Carbo Animalis carb-an.

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

NUTRITION. Glands. VEINLETS.

Worse

Slight causes: Small depletions. Sprains. Lifting. Cold taking. WHILE EATING. Dry, cold air. Shaving (Ox-ac. Rad.). Old age. After menses.

Better

Laying hand on part.

General

Old and feeble. Susceptible to colds, sprains or overaffected by small losses, etc . Venosity. Gummæ. Slow, hard painful processes; burning like fire (Ars.), or threatening malignancy. Sense of looseness. Foul acrid discharges. Hæmorrhage.

Particulars

Whining. Brain seems loose or as if crown would split, > eating. Pains down through (r) eyeball (Gel.). Can't locate sounds. Nose, hard, red, swelled; hot, brown stripe across, with itching pimples and desquamation. Goneness in stomach; while suckling. All food distresses stomach. Abdomen, distended after operations. Right ovary seems a heavy ball. Neglected bubo. Pelvic bones pain on sitting. Dark menses; in A.M. only; then great weakness. Sore, moist anus (Carb-v.). Indurated os (Sep.). Suffocation on closing eyes; nervous dyspnœa. Hard, painful nodes in breasts. Bluish skin; cheeks, lips, affected parts, etc. Coppery eruptions on forehead. Crawling, as of bugs. Hard, swelled glands. Surgings or hot flushes. Foul, exhausting sweats; at night; staining yellow.

Related

Complementary: Calc-p. Related: Calc-fl. Grap.

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

Headache: as if a tornado in head; as if head had been blown to pieces; has to sit up at night and hold it together. Diseases of elderly persons with marked venous plethora, blue cheeks, blue lips, and great debility. Circulation feeble, stagnated, and vital heat sinks to a minimum; cyanosis (Ant. t., Carbo v.). Glands: indurated, swollen, painful; in neck, axillae, groin, mammae; pains lancinating, cutting, burning (Con.). Benign suppurations change into ichorous or malignant conditions. Easily strained from lifting, even small weights; straining and overlifting easily produce great debility; ankles turn when walking. Joints weak; easily sprained by slight exertion (Led.). Aversion to open, dry, cold air. After appearance of menses so weak she can hardly speak (Alum., Coc.); menses flow only in the morning. Hearing confused; cannot tell from what direction a sound comes. A stitching pain remains in chest after recovery from pleurisy (Ran. b.); Menstruation, leucorrhoea, diarrhoea are all exhausting (Ars. - are all offensive, Psor.).

Relations

Complementary: Calc. phos. Similar: to, Bad., Brom., Carbo v., Phos., Sep., Sulph. Carbo animalis is often useful after bad effects from spoiled fish and decayed vegetables (Carbo v., Cepa).

Aggravation

After shaving ( > after, Brom.); slightest touch, after midnight.

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

We think of this remedy for complaints found in scrofulous or venous constitutions; hypertrophy; glandular enlargements.

Mental

Sadness and melancholy; not disposed to say much; excessively merry.

Head

Heaviness of, especially of occiput; pain in, as if had been blown to pieces, or were open. Has to hold the head to keep it from falling to pieces, especially in damp weather. Red spotted face.

Mouth

Much looseness of teeth. Bitter taste in the morning, going off after rising.

Ears

Ichorous discharge from the ears often accompanied by swelling of the parotid gland; dull and confused hearing, especially where sounds appear to come from some direction, but the patient can't tell exactly where; ringing in the ears when blowing the nose; humming and singing in.

Nose

Dry coryza in morning, going off in rising; tip of the nose (it may be bluish or purplish, or may have a small tumor on the tip, etc.).

Larynx

Roughness and hoarseness in morning. Dry cough at night.

Chest

Pleurisy assuming a typhoid character; sickly bluish color of skin, expectoration puriform, often putrid in character. Far gone pleurisy. In pleurisy where everything is cured but the stitch, and that remains. Green pus from chest. Right side most liable, stitches in right side. Acts deeper and more lasting than Carb. veg.

Gastric

Repugnance to greasy food; eating meat causes nausea; smoking produces nausea and repugnance to tobacco. Eructations taste of food which had been eaten long time before. Stomach, contracting spasms of; clawing and griping in; digestion is weak and the food causes distress; act of taking the food tires the patient exceedingly, and often causes perspiration.

Abdomen

Distension of; audible rumbling in.

Stools and Anus

Stool scanty and delaying; pain in small of back during. Varices much distended while walking, with burning pain; humor oozes out. Constipation where the patient thinks the bowels will be moved, but only wind comes away.

Sexual

Female: Nausea of pregnant females, coming on principally at night; faint and empty sensation in the pit of the stomach is produced by nursing. Lochia become too thin, scanty and very offensive. (This remedy is especially adapted to these symptoms when occurring in a scrofulous or venous constitution.) Menses are followed by great exhaustion. Leucorrhœa burning, biting, watery; while walking, or standing. Uterine hæmorrhages where there is much affection of the glands.

Perineum

Affections of the perineum; viscid humor from; oozing from, often accompanied with oozing from the rectum.

Skin

Spongy ulcers; copper-colored exanthema; fungus hæmatodes; spongy excrescences; copper-colored spots. Painful nodosities.

Generalities

Right chest; mammæ; axillæ. Sensation as if single parts were gone to sleep. Profuse night-sweat.

Worse

After shaving; during eating; lying on the side.

Remedies following

Arsen., Bellad., Bryon., Carb. veg., Pulsat., Phosphor., Silic., Sepia, Sulphur.

Antidotes

Nux vom., Arsen.

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

Eructations tasting of food eaten long before. Teeth loose and sensitive on chewing. Offensive, debilitating night sweats, staining linen yellow. Glandular diseases of the schirrhous nature, with fetid discharges, accompanied by great prostration and debility.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Animal Charcoal

General

Seems to be especially adapted to scrofulous and venous constitutions, old people, and after debilitating disease, with feeble circulation and lowered vitality. Glands are indurated, veins distended, skin blue. Stitch remaining after pleurisy. Easily strained from lifting. Weakness of nursing women. Ulceration and decomposition. All its secretions are offensive. Causes local congestions without heat.

Mind

Desire to be alone, sad and reflective, avoids conversation. Anxiety at night, with orgasm of blood.

Head

Headache, as if head had been blown to pieces. Rush of blood with confusion. Sensation as if something lay above eyes so that she could not look up. Bluish cheeks and lips. Vertigo followed by nose-bleed. Nose swollen, tip bluish small tumor on it. Hearing confused; cannot tell direction of sound.

Stomach

Eating tires patient. Weak, empty feeling in stomach. Burning and griping. Weak digestion. Flatulence. Ptomaine poisoning. Repugnance to fat food. Sour water from mouth. Pyrosis.

Female

Nausea of pregnancy; worse at night. Lochia offensive (Kreos; Rhus; Secale). Menses too early, frequent long lasting, followed by great exhaustion, so weak, can hardly speak (Cocc), flow only in morning (Bor; Sep). Burning in vagina and labia. Darting in breast; painful indurations in breast, especially right. Cancer of uterus, burning pain down thighs.

Respiratory

Pleurisy, typhoid character, and remaining stitch. Ulceration of lung, with feeling of coldness of chest. Cough, with discharge of greenish pus.

Skin

Spongy ulcers, copper-colored eruption. Acne rosacea. Chilblains, worse in evening, in bed and from cold. Verruca on hands and face of old people, with bluish color of extremities. Glands indurated, swollen, painful, in neck, axillæ, groin, mammæ; pains lancinating, cutting, burning (Con; Merc iod flav). Burning, rawness and fissures; moisture. Bubo.

Extremities

Pain in coccyx; burns when touched. Ankles turn easily. Straining and over-lifting produce great debility. Joints weak. Easy discoloration. Pain in hip joints at night. Night sweat fetid and profuse. Wrist pain.

Modalities

Worse, after shaving, loss of animal fluids.

Relationship

The Carbon group all have putrid discharges and exhalations. All act on the skin, causing interrigo and excoriations. Glandular enlargements and catarrhal states, flatulency and asphyxiation.

Carbon Tetrachlorid is said to cause fatty liver (Phosph; Ars; Chlorof). Paralysis of interosseus muscles of feet and hands. Wonderful clinical results in the treatment of Hook worm disease. See Thymol (Relationship).

Complementary: Calc phos.

Antidotes: Ars; Nux.

