Carbo Vegetabilis carb-v.

Boger's Synoptic Key — Materia Medica

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

Region

MUCOUS MEMBRANES: DIGESTIVE TRACT. STOMACH. HEART: VENOUS CIRCULATION. Blood. Occiput.

Worse

WARMTH. DEPLETIONS. Cooling off. EXHAUSTING DISEASES. Old age. HIGH LIVING. Rich foods. DISSIPATION. Overlifting. Walking in open air. Pressure of clothes. Weather: Extreme temperatures. Cold night air; frosty; humid. Air. Wind on head. Suppression.

Better

ERUCTATIONS. Cool air. Elevating feet.

General

Low, grave, depraved, or cachectic states. Atony, failing reaction or obstinate sequelæ. Complaints of old age. WEAKNESS, FLATULENCE, FETOR OR AIR HUNGER, with most complaints. Tremulous, WEAK, SICK AND EXHAUSTED; suddenly; with pulselessness. Fainting. Collapse. Easily chilled. Cold, yet wants air or to be fanned, or thirsts for cold water. BLUENESS and decomposition. Sepsis. Ulceration (aphthous). HÆMORRHAGE; dark oozing. Overfulness. Venosity. Thick, acrid discharges (Hyds.). Old catarrhs. General bruised soreness or heavy aching burning; in bones, ulcers, etc. Numbness, of parts lain on.

Particulars

Slow, anxious and irritable. Dejected. Unhappy. Dull, compressive, heavy (leaden) headache; < occiput; < overheating, lying or pressure of hat. Sneezing from irritation in larynx; < blowing nose or sneezing. Colds go downward (Pho.). PINCHED, HIPPOCRATIC or DUSKY FACE. Twitching upper lip. Mumps with metastasis. Loose teeth. Scorbutic gums. Small, painful aphthæ. Black tongue. Loathes even the thought of food. BELCHINGS; RANCID; loud, without >; with cough. EXCESSIVE FLATULENCE; obstructed; distending; < upper abdomen (Pul.); < lying. All food turns to gas. Dyspepsia. Colic. Burning in rectum. Itching anus. Septic albuminuria. Sore, hot itching, swelled vulva. Hoarse in evening. Spasms of tormenting, hollow or choking cough, with headache and vomiting; < cold drinks and in bed; expectorates with retching. Pertussis and its effects. Heavy, sore or weak chest; on awaking. Senile asthma. Destructive lung diseases. Continuous, anxious palpitation. Sore ribs. As of a plug in back. Weak fingers. Raw or mottled skin. Ulcers, foul, burning and bleeding. Varicosis. Horrors during sleep. Thready pulse. Alternate chill and heat. ICY COLD; tongue; knees; legs, at night; breath; foot (l); unilateral, etc. Warm head, cold limbs. Internal, burning heat; at heart; in chest; with icy skin, < coughing. Icy, but wants air.

Related

Complementary: Chin. Kali-c. Follows: Caust. Antidote: Nat-m. Related: Am-c. Ars. Colch. Grap. Lyc.

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

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

Keynote

For the bad effects of exhausting diseases, whether in young or old (Cinch., Phos., Psor.); cachetic persons whose vitality has become weakened or exhausted. Persons who have never fully recovered from the exhausting effects of some previous illness; asthma dates from measles or pertusis of childhood; indigestion from a drunken debauch; bad effects of a long ago injury; has never recovered from effects of typhoid (Psor.). Ailments: from quinine, especially suppressed intermittents; abuse of mercury, salt, salt meats; spoiled fish, meats, or fats; from getting overheated (Ant. c.). Bad effects from loss of vital fluids (Caust.); haemorrhage from any broken down condition of mucous membranes (Cinch., Phos.). Weakness of memory and slowness of thought. Epistaxis in daily attacks, for weeks, worse from exertion; face pale before as well as after a haemorrhage. Haemorrhage from any mucous outlet; in systems broken down, debilitated; blood oozes from weakened tissues; vital force exhausted. Hippocratic face; very pale, grayish-yellow, greenish, cold with cold sweat; after haemorrhage. Looseness of teeth, easily-bleeding gums. Patients crave things that make them sick; old topers crave whiskey or brandy; want clothing loose around abdomen. Weak digestion; simplest food disagrees; excessive accumulation of gas in stomach and intestines < lying down; after eating or drinking, sensation as if stomach would burst; effects of a debauch, late suppers, rich food. Eructations give temporary relief. Diseases of the venous system predominate (Sulph.); symptoms of imperfect oxidation (Arg. nit.). Deficient capillary circulation causes blueness of skin and coldness of extremities; vital powers nearly exhausted; desire to be constantly fanned. Hoarseness: < evenings; damp evening air; warm, wet weather; fails when exerted (< morning, Caust.). Awakens often from cold limbs and suffers from cold knees at night (Apis). Frequent, involuntary, cadaverous-smelling stools, followed by burning; soft stool voided with difficulty (Alum.). In the last stages of disease, with copious cold sweat, cold breath, cold tongue, voice lost, this remedy may save a life.

Relations

Complementary: Kali carb. Want of susceptabilty to well-selected remedies (Opium, Val.). Compare: Cinch., Plumb., in neglected pneumonia, especially in "old toppers;" Ant. t. in threatened paralysis from inability to expectorate loosened mucus. Opium: with lack of reaction after well-selected remedies fail to permanently improve (Val.). Phos. in easily bleeding ulcers. Puls., bad effects from fat food and pastry. Sulph., acrid-smelling menstrual flow and erysipelas of mammae.

Aggravation

From butter, pork, fat food; abuse of quinine, bark and mercury; from singing or reading aloud; in warm, damp weather.

Amelioration

From eructation; being fanned.

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

This remedy very often proves of great use at late stage of typhus fever, or cholera, where the patient is in a state of collapse, and is almost gone; wants to be fanned, wants the windows open, his head is hot, etc.

Also troubles resulting from some other disease, as in complaints caused from the checking of chills by Quinine, etc.; or may have had the measles, and years after say that he has been troubled ever since with the asthma, or something else; or he may have been strained by lifting, and never fully recovered.

Mental

Anguish; irritable; peevish; desperation.

Head

Internal head, right side; occiput, internal and external. Pains, boring; throbbing; aching; tearing. Aching with sore hairs on scalp. Headache from over indulgence (of any kind); falling off of the hair after a severe illness; takes cold in the head easily.

Eyes

Sensation as of a grain of sand; morning agglutination. Black flying spots. Angles of the eye.

Ears

Sensation as of stopped; roaring in.

Nose

Nose, tip of, left side; stoppage of; frequent sneezing with violent tingling tickling; rose-cold and hay-asthma, where there is frequent sneezing, creeping in the nose, much coryza, etc. Epistaxis, when producing great paleness of the face; creeping in the nose; itching around nostrils.

Face

Complexion becomes grayish-yellow; great paleness of; chapped lips, with much pain in; swollen lips.

Mouth

Drawing tearing in molar teeth; affections of the upper teeth and upper jaw. Gums recede; bleeding of; ulceration of. Increased flow of saliva. Biting and burning of fauces. Bad smell from.

Pharynx

Sensation as if closed; aphonia; hoarseness;

Stomach and Abdomen

Complaints from obstructed flatulency (may be pain in the head, around the heart or anywhere, which is relieved by the discharge of flatus), flatus has a putrid and very stinking smell; flatulency in general; flatulent colic; rich food, butter, or milk causing flatulency; colic brought on by riding in the cars or in a carriage (usually relieved by passing flatus). Troubles of the inner lower belly; sides of the inner belly.

Stool and Anus

Affections of the anus, as itching hæmorrhoids, etc.; perineum; stinking stools. Painful diarrhœa of old people.

Chest and Lungs

Respiration oppressed; having some kind of bad smell; quick; cough with expectoration in the morning, with no-expectoration in the evening; neglected pneumonia, with expectoration of a dirty yellow-color, and smelling badly.

Sleep

Falling asleep late; complaints preventing sleep; sleeplessness before midnight.

Pulse

Pulse imperceptible; small; soft.

Skin

Itch in general; moist exanthema; humid skin: ulcers with ichorous pus; senile gangrene which begins in the toes and works all the way up the limb; gangrenous spots from lying in bed; old wounds having healed, break out again; punctured wounds which won't heal.

Sensations

Biting pain (pungent); burning pain of parts; pressing, and sensation of roughness (or scraping), in the inner parts; darting from above downward; drawing, and drawing with pressure, in the muscles; sensation as of constriction of œsophagus; of downward pressure in the lower stomach; and wants a bandage; unable to sit down, owing to a sensation of a plug in the back.

Generalities

Menstruates too early. Scurvy.

Worse

In the morning; before midnight; before falling asleep; during eating; from butter, fat food, pork; from abuse of Peruvian bark, and mercury; from reading aloud; on rising from the bed; from singing.

Better

From eructation.

Remedies following

Acon., Nux vom., Lycop., Pulsat., Sepia. Sulphur.

Antidotes

Spirits of Nitre, Camphor, Dulcam.

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

Head painfully sensitive to pressure, especially of the hat; sensation remains after hat is taken off, as if bound up with a cloth. Gums painfully sensitive while chewing. A version to meat, fat and milk which cause flatulency. Excessive flatulence, abdomen full to bursting; worse from least food; better from eructations and passing flatus. Violent, almost constant, empty, sour and rancid eructations. Great roughness in the larynx, with deep rough voice, which failed, if he exerted it; worse evenings. Hoarseness and rawness worse evenings; aphonia worse mornings. Burning in the chest as from glowing coals, with rawness and soreness. Vital forces nearly exhausted, cold surface, especially from knees to feet; lies as if dead breath cool; pulse intermittent, thready; cold sweat on limbs. Ailments from quinine, especially suppressed chills and lever; from abuse of mercury, from salt and meats, from putrid meat or fish or rancid fats. Desire to be fanned, must have more air. Abdomen feels as if hanging heavily; must walk bent. Vertigo, must hold onto something; when stooping; also from flatulence Morning leuchorrhoea, milky, acid and excoriating the parts.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Vegetable Charcoal

General

Disintegration and imperfect oxidation is the keynote of this remedy. The typical Carbo patient is sluggish, fat and lazy and has a tendency to chronicity in his complaints. Blood seems to stagnate in the capillaries, causing blueness, coldness, and ecchymosis. Body becomes blue, icy-cold. Bacteria find a rich soil in the nearly lifeless stream and sepsis and typhoidal state ensues.

A lowered vital power from loss of fluids, after drugging; after other diseases; in old people with venous congestions; states of collapse in cholera, typhoid; these are some of the conditions offering special inducements to the action of Carbo veg. The patient may be almost lifeless, but the head is hot; coldness, breath cool, pulse imperceptible, oppressed and quickened respiration, and must have air, must be fanned hard, must have all the windows open. This is a typical state for Carbo veg. The patient faints easily, is worn out, and must have fresh air. Hæmorrhage from any mucous surface. Very debilitated. Patient seems to be too weak to hold out. Persons who have never fully recovered from the effects of some previous illness. Sense of weight, as in the head (occiput), eyes and eyelids, before the ears, in the stomach, and elsewhere in the body; putrid (septic) condition of all its affections, coupled with a burning sensation. General venous stasis, bluish skin, limbs cold.

Mind

Aversion to darkness. Fear of ghosts. Sudden loss of memory.

Head

Aches from any over-indulgence. Hair feels sore, falls off easily; scalp itches when getting warm in bed. Hat pressed upon head like a heavy weight. Head feels heavy, constricted. Vertigo with nausea and tinnitus. Pimples on forehead and face.

Face

Puffy, cyanotic. Pale, hippocratic, cold with cold sweat; blue (Cup; Opium). Mottled cheeks and red nose.

Eyes

Vision of black floating spots. Asthenopia. Burning in eyes. Muscles pain.

Ears

Otorrhœa following exanthematous diseases. Ears dry. Malformation of cerumen with exfoliation of dermoid layer of meatus.

Nose

Epistaxis in daily attacks, with pale face. Bleeding after straining, with pale face; tip of nose red and scabby, itching around nostrils. Varicose veins on nose. Eruption in corner of alæ nasi. Coryza with cough, especially in moist, warm weather. Ineffectual efforts to sneeze.

Mouth

Tongue coated white or yellow brown, covered with aphthæ. Teeth very sensitive where chewing; gums retracted and bleed easily. Blood oozing from gums when cleaning teeth. Pyorrhea.

Stomach

Eructations, heaviness, fullness, and sleepiness; tense from flatulence, with pain; worse lying down. Eructations after eating and drinking. Temporary relief from belching. Rancid, sour, or putrid eructations. Waterbrash, asthmatic breathing from flatulence. Nausea in the morning. Burning in stomach, extending to back and along spine. Contractive pain extending to chest, with distention of abdomen. Faint gone feeling in stomach, not relieved by eating. Crampy pains forcing patient to bend double. Distress comes on a half-hour after eating. Sensitiveness of epigastric region. Digestion slow; food putrefies before it digests. Gastralgia of nursing women, with excessive flatulence, sour, rancid belching. Aversion to milk, meat, and fat things. The simplest food distresses. Epigastric region very sensitive.

Abdomen

Pain as from lifting a weight; colic from riding in a carriage; excessive discharge of fetid flatus. Cannot bear tight clothing around waist and abdomen. Ailments accompanying intestinal fistulæ. Abdomen greatly distended; better, passing wind. Flatulent colic. Pain in liver.

Rectum and Stool

Flatus hot, moist, offensive. Itching, gnawing and burning in rectum. Acrid, corrosive moisture from rectum. A musty, glutinous moisture exudes. Soreness, itching moisture of perineum at night. Discharge of blood from rectum. Burning at anus, burning varices (Mur ac). Painful diarrhœa of old people. Frequent, involuntary cadaverous-smelling stools, followed by burning. White hæmorrhoids; excoriation of anus. Bluish, burning piles, pain after stool.

Male

Discharge of prostatic fluid at stool. Itching and moisture at thigh near scrotum.

Female

Premature and too copious menses; pale blood. Vulva swollen; aphthæ; varices on pudenda. Leucorrhœa before menses, thick, greenish, milky, excoriating (Kreos). During menstruation, burning in hands and soles.

Respiratory

Cough with itching in larynx; spasmodic with gagging and vomiting of mucus. Whooping cough, especially in beginning. Deep, rough voice, failing on slight exertion. Hoarseness; worse, evenings, talking; evening oppression of breathing, sore and raw chest. Wheezing and rattling of mucus in chest. Occasional spells of long coughing attacks. Cough, with burning in chest; worse in evening, in open air, after eating and talking. Spasmodic cough, bluish face, offensive expectoration, neglected pneumonia. Breath cold; must be fanned. Hæmorrhage from lungs. Asthma in aged with blue skin.

Extremities

Heavy, stiff; feel paralyzed; limbs, go to sleep; want of muscular energy; joints weak. Pain in shins. Cramp in soles; feet numb and sweaty. Cold from knees down. Toes red, swollen. Burning pain in bones and limbs.

Fever

Coldness, with thirst. Chill begins in forearm. Burning in various places. Perspiration on eating. Hectic fever, exhausting sweats.

Skin

Blue, cold ecchymosed. Marbled with venous over distension. Itching; worse on evening, when warm in bed. Moist skin; hot perspiration; senile gangrene beginning in toes; bed sores; bleed easily. Falling out of hair, from a general weakened condition. Indolent ulcers, burning pain. Ichorous, offensive discharge; tendency to gangrene of the margins. Purpura. Varicose ulcers, carbuncles (Ars; Anthrac).

Modalities

Worse, evening; night and open air; cold; from fat food, butter, coffee, milk, warm damp weather; wine. Better, from eructation, from fanning, cold.

Relationship

Antidotes: Spirits Nitre; Camph; Ambra; Arsenic.

Compare: Carboneum-Lampblack (Spasms commencing in tongue, down trachea and extremities. Tingling sensation). Lycop; Ars; China.

Complementary: Kali carb; Dros.

Dose

First to third trituration in stomach disorders. Thirtieth potency and higher in chronic conditions, and in collapse.

Leaders in Homoeopathic Therapeutics

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

Leaders

Vital force nearly exhausted; complete collapse.

Blood stagnates in the capillaries; venous turgescence; surface cold and blue.

Hæmorrhages (nose, stomach, gums, bowels, bladder or any mucous surface), with indescribable paleness of the surface of the body.

Mucous membranes break down, become spongy, bleed ulcerate and become putrid.

Excessive flatulence, pressing upward, stomach and abdomen.

Hunger for oxygen, decarbonized blood; cries, "fan me, fan me hard!"

Anæmic, especially after acute diseases, which have greatly depleted the patients; chronic effects.

Persons who have never fully recovered from the exhausting effects of some previous illness; has never recovered from effects of typhoid, weak digestion; the simplest food disagrees; eructations give temporary relief.

Bad effects from loss of vital fluids (Caust.); hæmorrhage from any broken-down condition of mucous membrane.

Looseness of teeth, easily bleeding gums.

In the last stages of disease, with copious cold sweat, cold breath, cold tongue, voice lost, this remedy may save a life.

Coldness of the knees, even in bed (Apis); of left arm and left leg; very cold hands and feet; finger-nails blue.

Persons who have never recovered from effects of some previous illness or injury; suppression by Quinine or drugging; typhoid or yellow fever.

China is its great complementary.

In our remarks upon China we said that for flatulent conditions the choice lay often between it, Carbo veg. and Lycopodium. Carbo vegetabilis also ranges alongside China for debilitated states. The weakness of Carbo vegetabilis is not surpassed by any other remedy. This, with Arsenicum and Muriatic acid form a trio of remedies which according to well-known indications has snatched many a patient from the very jaws of death. Picture of Carbo veg.: Vital forces nearly exhausted, cold surface, especially from knees down to feet; lies motionless, as if dead; breath cold; pulse intermittent, thready; cold sweat on limbs. This is truly a desperate condition. Then add to these symptoms, blood stagnates in the capillaries, causing blueness, coldness and ecchymoses; the patient so weak he cannot breathe without being constantly fanned. Gasps: "Fan me ! Fan me !" Carbo veg. has saved such cases. This is a picture of a case of typhoid fever, and in one case we saw added still to this, hæmorrhage of dark, decomposed, unclotted blood; could not clot on account of its broken down condition; blood oozing from gums and nostrils, and an indescribable paleness not only of the hippocratic face, but also of the skin of the whole body, yet Carbo veg. restored to health, and in an aged woman at that. I have here, as faithfully as I can, portrayed the wonderful power of this remedy in such a desperate case. Of course no remedy can raise the dead, no matter how strong the indications before death; but no remedy can come nearer than this and the dominant school know little or nothing about it, and never can until they will consent to use it in the homœopathic form and according to homœopathic indications.

The sphere of this remedy is not by any means limited to low or weakening states in connection with acute diseases. To give an idea of its use when indicated by the symptoms in chronic ailments, I can do no better than quote from Henry N. Guernsey: "No truer remark was ever written than that Carbo vegetabilis is especially adapted to cachectic individuals whose vital powers have become weakened. This remark is made particularly clear when considered in the light of those cases in which disease seems to be engrafted upon the system by reason of the depressing influence of some prior derangement. (Psorinum). Thus, for instance, the patient tells us that asthma has troubled him ever since he had the whooping cough in childhood; he has dyspepsia ever since a drunken debauch which occurred some years ago; he has never been well since the time he strained himself so badly (Rhus tox., Calcarea ost.); the strain itself does not now seem to be the matter, but his present ailments have all appeared since it happened; he sustained an injury some years ago, no traces of which are now apparent, and yet he dates his present complaints from the time of the occurrence of that accident; or again, he was injured by exposure to damp, hot air and his present ailments result from it. It will be well for the physician to think of Carbo vegetabilis in similar cases which are numerous and may present very dissimilar phenomena, as these circumstances being suggestive of Carbo veg. it in all probability will be found to be the appropriate remedy which the agreement of the other symptoms of the case with those of the drug will serve to corroborate." This is from the pen of one of the best prescribers that ever lived, and I feel justified in quoting it entire.

