Carduus Marianus card-m.

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

Liver (R). Spleen. Veins.

Worse

Lying on L. side. Beer. Eating. Touch. Motion. Cellars.

Better

Bleeding.

General

Hepato-hæmorrhagic diathesis (Bur-p. Lept.). Blood-stasis. Acidity. Fatigue.

Particulars

Hypochondriacal. Dull frontal headache. Dirty, yellow complexion. Weak upper lip and (r) tongue. Tongue has white center with red, indented edges. Vomits acrid bile or blood. High diaphragm. Liver engorged; swelled laterally. Gall-stones (Lept.). Meteorism. Knotty, clayey stools. Golden yellow urine. Asthma. Dropsy. Broken or hard thrombosed veins.

Related

Related: Calc-c. Sang.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

St. Mary's Thistle

General

The action of this drug is centered in the liver, and portal system, causing soreness, pain, jaundice. Has specific relation to the vascular system. Abuse of alcoholic beverages, especially beer. Varicose veins and ulcers. Diseases of miners, associated with asthma. Dropsical conditions depending on liver disease, and when due to pelvic congestion and hepatic disease. Disturbs sugar metabolism. Influenza when liver is affected. Debility. Hæmorrhages, especially connected with hepatic disease.

Mind

Despondency; forgetful, apathetic.

Head

Contractive feeling above eyebrows. Dull heavy, stupid, with foul tongue. Vertigo, with tendency to fall forward. Burning and pressure in eyes. Nose-bleed.

Stomach

Taste bitter. Aversion to salt meat. Appetite small; tongue furred; nausea; retching; vomiting of green, acid fluid. Stitches in left side of stomach, near spleen (Ceanoth). Gallstone disease with enlarged liver.

Abdomen

Pain in region of liver. Left lobe very sensitive. Fullness and soreness, with moist skin. Constipation; stools hard, difficult, knotty; alternates with diarrhœa. Stools bright yellow. Swelling of gall bladder with painful tenderness. Hyperæmia of liver, with jaundice. Cirrhosis, with dropsy.

Rectum

Hæmorrhagic piles, prolapse or rectum, burning pain in anus and rectum, hard and knotting, clayey stools. Profuse diarrhœa due to rectal cancer. 10 drops doses (Wapler).

Urine

Cloudy; golden-colored.

Chest

Stitching pains in lower right ribs and front; worse, moving, walking, etc. Asthmatic respiration. Pain in chest, going to shoulders, back, loins and abdomen, with urging to urinate.

Skin

Itching on lying down at night. Varicose ulcers (Clematis vitalba). Eruption on lower part of sternum.

Extremities

Pain in hip-joint, spreading through buttocks and down thigh; worse from stooping. Difficult rising. Weakness felt in feet, especially after sitting.

Relationship

Compare: Card benedictus (strong action on eyes, and sensation of contraction in many parts; stomach symptoms similar); Chelidon; Chionanthes; Merc; Podophyl; Bry; Aloe.

Dose

Tincture and lower potencies.

Leaders in Homoeopathic Therapeutics

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

Leaders

Is a so-called liver remedy, and I have seen good results from it in liver troubles, yet I do not know of any special indications for its use. I have known cases of habitual colic from gall stones checked and the further formation of the stones prevented by this remedy. One of them was a very bad case, for which old Dr. Pulte, of Cincinnati, prescribed Carduus. Her daughter inherited the trouble, and I saw her, in consultation with another physician, at one of these terrible attacks of gall stone colic. She could not lie down, but sat in her chair, bent over forward, for forty-eight hours, and during this time she passed two hundred gall stones, very hard and nearly the size and shape of a beech-nut, which were found by washing the fæces. I have a dozen or so now in a little vial in my office. Carduus was also a help to her, but she takes, right along for years at a time, olive oil, thinking that it dissolves the stones or keeps them from forming.

When other remedies fail for pain in the region of the liver, with dizziness, bad-tasting mouth, jaundiced skin and the usual symptoms called "bilious", if I have no special indications for other remedies, I have given Carduus and several time with good results. But, as I said before, I can give no special indications for its use. I can do better for.

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

Silybum. N. O. Compositæ. Tincture or trituration of the seeds.

Clinical

Bronchitis. Dropsy. Epistaxis. Fever. Gall-stones. Hæmoptysis. Hæmorrhages. Hæmorrhoids. Influenza. Intermittents. Jaundice. Liver, affections of. Metrorrhagia. Neuralgia. Phthisis. Pleurisy. Rheumatism. Sciatica. Spleen, affections of. Typhlitis. Varicose veins.

