Conium Maculatum con.

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. MUSCLES. GLANDS: MAMMÆ. Ovaries. Sexual organs. Respiration.

Worse

SEEING MOVING OBJECTS. ALCOHOL. Raising arms. After exertion. Injury. Night. Sexual excesses. Cold; taking. Continence. Old age. Lying; head low.

Better

Letting part hang down.

General

Irregular action ending in progressive DEBILITY, as in old age: clothes distress, faints at stool, difficult articulation, uncertain gait, etc. Trembling; looks old. Chronicity. Early senility. Cachexy. Paralysis. Suddenly sick or weak; with numbness. STONY HARDNESS. As of a lump in brain, in epigastrium. New growths. Hard blood-vessels. Ascending symptoms. Tearings. Stabbings.

Particulars

Slow. Apathetic. Shy people, yet fear being alone. Weak memory. Can't think after using eyes. VERTIGO, whirling; on lying, turning over, least motion of eyes or head, etc.; senile. Eyes feel crossed; lids heavy, droop, < outer side. Photophobia. Vision, colored. Pulpy earwax. Sour saliva. Cold flatus. Constipation on alternate days. Urine stops and starts; > standing. Testes enlarged. Cutting, as semen passes; in ovaries, uterus, etc. Prostatic dribble; < stool, emotions, etc. Emissions, from mere contact. Menses irregular. Acrid leucorrhœa. Tormenting cough from dry spot in larynx; from tickling in throat-pit; as if from abdomen. Palpitation; < exertion, drinking, at stool, etc. GLANDS HARDEN AND GET SORE. Mammæ; nodes in; congested before menses; sticking in; shrunken; too much milk, < before menses or at every step. Hot spots on head. Spinal injuries. Heels; as if bone would push through; shooting in. Skin greenish, like an old bruise; spots on; foul or eczematous eruption. Hebetude. Coldness in nape, calf, etc. Hot flushes or sweat on dropping to sleep. Sweat under eyes, on chin, in popliteæ; cold on nape or palms.

Related

Complementary: Pho. Related: Arn. Bar-c. Calc-fl. Caus. Gel. Iod.

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

The "Balm of Gilead" for diseases of old maids and women during and after climacteric. Especially for diseases of old men; old maids; old bachelors; with rigid muscular fibre; persons with light hair who are easily excited; strong persons of sedentary habits. Debility of old people; complaints caused by a blow or fall; cancerous and scrofulous persons with enlarged glands; rigid fibre. No inclination for business or study; indolent, indifferent, takes no interest in anything. Memory weak, unable to sustain any mental effort. Morose; easily vexed; domineering, quarrelsome, scolds, will not bear contradiction (Aur.); excitement of any kind causes mental depression. Dreads being alone, yet avoids society (Kali c., Lyc.). Glandular induration of stony hardness; of mammae and testicles in persons of cancerous tendency; after bruises and injuries of glands (compare, Aster. rub.). Breasts sore, hard and painful before and during menstruation (Lac c., Kali c.). Vertigo: especially when lying down or turning in bed; moving the head slightly, or even the eyes; must keep the head perfectly still; on turning the head to the left (Col.); of old people; with ovarian and uterine complaints. Cough: in spasmodic paroxysms caused by dry spot in larynx (in throat, Act.); with itching in chest and throat (Iod.); worse at night, when lying down, and during pregnancy (Caust., Kali br.). Great difficulty in voiding urine; flow intermits, then flows again; prostratic or uterine affections. Menses: feeble, suppressed; too late, scanty, of short duration; with rash of small red pimples over body which ceases with the flow (Dul.); stopped by taking cold; by putting hands in cold water (Lac d.). Leucorrhoea: ten days after menses (Bor., Bov.); acrid; bloody; milky; profuse; thick; intermits. Bad effects: of suppressed sexual desire, or suppressed menses; non-gratification of sexual instinct, or from excessive indulgence. Aversion to light without inflammation of eyes; worse from using eyes in artificial light; often the students' remedy for night work; intense photophobia (Psor.). Sweat day and night, as soon as one sleeps, or even when closing the eyes (Cinch.).

