CURANON

Remedy

Chelidonium Majus chel.

11 books on the shelf carry Chelidonium Majus. Read them in the order a bedside reading goes: the short cards first, the long books after.

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

Right side: Portal system. Abdomen. Lungs (lower). Mucous membranes. Bowels ( R ). Occiput. Kidneys. Knees.

Worse

Motion. Cough. Touch. Change of weather. North Easters. 4 A.M. and 4 P.M. (Ign.).

Better

Hot food. Eating; dinner. Milk. Pressure. Hot bath. Bending backward.

General

YELLOWNESS. Bilious disturbances; vomiting, jaundice, catarrhs, etc. Pains shoot backward or in all directions. Stitches. Heavy, stiff, sore, paralysed, dislocative or broken feeling. Numbness. Horror of motion.

Particulars

Lazy. Averse to mental exertion or conversation. Despondency. Vertigo; felt in vertex. Headaches extend backward. Heavy occiput. Supra-orbital pain. Mucus in eyes. Outward, blowing, crawling, etc., in ears. Dark red or sallow, sunken face. Red nose. Flapping alæ. Bitter taste. Yellow tongue; with indented edges (Hyds.). Choking, as from too large a morsel. Left sided goitre. Craves milk, piquant or hot foods (Lyc.). Nausea. Sensitive epigastrium. Sensation as of a plug in stomach. Gnawing, scraping gastric pains, > eating. LIVER PAINS GOING BACKWARD, OR FIXED AT ANGLE OF R. SCAPULA; to r. shoulder and occiput (Kali-c. Nux-v. Sep.). Rawness in liver. Gall-stones. As of a string about abdomen or neck. Stools pasty, pale, bright yellow, clayey or hard balls. Dyspnœa, < urinating (Dul.). Cough, as from dust; with much rattling, but little expectoration, or it flies from mouth. Hepato-pectoral symptoms. Like a nail deep in r. chest. Bilious pneumonia (Merc.). Fluctuating temperature. Pain from neck to r. temple. Itching, > eating. Lethargic, DROWSY and chilly. Icy cold nape and occiput. Cold fingertips. One foot cold. Burning heat, spreads from hands over body. Sweaty, with aversion to uncover and without relief; after midnight.

Related

Complementary: Lyc. Merc-dul. Related: Bry. Kali-bi. Merc. Op.

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

Persons of light complexion, blondes; thin, spare, irritable; subject to hepatic, gastric and abdominal complaints (Pod.); every age, sex and temperament. Constant pain under the lower and inner angle of right scapula (Kali c., Mer. - under the left, Chenop. g., Sang.). Ailments: brought on or renewed by change of weather (Mer.); all lessen after dinner. Tongue coated thickly yellow, with red edges, showing imprint of teeth (Pod. - large, flabby, with imprint of teeth, Mer.). Desire for very hot drinks, unless almost boiling stomach will not retain them (Ars., Casc.). Periodic orbital neuralgia (right side), with excessive lachrymation; tears fairly gush out (Rhus). Constipation: stool, hard, round balls like sheep's dung (Op., Plumb.); alternate constipation and diarrhoea. Diarrhoea: at night; slimy, ligh-gray; bright-yellowish; brown or white, watery, pasty; involuntary. Face, forehead, nose, cheeks, remarkably yellow. Yellow-gray color of the skin; wilted skin; of the palms of hands (Sep.). Hepatic diseases; jaundice, pain in right shoulder. Pneumonia of right lung, liver complications (Mer.). Spasmodic cough; small lumps of mucus fly from mouth when coughing (Bad., Kali c.). Affects right side most; right eye, right lung, right hypochondrium and abdomen, right hip and leg; right foot cold as ice, left natural (Lyc.). Old, putrid, spreading ulcers, with a history of liver disease, or of a tubercular diathesis. Gall-stones, with pain under the right shoulder-blade (terrible attacks of gall-stone colic, Card. m.).

Relations

Chel. antidotes the abuse of Bry., especially in hepatic complaints. Compare: Acon., Bry., Lyc., Mer., Nux, Sang., Sep., Sulph. Ars., Lyc., Sulph. follow well, and will often be required to complete the cure.

Key-Notes to the Materia Medica

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

General

The strongest characteristic calling for this drug is a very severe pain in the inner lower angle of the right shoulder-blade, running into the chest. This indication furnishes a key-note for the cure of an almost endless variety of complaints; also a very specific action on the liver, and portal system.

Mental

Full of sad thoughts; desponding.

Eyes

Orbital neuralgia of the right eye, with profuse lachrymation; pupils of the eye are contracted.

Ears

Sensation as of wind rushing out of.

Chest

Pneumonia on the right side, where there is a great deal of mucus. Hoarse at five o'clock in the afternoon. Loose cough after whooping cough. Sensation of choking in throat as if a large morsel had been swallowed too hastily; of pressure on the œsophagus hindering deglutition, but not respiration.

Generalities

Sensation of pinching in the inner parts; of darting in the inner parts; as if the back would break on rising up, after stooping down. Biliary calculi. Jaundice. Pulse is generally hard. Old, putrid, spreading ulcers. Cutting in the bowels immediately after a meal.

Worse

Worse very early in the morning.

Remedies following

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

Antidotes

Chamom., 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

Constant pain under inferior angle of right scapula. may extend to the chest or stomach. Yellow colour of the face, especially of the forehead, nose, cheeks and white of eyes.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Celandine

General

A prominent liver remedy, covering many of the direct reflex symptoms of diseased conditions of that organ. The jaundiced skin, and especially the constant pain under inferior angle of right scapula, are certain indications. Paralytic drawing and lameness in single parts. The great general lethargy and indisposition to make any effort is also marked. Ailments brought on or renewed by change of weather. Serous effusions. Hydrocele. Bilious complication during gestation.

Head

Icy coldness of occiput from the nape of neck; feels heavy as lead. Heavy, lethargic; drowsiness very marked, with general numbness; vertigo, associated with hepatic disturbance. Inclination to fall forward. Right-sided headache down behind ears and shoulder-blade. Neuralgia over right eye, right cheek-bone and right ear, with excessive lachrymation, preceded by pain in liver.

Nose

Flapping of alæ nasi (Lyc).

Eyes

Dirty yellow color of whites. Sore sensation on looking up. Tears fairly gush out. Orbital neuralgia of right eye, with profuse lachrymation; pupils contracted, relieved by pressure.

Face

Yellow; worse nose and cheeks. Wilted skin.

Stomach

Tongue yellow, with imprint of teeth; large and flabby (Merc; Hyd). Taste bitter, pasty. Bad odor from mouth. Prefers hot food and drink. Nausea, vomiting; better, very hot water. Pain through stomach to back and right shoulder-blade. Gastralgia. Eating relieves temporarily, especially when accompanied with hepatic symptoms.

Abdomen

Jaundice due to hepatic and gall-bladder obstruction. Gall-colic. Distention. Fermentation and sluggish bowels. Constriction across, as by a string. Liver enlarged. Gallstones (Berberis).

Urine

Profuse, foaming, yellow urine, like beer (Chenop) dark, turbid.

Stool

Constipation; stools hard, round balls, like sheep's dung, bright yellow, pasty; clay-colored, stools float in water; alternation of diarrhœa and constipation. Burning and itching of anus (Ratanh; Sulph).

Female

Menses too late and too profuse.

Respiratory

Very quick and short inspirations; pain on deep inspiration. Dyspnœa. Short, exhausting cough; sensation of dust not relieved by cough. Whooping-cough; spasmodic cough; loose, rattling; expectoration difficult. Pain in right side of chest and shoulder, with embarrassed respiration. Small lumps of mucus fly from mouth when coughing. Hoarse in afternoon. Constriction of chest.

Back

Pain in nape. Stiff neck, head drawn to left. Fixed pain under inner and lower angle of right scapula. Pain at lower angle of left scapula.

Extremities

Pain in arms, shoulders, hands, tips of fingers. Icy coldness of tips of fingers; wrists sore, tearing in metacarpal bones. Whole flesh sore to touch. Rheumatic pain in hips and thighs; intolerable pains in heels, as if pinched by too narrow a shoe; worse, right. Feels paralyzed. Paresis of the lower limbs with rigidity of muscles.

Skin

Dry heat of skin; itches, yellow. Painful red pimples and pustules. Old, spreading, offensive ulcers. Wilted skin. Sallow, cold, clammy.

Modalities

Worse, right side, motion, touch, change of weather, very early in morning. Better, after dinner, from pressure.

Relationship

Chelidonin.--(Spasm of smooth muscle everywhere, intestinal colic, uterine colic, bronchial spasm, tachycardia, etc). Boldo-Boldoa fragrans--(Bladder atony; cholecystitis and biliary calculus. Bitter taste, no appetite; constipation, hypochondriasis languor, congestion of liver; burning weight in liver and stomach. Painful hepatic diseases. Disturbed liver following malaria). Elemuy Gauteria--(Stones in kidneys and bladder; grain doses of powdered bark in water or 5 drops of tincture. Pellagra).

Sulph often completes its work.

Complementary: Lycop; Bryon.

Antidote: Chamom.

Compare: Nux; Sulph; Bry; Lyc; Opium; Podophyl; Sanguin; Ars.

Dose

Tincture and lower attenuations.

Leaders in Homoeopathic Therapeutics

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

Leaders

Fixed pain (dull or sharp) under the lower inner angle of the right shoulder blade.

Yellow eyes, face, skin, hands, stool clay colored or yellow as gold; urine yellow. Tongue thickly coated yellow, with red edges.

Right-sided remedy; supra-orbital; hypochondriac; lungs; hip; foot cold as ice, etc.

The center of action of this remarkable remedy is in the liver, and its most characteristic symptom is a fixed pain (dull or sharp) under the lower inner angle of the right shoulder blade. This very characteristic symptom may be found in connection with general jaundice, cough, diarrhœa, pneumonia, menses, loss of milk, exhaustion, etc., in fact, no matter what the name of the disease this symptom present should always bring to mind Chelidonium and close scouting will generally reveal hepatic troubles or complications as would be naturally expected with such a remedy. Chelidonium is like Lycopodium, by preference, a right-sided remedy, right supra-orbital neuralgia, right hypochondrium and scorbiculum cordis tense and painful to pressure; right-sided pneumonia and shoulder painful; shooting pain in right hip extending into abdomen; drawing pain in hips, thighs, legs, or feet, more right-sided; right foot cold as ice, left natural. Further study will show that Chelidonium not only is a right-sided remedy, but in many other points stands close to Lycopodium, and in my experience one is often found indicated after the other. Although this characteristic infra-scapular pain is as reliable as any in the Materia Medica, there may be cases in which it does not appear at all, which can only be cured by Chelidonium, especially liver and lung trouble. If we should find pressive pain in the region of the liver, whether it be enlarged and sensitive to pressure or not, bitter taste in the mouth, tongue coated thickly yellow, with red margins showing imprint of the teeth, yellowness of whites of eyes, face, hands and skin; stools gray, clay colored, or yellow as gold, urine also yellow as gold, lemon colored or dark brown, leaving a yellow color on vessel when emptied out, loss of appetite, disgust and nausea, or vomiting of bilious matter, and especially if patient could retain nothing but hot drinks on the stomach, we would have a clear case for Chelidonium even though the infra-scapular pain were absent. All these symptoms might be found in either a chronic or acute case. If in a chronic case, some anti-psoric like Lycopodium might have to be called in, according to indications, of course, to help complete a cure, but Chelidonium would be the chief reliance.

These liver troubles range from simple congestion and inflammation of the organ, to the more severe and deep-seated affections like fatty liver, gall stones, etc. Chelidonium is one of the leading remedies in pneumonia, which is complicated with liver symptoms. Sometimes in coughs which are persistent with much pain through right side of chest and into shoulder, Chelidonium helps us out and saves the patient from what might easily terminate in consumption.

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

Low-spirited and desponding, with inclination to weep.

Head

Sensation of coldness in the occiput, ascending from the nape of the neck ; worse when moving, better at rest. Stitches in the vertex, particularly when walking fast. Tingling in and on the head. Scald-head.

Eyes

Contraction of the pupils. Painful pressure on the upper eye-lid. Inflammation and nightly agglutination, with dimness in the morning. Fistula lachrymalis.

Ears

Sensation in both ears, as if wind were rushing out. Whizzing before the ears, like wind. Loss of hearing during cough.

Nose

Dry coryza, with partial (one-sided) stoppage.

Face

Redness of the face, without heat. Tension and drawing in the (left) malar bone. Itching in the face, and on the forehead. Herpes in the face, especially the chin.

Throat

Sensation as if the larynx were pressed on the œsophagus, impeding deglutition. Sensation of choking in the throat, as if too large a morsel had been swallowed.

Appetite and Taste

Longing for milk, which agrees well with him. Bitter taste in the mouth.

Stomach and Abdomen

Hiccough. Frequent rising of air. Eructation, tasting like juniper berries. Nausea, with sensation of heat in the stomach. Gnawing sensation in the stomach, relieved by eating. Burning in the stomach. Feeling of coldness in the stomach. Cutting pain in the stomach when yawning ; soon after eating. Colic ; the navel is drawn in ; nausea.

Stool and Anus

Constipation, stool hard in hard lumps. Mucous diarrhœa, at night.

Urinary Organs

Pressure in the bladder, with scanty emission. Urine pale. Burning, darting and cutting in the urethra.

Sexual Organs

Women. Menstruation too late ; too profuse, and of too long duration. Vanishing of milk.

Chest

Oppression of the chest and respiration. Stitches in the left chest during an inspiration.

Back

Pain (pinching) under the right scapula (hindering the motion of the arm). When bending forwards or backwards, tearing pressing pain in the back, as if the vertebra were being broken asunder.

Extremities

Upper. Paralytic pressure in the upper-arm. Stiffness of the wrist. The anterior joints of the fingers (of the right hand) became yellow, cold and dead ; the nails were blue. Fine tearing in the tips of the fingers of the (right) hand. Lower. Paralytic weakness of the (left) thigh and knee, when stepping. Stiffness of the ankles. The toes are without sensation, and feel dead.

Generalities

The limbs feel paralyzed. Stiffness in the joints (wrist, ankle).

Sleep

Goes to sleep late. Sleeplessness, with sleepiness. Perspiration during the morning sleep.

Fever

Pulse small and rapid ; full, hard, but not very much accelerated, towards evening. Chill, internally, when walking in the open air ; better in the room. Chilliness and coldness of the whole body, mostly on the hands and feet. Internal heat in the evening, after lying down, without thirst. Perspiration during sleep, after midnight ; in the morning hours ; ceasing soon after awaking.

Skin

Old, putrid, spreading ulcers.

Conditions

Great debility and lassitude after eating ; after awaking in the morning. Desire to lie down after a meal. Aversion to move ; he feels tired from the least exertion. Aggravation in the morning.

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

Chelidonium majus. Greater Celandine. N. O. Papaveraceæ. Tincture of entire fresh plant, at time of flowering.

