Cina cina.

Boger's Synoptic Key — Materia Medica

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

Region

NERVES: Cerebro-spinal. ABDOMEN. Digestive tract. Eyes. Mucous membranes. Children. (Left side.).

Worse

TOUCH. Worms. Vexation. Looked at. DURING SLEEP. Full moon. Staring. Yawning.

Better

Lying on abdomen. Wiping eyes. Motion.

General

The greater the emaciation the greater the hunger. Bruised soreness. Painfully sore to motion and touch. Stiffens out; < if crossed, looked at, during cough, etc. Twitchings. Spasms; < worms; unilateral.

Particulars

TOUCHY. Nervous. Ugly, cross, petulant and dissatisfied. Wants to be rocked. Dilated pupils. Squint. Colored vision. Eyes fatigue, > rubbing. Nostrils drawn in. PICKS AND BORES AT NOSE. Dark rings about eyes. BLUISH WHITE ABOUT MOUTH. Sickly, pale face; during cough. GRINDS TEETH; during sleep. Chews and swallows in sleep. Worms. Noisy swallowing. Canine or gnawing hunger; after eating; after vomiting; alternating with anorexia; precedes chill or follows sweat. Hard, distended abdomen. Twisting at navel, > pressure. White, watery stool. Bed-wetting; < every full moon. MILKY URINE. Regularly recurrent, choking cough, then gurgling down throat. Tosses arms and legs from side to side. Restless sleep; lies on abdomen; cries out; wakes in terror. Fever, with pale face (Bry.). Cold sweat about nose and forehead.

Related

Complementary: Calc-c. Dros. Ratan. Related: Cham. Nat-p.

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

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

Keynote

Adapted to children with dark hair, very cross, irritable, ill-humored, want to be carried, but carrying gives no relief; does not want to be touched; cannot bear you to come hear it; averse to caresses; desires many things; but rejects everything offered (compare, Ant. t., Bry., Cham., Staph.). Constantly digging and boring at the nose; picks the nose all the time; itching of nose; rubs nose on pillow, or on shoulder of nurse (Mar. v.). Children, suffering from worms; pitiful weeping when awake, starts and screams during sleep; grinding of teeth (Cic., Sulph.); ascarides (Mar. v.). Face is pale; sickly white and bluish appearance around mouth; sickly, with dark rings under the eyes; one cheek red, the other pale (Cham.). Canine hunger: hungry soon after a full meal; craving for sweets and different things; refuses mother's milk. Urine; turbid when passed, turns milky and semi-solid after standing; white and turbid; involuntary. Cough: dry with sneezing; spasmodic, gagging in the morning; periodic, returning spring and fall. Child is afraid to speak or move for fear of bringing on a paroxysm of coughing (Bry.).

Relations

Compare: Ant. c., Ant. t., Bry., Cham., Kreos., Sil., Staph., in irritability of children. In pertusis, after Drosera has relieved the severe symptoms. Has cured aphonia from exposure when Acon., Phos. and Spong. had failed. Is frequently to be thought of, in children, as an epidemic remedy, when adults require other drugs. Santonie sometimes cures in worm affections when Cina seems indicated, but fails (Mar. v., Spig.).

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

Troubles, causing a constant desire to rub, pick, or bore into the nose.

Gastric

Hunger; extreme hunger (sometimes hunger may come on in the middle of the night, as in children, or one may feel hungry a few minutes after a hearty meal).

Stool

Stool with ascarides; with maw worms (short thick worms); vomiting and diarrhœa immediately after eating or drinking, particularly after drinking.

Fever

Chilliness with thirst; cold perspiration; one red cheek and one pale at the same time. Vomiting during the fever, with a clean tongue.

Children

Extreme ill-humor and naughtiness in children; they strike at you; nothing pleases them, or not for any length of time; gritting the teeth during sleep; wetting the bed (when accompanied by picking of the nose, great hunger, restless sleep, etc.); tossing all about the bed when asleep; crying out, as if in delirium.

Sexual

Female: Metrorrhagia; womb-troubles in general.

Sensations

Pain as if beaten; cramp pain in the muscles; pain as if paralyzed; shocks as from pain--the patient will jump suddenly, as though he felt pain.

Generalities

Affections of the left side; left lower extremity. Pale color of the face, with bluish color around the mouth. Urine milky and turbid. Epilepsy; epilepsy with consciousness. Simple stretching of the limbs; yawning in general; concomitant complaints to yawning,--i.e., troubles that occur whenever one yawns. Weak sight, resulting from masturbation. Audible gurgling from the throat to the stomach after coughing. Rigidity of the body.

Worse

From looking fixedly at an object: from outside pressure; from worms, ascarides or lumbrici; when yawning.

Remedies following

Calc. carb, China, Ignat., Platin., Nux vom., Rhus tox., Pulsat.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Great hunger soon after eating; desires many and different things. Worm affections; face pale white 'about the mouth, boring nose with finger, grinding teeth at night, great hunger, restless sleep, fever, etc.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Worm-seed (CINA)

General

This is a children's remedy,-big, fat, rosy, scrofulous, corresponding to many conditions that may be referred to intestinal irritation, such as worms and accompanying complaints. An irritability of temper, variable appetite, grinding of teeth, and even convulsions, with screams and violent jerkings of the hands and feet, are all within its range of action. The Cina patient is hungry, cross, ugly, and wants to be rocked. Pain in shocks. Skin sensitive to touch.

Mind

Ill-humor. Child very cross; does not want to be touched, or crossed, or carried. Desires many things, but rejects everything offered. Abnormal consciousness, as if having committed some evil deed.

Head

Headache, alternating with pain in abdomen. Relieved by stooping (Mezer). Pain in head when using eyes.

Eyes

Dilated pupils; yellow vision. Weak sight from masturbation. Strabismus from abdominal irritation. Eyestrain, especially when presbyopia sets in. Pulsation of superciliary muscle.

Ears

Digging and scratching in ears.

Nose

Itching of nose all the time. Wants to rub it and pick at it. Bores at nose till it bleeds.

Face

Intense, circumscribed redness of cheeks. Pale, hot, with dark rings around eyes. Cold perspiration. White and bluish about the mouth. Grits teeth during sleep. Choreic movements of face and hands.

Stomach

Gets hungry soon after a meal. Hungry, digging, gnawing sensation. Epigastric pain; worse, first waking in morning and before meals. Vomiting and diarrhœa immediately after eating or drinking. Vomiting with a clean tongue. Desires many and different things. Craving for sweets.

Abdomen

Twisting pain about navel (Spig). Bloated and hard abdomen.

Stool

White mucus, like small pieces of popped corn, preceded by pinching colic. Itching of anus (Teuc). Worms (Sabad; Naphth; Nat phos).

Urine

Turbid, white; turns milky on standing. Involuntary at night.

Female

Uterine hæmorrhage before puberty.

Respiratory

Gagging cough in the morning. Whooping-cough. Violent recurring paroxysms, as of down in throat. Cough ends in a spasm. Cough so violent as to bring tears and sternal pains; feels as if something had been torn off. Periodic; returning spring and fall. Swallows after coughing. Gurgling from throat to stomach after coughing. Child is afraid to speak or move for fear of bringing on paroxysm of coughing. After coughing, moaning, anxious, gasps for air and turns pale.

Extremities

Twitching and jerking distortion of limbs, trembling. Paralyzed shocks; patient will jump suddenly, as though in pain. Child throws arms from side to side. Nocturnal convulsions. Sudden inward jerking of fingers of right hand. Child stretches out feet spasmodically. Left foot in constant spasmodic motion.

Sleep

Child gets on hands and knees in sleep; on abdomen. Night terrors of children; cries out, screams, wakes frightened. Troubles while yawning. Screams and talks in sleep. Grits teeth.

Fever

Light chill. Much fever, associated with clean tongue. Much hunger; colicky pains; chilliness, with thirst. Cold sweat on forehead, nose, and hands. In Cina fever, face is cold and hands warm.

Modalities

Worse, looking fixedly at an object, from worms, at night, in sun, in summer.

Relationship

Compare: Santonin--(often preferable in worm affections; same symptoms as Cina; corresponding to the "pain in shocks" produced by Cina. Visual illusions, yellow sight; violet light not recognized, colors not distinguishable. Urine deep saffron color. Spasms and twitchings, chronic gastric and intestinal troubles sometimes removed by a single dose (physiological) of Santonin. Dahlke). Helmintochortos-Worm-moss (acts very powerfully on intestinal worms, especially the lumbricoid). Teucrium; Ignat; Cham; Spig.

