Causticum caust.

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

NERVES: Motor. Sensory. MUSCLES: BLADDER. LARYNX. Limbs. Respiration. Skin. Right side; face.

Worse

Air: DRY COLD. Raw. WINDS. Drafts. Extremes of temperature. Stooping. Suppressions. Coffee. 3-4 A.M. OR EVENING. Exertion. Change of weather.

Better

A COLD DRINK (EVEN CHILLS). Washing. Warmth; of bed. Gentle motion.

General

Sensitive to both heat and cold. Weakness, increasing uncertainty of control, stumbling, etc., finally PARALYSIS; of single parts. Atony. Anæsthesia. Stiff joints. Contracted tendons; palms (Nat-m.), hamstrings, etc. Deformities. Atrophy. Jerks of single muscles. Epilepsy, at puberty. Trembling. Burning. Soreness. Rawness; larynx, anus, etc.

Particulars

Broken down; worn out; wants to die. Hopeless, despondent. Mental tire. Anxious forebodings (felt in head), < in twilight. Reticent. Oversympathetic. Empty behind forehead. Tight scalp. To and fro or nodding motions. Paralysis: of one eyelid (r), throat, bladder, etc. Heavy, drooping eyelids. Continuous eye pain. Diplopia, > looking to right. Objects look large. Cataract. Profuse acrid tears. Much, foul earwax. Echo in ears. Tinnitus. Eruption on lower nose. Prosopalgia, > cold water. Facial paralysis, < opening mouth. Swelling at root of tongue. Throat, < stooping. Urging to swallow, or swallows the wrong way. Greasy eructations. Cramp in rectum on stooping. Anus, prolapses on coughing; small, hard pustules. Stool glistens; difficult, > standing. Stooling easier by standing, but piles < standing. Must sit down to urinate. Insensible urethra or rectum; to solid stools (Alo.). Piles, < walking. Urine retained after labor. URINE SPURTS ON COUGHING; dribbles or passes slowly; > sitting. Menses by day, leucorrhœa by night. Dry, hard cough. Cough from tickling in throatpit (Sep.), or l. larynx; incessant; dry night and morning. Can't cough deep enough (Rum.); expectorate slips back again; < heat of bed, stooping, cold air; > sips of cold water. Greasy, ropy, difficult expectoration. Aphonia or hoarseness, in A.M.; of speakers; < stooping; > talking. Sore streak in larynx. Sore chest; vest seems tight. Purring in chest. Wandering chest pains, > pressure. Stiff neck or back on rising; pain goes forward or to thighs. Pain in spine on swallowing. Bursting in fingertips. Cramps in calves, feet or toes. Deep burns and their effects. Skin: cracks; ulcers. Warts, on brows, lids, nose, fingertips; seedy; bleeding; ulcerating. Coldness, not > warmth; causes paralysis, cough, diarrhœa, etc. Sweat about 4. A.M.; profuse, on slight exertion; < open air.

Related

Complementary: Carb-v. Grap. Lach. Stap. Related: Gel. Kali-bi. Pho. Rhus-t. Sep.

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

Adapted to persons with dark hair and rigid fibre; weakly, psoric, with excessively yellow, sallow complexion; subject to affections of respiratory and urinary tracts. Children with dark hair and eyes, delicate, sensitive, skin prone to intertigo during dentition (Lyc.), or convulsions with eruption of teeth (Stan.). Disturbed functional activity of brain and spinal cord, from exhausting disease or severe mental shock, resulting in paralysis. Rawness or soreness: of scalp, throat, respiratory tract, rectum, anus, urethra, vagina, uterus (as if bruised, Arn.; as if sprained, Rhus). Melancholy mood: sad, hopeless; from care, grief, sorrow; with weeping, "the least thing makes the child cry.". Intense sympathy for sufferings of others. Ailments: from long-lasting grief and sorrow (Phos. ac.); from loss of sleep, night watching (Coc., Ign.); from sudden emotions, fear, fright, joy (Coff., Gels.); from anger or vexation; from suppressed eruptions. Children slow in learning to walk (Cal. p.). Unsteady walking and easy falling of little children. Constipation: frequent, ineffectual desire (Nux); stool passes better when person is standing; impeded by haemorrhoids; tough and shining, like grease; in children and nocturnal enuresis. Urine involuntary: when coughing, sneezing, blowing the nose (Puls., Squil., Ver.). Cough: with rawness and soreness in chest; with inability to expectorate, sputa must be swallowed (Arn., Kali c.); relieved by swallow of cold water; on expiration (Acon.); with pain in hips; remaining after pertusis; with expectoration chiefly at night. Hoarseness with rawness, and aphonia < in the morning (< in the evening, Carbo v., Phos.). At night, unable to get an easy position or lie still a moment (Eup., Rhus). Must move constantly, but motion does not relieve. Cannot cover too warmly, but warmth does not >. Faint-like sinking of strength; weakness and trembling. Xixeixwa, especially burns, scalds, freshen up, become sore again; old injuries re-open; patients say "they never have been well since that burn.". Menses: too early; too feeble; only during the day; cease on lying down. Paralysis: of single parts; vocal organs, tongue, eyelids, face, extremities, bladder; generally, of right side; from exposure to cold wind or draft; after typhoid, typhus or diphtheria; gradually appearing. Drooping of upper eyelids; cannot keep them open (Caul., Gels., Graph. - of both lids, Sep.). Rheumatic affections, with contraction of the flexors and stiffness of the joints; tension and shortening of muscles (Am. m., Cimex, Guaiac., Nat. mur.). Warts: large, jagged, often pedunculated; bleeding easily; exuding moisture; small, all over the body; on eyelids, face; on the nose. Patient improves for a time, then comes to a "standstill" (Psor, Sulph.).

Relations

Complementary: Carbo veg., Petros. Incompatible: Phos. Must not be used before or after Phos., always disagrees; the Acids; Coffea. Compare: Arn., must swallo mucus; Gels., Graph., Sep. in ptosis; hoarseness, Rumex and Carbo v. when < changes to evening; Sulph. in chronic aphonia. Causticum antidotes paralysis from lead poisoning (bad effects of holding type in mouth of compositors). and abuse of Merc. or Sulph. in scabies. It affects the right side most prominently.

Aggravation

In clear, fine weather; coming from the air into a warm room (Bry.); cold air, especially draft of cold air; on becoming cold; from getting wet or bathing.

Amelioration

In damp, wet weather; warm air.

Key-Notes to the Materia Medica

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

General

We are led to think of this remedy particularly on seeing a patient with a tendency to scrofula, or having a weakened and emaciated appearance. This weakness may result from grief of long standing, or from some diseased condition. The skin of the patient often has a dirty white look.

Mental

Sadness; whining mood; fear in general; very suspicious and mistrustful; absent-minded.

Face

Paralysis of right side.

Mouth

Fistula dentalis; teeth ache; are loose; feel elongated; worse from cold or warm substances, and at night; tearing, lancinating toothache; in the under jaw, in the lower teeth (particularly on the left side).

Ears

Affections behind the ears; lobe of the ear. Noises in the ears in general; humming in; tinkling in.

Nose

Affects top of the nose; exanthema on; puffiness of scaly nose, externally and internally, with burning and itching; obstruction of.

Eyes

Eyebrows; eyelids; upper eyelids (upper eyelids will drop, patient can't keep them up); mist before the eyes; dimness of vision; ophthalmia where there is opacity of the cornea which has spread over the pupil.

Gastric

Fatty taste; qualmishness; vomiting of watery matter. Sensation as if lime were being slaked in the stomach; burning in.

Stool

Constipation; stool shining like grease. Rumbling and rolling in the bowels; complaints after stool.

Urine

Discharge of, too frequent; involuntary discharge, of, as in cases of children who wet the bed at night; in women when urine spouts from them in walking, coughing, etc.

Sexual

Female: Sexual desire too weak; menstruation too late; delay of the first; ceasing at night, and flow only during the day, leucorrhœa flows at night, and not during the day.

Fever

Coldness of single parts; complaints concomitant to perspiration, (i.e. appearing simultaneously with the perspiration); chilliness followed by perspiration.

Cough

Cough, and being obliged to swallow what is raised; the expectoration comes up far enough apparently, but it cannot be spat out; greasy taste of the expectoration. The inability to expectorate is found in every species of cough, whooping cough, etc.

Skin

Exanthema in general; burning, in itching blotches, like nettle-rash. Pimples in general. Itch; itch suppressed by mercury or sulphur; burning itch. Tingling (or stinging) swelling (sometimes called "buzzing" swelling). Burning tetters. Burning ulcers, with yellowish looking skin; ulcers burning, with corroding pus, with thin or watery pus, suppurating; jerking pains running through the ulcers. Warts.

Sensations

Sensation in the cheeks and chin. In rheumatism, where there is a burning pain in the joints. Burning pain in the exterior parts; pain as if the parts were pushed or pressed asunder, or as if they would burst (the difference between this remedy, Bryon., and Calc. carb., which have the same symptoms, may be found in the constitutions), gnawing in the inner parts (e.g. stomach); jerking pain in the outer parts; pressing in outer parts; darting in the bones.

Generalities

Affects particularly: sexual organs, right side; right side of, and nape of the neck; right upper extremity; hypogastrium; back, small of the back; forearm; joints, and arm in general; elbow joint; back or top of the foot, toes, big toe; joints of the leg in general; hip, knee, and ankle joints, and joints of the toes; stiffness of all the joints. Convulsions with jerking; spasms in inner parts, epilepsy. Motion rendered difficult, muscles being shortened. Burns, acute or chronic; old burns don't get well. Concomitant complaints on waking. Old neuralgic headaches. Very drowsy and sleepy, can hardly keep awake. Children slow in learning to walk.

Worse

In the evening; on waking; from cold in general; in cold air; in cold and dry weather; after eating; after breakfast; from coffee; during perspiration; from scalding or being burnt, i.e., "have never been well since that burn." After stools, from walking (as piles, fissures, fistulæ, etc.); can't walk without great suffering; from taking hold of anything; in clear, fine weather.

Better

From cold water; from warmth in general; the air being warm; in damp and wet weather.

Remedies following

Calc. carb., Lycop., Pulsat., Rhus tox., Sepia, Sulphur.

Antidotes

Spirits of Nitre, Dulcam., Coffea.

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

Inclination to close the eyes, lids seem heavy, even paralysis of upper eyelids. Paralysis of one side of the face. Involuntary urination, at night when asleep, when coughing, when sneezing, or blowing the nose. Hoarseness, worse mornings and evenings, with scraping in the throat. Cough in paroxysms, causing painful. sore sensation in a streak down along the trachea Cough with pains In hip, and involuntary discharge of urine. The laryngeal muscles refuse their service; cannot speak a loud word.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Hahnemann's Tinctura acris sine Kali

General

Manifests its action mainly in chronic rheumatic, arthritic and paralytic affections, indicated by the tearing, drawing pains in the muscular and fibrous tissues, with deformities about the joints; progressive loss of muscular strength, tendinous contractures. Broken down seniles. In catarrhal affections of the air passages, and seems to choose preferably dark-complexioned and rigid-fibered persons. Restlessness at night, with tearing pains in joints and bones, and faint-like sinking of strength. This weakness progresses until we have gradually appearing paralysis. Local paralysis, vocal cords, muscles of deglutition, of tongue, eyelids, face, bladder and extremities. Children are slow to walk. The skin of a Causticum person is of a dirty white sallow, with warts, especially on the face. Emaciation due to disease, worry, etc, and of long standing. Burning, rawness, and soreness are characteristic.

Mind

Child does not want to go to bed alone. Least thing makes it cry. Sad, hopeless. Intensely sympathetic. Ailments from long-lasting grief, sudden emotions. Thinking of complaints, aggravates, especially hæmorrhoids.

Head

Sensation of empty space between forehead and brain. Pain in right frontal eminence.

Face

Paralysis of right side. Warts. Pain in facial bones. Dental fistula. Pain in jaws, with difficulty in opening mouth.

Eyes

Cataract with motor disturbances. Inflammation of eyelids; ulceration. Sparks and dark spots before eyes Ptosis (Gels). Vision impaired, as if film were before eyes. Paralysis of ocular muscles after exposure to cold.

Ears

Ringing, roaring, pulsating, with deafness; words and steps re-echo; chronic middle-ear catarrh; accumulation of ear-wax.

Nose

Coryza, with hoarseness. Scaly nose. Nostrils ulcerated. Pimples and warts.

Mouth

Bites inside of cheek from chewing. Paralysis of tongue, with indistinct speech. Rheumatism of articulation of lower jaw. Gums bleed easily.

Stomach

Greasy taste. Aversion to sweets. Feels as if lime were burned in stomach. Worse after eating fresh meat; smoked meat agrees. Sensation of ball rising in throat. Acid dyspepsia.

Stool

Soft and small, size of goose-quill (Phos). Hard, tough, covered with mucus; shines like grease; small-shaped; expelled with much straining, or only on standing up. Pruritus. Partial paralysis of rectum. Rectum sore and burns. Fistula and large piles.

Urine

Involuntary when coughing, sneezing (Puls). Expelled very slowly, and sometimes retained. Involuntary during first sleep at night; also from slightest excitement. Retention after surgical operations. Loss of sensibility on passing urine.

Female

Uterine inertia during labor. Menses cease at night; flow only during day (Cycl; Puls). Leucorrhœa at night, with great weakness (Nat mur). Menses delay, late (Con. Graph; Puls).

Respiratory

Hoarseness with pain in chest; aphonia. Larynx sore. Cough, with raw soreness of chest. Expectoration scanty; must be swallowed. Cough with pain in hip, especially left worse in evening; better, drinking cold water; worse, warmth of bed. Sore streak down trachea. Mucus under sternum, which he cannot quite reach. Pain in chest, with palpitation. Cannot lie down at night. Voice re-echoes. Own voice roars in ears and distresses. Difficulty of voice of singers and public speakers (Royal).

Back

Stiffness between shoulders. Dull pain in nape of neck.

Extremities

Left-sided sciatica, with numbness. Paralysis of single parts. Dull, tearing pain in hands and arms. Heaviness and weakness. Tearing joints. Unsteadiness of muscles of forearm and hand. Numbness; loss of sensation in hands. Contracted tendons. Weak ankles. Cannot walk without suffering. Rheumatic tearing in limbs; better by warmth, especially heat of bed. Burning in joints. Slow in learning to walk. Unsteady walking and easily falling. Restless legs at night. Cracking and tension in knees; stiffness in hollow of knee. Itching on dorsum of feet.

Skin

Soreness in folds of skin, back of ears, between thighs. Warts large, jagged, bleeding easily, on tips of fingers and nose. Old burns that do not get well, and ill effects from burns. Pains of burns. Cicatrices freshen up; old injuries reopen. Skin prone to intertrigo during dentition.

Sleep

Very drowsy; can hardly keep awake. Nocturnal sleeplessness, with dry heat, inquietude.

Relationship

According to the careful investigations of Dr. Wagner of Basel, Causticum corresponds to Ammon causticum 4x. Causticum does not agree with Phosphorus; the remedies should not be used after each other. Diphtherotoxin follows, causticum in chronic bronchitis.

Antidote: Paralysis from lead-poisoning.

Complementary: Carbo; Petrosel.

Compare: Rhus; Arsenic; Amm phos (facial paralysis).

Modalities

Worse, dry, cold winds, in clear fine weather, cold air; from motion of carriage. Better, in damp, wet weather; warmth. Heat of bed.

Dose

Third to thirtieth attenuation. In chronic ailments and especially in paralytic states, the higher potencies once or twice a week.

Leaders in Homoeopathic Therapeutics

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

Leaders

Great weakness, faint-like goneness culminating in local paralysis (vocal organs, tongue, muscles of deglution, eyelids, face, bladder and extremities).

Obstinate neuralgias, especially of psoric origin; pains of a cramping, drawing nature.

Sensation of sore rawness (Scalp, throat, larynx and trachea, chest, rectum, anus, urethra and eruptions with burning).

Contractions of the ligaments (arthritis deformans).

Dry cough with pain in hip and involuntary urination. Soreness and rawness in air passages, cannot raise the mucus, < on expiration, > swallowing cold water.

Hæmorrhoids sore and raw < on walking. Constipation frequent, ineffectual desire for stool; passes better on standing.

This is a very unique remedy, proven by Hahnemann and classed among the anti-psorics. Its exact chemical composition is not known but it is supposed to be a kind of potash preparation.

It has quite a long list of peculiar symptoms, which are, nevertheless, very reliable. In the first place it has great weakness, such as characterizes the potash salts generally. It is with Causticum "faint-like weakness, or sinking of strength, with trembling." In this it resembles Gelsemium, and it has another symptom, in connection with its general weakness which resembles Gelsemium, viz.: "Drooping of the lids." Sepia, Causticum and Gelsemium is the trio having this peculiar symptom in a very marked degree. Now, the weakness of Causticum progresses until we have "gradually appearing paralysis," indeed, paralysis is common with Causticum and attacks in a general way the right side (Lachesis the left), but it also has local paralysis; as, for instance, of the vocal organs, muscles of deglutition, of tongue, eyelids, face, bladder and extremities. On the other hand, it has all grades of nervous twitchings, chorea, convulsions and epileptic attacks, even progressive locomotor ataxia. I can only name these diseases here, but will notice further on the symptoms and conditions which appear in connection with them.

Neuralgic affections are also common with this remedy and are generally of an obstinate character. Causticum has helped me out in such cases when other seemingly indicated remedies failed. One of our oldest and most eminent writers on Materia Medica, Charles J. Hempel, sneered at the multiplicity of symptoms of this remedy, as found in the "Chronic Diseases," but the clinical test has proven it to be a remedy of great use and wide range. On the mind it exerts a very depressing influence in keeping with its general action on the nervous system. Melancholy mood; sadness, hopelessness; is apt to look on the dark side of everything. This melancholy may come from care, grief or sorrow. It often comes from long lasting brief or sorrow, and should be remembered here alongside Ignatia, Natrum muriaticum and Phosphoric acid.

This is the preponderant mood of Causticum, but it may alternate with an anxious, irritable or hysterical mood. We have already spoken of the paralysis of the eyelids. The vision is often affected; there is an appearance of gauze before the eyes, or as if a fog or cloud were there. This is often the case in incipient cataract, and Causticum often remedies it.

Upon the ears there is roaring, tinkling, humming and all sorts of noises. It is one of our best remedies in deafness with these noises. Reverberation of sounds, especially the patient's own voice, finds here a remedy. Then the ears (external) burn and are very red. Sulphur also has this symptom very prominently: and right here we may say that there are many resemblances between these two remedies, and they follow each other well, especially in chronic diseases.

Upon the face we have four prominent peculiar symptoms:

1st. Yellowness of the face; sickly yellow (not jaundice).

2d. Paralysis of a rheumatic or psoric origin.

3d. Prosopalgia of the same origin.

4th. Stiffness of the jaws; could not open the mouth.

This latter symptom also seems to be rheumatic and is in keeping with the arthritis deformans, of which we will say more further on.

Upon the tongue we have: 1st. Paralisis; or indistinct speech without complete paralysis (Gels.). 2d. Tongue coated white on the sides, red in the middle, but not so sharply defined as in Veratrum viride.

The throat comes strongly under the influence of Causticum.

"Burning pain in throat, not < by swallowing; pain is in both sides or seems to arise from chest."

"Rawness and tickling in throat with dry cough and some expectoration after long coughing."

This again in similar to Sulphur, which has burning in throat, more on right side. I have found that if Sulphur did not relieve, Causticum given after it, often would.