Compare: Badiaga; Sepia; Sulph; Plumb iod.

Dose

Third to thirtieth potency. The third trituration for insufflation in aural polypi.

Leaders in Homoeopathic Therapeutics

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

Leaders

Is another remedy whose great general characteristic is: Great weakness, want of energy, prostration. The subjects of it are often disposed to glandular swellings, indurations and suppurations.

Benignant suppurations are inclined to become ichorous. The swellings to become schirrous in character.

The swellings seem to have a choice for the axillary, inguinal or mammary regions. Then the sexual organs come markedly under its influence. Old suppurating, bluish colored (Lach., Tarant. Cub.), offensive bubœs. Menses too early and too long. Menorrhagia from chronic induration of the uterus; also in cachectic women with glandular swellings.

The flow always weakens so that she call hardly speak.

Mammary tumors in hard nodules in the breast.

Copper colored eruptions on the skin.

Weak ankles in children (Nat. c., Sil.).

Easily sprained from lifting (Calc. ost.).

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

Alternate cheerfulness and melancholy. Fright in the dark.

Head

Heaviness in the cerebellum ; worse in the forenoon, -in the cold air,- relieved after dinner. Pain in the vertex, as if the skull were open. Tightness and tension of the skin of the forehead and vertex. Heat in the head in the evening in bed, better after rising.

Eyes

Sensation as if the eyes were lying loose in their sockets.

Ears

Hardness of hearing ; the sounds appear confused, does not know from what direction they come. Discharge of pus from the ears. Swelling of the parotid gland.

Nose

The tip of the nose is red, chapped, burning, the skin feels tight.

Face

Erysipelas of the face. Red, smooth, elevated blotches in the face. Vesicles and cracks on the lips. Heat of the face and head in the afternoon. Swelled, burning lips.

Mouth and Throat

Burning blisters in the mouth and on the tongue. Gums red, swollen, painful. Looseness of the teeth. Dryness of the mouth and tongue.

Appetite and Taste

Ravenous hunger. Repugnance to greasy food. Bitter taste in the morning.

Stomach and Abdomen

Weak digestion ; almost all food causes distress. Pressure in the stomach, even in the morning and in the evening, in bed. Spasmodic cramp in the stomach. Considerable inflation after a meal. Audible rumbling in the abdomen.

Stool and Anus

Constipation ; unsuccessful desire for stool ; he passes only very offensive flatus. Stools hard, knotty. During stool, pain in the small of the back, with inflation of the abdomen. Varices, burning ; stinging. A viscid, inodorous humor oozes out of the rectum, and from the perinæum.

Urinary Organs

Frequent desire to urinate, with increased secretion of urine. Burning soreness in the urethra when urinating. Involuntary discharge of fetid-smelling urine.

Sexual System

Women. Menses too early. Fluor albus, leaving yellow stains on the linen. Mammæ swollen, inflamed (erysipelatous) during confinement. Hard, painful nodosities in the mammæ.

Chest

Hoarseness and roughness in the throat in the morning, after rising. Loss of voice (during the night). Breathing, panting and rattling. Oppression of breathing in the morning, and after eating. Soreness in the chest. Burning in (right side of) the chest. Sensation of coldness in the chest. Cough, with discharge of greenish pus (suppuration of the lungs).

Neck and Back

Painful swelling and induration of the glands of the neck, and of the parotid glands. Stitches in the small of the back when drawing a long breath.

Extremities

Upper. Swelling and induration of the axillary glands. Oozing of moisture from the arm-pits. Gouty stiffness of the joints of the fingers. Pain in the wrist-joint, as if sprained. The hands go to sleep. Lower. Stitches in the left hip when sitting. Drawing and sensation of contraction under the knee. The ankle-joint and toes bend easily when walking. Frost-bitten feet and toes, inflamed ; burning.

Generalities

Numbness of all the limbs. Burning pains.

Sleep

Cannot go to sleep in the evening, from restlessness, anxiety and frightful visions. During sleep, groaning talking and shedding of tears.

Fever

Pulse accelerated, especially in the evening. Chill, especially in the afternoon, in the evening, and after eating. Chill in the evening, followed by perspiration. Heat after a chill, mostly at night, in bed. Perspiration after the heat, especially towards morning. Perspiration of bad odor ; debilitating ; coloring the linen yellow ; more on the upper legs.

Skin

Erysipelatous swellings, with burning pain. Inflammation, swelling and induration of the glands. Itching over the whole body in the evening, in bed.

Conditions

Easy straining ; great debility and spraining of the joints. Aversion to the open, cold, dry air.

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

Animal Charcoal. Made from charred ox-hide. Contains Calc. phos. C (impure). Trituration.

Clinical

Acne rosacea . Aneurism. Appetite, disordered . Breast, cancer of. Bubo . Cancer. Cataract. Constipation. Coccygodynia. Cough. Empyema. Eructations. Face, eruption on . Gangrene. Glandular indurations. Hæmorrhoids . Headache. Home-sickness. Hypertrophy. Lactation, effects of. Legs, pains in . Leucorrhœa. Lumbago. Nose, affections of . Otorrhœa. Pancreas, indurated. Perspiration, altered . Pleurisy. Polypus. Scrofula. Strabismus. Syphilis. Tongue, affections of. Trachea, affections of . Ulceration. Uterus, cancer of. Vision, disorders of.

Characteristics

Carb. an . is suited to old persons, greatly debilitated, especially when there is venous plethora, and blueness of skin. Complaints occurring in scrofulous or venous constitutions. Ulceration, gangrene, and decomposition are marked, and may be looked upon as the counterpart of the antiseptic properties of the crude substance. Copper-coloured eruptions show the appropriateness of the drug to many cases of constitutional syphilis. Glands of stony hardness. Buboes. It is often indicated in the last stage of pneumonias, bronchitis, phthisis. Right chest is most affected. Cancer of breast with burning, drawing pains through breast. Cancer of uterus, burning pains down thigh. Affections from loss of animal fluids, especially nursing women. Weakness of nursing women; can hardly walk across the room. "Gone" feeling from loss of fluids. Too weak to eat. Weeps when she eats. Nausea at night. Hunger in early morning. The goneness of Carb. a . is not > by eating ( Carb. v . > eating). Constipation where patient thinks bowels will be moved but only wind passes. There is a smothering feeling on closing eyes. Aversion to dark. A peculiar symptom is: A feeling of looseness ─ of eyes in sockets; of brain on motion or coughing. Far-sighted ( Carb. v . is near-sighted). Objects seem farther apart and brighter. Aversion to cold ( Carb. v . to heat). There are many sensations of coldness: in chest; about stomach. Discharges are ichorous; but the discharge from piles is inodorous. Carb. an . 3x trit. has been used for insufflation in aural polypi. The leucorrhœa stains linen yellow. Sweat stains yellow. Expectoration is greenish, purulent, offensive ( Carb. v . yellow, more fetid). Gnawing pains in tibiæ (during the night), such as usually followed cold feet. A. W. K. Choudhury reports a case of cough of two years' duration, in an unhealthy boy of twelve, cured by Carb. a . The symptoms were: "Cough evening and morning, or after lying down , especially at night , thick or frothy whitish or yellowish sputa, sweetish when thick; < lying on r. side; < from exposure to air, to which he is very sensitive. Great tendency to catch cold." The pains in the coccyx are peculiar; a dragging, bruised pain, when touched it becomes burning. It has cured many cases of injured coccyx and of neuralgia of the bone. The lumbago of Carb. an . occurs when walking, standing, and lying; feels as if the back were broken. The mental state is one of low spirits, sadness; weeps when she eats; easily frightened, afraid in the dark; home-sick; wants to be alone. Fear of the dark and < on closing eyes is very marked. Hearing is confused; cannot tell the direction from which sounds come. There is an ichorous otorrhœa; and swelling of the periosteum over the mastoid bone is very characteristic. Tip of nose red; or blue. Disagreeable smoothness of the teeth. There is a hoarse, suffocating cough producing a shaking of the brain as if it were loose. Green, purulent, horribly offensive expectoration. Axillary glands inflamed buboes in groins. Pressure with hand > coldness of stomach. Symptoms are < in cold air; > in warm room. < From sprains from touch. < After shaving. Rest < head symptoms. < Lying on r. side (cough). After menses, throbbing headache, < in open air. Weakness < during menses.

