fulness in forehead > ; tearing in right side of head > ; headache > ; pressing pain under right cheek bone > ; pain in upper teeth changes to lower ; pit of stomach sensitive.
Touch : tearing in right side of head < ; tension and tearing in outer head < ; scalp tender ; soreness in occiput and behind ears < ; eyeballs sensitive ; eyes sore ; right parotid sensitive ; nose sore and swollen ; swelling and ulcerative pain in
tip of nose ; right malar bone sore ; lower lip sensitive ; sticking pain on feeling of throat ; pit of stomach sensitive ; stitches in liver ; abdomen sensitive ; pain in ovarian region < ; lancinating from hip to foot < ; chest sensitive ;
soreness behind sternum ; glands of neck sore ; pressive pain on shoulder < ; finger joints painful ; bruised pain on outer calf ; suppurative pain in foot ; rheumatic pains < ; sensitive ; pain in limbs ; small red spots on body, sensitive, some not
sensitive ; nettlerash, with prickling.
Children dislike to be carried, or to be raised.
Injuries : abscess at pit of stomach after blow.
It is found that Bryon. is rarely, if ever, indicated in diseases affecting external tissues of eye ; its great sphere of usefulness being in diseases of uveal tract.

Skin

Yellow skin of whole body, even of face ; jaundice.
A red, round, hot spot on cheek on malar bone.
Petechiæ.
Small, red spots on various parts of body ; some with sensibility and not disappearing on pressure ; some burning and disappearing on pressure.
Cutaneous eruptions generally dry.
Dry, itching eruption over whole body.
Burning-itching eruptions.
Eruption over whole body, especially on back as far as neck, which itched so violently that he was obliged to scratch it.
Red, elevated, rash-like eruption over whole body.
Nettlerash, with a great prickling, particularly when touched.
White miliary eruption
Rash, especially of children, and during childbed.
Erysipelatous inflammations, especially of joints.
Slow development of rash in eruptive fevers ; or, sudden receding of rash, with difficult respiration ; or inflammatory affection of chest.
After measles. θ Pertussis.
When scarlatinal eruption delays, or suddenly recedes. θ Dropsy, pleuritis, or meningitis.
Ailments from suppression of measles. θ Pertussis.
After suppression of exanthemata. θ Diarrhœa.
Febrile symptoms preceding eruption of smallpox and miliary fever ; secondary affections remaining after measles and scarlatina.
Hard knots and blotches.
Ulcers putrid ; cold feeling in them.
Painless ulcers.
Real itch between fingers, on body and in hollow of knees.
Variola with dropsy.
Anasarca.

Stage of life, constitution

Indicated in light complexions, but more in dark.
Rheumatic diathesis.
Black hair, dark complexion, tendency to constipation.
People with choleric temperament, bilious tendency, dark hair and complexion, with firm, fleshy fibre.
Old people.
Old women, accustomed to taking alcohol. θ Asthma.

Relations

Antidoted by : Acon., Alum., Camphor ., Chamom ., Chelid., Clemat., Coffea , Ignat ., Mur. Ac ., Nux
vom ., Pulsat., Rhus tox., Seneg .
Bryon . antidotes : Alum., Chlorine, Cinchon., Frag. vesc., Mercur., Rhus tox .
Compare : the Cucurbitaceæ (all of which have belching, with unaltered taste of food) ; Acon ., Ammon ., Ant. crud . (nausea, vomiting
and diarrhœa ; cannot bear milk) ; Arnic ., Arsen . (unlike Bryon ., drinks often and little, and eats seldom, but much) ; Ascl. tub .
(pleura) ; Bellad . (delirium, etc., hasty speech and hasty drinking) ; Calc. ostr ., Carb. veg . (miliaria) ; Caustic ., Chamom .,
Ignat ., Ipec . (miliaria) ; Kali carb . (miliaria, chest affections) ; Kreosot., Laches ., Lycop ., Mercur.,
Natr. sulph . (morning diarrhœa) ; Natr. mur ., Nitr. ac ., Nux vom . (digestive organs) ; Opium, Petrol ., Phosphor .,
Podoph., Pulsat . (morning diarrhœa) ; Ran. bulb . (pleurisy, rheumatic affections) ; Rhus tox . (rheumatism, etc.) ; Rumex (morning
diarrhœa) ; Sepia, Silica, Spigel . (pleura) ; Sulphur , Squilla (pleura).
Compatibles : before Bryon., Acon., Ammom., Nux vom., Opium, Rhus tox . ; after Bryon ., Alum ., Arsen., Kali carb., Nux vom., Phosphor., Pulsat.,
Rhus tox., Sulphur .
Complements : Alumina, Rhux tox .

Lectures on Homoeopathic Materia Medica

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

Generalities

Every medicine has a sphere of action, a peculiar nature whereby it differs from all other medicines, and hence it becomes suitable to complaints of one class and not suitable to those of another.

It is like the nature of human beings, as they differ from each other, and also like the nature of diseases, which differ from each other in character.

We study a remedy also in regard to its velocity and continuance, its remittence or intermittence.

The symptoms of some remedies come on suddenly, with great violence, with great rapidity, stay but a short time in their paroxysm, and go off as it nothing had happened.

Others come on slowly, are deep acting and continuous, like the continued fevers. We notice the complaints of Ignatia, how flitting and intermittent and unexpected everything is; we notice in Aconite how complaints come on with violence, and in Belladonna with what suddenness they come on.

When we come to the study of Bryonia we find it is a most persistent remedy; its complaints develop slowly, i.e., slowly for acute conditions.

Its complaints are continuous, remittent, and only occasionally intermittent.

They increase into violence, but the violence is not the first flash as in Aconite or Belladonna , and hence it conforms to a type of disease with continued fever; to rheumatisms that come with gradually increasing severity, gradually increasing and involving one joint after another, until all the white fibrous tissues are in a state of inflammation, pain and distress.

It has inflammatory conditions anywhere about the body, but particularly of the fibrous tissues, serous membranes, ligaments of joints and aponeuroses. It also affects the coating of nerves with its congestions, and these gradually increase in severity.

From the beginning there are present the characteristic features, and it may be seen that this patient is coming down with a Bryonia sickness.

The patient has several days of preparation. He does not feel very well, is languid and tired, does not want to be spoken to, does not want to move, and this gradually increases; pains begin to flit over the body, they move around here and there over the fibres in one place and another, and every time he moves the pain increase, until they end in a steady and continuous pain. The parts become hot and inflamed, and at last he is down with rheumatism.