Intestinal Canal.-Sensation of lime being burned in the stomach, with rising of air. Guernsey praised this symptom and considered it reliable. I have not verified if Causticum is one of our best remedies in anal troubles, and has very peculiar symptoms. "Constipation, frequent but unsuccessful desire to stool." (Nux.) "Frequent ineffectual desire to stool, with much pain and straining, with redness of face." "The stool passes better when standing. Hæmorrhoids impeding stool, swollen; itching: smarting; rawness; moist; stinging; burning; raw and sore, aggravated when walking, when thinking of them, from preaching or straining the voice." All these symptoms have been verified over and over again. There are other symptoms also in this region that are very valuable, but we are not writing a complete Materia Medica and will only say in addition that in all anal troubles we should let Causticum rank among the first in our mind when we are hunting for the simillimum. We do not know in what part the peculiar and characteristic symptom which leads to the simillimum will appear, but must be on the alert to recognize it promptly.

Causticum also has very marked action upon the urinary organs, as is shown by the following symptoms: "Itching of the orifice of the urethra." "Constant ineffectual desire to urinate, frequent evacuations of only a few drops, with spasms in the rectum and constipation."

This is like Nux vomica and Cantharis, and I once cured a chronic case of cystitis in a married woman, which had baffled the best efforts of several old school physicians, eminent for their skill for years. There was another symptom in the case that was prominent, and that was a sensation of soreness or rawness. More will be said, when we come to write on sensations, of this last symptom. Again, "retention of urine, with frequent and urgent desire, occasionally a few drops dribble away."

"Involuntary passage of urine when coughing, sneezing, blowing the nose; at nigh when asleep; when walking." "He urinates so easily that he is not sensible of the stream, and scarcely believes in the dark that he is urinating at all, until he makes sure by sense of touch." I do not know of any remedy in which this weakness of the neck of the bladder is more prominent. Causticum also affects the urine itself "The urine is loaded with lithic acid and lithates (Hughes), there are thick deposits or sediments of various colors from dark to light" These are a few of the leading urinary symptoms and show its importance here.

Respiratory Organs. -Hoarseness worse in the morning, with rawness and sudden loss of voice. Laryngeal muscles refuse to act; cannot speak a loud word. Chronic hoarseness remaining after acute laryngitis. Hoarseness with deep bass voice (like Drosera). These are all very reliable symptoms, and no remedy removes them oftener than Causticum. All this loss of voice may come from paresis of the vocal chords, or from catarrhal causes. Then following down the respiratory tract, we have great rawness and irritation of the trachea, cough dry, hollow; with sore or raw sensation in a streak down along the trachea. Cough with pain in hip and involuntary urination. Cough with sensation as if she could not cough deep enough to start the mucus. Coughs worse on expiration (Acon.) Cough relieved by a swallow of cold water. Cough with inability to raise the mucus, it must be swallowed; but the most characteristic symptom all through the cough and chest symptoms is the sensation of soreness and rawness accompanying them. Some will express this as a sensation of burning, if so we must remember Iodine and Spongia. In influenza or what is now called La Grippe it disputes for first place with Eupatorium perf. and Rhus toxicod. All three have a tired, sore, bruised sensation all over the body, and all have soreness in the chest when coughing, but if involuntary micturition is present Causticum wins. No homœopath can afford to be without an understanding of Causticum upon the respiratory organs.

Now upon the back and extremities we have -stiffness and pain in neck and throat, muscles feel as if bound, could scarce move the head. Painful stiffness of the back and sacrum, especially on rising from a chair. Paralysis of either or both lower and upper extremities. Dull drawing pain in hands and arms. Drawing and tearing in thighs and legs, knees and feet, worse in open air and better in bed. Weakness and trembling of the limbs. Rheumatic and arthritic inflammations with contractions of the flexors and stiffness of the joints. All these, and many more symptoms, show what a useful remedy this must be in its general action on the back and extremities, but right here I wish to say that if I were to select the three remedies to the exclusion of all others for the treatment of chronic rheumatism and paralysis Causticum, Rhus tox. and Sulphur would be the three. These three remedies studied in their correspondence and relation to each other will more than repay the careful student, and Causticum holds well its own in the comparison. You will remember that I have before alluded to the resemblances of Causticum and Sulphur, and may continue to do so further on. I wish here, although constitutionally opposed to making too much of complementaries and incompatibles (so-called), to state that there are no two remedies that are oftener indicated after each other, and work as well when so indicated, than these two. If Hahnemann had never given to the homœopathic school any remedy but Causticum, the world would still be to him under lasting obligations.

Sensations. -Tearing pains are, characteristic of this remedy. They are often paroxysmal. This is often found in neuralgia of the face. Then again I wish to call particular attention to the sensation of soreness or rawness. This is found in scalp, throat, larynx and trachea, chest, rectum, anus, urethra and eruptions. We observe that the sensation of soreness is not like that of Arnica, which is a soreness as if bruised and mostly muscular, nor of Rhus toxicodendron, which is an aching soreness as if sprained and oftenest found in the tendons and sheaths of muscles, or areolar tissues; but it is a soreness mostly, if not altogether, of mucous surfaces as if the parts were raw. This is important and a very reliable sensation. Then again we have in Causticum much burning. These burnings are found almost everywhere, and in this we again see its resemblance to Sulphur. Now let it be remembered that the burnings of Sulphur are associated with itching, those of Apis mellifica with stinging, and those of Causticum with soreness. So we must always learn to differentiate, because it is only by so doing that we can select the one remedy out of a class, and sometimes a large class, having the same or similar symptoms. The drawing pains that in many cases result in forcing out of shape the extremities so as to cause that terrible affliction known as arthritis deformans are found as prominently under Causticum as under any other remedy, and it is one of the most useful agents for the relief or cure.

Causticum is classed among Hahnemann's anti-psorics. It is certainly one of the prominent remedies for affections arising from the suppression of itch or chronic skin troubles, like eczema. I was once called, in consultation, to a case of prosopalgia which had for a long time baffled the skill of a very good homœopathic practitioner. Not being able to relieve the case, he had become demoralized, and as the pain and suffering were very great he had resorted to anodynes, but with the usual result of making the patient worse, after the anodynes had worn out, than she was before. On looking over the case carefully, I found in addition to the emaciated and greatly debilitated condition of the patient, after so long suffering, that the pains came in paroxysms, that they were of a drawing nature, and that she had suffered from eczema for years, at different times, before this pain appeared. Sulphur had been given, but without relief. So I advised Causticum. It was given, in the 200th, and a rapid and a permanent cure was the result. Whether Causticum could be called an anti-sycotic as well as anti-psoric, or not, I do not know. Certain it is that it is one of our most successful remedies for warts. It stands next to Thuja, if not equal. It is also foremost in old sores originating in burns. I have given more space to Causticum than I otherwise would, for the reason that I am sure that this great remedy is not generally appreciated. I know of no remedy more positive and satisfactory in its action when indicated. Generally < in clear fine weather > in damp wet weather. (Nux vom., asthma < in dry weather > in damp weather.).

Modalities

Modalities: < dry weather, walking (piles), > wet weather, swallowing cold water (cough).

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

Melancholy, peevish. Low-spirited, with fearful anxiety, day and night. Attacks of anger, with scolding. Afraid at night (in the dark room ; the child does not want to go to bed alone).

Head

Giddiness, with sensation of weakness in the head. Stitches in the temples. Tension and tightness in the head, and of the scalp (forehead and temples). Congestion to the head, with roaring in the head and ears. Involuntary nodding of the head while writing.

Eyes

Pressure in the eyes, as if sand were in them. Agglutination of the eyes (in the morning). Inflammation of the eyes, with burning and itching of the eyes and eyelids. Old warts ; on the eye-brows ; on the upper eye-lid (nose). Movements before the eyes, as of a swarm of insects. Dim-sightedness, as if a thick fog were before the eyes.

Ears

Buzzing and roaring in the ear and head. Spasmodic pain in the ear, as if the inner parts were pressed out. Stitches in the (right) ear. Painful swelling of the external ear. Feeling of obstruction in the ears. Words spoken and steps re-echo in the ear.

Nose

Pimples on the tip of the nose. Old warts on the nose (orbits, upper eyelids). Itching in the nose, and of the nostrils. Coryza, with hoarseness, preventing loud speech. Continuous dry coryza, with obstruction of both nostrils.

Face

Yellowness of the face, (temples). Spasmodic sensation of the lips. Sensation of tightness and pain in the jaws, rendering it very difficult to open the mouth, or to eat. Arthritic pains in the lower jaw. Semi-lateral paralysis of the face. Itching eruption on the face.

Teeth

Painfully elongated teeth, (incisors). Stitches in the teeth. Gums suppurating, (fistula dentalis).

Mouth and Throat

Swelling of the inner side of the cheek ; he bites it when chewing. Dry mouth and tongue. Accumulation of much mucus in the mouth and throng. Speechlessness from paralysis of the tongue. Distortion of the tongue and mouth when talking. Stuttering, difficult, indistinct speech. Dryness in the throat, without thirst. Constant disposition to swallow, (pain as if a tumor were in the throat). Audible cracking in the throat. Sensation as if something cold were rising in the throat.

Appetite and Taste

Aversion to sweet things. Greasy taste in the mouth. Violent thirst, (cold drinks). Fresh meat causes nausea ; smoked meat agrees.

Stomach and Abdomen

Violent distention of the abdomen after a meal, (breakfast). Sour vomiting, often followed by sour eructation. Colic, with heat in the head, chilliness over the whole body ; better when lying down. Swelled abdomen in children. Painful swelling of the navel. The clothes press the hypochondria painfully. Stitches in the liver.

Stool and Anus

Constipation ; painful, fruitless urging to stool, with anxiety and redness of the face. The hard, tough stool, is covered with mucus, and shines as if greased. The stool is too small-shaped. Diarrhœa, with tenesmus and burning in the rectum. Bloody stool, with soreness and burning of the rectum. Itching at the anus, (after dinner). Varices of the rectum, hindering stool ; large ; painful ; stinging ; burning when touched ; increased by walking, and when thinking of them. Pulsation in the perinæum. (Fistula in ano). Soreness of, and oozing of moisture from the rectum.

Urinary Organs

Frequent and urgent desire to urinate, with thirst and scanty emission. Involuntary emission of urine by day and night ; at night, when asleep ; when coughing, sneezing, and walking. Burning in the urethra when urinating. Itching of the orifice of the urethra.

Sexual Organs

Men. Increase of smegma about the glans. Aching in the testes. Itching of the scrotum. Women. Menses too late, but profuse ; blood clotted. Difficult first menstruation. During the menses, no blood is passed at night. Pain in the back, (during the menses) ; yellowness of the face ; vertigo. Aversion to coition. Leucorrhœa at night. Sore, cracked nipples, surrounded with herpes. Deficiency of milk.

Larynx and Trachea

Burning and roughness. Hoarseness and roughness, (early in the morning). Aphonia, (in the morning), or from weakness of the organs. Sensation of soreness of the larynx. Hawking up of mucus early in the morning.

Chest

Asthma, especially when sitting or lying down. Stitches in the sternum, or deep in the chest, during a long inspiration. Rattling in the chest. Burning, stitches, and soreness in the chest. Palpitation of the heart, with languor. Stitches about the heart. Tight dressing about the chest oppresses the breathing. Short, dry cough. Dry, hollow cough, with soreness in the chest, caused by tickling and mucus in the throat, with expectoration only at night, of acrid-tasting mucus, which he cannot raise, but has to swallow it again. Cough, with pain in the hip, with involuntary passage of some drops of urine. Cough is worse in the evening till midnight, from exhaling ; drinking coffee ; cold air ; draft of air ; when awaking from sleep. Cough is relieved by a swallow of cold water.

Back and Neck

Stiffness and tension in the neck. Swelling, like goitre, on the throat. Painful stiffness between the scapulæ, and of the back, especially when rising from a seat. Itching and humid tetter in the nape of the neck. Pain, as from a bruise in the nape of the neck.

Extremities

Upper. Dull tearing in the arms and hands. Great heaviness and weakness in the arms. Trembling of the hands. Great heaviness in the right hand. Paralytic feeling in the right hand. Sensation of fulness in the interior of the hand when grasping anything. Tension of the posterior joints of the fingers when bending them. Numbness, insensibility and tightness of the fingers. Tearing in the right wrist-joint. Lower. Sensation of dislocation of the hip-joint when walking. Tension in the knee and ankle-joints. Contraction and tension in the heel and tendo Achillis. Marbled skin of the legs. Swelling of the feet. Cold feet ; cramp in the feet. Unsteady walk of children ; they fall easily.

Generalities

Paralytic, trembling weakness of the limbs, paralysis (one-sided). Epileptic spasms (at night during sleep). St. Vitus' dance. Tension and shortening of the muscles, contracting the joints and bending the limbs ; they become paralyzed. Rheumatism in the limbs.

Sleep

He starts from the sleep. Sleeplessness at night, with anxiety and heat. Great sleepiness during the day.

Fever

Pulse only accelerated towards evening. Chilliness predominating, frequently with coldness of the left side. Internal chilliness, followed by perspiration, without previous heat. Heat in the evening, from 6 to 8 P.M. Flushes of heat, followed by chilliness. Perspiration when walking in the open air. Morning sweat (smelling sour).

Skin

Itching of the whole body at night. (Itch). Injuries of the skin, which had been healed, become sore again. Humid tetters. Painful varices. Soreness of children.

Conditions

In the evening, great restlessness of the body (legs). Aggravation in the evening ; in the open air ; from colic. Amelioration, especially of the rheumatic pains in the limbs, in bed, and from heat.

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

Tinctura acris sine Kali. Potassium Hydrate. Obtained by distilling a mixture of slaked lime and a solution of potassium sulphate. Tincture with spirit.

Clinical

Acne rosacea. Agalactia. Amaurosis. Apoplexy. Arthritis deformans. Bladder, affections of. Bronchitis . Burns. Cataract. Chorea. Coccygodynia. Constipation . Convulsions. Cough . Deafness. Dentition. Diphtheritic paralysis. Ears, otorrhœa. Emaciation. Enuresis. Epilepsy. Eyes, affections of . Facial paralysis. Fistula . Fistula dentalis. Goître. Hæmorrhoids. Headache. Heart affections. Heel, blistered. Herpes zoster. Hip disease. Hydrogenoid constitution. Impotence. Influenza. Intermittent fever. Intertrigo. Laryngitis . Lead poisoning. Leucorrhœa. Locomotor ataxy. Menière's disease. Menstruation, disorders of. Myalgia . Nails, crippled. Neuralgia. Nose, crusts in; acne on. Paralysis. Pemphigus. Pregnancy . Prostatitis. Ptosis. Rheumatism. Scabies. Scrofula. Skin, eruptions of. Small-pox. Stammering. Syphilis. Tendons, contracted. Throat, affections of. Tongue, affections of; paralysis of. Ulcers. Urethritis. Urine, disordered . Varicose veins. Voice, lost . Warts. Whooping-cough.

Characteristics

Causticum is one of the great polychrest medicines of the Chronic Diseases . It is both antipsoric and antisycotic and antisyphilitic. The leading feature of the Causticum effects is Paralysis , showing itself both in voluntary and involuntary muscles. The weakening effect of potassium in allopathic overdosing is well known, and is strongly brought out in the Causticum provings. Paralytic weakness. Paralysis of single nerves or single parts. Ptosis; facial paralysis; paralysis of tongue; of extremities; of vocal cords; of bladder; of rectum; lead paralysis. Allied to paralysis are convulsions, chorea, cramps, starting, restlessness, twitching. Contraction of flexor tendons. Trembling. Neuralgic and rheumatic affections; tearing, drawing pains. There is a headache which draws and tears through the body. Glandular indurations are prominent. In children there are many symptoms of scrofula. There is a weakened and emaciated appearance, especially about the face, the abdomen being large. Skin dirty-white. Scrofulous inflammations about eyes, ears, and scalp. The paralytic element comes out in slow learning to talk and walk, and stumbling on attempting to walk. In chorea the right side is more affected than left words seem to be jerked out. During the night the legs are constantly "on the go." This kind of restlessness is characteristic of Caus . The mental state is timid, nervous, anxious. Apprehensive of impending misfortune. Conscience-stricken as if she had committed a crime. Full of fearful fancies, < at twilight. Sees fearful images when closing eyes. Melancholy. Taciturn and distrustful; inclined to fits of anger with scolding. Memory fails (mental paralysis), any attempt at mental exertion = symptoms, such as stitches in temples, tension in head and scalp, especially forehead to temples. There is a sensation as if there was an empty space between the bone of the skull and the brain, > by warmth. Headache; cannot keep upper eyelids up. Vertigo, excitement of brain and spine, incapable, tends to fall forward or sideways (locomotor ataxy); with anxiety, weakness in head, sight as if through a fog; skin dry and hot; constipation. Eruptions on scalp behind ears. Sounds re-echo unpleasantly an ordinary voice sounds loud. Facial paralysis from cold draught neuralgia of right cheekbones to mastoid process < at night. Jaw joints affected with rheumatism. Sickly, sallow, low-spirited expression. Nash cured an obstinate case of prosopalgia with Caust. The patient was emaciated and debilitated by long Suffering; pains came in paroxysms, and were of a drawing nature. She had suffered from eczema at times before the neuralgia appeared. Sulph . had been given in vain. Caust . 200 rapidly cured. The Caust . weakness may result from grief of long standing or from disease. Accumulations of mucus in larynx and fauces; catarrh of throat and Eustachian tubes with tinnitus and reverberation. Difficult swallowing of liquids. Constant sensation as if lime were burning in stomach; with water-brash. Pressure and fulness in abdomen as if it would burst, much < by food. Griping cutting > by bending double, < after least food or tightening clothes; menstrual colic ( Caus . will cure after failure of Coloc .). Obstinate constipation (paralysis of rectum); stools covered with shiny coating of mucus; piles, unbearable by walking, by thinking of them, by touch. No remedy has such well-marked aggravations of anal symptoms as Caus. A characteristic is "Passes stool best standing." Spasm of rectum prevents walking. Painful pustules near anus discharging pus, blood, serum. Itching at orifice of urethra. Difficult, frequent micturition; with spasm of rectum. Paralysis of bladder is apparent. Enuresis, especially during first sleep; < winter, > in summer. Tendency to escape during the day, from any extra exertion, laughing, walking. Epilepsy has been cured by Caust ., when fit occurs in sleep and urine escapes. Coughing expels urine. (Kraft has cured cases of incontinence following over-distension of the bladder owing to want of opportunity to attend to the call to urinate at the time, such as occurs in shop-girls and school-girls, who cannot leave their tasks.) Prostatitis and urethritis. Itching scrotum; cannot retain urine. Blood with semen. Sexual appetite in women is abolished. Constant indifference, the only time there is any inclination is after the period. Sadness during period. Period too early, too abundant; after it, a little blood passes occasionally, smelling badly. Nursing women lose their milk after exertion or long sleep. Hoarseness (with dry cough and redness of fauces), the result of weather or catching cold, < in morning. Aphonia: paralysis of vocal cords. Dry, hollow cough with mucus on chest; patient cannot expectorate, must swallow phlegm raised. A characteristic is: "Cannot cough deep enough for relief." Rawness and burning down throat and trachea. Rheumatism tends to stiffen joints and contract limbs. Warts are a notable feature in Caust . ─ on hands, on face, and especially on margins of eyelids. When on hands they are usually found on finger-tips or close to nails. Nails are crippled. Old, large, inflamed and indurated warts. Burning itching on face, discharging acrid fluid which forms crusts. Guernsey commends Caust . in the after-effects of burns and scalds. Patients say, "I have never been well since that burn." Its caustic properties may be its "signature" here. "Burning," indeed, is one of the notes of Caust . Guernsey gives "sensation as if lime were being slaked in the stomach." "Soreness" or "rawness" are also very characteristic, appearing in piles and anal affections ( < walking or sitting), in which Caust . is in the very first rank among remedies. Soreness and rawness accompany cough symptoms and urinary symptoms. Malcolm Macfarlan confirms the following symptoms: "Forearms in front very sore to touch and pressure; muscles of extremities sore generally." "Sudden severe pain commences in left hip-joint ; lasts a short time; feels as if it had been injured; legs very sore, or rather the lower extremities ache and feel tired." Caust . is a remedy to be remembered in intermittent fevers. One peculiar symptom is, "sweat coming after the chill without intervening heat." Teste places Caust . at the head of a group (including Coccul., Coff. c., Corall., Nux v., Staph., Ars .) the common characteristic being according to him: "Two series of successive and opposite phenomena; the former of short duration, consisting in a sort of universal exaltation of all the functions; the latter, which succeed the former more or less rapidly, consist in a general depression of the vital forces, and constitute the real and permanent action of the drugs of this group." Among instances, he gives mirthfulness followed by ill-humour; sleeplessness followed by yawning and drowsiness; moisture of skin followed by dryness; flow of saliva followed by dry mouth and throat; coryza fluent, then dry. Teste found Caust . of great efficacy in small-pox in alternation with Merc. cor . Periodicity is marked: Periodic, paroxysmal attacks; twice a day to every two, three, or four weeks an attack; at new moon. Symptoms are < at night (great restlessness of body, especially legs). < Early morning (cramp). < On waking. < In morning: hoarseness. < Evening: 6 to 8 p.m. heat. Causticum is one of Grauvogl's hydrogenoid remedies, hence is a chilly medicine; < washing, bathing, open air, draught, becoming cold, after wetting; < every change of weather. Heat, especially getting warm in bed > (rheumatism ceasing on getting warm in bed, but beginning again as soon as he gets up.) On the other hand cold water > face and eruptions, and a swallow of cold water > cough; headache is < entering a warm room; damp weather > pains in scalp, ulcers; rhinitis. Heat < eruptions. < In dark; fear of darkness. < From coffee. < After stool. < From walking. < From taking hold of anything. < In clear, fine weather. Suited to dark-haired persons with rigid fibre; delicate skins; lymphatic, torpid temperament.

