China Officinalis chin.

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

BLOOD. CIRCULATION. SECRETIONS: Digestive. Organs. Liver. Spleen. Nerves.

Worse

VITAL LOSSES. TOUCH. Jar. Noise. PERIODICALLY: Alternate days (Ars. Nat-m.). Cold; drafts; wind. Open air. Eating; fruit; milk. Mental exertion.

Better

Hard pressure (Lach.). Loose clothes.

General

INTERMITTENCY. PROFUSE, EXHAUSTING DISCHARGES, HÆMORRHAGES, etc. (Abro. Calc-hyp. Pho-ac.). Weak, oversensitive and nervous; everything upsets him, light, noise, odors, pain, etc. Hard swelling. Bursting. Rheumatism. Neuralgia. Emaciation. Anæmia. Dropsy.

Particulars

Stubborn. Disobedient. Vertigo; falls backward. Throbbing, bursting, swashing, or bruised feeling in brain, < temples. Sore scalp, < touching hair. Hot red ears. Tinnitus; then vertigo. Deafness. Pale, earthy, sickly look; bluish about eyes. Teeth throb; < sucking. Acute, sour or bitter taste, or eructations. Craves delicacies. Quick satiety. Anorexia. Loud belching, without relief (Arg-n.). Slow digestion. Sore stomach. Thirst for cold water that aggravates diarrhœa. Periodical liver symptoms (Quas.). Gall-stones. Swelled liver and spleen. Flatulent bloating. Tympanitis. Pain from rectum into genitals. STOOLS; LIENTERIC; dark; foul; watery; BLOODY; painless; < eating; < night. Dark, profuse, clotted menses. Blood spitting. Puffing, rattling, breathing. Every motion excites palpitation and takes his breath. Suppurative phthisis (Hep.). Painfully sore chest and interscapular spine. Heavy pressure (load) on shoulders, between scapulæ or on sacrum. Twitching in knees. As of a band about legs. Pain in marrow. Drowsy. Heavy, snoring sleep. Anxious dreams. Swelled veins (hands, face). Marked prodrome. Clearly staged chill, heat and sweat. Chill, then thirst, then heat, then thirst. Red, hot face, with cold hands. Hectic. Sleeplessness, as a prodrome. Thirst during apyrexia. DRENCHING SWEATS; AT NIGHT, < least motion; from weakness, etc. Tropical fevers. Sepsis.

Related

Complementary: Carb-v. Fer. Kali-c. Related: Carb-v.

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

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

Keynote

For stout, swarthy persons; for systems, once robust, which have become debilitated, "broken down" from exhausting discharges (Carbo v.). Apathetic, indifferent, taciturn (Phos. ac.); despondent, gloomy, has no desire to live, but lacks courage to commit suicide. Ailments: from loss of vital fluids, especially haemorrhages, excessive lactation, diarrhoea, suppuration (Chin. s.); of malarial origin, with marked periodicity; return every other day. After climacteric with profuse haemorrhages; acute diseases often result in dropsy. Pains: drawing or tearing; in every joint, all the bones. Peristeum, as if strainted, sore all over; obliged to move limbs frequently, as motion gives relief; renewed by contact, and then gradually increase to a great height. Headache: as if the skull would burst; intense throbbing of head and carotids, face flushed; from occiput over whole head; < sitting or lying, must stand or walk; after haemorrhage or sexual excesses. Face pale, hippocratic; eyes sunken and surrounded by blue margins; pale, sickly expression as after excesses; toothache while nursing the child. Excessive flatulence of stomach and bowels; fermentation, borborygmus, belching gives no relief (belching relieves, Carbo v.); < after eating fruit (Puls.). Colic: at a certain hour each day; periodical, form gall-stones (Card.m.); worse at night and after eating; better bending double (Coloc.). Great debility, trembling, aversion to exercise; sensitive to touch, to pain, to drafts of air; entire nervous system extremely sensitive. Unrefreshing sleep or constant sopor; < after 3 a. m.; wakens early. Haemorrhages: of mouth, nose, bowels or uterus; long continued; longing for sour things. Disposition to haemorrhage from every orifice of the body, with ringing in ears, fainting, loss of sight, general coldness, sometimes convulsions (Fer., Phos.). Pains are < by slightest touch, but > by hard presure (Caps., Plumb.). One hand icy cold, the other warm (Dig., Ipec., Puls.). Intermittent fever: paroxysm anticipates from two to three hours each attack (Chin. s.); returns every seven or fourteen days; never at night; sweats profusely all over on being covered, or during sleep (Con.).

Relations

Complementary: Ferrum. Follows well: Cal. p. in hydrocephaloid. Compare: Chin. s. in intermittent fever, anticipating type. Incompatible: after, Dig., Sel. Is useful in bad effects from excessive tea drinking or abuse of chamomile tea, when haemorrhage results.

Aggravation

From slightest touch; draft of air; every other day; mental emotions; loss of vital fluids.

Amelioration

Hard pressure; bending double.

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 chief key-note calling for the use of China is found in the sufferings caused by the loss of fluids, such as hæmorrhage, galactorrhœa, seminal emissions, diarrhœa, etc.; debility of the system, whether much fluid has been lost, or only a little; for any disease or troubles occurring periodically, at certain definite periods. Debilitating diseases or affections from the continuance of immoderate passions; the patient has become sensitive in the whole nervous system; the least noise or excitement is unendurable. A general tendency to dissolution in producing extreme sensitiveness and irritability of nerves, or relaxation of solids.

Head and Face

Temples; has headache from one temple to the other; ringing in ears, as often occurs after the loss of seminal fluid, or after a hæmorrhage. Lobe of the ear. Blue color around the eyes; sallow complexion; pale color of the face; red color of the face; red spots on the cheeks; hollow eyes. Toothache in the upper teeth particularly, and especially where relief is obtained from pressing the. teeth firmly together.

Sexual

Female: During flooding in women, where she is pale, skin cold, is pulseless (or almost), ringing in the ears, etc. Sexual desire too strong; metrorrhagia; blood-colored leucorrhœa; uterine hæmorrhage from atony.

Stomach and Abdomen

Want of appetite; hunger (where the patient may be hungry without any appetite to eat), extreme hunger. Taste unnatural: flat; delicate. Vomiting of sour matter; troubles in the region of the spleen; darting, shooting pain generally from right to left, crosswise in the hypogastric region. Flatulence in general; flatulent colic; rumbling and rolling in the bowels.

Stool

Diarrhœa when very debilitating. Stools acrid; undigested; with ascarides; watery; bilious black; involuntary; painless; putrid; profuse.

Chest

Pneumonia from debilitating losses, or with badly smelling expectoration (Sepia, Silic., Conium, Carb. veg.), green fetid (Arsen.). Incipient phthisis. Respiration loud, without rattling in the throat; expectoration bloody, blood-streaked, mucous, purulent; troubles occurring in lower part of the chest. Palpitation of the heart; pulsation of, intermittent.

Sleep

Unquiet; sleepiness in the afternoon; sleeplessness in general; complaints causing sleeplessness; many dreams.

Fever

Concomitant complaints of fever; concomitant complaints before, during, and after fever. Pulse irregular, intermittent. Chilliness, with shivering. Perspiration in general, on back part of the body only, with thirst; want of perspiration. Great thirst (often like thirst of Arsen.).

Skin

Dryness of; general sensibility of; withered; wrinkling of; soreness of, from lying in bed. Humid gangrene.

Extremities

Painful weariness in the limbs, after a long walk, after debilitating losses; with constant desire to move, stretch, or change the positions of the limbs.

Sensations

Pain as if bruised in outer parts; in inner parts; in joints; of fulness in the abdomen (in China, after eating a full meal; in Lycop., after eating or drinking a very little). Jerking or throbbing pains in inner parts; pressing or darting in inner parts; darting from within outwards; darting in the muscles. Sensation of scraping on or over the bones, over the periosteum; drawing; jerking in bones; drawing in the glands; tearing, jerking sensation.

Generalities

Spermatorrhœa, Nasal secretion bloody, mucous. Affection of the shoulder-blades; bones of the arm; thighs; knee-joints. Bleeding from inner parts. There may be bleeding from every internal part of the body; coldness and passive hæmorrhage. Newly born children lose much blood during parturition; the mucous membrane looks very bloody if there is only a slight bleeding going on; deficiency of blood; congestion of; congestion of to single parts; distension of blood vessels. Contraction of inner parts; also dropsy of. General emaciation. Fainting, especially if resulting from loss of animal fluids. Induration after inflammation. Lassitude of the body; inclination to sit down. Desire for motion. Nervous debility; general debility. Dropsical swelling. Shuddering of single parts. Urine, brick dust in.

Worse

In the night; periodically; after drinking; before, during, and after the fever; from masturbation; loss of fluids; from fruits, milk; after perspiration; from suppressed perspiration; from talking; from touching the parts softly; from ascarides.

Where there has been great loss of blood, it is often well to lower the patients head and shoulders.

Remedies following

Arnic., Arsen., Asaf., Bellad., Carb. veg., Ferrum, Laches., Mercur., Pulsat., Sulphur, Veratr.

Antidotes

(Best), Arsen., Carb. veg., Ipec., Pulsat., Veratr. (Next), Arnic., Bellad., Ferrum, Sulphur also China, very high.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Peruvian Bark-China (CINCHONA OFFICINALIS)

General

Debility from exhausting discharges, from loss of vital fluids, together with a nervous erethism, calls for this remedy. Periodicity is most marked. Sensitive to draughts. Seldom indicated in the earlier stages of acute disease. Chronic gout. Chronic suppurative pyelitis. Post operative gas pains, not relief from passing it.

Mind

Apathetic, indifferent, disobedient, taciturn, despondent. Ideas crowd in mind; prevent sleep. Disposition to hurt other people's feelings. Sudden crying and tossing about.

Head

As if skull would burst. Sensation as if brain were balancing to and fro, and striking against skull, receiving great pain (Sulph; Sulph ac). Intense throbbing of head and carotids. Spasmodic headache in vertex, with subsequent pain, as if bruised in sides of head. Face flushed after hæmorrhages, or sexual excesses, or loss of vital fluids. Relieved from pressure and warm room. Scalp sensitive; worse combing hair. Aches worse in open air, from temple to temple. Worse by contact, current of air, stepping. Dizzy when walking.

Eyes

Blue color around eyes. Hollow eyes. Yellowish sclerotica. Black specks, bright dazzling illusions; night blindness in anæmic retina. Spots before eyes. Photophobia. Distortion of eyeballs. Intermittent ciliary neuralgia. Pressure in eyes. Amaurosis; scalding lachrymation.

Ears

Ringing in ears. External ear sensitive to touch. Hearing sensitive to noise. Lobules red and swollen.

Nose

Checked catarrh. Easily bleeding from nose, especially on rising. Coryza, sneezing, watery discharge. Violent dry sneezing. Cold sweat about nose.

Face

Sallow complexion. Face bloated; red.

Mouth

Toothache; better pressing teeth firmly together, and by warmth. Tongue coated thick, dirty; tip burns, succeeded by ptyalism. Bitter taste. Food tastes too salty.

Stomach

Tender, cold. Vomiting of undigested food. Slow digestion. Weight after eating. Ill effects of tea. Hungry without appetite. Flat taste. Darting pain crosswise in hypogastric region. Milk disagrees. Hungry longing for food, which lies undigested. Flatulence; belching of bitter fluid or regurgitation of food gives no relief; worse eating fruit. Hiccough. Bloatedness better by movement.

Abdomen

Much flatulent colic; better bending double. Tympanitic abdomen. Pain in right hypochondrium. Gall-stone colic (Triumfetta semitriloba). Liver and spleen swollen and enlarged. Jaundice. Internal coldness of stomach and abdomen. Gastro-duodenal catarrh.

Stool

Undigested, frothy, yellow; painless; worse at night, after meals, during hot weather, from fruit, milk, beer. Very weakening, with much flatulence. Difficult even when soft (Alum; Plat).

Male

Excited lascivious fancy. Frequent emissions, followed by great weakness. Orchitis.

Female

Menses too early. Dark clots and abdominal distention. Profuse menses with pain. Desire too strong. Bloody leucorrhœa. Seems to take the place of the usual menstrual discharge. Painful heaviness in pelvis.

Respiratory

Influenza, with debility. Cannot breathe with head low. Labored, slow respiration; constant choking. Suffocative catarrh; rattling in chest; violent, hacking cough after every meal. Hæmorrhage from lungs. Dyspnœa, sharp pain in left lung. Asthma; worse damp weather.

Heart

Irregular with weak rapid beats followed by strong, hard beats. Suffocative attacks, syncope; anæmia and dropsy.

Back

Sharp pains across kidneys, worse movement and at night. Knife-like pains around back (D. MacFarlan).

Extremities

Pains in limbs and joints, as if sprained; worse, slight touch; hard pressure relieves. Sensation as of a string around limb. Joints swollen; very sensitive, with dread or open air. Great debility, trembling, with numb sensation. Averse to exercise; sensitive to touch. Weariness of joints; worse, mornings and when sitting.

Skin

Extreme sensitiveness to touch, but hard pressure relieves. Coldness; much sweat. One hand ice cold, the other warm. Anasarca (Ars; Apis). Dermatitis; erysipelas. Indurated glands; scrofulous ulcers and caries.

Sleep

Drowsiness. Unrefreshing or constant stupor. Wakens early. Protracted sleeplessness. Anxious, frightful dreams with confused consciousness on waking, so that the dream cannot be rid of and fear of dream remains. Snoring, especially with children.

Fever

Intermittent, paroxysms anticipate; return every week. All stages well marked. Chill generally in forenoon, commencing in breast; thirst before chill, and little and often. Debilitating night-sweats. Free perspiration caused by every little exertion, especially on single parts. Hay fever, watery coryza, pain in temples.

Modalities

Worse, slightest touch. Draught of air; every other day; loss of vital fluids; at night; after eating; bending over. Better, bending double; hard pressure; open air; warmth.

Relationship

Antidotes: Arn; Ars; Nux; Ipec.

Compare:-Quinidin--(Paroxysmal tachycardia and auricular fibrillation. Heart is slowed, and the auriculo-ventricular conduction time is lengthened. Dose 1/2 grain t.i.d). Cephalanthus--(Button Bush-Intermittent fever, sore throat, rheumatic symptoms, vivid dreams). Ars; Cedron; Nat sulph. Cydonia vulgaris-Quince (supposed to be of use to strengthen the sexual organs and stomach).

Complementary: Ferrum; Calc phos.

Dose

Tincture, to thirtieth potency.

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

Indifference and apathy. Disposition to be alone. Ill-humor, with disposition to hurt other people's feelings. Nervous irritation, with slowness of ideas. Full of projects and ideas, especially in the evening and at night.

Head

Congestion of blood to the head, with twitching in the temples. Headache, from suppressed coryza. Sensation, as if the whole head were bruised ; worse from exertion of the mind. Sensation, as if the head should burst, with sleeplessness at night ; aggravated from touch, motion and stepping hard, ameliorated in the room, and when opening the eyes. Stitches in the head, with pulsation in the temples, which can be felt by the finger ; ameliorated by hard pressure, but aggravated by the movement of the head. Sensitiveness of the scalp, especially the root of the hair, to the least touch ; worse when walking in the open air and from a draft of air ; ameliorated by strong external pressure and when scratching the head. The headache is aggravated by a draft of air, in the open air, from the slightest contact, and relieved by bud pressure.

Eyes

Pressure in the eyes, as from drowsiness. Pressure, as from sand in the eyes, when moving the lids, with inflammation of the eyes, and worse in the evening. Redness of the eyes, with heat in them. Yellow color of the eyes. Sensitiveness of the eyes to the bright sun-light. Dimness and weakness of sight. When reading, the letters look pale, confluent, and surrounded with a white border. Incipient amaurosis after loss of animal fluids, (in drunkards).

Ears

Humming in the ears. (Hardness of hearing). Stitches in the ears. Heat of the outer ear.

Nose

Redness and heat of the nose. Tearing in the dorsum of the nose. Frequent bleeding from the nose. (Hæmorrhage from the nose and mouth). Bleeding of the nose, after blowing it. Dry coryza, with toothache and lachrymation. Suppressed coryza, (headache from it).

Face

Face pale, sunken, (hippocratic), pointed nose, sunken eyes, surrounded by blue margins. Pale, sickly appearance, as after excesses. Complexion gray-yellow, or black. Bloated, red face. Hot face, especially when entering a warm room, when coming from the cold air. Face-ache, (neuralgia), irritated from the slightest touch. Lips dry, coated black, wrinkled and chapped. Swelling of the lips. Swelling of the submaxillary glands, with pain in the glands during deglutition.

Teeth, Mouth and Throat

Twitching tearing in the upper molar teeth, from taking cold in a draft of air. Painful numbness in decayed teeth. Throbbing toothache. Looseness of the teeth. The toothache is caused by a draft of air, aggravated by smoking, the slightest contact, and relieved by pressing the teeth firmly together. Black coating of the teeth. Swelling of the gums. Putrid taste in the mouth in the morning. Accumulation of mucus in the mouth. Ptyalism, (with nausea), (from the abuse of mercury). Tongue coated white or yellow. Thick, dirty coating of the tongue. Blackish, parched tongue. Burning biting, as from pepper, on the tip of the tongue, succeeded by ptyalism. Voice husky or weak. When he talks or sings, the voice is too deep.