The complaints come on after taking cold, not the first few hours, as in Aconite or Bell ., but the day after an exposure he begins to feel uneasy and he sneezes and the nose discharges, there is rawness in the chest, and in a day or so he has a chill and comes down with some inflammatory trouble, pneumonia or pleurisy.

Its inflammatory complaints include inflammation of the membranes of the brain, sometimes extending, into the cord; the pleural membranes, the peritoneum and the heart covering, these are the most common; it also has inflammation of organs.

When these conditions come on there is noticed, very early in the case, even before the pains begin, an aversion to motion, and the patient does not know why, but finally he observes that his symptoms are made worse if he has to move, so that the slightest inclination to move is resisted with a feeling of anger, and when he does move he finds he is aroused to great suffering, and that all the aches and pains of the body come on.

Thus we have the well-known Bryonia aggravation from motion . This runs all through the remedy.

This medicine is suitable in a great many diseases, diseases of a typhoid nature, diseases that take on a symptomatic typhoid, diseases that start out as remittents and run into a continued fever, as in pneumonia, pleurisy, inflammation of the liver, of glands, of the bowels, etc.

It may be a gastro-enteritis or peritonitis, or inflammation of the bowels, with the sensitiveness, the aggravation from motion and the desire to keep perfectly still. Inflammation of joints, whether of rheumatic character or not, whether from cold, exposure or injury.

Bryonia is often indicated in injuries of joints where Arnica would be a failure.

There is an extreme state of irritability in Bryonia; every word which compels him to answer a question or to think will aggravate him.

The effort to talk will be attended with horror. At the beginning of complaints you go to the bedside of a patient who has been grumbling a few days; something is evidently coming on; the family meet you at the door and say,

"The patient is almost unconscious;"

you look at him, the face is puffed and purplish, he seems to be dazed, there appears to be a short of venous stasis all over the body, but especially about the face; his countenance is almost that of an imbecile, yet he is perfectly capable of talking, although he has an aversion to it and appears to outsiders to ignore everything that is said.

This sometimes comes on apparently in a short time; the patient awakens in the morning with a dull, congestive headache and a stupid feeling in the head; dulness of mind so that he cannot work, and this feeling gradually increases; such a state is sometimes the forerunner of a serious illness.

We find, when a pneumonia or inflammation of the liver, or some slow insidious inflammation is coming on somewhere in the body, but not yet located, that this state will begin in the morning.

This is peculiar about the aggravation of Bryonia - its troubles commence many times early in the morning. On waking, with the first move, he realizes that things are not all right, there is a state of stupidity bordering on unconsciousness.

Those who have been grumbling for a week or ten days wake up in the morning feeling miserable, some time that night or the next day they have to send for the doctor. If this is watched for a few days, a continued fever is observed.

Or at night a chill will come on, with much pain in the chest, rusty expectoration, short, dry cough and other symptoms that will be spoken of under Bryonia later, showing that the trouble is going towards the chest; or the condition may gradually increase as a congestive, dull headache.

This will be seen when congestion of the brain is coming on. Bryonia sickness often picks out plethoric subjects, those who are venous in their make up, those who, when suffering with cold, come down with catarrhal congestions.

Catarrhal fever may be covered by Bryonia.

Mind

This sluggish state of the mind then is the state of Bryonia, not an excitable state, as in Coffea, Nux vomica, Ignatia, but sluggish aggravated from motion, aggravated from being talked to; wants to lie still in bed; very great irritability, which is as extreme as that found in Nux or Chamomilla.

It also has acute complaints aggravated from anger, from being aroused, from being disturbed, from controversy. Following the early sluggishness, there is later a state of complete stupefaction in Bryonia, in which he becomes quite unconscious, as in typhoid.

He goes from a state of partial unconsciousness to one of complete unconsciousness, as in hydrocephalic children.

In rheumatic complaints, in pneumonia, and in typhoid conditions, when he is aroused from this stage of stupefaction he is confused, sees images, thinks he is away from home and wants to be taken home.

Sometimes he will lie and say nothing but that he "wants to go home."

The delirium is of a low type; it is not the flashing wild excitement of Bell. or Stram .; it is the very opposite; he talks and wanders and does not say much unless he is disturbed. You disturb him and lie says,

"Go away and let me go home," and if you let him alone he will relapse into a perfectly quiet state and seldom speak.

"Irrational talk or prattle of his business, aggravated after 3 P.M."

Usually you will find the delirium commencing about 9 P.M., and keeping up all night like the fever.

The acute mental state you will find manifesting its symptoms on rising in the morning , but as the febrile state advances and takes possession of him the symptoms will take on a 9 P.M. aggravation; those who have chill will have it at 9 P.M.; in those who have a fever, the fever will come at 9 P.M.

If mental symptoms are uppermost they increase and spread over the night. It has a 3 P- M aggravation. Bell. will begin at 3 and run on towards midnight, but Bryonia will begin at 9 P.M. and run on through the night.

The aggravation of the Chamomilla patients, who are also extremely irritable, is at 9 A.M. Sometimes we go to the bedside and can hardly distinguish between Bryonia and Cham . because they are both so spunky, but the Cham. baby is worse at 9 A.M. and the Bryonia baby is worse at 9 P.M.

in Bryonia there is a key-note which really applies to a dozen or more remedies,

"he wants something and he knows not what."

It is a very important symptom of Bryonia. It is a symptom that calls for Bryonia only when the rest of the symptoms agree. You go to a child who is being carried in the arms of the nurse and wants one toy after another; you get the toy he wants and he does not want it and will throw it back at you.

When that case is looked into thoroughly it may be covered by Kreosote; another is never satisfied with anything and rejects everything he asks for; you look into that case and it may be covered by Chamomilla.

"Desire for things that cannot be had which are refused, or not wanted when offered."

"Apprehensiveness; fearfulness."

"Anxiety in whole body compelled him to do something constantly."

There is a feature worthy of consideration because it sometimes makes a case appear inconsistent. It is due to his anxiety that pervades the whole body.

In Bryonia as in Arsenic there comes an anxious and uneasy feeling which compels him to move, but he is worse from motion, yet so uneasy and anxious that he must move.

There are pains so violent that he cannot keep still, and yet when he moves he screeches from the pain. So it is really not an inconsistency but simply due to the great violence of the pain. Even though he knows that the motion is going to make him worse, he cannot keep still, for the pain is so violent.

Early in the case he was able to keep still, and found that he was better from keeping still, and that the mental state was better from keeping still, and that the anxious restlessness increased the more be moved, until finally a reaction comes and he is obliged to move.

You would think, looking at the case superficially, that that patient is better from motion as in Rhus tox., but in Rhus you find that the patient moves and in moving he gets feeble, and when he sits down the pains begin to come on again.