Relations

Caust. is antidoted by: Asaf., Coff., Coloc., Dulc., Guaj. (rheumatic contractions); Nit. spir. dulc., Nux. Is antidote to: Asaf., Chi., Coloc., Euphras., Plumb. (lead poisoning); type-poisoning; abuse of Merc., and Sulph. in scabies. Incompatible: Acids, Coff., Pho. Compatible: Before ─ Calc.; Kali i. (facial paralysis from an abscess); Lyc., Nux, Rhus, Ruta, Sep., Sil., Sul. Intercurrently ─ Ars., Cupr., Ign., Pod., Puls., Rhus, Sep., Stan. After ─ Calc., Coccul., Coloc., Cup., Hyo., Ign., Petrol., Petrosel., Rhus, Sep., Stram., Sul. Complementary: Petrosel. Merc. cor. assists the action of Caust. and vice versâ (in small-pox, according to Teste). Compare: Nit. ac. is like Caust. in being at once antipsoric, antisycotic, and antisyphilitic. Phos. touches Caust. at many points, and is too near it to be compatible with it. (This only applies to cases in which either of the two has done good; if one has been given without any result the other, if indicated, will very likely succeed.) Both Caust. and Phos. are taciturn and distrustful, or inclined to fits of anger; both are < at twilight; both have sensations of tension. The hoarseness of Phos. (like that of Carb. v.) is < in evening. Phos. has extreme sensitiveness of larynx and dreads to cough or talk. The Caust. cough is > by cold drinks. Carb. v. has rawness and burning down throat (like Caus.) and hoarseness from damp evening air. Compare also: Calc. (images on closing eyes); Nat. m. and Sep. (spurting of urine with cough); Rhus (rheumatism from damp and cold; but With Rhus there is restlessness and > from motion always ─ Caus. has restlessness at night only ); Eup. perf. (hoarseness < in morning; influenza with aching all over body; has more soreness on chest than Caust.); Salic ac., Chi., Carbo. sul. (Menière's disease); Coloc. (colic); Lyc. (sweat and heat < 6 to 8 p.m.); Bar. c. (mental weakness, paralysis; < damp weather); Sep. (enuresis in first sleep; ─ in deep sleep, Bell., Sul.); Calc. (scalding urine); Sars. (urine, especially in women, passed without patient's knowledge); Bell., Hyo., Ign., Lach., Lyc. and Pho. (difficult swallowing of liquids); Calc., Carb. an., Stro. and Stram. (fear of darkness); Tarentula (restlessness) Gels. (ptosis, paralysis, faint-like weakness and trembling, blindness) Ant. t. (laryngeal affections); Lyc. (contraction of brow with pain in head); Cepa (sore heel); Sep. (sadness, especially before menses. Face yellow); Am. c. (rawness and burning in chest); Aco. (paralysis from cold); Puls. (cystitis; failure of milk after labour); Euphorb. (ptosis from cold); Nat. c. Sul. and Sul. ac. (falls easily); Kali bi. (blindness with headache; ─ Kali bi. has blindness > , as headache < ).

Causation

Burns or scalds. Fright. Grief or sorrow. Night-watching. Suppressed eruptions. Ulcers maltreated with lead.

Mind

Mirthfulness sometimes, and soon after, ill-humour. ─ Melancholy and vexatious thoughts, day and night, with tears. ─ Hypochondriacal sadness. ─ Restlessness, apprehension, and great anguish. ─ Anxiety of heart. ─ Fearfulness, esp. at night. ─ Afraid at night (in the dark room; the child does not want to go to bed alone). ─ Mistrust of the future. ─ Discouragement. ─ Irascibility and passion, with great sensitiveness of disposition. ─ Quarrelsome and wrangling spirit. ─ Indisposition to labour. ─ Disposition to be frightened. ─ Weakness of memory. ─ Absence of mind. ─ Tendency to make mistakes when speaking.

Head

Confusion in the head, as if it were compressed. ─ Feeling of intoxication, and as if momentarily on the point of falling. ─ Vertigo, with sensation of weakness in the head, and anxiety. ─ Attacks of headache, with nausea. ─ Headache in the morning, sometimes on waking, with sensation, as from a bruise, in the brain. ─ Nocturnal pain in the head, as if from an abscess in the brain. ─ Dull and pressive headache, which occasions gloominess, and is felt chiefly in the forehead or in the occiput. ─ Shooting pains, esp. in the temples. ─ Digging, with sudden shocks in the head. ─ Congestion in the head, with ebullition and noise internally. ─ Tensive or compressive pains in the head. ─ The headache sometimes exhibits itself only on one side (l.). ─ Heat and sensation of burning in the head. ─ Tightness and shootings in the head. ─ Tension and tightness in the head, and of the scalp (forehead and temples). ─ Sensation of torpor in the occiput.

Eyes

Pain in the eyes, as if the eyeball were dilating. ─ Aching in the eyes, as if from sand, sometimes aggravated by the touch. ─ Itching, smarting, and burning pair, in the eyes. ─ Inflammation of the eyes, with burning and itching of the eyes and eyelids. ─ Ulceration of the eyes. ─ Lachrymation. ─ Difficulty in opening the eyes, with a sensation as if the eyelids were swollen. ─ Visible quivering of the eyelids. ─ Obscuration of the eyes, often sudden, and sometimes as if the eyes were covered by a skin. ─ Sight confused, as if a gauze or mist were before it. ─ Ophthalmia where there is opacity of the cornea which has spread over the pupil. ─ Movements before the eyes, as of a swarm of insects. ─ Dark nets, which seem to dance before the eyes. ─ Lights and sparks before the eyes. ─ Photophobia. ─ Warts of old-standing in the eyebrows; on the upper eyelid (and nose).

Ears

Otalgia, with pressive pain outwards, as if the inner parts were pressed out. ─ Shootings, and pain, as of excoriation, in the ears. ─ Swelling of the ears, externally, with shooting and burning pain. ─ Stitches in the (r.) ear. ─ Discharge of fetid pus from the ear. ─ Itching in the lobe of the ear, as if from a tetter. ─ Words spoken and steps re-echo in the ear. ─ Tinkling in the ears. ─ Loud resounding noises in the ear, with hardness of hearing. ─ Rumbling and buzzing, rolling and murmuring in the ears, and in the head. ─ Sensation of stoppage in the ears.

Nose

Itching at the point, and the alæ nasi. ─ Scaly nose, externally and internally, with burning and itching. ─ Eruption at the point of the nose. ─ Warts of long standing on the nose (orbits, upper eyelids). ─ Blowing of blood from the nose, every morning. ─ Epistaxis. ─ Loss of smell. ─ Obstruction of the nose. ─ Dry chronic coryza. ─ Coryza with hoarseness preventing loud speech. ─ Fluent coryza, with nocturnal cough, rough hoarseness and headache. ─ Discharge of fetid mucus from the nose. ─ Sneezing in the morning.

Face

Yellow colour of the face, esp. in the temples, with bluish lips. ─ Burning sensation in the cheeks, and esp. in the cheek-bones. ─ Arthritic and tensive pains in the bones of the face, in the cheek-bones, and in the jaws. ─ Swelling of the cheeks, with pulsative pains. ─ Sensation of tension and of swelling under the jaw, which impedes its opening. ─ Itching eruption on the face. ─ Eruption of red pimples on the face. ─ Semi-lateral (r.) paralysis of the face, from the forehead to the chin. ─ Cramps in the lips. ─ Excoriation and eruption on the lips, and at the commissures of the lips. ─ Tetter on the lower lip. ─ Tensive, dragging pain in the jaws, with difficulty in opening the mouth. ─ Inflammatory swelling of the chin, with burning pain.

Teeth

Odontalgia, provoked by the introduction of air on opening the mouth. ─ Pain, as from excoriation, or tractive pains, and acute pulling, throbbings, or shootings in the teeth; in the under jaw, in the lower teeth, (particularly on the (l.) side). ─ Painful loosening and elongation of the teeth (incisors). ─ Fistula in the gums. ─ Prolonged ulceration of the gums. ─ Painful sensibility, swelling, and ready bleeding of the gums.

Mouth

Dryness of the mouth and tongue. ─ Accumulation of mucus in the mouth. ─ Pain, as of excoriation and burning in the mouth, in the palate, and at the point of the tongue. ─ Stuttering, embarrassed, wheezing, and very indistinct speech. ─ Paralysis of the tongue. ─ Swelling of the inner side of the cheek; he bites it when chewing. ─ Distortion of the mouth and of the tongue, when speaking. ─ Burning ulcer on the inner surface of the upper lip.

Throat

Sore throat on using exertion, as if it were lacerated internally. ─ Pain as of excoriation, roughness, scraping, and burning pain in the throat. ─ Shooting pain in the throat on swallowing. ─ Audible cracking in the throat. ─ Constant urging to swallow, with sensation of swelling or of contraction of the gullet. ─ Difficulty in swallowing, from paralysis of the organs of deglutition. ─ Sensation of cold which ascends to the throat. ─ Dryness of the throat, without thirst. ─ Accumulation of mucus in the throat, and behind the palate, with expectoration by hawking.

Appetite

Putrid, greasy, rancid, or bitter taste. ─ Burning thirst for cold drinks and for beer. ─ Sensation as if lime were being slaked in the stomach. ─ Dislike to sweet things. ─ At the commencement of a meal, loss of appetite and disgust. ─ Fresh meat causes nausea; smoked meat agrees. ─ Sensation of suffering as from indigestion. ─ Pressure in the stomach, after eating bread. ─ After every meal, pressure on the whole abdomen, or on the stomach, or else nausea and inflation of the abdomen, or else, again, shivering or heat in the face.

Stomach

Empty risings, with a taste of undigested food. ─ Abortive risings, with strangulation in the gullet. ─ Nausea, esp. after a meal, or during one, or else in the morning. ─ Sensation of faintness, as though about to swoon. ─ Water-brash. ─ Vomiting of acidulated water, followed by acid risings. ─ Vomiting of food. ─ Nocturnal vomiting of coagulated blood. ─ Pains in the stomach with heat in the head, increased by every quick movement, mitigated by a recumbent posture, and shuddering when the pains are aggravated. ─ Pressive squeezing, as if from claws, constriction and cramp-like pains in the stomach, and in the epigastrium. ─ Shooting pains in the epigastrium.

Abdomen

Pressure of the clothes on the hypochondria painful. ─ Tension and shootings in the hepatic region. ─ Pains in the abdomen in the morning. ─ Pressure on the superior and inferior part of the abdomen. ─ Painful and tensive inflation of the abdomen. ─ Violent distension of the abdomen after a meal (breakfast). ─ Swelling of the navel, which is painful on being touched. ─ Enlargement of the abdomen in children. ─ Contractive pains in the abdomen. ─ Susceptibility to cold in the abdomen, whence results diarrhœa, or pressure at the stomach. ─ Incarceration of flatus, with hard fæces. ─ Frequent expulsion of offensive flatus, in small quantities.

Stool and Anus

Chronic constipation. ─ Frequent and ineffectual efforts to evacuate, with pains, anxiety, and redness of the face. ─ The fæces are passed more easily, in an erect posture. ─ Fæces knotty, or of a very small size. ─ Fæces hard, tough, covered with mucus; viscid, and shining, as if with fat, or of a bright and whitish colour. ─ Diarrhœa in the evening and at night. ─ Diarrhœa, with tenesmus and burning in the rectum. ─ Diarrhœa, after the abdomen has been chilled. ─ Flow of blood and incisive pains in the rectum, during the evacuation. ─ After the evacuation, anguish, with palpitation of the heart and burning in the anus. ─ Itching in the anus. ─ In the anus, appearance of hæmorrhoidal tumors, which are hard, swollen, painful, and which impede evacuation. ─ Walking and meditation aggravate the hæmorrhoidal pains, so as to render them insupportable. ─ Varices of the rectum, hindering stool; large; painful; stinging; burning when touched. ─ Pressure in the hæmorrhoidal tumors of the rectum, so as to cause them to protrude. ─ Pulsation in the perineum. ─ Fistula in the rectum. ─ Abscess in the anus. ─ Pain of excoriation, and moisture in the anus.

Urinary Organs

Frequent inclination to urinate, with thirst and scanty emission. ─ More copious emission of urine. ─ Emission of urine at night, and wetting the bed. ─ Involuntary emission of urine (as in cases of children who wet the bed at night; in women, when urine spouts from them in walking, coughing, &c.), day and night. ─ Acrid and corrosive urine, or pale, aqueous, of a deep-brown, or reddish colour. ─ Stringy mucus in the urine. ─ The urine becomes turbid, after settling. ─ Sensation of burning in making water. ─ Itching of the orifice of the urethra. ─ Flow of blood from the urethra.

Male Sexual Organs

Increase of sexual desire. ─ Absence of erections. ─ Frequent pollutions. ─ Escape of prostatic fluid after a stool. ─ Emission of sanguineous semen, during coition. ─ Pressure and shooting in the testes. ─ Ulcers and itching scabs on the interior part of the prepuce. ─ Red spots on the penis. ─ Copious secretion of smegma behind the glans penis. ─ Itching at the scrotum, glans, and prepuce.

Female Sexual Organs

Catamenia retarded, but more copious, with flow of blood in large clots. ─ Difficult first menstruation. ─ During the menses no blood is passed at night. ─ Before the catamenia, melancholy, sacral pains, and colic. ─ Catamenia too feeble; sexual desire too weak. ─ During the catamenia, pains in the loins, cuttings, and paleness in the face; yellowness of the face; vertigo. ─ Excoriation between the legs, at the vulva. ─ Dislike to coition. ─ Cramps of the matrix. ─ Profuse leucorrhœa, having the smell of the catamenia, or which flows in the night. ─ Leucorrhœa flows at night and not during the day. ─ Nipples excoriated, cracked, and surrounded with tetters. ─ Want of secretion of milk.

Respiratory Organs

Rough hoarseness, morning and evening. ─ Prolonged hoarseness, with voice weak and stifled. ─ Aphonia from weakness of the muscles of the larynx. ─ Sensation of excoriation in the larynx, when not swallowing. ─ Hawking up of abundant mucus, esp. in the morning. ─ Cough, with short breath, and difficulty of respiration. ─ Cough, excited by speech and by cold. ─ Cough is worse: in the evening till midnight, from exhaling; drinking coffee; cold air; draught of air; when awaking from sleep. ─ Cough is relieved by a swallow of cold water. ─ Matutinal or nocturnal cough. ─ Short cough, provoked by a tickling and a sensation of excoriation in the throat. ─ Cough, dry, hollow, shaking, with sensation of burning, and pain as of excoriation in the chest. ─ Rattling in the chest while coughing. ─ Pains in the hips while coughing. ─ Cough with involuntary passage of some drops of urine. ─ Inability to expectorate the mucus, which is detached by coughing (the expectoration comes up far enough apparently, but it cannot be spat out; greasy taste of the expectoration. The inability to expectorate is found in every species of cough, whooping-cough, &c.).

Chest

Breath short. ─ Attacks of spasmodic asthma. ─ Asthma, esp. when sitting or lying down. ─ Fits of suffocation on speaking and walking quickly. ─ Oppressiveness of clothes on the chest. ─ Pressure on the chest. ─ Shootings in the chest and thorax, on making a full inspiration, and during corporeal exertion. ─ Burning, stitches, and soreness in the chest. ─ Attacks of cramp-like compression and of constriction in the chest, with feeling of suffocation.

Heart

Palpitation of the heart, with languor. ─ Oppression of the heart, with melancholy. ─ Shootings in the heart.

Neck and Back

Stiffness and tension in the nape of the neck. ─ Pain, as from a bruise in the nape of the neck. ─ Miliary eruption at the nape of the neck, between the shoulder-blades. ─ Itching and humid tetters at the nape of the neck. ─ Goître-like swelling of the cervical glands. ─ Pains in the loins which render the least movement exceedingly painful. ─ Aching pains in the loins when seated. ─ Painful stiffness (between the scapulæ and) in the back, esp. on rising from a chair. ─ Pulling and acute drawing pains in the shoulder-blades. ─ Itching and tingling in the back.

Upper Limbs

Pains in the arms at night. ─ Drawing pains and acute pulling, in the arms and hands. ─ Convulsive movements and shocks in the arms. ─ Itching and eruptions on the arms. ─ Warts on the arms. ─ Pressure on the shoulders. ─ Shooting pains in the front part of the arms, from the fingers to the elbow. ─ Paralytic feeling in the r. hand. ─ Sensation of fulness in the hands, on grasping an object. ─ Tearing in r. wrist-joint. ─ Drawing pains in the hands, and the joints of the fingers. ─ Spasmodic weakness and trembling of the hands. ─ Paleness and painful torpor of the fingers. ─ Tension of the posterior joints of the fingers when bending them. ─ Contraction and induration of the tendons of the fingers. ─ Itching tetters on the fingers.

Lower Limbs

Pain as from dislocation in the coxo-femoral joint, with inability to walk and to continue standing. ─ Pain as from a bruise in the thighs and legs, whilst in bed, in the morning. ─ Tensive stiffness in the joints of the legs, and of the feet. ─ Contraction and tension in the heel and tendo Achillis. ─ Drawing pains and acute pulling in the thighs, the legs, the knees, and the feet, with swelling of the parts. ─ Unsteady walk, and tendency to fall in children. ─ Skin marbled, on the thighs and on the legs. ─ Tension and cramp-like pain in the legs and calves of the legs. ─ Cramps in the feet. ─ Pains in the instep, in the ankle bones, in the soles of the feet, and in the toes, on walking. ─ Neuralgic pains in the soles of the feet. ─ Contraction in the instep, with tensive pain when stepping. ─ Coldness of the feet. ─ Swelling of the feet. ─ Pains in the varices. ─ Tingling in the soles of the feet. ─ Festering vesicles and ulcerations on the heels. ─ Whitlow on the great toe.