Relations

Compare: Calc. phos. (nearest analogue; Carb. an. contains Calc. ph.); in indurations, suppurations, &c., Bad., Bro.; loss of fluids, Chi.; Graph.; nostrils adhere to septum, Pho.; gone feeling, loss of fluids, induration of cervix, pressure an back, groins, and thighs during menses, Sep. (Sep. has not the venosity, the copper-coloured face, flatulent gastric disturbances, or offensive ichorous discharges, or throbbing headache after menses of Carb. an.; Carb. v. has not the indurations of Carb. an. or Sep.); Coccul. has the same weakness and prostration as Carbo an., but in the case of the latter the weakness is in consequence of the loss of fluid, whilst with Coccul. it is part of the general effect of the remedy. Puls.; Sil.; in vertigo with epistaxis, Sul.; aversion to darkness, Am. m., Bar. c., Calc., Stro., Stram.; hunger in early morning, Ant. c., Asar., Calc., Sabad.; swelling behind ear, Caps., Aur.; burning pains, Caps.; weakness of nursing women, Oleand. Antidoted by: Ars., Camph., Nux, Vinegar. Antidote to: Effects of Quinine. Complementary: Calc. phos.

Causation

Loss of fluids. Lifting. Strain. Eating. Eating spoiled fish. Eating decayed vegetables. Quinine.

Mind

Nostalgia and mournful feeling of isolation, with tears. ─ Weeps during a meal. ─ Fear and apprehension, esp. in the evening. ─ Discouragement and despair. ─ Disposition to be frightened. ─ Fright in the dark. ─ Alternate feeling of gaiety and gloom, or of irascibility and ill-humoured taciturnity. ─ Confusion of ideas and dulness, esp. in the morning.

Head

Vertigo, esp. in the evening or in the morning, and sometimes with nausea in the act of rising, after remaining long in a recumbent posture, or with obscuration of the eyes, on moving the head. ─ Headache in the morning, as after a debauch. ─ Headache at vertex as if skull torn open. ─ Headache in the open air, and aggravated by damp weather. ─ Heaviness, esp. in the occiput, with bewilderment. ─ Pressive headache, even after a meal, forces the closing of the eyelids. ─ Congestion and internal heat of the head. ─ Sensation of wavering of the brain, at every movement. ─ Sensation of torpor in the head. ─ Acute, drawing pains in the teguments of the right side of the head. ─ Tension of the skin of the forehead, and of the crown of the head. ─ Sensibility of the scalp to the pressure of the hat. ─ Scabs and eruption on the head.

Eyes

Sensation as if the ball of the eye were detached from the socket, with weakness of sight. ─ Presbyopia with dilatation of the pupils. ─ A net seems to swim before the eyes.

Ears

Running from the ears. ─ Discharge of pus from the ears. ─ Confusion of hearing; sounds reach the ears indistinctly, does not know from what direction they come. ─ Buzzing in the ears. ─ Swelling of the periosteum behind the ear. ─ Swelling of the parotids.

Nose

End of the nose red and cracked, with burning pain. ─ Nose swollen, with scabby pimples (as at the commencement of a cancer?). ─ Desquamation of the skin of the nose. ─ Painful sensibility of the bones of the nose. ─ Epistaxis, preceded by vertigo, or pressive headache. ─ Stoppage of the nose. ─ Dry coryza. ─ Fluent coryza, with loss of smell, sneezing and frequent yawning.

Face

Spots in the face, which are smooth, palpable to the touch, and rose-coloured. ─ Shootings in the cheek-bones, in the teeth and jaws. ─ Painless copper-coloured eruption in the face. ─ Erysipelas in the face. ─ Swelling of the mouth and of the lips, with burning pain. ─ Heat of the face and head in the afternoon. ─ Blisters on the lips. ─ Lips cracked and bleeding.

Teeth

Pulling odontalgia on eating bread, or with dull pulsation after drinking anything cold. ─ Excessive looseness of the teeth. ─ Tractive pains in the gums. ─ Red and painful swelling and bleeding of the gums. ─ Purulent vesicles in the gums.

Mouth

Fetid smell from the mouth. ─ Burning vesicles in the mouth and on the tongue. ─ Dryness of the tongue and of the palate.

Throat

Sore throat, as from excoriation, with scraping and shooting from the throat to the stomach. ─ Accumulation of mucus in the throat, with coughing and rattling.

Appetite

Bitterness in the mouth, esp. in the morning. ─ Acid and mucous taste. ─ Repugnance to fat and tobacco smoke, which cause nausea. ─ Great weakness of digestion, to such an extent that almost all food occasions suffering.

Stomach

Risings with taste of food, or else acid. ─ Empty risings with pain. ─ Pyrosis, with scraping in the throat. ─ Hiccough after a meal. ─ Considerable inflation after a meal. ─ Flow of sour water from the mouth. ─ Nausea, also at night. ─ Faint, gone feeling; also from suckling child, not > by eating. ─ Water-brash. ─ Pressure at the stomach, as if from a weight, when fasting, and in the evening, after lying down. ─ Cramp-like or contractive pains in the stomach. ─ Burning pain in the stomach. ─ Squeezing in the stomach, as if by claws. ─ Noisy grumbling in the stomach.

Abdomen

Pain in the liver, as if from excoriation, when the region is touched. ─ Pressure and cuttings in the hepatic region. ─ Abdomen inflated and extended. ─ Constriction and squeezing, as if by claws, in the abdomen. ─ Cuttings and shootings in the groins. ─ Inguinal hernia. ─ Loud rumbling in the abdomen. ─ Incarceration of flatus. ─ Fetid flatulency.

Stool and Anus

Ineffectual efforts to evacuate; discharge of wind only. ─ During stool, pain in the small of the back, with inflation of the abdomen. ─ Fæces hard and knotty. ─ Frequent evacuations during the day. ─ Before the evacuation, traction from the anus to the vulva. ─ Sacral pains during the evacuation. ─ Burning hæmorrhoidal tumours in the anus. ─ Burning pains and shooting in the anus, and in the rectum. ─ Excoriation and oozing (inodorous) at the anus. ─ Discharge of tenia. ─ Viscid oozing at the perinæum. ─ Tendency to galling at the anus from riding on horseback.

Urinary Organs

Urgent desire to make water, with abundant emission. ─ Emission of urine at night. ─ Involuntary emission of urine. ─ Fetid urine. ─ Burning urine. ─ Burning soreness in the urethra when urinating.

Male Sexual Organs

Absence of sexual desire. ─ Frequent pollutions, followed by weakness and anxious inquietude.

Female Sexual Organs

Premature catamenia. ─ Leucorrhœa burning, smarting, or which imparts a yellow tinge to the linen. ─ Serous and fetid lochia. ─ Painful nodosities and indurations in the mammæ. ─ Erysipelatous inflammation of the breasts. ─ Nausea of pregnant females, coming on principally at night; faint and empty sensation in the pit of the stomach is produced by nursing. ─ Menses are followed by great exhaustion. ─ Uterine hæmorrhages where there is much affection of the glands.

Respiratory Organs

Oppression of the chest, esp. in the evening and at night. ─ Aphonia at night. ─ Matutinal hoarseness. ─ Hoarse cough, with pain as of excoriation in the throat; in the morning, after rising. ─ Dry cough at night. ─ Suffocating cough, esp. in the evening, after having slept. ─ Matutinal cough with expectoration, excited by a sensation of dryness in the throat. ─ Cough, with purulent expectoration, and shootings in the r. side of the chest. ─ Cough, with discharge of greenish pus (suppuration of the lungs). ─ Cough < lying on r. side.

Chest

Panting respiration. ─ Rattling in the throat, in bed in the evening. ─ Oppressed respiration, esp. in the morning and after a meal. ─ Suffocating constriction of the chest, esp. in the morning, in bed. ─ Sharp burning stitches. ─ Shootings in the chest, as from an abscess, esp. on breathing. ─ Pleurisy assuming a typhoid character, sickly bluish colour of skin, expectoration puriform, often putrid in character. ─ Far gone pleurisy. ─ In pleurisy where everything is cured but the stitch, and that remains. ─ Green pus from chest. ─ R. side most affected, stitches in r. side. ─ Sensation of cold in the chest.

Heart

Palpitation of the heart, in the morning, in the evening, and on singing in a public place. ─ (Atheroma and aneurism.)