There is the distinction between the two, and yet they look alike if not examined into carefully. It is common for Bryonia to be ameliorated from cool air, and from cool applications.

Now, if he moves, he gets warmed up, the pains are worse, but there are rheumatic complaints of Bryonia which are better from heat, and under these circumstances he is better from continued motion.

It is another form of relief, and another of the modalities. I sometimes wonder whether Bryonia has a greater element of relief from heat, or greater element of relief from cold.

Most of the head complaints that are of a congestive character are better from cool applications, from cold air, etc. Yet there are some of the Bryonia head com plaints that are relieved by hot applications, and these seem to have no accompanying cerebral congestion.

So that Bryonia has opposite modalities, but in all its opposite states there is still a grand nature running all through, sufficient to detect it.

In a damp climate Bryonia is one of the most frequently indicated remedies, but in the clear climates, where the thermometer runs low, Aconite will be indicated more than Bryonia.

Still further South, the complaints assume more of the constitutional state of Gelsemium in inflammatory conditions. We know in the far North the sudden, violent cold brings on violent colds like Aconite, while here the complaints are more insidious, like Bryonia, land further South.

These atmospheric changes should be thoroughly considered in relation to our Materia Medica.

The mental state of Bryonia is usually relieved from cool air, he wants the windows open.

Anxiety, confusion of mind, fear, etc., are ameliorated from being cool. Sometimes the delirium, and the congestive fullness of the head affecting the mind, will increase if the room becomes very warm, or from the heat of the stove, from becoming heated, or from warm covers.

In children this will be noticed, whereas if the window be thrown up to relieve the stuffiness of the room the child will sleep quietly. Such remedies as Bryonia, Apis, Pulsatilla , and many others, come in here.

If you go into a room and find the child raging with delirium, turning and tossing, and the mother is trying to keep the room warm because she is chilly, and you say,

"Why, how stuffy it is in here!" and you open the window and then notice that the child goes off to sleep, do not overlook that; because that relief was caused by something.

There should be nothing that can possibly occur to a patient, but that you should solve the meaning of before you leave the room. Settle in your mind as to what it was that caused it.

"Fear of death."

Full of fear, anxiety, despair of recovery, great despondency. Both mental and bodily quietness is required, that is, he wants to keep still.

Often he wants the room dark. It has complaints from getting excited. Bryonia patients are nearly always worse from visitors.

"Morose."

Do not cross a Bryonia patient for it makes him worse.

"Bad effects from mortification."

"Ailments arising from chagrin; " these are headaches usually.

Violent, congestive headaches that come on a few hours after altercation or controversy, or little misunderstandings with somebody that he cannot talk back to, will be covered by Staph., but Bryonia also has that.

Staph. is suited to irritable, violent, nervous, excitable people, that get into violent altercation or dispute. If a headache comes on, such a patient may need Bryonia.

If in a chronic state a patient says,

"Doctor, if I ever have a dispute with a man over anything I come down with nervous excitement, sleeplessness, headaches;"

you do not have to work long upon that case, because more than likely Staph. will be suitable.

Bryonia has dizziness ; the dizziness is worse in a warm room. You will notice, as I go through, that in everything of a nervous nature, nervous excitement, and commonly the bodily state, the patient is worse from a warm room, worse from too much clothing, worse from the warmth of the bed, wants the windows open, wants to breathe fresh, cool air.

He suffers more than ordinary persons, from a stuffy room. Persons who are subject to Bryonia conditions in church, at the opera, in close warm rooms, like Lycopodium. Girls that faint every time they go to church are relieved by Ignatia.

Head

We commence now with the study of the head.

The head complaints may be looked upon as striking features of the remedy, because there is pain in the head with almost every acute complaint.

Headaches are associated with inflammatory and congestive complaints.

The mental dullness and confusion of the mind is spoken of with the congestive headache, and bursting headache.

The head feels so full she wants to press it with the hand, or tic it up; tight pressure, over the whole skull, is grateful. The headaches are worse in a warm room and commonly worse from heat.

Sometimes superficial neuralgias have relief from local heat, but a warm room or a close room is very distressing to the Bryonia headache. Headaches as if the skull would split open; the pains are worse from every motion, even the winking motion of the eyes, the motion necessary to talking and the effort of thinking so that all exertion of body or mind becomes impossible with a severe headache.

Must keep perfectly quiet. Sometimes lying down and keeping perfectly quiet in a dark room will give some relief. Light aggravates; if you think a moment you will see that the accommodation to light and shadow of a room involves motion; it is said that the light aggravates, but even here it is the motion that is carried on by the muscles of accommodation.

The headaches of Bryonia are very commonly the forerunner of other complaints, congestion of the lungs, bronchitis, congestion of some other part of the body; he wakes up in the morning with headache; if it be coryza that is coming, he has the headache in the morning and through the day he commences to sneeze; or if the trouble is in some other part of the body, before the symptoms develop, he wakes up in the morning with this congestive headache over the eyes or in the back of the head, or both; it seems as if the head would burst; better from pressure, worse from the warmth of the room, and worse from every motion.

Headache over the eyes, sometimes like the stabbing of a knife, worse from the first motion. He realizes it on waking upon moving the eyes, with soreness in the eyeballs, with bruised feelings all over.

The motion of the arms, doing work with the arms as in various kinds of business that are carried on with the use of the arms and hands, is generally accompanied by complaints of the upper part of the body and especially the head, so that one of the old key-notes in the time of Hering was "complaints from ironing.".

You know that ironing is commonly carried on in a warm room, it involves the motion of the arms, and thus brings in two most striking features of Bryonia, so that this key-note is no longer an abstract statement; it is not to be considered apart from the general nature, but only serves to bring it out.

Splitting, violent congestive headaches; headaches as if everything would burst out of the forehead. Pressure pain in the forehead, fullness and heaviness in the forehead as if the brain were pressed out.

This fullness or congestion of the head, is accompanied by what was described as sluggishness of the mind, and it will often be noticed that the countenance is somewhat besotted.

The patient looks as if he were an imbecile. The face is mottled, and purple, with congestion in a marked Bryonia state. The eyes are red, and congested; he is listless, does not want to move, to speak, or to do anything, because all these things are motion, are efforts, and they make him worse.

You will see this is also true in Bell.; it has all of this congestion and pressure; but remember Bryonia is slow, sluggish, passive and insidious in its approach and progress, while in Bell. the mental symptoms and everything in connection are marked by activity. With the headaches there is more or less burning, and sometimes throbbing.

The throbbing is seldom felt until he moves. After any movement, like going up stairs, walking, or turning over in bed during the headache, he feels the violent throbbing; on keeping still a moment it settles down into a bursting, pressing pain as if the skull would be pressed open.