Generalities

Arthritic and rheumatic drawing and tearing pains, esp. in the limbs. ─ Acute and violent pulling in the joints and the bones, mitigated by the heat of a bed. ─ Contraction of the tendons, and stiffness in the flexor muscles of the limbs. ─ Cramp-like contraction of several limbs. ─ Torpor and paleness of some parts, or of the entire l. side of the body. ─ Paralysis. ─ Jerkings and convulsive movements. ─ St. Vitus' dance. ─ Convulsive attacks, with cries, violent movement of the limbs, grinding of the teeth, smiles or tears, eyes half-closed, fixed look, and involuntary emission of urine; the fits are reproduced by cold water, and are preceded by pain in the abdomen and in the head, frequent emission of urine, irascibility, and tears; after the fit the eyes are closed. ─ Epileptic convulsions (at night during sleep). ─ Aggravation of the symptoms, generally in the evening, or in the open air, while those which have appeared in the open air disappear in a room. ─ Coffee seems also to aggravate all the symptoms. ─ Semi-lateral sufferings. ─ Insupportable uneasiness in the whole body in the evening, and when seated, with anxiety in the region of the heart. ─ In the evening, great dejection and oppression of the whole body. ─ Paralytic weakness, with trembling and tottering of the limbs. ─ Paralysis (one-sided). ─ Great sensibility to currents of air, and to cold.

Skin

Violent itching, esp. in the back, and in the calves of the legs. ─ Itching of the whole body at night (Itch). ─ Injuries of the skin, which had been healed, become sore again. ─ Itch suppressed by mercury or sulphur; burning itch. ─ Tingling (or stinging) swelling (sometimes called "buzzing" swelling) (Guernsey). ─ Eruptions resembling scabies. ─ Miliary eruptions and nettle-rash. ─ Itching and humid tetters. ─ Ulcerative vesicles. ─ Burning ulcers, with yellowish-looking skin; ulcers burning, with corroding pus, with thin or watery pus, suppurating; jerking pains running through the ulcers. ─ Excoriation in children. ─ Painful corns in the feet. ─ Warts, also with pain and inflammation. ─ Panaris. ─ Painful varices.

Sleep

Drowsiness in the day, like coma. ─ Nocturnal sleeplessness, caused by anxiety, inquietude, dry heat, and other annoyances, with frequent starts. ─ Starts on going to sleep. ─ Frequent movements of the arms and legs during sleep. ─ Anxious dreams, about grievous things, or about quarrels, or confused and voluptuous, with talking and laughter. ─ At night, vertigo, headache, dryness of the mouth, and painful heaviness of the legs.

Fever

Pulse only accelerated towards evening. ─ Much shivering. ─ Chilliness predominating, frequently with coldness of the l. side. ─ Internal chilliness, followed by perspiration, without previous heat. ─ Nocturnal shivering, with pains in the back, and followed by general sweat. ─ Heat in the evening, from 6 to 8 p.m. ─ Flushes of heat, followed by chilliness. ─ Copious sweat while walking in the open air. ─ Nocturnal sweat, sometimes of an acid smell. ─ Morning sweat (smelling sour).

The Guiding Symptoms of Our Materia Medica

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

Mind

Consciousness undisturbed. θ Chorea.
Unconsciousness. θ Epilepsy.
Weakness of memory ; absent-minded. θ Chorea.
Absence of mind, with loss of ideas ; uses wrong words.
Inattentive and distracted.
Understands questions only after repetition.
Dulness of head.
Dull, gloomy pressure affects brain.
Incapacity to think or to follow his business, after injurious effects of gaslight.
Imbecility before an attack. θ Epilepsy.
Melancholy, disposition to weep. θ Pertussis.
Hysterical weeping after spasms.
The least thing makes the child cry.
(In sick :) Child screams and tosses about at night. θ Whooping cough.
Weeping, crying or laughing. θ Chorea.
Spasmodic laughter before, with or after spasms.
Great restlessness, which prompts him to run away. θ During intervals of epilepsy.
Persistent silence, difficult to overcome.
Taciturn, distant.
Disinclined to work.
Tense, gloomy feeling in head.
Weeping, or whining mood. θ Paralysis.
Chilly, with sad mood and apprehension of the future, < in evening. θ Chronic headache.
Sorrowful thoughts during night, during day weeping, anxiety and misgiving about the future.
Low-spirited. θ Gastric headache.
Melancholy mood ; sadness ; hopelessness.
Melancholy, with great precordial anxiety.
Melancholy from care, grief and sorrow.
Melancholy ; she looks upon the dark side of everything. θ Amenorrhœa. θ Menorrhagia.
Hopelessness, and despair. θ Paralysis.
Hopeless weeping mood, expecting death. θ Hemiplegia.
Anxious, uneasy mood, as if something unpleasant impended ; this unfits him for every kind of work.
Becomes anxious, as though he would die.
Becomes anxious, worried and pale.
Fearfulness and distressed feeling about heart.
Full of timorous fancies, evenings ; child fears to go to bed alone.
Timorous anxiety and depression. θ Pertussis.
Ill effects of sudden emotions, fright, fear, etc. θ Chorea.
Fear of death. θ Paralysis.
Full of frightful ideas, in evening.
Great apprehension whenever anything happens ; despondent, depressed, most excessive exhaustion and prostration.
Apprehension of impending danger, with urging to stool.
Had a foreboding of her attack, which interrupted her playing suddenly ; she went to the sofa and assumed her peculiar position with the knees. θ Chorea. See
36 .
Anxiety in evening, before going to sleep ; the boy could not fall asleep because he constantly thought of anxious things ; one could with difficulty induce him to go to bed.
Great anxiety, with flying thoughts and stammering.
Anxiety. θ Gastric headache.
Anxiety, with nausea.
Anxiety and red face from urging to stool. θ Obstruction of bowels.
Anxiety and despondency ; has been subjected to night-watching, care, trouble, etc. θ Agalactia.
Anxiety and uneasiness at night did not permit her to sleep.
Anxiety before falling asleep, as though attack of fainting would return and he would die.
Easily startled.
Excessive sympathy for others.
Ill humor.
Irascible mood.
Peevish, irritable, censorious mood.
Irritable temper, disposition to take everything in bad part.
Fretful and despondent, without being vexed.
Paroxysm of quarrelsome anger. θ Pertussis.
Very suspicious and distrustful.
Thinking of complaints aggravates them. θ Hemorrhoids. θ Hysteria.
Pain < by mental labor. θ Hemorrhoids.
After overexertion of mind. θ Tinnitus.
After seeing a case of chorea she gets it herself.
Irresistible yawning when listening or paying attention to others.
Hastiness causes short breath.
Mental and other ailments from long-lasting grief and sorrow. θ Chronic headache. θ Face
and toothache. θ Chorea.
Injurious effects of fear and vexation. θ Chorea.
After anger, stitches in upper portion of chest, when drawing a deep breath.
Mental alienation after suppression of eruption.

Sensorium

Sensation as if he would fall, without vertigo.
Dizzy, as from compression of head.
Vertigo : tending forward and sideways ; tendency to fall backward, when stooping ; at night in bed, on rising and on lying down again ; on looking fixedly at an object ; > in open air ; with sensation of weakness in
head, and anxiety ; accompanying paralysis ; with headache ; in hemiplegia ; at 11 A. M. ; < in middle of day ; after suppression of ulcers ; from moving head ; from gaslight ; during and after stool, with nausea.
Vertigo and whirling in head during menstruation, < on stooping, > in afternoon.
Runs for a while in a circle, to the right, then falls down unconscious. θ Epilepsy.
Fainty, qualmish feeling.
Faint, trembling, weakness ; giddy in open air.

Inner head

Dulness of head. θ Catarrh.
Pressing pain in forehead, with stoppage of nose.
Feels as if there was a ball of fire in forehead.
Sensation as of an empty space between forehead and brain, < in evening and in cold, > in warmth.
Pressive pain in right frontal eminence.
Violent cutting pain in forehead. θ Epilepsy.
Sensation of contraction in while side of head.
Heat in right side of head, with violent pains in stomach.
Stitches in temples, < from sitting or reading. θ Pertussis.
Violent stitches in right temple, < evenings. θ Chronic headache.
Throbbing and stitches in vertex.
Stitches in vertex. θ Vertigo.
Headache in vertex. θ Epilepsy.
Violent burning pain in vertex. θ Fistula dentalis.
Burning stinging in upper part of head.
Dull, pressive headache. θ Influenza.
Headache feels as if driven asunder, with nausea, from gaslight.
Painless digging in whole head.
Pain in different parts of head. θ Paralysis.
Roaring, buzzing and hissing in head. θ Chronic headache. θ After epileptic attack.
Congestion to head, with roaring in head and ears. θ Pertussis.
Sensation of weakness in head, with vertigo.
Headache from extreme hunger.
Pain shoots from eyes into head, at intervals, < evening and night. θ Ophthalmia.
Constant succession of shocks or jerks in head.
Nightly tearing and digging headache.
Sensation as if brain was loose, when moving head.
Headache before or after spasms.
Rheumatic pains in head so severe as to cause nausea.
Headache with vomiting, in morning.
Headache and great weariness after an attack. θ Epilepsy.
Apoplexy, followed by paralysis.

Outer head

Contracted skin of forehead, in frontal headache, with tremulous weakness. θ Aphonia.
Pain at a small spot on vertex, as if bruised, only to touch.
Dull pain on vertex, with pain in urethra, after urinating.
Sensation in occipital bone as if parts were numb, pithy or dead.
Tensive tearing pain in integuments of head, particularly on sides and behind ears, < from draught and cold air, > in warm bed, and in damp weather.
Tension of scalp.
Itching and stinging of scalp.
Turns head to the right. θ Chorea.
Trembling of head. θ Epilepsy.
Headache begins with stinging in scalp.
Scalp very sore to touch. θ Impetigo capitis.
Heat and soreness in scalp. θ Gastric headache.
Head hot and sweaty before an attack. θ Epilepsy.
Small, round, soft nodes on scalp and glabella. θ Epilepsy.
Tinea capitis in occipital region.
Spasms of head.
Chorea after retrocedent eruption on head.
Involuntary nodding of head while writing.
Drawing of head towards one side ; frequent urging to urinate ; involuntary urination during fit. θ Epilepsy.

Sight and eyes

Eyes sensitive to light and heat.
Photophobia the whole day, constantly obliged to wink.
Sees frightful images as soon as he closes eyes.
Flickering, sparks or black points before eyes.
If he winks he sees sparks of fire before eyes, even on a bright day.
Flickering before eyes, as from swarms of insects.
Spots, at first small, then larger, round, then jagged, white, then green, first before right, then left eye, followed by dimness and loss of vision.
Sight obscured : as from a gauze before eyes ; as from a mist ; momentarily, on blowing nose ; green halo around light.
Eyes become dim and vision indistinct ; it seems as though a thick cloud or fog was before eyes.
Obscuration of sight, as if a veil was drawn before eyes, when standing.
Sensation as though membrane was over eyes.
Obscuration of vision for a moment, on blowing nose.
Dimness of vision. θ Headache. θ Pregnancy.
Diplopia, with inability to turn left eye outward.
Perpendicular half-sight in cataract.
Cataract ; sensation as if there was a substance in eye too large, causing a kind of heaviness and distension, only in evening ; also a feeling as if there was something moving in eyes, in evening.
Asthenopia ; sensation as of a stick or sand in eyes ; drowsiness, but does not sleep, upper lid falls, dimness of sight. θ Sequel to measles.
Amblyopia. θ Hemiplegia. θ Paresis.
Threatened amaurosis during confinement, with want of milk.
Looking up causes inclination to fall to the left. θ Vertigo.
Burning and stinging, as with needles, in eyes, with dryness and photophobia, from 6 to 8 P. M.
Burning and dryness of eyes, from 4 P. M. till evening.
Burning in eyes, without redness.
Burning of eyes, when touched.
Biting and pressure in eyes, which seem heavy, with redness of lids.
Pressing pain in eyes, > by external pressure. θ Ophthalmia scrofulosa.
Pressive pain in eye, < from touch.
Sight drawing in eyes.
Tenseness in right eye, which seemed as if paralyzed.
Pain in eyes, as if sand was in them.
Dragging pain in eyes. θ Toothache.
Drawing in eyes. θ Headache from gaslight.
Dry sensation in eyes, with pressure in them.
At first dryness of eyes in morning, and stiffness, followed by lachrymation.
Itching of eyes, especially of lids ; disappears on rubbing.
Sensation of heaviness in upper lid, as if he could not raise it easily, or as if it was agglutinated to lower lid, and could not be easily loosened.
Constant inclination to touch and rub eye, which seems to relieve a pressure in it. θ Cataract.
Eyes inflamed, burning, red, dry, stinging.
Inflammation of eye, with partial destruction of tissue.
Lachrymation, even in room, though < in open air. θ Influenza. θ Facial hemiplegia.
Acrid tears from left eye, with shooting pain. θ Ophthalmia.
Accumulation of tears, particularly in open air ; they do not run from eye.
Eyes constantly open, not winking. θ Facial paralysis. θ Hemiplegia.
Inclination to close eyes, lids seem heavy ; paralysis of upper lids . θ Hysteria. θ Pregnancy.
θ Blepharoptosis.
Cornea covered with red vessels and has a tendency to bulge.
Spots on cornea, and opacity.
Ophthalmia scrofulosa.
Ophthalmia : with corrosive lachrymation and shooting pains, extending up into head, < in evening and night ; violent shooting pains ; smarting as if worried or irritated, without much lachrymation ; with crusty eruptions in and about
nose.
Itching, like flea-bites, in left inner canthus, with desire to rub it.
Burning in both inner canthi.
Annoying pressure in inner canthus. θ Hemiplegia of face.
Itching on lower lid and on its inner surface, with burning as soon as he touches eye or moves it.
Granulations over entire bulbus of left eye.
Lids swollen, always red and painful.
Agglutination of lids.
Blepharitis, > in fresh air.
Visible twitching of lids and of left brow.
Paralysis of muscles, particularly if caused from exposure to cold.
Old warts on eyebrows, lids or nose. θ Ophthalmia scrofulosa. θ Rheumatism.
Tumors on lids.
Feeling as if a tight skin came half way down over right eye, preventing sight of that eye, when blowing nose, removed by rubbing ; after the sensation of a skin has gone, feeling as if something were pricking the eye, which waters.
Trachoma, with pannus.
Old stye swells, sticking as with needles in it, in morning.
Occasionally sudden pain over right eye.
Rolling of eyes. θ Epilepsy.

Hearing and ears

Roaring, tinkling, singing, humming, buzzing, chirping, whizzing, or pulsating in ears. θ Deafness. θ Rheumatism.
θ Pertussis. θ Hemiplegia.
On turning head, cracking and snapping in ears. θ Deafness.
Reverberation of all sounds, even of the patient's own voice ; hears with difficulty.
Words and steps re-echo in ears.
She speaks low, because her own words appear to her very loud. θ Pregnancy.
Deafness. θ Otorrhœa. θ Facial hemiplegia. θ Rheumatism.
Stitches in right ear, paroxysmal, and in rapid succession.
Burning of ears ; they get red.
Hot pressure in ears and whole head, so that vision became dim.
Feeling of obstruction in ears, with offensive purulent discharge.
Itching in inner ear.
Diseases of middle ear, especially non-suppurative, when facial branch of seventh pair is involved.
Pinching in ear.
Offensive otorrhœa.
Eruptions on ear-lobe, and behind ears. θ Herpes. θ Impetigo capitis.
Accumulation of earwax, sometimes offensive in odor.
Pain in ear, as if something was trying to force out.
Dragging pain in ears. θ Toothache.
Dull pain in ears. θ Deafness.
Ears sensitive to the wind.

Smell and nose

Blowing blood from nose mornings, or profuse nosebleed.
Blowing nose affects eye. See 5 .
Epistaxis from left nostril.
Nosebleed during attack. θ Epilepsy.
Frequent sneezing, particularly in morning.
Frequent sneezing, with pain in chest. θ Influenza.
Dry coryza, with stoppage of nose.
Nose stopped up at night, running by day. θ Pertussis.
Fluent coryza, with pain in chest and limbs.
Acrid, burning discharge from nose. θ Influenza.
Coryza, with hoarseness, preventing loud speech.
Dryness of nose. θ Acne rosacea.
Puffiness of nose ; scrofulous swelling.
Itching of tip of nose and alæ, as well as inside.
Pimples, ulcers or crusts on tip of nose ; inflamed, swollen and scurfy.
Eruptions on nose, with burning. θ Acne rosacea. θ Eczema.
Eczema on nostrils.
Portion of left side and tip of nose eaten by an ulcer, covered with a thick crust. θ Lupus of nose.
Old warts on nose.
Nose and upper lip feel thick and heavy.

Upper face

Pains in malar bones, zygomatic arch and maxillæ.
Drawing pains, which extend into cheek and ear, and are most apt to occur on right ride.
Burning in face.
Pains produce spasm of muscles, a sensation of numbness on side of face as if asleep.
Neuralgia : right side ; < at night, chilly, no thirst ; scanty menses ; left side > by rubbing part with a cloth dipped in cold water.
Facial neuralgia at every stormy change of weather ; attacks of unconsciousness while sitting, with set eyes and continued motion of muscles about mouth. θ Anemia.
Transient violent drawing pain in right cheek and then in ear.
Dragging pain in muscles of face. θ Toothache.
Face : yellow ; bluish-red ; sickly looking ; expression gloomy ; looks dissatisfied.
Yellow complexion, particularly on temples. θ Headache. θ Dentition. θ Ophthalmia
scrofulosa. θ Uterine troubles. θ Scabies.
Paleness of face. θ Enuresis. θ Hemiplegia. θ Colic.
θ Chorea.
Redness of face, with dulness in head.
Very red face during attack. θ Epilepsy.
Burning as of glowing coals in small spots in face, eyes, ears, and cheeks ; cannot move on account of pain.
Sudden shuddering in face, extending across chest or over back to knees.
Itching of face.
Red, erysipelatous swelling of cheek. θ Toothache.
Acne rosacea on cheeks and forehead ; in dispersed groups.
Moist, suppurating spot in centre of tetter on cheeks, enlarges, itches and burns, and becomes covered with a thick crust.
Pimples on left cheek with severe itching.
Hard pustules, with blackish centre, through beard. θ Acne.
Eruptions in face ; acne, burning and stinging.
Occasional spasmodic twitching of muscles on left side of face.
Paralysis of one side of face. θ Hemiplegia. θ Chorea. θ Otorrhœa.
θ After cold.
Prosopalgia and rheumatism in face.
Severe tearing pains in left half of face. θ Facial neuralgia.
Upper lip and nose feel heavy.
Convulsive movements in muscles of face. θ Chorea. θ Risus
sardonicus.
Contracts brows, with pain in head. θ Aphonia.
Her face feels to her like fur. θ Hemiplegia.
Shivering, beginning in face and spreading from it.
Serpiginous ulceration, with smarting and excoriation.
Warts on face.

Lower face

Mouth drawn to one side. θ Hemiplegia.
Swelling of lower lip.
Tearing in diseased root of left lower jaw.
Jaws stiff and lame, not able to eat much for weeks. θ Bronchitis.
Sensation of tension and pain in jaws, could only with difficulty open mouth, and could not eat well, because a tooth seemed too long.
He could separate jaws only with great difficulty, and could not open mouth as usual ; it seemed as if throat below jaw was swollen or tense. θ Trismus. θ Tetanus.
Stitches in angle of right lower jaw. θ Hemiplegia.
Arthritic and rheumatic pains in lower jaw.
Drawing pain in glenoid cavity of jaw ; sensation as if jaw was contracted.
Warts on lips.
Ulcer on lower lip with burning pain, bleeds once in awhile.
Single red spots on chin spreading to nose and adjacent parts.
Froth at mouth. θ Spasms.