Characteristics

To Rademacher we are principally indebted for this remedy. It is with him primarily an hepatic: all its manifestations originating in some disorder of the liver. According to Burnett the greatest effect of Card. m . is felt on the spleen and liver, especially the splenic end of the liver. G. F. Laidlaw ( H. M., xxxiv. 686) gives a condensed translation of Rademacher's remarks about Card. m.: He regards hæmatemesis as most frequently due to chronic disease of the spleen; less frequently to disease of the liver. People who have long suffered from pains in left hypochondrium are apt to vomit blood, after which they are relieved. Rademacher regards the bleeding as often beneficial, and says it should not be checked too soon. In the treatment of hæmatemesis he says it is best to use a remedy that acts on the epigastric region without irritating the stomach and interfering with the healing of the lesion. Such a remedy he found in a decoction of the seeds of Card. mar . He used to give Opium before, but this, he says, in some people "produces an array of symptoms similar to those seen in severe hæmorrhage, and might aggravate the condition." He adds: "It is probable that many small hæmorrhages of the stomach escape notice because there is no vomiting, and that it is in this manner that obscure abdominal complaints are sometimes suddenly relieved or cured."

The liver enlargement of Carduus m . is in the transverse direction (that of Chel . being more vertical). Burnett relates the case of a girl of sixteen who had had severe attacks of vomiting for three months, with pains in abdomen. The vomiting was relieved by remedies symptomatically related, but the pains were not. An examination showed "liver and spleen both very much enlarged so that they seem to fill the abdomen." Card. m . Ø gtt. v. night and morning soon cured the patient. Dudgeon has given an account of Windelband's and Kunze's experience with the remedy. Windelband in treating a woman for chronic swelling of the liver with Card. m ., incidentally cured at the same time some "colossal" varicose ulcers. This experience led him to cure a large number of like cases with the same remedy. He also cured gastro-intestinal catarrh; epistaxis; metrorrhagia; hæmorrhoidal flux; dependent on portal congestion. Tenderness of the liver; bilious fever; symptoms resembling peritonitis and stitch-in-the-side have been cured by it. Kunze commends the remedy, in addition, in cases of spasm of the stomach, pains contractive, vomiting occurring at the climax, cold rising from precordium to throat; feeling of spasmodic constriction; pressive, shooting pain right side of abdomen spreading to back or shoulder. He has cured with it pains in hepatic and splenic regions accompanied with hæmoptysis, or expectoration of viscid, lumpy mucus, and evening fever. Even phthisis pituitosa has been cured by it. Local muscular rheumatisms dependent on liver disease. E. A. Cook (formerly of Richmond) gave Card. m . 1 to a patient suffering from liver congestion, swollen veins of legs, piles, and headache, with great benefit to all the symptoms. On the second day the patient developed these new symptoms, which she had never had before and which alarmed her greatly: "Great giddiness with inclination to fall forward; and a sudden and profuse epistaxis followed by great relief." A striking cure by Card. m . in "Miner's Disease" is recorded by Proell.: An old miner in the gold mines of Bockstein suffered from the so-called "Bergsucht" (miner's disease). "His chief symptoms were: earthy complexion, eyes dim, hardness of hearing, mucous coating on tongue, loss of appetite even for his favourite food and tobacco; great dyspnœa and palpitation on going up-hill; spleen and stomach distended; much wind eructated, constant borborygmus, constipation alternating with diarrhœa, but the latter more frequent, evacuations grey, urine scanty and pale, skin dry as if withered, great weakness, pulse slow and weak. Especially remarkable was the disposition of this man. Formerly cheerful, he is now joyless and apathetic; the most important events he took no notice of, I gave him tinct. Card. mar ., a few drops four times a day. I was unable to effect any alteration in his food, drink, or regimen. A month after this he returned looking much better. On asking him how he was, he replied: "You have made a new man of me." Almost all the former symptoms had disappeared and given place to the opposite. His complexion was fresh, his eyes sparkled, he was cheerful, wished to live and work, had good appetite, motions brown, more urine passed, pulse normal. He said he now for the first time knew what it was to be well, and he remained so for many years." ( Zeit., Berl. Ver. ─ Amer. Hom ., December 15, 1895) Proell also recommends it in affections of liver, spleen, and kidneys caused by abuse of alcoholic beverages and especially beer. He relates two cases: one in a cook who had symptoms of cirrhosis of the liver and general dropsy which made her features unrecognisable; and one in a worker in a brewery who developed dropsy. Both were cured by the tincture. The brewery man, thinking the remedy was intended to be purgative, and thinking the 4 drops prescribed would not be sufficient, took the whole amount, 2 1/2 drachms, at one dose, without markedly bad effects, and was quickly cured. Proell adds that Card. m . is indicated where there is a relaxed state of the mucous membrane of the stomach as evidenced by flatulence and diarrhœa, especially when the stools are clay-coloured. Much fatigue is experienced, < after eating; when riding; on awaking; frequently accompanied by yawning. Chilliness is prominent, on awaking; at night; < uncovering. Coldness of knees. Head very sensitive to cold. Sweating of forehead and back after meals. Stitches, drawing pressure are prominent among the sensations, also radiating pains; constriction, band-sensation and cramps. Motion < most complaints.