Relations

Patients requiring Conium often improve from wine or stimulants, though persons susceptible to Conium cannot take alcoholic stimulants when in health. Compare: Arn., Rhus in contusions; Ars., Aster, in cancer; Cal., Psor. in glandular swellings. Is followed well: by, Psor. in tumors of mammae with threatening malignancy.

Aggravation

At night; lying down; turning or rising up, in bed; celibacy.

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

This remedy is characterized by a great dizziness brought on when lying down, and moving the head ever so slightly, or even the eyes--all the contents of the room appearing to whirl around; patient wishes to keep the head perfectly still. In urinating, the water flows at first in a full stream, then stops, flows again, stops, etc. Acts better on females. Old contusions or sprains.

Eyes

Affects the cornea; blindness; paralysis of the optic nerve, amaurosis; dimsightedness.

Glands

Pain in, as from contusion; wasting away of; itching of; induration of; sensibility of; hard swelling of; tingling in; wounds with injured glands.

Skin

Yellow skin as in jaundice. Ulcers cancerous; scabby, destitute of feeling; with tight, tense feeling; speckled. Scurfy exanthema. Polypus. Greenish mortification. Tetters in general; scurfy. Want of action of the skin.

Sexual

Male: Impotence; weakness of the sexual powers. Female: Menses suppressed; too late; too scanty. Affections of the mammæ, where they are very hard, especially if they have been bruised a long time ago, or recently.

Sensations

Heartburn; e.g., in pregnant women, where an excessive heartburn comes on when going to bed at night. Attacks of sick feeling. Sensation as if a hoop, band, or something tight was around the parts; deficiency of irritability of the body, i.e., the body has very little sensation. Darting from within outward, in the bones; tension in inner parts, also in outer parts; pricking in the bones.

Urine

Discharge of the urine interrupted; burning, during and after; sharp stitches; with crampy pressure; mucous sediment.

Generalities

Obstruction of the ears. Face bluish; reddish-yellow. Eructations. Nasal secretion purulent; expectoration purulent; hysterics, hysteric spasms; jaundice; painless paralysis; inclination to sit down; yellow nails. Stupor-like sleep in the morning; sleep in the morning not refreshing; stupor-like sleep generally.

Worse

During and after eating; in the night (as cough coming on at night, or a pain, and lasting all night, disappearing during the day); from injuries of the glands; lifting the arm; lifting the parts affected; from light of lamp; light of day; sunlight; looking around (vertigo); on beginning to move; from milk; on rising from the bed, or from a seat; from rubbing; in snow air; while standing; from stepping heavily on the ground or floor; on beginning to walk; from surgical injuries in general; from suppressed menstruation; while lying down; from masturbation; while resting.

Better

From moving; in the dark; while fasting before breakfast; from letting the limb hang down; from continued moving; from pressure without; on sitting down; walking with the body bent forward; when walking.

Remedies following

Bellad., Lycop., Phosphor., Pulsat., Nux vom., Rhus tox., Stramon., Sulphur.

Antidotes

Spirits of Nitre, Dulcam.