This remedy seems to affect deeply the whole alimentary tract, and the same broken down, weakened condition appears. The gums break down, become spongy, bleed on touching or sucking them or become retracted from the teeth, lower incisors and are painfully sensitive or sore on chewing or even pressing the teeth hard together. The stomach also becomes weak. acidity and pyrosis is frequent; the plainest food disagrees, fat foods especially. Here Carbo vegetabilis succeeds when Pulsatilla fails.

The most marked and valuable place for this remedy is in its power to relieve complaints from excessive flatulence in the stomach. "Great accumulations of flatulence in the stomach." "Stomach feels full and tense from flatulence." Great pain in stomach on account of flatulence, worse especially on lying down, should always call attention to this remedy. All this may occur in different affections ranging from a simple dyspepsia to incurable cancer of the stomach. In the latter case, and even in cases not so serious, we may have added burning in stomach. This flatulence is also generated in the abdomen, but, in the Carbo vegetabilis cases, is most troublesome in upper part; yet may extend so far as to cause great meteoristic distention, especially in typhoid fevers, dysenteries, etc. It is a remedy of inestimable value in hæmorrhage from any broken down condition of mucous membranes. This action upon the mucous membranes does not stop with the alimentary tract, but attacks those of the respiratory tract also. Beginning with the larynx, it causes and cures great hoarseness, which is characteristically worse in the damp air, especially of evening. It may be very bad even (if the air is damp) in the morning; but morning hoarseness is oftener reached by Causticum. This condition may go on extending and increasing until it reaches the bronchia.

This is particularly true in case of elderly people of broken down constitutions, venous system predominating. It is a great remedy for the bronchitis of old people; also for asthma of the same, in very desperate cases where the patient appears as if dying. Here the choice must be sometimes made between this remedy and China.

In the chest there is sometimes "burning as from glowing coal " and again, "weak, fatigued feeling in chest," where the choice may fall between it and Phosphoric acid, Stannum and Sulphur.

It has been found very efficacious in desperate cases of pneumonia, and comes in quite naturally after Tartar emetic has failed to assist the patient to clear his lungs of the great quantities of loosened mucus, when cyanosis and paralysis threaten from weakness. Its sputa then is apt to be fœtid with cold sweat and breath and the characteristic wanted-to-be-fanned condition.

Before we leave this remedy I want to emphasize its power over hæmorrhages, which may occur from lungs, nose, stomach, bowels, bladder or any mucous surface. No remedy can take its place in broken down, greatly debilitated constitutions where the surfaces from which the blood oozes seem too weak and spongy to hold the blood in them. Their vitality is gone with the patient's nervous vitality. The patient's face and skin is very pale, even before the hæmorrhage has occurred. China and Carbo vegetabilis are decidedly complementary.

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

Restlessness and anxiety (in the evening, 4-6 P.M.). Periodical weakness of the memory. Sensitiveness and irritability.

Head

Giddiness when moving the head. Congestions to the head. Pressing headache, with tears in the eyes ; they are painful when moving them ; the hairy scalp is painful to the touch ; worse in the afternoon and evening, and after eating. Spasmodic tension in the brain. The external head is painfully sensitive to pressure, especially the pressure of the hat ; worse from taking cold, or when getting warm in bed. Falling off of the hair, with itching of the scalp in the evening, when getting warm in bed.

Eyes

Weakness of the eyes from using them too much, and from fine work. Hæmorrhage from the eyes, with congestion to the head. Nightly agglutination of the eyes. Burning arid pressing in the eyes. Itching of the margins of the eyelids. Black, flying spots before the eyes.

Ears

Every evening heat and redness of (the right) the external ear. Deficiency of wax. Suppuration (fetid) of the inner ear. Pulsations in the ears. Swelling of the parotid gland.

Nose

Frequent and continuous bleeding from the nose, especially in the morning, or after straining to stool, with paleness of the face before and afterwards. The tip of the nose is red and scabby. Itching around the nostrils ; coryza, with hoarseness.

Face

Greenish color of the face. Great paleness of the face. Swollen face and lips. Lips swelled, chapped.

Teeth

Looseness of the teeth. Tearing toothache from salt food. The gums recede from the teeth, (incisors). The gums bleed easily and often.

Mouth and Throat

Dryness of the mouth, without thirst. Tongue coated white or yellow-brown. Stomacace. Sensation of constriction in the throat. Feeling of coldness of the throat. Burning ; roughness ; rawness in the throat. The throat is full of mucus, which can be hawked up, easily. Swelling and inflammation of the uvula, with stitches in the throat.

Appetite and Taste

Excessive hunger or thirst. Great desire for coffee. Aversion to meat and fat things. Bitter or salty taste. The food tastes too salt. Acidity in the mouth after eating. Weakness of digestion ; the plainest food inconveniences him.

Stomach and Abdomen

Nausea in the morning. Eructations of the (fat) food. Bloated abdomen after eating and drinking. Vomiting of blood ; of the food in the evening. Colic, with the sensation of a burning pressure ; much flatulence and sensitiveness of the pit of the stomach. Pain in the stomach after loss of fluids, (while nursing). Stitches under the ribs, especially in the region of the liver. Pain in the liver, as if bruised. Distention of the abdomen from flatulency, with heat, frequent discharge of very fetid flatus. Pain in the abdomen from riding in a carriage. He cannot bear any tight clothing around his waist and abdomen.

Stool and Anus

Constipation ; hard, tough, scanty stool. Diarrhœa ; thin, pale, mucous. The stool, even if it be soft, is passed with difficulty. Discharge of blood from the rectum. Burning varices. Burning at the anus, (after stool). Soreness of, and oozing of moisture from the perinæum.

Urinary Organs

Frequent and anxious urging to pass urine. Copious emission of light-yellow urine, (diabetes). Wetting of the bed at night. Constriction of the urethra every morning. Red, dark urine, as if mixed with blood.

Sexual Organs

Men. Frequent, involuntary seminal emissions. Rapid discharge of semen during edition, followed by roaring in the head. Women. Itching, burning and soreness of the parts. Aphthæ and itching at the pudendum. Menses too early and too profuse, (blood pale). Menstrual blood thick ; corrosive ; of an acrid smell. Thick, yellowish white leucorrhœa. Varices on the parts, (pudendum). Disposition to miscarriages.

Larynx and Trachea

Hoarseness aggravated by talking ; worse in the evening. Roughness of the throat, causing cough. Soreness and ulcerative pain in the larynx and pharynx. Loss of voice at night, or when talking.

Chest and Lungs

Oppression of breathing. Sensation of rawness and soreness in the chest. Burning, pressing, and stinging in the chest, (hydrothorax). Wheezing and rattling of mucus in the chest. When breathing, painful throbbing in the head and teeth. Spasmodic, hollow cough, (hooping-cough) ; four to five attacks every day, caused by a tingling irritation in the larynx ; expectoration only in the morning, yellow, like pus, -brownish, -bloody, -tasting putrid, sour, salt, and of offensive smell. Cough, with spitting of blood and burning pain in the chest. Cough, with expectoration of pus. The cough is worse in the evening ; till midnight ; from movement ; when walking in the open air ; from cold, wet weather ; from going from a warm to a cold place ; after lying down ; after eating and drinking, especially cold things ; from talking. Brown-yellow blotches on the chest. Palpitation of the heart, especially when sitting. Erysipelatous inflammation of the mammæ.

Back

Stitches in the back. Rheumatic tearing in the back. Painful stiffness of the back in the morning, when rising. Swelling of the cervical glands.

Extremities

Upper. Pain, as from contusion in the elbow joints. Tearing in the wrists. Paralytic weakness of the fingers when seizing any thing. Heat in the hands ; burning in the hands. Icy-cold hands. The tips of the fingers are covered with cold sweat. Lower. Heaviness in the lower extremities. The legs go to sleep. Cramps in the legs, and especially the soles of the feet. Perspiration of the feet. Toes red, swollen, stinging, as if they had been frozen. Ulcerated tips of the toes.

Generalities

Numbness of the limbs. Burning pains (limbs, bones, ulcers). The limbs go to sleep easily. Great debility and weakness as soon as he makes the least exertion.

Sleep

Sleepiness in day-time (forenoon) with sleeplessness at night, on account of great restlessness. No sleep, with inability to open the eyes.

Fever

Pulse small, weak, imperceptible ; uneven ; intermitting. Chilliness and chill, especially in the evening, with thirst-sometimes on one side only ; with great debility and icy coldness of the body. (Intermittent fever, with thirst only during the chill). Heat after the chill, or by itself, in the evening and at night, in bed ; flushes of heat ; burning heat, generally without thirst. Perspiration smelling putrid, or sour ; easily excited, even when eating ; cold. Night-sweat. Morning sweat smelling sour.

Skin

General itching all over in the evening, when getting warm, in bed. Burning on different parts of the skin. Ulcers ; bleeding readily ; putrid ; with burning pain ; with acrid, corroding pus. Lymphatic swelling, with suppuration and burning pain. Glands swollen, indurated.

Conditions

Evil effects from the loss of fluids. The rheumatic pains in the limbs are often accompanied by flatulency. The great debility is worse at noon. Bad effects from over-lifting, and from getting cold in cold, wet weather. The soreness in the limbs is worse in the morning, on riding. Bad effects from the abuse of China, or Chininum sulphuricum. It follows well after Veratrum, especially in hooping-cough. China follows well after Carbo vegetabilis.

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

Vegetable Charcoal. C (impure). Trituration.

Clinical

Acidity. Acne. Angina Pectoris . Aortitis. Aphonia. Asthenopia. Asthma. Breasts, erysipelas of. Bronchitis . Burns. Carbuncle . Catarrh. Chilblains. Cholera. Constipation. Cough . Deafness. Debility . Diarrhœa. Distension . Dysentery. Dyspepsia . Emphysema. Erysipelas. Eructations. Feet, cold. Flatulence. Gangrene . Hæmorrhages. Hæmorrhoids . Hair, falling out. Headache. Heart, diseases of . Influenza. Intermittents. Intertrigo. Irritation . Laryngitis. Lungs, congested . Measles. Mumps. Nose, bleeding of . Œsophagitis. Orchitis. Otorrhœa. Pregnancy, disorders of . Purpura. Scabies. Scurvy. Shiverings. Sleep, disorders of. Starting. Stomach, disordered . Stomatitis. Trachea, dryness of. Tympanites . Typhus. Ulcers . Yellow fever.

Characteristics

The deodorant and disinfectant properties of charcoal in bulk had already been discovered when Hahnemann was at work on his Materia Medica . Provings with the crude and the potentised substances showed that the latter were much more powerful in their effect on the animal organism. These brought out the fact that there is an exact correspondence between the effect of crude charcoal and potentised Carbo veg . Both are antiseptic and deodorant. The signs and symptoms of decay and putrefaction are the leading indications for its medicinal use: Decomposition of food in the stomach; putrid diseases and ulcerations; symptoms of imperfect oxygenisation of the blood. Carbo veg . antidotes the effects of putrid meats or fish, rancid fats, salt or salt meats, and also the pathogenetic action of Cinchona, Lachesis , and Mercurius . It is suited to conditions where there is lack of reaction (like Opium ); to low states of the vital powers, where the venous system is engorged; debility of greater intensity than Carbo an .; to children after exhausting diseases; to old people. Leading symptoms are: Numbness of limbs. Burning pains (as also Carb. an . ─ both the products of a burning process). Great debility as soon as he makes the least effort. Guernsey considers Carb. v . especially suited to cachectic individuals whose vital powers have become weakened. In cases where disease seems to have been engrafted on the system by reason of the depressing influence of some prior derangement. "Thus, for instance, the patient tells us that asthma has troubled him ever since he had whooping-cough in childhood; he has dyspepsia ever since a drunken debauch which occurred some years ago; he has never been well since the time he strained himself so badly; the strain itself does not now seem to be the matter, but his present ailments have all appeared since it happened; he sustained an injury some years ago, no traces of which are now apparent, and yet he dates his present complaints from the time of the occurrence of that accident; or, again, he was injured by exposure to damp, hot air, and his present ailments result from it." Another form of debility is that following childbirth, causing falling out of hair.

Among other effects of Carbo v. are: Aversion to darkness. Fear of ghosts. Excessive accumulation of gas in stomach and intestines. "Stomach feels full and tense from flatulence." "Great pain in stomach on account of flatulence, < especially on lying down ." Great desire for air; must be fanned; wants to be fanned hard . < From warmth: on the other hand it has cough < entering cold air from a warm room. < From brandy. Coldness is characteristic: cold breath (as in cholera); cold knees; cold, but wants to be fanned.

The mental state of Carb. v . is one of torpor and indolence, which distinguishes it from Ars . in many cases; slow thinking; < in morning on waking. Indifference. There is also peevishness; easily angered. Vertigo from stomach, with fainting, especially at meals. Lividity is a common indication; mottled skin round ulcers; indolent gangrene; varicose veins of arms, legs, vulva. Hippocratic countenance; cold breath. Collapse; with cold knees. Dull headache in occiput with confusion of mind; proceeding from occiput to forehead dull, heavy aching over eyes; in warm room; buzzing in ears very sensitive to pressure of hat. The congestive symptoms of Carb. v . are those of poisoning by carbonic acid; pulse thready; face pale, covered with cold sweat; desire to be fanned; anxiety without restlessness; dyspnœa. Hæmorrhages are frequent; epistaxis; hæmorrhage from throat in dysentery; from bowels; menorrhagia and metrorrhagia, with burning pains across sacrum and spine; hæmorrhage from the lungs; dyspnœa from chronic aortitis. It corresponds to fever of many types: typhoid, intermittent, yellow fever, hectic, and cholera. In intermittents of long standing where quinine has been abused; thirst only during chill; feet ice-cold up to knees; heat in burning flushes; sweat sour or offensive; weak, mind befogged. A. H. Birdsall has recorded a typical case of Carb. v . intermittent. A man, 36, had had fever eight months, partially suppressed by Arsenic and Quinine . Type, tertian. Headache for one or two hours before chill. Chill always from 9 to 10 a.m., beginning in feet and hands, spreading over body; nails very blue. Thirst with chill. Cold stage lasts two to three hours, followed immediately by hot stage; much heat in head and face, which is flushed red; thirstlessness . Sweating stage short; sweat sour. Apyrexia: sweats easily, especially from least warmth; awakens in morning always with slight sour-smelling sweat. Weak; dispirited; flatulent. A single dose of Carb. v . cured. There were only three more attacks, each of diminished intensity. There is catarrh from warm, moist atmosphere. The cough of Carb. v . is < on entering cold air from a warm room. Hoarseness from damp air < morning or evening. Cough caused by a sensation as if sulphur fumes were in larynx. There is leucorrhœa, greenish yellow, < in morning. The leucorrhœa excoriates. Many symptoms occur during menses: headache; itching, burning soreness and smarting at vulva and anus; hæmorrhoids. A carbon ointment, made by carbonising a wine cork by plunging it into a clear fire and then, in its still glowing state, into vaseline and mixing thoroughly, is regarded as a sovereign remedy in anal irritation and hæmorroidal troubles. The menstrual discharge is corrosive and has a strong pungent odour. Premature and profuse. Preceded and followed by Leucorrhœa. Perinæum moist, raw, oozing. Carbo v . has weak digestion with enormous production of flatulence, > by eructations. Flatulence accompanies many other complaints, as asthma and heart affections. Heaviness, full feeling and burning. Aversion to fat, to meat; to milk, which causes flatulence. Desire for coffee (which does not relieve); for acids; for sweet and salt things. Effects of alcohol; of fish, especially if tainted; ice-water; vegetables; salt or salt meats. Disorder from high living, and especially butter -eating. Burning itching on skin; frozen limbs; chilblains; excoriations between toes. Tinea capitis or scald-head. Scalp very sensitive, feels as if bruised. Whooping-cough with pain at base of brain. Excessive gagging cough in the morning, compelling him to vomit everything in his stomach immediately after breakfast. Dros . is complementary to Carbo v . in this. Enuresis, which is < in morning after the first sleep.

Relations

Antidoted by: Ars., Camph., Coff., Lach., Spir. nit. dulc, Fer. met. (Teste). It antidotes: Effects of putrid meats or fish, rancid fats, salt or salt meats; Chi., Lach., Merc. Complementary: China; Dros.; Kali c. (stitches in heart, &c. ─ Carb. v. contains potash). Carb. an. has more pronounced induration of glands and is suited to cases which have been opened too soon; is more appropriate to cancer and syphilis than Carb. v. Carb. v. has weak digestion in nursing women; every particle of food disagrees; Carb. an. has coldness at stomach, > by hard rubbing or hard pressure; piles, with oozing of inodorous fluid. Carb. v. is near-sighted; Carb. an. far-sighted. In ear affections Carb. an. has swelling behind ear. Carb. v. is more suited to sequelæ of exanthemata. Many of the effects of Carb. v. are like those in Lycopod., and an occasional dose of Carb. v. assists the action of Lyc. Compare also Raphanus in flatulence. Compatible: Ars., Chi., Dros., Kali c., Phos. ac., Bell., Bry., Nux, Sep., Sul. Compare: Graphit. and all the carbons. Caust., Lach., Eup. perf., Pho. and Rumex in hoarseness (Rumex is < 4 a.m. and 11 p.m. Caust. < in morning; from dry cold. Carb. v. < evening; from damp evening air). Camph.; Chi. in hæmorrhages, intermittents, hectic, affections of drunkards; Ipec. in hæmorrhages and intermittents; Menyanthes in intermittents with coldness of legs; Op., Sul. and Pso. in deficient reaction; Sul. ac. in dyspepsia of drunkards (Carb. v. has more putridity; Sul. ac. more sourness); Pho. in easily bleeding ulcers; Puls., bad effect from fat food and pastry; Sul. in acrid-smelling menses; erysipelas of breasts; Ars. and Bellis in effects of ice-cream and ice-water in hot weather. Nux in dyspepsia, easily angered; effects of debauchery (Nux is thin, spare, yellow, wiry; Carb. v. sluggish, stout, lazy); Sec. in hæmorrhages, cold breath; coldness < by warmth. Calc., Carb. an., and Stram. in aversion to darkness; Lach. in weak digestion (Lach. craves milk; Carb. v. has aversion to it), intolerance of clothing round waist; intermittent fever, flashes of burning heat without thirst. Sep. in bearing-down in rectum and vagina (Carb. v. has strong odour of menses which Sep. has not). Rhus in strains; in typhus; Colch. in cholera; cold breath, prostration. Cupr.

Causation

Alcohol. Bad food: eggs, wines, liquors, fish. Fat food. Butter. Salt or salt food. Poultry. Ice-water. Debauchery. Strains. Lifting. Over-work (asthenopia). Change of weather. Warm, damp weather. Hot air inhaled from fire. Overheating.

Mind

Inquietude and anxiety, esp. in the evening (4-6 p.m.). ─ Fear of spectres, esp. at night. ─ Timidity, irresolution, and embarrassment in society. ─ Despair with lachrymose humour, and discouragement, with desire for death, and tendency to suicide. ─ Disposition to be frightened. ─ Irascibility and passion. ─ Sudden, and periodical weakness of memory. ─ Slowness of apprehension. ─ Fixed ideas. ─ Aversion to labour.