Antidote: Camph; Caps.

Dose

Third attenuation. For nervous irritable children, thirtieth and two-hundredth preferable. Santonin in first (with care) and third trituration.

Leaders in Homoeopathic Therapeutics

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

Leaders

The child is cross and ugly, kicks and strikes, wants to be carried or rocked or don't want to be touched or looked at; wants things and pushes them away when offered.

Frequently boring the nose with the fingers.

Pale sickly look about the eyes, or white and blue about the mouth.

Frequent swallowing as if something came up in the throat.

Alternate canine hunger or no appetite at all.

Urine turns milky on standing.

Frequent sudden attacks of very high fever, with glowing red hot face, with paleness around mouth and lips, or sometimes alternates with pale face with dark bluish ring around the eyes.

Here is a truly unique remedy that none but the homœopathist knows how to use. The old school chagrined at our success with it, and not willing to resort to our small doses, have bungled with its alkaloid, doing more harm than good, and at last have come to sneer at the idea of children being troubled with worms at all. I have known of several instances of the kind and it has become so common in the region where I practice that the people often ask me -"Doctor, do you believe in worms? Old school doctors don't. I have found several worms that my child has passed, and have come to you to see if you can do anything for them." It is of great advantage to us Homœopaths to cure the little patients, whether we believe in worms or not. But Cina is not always the remedy for worms. But it is perhaps the oftenest indicated remedy for complaints arising from lumbricoides, or children infested with the animal. Another thing I have proven to my entire satisfaction, and that is, that it is more efficacious for these cases in the 200th or highest potencies than in the alkaloid or lower potencies. Now I say this in order to induce those who have lost faith in the remedy to try it high, according to well-known indications as laid down in our Materia Medica. So many "lose the good they oft might win by fearing to attempt." Let us look at a few of the leading symptoms. The wormy child will be very restless nights, "screams out sharply in its sleep," making one think of Apis, but other symptoms appear which rules Apis out. The child is cross and ugly like Chamomilla, kicks and strikes the nurse, wants to be carried (Chamomilla) or rocked, or don't want to be touched or looked at (Antimonium crud.), desires things and then refuses them when offered (Bry. and Staphisagria), or, unlike Chamomilla, it cries if any one tries to take hold of or carry it. Isn't that a perfect picture of the mind of a wormy child? When these symptoms appear in a child we may sometimes be at a stand between Cina and Chamomilla, but close watching will generally decide. For instance, if you watch or inquire of the nurse you will find that it alternates between a red-hot face, glowing with a bright redness of both cheeks, and a pale, sickly face, with dark rings or circles around the eyes; or, again, red face with great paleness around the mouth and nose. This is Cina. If the face is frequently red and hot on one side and pale and cold on the other, it is Chamomilla. Then again, on inquiry, or we may observe ourselves, the child is boring or picking its nose a great deal of the time, grinds its teeth when asleep, and jumps and jerks in its sleep, frequently swallowing as if something came up into the throat, or even choking and coughing for the same cause. Such a combination is not found under any other remedy. Both Chamomilla and Cina have profuse and pale urine, but Cina urine becomes milky after standing awhile. Cina has alternating canine hunger and no appetite at all. Cina is one of our best remedies for whooping cough, also jerking, trembling, twitching and even convulsions; but in all these affections I have found it efficacious when the aforementioned worm symptoms were present. I once had, at one time, and in one family, five cases of typhoid fever, and they were all very sick. There was no mistake about the diagnosis, and I speak thus positively, because some think. that a child under the age of six years cannot have this disease. This child, five years of age, was the last one of the family attacked with the disease, and it persued the same course as the others in its regular rise and fall of temperature, bloating of abdomen, diarrhœa and other symptoms common to this disease. This being in the earlier years of my practice, and Cina not being set down in the textbooks as a remedy for typhoid, I selected as well as I could from the usual remedies for typhoid. I knew perfectly that she had Cina symptoms all mixed in with those already mentioned, and as the case "got no better fast," I resolved to give a few doses of Cina anyway, and to my surprise I found my patient much better every way at my next visit and the improvement progressed right along to complete recovery. I had to learn several such lessons as that was in my "kittenhood" of homœopathic practice before I learned for good, that, for purposes of prescribing, the name of the disease was of little account. Since I settled that question, I have had frequent opportunities to help my younger brethren out of difficulties along the same line, and they have been as much astonished as I was.

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

Piteous complaints and weeping. Ill-humor ; the child is averse to being caressed and rejects every thing which is offered. The child will not be touched. Disposition to be offended by trifling jests.

Head

The head falls to the side and is jerked backwards, with twitches in the limbs and cold perspiration of the face. Headache, before and after the epileptic attacks ; after attacks of intermittent fever. The headache is aggravated by walking in the open ail, and from exertions of the mind. Cold perspiration on the head (forehead) and on the pale, cold, bloated face, with blueness around the mouth ; twitching of the limbs and sleepiness, worse at night (after attacks of hooping-cough and epilepsy).

Eyes

Pain in the eyes when using them at night by the candle-light. Dilatation of the pupils. When looking at a thing steadily (reading) he sees it as through a gauze, which is relieved by wiping the eyes. Weakness of sight (from onanism). Aversion to, light.

Nose

Bleeding of the nose and from the mouth, with burning in the nose. Disposition to bore in the nose. The child rubs the nose constantly, and bores with the fingers in the nose until blood comes out. Sneezing, violent, with stitches in the temples. Stoppage of the nose in the evening ; fluent coryza at noon the nose burns.

Face

Paleness of the face, with sickly appearance around the eyes. Bloated, pale face, with blueness around the mouth. Pale, cold face, with cold perspiration. Pain (tearing) in the zygomata, aggravated or renewed by contact and pressure.

Teeth

Grinding of the teeth. Sensitiveness of the teeth to cold air and cold water. The teeth feel sore.

Mouth and Tongue

Sensation of dryness and roughness of the mouth, especially of the palate. Inability to swallow, especially fluids.

Appetite and Taste

Canine hunger ; he is hungry soon after a full meal. The child refuses to take the mother's milk. Increased thirst.

Gastric symptoms

Vomiting (and diarrhœa) after drinking. Vomiting of lumbrici (and ascarides) ; of food and mucus. Vomiting during the fever, with clean tongue. Vomiting of the food and of bile. Frequent hiccough.

Stomach and Abdomen

Cutting and pinching pain in the abdomen from worms. Pain in the pericardial region, oppressing the breathing. Painful twisting around the navel. Unpleasant sensation of warmth in the abdomen. Bloated abdomen, especially in children. Feeling of emptiness in the abdomen. Audible gurgling from the throat into the stomach when drinking.

Stool and Anus

Involuntary diarrhœic, white stools. Discharges of lumbrici and of ascarides. Itching of the anus.

Urinary Organs

Involuntary emission of urine (at night). Turbid urine.

Sexual Organs

Women. Menstruation too early and too profuse. Hæmorrhage from the uterus. Labor-like pains in the abdomen, frequently recurring, as if the menses would appear.

Respiratory Organs

Oppression of the chest, as from a cramp-like, contracted sensation in the chest. Short, interrupted breathing. Respiration wheezing and panting. Suffocative attacks. Hoarseness, with much mucus in the larynx and trachea. Dry, spasmodic cough, preceded by rigidity of the body and unconsciousness. Hooping-cough, in violent periodically returning attacks, from a titilating sensation in the throat, as of a feather, and much tough mucus -in the morning without expectoration, in the evening with difficult expectoration of white, occasionally blood-streaked, mucus which is tasteless ; worse in the morning and in the evening ; better during the night ; aggravated by drinking, walking in the open air, pressing on the larynx, when lying on the right side, in the cold air, and when awaking from sleep. Burning, stitches, and soreness in the chest.

Back

Pain in the small of the back, as if bruised.

Extremities

Upper. Twitching of the fingers. Spasmodic contraction of the hand. Weakness of the hand ; he can hold nothing with it. Cramp-like drawing pains in the arms and hands. Sprained feeling in the wrist-joint. Lower. Rigidity of the lower limbs ; spasmodic stretching and twitching of the feet.

Generalities

Epileptic attacks, especially at night, with or without consciousness, lying on the back ; violent screams and violent jerks of the hands and feet. The body is stretched out and becomes rigid. Dull stitches in different parts of the body. Twitching and distortions of the limbs.

Sleep

Sleeplessness, with restlessness, crying and lamentations. At night, restless, tossing about, and crying (children). Wakes in the morning, restless and lamenting, in a start.