Appetite and Taste

No desire for eating and drinking. Desire for various things, without knowing which. Longing, for acid fruit, wine. Bitter taste of the food, (bread, beer, tobacco). The food tastes too salt. Canine hunger, especially during the night. Violent thirst, for cold water, (drinks but little at a time, but often). Shuddering and chilliness, with goose-flesh after every swallow he takes. Weakness of digestion ; the food is not digested, if taken too late in the day. After a meal, distention of the abdomen oppression of the stomach, general languor, and disposition to lie down. Sour eructations after swallowing milk. The thirst in intermittent fever only between the cold and hot stages, or during the perspiration.

Stomach and Abdomen

Colic, from weakness and loss of animal fluids. Milk deranges the stomach easily. Pulsations in the pit of the stomach. Eructations, tasting of the ingesta. Bitter eructations, (after a meal). Vomiting ; sour, mucus, water, and food, blood, bile. Distention of the abdomen. (meteorism), (dropsy). Accumulation of flatulence. Incarceration of flatulence. Rumbling, especially in the epigastrium. Fermentation after eating fruit. Emission of a quantity of flatulence, frequently very fetid. Liver swollen, and very painful when slightly touched. Swelling, inflammation, induration of the spleen. Stitches in the spleen, (when walking slowly).

Stool and Anus

Difficult passage of the fæces, even when soft, (papescent), so from inactivity of the bowels. Painless, very debilitating diarrhœa. Stools loose, watery, yellow mucus, blackish, bilious, white, -undigested food. Diarrhœa from eating fruit. Diarrhœa, particularly after meals, at night, involuntary. In, the rectum, stitches, also during stool. Tingling in the anus, as from ascarides. (Ascarides). Discharge of mucus from the rectum. Bleeding hæmorrhoids.

Urinary Organs

Urine dark, turbid, scanty. Scanty urine, greenish-yellow, with brick-dust sediment. Frequent micturition. Burning at the orifice of the urethra, especially painful if the clothes rub against the parts. Stitches in the urethra.

Sexual Organs

Men. Sexual desire excited, with lascivious fancies. Impotence, with excited lascivious fancy. Nocturnal emissions, after onanism ; very debilitating. Women. Congestion to the uterus with feeling of fulness and painful pressing to and sense of heaviness of the genital organs, particularly when walking. Profuse menses (black clots). During the menses, spasms in the chest and abdomen ; congestion of blood to the head. Metrorrhagia, with discharge of black blood ; with fainting and convulsions. Discharge of bloody serum from the vagina, alternating with discharge of pus. Painful induration in the vagina.

Larynx, Trachea, Chest

Hoarseness, from mucus in the larynx. Sensation of soreness in the larynx and trachea. Deep, husky voice when talking or singing. Breathing wheezing, crowing, rattling, tight, oppressed and painful. Difficult inspiration and quick expiration. Suffocative fits, as from mucus in the larynx. Oppression of the chest, in the evening (at night, while lying). Inclination to take a deep breath. Oppression of the chest, as from fulness in the stomach, and caused by continued talking. Stitches in the chest ; diaphragm. Congestion of blood to the chest, with violent palpitation of the heart. Suppuration of the lungs, after hæmoptysis (frequent venesections) with stitches in the chest, which are aggravated by pressure. Nightly suffocative cough, with stitches in the chest. Hæmoptysis, (clotted blood mixed with pus). The cough is aggravated in the evening, or after midnight ; from laughing ; from continued talking ; from lying with the head low ; from slightly touching the larynx ; from draft of air, after awaking ; from loss of fluids. Cough, with pain in the larynx and sternum.

Back

Pressure as from a stone between the shoulder blades. Pain in the small of the back at night when lying on it. Insupportable pain in the small of the back, like a cramp, aggravated by the least movement. Perspiration in the back and neck on the least motion. Stitches in the spine and shoulders.

Extremities

Upper. Trembling hands, (when writing). Icy coldness of one hand, while the other is warm. Swelling of the dorsum of the left hand. Blue nails. Lower. Hot swelling of the right knee, painful to the touch. Weakness in the knees. Uneasiness in the legs, obliging him to curve them and draw them up. Swelling of the feet. Rheumatic pains in the metatarsal bones and the phalanges of the toes, worse from contact, not from motion. Soft swelling of the soles.

Generalities

Over-sensitiveness of the nerves, (from loss of fluids). Numbness of the parts on which one lies. Congestions. Veins are much enlarged. Emaciation.

Sleep

Sleeplessness from crowding of ideas and making of plans. Irresistible sleepiness during the day and after eating. As soon as he goes to sleep, confused, absurd dreams. While asleep, snoring, and blowing expiration.

Fever

Pulse small, hard and rapid, less frequent after eating ; irregular. Chilliness over the whole body, aggravated by drinking, with thirst before and after, not during the chill. Internal violent chill with icy cold hands and feet, and congestion to the head. Chilliness and heat alternating in the afternoon. In the evening, in bed, he cannot get warm. Heat over the whole body with enlarged veins. During the heat, thirstlessness, or only desire for cold drink. After the heat, violent thirst. Long continued heat, often coming late after the chill. During the heat, desire to be uncovered ; delirium. Perspiration very profuse, and very debilitating. Profuse perspiration during sleep, and from exercise in the open air. Very debilitating morning and night sweats. During the perspiration, increased thirst. Perspiration on the bide on which he lies. Suppressed perspiration.

Skin

Yellowness of the skin. (Jaundice). Skin flaccid and dry. Swelling of the limbs. Rheumatic, hard, red swellings. Humid gangrene (of external parts).

Conditions

Paroxysms of pain caused by the slightest contact, and then gradually increasing to a great height. The least draft of air causes suffering. Bad effects from the loss of animal fluids. (Masturbation). Aggravation at night after drinking, after the chills, from milk, from touching the parts softly.

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

Cinchona officinalis. Cinchona calisaya. Peruvian bark. N. O. Rubiaceæ. Tincture of the dried bark.

Clinical

Abscess . Alcoholism. Amblyopia. Anæmia . Aphthæ. Apoplexy Appetite, disordered . Asthma. Back, weakness of. Bilious attack . Catarrhal affections. Coma. Constipation . Cough. Debility . Delirium. Diarrhœa . Dropsy. Dyspepsia. Ears, deafness; noises in. Emissions . Empyæma. Erysipelas . Facial neuralgia. Gall-stone colic. Hæmorrhages. Hæmorrhoids. Headache. Hectic fever. Hip-joint disease . Ichthyosis. Impotence. Influenza. Intermittent fever. Jaundice. Labour. Lactation . Leucorrhœa. Lienteria. Liver, diseases of ; cirrhosis of. Menière's disease. Menstruation, disordered . Mercury, effects of. Muscæ volitantes. Neuralgia. Peritonitis. Perspiration, excessive. Pleurisy . Prosopalgia. Psoriasis. Pylorus, disease of . Rheumatism. Self-abuse . Sleep, disordered. Spermatorrhœa . Spleen, affections of. Suffocation, fits of. Taste, disordered. Tea, effects of. Thirst . Tinnitus. Tobacco habit. Traumatic fever . Tympanitis. Varicose veins. Vertigo.

Characteristics

Kina is the Peruvian name for "bark," and "Kina-Kina" is the "Bark of barks." The story of its introduction into European medical practice is one of the romances of the Healing Art; as the story of its frightful abuse is one of its many tragedies. "According to Humboldt," writes Teste, "about 500,000 lbs. of this bark are annually exported to Europe for the purpose of being converted into sulphate of quinine." Well may Teste add the exclamation, "Poor patients!" As with almost every other good thing that comes into its hands, allopathy has contrived to do an infinity of harm with quinine to make up for the good. Some forms of intermittent fever it will cure, if too much of it is not given; others it will suppress or change from intermittent to continuous. The result of suppression is thus sketched by Hahnemann's master-hand: "True, he [the patient] can no longer complain that the paroxysms of his original disease occurs any more on regular days and at regular hours; but behold his livid earthy complexion, his bloated countenance, his languishing looks! Behold how difficult it is for him to breathe, see his hard and distended abdomen, the swelling of the hypochondria; see how his stomach is oppressed and pained by everything he eats, how his appetite is diminished, how his taste is altered, how loose his bowels are, and how unnatural and contrary to what they should be; how his sleep is restless, unrefreshing, and full of dreams. Behold him weak, out of humour and prostrated, his sensibility morbidly excited, his intellectual faculties weakened; how much more does he suffer than when he was a prey to his fever!" ( M. M. P .) The number of patients who have been consigned to an early grave by quinine probably falls short only of the number that mercury can claim. When first introduced it was (as chloral and hundreds of other poisons have been since) declared on the highest authority to be incapable of harm "in whatever dose it may be taken." It is only at the end of the nineteenth century that some allopathists are discovering that it is more deadly than the deadliest West African fevers. Every homœopath knows from experience how true is Hahnemann's picture of quinine effects from the victims of it he has been called upon to treat.

China is placed by Teste in the Ferrum group with Plumb., Phos., Carb. an., Puls., Zinc , and others, which "have the property of remaking the altered blood, or increasing for the time being, in a healthy person, the relative amount of hæmatin, globulin, fibrin, &c.," but also, "after a certain lapse of time, they produce opposite results ─ impoverishment, discoloration, and liquefaction of the blood. From this antagonism arise their characteristic effects: Short-lasting, sanguineous congestions (primary effect), and later, discoloration of tissues; fulness of veins; torpor of all functions; dryness of mucous membranes; mucous or purulent discharges; engorgement of the glands which are immediately connected with the circulatory apparatus, as spleen and liver; passive hæmorrhages; inertia of involuntary muscles (bowels, uterus); œdema, atonic ulcers, &c.; finally, more or less obstinate nervous disorders, from derangement of sympathetic rather than the cerebro-spinal axis." And it is in cases presenting just such phenomena as these, that China proves its greatest efficacy, as Hahnemann was the first to point out. The glory of Hahnemann and the interest of homœopathists are inseparably bound up with the history of this drug. It was the first medicine Hahnemann proved; and the one that opened up to his mind the idea of homœopathy. Cinchona Bark was to Hahnemann what the falling apple was to Newton, and the swinging lamp to Gallileo. Dissatisfied with the explanations of the action of Bark in curing ague that were current in his time, Hahnemann took the powdered Bark himself, being in health, and lo ! an ague attack ensued. A repetition of the experiment produced the same result. Further experiments revealed that action of Bark which is the opposite of "tonic" ─ positively debilitating, in fact ─ already referred to.

It is useful to remember that Ipecac . (as well as Galeum and Mitchella ) belongs to the same natural order of plants as China , and the relation of the two to intermittent fever, hæmorrhages, and gasto-enteric disturbances is very similar. Coffea also belongs to the Rubiaceæ , and is nearly allied in many of its nervous symptoms to China . The tincture of China is antiseptic, destroying amæboid motion and retarding tissue change. It weakens the heart and impairs the circulation, produces congestions and hæmorrhages, anæmia and complete relaxation and collapse. The debility in which China is particularly indicated is such as is caused by an excessive drain of animal fluids, as great loss of blood, excessive suppuration, loss of semen; also after prolonged strain of overwork, mental or bodily. A "pumped-out" condition, and the sensitive, irritable state of mind that accompanies such. The typical fever of China is the intermittent from marsh miasm, tertian, or quartan in type. Chill and heat without thirst, thirst occurring either before or after chill. The chill is followed by long-lasting heat, generally with desire to uncover; face fiery red, often delirium; profuse and debilitating sweat following. In the apyrexial period the face is a sallow dingy yellow, the spleen is enlarged and painful, the appetite is totally lost; or else there is canine hunger; the feet swell, and as soon as the patient closes his eyes for sleep he sees figures. Hectic fever is also characteristic of the drug. Typhoid and gastric fever. Periodicity is a leading characteristic both in fever and neuralgias. " < Every other day" is characteristic. Nash cured a case of acute rheumatism with Chi , on this modality. Hæmorrhages occur from every orifice of the body. Koch and others have attributed the hæmaturia of African intermittents to quinine. There is terrible always < at night. Loss of sight, deafness, ringing in the ears. Great sensitiveness to touch. Even a current of air blowing on the part = great pain (compare Plumb .). Everything tastes bitter, even water (everything except water, Acon .). Chi . is suited to persons of thin, dry, bilious constitution; or to leucophlegmatic persons with a disposition to dropsical affections, to catarrhs or diarrhœa; to affections of women. The mental state shows, in addition to the irritability, the following among other symptoms: "Aversion to be looked at." "Pumped out" ( Sil .), unable to think. Delirium from loss of fluids (as hydrocephaloid). Fixed ideas. There is a desire for suicide: "Intolerable anxiety about 8 p.m. and 2 a.m.; he springs out of bed and wishes to take his own life, but does not go near the window or take a knife (compare alum .); with heat of the body without thirst." The sensitiveness accompanies the headache, which is congestive, throbbing, like many hammers hammering on temples, ringing in the ears, < by slightest contact > by hard pressure); by draught of air; by open air. Weak eyes and ringing in ears, such as follows depletion. The nose, ears, and chin are cold, complexion sallow, dingy, yellow. Neuralgia is generally infra-orbital. Thick dirty yellow coating on tongue; bitter taste on waking. Aphthæ of weakly people. Canine hunger, especially at night. Hunger after meals with feeling of emptiness. If a meal is late, he is sure to suffer from it. Total loss of appetite. Full feeling after the least food, but belching only > temporarily. After eating, a lump under mid-sternum. After fruit, diarrhœa. Dyspepsia after loss of fluids. Nausea < on sitting up. Stomach so weak it cannot tolerate any food at all. Very sour stomach. The digestion of Chi . is slow. Chi . is one of the most flatulent of medicines. Guernsey describes it thus: "Uncomfortable distension of abdomen with a wish to belch up, or a sensation as if the abdomen were packed full, not in the least > by eructation." Gastric troubles of children who are always wanting dainties; irritable on waking, bad taste, white tongue. Tympany coming on early in a case. Spleen aching, sore. Liver swollen, sensitive. Feeling of subcutaneous ulceration. Gall-stone colic; duodenal catarrh; jaundice. Fermentation in bowels, frothy, sour diarrhœa. Yellow, watery, undigested diarrhœa with much flatus and no pain. Diarrhœa of dark, inky fluid; stools frequent at night, only after food during the day. (It is useful in cases where purgatives have been abused if Nux fails to cure.) Excessive seminal losses. Menorrhagia; metrorrhagia; post-partum hæmorrhages. Leucorrhœa before period, painful pressure towards groins and anus, fetid or bloody leucorrhœa before period; with contractions in inner parts. The breathing has important characters: Asthma; wheezing; suffocative catarrh and paralysis of lungs in old people. Respiration laboured, loud and stertorous, with puffing, blowing out of cheeks on each expiration. [E. Carleton relates the cure of a case of spasm of the glottis in a middle-aged man. Attacks sudden, 3 a.m., suffocation seemed imminent. At length with one tremendous effort, whilst sitting bent forward, a little air would be forced into the lungs in spite of the epiglottis with a noise audible at a distance. After each succeeding expiration the inspiration would become less difficult. Chi . 200 cured. Among this patient's other symptoms were: Unhappy, idea that he is pursued by enemies in business. Scalp sensitive. Humming, throbbing in ears. Thirst for cold water. Saliva found on pillow in morning. Stomach sore to touch. Flesh sore to touch.] The sleep also should be carefully noted, especially the dreams: he cannot get rid of his dreams even after waking; the impression continues. He cannot get wide awake; head remains confused and stupid. Chi . corresponds to hectic and to many conditions of the lungs which are attended with hectic. Suppuration of the lungs, especially in drunkards. Weakening night-sweats. Prostration, chilly, wants to be wrapped up but cannot bear the fire. A. Villers cured with Chi . 30 a girl, twenty, who had, after a chill, a pain in right hip, < by every movement, and which she could only describe as being like the pain in the legs which occurred before the menses. She was pallid and had had much hard nursing work. The catamenia were scanty and she was weak. Three days after taking Chi . the pain was gone, after having persisted for five months. With Chi . I removed the dropsy and relieved all the other symptoms of a case of cirrhosis of the liver in a hard drinker. He remained at his work for many months; but in the end his old habits proved too much for him, and he died from an acute illness following a cold. In this connection may be mentioned the effect of the tincture of China ( Cinchona rubra especially) in removing the craving for alcohol in drunkards who wish to reform. Ten to thirty drops two or three times a day is the usual close for this, though where the general symptoms correspond the potencies would probably do better. I have confirmed P. Jousset's recommendation of Chi. Ø in cases of facial erysipelas without vesication. The rheumatism of Chi . is characterised by soft swelling, pale red, very tender to touch. C. M. Boger had such a case in second and third metatarso-phalangeal joints of left foot. The patient said: "With my slippers on I am in agony; but if I put on tight shoes the feet feel pretty comfortable." The Chi . symptoms are generally < from lightest touch; Whereas hard pressure > . < Periodically: 1 a.m. to 10 or 12 or 1 p.m. from 8 a.m. to 2 or 3 p.m. Every other day; every fourteen days every night at midnight; during increase of moon; every three months; in autumn. Rest < pains in limbs. Colic > by bending double. Motion > pains in limbs; < vertigo; headache; nausea. Moving eyes < headache. Open air or draught of air < . < During and after stool. > In room or from warm applications. Want to be near a stove; but this < the chill. Neuralgic headache < from anything cold in mouth. Summer = diarrhœa. Sun < headache. Windy, foggy, or wet weather < . Autumn < . After a meal: fulness of stomach. During and after dinner: prosopalgia > . Effects of eating: fish; fruit; bad meat or fish. Effects of drinking: beer; sour wine; new beer; impure water; milk. Drinking < the chill. Warm drinks impede digestion. < From smoking.