Relations

Compare: Bry. (epistaxis, &c.); Chel., Merc., Nux, Pod., Chelone.

Mind

Forgets what he has just intended to do. ─ Disposition to become angry. ─ Melancholy with liver affections. ─ Joyless; apathetic.

Head

Great giddiness, with tendency to fall forward, > by epistaxis. ─ Fulness in head with dull headache, esp. in forehead or temples, confusion, vertigo. ─ Pressure in forehead, over eye, in occiput. ─ Constriction around skull; over eyebrows. ─ Pain in l. parietal bone.

Eyes

Burning and pressure in eyeballs and lids. ─ Pressure as if eyeballs were pressed against side of orbits.

Nose

Tickling first in r. then l. nostril with watery discharge from same. ─ Burning in nostrils (r). ─ Epistaxis; habitual in psoric young persons. ─ Sudden profuse epistaxis, relieving vertigo.

Face

Heat in face. ─ Earthy, yellowish-grey, dirty or florid complexion.

8, 9. Mouth and Throat. ─ Bitter taste. ─ Tongue white; white centre; red tip and edges; white-coated on side. ─ Collection of water in mouth. ─ Smooth sensation of mucous membrane of palate as though covered with fat. ─ Repeated eructations of air with burning in œsophagus.

Stomach

Intense nausea, painful retching and vomiting of some greenish fluid. ─ Stitches in scrobiculum. ─ Contents of stomach and intestines sour. ─ Pressure in stomach; with eructation of air; at night on awakening; lasting all day; coming and disappearing during day. ─ Sensation of emptiness with headache before dinner, goes off after dinner. ─ Burning as of acidity with transient pressure. ─ Stitches in l. of stomach (spleen?) < on inspiration.

Abdomen

Fulness in hypochondria necessitating deep inspiration. ─ Liver region sensitive to pressure. ─ Pressure, tension, and stitches in liver on lying on l. side. ─ Stitches in spleen < on inspiration and on stooping. ─ Swelling, sensitiveness, and induration of l. lobe of liver, causing by compression respiratory embarrassment, and cough with thick expectoration. ─ Liver disease affecting lungs and causing hæmoptysis. ─ Drawing pain between umbilicus and pit of stomach, coming and going, in peritoneum of abdominal wall, from r. to l., followed by pain and sensation of heat in spots as large as a hen's egg between umbilicus and inguinal region to l. ─ Sensation of motion in intestines on expiration, and extending breadth of a hand around umbilicus. ─ Distension; rumbling; cutting.

Stool and Anus

Melæna. ─ Stool very hard and knotty; insufficient. ─ Paste-like, clayey stool. ─ Burning pain in rectum and anus which interferes with sitting. ─ Itching. ─ Hæmorrhoids with acidity of stomach and distension of bowels.

Urinary Organs

Urging to urinate, without necessity of passing water. ─ Pressure on bladder, producing dribbling of urine after unavailing urging to stool. ─ Burning at meatus; in urethra. ─ Urine turbid, golden yellow, and acid. ─ Strangury; calculi.

Female Sexual Organs

Catamenia too profuse or suppressed. ─ Chronic uterine hæmorrhage with portal derangement.

Respiratory Organs

Irritation in posterior part of larynx causing cough. Expectoration: pure blood; mucus mixed with blood.

Chest

Drawing pain on margin of l. rib, with pain during breathing. ─ Cough with stitches in sides of chest and bloody sputa. ─ Splenic or hepatic cough. ─ Pains in chest, going to front part, to shoulders, back, loins, and abdomen combined with urging to urinate. ─ Drawing pains through l. pectoral and l. intercostal muscles below axillæ. ─ Stitches in chest; from l. nipple to r. downward. ─ Pains extend over entire front of chest, motion almost impossible.

Heart

Pain pressure and stitches in region of heart; oppression on deep breathing.

Neck and Back

Sensitiveness in dorsal and cervical vertebræ. ─ Drawing pains in back; drawing; tearing; burning in l. shoulder-blade.

Upper Limbs

Violent rheumatic pains in r. deltoid; in r. arm. ─ Drawing pain in muscles covering l. radius, alternating with pain in muscles of r. side. ─ Cramp-like pain in muscles of arms; hands; fingers; calves, and feet.

Lower Limbs

Pain in hip-joints through buttocks, causing difficulty in rising, < from stooping. ─ Rheumatism and spasm of extremities. ─ Pain: in l. tibia; dorsum of foot; muscles of sole r. foot; lower part r. heel. ─ Varicose ulcers.

Skin

Varicose ulcers. ─ Itching on lying down at night.

Sleep

Restless sleep with frequent awakening and many dreams. ─ Nightmare from lying on back. ─ Fatigue with yawning. ─ Uncontrollable yawning.