Fever

Pulse small, hard, and rapid. Chilliness, with shaking or trembling, ascending from the upper part of the body to the head. Chill, with coldness of the pale face and heat of, the hands. Chill, not relieved by external heat, with great paleness of the face, and mostly in the evening. Heat, mostly in the face and head, often with paleness of the face. Heat at night, with thirst. Perspiration, generally cold, on the forehead, around the nose, and on the hands. After the perspiration (sometimes before the chill) vomiting of food ; at the same time canine hunger.

Conditions

Suitable for children, especially when they suffer from worms. When touched, or when moving, the body feels sore. External pressure renews or aggravates the suffering. Bad effects from onanism (eyes). Aggravation at night ; on looking fixedly at an object ; from external pressure.

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

The unexpanded flower-heads (commonly called "seeds") of several varieties of Artemisia maritima. Semen cinæ. Flores Cinæ. Artemisia contra. Wormseed. N. O. Compositæ. Tincture.

Clinical

Abdomen, distended . Anæmia. Anus, irritation of . Asthenopia. Asthma. Bronchitis. Borborygmi . Chorea. Colic . Convulsions. Cough . Dentition. Diarrhœa. Enuresis. Eyes, affections of . Hydrocephaloid. Intermittent fever. Leucorrhœa . Neuralgia. Remittent fever. Scarlatina. Sight, affections of. Spasms. Strabismus. Twitchings. Urine, milky . Whooping-cough. Worms.

Characteristics

Cina is the source of the alkaloid Santoninum . It is pre-eminently a worm medicine, as it causes all the symptoms which characterise helminthiasis both mental, nervous, and bodily. It corresponds more to the effects of lumbrici than to those of other worms. There is irritation of the nose, causing constant desire to rub, prick, or press into it. In children there is extreme ill-humour and naughtiness. Nothing pleases them for any length of time; gritting teeth during sleep; wetting the bed (when accompanied by picking nose, great hunger, restless sleep); tossing all about the bed in sleep; crying out as if in delirium Sherbino has found "getting on hands and knees in sleep" a strong indication for it. But Cina is much more than a mere worm-medicine. Many symptoms appear to be reflex from abdominal irritation. A characteristic feature is: Extreme sensitiveness of mind and body: offended by the slightest thing; peevish and obstinate; aversion to be caressed. Over-sensitiveness of surface: cannot endure to be approached, touched, or pressed upon; touch induces or aggravates spasms. Child cannot bear to have head combed or brushed. Aversion to light. Strabismus; with sickly look and dark circles round eyes; yellow vision. Asthenopia, defective accommodation; yellow vision. Ravenous hunger; sinking immediately after a meal. Difficult swallowing of liquids; clucking noise from throat to stomach. Nocturnal enuresis; urine white, turbid, at times fetid. Larynx extremely sensitive, touching it causes suffocative spasm. Cough excited by sensation of feather down in throat. Reflex cough; caused by writing or reading (to oneself). In fever there is thirst with chill; face pale and cold; hands warm; nausea or vomiting of bile or ingesta. Charles Mohr ( H. M ., January, 1898) commends it for: anæmic persons suffering from indigestion and non-assimilation of food; or after acute illness when they have headache, vertigo, and neuralgia. In the cachectic who have pains in the belly and deranged abdominal functions, and suffer nervously. For asthenopia from onanism, when reading by artificial light is next to impossible; eyes feel veiled, need constant wiping. Spasmodic strabismus from abdominal irritation. Spasmodic asthma after food that disagrees, "sensation as if sternum lies too close to back, embarrasses breathing and causes anxiety and sweat." Prosopalgia of supra- and infra-orbital region and zygoma chiefly, pains pressing, screwing, with hyperæsthesia. Gastralgia, enteralgia, and fevers when the leading symptoms are present. Nash ( Leaders in Typhoid Fever ) mentions two cases of typhoid in which Cina proved curative, the indications being "Intense circumscribed redness of the cheeks , and frequent and violent rubbing of the nose ." S. C. Ghose has recorded ( H. W ., September, 1899) a striking cure by Cina 6 and 200 of a case of infantile remittent fever, in which the classical symptoms of the drug were present; the fever came on very irregularly. The symptoms of Cina are < night; before midnight child wakes up frightened. < From open air; cold air; cold water. < Yawning. Child lies on belly, or on hands and knees, during sleep. Guernsey says Cina is suited to complaints which are concomitant to yawning, which come on whenever one yawns.

Relations

Antidoted by: Camph., Caps., Chi., Pip. nig. Antidote to: Caps., Chi., Merc. Follows well: Dros. and Ant. t. Compare: In aversion to be touched, Ant. c., Ant. t., Hep. Sil., Thu. gurgling along œsophagus when swallowing fluids, Helleb., Cupr. difficult swallowing liquids, Bell., Caust., Hyo., Ign., Lach., Lyc., Pho.; in cough < by reading or writing, Mang., Meph., Nux, Plat. in white stools, Dig.; in ravenous hunger, Ars., Calc., Iod., Sil. Staph.; aversion to be caressed, Ars., Lach.; in squint, Alm.; in asthenopia and defective accommodation, Artem. v. (but Art. v. has dizziness from coloured light; and Cina has > from rubbing). Teste places Cina in the Arsen. group from its analogy in the digestive sphere. Cham. has many points of contact with Cina and some opposite conditions.

Causation

Worms. Yawning.

Mind

Lachrymose and plaintive humour. ─ A child cries when it is touched; is averse to being caressed. ─ Continual inquietude, with desire for things of all kinds, which are rejected some moments after. ─ Disposition to be offended by trifling jests. ─ Great anguish and anxiety on walking in the open air. ─ Delirium.

Head

Headache, alternately with pressure on the abdomen. ─ Numbing pressure, as from a load, which weighs upon the head, esp. when walking in the open air. ─ The head falls to the side and is jerked backwards, with twitches in the limbs and cold perspiration of the face. ─ Tearing, drawing cephalalgia, aggravated by reading or meditation. ─ Headache before and after the epileptic attacks; after attack of intermittent fever. ─ Dull pains in the head, with eyes fatigued, chiefly on waking in the morning. ─ Cold perspiration on the head (forehead) and on the pale, cold, bloated face, with blueness around the mouth; twitching of the limbs and sleepiness, worse at night (after attacks of whooping-cough and epilepsy).

Eyes

Aching in the eyes, when fatiguing them by reading; when using them at night by the candle-light. ─ Convulsive movements of the muscles of the eyebrows. ─ Confusion of sight, on reading, which disappears on rubbing the eyes. ─ Pupils dilated. ─ Weakness of sight (from onanism). ─ Weak sight, with photophobia and pressure on the eyes, as if sand had been introduced into them. ─ When looking at a thing steadily (reading) he sees it as through a gauze, which is relieved by wiping the eyes.

Nose

Epistaxis; also bleeding from the mouth. ─ Inclination to put the fingers into the nose. ─ The child rubs the nose constantly, and bores with the fingers in the nose until blood comes out. ─ Flow of pus from the nose. ─ Violent sneezing, which provokes a sensation of pressure on the temples, and seems as though it would burst the chest. ─ Fluent coryza, with sensation of burning in the nostrils. ─ Stoppage of the nose, in the evening. ─ Fluent coryza at noon. ─ The nose burns.

Face

Paleness of face, with livid circle under the eyes. ─ Earth-coloured complexion. ─ Face, puffed and bluish, esp. round the mouth. ─ Face alternately pale and cold, or red and hot. ─ Pale, cold face, with cold perspiration. ─ Cramp-like pains and successive pullings in the cheek-bones, aggravated or renewed by contact and pressure.

Teeth

Toothache, provoked by the air and cold drinks. ─ Pains, as from excoriation, in the teeth. ─ Grinding of the teeth.

Mouth

Sensation of dryness and roughness of the mouth, esp. of the palate.

Throat

Inability to swallow, esp. liquids.

Appetite

Increase of thirst. ─ Hunger shortly after a meal. ─ Voracity. ─ Bulimy. ─ Aversion of the sucking child to the milk of its mother. ─ Hunger may come on in the middle of the night, as in children, or one may feel hungry a few minutes after a hearty meal. ─ Bitter taste of bread. ─ Vomiting, or diarrhœa immediately after eating or drinking, esp. drinking. ─ Vomiting of mucus and of ascarides. ─ Vomiting during the fever, with tongue clean. ─ Bilious vomiting. ─ Disagreeable risings.