Neck and Back

Painful swelling and induration of the glands of the neck, and of the parotid glands, with shooting pain. ─ Tetters under the arm-pit. ─ Moisture in the arm-pit. ─ Induration of the axillary glands. ─ Nocturnal pains in the back. ─ Pressure and shooting in the loins, esp. on breathing deeply. ─ Burning pain in the sacrum. ─ Contusive pain, with straining in the coccyx, or aching pain which increases towards evening, so violent as to force the patient to curve his body; with pain as of an ulcer when the part is pressed. ─ Burning in the coccyx, when it is touched. ─ Burning pain in the back.

Upper Limbs

Aching in the bones, digging pains in the arms. ─ Pressure on the shoulders. ─ Pain as of dislocation in the wrist. ─ Torpor and numbness of the hands and of the fingers. ─ Painful tension and arthritic stiffness of the joints of the fingers. ─ Shootings in the fingers.

Lower Limbs

Shooting pain in the (l.) hip when seated (the pain causes limping). ─ Tension and contraction in the groins, which do not permit the legs to be extended. ─ Tension in the hams and the instep, with contraction of the parts. ─ Drawing and sensation of contraction under the knee. ─ Pain as from excoriation in the knees. ─ Cramps in the calves of the legs the legs and the toes. ─ Pullings and shootings in the legs. ─ Loss of strength in the joints of the feet, which give way readily when walking. ─ Pain as of dislocation when walking or moving the limbs. ─ Coldness of the feet. ─ Inflammatory swelling of the feet and of the toes, as if they had been frozen with heat and burning. ─ Burning pain in the toes.

Generalities

Pressive pains in the joints, and the muscles of the limbs. ─ Burning pains. ─ Nocturnal pains in the joints. ─ Pain as from a bruise, want of strength, and cracking in the joints, which yield easily. ─ Arthritic stiffness and gouty nodosities in the joints. ─ Tension in some limbs, as if from contraction of the tendons. ─ Spasmodic contraction of several parts. ─ Tendency to strain the loins. ─ Numbness of all the limbs. ─ Torpor of all the members, esp. of the head. ─ Great fatigue and weakness, produced esp. by walking, with easily produced perspiration, chiefly on eating and on walking in the open air. ─ Excessive sensibility to the open air, and especially to the cold air of winter. ─ Ebullition of the blood, and tendency to become easily overheated.

Skin

Itching over the skin of the whole body, esp. in the evening in bed. ─ Erysipelatous inflammations. ─ Chilblains. ─ Hard and painful swelling of the glands. ─ Swelling of the external parts, with burning pain.

Sleep

Sleep deferred, and nocturnal sleeplessness, caused, by inquietude, anguish, ebullition of the blood, and fear of being stifled. ─ Frightful visions before going to sleep. ─ Sleep, with unquiet dreams, tears, talking, and hollow groans.

Fever

Pulse accelerated, esp. in the evening. ─ Chill, esp. in the afternoon, in the evening, and after eating. ─ Shiverings, esp. in the evening, in bed, with perspiration during sleep. ─ Excessive cold in the feet and in the hands in the evening. ─ Nocturnal heat. ─ Easily produced perspiration during the day, esp. at a meal, or when walking. ─ Debilitating, and fetid sweat, esp. at night and in the morning, principally on the thighs. ─ Sweat, which stains the linen a yellow colour.

The Guiding Symptoms of Our Materia Medica

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

Mind

Unclouded consciousness and great anguish with sinking of vital forces.
Sensation of stupefaction in head with dulness in occiput, < from motion in cold, damp air, > when at rest in warm room.
Confused, did not know whether he had been asleep or awake ; morning.
Loss of memory, forgets word just spoken.
Desire to be alone ; she is sad, reflective ; avoids conversation.
Variable mood ; alternate cheerfulness and melancholy.
Low-spirited.
Easily frightened.
Fearful in the dark.
Anxiety and orgasm of blood at night, so severe that she was obliged to sit up.
Anxiety ; apprehensive, after an emission.
Homesick.
Head heavy and dull early in morning, with irritable mood.

Sensorium

Vertigo and confusion on sitting up ; > when reclining.
Vertigo : with vibrating of all objects, staggering ; with falling backward ; with epistaxis ; early in morning ; after shaving ; with nausea, on rising up after morning.

Inner head

Brain feels as if loose, during motion ; < after eating and in cold ; > when lying in bed and in warmth.
Darting pains through head, like lightning.
She has sensation as of a tornado in head.
Roaring in head.
Sensation in forehead as if something lay above eyes, on account of which she could not look up.
Heaviness in forehead on stooping, with sensation as if brain would fall forward ; vertigo on rising, so that she soon feel down.
Pain in top of head, as if skull had been split or torn asunder ; < during wet weather and at night ; must press head with both hands.
Tearing in right side of head.
Pain in left side of head.
Stupefying headache in occiput, early in morning and in forenoon.
Heaviness of head, especially in occiput, and of left temple, with confusion.
Stupefaction in head, with vertigo ; had to close her eyes, when rising after stool.
(In sick :) Headache, with red eyes and stopped nose.
Pressure in whole brain ; on head after eating.
Throbbing headache after menses ; < in open air.
In morning, head is confused, so that he does not know whether he has been sleeping or waking ; sense as of splashing in left hemisphere of brain, when walking fast ; pain in vertex, as if brain had been torn to pieces, or was open.
In morning, his head was very much confused ; did not know whether he had been asleep or awake.
Heaviness in head, in morning, with dim vision and watery eyes.
Heaviness : in head, at night ; weary feet ; in forehead ; on stooping ; especially in cerebellum ; < forenoon, in cold air ; > after dinner.
Rush of blood to head ; confusion in head.
Nervous and congestive headache and pressure in occiput soon after eating ; sensitiveness of scalp ; pains with rumbling of wind in abdomen.

Outer head

Tenseness of scalp on forehead and vertex, with great sensitiveness of these parts to dry, cold air ; < from pressure and touch ; > in warmth.
Cold creeps on head, before stool.
Eruptions on head.
Indurations on scalp in scrofulous children.
Scirrhous cancer on forehead.

Sight and eyes

Farsightedness with dilated pupils.
Dim sight, eyes feel weak.
(In sick :) Begins to squint.
A net seems to swim before eyes.
(In sick :) Left eye becomes red and burning ; can scarcely open lids ; pus wells out ; violent stitches preventing sleep at night ; in morning, eye is closed.
Sensation as if eyes were lying loose in sockets.
Senile cataract.
Broken up cataract was absorbed.
Scirrhus of lachrymal glands.

Hearing and ears

Hearing weak and confused ; tones become commingled ; he cannot tell from which side they come, and it seems as though they came from another world.
Ringling in ears when blowing nose.
Stitches in and back of ears.
Ichorous otorhoea.
Parotid gland swollen and indurated ; lancinating pains.
Periosteum behind ear swollen.

Smell and nose

Nosebleed : every morning, preceded by dull feeling in head ; preceded by vertigo. θ Epistaxis.
Coryza : scraping in throat, < evening, night, and when swallowing ; with lachrymation ; fluent, with loss of smell, yawning and sneezing.
(In sick :) Fluent coryza, so that she can scarcely speak, with painful sneezing ; must blow nose frequently ; nostril red.
Dry coryza ; cannot breathe through nose in morning on waking, and for some time after.
Stoppage of nose.
Tough mucus hanging down into pharynx in strings.
Swelling of nose, with pimples inside and outside, forming scurfs which last a good while.
Tip of nose : red, painful to touch ; skin feels tight, is chapped ; little boils inside of nose ; cracked, feeling tense, burning, < during menses ; vesicles at right nostril with malignant ulceration.
Hard, bluish tumor on end of nose.
Dry skin about nostrils, desquamating.
(In sick :) Pain in nasal bones and stoppage of nose, on sneezing alæ nasi remain stuck to septum.
Pain in nasal bones.
Scrofulous ozæna.
Carcinoma of nose.

Upper face

Face has cachectic appearance ; earthy. θ Induration of uterus and pancreas.
Heat in face and head, in afternoon.
Stitches in malar bones, lower jaw and teeth.
Shooting and stitches in malar bone, especially left, running towards ear.
Erysipelas of face.
Eruption of red spots on cheeks.
Brown or pink spots in face.
Saddle across nose.
Copper-colored eruption.
Acne ; young, scrofulous persons.
A large number of pimples on face, without sensation.
Faceache.
Carcinoma of face.
Hair of beard falls out, with itching of chin.