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

Vertigo, particularly when lying down or when turning over in bed. Sensation as of a large foreign body in right half of brain. Weakness and dazzling of the eyes, together with giddiness and debility, especially of arms and legs; staggers as if drunk. Violent vomiting that looks like coffee grounds. Stitches extending from the abdomen to the right side of the chest. The flow of urine suddenly stops, and continues again after a short interruption. Sexual desire without erections. Swelling and induration of the testes. Soreness and swelling of the breasts preceding the menses. Shriveling of the mammas, with increased sexual desire. Induration of mammae, uterus or ovaries, with lancinating pain. Violent, dry, spasmodic cough, when first lying during day or at night, caused by itching and crawling in the larynx. Bad effects from suppressed sexual desire, or from excessive indulgence. Adapted to the debility of old persons, to diseases caused by a blow or fall, and to cancerous and scrofulous persons, with tight, rigid fibre.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Poison Hemlock (CONIUM)

General

An old remedy, rendered classical by Plato's graphic description of its employment in the death of Socrates. The ascending paralysis it produces, ending in death by failure of respiration, shows the ultimate tendency of many symptoms produced in the provings, for which Conium is an excellent remedy, such as difficult gait, trembling, sudden loss of strength while walking, painful stiffness of legs. etc. Such a condition is often found in old age, a time of weakness, languor, local congestions, and sluggishness. This is the special environment that Conium choose to manifest its action. It corresponds to the debility, hypochondriasis, urinary troubles, weakened memory, sexual debility found here. Trouble at the change of life, old and bachelors. Growth of tumors invite it also. General feeling as if bruised by blows. Great debility in the morning in bed. Weakness of body and mind, trembling, and palpitation. Cancerous diathesis. Arterio-sclerosis. Caries of sternum. Enlarged glands. Acts on the glandular system, engorging and indurating it, altering its structure like scrofulous and cancerous conditions. Tonic after grippe. Insomnia of multiple neuritis.

Mind

Excitement causes mental depression. Depressed, timid, averse to society, and afraid of being alone. No inclination for business or study; takes no interest in anything. Memory weak; unable to sustain 'any mental effort.

Head

Vertigo, when lying down, and when turning over in bed, when turning head sidewise, or turning eyes; worse, shaking head, slight noise or conversation of others, especially towards the left. Headache, stupefying, with nausea and vomiting of mucus, with a feeling as of foreign body under the skull. Scorched feeling on top. Tightness as if both temples were compressed; worse after a meal. (Gels.; Atropine.) Bruised, semilateral pains. Dull occipital pain on rising in morning.

Eyes

Photophobia and excessive lachrymation. Corneal pustules. Dim-sighted; worse, artificial light. On closing eyes, he sweats. Paralysis of ocular muscles. (Caust.) In superficial inflammations, as in phlyctenular conjunctivitis and keratitis. The slightest ulceration or abrasion will cause the intensest photophobia.

Ears

Defective hearing; discharge from ear blood colored.

Nose

Bleeds easily-becomes sore. Polypus.

Stomach

Soreness about the root of tongue. Terrible nausea, acrid heartburn and acid eructations; worse on going to bed. Painful spasms of the stomach. Amelioration from eating and aggravation a few hours after meals; acidity and burning; painful spot the level of the sternum.

Abdomen

Severe aching in and around the liver. Chronic jaundice, and pains in right hypochondrium. Sensitive, bruised, swollen, knife-like pains. Painful tightness.

Stool

Frequent urging; hard, with tenesmus. Tremulous weakness after every stool. (Verat.; Ars.; Arg. n.) Heat and burning in rectum during stool.

Urine

Much difficulty in voiding. It flows and stops again. (Ledum.) Interrupted discharge. (Clematis.) Dribbling in old men. (Copaiva.)

Male

Desire increased; power decreased. Sexual nervousness, with feeble erection. Effects of suppressed sexual appetite. Testicles hard and enlarged.

Female

Dysmenorrhœa, with drawing-down thighs. Mammæ lax and shrunken, hard, painful to touch. Stitches in nipples. Wants to press breast hard with hand. Menses delayed and scanty; parts sensitive. Breasts enlarge and become painful before and during menses. (Calc. c.; Lac can.) Rash before menses. Itching around pudenda. Unready conception. Induration of os and cervix. Ovaritis; ovary enlarged, indurated; lancinating pain. Ill effects of repressed sexual desire or suppressed menses, or from excessive indulgence. Leucorrhœa after micturition.