Head

Vertigo, after the slightest movement of the head, or after having slept, as well as on stooping and walking. ─ Vertigo with nausea, obscuration of the eyes, trembling, buzzing in the ears, and even loss of consciousness. ─ Pressive headache, with tears in the eyes; they are painful when moving them. ─ Headache from being overheated. ─ Headache, with trembling of the jaw. ─ Nocturnal headache. ─ Cramp-like tension in the brain, or sensation, as if from contraction, of the teguments of the head. ─ Heaviness of the head. ─ Pressive headache, esp. above the eyes, in the temples and in the occiput. ─ Drawing pain in the head, commencing at the nape of the neck, with nausea. ─ Shootings in the vertex. ─ Beating and pulsation in the head, esp. in the evening, or after a meal, with congestion of blood and heat, or burning sensation in the head. ─ The headache frequently extends from the nape of the neck to the brain, and is sometimes aggravated after a meal. ─ Acute tractive pains in the teguments of the head, esp. in the occiput and in the forehead, often commencing in the limbs. ─ Painful sensibility of the hairy scalp to external pressure (for instance, that of the hat). ─ Sensitiveness of scalp is < in the afternoon and evening, and after eating; < from taking cold, or when getting warm in bed. ─ Susceptibility to cold in the head. ─ Falling off of the hair, with itching of the scalp in the evening, when getting warm in bed.

Eyes

Pains in the eyes, after having fatigued the sight, and from fine work. ─ Pains in the muscles of the eyes, on looking upwards. ─ Itching, smarting, heat, pressure and burning pain in the eyes, and in the corners of the eyes. ─ Nocturnal agglutination of the eyelids. ─ Bleeding of the eyes, often with strong congestion in the head. ─ Quivering and trembling of the eyelids. ─ Black, flying spots before the eyes. ─ Myopia. ─ Insensibility of the pupil.

Ears

Otalgia in the evening. ─ In the evening, redness and heat of the (r.) external ear. ─ Want of cerumen. ─ Flow of fetid pus from the inner ear. ─ Obstruction of the ears. ─ Pulsations in the ears. ─ Tingling and buzzing in the ears. ─ Swelling of the parotids.

Nose

Itching in the nose, with tickling and tingling in the nostrils. ─ Redness of the tip, and scabs at the point of the nose. ─ Obstruction of the nose, esp. towards evening, or serous flow, without coryza. ─ Violent coryza, with hoarseness and rawness of the chest, tingling and tickling in the nose, and ineffectual inclination to sneeze. ─ Frequent and continued epistaxis, esp. at night and in the morning, with paleness of the face, or else after having stooped, or after straining to evacuate.

Face

Paleness of the face. ─ Complexion yellow, greyish, greenish. ─ Face hippocratic. ─ Tractive pains, acute pullings, piercings, and burning pains in the bones of the face. ─ Swelling of the face and of the cheeks. ─ Tetters in the face. ─ Furunculi before the ear, and under the jaw. ─ Red pimples on the face (in young persons). ─ Swelling of the lips. ─ Lips cracked. ─ Purulent blisters on the lips. ─ Fissures of the ulcerated lips. ─ Eruptions, like tetters, on the chin, and on the commissures of the lips. ─ Twitchings of the upper lip.

Teeth

Toothache, with pulling or drawing pains; acute, or contractive, ulcerative, or pulsative pains, provoked by taking anything hot or cold, as well as by food too salt. ─ Obstinate looseness of the teeth. ─ The gums recede from the teeth (incisors). ─ Unfastening, retraction, excoriation, and ulceration of the gums. ─ Bleeding of the gums, and sockets of the teeth.

Mouth

Heat and dryness, or accumulation of water in the mouth. ─ Dryness of the mouth, without thirst. ─ Roughness in the mouth and on the tongue. ─ Tongue coated white or yellow-brown. ─ Stomacace. ─ Excoriation of the tongue, with difficulty in moving it.

Throat

Sore throat, as if from internal swelling. ─ Sensation of constriction in the throat, with impeded deglutition. ─ Smarting, scraping, and burning pain in the throat, the palate, and the gullet. ─ Feeling of coldness in the throat. ─ Pain of excoriation in the throat on coughing, on blowing the nose, and on swallowing. ─ Rattling from much phlegm in the throat, which is easily detached. ─ Swelling and inflammation of the uvula, with stitches in the throat.

Appetite

Bitter taste. ─ Salt taste in the mouth, and of food. ─ Want of appetite, or thirst and immoderate hunger. ─ Chronic dislike to meat, milk, and fat. ─ Desire for salt food, or food sweetened with sugar. ─ Great desire for coffee. ─ After a meal, but esp. after taking milk, great inflation of the abdomen, acidity in the mouth, and sour risings. ─ Sweat, esp. during a meal. ─ Great heat after drinking wine. ─ After dinner, confusion of the head and pressure of the stomach, or headache, heaviness in the limbs and mental anxiety. ─ Weakness of digestion; the plainest food inconveniences him.

Stomach

Empty or bitter risings. ─ Risings of food, and esp. of fat food. ─ Sour risings, esp. after a meal. ─ Pyrosis. ─ Hiccough after every movement. ─ Nausea, esp. in the morning, after a meal, or at night. ─ Continual nausea. ─ Flow of water from the stomach, like saliva, even in the night. ─ Vomiting of blood; of food in the evening. ─ Heaviness, fulness, and tension in the stomach. ─ Cramps in the stomach, contractive, or pressive and burning, with accumulation of flatus, and great sensitiveness of the epigastrium. ─ Sensation of scraping and of trembling in the stomach. ─ The pains in the stomach are aggravated or renewed by fright, opposition, a chill, as well as after a meal, or at night, and esp. after having taken flatulent food, also by suckling. ─ Colic, with the sensation of a burning pressure; much flatulence and sensitiveness of the pit of the stomach. ─ Pressure at the pit of the stomach, as if the heart were going to be crushed, esp. in suckling women.

Abdomen

Pain in the hypochondria like that of a bruise, and esp. in the hepatic region, chiefly when it is touched. ─ Shooting pain under the ribs. ─ Tension, pressure, and shootings in the hepatic region. ─ Shootings in the spleen. ─ Pressure of the clothes on the hypochondria. ─ Pains in the umbilical region on its being touched. ─ Heaviness, fulness, inflation and tension of the abdomen, with heat in the whole body. ─ Colic, produced by the motion of a carriage. ─ Pressure and cramps in the abdomen. ─ Pain in the abdomen, as from lifting a weight, or from dislocation. ─ Burning pain and great anguish in the abdomen. ─ Pinching in the abdomen, coming from the l. side and tending towards the r. side, with sensation of paralytic weakness in the thigh. ─ Much flatulency, esp. after a meal, and sometimes with sensation of torpor in the abdomen. ─ Flatulent, cramp-like colic, even at night. ─ Borborygmi and movements in the abdomen. ─ Excessive discharge of flatus, of a putrid smell. ─ Aggravation of the abdominal sufferings after eating the smallest portion of food. ─ The pains in the abdomen are often accompanied by anxiety and tears. ─ He cannot bear any tight clothing around his waist and abdomen.

Stool and Anus

Constipation. ─ Hard, tough, scanty stool. ─ Insufficient evacuations. ─ Difficult evacuations, without being hard, with straining, burning pain in the anus, and pains similar to those of parturition, in the abdomen. ─ Evacuations liquid, pale or mucus-like. ─ Discharges of mucus and of blood instead of fæces during the evacuation, with cries (in children). ─ Involuntary evacuations of substances of a putrid smell. ─ Discharge of blood from the anus with every evacuation. ─ After the evacuation, aching pain in the abdomen. ─ Large painful hæmorrhoidal tumours of a deep blue colour at the anus. ─ Fluent hemorrhoids. ─ Shooting, itching and burning pain in the anus. ─ Discharge from varices. ─ Discharge of tænia. ─ Discharge of a viscous and corrosive serum from the anus and rectum, esp. at night. ─ Excoriation and oozing at the perinæum.

Urinary Organs

Diminution of the secretion of urine. ─ Frequent, anxious, and urgent inclination to make water, day and night. ─ Wetting the bed. ─ Urine red, and very deep-coloured, as if it were mixed with blood. ─ Urine of a deep red, with a dark cloudy appearance. ─ Copious urine, of a clear yellow colour, or thickish and whitish (diabetes). ─ Smarting on making water. ─ Constriction of the urethra every morning.

Male Sexual Organs

Extraordinary affluence of voluptuous thoughts. ─ Frequent pollutions. ─ Too speedy emission in coition; followed by roaring in the head. ─ Smooth, red, and oozing spots on the glans penis. ─ Discharge of prostatic fluid while at stool. ─ Itching and moisture at the thigh, near the scrotum. ─ Pressure in the testes.

Female Sexual Organs

Premature and too copious catamenia; or too feeble, with pale blood. ─ Before the catamenia, cramps in the abdomen and headache. ─ During the catamenia, vomiting and pains in the teeth, head, loins, and abdomen. ─ Itching, burning, excoriation, aphthæ and swelling at the vulva. ─ Varices on the pudenda. ─ Milk-white, thick and yellowish, greenish and corrosive discharge from the vagina. ─ Leucorrhœa before the catamenia. ─ Disposition to miscarriages. ─ Inflammation of the mammæ.

Respiratory Organs

Prolonged hoarseness, esp. towards the evening. ─ In the morning and in the evening hoarseness, aggravated by prolonged conversation, more esp. by cold and damp weather. ─ Loss of voice at night, or when talking. ─ Scraping, tingling, and tickling in the larynx. ─ Cough excited by a tingling in the throat, or with burning pain and sensation of excoriation in the chest. ─ Soreness and ulcerative pain in the larynx and pharynx. ─ Cramp-like cough, also with retching, and vomiting, three or four times a day, or else in the evening, for a long time successively. ─ Spasmodic hollow cough (whooping-cough); four or five attacks every day, caused by a tingling irritation in the larynx; expectoration only in the morning, yellow, like pus; brownish; bloody; tasting putrid, sour, salt, and of offensive smell. ─ The cough is < in the evening; till midnight; from movement; when walking in the open air; from cold, wet weather: from going from a warm to a cold place; after lying; after eating and drinking; esp. cold things; from talking. ─ Cough in the evening before going to bed, and in bed. ─ On coughing, painful shootings in the head. ─ Cough, with expectoration of greenish mucus, or of a yellowish pus. ─ Cough, with spitting of blood and burning pain in the chest. ─ Cold breath.

Chest

Laboured respiration and shortness of breath, while walking. ─ Wheezing and rattling of mucus in the chest. ─ Great difficulty of respiration, and oppression of the chest. ─ Fits of suffocation caused by flatulency. ─ On breathing, painful throbbing in the head and teeth. ─ Frequent want to take a deep inspiration. ─ Want of breath, esp. in the evening in bed. ─ Burning pain, shootings, and pressure on the chest (hydro thorax). ─ Compression and cramp-like constriction in the chest. ─ The chest is tight, with a sensation of fulness and anxiety. ─ Pains as from excoriation in the chest. ─ Sensation of fatigue in the chest. ─ Burning pain in the region of the heart, with congestion in the chest, and violent palpitation of the heart. ─ Rheumatic, drawing pains, acute pullings and pressure on the chest. ─ Brownish spots on the chest. ─ Brown-yellow blotches on the chest. ─ Erysipelatous inflammation of the mammæ.

Neck and Back

Rigidity of the nape of the neck. ─ Swelling of the cervical glands. ─ Rheumatic, drawing pains, acute pullings and shootings in the back, the nape of the neck, and the muscles of the neck. ─ Continual shootings in the loins, esp. on making a false step. ─ Rigidity of the dorsal spine. ─ Painful stiffness of the back in the morning, when rising. ─ Itching pimples on the back. ─ Itching, excoriation, and oozing under the armpits.

Upper Limbs

Acute drawing and burning pains in the muscles and in shoulder-joint. ─ Pulling and acute drawing pains in the forearms, the wrists, and the fingers. ─ Relaxation of the muscles of the arms and of the hands, on laughing. ─ Tension in the joints of the hand, as if they were too short. Cramp-like contraction of the hands. ─ Heat of the hands; burning in the hands. ─ Icy-cold hands. ─ The tips of the fingers are covered with cold sweat. ─ Paralytic weakness of the wrists and of the fingers, esp. on grasping an object. ─ Fine granulated, and itching eruption on the hands. ─ Extremities of the fingers become ulcerated.

Lower Limbs

Torpor and insensibility of the legs and feet. ─ Drawing and paralytic pain in the legs. ─ Acute pulling, and drawing, burning pains in the hip and knees. ─ Strong tension and cramp-like pains in the coxo-femoral joints, the thighs, and the knees. ─ Aneurism in the ham, with tensive pain and pulsation. ─ Tetters in the knee. ─ Cramps in the legs, and (esp.) in the soles of the feet, and at night, in the calves of the legs. ─ Fetid and easily bleeding ulcers, in the legs. ─ Obstinate torpor in the feet. ─ Perspiration of the feet. ─ Redness and swelling of the toes, with shooting pain, as if they had been frozen. ─ Ulceration in the extremity of the toes. ─ Senile gangrene, which begins in the toes and works all the way up the limb.

Generalities

Pains with anxiety, heat and complete discouragement, or with dejection after the paroxysm. ─ Acute pullings and arthritic drawing pains, with paralytic weakness, chiefly in the limbs, and sufferings from flatulency, or with difficulty of respiration, when it is the chest which is attacked. ─ Pain as from dislocation in the limbs, or pain as if caused by a strain in the loins. ─ Burning pains in the limbs and in the bones, ulcers. ─ Pulsation in different parts of the body. ─ Sufferings from a strain in the back, or from riding in a carriage. ─ Trembling and jerkings in the limbs by day. ─ Numbness of the limbs readily induced. ─ The majority of symptoms appear while walking in the open air. ─ Emaciation, esp. of the face. ─ Contusive pain in all the limbs, esp. in the morning, immediately on rising. ─ Great weakness of the flexors. ─ Great debility and weakness as soon as he makes the least exertion. ─ Excessive dejection, frequently proceeding to fainting, even in the morning in bed, or else at the beginning of a walk. ─ Sudden prostration of strength. ─ General dejection towards noon, with necessity to support the head, and to be still. ─ Paralysis, and total absence of pulse. ─ Liability to take cold.

Skin

Sensation of tingling of the skin, throughout the body. ─ General itching in the evening, and on becoming warm in bed. ─ Burning sensation in different parts of the skin. ─ Eruption of small pimples like miliary scabies. ─ Nettle-rash. ─ Tetters. ─ Streaks of a reddish brown. ─ Painless ulcers in the extremities of the fingers and of the toes. ─ Fetid ulcers, with burning pains, and discharge of corrosive and bloody pus. ─ Chilblains. ─ Varices. ─ Plexus of the veins, formed by a dilatation of the capillary vessels, with violent hæmorrhage, after the slightest injury. ─ Lymphatic swellings, with suppuration and burning pains. ─ Swelling and induration of the glands. ─ Gangrenous spots from lying in bed; old wounds having heated break out again; punctured wounds which won't heal.

Sleep

Strong inclination to sleep during the day, disappearing on movement. ─ Sleep in the morning, or early in the evening (with sleeplessness at night). ─ Comatose sleep, with rattling in the throat. ─ No sleep, with inability to open the eyes. ─ Retarded sleep and sleeplessness caused by uneasiness in the body. ─ At night, or in the evening, when in bed, headache, anguish, with oppression of the chest, startings and pains in the limbs, cold in the hands and in the feet, &c. ─ Dreams frequent, fantastical, anxious and terrible, with tossing about of the body, or with starting and fright.

Fever

Shivering and cold in the body. ─ Febrile shivering in the evening and at night, followed by transient heat. ─ Fever with thirst during the cold stage only, or with profuse perspiration followed by shiverings. ─ Febrile state with comatose drowsiness, râle, cold sweat on the face and at the extremities, face hippocratic, pulse small and evanescent. ─ Pulse, small, weak, imperceptible; uneven; intermitting. ─ Febrile condition at night, with general heat, and burning heat in the hands and feet. ─ Frequent attacks of transient heat. ─ Nocturnal sweat. ─ In the morning, acid sweat. ─ Cold sweat on the limbs and on the face.

The Guiding Symptoms of Our Materia Medica

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

Mind

Falls down insensible.
Stupor, collapse.
Memory feeble, flow of ideas slow ; tendency to fixed ideas.
Periodical want of memory ; headache as if integuments of head were contracted ; hat presses on head as a heavy burden ; when taking off hat, he feels as if a handkerchief were tied round head ; creeping in integuments of occiput as if hairs were in motion.
Confusion of head, making thinking difficult ; morning on waking ; he had to make great exertion, as if arousing himself from a dream.
When it became dark in her room, frightful shapes appeared before her eyes ; started from anxious dreams.
Flightiness at night.
Voluptuous fancies.
Quiet delirium. θ Typhus.
Frequent screaming.
Indifference ; heard everything without feeling pleasantly or unpleasantly, and without thinking of it.
Lack of cheerfulness in evening.
Feels unhappy with every little pain.
Nightly fear of ghosts. θ Worm affections.
Anxiety : as if oppressed ; with heat in face ; accompanied by shuddering ; on closing eyes ; in evening after lying down ; on awaking.
Great anxiety and heat with pains.
Trembling anxiety in morning.
Anxiety and uneasiness causing him to tremble all over, as if he had committed a crime, ending in weeping, even before strangers ; painful hiccough in œsophagus.
Very irritable, excitable and inclined to anger.
Peevish, wrathful ; child wishes to vent itself in rage, strikes, kicks, bites. θ Worm affections.
Obstinacy.
Much excited in evening, with distended veins.
Restless, anxious ; 4 to 6 P. M.
Easily frightened or startled. θ Dysentery.
Starting with fright on going to sleep.
Worse after mental exertion.

Sensorium

Vertigo : with momentary attacks of fainting ; had to hold on to something ; from quick movements of head ; with dark color of face ; with nausea, particularly on looking out of window ; when stooping, < walking and
sitting ; from flatulence ; venous stasis, especially after a debauch ; in bed ; when sitting up after sleep.
Vertigo, with pain in forehead. θ Chronic catarrh.
Whirling in head, whole day.
Confusion of head, which makes thinking difficult.
Fainting after sleep, after rising, or while yet in bed, mornings ; belching ; caused by debilitating losses, or abuse of mercury.

Inner head

Violent tearing in forehead, at a small spot near temple.
Pain in right side of forehead and head. θ Intermittent fever.
Aching or beating over eyes, or in whole head, commencing at nape of neck ; < evening after a meal, with congestion to head ; after a debauch.
Pressive headache just over eyes, with tears ; eyes pain on moving them.
Pressure across forehead, weighing down eyelids, < by weight of hat.
Pressure in forehead, temples and vertex.
Frontal headache with vertigo.
Sensation as if a strap was drawn tightly across forehead.
Pressive pain on vertex, with soreness of hair to touch.
Stitching headache extending to occiput in evening.
Tearing and drawing in left side of occiput.
Dull headache in occiput ; violent pressive pain in lower portion of occiput ; feeling of weight.
Sensation of emptiness in head, with hunger.
Burning in head ; head and hands hot.
Head feels heavy as lead.
Sensation of electric shocks in head.
Painful throbbing in head, during inspiration.
Throbbing with head in head and fulness, after a meal and in evening.
Pulsating in head, as though he would be attacked by paralytic stroke.
Headache as form constriction of scalp.
Constrictive headache, with nausea.
Painful stitches through head, when coughing.
Headache : causing nausea ; with great weakness, faintness and pain in every limb ; from becoming overheated ; on awaking from sleep ; with burning here and there on body, in morning.
Rush of blood to head followed by nosebleed.
Congestion to head, with spasmodic constriction, nausea and pressure over eyes, feeling of coryza ; from overheated rooms.
Awakes with sensation of congestion of brain.
Acute pain in head extending to upper maxilla.