Lower face

Lips swollen, burning.
Vesicles, or cracks on lips.
Swelling of submaxillary gland.
Scirrhus of lips.

Teeth and gums

Teeth loose, sensitive on chewing, and to the least cold.
Grumbling and jerking in eye tooth ; cannot bear anything cold to touch it ; > when sweating.
Drawing pains in teeth, > after eating salt things ; easy bleeding of gums, with looseness of teeth, sensitive to cold.
Toothache in carious teeth, on waking from sleep.
Toothache on going to bed, during day and during sleep, with night-workers.
Vesicles in mouth, forming ulcers.
Gums : red, swollen, painful, bleeding. θ Scurvy.
Pustules on gums, and gumboils.

Taste, speech, tongue

Taste : bitter, especially morning ; sour.
Bitter taste in mouth, with loss of appetite. θ Induration of uterus.
Bitter taste, in liver affections.
Taste of manure in mouth, in morning ; soft stool with mucus looking like coagulated albumen ; a viscid inodorous humor oozes from rectum and perineum.
Burning on tip of tongue, and rawness in mouth.
Burning blisters on tips and edges of tongue.
Mouth and tongue feel immovable, so as to produce slow and drawling speech.
Smooth tongue.
Tongue red with yellow coating down centre, or slimy tongue. θ Induration of uterus.
Dryness of palate and tongue.

Inner mouth

Blisters in mouth, which cause burning. θ Aphthæ.
Burning on tip of tongue, and rawness of mouth.
Mouth and tongue dry.
Profuse tasteless, thin saliva of sweetish, putrid odor. θ Indurated pancreas.
Saltish water rises from stomach and runs out of mouth. θ Cancer of stomach.
Sensation of coldness apparently rising from abdomen into throat and mouth. θ Induration pancreas.

Palate and throat

(In sick :) Sore, burning spots on palate.
Swelling of palate.
Burning sensation in throat.
Raw sensation in throat and œsophagus, to pit of stomach ; not increased by swallowing.
Raw feeling, like heartburn, > after eating.
Pressure in throat, only when swallowing.
Mucus in throat, hawking.
Scirrhus of pharynx.

Appetite, thirst. desires, aversions

Ravenous hunger.
No appetite, aversion to food, particularly fatty food.
Loss of appetite, with bitter taste. θ Induration of uterus.

Eating and drinking

Eating causes : fatigue ; distress and burning in stomach ; inflation ; long-lasting nausea, after meat ; vomiting (indurated pancreas).
Eating relives rawness in throat.
Bad effects from spoiled fish and decayed vegetables.
So weak that she cannot eat.

Hiccough, belching, nausea and vomiting

Hiccough after meals.
Eructations : sudden ; painful, empty ; sour ; tasting of food eaten long before.
Long-continued nausea, after eating meat, with qualmishness and many empty eructations.
Nausea at night.
Nausea and aversion to tobacco smoking.
Vomiting after eating.
Saltish water runs from mouth, retching, vomiting, hiccough, cold feet. θ Cancer of stomach.

Scrobiculum and stomach

Weak, empty feeling at pit of stomach, not > by eating.
Sore feeling in pit of stomach.
Oppression in epigastrium. θ Indurated pancreas.
Sharp stitches to right of scrobiculum during inhalation when standing, > when walking.
Spasmodic cramps.
Pressing, clawing, griping, burning in stomach. θ Cancer of stomach.
Pressure in stomach, with nausea.
Like a load or weight in stomach on waking, mornings.
Faint, gone feeling ; also from suckling child ; eating does not relieve.
Fulness, cold feeling in stomach after slight meal, > laying hand on stomach.
Squalmishness with faint feeling.
Heartburn.
Saltish water rises from stomach ; retching and vomiting ; cold feet ; hiccough ; pressure, clawing, griping and burning in stomach. θ Cancer.
Digestive disturbances with eructation and diarrhœa.

Hypochondria

Aching, almost cutting in region of liver, even while lying down.
Pressing and cutting in hepatic region.
Pains in liver, as from incarcerated flatus.
Burning and stitches in spleen.
Induration of pancreas.

Abdomen and loins

Stitching and lancinating pains in abdomen, > from urinating.
Labor-like pains about umbilicus extending to small of back and thighs. θ Induration of uterus.
Pinching about umbilicus, with sensation as if diarrhœa would set in.
Violent pain below umbilicus extending around to back.
Gastralgia and painful abdominal affections.
Painful sensation in right lower abdomen, as if something would be squeezed through.
Soreness in abdomen while coughing.
Sensation of coldness rising from abdomen into throat and mouth. θ Indurated pancreas.
Abdomen greatly distended ; much annoyed with flatus.
Distension of single portions of abdomen.
Incarcerated flatus.
Motions in distended abdomen, with passage of offensive flatus.
Rumbling in abdomen.
Tearing, transversely across pubes, and then through pudenda, as far as anus.
Sticking in groin, also at night, disturbing sleep and waking her.
Feeling in left groin, also at night, disturbing sleep and waking her.
Feeling in left groin, on sitting down, as if a hard body were lying there ; > from pressure and by passing flatus.
Inguinal hernia.
(In sick :) Small, painful boils in inguinal region.
Maltreated buboes, with elevated margins and offensive ichorous discharge.
Buboes before discharging, as large as pigeon eggs, very hard, red, painful ; stitches preventing motion ; sensitive to touch ; pain extending into thigh, with uncomfortable chilliness ; thirst with appetite ; sleepless ; burning during urination.
Hard buboes, begin to suppurate ; or, maltreated cases with callous edges, ichorous, offensive discharge.

Stools and rectum

Flatus cannot escape, anus seems closed.
Unsuccessful desire for stool ; passes only offensive flatus ; pain in back, and feeling across abdomen as if there was no expulsive power.
Stool hard, lumpy, scanty, irregular. θ Constipation.
Stools smell like burnt meat.
Blood passes during stool.
Stitches in rectum and anus.
Severe burning in rectum and anus.
Tapeworm.
Sticky, odorless moisture oozes from anus and perineum ; anus sore.
Piles, burn and sting, < during walking.
Rawness and chafing about perineum.
Sweat on perineum.

Urinary organs

Renal colic.
Frequent desire to urinate ; urine increased, fetid ; sometimes stream interrupted ; more frequent at night.
Inefficient urging, with painful pressure in loins, groins and thighs.
During urination : burning soreness in urethra.
Urine red. θ Induration of uterus.
Offensive smelling urine ; sometimes discharged involuntarily.
Urine, after standing, deposits a copious whitish-yellow sediment. θ Indurated pancreas.
Paralysis of bladder.

Male sexual organs

Seminal emissions ; parts feel weak ; exhausted mentally and bodily.
Testicles seem to be growing gradually smaller, with complete relaxation of genitals and a feeling of weakness in them.
Syphilis ; buboes, mostly left-sided ; old maltreated buboes, cut open or cauterized, presenting large, terrible ulcers, with callous edges and a secretion of offensive ichor.
Scirrhus of scrotum.

Female sexual organs

Tearing pain, transversely across pubes, and then through pudenda, as far as anus.
Bearing down pains, with copious discharge of slimy, discolored blood. θ Induration of uterus.
Menses : too early ; too long ; not profuse.
Menses suppressed. θ Indurated pancreas.
Menorrhagia from chronic induration of uterus ; also in cachectic women, with glandular affections ; blood black, clotted, putrid.
During menses : lameness in thighs ; pressing in small of back, groins and thighs, with unsuccessful desire to eructate ; chilly, yawning ; the flow weakens her, she can hardly speak ;
blood dark.
After menses : throbbing headache, < in open air.
Leucorrhœa : stains linen yellow ; offensive ; burning, biting, corroding ; more when walking or standing ; causes weak feeling in stomach.
Discharge of blood from vagina, with labor-like pains. θ Induration of uterus.
Erectile tumors with burning sensation.
Offensive uterine discharges. θ Gangrene. θ Carcinoma.
Chronic or subacute metritis.
Malignant ulcers of os uteri with foul discharge.
Induration of neck of uterus ; burning.
Indurated, swollen uterus, after depressing emotions in delicate, weakly, pale women.
Burning into thighs ; labor-like pains in pelvis and sacrum ; slimy, bloody discharge, very weak. θ Cancer uteri.
Hypertrophy of ovaries and uterus.
Prolapsus and induration of uterus.