Relations

Botanical, Coffea, Ipec., Galeum, Mitchella. Antidoted by: Ferr., Ars., Nat. m., Carb. v., Aran. d., Eup. perf., Ipec., Merc., Nux, Puls., Rhus, Sep., Sul., Ver. Antidote to: Ars., Calc., Cham., Coff., Fer., Hell., Iod., Merc., Sul., Ver. Is useful in bad effects of tea-drinking and after abuse of chamomile tea (uterine hæmorrhage). Compatible: Calc. phos., Fer. Incompatible: After Dig., Selen. Complementary: Fer. Compare: Ars. (prostration without pain, black stools); Carb. v. (flatulence, diarrhœa, great weakness; Chi. stool is caused by every attempt to eat and drink); Coloc. (beer intoxicates easily); Cedr., Caps., Cupr. acet. (black, thin stools); Pso. (rapid exhaustion following acute diseases; Pso. has despair of recovery); Puls. (bitter taste. < Eating at night. As if food lying in œsophagus); Caust. (Menière's disease); Salic. ac. (Menière's disease); Phos. ac. (lientery; seminal emissions; diarrhœa ─ but this does not exhaust with Phos. ac.); Merc. (chronic salivation); Stram. (black stools); Sul. and Sul. ac. (sensation as if brain were balancing to and fro and striking against skull, occasioning the pains). In aversion to be looked at (Ant. c., Cham., Stram.); < from brandy (Ars., Carb. v., Nux); diarrhœa immediately after eating (Ars., Alo., Lyc., Pod., Staph., Tromb. ─ Fer. whilst eating); hepatitis with great tenderness (Aco., Ars., Lyc., Merc.); hunger after meals with empty feeling (Lauro., Calc.).

Causation

Fluids, loss of. Onanism. Chill. Anger. Coryza, suppressed. Tea. Alcohol. Mercury.

Mind

Apathy and moral insensibility. ─ Hypochondriacal dejection. ─ Great anxiety. ─ Disposition too scrupulous. ─ Disposition to be alone. ─ Discouragement. ─ Ill-humour, with disposition to hurt other people's feelings. ─ Discontent; the patient deems himself unfortunate, and ill-used by the whole world. ─ Excessive irascibility, with pusillanimity, and inability to bear the least noise. ─ Disobedience. ─ Contempt for everything; everything appears insipid. ─ Slovenliness, with easily provoked tears, or with irritability. ─ Fear of dogs and of other animals, esp. at night. ─ Nervous irritation, with slowness of ideas. ─ Great abundance of ideas, and of projects, with slow progress of thought (esp. in the evening and at night). ─ Dread of labour.

Head

Dull confusion of the head, as from prolonged watching. ─ Sensation of emptiness in head. ─ Vertigo after losses of fluids; with fainting; ringing in ears; loss of sight; cold surface. ─ Vertigo on raising the head, esp. in the occiput, as if the head were going to sink backwards. ─ Vertigo with nausea. ─ Attacks of headache, with nausea and vomiting. ─ Headache as from suppressed coryza. ─ Heaviness in the head with faintness. ─ Cephalalgia in the forehead, on opening the eye. ─ Pain, as from a bruise in the brain, with pressive piercing in the crown of the head, aggravated by meditation and conversation. ─ Pressive headache, esp. at night, with sleeplessness; or by day, and < in the open air. ─ Acute starting, or pressive pains in the head. ─ Headache, as if the head were going to burst, with sleeplessness at night; ameliorated in the room, and when opening the eyes. ─ Shooting pains in the head, with strong pulsations in the temples. ─ Congestion in the head, with heat and fulness. ─ Movements and painful throbbings of the brain, compelling movement of the head up and down. ─ Headache, increased by touch, movement, and walking, also by a current of air, or by walking against the wind. ─ Headache often attacks only one side. ─ Sensibility to the touch of the exterior of the head, and even of the roots of the hair. ─ Headache, as if the hair were torn out, or the scalp were contracted. ─ Shooting pressure in the frontal protuberances. ─ Sweat on the scalp.

Eyes

Pressure in the eyes, as from drowsiness. ─ Pains in the eyes, as from pressure on the margins of the socket. ─ Pain, as if a grain of sand were introduced into the eye, during movement. ─ Painful smarting in the eyes. ─ Inflammation of the eyes, with heat, redness, burning and pressive pains, and aggravation in the evening. ─ Eyes dull. ─ Prominent eyes. ─ Cornea dull, as if there were smoke in the posterior part of the eye. ─ Yellowish colour of the sclerotica. ─ Weeping, with tingling on the internal surface of the eyelids. ─ Weakness of sight, permitting only the outline of proximate objects to be seen. ─ On reading, confusion of the characters, which appear pale and surrounded by a white edge. ─ Pupils dilated, and deficient in sensibility. ─ Blindness, as if from amaurosis. ─ Sparkling, black, dancing spots, and obscuration before the eyes. ─ Sensitiveness of the eyes to the bright sunlight. ─ Photophobia.

Ears

Tearing in the ears, mostly in the external ear. ─ Intolerance of noise. ─ Shootings, buzzing, and tinkling in the ears. ─ Hardness of hearing; humming and roaring in ears. ─ Ringing in ears, with headache in temples. ─ Redness and heat of the external ear, and esp. of the lobes. ─ Eruption in the concha auris.

Nose

Nose hot and red. ─ Tearing in the dorsum of the nose. ─ Bleeding of the nose; after blowing it. ─ Bleeding of the nose and of, the mouth. ─ Dry coryza, with toothache and lachrymation. ─ Coryza, with sneezing. ─ Suppressed coryza (headache from it).

Face

Heat and redness of the face, esp. of the cheeks and of the lobes of the ears. ─ Complexion pale, earth-like (face sunken), sometimes of a blackish yellow. ─ Face dejected, with the eyes sunk and surrounded by a livid circle, and nose pointed. ─ Face bloated. ─ Rheumatic pains in the face. ─ Lips dry, blackish. ─ Lips cracked. ─ Swelling of the lips. ─ Burning, itching pustules on the lips and on the tongue. ─ Pain and swelling of the sub-maxillary glands.

Teeth

Odontalgia, with starting or drawing pains (in the upper molar teeth), provoked by the open air, or by a current of air. ─ Dull and distressing pains in carious teeth. ─ Throbbing toothache > by external warmth. ─ The toothache manifests itself chiefly after a meal, and at night ( < by smoking), and is mitigated by strong pressure, or by closing the teeth; a slight touch aggravates it excessively. ─ Loose teeth painful only when masticating. ─ Teeth covered with a black coating. ─ Swelling of the gums.

Mouth

Dryness of the mouth. ─ Clammy mouth with insipid watery taste. ─ Accumulation of mucus in the mouth. ─ Putrid taste of the mouth. ─ Tongue cracked, black, or loaded with a yellow or white coating. ─ Thick, dirty coating of the tongue. ─ Burning shootings in the tongue. ─ Burning biting, as from pepper, on the tip of the tongue, succeeded by ptyalism. ─ Ptyalism (with nausea, from the abuse of mercury). ─ Painful swelling of the tongue towards the root. ─ Failure of speech. ─ Flow of blood from the mouth.

Throat

Dryness of the throat. ─ Shootings in the throat, esp. on swallowing, provoked by the least current of air. ─ Swelling of the palate and of the uvula.

Appetite

Sickly, mucous, or watery taste, esp. after drinking. ─ Aliments appear insipid or too salt. ─ Sweetish taste in the mouth. ─ Acid, or bitter taste in the mouth; also of food and drink. ─ Repugnance to food and drink, with a sensation of fulness. ─ Sour taste of coffee and of rye-bread. ─ Bitter taste of beer, and of wheaten bread (beer, tobacco). ─ The food tastes too salt. ─ Dislike to butter, beer, and coffee. ─ Great desire for wine; for acid fruit. ─ Dislike to water, with desire for beer. ─ Burning thirst; the patient drinks often, but little at a time. ─ Bulimy, with sickly taste in the mouth, nausea, and inclination to vomit. ─ Voracity. ─ No desire for eating and drinking. ─ Appetite only while eating, with indifference to all food. ─ Desire for a variety of food, and confused longing for dainties, without knowing exactly which. ─ Violent thirst for cold water (drinks but little at a time, but often). ─ After each draught of liquid, shuddering or shivering, with corrugated skin, shootings in the chest, or colic. ─ Acid risings, and derangement of the stomach, after drinking milk. ─ Great weakness of digestion; after the most moderate meal, uneasiness, drowsiness, great fulness in the stomach, and in the inferior part of the abdomen, lassitude and indolence, insipid taste in the mouth, hypochondriacal humour and headache. ─ Weakness of digestion; the food is not digested, if taken too late in the day. ─ Bitter, acid, or tasteless risings, esp. after eating. ─ Indigestion after a late supper.

Stomach

Risings, esp. after a meal, mostly bitter, acid, or tasteless. ─ Risings, with taste of food. ─ Pyrosis, accumulation of water in the mouth, inclination to vomit, and pressure on the stomach after eating the least thing. ─ Vomiting of acidulated slimy matter, of water and of food. ─ Vomiting of blood. ─ Pressure at the stomach and cramp-like pains, esp. after having eaten. ─ Sensation of excoriation and pressure on the epigastrium, esp. in the morning.

Abdomen

Pains in the hypochondria. ─ Shooting and pressive pains in the hepatic region, esp. when it is touched. ─ Hardness and swelling of the liver. ─ Swelling (inflammation) and hardness of the spleen. ─ Shootings in the spleen when walking slowly. ─ Cuttings in the umbilical region, with shuddering. ─ Pulsations in the pit of the stomach. ─ Strong pressure, as if from a hard body, and fulness in the abdomen, esp. after a meal. ─ Fermentation after eating fruit. ─ Dropsical swelling of the abdomen (meteorism), with asthmatic sufferings and fatiguing cough. ─ Partial swelling of the abdomen, as from encysted ascites. ─ Excessive inflation of the abdomen, as from a kind of tympanitis. ─ Hardness of the abdomen, as from induration of the viscera. ─ Colic, with insatiable thirst. ─ Excessively painful colic; cramp-like and constrictive pains in the abdomen. ─ Inflammation and ulceration of the abdominal viscera. ─ Pressive shooting colic (under the navel) esp. on walking quickly. ─ Incarceration of flatus, which escapes neither upwards nor downwards. ─ Flatulent colic in the depth of the abdomen, with contraction of the intestines, and pressing forward of flatus towards the hypochondria. ─ Escape of fetid flatus. ─ Pressure towards the inguinal ring, as if a hernia were about to protrude.

Stool and Anus

Fæces small, and evacuated slowly. ─ Difficult evacuation of soft fæces, as if from inactivity of the intestines. ─ Frequent evacuations of the consistence of pap, or frothy. ─ Putrid or bilious evacuations. ─ Slimy, watery, yellowish diarrhœa. ─ Diarrhœa after eating fruit. ─ Diarrhœa, particularly after meals, at night, involuntary. ─ Loose evacuations, with excretion of all the undigested food. ─ Painless diarrhœa, accompanied by great weakness. ─ Blackish evacuations. ─ White fæces, sometimes with urine of deep-red colour. ─ The loose evacuations take place chiefly after a meal or at night. ─ Involuntary, liquid and yellowish evacuations. ─ Discharge of mucus from the rectum. ─ Pressure and shootings in the rectum and the anus. ─ In the rectum, stitches, also during stool. ─ Bleeding of the hæmorrhoidal tumours. ─ Crawling in the anus, as of worms. ─ Discharge of lumbrici.

Urinary Organs

Frequent and almost ineffectual urging to make water, followed by pressure on the bladder. ─ Urine: turbid, dark, scanty; white, turbid, with white sediment. ─ Urine scanty, greenish-yellow, with sediment like brickdust. ─ Slow emission of urine, with feeble stream and frequent inclination to urinate. ─ Wetting the bed. ─ Hæmaturia.

Male Sexual Organs

Excitement of sexual desire, with lascivious ideas, day and night. ─ Impotence, with excited lascivious fancy. ─ Swelling of the testes and of the spermatic cord. ─ Drawing pains in the testes. ─ Pollutions frequent, with too ready an emission, followed by great weakness.

Female Sexual Organs

Congestion in the uterus, with fulness and painful bearing-down, esp. when walking. ─ Constant discharge of clotted blood from the vagina. ─ Catamenia scanty. ─ Painful induration of the neck of the matrix. ─ During the catamenia, startings with cramps in the chest, and in the abdomen, or congestion in the head, with pulsation in the carotid arteries, face puffed, eyes prominent and watery, convulsive movements of the eyelids, and loss of consciousness. ─ Metrorrhagia, with discharge of black blood; with fainting and convulsions. ─ Leucorrhœa, even before the catamenia, and sometimes with cramp-like contraction of the uterus, and painful sensation of bearing-down towards the groins and the anus. ─ Watery and sanguineous flux from the vagina, with clots of blood or of fetid pus; itching and excoriation in the thighs.

Respiratory Organs

Hoarseness, indistinct speech, and low voice when singing, in consequence of mucus difficult to detach from the larynx. ─ Shootings and scrapings in the larynx. ─ Sensation of soreness in the larynx and trachea. ─ Short, dry cough, as if produced by the vapour of sulphur, in the morning, after rising. ─ Suffocating, nocturnal cough, with pains in the chest and in the shoulder-blades, so as to extort cries. ─ The cough is < in the evening, or after midnight from laughing; from continued talking; from lying with the head low from slightly touching the larynx; from a draught of air, after awaking; from loss of fluids. ─ Cough, with difficult expectoration of viscid mucus of a clear colour, painful shocks in the shoulder-blades and vomiting of convulsive cough, sometimes even with inclination to vomit. ─ Cough, provoked by laughing, drinking, eating, speaking and by breathing deeply, as well as by movement. ─ Expectoration of whitish mucus, mixed with blackish particles. ─ Suppuration of the lungs, after hæmoptysis (or frequent venesections) with stitches in the chest, which are < by pressure. ─ On coughing, expectoration streaked with blood. ─ Expectoration of purulent matter on coughing. ─ During the cough pressure on the chest, and pains as of excoriation in the larynx. ─ Spasm of the glottis.

Chest

Breathing, wheezing, crowing, rattling, tight, oppressed and painful. ─ Difficult inspiration and quick expiration. ─ Inclination to take a deep breath. ─ Difficulty of respiration and great oppression on the chest, with excessive anguish, as if from fulness of the stomach, or as if excited by too long a conversation. ─ Fits of suffocation from mucus in the larynx, esp. in the evening, and at night on waking. ─ Respiration difficult, and possible only when lying with the head very high. ─ Wheezing and groaning respiration. ─ Breathing laboured, loud and stertorous, with puffing, blowing out of cheeks. ─ Respiration short and quick. ─ Pressure on the chest, sometimes as from a hard body, esp. on the sternum, and after a meal. ─ Stitches in the chest; diaphragm. ─ Nightly suffocative cough, with stitches in chest. ─ Shootings in the chest, on coughing and on breathing. ─ Cough, with pain in the larynx and sternum. ─ Stitches in the side; with great heat, pulse strong and hard, and fixedness of look. ─ Great congestion in the chest, and violent palpitation of the heart.

Neck and Back

Tension in the muscles of the nape, and of the neck. ─ Pains, as from a bruise, in the back and sacrum, on the least movement. ─ Pain in the loins at night, when lying on the back. ─ Pulsative, shooting pains in the back. ─ Readily excited perspiration, at the back and the nape of the neck, on the least movement. ─ Pressure between the shoulder-blades, as from a stone. ─ Tractive and starting tearings in the loins, the back, the shoulder-blades, and the nape of the neck, with pains on moving the parts, provoked by the least movement.

Upper Limbs

Paralytic, starting tearings, in the muscles, and in the bones of the arms, the hands, and the fingers, provoked by the touch. ─ Tension and weakness in the arms and the hands. ─ Trembling hands (when writing). ─ Icy coldness of one hand, while the other is warm. ─ Extension of the arms, with contraction of the fingers. ─ Swelling of the dorsum of the l. hand. ─ Swelling, stiffness, and pains in the joints of the fingers. ─ Blue coloured nails.