Outer head

Head painfully sensitive to pressure, especially of hat ; < from taking cold or chilling of head, and from getting warm in bed.
Scalp painful to touch.
Hat pressed upon head like a heavy weight, and he continued to feel the sensation even after taking it off, as if head was bound up with a cloth.
Pressing and burning tearing on outer head, especially in muscles of occiput and nape of neck ; > from sitting quietly in warm room.
Sensation of contraction in integuments of head, which causes a cramplike tension in brain, < from pressure of hat and overheating, > from uncovering head.
Head sensitive to cold, easily becomes chilled, especially after overheating and sweating of it ; affections following it are < in morning and on walking in open air, > in warm room.
Sweat on forehead, often cold.
Inclination to lie and rest with head high.
Feeling as if hair stood on end.
Falling out of hair (after severe diseases or abuse of mercury), with great sensitiveness of scalp to pressure.
Hair falls out, < on back of head ; scalp itches in evening, when warm in bed ; occasioned by severe illness or after parturition.

Sight and eyes

Eyes dull, lustreless, deep-set, pupils do not react to light. θ Typhus.
Black spots floating before eyes ; also flickering, flames and rings.
Objects near her constantly become narrower and smaller.
Eyes become weak and ache, from overwork or fine work ; myopia.
Pressure and aching in eyeballs.
Pains in eyes after lying down.
Eyes pain in evening.
Burning in eyes.
Pressing and burning in eyes.
Feeling of sand in eyes. θ Intermittent fever.
Heavy weight seems to rest on eyes ; must make exertion to distinguish letters when reading.
Muscles of eye pain, when looking up.
On attempting to speak, motion of eyes as from stitches in them.
Hemorrhage from eyes, generally with burning. θ Congestion to head. θ Whooping
cough.
Burning and pressure in canthi.
Itching about eyes and in margin of lids, particularly in morning.
Lids agglutinated.
Discharge of thick, flesh-colored, offensive moisture from right eye.
Lachrymation.
(In sick :) Aching pain in orbits and in eyeballs passing to back of head ; paroxysm passes away for a few minutes and then returns ; > on walking in open air, < on lying down.

Hearing and ears

Hearing very acute.
Ringing in ears ; buzzing.
Rustling in ears, as of straw, whenever jaws are moved ; discharge of a thickish, flesh-colored, badly-smelling liquid from ear ; painful eruption on upper lip.
Roaring in ears accompanies vertigo ; with scanty earwax.
Illusions of hearing ; he thought he heard some one approaching his bed.
Deafness, particularly after acute exanthema or abuse of mercury ; ears too dry.
Tearing and aching in ears from within outward.
Ulceration of internal ear and discharge of pus.
Something heavy seems to lie before ears ; they seemed stopped, hearing not diminished.
Deficient or badly-smelling cerumen.
Yellow earwax with dryness of ears.
Offensive otorrhœa.
External ears swollen and hot.
Pain from right ear down neck, on turning head ; after itchlike eruptions.
Left ear hot and red every evening.
Parotitis, swelling grows hard. θ Mumps.

Smell and nose

Nosebleed : before attack of fainting ; several times daily for weeks ; face pale before and after every attack ; after straining at stool ; small, intermittent pulse ; after debauch ; in old or debilitated people ;
after fevers.
Frequent copious and easy epistaxis ; < at night or in forenoon, followed by pain over chest ; blood thin and black, generally < at night ; excited by emotions or jarring.
Ineffectual desire to sneeze, with crawling in left nostril.
Frequent sneezing, with constant and violent crawling and tickling in nose ; lachrymation and biting pain in and above nose. θ Hay asthma.
Dry nasal catarrh ; nares obstructed.
Severe coryza with hoarseness and rawness on chest. θ Hay asthma.
Watery fluid discharge from nose, or stoppage, < towards evening.
Stoppage of nose.
Nasal catarrh, with sore throat. θ Measles.
Drawing in root of nose.
Itching of nose, particularly around nostrils. θ Coryza.
Nose pointed ; hippocratic face.

Upper face

Face : very pale ; greyish-yellow ; greenish ; hippocratic.
Pale face, flushes to roots of hair after a little wine. θ Asthma.
Drawing and aching pains in facial nerve.
Tearing pains in left half of face.
Jerking tearing in right upper maxilla.
Facial and maxillary bones sore.
Jerk-like tearing in left zygoma, in front of ear, in evening, in bed.
Drawing pain in upper and lower jaw on both sides, with drawing in head and confusion of it.
Soreness of facial bones of upper and lower jaws.
Face hippocratic. θ Typhus.
Corpselike face.
Cold sweat on face.
Face cold ; tongue cold and contracted.
Glowing redness of face with a fine network of capillaries as if marbled.
Swelling of upper lip and cheeks, with jerking pain.
Red cheeks ; sometimes red and covered with cold sweat.
Painful eruptions on upper lip ; the vermilion border is covered with pimples.
Acne in face of young people.
Parotitis.
Herpetic eruptions in face.
Lupus vorax in face.

Lower face

Brown, or blackish-looking cracked lips.
Swelling of lips.
Lower lip red and swollen on inside, preventing her from speaking.
Quivering or twitching of upper lip.
Chattering of chin.

Teeth and gums

Tearing in incisor teeth.
Teeth feel long and are sore.
Drawing and tearing pain in molars.
Tearing in teeth from hot, cold or salt food ; < when touched with tongue.
Pain in teeth on left side, < in open air, > after eating.
Toothache : constricting ; clucking ; from cold and warm substances taken into mouth.
Looseness of teeth, with bleeding of gums, which are very sensitive.
Teeth decay rapidly.
Sore pain in gum during day.
Gum painfully sensitive when chewing.
Gum retracts from lower incisors.
When sucking gum, pure blood flows into mouth, in forenoon, returning several days at same time.
Bleeding of teeth when cleaning them.
Pustules on gum ; gumboils.
Aphthæ or thrush.
Teeth and gum affections from abuse of mercury.

Taste, speech, tongue

Bitterness on palate, tongue dry.
Bitter taste before and after eating.
Bitter taste, with clean tongue, particularly in old women.
Sour taste in mouth after eating.
Saltish taste.
Tongue heavy, with difficult speech.
Tip of tongue raw and dry ; heat in mouth.
Sensitiveness of tongue becomes indurated.
Tongue turns black. θ Typhus. θ Yellow fever.
Tongue red and dry, or covered with dirty crust. θ Typhus.
Tongue : white ; coated with yellow-brown mucus ; lead-colored ; blue, sticky, moist ; dry, parched, fissured ; black.
Tongue cold. θ Asiatic cholera. θ Yellow fever. θ Typhus.
Small ulcers scattered through mouth ; greyish color, burning like live coals ; ulcers are small, grey, deep and isolated.

Inner mouth

Mouth and breath cold. θ Cholera. θ Yellow fever.
Mouth hot, tongue almost immovable, saliva bloody ; edges of gums yellow, indented ; gums loose, receding, ulcerated.
Heat in mouth, especially in upper lip, with rawness and dryness of tip of tongue.
Dryness, or increased collection of saliva in mouth, which is often stringy.
Tough mucus in mouth, putrid taste and loss of appetite.
Foul taste and offensive odor from mouth.
Stomacace.
Foaming at mouth, or extreme sweating ; animal lies down and bores head backward, towards nape of neck. θ Anthrax.
Hemorrhage from nose and mouth ; blood black.

Palate and throat

Pressive pain on posterior part of palate.
Swelling and inflammation of uvula, with stitches in throat.
Burning and biting feeling in fauces.
Sloughing of some parts of swollen fauces ; fetid ichor.
Sensation in pharynx as if it was swollen or contracted.
Pressive tearing in muscles of throat.
Scraping, rawness, burning in throat.
Small burning spots in throat. θ Stomacace.
Sore throat, with ptyalism.
On small spots in throat, sensation of something acrid and corroding, which produces suffocative cough. θ Stomacace.
Tough mucus in throat, as though lump was there which cannot be removed. θ Stomacace.
Hawking of much mucus from throat.
Throat feels as if dried with blotting paper. θ Stomacace.
Food cannot be easily swallowed ; throat seems constricted ; no pain.
Inflammation of œsophagus.

Appetite, thirst. desires, aversions

Inordinate appetite or thirst.
Hunger, with feeling of emptiness in head.
Want of appetite ; eats only dinner ; feeling of relaxation and weakness of muscles of limbs.
(In sick :) Thirst, with diarrhœa.
Longing for coffee ; acids ; for sweet and salt things.
Aversion to meat and fat things ; to milk, which causes flatulence.

Eating and drinking

After eating : headache ; acidity in mouth ; plainest food disagrees ; heaviness, fulness (more after supper), sleepiness ; nausea, vomiting ; feels as if abdomen would burst ; < after debauch from rich living.
Dreads to eat because of pains ; burning in epigastrium and deep in abdomen.
Everything that he eats causes eructations of wind. θ Intermittent fever.
After milk, sour eructations.
Gastric symptoms : from wine ; coffee ; too much milk ; excessive use of butter, or from rancid butter, from fats in general ; fish, especially if tainted ; from wine drinking ; from mixed beverages in hot weather ; from ice water or different
waters ; from flatulent vegetables ; abuse of salt or salt meats.
Affections after fat and fat foods, pastry, etc., which are not cured by Pulsat.

Hiccough, belching, nausea and vomiting

Violent eructations, almost constant ; offensive smelling eructations ; tasting of butter which was eaten ; bitter ; sour or rancid, after eating or drinking, with gagging, almost vomiting.
Gulping up of food.
Frequent empty eructations, mostly in afternoon, also when preceded by pinching in abdomen.
Pyrosis, great flow of water. θ Catarrh of stomach.
Pyrosis : excessive amount of gas constantly belched, which tasted hot and acrid ; stomach distended and tender.
Pyrosis at night.
Frequent qualmishness ; he did not vomit, however.
Nausea : and disgust for food, after eating soup ; in morning, an hour after waking, with qualmishness in stomach ; after breakfast, fulness in abdomen, vomiting and restlessness, so that she does not know how to lie, with pain in stomach.
Cannot bear sun ; she becomes nauseated, sick feeling in stomach and abdomen. θ Intermittent fever.
Vomiting on recovering from insensible condition.
Vomiting after eating.
Much vomiting at end of chill. θ Intermittent fever.
No vomiting ; diarrhœa, spasm or pain. θ Cholera Asiatica.
Vomiting : of blood ; of food, in evening ; of sour, bilious bloody masses.
Hematemesis : body icy cold ; breath cool ; pulse thready, intermittent ; fainting ; hippocratic face ; blood black and thick.

Scrobiculum and stomach

Epigastric region very sensitive ; aching and griping in it, as from flatus.
Burning, lancinating in epigastrium and deep in abdomen ; < from eating ; with anguish, flatulency and diarrhœa.
Burning in stomach, with a creeping sensation up to throat.
Burning in stomach, spreading down to small of back and up to shoulders. θ Gastralgia. θ Cancer.
Soreness and burning in stomach, with weakness, causing dyspnœa.
Sensation of rawness in stomach, rising into œsophagus to middle of chest.
Spasmodic pain in stomach, compelling to crouch forward, and impeding respiration.
Gastralgia, especially when there is much flatus and a burning ache.
Contractive cramp, day and night, extending to chest ; abdomen distended ; must bend double, < lying down ; pain paroxysmal, takes away breath.
Pain in stomach from nursing, or other loss of fluids.
Feels acidity in stomach feels heavy and as if hanging down.
Great accumulation of flatus in stomach.
Acidity of stomach, with eructation of wind.
Trembling in region of stomach.
A contractive sensation beneath stomach.
Stomach feels tense and full ; flatulence.
Discomfort and pressure in stomach, after eating.
Distension of stomach and abdomen.
Pain in stomach, < an hour after eating.
Cancer of stomach, with burning pains.

Hypochondria

Right lobe of liver painful ; burning pain in region of liver.
Bruised pain in liver.
Stitching pain in region of liver and epigastrium, also in spleen, and thence to both sides, increased by deep inspiration.
Tension in region of liver, as if it was too short there, on waking from midday nap.
Region of liver very sensitive and painful to touch ; clothing unendurable. θ Jaundice.
Constant, dull, heavy feeling in liver. θ Intermittent fever.
Pressing, pinching in region of spleen ; quick lightning-like stitches ; abdomen bloated.
Pain, as if beaten, in hypochondria.
Dull pain in right hypochondrium.
Drawing pains around waist, half an hour after food, especially in evening ; stomach feels as if full of wind ; bowels loose ; urine pale.
Pain and tenseness in hypochondria.

Abdomen and loins

Colic : from flatulence, abdomen full to bursting ; pain < about bladder, or left of epigastrium ; < from least food ; > from passing flatus, or hard stool ; < or excited by riding in a carriage.
Cutting and griping in abdomen, after fainting.
Violent constrictive, labor-like colic, 3 A. M.
Pinching, or pressive colic in lower abdomen.
Dragging or griping colic, after a stool.
Pain in bowels, as from lifting or a sprain, as soon as she lies upon side ; mostly in one side of abdomen.
Abdomen feels as if hanging heavily ; walks bent.
Accumulation of flatus in right side of upper abdomen, more towards back, with pinching pains.
Much flatulence and distension of abdomen, caused by things which usually digested easily.
Flatus collects here and there in abdomen, under short ribs, in hypogastric region, causing pinching and pressure, and very gradually passing down into rectum, with sensation of heat.
Meteroristic distension of abdomen. θ Typhus.
Meterorism, with loud rumbling ; fetid or odorless flatus.
Abdomen distended, > from passing wind upward or downward.
As pain decreases, gurgling begins in abdomen.
Pain above umbilicus on touch.
Burning on skin of right side of abdomen.
Engorgement of portal system.

Stools and rectum

Flatus hot, moist, offensive.
Passage of offensive, at least moist, flatus, with painful dragging towards sacrum, and thence towards abdomen.
Passages of great quantities of flatus.
Feces escape with flatus.
Stools : burning, light colored, fetid, watery, bloody, with tenesmus ; covered with filamentous yellow mucus ; last part bloody ; putrid, cadaverous smelling, involuntary ; dysenteric, terribly offensive ; thin, pale mucous ; in fragments, tough,
scanty, with urging and tingling in rectum, and pressure on bladder and uterus.
Stools of ashy grey color, and mushy consistency. θ Carditis.
Putrid stools, cold breath, after stool pressing in small of back towards bladder and in rectum, with burning in rectum ; feeling of emptiness, weakness, anxiety and trembling debility. θ Dysentery.
Profuse diarrhœa in tuberculous patients, with great tympanitis.
Painful diarrhœa of old people.
Even soft stool enveloped in mucus ; tough, scanty, not properly cohering stool.
Ineffectual urging to stool ; only wind passes with painful pressure in rectum.
Before stool much pressure with, at same time, pressure on, bladder and in back (frequent in women) ; at last with pains like labor, and great straining, a soft stool is voided.
Tenesmus in rectum.
Stitch through rectum from os coccygis as if with a hot pin.
In rectum and anus, burning, both independently of, and during, the evacuation of flatus and stool.
Itching and burning, stitches and cutting pain at stool.
Burning in rectum.
Gnawing in rectum when not at stool.
Crawling in rectum ; ascarides.
Acrid, corrosive moisture from rectum.
Hemorrhoids : protrude ; blue ; suppurating and offensive ; with burning ; after debauchery ; cause dysuria ; after abuse of sulphur, with extreme acidity of stomach and obstinate intestinal and gastric catarrh, with extreme secretion of mucus ;
hemorrhoidal conditions with epistaxis.
Stitches towards anus.
Burning in anus after a stool.
Sticking in anus during stool, as with needles.
Soreness of anus.
Itching of anus.
A glutinous moisture of a musty odor exudes in considerable quantity from anus, at night.
Passage of mucus, with urging and after stool.
More of a relaxation than contraction of anus.
Soreness of perineum, with painful itching when touched.
Soreness of perineum, with painful itching when touched.
Soreness, with itching and moisture of perineum at night.
Rawness and chafing of children in hot weather.
Cholera Asiatica, stage of collapse.
Intestinal ulcers, with profuse stools, resembling washings of flesh, smelling like carrion. θ Typhus.
Bowels inactive and constipated. θ Intermittent fever.
Passage of tapeworm.

Urinary organs

Soreness at neck of bladder.
Pressure on bladder.
Tearing in urethra on urinating, and the last drops are like mucus.
Frequent, anxious urging to urinate, day and night.
Cutting pain on urinating.
Incontinence of urine ; wetting bed a night.
Urine almost suppressed, dark in color ; thick, with stale odor.
Urine suppressed. θ Cholera Asiatica.
Urine : scanty, reddish, turbid, as if mixed with blood ; too dark ; with red sediment ; bloody, with varices of anus and bladder ; copious, light yellow, diabetic ; milky.
Blennorrhœa vesicæ ; old people.
Morbus Brightii, from abuse of alcohol.

Male sexual organs

Sexual instinct suppressed.
Seminal discharge too early during coitus, followed by roaring in head.
After sexual excesses and onanism.
Onanism during sleep.
Too frequent pollutions, particularly in morning.
Prostatic discharge, while straining at stool.
Smooth, red, moist spots on glans penis.
Pressure in testicles.
Swelling of testicles from metastasis of mumps.

Female sexual organs

Menses : too early, too profuse ; blood pale or thick, corrosive, acrid smelling ; scanty ; too frequent, preceded by spasmodic colic, and attended by violent headache and colic ; preceded or followed by leucorrhœa.
At the time menses should appear, violent itching of old tettery eruptions.
Menorrhagia, burning across sacrum, passive flow.
Metrorrhagia from uterine atony ; cold and deathly pale, wants to be fanned.
Burning, smarting and soreness, with abundant leucorrhœa, most abundant in early morning.
Corroding leucorrhœa, with swelling of female genitals. θ Prurigo.
Leucorrhœa : thin, in morning on arising, not through day ; milky, excoriating ; thick yellow, preceding or following menses ; intermitting, coming and going suddenly ; with soreness and rawness in pudenda.
Vaginal fistula, burning pains.
Varices of vulva, itching of vulva and anus ; cause dysuria.
Red, sore places on pudenda ; aphthæ ; also during leucorrhœa.
Soreness, itching, burning and swelling of pudenda. θ Prurigo.
Erectile tumors in genitals ; blue, hard, pricking.
Uterine cancer ; paroxysmal spells of burning in uterine region ; varicose veins in genitals ; cold knees in bed.

Pregnancy. parturition. lactation

Labor-pains weak, or ceasing, with great debility ; especially after severe disease or great loss of fluids.
Brown, foul smelling lochia.
Debility from nursing. θ Gastralgia.
Suppression of milk.
Erysipelatous inflammation of mamma.
Lumps in mamma, with induration of maxillary glands, with burning pains. Compare Carb. an. θ Scirrhus.
Neuralgic nodes in mamma.
Intertrigo or chafing of infants.

Voice and larynx. trachea and bronchia

Voice weak or extinct. θ Asiatic cholera.
Deep voice, failing if exerted ; no pain.
Hoarseness : and rawness, < evenings ; aphonia mornings ; in damp, cool weather ; chronic ; < from damp, evening air ; warm, wet weather, and from talking ; resembling a base voice.
Cannot speak a loud word, or voice becomes deep and rough, or fails.
Obstinate hoarseness ; < in evening. θ Tracheitis. θ Asthmatic affections. θ Hydrothorax.
Hoarseness early in morning ; < in damp, cool weather.
Hoarseness ; < in afternoon, evening and from speaking. θ Stomacace.
Hoarseness, following croup.
He is obliged to clear his throat so often in evening that larynx becomes raw and sore.
When coughing, severe pain in larynx and in region of thyroid cartilage, as if ulcerated.
Ulcerative pain or scraping, and titillation in larynx.
Great roughness in larynx, with deep, rough voice, which failed if he exerted it, though without pain in throat.
Tingling, tickling in larynx.
Irritation in larynx causes sneezing. θ Influenza.
Unusual feeling of dryness in trachea, not relieved by hawking.
Laryngeal phthisis with irritative fever ; after Bellad.
Chronic bronchitis, particularly in old people.
Bronchial catarrh, hoarse, mucous rales ; chest and ribs as if bruised ; blue nails and cold extremities.
Whooping cough in beginning ; spasmodic, with retching and vomiting.
In highest grade of croup : bluish color of face, pale, pulse small and intermittent ; difficult breathing and whistling, with complete insensibility and no cough ; rare, muffled cough, semi-comatose or constant restlessness, with clinging to persons.