Respiratory

Dry cough, almost continuous, hacking; worse, evening and at night; caused by dry spot in larynx with itching in chest and throat, when lying down, talking or laughing, and during pregnancy. Expectoration only after long coughing. Want of breath on taking the least exercise; oppressed breathing, constriction of chest; pains in chest.

Back

Dorsal pain between shoulders. Ill effects of bruises and shocks to spine. Coccyodynia. Dull aching in lumbar and sacral region.

Extremities

Heavy, weary, paralyzed; trembling; bands unsteady; fingers and toes numb. Muscular weakness, especially of lower extremities. Perspiration of hands. Putting feet on chair relieves pain.

Skin

Axillary glands pain, with numb feeling down arm. Induration after contusions. Yellow skin, with papular eruption; yellow finger-nails. Glands enlarged and indurated, also mesenteric. Flying stitches through the glands. Tumors, piercing pains; worse, at night. Chronic ulcers with fetid discharge. Sweat as soon as one sleeps, or even when closing eyes. Night and morning sweat, with offensive odor, and smarting in skin.

Modalities

Worse, lying down, turning or rising in bed; celibacy; before and during menses, from taking cold, bodily or mental exertion. Better, while fasting, in the dark, from letting limbs hang down, motion and pressure.

Relationship

Compare: Scirrhinum-Cancer nosode- (cancerous diathesis; enlarged glands; cancer of breast; worms); Baryt.; Hydrast.; Iod.; Kali phos.; Hyos.; Curare.

Dose

Best in higher potencies given infrequently, especially for growths, paretic states, etc. Otherwise sixth to thirtieth.

Leaders in Homoeopathic Therapeutics

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

Leaders

Vertigo, especially < on turning the head, or looking around sidewise, or turning in bed.

Swelling and induration of glands, after contusions or bruises.

Cancerous and scrofulous persons with enlarged glands.

Urine flows, stops and flows again intermittently, prostatic or uterine affections.

Breasts sore, hard and painful during menstrual period.

This is another of the so-called spinal remedies. I will not, as I did under Cocculus quote what authorities say from a pathological standpoint. All seem to agree that it paralyzes from below upwards, and the poisoning of Socrates with it is adduced in illustration. It ought to be a remedy for locomotor ataxia The strongest characteristic I know, from a homœopathic standpoint, it its peculiar vertigo, which is much aggravated by turning the head sidewise. (Coloc., turning head to left). Turning over in bed is the same. Some say lying down in bed and turning over. I have found that it is not so much the lying down as it is the turning of the head sidewise, whether in an upright or horizontal posture.

I once treated a case of what seemed to be locomotor ataxia with this remedy.

The patient had been slowly losing the use of his legs; could not stand at the dark; and when he walked along the street would make his wife walk either ahead of him, or behind him, for the act of looking sidewise at her or in the least turning head or eyes that way would cause him to stagger or fall.

Conium cured him. It would always aggravate at first, but he would greatly improve after stopping the remedy. The aggravation was just as invariable after taking a dose of Fincke's c. m. potency as from anything lower, but the improvement lasted longer after it.

Taking an occasional dose from a week to four weeks apart completely cured him in about a year. It was a bad case, of years' standing, before I took him.

I have often verified this symptom in the vertigo of old people, where it is most frequently found; but it also often accompanies various affections in all ages, and especially is found in ovarian and uterine affections. I know of no remedy that has this symptom so strongly.

There is a form of ophthalmia in strumous subjects which calls for Conium in preference to any other remedy, and the peculiar, prominent and uncommon (as Hahnemann says, Organon, § 153) symptom is, photophobia, intense, out of all proportion to the objective signs of inflammation in the eye. The pains are worse at night and terribly aggravated by the least ray of light, relieved in dark room and by pressure.