Pregnancy. parturition. lactation

Nausea, < at night.
Lochia long lasting, thin, offensive, excoriating, with numb limbs.
Milk is thin, has a salty taste.
Secretion of milk after weaning.
Mamma : sensation of expansion in mamma ; darting pains of nursing women arrest breathing, < from pressure ; hard, painful nodes ; swollen, inflamed (erysipelatous) during confinement.
Mammary tumor hard, uneven, skin loose ; burning pains ; dirty, blue red spots ; pains drawing towards axilla ; night sweat ; low-spirited. θ Scirrhus
mamma.
Painless tumor in right mamma, hard, as large as a hen's egg.
Hard, painful nodules and indurations in mamma.
Painful induration below nipple, as large as a hazlenut.
Painful indurations in left mamma, of stony hardness, uneven nodules, immovable, dirty, bluish-red ; tearing, stinging pains extending to side of shoulders and through arm.
Scirrhous indurations in mamma.
Carcinoma of mamma ; dirty, bluish and loose skin, or red spots on skin ; burning and drawing towards axillæ ; axillary glands indurated.

Voice and larynx. trachea and bronchia

Rawness and hoarseness in morning after rising, with dry cough.
Hoarseness, < evenings ; loss of voice during night.
Cough, hoarseness and night sweat very fetid and debilitating.
Phthisis trachealis.
Swelling of thyroid gland.

Respiration

Dyspnœa with anxiety and low spirits.
Oppression in morning and after eating.
Panting and rattling breathing.

Cough

Cough induced by tickling in right side of chest, or lying on right side ; sputum green.
Tickling cough, with constriction of larynx and chest.
Severe dry cough, shakes abdomen as if all would fall out, must support bowels ; loose rales until something is coughed up ; morning on rising and nearly all day.
Dry cough only at night, when lying on right side, for several nights.
Dry cough. θ Induration of uterus.
Cough with concussion or pain in abdomen.
Soreness in abdomen while coughing.
(In sick :) Cough with expectoration, day and night ; pain in throat.
Cough with greenish sputum. θ Pneumonia of right lung. θ Suppuration
of right lung.
Sputum dark brown, tough, syrup-like, of extremely disagreeable taste. θ Gangrena pulmonum.

Inner chest and lungs

Sharp burning stitches in chest.
Burning in chest, with pressive pain.
Sensation of coldness in chest ; through form front to back.
Pneumonia right lung, suppuration beginning ; green sputum.
Phthisis pulmonalis.
Pleurisy, lingering ; skin livid, emaciation, hectic or typhoid symptoms.
Sensation as though hard indurations in breast rose higher and he cannot stand pressure on it ; this alternates with pain in shoulders and upper arm.

Heart, pulse and circulation

Sensation of coldness in precordial region, with horripilations. θ Indurated pancreas.
Palpitation : after eating ; when singing in church ; morning on awaking, must lie still with eyes closed ; in evening.
Pulse accelerated, especially evening ; beating in bloodvessels.
Rapid pulse. θ Induration of uterus.
Cyanosis.

Outer chest

Violent pain in sternum.
Sensitive nodules on external chest.
Indurated axillary glands.

Neck and back

Prickling stitches in nape of neck.
Painful scrofulous induration of glands of neck.
Blood-boils on neck.
Scrofulous goitre.
Pressing, drawing and stiffness in lumbar region, as if broken.
Sharp drawing across small of back, sensitive to every step.
Drawing pain in small of back, and a feeling as if it was broken, when walking, standing and lying.
Pressive pain in small of back.
(In sick :) Pains in back, on coughing, ascending stairs, stepping hard, and jumping, preventing deep breathing, and causing her to have fever.
Coldness and aching in lumbar region and legs. θ Cough.
Tumor on inner part of right shoulder blade, red externally, soft in centre. θ Scirrhus mamma.
Coccyx feels bruised ; burning when touched ; pain like that of subcutaneous ulceration, < sitting or lying.

Upper limbs

Tearing pain in neighborhood of left shoulder.
Swelling of axillary glands, with rash on back. θ Blepharitis.
Axillary glands indurated.
Herpes in axilla.
(In sick :) Hard swelling with great itching on right forearm, inner side, along edge of radius.
Wrists pain as if sprained.
Hands become stiffer, in connection with which finger tips became sore as though rubbed open.
Hands numb ; fingers readily go to sleep ; often with chest affections.
Violent trembling of hands in morning at breakfast ; hands appear as if paralyzed ; on grasping anything, fingers become stiff as though they had not sufficient power.
Sharp stitches in ball of right thumb and in fingers.
Numbness of fingers on inside and tips, with stiffness of finger joints ; they crack on bending.
Gouty stiffness of finger joints.
Swelling of bones and induration of tendons of fingers.
Arms painful to touch.

Lower limbs

Stitches in left lip, when sitting.
Violent drawing pains in hip, extending forward and downward.
Pain in hip causes limping.
Weakening sweats, particularly on thighs.
Sweat at night on thighs only.
Gnawing pains in shin bones, such as usually followed cold feet.
Cramp in forepart of lower leg near tibia, when walking.
Painful tension in calves, when walking.
Legs as far as calves go to sleep, during day.
Drawing and stitches in legs.
Painful contraction of tendo-achillis.
Pain in heels ; feet sore.
Weakness and pain in ankle.
Weakness of ankles in children who try to walk.
Foot turns under, when walking, as from a weak ankle.
Very cold feet from 9 A. M. till 3 P. M. ; also in evening in bed.
Corns, painful to touch.
Frostbitten feet and toes.

Limbs in general

Bruised feeling in limbs, especially during motion.
Numbness of limbs.

Rest. position. motion

Rest : < stupefaction in head, with dulness in occiput.
Lying down : aching in region of liver ; drawing pain in small of back ; coccyx feels bruised.
Sitting : up, vertigo and confusion, > when reclining ; coccyx feels bruised.
Rising : vertigo.
Standing : leucorrhœa.
Stooping : nausea on rising after ; heaviness in forehead.
Motion : brain feels as if loose.
Walking : splashing in left hemisphere of brain ; piles burn and sting ; leucorrhœa ; drawing pain in small of back ; painful tension in calves.
Eating : causes fatigue.

Nerves

Weak, want of energy ; head confused ; prostration. θ Cancer.
Great prostration. θ Induration of uterus.
After appearance of menses such great weakness that she could scarcely speak, with yawning and stretching.
Straining and overlifting, easily produce great debility.

Sleep

Sleepy all forenoon ; yawning.
Anxious, frightful visions and restlessness, keep him awake.
Sleep full of vivid fancies ; talks, groans, sheds tears.

Time

Night : heaviness in head ; left eye red and burning, preventing sleep ; coryza ; scraping in throat ; nausea ; sticking in groin ; frequent desire to urinate ; cough with expectoration ; sweat ; febrile chill ; fever at
night, chill without thirst ; backache ; heat with great thirst.
Morning : confused ; head heavy, irritable mood ; vertigo ; epistaxis ; stupefying headache ; dry coryza ; bitter taste ; taste of manure in mouth ; weight in stomach ; rawness and hoarseness in throat ; oppression ; severe dry
cough ; palpitation after eating ; violent trembling of hands ; sweat, towards.
Forenoon : stupefying headache ; sleepy.
From 9 A. M. till 3 P. M. : very cold feet.
Afternoon : chill.
Evening : coryza ; scraping in throat ; hoarseness ; pulse accelerated ; chill.
At 11 P. M. : chill.
Day : during, toothache ; cough with expectoration ; legs "go to sleep ;" chilliness.

Temperature and weather

Warmth : > brain feeling as if loose, during motion.
Warm room : > stupefaction in head, with dulness in occiput.
Cold : cannot bear anything to touch teeth ; teeth sensitive to cold.
In cold air : < heaviness in head, at night.
Dry, cold air : < tenseness of scalp on forehead and vertex.
Cold, damp air : < stupefaction in head, with dulness in occiput.
In open air : < throbbing headache ; sensitive to air .
Wet weather : < pain in top of head, as if skull had been split or torn asunder.

Fever

Chill, especially in afternoon and after eating ; evening chill, followed by sweat.
Chill at 11 P. M.
Great chilliness during day.
A febrile chill awoke her at night in bed.
(In sick :) Fever at night, chill without thirst ; at night backache ; mornings sweat ; irregular stools.
Heat always after a chill, mostly at night in bed.
Heat with great thirst. θ Induration of uterus.
Averse to uncovering during heat.
Sweating after eating, especially during siesta.
Sweat generally towards morning ; also from slight exertion, even eating.
Night sweat fetid, debilitating, staining yellow.
Sweats when walking in open air.
Sweat staining brownish-yellow.
Typhus.