Respiration

Offensive breath. θ Typhus.
Breath cold. θ Asiatic cholera. θ Yellow fever.
Cold breath, coldness of throat, mouth and teeth.
Breathing short, with cold hands and feet.
Breathing deeply causes fatigue of back.
Loud breathing during sleep.
Loud, rattling breathing ; cough ceases ; œdema pulmonum impending.
Desires to be fanned, must have more air.
Loses breath on turning in bed, or when going to sleep.
Inclination to sigh, and to take a deep breath. θ Intermittent fever.
Difficult breathing, fulness of chest, and palpitation on slightest motion.
Breathing laborious, fulness of chest, and palpitation on slightest motion.
Breathing laborious, quick and short ; only a catching for breath.
Shortness of breath while walking.
Great dyspnœa, great anxiety, but not restless ; cough in violent spells, watery, profuse expectoration. θ Emphysema.
Asthma of old people and of poor, exhausted constitutions ; weakness, trembling ; looks as if dying ; full of wind, but cannot raise it ; > in cold air ; < in morning.

Cough

Cough caused by itching in larynx (with tenacious, salty expectoration), in evening on going to sleep, and in morning after waking.
Half involuntary, rough cough, caused by constant roughness and crawling in throat.
Cough ; spasmodic, hollow, in short, hard spells ; continuous, hard and dry ; caused by a feeling as of vapor of sulphur ; < evening or before midnight ; at times dry, painful, at others with purulent, slimy, offensive, or salty sputa ; with copious sputa
night and morning ; and vomiting after other symptoms of whooping cough are gone ; with painful stitches through head ; < going from warm to cold places ; motion ; walking in open air ; after lying down ; evening in bed from eating or drinking,
especially cold food or drink ; from talking ; on expiration ; during supper.
Cough is mostly hard and dry, and hoarse or rough sounding ; is most apt to occur after a full meal, and ends in vomiting. θ Whooping cough.
Pain in chest after cough ; burning as from a coal of fire.
Soreness of chest and heat of body when coughing.
Every violent coughing spell either brings up a lump of phlegm, which relieves, or it is followed by retching, gagging and waterbrash.
Obstinate cough preventing sound sleep ; getting < towards morning and from talking ; also upon persons approaching or passing ; pulse only 72 ; there is also dyspnœa, and is compelled to lie with head high ; on percussion the whole lung gives forth a dull
sound. θ Hydrothorax.
Spasmodic cough in three or four paroxysms daily.
Itching internally from throat down centre of chest, < when coughing.
Sputa : tough and greenish, yellow green or purulent ; brown, bloody ; or less often tenacious whitish mucus, or watery ; of sour or saltish taste ; of unpleasant odor.
Feeling of mucus in throat, at night, choking her when she coughs, > when sitting up or moving.
Much hawking of mucus.
Continual mucous expectoration, or gagging and vomiting of mucus ; great exhaustion after every coughing spell, blueness of skin, > from hard fanning. θ Pertussis.

Inner chest and lungs

Cutting and aching pain in chest.
Burning under sternum ; rattling of large bubbles ; dyspnœa ; cold knees in bed.
Burning in chest, as from glowing coals ; rawness and soreness.
Hæmoptysis, burning in chest, paroxysms of violent cough, hoarse ; pale face ; cold skin ; slow, intermittent pulse ; wants to be fanned.
Dull stitches in left side of chest, extending into short ribs.
Stitches in chest. Comp. Kali carb.
Oppressive tearing in left chest.
Pressive pain in upper right chest, through to scapula.
Aching and tearing in chest, extending to hips.
In left middle chest painful spot size of dollar, with cough. θ Stomacace.
Pain in chest from drinking cold water.
Pain in left lung, hard, heavy, constant, confined to main bronchial tubes ; great susceptibility to cold ; after inhalation of great heat from a fire.
A tight feeling in chest, and constant desire to cough, from a scraped feeling and a tickling in throat and trachea.
After disappearance of coryza, chest much oppressed, with wheezing and rattling ; he was unable to remain in bed on account of want of air, and cough, which affected him even to vomiting, and was difficult to loosen.
Itching from throat down centre of chest ; < by coughing.
Weak, fatigued feeling of chest, particularly on waking.
Congestion to chest and head.
Pleuritic serous exudation, with hectic fever and evening aggravation.
Asthmatic affections from hydrothorax.
Chronic asthma : once or twice monthly ; > in Summer ; attacks come always during sleep, even after midnight or in afternoon sleep ; patient has to get out of bed and sit by table, and so work off attack ; chest feels as if walled up,
and only with greatest exertion is panting breath drawn.
Inveterate cases of asthma in old people ; < early in morning ; > in cold air ; increase of saliva ; appearance as if dying. θ Asthma.
Coughs day and night, with burning and pressing under sternum ; expectorates yellow, purulent matter and tubercles. θ Phthisis pulmonalis.
Phthisis tuberculosa incipiens, or septic condition with prostration, sunken features, sallow complexion, emaciation and hectic.
Pneumonia : third stage, fetid sputum ; cold breath and sweat ; wants to be fanned ; threatened paralysis of lungs.

Heart, pulse and circulation

Precordial anguish as though he would die.
Burning in region of heart.
Palpitation : excessive, for days ; after eating ; when sitting.
Orgasm of blood, visible palpitation, internal heat, especially when sitting ; anguish and great thirst. θ Carditis.
Pulse, threadlike ; weak and small ; intermittent ; weak and faint ; hardly to be felt.
Pulse very irregular, intermitting, frequent. θ Carditis.
Blood stagnates in capillaries, cyanosis ; cold face and limbs ; cold sweat ; complete torpor ; impending paralysis of heart. θ Yellow fever.
Aneurism ; blue varicosities ; fine capillary network having a marbled appearance.
Sensation of shortness of breath, with tearing, drawing, burning pains of outer chest.
Brown yellow blotches on chest.
Itching and soreness in axillæ.

Neck and back

Tearing in cervical muscles.
Drawing in nape, up into head, with nausea and rush of water from mouth.
Stiffness of nape of neck.
Cervical glands swollen and painful, especially those near nape.
Single, scattered, red spots on neck.
Pain in scapular region.
(In sick :) Pain between shoulders, both sides of spine when moving head ; > from warmth of stove.
Rheumatic drawing in back < when stooping.
Drawing pain in back, mostly when sitting.
Stiffness of back ; spine becomes bent.
Shuddering in back.
Itching acne on back.
Severe pain in small of back, she was unable to sit ; then sensation as of a plug in back, had to put a pillow under it.
Pinching, pressive pain near lowest portion of spine.
Pressing, crampy, labor-like colic in small of back and in bladder.
Pressive, sore pain beneath coccyx.
Burning abut hips and scapulæ and aching along spine.
Rheumatic drawing and aching from loins to coccyx.

Upper limbs

Burning on right shoulders, < from motion and in morning.
Drawing rheumatic pains in right shoulder.
Cramplike tension as though shoulders would be drawn together.
Stitches and burning in right axilla.
Pressing, drawing pain below right axilla, < from motion.
Bruised pain in both elbow joints, painful to touch.
Drawing in arm on which he is lying at night.
Drawing, tearing in left forearm, from elbow to hand.
Arms weary when writing.
Paralytic weakness of right arm and shoulder.
Drawing in shafts of bones of arm painful to pressure.
Lacerating pain in right wrist when trying to grasp an object ; could not retain hold on account of a paralytic weakness in wrist. θ Ganglion.
Tearing : in either wrist ; in fingers of left hand.
Joints of hands, < in windy weather.
Paralytic pain in carpus from motion.
Sensation of shortening of tendons in wrist and hand.
Sprained feeling in right hand.
Hands : burn ; icy cold ; tips of fingers covered with cold sweat ; numb in morning and when washing ; tearing pains in hands and fingers.
Burning in palms of hands, principally when working. θ Phthisis pulmonalis.
Itching in palms of hands at night.
Boring, tearing, drawing, pricking stitches and burning in fingers and finger joints.
Paralytic weakness of fingers when seizing anything.
Cramp of fingers, drawing them out of shape.
White, slightly reddened swelling of fingers, also disappearing suddenly.
Fine itching eruption on hands.
Pulsation in tips of fingers.

Lower limbs

Tearing near and beneath left hip, extending to sacrum.
Drawing pain in hip joints, extending down thighs, < when walking.
Hip disease : third stage, ichorous, offensive discharge ; great weakness.
Severe laming, drawing pain from abdomen down left leg.
Severe paralytic drawing pain, extending from abdomen down into left leg.
Tearing in right hip and thigh.
Stitches in thigh, passing downward when walking.
Crampy pain on outside of left thigh on lifting it, when ascending stairs.
Burning and rheumatic drawing in thighs.
Tension in thigh in morning.
Constrictive pain in thigh, causing leg to give way in walking.
Itching on thigh near scrotum ; the place is moist.
Twitching of muscles of thigh.
Stiffness in thighs on standing up ; numbness when walking.
Stitches in patella on rising after sitting.
Burning in and about knees.
Paralytic pain in knees.
Lassitude and sensation as if knees would give way when walking and standing.
Sensation as though knee was swollen.
Knees go to sleep.
Cold knees, particularly in night.
Tension in knee and hip joints on awaking.
Legs and knees were drawn up involuntarily.
Cramp in lower leg when walking.
Uneasy feeling in legs in evening, in bed ; has to stretch them often.
Left lower leg feels paralyzed.
Lassitude in legs from noon until evening.
Ulcer on leg burns at night ; discharge offensive ; mottled, purple.
In ulcers on leg, gangrene, burning, but < from warmth, yet not > from cold.
Cramp in calves at night.
Stitches in left ankle joint.
On treating, pain as though metarsi were torn apart.
Cramp in soles, evening after lying down ; toes crooked.
Burning in soles of feet.
Pain in soles of feet as though they were too soft when walking.
Stitch in right great toe.
Tearing pains in toes, < from walking.
Toes red, swollen, stinging, as if frosted.
Tearing under toe nails in evening until night.
Tips of toes ulcerated.
Very cold feet in evening.
Continual insensibility of feet to touch.
Redness and swelling of feet, with sticking pains as though frozen.
Feet swollen at night. θ Gastralgia.
Foot sweat when walking.
Tearing in legs, from collection of flatus in bowels.
Sensation of stiffness in legs, after an evening nap, so that he was unsteady while walking until he had walked a little.
Heaviness in lower limbs.
Restlessness of legs.
Limbs go to sleep.
Foot sweat, excoriating toes.

Limbs in general

Burning : in limbs ; in hands and soles, during menses ; in bones and ulcers.
In extremities aching and burning pains, but especially lassitude, heaviness and even numbness ; generally diminished by repose, but often in the legs a restlessness, so that one knows not where to place the limbs.
Violent pressure in arms and legs.
Boring pain in all limbs as if in marrow of bones, before attack. θ Intermittent fever.
Drawing pain in limbs.
Rheumatic pains, with flatulency.
Limbs : feel bruised ; numb ; "go to sleep" when lying on them.
Pains in limbs as though from sprain or overlifting.
Weariness, especially in limbs.
Great weariness and stretching of limbs in morning.
Bruised feeling in joints, > after rising.
Sluggish, tired trembling in limbs, and sweating easily in morning.
Twitching of single limbs during day.
Twitching in arms and legs in evening in bed.
The limb upon which he lies goes to sleep easily.
Coldness of hands and feet, < in evening.
Carb. veg., 3d trit., helped a dog for twitching in the hind legs.

Rest. position. motion

Repose : > aching, burning, lassitude, heaviness, numbness.
Lying in bed, bending double and getting warm > gastralgia.
Lying down : anxiety ; pains in eyes ; cough ; drawing in arm ; cramp in soles ; limbs feel bruised ; < pain in stomach ; on back and stomach.
Sitting : < vertigo ; orgasm of blood ; drawing pain of back ; she had to loosen clothing on account of pressure in scrobiculus cordis.
Rising : after sitting, stitches in patella ; heaviness and stiffness in limbs.
Standing : stiffness of thighs ; lassitude in knees.
Motion : slightest, difficult breathing ; stitches and tearing pain in shoulders ; pressing drawing pain below r. axilla ; > sleepiness.
Moving : jaws, rustling in ears.
Turning : in bed, loses breath.
Washing : tearing pains in hands and fingers.
Writing : arms weary.
Treading : down, pain in metatarsi ; joints feel bruised.
Walking : < vertigo ; head sensitive to cold ; > aching pain in orbits ; shortness of breath : drawing pains in hip joints ; stitches in thighs ; constrictive pain in thigh ; lassitude in knees ; cramp in lower legs ; pain in
soles ; tearing pain in toes ; foot sweat ; stiffness of legs ; weary after a short walk ; most pains appear.
Lifting : thigh, going up-stairs, crampy pain in thigh.
Effects from overlifting.
Inspiration : stitching pain in liver.

Nerves

Vital surfaces nearly exhausted, cold surface, especially below knees to feet ; lies as if dead ; breath cold ; pulse intermittent, thready ; cold sweat on limbs.
Depression, not preceded by erethism or excitement.
Faintlike weakness in attacks.
Weakness makes talking difficult.
Indolent, weary, in morning in bed.
Sensation of great weariness in bed and in morning.
Weary after a short walk.
Prostration towards noon, head feels empty, sensation of hunger.
Lassitude in evening and in open air.
Sensation of weakness in body at night.
Weakness, with trembling in body.
Want of nervous irritability, of susceptibility to medicines.
Collapse. θ Asiatic cholera. θ Yellow fever.
Great restlessness at night. θ Intermittent fever.
After a spree.
Spasms ; also before onset of menses.

Sleep

Sleepiness in forenoon while sitting, and when reading ; removed by motion.
Sleepy during day ; had to sleep before and after noon ; at night sleep full of fancies, weary and unrefreshed on rising.
Early sleepiness in the evening, but cannot go to sleep early after going to bed ; anxiety, restlessness ; congestion of head prevents sleep.
Drowsiness after dinner and in evening.
Frequent yawning and stretching, which seem to do good.
Sleepless, from uneasiness in body ; from orgasm of blood.
Does not fall asleep until 1 A. M.
Awakens often from cold limbs, especially cold knees.
Could not go to sleep at night on account of itching on arms, hands, and between fingers.
Bad effects from night watching or revelling.
Legs drawn up during sleep, which is restless and disturbed by frequent waking.
Flying pains before going to sleep.
Trembling anxiety on awaking.
Night full of dreams ; unrefreshed after sleep.
Restlessness ; she had to go through deep water.

Time

Night : flightiness ; fear of ghosts ; epistaxis ; cramp in stomach ; moisture exuding from anus ; soreness and itching ; frequent urging to urinate ; wetting the bed ; mucus in throat ; drawing in arm ; palms of hand
itch ; cold knees ; tearing under toe nail ; feet swollen ; weakness ; great restlessness ; exhausting sweats ; burning in bed ; sluggishness.
Morning : confusion of head ; trembling anxiety ; fainting after sleep ; headache and nausea ; head sensitive to cold ; itching about eye ; burning-smarting female sexual organs ; cough after waking ; asthma ; stitches and tearing pain in
shoulders ; hand burn ; limbs weary ; tired trembling ; indolent, weary ; exhausting sweats ; extreme lassitude.
At 1 A. M. : does not fall asleep until after.
At 3 A. M. : violent constriction ; labor-like colic.
Forenoon : mouth and gums bleed ; sleepiness.
Afternoon : hoarseness ; drowsiness.
From 4 to 6 A. M. : restless, anxious.
Evening : lack of cheerfulness ; anxiety, as if oppressed ; much excited ; throbbing in head ; scalp itches ; eyes pain ; watery discharge from nose ; jerking tearing left zygoma ; drawing pain around waist ; hoarseness obstinate ;
cough ; hectic fever ; uneasy feeling in legs ; lassitude of legs ; tearing under toe nails ; legs stiff ; lassitude ; sleepy ; drowsiness ; weariness.
Day and night : cough ; itching over body.

Temperature and weather

Ill effects from getting overheated.
Warmth : < ulcers on leg.
Warm room : > head ; in bed, scalp itches.
Warm in bed : itching all over body ; inclination to uncover.
From cold and warm substance taken into mouth : toothache.
Going from warm to cold places : cough.
Cold water : pain in chest.
Cold air : < head ; > inveterate cases of asthma ; susceptibility.
Open air : > pain in orbits and eyeballs ; lassitude.
Damp evening air : < hoarseness.
Damp cold weather : < hoarseness.
Bad consequences from living in damp dwellings.
Windy weather : < joints of hands.
Worse in changes of weather, especially warm, damp weather ; protracted sultry weather.

Fever

Shivering in evening, with weariness and flushes of heat before sleep.
Coldness and chilliness of body, < at night.
Before chill : throbbing in temples ; tearing in bones of limbs and in teeth ; cold feet.
Chill, generally with thirst ; mostly evenings, at times left-sided.
Chill in morning.
Very cold hands and feet in evening.
Chill, with icy coldness of body.
Internal chilliness, with great thirst.
Chill with great thirst, then heat with slight thirst or only in beginning.
Lassitude during chill.
One-sided chills.
Heat, after or independent of chill.
Flushes of burning heat, evening ; generally without thirst.
Heat, with great anxiety, in evening.
General burning heat in evening ; at night, in bed.
Heat and sweat commingled.
Heat and sweat in evening.
During heat : headache, vertigo, redness of face, dimness of vision, nausea, pain in stomach, abdomen and chest, dyspnœa, pain in legs.
Sweat : over whole body after fainting ; during meals.
Sweats easily, especially about head and face.
Exhausting night or morning sweats.
Sweat : profuse ; putrid or sour ; most on upper part of body.
Chill, with a marked degree of thirst ; no thirst, or but slight during fever, but patient wishes to be fanned all the time, as if to compensate for the lack of thirst.
Adynamic and gastric fevers, occurring in hot weather from abuse of ice-water and other Summer beverages.
Hectic fever.
Typhoid and yellow fever patients : cyanotic, coldness of limbs, almost in agony of death ; impending paralysis of heart and collapse.
Yellow fever : third stage, hemorrhages, with great paleness of face, violent headache, great heaviness in limbs and trembling of body. (Obs "Just as the milk of sulphur applied to the skin (worm in the stockings) is the best preventive of cholera, so Carbo vegetabilis (taken
inwardly, and used about the premises) is the best preventive of yellow fever." C. Hg. "In Memphis, 1873, charcoal came much into favor as a prophylactic ; out of more than fifty persons who took it and were constantly exposed to the fever, not one was attacked ; the
usual dose was half a teaspoonful of the crude powder two or three times a day." --Dr. L. Morse.)

Attacks, periodicity

Several times daily for weeks : nosebleed.
Twice monthly : asthma.

Locality and direction

Left : tearing-drawing in occiput ; ear hot ; nostril crawling ; zygoma jerk-like tearing ; pain in teeth ; side of chest, stitches ; oppressive tearing ; wrist and fingers tearing ; leg, laming drawing from abdomen ; paralytic
drawing pain in leg ; ankle, stitches ; sided chill.
Right : side of forehead, pain ; discharge from eye ; ear, pain ; lobe of liver, painful ; side, upper abdomen, flatus ; side of abdomen, burning of skin ; upper chest, pressive pain ; shoulder, drawing, rheumatic pain ; axilla,
pressing-drawing pain ; arm, paralytic pain ; wrist, lacerating pain ; tearing in hip.
Upper part of body : sweat.