There may or may not be ulcers on the cornea. Conium is also one of our best remedies for falling of the eyelids, as are three other remedies, viz: Gelsemium, Causticum and Sepia. "Swelling and induration of glands, with tingling and stitches after contusions or bruises." Many cases of lumps or swellings in the breasts (for which Conium seems to have a particular affinity) have disappeared under the action of this remedy. Even cancerous affections of breasts (Asterias rubens), uterus and stomach have been helped or cured, especially if the trouble seems to have originated in a blow or injury to the part. It is perhaps the first remedy to be thought of in all cases of tumors, scirrhous or otherwise, coming on after contusions, especially if they are of stony hardness and heavy feeling. Conium and Silicea both have hardness of mammæ, Conium right, Silicea left nodules (Carbo animalis, Conium, Silicea); acute lancinating pains. (Asterias). Again it is to be especially considered if at every menstrual period the breasts become large, sore and painful, aggravated by the least jar or walking.

In all the scirrhous affections of the breast, womb or other parts the pains of Conium are burning, stinging, or darting, and may make one think of Apis mellifica. The other symptoms must then decide between them.

Conium has marked action upon the sexual organs. In the male there is great weakness of the organs. He has intense desire and amorous thoughts, but is unable to perform. He has emissions at the very thought or presence of a woman. The erections are insufficient, last only a short time, or "go back" on him in the act of embrace, and he suffers with weakness and chagrin afterwards. This affects the mind and hypochondriasis of the bluest blue takes possession of him.

This condition of mind may obtain in both sexes; as a result of too free, and also especially too infrequent indulgence; or, excessive abstemiousness. Hence Conium becomes a good remedy for old bachelors and old maids. If the vertigo is also present in such cases Conium is sure to be of great benefit.

Intermittent flow of urine is very characteristic (Clematis). One might think that this was owing to a paralytic condition of the bladder. I don't know; but I do know that the symptom often occurs in the hypertrophy of the prostate gland incident to old age and Conium helps. "Sweats day or night; as soon as one sleeps or even when closing the eyes," is a characteristic found under no other remedy that I know of. (Reverse Sambucus).

Dr. Adolph Lippe once made a splendid cure of complete one-sided paralysis in a man 80 years of age with this remedy, and was guided to it by this symptom. I think it would be rather a difficult task to give a correct pathological explanation of such a symptom; but there is a reason, and whether we can give it or not we can cure it if we have a corresponding one appearing under a remedy; where a cure is at all possible.

It is interesting to follow out the connections of symptoms.

Take for instance the single prominent symptom of Conium, vertigo.

Vertigo on turning the head, Con., Calc. ost., Kali c.

Vertigo on moving the head, Bry., Calc. ost., Con.

Vertigo on looking up, Puls., Silic.

Vertigo on looking down, Phos., Spig., Sulph.

Vertigo from odor of flowers, Nux v., Phos.

Vertigo on watching, or loss of sleep, Cocc., Nux vom.

Vertigo on the least noise, Therid.

Vertigo while walking, Nat. m., Nux v., Phos., Puls.

Vertigo while studying, Nat. m.

Vertigo while or after eating, Grat., Nux v., Puls.

Vertigo as if whirling, Bry. Con., Cyclam., Puls.

Vertigo as if the bed turned, Con.

Vertigo with fainting, Nux vom.

Vertigo with staggering, Arg. nit., Gels., Nux v., Phos.

Vertigo with eyes closed, or in dark, Arg. n., Stram., Therid.

Vertigo with dimness of sight, Cyclam., Gels., Nux v.

Vertigo when rising from seat, Bry., Phos.

Vertigo when rising from stooping, Bellad.

Vertigo when rising from bed., Bry., Chel., Cocc.

Vertigo when stooping, Bell., Nux, Puls., Sulph.

Vertigo when ascending, Calc. ost.

Vertigo when descending, Borax, Ferrum.

Vertigo when lying, Con.