Stomach

Audible gurgling from the throat into the stomach when drinking. ─ Frequent hiccough. ─ Pain in the precordial region oppressing the breathing.

Abdomen

Obstinate pinchings in the abdomen. ─ Pinching or cramp-like pressure transversely across upper abdomen, after a meal. ─ Painful twisting about navel. ─ Cutting and pinching pain in the abdomen from worms. ─ Painful rolling in the region of the navel, which is very sensitive to the touch. ─ Cramp-like, frequently recurring pains in the abdomen, as when the catamenia are about to appear. ─ Unpleasant sensation of warmth in the abdomen. ─ Bloated abdomen, esp. in children. ─ Feeling of emptiness in the abdomen.

Stool and Anus

Stool with maw-worms (short, thick worms). ─ Loose evacuations of the consistence of pap. ─ Discharge of ascarides, and of other worms by the anus. ─ Itching of the anus. ─ Diarrhœa of bile, and of stercoraceous matter. ─ Loose, involuntary, whitish evacuations.

Urinary Organs

Frequent want to make water, with profuse discharge. ─ Wetting the bed. ─ Urine soon becomes turbid. ─ Involuntary emission of urine (at night). ─ Urine milky.

Female Sexual Organs

Catamenia premature, and too abundant. ─ Metrorrhagia. ─ Womb-troubles in general.

Respiratory Organs

Short, interrupted breathing. ─ Respiration wheezing and panting. ─ Abundance of mucus in the larynx, which is constant, and compels continual hawking. ─ Gagging cough in morning after rising; irritation thereto (as from dust); is renewed by inspiration after a long interval. ─ Cough, excited by taking a deep inspiration. ─ Dry, tickling cough induced by reading (to oneself). ─ Hoarse, transient cough in the evening. ─ Dry cough, with cramp, want of breath, anxiety, paleness of face, and groans after the paroxysm; or with stiffness of the body, and bleeding from the nose and mouth. ─ Cough, with sudden starts, and loss of consciousness. ─ Before coughing, child raises herself suddenly, tosses wildly about, the whole body becomes stiff, she loses consciousness, just as if she would have an epileptic fit, then follows the cough. ─ Whooping-cough in violent, periodically returning attacks, from a titillating sensation in the throat, as of a feather, and much tough mucus: ─ in the morning without expectoration, in the evening with difficult expectoration of white, occasionally blood-streaked mucus, which is tasteless; worse in the morning and in the evening; better during the night, aggravated by drinking, walking in the open air, pressing on the larynx, when lying on the right side, in the cold air, and when awaking from sleep.

Chest

Difficulty of respiration, and anxious oppression of the chest, as if the sternum were compressing the lungs. ─ Respiration short, often interrupted, or rattling. ─ Spasmodic digging in the chest, as if it were going to burst. ─ Jerking and digging shootings in the chest. ─ Burning, stitches., and soreness in the chest.

Back

Pains, as from a bruise, in the loins, < by motion. ─ Drawing-tearing pain along whole spine. ─ Drawing or jerking pains in middle of spine.

Upper Limbs

Tearing and paralytic pullings in the arms. ─ Cramp-like tearings in the arms and in the hands. ─ Contraction and starting of the hand and of the fingers. ─ Sprained feeling in the wrist-joint. ─ Weakness of the hand, which suffers everything to escape from it.

Lower Limbs

Paralytic or cramp-like pains, and pullings in the legs. ─ Spasmodic stretching and twitching of the feet. ─ Cramp-like extension of the legs.

Generalities

Paralytic, tractive pains in the limbs. ─ Pressure and squeezing, with dull shootings, or cramp-like tearings, pullings and jerkings, or burning shootings in different parts. ─ Twitching of limbs. ─ Convulsions, and distortion of the limbs. ─ Nocturnal epileptic convulsions, followed by headache. ─ Epileptic convulsions (esp. at night, with or without consciousness) with cries, bending backwards of the back, and violent movements of the hands and feet. ─ Tetanic stiffness of the whole body. ─ External pressure < , or renews the sufferings. ─ Painful sensibility of all the limbs, on movement, and on being touched. ─ Affections of the l. side; l. lower extremity. ─ The majority of the sufferings appear at night, or when seated, and are < in the morning and in the evening. ─ Heaviness in the limbs.

Sleep

Frequent yawning, with trembling and shuddering. ─ Nocturnal sleeplessness, with agitation, tears, cries, heat, and anguish; in children. ─ Wakes in the morning, restless and lamenting, in a start. ─ Child gets on hands and knees in sleep; on abdomen.

Fever

Pulse small, hard, and rapid. ─ Frequent shuddering, with trembling, even near the fire. ─ Quotidian fevers, or tertian, with bulimy, nausea, tongue clean, diarrhœa, pupils dilated, and emaciation. ─ Shivering in the evening. ─ Strong febrile heat, with delirium, tossing, and agitation. ─ Chilliness, with shaking or trembling, ascending from the upper part of the body to the head. ─ Chill, with coldness of the pale face and heat of the hands. ─ Heat at night, with thirst. ─ Chilliness with thirst. ─ After the perspiration (sometimes before the chill) vomiting of food (with a clean tongue); at the same time canine hunger. ─ Heat, esp. in the head, with paleness, or yellowish colour of the face, and livid circle under the eyes, or with redness of the cheeks. ─ After the fever, headache. ─ Cold sweat on the forehead, around the nose, and on the hands.

The Guiding Symptoms of Our Materia Medica

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

Mind

Loss of consciousness and frothing from mouth.
Hallucinations of sight, smell and taste.
Children wake up in evening or before midnight with fear or fright, jump up, see sights, scream, tremble and talk about it with much anxiety.
Delirium and crying out.
Child is whining and complaining ; very restless even during sleep ; it will not lie awake five minutes without crying ; it must be rocked, carried, or dandled upon the knee constantly, day and night ; does not want to be touched ; cannot bear you to come near
it ; desires many things which it refuses when offered ; is not pleased or satisfied with anything ; uneasy and distressed all the time ; throws away everything given it, and cries about nothing ; often sullen and unwilling to play during day.
Pitiful weeping when awake. θ Hydrocephaloid.
Child cries piteously if one takes hold of it, or carries it.
Great earnestness and sensitiveness ; he is offended at slightest joke.
Fretting excites cough.
Usually good-natured child was cross, fretful, irritable and dissatisfied with everything, and passed urine involuntarily, with prostration. θ After remittent fever.
Child, though weak, was cross and obstinate, and cried when his will was not humored. θ Bronchitis.
Child exceedingly cross, cries and strikes at all around him.

Inner head

Weak, hollow, empty feeling in head, with inclination to vomit.
Stupefying headache, especially in forehead, then also in occiput ; when walking in open air.
A slow stitch, extending from upper orbital margin deep into brain.
Swashing sensation in forehead when shaking head.
Drawing pain in right temple in a vertical direction, on coughing feels as if it would burst.
Drawing from left frontal eminence to root of nose, causing confusion of head.
Intermitting pressure, as from a heavy weight, as if brain pressed down on middle of vertex ; pressure increases and renews pain.
Dull headache, with sensitiveness of eyes in morning.
Stupefying headache brought on by eating or mental labor.
Headache, before and after epileptic attacks and after attacks of intermittent fever.
Headache : with pain in chest and back ; caused by fixing eyes steadily upon some object, as when sewing ; < from pressure ; alternating with pain in abdomen ; > by stooping.
Heat mostly in head during fever, with yellow color of face and blue rings around eyes.
Hydrocephaloid and inflammation of brain.

Outer head

Head falls to side and is jerked backward, with twitches in limbs and cold perspiration on face.
Child leans its head sideways, all the time. θ Hydrocephaloid.
Turning head from one side to other. θ Hydrocephaloid.
Head very hot ; could not bear to have it touched. θ Scarlatina.
Dislikes having head combed or brushed, from sensitiveness of scalp. θ Scarlatina.
Better by shaking head.