Clinical

Antrum of Highmore, inflammation of . Cancer. Chest, affections of . Chorea. Constipation. Cough. Diarrhœa. Dyspepsia. Gall-stones. Gonorrhœa. Hæmoptysis. Hæmorrhoids. Headache . Influenza. Jaundice. Lachrymal fistula. Laryngismus. Liver, affections of . Nephritis. Neuralgia. Nose-bleed. Pleurodynia . Pneumonia. Rheumatism. Scald-head. Stiff-neck. Taste, altered . Tumours. Warts. Whooping-cough. Yawning.

Characteristics

Chelidonium is a poppy and therefore allied to Opium and Sanguinaria , with both of which it has many features in common. But its closest analogue is Lycopodium , with which it holds a complementary relation. I have often cured with Chel . when Lyc . was apparently indicated and failed to act well. The juice of Chel . causes vesication when applied to the skin. An extract injected locally in cancer cases has gained a reputation in the old school. The juice is yellow, resembling bile. Probably on the "signature" of the bile-like juice it was recommended as a remedy in jaundice by Galen and Dioscorides. Given on the broad ground of organ-homœopathy, in material or semi-material doses, it has achieved notable results in cases of liver disease. But it has also fine indications. The chief "keynote" for its employment is a continued, bruised, aching pain at the inferior angle of the right scapula: Chel . acts on spleen and kidneys as well as liver. It is also a venous medicine. Paralytic symptoms are prominent. There is great debility and drowsiness after eating and on waking. Prefers hot things. Desire to lie down after a meal. Aversion to move, feels tired on least exertion. There is the Opium sleepiness and yawning. Yellowness of the skin; ulceration. Chel . is a predominantly right-side medicine (like Sang . and Lyc .), and besides the right infra-scapular pain and the action on the liver it has neuralgia over the right eye and in right malar bone, and also an action on the cæcum and right ovary; and on the base of the right lung. In pneumonia with bilious symptoms it is one of the chief remedies. Chel ., like Lyc ., has fan-like movement of alæ nasi in chest affections. There may be either constipation (clay-coloured stools), or diarrhœa with bright yellow stools. There is nausea (of pregnancy) with desire for food > by drinking milk. Desire for hot drinks, only water almost boiling will stay on stomach. Chills or creeps accompany the headache or the jaundice. The dirty yellow complexion produced by Chel ., with other signs of cachexia, strongly suggest cancer, and the action of Sang ., its relative, in cancer of the breast is well known. Also Opium , in addition to its narcotic influence, is believed by Snow to have a retarding effect on cancerous growth. A somewhat typical Chel . case, simulating cancer, is recorded by C. M. Foss. A man, 45, had catarrh of the nose, and, at the same time, of the stomach: had been told he had cancer of the stomach. Tenderness over stomach with sinking, gone feeling, at times reaching a state of painful anguish; sickness at stomach, all symptoms > by eating. Chel . 6x cured at once. "Aversion to cheese" is an indication for Chel . in many gastric conditions. Teste, who proved Chel ., places it at the head of a group which includes Caps . and Viola. od . He mentions the analogy between the juice of Chel . and the juice of Garcinia morella , Gamboge. Both are bright yellow and pass to orange and brown on drying. Some old-school authorities have recommended the juice of Chel . as a substitute for gamboge as a hydragogue cathartic. Among its ancient external uses was, as an application in eye affections, to chronic ulcers, and to warts. In Teste's proving he emphasised the following symptoms: "1.30 p.m.: dull and heavy, deep-seated pain in whole right side of chest and right shoulder, without cough, but with embarrassed respirations. This pain, which is at times accompanied by dull beatings in the chest, does not allow him to draw a long breath; it is not perceptibly aggravated by the motions of the arm. The pain is particularly felt in the axilla and under the shoulder-blade; a sort of numbness of the muscles in the region of the liver, and in the whole right side of the neck, face, and head; apprehension of threatening pneumonia; great anxiety; constant desire to stir and change one's position (lasts an hour and decreases gradually)."-"Extremely profuse emission of a whitish and foaming urine."-"2 p.m.: drowsiness which is so marked, even in the open air, that she is near falling asleep while walking; lasts half an hour." According to Rademacher Chel . acts on the centre of the liver. Chel . has a strong action on the respiratory sphere. A characteristic cough is caused by a sensation of "dust" in the air passages. St. Clair Smith relates a case. A young lady had had for several weeks a dry, racking, fatiguing cough night and day, < night, no expectoration and no pain. She looked completely worn out. The cough was excited by a sensation as if throat and larynx were full of dust. Chel . 3, a powder every two hours, was given. She only took three when the "dust" left the throat and with it the cough, and never returned. Carleton Smith cured this: "Dry cough through day with pain and stitches right side; severe hoarseness 5 p.m., voice scarcely audible." In rheumatic affections Chel . has a large field. Œdema, heat, tenderness and stiffness are the leading indications. Here is a case: A baby girl had had rheumatism of both ankles for a week, when it settled in the right one, which became greatly swollen, very tender, painful and hot. Constipated for two months previous, whitish stools. Chel . improved in twelve hours, and entirely cured in a week. In another case of acute rheumatism of feet and ankles, supervening on a slow, remittent fever, Chel . cured after the failure of Rhus and Bry . The patient was a girl of six. Both ankles were affected, feet much swollen and extended. The slightest movement or touch extorted screams. The only relief was constant bathing with hot water. W. A. Burr cured a case of right sciatic rheumatism, of ten years' history, in a very corpulent woman, æt. 55. In her case there were aggravations coming on in the afternoon and evening of each day, and lasting into the middle of the night. During the paroxysms the outer ankle and lower leg became cyanotic, swelling around ankle, constriction above, great sensitiveness to touch and motion. Very nervous during the spells. Great external sensitiveness; aversion to touch, and < from it. Pressure > some symptoms and < others. Eating > stomach symptoms: all complaints lessen after dinner. Change of weather < ; warmth < ; cold water > . Open air < headache; pain in right eye; and causes chill; and drowsiness. Motion < most symptoms. Coughing and blowing nose > headache. Rest > . Lying on face > pain in kidneys and bladder. Lying on left side > pain in stomach. Many symptoms are < 4 a.m.; also 4 p.m. and afternoon.

Relations

Antidoted by: Acon.; acids; wine and coffee; Camph. (Teste). It is antidote to: Bry. Compatible: Ars., Bry., Coral. r. (whooping-cough); Led., Sul. (hepatised lung); Ipec. (spasm of glottis). Compare: In pain below angle of scapula, Juglans cin., Chenop. (lower than angle and nearer spine), Ran. b. (edge of left; through to chest), Lob. cerul. (inside edge right scapula), Angust. (cutting from just beneath right scapula to breast, near nipple), Bry.; Bry. is a close analogue in many symptoms ─ yellow tongue, swelling of liver; Lyc. is complemented by Chel. (some differences are: Lyc. has sour taste, Chel. bitter, Lyc. has rumbling in left hypochondrium, and fulness after a small quantity of food. Lyc. and Bell. have symptoms beginning and ending suddenly; Chel. has headache ceasing suddenly). Merc. (bilious pneumonia. Sharp pains through right lung to back; Merc. has slimy stool and great uneasiness before and after, the stool of Chel. being free); Kali c. (pneumonia in later stages, copious exudation into lungs, rattling with cough, < 2-3 a.m.); Colch. (nausea with desire for food); Carb. an. (leucorrhœa staining yellow); Act. r. (waving sensation in brain); Aco., Ars., Bell., Bry., Calc., Caps., Chi., Gamb., Graph., Ign., Nit. ac., Nux, Pho., Pod., Puls., Rhus, Sep., Spi., Sul., Viol. o.

Mind

Remarkable tranquillity of mind for two or three days, followed after a while by ill-humour. ─ Low-spirited, desponding, with inclination to weep. ─ Forgetful, absent-minded. ─ Restlessness and uneasiness of conscience; felt she had committed the unpardonable sin.

Head

Confusion. ─ Whirling vertigo; with shivering; with nausea; with vomiting of bile; on awaking; from 6 to 9 p.m. ─ Rush of blood to head and face, throat and upper chest. ─ Heaviness of head, extending to r. side of head, whence a rheumatic drawing extending into r. side of neck, wrist, and chest. ─ Headache in afternoon, disappearing suddenly. ─ Headache > closing eyes; > after eating (severe on rising, > after breakfast). ─ Headache, throbbing in temples; pressing from within outwards esp. towards forehead, < open air; coughing; blowing nose; stooping; > while eating. ─ Waving sensation in brain. ─ Waving in brain and heaviness in forehead and vertex, extending to temples, and very unpleasant after drinking white beer. ─ Pressure in forehead extending to orbits, which are painful as if sore on moving the eyes. ─ Pressing pain. r, side of forehead. ─ Band sensation across forehead and temples, > closing eyes. ─ Tearing in forehead above eyes, extending into the (l.) eye, into the lids, and root of nose. ─ Pressive pain in r. temple, r. parietal bone, and at last over r. eye. ─ Beating in temples synchronous with pulse on lying down in bed at night. ─ Stitches in vertex, esp. when walking fast. ─ Occiput heavy as if it could not be raised from pillow at night; with drawings in neck from above downward. ─ Sensation of coldness in occiput ascending from nape; < moving; > at rest. ─ Soreness; sensitiveness; itching; tingling; crawling on scalp. ─ Hair falls out, esp. on occiput. ─ Scald-head.

Eyes

Painful pressure on upper eyelid. ─ Tearing pain in and above eyes. ─ Neuralgic pain above r. ─ eye. ─ Stitches between eyebrows. ─ Pressive, burning headache between eyebrows which presses lids together; > after eating, but returning after three-quarters of an hour. ─ Margins of eyelids red. ─ Clonic spasms of lids. ─ Redness of conjunctiva. ─ Whites dirty yellow. ─ Aching in eyeballs on moving them. ─ Pupils contracted. ─ Vision dim. ─ Mistiness of sight of r. eye, morning on waking. ─ A blinding spot seems to be before the eyes, and if he looks at it the eye waters.

Ears

Pain behind r. ear. ─ Tearing from r. cheek-bone to ears and around ears extending to upper part of occiput along lamboidal suture. ─ Sensation in both ears as if wind were rushing out. ─ Loss of hearing during cough. ─ Roaring as of a distant wind-storm.

Nose

Tip swollen and red. ─ Dry coryza with (one-sided) stoppage. ─ Fluent coryza. ─ Discharge of black blood with mucus on waking in morning. ─ Obstruction with liver complaints. ─ Hallucinations of smell (on stooping).

Face

Red without heat. ─ Remarkably yellow, esp. forehead, nose, and cheeks. ─ The usual red has a mixture of dark yellow. ─ Tension and drawing in (l.) malar bone. ─ Sensation of swelling in r. cheek-bones. ─ Burrowing-tearing in antrum. ─ Itching in face and on forehead. ─ Herpes on face, esp. chin. ─ Lips swollen; dry, cracked, crusty, feeling.

Teeth

Tearing pains r. ear to r. teeth, afternoons. ─ Toothache with facial neuralgia; < warmth; and in bed at night; > cold water; l. lower molar, jerking, tearing in antrum. ─ Gums bleed.

Mouth

Taste: mucous, pappy; bitter; food tasting natural. ─ Bitter taste when not eating. ─ Tongue: nervous, pointed; thickly coated, yellow with red margin; teeth ─ indented. ─ Mouth dry. ─ Salivation: bitter; oozing of blood. ─ Bad odour. ─ Mucus flies from mouth when coughing.

Throat

Sensation as if larynx were pressed on œsophagus impeding deglutition. ─ Sensation of choking in throat, as if too large a morsel had been swallowed. ─ Fauces red; swelling of uvula and tonsils; shooting in tonsils; burning and scraping in throat.

Appetite

Appetite lost. ─ Thirst with dry mouth and throat. ─ Desire for milk, which agrees; for sour things. ─ Aversion to cheese; to meat. ─ Prefers hot drinks, which > . ─ All complaints > after dinner.

Stomach

Hiccough. ─ Frequent belchings. ─ Eructations tasting like juniper berries. ─ Nausea with sensation of heat in stomach. ─ Bilious vomiting. ─ Gnawing in stomach relieved by eating. ─ Sensation of coldness in stomach. ─ Cutting pain in stomach when yawning; soon after eating.

Abdomen

Colic, navel drawn in. ─ Stitches in liver and spleen. ─ Shooting stitching through liver to back; crampy pain inner angle of scapula. ─ R. (and l.) hypochondrium and scrobiculus cordis tense and painful on pressure. ─ Pains across umbilicus as if abdomen constricted by a string. ─ Abdominal plethora; distension, rumbling.

Stool and Anus

Mucous diarrhœa at night. ─ Stools white; bright yellow; like clay. ─ Constipation, stool hard, in hard lumps. ─ Some blood with stool. ─ Periodic straining and pressing on rectum, as if before a stool without result. ─ Burning; cutting; drawing; crawling and itching; sticking and itching in rectum and anus (hæmorrhoids).

Urinary Organs

Pressure in bladder with scanty emission. ─ Spasmodic pain in r. kidney and liver. ─ Burning, darting and cutting in urethra. ─ Frequent desire and urging to micturate. ─ Urine: profuse, whitish, foaming; red and turbid; dark. ─ (Diabetes.)

Male Sexual Organs

Drawing pains in spermatic cord; in testicles. ─ Eczematous excoriation on male parts and anus. ─ Painful swelling r. testicle with tension and drawing in spermatic cord.

Female Sexual Organs

Menses too late; too profuse; lasting too long. ─ Pain in r. ovary. ─ Milk diminished.

Respiratory Organs

Hoarseness. ─ Spasm of glottis. ─ While coughing pain in larynx and sacrum. ─ Pricking; sticking; tickling; constriction in larynx. ─ Pressure as if air could not pass through; as if swollen (r.). ─ Pressure, heat or irritation in trachea. ─ Short breath and tight chest. ─ Nightly attacks of asthma with sense of constriction in region of diaphragm. ─ Cough in paroxysms; throws up lumps of mucus. ─ Cough after waking and on rising, with sensation of dust under sternum. ─ Paroxysms of cough with copious expectoration; with pain behind sternum, esp. at night. ─ Paroxysms of dry cough 4 p.m.

Chest

Stitches beneath r. ribs; l. side of chest. ─ Deep-seated pain in whole r. side of chest. ─ Soreness of lower ribs r. side.

Heart

Stitches and lancinating pains in cardiac region and heart; in pectoral muscles. ─ Periodic palpitation. ─ Violent palpitation with tightness of chest.

Neck and Back

Drawing in nape and occiput. ─ Stiff-neck, head drawn to left. ─ Stitches beneath r. scapula (hindering motion of arm). ─ Fixed pain under inner and lower angle of r. scapula. ─ Violent pains at lower angle of l. scapula. ─ When bending forwards or backwards, tearing, pressing pain in back as if vertebræ were being broken asunder. ─ Drawing from, sacrum to r. side of scrobiculus.

Limbs

Twitching in arms and legs. ─ Neuralgia in limbs. ─ Rheumatism. ─ Least touch anywhere is exceedingly painful; sweat without relief. ─ Limbs feel heavy, stiff, and lame; flabby; trembling.

Upper Limbs

Pain in r. shoulder; in l. shoulder. ─ Inability to use r. (also l.) arm and forearm with freedom, sometimes attended with tearing pain. ─ Stiffness in wrist. ─ Stiffness, stitches in wrists. ─ Tips of fingers cold.