Vertigo must lie down, Bry., Cocc., Phos., Puls.

Vertigo occipital, Gels., Sil., Petrol.

Vertigo after sleep, Lach.

Vertigo after suppressed menses, Cyclam., Puls.

A good understanding of such connection often starts the prescriber in the "short cut" route to the remedy in a case.

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

Hypochondria and hysteria from suppression of, or from too free an indulgence in, the sexual instinct, with low spiritedness, anxiousness and sadness. Forgetfulness ; excessive difficulty of recollecting things. Dread of men when they approach him ; nevertheless he dreads being alone. Inclination to start, as with fright. Want of disposition to work.

Head

Giddiness when looking around. Intoxication from the smallest quantity of stimulus ; even wine and water in small quantities intoxicates him. Apoplexy with paralysis (in old people). Stupefying headache, first in the forepart of the head, later in the back part, with coryza ; worse in the open air ; relieved on stooping and moving the head. Tearing in the temples and sides of the head, with the sensation as if the brain were gone to sleep ; worse from contact, motion, and after eating ; better in a recumbent position, or while stooping. Lancinating pain, especially in the vertex. Sensation of a great lump in the brain. One-sided headache, with nausea. Headache caused by too small but frequent stools, with tenesmus. Hydrocephalus ; the pains are aggravated when awaking, after eating, in the open air ; ameliorated on external pressure, on lying down, and on closing the eyes.

Eyes

Sensation of coldness or burning of the eyes in the open air. Aversion to light, inflammation of the eyes. Cataract from contusion. Yellowish color of the eyes. Things look red. Shortsightedness.

Ears

Stitches in and around the em. Accumulation of ear-wax looking like decayed paper or blood-red ; hardness of hearing, ceasing when the wax is removed and returning with the wax. Great and painful sensitiveness of hearing. Roaring and humming in ears. Induration of the parotid gland.

Nose

Excessively acute smell. Purulent discharge from the nose. Frequent bleeding from the now (when sneezing). Sickly and pale complexion ; purple bloated face. Heat in the face. Stinging, tearing faceache (at night). Moist and spreading herpes in the face. Cancer of the lips (from the pressure of the pipe). Dry and scaly lips.

Mouth and Throat

Drawing, Extending from the jaws to the ears and heed. Gnashing of the teeth. Toothache in a hollow tooth when eating anything cold. Gums swollen, blue-red, bleed readily. Stiff, swollen, painful tongue ; dry tongue. Involuntary deglutition, especially when walking in the wind. Violent ptyalism. Pressure in the œsophagus, as if a round body (globus hystericus) were ascending from the stomach. Spasmodic constriction of the throat.

Stomach and Abdomen

Nausea as soon as food is taken. Nausea and vomiting during pregnancy. Great desire for coffee, for salt food and acids. After taking milk sensation of inflation of the abdomen. Suppressed eructations, with subsequent pain in the stomach. Sensation of soreness and rawness of the stomach and of the abdomen when walking on the stones. Spasmodic pains in the stomach. Hardness of the abdomen from swelling of the mesenteric glands. Lancinations in the abdomen, as if knives were plunged in ; stitches in the spleen. Emission of cold flatulence ; rumbling and grumbling in the abdomen.

Stool and Anus

Constipation, with ineffectual desire for stool ; constant urging, without stool. Hard stool, with tenesmus (headache ; discharge of prostatic fluid). During stool burning in the rectum. After stool tremulous weakness. Frequent stitches in the anus. Heat in the lower part of the rectum. Diarrhœa ; stools undigested, with colic ; very debilitating. Involuntary discharge of fæces during sleep.

Urinary Organs

Strangury. The flow of urine suddenly stops, and continues after a short interruption. Urine thick, white and turbid ; bloody. Diabetes, accompanied by great pain. While urinating, cutting pain in the urethra. After urinating, burning in the urethra (in the morning) ; pressure in the neck of the bladder, with stitches ; worse when walking, better when sitting. Pressure on the bladder. Frequent micturition, during the night ; the urine cannot be retained.