Fever

Chilliness on awakening with strong urging to urinate. ─ Chilliness at night < uncovering. ─ Sweat on forehead and back after meals.

The Guiding Symptoms of Our Materia Medica

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

Mind

Forgets what he has just intended to do.
Sadness with tendency to weep.
Fulness in head with disposition to become angry.

Inner head

Sensation of fulness and heaviness in head.
Pressing pain on inner surface of skull, in region of coronal suture.
Pressure in forehead, most marked directly over eyes.
Pressing pain in occiput.
Transient headache in forehead and temples.
Pressive headache, as in incipient coryza.
Headache shortly before meals, disappearing after eating.

Outer head

Tensive pressure in scalp, as if constricted around skull.
Fulness of head, with tensive pain in scalp, over left parietal bone.
Feeling of constriction over eyebrows.
Pain in left parietal bone.
Drawing pain in scalp of occiput.
Great sensitiveness of head to cold.

Sight and eyes

Burning and pressure in eyeballs.
Pressure in eyeballs as if they were pressed against side of orbits.
Pain in right eye.
Redness of conjunctiva.
Burning sensation in edges of upper and lower lids.
Pressive, burning sensation in eyelids, with swelling and heaviness of same ; more especially in left eye, which can with difficulty be opened.
Pressure over left eye.
Pain in orbits.

Hearing and ears

Pain in right auricle, in circumference of meatus.

Smell and nose

Loss of smell.
Tickling sensation at outer edge of nostrils.
Tickling sensation at first in right, then in left nostril, with watery discharge.
Burning in nostrils.
Burning in right nostril, with watery discharge from same.
Epistaxis.

Upper face

Sensation of heat in face.
Complexion dirty or florid.

Teeth and gums

Drawing pains in carious teeth.
A hollow tooth is painful to contact of tongue.

Taste, speech, tongue

Whitish coating of middle of tongue, with redness of edges.
Metallic taste, constricting palate and pharynx.
Bitter taste in mouth.
Soups salted as usual tasted insipid ; at other times well salted food is repugnant.

Inner mouth

Collection of water in mouth.

Palate and throat

Feeling of roughness and dryness in palate.
Smooth sensation of mucous membrane of palate, as though it was covered with fat.
Sensation of dryness in palate and on lips.
Repeated eructation of air, with burning in œsophagus like heartburn.
Dysphagia.

Appetite, thirst. desires, aversions

Smoking, though usually repugnant in evening, is agreeable.
Want of appetite.
Voracity.

Hiccough, belching, nausea and vomiting

(In sick :) Sour eructations.
Empty eructations, after food taken with aversion.
Nausea, with collection of water in mouth.
Continual nausea with desire to vomit.
Intense nausea, painful retching and vomiting of sour, greenish fluid.

Scrobiculum and stomach

Stitches in scrobiculum.
Pressing pains at pit of stomach.
Drawing pains from left to right through pit of stomach.
Contents of stomach and intestines sour. θ Epidemic affection.
Pain in stomach, lasting for two hours, preceded by vomiting.
Pressure in stomach : with eructation of air ; at night awakening ; lasting all day ; coming and disappearing during day.
Sensation of emptiness in stomach, as before meals.
Burning in stomach, as of acidity, with transient pressure in stomach.
Stitches in left of stomach, < on inspiration.
Uncomfortable sensation in epigastrium region.
Painful griping in stomach.
Colicky pains in stomach, with waterbrash.
Hematemesis ; cardialgia ; vomiting of pregnancy ; melena.

Hypochondria

Feeling of fulness in hypochondria, necessitating deep inspiration.
Hepatic region sensitive to pressure.
Pressure, drawing pain and stitches in hepatic region.
Sensation of tension and pressure in liver, on lying on left side.
Crawling sensation, like passage of a small body size of a pea through a narrow canal, on posterior side of liver from right to left extending to pit of stomach, on a level with border of ribs ; repeated three times after a pause of one minute, and lasting three seconds
each time.
Feeling of pressure as of flatus, under margin of ribs to left, lasting ten minutes, then to right, then to right posteriorly, finally posteriorly to left.
Stitching pains in region of spleen, especially on inspiration and stooping.
Liver complaint ; icterus ; gall stones.
Plethora in portal circulation ; hyperemia of liver ; catarrh of gall passages ; sluggish peristalsis in colon.
Swelling, sensitiveness and induration of left lobe of liver ; causing, by compression, respiratory embarrassment and cough with thick expectoration.
Dull pain in right hypochondrium, from time to time, with stitches ; short, dry cough ; difficult breathing ; bitter taste and yellowish complexion ; subacute fever. θ Liver
complaint.
The diseased liver has either already implicated the lungs, showing itself by hæmoptysis, as in simple congestion, or as inflammation of liver and lungs ; vomiting of blood.