Teeth and gums

Dull stitches in upper back teeth, extending upward.
Boring pain in lower back teeth, extending downward.
Boring pain in lower back tooth, extending to nose and eye.
A painful prickling digging in lower back teeth, extending as far as ears.
Painful looseness and elongation of teeth.
Stitching and tearing toothache.
Tearing in both right rows of teeth, extending into zygoma ; both jaws of this side are painful to pressure, and on chewing feel as if bruised.
Sticking toothache.
Throbbing toothache, with painful gum, so that he could not chew.
Pain in sound teeth, on drawing in cold air.
Toothache during and after siesta in all stumps, > from cold water, < from smoke ; without violent pain, disagreeable sensation as though a foreign body was in them.
Long-lasting chronic toothache.
Burning pain in hollow teeth when eating and drinking.
Sensation as though blood would crowd into teeth, with burning stitching in fingers.
Grinding of teeth.
Offensive smell from teeth. θ Impetigo capitis.
Gum is painfully sensitive, without pain in teeth.
Swelling of gums, readily bleeding and tedious suppuration. θ Fistula dentalis.
Frequently recurring abscesses of gums.

Taste, speech, tongue

Taste : greasy ; putrid ; bitter ; sour ; as from disordered stomach.
Stuttering, difficult, indistinct speech. θ Chorea. θ Pertussis.
θ Hemiplegia.
Speechlessness, from paralysis of organs of speech.
Tongue coated white on both sides, red in middle. θ Epilepsy.
Intolerable soreness of tongue as if scalded.
Painful vesicles on tip of tongue.
Paralysis of tongue.
Pain in tongue as if he had bitten it.
Bites tongue during attack. θ Epilepsy.

Inner mouth

Dryness of mouth and tongue.
Swelling of inner side of cheek ; he bites it when chewing.
Induration on inside of cheek. θ Herpes on cheek.
Saliva runs from mouth, more after eating. θ Toothache. θ Paralysis.
Much phlegm in mouth and throat. θ Pertussis.
Froth at mouth. θ Epilepsy.

Palate and throat

Redness of uvula and fauces.
Soreness and burning in fauces. θ Angina. θ Pertussis.
Sore, painful spot on hard palate.
Torn feeling in throat during mental exertion.
Jerking pain in throat.
Burning and rawness in throat, with sensation like heartburn.
Burning pain in throat ; not caused by swallowing ; on both sides, seemed to arise from chest.
Rawness and tickling in throat, with dry cough and some expectoration after long coughing.
Roughness and scraping in throat. θ Pertussis.
Pain in tonsils. θ Hemiplegia of face.
Dryness in throat, posteriorly. θ Aphonia.
Dryness in throat, noticed when swallowing, followed by scraping along down throat.
Tickling sensation in throat. θ Aphonia.
Sensation of a lump in throat, or as of food lodging in œsophagus.
Pressure in throat pit as of a foreign body.
Pain in throat, < by stooping.
Sensation as if something cold was rising in throat.
Must swallow continually, feels as if throat was too narrow.
Constant disposition to swallow, > while eating, < after. θ Diarrhœa.
Mucus collects in throat, cannot be raised by hawking ; is obliged to swallow it. θ Pertussis.
Constant desire to clear throat.
Hawking of mucus from pharynx and posterior nares.
Hawking of mucus, with pain in pit of throat.
Phlegm in throat, which she is unable to hawk up, and which sickens her. θ During pregnancy.
Throat reddened, with increase of mucus. θ Deafness.
Swelling, like goitre, on throat.
Rheumatic sore throat.
Sore throat, with drawing in right leg.
Paralysis of œsophagus.

Appetite, thirst. desires, aversions

Sits down to table with some appetite, but can scarcely eat a morsel. θ Pregnancy.
Ravenous hunger, takes food in a hurried manner. θ Dentition.
Appetite either too great, or none at all. θ Epilepsy.
No appetite. θ Hemiplegia. θ Gastric headache.
Hunger : after nausea ; causes headache.
No appetite in the morning.
Want of appetite and thirst.
Great thirst for several days.
No thirst. θ Prosopalgia.
Thirst : after eating ; for cold drinks ; with aversion to drink ; with scanty urine.
Desire for beer ; for smoked meat .
Aversion to sweet things. θ Diarrhœa. θ Pertussis.

Eating and drinking

Eating is painful on account of sensitive gums, and in other cases difficult on account of lameness and stiffness of jaws.
After chewing meat, teeth ache as though blunt, at same time sensation as though shreds of meat were between teeth which he wishes to remove.
Bread causes pressure in stomach.
Fresh meat causes nausea and waterbrash and renews the trouble ; smoked meat agrees. θ Diarrhœa.
Fat food disagrees, causes offensive belching. θ Epilepsy.
Coffee seems to aggravate every symptom. θ Pertussis.
After eating : feels relieved ; much thirst ; whooping cough worse ; pressure in whole abdomen ; sometimes disagreeable mucus in mouth ; eructation.
Collection of flatus in abdomen after a small meal.
Violent increase of pain after the least nourishment, or after tightening her clothes around her waist. θ Hysteralgia.
A swallow of cold water relieves. θ Pertussis. θ Spasms.
Acids cause inconvenience. θ Weak stomach.

Hiccough, belching, nausea and vomiting

Hiccough.
Eructations : frequent, empty ; tasting of food ; of food ; burning ; as if he had eaten pepper ; sour ; tasting like almonds ; smelling like musk ; tasting like rotten wood ; tasting like ink.
Acidity of stomach after eating fat, saccharine, or farinaceous food. θ Bronchitis.
Sensation of lime being burned in stomach, with rising of air. θ Pregnancy. θ Confinement.
Heartburn. θ Gastric headache. θ Bronchitis.
Burning and waterbrash, the water tasting salty. θ Constipation.
Constant efforts to belch. θ Hysteralgia.
Nausea : before, during and after meals ; with headache ; > after eructating ; with sour vomiting ; with salt waterbrash after stool.
Sour vomiting, followed by sour eructations.
Vomiting : of blood, at night ; with headache.
Vomiting of sour water. θ Pertussis.
Stomach deranged from acids and sour things.

Scrobiculum and stomach

Pressure in pit of stomach. θ Diarrhœa.
Sensation of fulness in stomach. θ Headache.
Pinching, clawing in pit of stomach on deep breathing.
Stitches in scrobiculum.
Pit of stomach sore to touch. θ Gastric headache.
Cramp in stomach.
Pain in stomach in morning, increased by every quick movement ; must lie down.
Violent pain in stomach, accompanied by heat in right side of head.
Constant sensation as if lime was being burnt in stomach, with a sort of rolling rising of air.
Violent pain in stomach ; at times the pain seems to be seated in stomach, at times in chest ; always > by lying down, < by moving about.
Pain in stomach from ice water.
Sensation as of a disordered stomach, with distension of abdomen.
Violent pressure from pit of stomach over whole chest, making breathing difficult, > before attack. θ Epilepsy.

Hypochondria

Stitches in region of liver. θ Pregnancy.
Hepatic pains with distension after eating.
Heat and sweat about hypochondria and upper part of abdomen.
Necessity to loosen clothing about hypochondria. θ Diarrhœa.

Abdomen and loins

Stitches in right side of abdomen, in evening.
Pains in abdomen, must bend double ; < after least nourishment, or from tightening clothes. θ Hysteralgia.
Cramps in bowels. θ Leucorrhœa.
Colic : in morning ; pain radiates to back and chest.
Twisting abdominal pains before stool.
Cutting colic on appearance of menses, without diarrhœa, with tearing in back and small of back, especially on motion.
Pain in right side of abdomen, with cough.
Flatulency, loud rumbling and rolling in bowels. θ Pregnancy.
Painful distension of abdomen.
Abdomen swollen and hard, body wasted.
Tumid abdomen, in children. θ Dentition. θ Pertussis.
(In sick :) On abdomen, in region of bladder, itching boil, surrounded by intense circumscribed redness.
Pinching in small spot on right side of abdomen after eating.
Rheumatic pain in abdomen and chest.
Inguinal glands swollen, pain very much on moving.

Stools and rectum

Frequent passage of offensive flatus. θ Leucorrhœa.
Involuntary escape of feces with flatus.
The stool passes better standing.
Stools : tough and shining ; first hard and in pieces, the last soft ; knotty, like sheep's dung ; too small shaped ; the size of a goose quill ; fatty, oily ; liquid, fecal ; white, mucous ; involuntary.
(In sick :) Child passes with great pressure two or three tablespoonfuls of an odorless gelatinous mass, streaked with blood, towards morning. θ Whooping cough.
Evacuations of mucus and bright blood with knotty, difficult feces, without any trace of hemorrhoids.
Before stool : twisting abdominal pain.
During stool : vertigo.
After stool : nausea ; salt waterbrash ; vertigo ; burning at anus, subdued pulse and palpitation ; escape of prostatic juice ; pinching in hypochondria ; waterbrash.
Bloody stool, with burning soreness of rectum.
Diarrhœa : from cold air striking abdomen ; from eating fresh meat ; with violently itching acne ; in scrofulous children.
Chronic diarrhœa in dyspeptics and consumptives.
Constipation ; frequent but unsuccessful desire to pass stool. θ Gastralgia. θ Leucorrhœa.
Twisting abdominal pain before stool.
Frequent ineffectual efforts to stool, with much pain, anxiety and redness in face.
Stool is passed with great difficulty and exertion of abdominal muscles. θ Hemiplegia.
Spasm in rectum, which rendered walking impossible.
Painful spasm of rectum, which prevents evacuation or renders it very small, no larger than a goose quill.
Frequent, sudden, penetrating, pressive pain in rectum.
Itching and sticking in rectum.
Severe itching in rectum and in genitals.
Pressure in rectum.
Pressing in rectum, as if feces were lodged in it which want to come away.
Spasms in rectum with renewed desire to pass water. θ Affection of prostate.
Burning in anus after stool.
Soreness and oozing of moisture from anus.
Excessive itching in anus, day and night.
Anus very sensitive to contact.
Prurigo ani, relieved by cold water.
Fistula in ano.
Fissure in anus, pains < when walking.
Large, painful pustule near anus, discharging pus, blood and serum.
Hemorrhoids : impeding stool ; swollen, itching, stitching, moist ; stinging, burning, painful when touched, when walking, when thinking of them ; from preaching or straining voice.
Hard hemorrhoids, extremely painful when touched, when walking, when standing or sitting ; > after a stool.
Pain and strong pulsation in perineum. θ Fistula in ano.
Stitching in anus before eating.
In morning, stool loose, with much tenesmus, voiding of gelatinous, odorless masses, somewhat streaked with blood, at the same time cold hands ; child, æt. 10 months.
Stool seldom, after weak urging large thick lumps came, which were voided with great exertion and pain, afterwards prolapsus recti and tenesmus.
Sore pain in hemorrhoidal tumors, < when thinking of them.
Hemorrhoids after standing, as in preaching.
Sores between the nates.

Urinary organs

Burning in urethra : when urinating ; suddenly at night.
After urinating : pain in urethra, accompanied by dull pain on vertex.
Itching of orifice of urethra.
Pain in urethra and bladder after a few drops pass. θ Prostatic affection.
Frequent urging to urinate, day and night. θ Catarrh of bladder. θ Leucorrhœa.
Painful retention of urine brought on by slightest exposure to cold. θ Catarrh of bladder.
Retention of urine in young children.
Constant ineffectual desire to urinate ; frequent evacuation of only a few drops, with spasms in rectum, and constipation.
Evacuation of blood, with urine, or instead of it, with great pain ; all sensations < at night.
Ineffectual attempts to urinate ; when a few drops were passed, he had violent pain in bladder, and also (after walking much in order to relieve it) cramps in rectum.
Urging to urinate, without passing anything ; she was obliged to wait a long time, and then only a very little urine passed, but urging was soon again renewed, without pain. θ Catarrh
of bladder.
Frequent urging to urinate, without micturition ; urine soon deposited a sediment like yeast.
He urinates so easily that he is not sensible of the stream, and scarcely believes in the dark that he is urinating, until he makes sure by sense of touch.
Very frequent urging to urinate, with involuntary dribbling of urine.
Involuntary passage of urine : when coughing, sneezing or blowing nose ; at night when asleep ; in walking ; from paralysis ; in bronchitis.
Cannot retain urine, and could not feel urine passing through urethra. θ Cataract.
Symptoms of paralysis of bladder from prolonged retention of urine and over-distension of bladder. θ Pregnancy.
Enuresis nocturna. θ Chorea. θ Diarrhœa. θ Pregnancy.
Urine stopped at intervals, in evening.
Last drops of urine are delayed.
After urinating, smarting in pudendum as from salt.
Retention of urine, with frequent and urgent desire, occasionally a few drops or a small quantity may dribble away.
Paralysis of bladder from long retention of urine.
Urine : dark brown ; turbid or cloudy on standing ; deposits a yeasty sediment ; deposits oxalate of lime.
Light-colored urine, like water. θ Leucorrhœa.
Excess of uric acid. θ Bronchitis.
In evening, copious urination, always very turbid ; thick, white, offensive smelling deposit.
Burning in urethra when urinating, especially after coitus.
Diabetes insipidus.

Male sexual organs

During coition blood is discharged from urethra with ejaculation of semen.
Absence of erections.
Stitches in right testicle.
Pressive pain in testicles.
Increase of smegma about glans.
Twitching in penis.
Vesicles under prepuce changing to suppurating ulcers.
Vesicles on prepuce. θ Catarrh of bladder.
Phagedenic chancre, jerking pain, watery, greenish, corroding discharge.
Chancre with fungous excrescences.
Syphilis complicated with gout, scurvy or eruptive diseases.
Herpes preputialis.
Chronic prostatitis ; contraction of sphincter, with excoriating serous discharge from anus ; pulsations in perineum.
Itching of orifice of urethra, scrotum and skin of penis.
Pollutions during siesta : without any recollection or consciousness of them ; with extremely voluptuous sensation.
Erections with much itching in penis.
After coitus, pain in upper portion of abdomen, extending towards inguinal region.
Soreness and rawness between legs.

Female sexual organs

Aversion to coitus. θ Leucorrhœa.
Menses : too early and too profuse, and after ceasing, a little is passed from time to time for days ; retarded ; retarded, but increased in quantity (hysteric spasms) ; scanty, too weak ; bright red ; smell badly and excite itching
of vulva ; only during day ; with violent pains in abdomen and discharge of large clots, with colic, without diarrhœa ; scanty, with prosopalgia ; with vertigo and whirling in head ; ceasing on lying down.
Menses preceded by great pain. θ Acne rosacea.
Before menses : anxious dreams ; melancholy ; colic and backache ; cramplike spasms.
During menstruation : no blood discharged at night ; pain in abdomen, as if parts were torn, with pain in small of back, as if from a bruise, and discharge of large clots of blood ; pressing in stomach ; diarrhœa ; stitches beneath left breast ; yellowness
of face ; whirling, dizziness and headache ; dejection, tiredness, perspiration ; epilepsy.
Menstrual blood bright red, with pain in pelvis, as if pressed or screwed together.
First menses are delayed. θ Ophthalmia.
Menses very irregular. θ Headache. θ Leucorrhœa.
Leucorrhœa : profuse, flows like menses and has same odor ; only at night, or < then ; with scanty menses ; ropy, clear discharge ; weakening ; acrid, causing itching and biting.
Soreness in vulva and between legs.
Smarting in pudendum, like from salt, after urinating.
Acridity during and after urinating, which bites like salt in pudenda.
Vaginal fistula.

Pregnancy. parturition. lactation

Cough during pregnancy.
Spasmodic labor pains.
Symptoms during labor attributable to debility from night-watching, grief, or other depressing influences.
Puerperal convulsions : paroxysms complicated with screams, gnashing of teeth and violent movements of limbs.
Absence of milk and threatening amaurosis.
Milk almost disappeared in consequence of fatigue, night-watching and anxiety.
A sticking pain below left mamma. θ Dysmenorrhœa.
Pain in left mamma to below axilla, without induration, especially when nursing.
Violent itching about mamma in a nursing woman.
Mammary fistulæ after abscess.
Nipples sore, cracked, surrounded with herpes.
Cracked nipples and suppression of milk.
Children are slow in learning to walk ; unsteady tottering gait. θ Meningeal tuberculosis.

Voice and larynx. trachea and bronchia

Voice reverberates in head. θ Deafness.
Hoarseness : < in morning, with scraping in throat ; for several days could not speak loud ; with coryza ; with rawness, burning and soreness in chest ; with dry cough. θ Aphonia.
Sudden loss of voice. θ Paralysis glottidis.
Chronic hoarseness remaining after acute laryngitis.
Hoarseness in public speakers and singers from straining vocal organs.
Laryngeal muscles refuse to act ; cannot speak a loud word. θ Paresis of cords.
Sense of utter weakness in laryngeal muscles. θ Aphonia.
Aphonia : from spasm in windpipe ; from driving in cold ; from straining voice.
Hoarseness and rawness in throat, in morning.
Hoarseness towards evening, with dry, tickling cough.
Paresis of laryngeal muscles and vocal cords.
Sensitive pressive pain in larynx, on blowing nose.
Sensation of rawness in larynx. θ Croup.
Larynx sore to touch. θ Aphonia.
Phthisis laryngea, with dry cough ; suppurative stage.
Dryness in larynx, and dry sensation in air passages.
Sense of constriction in larynx.
Burning and soreness in trachea. θ Pertussis. θ Catarrh.
Great rawness of throat and chest when coughing.
Irritation to cough : with every expiration ; in morning, in bed.
Frequent need to clear something out of larynx.
Often indicated in beginning of croup.
Membranous croup.
Hoarseness, with pain in chest.
Much hawking of mucus.
Rattling of phlegm in throat and chest.

Respiration

Arrest of breathing when talking or walking rapidly ; must suddenly catch after breath.
Shortness of breath precedes paroxysms of coughing.
Shortness of breath.
Frequent suffocating fits during an inspiration, as if some one constricted larynx, producing a momentary arrest of breathing when sitting.
When taking a deep breath, tension in chest. θ Epilepsy.
Worse during expiration and from talking. θ Pertussis.
Dyspnœa : with frequent sighing ; in morning ; with chronic cough.

Cough

Cough : violent, hollow, at times dry, with pain in chest ; hollow, especially night and morning, with tightly adhering mucus in chest, and with sensation of soreness on chest ; hacking, from creeping and rawness in throat ; caused by
crawling in larynx, or by stooping to pick up anything ; always caused by speaking ; with pain over and in hip, and involuntary passage of drops of urine ; dry, remaining after pertussis ; frequent and
tickling ; for the most part in daytime without, at night with expectoration.
Dry, hollow cough, from five to six paroxysms, with sore sensation in a streak down along trachea, where it pains on every paroxysm of cough, and almost prevents breathing.
Cough, with a sensation as if the patient could not cough deep enough to start mucus, produced by tickling, accompanied by rawness.
Cough wakes her from sleep, in evening and morning ; during day, little or no cough.
Cough : worse evening till midnight ; from exhaling ; drinking coffee ; cold air ; draught of air ; when awaking.
Cough excited by : tickling in throat pit ; creeping tickling ; mucus in throat ; eating.
Short cough after eating.
Hissing cough. θ Aphonia.
Cough only on lying down.
In evening, continuous cough and rattling of mucus.
Hollow cough without resonance, day and night. θ Paralysis glottidis.
Hollow racking cough. θ Bronchitis.
Cough wakens frequently, or in evening short hollow cough. θ Pertussis.
Cough relieved by a swallow of old water.
Cough < by bending forward.
Tormenting cough with zona.
Cough strains every nerve in her body.
Cough causes soreness in abdominal muscles and bowels.
Continual annoying cough ; with each cough escape of urine.
Cough with : burning in air passages ; pain in larynx ; rheumatic pain in limbs ; soreness and general stiffness ; pain in hips.
Influenza, with tired sensation, limbs as if beaten ; rheumatic pains.
Whooping cough in catarrhal stage.
Expectoration : acrid, fatty tasting ; cannot be raised, but must be swallowed.