Locality and direction

Left : side of head, pain ; temple, heaviness ; hemisphere of brain, sense of splashing ; eye, becomes red and burns ; shooting stitches in malar bones ; feeling of a hard body in groin, on sitting down ; buboes ; painful induration in
mamma ; tearing pain near shoulder ; stitches in hip.
Right : hand, tearing ; nostril, malignant ulceration ; painful sensation in lower abdomen ; mammary tumor, hard, large as a hen's egg ; cough induced by tickling in chest ; dry cough when lying on side ; pneumonia ; tumor on inner part of shoulder
blade ; hard swelling, great itching on forearm ; sharp stitches in ball of thumb.

Sensations

As if loose, brain ; as of a tornado in head ; as if skull had been split or torn asunder ; as if eyes were lying loose in sockets ; as if something would be squeezed through abdomen ; as if there was no expulsive power in rectum ; as though hard
induration in breast rose higher.
Pain : in left side of head ; in top of head.
Jerking : in eye teeth.
Cutting : region of liver.
Darting : pains through head ; pains of nursing women.
Lancinating : pains in parotid glands ; in abdomen.
Stitches : in left eye, preventing sleep ; in and back of ears ; in malar bones ; lower jaw and teeth ; in spleen ; in abdomen ; in chest ; in nape of neck, to right of scrobiculum ; in rectum and anus ; in left hip ; in leg.
Stinging : in mammary indurations.
Sticking : in groin.
Shooting : in malar bones.
Pinching : about umbilicus.
Tearing : in right side of head ; transversely across pubes ; in mammary indurations ; in left shoulder.
Stupefying headache.
Burning : left eye ; lips ; blisters on tip and edges of tongue ; in throat ; in stomach ; in spleen ; during urination ; in rectum and anus ; neck of uterus ; pains in mammary tumor ; stitches in chest.
Prickling : in nape of neck.
Aching : region of liver ; in lumbar region and legs.
Gnawing pain : in shin bones.
Soreness : of abdomen ; of feet.
Sore feeling : in pit of stomach.
Raw : sense in throat and œsophagus.
Sprained pain : in wrists.
Pressing : in small of back ; in stomach ; in hepatic region.
Pressure : in whole brain ; in throat ; in stomach ; hepatic region ; lumbar region.
Drawing : pains in teeth ; in lumbar region ; in hip ; in legs.
Griping : in stomach.
Cramps : in lower leg.
Clawing : in stomach.
Constriction : of larynx or chest.
Splashing : left hemisphere of brain.
Bruised : feeling in coccyx ; feeling in limbs.
Pains : in liver ; labor-like around umbilicus ; gastralgia : in back ; in nasal bones ; in sternum ; in hip ; in heels ; in ankle.
Weight : in stomach.
Throbbing : headache.
Heaviness : of head ; in occiput.
Weak, empty feeling : at pit of stomach.
Stiffness : of finger joints ; in lumbar region.
Tenseness : of scalp on head ; skin of nose ; in calves.
Contraction : of tendo-achillis.
Heat : in face and head ; with great thirst.
Lameness : in thighs.
Itching : of chin ; of right forearm.
Cold : creeps on head ; in stomach.
Coldness : rising from abdomen into throat and mouth ; in chest ; in lumbar region and legs ; in precordial region.
Numbness : of finger tips ; of limbs.
Dryness : of palate and tongue.

Tissues

Venous plethora ; threatened stagnation of circulation, cyanosis, vital heat sinks to a minimum.
Struma varicosa.
Evil effects from loss of fluids.
Joints weak ; easily sprained.
Arthritic stiffness and nodes.
Painful swelling of glands in neck, axilla, inguina and mamma.
Glands indurated, swollen, inflamed, with lancinating, cutting or burning. θ Scirrhus.
Sycosis.
Scrofulous affections of glands.
Dry ulceration of external parts, following tumors ; true indolent ulceration.
Benignant change into ichorous suppurations.
Gummata.
Hypertrophic conditions in general, and especially of genitals and abdominal glands.
Cartilage-like polypi undergo retrograde metamorphosis ; fleshy polypi slowly, but mucous polypi not at all.
Tumors ; colloid deposits in the viscera, particularly stomach.
Syphilis, buboes.
Ovarian cyst.
Pain in scirrhous indurations.
Polypus and carcinoma.
Touch, Passive Motion, Injuries

Touch. passive motion. injuries

Worse from slightest touch : buboes ; arms.
Easily sprained from lifting even small weights.

Skin

Skin dry and hanging in folds. θ Indurated pancreas. θ Carcinoma.
Itching over whole body ; evening in bed.
Erysipelatous swellings, with burning pain, and indurations of affected parts.
Frost-bites : inflamed, burning.
Coppery eruption over whole body, especially in face, on forehead and nose.
Smooth and bright carmine spots showing a tendency to indurate. θ Leprosy.
Herpes ; thin, red skin, with scales on legs, in a baker, after desquamation of large pieces.
Irregular surface, violent burning pain.
Nodes in skin, with cough, in horses.
Stinging in scars ; painful cicatrices, they break open, < in change of weather.
Induration skin and rhagades ; losing hair.
Readily bleeding ulcers.
Furuncles size of pea, which opened, have a strong smell like burnt meat.
Scrofulous skin diseases.
Hairless spots, when horses are continually losing their hair.

Stage of life, constitution

Young, scrofulous subjects.
Elderly persons, especially with venous plethora, blue cheeks, blue lips, debility, etc.
A girl, æt. 14 ; indurated mammary glands.
A young girl ; goitre.
A sensitive woman, æt. 20 ; scirrhus mamma.
A married woman, æt. 21, after confinement ; indurated mammary gland.
A lady, æt. 32 ; phthisis.
A woman, æt. 35 ; scirrhus mamma.
A single lady, æt. 36, narrow, flat chest ; indurated pancreas.
A woman, æt. 46, struma since twenty years.
Aneurismatica.
A scrofulous girl, æt. 15 ; indurated cervical glands.
A young, childless, married woman ; indurated mammary glands.
A maiden lady, over 50 years old ; indurated mammary tumor.

Relations

Antidoted by : Arsen., Camphor., Nux vom . vinegar.
It antidotes : bad effects of quinine.
Compatible : Arsen ., Bellad ., Bryon ., Phosphor., Pulsat ., Sepia , Silica ,
Sulphur , Veratr . (especially in whooping cough).
Complementary : Calc. phosph .
Compare : Badiag . and Bromium (indurations, suppurations, etc.), Calc. phosph ., Carb. veg . (not so good a glandular remedy), Cinchon .
(evil effects from loss of fluids), Graphit ., Phosphor . (nostrils adhere to the septum), Pulsat ., Sepia , Silica ,
Sulphur (vertigo with epistaxis), Veratr .

Lectures on Homoeopathic Materia Medica

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

Lecture

Carbo animalis is one of the deep-acting, long-acting medicines. Suitable in complaints that come on insidiously, that develop slowly, that become chronic and often malignant in character.

Complaints in anaemic, broken down constitutions. Vascular conditions. The Carbons affect the veins more or less, relaxing, paralyzing. This one has its own peculiar feature of infiltrating little veins. just as sure, as an organ in the Carbo animalis patient becomes congested it becomes hard and purple from infiltration, and has a tendency to remain so.

Glands and veins

In an inflammation of a gland the veins become weak, and infiltrated, the gland itself becomes hard and sore, the tissues around it indurate, and the skin over it becomes purple. The glands of the throat and axilla grow purple and indurated with no tendency to soften.

Some of these medicines, after infiltrating a gland, will hurry up the inflammatory action, produce sloughing, rapid breaking down, with pus-like Hepar, Mercurius and Sulphur.

But this medicine paralyzes and infiltrates the little veins in the inflamed part, and there seems to be no tendency to suppuration.

We see that the economy. of this patient is in a sluggish state there are no rapid changes; but everything is slowed down. Even the inflammatory process is a passive one. Very often a slow quasi-erysipelatous inflammation comes on, the part becomes purple and will pit upon pressure. just think what a contrast this to Belladonna.