Sensations

Pain fly all over body. θ Neuralgia.
As if integuments of head were contracted ; as if a strap was drawn tightly across forehead ; as if hairs were in motion ; as of humming of bees ; as if stomach was hanging down ; as if liver was too short ; as of a plug in back ; as though
metatarsi were torn apart ; as though he would be attacked by paralytic stroke ; as if hair stood on end ; as of sand in eyes ; as if pharynx was swollen or contracted, as though a lump were there, as if dried with blotting paper ; as if abdomen would burst, after
eating or drinking ; as of a hot pin in rectum ; as of vapor of sulphur, cough ; as if walled up, chest feels ; as though shoulders would be drawn together ; as if tendons of wrist and hand were shortening ; as if knees would give way, when walking and
standing ; as though knees were swollen ; as if frosted, toes ; as if being stroked with hand over whole body ; as though knee was swollen.
Acute pain : in head.
Sensitive : teeth ; gums painfully ; tongue ; epigastric region.
Burning : in head ; on outer head ; in eyes ; canthi ; ulcers on tongue, like live coals ; in fauces ; in throat ; in epigastric region, up to throat ; region of liver ; on skin of r. side of abdomen ; stools ; in rectum ;
hemorrhoids ; female organs ; as from a coal of fire in chest ; under sternum ; hæmoptysis ; region of heart ; about hips, and in scapulæ ; hands ; palms ; finger joints ; in thighs ; knees ; gangrenous ulcers ; soles ;
without thirst ; in bones ; skin ; in stomach ; in anus ; in sacrum.
Burning tearing : on outer head.
Lacerating pain : in right wrist.
Lancinating : in epigastrium.
Cutting : pain, at stool ; pain, on urinating ; in abdomen ; in chest.
Boring : finger joints ; in limbs.
Stitching : headache ; through head ; in throat ; region o liver ; region of spleen ; through rectum ; at stool ; towards anus ; in chest ; in shoulders ; maxilla ; finger joints ; in thighs ; in patella ; left
ankle ; right toe ; all over body, on getting warm in bed.
Itching stitches : in side on which he lies.
Sticking : in anus ; through feet.
Pricking : finger joints.
Jerking : tearing in right upper maxilla.
Tearing : left side of occiput ; in outer head ; in forehead ; in ears ; pains in left half of face ; in incisor teeth ; in molars ; in urethra ; in chest ; in shoulders ; in left forearm, from elbow to hand ; right wrist ;
in either wrist ; finger joints ; near and beneath left hip ; right hip ; pains in toes ; under toe nails ; in legs ; bones of limbs ; in various parts, at night ; in cervical muscles ; in hands and fingers.
Drawing : left side of occiput ; in root of nose ; pain in facial nerve ; pain in upper and lower jaw, on both sides ; in head, and confusion ; in molars ; pains around waist ; in chest ; in nape of neck ; pain in back to coccyx ;
right shoulder ; right axilla ; in arm on which he lies ; finger joints ; pain in hip joint ; abdomen to leg ; in bones of arms.
Stinging : in toes.
Smarting : female organs.
Biting : in and above nose ; in fauces.
Gnawing pain : in rectum.
Pinching : in abdomen ; in region of liver ; colic ; hypogastric region ; lower spine.
Griping : epigastric region ; in abdomen ; after stool.
Pressing : region of spleen ; small of back ; right axilla.
Pressive : pain on vertex ; pain in lower portion of occiput ; aching in eyeballs ; pain on posterior part of palate ; colic ; pain in lower spine ; sore pain beneath coccyx ; over eyes ; in chest.
Pressure : in forehead, temples and vertex ; in canthi ; in stomach ; hypogastric region ; on bladder, before stool ; on bladder ; in testicles ; pain in upper right chest ; arms and legs ; on uterus.
Rawness : in throat ; in stomach ; of pudenda.
Scraping : in throat ; in chest.
Bruised : pain in liver ; feeling in joints ; pain in both elbow joints ; in limbs, on rising.
Aching : over eyes or in whole head ; pain in orbits ; in ears ; pains in facial nerve ; epigastric region ; in chest : along spine to coccyx ; in extremities.
Soreness : of facial bones of upper and lower jaws ; in stomach ; of anus ; of perineum ; female organs ; of chest ; in axillæ ; at neck of bladder.
Bursting : pain < about bladder.
Spasmodic pain : in stomach.
Laming pain : from abdomen down leg.
Sprained : feeling in right hand.
Rheumatic : drawing from loins to coccyx ; right shoulder ; pain in limbs ; drawing in back.
Dull pain : in occiput ; in right hypochonder.
Pain : in stomach, burning ; dull, right hypochonder ; in bowels, as from lifting ; above umbilicus ; in chest ; in scapular region ; severe on small of back ; in limbs, as if sprained ; in eyes ; in soles ; in right side of
forehead ; in left lung.
Throbbing : in head ; here and there in body.
Long : teeth feel.
Tenseness : in hypochondria.
Tension : region of liver, as if too short there ; in chest ; in thighs ; in knees.
Tight feeling : in chest.
Constriction : of scalp ; headache ; in throat ; violent colic ; pain in thigh.
Contractive cramp : in stomach.
Cramp : of fingers ; pain, left thigh ; in lower leg ; in calves ; in soles.
Cramplike : tension in shoulders ; calves, at night ; in soles.
Pressing, crampy, labor-like colic : in small of back and bladder.
Uneasy feeling : in legs, in bed.
Discomfort : in stomach.
Fulness : in head ; after eating ; in abdomen.
Emptiness : in head ; after putrid stools.
Heavy : head ; feeling, in liver ; something seems to lie before ears ; feeling, in stomach ; in limbs.
Heaviness : after eating ; in rectum ; in lower limbs.
Whirling : in head.
Lassitude : in knees ; in legs ; evening, in open air ; during chill.
Weariness : of limbs ; great, in bed ; unrefreshed.
Fatigue : of back ; arms ; of chest.
Dragging : after stool.
Stiffness : in thighs ; in legs, after sleeping in evening.
Electric shocks : in head.
Titillation : in larynx ; in chest.
Tingling : in larynx.
Paralytic : weakness of fingers ; pain from abdomen down leg ; pain in knees ; pain in carpus ; drawing pain from abdomen down leg.
Numbness : in legs ; of fingers.
Creeping : in epigastrium, up to throat.
Crawling : left nostril ; in rectum ; in throat.
Shuddering : in back.
Coldness : knees, in bed ; hands ; of body ; of limbs.
Heat : in face, head and hands ; left ear ; mouth ; in rectum ; of flatus ; internal ; after or independent of chill ; evening, with anxiety ; and sweat.
Dryness : in mouth ; in trachea ; in ear.
Itching : about eyes ; in root of nose ; pain, at stool ; of anus ; of perineum ; of old herpetic eruptions ; in throat ; axillæ ; acne on back ; of palms ; on thigh ; all over body ; hands and calves ; of scalp.

Tissues

Symptoms of imperfect oxydation of blood.
Blood stagnates in capillaries, causing blueness, coldness ; ecchymoses.
Aneurisms bright red, round, flat, bleeding violently from least wound.
Slightest irritation causes bleeding from venous capillaries.
Worse from loss of fluids (hemorrhages, sweats, diarrhœas, etc.).
Lymphatic glands swollen, indurated, or suppurating ; burning pains.
Swelling of glands, in scrofulous or syphilitic persons.
Scurvy ; so weak, can scarcely walk.
Peritonitis, with tympanitis and paralysis of intestines.
Threatening paralysis of lungs in third stage of pneumonia.
Burning in bones and other parts.
Long-standing catarrhs in elderly people or reduced constitutions ; venous capillary dilatation of pharyngo-laryngeal parts ; torpor of all functions.
Organic detrition without reaction.
Gangrene : humid ; senile ; in cachectic persons ; when vital powers have become weakened ; great foulness of secretions ; great prostration.
Anemia after summer complaint ; feeble, pallid, white skin.
Chlorosis, with itchlike rash and fluor albus ; scorbutic gums ; so weak, can scarcely walk.
Emaciation and withering of affected parts.
Atrophy, body cold, lies as if dead, yet conscious.
Sepsis, sunken features, sallow complexion, hectic, typhoid symptoms.
Cholera Asiatica ; yellow fever ; typhus ; epilepsy ; rheumatism.

Touch. passive motion. injuries

Touch ; scalp painful ; tearing in teeth < ; region of liver painful ; soreness of perineum, when touched ; bruised pain in both elbows painful ; drawing in shaft of bones painful to pressure ; continual insensibility of feet to touch.
Riding aggravates : soreness in limbs ; colic.
Effects from overlifting.
Shock from injury : stupor, want of vision and hearing, colliquative cadaverous diarrhœa, cold sweat, rattling breathing, stagnant circulation, frequent filiform pulse.

Skin

Burning in various places in skin ; also at night, in bed.
Itching all over body, day and night ; fugitive itching when warm in bed.
Formication in skin.
Skin dry and brittle. θ Typhus.
Jaundice : after too much or too rich food ; from abuse of mercury.
Blue color of body, with terrible cardiac anxiety and icy coldness of whole surface. θ Cyanosis.
Brownish spots.
External parts grow black. θ Gangrene.
Folds of skin become raw and ulcerated.
Fine, moist rash, with burning at spots where there is no eruption.
Nettlerash, painless papules and fine itching eruptions on hands and calves.
Sequela of measles, particularly hoarseness.
Scarlatina : last stage ; rattling in throat, loss of vital power ; foul breath and cold extremities ; must have air and wants to be fanned ; sticky cold perspiration ; sepsis and sloughing.
Moist herpetic eruption, especially in face.
Dry rash, like itch.
Moist itch ; abuse of mercurial salves.
Certain forms of leprosy ; face appears swollen, spots reddish-brown ; toes appear as if frozen.
Purpura hemorrhagica, with fever and great soreness.
Asthenic variola, with cold breath and excessive prostration, livid purple eruption.
Ulcers : varicose ; scorbutic ; livid, easily bleeding ; fetid.
Ulcers are offensive ; old ones break out afresh ; they burn and easily bleed.
Pressure and tension around ulcer in leg.
An ulcer which has been removed, breaks out again, and instead of pus emits a bloody lymph.
Syphilitic ulcers with high edges become irritable from topical treatment ; margins sharp, ragged, undermined ; discharges thin, acrid, offensive ; ulcer painful and liable to bleed when touched.
Ulcerations with burning pain.
Pus from an ulcer was offensive, like asafetida.
Telangiectasia of children.
Burns ; chilblains.
Decubitus in typhus, from decomposition of blood.

Stage of life, constitution

Children, after exhausting diseases.
Boy, æt. 3 years ; deafness.
Vital powers low, venous system predominant.
Old people. θ Asthma. θ Chronic bronchitis. θ Dyspepsia.
θ Hemorrhoidal troubles. θ Blennorrhœa.
Negro woman, æt. 40 ; purpura hemorrhagica.
Man, æt. 39, delicate stature and constitution ; phthisis pulmonalis.
Man, æt. 42, bilious lymphatic temperament ; lung trouble from inhalation of great heat of fire.

Relations

Antidoted by : Arsen., Camphor., Coffea, Laches., Spir. nitr. dulc .
It antidotes : effects of putrid meats or fish, rancid fats, salt or salt meats ; Cinchon., Laches., Mercur .
Compatible : before Arsen ., Cinchon ., Droser ., Kali carb ., Phosph. ac . ; after Bellad .
(in laryngeal phthisis, with irritative fever), Kali carb ., Laches., Lauroc., Mercur . (burning hemorrhoids, after every stool protrusion of bleeding piles ; when itch is dry) Nux vom.,
Sepia, Sulphur (when itch is dry), Tabac., Veratr . (in beginning of pertussis).
Complementary : Kali carb .
Compare : the carbons generally ; Caustic., Laches., Phosphor . and Rumex in hoarseness ; Camphor . in collapse ; Cinchon., Plumbum
in neglected pneumonia, etc., especially in old topers ; Natr. mur . in paralytic weakness, when grasping things ; Opium in lack of reaction after well-indicated remedies ; Phosphor .
in easily bleeding ulcers ; Pulsat . in bad effects from fat food and pastry ; Sulphur in acrid smelling menses, erysipelatous inflammation of mamma .

Lectures on Homoeopathic Materia Medica

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

Lecture

We will take up the study of Vegetable Charcoal - Carbo veg.

It is a comparatively inert substance made medicinal and powerful, and converted into a great healing agent, by grinding it fine enough. By dividing it sufficiently, it becomes similar to the nature of sickness and cures folks.

The Old School use it in tablespoonful doses to correct acidity of the stomach. But it is a great monument to Hahnemann. It is quite inert in crude form and the true healing powers are not brought out until it is sufficiently potentized. It is one of those deep acting, long-acting antipsoric medicines. It enters deeply into the life, in its proving it develops symptoms that last a long time, and it cures conditions that are of long standing-those that come on slowly and insidiously.

Generalities

It affects the vascular system especially; more particularly the venous side of the economy, the heart, and the whole venous System.

Sluggishness is a good word to think of when examining the pathogenesis of Carbo veg.

Sluggishness, laziness, turgescence, these are words that will come into your mind frequently, because these, states occur so frequently in the symptomatology. Everything about the economy is sluggish, turgid, distended and swollen.

The hands are puffed; the veins are puffed; the body feels full and turgid; the head feels full, as if full of blood. The limbs feel dull, so that the patient wants to elevate the feet to let the blood run out. The veins are lazy, relaxed and paralyzed. Vaso-motor paralysis. The veins of the body are enlarged; the extremities have varicose veins.

Mind

The whole mental state, like the physical, is slow. The mental operations are slow. Slow to think; sluggish; stupid; lazy. Cannot whip himself into activity, or rouse a desire to do anything. Wants to lie down and doze.

The limbs are clumsy; they feel enlarged. The skin is dusky. The capillary circulation is engorged. The face is purple. Any little stimulating food or drink will bring a flush to that dusky face. When you see people gather round a table where wine is served you can pick out the Carbo veg. patients, because their faces will be flushed; in a little while it passes off and they get purple again dusky - almost a dirty duskiness. The skin is lazy; sluggish.

Running through the remedy there is burning. Burning in the veins, burning in the capillaries, burning in the head, itching and burning of the skin. Burning in inflamed parts. Internal burning and external coldness.

Coldness, with feeble circulation, with feeble heart. Icy coldness. Hands and feet cold and dry, or cold and moist.

Knees cold; nose cold; ears cold; tongue cold. Coldness in the stomach with burning. Fainting. Covered all over with a cold sweat, as in collapse.

Collapse with cold breath, cold tongue, cold face.

Looks like a cadaver. In all these conditions of coldness the patient wants to be fanned.

Bleeding runs all through the remedy. Oozing of blood from in flamed surfaces. Black bleeding from ulcers. Bleeding from the lungs; from the uterus; from the bladder. Vomiting of blood.

Passive haemorrhage. On account of the feeble circulation a capillary oozing will start up and continue. The remedy hardly ever has what may be called an active gushing flow, such as belongs to Belladonna, Ipecac, Aconite, Secale, and such remedies, where the flow comes with violence; but it is a passive capillary oozing.

The women suffer from this kind of bleeding; a little blood oozing all the time, so that the menstrual period is prolonged. Oozing of blood after confinement, that ought to be stopped immediately by contractions.

There are no contractions of the blood vessels; they are relaxed. Black venous oozing. After a surgical operation there is no contraction and retraction of the blood vessels. An injury to the skin bleeds easily. The arteries have all been tied and closed, but the little veins do not seem to have any contractility in their walls. An inflamed part may bleed. Feeble heart; relaxed veins.

Ulcers

Again, ulceration. If you have a case, such as I have described, with relaxation of the blood vessels and feebleness of the tissues, you need not be surprised if there is no repair, no tissue making.

So, when a part is injured, it will slough. If an ulcer is once established, it will not heal. The tissues are indolent. Hence we have indolent ulcers; body, ichorous, acrid, thin discharges from ulcers.

The skin ulcerates; the mucous membranes ulcerate. Ulcers in the mouth and in the throat. Ulceration everywhere because of that relaxed and feeble condition. Poor tissue making, or none at all,

"The blood stagnates in the capillaries," is the way it reads in the text.

You can see how easy it would be for these feeble parts to develop gangrene. Any little inflammation or congestion becomes black or purple and sloughs easily that is all that is necessary to make gangrene.

It is a wonderful remedy in septic conditions-blood poisoning, especially after surgical operations and after shock. It is a useful remedy in septic conditions; in scarlet fever; in any disease which takes on a sluggish form, with purplish and mottled appearance of the skin.

Sleep

In Carbo veg. the sleep is so full of anxiety that it may be said to be awful. On going to sleep there is anxiety, suffering, jerking, twitching, and be has the horrors. Everything is horrible. Horrible visions; sees ghosts.

A peculiar sluggish, death-like sleep, with visions. The Carbo veg. patient wakens in anxiety and covered with cold sweat. Exhaustion. Unrefreshed after sleep.

And thus the whole patient is prostrated by his sleep. So anxious that he does not want to go to sleep. Anxiety in the dark. Anxiety with dyspnoea as if he would suffocate. Anxiety so great that be can not lie down.

In Carbo veg. indifference is a very prominent symptom. Inability to perceive or to feel the impressions that circumstances ought to arouse.

His affections are practically blotted out, so that nothing that is told him seems to arouse or disturb him.

"Heard everything without feeling pleasantly or unpleasantly, and without thinking about it."

Horrible things do not seem to affect him much; pleasant things do not affect him. He does not quite know whether he loves his wife and children or not.

This is a part of the sluggishness, the inability to think or meditate, all of which is due to the turgescence. Sluggishness of the veins. Head feels full; distended.

His mind is in confusion and he cannot think. He cannot bring himself to realize whether a thing be so or not, or whether he loves his family or not, or whether he hates his enemies or not. Benumbed stupid.

There is another state anxiety and nightly fear of ghosts anxiety as if possessed; anxiety on closing the eyes; anxiety lying down in the evening; anxiety again on waking. He is easily frightened. Starting and twitching on going too sleep.

Head

The headaches are mostly occipital. His whole head is turgid, full, distended. He feels as if the scalp was too tight. Everything is bound up in the head. Awful occipital headaches. Cannot move, cannot turn over, cannot lie on the side, cannot be jarred, because it, seems as if the head would burst, as if something was grasping the occiput.

Dull headache in the occiput. Violent pressive pain in the lower portion of the occiput. Head feels heavy. When the pain is in the occiput the head feels drawn back to the pillow, or as if it could not be lifted from the pillow.

Like Opium; he cannot lift the head from the pillow. Painful throbbing in the head during inspiration. The Carbo veg. patient takes short breaths, quietly, keeping just as still as possible, until finally he is compelled to take a deep breath, and it comes out with a sharp moan.

Headache as from contraction of the scalp. Painful stitches through the whole head when coughing; the whole head burns. Intense heat of the head; burning pain. Rush of the blood to the head followed by nose-bleed.

Congestion to the head with spasmodic constriction, nausea, and pressure over the eyes. A feeling as of an oncoming coryza from an overheated room. Many of these headaches come on from taking cold, from coryza, from slacking up of an old catarrh.

The Carbo veg. patient suffers from chronic catarrh. He is at his best when he has a free discharge from the nose, but if he takes cold and the discharge stops congestion to the head comes. He cannot stand suppression of discharges.

Headaches come on every time he takes cold; from cold damp weather; from going into a cold damp place and becoming chilled. Awful occipital headache, or headache over the eyes, or headache involving the whole head, with pounding like hammers.