Inner chest and lungs

Anxiety in chest : after stool, in evening, with distended abdomen ; with fever.
Burning, sticking and soreness in chest. θ Pertussis.
Stitches in chest below arms, extending to pit of stomach, with anxiety.
Pain in chest, as though raw, preventing him from lying down at night ; has to change position.
Sticking pain in chest ; very sore and ulcerated, with and without coughing, with stopped coryza and stoppage of nose.
Soreness in chest.
Smarting in chest while coughing.
Painful compression of chest, from both sides towards sternum, with oppression of breath and weakness of voice.
Tightness of chest, must frequently take a deep breath.
Spasmodic constriction of chest. θ Pertussis.
Sensation in chest as if clothes were too tight.
Oppression of chest after eating.
Sensation of fulness in chest and around heart.
Pain in chest, when sneezing. θ Influenza.
Rattling in chest. θ Pertussis.
Constrictive pressure in chest and region of stomach, compelling him to bend backward for relief.
Phthisis mucosa.

Heart, pulse and circulation

Oppression at heart, with lowness of spirits, cardiac anxiety.
Stitches in cardiac region. θ Pertussis.
Burning in region of heart, with palpitation.
Palpitation of heart. θ Pertussis.
Palpitation, with languor.
Chronic disease of heart in young girls, occasioned by overlifting.
Pulse excited towards evening, with orgasm of blood.

Outer chest

Stitches in sternum, from deep breathing or lifting.
Painful compression of chest, from both sides towards sternum, with oppression of breath and weakness of voice.
Sensation as if clothing were too tight.
Rash on breast and arms, itching like scabies.
Heat in sternum.
Eruption around nipples.

Neck and back

Stiffness and pain in neck and throat, with pain in occiput, muscles felt as if bound, could scarcely move head.
Tearing pain in back of neck, moving up and forward to frontal region.
Long-continued tension in right side of neck and chest, so that it drew body towards right side.
Attacks of gastric pains, once or twice daily, a small carbuncle on neck, over spine. θ Gastralgia.
An excessively itching and moist tetter on neck.
Rheumatism of nape of neck.
Enlargement of cervical glands.
Swelling, like goitre, on throat.
Stitches : in back ; in left lumbar region.
Painful stiffness of back and sacrum, especially when rising from chair.
Pain in middle of spine, on swallowing, as food goes down, as from a sharp crust there, sticking into it in an inward direction. θ Rheumatic fever.
Pressing, cramplike pain in small of back, in region of kidneys.
Pressing-stitching pain alongside of right scapula, when swallowing or hawking.
Backache, especially in coccyx.
Pain in back during menstruation.
Complains of a sore pain in back during labor ; cries "hold my back ! Oh! hold my back!" Pain in both loins, as if surrounded by bands.
Pinching, crampy pain in lumbar region and buttocks.
Tearing pains, commencing along lumbar vertebræ, running forward around left lumbar region to linea alba. θ Neuralgia.
Sensation as if a cold wind was blowing on parts between scapulæ.
Much itching on back and on calves.
Blood-boils on back.
Lameness in small of back. θ Leucorrhœa.
Incipient tabes dorsalis.
Rheumatic spinal irritation.
Pinching pain in sacrum, with hysterical spasms.
Pain begins in sacrum and goes into left hip, tensive, as if muscles were too short.
Bruised or darting pain in os coccygis.
Dull drawing pain in region of os coccygis.

Upper limbs

Tearing and drawing in shoulder blades.
Shoulder joint painful on motion.
Rheumatic aching in shoulder.
Paralysis of deltoid ; cannot raise hand to head ; subject to pains, < at night, causing continued motion.
Pains in shoulder, when dressing in morning, preventing motion. θ Rheumatism.
Pressure on shoulders.
Sensation as if cold water was running from clavicle down to toes, along a narrow line.
Itching on arms.
Dull drawing and tearing in arms and hands.
Griping clawing as from a hand around elbow, > from warmth.
Pressing pain above elbows.
Pains in elbow joints.
Lameness, weakness and flabby condition of muscles of arm, after scalding arm.
Tensive pain in left lower arm.
Paralysis of one arm and muscles of deglutition. θ Sequel to diphtheria.
Paralysis of right arm, with glossoplegia.
Torpid feeling in arms at night. θ Gastric headache.
Paralysis of upper extremities.
Right arm cold up to axilla.
Eruptions and warts on arms.
Paralytic feeling in right hand.
Icy coldness of hands, with stools of gelatinous masses, accompanied by tenesmus.
Pain in right wrist, as if sprained, weakness of joint.
Trembling of hands. θ Rheumatism. θ Neuralgia.
(In sick :) Sweat on hands, hindering her very much in knitting.
(In sick :) On back of left hand, between little and fourth fingers, very painful nodules on tendons ; pain > from cold water.
Sensation of fulness in hand, when grasping anything.
Dry tetter in palms of hands.
(In sick :) Ulcerating spots on palms of hands, in which tendons were contracted.
Stitches in finger to elbow.
Drawing pains in finger joints.
In evening, sudden pain and lameness in finger tips.
Fingers feel icy cold, but warm to touch.
Painful numbness of thumb and index finger, appeared as if they were larger, especially when touching something ; impedes free use of hand.
A large, oval-formed horny wart close to extremity of right forefinger.
Clenching of thumbs. θ Epilepsy.
Fingers half closed, cannot move them, excepting with the other hand.
Contraction and induration of tendons of fingers.
Stiffness of fingers.
Paralysis of hands.
Panaritium and paronychia.
Warts on tips of fingers.
Fleshy warts close to nails.

Lower limbs

Bursting pain in hips, on coughing.
Stitching pain in hip joint and region of hip ; discharge of thin ichor.
Aching in hip joint, as if dislocated, when stepping. θ Pertussis.
Pain in left hip joint, commencing in an instant, as if hip would be torn from her.
Head of femur seems to be out of acetabulum, limb is shortened. θ Hemiplegia.
Hip disease : pain in joint ; fistulæ ; hectic fever.
Coxarthrocace.
At night, the side, hip and thigh upon which he lay were sore, as if bruised, or as if pressed ; was frequently obliged to turn over.
Soreness between thighs, high up.
Drawing and tearing in thighs and legs, knees and feet, < in open air, > in warmth of bed.
Bruised pains in thighs and legs, mornings in bed.
Distressing uneasiness in both limbs, in morning in bed, lasting one hour.
Painful itching on inner side of thigh along vein, extending to toes.
Marbled skin of thighs and legs.
Cracking in knees, when walking and descending.
Tensive pain and stiffness in hollow of knee, when walking.
A tension in hollow of knees, when sitting or beginning to walk, relieved by continued walking.
Stiffness in left knee, when walking.
Tendons of knees seem too short.
Tension in knee and ankle joints.
Drawing from knee to malleolus, with knifelike stitching towards toes.
Gonagra.
Nightly burning tearing in shins from above downward.
Drawing on side of shins extending downward, with single stitches in edges of shin bone.
Cramp : in calf, mornings in bed ; in sole of right foot and tendo-achillis, when stretching it.
Cramp in tendo-achillis awakens from sound sleep at 2 A. M. ; has to jump out of bed and scream at top of her voice.
Severe tearing in tendons beneath right calf.
Tearing, beating, boring in lower leg and feet with every movement.
Numb pain now on malleolus, now on heel, and again on outer edge of foot.
Pain in ankle, when sitting, not when walking.
Stiffness in ankle.
Gouty tearing in region of lower leg, especially in small joints of foot, with swelling of parts.
Tension in heel and tendo-achillis.
Foot feels contracted, with tension on putting it to the ground. θ Leprosy.
Itching of dorsum of foot.
Numbness of feet and toes.
Marbled skin on dorsum of foot.
Swelling of feet.
Sweaty feet. θ Acne rosacea.
Cold, painless swelling, especially on back of foot, with itching.
Lower leg uniformly swollen, upon it are spots as large as a hand, which appear like a thick, uniform layer of leather.
Aching here and there in leg, with small tubercles, very hard, pale red, itching and painful.
Contraction of feet, tension when putting soles to the ground. θ Leprosy.
Cramp in feet, toes and soles.
Cannot keep feet quiet, and yet moving them causes great pains.
Feet and lower leg full of acne ; rubs himself whole night, especially soles and abdomen. θ Nursing child.
Feet hot, tense and swollen.
When rubbing feet a little they become covered with large blisters.
Emaciation of feet.
Cold feet.
Stitches, as though with penknife, in soles.
Crawling in both soles, as from something alive.
Corrosive or phagedenic blisters and ulcerations on heel.
Heels and balls of toes pain as though ulcerating, when touched and on treading down.
Ball of great toe : crawling, burning ; severe pressive pain ; burning stitches.
Severe pressive pain in posterior joint of great toe.
During night, round, watery vesicle forms beneath ball of great toe.
Crippled nails on toes, and ingrowing toenails.
Unsteady walking and easy falling of little children. θ Dentition. θ Chorea.
θ Rheumatism. θ Verrucæ. θ Pertussis.

Limbs in general

Gouty pains in limbs.
Tearing in limbs, now in one, now in another, at one time severe, at another slight, though constant.
Tearing in several limbs, < in joints, and extending from these into long bones.
Tearing, especially in joints, and from them through various bones in body, sometimes in several at once ; pain was not aggravated by external pressure.
Soreness to touch on anterior surface of arms and legs.
Intolerable uneasiness in limbs, in evening.
Violent spasmodic motion of arms and legs. θ Epilepsy.
Twisting and jerking of limbs. θ Chorea.
Hands and feet go to sleep.
Formication in limbs, with spasms.
Coldness of shoulder joints and ankles. θ Epilepsy.
Unsteadiness of limbs, tottering gait of children, and liability to fall. θ Meningeal tuberculosis.
Weakness and trembling of limbs.
Paralytic weakness of limbs.
Contraction on limbs.
Stiffness of limbs from gouty deposits.
Serous swellings of joints, with but slight inflammation ; great irritation of cuticle ; tendency to white swelling.
Crippled nails on fingers and toes.

Rest. position. motion

At night cannot get a quiet position, nor lie still a minute.
Disposition to stretch or bend, or crack joints.
Weariness and inclination to lie down.
Lying down : > pain in stomach, and gastralgia ; menses cease ; cough ; on left side < toothache.
Sitting : or reading, stitches in temples ; facial neuralgia ; < hemorrhoids ; urging to urinate ; suffocating fits ; pain in ankles ; uneasiness of body.
Standing : obscuration of eyes ; stool passes > ; < hemorrhoids, they ache more.
Bending forward : cough ; backward, > constrictive pressure in chest.
Stooping : vertigo and whirling in head ; pain in throat ; < cough, particularly whooping cough.
Rising from sitting : painful stiffness of back ;
affected parts tremble.
Stepping : < aching in hip joint.
Lifting : stitches in sternum.
Descending : cracking in knees.
Turning head : cracking and snapping in ears.
Movement : quick, pain in stomach ; < pain in stomach and abdomen ; < swollen inguinal glands ; of shoulder joints, gives pain in small of back ; tearing, beating, boring in lower legs and feet.
Motion : profuse sweat ; difficult on account of contracted tendons.
Move : cannot, on account of pain in face.
Writing : involuntary nodding of head.
Walking : impossible, spasm in rectum ; soreness and fissure of anus ; < hemorrhoids ; cracking and tension in knees, on beginning to walk and relieved by continued walking ; pain in soles, ankles and toes ; ulcers bleed ; profuse sweat.
After excessive bodily exertion. θ Paralysis.
Children are slow in learning to walk, and fall easily. θ Pertussis. θ Warts. θ Dentition.
θ Chorea. θ Rheumatism.

Nerves

Hysteria.
Extreme tendency to start.
Restlessness of body, particularly in evening. θ Pertussis. θ Leucorrhœa.
Restlessness, wants to run away. θ Epilepsy.
Uneasiness of body, with anxiety about heart, while sitting ; she was obliged to rise and walk about.
Anxiety throughout body, with vertigo.
Twitchings and clonic spasms.
Cramps now here, now there.
Convulsions : with screams, gnashing of teeth and violent movements of limbs ; with feverish heat and coldness of hands and feet ; in evening and at night ; hysterical ; epileptic ; followed by paralysis.
Spasms after a fright.
Convulsive motions of extremities in child's sleep, with disturbed eyes, and coldness of body. θ Eclampsia.
Chorea, even at night, right side of face and tongue may be paralyzed.
Child lies on her stomach, with one knee inserted in hollow of the other, feet drawn upon buttocks, making spasmodic jerks simulating movements of coition ; muscles of face contorted, risus sardonicus. θ Chorea.
Epileptic attack : after fright ; during time of puberty ; also < during new moon ; with involuntary micturition ; with scanty menstruation and leucorrhœa ; in scrofulous of brain ; > by drinking cold water as soon as pressure in stomach
commences.
After any exertion, eating but little, smoking much, and emotions, in evening attack of fainting.
Faintlike sinking of strength.
Weakness and trembling. θ Aphonia.
Trembling of limbs. θ Epilepsy.
Prostration with great weakness in limbs. θ Influenza.
Sensation of internal stiffness from head to abdomen ;`he is pale and cold.
Paralysis : of vocal cords ; one-sided ; of tongue ; of eyelids ; of face ; of extremities ; of bladder.
Paralysis of facial muscles after typhus.
Gradually appearing paralysis.
Paralysis of single parts, caused by exposure to cold wind or draught.
Hemiplegia, particularly from suppression of eruptions ; numbness, atrophy, and coldness of the parts.
Progressive locomotor ataxia.

Hysteria.
Extreme tendency to start.
Restlessness of body, particularly in evening. θ Pertussis. θ Leucorrhœa.
Restlessness, wants to run away. θ Epilepsy.
Uneasiness of body, with anxiety about heart, while sitting ; she was obliged to rise and walk about.
Anxiety throughout body, with vertigo.
Twitchings and clonic spasms.
Cramps now here, now there.
Convulsions : with screams, gnashing of teeth and violent movements of limbs ; with feverish heat and coldness of hands and feet ; in evening and at night ; hysterical ; epileptic ; followed by paralysis.
Spasms after a fright.
Convulsive motions of extremities in child's sleep, with disturbed eyes, and coldness of body. θ Eclampsia.
Chorea, even at night, right side of face and tongue may be paralyzed.
Child lies on her stomach, with one knee inserted in hollow of the other, feet drawn upon buttocks, making spasmodic jerks simulating movements of coition ; muscles of face contorted, risus sardonicus. θ Chorea.
Epileptic attack : after fright ; during time of puberty ; also < during new moon ; with involuntary micturition ; with scanty menstruation and leucorrhœa ; in scrofulous of brain ; > by drinking cold water as soon as pressure in stomach
commences.
After any exertion, eating but little, smoking much, and emotions, in evening attack of fainting.
Faintlike sinking of strength.
Weakness and trembling. θ Aphonia.
Trembling of limbs. θ Epilepsy.
Prostration with great weakness in limbs. θ Influenza.
Sensation of internal stiffness from head to abdomen ;`he is pale and cold.
Paralysis : of vocal cords ; one-sided ; of tongue ; of eyelids ; of face ; of extremities ; of bladder.
Paralysis of facial muscles after typhus.
Gradually appearing paralysis.
Paralysis of single parts, caused by exposure to cold wind or draught.
Hemiplegia, particularly from suppression of eruptions ; numbness, atrophy, and coldness of the parts.
Progressive locomotor ataxia.

Sleep

Yawning and stretching.
Intense sleepiness, can scarcely resist it, must lie down.
Soporous condition after attack. θ Epilepsy.
Sleepy in daytime, sleepless at night. θ Pertussis.
Sleeplessness at night : on account of dry heat ; cannot rest in any position. θ Chorea. θ Gastralgia.
Wakes from sound sleep at 2 A. M., with cramps in tendoachillis. θ Bronchitis.
During first sleep, wets bed. θ Enuresis.
Very uneasy all night, after a short sleep awakened by anxiety and restlessness, which scarcely allowed ten minutes quiet in one place ; must sit up ; involuntary throwing of head from side to side, until exhaustion brought on sleep.
Laughing and crying during sleep.
Many motions with arms and legs during sleep, at night.
Starting from sleep, in a fright. θ Pertussis.
Dreams : anxious ; quarrelsome ; fretful.
In morning, in bed, spasmodic attack ; after rising, cold sensation in arm, then a jerk, with violent twitching in trunk and arms ; anxiety.
Worse on awaking from sleep. θ Pertussis. θ Chorea.
Bad effects from night-watching. θ Loss of milk. θ Dystocia.

Time

At night he can get no easy position ; he cannot lie still a moment.
Night : arms and legs in motion during sleep ; severe internal chill ; torpid feeling in arms ; < neuralgia of face ; burning in urethra ; blood with urine ; menses cease ; leucorrhœa ; cough < ; paralysis of deltoid ;
burning and tearing in shins ; has to rub feet and legs all night ; watery vesicles on toes ; chorea < or > ; sleepless ; heat, followed by internal chilliness.
At 2 A. M. : cramp in tendo-achillis awakes.
At 4 A. M. : sweat.
At 8 A. M. : internal heat, without thirst, with sweat in hands.
Morning : rheumatic pains in head ; first dryness and stiffness in eyes, then lachrymation ; sticking in eyes ; blowing blood from nose ; deafness ; sneezing ; pain in stomach ; hoarseness ; rawness of throat ; dyspnœa ;
cough ; whooping cough > ; bruised pain in legs ; cramp in calves ; spasmodic attacks, arms and legs ; sweat, when walking.
Afternoon : > vertigo.
At 4 P. M. : burning and dryness of eyes.
From 6 to 8 P. M. : burning and stinging as with needles in eyes ; heat.
From 10 to 12 P. M. : epileptic attacks.
Evening : < sensation as of an empty space between forehead and brain ; pain shoots from eyes into head ; as if there was a substance moving in eye ; ophthalmia ; nose stopped ; stitches right side of abdomen ; urine stopped at intervals ; urine
copious ; violent stitches right temple ; whooping cough < ; cough short and hollow ; anxiety ; pain and lameness of finger tips ; uneasiness of limbs ; body restless ; epileptic attacks.
Day : photophobia ; nose running ; sleepy.
Day and night : itching in anus ; cough.

Temperature and weather

Can bear neither warmth nor cold. θ Toothache.
She cannot cover herself too warmly, but warmth does not relieve.
After being heated by dancing, took cold and suffered with paresis of muscles of eye.
Worse on coming from the air into a warm room. θ Headache.
Getting heated, < eruption. θ Acne rosacea.
Warmth : > sensation as of an empty space between forehead and brain ; > tensive tearing pain in integuments of head ; > griping-clawing in forearm ; of bed, drawing-tearing in thighs and legs ; chronic urticaria ; > gout and
rheumatism.
Cold water : > face by rubbing part with a cloth dipped in ; toothache ; > pertussis ; sticking abdomen, diarrhœa ; > prurigo ani ; cough relieved by a swallow ; > painful nodules on hand ; prevent epileptic attacks ; >
eruptions.
Taking cold from scrubbing and washing. θ Ischias.
From a river bath in summer. θ Paralysis.
After bathing : cough.
Better in open air : incapacity to think after gaslight.
Open air : > lachrymation ; accumulation of tears ; cough < after walking in it ; < drawing-tearing in thighs and legs ; < gout, face and toothache ; < chorea during pregnancy.
Fresh air : blepharitis.
Sensitive to cold air. θ Headache. θ Scabies.
Cold air : pain in sound teeth ; < whooping cough ; painful retention of urine ; paralysis of single parts, caused by exposure ; causes eruption to disappear ; striking abdomen causes diarrhœa ; < rheumatism.
Draught of cold air : < tensive tearing pain in integument of head ; aphonia ; cough ; caused paralysis of face.
Worse on becoming cold. θ Whooping cough ; Wind : ears sensitive to ; cold winds cause paralysis.
Stormy change of weather : facial neuralgia.
Damp weather : > tensive tearing pain in integuments of head ; > bleeding ulcers ; rhinitis.
After getting wet. θ Paralysis.
Colds contracted in springtime and from sudden change of weather ; coryza of profuse, transparent mucus ; cough with expectoration, rawness in chest and morning hoarseness.
Worse in clear, fine weather, > in damp, wet weather.