Sight and eyes

Chronic weakness of sight, with aching in eyes and photophobia. θ Result of onanism.
Pains renewed by looking steadily at an object, as in sewing. θ Amenorrhœa.
When looking at a thing steadily, reading, he sees it as through a gauze, which is relieved by wiping eyes.
Pressure in eyes as if sand had got in, especially when reading.
Can see more clearly for awhile after rubbing eyes.
On rising from bed, black before eyes, with dizziness in head and faintness, totters to and fro ; > on lying down.
Optical illusions in bright colors ; blue, violet, yellow or green.
Aversion to light.
Pain in eyes when using them at night by candlelight.
Pupils dilated.
Itching of inner canthus.
From 9 A. M. to 1 P. M., daily, soreness over and in left eye, in l. side of nose, forehead and temples to occiput.
Pulsation of superciliary muscles ; a kind of convulsion.
Drooping and heaviness of lids.
Looks sickly about eyes, with paleness of face.
Eyes staring. θ Chorea.
Eyeballs convulsively turned upward, showing only whites, or fixed and staring, with dilated pupils.
Spots on cornea.
Strabismus, dependent upon helminthiasis ; child has a pale, sickly look, blue rings around eyes, pains about umbilicus, frequent urination, boring of nose, etc.

Hearing and ears

Boring in ears. θ Scarlatina.
Dull stitches below mastoid process ; when pressed upon it feels as after a bruise or blow.
Cramplike jerking in external ear, like earache.

Smell and nose

Violent sneezing ; with stitches in temples ; with whooping cough ; < when sneezing.
Bleeding from nose and mouth, with burning in nose.
Bleeding of nose, blood dark ; itching, causing rubbing and boring ; pain in forehead.
Stoppage of nose, in evening.
Running coryza with violent sneezing, makes child cry.
Fluent coryza at noon ; slimy discharge from nose.
Itching of nose ; child frequently bores into nose until blood comes.
Child picks its nose very much, is very restless, cries and is very unamiable.
Child rubs nose on pillow, on shoulders of nurse, or with hands. θ Hydrocephaloid.

Upper face

Face : pale, with sickly look about eyes ; pale and cold ; red ; one cheek red the other pale.
Pale, earthy, yellowish face. θ Chorea.
Bloated, pale face, with blueness around mouth. θ Intermittent fever.
Pale, cold face, with cold perspiration.
Pale streak down centre of face. θ Scarlatina.
Dark rings around eyes.
Pain, as if both malar bones were pressed together with pincers ; < from external pressure.
Heat mainly in face. θ Intermittent.
Burning heat over whole face, with redness of cheeks and thirst for cold drinks.
Rising heat and glowing redness of cheeks, without thirst, after sleep.

Lower face

White and bluish appearance about mouth.
Frothing from mouth, with loss of consciousness.

Teeth and gums

Grinding of teeth and tumbling and tossing during sleep.
Sensitiveness of teeth to cold air and cold water ; feel sore.
During dentition spasmodic cough.

Taste, speech, tongue

Bitter taste before chill, bread tastes bitter.
Tongue brownish-yellow, whitish ; always clean.
Cylindrical contraction of tongue, which is spasmodically forced through lips.

Inner mouth

Much frothy saliva, with rattling phlegm on chest.
Breath foul. θ Intermittent.
Bleeding from mouth and nose.
Sensation of dryness and roughness of mouth, especially of palate.

Palate and throat

Frequent motion, as though swallowing something.
Inability to swallow, especially fluids.
Audible gurgling noise along œsophagus. θ Aphonia.
Is worse when swallowing, particularly drink.
Choreic movements extend to tongue, œsophagus and larynx, causing a clucking noise from throat to stomach, similar to that caused by water when poured from a bottle.

Appetite, thirst. desires, aversions

Little appetite. θ Bronchitis.
Unnatural hunger. θ Paraplegia.
Great hunger soon after a meal, with feeling of emptiness.
Thirst. θ Bronchitis. θ Intermittent.
Desire for bread.
Desires many and different things.
Child refuses to take mother's milk.

Eating and drinking

Shudders on drinking wine, as if it was vinegar or the strongest whisky.
Is worse from drinking quickly.
After eating or drinking, vomiting or diarrhœa.

Hiccough, belching, nausea and vomiting

Frequent hiccough, also during sleep. θ Hydrocephaloid.
Inclination to vomit, with a weak, hollow, empty feeling in head.
Nausea and vomiting. θ Intermittent.
Vomiting : of mucus ; and diarrhœa after drinking ; of lumbrici and ascarides ; of food and mucus ; during fever, with clean tongue ; of food and bile ; violent.
Vomiting during chill. θ Intermittent.
Vomiting precedes fever and heat, which are followed by a deep sleep. θ Amenorrhœa.

Scrobiculum and stomach

Pain in pericardial region, oppressing breathing.
Digging up pain in epigastrium, with a feeling of crawling of numberless worms.
Audible gurgling from throat into stomach when drinking.
Constant pressure in stomach at night, causing restlessness.
Gnawing sensation in stomach, as from hunger.
Pain or uneasiness below sternum, sometimes extending to navel ; < on rising in morning ; > after a meal.
Gastric disorders, with helminthiasis.

Abdomen and loins

Constant uneasiness below sternum, sometimes extending to navel ; < on rising in morning ; > from eating ; patient has grown thin and weak. θ Tapeworm.
Pinching, cramplike pressure, transversely across epigastric region, after a meal.
Cutting and pinching pain in abdomen from worms.
Boring pain above navel, passes off when pressing thereon.
Painful twisting about navel, pain also on pressing upon navel.
Pressing outward in belly.
Unpleasant sensation of warmth in abdomen.
Belly hard and distended ; painful on pressure. θ Helminthiasis.
Bloated abdomen, especially in children.
Feeling of emptiness in abdomen.
Child discharges worms ; picks nose or anus ; has a hacking cough ; continually making attempts at deglutition, as if to swallow something ; is very hard to please.
Pain in bowels, flashes of heat, constant motion of superficial cutaneous surface, restless sleep, moaning and starting.
Sufferings caused by worms.

Stools and rectum

Watery diarrhœa.
Involuntary diarrheic white stools. θ Intermittent.
Diarrhœa after drinking.
Stools : watery ; white ; white mucous, like little pieces of popped corn ; reddish mucous ; greenish slimy ; bloody involuntary ; frequent.
Discharges lumbrici and ascarides.
Diarrhœa with discharge of round worms.
Constipation. θ Bronchitis.
Stool rather hard and black.
Itching at anus.

Urinary organs

Enuresis. θ Scarlatina.
Frequent urging, with passage of much urine, all day.
Involuntary emission of urine at night, with worm symptoms and ravenous appetite.
Passes urine involuntarily ; is irritable and prostrated. θ After intermittent fever.
Urine copious and involuntary. θ Bronchitis.
Urine white and turbid, or white and jelly-like.
Urine turbid, becomes semisolid on standing. θ Intermittent fever.
Urine clear, or turns milky on standing. θ Chorea.

Male sexual organs

Bad effects from onanism. θ Weakness of sight. θ Chorea.

Female sexual organs

Menses too early and profuse.
Hemorrhage from uterus, particularly before the age of menstruation.

Pregnancy. parturition. lactation

Labor-like pains in abdomen, frequently recurring, as if menses would appear.
Child refuses breast.

Voice and larynx. trachea and bronchia

Attempting to talk causes a peculiar hoarse, soundless cough, with pain in larynx. θ Aphonia from exposure.
Hoarseness with much mucus in larynx and trachea.
Paralysis of vocal cords from catching cold, with twitching of right hand, and pectoralis major, constriction of right side of thorax and difficulty of breathing at every fit of coughing, followed by gurgling in œsophagus.
Great bronchial irritation of children, mucous rales in bronchi, moaning at night, frequent rubbing of nose.
Titillation low down in trachea, inducing cough.
Bronchitis : short, rapid respiration, rattling and coughing, very cross, obstinate and crying ; restless sleep, constantly broken by cough ; thirst, poor appetite ; urine copious and involuntary ; pulse 120 to 140 ; spasmodic
twitchings with threatening collapse ; pupils dilated ; gnashing of teeth ; deathly paleness.
Bronchial catarrh, with diarrhœa and helminthiasis.

Respiration

Very short breath, as if he had much mucus in chest, without being obliged to cough.
Very short breath, at times with interruptions.
Difficult, loud respiration.
Respiration accelerated, short and rattling, when coughing at short intervals could not raise mucus, and was nearly suffocated in consequence. θ Bronchitis.
Short moaning respiration with open mouth.
Respiration wheezing and panting.
While inspiring, a loud whistling whoop in trachea, not audible on expiration.
Inhalation broken into two. θ Hydrocephalus.
Oppression of chest, as from a cramplike, contracted sensation in chest ; sternum seems to lie too close and breathing becomes oppressed.
Suffocative attacks.