There are many other pains in connection with the Bryonia headache; in the text it is described:

"tearing and stitching pains."

"Shooting pains," sharp pains.

Some of the pressing pains are described as if a great weight were on the head, but the same idea prevails; it is an internal pressure; a sluggishness of the circulation in the brain, a stasis as if all the blood in the body were surging in the head.

"Stitches in the head."

"Splitting headache."

"Rush of blood to head." Threatened apoplexy.

"Headache after washing himself with cold water when face was sweating."

That is, taking cold from suppression of perspiration.

"Always on coughing, motion in head like pressure."

The headache is so bad in many cases of pneumonia or bronchitis, in fact in any of the inflammatory or congestive conditions, that very often you will see the patient grasp the head when he knows he is going to cough.

He holds his head because it hurts so from the action of coughing. Many remedies have this, but it is in keeping with the general aggravation of Bryonia from motion, from jar, from any effort.

"The headache is expanding, aggravated by the slightest motion; after eating."

The aggravation after eating is in keeping with the Bryonia state in general. The Patient himself, in all complaints, feels worse after eating. It hardly matters what the trouble is, it is worse after eating; the cough is worse after eating, the gouty, state is increased by eating.

The Bryonia patient will finally sum up the whole subject and say,

"I am always worse after eating;" so that it becomes a general.

The headaches are often accompanied by nose-bleed.

"Obstinate headache with constipation."

Bryonia is particularly suitable in venous, sluggish constitutions, with sluggish heart, poor circulation, yet apparently plethoric, apparently rugged, but subject to gouty exacerbations from change of weather.

Dandruff is common; sensitiveness and great soreness of the scalp worse from the slightest touch of the scalp, feels as if the hair were pulled; women must always have the hair hanging down. In the Bryonia headaches, as well as rheumatic attacks, if he can perspire a freely, he will get relief.

Eyes

Bryonia is ameliorated in all its complaints as soon as the perspiration becomes free and general. Catarrhal conditions of the eyes are found in Bryonia; it is not so often thought of as an inflammatory remedy for the eyes when there are no other symptoms, but eye symptoms will be found, redness, inflammation, congestion, heat, enlargement of the veins, burning and smarting, associated with headaches, with coryza, with troubles in the air passages, bronchitis, etc.

Sore aching in the eyes, the eyeballs can hardly be touched, so tender to touch, as if bruised, increased from coughing or pressure.

Such conditions come with chest complaints, with colds and headaches.

"Soreness and aching of eyes when moving them."

"Pressing, crushing pains in eyes."

"Inflammation of eyes and lips, especially in new-born infants."

Think of Bryonia when gouty conditions have left certain parts and all at once the eyes are affected, tumefaction of the lids, the conjunctiva looks like raw beef, so highly inflamed is it, red and oozing blood. You find out that a few days before the patient, an old gouty subject, had rheumatic attacks of the joint, and now he has sore and inflamed eyes.

"Rheumatic iritis, caused by cold."

Rheumatic inflammation of the eyes, i. e., in inflammatory conditions and congestion with redness, associated more or less with gouty affections. In olden times it was described as "arthritic sore eyes," which means sore eyes in a gouty constitution,

Nose

Many of the complaints of Bryonia commence in the nose; sneezing, coryza, running at the nose, red eyes, lachrymation, aching through the nose, eyes and head the first day; then the trouble goes down into the posterior nares, the throat, the larynx, with hoarseness, and then a bronchitis comes on, and if not checked it goes into pneumonia and pleurisy, so that the trouble has traveled from the beginning of the respiratory tract, the nose, to the lung tissue.

This is a field for the complaints of Bryonia. All are worse from motion, all parts are subject to a good deal of burning and congestion; more or less fever, sometimes intense fever; the patient himself worse from the slightest motion and wants to keep still; dullness of mind, pressive, congestive headaches; sore, lame and bruised all over, often worse at 9 o'clock in the evening; increased dullness of the mind after sleep or on waking in the morning.

The cough comes on with great violence, racking the whole body and increasing the headache, and with copious discharge of mucus from the respiratory tract.

"Frequent sneezing."

"Sneezing between coughs."

"Loss of smell."

Bleeding from the nose in these congestions, or with coryzas. During menstruation there is epistaxis, congestion of the head is present at this menstrual period. Epistaxis appears as a vicarious flow in cases of amenorrhoea. If the menstrual flow should be checked suddenly from cold, nosebleed comes on. Dryness in the nose.

Face

The aspect of the face is important; the besotted, purple, bloated countenance is not dropsically bloated, although it has the oedematous face sometimes, but puffed from vascular stasis, not pitting upon pressure; swollen and puffed, purple, with a doltish state of the mind, as if he were drunk.

He will took at you and wonder what you were doing, and what you said; a stupefaction of the intellect; the eyes do not look at you intelligently. When a patient is about to come down with some Bryonia complaint, with a remittent, or with head congestions, or pneumonia, or some other respiratory disease, the family will notice when he awakes in the morning that he has that besotted expression, and he says he has to make such an effort to think or do anything, and his head aches hard, and is worse from motion. Or the face is red and burning,

"red spots on the face and neck;"

"hot, bloated, red face."

In children, as well as adults, there is gradually increasing cerebral trouble, dilated pupils, besotted countenance, and continual lateral motion of the lower jaw.

This motion of the jaw in a congestive attack is a strong feature of Bryonia. It is not the grinding of the teeth so much that I refer to now, although that is found in Bryonia, but a lateral movement of the jaw as if chewing, but the teeth do not come in contact and they keep it up night and day.

A great many remedies have grinding of the teeth. When intermittent fever comes on with marked congestion, stupefaction of the intellect, violent rigors, even to a congestive chill, the patient lying in stupefaction or a semi-conscious state, without grinding the teeth, yet wagging the jaw back and forth by the hour, Bryonia is often suitable.

Constant motion of the mouth as if the patient were chewing, in brain affections of children; it occurs in little ones when there are no teeth; but they keep up a chewing motion.

In regard to the lips and lower part of the face, that bloated, swollen condition, the sluggish circulation, a venous congestion or stasis will be found in Bryonia, making the aspect as of one long intoxicated; it is not so marked as in Baptisia and is not accompanied by so low a state, so advanced a stupor, as in Baptisia.

Great dryness of the lips; the lips parched and dry.

"Children pick the lips,"

"Lips cracked and bleeding."

Lips parched, dry and bleeding, such as will be seen in typhoid states, where the whole mouth is dry and brown, cracked, parched and bleeding; dry, brown tongue. Sordes on the teeth.