Abdomen and loins

Typhlitis.
Painful sensation of an undefined character in abdomen, necessitating deep inspiration, increased by vigorous movements of body.
Drawing pain between umbilicus and pit of stomach, coming and going, in peritoneum of abdominal wall, from right to left, followed by pain, with sensation of heat in a sport as large as a hen's egg, between umbilicus and inguinal region to left.
Violent pain in right side of abdomen, < by pressure, continuing uniform until sleep sets in.
Pressing pain in abdomen on right side, between margin of ribs and hip, while riding in a carriage, lasting for one hour.
Drawing pain in hypogastric region.
Pulsation in abdomen.
Awakens with pains in abdomen, near right hip bone.
Stitching pain in abdomen, one hand's breadth to left of r. hip bone.
Pressing pain in abdomen to right ; body in a horizontal position, with sensation of heat.
Drawing pain extending through right inguinal region.
Burning pain in small intestine, in hypogastrium.
Sensation of motion in intestines on expiration, extending breadth of a hand around umbilicus.
Pressure with sensation of warmth in small intestine, on l. side of abdomen.
Stitches in small intestine, > by pressure.
Griping pain in intestines, on left side.
Painless flatulency in small intestine.
Distension of abdomen, especially on right side.
Rumbling in small intestine.
Violent, painful rumbling in hypogastrium.
Cutting pain in bowels, changing from place to place.
Passage of flatus, unusually copious.
Ascites ; peritonitis puerperalis ; typhlitis stercorales.

Stools and rectum

Melena.
Stools now hard, now soft.
Constipation.
Stool hard and knotty.
Stool very hard and insufficient.
Hard stool, followed after an hour by a soft chocolate colored passage, slightly colored with bile.
Paste-like, clayey stool, without bilious coloring.
Sluggish stool.
After drinking weiss-bier, is taken on the way by the most violent urging to stool.
Burning pain in rectum and anus, which interferes with sitting.
Itching in anus.
Hemorrhoids, with acidity of stomach and distension of bowels.
Visceral obstruction.

Urinary organs

Urging to urinate, without necessity of passing water.
Pressure on bladder, producing dribbling of urine, after unavailing urging to stool.
Chilliness on awakening, with vigorous urging, to urinate, with voiding of only two tablespoonfuls of normally colored urine.
Burning at meatus after urination.
Burning pain in urethra, with sensation as of swelling of neighboring parts, compelling her to arise from sitting posture.
Drawing pain : with burning sensation in bladder ; in bladder while sitting.
Awakening by pain in urethra, with pain in right lumbar region.
Copious passage of urine of a golden yellow color, with drawing sensation in inguinal region.
Drawing sensation in right side of abdomen during urination.
Copious passage of urine, with deposit of red sediment.
Urine turbid, golden yellow, and acid.
Urine like whey, yellowish-brown, and diminished in quantity.
Urine diminished in quantity ; depositing sediment and containing traces of bilious coloring matter.
Urine scanty ; brownish in color, and containing bilious coloring matter.
Strangury ; calculi.

Male sexual organs

Erection on awakening.
Pressure in urethral portion of glans.
Drawing pains in testicles.

Female sexual organs

Menstruation too profuse or suppressed.
Chronic uterine hemorrhage, with derangement of portal circulation.
Drawing pain in vagina.
Leucorrhœa ; amenorrhœa ; metrorrhagia.

Pregnancy. parturition. lactation

Vomiting of pregnancy.
Agalactia.
Simple inflammatory irritation of mamma.

Voice and larynx. trachea and bronchia

Pressing pain in speaking and swallowing, in neighborhood of hyoid bone on left side, increased by pressure from without, with sensation of swelling at this point.
Sensation of dryness in larynx.
Irritation in posterior part of larynx, causing cough.

Respiration

Drawing pain on margin left rib, with pain during breathing ; especially during expiration.
Stitches at lower margin of ribs, between both linea mammalis, with each inspiration.
Stitches in right side in neighborhood of seventh rib ; on deep inspiration and on bending.
Stitches on inspiration between linea mammalis and axillaris at sixth rib.

Cough

Sympathetic cough, dry, hacking, < at night.
Cough with stitches in sides of chest, and bloody sputa. θ Epidemic affection.
Hæmoptysis with frequent dry tickling.
Irritation to cough, excited by roughness in fauces.
Irritation to cough, on posterior side of larynx.
Awakened by irritation to cough, behind larynx, with chilliness.
Several attacks of short, dry cough, without tickling.
Short, dry cough ; irritation proceeding from throat pit.
Scraping sensation in throat producing cough.
Cough with gastric symptoms, and painfulness of epigastrium to pressure.
Cough dependent on old hepatic or splenetic troubles.
Expectoration : pure blood ; mucus mixed with blood. θ Disease of liver.