Cough

Fretting excites cough.
Paroxysm of violent cough from time to time.
Spasmodic, dry cough, returning periodically each Spring and Fall.
Violent, periodically recurring paroxysms of whooping cough, excited by sensation of a feather or down in throat, or by adherent mucus in larynx ; in morning without expectoration, in evening with difficult expectoration of white, occasionally blood-streaked mucus, which is
tasteless ; < in morning and in evening ; > during night ; < by drinking, walking in open air, pressing on larynx, lying on right side, in cold air, and when awaking from sleep.
Dry, spasmodic cough, with rigidity of body and unconsciousness. θ Whooping cough. θ Helminthiasis.
Dry cough, with sneezing, want of appetite and sleeplessness.
Gagging cough in morning, after rising ; irritation thereto (as from dust) is renewed by inspiration after a long interval.
Hoarse gagging cough, consisting of a few shocks, which is renewed only after long intervals, in evening.
Hacking cough, followed immediately by an effort to swallow something.
Short hacking cough at night.
Rattling cough in spells. θ Hydrocephaloid.
Cough < in evening. θ Hydrocephaloid.
Dry cough and sneezing ; baby would not nurse and cried when not coughing, with inappetency, sleeplessness and pains in throat.
Before coughing child raises herself suddenly, looks wildly about, the whole body becomes stiff, she loses consciousness, just as if she would have an epileptic spasm, then follows the cough.
After coughing, the child cries au! au! a noise like a gurgling going down is heard ; she is anxious, catches her breath, and becomes very pale in face ; paroxysms lasting two minutes.
Paroxysms of spasmodic cough at night, ending in spasms, throwing body of child backward so suddenly as to force child off nurse's lap ; ravenous appetite ; hard, distended abdomen ; picks nose ; stools of mucus and undigested food.
When coughing peculiar twitching of right hand.
Expectoration : whitish, slimy, rarely somewhat bloody, almost tasteless, detached with difficulty.
In morning, after rising, mucus hangs in larynx ; he is frequently obliged to hawk it up, after which it soon collects again.

Inner chest and lungs

Stitches in left side.
Burning stitches and soreness in chest.
Chest as if pressed together from both sides.
Chest seemed to be full of mucus, with coarse rales ; threatened collapse. θ Bronchitis.

Heart, pulse and circulation

Anguish about heart as though he had committed some evil deed, when working in open air.
Trembling beating of heart.
Pulse small, but hard and accelerated.
Pulse 136, intermitting every seventeenth beat. θ Scarlatina.

Outer chest

Two dull piercing stitches in quick succession near sternum, beneath clavicle, during a deep inspiration ; painful on pressure.
Right side of chest constricted, with difficult breathing. θ Aphonia.

Neck and back

Drawing-tearing pain along whole spine.
Tearing, jerking pains in middle of spine.
Fatigued pain in loins, as if he had stood a long time.
Bruised pain in small of back, not < by motion.
Lancinating in upper part of spinal column towards right scapula.

Upper limbs

Cramplike, drawing pains in arms and hands.
Boring, pinching pains in left upper arm, > by motion.
Sprained feeling in wrist joint.
Single, small, jerking stitches, now in right, again in left hand.
Spasmodic contraction of hand.
Peculiar twitching of right hand when coughing.
Weakness of hand ; he can hold nothing with it.
Twitching of fingers.

Lower limbs

Paralytic pain in left thigh, near knee.
Left leg semi-flexed, both upon itself and upon abdomen.
Rigidity of lower limbs ; spasmodic stretching and twitching of feet.
Sudden loss of use of lower limbs, with unnatural hunger.

Limbs in general

Twitching of limbs.
Jerking and distortion of limbs.
Pain in limbs. θ Intermittent.
Coldness of hands and feet with thirst.

Rest. position. motion

Lying on belly during sleep.
On lying on right side : cough <.
On lying down : dizziness and faintness.
On rising : dizziness and faintness ; pain or uneasiness below sternum, sometimes extending to navel.
On stooping : pain in head >.
Continually rolling over and about.
Motion : pain in arm >.

Nerves

Child is very weak, pale and sick ; constant restlessness ; children constantly turn and twist at night, call for water, and are ravenous for food.
Child tosses about uneasily, even while awake.
Oversensitiveness of whole body to touch.
Trembling of body, with shivering sensation, while yawning.
Twitching, jerking and distortion of limbs.
Spasmodic twitchings, with threatened collapse. θ Bronchitis.
The child gets perfectly rigid in every coughing spell.
General rigor of whole body, and loss of consciousness. θ Whooping cough.
Spasms of children, with throwing arms from side to side.
Convulsive attacks at night.
Convulsions of extensor muscles ; child becomes suddenly stiff ; there is a clucking noise, as though water was poured out of a bottle, from throat down to abdomen.
Worm spasms, the child stiffens out straight.
Epileptic attacks, especially at night.
Epileptiform convulsions, with consciousness.
Eclampsia, especially at night, with or without consciousness ; lying on back ; violent screams and violent jerks of hands and feet.
Chorea ; the distortions often commence with a shriek, extend to tongue, œsophagus and larynx, continue even through night ; from intestinal irritation.
Chorea complicated with worms.
Paraplegia, with unnatural hunger.

Sleep

Spasmodic yawning ; pains renewed by yawning which cannot be suppressed. θ Amenorrhœa.
Sleeps erect, with head leaned backward or to right side.
Child hangs its head to one side, is drowsy.
Sudden distressing cries in sleep. θ Hydrocephaloid.
Grinding of teeth during sleep.
Tossing about during sleep, with lamentations and cries about colic. θ Hydrocephaloid.
Restless sleep broken by cough. θ Bronchitis.
Lying on belly. θ Intermittent.
Awakes from sleep trembling and frightened, with screams, and will not be pacified. θ Intermittent.
Wakes in morning, restless and lamenting, in a start.
Cannot sleep ; when falling asleep, starts, screams, turns over, kicks off bedclothes. θ Hydrocephaloid.
Child never sleeps long at a time. θ Intermittent. θ Atrophy.
Sleeplessness, with restlessness, crying and lamentations.
During sleep hiccough.
Child will not sleep unless rocked, or kept in constant motion.
Heat < after sleep.

Time

In morning : sensitiveness of eyes ; dull headache ; pain in sternum < ; paroxysms of whooping cough, without expectoration ; paroxysms of whooping cough < ; after rising, gagging cough, mucus in larynx, wakes restless and lamenting, in a start.
From 9 A. M. till 1 P. M. : soreness in eyes, nose, forehead, temples and occiput.
At noon : fluent coryza ; chorea while at dinner.
During day : child is unwilling to play, sullen.
In evening ; child awakes frightened ; stoppage of nose ; paroxysm of whooping cough, with difficult expectoration ; paroxysm of whooping cough < ; hoarse, gagging cough ; cough < ; chill, with great paleness of face ; chorea.
At night : pain in eyes ; constant pressure in stomach ; involuntary emissions of urine, with worm symptoms and ravenous appetite ; moaning ; whooping cough > ; hacking cough ; spasmodic cough ; children constantly turn and twist, call for water, and
are ravenous for food ; convulsive attacks ; eclampsia ; restlessness ; chorea ; aggravation of symptoms.
Before midnight : child wakes up frightened.

Temperature and weather

Open air : cough and expectoration < ; anguish about heart when working in.
Warmth : does not > chill.
Cold air : teeth sensitive to ; cough < by.
Cold water : teeth sensitive to.

Fever

Before chill, hunger, vomiting of food, pain in limbs. θ Intermittent.
Chill, with shivering and shaking, even near a warm stove.
Chill ascends from upper part of body to head, or from back upward.
Chill without thirst.
Chill not relieved by external warmth, mostly in evening and with great paleness of face.
Chill in evening and fever all night (nursing children).
Chill, with thirst, face pale and cold ; hands warm ; nausea, or vomiting of bile or ingesta. θ Intermittent.
Chill followed by convulsions and high fever ; heat mostly in face and head ; pain in stomach and abdomen ; pupils enlarged ; rubbing of nose ; restlessness, with grinding of teeth ; sudden starts ; abdomen bloated. θ Helminthiasis.
Shivering creeping over trunk, so that he trembles even by a warm stove.
Chill in P. M., not > by heat ; heat is mainly in face ; vomiting during chill ; child pale and puny ; abdomen bloated ; breath foul ; an occasional thin, whitish diarrhœa ; rubbing of face, ears, nose, and perineum ; wetting bed ;
starting in sleep ; lying on belly ; restless at night, continually rolling over and about ; throws away everything given it and cries about nothing.
Febrile shivering over whole body, with hot cheeks, without thirst.
Rising heat and glowing redness of cheeks, without thirst, after sleep.
Fever : vomiting of food, followed by chill all over, and then heat with great thirst ; violent, with vomiting and diarrhœa ; daily at same hour ; chill, followed by heat without thirst.
After remittent fever excessive prostration, with irritability and involuntary urination.
After fever, hunger. θ Intermittent.
Daily fever at same hour, with very short breath.
Burning heat over whole face, with redness of cheeks and thirst for cold drinks.