In Arum triphyllum, there is marked picking of the nose and lips; they pick and pick and bore the finger into the nose.

Toothache

Bryonia has toothache, worse from warmth.

"Tearing, stitching toothache while eating;" from warm drinks, from warm foods, worse in a warm-worn, wants cold foods in the mouth, wants to be in cold air, but worse from motion.

"Toothache > by cold water or lying on painful side."

Pressing hard upon the painful tooth ameliorate it.

"Toothache < from smoking."

You see how the relief from cold and aggravation from heat go along with us; we shall keep reiterating these modalities that affect the patient as a general state, and we shall see as we go through that nearly all his symptoms are worse from motion, worse from heat, etc.

He keeps on telling us they are better from pressure in each region we go over, until, finally we come to the conclusion that they are general.

We may have in two remedies the same set of symptoms, and yet they are all made worse from all the opposite things.

Thus you see modalities indicate and contraindicate remedies. This is the studying of remedies by their modalities, for modalities sometimes constitute strong generals.

Taste

You will not be surprised to know that Bryonia loses his sense of taste, so that if he has a coryza nothing tastes natural.

Not only is there mental sluggishness, but there is a slowing down of his sensations, his whole state is benumbed.

"Taste flat, insipid, pasty"

His intelligence is so affected that he does not know where be is even, thinks he is away from home, and even his tongue is no longer intelligent; so that something that is sour tastes as though bitter; his senses deceive him.

"Tongue thickly coated white."

In typhoid, in cerebral congestion, in sore throat, in pneumonia, in all diseases of the respiratory apparatus, in rheumatic affections, the tongue is thickly coated.

"Dry, and bleeding and covered with crusts."

Such a tongue is found in typhoid fever, a dry, brown, cracked, bleeding tongue. When he takes a cold the mouth becomes dry. It is very common for the Bryonia patient to have great thirst; he is apt to drink large quantities of water, at wide intervals.

With this dry, brown tongue, however, he loses his taste for water and does not want it; dry mouth and thirstless like Nux moshata.

"Aphthae"

"Bad odor from mouth."

Throat

Bryonia has nondescript sore throats, with stitching pains, with dryness, with parched appearance of the throat, and thirst for large, quantities of water at long intervals.

"Constitutional tendency to aphthous formations in the throat," little white spots in the throat.

Desires and aversions

Then we come to the desires and aversions that relate to the stomach, and they are greatly perverted. He is worse from eating. The stomach has lost its ability to digest, and hence he has an aversion to all food.

"Desires things immediately, and when offered they are refused."

He is changeable, does not know what he wants. He craves in the mind the things he has an aversion to in the stomach.

When he sees it he does not want it. His intelligence is in a state of confusion. He craves acids.

"Great thirst day and night;" he wants cold water.

"Thirst for large quantities at long intervals."

Many remedies want to sip water all the time. In Bryonia the large quantities relieve the thirst immediately. In Arsenic the drink does not relieve, he wants a little and wants it often.

The stomach complaints of Bryonia are relieved from warm drinks that becomes a particular because his desire is for cold drinks, but his stomach is better from warm drinks.

In his fever and head complaints and febrile states he wants cold things, which often bring on and increase the cough and pains, but the hot drink, which he does not crave, relieves the stomach and bowel complaints.

In the chill, Bryonia often has desire for ice-cold water, which chills him dreadfully; and hot water relieves.

"Desire for cold and acid drinks."

Aversion to rich fat food; all greasy things.

"Desire for things which are not to be bad."

When patients are under constitutional remedies, they need caution about certain kinds of foods that are known to disagree with their constitutional remedy. A Bryonia patient is often made sick from eating sauerkraut, from vegetable salads, chicken salad, etc., so that you need not be surprised after administering a dose of Bryonia for a constitutional state, to have your patient come in and say she has been made very ill from eating some one of these things.

It is well to caution persons who are under the influence of Puls. To avoid the use of fat foods, because very often they will upset the action of the remedy. It is well to say to patients who are under Lyc.

"See that you do not eat oysters while taking this medicine."

These medicines are known to produce states in the stomach inimical to certain kinds of foods; certain remedies have violently inimical relation to acids, lemons, etc.

If you do not particularly mention the fact, and say,

"You must not touch vinegar or lemons; nor take, lemon juice while taking this medicine," you will have the remedy spoiled, and then wonder why it is.

The medicine often stops acting and the patient gets a disordered condition of the stomach and bowels a medicine that should act for a long time ceases action and you do I not know what the trouble is.

Homoeopathy will rule out such things as are inimical to the remedies and inimical to patients in general, or do not agree with a particular constitution.

To have an iron-clad rule is not correct practice; the only iron-clad rule is to be sure that the remedy is similar to the patient when you administer it, and the things that he is to have are to be in agreement with that remedy.

It is not an uncommon thing for a patient who has been under the influence of Rhus tox., and has been doing well up to a certain time, after he has taken a bath, to have his symptoms return in the form of a Rhus state; the action of the remedy stops right there.

He must of course take a bath, and yet it is true that some constitutional cases under Rhus must stop taking their ordinary bath, in order to keep themselves under the influence of Rhus. It is the same with Calcarea, a bath will often stop the action.

I only speak of these things to impress upon you the importance of feeding and treating, your patient in accordance with the remedy; in accordance with a principle and not by rule; do not have one list of foods for your patients; do not have a list of things for everybody. There is nothing in Homoeopathy.

The patient himself in all the strange and peculiar things is worse from eating; the cough is worse from eating, the complaints of the head, the headaches, are worse from eating, and the respiration is worse from eating.

The stomach is distended with wind after eating, but especially after oysters. Oysters are not, as a rule, a dangerous article of diet, yet some are poisoned by oysters.

"Worse after eating or drinking."

When the case is one of whooping cough, the cough is worse, the paroxysms are more violent and all the symptoms are worse a little while after eating, but later, when digestion is finished and the stomach is empty, he is much relieved.

The Bryonia patient is ordinarily relieved from drinking, but if, when overheated, he drinks cold water, all of his rheumatic symptoms are worse, the cough is worse, and the headache is worse.

He will have a violent headache after drinking cold water when heated. In Rhus patients complaints are worse from drinking cold water when heated. The headache increases into a throbbing and bursting pain tenfold greater than it was before drinking.

The Bryonia patient is subject to hiccough, to belching, to nausea and vomiting, so that disordered stomach is the general term.

Bitter eructations, bitter nauseous taste. He vomits bile. After eating all these things are increased. In the stomach and abdomen we have a great many symptoms resulting from disordered stomach, or from taking cold, or from becoming overheated, or from drinking ice water when overheated.