Inner chest and lungs

Pains in chest going to front part, to shoulders, back, loins and abdomen, combined with urging to urinate. θ Epidemic affection.
(In sick :) Drawing pains in left side of chest.
Stitches in side, with fever, cough and spitting of blood, in affections of liver, and jaundiced complexion.
Drawing pains in chest, left side ; increased by pressure in stomach.
Oppression in left side of chest, with pain, especially during deep breathing.
Pleuritis ; chronic bronchial catarrh ; phthisis ; hæmoptysis ; asthma.

Heart, pulse and circulation

Pain, pressure and stitches in region of heart.
Drawing pain in region of heart, with oppression on deep inspiration.

Outer chest

Stitching pain at a small spot in neighborhood of sixth rib ; in line of axilla to left, with continued drawing pain ; stitching pain passes gradually to front and interferes with inspiration.
Drawing pain on margin left rib, with pain during breathing, especially during expiration.
Short stitches behind short ribs of left side.
Stitching pain extending breadth of a hand over right nipple, on stooping and on raising right arm.
Stitches at margin of lower ribs, between both mammary lines, at each inspiration.
Stitches during inspiration, between mammary and axillary lines on sixth rib.
Drawing pain through left pectoral muscle, and left intercostal muscles, below axilla.
Drawing pain through right pectoral muscle.
Pressure in right pectoral muscle.
Stitches from left nipple to right and downward, lasting several seconds.
Stitches in right side, near the seventh rib, on deep inspiration and on stooping.
Continual drawing pain in left side of chest, extending to axilla, with stitching pain in same place near fifth rib on expiration ; < after deep inspiration.
Drawing sensation from left side of chest to back.
Pains extend over entire front of chest, and are so violent as to make motion of arms, walking and stooping almost impossible.

Neck and back

Pressing pain in a spot about size of a small coin in nape of neck to left, and on a level with the mastoid process ; after a few moments the pain subsides and occurs on corresponding part of right side.
Pressure in nape of neck.
Drawing pains in entire back, followed by fatigue.
Drawing pain on right side of back, from shoulder blade to lumbar region, changing locality.
Drawing pains : in muscles of back ; in lumbar region ; in small of back ; on inner margin of right shoulder blade ; in left shoulder blade.
Pressure in back below shoulder blades.
Drawing sensation on outer margin of left shoulder blade.
Tearing sensation in left shoulder blade.
Burning and sore pain in region of left shoulder blade, < by inspiration, pressure and reclining.
Sensitiveness of dorsal and cervical vertebræ.

Upper limbs

Bruised feeling in arms.
Pain in shoulder joint on raising right arm.
Rheumatic pain in shoulder, radiating from neck.
Pressure in shoulders.
Drawing pain in right upper arm.
Violent pains of a rheumatic character in right deltoid.
Pains in right arm are at times so violent that groaning cannot be suppressed.
Tearing in left upper arm.
Burning pain in skin, on inner side of lower half of left forearm.
Drawing pain in muscles covering left radius, alternating with pain in same muscles of right side.
Cramplike pain in muscles covering left radius.
Pressure in wrist joints.
Cramplike, drawing pains, in inner side of right hand, extending to first two joints of fourth finger.
Burning pain on outer surface of left index finger, in skin.
Rheumatic, drawing sensation, in first joint of fourth finger on left hand.
Rheumatic, drawing sensation, in first joint of right index finger.
Drawing pain in fourth finger of right hand, on outer side.
Cramplike pain in fingers of left hand, lasting for ten minutes.
Cramplike pain in second, third and fourth fingers of right hand, on outer side.

Lower limbs

Pain in hip joints, spreading through buttocks, causing difficulty in arising, < from stooping.
Bruised pain in buttocks and legs.
(In sick :) Drawing pain in right thigh.
Drawing pain in skin on outer side of left knee.
Drawing pain in left knee joint.
Stiffness in knees while walking, of patella and in tendons of popliteal space, with sensation of lameness in lower parts of thighs, causing unsteady and stumbling gait.
Sensation of coldness in knees.
Pain in hollow of knees while walking, more especially in left.
Sensation while walking as of a band around calves, or of pantaloons being too tight a few inches below knee.
Drawing pain : in superficial nerves, below patella on outer side of lower thigh, over a space of four fingers in breadth ; from outer side of knees to outer malleolus ; from inner side of lower thigh to inner malleolus ; from left knee into lower thigh.
Paralyzing pain in left tibia.
Cramplike pain in calves.
Pain in dorsum of right foot.
Sudden, cramplike pain in muscles of sole of right foot, flexing the toes ; after disappearance of same, intense itching in front of heel.
Pain on lower part of right heel, < from walking.
Sensation of coldness in toes and soles.
Sciatica.
Rheumatism and spasms of the extremities.
Varicose ulcers.
Œdema of the feet.

Limbs in general

Lassitude in arms and legs in morning after rising, not > by walking in open air.