Attacks, periodicity

Lasting two minutes : spasms in throat after coughing.
For an hour : chill.
All day : frequent urging, with passage of much urine.
All night : fever.
Through the night : chorea.
Each Spring and Fall : spasmodic dry cough.
Periodical : paroxysms of whooping cough ; daily fever.
Alternating : headache, with pain in abdomen.
Intermitting : pressure in head.

Locality and direction

Right : drawing pain in temple ; twitching of hand and pectoralis major ; constriction of side of thorax ; twitching of hand when coughing ; constriction of chest ; lancinating towards scapula ; small, jerking stitches in hand ;
twitching of hand when coughing.
Left : drawing in frontal eminence to root of nose ; soreness over and in eye ; in side of nose and forehead ; stitches in side ; pinching in upper arm ; small, jerking stitches in hand ; paralytic pain in thigh near knee ; leg semi-flexed both
upon itself and upon abdomen.
Backward : jerking of head ; spasms throw body of a child suddenly backward.

Sensations

As if brain pressed down on middle of vertex ; as if he saw objects through gauze ; as if sand had got into eyes ; as if both malar bones were pressed together with pincers ; as if sternum was lying too close and oppressed breathing ; as of feather or
down in throat ; as if chest was pressed together from both sides ; as if chest was full of mucus.
Pain : in chest and back ; in abdomen ; in eyes ; about umbilicus ; in forehead ; in pericardial region ; below sternum, sometimes extending to navel ; in bowels ; in larynx ; in throat ; in limbs ; in stomach and abdomen.
Dull twinges sometimes like a pinching, at others like a pressure, or a blow, or jerk, or again like an itching, at various places, but especially at posterior portion of crest of ilium, on hip ; the places are painful on pressure, as if sore or bruised.
Lancinating : in upper part of spinal column, towards right scapula.
Tearing : along whole spine ; in middle of spine.
Stitches : from upper orbital margin deep into brain ; below mastoid process ; in temples ; in left side ; in chest ; dull, piercing near sternum beneath clavicle ; now in r., again in left hand ; here and there in body.
Cutting : in abdomen.
Digging up pain : in epigastrium.
Boring : in ears ; above navel ; in left upper arm.
Gnawing : in stomach as from hunger.
Pinching : transversely across epigastric region ; in abdomen ; in left upper arm.
Burning : in nose ; in chest ; over whole face.
Bursting : in right temple on coughing.
Jerking : in external ear ; in middle of spine ; of limbs.
Twisting : about navel.
Drawing : in right temple ; along whole spine ; in arms and hands.
Constriction : right side of chest.
Contraction : in chest.
Labor-like pains : in abdomen.
Cramplike pains : in arms and hands.
Cramplike pressure : in abdomen ; in chest.
Pressure : in head as from a heavy weight ; in eyes as from sand ; in stomach ; transversely across epigastric region ; in belly outward.
Oppression : of chest.
Anguish : about heart.
Pulsation : of superciliary muscles.
Swashing : in forehead, when shaking head.
Aching : in eyes.
Bruised pain : in small of back.
Sprained feeling : in wrist joint.
Soreness : over and in left eye ; in left side of nose, forearm and temples to occiput ; in chest ; of body when touched, or when moving.
Shivering sensation : while yawning ; over trunk.
Creeping : over trunk.
Crawling as of numberless worms : in epigastrium.
Itching : in inner canthus ; of nose ; at anus.
Titillation : low down in trachea.
Uneasiness : below sternum, sometimes extending to navel.
Heaviness : of lids.
Fatigued pain : in loins as if he had stood a long time.
Confusion : of head.
Paralytic pain : in left thigh.
Stupefying pain : in forehead ; in occiput ; when walking in open air ; after eating ; after mental labor.
Weak feeling : in head.
Empty feeling : in head ; after a meal ; in abdomen.
Hollow feeling : in head.
Roughness : of mouth ; of palate.
Dryness : of mouth ; of palate.
Warmth : in abdomen.
Coldness : of hands and feet.

Tissues

Cachexia of helminthiasis.
Great emaciation from impaired nutrition.
Intestinal irritation affecting brain and other organs.
The voluntary muscular system is affected, paralytic sensations and partial temporary paralysis occur in extremities, complicated with convulsive muscular contraction, the co-ordinating power in abeyance. θ Chorea.
Abnormal sensitiveness of individual nervous filaments.
Hyperesthesia of laryngeal mucous membrane.
Reflex spasms in dominion of nervus vagus.

Touch. passive motion. injuries

Pressure : aggravates headache ; mastoid process feels as after a bruise or blow ; pain in malar bones < ; boring pain in navel < ; causes pain in navel ; belly painful to ; on larynx < cough ; sternum near clavicle painful on ; upon
previously affected parts reproduces paroxysms of chorea ; suffering renewed or aggravated by.
Child wants to be carried. θ Hydrocephaloid.
Touch : child cannot bear least ; cannot bear to have head touched ; oversensitiveness of whole body ; paroxysms of chorea reproduced by.
On taking hold of child : it cries piteously.
Child dislikes having head combed or brushed.
Can see better after rubbing eyes.
On wiping eyes : sensations as if looking through a gauze >.
Child must be rocked, carried or dandled on knee constantly, day and night ; will not sleep unless rocked or kept in constant motion.
When carried : child cries piteously.
Desire to remain perfectly still and in the dark. θ Intermittent.

Skin

Itching lessened or unchanged by scratching.
Furuncles or red pimples.
Ulcers with scanty discharge.
Rubbing of face, ears, nose and perineum.
Minor skin affections of infants and scrofulous children.

Relations

Antidoted by : Camphor., Capsic., Cinchon., Pip. nigr .
It antidotes ailments from Capsic., Cinchon., Mercur .
Compatible : after Droser . in pertussis ; after Ant. tart . in bronchitis.
Cina cured aphonia from exposure when Acon., Carb. veg., Phosphor . and Spongia had failed.
Compare : Ant. crud . and Ant. tart . (irritability of children ; will not be touched or looked at without crying) ; Cuprum (gurgling along œsophagus when swallowing
fluids) ; Digit . (white stools) ; the action of Santonine on eyes is comparable with that of Atropia and Digit .

Lectures on Homoeopathic Materia Medica

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

Lecture

Cina is pre-eminently a child's remedy, but it is suitable for conditions in adults that are seldom thought of. A marked feature running through is touchiness, mental and physical.

Child

The child wants something, but does not know what. The child is aggravated by touch and even by being looked at, and is worse from seeing strangers. The skin is sensitive to touch. The scalp and back of the neck, the shoulders and arms are so sensitive, that it is almost a soreness as if bruised. The hyperesthesia is both mental and physical. The old routine of giving Cina for worms need not go into your notes, for if you are guided by symptoms the patient will be cured and the worms will go.

This patient is disturbed by everything, worse after eating even a moderate meal. The child takes a moderate supper and dreams all night, jerks and twitches in sleep, rouses up in a fright, talks excitedly about what he has dreamed, thinks it is real, and sees dogs, phantoms, and frightful things lie has dreamed about.

The dream is prolonged into the wakeful hours. Screams and trembles, with much anxiety on waking; whines and complains. While this little patient is aggravated by being handled yet he wants to be carried and kept busy, like Chamomilla; although not so intensely irritable as that remedy, yet he must be carried. At first on taking him out of the crib he screams when taken bold of; the first touch aggravates.

This aggravation from touch and sensitiveness runs through the convulsions and fevers, with delirium, glassy eyes, drawn mouth and white ring around the nose and mouth. With a disordered stomach he has convulsions after eating, with the head drawn back and glassy eyes.

The stomach is sour and the child is always spitting up sour milk and belching sour wind. The child smells sour.

The mother says that

"Baby has a worm breath," but the same odor is present when there are no worms. In the convulsions there are loss of consciousness and frothing at the mouth.

Hallucinations of smell, sight and taste, in the delirious state, after taking cold, or on waking from sleep; wakes up with the delusion. Things taste and smell differently. The senses of taste and touch are exaggerated or perverted.