Disordered stomach; irritation of the stomach so that he cannot eat without extreme pain, and this increases until the inflammatory condition involves the whole stomach and abdomen, and there is sensitiveness to pressure, and it can be diagnosed as a gastro-enteritis, with the soreness and tenderness, stitching, burning pains, all worse from motion; nausea and vomiting, diarrhea, tympanitic abdomen unable to move because it so increases the pain.

With the exception of the abdominal and stomach pains, the Bryonia pains are better from pressure.

The Bryonia patient with these inflammatory conditions will often be seen lying perfectly quiet in bed with the knees drawn up; lying with the limbs flexed in order to relax the abdominal muscles; he does not want to be talked to, does not want to think; every movement is painful, and increases the fever and often causes alternation of chilliness with heat; high fever.

The Bryonia patient, when lying perfectly quiet, is sometimes quite free from nausea, but the instant the head is raised from the pillow the dreadful sickness returns, so that he cannot sit up.

He cannot be raised up in bed because of the nausea, and if he persists in rising tip the nausea comes on more than ever, with burning in the stomach. With every motion he gulps up a little mucus and slime, which is putrid.

Stomach

All sorts of pains are felt in the stomach and bowels, but most particularly stitching and burning pains; feels as if the stomach would burst, as if the abdomen would burst. Peritoneal exudations. Awful soreness.

Sensitiveness of the pit. of the stomach, and sensitiveness Over the whole abdomen. This is commonly relieved by heat, although the patient himself wants to lie in a cool room.

The heat of the room is oppressive, yet beat applied is agreeable. Every inspiration, every motion of the chest greatly aggravates these pains, so that you will find a Bryonia patient shortening' up his breathing instead of breathing deep. He keeps that up until he cannot stand it any longer, and then he takes a long breath that causes groaning.

Gastric inflammatory affections and disordered stomach, gastric affections in young girls from suppression of the menstrual flow, gastritis, gastroenteritis.

Bryonia has inflammation of the liver and many other liver symptoms. The liver, especially the right lobe, lies in the hypochondrium like a load, with soreness and tenderness to pressure, and he cannot move.

Every motion, every touch, every deep breath causes pain in this organ, as in the abdominal viscera. The breathing is short, quick, and when followed by, taking a deep breath it causes pain through the liver; it burns and stitches. With this, he has the disordered stomach, nausea and retching worse from motion; spitting up of bile. Stitching pains, sticking pains and burning in the liver.

"Transient stitches in right hypochondrium;" these are in the liver.

When he coughs it feels as if the liver or right hypochondrium would burst. Severe pains when coughing.

Stools and rectum

Bryonia furnishes many symptoms in connection with the stool and rectum. It has constipation, and it has dysentery. The pathogenesis is full of these conditions as well as many symptoms relating to the parts themselves. In the constipation the stool is dry and hard, as if burnt. No desire for stool, but after going many days there are passages of little hard pieces as if they had been burned.

No moisture about the parts, no mucus to often the hard stools. Any mucus that may be present will be discharged separately. Some times the stool is composed of little hard particles looking as if burned, at times scanty, again quite a lot, and then will follow the passage of mucus, as if lying about the mass of faeces was quite a lot of mucus.

In most inveterate constipations Bryonia is sometimes suit able. It has also diarrhoea that drives the patient out of bed in the morning; i.e., on first beginning to move in bed he begins to feel nauseated, he is bloated and distended with colic, and he has urging to go to stool; or a little while after getting up and moving about the bowel is distended causing colic, and be must hurry to stool.

The purgation is sometimes enormous, frequent, and no sooner does the patient finish than he is perfectly exhausted, lies down like one almost dead, covered with sweat; so tremendously fatigued he can hardly reach the vessel the next time, and then it comes a gushing, copious, bilious stool. If, while lying, he makes the least motion, he must hurry to stool.

Bryonia cures dysentery with all the tormina and tenesmus possible to imagine, with pain in the abdomen; with bloody and mucous discharges. In the constipation the straining is often ineffectual. He has urging to stool and goes several times before there is any result. The stool seems to remain in the rectum, although he seems to be compelled to strain; there is inactivity and inability to strain.

Ordinarily he has plenty of power and is quite likely to have a passage, but it is so dry. Bryonia has another kind of diarrhoea. It is like the yellow corn meal mush. just such a stool as this you will find in the typhoid patient, a yellow, mushy stool.

This is sometimes intermingled with mucus and slime, sometimes with blood. It may be useful to the physician to, know whether this is in the typhoid state or in the form of chronic diarrhoea. Bryonia has cured many cases of chronic diarrhoea where this yellow, mushy discharge was present, and frequent; several times a day, but more frequent in the morning.

Sometimes he has several stools in the morning that will satisfy for the whole twenty-four hours, or only one or two in the afternoon and five or six in the morning; during the night no stools at all, because when be keeps quiet in bed and comfortable he has not very much urging to stool; every motion or keep ing upon the feet increases the urging to stool.

So that some would think of it as a diarrhoea only in the day-time, and would associate it with Petroleum; but with Petroleum, no matter how much he moves about in the night, he will not have a stool, but will have all of the stools in the day-time. It says here:

"Diarrhoea putrid; smelling like old cheese."

"Very offensive."

"Brown, thin, faecal stools."

Some times chronic Bryonia patients will diet themselves, eating only thin liquids, avoiding solids, etc., and yet the food will come right through the next morning, almost undigested; lienteric stools.

"Urging followed by copious pasty evacuations."

"Involuntary stools while asleep."

"Burning of the anus with every passage."

This is especially at night if he moves, but motion is more common in the day-time, and every motion will bring on urging to stool.

Urines

There are plenty of urinary symptoms in this remedy; inflammatory condition of the kidneys; pinkish urinary deposits, uric acid crystals; urine profuse.

Whenever he strains himself in lifting, or any unusual motion, there is pain in the kidneys, a rousing up of congesting and long-lasting pain. It is a gouty constitution with kidney troubles, so that after overheating or overexertion he gets pain in the back.

"Pressure to urinate and involuntary discharge of urine."

"Burning in urethra, when not urinating;" relieved by passing urine.

Female organs

There are many symptoms of the female sexual organs of great interest. Painful menstruation, dysmenorrhoea; pain in the ovaries at the menstrual period. Every menstrual period is associated with marked congestion of the ovaries, with sensitiveness to touch.

The sensitiveness at the approach of every menstrual period, in both groins, will be spoken of by the patient, increasing as the menstrual period comes on, until the soreness proceeds across the abdomen and meets, and then the whole abdomen is painful during the menstrual period.

The uterus is sore, the hypogastrium is tender. Inflammation of the uterus. Burning pain mostly in the body or fundus of the uterus.