Lower Limbs

Shooting in r. hip. ─ Drawing pains in hips, thighs, legs, and feet, more r. side. ─ Weight in lower limbs. ─ Swelling of feet, most round ankle. ─ Toes feel dead. ─ Intolerable pains in heels, as if they had been pinched by too narrow a shoe.

Skin

Yellow, yellowish-grey shrivelled skin. ─ Itching. ─ Burning like nettles, preceding eruption like measles. ─ Red painful pimples and pustules on various parts. ─ Red miliary eruption on neck, chest, and arms. ─ Eczema. ─ Old, putrid, spreading ulcers.

Sleep

Frequent yawning. ─ Lethargic. ─ Sleepy, wants to lie down but cannot sleep. ─ Sleep dreamful, unrefreshing. ─ Dreams of corpses and funerals.

Fever

Yawning and shivering before attacks. ─ Icy coldness of r foot. ─ Violent shivering fit, 3 p.m. daily. ─ Rigor followed by heat and sorrowful, anxious mood. ─ Heat of head, dark red cheeks, pulsation in arteries; full pulse; faintness; difficulty of speech; nausea; short breath; cold feet. ─ Burning heat of hands, spreading thence over body. ─ Moist, burning skin. ─ Sweat during the night, esp. towards morning. ─ Sweat on least exertion.

The Guiding Symptoms of Our Materia Medica

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

Mind

Vanishing of senses.
Loses her head when she gets out of bed, could not explain why. θ Influenza.
Forgets what she wants to do or has done ; great absence of mind.
Sudden excitement with confusion of intellect at night. θ Intestinal catarrh.
Difficult thinking.
Imagines she cannot think and will lose her reason.
Thinks she must die.
Delirium. θ Influenza. θ Pneumonia.
Quiet delirium, mostly at night, followed by lethargy which continues through the day.
Talked incoherently during the fit of anxiety. θ Erysipelas.
Stupefaction. θ Valvular disease of heart.
Whimpering, with headache on left side.
Weeping and despondency.
Distaste for mental exertion and conversation. θ Dyspepsia. θ Indigestion.
Sadness and depression of spirits. θ Hepatic troubles.
Anxiety. θ Chorea. θ Influenza. θ Erysipelas.
Restlessness and uneasiness of conscience ; feels that she has committed the unpardonable sin, and that she will be eternally lost.
Anxiety : allowing no rest at any employment ; as if she had committed a crime ; fear of getting crazy, with restlessness and heat.
Anxiety, with a sense of constriction in larynx. θ Œdema of lungs.
(In sick :) Dreadful anxiety and uneasiness. θ Influenza.
Sudden anxiety, with strong palpitation.
Sudden excitement and confusion of intellect. θ Intestinal catarrh.
Irritability and ill humor.
Fretful mood, with inclination to weep.
Is vexed about every trifle and has violent attacks of passionate outbursts of temper.
Quarrelsomeness.

Sensorium

Giddiness in morning and headache on awaking. θ Indigestion.
Vertigo : with bilious vomiting and pain in liver ; with confusion of head ; with stumbling, as if to fall forward ; with mental disturbance ; on closing eyes, as if everything was turning in a circle ; on sitting up in
bed ; with shivering over upper part of body ; on attempting to rise in morning, keeping her in bed. θ Influenza. θ Valvular
disease. θ Dyspepsia. θ Hemorrhoids. θ Chorea.
Confusion in head. θ Valvular disease.
Loss of consciousness. θ Kidney disease.
Fainting. θ Valvular disease.

Inner head

Shooting in forehead under skin.
Shooting in frontal bone over left eye ; later on left side of occiput.
Hammering, burning, stitching, or tearing pains. θ Supraorbital neuralgia.
Tensive pain in forehead, as from a band above eyes. θ Acute rheumatism.
Outward pressing pain in forehead.
Pressive pain in right side of forehead.
Violent pains in forehead above eyes. θ Influenza.
Pressure in forehead, extending to orbits, which pain as if sore on moving eyes.
Pain extending to forehead and all over head ; beginning at 2 or 3 P. M., at its height at 8 or 9 P. M., preventing all sleep or even lying down till nearly daybreak. θ Acute
inflammation of eyes.
Violent neuralgia over right eye, extending into eye and cheek. θ Prosopalgia.
Dull frontal headache.
Continuous sharp frontal headache. θ Hepatic typhus.
Sensation of heat in forehead.
Tearing pain in right temple, < by motion.
Neuralgic pains in temples, forehead, ears, teeth, eyes and eyebrows.
Tensive pains in temples.
Neuralgia of temple and eyebrow, particularly of right side.
Pressive pain in right temple, right parietal bone and finally over right eye.
Throbbing in temples.
Ticking like a watch in right temple.
Violent pain in left side of head and face.
Periodical shooting pain in left parietal bone.
Sensation of heat in left side of head, proceeding from ear.
Stitching pains in vertex, < when walking rapidly.
Periodical stitching, pressing pain in vertex.
Pressing on vertex.
Pinching stitching in right side of occiput.
Painful throbbing and drawing in occiput.
Tensive sensation in back of head on right side.
Pain in occiput and nape of neck. θ Hemorrhoids.
Great heaviness in occiput, with drawing in neck from above downward.
Occiput feels heavy, as if it could not be raised from pillow, at night.
Heaviness in occiput with pressing to left ear. θ Hepatitis.
Coldness in occiput, rising up from nape of neck, < when moving ; > during rest.
Drawing, pressing-like stitches, extending from left side of occiput to forehead.
Violent drawing from crown to nape ; she is forced to draw up her shoulders, close her eyes and tread lightly.
Violent pain in left side of head and face, as if cut off at septum and middle of forehead. θ Prosopalgia.
Pressive headache, with frequently recurring heat of face. θ Liver complaint.
Pressure and transient pains under bones of head, even in brain ; headache > after eating.
Pulsating headache.
Pain in head with sparks before eyes. θ Kidney disease.
Pressure in brain, with burning over eyebrows.
Cranium feels too small.
Headache in morning on waking. θ Dyspepsia.
Headache < in open air, when coughing, blowing nose and stooping.
Megrim with lethargy. θ Bright's disease.
Heaviness like a weight in different parts of head ; on vertex, extending to occipital protuberance, heavy pressure inwardly ; weight in forehead as if it was falling outward ; occiput seems as if fastened to pillow and broken off from rest of skull ; must raise head
with hand when sitting up. θ Liver complaint.
Congestion to cerebellum. θ Chorea.
Congestion of blood to head ; throbbing in temples with great anxiety ; repeated attacks of violent throbbing pains from nape to occiput.
Dull pain in head.
Pressure in occiput.
Heat of head. θ Erysipelas.
Heat and confusion of head, with great thirst. θ Laryngitis.
Twitching here and there in head.
Sick headache every fortnight, with pain in right hypochondrium, pain < in right forehead and temple ; nausea and bilious vomiting.
Vertex feels as if bruised on being touched.

Outer head

Trembling of head.
(In sick :) Feeling as if head was drawn forcibly backward. θ Influenza.
Drawing in nape and occiput. θ Influenza.
Scalp very sore at slightest touch. θ Erysipelas.
Head heavy as lead ; during exacerbation of pain head drawn to left side. θ Prosopalgia.
Scalp on crown painful, hot when touched ; pain as if in roots of hairs when combed, as if from ulceration.
Sensation as if hair stood on end.
Falling out of hair.
Superficial ulcer on mastoid process subsequent to neuralgia in left side of head and face ; ulceration extends downward to shoulder and breast and across to right shoulder, has a lardaceous appearance, bleeds readily and discharges thin fetid pus.
Severe itching on occiput.
Facial erysipelas spreading over hairy scalp ; very sore to slightest touch.
Scald head.

Sight and eyes

Photophobia. θ Influenza. θ Ophthalmia. θ Hordeolum.
θ Measles.
Photophobia, with pain in forehead and eyes.
Flickering before eyes ; brilliant specks.
(In sick :) Candlelight seems very small.
Sparks before eyes. θ Valvular heart disease. θ Nephritis.
Dazzling spot before eyes, lachrymation when looking at it. θ Cataract.
Blackness before eyes, with a sensation of fainting. θ Influenza.
Misty appearance before eyes. θ Cataract.
Amaurosis from rheumatic troubles, also after suppression of ringworm.
Objects appear double. θ Opacity of lens.
When reading or writing, letters run together and seem blurred ; blackish-grey specks before eyes.
Weak sight, cannot distinguish letters. θ Opacity of lens.
Looking intently makes eyes water and produces a stupid feeling.
Eyes inflamed and very sensitive to light, sees very indistinctly. θ Prosopalgia.
Muscæ volitantes.
Amblyopia with vomiting and coma. θ Retinitis apoplectica.
Eyes dull, dilated pupils. θ Intestinal catarrh.
Pupils contracted, or contractility diminished.
Sensation of burning in eyes, as of a foreign body. θ Acute inflammation of eye.
Feeling of sand in eyes ; tears flow constantly over cheeks. θ Prosopalgia. θ Measles.
Pain in eyes as if pierced with knives. θ Prosopalgia.
Shooting pains in eyes, first left then right ; pressure in upper part of eyeballs as if they were squeezed, left worse.
Burning and shooting in eyes. θ Hordeolum.
Pulsating, burning, lancinating pains in eyes.
Repeated tearing in left eye.
Tearing pain in left eye, extending to zygoma, teeth, forehead and temple ; first > by pressure, but soon cannot endure slightest touch ; periodic, evening in bed. θ Prosopalgia.
Tearing, pressing and stitching in right and afterwards in l. eye.
(In sick :) A momentary biting sting in right eye, changing its place.
Neuralgic pain in and above eyes, with lachrymation.
Right supraorbital neuralgia.
Aching in eyeballs on looking up or moving the eyes.
Bruised pain in right eye, from front to back, > by pressure, < from light, air and holding down head. θ Neuralgia.
Pressing in eyes.
Pressure in eyeball. θ Hepatitis.
Severe pressive pain in left eyeball, in middle of ball, which seems to be so large that the upper lid would not cover it.
Sensation of heat in left eye.
Feeling of sand in eyes.
Lamplight aggravates pains of eyes.
Tearing pain in and above eyes ; stitches above left.
Pressure in orbits.
Pain in orbits as if bruised on moving eyes.
Stupefying pressure on right orbit from without in.
Raging pain above edge of right brow, drawing through eye to cheek and jaw.
Violent pain above eyes. θ Influenza.
Stitches above left eye.
Pressing pain over left eye, which seems to press down upper lid.
Pulsating pain in right eyebrow and temple on waking, preceded by shivering ; the pain slight at first increases almost to distraction.
Squinting ; loss of power of right external rectus, eye turned inward.
Distortion of eyes. θ Pneumonia.
Eyes distorted with twitching of corners of mouth and diarrhœa. θ Intestinal catarrh.
Eye inflamed, sensitive to light, sight indistinct.
Conjunctiva swollen, dark red, as far as cornea. θ Hordeolum. θ Whooping
cough.
Whites of eyes of a deep or dirty yellow.
Opacity of lens on right side, with a small speck on cornea.
Opacity of cornea.
Lens uniformly grey.
Staphylomatous swelling of cornea ; water gushes from eye on looking up.
Eye red, burning, protuberant, and watery. θ Neuralgia.
Lachrymation. θ Influenza.
Lachrymation, with pains of eyes ; from tickling in larynx.
On opening eyes, tears flow over cheek. θ Fistula lachrymalis.
Increased secretion of Meibomian glands.
Could not open her eyes at all. θ Prosopalgia.
Inclination and necessity to close lids, which > the pain, without photophobia.
Sticking pain on the inside of lower left lid.
Burning in lids.
Pressure in upper lids ; sometimes painful.
Twitching of lids.
Heaviness of lids.
Weight, burning and pressive swelling of lids.
Eyelids sore and swollen, conjunctivæ much inflamed. θ Prosopalgia.
Lids swollen, red, could open them but little. θ Hordeolum.
Inflammation and nightly agglutination ; the lower tarsal edges are red and swollen ; dimness of eyes in morning.
Left eye sunken, lids separated with difficulty when tears flowed over cheek. θ Prosopalgia.
Catarrhal inflammation of lids with sympathetic irritation of Meibomian glands.
Redness and swelling of margins of lids.
Right eyelids inflamed and scabby, cannot open them. θ Influenza.
Lower lids bordered by dark blue rings. θ Intestinal catarrh.
Itching sticking in left inner canthus.
Thick, yellow mucous discharge from eyes. θ Hordeolum.
Agglutination of lids in morning. θ Acute inflammation.
Eyelashes almost all gone on right lower lid. θ Hordeolum.
Fistula lachrymalis.

Hearing and ears

Humming in ears. θ Valvular disease.
Loud roaring in ears, as from a distant storm of wind.
Ringing in left ear while walking.
Sensation of wind rushing out of ears.
Sensation as if ears were stopped.
Deafness associated with hepatic disorder.
Ears obstructed during cough ; deafness.
Pressure from occiput towards left ear. θ Hepatitis.
Burning or coldness of ears.
Sticking in ears.
Sticking and drawing in left ear.
Frequent tearing, extending from right ear into right teeth, in afternoon.
Tearing pain in internal ears.
Long-lasting stitch in external ear, going off gradually ; tearing in meatus and temporal bone ; tearing behind r. ear downward.
Itching in right concha.

Smell and nose

Hallucinations of smell.
Dryness of nose.
Nose, tongue and throat dry. θ Influenza.
Coryza : dry, nose stopped ; fluent, with sneezing.
Thick blood in mucus in morning when blowing nose.
Itching of nose and tip of nose.
Twitching and tremor of tip of nose.
Swelling and redness of tip of nose.
Fanlike motion of nostrils.
Soreness of nostrils and flow of water from nose, with eruption like measles.
Feeling of soreness in nostrils ; dryness and itching, mostly left.