In some cases of internal hydrocephalus, not with enlarged skull but with increase of the fluid in the ventricles and central canal of the spinal cord, the patients take on Cina symptoms. Rolling of the head frequent headaches; sensitiveness to jar; cannot be touched or tapped along the spinal cord without headache always worse in the sun - the head is hot and the feet are cold in the sun.

Cina will cure some of these cases. They cannot stand any kind of disturbance; it produces a convulsion. They cannot be punished because they go into convulsions. If the iter a tertio ad quartum ventriculum is closed they will be incurable, the internal pressure will go on and they will die from it. Such congenital states are incurable.

Dull headache with sensitiveness of the eyes. Headache before and after epileptic attacks and after intermittents. Before and during the headache sensitiveness of the skull. Cina children cannot have the hair combed, and the Cina woman must have her hair down in head and nerve complaints.

There is coldness of the, extremities and also some itching of the skin, but the head symptoms are predominant. From slight disturbances of the mind he cannot digest, and he has diarrhoea. The complaints are aggravated in summer; the heat affects the brain, arrests his functions, and on comes diarrhoea with green, slimy stools or white stools, and the child vomits.

It is pre-eminently brain in Cina; the orders are not received from the brain and so stomach symptoms develop, and worms hatch out. If he is cured the healthy gastric juice will chase the worms out

The child turns his head from side to side.

The pains are sometimes better from turning the head from side to side. You will see this in sensitive women, who must have their hair down; rolling the head relieves, not shaking as in the text, that is too violent.

Eyes

All sorts of colors before the eyes. Objects look yellow. It is useful in sensitive women, sensitive nervous women, who are always worse from using the eyes, and get pain in the head and eyes from sewing. It is like Ruta in that respect, symptoms of eye-strain. It is not so much indicated in young people but more when presbyopla is beginning in middle-aged women, and there is the effort to strain the eyes on fine work or print.

Rubs the eyes and can then see more clearly. On rising from the bed blackness before the eyes; different colors, especially yellow. Strabismus when worms are present, depending really on brain trouble because the worms are dependent upon that.

Face

Face sunken, pallid, wings of nose drawn in. Blue ring or gray streak around the mouth.

"A sure sign of worms," the mother says.

Child rubs its nose with the hands or on the pillow or on the nurse's, shoulder. Child bores into the nose until the blood come. The sickly aspect is striking, but it is representative of brain trouble, central trouble. The brain symptoms are the highest and most important. It frightened, whipped, or scolded, the brain is disturbed and the stomach disordered.

They get indigestion and breed worms; white or blue appearance about the mouth, grinding of the teeth during sleep. Before the child has teeth it has a chewing motion, a side to side movement. Sensitiveness of the teeth to the cold air and cold water.

Bleeding from the mouth, and nose. Inability to swallow liquids; they gurgle down the oesophagus before and after convulsions. When the head symptoms are present, the milk or water gurgles down the oesophagus with a gurgling cluck. This is present in diarrhoea and vomiting with brain symptoms.

Ars. and Cupr. are also prominent in gurgling down the oesophagus when swallowing. Choreic movements extend to the tongue.

The child or adult is not relieved by eating, is still hungry. The stomach is loaded and yet he is hungry. After vomiting you would expect there would be, an aversion to food, but there is in Cina, the same empty, hungry feeling.

When there is gnawing in the stomach after eating, or when the child has taken all it can hold yet cries for the bottle, or empties its stomach by spitting up and vomiting the food and then reaches out whining and crying for more, think of Cina. Shuddering when drinking wine as if it were vinegar.

Abdomen bard and bloated. Very often the Cina child will flop over on its belly and get to sleep in that way. If it is turned on the side it wakes up again. While in the mother's arms it will go to sleep with the abdomen resting on the mother's shoulder, but when she puts it on the side in bed it wakens.

If you had a child with copious, gushing, violently foetid stool, ameliorated by lying on the abdomen, and it would have another stool if lying any other way, Podoph. would be the remedy. That would not be Cina. The Cina stool is not very copious, and often white.

Gagging cough in the morning. Short, hacking cough at night. Spasmodic cough. Whooping cough.

Oversensitiveness to touch; trembling, spasms, chorea. Spasmodic yawning. Child cannot sleep unless on the belly or in constant motion.

The Therapeutics of Fevers

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

Characteristic

Adapted to the child with dark hair; very cross, irritable, ill-humored; wants to be carried, but carrying gives no relief; does not want to be touched; cannot bear you to come near it; averse to caresses; desires many things but rejects everything offered (Ant. t., Bry., Cham., Staph.); uneasy, distressed; rubs or picks the nose all the time (Arum t.); pitiful weeping when awake; starts and screams during sleep; suffers from worms.

Face is pale; sickly appearance around mouth and eyes; dark rings around the eyes; one cheek red the other pale (Cham.).

Canine hunger; hungry soon after a full meal; craves sweets, and many different things.

Child is afraid to speak or move for fear of bringing on a paroxysm of cough (Bry.).

Urine; turbid when passed, turns milky and semi-solid after standing; white and turbid; involuntary.

Intermittents of nervous, weekly, scrofulous children.

Aggravation

At night.

Type

Quotidian; quartan; tertian; regular; periodicity pronounced; continued fevers of children.

Time

1 P. M., afternoon or evening. At same hour every day (Aran., Ced.). Evening; fever lasting all night (nursing children).

Daily fever (without chill) at same hour.

Cause

Intestinal worms; eating sweets and pastry.

Prodrome

Ravenous hunger, nausea, vomiting of food, and diarrhœa, and vomiting of bile (when the stomach is empty); pale face, with blue margins around the eyes.

Chill

Without thirst. Febrile shuddering over the whole body, with hot cheeks, without thirst. Chill extends from upper part of body to head, even by the warm stove. Shivering-creeping over the trunk, so that he trembles even by a warm stove, not $>$ by external warmth (chill $<$ by external heat, Ipec.) Coldness of the pale face, with warm hands; cold face; cold cheeks; cold sweat on forehead, nose and hands. Evening paroxysm of nursing children, heat with hunger and thirst continue all night. Chilliness down the spine. Vomiting.

Chill, followed by convulsions and high fever.

"Predominance of coldness, with cold sweat and continued hunger."—J. S. DOUGLAS.

Heat

With thirst; mostly in face and head (with red face and bursting headache, Bell.); face puffed, pale especially around the mouth and nose, with red cheeks; picks and bores in the nose with the fingers; rubs the eyes; restless sleep; starts and screams as if frightened; pupils dilated. Rising heat and glowing redness of the cheeks, without thirst, after sleep. Burning heat over the whole face, with redness of the cheeks, and thirst for cold drinks. Daily fever at same hour, with very short breath. Fever daily in the afternoon. Violent fever, with vomiting and diarrhœa (Ver.—see Elat.). Fever; vomiting of food, followed by chill all over, and then heat with great thirst. Canine hunger. Heat worse at night; with thirst; with anxiety. Picking finger ends.

Sweat

Without thirst; generally light; cold sweat on the forehead, around the nose and on the hands. After the sweat, vomiting of food and canine hunger, at the same time (hunger after paroxysm, Eup.).

Tongue

Always clean (Chin. s., Psor., Sul.).

Apyrexia

Never clear. Hunger even in this stage, though not so marked, or so constant. The child had a craving appetite for some time previous to fever, then loss of appetite and desire only for dainties, with vomiting and whitish diarrhœa. General "worm symptoms" predominate; restless, frightened sleep; urine turbid, turns milky and semi-solid after standing.

The vomiting during prodrome, often during and always after the paroxysm, succeeded by canine hunger with clean tongue, should always call attention to Cina.

In Antimonium crud. the same condition may be present but the tongue is covered with a thick, whitish coating.

In Ipecacuanha the tongue is sometimes clean, but there is nausea, and the vomiting predominates over the diarrhœa.

The prostration of Veratrum is wanting, and the mental symptoms are entirely different.

"The child is very whining, peevish and complaining; weeps piteously if one goes to handle or lead him. Great earnestness and sensitiveness; cannot take a joke. Indifference to all impressions.

Restlessness. Greediness. Cannot be composed by things at other times agreeable, or by caresses."—CARROLL DUNHAM.

"Cina is frequently the epidemic remedy for children when adults require other drugs. Is always to be thought of in patients between two and ten years of age."—A. McNEIL.

Analysis

Canine hunger; the sickly bluish-white circles around mouth; the mental irritability; peevish, whining, com- plaining children; general "worm symptoms."

Craves sweets; too serious or sensitive for joking.