Lower Limbs

Paralytic starting, tearings in the muscles and in the bones of the legs, the thighs, the knees, the feet and the toes, esp. on the parts being touched (rheumatic pains, not worse from motion). ─ The legs become soon benumbed when seated. ─ Weakness and want of stability in the coxo-femoral joint, the knees, and the ankle-bones, which yield when walking. ─ Red and hard swelling of the thigh, painful on being touched. ─ Arthritic swelling of the knees, and of the feet, with heat, and painful sensibility to the touch. ─ Hot swelling of r. knee, painful to the touch. ─ Hard abscess, of a deep-red colour, in the calf of the leg. ─ Uneasiness in the legs; it is found necessary to move them constantly; to curve them and draw them up. ─ Swelling of the feet, sometimes with red spots, hardness, tension, and deep-coloured urine. ─ Soft swelling of the soles. ─ Paralysis of the feet.

Generalities

Tensive pullings, or starting and shooting tearings, esp. in the large bones of the limbs, with paralytic pains, and weakness of the parts affected. ─ Tearing rheumatic pains in the limbs, on beginning to walk. ─ Pains and sufferings provoked or aggravated by touch, at night, or after a meal. ─ Uneasiness in the parts affected, which obliges the patient to move them. ─ Sensation of torpor in different parts. ─ Numbness of the parts which are pressed, on lying down. ─ Arthritic swelling, which is hard and red in some parts. ─ Dropsical swelling of some parts, or of the whole body. ─ Erysipelatous swelling of the whole body. ─ Great general weakness, with trembling, difficulty in walking, and great tendency to perspiration during movement and sleep. ─ More than ordinary vivacity, with fixedness of the eyes. ─ Convulsive movements of the limbs. ─ Over-sensitiveness of the nerves (from loss of fluids). ─ Congestions. ─ Veins are much enlarged. ─ Emaciation. ─ Over-excitability of the whole nervous system. ─ Aversion to mental and bodily exertion. ─ Fainting-fits; esp. if resulting from loss of animal fluids. ─ Attacks, of asphyxia. ─ Atrophy and emaciation, esp. of the arms and legs. ─ Great sensibility to a current of air, and sufferings on being exposed to it even slightly. ─ Heaviness of the whole body. ─ Spermatorrhœa. ─ Nasal secretion bloody, mucous. ─ Affections of the shoulder-blades, bones of the arm; thighs; knee joints. ─ There may be bleeding from every infernal part of the body; coldness and passive hæmorrhage. ─ Newly-born children lose much blood during parturition; the mucous membrane looks very bloody if there is only a slight bleeding going on; deficiency of blood; congestion of single parts; distension of blood vessels (Guernsey). ─ Contraction of inner parts; also dropsy of inner parts. ─ Induration after inflammation.

Skin

Excessive sensibility of the skin of the whole body. ─ Yellow colour of the skin (Jaundice). ─ Skin flabby and dry. ─ Piercing shootings and beatings in ulcers. ─ Burning, itching, or gnawing sensation, esp. in the evening in bed, sometimes with eruption of pimples, or prominent spots, as if from the sting of nettles. ─ Rheumatic, hard, red swellings. ─ Humid gangrene (of external parts). ─ Swelling of the limbs.

Sleep

Drowsiness during the day (and after eating), often with palpitation of the heart. ─ Frequent yawning, with stretching. ─ Retarded sleep, and sleeplessness, caused by a great influx of ideas. ─ Confused dreams when falling asleep. ─ Sleeplessness with pressive pain in the head, or bulimy. ─ Disturbed, unrefreshing sleep. ─ Starting with fright, on going to sleep. ─ On sleeping, the patient lies on the back, with the head turned back, and the arms extended over the head, with slow respiration, and with full and quick pulse. ─ Groans, snoring, and blowing expiration during sleep, even in children. ─ Painful, frightful dreams, which continue to produce agitation after waking. ─ Disordered, senseless dreams, after midnight, with a sort of stupidity on waking. ─ Dreams of failing from a height.

Fever

Shiverings, with shuddering, or feverish trembling, commonly without thirst. ─ Cold in the body, with congestion in the head, heat and redness of the face, and forehead hot. ─ General increase of heat, with veins swollen, without thirst. ─ After the heat, violent thirst. ─ Shiverings with headache, nausea, adypsia, vertigo, congestion in the head, paleness of the face, cold in the hands and in the feet, and vomiting of mucus. ─ Shivering more violent after drinking. ─ Heat, with dryness of the mouth, and of the lips, which are burning, redness of the face, headache, morbid hunger, delirium, pulse full and quick. ─ Heat, with prickings here and there, and burning thirst. ─ Heat, with strong inclination to be uncovered, or shivering as soon as one is uncovered. ─ Quotidian fever, or every two days, or tertian, commencing chiefly in the evening or in the afternoon, or in the morning, by shivering with trembling, followed by heat and nocturnal sweat. ─ Internal violent chill with icy cold hands and feet, and congestion to the head. ─ In the evening, in bed, he cannot get warm. ─ Fever, with pressive pain, and congestion in the head, soreness and swelling of the liver and of the spleen, bitter and bilious risings and vomitings, yellowish colour of the skin and of the face, short, convulsive cough, great weakness, pains in the limbs, and painful stitches in the chest. ─ The attacks of fever are often preceded by sufferings, such as palpitation of the heart, sneezing, anguish, nausea, excessive thirst, bulimy, headache, pressive colic, &c. ─ Chilliness over the whole body. ─ The thirst is generally felt only before or after the shiverings, or during the sweat, rarely during the heat (or only desire for cold drink), and scarcely ever during the shiverings. ─ Pulse small, weak, hard and rapid, less frequent after eating; irregular. ─ Ready perspiration during sleep, during movement (and from exercise in the open air). ─ Perspiration very profuse, and very debilitating. ─ Perspiration on the side on which he lies. ─ Suppressed perspiration. ─ Nocturnal debilitating sweats. ─ Oily sweat in the morning.

The Guiding Symptoms of Our Materia Medica

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

Mind

Quite unconscious to pinching ; loudly calling into ears arouses some momentary consciousness ; answers to questions unintelligible. θ Coma.
Chooses wrong expressions, or misplaces them.
Delirium after depletion ; on closing eyes, sees persons.
Head very much confused in morning, as after intoxication, with dryness of mouth.
He makes many plans and reflects upon their execution.
Full of projects and ideas, especially in evening and at night.
Excessive vividness of mind and fancy, with headache.
Slow train of ideas, as though there was a difficulty in thinking.
Mind constantly changing from one thing to another.
Fixed idea that he is unhappy, persecuted by enemies.
She thinks she is very unfortunate and constantly harassed by enemies. θ Pregnancy.
Disposition to be alone.
An excessively anxious solicitude about trifles.
Maniacal condition, says and does foolish things and runs about. θ Intermittent.
During a cheerful mood, sudden transient screaming and tossing about bed, without any apparent cause.
Compelled to jump out of bed ; wants to destroy himself, but lacks courage.
Dislike to all mental or physical exertion.
Disinclination to think ; alternating condition of cheerfulness and gloom.
Indifference, apathy, taciturnity.
Indifference to his pains, great lassitude and weakness. θ Typhoid.
What usually appears to him bright and joyous seems now unattractive, unworthy and shallow.
Fitful mood ; cheerfulness alternating with sadness.
Low-spirited, gloomy, has no desire to live.
Excessive nervousness, with lowness of spirits and intolerance of noise.
Hypochondriacal mood and inability to work, especially after a meal.
In morning on waking, anxious thoughts and ideas.
Inconsolable anxiety, even to suicide.
Dread of dogs and other animals at night.
Ill humor ; cheerful persons become cross and irritable.
Ill humor increased by petting and caressing.
Inclined to reproach and vex others.
Stubborn, disobedient, longing for dainties ; face pale, or at times red ; restless all night ; children.
Dreadful feeling of excitement.
General excitation during attacks, followed by depression. θ Ciliary neuralgia.
Nervous irritation, with slowness of ideas.
Intolerance of sensual impressions.
Worse after exerting mind.

Sensorium

Great sensation of emptiness in head in morning, as after drunkenness, with dry mouth.
Vertigo : after loss of animal fluids ; anemia ; head feels weak, can hardly hold it erect ; with chill ; on raising head ; with nervous erethism, excitable, hysterical ; with fainting ; on rising as if he would fall
backward ; with faintness ; she staggered and could not walk straight ; head inclined to sink backward ; < on motion and when walking ; > when lying ; in occiput when seated ; on waking at night he does not dare to rise ; dizziness and heat in
head, < when lying.
Stupefaction of head, with pressure in forehead.
Dulness of head : giddiness, as from sitting up at night, sleeplessness ; as from coryza or intoxication and languor in limbs in morning on awaking.
Heaviness of head, fainting, loss of sight, ringing in ears, cold surface ; after hemorrhage.
Weight on head, with tendency to fall backward, while seated.

Inner head

Rush of blood to head, with heat and fulness.
Fulness in head, sensation as if brain was rolled around, with great excitement, nervous susceptibility increased.
Sensation as if brain was balancing to and fro, and was striking against skull, occasioning great pain.
Headache, so sensitive that it seems as though skull would burst ; brain beats in waves against skull.
Congestion to head, pain in temples, noise and tingling in ears, frequently deafness and confused vision, heat and redness of face and head, while rest of body is cold and chilly.
Severe headache, flushed face, full, throbbing pulse, resembling one whose brain is congested. θ Intermittent.
Sensation as if head would burst, with sleeplessness ; < from motion or any jar ; > in room and when opening eyes.
Intense throbbing headache ; carotids throb ; after loss of blood.
Painful pressure towards forehead, as if something would fall out ; < by firm pressure of hand.
Pressive frontal headache ; on leaning back pain < in temples and again in forehead when sitting.
Pain in head as if brain was pressed into a ball, with excessive vividness of mind.
Headache, as if brain was pressed together from both sides and out at forehead, very much < by walking in open air.
Sensation of constriction as if bound with a cord, especially on right side of forehead and occiput ; < by walking, when there are violent throbbings and head feels as if it would burst.
Headache like a heaviness and heat in it ; < on turning eyes, together with jerking pain in temples.
Jerking headache in temple, extending to upper jaw.
Constant, dull, cutting pain from temples to orbits and occiput ; < by stooping and motion.
Stitches in head, with pulsation in temples, which can be felt by finger ; > by hard pressure, but < by movement of head.
Stitches from temple to temple.
Headache, first like a cramp in vertex, followed by bruised sensation in side of head ; < by slightest motion.
Tractive headache, from occiput to forehead, as if latter was compressed, which terminates in throbbing at temples ; > after walking, and < on sitting still.
Headache from occiput over whole head from morning until afternoon ; < lying, must stand or walk ; drives to madness.
Headache in occiput after sexual excesses or onanism.
Severe pressure in occiput as if cerebellum would be forced out.
Soreness of brain as if bruised, particularly when walking in wind or making any mental effort.
Whole head feels bruised ; < from exerting mind.
Brain feels bruised ; < on moving, even opening his eyes ; scalp sensitive ; < at night.
Violent jerking-tearing in several places in head ; < on motion and when walking ; relieved when lying.
Violent tearing, darting pains in various parts of head ; < by walking ; > when sitting still ; weight and darting pains in forehead, especially on moving eyes ; darting pain in parietals, which descend along neck ; darting pains disappear by
evening.
Throbbing, hammering, tearing, pressing headache, extending to neck and teeth ; < at night, with great restlessness and sleeplessness ; nodes on head as large as a filbert ; profuse sweat without relief ; scalp painful to touch.
Periodical cephalalgia of left side, occurring each morning ; attacks commence at 1 o'clock in morning, lasting until 10, 12 and sometimes 1 o'clock P. M. ; pain confined to left side of head and is of a boring and pulsating character.
Hemicrania, left side, affecting eye and neck.
Headache on alternate mornings, left side into left cervical region. θ Asthmatic cough.
Neuralgic headache, first on left, subsequently on right side, beginning in teeth and jaw, extending to ear, temples and vertex ; < from a current of air, or taking anything cold or hot into mouth ; > by external warmth ; < at night during and after lactation.
Headache, changing from side to side.
Headache, with yawning and great weakness.
Tearing drawing, oppressive pains, as from a load on head.
Jerking-tearing in head, or tearing with pressure.
Pressive headache in the side which is leant upon.
Tractive pains in various parts of head ; < by motion.
Lancinating pains in various parts, especially in frontal region.
Headache improved by moving head up and down.
Headache : < from draught of air ; in open air ; from sun ; slightest touch ; > from hard pressure.
Headache from suppressed coryza ; < in open air, or from exerting mind.
Headache, particularly at night, with sleeplessness.
Inflammation of the brain and hydrocephaloid.

Outer head

Burning in forehead, with hot sweat on it.
Distended veins on temples and forehead.
Pain externally on occiput ; > from drinking coffee.
Contractive pain of scalp, as if scalp was clutched and drawn together to one point of a circle.
Scalp feels as if hair was grasped roughly.
Scalp sensitive to touch, roots of hair hurt when hair is moved ; < when walking in open air and from a draught of air ; > by a strong external pressure and scratching head.
Profuse sweat on head, especially when walking in open air.

Sight and eyes

Illusion in morning of bright gold chain dangling before eyes, whether eyes are open or closed, with headache. θ Asthmatic cough.
Flame of candle seems to be of a dazzling sulphur color, after a few minutes all surrounding objects appear enveloped in dazzling rosy light.
Sensitiveness of eyes to bright sunlight.
Letters pale, surrounded by white borders. θ Amblyopia.
Scintillations, or black motes before eyes.
Dimness and weakness of sight ; she can only distinguish outlines of distant objects.
Shortsightedness after typhus, with diarrhœa.
Amblyopia, consequent upon venereal excesses and intoxication ; only large objects could be distinguished at six paces ; letters run together and look like black spots on a white ground ; pupils dilated and sluggish ; fundus of eye hazy ; cornea dim ; vision
> in morning ; with loss of strength, trembling of limbs, weak digestion and uneasy sleep ; in drunkards ; after masturbation ; after loss of fluids, tendency of blood to head.
Amaurosis, first right then left eye, with spinal irritation.
Sudden blindness with violent pain in occiput, extending into eyes.
Nocturnal blindness, hemeralopia.
Dimness of cornea, as if eyes were filled with smoke.
Ulcers in course of pannus, with much pain in morning.
Ulceration of cornea, particularly if iris becomes involved, dependent upon malarious causes or anemia.
Iritis from loss of blood, after confinement.
Iritis from inoculation with gonorrhœal virus, intense photophobia, with pain in forehead.
Dilated, not very sensitive pupils. θ Amblyopia.
Yellow color of eyes. θ Fever and ague.
Focal distance of eyes unequal for near and far points. θ Muscular asthenopia.
Motion of eyes painful and difficult, with sensation of mechanical hindrance. θ Ophthalmia.
Distortion of eyeballs, one eye being open and the other half closed.
Pressure in eyes, as from drowsiness.
Pressive pain in outer canthus ; tearing in left outer canthus.
Excessive pain as if a knife was thrust between orbit and ball and moved about in orbital cavity as if to scoop out eye, from 8 A. M. till 2 or 3 P. M. θ Ciliary
neuralgia.
Every other day between 8 and 9 A. M. an attack of violent pain in eye which becomes inflamed ; at noon all symptoms disappeared. θ Ophthalmia rheumatica.
Smarting, first in one, then in other eye, with lachrymation.
Pressive smarting pain in eyes as from salt ; she must constantly rub them.
Eyes red, with pressive burning pains in them, much heat.
Pressure, as from sand in eyes ; photophobia ; eyes hot, red, or dim, as if filled with smoke.
Dry feeling betwixt lids and balls, rubbing pain on moving lids, without perceptible alteration in eye.
Formicating pains in eyes and on inner surface of lids, with lachrymation.
Inflammation and itching of eyes and eyelids in persons debilitated by loss of animal fluids.
Crawling inside of lids ; < in evening, with running tears.
Uncontrollable twitching of right upper eyelid.
Involuntary closing of eyelids from mere weakness.
Vision better in morning. θ Amblyopia.
Inflammation ; < at night ; also in scrofulous individuals.
Worse from light ; > in dark.
Ciliary neuralgia dependent upon iritis, following malarial disease.
Pressing pain in one spot at inner and upper border of orbit, extending to nose and sometimes into lid, closing it, and of an intermittent type, coming on every evening about 11 o'clock. θ Scrofulous
ophthalmia.
Supraorbital neuralgia of right side, with morning periodicity ; the pains are lancinating and tearing, the parts intolerant to pressure, with redness of eyes and lachrymation.
Intermittent ciliary neuralgia, with painful pressure and drawing in forehead and temples every day at 10 A. M. ; < from touch or motion.

Hearing and ears

Intolerance of noise.
Ringing in ears, with headache in temples ; debility.
Ticking sound in ear, as from a distant watch.
Something seems to be constantly before ear.
Hardness of hearing ; humming or roaring in ears.
Tearing pains in ears, < from least touch, ears red.
Stitches in ears.
External ear hurts when lying on it and is hot.
Hemorrhage from ear, offensive, bloody, purulent discharges.
Hemorrhage from ears after prolonged suppuration.