Upper face

Expression : anxious, disturbed ; sickly, suffering ; collapse of features.
Face collapsed and pale. θ Prosopalgia. θ Intestinal catarrh. θ Pneumonia.
Countenance sunken, blue around eyes ; face pale or greyish or yellow ; changed complexion ; greyish-yellow complexion.
Dirty grey complexion. θ Cough.
Pale, dingy yellow color of face. θ Hepatitis.
Face red and swollen.
Redness in face did not disappear under pressure of the fingers. θ Erysipelas.
Face bright, then dark red ; one cheek red. θ Pneumonia.
Red, circumscribed spot on right cheek.
The usual redness of cheeks has a mixture of yellow, of a dark color.
Icteric, bloated face. θ Diabetes mellitus.
Greyish-yellow, sallow, sunken countenance. θ Hepatic affections. θ Dyspepsia.
Yellow color of face and hands, with yellow whites of eyes. θ Enlargement of liver. θ Jaundice.
Face puffy.
Flushes of heat in face. θ Mental affections.
Heat in face with dark red cheeks. θ Pneumonia.
Great and dry heat, most in face. θ Influenza.
Burning of cheeks.
Heat in face with red cheeks and chilliness ; with eruption like measles.
Supraorbital neuralgia, < right side ; eyes water ; throbbing pains ; shivering ; pains in eyes, head, ears ; temples tender on pressure ; > from cold water ; < from warmth, and at night in bed.
Pains in region of trigeminus, especially supraorbital. θ Bright's disease.
Violent tearing in maxillary antrum.
Jerking, tearing pain in right zygoma.
Pain in right cheek bone, and in upper part of occiput.
Pain in left malar bone.
Pressure and transient pains in upper maxilla.
Right cheek bone feels as if swollen.
Severe pressure in right maxilla in night on waking.
Tearing pain in right maxilla ; in antrum of Highmore.
Drawing pain from left maxilla to left eye and ear.
Drawing pain in left malar bone when lying down.
Slight convulsive twitches in face and limbs. θ Pneumonia.
Twitching of corners of mouth, with distortion of eyes. θ Intestinal catarrh.
Itching herpes, mostly on chin.
Burning pain like nettles, followed by red spots on face, around ears and under chin.
Red elevated spots on cheek, gradually growing larger and darker.
Inflamed sebaceous glands ; comedones.
Red pimples on different parts of face.
Inflamed pimples on face, more on chin and cheeks. θ Liver complaint.
On upper portion of right cheek, many red, elevated pimples, with prominent centres, and rough to touch.
Vesicles on lip and alæ nasi, forming scabs.
Nodular eruptions on face.
Face covered with scabs ; pale, œdematous. θ Pustular eruption.
Acne.

Lower face

Lips burning, dry, chapped, scabby ; mouth dry with thirst.
Lips and gums pale. θ Intestinal catarrh.
Brown and dry coating on lips and teeth. θ Hepatic typhus.
Herpetic exanthema on lips and alæ nasi. θ Intermittent.
Vesicle full of serum on mucous membrane of lower lip.
Lower jaw drops. θ Influenza.

Teeth and gums

Drawing in upper incisors.
Drawing pain through middle incisors of lower jaw.
Tearing pains from right ear to right teeth, afternoons.
Toothache with facial neuralgia ; < from warmth and in bed at night ; > from cold water ; left lower molars ; jerking, tearing in antrum.
Toothache, chiefly in whole of left cheek, < at night.
Pressure or transient pain in teeth.
Gums pale. θ Intestinal catarrh.
Gums bleed.

Taste, speech, tongue

Mucous pasty taste. θ Prosopalgia.
Taste : bitter ; insipid ; pappy ; acid.
Taste disgusting or bitter, but not of food or drink.
Taste in mouth bitter, food tasting natural.
Bitter taste in mouth. θ Hepatitis. θ Mental affections.
Metallic sour taste.
Speech difficult and unintelligible.
Tongue narrow, pointed. θ Dyspepsia.
Tongue dried up, brown, cracked. θ Influenza. θ Pneumonia.
Tongue inordinately dry or moist, of good natural color, but slightly coated white and sometimes streaky, the shape of it being narrow and pointed. θ Dyspepsia.
Tongue pale, moist, whitish. θ Intestinal catarrh.
Tongue red on edges and tip.
Tongue red and sore with raised papillæ. θ Typhus.
Tongue slimy, coated white or grey.
Tongue thickly coated yellow, with red margin, showing imprint of teeth.
Tongue covered with thick yellow fur. θ Laryngitis. θ Intestinal
catarrh. θ Erysipelas.

Inner mouth

Dryness of mouth. θ Liver complaint.
Burning in mouth.
Salivation, with nausea and giddiness.
Bitter water collects in mouth.
Mucus in mouth and tough mucous saliva.
Mucus flies from mouth when coughing.
Bad odor from mouth.
Oozing of blood from mucous membrane of mouth ; hemorrhagic vesicles, also hemorrhage from bowels and urethra. θ Bilious fever.

Palate and throat

Sore tonsils. θ Hepatitis.
Fauces red ; uvula and tonsils swollen ; shooting in tonsils.
Shooting, burning and scraping in throat.
Nose, tongue and throat dry. θ Influenza.
Dryness in throat, with increased thirst.
Difficult swallowing.
Choking sensation in throat, < by breathing.
Choking, as from hasty swallowing.
Great sense of tightness around neck, above larynx, as if parts were constricted, hindering deglutition, but not respiration.
Sensation in throat as after swallowing too large a morsel of food ; as if a foreign body was rising in throat, which must be swallowed.
Hawking up lumps of phlegm, with sensation as if larynx was pressed upon, impeding swallowing.
Burning in œsophagus.
Secretion of thin mucus in œsophagus.
Venereal ulcers in throat.

Appetite, thirst. desires, aversions

Loss of appetite. θ Hepatic affections. θ Chorea. θ Influenza.
θ Gastralgia. θ Erysipelas.
Loss of appetite, with vertigo and confusion of head. θ Chorea.
Loss of appetite, with disgust and nausea.
Great emaciation, with complete loss of appetite. θ Prosopalgia.
Thirst. θ Influenza. θ Erysipelas. θ Acute
rheumatism. θ Pneumonia.
Thirst, with dry mouth ; or thirstlessness.
Thirst, with dryness of mouth and throat. θ Liver complaint.
Desire for sour things. θ Cardialgia.
Longing : for very hot drinks ; for wine or vinegar ; for milk ; for coffee ; for beer, which disagrees.
Dislike : to cheese ; to meat ; to coffee.

Eating and drinking

Milk improves ; wine relieves abdominal pain ; coffee agrees ; hot drinks agree ; cold drinks disagree.
Smoking causes burning and acidity from cardia to throat.
All complaints lessen after dinner.
Eating relieves pain in stomach and region of liver. θ Dyspepsia.
After dinner laziness and great dislike to work, with sleepiness.

Hiccough, belching, nausea and vomiting

Hiccough.
Belching. θ Influenza. θ Hemorrhoids. θ Liver
complaint.
Empty, acid or bilious eructations.
Constant eructation of wind. θ Affection of liver. θ Cardialgia.
Heartburn ; with eructations.
Qualmishness, relieved by belching.
Nausea : after belching ; with vomiturition ; with heat in stomach ; before stool ; causes great bodily heat.
Great nausea succeeds the violent pain, then eructations follow, which relieve pain if she lies down and does not move. θ Prosopalgia.
Nausea and retching during an attack of anxiety.
Nausea in hepatitis and vomiting of pregnancy.
Retching, followed by sour vomiting. θ Hepatic typhus.
Nausea and bilious vomiting. θ Sick headache.
Relieved by belching : short breath and anxiety. θ Gastralgia.
Retching during bilious eructation.
Retching and vomiting either transient or permanent ; sometimes in spells ; always with distressing constriction in gastric region.
Bilious vomiting.
Vomiting of tough, or acid or greenish mucus.
Persistent vomiting ; nothing can be retained but water nearly boiling.
Bilious vomiting, giddiness in head, nausea, choking during bilious eructations. θ Bilious vomiting.
Acute gastric or intestinal catarrh preceding pneumonia.

Scrobiculum and stomach

Feeling of anguish in pit of stomach. θ Hepatic typhus.
Scrobiculum sensitive on pressure. θ Mental affections. θ Acute rheumatism.
Awakened by a sense of tightness in scrobiculum.
Pressure in scrobiculum on stooping.
Pressure in scrobiculum, with oppression of chest and difficult breathing. θ Hepatic typhus.
Persistent pains in scrobiculum ; < by motion ; > by eructation. θ Cardialgia.
Griping, pressing pain in and below scrobiculum < from touch.
Throbbing, cramplike pain in pit of stomach ; feeling of anguish, difficulty of breathing.
Constriction, tension and sensitiveness in pit of stomach and right hypochondrium. θ Hepatic affections. θ Dyspepsia.
A sharp painful stitch in pit of stomach, which extends through to back.
Stitches in pit of stomach.
Aching, gnawing pain in stomach, with a sense of constriction ; < from pressure ; > from eating.
Sensation as of an animal wriggling in epigastric region.
Pressure, with distension of stomach.
Constant aching pain in stomach ; > after food. θ Indigestion.
Pressure and oppression in stomach, drawing up into chest.
Oppressive or cramplike throbbing in pit of stomach, and breathing with anguish.
Constriction, pinching, squeezing pain in stomach ; > on drawing up limbs and lying on left side.
Gnawing, grinding pain in stomach ; > from eating. θ Cardialgia.
Digging pain in region of stomach.
Cutting in stomach ; < from pressure and yawning ; sour after eating.
Sensation of heat in region of stomach and slight griping.
Cold sensation in stomach.
Nothing can be kept on stomach but hot water.
Gastralgia.

Hypochondria

Stitches in region of liver.
Shooting, stitching pains through liver to back ; crampy pain in inner angle of scapula. θ Congestion of liver.
Pains from region of liver, shooting towards back and shoulder.
Spasmodic pain in region of liver. θ Bilious vomiting.
Pressive pain in region of liver.
Pain in region of liver, extending quickly downward across navel into intestines. θ Biliary colic.
Biliary calculi ; chill ; intense pain in region of gall bladder, vomiting and clay-colored stools.
Pain in region of liver and spleen.
Pain in region of liver > by eating. θ Hepatic fever.
Dull throbbing in region of liver.
Region of liver painful on pressure. θ Pneumonia.
Liver enlarged, indurated, sensitive on pressure.
Fatty liver, border of which extends to navel, with icterus.
A kind of numbness in muscles of hepatic region and in whole right side of neck, face and head.
Contused pain in right hypochondriac region.
Chronic pain in liver.
Right hypochondrium and scrobiculum cordis tense and painful to pressure. θ Acute rheumatism. θ Liver
affections.
Left hypochondrium and scrobiculum cordis sensitive to pressure. θ Mental disturbance.
Sense of fulness, pressure and tension in right hypochondrium. θ Liver complaint.
Cutting pains and stitches in hypochondrium, with sense of constriction like a cord.
Clothes feel too tight, causing anxiety from accumulation of wind in throat pressing on diaphragm.

Abdomen and loins

Griping in umbilical region ; then cutting in abdomen and across right lumbar region, extending to back.
Severe pain around umbilical region.
Spasmodic contraction of umbilicus, with transient nausea.
Pain across umbilicus, as if abdomen was constricted by a string.
Painful pressure over umbilicus.
Retraction of umbilicus, great heat of body, nausea ; violent pressing, returning periodically, > from wine.
Coldness and pressing mostly below umbilical region ; body cold.
Constrictive sensation in hypogastrium, just before passage of turbid urine.
Spasmodic drawing pains in both inguinal regions.
Pinching pain in left groin.
Colic, with nausea and retraction of navel.
Griping, extending towards chest and back ; > by passing flatus.
Cutting in bowels immediately after a meal.
Jerking, cutting in intestines as from knives without relief from a thin stool.
Burning in bowels.
Pain and rumbling in cecal region.
Rumbling, gurgling, pinching and cutting in bowels.
Rumbling followed by diarrhœa.
Abdomen distended, feels full and uncomfortable. θ Intestinal catarrh.
Abdominal plethora. θ Hemorrhoids. θ Liver affections.
Abdomen sensitive to pressure. θ Hepatic typhus.
Pot-belly. θ Worms.
Ascites ; urine scanty and yellow ; palms yellow.
Contraction of abdominal walls.
Swelling and ulceration of inguinal glands. θ Suppressed gonorrhœa. θ Secondary
syphilis.

Stools and rectum

Frequent discharge of flatus.
Diarrhœa, with pain under inner and lower angle of right shoulder blade. θ Pregnancy.
Diarrhœa without pain, without urging.
Fluid feces, often escape unexpectedly. θ Intestinal catarrh.
Chronic diarrhœa with liver affection.
Stools : brown watery, white watery ; green mucous ; thin, pasty, bright yellow ; pasty, light grey ; like rice-water, tinged yellow ; pale, slimy ; mucous diarrhœa, at night ; constipated, like sheep's dung ; like dry clay ;
involuntary ; white, clay colored.
Yellow watery passages containing flakes of mucus. θ Hepatic typhus.
Slimy, greyish-green diarrheic stool, comes on involuntarily. θ Intestinal catarrh.
Stools quite white like thick pap, in children. θ Cough.
Hard, white stools, every 4 or 5 days. θ Prosopalgia.
Grey stool, with slight coloring of urine and absence of icteric symptoms.
Flakes, strings, gelatinous lumps ; deficiency of biliary coloring matter in stools. θ Diarrhœa.
Diarrhœa and constipation alternately.
Constipation. θ Hepatitis.
Hard and whitish-yellow stools. θ Mental affection.
Stool bright yellow and consistent. θ Cough.
Stool very hard and difficult, with pains in anus in consequence.
Some blood follows stool.
With stool a sensation as if anus was contracted.
Round worms. θ Intestinal catarrh.
Before and after stool rumbling in abdomen.
Burning and cutting in rectum, with constriction of anus, alternating with itching in anus.
Periodic straining and pressing on rectum as if before a stool, without result.
Drawing in rectum.
Crawling and itching in rectum and on perineum.
Sticking and itching in anus. θ Hemorrhoids.

Urinary organs

Spasmodic pain in right kidney and in liver ; < from 4 to 9 P. M.
Shooting in region of kidneys and of bladder ; > lying on face.
Pain in region of kidneys, which are sensitive to pressure, even of clothing.
Tenderness in renal region. θ Bright's disease.
Violent pains in direction of ureters, preceding passage of turbid urine.
Violent paroxysms of pain in kidneys, with intense headache, vertigo and syncope. θ Nephritis.
Violent pain in hypogastrium and vesical region, not < by pressure. θ Liver complaint.
Stabbing pains in region of bladder.
Spasmodic pain just above os pubis, with frequent passing of urine.
Dragging pain in bladder, with spasmodic, trembling pains in inguinal region.
Discharge of pus from urethra. θ Gonorrhœa.
Cutting pain in urethra on urinating and continuing after urinating.
Burning in urethra on urinating. θ Gonorrhœa.
Strangury, lasting all day, with scanty urination.
Frequent call to pass water, which passes away without being obliged to urinate.
Frequent urging to urinate.
Urine : profuse, whitish, foaming ; red and turbid ; dark yellow, clear ; lemon yellow, turbid ; dark ; brownish-red ; green.
Urine turbid, acid, and yellow as gold. θ Typhus.
Urine bright yellow, clear and acid. θ Cough.
Urine bright and clear, or turbid, acid and reddish. θ Acute rheumatism.
Urine reddish, cloudy, with reddish, slimy sediment. θ Liver complaint.
Urine reddish, turbid, containing fibrin, flakes and sand. θ Nephritis.
Red urine. θ Laryngitis.
Urine red, cloudy, with a chalky sediment.
Urine smells acid or ammoniacal.
Urine has a resinous odor.
Diabetes mellitus.

Male sexual organs

Frequent erections, even during day.
Drawing pain : in spermatic cords ; in testicles.
Sticking in urethra, especially towards orifice.
Pain in glans.
Itching and creeping on scrotum and glans.
Redness, heat and swelling of scrotum, with small, flat vesicles, painful to touch, they become moist, next day form dry scales.
Acne on male parts. θ Hemorrhoids.
Eczematous exanthemata on male parts and anus. θ Hemorrhoids.
Eczema rubrum on scrotum.
Painful swelling of right testicle, with tension and drawing in spermatic cord. θ Suppressed gonorrhœa.
Gonorrhœa and secondary syphilis, with ulcerated buboes.