Belladonna will inflame all the glands, they will swell, become hot and so, sensitive that they can hardly be touched; at first bright red, then purple, with a tendency to resolution if let alone. But the Carbo animalis inflammation comes on slowly, its progress is slow, and there is no tendency to repair.

Enlargement of veins here and there over the body, varicose veins. There is intense burning in the part inflamed. which is indurated and purple. The glands of the throat burn.

Sluggish buboes in old broken down constitutions, in early stages of syphilis, inflame, become enlarged, purple, hard and burn. Lumps in the mammary glands. A purple lump the size of a hen's egg will form in the mammary gland.

It does not go on to suppuration, as you would expect it to, it just stays there. It does not enlarge much, but it is hard.

The woman has so much burning in the vagina that she persuades the physician to make a more careful examination than he has done. He will probably find the whole cervix inflamed, purple and somewhat, enlarged. She says it burns like coals of fire.

Carbo animalis eventually produces ulceration of the tissues in various parts, especially in glands.

After a while-but not early in the case - an ulcer forms, and perhaps after ulcerating for a time it comes to a standstill; it has become a sluggish ulcer. Indurated ulcers.

Ulcers and cancer

A bubo breaks down and forms an ulcer. All at once it stops suppurating and around about the tissues become hard and purple. The laudable discharge ceases, a bloody, ichorous discharge takes its place, and, the surrounding parts burn.

Now in ulcers and fistulous openings, where the walls become hard and burn, and the discharge becomes acrid, Carbo animalis is frequently the remedy.

It is not surprising that this remedy has been one of the most suitable for old, stubborn cancerous affections; for cancerous ulcers. They all burn, they are all surrounded by infiltrated, hardened, dark-colored tissue, and they all ooze an acrid ichorous fluid.

It has cured these troubles in old feeble constitutions with night-sweats and much bleeding. It has relieved in incurable cases, and has apparently removed the cancerous condition for years, even though it comes back afterward and kills. This remedy is often a great palliative for the pains that occur in cancer, the indurations and the stinging, burning pains.

Of course we do not want to teach, nor do we wish to have you infer, that a patient with a well-advanced cancerous affection, such as scirrhus, may be restored to perfect health and the cancerous affection removed. We may comfort that patient, and restore order at least temporarily, so that there is freedom from suffering in these malignant affections.

Most patients that have cancer are really in such a state of disorder that only a temporary cessation of "hostilities" can be expected; and anyone who goes around boasting of the cancer cases he has cured ought to be regarded with suspicion.

Do not dwell upon the cancer, for it is not the cancer but the patient that you are treating. It is the patient that is sick, and whenever a patient is sick enough to have a cancer his state of order is too much disturbed to be cured.

The proving of Carbo animalis presents the appearance of a broken down constitution. it brought out in the provers just such symptoms as occur in old, feeble constitutions with poor repair and lack of reaction.

Hence the medicine has been a great palliative for patients suffering from malignant infiltrations and indurations; suspicious indurations round about and under the bases of ulcers; suspicious indurations in glands.

A gland becomes inflamed, hard and remains so. Carbo animalis stands at the head of the list of remedies that have that condition.

All through the remedy there is hypertrophy. Tissues pile up here and there into hard nodules; tissues pile up in glands and in organs. The economy has lost its balance, and the result is a disorderly distribution of material. Great prostration, want of energy, associated with palpitation, anxiety and disorders of the pulse.

Weak pulse, rapid pulse, irregular pulse. Beating in blood vessels. There is turmoil in the economy, sometimes described as heat. A rushing of heat as though the body was full of steam.

Awful sensation through the chest and in the head, like some great earthquake taking place. These are due to abnormal conditions of the venous side of the heart.

Women

Flushes of heat; pulsations here and there. Hemorrhages. And of course the woman is more likely to bleed than the man; hence we have menses too early, too long, too copious. Prostration with every menstrual flow.

The Carbo animalis woman sinks down at every menstrual period as if she would die. Such striking weakness is not at all accounted for by the quantity of the flow.

Chronic induration, with enlargement of the uterus, which gradually grows from year to year (Aur. m. n.). Induration of the cervix and the whole uterus.

Copious flow of the leucorrhoea. Offensive uterine discharges. Ulceration of the uterus, going gradually toward the malignant state. The menses are black and offensive. Finally this poor, feeble woman, who has been plodding along for years with this condition, goes into malignant ulceration of the cervix, which burns, bleeds constantly and oozes a foetid watery flow. The burning pains in the uterus extend down to the thighs.

Whenever this patient puts the child to the breast she has a sensation of emptiness in the stomach, sinking in the pit of the stomach, and she must take the child away.

There are many uterine troubles, with burning, stinging, smarting, a yellow brown saddle over the bridge of the nose, something like the mottled yellow saddle of Sepia. All sorts of disordered conditions of the uterus.

Surging of blood upward to the head, rousing up in sleep, with horrible dreams. This poor mortal is suffering from troubles in the base of the brain, has tearing pains in the head, and especially of the occiput, growing increasingly sensitive to cold, increasingly chilly, increasingly waxy, until we have phthisis or cancer, with varicose veins and all the conditions that I have described.

The Therapeutics of Fevers

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

Characteristic

Adapted to scrofulous subjects, especially the young; or the venous plethora of elderly persons, with blue cheeks, blue lips and great debility; circulation feeble, stagnated, and vital heat sinks to a minimum.

Glands indurated, swollen, painful; in neck, axillæ, in- guinal region, mammæ; pains lancinating, cutting, burning

(Con.).

Benignant suppurations change into ichorous conditions.

Easily strained from lifting even small weights; straining and overlifting easily produce great debility.

Joints weak; easily turned or sprained (Led., Psor.).

Headache at night; has to sit and hold head with both hands to prevent it from falling to pieces.

Aversion to open, dry, cold air.

After appearance of menses, so weak she can hardly speak (can hardly stand, Alum., Coc.); menses flow only in morning.

A stitching pain remains in chest after recovery from pleu- risy (Ran. b.).

Menstruation, leucorrhœa, diarrhœa are all exhausting

(Ars.—are all offensive, Psor.).

Aggravation

After shaving (> after shaving, Brom.); slightest touch; after midnight.

Amelioration

From warmth; eating.

Type

Periodicity not marked.

Time

Evening paroxysm 5 to 8, and 11 P. M.

Chill

Without thirst. Great chilliness during the day. Chill after eating (Bell.—after drinking, Caps.—after eating and drinking, Asar.). Internal chill on beginning to eat; chill awoke her at night; commencing in the chest (Apis), with shivering down the back; with ice cold feet; chilly when a little air entered the room (Camph., Canth.). Could not bear being uncovered because she immediately became chilly (Acon., Nux). Chill with goose-flesh, from 5 till 8 in the evening, afterwards at 11 P. M., waking with profuse sweat lasting till 2 o'clock, during which she could not tolerate the bed-clothes. Great chilliness during day.

Heat

Without thirst; with redness and burning of the cheeks in the evening; frequent flushes of heat in the cheeks, with redness. Heat always after a chill, mostly at night in bed. Head and upper part of the body were hot, with cold limbs; which only gradually became warm towards morning. Averse to uncovering during heat.

Sweat

Offensive night-sweat ; stains the linen yellow (flies trouble him very much on account of the perspiration, Calad.). At night or towards morning. Fœtid ; debilitating ; exhausting ; profuse sweat (Psor.); when walking ; slightest exertion even when eating. Sweat in hollows of knees (Bufo); profuse of the feet and thighs.

Symptoms of this stage always guiding and predominant. (Bry. and Cinch. have profuse, debilitating sweat, but lack the offensiveness of Carbo a.)

Relations

Complementary: Calc. phos.

Tongue

Blisters on the tongue and sides of the tongue (Canth.), which pain as if burnt. Burning on tip of the tongue and rawness of the mouth, relieved by eating. Ravenous hunger (Cina, Phos.).

Apyrexia

Never clear. All the constitutional troubles are aroused, and every disease is extremely prostrating. Leucorrhœa stains linen yellow.

Analysis

The profuse, debilitating, offensive, exhausting sweat, is characteristic.

Carbo an. will rarely be indicated, unless the fever be developed after or upon some constitutional trouble. The sweating stage is very exhausting, and out of all proportion to the chill and heat.

The fever generally accompanies some dyscrasia, with glandular swellings or where benign tend to malignant diseases.

Compare: Caps., Carbo v.