Fever

Shivering beginning in and spreading from face.
Chill and chilliness : predominating, frequently with coldness of whole left side ; of diseased parts ; with prosopalgia ; with pertussis ; left-sided.
Much internal chilliness, immediately followed by sweat without intervening heat.
Severe internal chill about midnight.
Chill lessened by drinking, and in bed.
Chill passes downward.
Coldness of single parts.
Chilly, with gooseflesh, while head and face burns. θ Headache.
(In sick :) Child is feverish at night and wants the breast all the time. θ Whooping cough.
Flushes of heat, followed by chill.
Internal heat, without thirst, with sweat of hands, 8 A. M.
Heat from 6 to 8 P. M., heat descending.
Heat and sweat in hypochondria and on upper part of abdomen.
Profuse sweat : when walking in open air ; from motion ; when sleeping during day.
Morning sweat towards 4 A. M.
Sour-smelling night sweat.
(In sick :) Viscid sweat of strong urinous odor.
Sweats easily on head. θ Epilepsy.

Attacks, periodicity

Paroxysmal stitches in right ear.
Attacks come on twice daily.
Pain in paroxysms.
Sometimes two attacks in succession. θ Epilepsy.
Attacks lasting twelve hours. θ Epilepsy.
Attacks once or twice daily. θ Gastralgia.
Every two to three days an attacks. θ Epilepsy.
Every week an attack. θ Epilepsy.
Every two, three, four weeks an attack. θ Epilepsy.
New moon. θ Epilepsy attacks.

Locality and direction

One-sided paralysis, especially of flexor muscles.
Right : epilepsy, runs in a circle ; heat in head ; stitches in temple ; pain in frontal eminence ; chorea turns head ; spots before eye ; eye tense ; as if a tight skin came half way down over eye ; sudden pain over eye ; stitches in
ear ; neuralgia in face ; drawing pain in cheek ; stitches in lower jaw ; drawing in leg ; heat in side of head ; stitches, pain, pinching in abdomen ; stitches in testicle ; tension in neck ; pressing stitching along side of scapula ; on
forefinger a large horny wart ; cramp in foot ; tearing in calf ; chorea at night ; arm cold ; paralysis of arm and hand ; wrist as if sprained.
Left : spots before eye ; vertigo, falls ; eye, acrid tears, shooting pain ; itching in canthus ; eye, granulations ; brow, visible twitching of lid ; nostril, epistaxis ; ulcer, tip of nose ; side of face, neuralgia ; pimples on
cheek ; twitching in face ; tearing pains in face ; tearing pain in jaw ; stitches beneath breast ; pain in mamma ; stitches in lumbar region ; tearing pain in hip, as if muscles were too short ; tensive pain in forearm ; pain in hip ; knee,
stiffness ; side, chill ; hand, tendons, painful nodules.

Sensations

As if there was a ball of fire in forehead ; as if he would fall ; as if brain was loose in head ; as though a membrane was over eyes ; as if there was a substance in eye ; as of a stick or sand in eyes ; right eye as if paralyzed ; as if
lids were agglutinated ; as if something was trying to force out of ear ; as though a foreign body was in teeth ; as though blood would crowd into teeth ; as if scaled, tongue ; of a lump in throat ; as if something cold was rising in throat ; as if throat
was too narrow ; as though shreds of meat were between teeth ; pelvis, as if pressed or screwed together ; as if clothing of chest was too tight ; as if cold wind was blowing between scapulæ ; as if lumbar muscles were too short ; as if cold water was running
from clavicle to feet ; as though touched from time to time with an icicle, skin ; as of an empty space between forehead and brain ; head as if driven asunder ; as if parts of occipital bone were numb, pithy, or dead ; as if there was something moving in eyes ;
as if a tight skin came down over right eye ; as if something was pricking the eye ; as of glowing coals in small spots in face, eyes, ears and cheeks ; as if jaw was contracted ; teeth as though blunt ; as if he had eaten pepper ; as if lime was being burnt in
stomach ; as if loins were surrounded by bands.
Lightning-like pains darting from place to place.
Terrible sensation of tearing, paroxysmal ; often moving forward, then remitting, again starting from same spot ; neuralgia, moving from occiput, upward and forward, over vertex.
Tearing pains. θ Prosopalgia.
Tearing : and digging headache ; pain in integuments of head ; pains, left half of face ; left lower jaw ; in both right rows of teeth ; in throat ; small of back ; pain, back of neck ; shoulder blades ; in arms and
hands ; thighs and legs ; in shins ; in tendons beneath calf, with every movement ; in limbs ; in joints.
Boring : pain in vertex ; pain in lower back tooth ; in lower leg and foot from every movement ; in ulcers.
Jerking : pain in throat ; phagedenic ulcer.
Shocks or jerks : in head.
Cutting : pain in forehead : colic on appearance of menses.
Shooting : pain in left eye ; to head.
Darting : pain in os coccygis.
Stitches : in temples ; in vertex ; right ear ; in angle of right lower jaw ; dull, in upper back teeth ; in lower back teeth ; in fingers ; in scrobiculum ; in region of liver ; in rectum ; in anus ; right testicle ; in
cardiac region ; in sternum ; in lumbar region ; in fingers ; right elbow ; pain, in hip joint ; below arms ; knifelike, from knee to toes ; in soles ; great toe ; in right side of abdomen beneath l. breast.
Sticking : toothache ; pain, below left mamma ; in chest ; middle of spine ; in old stye ; in rectum.
Stinging : of scalp ; as with needles, in eyes ; in teeth ; hemorrhoids ; of eruption on face.
Prickling : in lower back teeth.
Biting : in eyes.
Burning : stinging in upper part of head ; in eyes ; eyes red ; in both inner canthi ; of ears ; in face ; pain ; in bleeding lips ; in hollow tooth ; in fingers ; in fauces ; in rectum ; in anus ; hemorrhoids ;
in urethra ; and soreness, in chest ; in trachea ; in air passages ; cardiac region ; nightly burning, in shins ; great toe ; skin, like nettlerash ; in ulcers ; in gout ; in throat ; in ball of great toe.
Her face feels to her like fur.
Heartburn : in throat.
Smarting : eyes ; in pudendum ; in chest.
Torn feeling ; in throat ; in abdomen.
Twisting : abdominal pain before stool.
Clawing : in stomach.
Griping clawing : arms and hands ; around elbow.
Pinching : in ear ; in stomach ; right side of abdomen ; in hypochondria ; pain, in lumbar region ; in sacrum.
Digging : headache ; lower back teeth.
Pressive pain : in right frontal eminence ; in rectum ; in testicles ; in coccyx ; great toe ; in eye ; in larynx ; above elbow.
Pressing pain : in forehead ; small of back ; stitching, right scapula ; pain, above elbows ; in eyes ; in region of kidneys.
Pressure : in eyes ; in inner canthus ; hot, in ears and whole head ; in throat ; in pit of stomach ; in rectum ; on shoulders ; in chest.
Drawing : in eyes ; pains extend into cheeks and ear ; pain in glenoid cavity ; pain in os coccygis ; in shoulder blades ; in arms and hands ; in finger joints ; in thighs and legs ; from knee to malleolus ; in right cheek.
It draws and tears through whole body. θ Headache.
Dragging pain : in eyes ; in ears ; in muscles of face.
Aching : in hip, as if dislocated ; here and there in leg.
Soreness : in scalp ; in fauces ; in teeth ; in rectum ; in chest ; in trachea ; in anus ; between legs ; in vulva.
Bruised feeling : in outer head ; in jaws ; in os coccygis ; in thighs and legs.
Rawness : in fauces ; in larynx ; between legs ; in chest.
Scraping : down throat.
Gouty pains : in limbs.
Rheumatic and neuralgic pains. θ Bronchitis.
Dull pressive pain : in head.
Dull pain : on vertex ; in ears.
Rheumatic pain : in head ; in lower jaw ; in abdomen ; aching, in shoulder ; in chest ; in nape of neck.
Tensive pain : gout ; in sacrum ; in left lower arm.
Bursting pain : in hips.
Sprained feeling : in right wrist ; in gout.
Undefined pain : violent, in stomach ; in ear ; in malar bones ; in sound teeth ; in throat ; in stomach ; in right abdomen ; and strong pulsation, in perineum ; in neck ; in finger tips ; in left hip ; in ankle ; in
urethra ; over eye ; in chest and limbs ; in tongue ; in tonsils ; in stomach ; in urethra ; in small of back ; in middle of spine ; in both loins ; in elbow joints.
Throbbing : in vertex ; toothache.
Beating : in lower leg and foot, with every movement.
Twitching : in penis.
Tension : and pain, in jaws ; right side of neck ; pain, in forearm ; pain and stiffness, in hollow of knees ; of scalp.
Tenseness : in right eye ; in heel and tendo-achillis.
Spasm : in rectum.
Cramp : in stomach ; in small of back ; in feet.
Compression : of chest.
Constriction : in larynx ; of chest ; of feet.
Contracted : in whole side of head ; in jaw ; in foot.
Obstruction : feeling of, in ears.
Fulness : in stomach ; of chest ; in hand, on grasping anything ; around heart.
Heaviness : in upper lids ; upper lip and nose.
Stiffness : in neck ; of left knee, when walking ; of jaws ; of fingers ; from head to abdomen.
Drawing lame feeling : of unaffected part ; in paralysis.
Lameness : finger tips ; of jaws ; in small of back ; of muscles of arm.
Pain in paralyzed parts increases when lameness decreases.
Torpid feeling : in arms, at night.
Crawling : in both soles ; in great toe ; in larynx.
Tickling : in throat.
Itching : like flea-bites, left inner canthus ; on lower eyelid ; in inner ear ; of tip of nose ; of face ; left cheek ; in eyes ; in rectum ; hemorrhoids ; orifice of urethra ; about mamma ; rash on breast and arms ; on
back and calves ; on arms ; on inner side of thighs ; on dorsum of foot ; of scalp ; of genitals ; of anus ; scrotum and skin of penis ; in penis ; of vulva.
Numbness : of side of face ; of thumb ; of malleolus ; heel and toes ; of feet ; and deadly whiteness of lamed limbs, sometimes with coldness of head or feet.
Formication : in limbs.
Heat : right side of head ; in sternum ; and sweat, in hypochondria ; in scalp.
Uneasiness : in both limbs ; of whole body.
Coldness : of shoulder joints and ankles ; in arms ; of single parts ; as if touched by an icicle.
Chilliness with pains : in prosopalgia.
Dry sensation : in eyes ; in air passages ; in nose ; of mouth and tongue ; in throat.

Tissues

Disposition to hyperemia and congestion depending on diminished action of motor nerves on muscular coat of bloodvessels. θ Aphonia.
Hemorrhages of very dark blood.
Netlike appearance of capillaries.
Painful varices, ulcers, or warts.
Contraction of flexor tendons ; tension and shortening of muscles.
Rheumatic and arthritic inflammations, with contraction of flexors and stiffness of joints.
Catarrhal affections.
Chronic arthritis ; nodosities.
Synovitis.
Ill effects from debilitating loss of fluids.
Disturbed functional activity of brain and spinal nerves, resulting in paralysis.
Softening of brain ; epilepsy ; locomotor ataxia ; spasmodic affections.
Affects principally oculo-motor nerves, third pair ; facial nerve, seventh pair ; and motor (inferior maxillary) branch of fifth pair ; also spinal nerves, particularly upper.
Proud flesh ; caries ; scrofulosis.

Touch. passive motion. injuries

Whatever part she grasps, burns.
(In sick :) Child wants to be carried all day. θ Whooping cough.
Touch : pain on vertex ; scalp sore ; eyes burn ; pressive pain in eyes ; constant inclination to touch and rub eye ; itching on lower lids ; stomach sore to ; anus sensitive ; hemorrhoids stinging, burning ; larynx sore ; heels and
balls of toes sore to ; front of arms and legs sore to.
Cannot bear touch of clothing on chest.
Pressure : causes pain in eyes ; tearing in teeth ; painful to pressure.
Rubbing : eye, > a tight skin which comes half way down ; with cold, wet towel, > neuralgia of face.
Straining : vocal organs, hoarseness.
Ichorous suppurating scalds and burns slow of healing ; or patients say, "they have never been well since that burn."
Burns from nettles.
Redness of frosted limbs.
Old injuries freshen up.

Skin

Yellowish looking skin, particularly about temples.
Intertrigo, during teething.
Itching : over whole body ; at various parts ; especially on tip and wings of nose ; face ; scrotum ; back ; arms ; palms ; dorsi of feet.
Subacute and chronic eruptions, similar to blisters from burns.
Chronic urticaria, coming out more fully in fresh air, with decided aggravation and itching from heat of bed.
Pemphigus.
Zona.
Eruption of pimples on tip of nose.
Excessively itching moist tetter on neck.
Itching blotches, with burning, like nettlerash.
Itching eruption preventing sleep, burns and bites, especially on sore spot on lower leg.
Scabies, after abuse of sulphur or mercury.
Eczema pustulosa.
Sensation as though touched from time to time with an icicle.
Marbled appearance of skin.
Large, jagged, often pedunculated warts exuding moisture and bleeding easily.
Small, non-pedunculated warts all over body, internal and external, and on eyelids.
Warts and scrofulous skin affections.
Lupus.
Injuries of skin, which had healed, become sore again.
Burns and scalds.
Varicose and fistulous ulcers.
Phagedenic ulcers.
Ulcers : bleeding, with blisters on surrounding skin, boring and burning ; burning in edges ; pain as if burnt ; sensitive, surrounded by pustules ; swollen, with a feeling of tenseness ; pus bloody and corroding, greenish or grey, ichorous and
thin as water, sometimes yellow ; > in damp weather and from walking.
Corrosive ulceration of tubercles in skin. θ Syphilis.
Ulcers on hands, fingers and toes : corroding, thin, watery, often acrid discharge, with burning pain ; discolored ; ichorous.
Old sores originating in burns, maltreated with lead.
Injurious effects, chorea, paralysis, epilepsy, etc., following suppressed itch or other chronic scrofulous exanthemata.

Stage of life, constitution

Diseases corresponding to the hydrogenoid constitution of Grauvogl.
Dark haired persons with rigid fibre most affected.
Lymphatic, torpid temperament ; bronchitis.
Children with black hair and eyes ; enuresis nocturna.
Especially adapted to feeble, delicate children ; pertussis ; enuresis.
Diseases incidental to old age ; varicose veins.
Children with delicate skin ; dentition.
During evolution of a group of teeth, intertrigo appears with occasional convulsions ; dentition.
Child, æt. 18 months ; diarrhœa.
Girl, æt. 9 ; hip disease.
Child, æt. 10 ; leucoma.
Boy, æt. 10 ; catarrh of bladder.
Girl, æt. 11 ; enuresis.
Boy, æt. 12 ; enlarged cervical glands.
Child, æt. 12 ; ophthalmia.
Girl æt. 12, weakly, delicate ; chorea.
Girl, æt. 14, scrofulous ; chorea.
Boy, æt. 15 ; enuresis.
Boy, æt. 15, scrofulous and miserable ; epilepsy.
Girl, æt. 15, brunette ; enuresis.
Slender, blonde girl, æt. 15 ; warts on fingers.
Boy, æt. 17 ; stammering from childhood.
Girl, æt. 18 ; epilepsy.
Girl, æt. 20, weakly, mild temper, since 16 years ; rhinitis.
Girl, æt. 21 ; crusty nose.
Girl, æt. 24, terribly disfigured nose ; acne rosacea.
A man, æt. 25 ; hemiplegia of face.
Robust, choleric woman, æt. 30 ; aphonia.
Woman, æt. 30, well fed, choleric, full-blooded ; paralysis.
A lady, æt. 32 ; paresis of muscles of eye.
Woman, æt. 32 ; hemiplegia of face.
Robust woman, æt. 36, phlegmatic temperament ; rhinitis.
A man, æt. 36 ; wart on finger.
A weakly seamstress, æt. 37 ; headache.
A woman, æt. 37, appears consumptive, thin in flesh ; bronchitis.
Woman, æt. 39, of a melancholy mood ; toothache ; prosopalgia.
Woman, æt. 39, emaciated, pale and sickly since 6 years ; cephalalgia and gastritis.
Woman, æt. 40 ; ophthalmia.
Woman, æt. 40, mild, gentle disposition ; faceache.
A man, æt. 44, strong, athletic, short neck ; epilepsy.
Woman, æt. 46, full habit, dark complexion, phlegmatic ; deafness.
A very strong, robust merchant, traveling much, æt. 52 ; headache.
Woman, æt. 55, emaciated ; neuralgia.
Woman, æt. 60 ; paralysis.
A man, æt. 61 ; paralysis of bladder.
Woman, æt. 66 ; tetter on right cheek.
Very much weakened woman, æt. 69 ; hemiplegia.
A woman, æt. 70 ; paralysis of the facial nerve ; glossoplegia.
Old maid, æt. 75, fond of coffee ; chronic headache.
During climacteric years ; deafness.
Old maid, weakly, pale ; prosopalgia.
"In my practice the greater number of Causticum patients, suffering from throat complaints, were men." Lorbacher.

Relations

Antidotes by : Asaf., Coffea, Coloc., Dulcam., Guajac . (rheumatic contraction of tendons of arms and legs), Nitr. spir. dulc., Nux vom .
It antidotes : Asaf., Cinchon., Coloc., Euphras., Plumbum ; poisoning by lead (paralysis) ; bad effect (paralysis of tongue) of type held between lips of a compositor ; abuse of Mercur .
and Sulphur in scabies.
Compatible : before Calc. ostr., Kali iod . (facial paralysis from an abscess), Lycop., Nux vom . (vertigo), Rhus tox., Ruta (stiffness of upper limbs after paralysis), Sepia,
Silica , (ingrown toe nails) Sulphur, Zinc. sulph . (external use in chronic ophthalmia) ; intercurrently Arsen . (acne rosacea, epilepsy of drunkard), Cuprum (epilepsy), Ignat .
(chorea), Podoph . (ophthalmia), Pulsat . (ophthalmia), Rhus tox . (amblyopia), Sepia , (rhinitis, epilepsy), Stannum
(paralysis) ; after Calc. ostr . (tetter), Coccul . (lame arm after scald), Coloc . (colic), Cuprum (epilepsy), Hyosc .
(chorea), Ignat . (chorea from fright), Petrol . (hip disease), Petrosel . (urinary troubles), Rhus tox . (hemiplegia), Sepia
(ophthalmia), Stramon . (chorea), Sulphur (headache, otorrhœa, ulcer on nose, prosopalgia, epilepsy, limping).
Incompatible : Acids, Coffea, Phosphor .
Complementary : Petrosel .
Compare : in mental weakness, paralysis, tinea capitis, etc., Baryt. carb . ; in ptosis, facial paralysis, Gelsem . ; in laryngeal affections, Ant. tart . ; in
paralysis of muscular coat of bladder, Arsen., Helleb., Hyosc . ; in meningeal tuberculosis, Lycop., Natr. carb., Stramon., Sulphur ; in contraction of brow, with pain in head, Lycop . ;
in blistering of heel, Cepa ; in cough, must swallow mucus, Arnic .

Lectures on Homoeopathic Materia Medica

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

Lecture

Causticum is a very searching medicine, suitable in old, broken down constitutions, suffering from chronic diseases.

Only occasionally is it indicated in acute diseases. Its complaints are such as are progressive, slow, and accompanying a declining state of the economy.

Muscular power

Gradual decrease of muscular power, a paralysis. Paralysis of the oesophagus, paralysis of the throat, such as occurs after diphtheria; paralysis of the upper eyelids; paralysis of the bladder; paralysis of the limbs, of the lower limbs; great lassitude, muscular relaxation, indescribable fatigue and heaviness of the body. And there is a tremulousness, a quivering, jerking, twitching of the muscles, twitching in sleep.