Female sexual organs

Menses too late ; too profuse ; pain under right scapula.
Menses retarded, but continue longer than natural.
Amenorrhœa.
Burning in vagina, recurring each day at precisely the same hour.
Acrid leucorrhœa.

Pregnancy. parturition. lactation

Longing for unusual articles of food during pregnancy.
Milk diminished.
Secretion of milk grows less and less until it entirely ceases.

Voice and larynx. trachea and bronchia

Hoarseness.
Voice weak. θ Erysipelas.
Spasm of glottis on expiration, with cough.
Spasm of glottis daily, with profuse perspiration at night.
Spasm of glottis during violent fits of coughing, with expectoration of mucus.
Pricking pain in larynx rendering loud speaking impossible.
While coughing, pain in larynx and sacrum.
Severe tickling in larynx.
Pressure on larynx, as if air could not pass through ; as if swollen ; more to the right.
Sticking pain in throat in region of larynx.
Shooting and burning in throat and larynx ; dull throbbing from congestion.
Constriction in trachea, deadly anguish ; desire for eructation.
Choking sensation in throat, < when breathing.
Sensation as if throat was constricted at larynx.
Sensation as if larynx was pressed back upon œsophagus, impeding swallowing.
Pressure or heat in trachea.
Irritation to cough in trachea.
Sensation of dust in trachea, throat, and behind sternum, not relieved by cough.
Capillary bronchitis.

Respiration

Great dyspnœa. θ Pneumonia.
Dyspnœa after awaking out of frightful dreams.
Breathes with great difficulty and a loud mucous rale. θ Influenza.
Difficult respiration with short fits of coughing, preceded by pain, first in right then left side of thorax.
Short and quick breathing ; with oppression, which is relieved by a few deep inspirations ; with anxiety, as if he must choke.
Shortness of breath and tight chest. θ Influenza.
Respiration improved in evening in bed.
Complaints of anxiety, tightness and pains in right side during inhalation ; on inspiration thorax is not distended.
Every day repeated attacks of difficult breathing and constriction of chest. θ Prosopalgia.
Hindrance to breathing as if by a tight girdle.
Tightness and oppression ; must loosen clothing ; > in open air.
Breathes short from stitch pains in chest.
On inspiration it seems as though something was pressing on chest, after dinner.
Bronchial respiration in pneumonia.
Interrupted speech.
Nightly attacks of asthma with a sense of constriction in chest ; region of diaphragm.
Spasm of respiratory muscles of thorax.

Cough

Cough : violent, somewhat spasmodic, dry, in paroxysms ; hollow, short, exhausting, racking, as in consumption, with much expectoration from lungs, also with pain behind sternum, especially at night ; morning, with copious mucous expectoration.
Straining cough, < in morning, with much expectoration coming from lungs.
Violent, spasmodic, straining cough, bringing tears to eyes, lasting long, even awaking them from sleep.
Cough, with little expectoration ; hot spell every evening ; great emaciation.
Spasmodic cough without expectoration ; or, with forcible ejection of small lumps of mucus .
Cough, with painful contraction of whole abdomen with every cough.
Repeated attacks of short cough, with stitches in right side and difficulty of breathing.
Cough in paroxysms, with burning, shooting pains, and constant tickling in larynx.
Short spells of cough with difficult breathing, with pain first in right then left side of thorax.
Short cough with a little greyish phlegm. θ Pneumonia.
Painless, racking, fatiguing cough. θ Hepatic typhus.
Cough, excited by tickling in larynx, bringing tears to eyes ; by sensation of dust in trachea, throat, or behind sternum, not relieved by cough.
Cough re-echoes in stomach ; flying out of detached lumps of mucus when coughing. θ Whooping cough.
Cough with short breath ; with spasm of glottis on expiration.
Loose, rattling cough, remaining a long time after whooping cough or measles.
Loose morning cough, copious mucous expectoration. θ Pneumonia. θ Capillary
bronchitis.
Cough with obstruction of ears, deafness.
Catarrhal cough.
Dry cough through day with pain and stitches in right side, with severe hoarseness each evening at five o'clock, so that her voice could scarcely be heard.
Cough with blood-streaked phlegm, or brownish-bloody sputa. θ Pneumonia.

Inner chest and lungs

Stitches under left clavicle and in region of right mamma.
Constrictive pressure below left clavicle extending to neck.
Pains, anxiety and tightness in upper part of chest. θ Pneumonia.
Stitches in left side towards left scapula.
Burning between chest and scapulæ, with internal heat and want of breath.
Shooting, jerking pains from lower part of sternum through to back.
Spasmodic pressure behind middle of sternum, awoke him at night ; extended into bronchi, with sensation of constriction in them.
Spasm of diaphragm.
Pain in sternum, directly over cardiac region, while yawning.
Periodic attacks of tightness and pain in chest along sternum. θ Acute rheumatism.
Pain internally behind sternum, especially noticed on inspiration.
Drawing from lower part of sternum towards right side around to spine ; sore pain, even touch of clothes increases it.
Violent stitches in lower portion of right side of thorax on inspiration, < by motion and by cough.
At 2 P. M. stitches and soreness in lungs, < by deep breathing, coughing or sneezing.
Stabbing in right side, close under mammary gland.
Stitches in forepart of lower portion of thorax, extending into intestines below navel.
Stitches under heart.
Violent pain in right side, in region of seventh and eighth ribs ; < by breathing, and movement ; followed by burning headache.
Painful tension on deep inspiration, all around inside of thorax at its base.
Stitches in chest, < right side.
Deep-seated pain in whole right side of chest.
Stitches in left chest on inspiring.
Pain deep down in chest, < on stooping low, quick walking, blowing nose, and sneezing.
Contused pain in chest, < by motion.
Stitches in left side prevent her from taking a deep breath.
Pressive pain in left side.
Oppression of chest ; clothing seemed too tight.
Tightness of chest during expiration.
Pressure on chest with dyspnœa.
Motion increases pains in chest.
Sudden, great anxiety, with palpitation.
Soreness in lower ribs, right side.
Dull throbbing in apices of lungs.
Stinging and soreness in lungs, with sneezing and coughing, or deep inhalations.
Inflammation of right lung, with persistent cough ; stitches, bloody expectoration, dyspnœa, and intense headache in forehead and vertex, sleeplessness and delirium, yellow, watery diarrhœa, tongue loaded, great prostration.
Lungs full of mucus, great oppression, desire to change place, anxiety ; loose, rattling cough ; dark red face, one ear cold the other warm, one foot cold the other warm ; violent motion of the alæ nasi ; palpitation forcible, stools thin, bright yellow. θ Capillary
bronchitis. θ Pneumonia.
Shooting, stitch pains, through right lung to back ; short breathing ; must sit upright ; < during deep inspiration, movement and cough.
Hepatization of upper half of right lung ; pale as death ; countenance sunken ; constant stupor ; distortion of eyes ; slight convulsive twitches in face and limbs ; strong rattle in throat ; extreme weakness.
Inflammation of lower lobe of left lung, cough and bloody sputum, dyspnœa and frontal headache. θ Pneumonia.
In left lung soreness like a wound, by deep breathing, coughing and sneezing.
Hepatization of lungs. θ Pneumonia.
Hæmoptysis. θ Pneumonia.

Heart, pulse and circulation

Lancinating pains in heart.
Stitches in cardiac region, must breathe short, followed by strong palpitation and anxiety.
Violent stitches in region of heart.
Palpitation. θ Chorea.
Violent palpitation with tightness of chest. θ Mental affections.
Very irregular palpitation of heart. θ Hepatitis. θ Pneumonia.
Beating of heart so strong that clothing is lifted from chest. θ Hepatic affections.
Pulse : slow ; small and quick ; full and hard, though but slightly accelerated towards evening.
Pulse soft, not frequent. θ Cough.
Pulse irregular, 130, missed every fifth or sixth stroke. θ Influenza.
Pulse 100 and full. θ Acute rheumatism.
Pulse 115, and small. θ Pneumonia.
Stenocardia.

Outer chest

Lancinating pains in pectoral muscles.
Stitches in right mammary region.
Depression between ribs less perceptible.
Intercostal neuralgia.
Skin yellow on throat and chest.
Superficial ulceration extending downward from left mastoid process.

Neck and back

Drawing in nape and occiput. θ Influenza.
Left half of nape of neck stiff, during periods of exacerbation, head drawn across to left, nape feels as if broken. θ Prosopalgia.
Cervico-bronchial neuralgia.
Neck feels as if constricted or tied with a napkin.
Stiffness of cervical muscles.
Pain in right cervical muscles, and in region of right clavicle.
Sharp, shooting pain in left side of neck and across temple and over eye ; liver sore to touch, with nausea.
Pressive pain in muscles of left side of neck.
Heaviness and tension in muscles of nape of neck and in occiput.
Stiffness : of neck ; of muscles of right side of neck.
Stiffness of neck : on moving head ; with painfulness on deep breathing ; with cracking of vertebræ on moving neck.
Stitches beneath right scapula.
Constant pain under lower inner angle of right shoulder blade, extending into chest or stomach, causing nausea and vomiting. θ Amenorrhœa. θ Pregnancy.
Fixed pain under inner and lower angle of right shoulder blade, with frightful cough, diarrhœa and exhaustion.
Pressing and oppression in right scapula, extending through thorax to sternum.
Violent pains at lower angle of left scapula.
Pain at outer margin of left scapula.
Violent pains in right shoulder joint, whence they have extended from scapula.
Percussion dull under left shoulder blade, covering size of a hand.
Violent tearing pains in back and limbs ; < from least touch. θ Acute rheumatism.
Violent pains in back from nape to sacrum.
Pains in right side of back, with painful feeling in occiput, pressing aching towards left ear. θ Hepatitis.
Pinching, cramplike pain in internal border of right scapula, with a kind of pressing stitch from left side of occiput to forehead.
Pain in spine between shoulders.
Percussion gives a dull sound on each side of spine. θ Pneumonia.
Drawing, stiffness and stitches in muscles of back ; pain as after excessive exertion.
Burning in back.
Shivering running down back.
Violent pain in back. θ Influenza.
Sensation as if vertebræ were being torn apart when stooping forward, and then bending backward again ; also when walking.
Pain like a wound in lower dorsal vertebræ and five lowest ribs on right ; < by pressure and movement.
Pain as though lower lumbar vertebræ would separate, when bending forward.
Tearing in lower lumbar vertebræ, extending to iliac bones.
Drawing pain in back and sacrum. θ Liver affection.
Pain in sacrum.
Painful drawing in back and limbs. θ Hepatic typhus.
Drawing from sacrum to right side of scrobiculum. θ Gastralgia.
Aching soreness in all the vertebræ ; < by motion and by pressure on spinous processes.
Red miliary eruption on neck, chest and arms. θ Acute rheumatism.

Upper limbs

Fixed pain under inner angle of right scapula ; often accompanies cough, diarrhœa, pneumonia, menses, loss of milk, exhaustion, etc.
Tearing pain in shoulder and right arm on moving arm.
Pain in right shoulder.
Drawing pain from right shoulder down to wrist, with coldness and stiffness of arms.
Pain in left shoulder as if sprained or fractured, with cold feeling in upper arm.
Pain in left shoulder, extending into deltoid muscle.
Paralytic pain in left shoulder and in whole of left arm.
Inability to use right arm and forearm with much freedom, sometimes attended with tearing pain.
Lancinating pains in upper extremities.
Pain directly over left elbow joint.
Repeated twitching in right arm.
(In sick :) Swelling of elbows as in acute rheumatism. θ Toothache.
Elbows swollen. θ Acute rheumatism.
Stiffness in wrist.
Stitches in right wrist.
Hands hot up to middle of forearm, swollen, with distension of superficial veins.
Drawing pain in dorsum of left hand.
Tearing in metacarpals and tips of fingers, right side ; < by pressure.
Joints of fingers right hand yellow, cold, nails blue.
Stabbing, drawing pain in left index finger.
Tips of fingers cold.
Rheumatic attacks of upper extremities, with black jaundice. θ Hepatic calculus.
Paralytic heaviness of arms as if weights were hung upon them.
Pain in left shoulder, with want of power in left arm, which must be kept close to body, because any attempt to move it causes a sensation as if left shoulder was breaking off. θ Prosopalgia.

Lower limbs

Shooting pain in right hip, extending into abdomen, with heat and anxiety. θ Liver complaint.
Pains in right hip when rising from a seat.
Shooting pain in hip joint.
Drawing pain in hips, thighs, legs and feet, more right side.
Bruised pain from thighs to calves ; < on walking and when touched.
Paralytic weakness in left thigh and knee when stepping.
Pain in right knee, with burning and stiffness ; < when moving.
Violent pain in left knee and popliteal space.
Hard pressure in a space of two fingers' breadth below patella.
Pain in knees, as after a long march.
Giving away of knees when standing and walking.
Trembling of knees.
Weight in legs as if she could not step out, as if she had to drag a burden.
Weight in lower limbs. θ Bright's disease.
Her legs appear thicker and heavier ; fears dropsy.
Right leg as if paralyzed, feels as if weights were hung upon it. θ Acute rheumatism.
Coldness of legs, with loss of sensation.
Ankles painful, especially the right ; < moving.
Painful pressure on outside of ankle.
Stiffness of ankles.
Œdematous swelling about ankles.
Rose colored, elastic swelling of both ankle joints. θ Acute rheumatism.
Foot highly œdematous, most around ankle ; swelling a little reddened and hard over inner ankle. θ Acute rheumatism.
Eczematous eruption on right ankle, which is swollen, hot, red, moist and itching.
Feet feel as if paralyzed.
Cold feet. θ Affection of liver. θ Rheumatism.
Right foot cold as ice, left natural. θ Pneumonia.
Cramp in sole of right foot, which with toes is bent under ; < putting foot down ; > by compressing calf.
Itching in sole of right foot.
Stabbing, drawing pain at under side of left great toe.
Pain in fourth and fifth toes of right foot.
Toes without sensation, feel dead.
Intolerable pain in heels as if they had been pinched by too narrow a shoe.

Limbs in general

Twitching in arms and legs.
Neuralgia in limbs. θ Bright's disease.
Rheumatism, least touch anywhere is exceedingly painful ; sweat without relief.
Drawing and paralytic feeling in limbs. θ Laryngitis.
Wandering pains in joints ; < left side and from motion.
Limbs : feel heavy, stiff and lame ; feel paralyzed ; cold.
Sudden uneasiness in all limbs ; must move about.
Trembling in limbs. θ Measles.
Œdematous swelling of limbs. θ Bright's disease.
Limbs flabby. θ Intestinal catarrh.
Cold extremities. θ Valvular disease.
Emaciated legs. θ Influenza.
Pain in all the limbs, with bruised sensation. θ Influenza.
Cutting pain in calves and upper arms, alternating with headache and preventing sleep. θ Epidemic typhus.