Smell and nose

Smell too acute.
Dry coryza, toothache, lachrymation, much sneezing.
Suppressed coryza, headache from it.
Nosebleed : anemia ; ringing in ears ; face pale ; fainting ; with tendency of blood to head ; after blowing it, especially morning, on arising.
Frequent bleeding from nose ; hemorrhage from nose and mouth.
Tearing in dorsum of nose.
Pressive pain in root of nose, which extended to side.
Redness and heat of nose.
Cold sweat about nose and mouth.

Upper face

Hippocratic countenance, with listlessness and apathy.
Face and eyes sunken and jaundiced. θ Biliary colic.
Face quite yellow. θ Fever and ague.
Face : red, during fever ; hollow, pale, or livid ; with atrophy ; pale, blue around eyes ; yellow, earthy ; grey, yellow, or black ; hippocratic.
Face hot, when entering room from open air.
Cheeks are red, feel hot to the patient although they are not warm, while other parts are chilly and cold.
Bloated, red face ; face intensely flushed. θ Coma.
Frequent change of color in face.
Neuralgic : periodical attacks ; pains excessive, skin sensitive to least touch ; part feels weak ; face alternately red and pale ; pains from left to right ; mostly in infraorbital and maxillary branches.
Prosopalgia < by touch or movement.
Supraorbital periodical neuralgia ; lancinating and tearing pains, with swelling and perspiration of face ; she cannot work, speak or swallow.
Facial neuralgia of left side, with morning periodicity ; darting, constrictive pressure, which extends from temple and eyes to whole side of face ; lachrymation ; pains < by noise, movement and touch.
Violent, tearing, laming, burning pain in right side of face, extending up to parietal bone and down to clavicle ; < at night ; > from eating, but < from touch and lying down ; right arm numb ; great weakness and prostration.
Needle-like pains in left face, left chest and left hand.
Right-sided faceache.
Faceache ; nervous or rheumatic.
Erysipelas of face and hairy portion of scalp, with much fever and dyspnœa ; somnolence alternating with delirium, constantly present ; excessive weakness.
Enormous swelling of face, particularly of eyelids ; several large vesicles filled with fluid upon the cheeks ; pulse 120 ; temperature 39°C ; constant but quiet delirium. θ Erysipelas
of face and scalp.
Veins of face distended.

Lower face

Lips : burning ; swollen ; dry, hard, cracked, blackish ; shrivelled.
Lips deep blue. θ Coma.
Submaxillary glands swollen, painful during swallowing.

Teeth and gums

Toothache, veins in forehead and hands distended ; throbbing pain.
Tearing, drawing, jerking, boring in teeth ; from every cold.
Twitching, tearing in upper molar teeth, from taking cold in a draught of air.
Throbbing toothache > by external warmth.
Toothache < from least contact, moving body, tea, open air, or current of air ; > from pressing teeth together.
Toothache while nursing infant at breast.
Toothache during sweat.
Pressure in teeth as if blood was forced into teeth.
Distressing dull pain in hollow teeth.
Painful numbness in decayed teeth.
Teeth are loose and painful only when chewing.
Black coating of teeth ; covered with dark sordes.
Swelling of gums ; mouth dry.

Taste, speech, tongue

Taste : too acute ; putrid, morning ; bitter in back part of throat ; flat, watery.
Bitter taste in mouth, even tobacco tastes bitter while smoking.
Slimy taste in mouth, which disgusts him with butter.
Taste at first sweetish, then sour ; profuse saliva.
Food tastes bitter or too salt.
Although he had no bitter taste in his mouth by itself, yet everything tasted bitter ; after swallowing food there was no bitter taste.
Burning stitches on tongue.
Burning as from pepper on tip of tongue, followed by ptyalism.
Cracked, black, or yellow coated tongue.
Tongue black, parched, or raw as if burned.
Tongue white, mornings ; child restless all night ; no appetite for breakfast.
Tongue coated white, or yellow ; thick, dirty coating.
Mouth very moist from an unusual flow of saliva ; tongue dotted here and there with yellowish vesicles, some of them broken and looking sore ; fauces very red ; child in bad humor, hungry but could not take the breast. θ Nursing
sore mouth.

Inner mouth

Dryness of mouth, with thirst.
Painful sensitive swelling of uvula.
Much saliva in mouth, with nausea.
Salivation day and night, years after mercury, great weakness, especially of stomach.

Palate and throat

Throat feels rough, scraped, producing a sore sensation on swallowing.
Difficult deglutition as from contraction of œsophagus.
Enlargement of tonsils.
Gangrene of throat.

Appetite, thirst. desires, aversions

Voracious appetite ; atrophy.
Canine hunger ; < at night.
Longing : for spirits ; sweets ; sour, cooling things ; roasted coffee.
Children dainty, desire various things without knowing what.
Morbid craving for dainties, accompanied by sexual desire and lascivious fancies.
Wants highly seasoned food.
Hunger and yet want of appetite ; food tastes natural, yet seems disagreeable in mouth.
Indifference to eating and drinking ; only while eating some appetite and natural taste of food return.
Loss of appetite, nausea, desire to vomit.
Loss of appetite in foggy weather.
Loathing of food as if he had overeaten ; continual sense of satiety.
Aversion to all food, even when thinking of it ; dread of labor ; drowsy by day ; yellow eyes.
Averse : to bread ; to beer ; to butter ; to meat ; to fat things ; to warm food ; to coffee, although food has a natural taste.
Thirst and hunger, in evening, an hour after fever, then, after he had eaten, coldness and rumbling in bowels.
Violent thirst for cold water ; drinks little and often.
Thirst after chill, without subsequent heat.
Thirst after fever, during sweat on back and forehead.
Thirst only between the cold and hot stages, or during sweat. θ Intermittent.

Eating and drinking

Feels satiated all the time ; loss of appetite.
Bread tastes good while chewing, but bitter on swallowing.
The slightest portion of food causes much pain. θ Debility.
After eating : weariness, desires to lie down and sleep ; drowsiness, oppressive fulness of stomach and abdomen, general malaise and languor.
After a meal, fulness as if stomach and œsophagus were filled up to throat.
Sleepy after eating, during hot stage.
Worse after breakfast.
During and after dinner, pain is relieved. θ Prosopalgia.
Gastric symptoms from : eating fish ; excessive use of tea ; sour wine ; new beer ; impure water ; fruit ; eating bad meat or fish.
Shuddering and chilliness, with gooseflesh after every swallow he takes.
Drinking < chill.
Worse from drinking wine and other liquors ; suitable for inveterate drunkards.
Sour eructations after milk ; milk disagrees.
Beer intoxicates easily.
Warm drinks impede digestion.
Worse from smoking.

Hiccough, belching, nausea and vomiting

Hiccough. θ Biliary colic.
Nausea felt in throat pit after a meal.
Belching, sour rising.
Child belches after eating and does not care to nurse.
Empty eructations of air only.
Frequent eructation, which affords no relief.
Eructations taste of food ; or are bitter.
Sour eructations, > a while after swallowing milk.
Gagging.
Frequent vomiting.
Vomiting of food, in debilitated persons, after eating.
Vomit : sour ; mucus, water, food, blood and bile ; blackish ; bloody ; < at night.
Vomiting bile. θ Biliary colic.
Spitting or vomiting of blood.

Scrobiculum and stomach

Heartburn : after milk and after every meal, with flatulency.
Pyrosis and heartburn ; most in afternoon.
Pulsations in pit of stomach.
Rumbling, especially in epigastrium.
Cold feeling in stomach ; constant satiated feeling, yet can eat, but feels < afterwards.
Sensation of emptiness and qualmishness in stomach.
Sensation of fulness in stomach takes his appetite away.
Fulness in stomach and bowels ; flatulence ; belching does not relieve.
Heavy pressure in stomach, after small quantity of food.
Sensation as if food pressed upon and hurt stomach.
Violent oppression in pit of stomach ; < at night in recumbent position.
Stomach feels sore, as if ulcerated, cannot bear slight touch.
Spasmodic pains in stomach.
Fermentation after eating fruit ; acidity.
Milk easily disorders stomach.
Slow digestion, food remains long in stomach, especially if eaten too late in day.
Dyspepsia from loss of animal fluids or noxious miasmata.
Hematemesis, great loss of blood, weak, pale, cold hands and feet ; stomach very sensitive to touch.
Gastralgia : after depletion ; from acidity ; with bloating after food or drink ; satiety ; relieved by motion.

Hypochondria

Pain in hepatic region, as from subcutaneous ulceration ; < from touch.
Shooting in region of liver ; also tenderness and pain when touching the part.
Sensitiveness in region of liver to least pressure.
Swollen, hard liver.
Obstruction in gall bladder with colic, periodic recurrence, yellow skin and conjunctiva, constipation, with dark greenish scybala.
Biliary calculi.
Gastro-duodenal catarrh after loss of fluids or severe illness.
Aching, stitching pains in spleen when walking slowly ; pains extend in direction of long axis of spleen.
Swelling and hardness of spleen ; region of spleen painful and tender. θ Intermittent.
Enlarged spleen.

Abdomen and loins

Sensation of internal coldness in upper abdomen after every swallow of drink, and renewed at every inspiration.
Abdomen distended, wants to belch ; eructations afford no relief.
In connection with the tightness about abdomen, she often feels as if her garters were too tight and loosens them ; she must loosen waistbands also.
Tympanitic abdomen, pressure as from a hard body ; or spasmodic, constrictive pains from incarcerated flatus ; < at night or after depletion ; also in typhus ; < mornings.
Great rumbling and moving of much flatus in abdomen, with a pressive sensation in evening between 6 and 10, followed by passage of much offensive flatus.
Flatulence from excessive tea drinking.
Fermentation in abdomen from eating fruit.
Heat in abdomen as of hot water running down.
Pinching in abdomen, bending double affords relief.
Cutting pain in bowels.
Pressing aching below navel.
Colic : in region of umbilicus, with shivering ; at a certain hour each afternoon ; three months colic ; periodical from biliary calculi, or other causes ; from weakness and loss of fluids ; from flatulence ; before passage of flatus ; before
stool ; followed by diarrhœa ; with great thirst ; with hunger ; > bending double ; < at night and after eating.
Griping, with violent pains in abdomen on passing flatus.
Doughy, dropsical swelling of abdomen.
Swelling of abdomen, legs and feet ; oppression in chest as if from a lump ; appetite very poor ; on lying down, feet become less swelled but she has more oppression of chest ; face puffed ; albumen in urine. θ Acute
dropsy following parturition.
Worm troubles, < at night, fulness in abdomen, with heartburn and waterbrash.
Strangulated hernia ; gut black ; after operation.

Stools and rectum

Accumulation of much flatus, which will pass neither up nor down.
Emission of a quantity of flatulence, frequently very fetid, without relief.
Flatulent discharges.
Stools : profuse ; frequent ; putrid ; corrosive, loose, brownish, painless, with feeling of debility ; frothy, painless, diarrheic, with fermentation in bowels ; painless, black ; thin, large, with passage of wind, mornings ; offensive,
undigested, or white, papescent, at night ; yellow, watery, involuntary ; cadaverous smelling, chocolate colored, < at night ; bilious ; greenish ; bloody ; yellow mucous.
Very copious stool ; < every other day.
Stool loose and green in children, with great flatulence.
Dark, greenish, scybalous stools. θ Biliary colic.
In swarthy persons : thin, large stools, digested or not, usually with passage of wind and sometimes colic ; but always < in morning ; sleep < after 3 A. M.
Soft stools, with biting, burning pain in anus and colic before and after every stool.
Diarrhœa comes on gradually, stools more and more watery, pale, pinkish, with rapid emaciation.
Diarrhœa : particularly after meals, at night, painless early in morning ; in hot weather ; from eating fruit ; from drinking sour beer ; after measles ; during smallpox ; after severe acute disease ; after loss of fluids ; on alternate
days ; with great flatulence ; with trembling and debility.
After long-lasting attack of cholera infantum, child becomes drowsy, pupils dilated, rapid and superficial breathing, nose and tips of ears cold. θ Impending
hydrocephaloid.
Dysentery in marshy districts, with intermittent symptoms.
Bowels frequently constipated. θ Dropsy and debility.
Difficult passage of feces, even when soft or papescent, as from inactivity of the bowels ; sluggish peristalsis.
Accumulation of feces in intestines, with dizziness and heat in head.
Constipation : large accumulation ; stool difficult, even if soft ; after long purging.
Hard, intermitting stool, with sensation of tightness and fulness in abdomen ; also with burning and heat in head.
Involuntary passing of feces and urine. θ Coma.
Mucous discharge from rectum.
In rectum, stitches, also during stool.
Tingling in anus, and discharge of pin worms.
Bleeding piles, burning and itching ; debility.

Urinary organs

Frequent and urgent desire to urinate.
Burning at orifice of urethra, especially painful from rubbing of clothes.
Urine : turbid, dark, scanty ; white, turbid, with white sediment ; pale, becoming cloudy or depositing a dingy, yellow, loose sediment ; dark colored, with brick red sediment.
Scanty, greenish-yellow, brick-dust or pinkish sediment.
Enuresis of weakly children.
Albuminuria.
Diabetes.

Male sexual organs

Sexual desire too strong and too continuous.
Morbid sexual desire ; lascivious fancies.
Impotence, with lascivious fancies.
Impotence from overindulgence.
Nocturnal emissions too frequent and debilitating ; particularly after onanism.
Consequences of excessive or long-continued seminal losses.
Painful swelling of spermatic cord and testicle, especially the epididymis ; tearing in left testicle in left side of prepuce ; cramplike, contractive pain in testicles, evenings ; after gonorrhœa.
Stitches or contractive pain in urethra.
Burning at orifice of urethra, especially painful if clothes rub against the parts.

Female sexual organs

Ovaritis from sexual excess or hemorrhage, parts very sensitive to slight touch.
Dropsy : of ovaries ; of uterus.
Congestion to uterus, fulness, pressing and heaviness, < when walking.
Metritis after great loss of blood, or excessive coitus.
Prolapsus and attendant symptoms superinduced by loss of fluids, particularly blood.
Menses : too early, profuse, black clots, with spasm in chest and abdomen ; painful ; profuse, with sensation of great distension of abdomen.
Menstrual colic.
During menses : spasms in chest and abdomen ; congestion of blood to head.
After menses : great weakness, trembling debility, with singing in ears and fainting.
Suppression of menses from chagrin ; secretion of milk in breasts.
Metrorrhagia, blood dark ; fainting ; convulsions.
Discharge of bloody serum, alternating with pus.
Leucorrhœa : acrid ; instead of menses, with itching ; with spasmodic uterine contractions, painful bearing down to vulva and anus ; menses increased.
One week after menses bloody leucorrhœa, with clots ; lame, sore feeling through lower bowels, dull headache, weakness and depression.
Painful induration in vagina ; slightest contact causes darting, tearing pain, or tearing with pressure.
Suitable to women after climacteric period.

Pregnancy. parturition. lactation

Nymphomania of lying in women.
Threatening miscarriage.
Abortion ; abdomen distended, belching does not relieve ; much loss of blood.
To promote expulsion of moles.
Uterine spasms.
Labor pains cease from hemorrhage ; cannot have hands touched.
Uterine hemorrhages, ringing in ears, fainting, imperceptible pulse, cold ; loss of sight ; discharge of dark clots ; uterine spasms ; twitches, jerks ; wants to be fanned.
Hemorrhage from atony of uterus.
Uterine hemorrhage, after expulsion of immature fetus ; unconsciousness.
Hemorrhage from abuse of chamomile.
Lochia last too long ; drawing pain about ovaries ; discharge fetid or cheesy, purulent.
Asphyxia of the newborn, after great loss of blood by the mother.
Eclampsia from loss of blood.
Deterioration of health from protracted lactation.
Nursing children jaundiced ; bloated or tympanitic abdomen, and enlarged spleen or liver.
Toothache of nursing mothers.
Hæmoptysis during lactation.

Voice and larynx. trachea and bronchia

Hoarse ; voice rough ; deep from adhering mucus.
Deep, husky voice when talking or singing.
Sore sensation in larynx and trachea.
Chronic catarrh with mucous rales, coarse and loud.
Bronchorrhœa with general malaise, simulating last stage of phthisis.
Influenza, with debility, loss of appetite, heat without thirst.

Respiration

Asthma, looks as if dying ; < Autumn, wet weather, or after depletion.
Cannot breathe with head low.
Wheezing, whistling inspiration, crowing, rattling, oppressed and painful.
Inspiration slow, difficult ; expiration quick, blowing, short. θ Œdema glottidis.
Respiration labored, loud and stertorous, with puffing, blowing out of cheeks at each inspiration. θ Coma.
Inclination to take a deep breath.
The breathing is tight, oppressed and painful, or short and hurried.
Oppression of chest : evenings, lying down ; as from fulness in stomach ; from continued talking.
Constant choking : every day between 6 and 7 P. M., short breath and loud wheezing, making the choking worse ; must sit up and sip water ; tight, stuffy cough, with very little sputa ; pain in spine, like a weight there, < by lifting ; sensation of fulness in
abdomen while eating ; all her clothes feel tight ; constant tiredness, must lie down, else she has such palpitation that she cannot breathe ; head dragged backward.
Rattling in chest ; loud sounds through nose.
Suffocative catarrh and paralysis of lungs of old people.
Nightly suffocative fits ; spasmodic cough.
Suffocative fits, as from mucus in larynx.
Breath cold.
Wants to be fanned, but not hard, for it takes her breath.