Tendons

The next most striking feature is found in the tendons, which become shortened, resulting in a temporary or permanent contracture, and the limb is drawn up.

Tendons of the forearms contract, and there is gradually increasing flexion. Sometimes a whole muscle will harden and shorten, so that it can be felt by the hand as a hard ridge. Contractures of muscles and tendons.

Joints

Closely related to this is a rheumatic state of the tendons and ligaments about the joints, sometimes with swelling, but always with pain and ending in a shrivelling of the joint, a tightening up of the joint so that it becomes ankylosed.

Great stiffness of the joints, and while this is going on the patient is growing weaker, is running into a state of melancholy, of hopelessness, anxiety and fear.

Constantly present in his mind is the hopelessness and a feeling that something is hanging over him, that something is going to happen. These are general features of Causticum. They all go to make up one picture, they are inseparable.

Hysteria

Another kind of progressive trouble in Causticum is hysteria. Gradually increasing hysteria. Hysterical cramping. The woman loses all control of herself and says foolish things.

Her nervous system becomes extremely sensitive to noise, touch, excitement or anything unusual. Starting from the slightest noise; starting in sleep; twitching and jerking; the child is easily startled, or acts as if startled without cause.

Rheumatic diathesis

The paralytic weakness is associated with the rheumatic diathesis. The rheumatic states are peculiar. The patient himself can endure neither heat nor cold. They both aggravate his rheumatic conditions, his nervous conditions and himself in general. His pains are ameliorated by heat, but they are aggravated in dry weather.

Great deformity of the joints; they are enlarged, soft and infiltrated, always worse in dry weather; more pains and aches during dry weather. Rheumatism that affects both the muscles and the joints. This patient is also aggravated by exposure to cold, dry winds. Many an individual who has gone from the low lands of the East up into Colorado will come down with rheumatism from the cold, dry winds.

Let such a patient as I have described take a ride in the cold lake wind and he will have paralysis of the side of the face exposed to the wind. A long drive with the east wind coming against the face.

The next day that side of the face will be paralyzed. Such a paralysis will almost always recover under Causticum.

Reading, tearing, paralytic pains; pains that, benumb; pains that fairly take the life out of him, they are so severe. And they are likely to remain in one place for a long time. Causticum has often greatly mitigated the lightning-like pains of locomotor ataxia.

Now, with all these sufferings the patient is slowly growing weaker, till at length he can no longer walk, he can no longer sit up, he is so tired and weak that he must lie down. He is tired in body and mind. It is a paralytic fatigue.

Convulsive symptoms. Cramps, now here, now there. If frightened he is almost sure to have some form of convulsive condition, The woman with tendency to hysteria will have hysterics from fright; nervous girls that are more inclined to chorea, will start with jerking of muscles and will keep it up day and night. Chorea even at night. Localized chorea, jerking of single parts, chorea of the tongue or of one side of the face.

Epilepsy in young persons at the age of puberty, from fright, from, being chilled or exposed to some great change in the weather. Epilepsy, chorea, paralysis, hysteria worse during menses. We see that Causticum is a deep medicine.

Worse from exposure to cold, dry wind. It also has rheumatic complaints aggravated in the warm, damp days, in wet weather, but this is not so striking.

Any one of the complaints that I have mentioned may be brought on by bathing in cold water. A long, dry, cold spell will aggravate the rheumatic troubles, getting wet or becoming chilled by bathing will start them.

Insanity

Causticum has cured insanity; not acute mania with violent delirium, but mental aberration of the passive kind, where the brain has become tired. The constitution has been broken down with long suffering and much trouble, and finally the mind is in confusion.

At first the patient recognizes his inability to do anything and then comes this foreboding that something is going to happen. He is unable to think, and consequently unable to carry on his business. He is going into imbecility. Full of timorous fancies.

"Timorous anxiety," overwhelmed with fearful fancies.

At every turn there is fear that something is going to happen. Fear of death, fear that something will happen to his family. Always anticipating some dreadful event. That is a striking feature of the Causticum mental state. It is found in old, broken down mental cases, after prolonged anxiety; after a prolonged struggle of some sort.

Anxiety before falling asleep. In addition to this, the Causticum patient lacks balance. Everything excites him. The more he thinks about his complaints, the worse they become. Mental and other ailments from long-lasting grief and sorrow. The injurious effects of fear and prolonged vexation. Tired from vexations of business.

Eruptions

The suppression of eruptions is apt to bring out mental symptoms. Mental exhaustion, hopelessness, despair, appearing after the suppression of an eruption with zinc ointment. He was fairly well while he had the eruption, but when it disappeared his mind gave out.

Eruptions on the side of the head and face, and extending over the whole head. Thick, crusty eruptions covering the whole occiput. When these eruptions are suppressed in children, chorea is apt to follow. In the adult there will be trembling, paralytic weakness and the mental state, sometimes pains in the nerves.

Headaches

The driving in of a facial eruption will frequently result in facial paralysis. The healing of an old ulcer with stimulating lotions and ointments will have a similar result. Then he also suffers from violent headaches, congestive, pulsating headaches; violent, stitches in the head, worse in the evening.

But the headaches are, as a rule, nondescript; only occasion do we find a Causticum headache standing out by itself. It will usually be associated with rheumatic and gouty conditions which also affect the scalp. The scalp contracts and tightens up in places like the contractures in other parts. Rheumatic headaches; sometimes the pain is so severe as to cause nausea, and vomiting. Blinding headaches followed by paralysis.

Torticollis. The head is sometimes drawn to one side by the shortening of the muscles of the neck. Causticum is a curative remedy in this shortening of the tendons and muscles.

Eyes

Causticum is rich in eye symptoms. Very often the patient says that the eyelids feel so heavy that he can hardly hold them up. This gradually increases until it becomes an actual paralysis. Sometimes there is the appearance of a veil before the eyes; foggy vision.

Flickering before the eyes. Air seems full of little black insects. Then, again, large black or green spots are seen. After looking at the light a green spot appears and remains in the field of vision for a long time. Diplopia.

And the vision gradually grows weaker until it is lost. Paralysis of the optic nerve. Lachrymation, tears acrid, burning; ulceration, copious discharges from the eyes, agglutination of the lids, paralysis of the eye muscles.

Causticum cures scrofulous ophthalmia with ulceration of the cornea; chronic, purulent ophthalmia of psoric origin. The cornea is covered with little veins.

Warts

Another very strong feature of this medicine is its tendency to grow warts. Warts on the face, on the tip of the nose, on the ends of the fingers, on the hands.

Hard, dry, horny warts come out on various parts of the body.

It is natural feature of this remedy to produce copious, thick, tough, gluey discharges from mucous membranes.

Ear and nose

The catarrhal troubles creep up the Eustachian tube, from the nose and throat into the car, resulting in roarings, cracking noises and reverberations in the ear. There is great accumulation of car wax; deafness of catarrhal origin and deafness from paralysis of the auditory nerve. Severe, dragging pains in the ear.

The nasal catarrh is very troublesome. Old, atrophic catarrh with accumulation of crusts throughout the whole nasal cavity; post-nasal catarrh with ulcerations, granulations and copious, thick, yellow or yellowish-green discharge; nose-bled; frequent attacks of acrid, watery coryza. Much itching of the nose. A wart grows upon the tip of the nose.

Face and mouth

The pains in the face are violent. Neuralgic pains from exposure to cold. These pains often accompany the facial paralysis. Tearing pains in the face, stitching pains, pains of a rheumatic character.

Ulcerations about the mouth and nose. Fissures about the lips, the wings of the nose and the corners of the eyes. Fissures seem to form upon the least provocation. Fissures of the anus, of the skin about the joints. Old cases of salt rheum with fissures in the bends of the joints. Fistulous openings with indurated walls.

The gums become scorbutic and settle away from the teeth; bleeding and ulceration of the gums. Violent, tearing pains in the roots of the teeth from riding in the wind. Old rheumatic subjects suffer all through every dry spell with toothache.

Stitching, tearing, pulsating pains in the teeth; even in the sound teeth on drawing in cold air. Frequently recurring abscesses of the gums. Putrid sour or bitter taste in the mouth.

When the paralytic condition affects the tongue then we have stammering. There is also the condition of complete paralysis of both the pharynx and oesophagus. Hence Causticum is useful in the results of diphtheria when it has been maltreated or when the remedy has not been sufficient to cure the disease.

The food goes down the wrong way or enters the larynx or the post-nares. Paralysis of the organs of speech, paralysis of the tongue, awkward at talking, awkward at chewing; bites the tongue and cheeks while chewing. Post-diphtheritic paralysis is a serious condition and only a few remedies can cure- it.

Causticum is one of them. Lachesis and Cocculus are also important. Dryness of the mouth and throat; rawness of the throat; must swallow constantly on account of a sensation of fullness in the throat, a nervous feeling in the throat. This is often a forerunner of paralysis. The Staphysagria patient when excited will keep up a constant swallowing and this goes on until it becomes a source of great annoyance.

Burning in the throat; jerking in the throat; constantly scraping thick, tough mucus from the larynx. Study the sounds that patients make in order to ascertain where the mucus comes from. The presence of hoarseness shows that the trouble is in the larynx.

Desires and aversions, stomach

The Causticum patient sits down to the table hungry, but on seeing the food his appetite vanishes. The thought, sight or smell of food takes away the appetite. This is a common symptom in the pregnant woman.

Although hungry, on sitting down at the table, she cannot eat. Kali carbonicum has an empty, all-gone feeling in the stomach, with aversion to food. China has canine hunger, but loathes the sight of food.

Thirst after eating; thirst for cool drinks with aversion to water desire for beer, smoked meats, pungent things, aversion to sweet things and delicacies. Most remedies that have loss of appetite have desire for, sweet things, pastry, etc. The symptoms of thirst with aversion to drinking is very much like Lachesis.

The two run very closely together in the paralytic condition of the throat. There is a queer sensation in the stomach as if lime were slaking there. Trembling in the stomach; burning. Bread causes a sensation of heaviness and pressure, coffee seems to aggravate all the symptoms of the stomach, but a swallow of cold water relieves.

Many symptoms in this remedy are made better by a swallow of water. The violent spasmodic cough may be stopped at once by a drink of cold water. Cold water seems to tone up the paralytic condition. Warm water applied to the hands brings on pains in these old sensitive spinal conditions. Cold washing is their only relief.

Causticum has belching, nausea, vomiting, distension and violent pains in the stomach. Pinching colic.

Rectum

In the rectum there is the same tendency to paralytic weakness that is found in other parts of the body. It is inactive and fills up with hard faeces, which pass involuntarily and unnoticed. Aloe has involuntary dropping of little, hard balls, especially in children. Even when old enough to understand about such things, they will pass little balls unnoticed.

On account of the paralytic condition the stool passes with less straining while the patient is standing. Retention of urine except when standing; unable to pass it in any other position is Sarsaparilla. Constipation, frequent, unsuccessful urging to stool. The stool is tough and shining, and is passed with great difficulty and exertion.

Fissures in the anus; itching and stitching in the rectum, excessive itching day and night; hemorrhoids, pulsating in the perineum I fissures and hemorrhoids pulsate and burn like fire.

The hemorrhoids become infiltrated and hardened.

Bladder

This remedy has two kinds of paralysis of the bladder, one affecting the muscles of expulsion and the urine is retained, and the other center ing upon the sphincter vesicae, and then the urine is passed involuntarily.

"He urinates so easily that he is not sensible of the stream and scarcely believes, in the dark, that he is urinating, until he makes sure by sense of touch."

Causticum is unconscious of the stream as it passes.

It is a very useful remedy in children that wet the bed. Especially is it a wonderful remedy in the woman. The urine escapes involuntarily when coughing. Retention of urine in the woman. Retention after labor.

Paralysis of the bladder. A woman who is too greatly embarrassed to pass through a crowd of observing men to the closet at the end of a railroad car, at the end of the journey finds that she is unable to pass the urine.

Retention of urine from straining the muscles of the bladder. If the patient is chilled at the time the remedy may be Rhus.

Rhus and Causticum are the two great remedies for paralytic weakness of muscles from being overstrained, or from being overstrained and chilled. Great weakness at the time of the menses.

Menstruation

Anxious dreams before menstruation; melancholy; cramp-like spasms; pains in the back. The woman suffers from many annoyances during menstruation just about the time for the flow to start violent cramp-like pains come on. In a woman who is nursing a child the milk almost disappears in consequence of fatigue, night watching and anxiety. The nipples get sore and crack, another instance of the tendency to form fissures.

Voice

The Causticum patient has trouble with the voice. You remember, when we were going over the symptoms of Carbo vegetabilis, I told you that the hoarseness was worse in the evening. Now observe that the hoarseness of Causticum is worse in the morning.

He gets up in the morning with a hoarse voice; if it is an ordinary case, after moving about and expectorating a little mucus, it is better. Sudden loss of voice from paralysis of the vocal cord.

It sometimes begins with the morning aggravation, gradually increasing until it lasts all day and all night.

Cough

The Causticum cough is a hard cough and racks the whole body. The chest seems full of mucus and he feels if only he could cough a little deeper he could get it up, and he struggles and coughs until exhausted or until he finds out that a drink of cold water will relieve. But it must be ice cold.

The cough is hollow, it sounds as if he were coughing into a barrel. It is relieved by expectoration if it can only get deep enough to reach the mucus. Sometimes such a cough precedes quick consumption. It is a deep-acting medicine; it cures phthisis, especially mucous phthisis or quick consumption.

"Cough with a sensation as if the patient could not cough deep enough to start the mucus; produced by tickling, accompanied by rawness. Cough wakens her from sleep in the evening and morning.

Cough relieved by a swallow of cold water. Cough worse by bending forward. Continual, annoy ing cough; with each cough escape of urine."

Influenza with tired aching of the limbs as if they had been beaten.

"Whooping cough in the catarrhal stage."

Great soreness and tightness of the chest, oppression of the chest it feels as if a load were upon it. It seems to be filling up with mucus, and the patient coughs until he raises a mouthful and then he feels a little better for a time. Pale as death, covered with sweat.

Back

There are many symptoms in the back. Pain and stiffness; stiffness on rising from a seat. Stiffness in the limbs, through the hips and in the back, so that he rises up from sitting or the recumbent posture with great difficulty.

In most cases the pains and aches are ameliorated by the warmth of the bed and by applied heat. Only the pains in the fingers are sometimes brought on by heat.

The Therapeutics of Fevers

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

Characteristic

Adapted to persons with dark hair, rigid fibre; weakly, scrofulous persons, with excessively yellow, sallow complexion, subject to affections of respiratory and urinary tracts.

Children with dark hair and eyes, delicate, sensitive skin, prone to intertrigo during dentition (Lyc.); or convulsions with eruption of teeth (Stan.).

Ailments: from long-lasting grief and sorrow (Phos. ac.); from loss of sleep, night watching (Coc., Ign.); sudden emotions, fear, fright, joy (Cof., Gels.); anger or suppressed eruptions.

Soreness or rawness: of scalp, throat, respiratory tract, rectum, anus, vagina, uterus.

Melancholy, sad, hopeless; looks on the dark side of every-thing; with weeping, "the least thing makes the child cry."

Children slow in learning to walk (Cal. p.).

Unsteady walking and easy falling of little children.

Menses: too early; too feeble; flow only or chiefly during the day; cease on lying down.

Constipation; frequent, ineffectual efforts; stool passes better when standing; impeded by hemorrhoids; tough, shining.

Urination; involuntary, when coughing, sneezing, blowing the nose (Puls., Squil., Ver.); nocturnal, during first sleep (Sep., Tub.).

Cough: with inability to raise the sputa, must be swallowed; $>$ by a swallow of cold water; on expiration; after pertussis.

At night, cannot get an easy position, nor lie still a moment.

Cannot cover too warmly, but warmth does not relieve.

Cicatrices, especially burns and scalds freshen up, become sore again; patients say "they have never been well since that burn."

Whatever part she grasps, burns.

Paralysis of single parts; vocal organs, tongue, eyelids, face, extremities, bladder; generally of right side; onset gradual.

Disturbed functional activity of brain and spinal nerves, resulting in paralysis.

Intense sympathy for sufferings of others.

Rheumatic affections, with contraction of the flexors and stiffness of the joints; tension and shortening of muscles (Am. m., Cimex, Guaiac., Nat.).

Rawness or soreness: of scalp, throat, respiratory tract, rectum, anus, urethra, vagina, uterus (as if bruised, Arn.; as if sprained, Rhus).

Warts: large, jagged, often pedunculated; bleeding easily, exuding moisture; small, all over the body; on eyelids, face; on the nose.

Patient improves for a time then comes to a "stand-still."

Relations:—Complementary: Carbo v., Petros.

Incompatible: Phos. Must not be used before or after Phos., always disagrees; the acids; Coffea.

Aggravation

In clear, fine weather; coming from the air into a warm room (Bry.); cold air; draught of cold air; on becoming cold; getting wet; from bathing.

Amelioration

In damp, wet weather; warmth; warm air.

Type

Not characteristic. Left-sided (Carbo v.).

Time

4 P. M. or midnight, with sweat at 4 A. M.

Fever without chill, 6 to 8 P. M.

Chill, without thirst, lessened in bed and by drinking (Graph.—increased by drinking, Caps.). Chilliness and coldness of the whole left side (Carbo v.); of diseased parts. Shivering, beginning in the face, thence extending over the body. Internal chill, followed by perspiration without intervening heat. (See Caps., Cimex.) At 4 P. M.: first, chilliness, with creep- ing in the legs up into the back, with weariness, lasting three hours, followed by sweat without heat or thirst (without heat or sweat, Bov.). Shaking chill over the whole body; shivering chill over the whole body, without thirst or subsequent heat. He is always either chilly or in a sweat. Shivering from the face, over the chest or along the back, down to the knees. Shivering and coldness of single parts, as arm, forearm, thigh, leg, abdomen, back (rest of body normal), without heat or sweat. Sensation of cold water in a small stream running across the body; of cold wind blowing upon spine between the shoulder-blades. Takes cold easily (Bar., Cal.). Very sensitive to cold air, or to a draft (Camph, Canth.); cold feet. Chill passes downward

Flushes of heat, followed by chill.

Heat

Without thirst, occurring toward morning or at night; not a clearly defined hot stage, but mixed, not alternating with chilliness. Heat of head and face; warmth and redness of face and heat in face and eyes after eating. Heat from 6 to 8 P. M., which is not preceded by chill or shivering—heat descending— and appears to be a secondary paroxysm of fever.

Sweat

Without thirst. Immediately after the chill, without intervening heat (Ant. t.). Profuse sweat when walking in the open air; from motion (Bry.—relieved by motion, Caps.); dur- ing the day when sleeping. Sour smelling night-sweat all over

(Hep.). Viscid sweat of strong urinous odor. Moisture over whole body, without heat or thirst, with yawning and stretching.

Awoke at 4 A. M., with profuse sweat all over the body—with- out thirst—which continued 24 hours. Heaviness and roaring in the head.

"Chill predominates, much more marked than the other stages, and left-sided; followed by perspiration and later by heat; all occurring towards and during the evening."—T. D. STOWE.

Tongue

Not coated, dry, with painful burning vesicles on sides and tip of tongue; or coated white on both sides, red in the middle.

Desire for smoked meat; for beer. Aversion to sweet things, which disagree.

Apyrexia

Not marked, except by previously existing symp- toms, upon which the force of the chill is frequently expended. Previously diseased organs or parts are prone to become painful during, or the pain is renewed, after the paroxysm.

Analysis

Chronic cases with constitutional cachexia. One of the few remedies where sweat follows chill without intervening heat.

Left-sided chill, most pronounced of any remedy, and a "guiding" symptom of Causticum.

Chill without thirst $>$ in bed and by drinking

No thirst in heat or sweat.

Flushes of heat followed by chill.

Morning sweat is characteristic.