Rest. position. motion

Rest : > coldness in occiput and nape ; > stitch pains.
Lying down : drawing in left malar bone.
Lying on face : > pain in kidneys and bladder.
Lying on left side : > pain in stomach.
Standing : knees give way.
Sitting up in bed : vertigo.
Stooping : < headache ; causes pressure in scrobiculum.
Stooping and bending back : cause sensation as if vertebræ were being torn apart.
Rising from a seat : pains in right hip.
Motion : disinclined to move, does so reluctantly ; < tearing in right temple ; < coldness in occiput and nape ; < pain in scrobiculum ; < pains in chest ; < pain in lower dorsal vertebræ ; < soreness in vertebræ ; of right arm
< pain in shoulder and arm ; causes sensation as if left shoulder was breaking off ; < pain in right knee ; < pain in ankles ; > nervousness.
Walking : ringing in left ear ; < bruised pain from thighs to calves ; knees give way ; near falling asleep ; in open air, chill.
Walking rapidly : stitching in vertex.
When stepping : paralytic weakness in left thigh and knee.
Getting out of bed : loses her head ; vertigo.
Holding down head : < pain in right eye.
Looking up or moving eyes : causes aching in eyeballs.
Moving eyes : they pain as if sore.
Blowing nose : < headache.
Coughing : < headache.
Drawing up limbs : > pain in stomach.
Putting foot down : < cramp in sole of foot.
Slightest exertion : causes perspiration.

Nerves

Restlessness. θ Erysipelas. θ Influenza.
Sudden restlessness of limbs, must move ; feet move involuntarily. θ Pneumonia.
Trembling of whole body, with faintness, nausea and anxiety.
Trembling and twitching of limbs.
Pricking as with needles, in different places.
Twitching in muscles on awaking.
Subsultus tendinum, with slight delirium. θ Hepatic symptoms.
Tonic spasms in flexors of fingers and toes.
General numbness with somnolence.
Lethargy. θ Valvular disease.
Prostration. θ Chorea.
Great debility and lassitude.
Great languor and faintness. θ Influenza.
Cannot raise himself in bed without assistance.
Great weariness and anorexia. θ Pneumonia. θ Liver complaint.
Weariness, indolence, indisposed to work.
Fainting, with cold extremities.
Aversion to motion ; tired from least exertion.
Great discomfort.
Paralytic drawing and lameness in single parts.
Neuralgia, particularly right supraorbital.
Neuralgia connected with injuries. θ Chorea.

Sleep

Frequent yawning.
Sleepy, lethargic in daytime. θ Jaundice.
Constant sopor, with a sunken face. θ Pneumonia.
Sleepiness, desire to lie, without being able to sleep.
At 2 P. M. drowsiness so marked even in open air that she was near falling asleep while walking.
Falls asleep, while speaking, for several minutes at a time. θ Laryngitis.
Unusual wakefulness towards 4 A. M. from various complaints.
Cannot go to sleep because of a cutting pain in calves and upper arms, alternating with headache.
Cannot sleep because of numbness and coldness of extremities.
Sleepless, with headache.
Wakes up repeatedly, feeling wretchedly.
Unrefreshing sleep from vivid dreams about business matters. θ Dyspepsia.
Restless sleep : full of dreams ; before midnight.
Awakes terrified, by the usual sufferings.
Sweat during sleep, after midnight and towards morning, passing off soon after awaking.
Awakes in morning perspiring, after many unremembered dreams. θ Liver complaint.
Dreams : of corpses and funerals ; frequent and vivid ; confused.
On awaking he cannot remember what he dreamt about.

Time

At night : excitement, confusion of intellect ; quiet delirium ; occiput feels heavy ; in bed, supraorbital neuralgia < ; on waking, pressure in right maxilla ; in bed, toothache < ; profuse perspiration ; attacks of asthma ; pain
behind sternum.
After midnight : sweat during sleep.
Towards 4 A. M. : wakefulness.
At 4 A. M. : many symptoms <.
Towards morning : profuse general perspiration.
Morning : giddiness ; headache ; thick blood in nasal mucus ; attacks of supraorbital neuralgia ; agglutination of lids ; dimness of eyes ; cough, with expectoration ; straining cough, with expectoration ; on awaking, chilliness and cold
feet ; occasional perspiration ; on awaking, spots on face.
Through day : lethargy.
Afternoon : tearing from right ear into teeth ; intermittent fever ; dry heat.
At 2 P. M. : stitches and soreness in lungs ; drowsiness.
At 2 or 3 P. M. : headache begins.
At 3 P. M. : complete intermission of pain in eye ; attack of neuralgia in left eyebrow and temple ; shivering.
From 4 to 9 P. M. : pain in right kidney and liver.
At 5 P. M. : hoarseness.
At 8 or 9 P. M. : headache at its height.
Towards evening : repeated chill, dry heat ; cheeks red, head and left eye very hot.
Evening : in bed, tearing in left eye ; hot spell ; in bed, chill ; rigor ; after lying down, internal heat without thirst ; copious sweat.
During day : frequent erections.
All day : strangury.

Temperature and weather

Renewal of ailments on change of weather.
Warmth : < supraorbital neuralgia ; < toothache and facial neuralgia.
Cold water : > supraorbital neuralgia and toothache.
In room : chill passes off.
In open air : headache < ; oppression of breathing > ; drowsiness ; chill, while walking.
Air : < pain in right eye ; airing room caused a chill, pneumonia.
From getting feet wet : ophthalmia.

Fever

Internal chill : with severe shaking, evening in bed ; when walking in open air, passes off in room.
Chill and coldness of whole body ; < on hands and feet, with distension of veins.
Towards evening repeated chill.
Chilliness, with cold feet, in morning on waking.
Shivering from time to time. θ Inflammation of eyes.
Shivering : without external coldness ; running down back.
Shivering, with chattering of teeth.
Yawning and shivering before attack. θ Neuralgia.
Skin cool and rough. θ Intestinal catarrh.
Icy coldness of right foot. θ Pneumonia.
Violent fit of shivering daily, 3 P. M., for a whole hour, with pains in head as from a band tightly bound around forehead and temples. θ Acute
rheumatism.
Attacks of rigor in evening. θ Liver complaint.
Intermittent fever, paroxysm coming every afternoon ; hot stage < than cold ; bright yellow stool.
After a severe rigor vertigo and vomiting. θ Pneumonia.
Rigor, followed by heat and sorrowful, anxious mood. θ Valvular disease.
Great and dry heat, especially in face ; in afternoon, particularly towards evening ; rigors ; moderate thirst. θ Influenza.
Constant chilliness, except towards evening, when cheeks become red and head and left eye feel very hot ; towards morning, profuse general perspiration, so that bed is wet through. θ Prosopalgia.
Violent fever. θ Pneumonia.
Heat : of head and face ; on scapulæ ; in hip joints.
Heat of head, dark red cheeks, pulsation in arteries ; full pulse ; faintness ; difficulty of speech ; nausea ; short breath ; cold feet.
High fever ; pulse 110 ; skin burning hot and perspiring ; great heat and confusion of head ; great thirst ; sunken countenance. θ Laryngitis.
Internal heat without thirst, evening after lying down.
Internal and external heat, warm perspiration of face, neck and chest, with vertigo and nausea.
Burning heat of hands, spreading from thence over body.
Moist burning skin.
Skin hot, with watery, sour-smelling sweat. θ Acute rheumatism.
Perspires from slightest exertion. θ Hepatic calculus.
Copious evening sweat.
Perspiration occasionally in morning. θ Intestinal catarrh.
Sweat during sleep, after midnight and towards morning ; > after awaking.
Typhous complication in epidemic bronchitis.

Attacks, periodicity

Periodical : anxiety ; shooting in left parietal bone ; stitching, pressing pain in vertex ; evening in bed, tearing pain in left eye ; pressure over umbilicus ; straining and pressing on rectum ; daily at same hour, burning in vagina ;
daily, spasm of glottis ; daily, attacks of difficult breathing ; nightly attacks of asthma ; attacks of tightness and pains in chest ; shivering fit daily 3 P. M. ; intermittent, every afternoon ; inflammatory swelling of ankle.
Paroxysms : of pain in kidneys ; of cough ; of rigor in evening ; intermittent in afternoon.
Frequently recurring : heat of face.
Repeatedly : tearing in left eye.
Repeated attacks : of short cough.
Every fortnight : sick headache.
Transient : pains under bones of head and in brain ; biting sting in right eye ; pains in upper maxilla ; in teeth.
Persistent pain : in scrobiculum.
Gradually increasing : supraorbital neuralgia.
Gradually decreasing : secretion of milk.
Going off gradually : stitch in external ear.

Locality and direction

Left : headache ; over eye, shooting ; on side of occiput, shooting ; side of face and head, violent pain ; parietal bone, periodical shooting ; from occiput to ear, pressing ; from side of occiput to forehead, stitches ; head drawn to
side ; eye pressure < ; eyeball seems too large ; tearing in eye ; stitches above eye ; pressive pain in eyeball ; heat in eye ; stitches above eye ; over eye, pressing pain ; sticking on inside of lower lid ; eye sunken ; inner canthus,
itching sticking ; ringing in ear ; sticking and drawing in ear ; dryness and itching in nostril ; pain in malar bone ; maxilla to eye and ear, drawing pain ; drawing in malar bone ; pain in lower molars and in cheek ; hypochondrium sensitive to
pressure ; pinching pain in groin ; pain under shoulder blade ; stitches under clavicle ; pressure below clavicle to neck ; stitches in side towards scapula ; stitches in chest ; stitches in side preventing a deep breath ; pressive pain in side ;
inflammation of lower lobe of lung ; soreness in lung like a wound ; ulceration from mastoid process downward ; half of neck stiff ; head drawn to left ; sharp shooting pain in side of neck and across temple and over eye ; pressive pain in muscles of side of
neck ; pains at lower angle of scapula ; pain at outer margin of scapula ; dull percussion sound under shoulder blade ; pressing, aching from occiput towards ear ; pressing stitch from side of occiput to forehead ; pain in shoulder as if sprained or
fractured ; pain in shoulder and deltoid ; paralytic pain in shoulder and arm ; pain above elbow joint ; drawing in dorsum of hand ; stabbing, drawing pain in index finger ; pain in shoulder, with want of power in arm ; shoulder feels as if breaking off on
motion ; paralytic weakness in thigh and knee ; pain in knee and popliteal space ; stabbing, drawing pain in under side of great toe ; wandering pains in joints.
Right : forehead, pressive pain ; over and in eye, violent neuralgia ; in cheek, neuralgia ; temple, tearing pain ; temple, pressive pain ; parietal bone, pressive pain ; over eye, pressive pain ; temple, ticking like a watch ; side of
occiput, pinching-stitching ; back of head, right side, tensive sensation ; with sick headache, pain in hypochondrium, and forehead and temple ; in eye, biting sting ; tearing behind ear downward ; itching in concha ; pressure on orbit ; above edge of brow,
raging pain ; pulsating pain in eyebrow and temple ; external rectus of eye paralyzed ; opacity of lens ; eyelids inflamed and scabby ; lashes almost gone on lower lid ; from ear into teeth, tearing ; jerking, tearing in zygoma ; cheek bone feels as if
swollen ; pressure in maxilla ; red spot on cheek ; pimples on upper portion of cheek ; tearing pains from ear to teeth ; constriction, tension and sensitiveness in pit of stomach ; numbness in side of neck, face and head ; contused pain in hypochondriac
region ; fulness and pressure in hypochondrium ; cutting across lumbar region ; spasmodic pain in kidney and liver ; painful swelling of testicle ; pain under scapula ; pressure on side of larynx ; stitches in region of right mamma ; drawing from lower
sternum towards side around to spine ; stitches in lower portion of thorax ; stabbing in side under mammary gland ; violent pain in region of seventh and eighth ribs ; stitches in chest < ; deep-seated pain in whole side ; soreness in lower ribs ; inflammation
of lung ; shooting stitch pains through lung to back ; hepatization of upper half of lung ; stitches in mammary region ; pain in cervical muscles and region of clavicle ; stiffness of side of neck ; stitches beneath scapula ; constant pain under
lower inner angle of shoulder blade ; fixed pain under inner and lower angle of shoulder blade ; pressing and oppression in scapula ; violent pains in shoulder joint ; pain in side of back ; pinching, cramplike pain in internal border of scapula ; drawing from
sacrum to side of scrobiculum ; pain in shoulder and arm ; drawing from shoulder to wrist ; inability to use arm with freedom ; twitching in arm ; stitches in wrist ; tearing in metacarpal and finger tips ; finger joints yellow, cold, nails blue ;
shooting pain in hip ; pains in hip ; drawing in hips, thighs, legs and feet ; pain in knee, burning and stiffness ; leg as if paralyzed ; ankle painful ; eczematous eruption on ankle ; foot cold as ice ; cramp in sole of foot ; itching in sole of
foot ; pain in fourth and fifth toes of foot ; foot, icy cold.
First left then right : shooting in eyes.
First right then left : pains in eyes ; pneumonia ; pain in thorax ; acute rheumatism.
From above downward : tearing behind right ear ; drawing in neck ; acute rheumatism.
From front to back ; pain in right eye.
From without in : pressure on right orbit.
Changing its place : biting sting in right eye.