Cough

Continual irritation to hacking cough, in morning after rising, as from sulphur vapor, whereby nothing could be loosened, for several mornings.
Cough : with pain in larynx and sternum ; with pain throughout whole cavity of chest ; with stitches in chest ; immediately after eating ; spasmodic with retching ; caused by a tickling in chest ; first hollow, dry and painful, later bloody
expectoration ; dry, with a taste of blood ; hacking, with blood spitting and great prostration ; lactation with expectoration of blood-streaked mucus, or with difficult expectoration of clear, tenacious mucus ; with granular sputa during day or evening, none night or
morning ; causing cutting in left lower abdomen ; caused by laughing ; during or after measles.
Dry, spasmodic, or suffocative night cough, as from vapor of sulphur, with bilious vomit.
Constant cough, with expectoration of blood and fetid pus, loss of appetite, thickly furred tongue, constant pain in chest, and especially in gastric region, which is painful to pressure ; spleen affected, splenic region painful, and peculiar irritation
in chest, proceeding from left side.
Asthmatic cough at 3 A. M., followed by frothy, badly tasting expectoration ; sharp stitches in right pneumo-hepatic region.
Sputa : slimy, whitish ; black and difficult ; striped with blood ; taste like old cheese.
Cough worse : lying with head low, or on left side ; moving ; deep breath, talking, laughing ; eating, drinking ; evening or after 12 P. M. ; lightly touching larynx ; least draught ; loss of fluids ; after being awakened.
Whooping cough.

Inner chest and lungs

Pressive, drawing pain across lower portion of chest while sitting, causing anxiety ; disappeared while standing and walking.
Stitches : in right chest up to axilla, prevents bending forward and breathing ; in left chest ; under sternum ; < during deep breathing and sudden movements ; in cartilages of third and fourth left false ribs, without affecting inspiration or
expiration.
Continuous pain in left chest and in stomach, on touching stomach he shrinks.
Pain in side, as if beaten, or as from a blow.
Small spot below last right ribs, in which even slightest pressure or walking causes a sticking pain.
Pressing, stinging pain in chest and windpipe.
Pressure in chest, as from violent rush of blood, violent palpitation ; bloody sputa ; sudden prostration.
Cannot bear percussion or even auscultation, chest so sensitive.
Loud, coarse rales, great debility, anemia ; œdema of legs.
Pneumonia after hemorrhages, with bleeding or with bilious symptoms, or incipient gangrene of lungs.
Hæmoptysis ; with subsequent suppuration of lungs ; stitches in chest < from slight touch ; cough with dizziness in head, and eyes feel enlarged ; clotted blood mixed with pus ; in females exhausted by nursing ; after bullet wound through lung and
collapse ; with saltish expectoration ; pleurodynia.
Hemorrhage from lungs with coughing spells ; dizziness in head ; eyes feel big ; feels full after eating a mouthful.
Phthisis from loss of fluids and loss of vitality ; copious night sweats ; phthisis of drunkards.
Pleurisy in persons who have lost much blood.
Pleuro-pneumonia with profuse exudation, prostration, emaciation and pallor during confinement.
Pneumonia, and other affections of chest, symptoms being < every other day.
Chest affections in hysterical, weakly and fidgety females.

Heart, pulse and circulation

Melancholy feeling about heart, with desire to take a deep breath.
Palpitation : with rush of blood to face, heat and redness of face, with cold hands ; after loss of fluids ; with distension of veins ; strong, violent, with feeble pulse and cold skin.
Pulse : frequent, small, hard ; more quiet after meals ; feeble, rapid ; unequal, intermitting ; quick, hard and irregular during chill and heat ; slow and feeble in apyrexia ; full, throbbing.

Outer chest

Tearing pain in sternum with cough.
Boils on chest.

Neck and back

Shooting pains in nape of neck, which becomes, in a measure, stiff, with constrictive pain in skin over left occiput.
Drawing pain at nape of neck and each side of spine, and pains in small of back as if bruised.
Pressure as from a stone between scapulæ.
Sensitiveness of spine. θ Amaurosis.
Stitches in spine and shoulders.
Stitches in left side of back.
Tensive pain in small of back, as from a heavy load, or after long stooping.
Insupportable pain in small of back, like a cramp, < from least movement.
Pain in small of back, at night, lying on it.
Laming, drawing, tearing pains in back and thighs.
Aching pain across loins. θ Dropsy.
Spinal affections with diminished sexual desire.
Perspiration on back and neck from least motion.

Upper limbs

Aching in shoulder blades and limbs, < from least pressure ; restless, wants to change position.
Paralytic grinding-tearing in bones of upper limbs, < by touch.
Spasmodic stretching of arms, with clenched fingers.
Hands tremble (when writing).
Numbness in right arm. θ Prosopalgia.
Paleness and coldness of hands and feet, like marble, even in a warm room.
One hand icy cold, the other warm.
Veins of hands distended ; swelling of back of left hand ; nails blue.

Lower limbs

Hip disease, with profuse suppuration, sweat and diarrhœa.
Legs feel as after a long walk ; uneasiness, must move them or draw them up.
Darting and tearing pain in lower limbs, < by contact.
Drawing pain in bones of thighs, as if periosteum had been scraped with a dull knife.
Pain in right knee, up to thigh or down towards leg ; pains < from contact than from motion.
Hot swelling of right knee, painful to slight touch.
Knees weak, especially when walking.
Legs and feet swollen, can hardly walk, when she walks calves of legs smart and sting. θ Acute dropsy following parturition.
Sensation in lower leg as if garters were tied too tightly, and as if leg would go to sleep and become stiff.
Hard, dark red swelling on calf of leg terminating by suppuration.
Weakness of feet, as if they were bruised.
Rheumatic pains in metatarsal bones and phalanges of toes, < from contact, not from motion.
Swelling of feet ; hot, arthritic ; dropsical ; soft swelling of soles.
Pain with swelling of big toe, < by touch and motion, especially during evening and night.
Red swelling of toe tips.

Limbs in general

A sensible though invisible trembling of all the limbs, combined with a cooling sensation.
Sensation as of a band tightly tied around different parts of leg or arm.
Numbness and deafness of limbs, they go to sleep when lying on them.
Laxity of all the limbs and trembling of hands.
Heaviness in limbs, especially thighs.
Painful weariness of joints with pressure as of a load, particularly in morning, in bed or when sitting.
Pains in limbs, as if clothing was too tight, after a walk in open air.
Pains in limbs < from slight touch, gradually increased.
Darting, tearing, < from contact, especially in hands and feet.
Limbs pain, especially joints, as if bruised, < in rest, > moving.
Parts around swollen joints very sensitive to least touch ; < at night, parts feel weak.
Parts about joints are swollen and excessively sensitive to touch ; < pains at night.
Tensive, extremely sensitive drawing pain in almost all the bones, now in one, now in another, which is for the moment relieved while lying, but soon returns more violent than ever.
Stiffness of limbs.
Arthritic and rheumatic, hard, red swellings.
Cold hands and feet, < by walking, with vertigo and pale face.
Emaciation, especially of hands and feet.

Rest. position. motion

While resting : pain in limbs and joints <.
Standing : headache compels ; > pressive, drawing pain across lower portion of chest.
While seated : vertigo in occiput ; weight on head, with tendency of head to fall backward ; pain in forehead ; throbbing at temples < ; tearing, darting in various parts of head > ; pressive, drawing pain across lower portion of chest ; weariness and
pressure in joints < ; tensive pains about swollen joints ; weakness <.
Lying : vertigo > ; dizziness and heat in head < ; headache < ; jerking, tearing in several places in head > ; pains in right side of face < ; oppression in pit of stomach < ; swelling of feet less but oppression of chest < ; tensive pains in parts about swollen
joints ; bone pains momentarily > ; ear pains.
Lying on back : pain in small of back.
She lies upon her back, sliding down in bed. θ Coma.
Lying on back with head bent backward with arms crossed over head.
Lying on left side : cough <.
Lying with head low : cough <.
Bending double : pinching in abdomen > ; colic >.
Bending forward : prevented by stitches in chest.
On rising from sitting : sensation of weakness ; is much inclined to sit down, even sinks back upon a chair if he does not exert the muscles.
On rising : as if he would fall backward.
Motion : vertigo < ; headache < ; cutting pains from temples to orbits and occiput < ; bruised feeling of brain < ; jerking, tearing in several places in head < ; tractive pains in various parts of head < ; ciliary neuralgia < ; prosopalgia < ; neuralgic
pains of left side of face < ; toothache < ; gastralgia > ; cough < ; stitches in chest < from sudden ; cramping pain in small of back < from least ; perspiration on back and neck from least ; pain with swelling of big toe < ; pain in limbs and joints >
; disposition to perspire during.
Walking : cannot walk straight ; staggering ; vertigo < ; headache < ; constriction in head < ; throbbing at temples > ; headache compels ; soreness of brains < ; jerking, tearing in head < ; darting in various parts of head < ; sensitiveness
of scalp < in open air ; profuse sweat on head in open air ; aching, stitching pains in spleen ; fulness, pressing and heaviness in uterus < ; pressive, drawing pain across lower portion of chest > ; sticking pain in small spot below last right ribs ; weakness of
knees < ; calves of legs smart and sting ; cold hands and feet < ; weakness < ; general heat < ; sweats easily in open air ; sensation of lightness in body ; oppression in all parts of body ; pains in limbs.
Stooping : cutting pains from temples to orbits and occiput <.
Moving head : stitches in head, pulsation in temples < ; headache >.
On raising head : vertigo.
Opening eyes : bruised feeling of brain <.
Moving eyes : headache < ; weight and darting pains in forehead.

Nerves

Excessive sensitiveness of nervous system ; special senses, sight, smell, hearing and taste seem too acute ; his internal sensibility is offended, and his mind is unpleasantly affected ; a morbid sensation of general weakness ; mental and
physical languor.
Sensation of weakness, especially on rising from sitting ; is much inclined to sit down, and even sinks back upon a chair if he does not exert the muscles ; whereupon a comfortable sensation of rest follows.
Weakness from loss of animal fluids (blood, etc.), or after severe and exhausting illness.
Weakness : with coldness of skin ; with inability to undergo the least fatigue ; even < while sitting, still more while walking ; with excessive irritability and sensibility.
Great debility ; trembling ; averse to all exercise ; nervous ; sensitive to pain, to draughts of air ; sleepless ; disposition to sweat during exercise or sleep ; from overstudy ; from loss of blood.
Torpor and paralytic weakness of affected parts.
After continued or repeated hemorrhage (subacute), occur prostration, nervous agitation, anxious manner ; can hardly respire at all ; very pale and ghastly ; pulse failing ; hemorrhage of dark blood ; sensation as if it flowed warm from the heart.
Twitching of limbs, and jerking of single muscles.
Stretching, drawing, or jerking and tearing, mostly in extremities, with lameness and weakness of affected parts.
Fainting after loss of blood or other animal fluids, with ringing in ears, cold skin, loss of pulse, cold perspiration.
Convulsions : rush of blood to head, throbbing carotids ; from great loss of blood, and debilitating causes.
Epileptic spasms far apart : deathly pallor ; relaxation of muscles.
Chorea from great loss of arterial blood or from masturbation.
Paralysis : from loss of fluids ; after arsenical poisoning ; after onanism.
Complaints from loss of animal fluids.
Neuralgia of malarious origin.
Numbness of parts on which he lies.

Sleep

Irresistible sleepiness during day and after eating.
Constant sopor or unrefreshing sleep ; worst sleep after 3 A. M. ; awakens too early.
Sleepless, aching in head (until 12 P. M.), anxiety on waking from frightful dreams.
Restless sleep, night before paroxysm. θ Intermittent.
Sleeplessness with headache or great hunger.
Sleepless from crowding of ideas, making plans, one can't stop thinking.
During sleep : snoring, blowing expiration ; moaning, whining.
On awaking : cannot collect one's senses ; vertigo ; hunger ; sweat ; languor ; unrefreshed ; head hot ; oppression of chest.
Pains wake her at night ; < from noise and when feet get cold.
Dreams : confused, as soon as he goes to sleep.
Frightful, heavy, anxious, confused, absurd dreams ; waking only half conscious ; make him anxious after awaking ; confused and senseless after midnight.
Sweating during sleep.

Time

In morning : confusion of head ; on awaking, anxious thoughts and ideas ; emptiness in head as after drunkenness ; languor in limbs on awaking ; periodical cephalalgia of left side ; illusion of bright gold chain dangling before eyes ; vision
better ; great pain in ulcers in course of pannus ; violent pain in eye ; supraorbital neuralgia of right side ; intermittent ciliary neuralgia with painful pressure and drawing in forehead and temples ; facial neuralgia of left side ; putrid taste ; tongue
white ; pains in abdomen < ; thin, large stool with passage of wind ; painless diarrhœa early ; after rising, continual irritation to hacking cough, as from sulphur vapor ; weariness and pressure in joints < ; debilitating sweat.
Between 8 and 9 A. M. : violent pain in eye, which becomes inflamed.
At 10 A. M. : ciliary neuralgia, with painful pressure and drawing in forehead and temples.
At noon : pain in eye >.
After 12 P. M. : cough <.
In afternoon : pyrosis and heartburn ; colic in region of umbilicus ; pain in big toe < ; sensitive swollen joints < ; chill ; chill and heat alternating.
During day : drowsiness ; granular sputa ; irresistible sleep ; debilitating sweat.
In evening : full of projects and ideas ; darting pains in parietals disappear ; crawling inside of lids < ; pressing pain in one spot at inner and upper border of orbit ; thirst and hunger ; pressive sensation in abdomen, followed by passage of much offensive
flatus ; contractive pain in testicles ; oppression of chest ; granular sputa ; cough < ; pain in big toe < ; in bed he cannot get warm ; chill ; heat for several hours.
At night : full of projects and ideas ; dread of dogs and other animals ; restlessness ; on awaking he does not dare to rise ; colic < ; worm troubles < ; offensive, undigested, or white, papescent stool ; diarrhœa < ; frequent nocturnal emissions ;
dry, spasmodic or suffocative cough, as from vapor of sulphur, with bilious vomit ; copious sweats ; bruised feeling of brain < ; headache extending to neck and teeth < ; restless and sleepless ; blindness ; inflammation of eyes < ; pain in right side of face
< ; restlessness ; canine hunger ; oppression in pit of stomach < ; pains in abdomen < ; suffocative fits ; pain in small of back ; pains awake her.
Between 6 and 10 P. M. : pressive sensation in abdomen.
At 11 P. M. : pressing pain at inner and upper border of orbit, extending to nose and sometimes to lid.
At 12 o'clock at night : coldness, followed by light fever and sweat.
After midnight : confused and senseless dreams.
At 3 A. M. : asthmatic cough, followed by frothy, badly tasting expectoration ; sharp stitches in right pneumo-hepatic region.
After 3 A. M. : sleep <.

Temperature and weather

Current of air : neuralgic headache < ; headache < ; sensitiveness of scalp < ; pain in upper molar teeth from taking cold ; toothache < ; cough < by least ; patient sensitive to ; < from exposure to slightest.
Open air : headache < by walking in ; headache < ; sensitiveness of scalp < when walking in ; toothache < from ; sweats easily when walking in ; oppression of all parts of body after walking in ; clothing as if too tight about limbs.
Entering room from open air : face hot.
In room : headache >.
External warmth : neuralgic headache > ; throbbing toothache >.
Heat : anything hot in mouth, < neuralgic headache.
Heat of stove : wants to be near ; chill < by.
Hot weather : diarrhœa.
In the sun : headache <.
Cold : neuralgic headache < from anything cold in mouth ; violent thirst for cold water.
Cold air : sneezing when exposed to.
Cold water : great thirst for.
Wind : soreness of brain < when walking in.
Foggy weather : loss of appetite.
Wet weather : asthma <.
After getting wet. θ Neuralgic headache.
Autumn : asthma <.