These states are like Kali bichromicum, Kali iodatum and Sepia. Many of these headaches are due to stopped catarrhal conditions.

The hair falls out by the handful. Eruptions come out upon the head. School girls and boys, too, who are sluggish, slow to learn, and suffer from night terrors; they will not sleep alone, or go into a dark room without someone with them.

They have headaches, worse from pressure of the hat. A long time after taking off the hat they still feel the pressure. Sweat, cold sweat; particularly sweat of the head and of the forehead.

The Carbo veg. patient breaks out into a copious sweat, appearing first on the forehead, and the sweat is cold. The forehead feels cold to the hand, and any wind blowing upon it will produce pain; he wants it covered up. Head sensitive to cold.

If he becomes overheated and like head perspires, and then a draft strikes that sweating head, his catarrh will stop at once and headaches will come on. His knees and hands and feet get cold, and he sweats without relief.

Eyes

The eye symptoms are troublesome, and they often occur along with the headache. Burning pain in the eyes. The eyes become lustreless, deep-set, and the pupils do not react to light. He feels sluggish mentally, and does not want to think.

He wants to sit or lie around, for every exertion gives him a headache. Whenever this state is present the eyes show it. You know he is sick because the bright, sparkling look has gone out of his eyes. If he could only get somewhere by himself and lie down-provided it was not dark, he would be comfortable.

He wants to be let alone; he is tired; his day's work wears him out. He comes home with a purple face, lustreless eyes, sunken countenance, tired head and mind. Any mental exertion causes fatigue. Weight in the head, distress and fullness in the head, with cold extremities.

The blood mounts upward. Hemorrhages from the eyes; burning, itching and pressing in the eyes. The eyes become weak from overwork or from fine work.

Ears

Carbo veg. is one of the medicines for discharges from the ears. Offensive, watery, ichorous, acrid and excoriating discharges, especially those dating back to malaria, measles or scarlet fever, particularly to scarlet fever.

A sluggish condition of the venous system. The veins seem to be most affected in all old complaints, especially whenever a patient says of himself, or a mother says of her child, that he has never been quite well since an attack of malarial fever.

The daughter has never been quite well since she had the measles, or typhoid fever, or scarlet fever; Carbo veg. is one of the medicines to be thought of when symptoms are in confusion, and the patient has been so much doctored that there is no congruity left in the symptoms.

Old ear discharges, or old headaches, when all the symptoms have been suppressed. It is then Carbo veg. often becomes one of the routine remedies to bring symptoms into order and to establish a more wholesome discharge from that ear. it brings about reaction, establishes a better circulation and partially cures the case, after which a better remedy may be selected.

Inflammation of the parotid glands, or mumps. When mumps change their abode, from being chilled, and go in the girl to the mammary glands, and in the boy to the testes, Carbo veg. is one of the medicines to restore order; very often it will bring the trouble back to its original place, and conduct it on through in safety.

Pains in the ear. Passive, badly-smelling discharges from the ear. Loss of hearing. Ulceration of the internal ear. Something heavy seems to lie before the ears; they seem stopped; the hearing is diminished, especially in those cases that date back to some old trouble.

Nose

The Carbo veg. patient is always suffering from coryza. He goes into a warm room, and, thinking he is going out in a minute, he keeps his overcoat on.

Pretty soon he begins to get heated up, but he thinks he will go in a minute and he does not take off his coat. A procedure like that is sure to bring on a coryza. It will commence in the nose, with watery discharge, and he will sneeze, day and night.

He suffers from the heat and is chilled by the cold; every draft chills him; and a warm room makes him sweat, and thus he suffers from both. He can find no comfortable place, and he goes on sneezing and blowing his nose.

Perhaps he has bleeding from the nose. At night he is purplish. The coryza extends into the throat and brings on rawness and dryness in the mouth and throat. A copious watery discharge, filling the posterior nares and the throat.

Larynx and chest

Then he begins to get hoarse, and in the evening he has a hoarse voice, with rawness in the larynx and throat. Rawness in the larynx on coughing; soreness to the touch. The more he coughs the worse the rawness becomes.

This condition extends into the chest. Secretion of much thin mucus, finally becoming thick yellowish-green, and bad-tasting. Such is the coryza. Now, with it there comes a stomach disturbance that is commonly associated with Carbo veg. complaints.

Great distension of the abdomen with gas. With this coryza he has belching, and sour, disordered stomach. Every time he disorders his stomach he is likely to get a coryza. Every time he goes into an overheated room he is likely to get a coryza, with sneezing, chest complaints, and catarrh.

This catarrhal state in the nose is only a fair example of what may occur anywhere where there is a mucous membrane. Catarrhal conditions with a flow of watery mucus and bleeding. Carbo veg. has catarrhs of the throat, nose, eyes, chest, and vagina.

Old catarrhal conditions of the bladder; catarrh of the bowels and stomach. It is pre-eminently a catarrhal remedy.

The woman feels best when she has more or less of a leucorrhea, it seems a sort of protection. These discharges that we meet every day are dried up and controlled by local treatments, by washes, and by local applications of every kind, and the patient put into the hands of the undertaker, or made a miserable wreck.

If these catarrhal patients are not healed from within out, the discharges had better be allowed to go on. While these discharges exist the patient is comfortable. It is quite common for the Carbo veg. patient to be feverish with the coryza, but with many other complaints he is cold; cold limbs; cold face; cold body; cold skin; cold sweat.

It is not so common for the earlier stages of the coryza, and the catarrhal conditions to have these cold symptoms. He is feverish in the evening and at night. But after he passes into the second stake, when the, mucus is more copious, then come the cold knees, cold nose, cold feet, and cold sweat.

Face

The face of Carbo veg. is a great study. In the countenance and in the expression we see much that is general.

The patient shows his general state in his expression, especially in the eyes. He tells you how sick he is; he tells you the threatening points.

In Carbo veg. there is great pallor and coldness, with lips pinched and nose pointed and drawn in. Lips puckered, blue, livid, sickly, deathly. Face cold, pale, and covered with sweat.

As the tongue is protruded for examination it is pale and cold, and the breath is cold, yet he wants to be fanned. This is true whether it be cholera, diarrhea, exhaustive sweats, or complaints after fevers.

Sometimes, after a coryza has run its course and ended in the chest, there is great dyspnea, copious expectoration, exhaustive sweat, great coldness and the patient must be fanned.

Cough followed by dyspnea, exhaustion, profuse sweats, with choking and rawness and he wants to be fanned. Cold face; pinched face. So the sufferings are expressed in the face. The pains and aches, and anxiety and sorrow are all expressed in the face.

The study of the face is a delightful and profitable one. The study of the faces of remedies is very profitable. It is profitable to study the faces of healthy people that you may be able to judge their intentions from their facial expressions. A man shows his business of life in his face; he shows his method of thinking, his hatreds, his longings, and his loves.

How easy it is to pick out a man who has never loved to do anything but to eat: the Epicurean face. How easy it is to pick out a man who has never loved anything but money: the miserly face. You can see the love in many of the professional faces; you can single out the student's face.

These are only manifestations of the love of the life which they live. Some manifest hatred; hatred of the life in which they have been forced to live; hatred of mankind; hatred of life. In those who have been disappointed in everything they have undertaken to do we see hatred stamped upon the face.

We see these things in remedies just as we see them in people. The study of the face is a most delightful one. A busy, thoughtful and observing physician has a head full of things that he can never tell: things he knows about the face.

So the face expresses the remedy. In Carbo veg. the face flushes to the roots of the hair after a little wine. This is a strong characteristic. All over the body the skin will become flushed. Sometimes a flush appears in islands, which grow together and become one solid flush, creeping up into the hair.

So great is the action of this remedy upon the capillary circulation that sometimes a tablespoonful of wine is sufficient to cause this flushing of the skin.

Gums

The old books talk about "scorbutic gums;" now we call it Rigg's disease: a separation of the gums from the teeth. Bleeding of the gums; sensitiveness of the gums. Separation of the gums from the teeth.

The teeth get loose.

We hear about "the teeth rattling in his mouth."

The Carbons produce just such a state, a settling away and absorbing of the gums. They get spongy and bleed easily, and hence looseness of the teeth with bleeding of the gums, which are very sensitive.

Teeth decay rapidly. Bleeding of the gums when cleaning the teeth. Teeth and gum affections from abuse of Mercury, Teeth feel too long and are sore. Drawing and tearing in the teeth. Tearing in the teeth from hot, cold or salt food; pain from both heat and cold. This is in keeping with the general venous condition of the whole system.

Sensitiveness of the tongue. Inflammation of the tongue. In certain low forms of fever, like typhus and typhoid fevers, the gums turn black; that is, they throw out a blackish, bloody, offensive, putrid exudate. If disturbed or touched they bleed; and the tongue piles up that blackish exudate - that oozing of black blood from the veins.

This is present in putrid forms of fevers like the typhoid-in zymotic states. This remedy is rich in those zymotic symptoms, such as are described in common speech as "blood-poisoning."

Carbo veg. is a sheet-anchor in low types of typhoid; in scarlet fever where a typhoid condition is coming upon the case, and in the last stages of collapse; in cholera, and in yellow fever at the time of collapse, where there is coldness, cold sweat, great prostration, dyspnoea - wants to be fanned. Great prostration with cold tongue,

Mouth and throat

The mouth and throat are filled with little purple aphthous ulcers, which were little white spots to begin with, but they have grown purplish and now ooze black blood. These aphthous patches bleed easily, burn and sting. Blisters form. Smarting, dryness of the mouth with bleeding aphthous ulcers. These are common features of Carbo veg. in any of the mouth and throat conditions.

Tough mucus in the throat; bloody mucus in the throat. These little ulcers run together, spread and become one solid mass. A large surface will become ulcerated, denuded of its mucous membrane, and then it will bleed. Little black spots come upon it. Food cannot be swallowed because the throat is so sore. Generally the throat feels puffed.

The Cargo veg. patient has a longing for coffee, acids, sweet and salt things. Aversion to the most digestible things and the best of food. For instance, aversion to meat, and to milk which causes flatulence. Now, if I were going to manufacture a Carbo veg. constitution I would commence with his stomach.

If I wanted to produce these varicose veins and the weak venous side of the heart; this fullness and congestion, and flatulence, this disordered stomach and bowels, and head and mind troubles; sluggishness of the economy.

I would begin and stuff him. I would feed him with fats, with sweets, puddings, pies and sauce, and all such indigestible trash, and give him plenty of wine - then I would have the Carbo veg. patient.

Do we ever have any such people to treat? just as soon as they tell their story, you will know, enough about their lives to know that they are mince pie fiends; they have lived on it for years, and now they come saying,

"Oh, doctor, my stomach; just my stomach; if you will simply fix up my stomach."

But what are you going to do with him? He has made himself into a Carbo veg. patient for you, and it may be quite a while before you can bring him down to a sensible diet.

Now he must begin at the foot of the ladder. I only brought this up to show how a Carbo veg, patient is produced and what kind of a stomach he has, and what he has been living on. He has burning in the stomach, distension of the stomach, constant eructations, flatulence, passing offensive flatus.

In reality he is in a foetid condition, a putrid condition. His sweat is offensive. He has heartburn eructations, the stomach regurgitates the food that he takes.

Carbo veg. has much vomiting at the end of the chill. Vomiting and diarrhoea. Vomiting and blood; with the vomiting of blood the body is icy cold; breath cold, The pulse is thready and intermittent. Fainting; hippocratic face; oozing of thick black blood.

Vomiting of sour, bloody, bilious masses.

Stomach and food

There is an accumulation of flatus in the stomach, so that the stomach feels distended. All food taken into the stomach seems to turn into flatus; he is always belching and is slightly, relieved for a while by belching. Carbo veg., has cramps in the bowels and stomach; burning pain; anxiety; distension.

All these symptoms are ameliorated by belching or passing flatus. Amelioration from belching seems quite a natural event; but when we study China, you will see that the patient appears to be aggravated from belching. The idea is that the patient gets relief from belching from eructation, but under Lycopodium and China it seems that no relief comes. They belch copiously and yet seem just as full of mind as ever, and sometimes even seem to be worse.

The Carbo veg. patient experiences a decided relief from eructation. This is a particular symptom, but it becomes almost general, and sometimes quite general. Headaches are relieved by belching; rheumatic pains are relieved by belching; sufferings and distensions of various kinds are relieved by eructations.

This abdominal fullness aggravates all the complaints of the body. The fullness, which is described as if in the veins, is sometimes in the tissues, under the skin, so that it will crepitate. This is a feature of Carbo veg., and, in rheumatic conditions, part of the swelling is sometimes of this character.

Food remains a long time in the stomach, becomes sour and putrid. It passes into the bowels and ferments further, finally passing off in the form of putrid flatus.

There is colic, burning pains, distension, fullness, constricting and cramping pains from this distension.

The patient complains of feeling as if the stomach were raw. This is described as a smarting, sometimes from taking food; sometimes from taking cold water. Carbo veg., has cured ulceration of the stomach. It is a deep-acting medicine, and is capable of curing all disordered conditions of the stomach; such as disorders from eating indigestible things, mince pie, too hearty food.

Liver

In Carbo veg. the liver, like all the other organs, takes on a state of torpidity and sluggishness. It becomes enlarged. The portal system is engorged, and hence hemorrhoids develop.

Pain and distension in the region of the liver; sensitiveness and burning in the liver, accompanied by a bloated condition of the stomach and bowels. A feeling of tension in the region of the liver; the part feels drawn, as if too tight.

There are pressing pains in the liver, and it is sensitive to touch.

Abdomen

Much that I have said regarding the flatulence and fullness of the stomach applies also to the abdomen. Carbo veg. may be indicated in low forms of fever, as in septic fever, when there is a marked tympanitic condition, with diarrhoea, bloody discharges, distension and flatulence.

Extremely putrid flatus escapes making the patient very offensive. A striking abdominal symptom of Carbo veg. is that the flatus collects here and there in the intestine as if it were in a lump incarcerated flatus; a constriction of the intestine will hold it in one place so that it feels like a lump or tumor, that finally disappears.

Colic here and there in the abdomen from flatus. There is burning in the abdomen. No matter what the trouble is, in Carbo veg. there is always burning. The part burns; it feels full; it becomes engorged and turgid with blood.

Diarrhoea, dysentery, cholera, when there is a bloody, watery stool. Cholera infantum; stool mixed with mucus; watery mucus mixed with blood.

The child sinks from exhaustion, with coldness, pallor and cold sweat. The nose, face and lips are pinched and hippocratic. With all diarrheic troubles the prostration will indicate Carbo veg. as much as, if not more than, the stool.

In the diarrhea of Carbo veg. all the stools, no matter what kind, are putrid, with putrid flatulence. The more thin, dark bloody mucus there is, the better is the remedy indicated. Itching, burning and raw ness of the anus and round about, are strong features of Carbo veg.

Soreness in all diarrheic conditions - soreness to pressure over the abdomen. Round about the anus, in children, there is excoriation. The parts are red, raw and bleeding, and they itch.

Itching of the anus in adults. Ulceration of the bowels. This tendency to ulceration of mucous membranes is in keeping with the character of the remedy. Whenever there are mucous membranes there may be ulceration. Aphthous appearance. Ulceration of Peyer's glands. The patient lies in bed and oozes involuntarily a thin bloody fluid, like bloody serum.

Bladder

Old chronic catarrhal conditions of the bladder, when the urine contains mucus, especially in old people, with cold face, cold extremities and cold sweat.

There is suppression of urine. In both the male and the female organs there is a weakness and relaxation. The male organs hang down. Relaxation of the genitalia; cold and sweating genitals. The fluids escape involuntarily.

Women

In the woman the relaxation is manifested by a dragging down sensation; dragging down of the uterus, as if the internal parts would escape. The uterus drags down so that she cannot stand on her feet. All the internal organs feel heavy and hang down.

Another strong feature of Carbo veg. is dark, oozing haemorrhage from the uterus. It is not so often a copious gushing hemorrhage, the remedy has that also - but it is an oozing. The menstrual flow will ooze from one period almost to another.

The blood is putrid and dark, even black, with small clots, and considerable serum escapes with it. it says in the text:

"Metrorrhagia from uterine agony."

Atony is a good name for the condition; lack of tone; relaxation; weakness of the tissue. Atony is everywhere present in the Carbo veg. constitution. The muscles are tired, the limbs are tired, the whole being is tired and relaxed.

This is in contradistinction to the gushing found in Belladonna, Ipecac, Secale and Hamamelis , where the blood escapes in great gushes, followed quite naturally by a contraction of the uterus, for there is more or less tonicity in connection with it.

In Carbo veg., either in connection with confinement or menstruation, or in an incidental haemorrhage, the uterus does not contract. Subinvolution from mere atony; no contraction; no tonicity; weakness and relaxation.

After menstruation, confinement and the various complaints that woman is subject to, there is a period of weakness that Carbo veg. often fits.

When there is a retained placenta, with scanty hemorrhage - just an oozing, with no tendency to a gush of blood - the physician remembers that throughout the whole pregnancy and confinement there has been sluggishness and slowness of pains, and he says:

"Why did I not think of Carbo veg. Before?"

The woman has needed Carbo veg. for a month. He administers a dose, and before he has time to think about it, the uterus will expel that placenta and fix up matters so nicely that he will not need the mechanical interference that might otherwise have been necessary.

Now-a-days we hear so much about this meddlesome midwifery, this curetting, and doing this and that and the other thing, that it makes a homeopathic physician disgusted, just as if those parts were not made by Nature, and could not take care of themselves; as if they must be swabbed out and syringed out.

These injections of bichlorides, etc., to keep the germs out of a woman are all nonsense. If a state of order is maintained there will be no germs.

A homoeopathic physician can manage hundreds of these cases, and have no trouble. If he sees clearly beforehand what remedy the woman needs there will be no bad cases; they will all take care of themselves.

Irregular contractions that bring on abnormal conditions are all avoided if the woman is turned into order before she goes into confinement. Carbo veg. is one of the medicines that prepares a woman well for confinement, that is, the symptoms calling for Carbo veg. are often present in such conditions. She is often run down, relaxed and tired. Pregnancy brings about a great many unusual conditions.

There is the nausea in pregnancy; the flatulence; the offensiveness; the weakness; the enlarged veins. They will tell you that the enlargement of the veins of the lower limbs is from pressure, but it is generally not from pressure, but from weakness of the veins themselves.

Suppression of milk; prostration or great debility from nursing. It is not natural for a woman in a healthy state to become prostrated when nursing her child. She becomes so because she is sick. She was in a state of debility before she began nursing, and the weakness should be corrected by an appropriate remedy.

Then she can make milk and feed her child without feeling the loss of it. Such is the state of order. Carbo veg. is a friend to the woman, and a friend to her offsprings. You will be astonished, after ten years of real homoeopathic practice, that you have so few deformed babies; that they have all grown up and prospered; that their little defects and deformities have been outgrown, and that they are more beautiful than most children, because they have been kept orderly.

The doctor watches and studies him, and feeds him a little medicine now and then, that the mother suspects is sugar, to keep on the good side of the baby. She need not know that it is medicine, or that anything is the matter with the baby.

So he watches the development of that little one, and grows him out of all his unhealthy tendencies. The children that grow up under the care of the homoeopathic physician will never have consumption, or Bright's disease; they are all turned into order, and they will die of old age, or be worn out properly by business cares; they will not rust out.

It is the duty of the physician to watch the little ones. To save them from their inheritances and their downward tendencies is the greatest work of his life. That is worth living for. When we see these tendencies cropping out in the little ones we should never intimate - that they are due to the father or mother.

It is only offensive and does no good. The physician's knowledge as to what he is doing is his own, and the greatest comfort be can get out of it is his own. He need never expect that anyone will appreciate what he has done, or what be has avoided.