Sensations

As of a band tightly bound around forehead and temples ; as from a band above eyes ; as if head was drawn forcibly backward ; as if hair stood on end ; as of a foreign body in eyes ; as of sand in eyes ; as if pierced with knives, pain in
eyes ; as of wind rushing out of ears ; as if ears were stopped ; as if swollen in right cheek bone ; as if a foreign body was rising in throat ; as if larynx was pressed upon ; as of an animal wriggling in epigastric region ; as if swollen, larynx ;
as if throat was constricted at larynx ; as if larynx was pressed back upon œsophagus ; as if broken, nape of neck ; as if vertebræ were being torn apart ; as after excessive exertion, pain in back ; as if shoulder was breaking off ; as if sprained or
fractured, pain in left shoulder ; as if weights were hung upon arms and legs ; as if right leg was paralyzed ; as if occiput could not be raised from pillow ; as if cut off at septum and middle of forehead ; cranium as if too small ; as if forehead was falling
outward ; occiput as if fastened to pillow and broken off from rest of skull ; as if eyeballs were squeezed ; left eyeball seems too large for lid to cover ; as if abdomen was constricted by a string ; as if anus was contracted ; as if breathing was hindered by
a tight girdle ; neck as if tied with a napkin ; as though lower vertebræ would separate ; as if toes had been pinched by narrow shoe.
Pain : all over head ; in occiput and nape ; in forehead and eyes ; in malar bone ; in scrobiculum ; in right hypochondrium ; in region of trigeminus ; in region of liver and gall bladder ; in region of spleen, severe around umbilical
region ; in cecal region ; in region of kidneys ; in glans penis ; under right scapula ; in sternum ; over cardiac region ; in chest, along sternum ; internally behind sternum ; deep seated in whole right side of chest ; deep down in
chest ; under lower inner angle of right shoulder blade ; extending into chest or stomach ; at outer margin of left scapula ; in right side of back ; in spine between shoulders ; in sacrum ; in right shoulder ; in left shoulder ; directly over
left elbow joint ; in right hip ; in right knee ; in knees, as after a long march ; in ankles ; in fourth and fifth toes of right foot ; intolerable in heels.
Pain as if from a deep-seated abscess.
Sharp pain : in frontal region.
External neuralgia.
Neuralgia : over right eye ; in right eye ; in right cheek ; in temples, forehead, ears, teeth, eyes and eyebrows ; in limbs.
Raging pain : above right eye.
Violent pain : in forehead ; in left side of head and face ; above eyes ; in direction of ureters ; in kidneys ; in hypogastrium and vesical region ; in right side, region of seventh and eighth ribs ; at lower angle of left scapula ; in right
shoulder joint ; in back, from nape to sacrum ; in back ; in left knee and popliteal space.
Lancinating pain : in eyes ; in pectoral muscles ; in upper extremities ; in heart.
Stitching : in vertex ; in right side of occiput ; above left eye ; in right then left eye ; in external ear ; above left eye ; in pit of stomach, through to back ; in region of liver ; through liver to back ; in hypochondrium ; in
urethra ; in chest ; under left clavicle ; in right side ; in left side towards scapula ; in lower right thorax ; in lungs ; in forepart of lower thorax extending into intestines ; under heart ; in chest < right side ; in left chest ;
in right lung ; through right lung to back ; in right mammary region ; beneath right scapula ; in muscles of back ; in right wrist ; in cardiac region.
Pressing stitch : from left side of occiput to forehead.
Stabbing pain : in region of bladder ; in right side close under mammary gland ; in left index finger ; at under side of left great toe.
Cutting : in stomach ; in hypochondrium ; in abdomen ; across right lumbar region ; in bowels ; in intestines as from knives ; in rectum ; in urethra ; in upper arms ; in calves.
Sticking pain : on inside of left lower lid ; in ears ; and drawing in left ear ; in region of larynx ; in urethra.
Itching sticking : in left inner canthus ; in anus.
Stinging : in lungs.
Biting sting : in right eye.
Pricking : pain in larynx ; as with needles, in different places.
Pricking running along different parts of body, lasting half a minute at a time.
Shooting : in forehead ; in frontal bone over left eye ; across temple and over eye ; on left side of occiput ; in left parietal bone ; in eyes ; in tonsils ; in throat ; through liver to back ; in region of kidneys and bladder ; in
larynx ; from lower sternum through to back ; through right lung to back ; in left side of neck ; in right hip ; in hip joint.
Tearing pain : in forehead ; in right temple ; in left eye ; in and above eyes ; in zygoma ; in teeth ; in right afterwards in left eye ; in meatus and temporal bone ; behind right ear downward ; in internal ears ; from right ear
into teeth ; violent in maxillary antrum ; in right zygoma ; in right maxilla ; violent in back and limbs ; in lower lumbar vertebræ to iliac bones ; in shoulder and right arm ; in right arm and forearm ; in metacarpals and tips of fingers, right
side.
Jerking : in right zygoma ; in antrum ; in intestines ; from lower part of sternum through to back.
Grinding pain : in stomach.
Digging pain : in region of stomach.
Gnawing : in stomach.
Pinching : in right side of occiput ; in stomach ; in left groin ; cramplike pain in internal border of right scapula.
Griping : in umbilical region ; in abdomen extending to chest and back.
Squeezing pain : in stomach.
Scraping : in throat.
Dragging pain : in bladder.
Burning : over eyebrows ; in eyes ; in lids ; swelling of lids ; of ears ; like nettles on face ; lips ; in mouth ; in throat ; in œsophagus ; in bowels ; in rectum ; in urethra ; in vagina ; in throat and
larynx ; between chest and scapulæ ; in back ; in right knee ; like nettles in skin ; spots on forearm ; of cheeks.
Dull throbbing : in apices of lungs.
Drawing : in occiput ; in neck ; left side of occiput to forehead ; from crown to nape ; in nape and occiput ; in left ear ; from left maxilla to left eye and ear ; in left malar bone ; in upper incisors ; through middle incisors of lower
jaw ; in rectum ; in spermatic cords and testicles ; in right testicle ; from lower part of sternum around right side to spine ; in nape and occiput ; in muscles of back ; in back and sacrum ; in back and limbs ; from sacrum to r. side of
scrobiculum ; from right shoulder down to wrist ; in dorsum of left hand ; in left index finger ; in hips, thighs, legs and feet ; at under side of great toe ; in limbs.
Paralytic drawing : in single parts.
Pressive pain : in forehead ; in right temple ; in right parietal bone ; over right eye ; in left eyeball ; in region of liver ; in muscles of left side of neck ; in left side.
Pressing pain : in vertex ; from occiput to left ear ; in right then left eye ; over left eye ; in and below scrobiculum.
Pressure : in forehead, extending to orbits ; on vertex ; under bones of head and in brain ; in occiput ; in upper part of eyeballs ; in eyes ; in eyeball ; in orbits ; stupefying, on right orbit ; in upper lids ; from occiput
towards left ear ; in upper maxilla ; in right maxilla at night on waking ; in teeth ; in scrobiculum ; in stomach ; in right hypochondrium ; painful over and beneath umbilicus ; on larynx ; in trachea ; on chest ; spasmodic behind
middle of sternum ; in right scapula through thorax to sternum ; below patella ; painful on outside of ankle.
Pressing aching : from occiput towards left ear Dull pain : in forehead ; in head.
Aching : in eyeballs ; in stomach ; soreness in all the vertebræ.
Soreness : in nostrils ; in lower ribs, right side ; in lungs ; in l. lung like a wound ; in tonsils.
Ulcerative pain : in roots of hair ; when combing.
Contused pain : in right hypochondriac region ; in chest.
Bruised feeling : in vertex ; in right eye ; in orbits ; from thighs to calves ; in all the limbs.
Pain like a wound : in lower dorsal vertebræ.
Wandering pains : in joints.
Spasmodic pain : in region of liver ; drawing in inguinal regions ; just above os pubis ; in inguinal region ; in right kidney and bladder.
Cramp : in sole of right foot.
Cramplike pain : in pit of stomach ; in inner angle of scapula.
Painful contraction : of abdomen with cough.
Painful tension : all around inside of thorax at its base.
Tensive pain : in forehead ; in temples ; back of head, right side.
Constrictive pressure : below left clavicle to neck.
Choking sensation : in throat, as from hasty swallowing, or swallowing too large a morsel.
Constriction : in gastric region ; in pit of stomach ; in stomach ; in hypochondrium ; across abdomen ; in hypogastrium ; of anus ; in trachea ; of chest ; in bronchi ; in neck ; of larynx.
Fixed pain : under inner and lower angle of right shoulder blade.
Trembling pains : in inguinal region.
Paralytic pain : in left shoulder and arm.
Pulsating : headache ; in eyes ; in right eyebrow and temple.
Throbbing : in temples ; painful in occiput ; from nape to occiput ; in pit of stomach ; dull, in region of liver ; dull, in throat ; dull, in apices of lungs.
Fulness : in right hypochondrium ; in abdomen.
Tightness : around neck ; above larynx ; in scrobiculum ; in upper part of chest.
Tension : in pit of stomach ; in right hypochondrium ; in spermatic cord ; in muscles of nape of neck ; in occiput.
Stiffness : in muscles of back ; of arms ; in wrist ; in right knee ; of ankles ; in neck.
Heaviness : in occiput ; on vertex, extending to occipital protuberance ; in muscles of nape of neck ; in occiput ; of lids ; paralytic, of arms ; of limbs.
Heavy as lead : head.
Weight : in forehead ; of eyelids ; in legs.
Outward-pressing : in forehead.
Feels too small : cranium.
Uneasiness : in limbs.
Ticking : in right temple.
Tremor : of tip of nose.
Twitching : in head ; of tip of nose ; in muscles on awaking ; in right arm ; in arms and legs.
Crawling : in rectum ; on perineum.
Creeping : on scrotum and glans.
Tickling in larynx.
Numbness : in muscles of hepatic region ; in right side of neck, face and head ; general, with somnolence.
Dead feeling : of toes.
Paralyzed feeling : of feet ; in limbs.
Heat : in forehead ; in left side of head, from ear ; of head ; of face ; in left eye ; in stomach ; of scrotum ; in trachea ; on scapulæ ; in hip joints ; of skin ; of hands.
Shivering : running down back.
Coldness : in occiput and nape ; of ears ; in stomach ; below umbilical region ; of arms ; in left upper arm ; of finger tips ; of legs ; of feet.
Itching : in right concha ; of nose and tip ; in nostrils ; herpes on chin ; in anus ; on perineum ; on scrotum and glans ; on right ankle ; in sole of right foot ; of skin ; on occiput ; in rectum.
Sensation of dust : in trachea, throat and behind sternum.
Dryness : in nostrils ; in throat ; in mouth.

Tissues

Mind affections, with melancholia, indolence and ill humor.
Inflammatory affections of eyes and meatus of ear.
Neuralgia in and above eyes, affecting principally right side.
Congestion of mucous membranes.
Chronic, gastric and intestinal catarrhs, with decreased secretion of bile, great lassitude and heaviness of limbs, headache and inability to think.
Hepatitis ; jaundice ; fatty liver ; painful enlargement of liver ; gall stones ; bilious condition in general.
Congestion of liver and kidneys.
Alternate diarrhœa and constipation, clay-colored stools.
Catarrh of bladder, with sexual excitation.
Catarrhal inflammation of eyes, nose, larynx and bronchi.
Inflammation of lungs and pleura, particularly right side.
Irregular menstruation, with profuse flow.
Great emaciation, patient so weak as to be unable to walk alone.
Rapid, general emaciation, with loss of appetite. θ Prosopalgia.
Muscular and articular rheumatism ; the least touch on any part of body is exceedingly painful.
In rheumatic and gouty affections of single joints or nerve branches, with frequent headache, attacks of vertigo, dimness of vision.
Excites the whole arterial and capillary system.
Distension of veins ; abdominal plethora ; hemorrhoids.
Ailments accompanied with or without fever, where the functions of the liver are disturbed.
Typhoid and intermittent fevers.
Œdema.
Yellow-grey color of skin.
Vesicular and pustular eruptions.

Touch. passive motion. injuries

Touch : scalp sore ; vertex feels bruised ; did not cause erysipelatous redness in face to disappear ; tearing in eye < ; < pain in and below scrobiculum ; < pain in region of spleen ; vesicular eruption on swollen scrotum, painful
to ; of clothes, < pain in chest ; < tearing pains in back and limbs ; < bruised pain from thighs to calves ; < pains in muscular and articular rheumatism ; child did not wish to be touched.
Combing : pain in roots of hair.
Pressure : first > then < tearing in left eye, zygoma, teeth, forehead and temple ; > pain in right eye ; scrobiculum sensitive to ; pain in stomach ; close under short ribs r. side produces violent pain in pneumonia ; region of liver painful
to ; abdomen sensitive to ; region of kidneys sensitive to, even to clothing ; < pain in lower dorsal vertebræ ; < pain in metacarpals and finger tips.
Clothes feel too tight about waist.
Injuries : neuralgia from.
Compressing calf : > cramp in sole of foot.
Bad consequences of neglected punctured wounds.

Skin

Skin dry, hot, or shining red and moist, itching intolerably.
Skin cold and dry.
Skin cool and rough. θ Intestinal catarrh.
Yellow, yellowish-grey, wilted skin. θ Hepatic affections. θ Intestinal
catarrh. θ Valvular disease. θ Typhus.
Yellow color of skin, neck, chest and hands.
Acute jaundice.
Itching of skin.
Burning pain like nettles, preceding an eruption like measles.
Bright red, lentil-sized, round spots on face, on awaking in morning.
Red, round, burning spots on forearm.
Red, ring-shaped, confluent spots, skin seems mottled. θ Acute rheumatism.
Red and painful pimples and pustules on various parts.
Eczema.
Red, miliary eruption on neck, chest and arms. θ Acute rheumatism.
Scabs, exuding moisture and scaling off.
Old putrid spreading ulcers.
A large superficial ulcer behind left ear, with reddish, fetid discharge.
Eruptive diseases depending chiefly on disorganization of skin.

Stage of life, constitution

Melancholic, choleric temperaments with bilious tendencies and complications.
Suits every age, sex and temperament, but particularly spare subjects disposed to abdominal plethora, cutaneous diseases, catarrh or neuralgia.
Blonde, pale, gentle girls, with inflammation of lungs.
Adapted to children with capillary bronchitis and liver complaints.
Children with intestinal catarrh, followed by great emaciation and feebleness.
Bright-colored diarrhœa, with children.
Epidemics of malarious or other miasm.
A child 8 weeks old ; spasm of glottis.
Child, æt. 8 weeks ; spasm of glottis.
Child, æt. 7 months ; hepatization of right lung.
Three children, æts. 2, 3, 9 ; worms.
Girl and boy, both æt. 4 ; cough.
Boy, æt. 5 ; pneumonia.
A girl, æt. 6 ; rheumatism.
Five boys, æts. from 5 months to 9 years, all previously healthy ; intestinal catarrh.
Delicate girl, æt. 9 ; pneumonia.
Girl, æt. 10 ; chorea.
A girl, æt. 10, fair, pale, blue eyes, amiable ; left supraorbital neuralgia.
A girl, æt. 12 ; hepatic typhus.
A boy, æt. 14 ; hereditary syphilis.
Youth, æt. 15, suffering for several years from weak sight ; opacity of lens.
A girl, æt. 18 ; syphilis.
Man, æt. 18 ; pneumonia.
A woman ; gonorrhœa.
A youth, æt. 19 ; syphilis.
A man, æt. 20 ; intermittent fever.
A man ; orchitis from suppressed gonorrhœa.
A man ; secondary gonorrhœa.
Dorothy D., æt. 22, previously healthy, catamenia regular, strongly built, florid ; mental disturbance.
Girl, æt. 22 ; opacity of cornea.
Mrs. E. B., æt. 23, blonde complexion, healthy and strong ; acute rheumatism.
A woman, æt. 25 ; ulceration on mastoid process, extending down neck to shoulder and breast, of two years standing.
Wilhemina J., wife of a poor weaver, æt. 25 ; neuralgia of trigeminus, followed by ulceration of neck, chest and arms.
Middle-aged woman, who had suffered for years from hepatic disorder ; headache.
A young man, æt. 26, lymphatic, sanguine, stout and tall, with black eyes and hair, gentle disposition, affected with herpes, brother of the one aged 30 ; right supraorbital neuralgia.
A man, æt. 27 ; laryngitis.
Woman, æt. 28, five months pregnant ; gastric fever.
A drinking man, æt. 30 ; pneumonia, right lung.
A woman, æt. 30 ; sick headache.
A young man, æt. 30, tall, sanguine, of a lively and irritable temper, fair, whitish-grey hair, grey eyes, affected with herpes ; right supraorbital neuralgia.
Mr. W., shopkeeper, æt. 30 ; acute rheumatism.
Engineer, æt. 30, sanguine and strong ; double pneumonia with hepatization.
A man, æt. 31 ; diabetes mellitus.
A woman, æt. 34, thin, bilious, dark and irritable ; right supraorbital neuralgia.
Widow, æt. 35, melancholic, phlegmatic temperament, suffered from quartan ague, which was cured by bark ; after this catamenia suppressed by fright ; gall stones.
A woman, æt. 38 ; typhus with hepatic symptoms.
Woman, æt. 43 ; facial pustular erysipelas.
A widow, æt. 44, ceased menstruating for seven years, has suffered from rheumatism in hands, the wrists particularly swollen and painful on change of weather. A year ago, ten weeks ill of pneumonia. For last nine weeks, prosopalgia.
A man, æt. about 45 ; biliary calculus.
A merchant, æt. 47, melancholic, choleric temperament ; biliary calculus.
Woman, æt. 47 ; facial vesicular erysipelas.
A man, æt. 48, suffering for four days ; prosopalgia.
Working man ; prosopalgia.
A bleacher, æt. 50, who had to watch bleaching ground, every other night, summer and winter, was attacked with rheumatism, finally amaurosis.
A stout quinquegenarian ; gall stones.
Man, æt. 51 ; pneumonia.
Gentleman, æt. 52, of spare habit, accustomed to moderate amount of exercise during day, but poring over books and plans until 1 or 2 at night ; indigestion.
A man, æt. 52, spare habit ; dyspepsia.
Man, æt. 59 ; pneumonia.
A woman, æt. 60 ; nephritis.
A widow, æt. 60 ; hordeolum on right eye.
Bricklayer, æt. 60, who had lost left eye many years before ; grey cataract.
Widow, in poor circumstances, hordeolum and violent inflammation of eyes.
A man, æt. 62 ; ophthalmia, from getting wet feet.
A woman, æt. 64, small, lymphatic, fair skin, grey eyes, and fickle character ; supraorbital neuralgia.
A robust farmer's wife, æt. 68 ; hepatic typhus.
Widow, æt. 75 ; epidemic influenza.
An aged woman ; pneumonia.