Rest. position. motion

Lying on back : nightmare.
Sitting : drawing pain in bladder.
Stooping : stitches in right side and over right nipple ; in hip joints.
Arising : difficult, pain in hip joints.
Raisin arm : stitching pain over right nipple.
Walking : almost impossible, with pains in chest ; stiffness of knees ; pain in hollow of knee ; as if a band around calves ; pain in heel.
Motion : of arm, pains extend over the entire front of chest.
Every sudden or violent movement of body is painful, both in chest and abdomen. θ Cough.

Nerves

General feeling of discomfort, lassitude and malaise.
Great fatigue after eating, and fatigue with frequent yawning.

Sleep

Restless sleep, with frequent awakening and many dreams.
Lying on back produces nightmare.
Fatigue about 4 P. M., with sleep while riding, lasting ten minutes.
Great fatigue with frequent yawning.
On awakening, great fatigue with disinclination to rise.
Uncontrollable yawning in quick succession.
Irritation to cough, felt behind larynx on awakening, with chilliness.

Time

Night : dry, hacking cough ; itching of skin ; coldness.
Morning : lassitude of arms and legs.
At 4 P. M. : fatigue with sleep while riding.
All day : pressure of stomach, with eructation of air.

Temperature and weather

Cold : great sensitiveness of the head.

Fever

Epidemic affection (See Chest and Stomach ), lasting seven weeks, was lessened to a few days ; the longest seven days.
Gastric, catarrhal, or rheumatic fever, with pain in stomach and region of liver, increased by pressing on it ; symptoms frequent in epidemic influenza.
Chilliness on awakening, with strong urging to urinate.
Chill, with pulse increased from 75 to 90.
Chill, with sensation of a pulse beat in abdomen.
Chilliness at night, < by uncovering ; pulse in morning 82.
General sweating and lassitude on awakening.
Sweating of forehead and back after meals.

Locality and direction

Left : parietal bone, pain ; eyelids, difficult to open ; nostril, watery discharge ; tension, lying on side ; pressure of flatus, under ribs ; lobe of liver, swelling, sensitiveness ; small intestine, pressure ; chest, drawing
pain ; in chest, oppression ; in side, stitches ; pectoral region, drawing pain ; in neck and shoulder blade, pressing pain ; upper arm, tearing ; forearm, burning pain ; in radius, drawing pain ; index finger, burning pain ; fourth finger,
rheumatic drawing ; in fingers, cramplike pain ; in knee, drawing pain ; in tibia, paralyzed pain.
Right : in eye, pain ; auricle, pain ; nostril, burning ; under margin of ribs, pressure of flatus ; in hypochondria, dull pain ; abdominal wall, drawing pain ; abdomen, near hip, pains ; in lumbar region, pain ; side of abdomen, drawing
sensation ; nipple, stitching pain ; pectoral region, drawing pain ; in neck, pressure, pressing pain ; side of back, drawing pain ; shoulder blade, drawing pain ; shoulder joint, pans ; in deltoid, violent pain ; in arm, violent pains ; in
radius, drawing pain ; muscles of hand, cramp-like drawing ; index finger, rheumatic drawing ; fourth finger, drawing pain ; in fingers, cramplike pain ; in thigh, drawing pain ; in dorsum of foot, pain ; in heel, pain.
From right to left : crawling in liver ; pain in abdominal wall.
Left to right : drawing pain through pit of stomach ; stitches in nipples.

Sensations

As if eyeballs were pressed against side of orbits ; as though palate was covered with fat ; as of a band around knees.
Stitches : in scrobiculum ; in stomach ; hepatic region ; region of spleen ; hypochondrium ; small intestine ; near sixth rib, left side ; over right nipple ; in abdomen ; in r. side.
Cutting : in bowels.
Colicky pains : in stomach.
Griping : in stomach ; in intestines.
Tearing : left upper arm ; in left shoulder blade.
Rheumatic pains : in shoulder ; fourth finger, left hand ; r. index finger ; in right deltoid.
Drawing pain : in scalp of occiput ; in teeth ; through pit of stomach ; hepatic region ; about umbilicus ; through r. inguinal region ; in bladder ; in inguinal region ; in testicles ; in vagina ; margin of left rib ; in
hypogastric region ; in chest ; region of heart ; through right pectoral region ; in entire back ; in right upper arm ; in superficial nerves about knee ; lower thigh ; right thigh ; in skin of outer left knee joint ; in muscles of left
radius ; inner side of right hand ; fingers ; in muscles covering radius.
Burning : in eyeballs ; edges of lids ; in nostrils ; in œsophagus ; above umbilicus ; pain in small intestine ; in rectum and anus ; in meatus, after urination ; in bladder ; l. shoulder blade ; in skin ; left index
finger ; pain in urethra ; in forearm.
Dull pain : in right hypochondrium.
Pressing pain : inner surface of skull ; in occiput ; in stomach ; in abdomen ; pain in speaking ; small of back.
Pressure : in forehead ; in eyeballs ; in eyelids ; hepatic region ; under ribs ; small intestine ; on bladder ; in nape of neck ; in back, below shoulder blades ; in wrist joints ; in glans ; in right pectoral muscle.
Tensive pressure : in scalp ; pain in liver.
Bruised feeling : in arms ; in buttocks and legs.
Paralyzing pain : left tibia.
Pain : in stomach ; in auricle ; in urethra ; in right lumbar region ; in chest ; in shoulder joint ; in hollow of knees ; violent in abdomen ; in hip joints ; in dorsum of r. foot ; right heel ; in left parietal bone ; in
right eye ; in orbits.
Roughness : in palate.
Scraping : in throat.
Fulness : of head ; in hypochondria.
Swelling : in larynx ; sensation of in female urinary organs.
Heaviness : of head and eyelids.
Emptiness : in stomach.
Constriction : over eyebrows.
Band : around calves.
Cramplike : muscles left radius ; inner side right hand ; in fingers ; pain in calves ; right foot.
Motion : in intestines.
Tickling : at edge of nostrils.
Crawling : in posterior side of liver.
Coldness : in knees ; in toes and soles.
Uncomfortable sensation : of epigastric region.
Warmth : in small intestines.
Heat : in face ; about umbilicus.
Dryness : in palate and lips ; in larynx.
Itching : in anus ; in front of heel.