Fever

Shivering or chilliness, with gooseflesh, after every swallow of drink.
Coldness over whole body as if dashed with cold water.
In evening in bed, he cannot get warm.
Coldness every night at 12 o'clock, followed by light fever and sweat. θ Intermittent.
Chill preceded by palpitation, anxiety, hunger, thirst, nausea, headache, debility, sneezing when exposed to cold air, oppressive colic.
Internal violent chill, with icy cold hands and feet, and congestion of blood to head.
Rigors, cold perspiration and great prostration of strength. θ Biliary colic.
Chill over whole body, increased by drinking, thirst before or after, but not during chill.
Chill beginning in legs below knees.
Chills on alternate days, little fever, profuse sweat ; restless sleep, abdomen bloated.
Chill postpones or anticipates ; pain in liver, which is often greatly swollen ; hunger in fever, and sleepy after having eaten.
Chill most afternoon or evening ; less forenoon ; never at night ; paroxysms return every fourteen days.
Wants to be near the stove, but it increases the chill.
During chilly stage, headache, congestion of head, paleness of face ; pain in liver.
Fugitive chills in back, tendency to sweat on covering up.
Chill and heat alternating in afternoon.
Heat of face, with cold body.
Heat for several hours in evening, without previous chilliness, with burning thirst, and succeeded by sweat.
General heat, < by walking ; long-lasting heat with sleep.
During heat : thirst, with dry mouth, burning lips ; red face, delirium ; distended veins ; congested head ; desire to uncover, but chilly when uncovered ; canine hunger or aversion to food ; pain in liver, back, chest and limbs.
Heat of whole body, externally and internally, with swollen veins of arms and hands, without sweat or thirst.
Heat over whole body, with fine, needle-like stitches in skin, especially of throat, together with great thirst for cold water.
Fever with thirst during chill, and vomiting after the attack.
Marsh intermittent, with pains in region of liver, vomiting of bile and great anguish.
Long-lasting heat, which frequently sets in late after chill.
Hectic fever, frequent night sweats, diarrhœa, pallor ; skin dry, flaccid ; sleepless ; nervous, hunger ; after exhausting disease, loss of fluids, etc.
Thirst follows an hour after heat.
Typhoid or putrid fever in patients much reduced by loss of blood, or by malarious poisons.
Acute fevers, with profuse sweats.
She is bathed in profuse, hot perspiration. θ Coma.
During apyrexia : exhausting sweats, anemic and cachectic appearance, sensitiveness in hypochondria ; scanty urine ; loss of appetite ; bloated abdomen.
Sweat : debilitating night or morning ; profuse ; partial, cold or profuse, with thirst ; greasy or oily on side on which one lies ; less after meals.
Cold and clammy sweat with hemorrhage ; sweats easily, especially at night in sleep ; or when walking in open air.
Copious, exhausting night sweats, especially on forehead, neck and chest, slightly staining the linen, not offensive, occurring the moment patient drops into sound sleep. θ Phthisis
pulmonalis.
Great disposition to perspire during motion and sleep.
On being covered he sweats profusely all over ; this is very troublesome, yet he is so sleepy with it that he cannot collect himself and get up.
During sweat, increased thirst.
Revulsion of sweat, and therefrom want of sweat, suppressed sweat.

Attacks, periodicity

Sudden : blindness.
Spasmodic : pains in abdomen ; uterine contractions ; cough.
Alternate weakness and feeling of great strength, especially in joints.
Pains in organs alternate with wandering rheumatic pains.
Frequent : bleeding from nose ; nocturnal emissions.
From morning until afternoon : headache from occiput over whole head.
From 1 o'clock A. M until 10, 12 or 1 P. M. : periodical cephalalgia.
From 8 A. M. till 2 or 3 P. M. : excessive pain in eye.
Periodical : cephalalgia of left side each morning ; pressing pain in one spot in inner and upper border of orbit, every evening about 11 o'clock ; supraorbital neuralgia on right side ; ciliary neuralgia every day at 10 A. M. ; neuralgia ; supraorbital
neuralgia ; facial neuralgia of left side ; obstruction of gall bladder with colic ; colic in umbilical region at certain hour each afternoon ; diseases of malarial origin.
Every night : suffocative fits ; at 12 o'clock, coldness, followed by light fever and sweat.
Every other day : between 8 and 9 A. M., violent pain in eye, which becomes inflamed ; copious stool < ; diarrhœa ; symptoms of pneumonia and other chest affections < ; chills, little fever, profuse sweat ; congestions ; neuralgia.
On alternate mornings : headache.
Every fourteen days : paroxysms of chill and fever return.
Worse during increase of moon.
Three months colic.
Asthma < in Autumn.
Day and night for years : salivation after mercury.

Locality and direction

Right : constriction on side of forehead ; amaurosis in eye ; uncontrollable twitching of upper eyelid ; supraorbital neuralgia ; tearing, laming, burning pain in face ; numbness of arm ; faceache ; stitches in pneumo-hepatic
region ; stitches in chest up to axilla ; numbness in arm ; pain in knee, up to thigh or down towards leg ; hot swelling of knee.
Left : periodical cephalalgia each morning ; boring, pulsating pain in head ; hemicrania affecting eye and neck ; headache in side of head into cervical region ; amaurosis in eye ; tearing in outer canthus ; pain over orbit ; facial
neuralgia ; needle-like pains in face, chest and hand ; tearing in testicle and side of prepuce ; irritation in chest ; cutting in lower abdomen ; stitches in chest ; stitches in cartilages of third and fourth false ribs ; continuous pain in chest ;
constrictive pain in skin over occiput ; stitches in back and side ; swelling of back of hand.
From left to right : neuralgic headache ; neuralgic pains of face.
Backward : head inclined to sink ; on rising as if he would fall ; tendency of head to fall ; pain in temples < on leaning.

Sensations

Melancholy feeling about heart.
As if unhampered by a material body, causing a light and airy sensation and ease of movement ; as from coryza or intoxication ; as if brain was rolled round ; as if brain was bruised ; as if brain was balancing to and fro, and was striking against skull ; as if
skull would burst ; as if brain was pressed into a ball ; as if brain was pressed together from both sides and out at forehead ; as if right side of temple and occiput was bound with a cord ; as if forehead was compressed ; as if cerebellum would be pressed
out ; as from a load on head ; as if scalp was clutched and drawn together to one point of a circle ; as if hair was grasped roughly ; as if eyes were filled with smoke ; as of mechanical hindrance in eyes on motion ; as if a knife was thrust between orbit and
ball and moved about in orbital cavity as if to scoop out eye ; as of salt in eyes ; as of sand in eyes ; as if something was constantly before ear ; as if blood was forced into teeth ; as from pepper on tip of tongue ; as if beaten, or as if from a blow, in
side ; as if eyes were enlarged ; as if a stone was between scapulæ ; small of back as if bruised ; legs feel as after a long walk ; as if periosteum of bones of thighs had been scraped with a dull knife ; as if garters were tied too tightly, and as if leg
would go to sleep and become stiff ; as if feet were bruised ; as of a band tightly tied around different parts of leg or arm ; as if clothing was too tight about limbs ; as if blood flowed warm from heart during hemorrhage ; as if whole body was dashed with cold
water ; as if clothes were too tight ; as if tongue was burnt ; as if œsophagus was contracted ; as if œsophagus was filled up to throat ; as if food pressed upon and hurt stomach ; as if stomach was ulcerated ; as from subcutaneous ulceration in hepatic
region ; as if her waist was too tight ; as of water running down abdomen ; as of a lump in chest ; as of great distension of abdomen ; as if periosteum was strained.
Pain : in hepatic region ; in region of spleen ; in abdomen on passing flatus ; in larynx and sternum ; throughout whole cavity of chest ; in splenic region ; continuous in l. chest and stomach ; in limbs ; in liver ; in glands ; in
every joint ; in bones ; in temples ; in head ; externally in occiput ; in occiput ; in forehead ; in eye ; over left orbit ; in external ear ; in submaxillary glands when swallowing ; in teeth ; in uvula ; spasmodic in
stomach ; in right knee ; in spine ; in side ; in small of back.
Boring : in left side of head ; in teeth.
Jerking : in temples ; in temple extending to upper jaw ; in several places in head ; in head ; in teeth ; in extremities.
Cutting : from temples to orbits and occiput ; in abdomen ; in left lower abdomen ; in bowels.
Lancinating : in various parts, especially in frontal region ; supraorbital neuralgia of right side.
Darting : in various parts of head ; in forehead ; in parietals which descend along neck ; from left temple and eyes to whole side of face ; in vagina ; in lower limbs ; in hands and feet ; in nape of neck and spine.
Fine, needle-like stitches in skin, especially of throat.
Stitches : in head ; from temple to temple ; in ears ; on tongue ; in spleen ; in rectum, also during stool ; in urethra ; in chest ; in spine and shoulders ; in left side of back ; in right pneumo-hepatic region ; in right
chest up to axilla ; in left chest ; under sternum ; in left side.
Stinging : in chest and windpipe ; in calves of legs ; in wounds.
Paralytic grinding-tearing in bones of upper limbs.
Tearing : in various parts of head ; headache extending to neck and teeth ; in left outer canthus ; supraorbital neuralgia of right side ; in ears ; in dorsum of nose ; in right side of face extending up to parietal bone and down to clavicle ; in
teeth ; in upper molar teeth ; in vagina ; in sternum ; in back and thighs ; in lower limbs ; in hands and feet ; in extremities ; in left testicle and side of prepuce.
Drawing : in head ; in forehead and temples ; in teeth ; about ovaries ; across lower portion of chest ; at nape of neck and each side of spine ; in back and thighs ; in bones of thighs ; in joints ; in almost all the bones ; in
extremities.
Twitching : in upper molar teeth.
Tensive pain : in small of back as from a heavy load, or after long stooping ; in almost all the bones ; in joints.
Tractive pain : from occiput to forehead ; in various parts of head.
Stretching : in extremities.
Cramping : in testicles ; in small of back.
Cramp : in vertex.
Griping : in abdomen on passing flatus.
Pinching : in abdomen.
Constriction : on right side of forehead and occiput ; from l. side of temple and eyes to whole side of face ; in abdomen.
Constrictive pain : in skin over left occiput ; in abdomen.
Contractive pain : in scalp ; in testicles ; in urethra ; in uterus ; spasmodic, in inner parts.
Shooting : in region of liver ; in nape of neck.
Burning : in forehead ; in head ; in eyes ; of lips ; on tongue ; on tip of tongue ; in right side of face ; in anus ; bleeding piles ; at orifice of urethra.
Congestive pains : with carbonaceous caries.
Painful bearing down to vulva and anus.
Laming pain : in right side of face, extending up to parietal bone and down to clavicle ; through lower bowels ; in back and thighs.
Sticking : in small spot below last right ribs.
Formicating pains : in eyes and inner surface of lids.
Biting : in anus.
Pressive : frontal headache ; headache extending to neck and teeth ; headache in side leant upon ; pain in outer canthus ; in eyes ; pain in one spot at inner and upper border of orbit, extending to nose and sometimes into lid ; in root of nose, which
extended to side ; from left temple and eyes to whole side of face ; in abdomen ; across lower portion of chest ; in chest and windpipe ; in joints as of a load.
Pressure : in forehead ; towards forehead ; in occiput ; in head ; in eyes ; in forehead and temples ; in teeth ; in stomach ; in abdomen ; below navel ; in uterus ; in vagina ; in chest, as from a violent rush of
blood ; between scapulæ.
Oppression : in head ; of stomach and abdomen after eating ; in pit of stomach ; in chest ; of chest, as from fulness in stomach ; of all parts of body.
Tightness : about abdomen ; in abdomen.
Needle-like pains : in left face, left chest and left hand.
Throbbing : headache ; in temples ; headache extending to neck and teeth ; toothache ; pains, with carbonaceous caries.
Hammering : headache extending to neck and teeth.
Pulsation : in temples ; in left side of head ; in pit of stomach.
Aching : in spleen ; below navel ; across loins ; in shoulder blades and limbs ; in head.
Bruised sensation : in side of head ; in whole head ; in small of back ; in limbs and especially in joints.
Soreness : of brain ; in throat on swallowing ; in stomach ; through lower bowels ; in larynx and trachea.
Smarting : first in one, then in other eye ; in eyes ; in calves of legs.
Rheumatic pains : in metatarsal bones and phalanges of toes.
Distressing dull pain : in hollow tooth.
Rubbing pain : on moving lids.
Crawling : inside of lids.
Scraped feeling : in throat.
Rawness : of tongue.
Roughness : of throat.
Irritation : in chest proceeding from left side.
Painful weariness of joints.
Lameness : of affected parts.
Weakness : of head ; of part affected by neuralgia ; of feet ; of parts around swollen joints ; of affected parts.
Stiffness : of limbs.
Uneasiness : in legs ; in affected parts, is obliged to move them constantly.
Limbs go to sleep when lying on them.
Numbness : of right arm ; in decayed teeth, painful ; in right arm ; of limbs ; of parts on which he lies ; of single parts.
Deadness : of limbs.
Tickling : in chest.
Tingling : in ears ; in anus.
Itching : of eyes ; eyelids ; piles ; of skin ; in inner parts ; in wounds.
Fulness : of head ; of stomach and abdomen after eating ; in bowels ; in abdomen ; in uterus ; after eating a mouthful.
Weight : on head ; in forehead.
Heaviness : in head ; in stomach ; in uterus < when walking ; in limbs, especially in thighs.
Dulness : of head.
Lightness in body when walking.
Emptiness : in head ; in stomach.
Languor : in limbs.
Heat : in head ; of face ; of external ear ; of nose ; in abdomen.
Coldness : in bowels ; in stomach ; in upper abdomen after every swallow of drink, and renewed at every inspiration ; in limbs ; over whole body.
Dryness : of mouth ; between lids and balls ; of lips ; of skin.

Tissues

Sufferings caused by loss of fluids, such as hemorrhage, seminal emissions, diarrhœa, diuresis, excessive sweating, overlactation, etc.
Excessive sensitiveness of nervous system.
Acts upon ganglionic nervous system, producing general depression and exhaustion.
Asthenia ; exhaustion of vital powers of whole organism, or of single parts, organs, systems, accompanied by excessive sensitiveness, and irritability of the nerves, or with relaxation of the solids, deficiency of animal heat, disposition to passive hemorrhage from every orifice of
body, and decomposition of organic matter.
Muscles lax ; great emaciation.
Blood thin and watery, circulation lacks energy.
In cases threatening to become anemic ; with diarrhœa or lienteria.
Chlorosis, with tendency to œdematous swellings and to dropsical effusions, from loss of vital fluids.
Disposition to hemorrhage from every orifice of body ; useful after long-continued hemorrhage.
Enlarged veins.
Anasarca, ascites in the aged ; also from liver and spleen diseases, and in drunkards, after excessive depletion.
Diseased periosteum.
Carbonaceous caries, commencing with a black spot, scrofulous or tuberculous subjects ; the pain is throbbing, of a congestive nature, or caused by abuse of mercury.
Caries, with profuse sweat, or excessive suppuration.
Rheumatic, hard, red, inflammatory swellings ; painful to touch, not to pressure.
Has a special affinity for liver and spleen, producing hyperemia and congestion.
Glands swollen, hot, painful.
In cholera infantum after the disease has been checked, suitable on account of loss of liquids and feebleness of digestion.
Flat ulcers with copious discharge.
Wounds become black and gangrenous ; humid gangrene.
Collapsed states, with waxy paleness and coldness of skin.
Jaundice.
Diseases of malarial origin with marked periodicity.

Touch. passive motion. injuries

Touch : scalp painful to ; headache < by slightest ; ciliary neuralgia < ; tearing in ears < from least ; neuralgia, skin sensitive to least ; prosopalgia < ; neuralgic pains of left side of face < ; toothache < from least ;
stomach very sensitive to ; pain in hepatic region < ; tenderness and pain in region of liver ; ovaritis, parts very sensitive to slight ; painful induration in vagina < from slightest ; stomach sensitive to ; cannot bear percussion or auscultation ;
stitches in chest < ; pains in upper limbs < ; pains in lower limbs < ; right knee swollen and painful to slight ; rheumatic pains in metatarsal bones and phalanges of toes < ; pain in big toe < ; pain in limbs < from slight ; darting, tearing, especially in hands
and feet, < ; parts about swollen joints very sensitive to least ; rheumatic swellings painful to ; affected parts sensitive to least ; during the pains she is sensitive to.
Light touch on larynx aggravates cough.
Cannot have the hands touched.
Pressure : pressure in forehead < from firm ; stitches in head and pulsation in temples < by hard ; headache > from hard ; sensitiveness of scalp > by strong ; parts affected by supraorbital neuralgia intolerant to ; region of liver sensitive to
least ; gastric region painful to ; sticking pain in small spot below last right ribs from slightest ; aching in shoulder blades and limbs < from least.
Desire to uncover, but chilly when uncovered.
Numbness of parts upon which he lies.
Itching of parts upon which one is lying, > by lying on another part.
Pain in external ear when lying on it.
Rubbing of clothes : burning at orifice of urethra < from.
Rubbing : pain in eyes compels constant.
Scratching : sensitiveness of scalp > by ; bleeding of skin after ; nettlerash after.
Pinching : unconsciousness to.
Pressing teeth together > toothache.
Petting, caressing, etc. : < ill humor.
Jarring : headache < from.

Skin

Excessive, almost painful sensitiveness of skin of whole body, even of palms of hands.
Skin : dry, flaccid ; waxy pale or yellow ; itching, bleeding after scratching ; cold and blue.
The sweat parboils the skin.
Yellow color of skin. θ Jaundice.
Boils on chest ; pimples on loins, arms and chest.
Ulcers ichorous, sensitive ; ichor has a putrid smell.
Ulcers flat, shallow, copious discharge.
Erysipelatous swelling of whole body ; nettlerash coming out after scratching.
Smallpox, pustules black ; variola hemorrhagica, with great exhaustion from copious painful stools.
Psoriasis and ichthyosis.
Pemphigus.
Humid gangrene.