The physician who desires praise and sympathy for what he has done generally has no conscience. The noble, upright, truthful physician works in the night he works in the dark, he works quietly; he is not seeking for praise.

He does this when called to the house, and when members of the family bring little ones to the office. In this manner children can be studied and their symptoms observed and enquired into.

Whenever the mother brings the child. expecting medicine, she may know that he is receiving medicine, but when she docs not ask for medicine let her suspect that Johnnie is getting sugar so the doctor can get on the good side of him. That is sufficient.

Voice and larynx

In Carbo veg. the voice manifests a great many symptoms. I described a part of them when going over the coryza. I explained how it began in the nose, and traveled to the throat, the larynx, and the chest.

Now many of the complaints of the larynx begin with a cold, in the nose, which finally locates permanently in the larynx and in that way we bring out the Carbo veg. cases.

It is only now and then that the Carbo veg. cold settles in the larynx first; it usually travels through the nose. Most remedies have a favorite place for beginning a cold. For instance, the majority of Phosphorus colds begin in the chest or larynx. Not so with Carbo veg.; its cold generally begins in the nose, with a coryza, and the larynx is simply one of the stopping places.

If the Carbo veg. cold goes down into the chest it may have its ending in the bronchial tubes or the lungs. There is a favorite place for it to settle, and it seems as if it were going to remain there. Weakness in the larynx from talking. Tired larynx of speakers and singers, and feeble, relaxed persons.

The hoarseness comes on in the evening. The larynx may be fairly well in the morning, but as soon as it becomes evening his voice becomes husky. In more serious forms he may be speechless in the morning, but hoarseness and huskiness in the evening are more characteristic. Huskiness and rawness in the evening. Rawness in the larynx when coughing. Some will say there is burning, some will say rawness. Rawness in the larynx and trachea when coughing.

A continual formation of mucus in the larynx, which he has to scrape and cough out. We see the same tendency to weak ness in the mucous membranes. No tendency to repair; no tendency to recover. He goes on from bad to worse, with a catarrhal condition of the larynx and trachea. Hoarseness and rawness from talking, worse afternoon and evening.

He is obliged to clear his throat so, many times in the evening that the larynx becomes raw and sore. Let me tell you another thing about the Materia Medica. Most of the provers were laymen, and hence there is some confusion of terms in the provings. This the physicians must see. Irritation in the throat from coughing nearly always means irritation in the larynx, though the prover said "throat."

Now here is an expression,

"obliged to clear his throat so often in the evening that the larynx becomes raw and sore."

Clearing the throat would not make the larynx sore.

Scraping the throat does not scrape the larynx; but he is obliged to clear his larynx so often that the part feels raw. Ulcerative pain, scraping and titillation in the larynx. Irritation in the larynx causing sneezing. Laryngeal phthisis. This catarrhal condition and lack of repair in the larynx goes on so long that tuberculosis begins.

Whooping cough

Carbo veg. is one of the greatest medicines we have in the beginning of whooping cough. Its cough has all the gagging, vomiting and redness of the face found in whooping cough. It is one of our best medicines when the case is confused; when the cough indicates no remedy or when it remains in a partially developed state.

A dose of Carbo veg. in such cases will improve matters very much, and minor cases of whooping cough may be wiped out in a few days. When the remedy does not cure permanently, it brings out more clearly the symptoms calling for another remedy. Most cases of whooping cough, in the care of a homoeopathic physician, will get well in a week or ten days under a carefully selected remedy.

When allowed to run, they continue a long time, gradually increasing for six weeks, and then declining according to the weather. If it is in the fall, the cough will sometimes keep up all winter; so whooping cough furnishes an opportunity for the homeopathic physician to demonstrate that there is something in Homoeopathy.

Respiration

The Carbo veg. patient suffers very much from difficulties of breathing. Suffocation; cannot lie down. A feeling of weakness in the chest, as if he could not get another breath. Sometimes it is due to cardiac weakness, and sometimes to stuffing up of the chest. The latter is most common. Sometimes the difficulty is asthmatic. The remedy cures asthma. We will see the patient propped up in a chair by an open window, or some members of the family may be fanning him as fast as possible.

The face is cold, the nose pinched, the extremities cold and he is as pale as death. Put the hand in front of the mouth, and the breath feels cold. The breath is offensive; putrid. The extremities are cold clear to the body; not only the hands, but the whole upper extremities; and not only the feet, but the limbs clear to the body, are cold. The body only feels warm; even the skin is cold.

Carbo veg. has a rattling cough with retching and vomiting. A morning cough, with much rattling in the chest; the chest fills with mucus, and on endeavoring to expectorate he coughs and gags, or coughs and vomits. At any time during the day a peculiar choking, gagging, retching cough may develop from the mucus in the chest. He cannot get it up; it is tough, purulent, yellow and thick.

Greatly reduced vitality; great relaxation; worn out persons, old people. Persons worn out from coughing or from prolonged exertion. Prostration. Catarrh of the chest, with copious expectoration. At times there will be a hard, dry hacking cough, but finally, after prolonged coughing, it commences to loosen and he throws up great quantities of mucus.

A dry, hacking cough, yet there is rattling in the chest, and the cough does not seem to do any good. He seems to cough and become exhausted, sweats and strangles. It seems as if he would suffocate with the cough.

Finally he succeeds in getting up some mucus, and the follows mouthful after mouthful of thick purulent expectoration. Frequent attacks of spasmodic cough in violent paroxysm lasting for many minutes, sometimes an hour.

Cold sweat, coldness and pinched appearance of the face. This increases as he goes into the paroxysm of coughing. His face looks haggard, so distressed does he become while in a paroxysm of coughing. This state is present in old phtisical cases, in the advanced stage, when they are incurable. Under such circumstances Carbo veg. furnishes an excellent palliative.

It seems to strengthen the muscles of the chest so that the patient can expectorate better. It mitigates the cough; the gagging and retching and dyspnoea are relieved, and he is temporarily improved. It is a wonderful palliative in many incurable conditions with dyspnoea and weakness of the chest. In Bright's Disease, in phthisis, and in cancerous affections Carbo veg. stops the violent symptoms and mitigates greatly.

This remedy is one to begin whooping cough with. It simplifies the case greatly, and sometimes cures it in a few days. The patient coughs until the chest is sore, as if he had been beaten all over the chest.

All night he has paroxysms of coughing. He sleeps into a paroxysm of, coughing, like Lachesis. He rouses up from sleep with coughing, gagging, sweating and suffocation. He will go two or three hours without a paroxysm, and then on comes one that will last an hour. He has two or three hard paroxysms of coughing during the night. He commences to fill up, he hears the rattling breathing and he knows that before long he will have a hard time of it.

This goes on and on, to the end of his life in asthmatic cases-what is called "humid asthma".

Real humid asthma comes on in persons who suffer from contractions of the small bronchial tubes, so that even at the best there are little whistlings in the chest. Every time such patients take cold their whistling increases.

They expectorate mucus, at first copious, then tough and finally purulent. During all this there is great asthmatic dyspnoea. Carbo veg. is an excellent remedy in all those cases of asthma where the shortness of breath is so marked that there is only a partial oxidation, as a result of which he suffers much from occipital headache and wants to be fanned.

Old cases of recurrent asthma. Every time there comes a warm wet spell his asthma comes on. It is common for Carbo veg. asthma to come on in the night. He goes to, bed without warning of an oncoming attack, only. He says,

"I don't like the weather;" and he wakes up with asthma.

He wakes up suffocating, springs out of bed and goes to the window or wants to be fanned. Carbo veg. required in old, badly-treated cases of pneumonia, with a remaining bronchitis; in cases where there has been hepatization that was not cleared up, and there are bad places in the lungs and bronchial tubes, with weakness of the chest.

Weakness of the chest when coughing. He feels that there is not enough force in the muscle of the chest to get up a good cough, or to help him carry on the breathing. Pneumonia, third stage, with foetid expectoration, cold breath, cold sweat, desire to be fanned.

Threatened paralysis of the lungs. This is a combination of clinical states that the remedy covers well. Sometimes these asthmatic cases go on for a while, and then comes an infiltration of tubercle. If Carbo veg. can be given early it will prevent infiltration.

There is pain in the chest, and burning. Burning in the lungs; burning in the sides of the chest; burning with the cough; burning behind the sternum - the whole length of the trachea; burning aggravated when coughing; a sense of rawness even when breathing. He feels a load upon the chest, an oppression, a great weight. These are the various words that he uses, all descriptive of the same thing.

Heart

The heart comes in for a great deal of trouble. It appears to be struggling. Of course it is the venous side of the heart that is in distress. The veins are engorged. it is a venous condition of the whole patient; the veins are performing their labor with great difficulty. A state of relaxation, struggling, and there are orgasms of blood - described by some of the authors as an orgasm, by others as a tumultuous action of the heart felt throughout the body.

Pulsation felt all over the body. Flushes of heat mounting upwards, ending in a sweat. Suitable, sometimes for women at the turn of life. Especially suitable to persons in advanced years.

Carbo veg. complaints come on in a weakly state in young people as if it were a premature old age in the middle-aged people; or in the breaking down that naturally belongs to old age. It is a great comforter for aged people with enlarged veins, or fullness of the veins and coldness of the extremities. Oozing of blood, with palpitation tumultuous action of the heart. The pounding goes on like a great machine, shaking the whole body.

The pulse is almost imperceptible. It seems as though the volume of blood ought to be tremendous, but it is not. Weakness of the whole vascular system. Pulse irregular, intermittent, frequent. Blood stagnates in the capillaries. Complete torper; impending paralysis of the heart. Burning in the region of the heart. With this there is an awful feeling of anxiety in the chest - in the region of the heart as if he were going to die, or as if something were going to happen. He feels that tumultuous action and tires out under it.

In going over the remedy I have said so much about the limbs, their coldness and the cold sweat, that I have practically covered most of the symptoms that belong to the extremities. Carbo veg. is an excellent remedy for the general constitutional disorder where there arc indolent varicose ulcers upon the lower limbs - the legs above the ankles.

There is no activity in these ulcers; thin watery discharge or it is thick. bloody and ichorous. Burning indolent ulcers; varicose, ulcers; swelling of the limbs. A gangrenous state from the extremely feeble circulation.

Gangrenous condition such as old people have, senile gangrene. The limbs wither; the toes and lower parts wither and look dusky. There are blisters upon them and they ooze a bloody, watery fluid. Burning like fire. Loss of sensation. Stiffness in the joints. Excoriating sweat between the toes, and numbness. Numbness in the limb lain on. If he lies on the right side, the right hand gets numb. It he turns over on the left side, the left arm gets numb.

The circulation in the part is so feeble that if there is any pressure the part becomes numb. The surface is cold. The extremities are cold. He is indolent, weak and always tired, with an aversion to mental and physical work. Every little exertion brings on a feeling as if he would faint and collapse.

The sleep is full of dreams. He wakes up with dyspnoea, wakes with cold limbs, especially cold knees. Legs drawn up during sleep. Unrefreshed after sleep. The dreams he has are the kind that most of these patients have where the remedy acts so violently upon the veins, upon the basilar portion of the brain, and upon the voluntary system. They are awful. He dreams of fire, burglars, fearful and horrible things.

Anxiety, restlessness and congestion of the head prevent his going to sleep. Rush of blood to the head. His head feels hot, but to the hand the skin feels cold. The inner chest feels as if burning, but the outer chest feels cold to the hand. So it is in the abdomen. The feeling of internal heat and burning, with external coldness, is a common feature of Carbo veg.

The fever is violent; it has a violent rigor or chill. Of course during the chill he is cold, but there is one strange feature, he wants cold water during the chill, and when the fever comes on he has no thirst.

That is strange; it is uncommon. It is common for patients to be thirsty when they are hot with fever, and when cold not to ask for water. It is common not to ask for water during sweat. But in this patient you observe coldness, rigor, cold breath, and even in the chill sometimes a cold sweat, and you say that it is peculiar that he drinks so much cold water. It is strange; it is uncommon; rare. Hence it is one of the strong features of Carbo veg. febrile conditions.

With the chill of this remedy one side of the body frequently feels in its natural state of heat, that is, naturally warm, while the other side, is cold. One-sided chill. Chill with icy coldness of the body. Chill with great thirst. Sweats easily, especially about the head and face Exhausting night or morning sweats. Sweat profuse, putrid or sour.

Low forms of fever like yellow fever, and a very low type of typhus and typhoid fevers. After the fever has somewhat subsided he has prolonged cold spells with lack of reaction. He does not seem to rally, but he is cold, his knees are cold, his breath is cold, cold sweat, a sort of paralytic weakness. Cadaveric aspect of the face. Cyanotic face. Coldness of the limbs.

Yellow fever in the last stage, the stage of haemorrhage, with great paleness of the face. Violent headache, trembling of the body, collapse with cold breath, cold sweat, cold nose. Nose and face pinched. Vital powers very low, tells a great deal of the story of Carbo veg.

Lack of reaction after some violent attack, some violent shock, some violent suffering. In weakly persons who give right out, with dyspnoea, coldness, copious sweat, exhaustion, collapse and cadaveric aspect, Carbo veg. must be*given.

Carbo veg. is indicated after surgical shock, when the patient goes into collapse, and is in danger of dying from the shock of the operation. This is before inflammation sets in, for there is not vitality enough to arouse an inflammation. The heart is too weak to establish reaction enough for an inflammation. Inflammation comes after a reaction. But if reaction does not take place, Carbo veg. is one of our most important remedies.

The Therapeutics of Fevers

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

Characteristic

Best adapted to persons, young or old, who have suffered from exhausting diseases (exhausted from loss of vital fluids, Cinch., Phos. ac., Phos.). Cachectic, with weak vitality.

Persons who have never fully recovered from the exhaust-ing effects of some previous illness; asthma dates from measles or pertussis of childhood; indigestion from a drunken debauch; bad effects of a long ago injury; has never re-covered from effects of typhoid (Psor.).

Weakness of memory and slowness of thought.

Ailments: from Quinine, especially suppressed intermit-tents; abuse of mercury, salt, salt meats, or spoiled fish, meats, fats (Cepa); getting overheated (Ant. c.).

Diseases of venous system predominate (Sul.); symptoms of imperfect oxidation (Arg. nit.); deficient capillary circula-tion causes blueness of skin and coldness of extremities; vital powers nearly exhausted; desires to be constantly fanned, must have more air.

Patients crave things that make them sick; old topers crave whiskey or brandy; want clothing loose around abdo-men.

Weak digestion; the simplest food disagrees. Excessive accumulation of gas in stomach and intestines; after eating or drinking, sensation as if stomach would burst. Eructations give temporary relief. Effects of a debauch, rich food, late suppers.

Bad effects from loss of vital fluids (Caust.); hemorrhage from any broken down condition of mucous membrane.

Hemorrhage from any mucous outlet; in systems broken down, debilitated; blood oozes from weakened tissues; vital force exhausted.

Epistaxis in daily attacks, for weeks, worse from exertion; face pale before as well as after a hemorrhage.

Hippocratic face; very pale, grayish-yellow, greenish, cold with cold sweat; after hemorrhage.

Looseness of teeth, easily-bleeding gums.

Awakens often from cold limbs, especially cold knees.

In the last stages of disease, with copious cold sweat, cold breath, cold tongue, voice lost, this remedy may-save a life.

Aggravation

Generally worse in changes of weather, especially warm damp weather; or in protracted sultry heat of summer or autumn; butter, pork, fat food; abuse of quinine, bark, mercury; mornings.

Amelioration

From being fanned; cool air; eructations.

Relations

Complementary: Kali carb.

Want of susceptibility, lack of reaction to well selected remedies (Laur., Op., Val.).

Compare: Cinch., Plumb. in neglected pneumonia, especially in “old topers;” Ant. t. in threatened paralysis from inability to expectorate loosened mucus; Caps., Carbo v. in fevers.

Type

Periodicity not marked. Quotidian, tertian or quartan. Hectic, septic, typhoid, typhus. pernicious yellow fever.*

Time

10 or 11 A. M.—evening.

Yearly return of paroxysm (Lach., Sul.).

Cause

Fevers from getting over-heated; from living in damp dwellings.

Prodrome

Headache, throbbing in temples, backache, tearing toothache, and tearing pain in the limbs; cold feet; the two latter may attend the entire paroxysm.

Chill

With thirst; at times left sided; begins in left hand and arm (begins in right arm, Merc. per.). Chill with headache and unusual lassitude; with icy-coldness of the body and cold breath (with terrible coldness as if lying on ice, Lyc.—as if a piece of ice were lying on the back between the shoulders, Lachn.); shiver-

In Memphis during the epidemic of 1873, charcoal came much into favor as a prophylactic; out of more than fifty persons who took it and were constantly exposed to the fever, not one was attacked. The usual dose was half a teaspoonful of the crude powder two or three times a day.—DR. MORSE. ing and chills in the evening, mostly only on left side (Caust.—right side, Bry.); evening chill with tired, weary feeling and flushes of heat. Coldness of the knees, even in bed (Apis); of left arm and left leg; very cold hands and feet; finger nails blue. Irregular paroxysm, sometimes sweat first, followed by chill* (Nux).

Heat

Without thirst. Sensation of heat with great anxiety in the evening, although she was cold to touch all over; flushes of burning heat in the evening, with headache, flushed face, vertigo and nausea; tired, aching pain in legs; pain in stomach, abdomen, spleen; oppressed breathing (Apis, Ars.). Heat and chill are distinct and independent; rarely heat and sweat commingled together or alternate (chill and heat are mingled, Ars.—heat and chill alternate, Cal.). Flushes of burning heat in evening, usually without thirst. Headache continues after the heat (continues after the sweat, Ars., Eup.). Loquacity during hot stage (Lach.—during chill and heat, Pod.).

"Chill with a marked degree of thirst; no thirst, or but slight during the fever, but to compensate for lack of thirst, the patient wishes to be constantly fanned."—GUERNSEY.

Sweat

Profuse, of a sour or putrid odor; at night; great disposition to sweat even when eating (Carbo a.). Moist on upper parts of body. Sour morning-sweat, which makes his person offensive; feet sweat when walking; sweats easily in a warm room, and is just as easily chilled. Tearing pain in the legs and teeth.

Tongue

Coated with white, yellow fur; dry, fissured, lead-colored (Ars.); cold and contracted. Bitter taste before and after eating. Aversion to milk, which causes flatulence, to meat and fat things (longing for them, Carbo a.—longing for coffee, sweet and salt things, Nitr. ac.).

Pulse

Weak, irregular, intermitting, indicative of rapid sinking.

Apyrexia

Prostration, paleness, weakness of memory, melancholic disposition. Gastric symptoms; stomach and abdomen distended with gas after eating (least mouthful fills up to the chin,

Lyc.). Sensation as if stomach or abdomen would burst after eating or drinking. Great foulness of the excretions (Bap.).

"In cachectic patients with profuse sour-smelling perspiration, thirst only during the chill, excitability of nervous symptoms. Patients debilitated from previous drugging, and frequent suppression of paroxysm by Quinia. One-sided chill (left) during afternoon, great prostration; with icy coldness of the body; thirst and rapid sinking; small pulse, contracted, cold and cadaverous tongue and face, with cold breath."—T. D. STOWE.

This picture very closely resembles a so-called "pernicious" or "congestive fever."

Analysis

In patients who have been exhausted by some deep-seated cachexia or exhausting disease, abuse of mercury, salt, quinine, vital powers low, great prostration.

Chill; with thirst; one-sided, l. hand and arm; icy coldness of the body, rapid sinking, cold breath.

Heat; without thirst; flushed face, loquacity; desire to be fanned.

Sweat; profuse, sour, offensive; sweats when eating (Carbo a.).

Persons who have never recovered from effects of some previous illness or injury; suppression by Quinine or drugging; typhoid or yellow fever.