The Bryonia patient is subject to amenorrhoea, or the flow is suppressed upon the slightest provocation. If she becomes overheated from exertion, such as from ironing or washing a few days before the menstrual period, it will be suppressed, and the next time she will have a harder time than ever.

In young plethoric women, after violent exertion, these complaints come on in that way. Violent exertion then scanty urine. Soreness of the abdomen, but the flow does not come, or is postponed a good many days after violent exertion; scanty urine and suppression of menses in plethoric girls.

From overexertion and becoming overheated, threatened abortion. In inflammation of the breasts and stopping of the milk flow in the lying in period. Bryonia must be consulted. In milk fever and pains and swelling of the breast Bryonia must be studied.

During confinement a woman becomes overheated and naturally perspires; just at the close of it as the delivery takes place, if the nurse and the doctor do not observe and throw more clothing over her, or at least keep the room warm enough, there will be sudden suppression of the sweat, and this will bring on milk fever and other febrile symptoms which will need Bryonia.

Threatened peritonitis, from such causes, gonorrheal troubles, old rheumatic troubles, pains or aches, if made worse from the slightest motion.

If due to septicemia rather than to suppression of the sweat, very commonly a deeper acting remedy is required. In inflammatory conditions of the breast one of the most striking things is the stony hardness of the breasts, hardness and heaviness.

Bryonia is often suitable for inflammation of the breasts at other times; heaviness and hardness of the breast prior to menstruation.

Respiratory

Then we come to the respiratory tract again, which we have only hinted at, and here we have a tremendous study before us.

Very commonly the Bryonia conditions commence with a cold; it may be at first loss of voice, with rawness in the trachea and great soreness in the chest; dry, hacking cough, as if the chest would burst from coughing.

The Bryonia patient sits up and holds the head, or holds the chest; presses both hands upon the chest when coughing, feels as if the chest would fly to pieces when coughing; pains in the chest on both sides, but mostly the right side.

Bryonia prefers the right side when the condition is pneumonia. We see a patient who had first a cold, and the cold has traveled down the air passages, with hoarseness and rawness in the chest and cough; the cough shakes the whole body, then comes a hard chill.

He is now down in bed, and when the physician sees him be sees the state of inflammation and knows the meaning of it, and listening confirms the diagnosis of pneumonia.

The patient cannot move hand or foot; the pain is mostly in the right lung, and he is compelled to lie on the right side or back and dreads motion. Sometimes the pleura is involved and we have the sharp pains; every respiration causes intense pain, whether it be pleuro-pneumonia or a simple pneumonia.

But we see the Bryonia patient lying upon the side that is affected, upon the painful side, in order to diminish the motion that respiration causes; and every often he will have a hand under it to see if he cannot hold it still.

With Bryonia the expectoration is of a reddish tinge, is rusty, and if you have this symptom and the right side affected, it is all the more strongly Bryonia.

There are a few medicines that look somewhat like Bryonia; take for instance, a case with high fever, intense heat, great excitement, and consider the rapidity with which the trouble has come on, involving the left side and in the pan you see the sputum consists of bright red blood, Aconite will be the remedy.

If the liver is involved, there is fullness in the side, stitching pain over the liver, and the face is yellow, it is not impossible for Bryonia to be indicated, for it has such things, but with pain very severe, continually going from the front to the back through the right shoulder blade, Chelidonium is more likely to cure than Bryonia.

These comparisons may be carried out indefinitely, but the study of Bryonia as to the respiratory apparatus is a wonderful one.

With these colds that end in loss of voice, it has bringing and tickling in the larynx, constant cough. Hoarseness and loss of voice in singers.

Great soreness in the trachea; rawness and tightness in the trachea, even suffocation, like Phosphorus.

The Bryonia breathing is panting and very rapid, little short rapid breaths, due to the fact that deep breathing increases the pain, the Bryonia patient desires to breathe deep, wants deep breathing, needs deep breathing, but it hurts him so.

"Constant disposition to sigh," but cannot because it hurts him so.

Shortness of breath, suffocation, asthma. Asthmatic attacks from becoming overheated. Asthma worse in a warm room, wants cool air to breathe.

"Dry, spasmodic cough, whooping cough, shaking the whole body."

Cough compels him to spring up in bed involuntarily, painful cough with difficult breathing, cough that shakes the whole body. Tough, difficult expectoration.

"Cough evening and night, dry cough."

A great deal of the rest of Bryonia, as we go over it is repetition.

If you will only read the text carefully and make application of what has been said, you see the general character and idea of the remedy, you see its image and you will fill it out for yourselves, if you have a full text-book.

The Therapeutics of Fevers

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

Characteristic

Suitable to the gouty or rheumatic diathesis; persons with bilious tendency, exceedingly irritable, inclined to be angry; black hair, dark complexion and firm muscular fibre; prone to so-called "bilious attacks;" dry, nervous, slender (Nux).

Hering says: "Indicated in light complexions but more in dark."

Complaints: when warm weather sets in after cold days; from cold drinks or ices in hot weather; after taking cold or getting heated in summer; from exposure to draft, cold wind (Acon., Hep.); suppressed discharges of menses, milk or eruption of acute exanthema.

The pains are stitching, tearing, worse at night, greatly < by motion, > by rest and lying on the painful side (Ptel., Puls.—Similar pain but < and > are opposite, Kali c.). The parts which are the seat of subjective pain become subsequently sensitive to external pressure, and then swollen and red.

Children dislike to be carried, or to be raised.

Ailments from chagrin, mortification, anger (Col., Staph.); violence, with chilliness and coldness; after anger chilly, but with head hot and face red (Aur.).

Constant motion of left arm and leg (Apoc., Hell.).

Excessive dryness of mucous membrane of entire body; lips and tongue dry, parched, cracked; stool, dry as if burnt; urine, dark and scanty; great thirst; cough, dry, hard, racking, with scanty expectoration.

In delirium: talks constantly about his business; desires to get out of bed and go home (Act., Hyos.).

Headache: when stooping, as if brain would burst through forehead; from ironing; on coughing; in morning after rising, or when first opening the eyes; commencing in morning and gradually increasing till evening; from constipation; dull pain in forehead.

Headache: gastric, rheumatic, congestive; with vertigo, heaviness, pressure, and rush of blood to head.

Desires things immediately which are not to be had, or which when offered are refused.

Cannot sit up from nausea and faintness.

Pressure, as from a stone, at pit of stomach, relieved by eructation.

Constipation: inactive, no inclination; stool large, hard, dark, dry as if burnt; on going to sea (Plat.); forerunner of typhoid.