Tissues

Portal hyperemia ; catarrh of biliary ducts ; tardy peristaltic movements in large intestines ; hemorrhoids.
Dropsical diseases, depending on organic affections of the liver ; frequently of long standing.
Passive hemorrhages, connected with diseased liver or spleen.

Touch. passive motion. injuries

Pressure : hepatic region, sensitive ; < rheumatic pain in stomach.
Riding : fatigue ; pressing pain in abdomen.

Skin

Itching on lying down at night.

Stage of life, constitution

Woman who was exhausted by much suffering and repeated hemorrhages from womb after abortion, with frequent attacks of bilious colic. θ Typhlitis stercoralis.

Relations

Compare : Bryon ., Chelid ., Mercur ., Nux vom ., and Podoph ., in hepatic affections, especially
jaundice.

Lectures on Homoeopathic Materia Medica

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

Lecture

This is one of the most important liver remedies, if a homoeopathic author can be excused for the expression. There are many pains, pressing, dragging, drawing, burning; worse from motion.

The patient is very sensitive to cold, and is subject to attacks of bilious vomiting at regular or irregular intervals. The author has cured many violent sick headaches ending in vomiting bile, and cases in the habit of taking calomel, with this remedy ( Sang.).

Dropsical effusions with liver diseases. It is useful in hemorrhages and jaundice, when symptoms agree.

Sadness, irritability and weeping. Congestive headaches; pressing pains coming periodically. Fullness and heaviness in the head. Sensitiveness of the scalp to cold air. Pressing outward of the eyeballs.

Yellow sclerotics. Burning in margins of lids. Burning inside of the nose. Epistaxis.

Taste bitter, insipid, or wanting. Foul tongue. No desire for food. Nausea, and vomiting mucus, then bile. Painful retching, and then vomiting sour greenish fluid. Drawing pains from left to right in the stomach. Burning in the stomach. Vomiting blood, very black.

The most important of all the liver symptoms. Dragging pain in right hypochondrium when lying on left side; like Arn., Mag. m., Nat. s. and Ptelea.

Pressing, drawing, stitching in right lobe of liver. This remedy establishes a healthy flow of bile, and thereby cures the condition that favors the formation of gall stones. It has many times broken up the tendency to gall stone colic.

Portal congestion and hemorrhoids. Sore, bruised, hard liver; sometimes the left lobe, but oftener the right. When complicated with lung and heart symptoms with expectoration of blood.

Drawing, stitching or burning pains in the abdomen. Distended abdomen. Cutting pains. The stool is black. Stool hard and knotty. Clay-like, bileless stool. Burning in rectum, and anus. Itching piles. Bleeding piles. Inveterate constipation.

Burning in the urethra. Copious high-colored urine, with copious sediment. Turbid urine. Retention of urine.

Menses copious. Menses suppressed. Uterine haemorrhage with portal congestion. Drawing in vagina, and leucorrhoea.

Liver cough, when lower portion of right lung is affected, with chronic congestion of the liver.

Pains in the chest with liver pains. Stitching pains. Drawing pains, aggravated by motion.

Pain in the back under the right scapula (much like Chel. and Aesc.). Drawing pains in the back. Sensitive spine.

Cramping, drawing, pressing, rheumatic pains in the limbs. Violent pain in the right deltoid. Pain in the hip joints, aggravated from rising, stooping, and motion.

Neuralgic pains in the lower limbs, worse from motion. (Edema of the feet. Varicose veins. Ulcers. Rheumatism, and jerking of the muscles. Cramps in the calves and feet. Walking almost impossible.

Gastric and bilious fevers.