Relations

Antidoted by : Acon ., when the circulation becomes excited ; acids, wine and coffee restrict its action.
It antidotes : Bryon .
Compatible : Arsen., Bryon., Cor. rub . (pertussis), Ipec . (spasm of glottis), Ledum, Sulphur (hepatized lung).
Compare : Acon ., Arsen ., Baryta , Bellad ., Bryon ., Calcar., Capsic.,
Chelerythrin, Chen. ant., Cinchon., Corall . (whooping cough), Gambog . (diarrhœa), Graphit., Ignat ., Lycop . (liver ; pneumonia, one foot cold), Mercur .
(pneumonia, with liver complications), Nitr. ac ., Nux vom ., Opium (family relation), Phosphor . (chest, yellow diarrhœa), Podoph .
(liver), Pulsat., Rhus tox ., Sanguin . (family relation), Selen ., Sepia , Silic., Spigel ., Sulphur
and Viol. od .

Lectures on Homoeopathic Materia Medica

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

Lecture

Chelidonium is a remedy more suitable for acute diseases, though it cures certain chronic conditions. It is not a very deep acting remedy. It is about like Bryonia in its general plane, length and depth of action.

It has been used principally in gastric and intestinal catarrhs, in acute and semi-chronic liver troubles, and in right-sided pneumonia.

Skin

The skin is likely to be sallow, and gradually increases to a marked jaundice in connection with these complaints. Semi-chronic gastritis, with jaundice.

"Gastro-duodenal catarrh.

Congestion and soreness in the liver, with jaundice.

Right-sided pneumonia, complicated with liver troubles, or jaundice."

This remedy seems to act throughout the system, but almost always along with it the liver is involved, and it is suitable for what the old people and the doctors called "biliousness." The patient is generally bilious, has nausea and vomiting. Distension of the veins. Yellowish grey color of the skin.

Mind

Very few mental symptoms have been brought out in its proving not enough to give us a good idea of the desires and aversions. We do not get a clear idea of the intellectual faculties. It needs further proving, yet in many regions it has had superabundance of proving.

"Sadness and anxiety."

Brooding over some sort of trouble generally runs through the mental state.

"Anxiety, allowing no rest," keeping the patient uneasy day and night.

Sadness, as if she had committed a crime; as if some dreadful thing was going to happen. So sad that she thinks she must die

"Weeping despondency.

Distaste for mental exertion and conversation.

If you examine those medicines that act primarily upon the liver, that slow down the action of the liver, you will find the word melancholia."

With heart troubles, great excitement, With liver troubles, slowing down of the mental state, inability of the mind to work, sluggishness of the mind, inability to think, inability to meditate, slow pulse. Sluggishness of the whole economy.

Dizziness

The sensorium is very commonly disturbed, and the patient is dizzy.

"Things go round in a circle."

Dizziness comes, and it does not let up until nausea, and sometimes vomiting, follows.

"So much turning in the head that he vomits.

Confusion of mind.

Loss of consciousness and fainting."

These are also common features with liver troubles.

The mind symptoms are present more or less with the following liver symptoms; there are pains of a dull aching character, "soreness." Bruised pains. Tenderness of the liver to touch. Aching pains, that seem to involve the whole right lobe of the liver; creating a sensation of fullness. Pressure upwards, with difficulty of breathing. Pressure downwards, sympathetic with the stomach, with the nausea and vomiting.

Right scapula

And then more intense pain felt under the right scapula.

"Dull aching pains under the right scapula; sharp, shooting pains under the right scapula"; these complicate themselves again with pneumonia, with pleurisy.

It cures pneumonia and pleurisy; it cures various forms of congestion in the liver, when these pains go from before backward, and seem to be felt through the back.

"Stitching in the region of the liver, extending through to back.

Hard pains felt through the back."

Some patients will describe these pains as shooting pains; some as tearing pains, and others as sharp pains, going through the right hypochondrium or through the right lobe of the liver to the back.

"Pains from the region of the liver, shooting towards the back and shoulders.

Spasmodic pain in the region of the liver.

Pressing pain in the region of the liver."

In congestion or inflammation, fullness and enlargement, semi-chronic cases, or even acute, this medicine proves suitable for such conditions. The right hypochondrium is tense and painful to pressure.

This remedy has cured gall stone colic. Practitioners, who know how to direct a remedy, relieve gall stone colic in a few minutes. We have remedies that act on the circular fibres of these little tubes, causing them to relax and allow the stone to pass painlessly.

In a perfect state of health, of course, there are no stones in the bile that is held in the gall bladder, but this little cystic duct opens its mouth and a little gall stone engages in it, and it creates and irritation by scratching along the mucous membrane of that little tube.

When this pain is a shooting, stabbing, tearing, lancinating pain, extending through to the back, Chelidonium will cure it. The instant it relieves the patient says:

"Why, what a relief; the pain has gone."

The remedy has relieved that spasm, the little duct opens up and the stone passes out through the ductus communis choledochus. Every remedy that is indicated by the symptoms will cure gall stone colic.

A patient lying in bed, with great heat, extreme sensitiveness, cannot have the body touched, screaming with pains, red face and hot head, will gall stone colic, will be relieved in three minutes by Bell., but that is not at all like this remedy. Natrum sulph. and many other remedies have cured gall stone colic in a few minutes, when the symptoms agreed.

Now as to the pneumonia, it is generally of the right side, or right sided spreading to the left. The right-sidedness is marked, and but small portions of the left lung are involved. The pleura is generally involved, and so there are stitching, tearing pains.

One may not practice long before be will find a Chelidonium patient, sitting up in bed with high fever, bending forward upon his elbows, holding himself perfectly still, for this medicine has as much aggravation from motion as Bry. All of the pains are extremely aggravated from motion.

This patient is sitting with a pain that transfixes him; he cannot stir, he cannot move without - the pain shooting through him like a knife.

The next day you will see that his skin is growing yellow. If you see him in the beginning Chelidonium will relieve him and you will prevent that pneumonia. It is not uncommon in children, and it is extremely common in adults.

Do not get confused with Bryonia. Both are violently worse from motion. Bryonia wants to lie on the painful side, or wants to lie on the back if the pneumonia is mostly in the posterior part of the right lung. In Chelidonium he is worse from touch and motion.

Bell. has that extremely painful, tearing, rending, of the right lung with pleurisy, but in Bell., one cannot touch that right side, cannot press it, but must lie on the other side and he cannot move.

Cannot stand a jar of the bed, because of the extreme sensitiveness to motion: I mention all three in this particular way because they have some things in common, but the remedies are different.

Chelidonium has cough with chest symptoms of the right side, liver affections, and the mental affections that commonly belong to these, violent aggravation from motion. The pains are ameliorated by heat. Pain that extends to the stomach, ameliorated by heat.

Mental symptoms

ameliorated by eating. Craves hot milk; hot fluids. Eating warm food ameliorates the liver, the chest and stomach symptoms.

"Bilious vomiting. Retching; bilious eructations.

Nausea and retching during an attack of anxiety."

Stomach

These are all commonly present during the complaints described. The pains, when they become severe, seem to strike the stomach and cause vomiting. Ameliorated by something hot.

"A feeling of anguish in the pit of the stomach.

Persistent pain in the stomach; aggravated by motion and ameliorated by eructations.

Constriction and sensitiveness in the pit of the stomach."

These are all aggravated by touch and ameliorated by eating.

"Constant aching pain in the stomach, ameliorated by food.

Constrictive, pinching pain in the stomach better from drawing up the limbs and lying on the left side, ameliorated by eating."

Eye

It has many eye symptoms. Stitching pains.

"Opacity of the cornea."

Inflammations.

Bruised pain in the eyes.

Right supraorbital neuralgia."

In many instances it prefers the right side.

In the face the jaundice is the most marked thing that is expressed and, then, we have the dirty gray complexion.

"Pale, dirty-yellow-face."

Head

The headaches are brought on from heat, unlike the stomach and the liver, and the lungs, etc.

The head is aggravated from motion, aggravated from beat, aggravated from a warm room, aggravated from warm applications. There is where it differs from the internal or general state. There are numerous headaches.

Periodical bilious sick headaches, with vomiting of bile, brought on from exposure to beat, from being overheated, aggravated from motion, wants to lie perfectly quiet in a dark room, and better from vomiting bile.

Old-fashioned bilious sick headaches.

Bilious diarrhoea. Along with jaundice, clay-like, pale, faecal, puttylike stool. Bileless stool. Stool too light colored. Stool quite white in children. Diarrhea and constipation alternate. Stool brown, white, watery, green mucus, thin, pasty, bright yellow, or gray tinged with Yellow.

Voice and respiration

Hoarseness.

"While coughing, pain in the larynx, and pressure in the larynx."

The difficult breathing comes on with liver symptoms and pneumonia and chest troubles in general.

"Difficult respiration, with short fits of coughing.

Short, quick breathing.

Anxiety as if he must choke.

Difficult breathing; tightness over the chest as if breathing would be hindered."

It has also nightly attacks of humid asthma. This is brought on from every change of the weather.

All its complaints are brought on from changes in the weather. He cannot stand weather changes, either too cold or too warm. Rheumatic complaints in the shoulders, hips and limbs, from changes in the weather.

With complaints of the liver, lungs and chest, there are coughs. They are spasmodic. The chronic cough is violent, spasmodic, dry, coming in paroxysms.

"Spasmodic cough, without expectoration."

After it has existed a while there wilt be some expectoration.

"Repeated attacks of short cough: Short cough, with little grayish phelgm.

Rattling; fatiguing cough".

Limbs

In the limbs there are rheumatic and neuralgic pains. Neuralgia of the limbs in general, most violent. Limbs feel heavy and stiff. Limbs flabby. Later the patients runs down somewhat, weak heart, weak circulation; dropsical conditions of the limbs. Great restlessness.

"Trembling and twitching of the limbs.

Weariness.

Indolence.

Indisposition to work."

The neuralgias are more common in the head and face than in the lower parts of the body, in the limbs and in the extremities.

It has sharp, febrile attacks, such as found in pneumonia with chill and in inflammation of the liver. It has cured intermittent fever, coming in the afternoon and evening.

Itching of the skin. jaundice. It has cured old putrid ulcers.

The Therapeutics of Fevers

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

Characteristic

Adapted to thin, spare, irritable persons; light complexion, blondes; subject to hepatic, gastric and abdominal complaints (Pod.).

Constant pain under the lower and inner angle of right scapula (Kali c., Mer.—under left, Chenop. g., Sang.).

Ailments brought on or renewed on change of weather (Mer.); $>$ after dinner.

Periodic orbital neuralgia (right side) with excessive lachrymation, tears fairly gush out (Rhus).

Desire for very hot drinks, unless almost boiling stomach will not retain it (Ars., Casc., Ced., Eup. purp.).

Constipation; stool hard; round balls (Opium, Plumb., Sanic.).

Diarrhœa; at night; slimy, grayish, yellowish, watery.

Debility and lassitude after eating, wants to lie down.

Face, forehead, nose, cheeks, remarkably yellow.

Yellow-gray color of the skin; wilted skin; of the palms of hands (Sep.).

Spasmodic cough; small lumps of mucus fly from mouth when coughing (Bad., Kali c.).

Affects right side most; r. eye, r. lung, r. hypochondria and abdomen, r. hip and leg; right foot cold as ice, left natural (Lyc.).

Relations

Chel. antidotes the abuse of Bry., especially in hepatic complaints.

Ars., Lyc. and Sulph. follow well, and may often be re-quired to complete the cure.

Aggravation

Morning (Bry., Nux).

Amelioration

Evenings (rev. of Puls.).

Type

Variable. Periodicity not marked. Remittent, con-tinued, bilious, malarial. Typhoid and hepatic complications.

Time

Hour, not characteristic.

Afternoon and evening paroxysm.

Chill

Without thirst, over whole body, beginning in hands and feet (Gels.), when walking in open air; passes off in the room. Shaking chill in the evening in bed. Shaking chill, with shivering, chattering of the teeth, as if dashed with ice-cold water. (Am. m., Ant. t., Sabad.) Shaking chill, with nausea; worse on hands and feet; with distension of veins of hands and arms (en-largement of veins of arms and legs during heat, Chin. s.). Right leg and foot as far as knee, icy-cold (coldness of right limb as if standing in cold water, Sabad.). Coldness of nose; face; cheeks; occiput; pit of stomach; abdomen; hands and feet; in-testine, after drinking water; in open air; running down the back (Meny., Petr.).

Heat

Burning heat of hands, face, cheeks, eye-lids, head, ears, tip of nose, forehead. Flushes of glowing heat of different single parts of body; on scapula; in hip-joints. Burning cheeks, of a dark red circumscribed color (Sang.—of a mahogany color, Eup.). Heat of the cheeks, with red swollen face (Cact.).

Sweat

During sleep; towards morning; better after waking. Sweats when pain disappears (pains relieved by profuse sweat, Arn., Nat., Eup.).

Tongue

Coated thickly, white or yellow, with red margin; shows imprint of teeth (Mer., Pod.). Taste: bitter; insipid; bitter saliva collects in mouth. Desire for milk, which agrees now (which causes flatulence, Carbo v.). Pain in stomach > by eating (Anac., Petr.).

Pulse

During chill, small and quick; after paroxysm, slow.

Apyrexia

Never clear; liable to run into a remittent or con-tinuous fever. Stitching pains in region of liver, shooting toward the back. Left hypochondrium sensitive to pressure.

Analysis

The shaking, shivering, chill, as if dashed with ice water; < in open air.

Chill; of right side and of single parts.

Heat; burning, of single parts; circumscribed dark red cheeks. Pain in liver or under right scapula.

Sweat; during sleep; when pain disappears.