Stage of life, constitution

Persons who are highly sensitive to pain, of querulous or discontented disposition.
Suitable to persons of swarthy complexion.
Old women after menopause ; pleurisy, dropsy.
Useful for weakly persons, who have lost much blood or other vital fluids.
Useful for face aches of chlorotic, anemic, leucophlegmatic, scrofulous subjects, and sometimes also in those of arthritic patients.
Child, æt. 2 weeks, prematurely born : jaundice.
Girl, æt. 2, good constitution, lymphatic temperament, diphtheritic laryngitis with night sweat.
Boy with hip disease : profuse suppuration.
Boy, æt. 12 ; intermittent fever.
Girl, æt. 12, suffering some years ; chills and fever.
Young girl, æt. 15, has not menstruated ; hemicrania.
T., æt. 17, weaver, after severe illness four years ago, during which he was frequently bled ; debility and dropsy.
Mrs. M., æt. 20, recently married : intermittent fever.
A blooming girl, now pale and thin ; toothache.
M., strong, slender, blonde ; neuralgic headache after getting wet.
Robust young man ; mania in intermittent.
Young man, pale, cachectic appearance, suffered for ten weeks from quartan ague ; enlarged spleen.
Woman, æt. 23, married one year ; bloody leucorrhœa of five years standing.
Woman, æt. 23, eight days after second confinement ; pleuro-pneumonia.
Woman, æt. 25, slender build, mother of two children ; prosopalgia.
Man, æt. 30, strictly moral ; morbid sexual desire, with morbid craving for dainties.
M. A., æt. 30, periodical cephalalgia.
Hysterical woman ; jaundice.
A thin, weakly woman ; rheumatic ophthalmia during confinement.
A woman in fourth month of pregnancy ; miscarriage.
Woman, after confinement ; ascites.
Lymphatic, scrofulous woman ; rheumatic ophthalmia during lactation.
Woman, æt. 34, phthisical habit ; pneumonia after venesection.
Hannah P., æt. about 35, complexion dark, medium height, had a child five weeks ago, and had for some months past pain in loins ; never had rheumatism ; heart normal ; acute dropsy following parturition.
Woman, æt. 36, blonde, delicate, hysterical ; prosopalgia after massive doses of quinine in cholera.
Woman, æt. 37, small, thin, delicately formed, of a highly nervous organization, mother of several children, operation for strangulated hernia and formation of artificial anus.
Man, æt. 40 ; gonorrhœal iritis.
Man, æt. 40, subject to hemorrhoids ; rheumatism of thigh.
Weakly woman, æt. 40 ; hematemesis after carcinomatous ulcer in stomach.
Woman, æt. 40, nursing tenth child ; hæmoptysis.
Man, æt. 43, blacksmith, tall, dark hair, had phthisis ten years ; hemorrhage from lungs of four weeks duration.
Woman, æt. 45, large, weighing 180 pounds, leucophlegmatic temperament ; intermittent fever.
Woman, æt. 48 ; typhoid fever.
Man, æt. 50 ; amaurosis from sexual excess and alcoholism.
A wiry, intense, active, planning, business man, æt. 50 ; morning diarrhœa.
Two men, one æt. 50, the other 55, both full blooded ; erysipelas of face and hairy portion of head.
Woman, æt. 50, weakly constitution, lively temperament ; menorrhagia.
Woman, æt. 52 ; rheumatism.
Woman, æt. 60, thin and emaciated, subject to gastralgia ; hematemesis.
Married woman, æt. 64 ; biliary calculi.
An old woman, reduced by care and poverty ; pneumonia following intermittent.
Man, æt. 70, retired farmer ; diarrhœa of twenty years standing.
Man, æt. 70 ; nocturnal rheumatism in hip.
Lady, æt. 80 ; coma.
Man, æt. 81 ; painless diarrhœa.

Relations

Antidoted by : Aran. diad., Arnica, Arsen. Carb. veg., Eup. perf., Ferrum, Ipec., Laches., Mercur., Natr. mur., Nux vom., Pulsat., Rhus tox., Sepia, Sulphur and Veratr .
It antidotes : Arsen., Calcar., Chamom., Coffea, Ferrum, Helleb., Iodium, Mercur., Sulphur and Veratr .
Is useful in bad effects from excessive tea drinking, and after abuse of Chamomile tea when hemorrhage from uterus results.
Compatible : Calc. phos . (follows well in hydrocephaloid) ; Ferrum .
Incompatible : after Digit . (increases anxiety) ; after Selen .
Complementary : Ferrum .
Compare : Arsen . (great prostration without pain, black stools), Carb. veg . (diarrhœa) ; Coloc . (beer intoxicates easily ; Cedron .
(intermittents) ; Cupr. ac . (black, thin, watery stools) ; Pulsat . (bitter taste, etc.) ; Stramon . (black stools) ; Sulphur and Sulph.
ac . (sensation as if brain was balancing to and fro and was striking against skull, occasioning pains).

Lectures on Homoeopathic Materia Medica

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

Lecture

Now we shall take up the study of Cinchona, or China. Persons who have suffered much from neuralgias due to malarial influences, who have become anaemic and sickly from repeated haemorrhages, are likely to develop symptoms calling for China.

China produces a gradually increasing anaemia, with great pallor and weakness. It is sometimes- indicated in plethoric individuals, but this is the exception, and even in this class we find that the symptoms are tending towards the cachectic state, which is avoided by the prompt action of the remedy.

Throughout the body there is a gradually increasing sensitivity, a gradually increasing irritability of the nerves; the nerves are always in a fret, so that these people will say:

"Doctor, what is the matter with me, I am so nervous?"

Pains

Everywhere there are twinning, tearing, cutting pains in the limbs and over the body. And so great is the sensitiveness to touch that the nerves can many times be outlined; as, for instance, the little nerves in the fingers, because of their extreme sensitiveness.

The China patient grows increasingly sensitive to touch, to motion, to cold air, so that he is chilled from exposure. The pains are brought on by exposure to the wind, by cold air, and are increased by motion and touch.

Old malarial conditions that have been suppressed with quinine; gradually increasing pallor, bloodlessness, cachexia, until the patient is always catching cold, has liver troubles, bowel troubles, disordered stomach, is made miserable and sick by nearly everything he does.

He cannot eat fruit without having indigestion; he cannot eat sour things. He is debilitated, pale, waxy, suffers from pains, such as are found in quinine subjects, and breaks out into a perspiration up the least exertion.

This patient bleeds easily; bleeds from any orifice of the body from the nose, from the throat, from the uterus. And after hemorrhage complaints come on.

Running through the remedy as a general constitutional state is a tendency to congestion and often inflammation, in connection with hemorrhages. Inflammation of the part that bleeds or of distant parts. For instance, a woman aborts, has a haemorrhage, but with apparently no provocation, inflammation of the uterus or of the lungs sets in.

With these inflammations there is also great irritability of the tissues, tearing pains, cramping in the muscles and actual convulsions. When a China patient bleeds a little, for instance, in confinement, right in the midst of the bleeding convulsions come on. You would scarcely need to think of any other remedy.

Secale is the one other medicine that has this, but the two do not look alike. Secale wants the covers all off and the windows open, even in cold weather. It a draft of air blows on a China patient, while in labor, she may go into convulsions.

In the midst of labor the pains cease and convulsions come on. Another feature about this inflammation is its rapid progress and intensity, quickly going into gangrene. Inflammation after haemorrhage and the parts rapidly turn black.

China has a fullness of the veins. Not exactly a varicose condition, but a sort of paralysis of the coatings of the veins. The veins become full during fever.

All of these complaints are such as we find in broken down constitutions, in feeble, sensitive patients, especially in sensitive women. Sensitive to the odors of flowers, of cooking, of tobacco. Weak, relaxed, emaciated, pale, with feeble heart, feeble circulation and tendency to dropsy.

Dropsy runs through the remedy; anasarca and also dropsy of shut sacs. A peculiar thing about this dropsy is, that it comes after hemorrhage. In the anaemic condition; directly following the loss of blood, dropsy appears. This is the typical China patient.

Mucous membranes

Catarrhal condition of all mucous membranes. Gastro-duodenal catarrh, ending in jaundice. Old liver subjects with jaundice. They have lived for a long time under the influence of the malarial miasm. Feeble, sensitive, anemic. We see such cases in the South and Southwest, and long the Mississippi Valley.

Periodicity

is regarded as the most important indication for China, but it is a mistake. Periodicity is the symptom upon which Quinine is given. China has periodicity, but in no greater degree than many other remedies and is not so frequently indicated as routine prescribers suppose. Allopaths give Quinine whenever there is any periodicity in complaints. Still periodicity is a strong feature in this remedy. Pains come on with regularity at a given time each day. Intermittent fevers appear with regularity and run a regular course.

A part of this periodicity is an aggravation at night, and sometimes sharply at midnight. In colic that comes on regularly every night at 12 o'clock, and it may be, perhaps, a week before you, suspect it to be a China colic. A lady had colic and bloating of the abdomen every night at 12 o'clock.

After suffering many nights a single dose of China, prevented any further trouble. Haemorrhage from the nose coming on with regularity. Diarrhoea at night. Several gushing, black, watery stool; during the night; in the daytime, only after eating.

There is a general aggravation after eating. Remember that this is a chilly patient, sensitive to draft, sensitive to cold, whose complaints are brought on by being exposed to cold air; sensitive to touch, sensitive to motion. Extreme irritability of the tissues.

China is indicated in conditions following the loss of blood and other animal fluids; as, for instance, in those who are suffering from sexual excesses, from secret vice. They have become feeble, sleepless and irritable.

There is weakness and general coldness of the skin; twitching and jerking of the limbs; drawing and cramping in the muscles; chronic jerking; epileptiform convulsion; paralytic weakness; rush of blood to the head; ringing in the ears; darkness before the eyes; fainting on the slightest provocation.

Mind

Such is the China cachexia, and with this in view, the mental state will scarcely be a surprise to you. It is just such as you would expect in this nervous, sensitive patient. Weakness of mind. Inability to think or remember. Full of fear at night. Fear of animals, dogs, of creeping things. Wants to commit suicide, but lacks courage. Gradually the mind grows weaker, he uses wrong expressions or misplaces words.

Lies awake at night making plans, theorizing, building air castles, thinking of the wonderful things he is going to do some day. In the morning he wonders how he could have thought such foolish things.

After sleep his mind is clear and he looks more philosophically on the affairs of life. Unable to entertain any mental proposition that, means work. He dreads work. He is apathetic, indifferent, low spirited, silent, disinclined to think. He is unable to control the mind, to make it do what he wants it to do. You see it is not as yet a real insanity.

This state of mind comes on after haemorrhage. Insomnia after haemorrhage. A woman, after having suffered great loss of blood, will be sleepless night after night.

After hemorrhage we may have dizziness. it is a natural consequence; dizziness and fainting. But ordinarily, after the proper diet for a few days, these symptoms will have disappeared. With the China patient they go from bad to worse. The woman after severe haemorrhage does not make blood. There is mal-assimilation, and the vertigo persists for days and weeks. China will restore order.

Head

The remedy is full of headaches. Congestive headaches in broken down constitutions. Extremities cold and body covered with a cold sweat. Rending, tearing pains. Pressing and throbbing. As soon as the air strikes the head those pains come on.

Headache better in a warm room; worse from touch; worse from motion; worse from cold. These are the principal features. A slight touch will aggravate the disturbance. But notice the exception. Hard pressure ameliorates the China pains, as light pressure aggravates.

Sensitiveness of the tissues; sensitiveness along the course of the nerves; the pains are brought on by touch, by cold air. Stitches in the head with pulsation in temples, which can be felt with the fingers; ameliorated by hard pressure, but aggravated by touch.

The jar and motion of walking hurt the head. Even turning over in bed aggravates. Cannot ride in a carriage or anything that jolts. Ameliorated by hard pressure. Throbbing headaches, aggravated by a draft of air, in the open air, from the slightest touch; ameliorated by hard- pressure. The scalp feels as if the hair was grasped roughly. It is sensitive to touch. Profuse sweating of the scalp. Headaches aggravated at night. Headaches from sexual excesses; loss of animal fluids.

Eyes

Now we come to the eye. Photophobia. Yellowness of the sclera, Exposure to cold wind will bring on neuralgia; ameliorated from keeping quiet and from keeping warm.

"Nocturnal blindness, dimness of vision.

Feeling as if sand were in the eyes.

Pains worse from light.

Better in the dark."

Ears

In the ear and the nose you find the same sensitiveness as in eyes every little noise is painful. Ringing; roaring, buzzing, and singing, chirping like crickets in the ears. Dry catarrh of the middle ear. Hardness of hearing is not infrequently the result of this condition.

It gradually increases until there is total deafness, and the noises in the ear continue long after the patient has lost the ability to distinguish articulate sounds. Haemorrhage from the ear. Offensive, bloody, purulent discharges.

Nose

Frequent nosebleed in anemic patients. Here, again, the dryness and catarrhal conditions. Dry coryza; or fluent coryza, suppressed and causing violent head pains. Odors nauseate. Sensitiveness to the odors of flowers, cooking, tobacco.

Face

The face is withered, shrunken, sallow, anaemic, sickly. Red when the fever is on and sometimes when the chill is on, but in the apyrexia pale, sickly and sallow. Neuralgia of the face; tearing, rending, knifelike pains with the usual modalities.

The veins of the face are distended. This is frequently observed during the fever and sweat of the China intermittents.

Teeth

The teeth get loose, the gums swell. The teeth are painful while chewing; they feel too long. Toothache with every little cold.

Rending as if teeth were being pulled out, every time the child nurses at the breast. Exudations about the teeth and gums. Black, and foetid great putridity in the lower forms of fever.

Taste

The taste is extremely acute. Exaggerated so that nothing tastes natural.

"Bitter taste in the mouth.

Food tastes bitter or too salty.

Burning as from pepper on tip of the tongue.

Dryness in the mouth and throat.

Difficult swallowing."

Sometimes there is canine hunger, but one of the most common features is loathing of everything; aversion to all food. The China patient is often passive in regard to eating.

Sits down to eat and the food tastes fairly good and he fills up. But it does not matter much whether he eats or not.

"Loathing and violent hunger."

"Hunger and yet want of appetite.

Indifference to eating and drinking.

Only while eating some appetite and natural taste for food return.

Loss of appetite.

Aversion to all food.

Aversion to bread."

His appetite varies. Thirst is peculiar. The patient will say:

"I know my chill is coming on now because I have thirst."

Thirst

before the chill, but as soon as the chill comes on there is no thirst. But when he begins to warm up he begins to get thirsty; that I during the period in which the two lap he is thirsty, but when the chill has fairly subsided and the heat is upon him his thirst subsides also and he only wants to wet his mouth.

But as the hot spell begins to subside he increases the amount taken, and all through the sweat he can hardly get water enough.

Thirst before and after the chill and thirst during the sweat. No thirst during the chill. No thirst during the hot spell. You will cure more cases of intermittent fever with Ipecac and Nux vomica , than with China. China has well-defined chill, fever and sweat.

Stomach

Gastric symptoms from eating fish, fruit, and from drinking wine. Flatulent distension almost to bursting. There are constant eructations, loud and strong, and yet no relief, so extensive is the flatulence. In Carbo veg. after belching a little, there is relief. Lyc. has both.

Tympanitic distension of the abdomen and stomach in low forms of fever. Cannot move on account of soreness in the bowels. Vomiting of blood. Sometimes followed by dropsy of the extremities.

"Hiccough.

Nausea.

Vomiting.

Eructations, tasting of food, or they are bitter, sour.

Frequent vomiting.

Vomiting of sour mucus, bile, blood."

Likely to occur at night. Pulsation in the stomach and rumbling. Cold feeling in the stomach. Fermentation after eating fruit. Acidity. Disorders of the stomach after milk.

Diarrhea

Copious, watery black discharges from the bowels. Gurgling and rumbling in the abdomen. Stool immediately after eating and at night. Great quantities of flatus expelled from the bowels. Diarrhea comes on gradually. Stools more and more watery. Chronic diarrhoea, with emaciation and aggravation at night. Petroleum has a chronic diarrhoea, but only in the daytime.

Genitals

Of the male genital organs the most striking feature is weakness, Of the female genital organs there is a different class of conditions. In the woman who has been subject to uterine haemorrhages you may look out at any moment for a sudden, sharp attack of inflammation of the ovaries.

Hemorrhage from the uterus. Prolapse. Menses, too early and too profuse; black, clotted blood; menstrual colic; metrorrhagia.

Pains and convulsions; convulsions come on in the midst of the haemorrhage; cramps in the uterus along with haemorrhage; labor-like pains; ringing in the ears; loss of sight; sliding down in bed. In confinement the lochia is profuse and lasts too long. Deterioration of health from prolonged lactation; toothache; neuralgia of the face.

Respiration

Difficult respiration, rattling and filling up of the chest with mucus asthma.

"Pressure in the chest, as from violent rush of blood; violent palpitation, bloody sputa, sudden prostration."

Dry, suffocative cough at night; profuse night sweats. Pains in the chest, increasing sensitiveness to cold, heat and redness of the face with cold hands.

Along the spine there are sore spots. Tearing, darting pains in the limbs, ameliorated by heat and hard pressure, brought on by touch, by becoming chilled. Worse at night.

"Knees weak, especially when walking."

China cures low, forms of fever, remittent or intermittent, typhoid or malarial.