Diarrhœa: during hot days in summer; bilious, acrid; like dirty water; of undigested food; from cold drinks when overheated; from fruit or saur kraut; < in morning; < on moving, even hand or foot.

Vicarious menstruation; nosebleed when menses should appear (Phos.); blood spitting, or hemoptysis; during course of typhoid.

Mammæ heavy, of a stony hardness; pale, but hard; hot and painful; must support the gland (Phyt.).

Great thirst for large quantities, at long intervals.

Cough: dry, spasmodic, with gagging and vomiting (Kali c.); with stitches in side of chest (Ran.); with headache, as if head would fly to pieces; < after eating, drinking, entering a warm room, a deep inspiration.

Aggravation

Motion; exertion; touch; cannot sit up, gets faint or sick or both; warmth, warm food; at night; suppressed discharges.

One of the chief characteristics of Bryonia is, < from any motion, and corresponding > from absolute rest, either mental or physical.

Amelioration

Lying, especially on painful side (Ptel., Puls.); rest, cold, eating cold things; pressure, heat, sweat.

Complementary: Alumina, Rhus tox.

Type

Quotidian, tertian or quartan fevers, periodical sweats on single parts; restless every other night. Anticipating or postponing. Typhoid; typhus; yellow fever.

Time

All periods—time not characteristic. Morning.

Cause

Fevers caused by getting wet (Cal., Rhus—sleeping in damp room or bed, Aran.); in dry weather, whether hot or cold.

Prodrome

Great thirst for large quantities of cold water. Stretching and drawing in the limbs; violent headache, stitching, jerking, throbbing from before backwards as if the head would burst; vertigo.

Chill

With great thirst for large quantities of cold water, which affords relief (Ign., Nat.—unquenchable thirst, drinks little and often, but drinking causes vomiting, Ars.); heat of the head and face, with flushed cheeks; cough violent, dry, racking, with pleuritic stitching pains in chest and region of the spleen (dry, teasing cough, before and during chill, without pain, Rhus). Stitching pain in right hypochondrium and abdomen; oppressed breathing; chill with external coldness of body and violent pains in the limbs; evening chill, frequently only of the right side (chill of right side, with heat of left, Rhus—one-sided chilliness, Caust., Lyc.). Shaking chill all over; hot head (internal), red, hot face and cheeks, with intense desire for cold drinks (Arn.). Chill begins on lips, tips of fingers and toes, in abdomen or stomach; worse in a warm room than in the open air (Apis); worse from moving, lessened by sitting. Desire to lie down, in this stage.

Chill and coldness predominate, often with heat of head, red cheeks and thirst. Chill with external coldness of the body. Chill and coldness most at evening or on the right side of body. Chill more in the room than in the open air.

Heat

With increased thirst, same cough with pleuritic stitches as in chill (dry cough during heat, Acon. Ipec.); increased headache and vertigo; pain in limbs aggravated by motion; nausea and vomiting. Dry, burning, internal heat, as if the blood in the veins was burning, or as if molten lead was running through the blood-vessels (Ars., Rhus). More fever in a warm room than in the open air; aggravation of all the sufferings during the heat. Heat: with desire to uncover; in face with red face; with bitter taste. Wants to be quiet and not move about in any stage. Paleness of face. Thirst less than in cold stage.

Dry, burning heat for the most part internal only, and as if the blood burned in the veins. All the symptoms are aggravated during the heat.

Sweat

Profuse, sour, oily (as if mixed with oil, Cinch.). Easily excited by exercise in open air (Am. m.), even from slow walking, it runs in streams from his face. Sweat flowed in streams from whole body, even dropping from the hair (Cinch.—the least exertion puts him into a perspiration, Psor.). Sweat in short spells, and on single parts only (Petr.); profuse, at night and towards morning. Sweat on side on which he lies (on side not lain upon, Benz., San.). Sweat relieves.

Much sweat: easy sweating, even from walking slowly in the cold open air. Copious night and morning sweats."

Tongue

Thick, yellow coating on the tongue; mouth and lips dry and peeling off (Cinch., Ipec.); everything tastes bitter. Mouth bitter when not eating. Desires things which are refused when offered. Aversion to food or drink (aversion to meat, Arn.—to pork, Dros.).

Pulse

Full, hard, rapid and tense, sometimes intermittent.

Apyrexia

All symptoms of this stage are characteristic and should be carefully studied. Gastric symptoms predominate (Ant. c., Puls., Nux), but the general constitutional are almost always to be found and if present are guiding. Every spot in the body is painful to pressure. (Soreness of the part lain on, which compels him to move, although motion hurts, Arn., Bap., Pyr.) Feels best when lying upon painful side.

"When fever is caused by getting wet, occipital cephalalgia, preceded by rheumatic pains in muscles of whole body; loss of appetite, eating a mouthful suffices; rotatory vertigo; redness of face, and thirst in all stages of paroxysms."—DR. HIGGINS.

Analysis

Bönninghausen's picture of the Bryonia fever:

"Pulse hard, frequent and tense.

Clinical

CASE I.—Tertian; the fever anticipates one or two hours every day. The paroxysms are preceded by vertigo, with headache, and stitching in the chest during an inspiration. Moderate chilliness, followed by great heat. Delirium. Unquenchable thirst, with dry cough. Lastly sweat. Bry. 18 two doses, after fever. Cured.—Hom. Clinique. Pr. Com., I., p. 181.

CASE II.—Tertian fever (this man had received large doses of Quinia under allopathic treatment). Violent chilliness for half an hour every third day at noon, preceded by violent headache; after this the skin became warmer, the pulse full and frequent, but no heat properly so called, although there was violent thirst. Sweat considerable. The apyrexia was characterized by pricking and cutting in the chest, especially when coughing; the cough being dry and troublesome. Face pale; no gastric symptoms; pulse normal; sleep tranquil. Bry. 21 soon after attack. Two days after, a feeble paroxysm. No return.—DR. THORER, Hom. Clinique. Pr. Com., I., p. 38.

CASE III.—Intermittent fever. Patient had "double legs" while taking

Bryonia. The symptom disappeared after taking Petr 200, one dose.—**GIL-

BERT**.

CASE IV.—Remittent Fever. The symptom of the whole body being "double" was present for several days, though the patient was improving under Arsenic; with it there was occipital headache and vertigo on sitting up. After a dose of Bryonia the "double" first disappeared, then the head- ache followed, and the next morning the vertigo was gone.—GILBERT.

These cases—two of them reported many years ago, 1834— illustrate the fact that one or two doses of the properly selected remedy, even in the low potencies, given after severity of the paroxysm had passed, as Hahnemann advised in the Organon, are sufficient to cure. The single dose treatment is not new.