Sexual Organs

Men. Impotence ; insufficient erections. Excessive pollutions. Discharge of prostatic juice, while expelling the fæces, during every emotion. Swelling of the testes (after contusion). Women. Menstruation too early and too scanty. Painful abdominal spasms during the menses. Suppressed menstruation (with barrenness). Acrid burning leucorrhœa, preceded by pinching pains in the abdomen. Inflammation of the mammæ, with stitches ; scirrhus of the mamma after contusion.

Respiratory Organs

Shortness of breathing when walking ; suffocative attacks ; oppressed breathing, in the morning, when waking. Stitches in the chest (sternum). Violent spasmodic nightly cough (hooping-cough), caused by itching in the chest and throat, or from a small dry spot in the larynx, without expectoration at night, and difficult, bloody, purulent, offensive expectoration during the day. Cough during pregnancy. Aggravation at night, when lying down ; from acids and salt food. Cough relieves the tightness of the chest. Arouse cough, with inability to expectorate ; he must swallow what he coughs up. Cough, with pain in the abdomen.

Back and Neck

Pain, as from a sprain in the left side of the back and neck.

Extremities

Upper. Humid letters on the forepart of the arms. The shoulder feels as if bruised and sore. Cracking in the wrist joint. Lower. Red spots on the calves, which turn yellow or green, as from contusion, preventing movement. Cracking of the knee joint. From a slight exposure of the feet he catches cold.

Generalities

Sensation of debility in the morning, in bed. Sudden loss of strength while walking. Hysterical and hypochondriacal attacks.

Sleep

Sleepiness in the daytime and early in the evening.

Fever

Pulse irregular ; generally slow and full, alternating with small and frequent heats. Coldness and chilliness in the morning and forenoon. Chilliness, with desire for heat, especially the sunshine. Heat internally and externally, with great nervousness. Heat, with profuse perspiration. Perspiration day and night, as soon as one closes the eyes and goes to sleep. Perspiration at night and in the morning, smelling offensively, and causing biting on the skin.

Skin

Swelling of the glands, with tingling and stitches after contusions and bruises. Humid tetters. Blackish ulcers, with bloody, fœtid, ichorous discharges, especially after contusions. Petechiæ (in old persons). Urticaria, from violent bodily exercise.

Conditions

Especially suitable for old men. Most symptoms appear while at rest, especially at night and in periodical attacks ; some, when walking in the open air. Bad effects from suppressed sexual desire, or from excessive indulgence. The glands are much affected by contusions and bruises ; hard swelling. Aggravation, during eating, while standing, while lying down (cough), while at rest, when lifting the affected part, from masturbation. Amelioration in the dark ; from letting the affected limb hang down, from moving, when walking.

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

Conium Maculatum. Poison Hemlock. N. O. Umbelliferæ. Tincture of fresh plant in flower.

Clinical

Asthma. Bladder, inflammation of. Breast, affections of ; painful. Bronchitis. Bruises. Cancer. Cataract . Chorea. Cough. Depression of spirits . Diphtheritic paralysis. Dysmenia (membranous). Erysipelas. Eyes, affections of . Galactorrhœa. Herpes. Hypochondriasis . Jaundice. Liver, enlarged. Melancholia. Menstruation, disordered. Numbness. Ovaries, affections of. Paralysis ; Landry's. Peritonitis. Phthisis. Pregnancy, painful breasts during. Prostatitis. Ptoses. Scrofula. Spermatorrhœa. Sterility . Stomach, affections of. Testicles, affections of . Tetters. Trismus. Tumours. Ulcers. Vertigo . Vision, disordered. Wens .

Characteristics

According to Hahnemann Con . is one of those drugs of which it is exceedingly difficult to distinguish the primary and secondary effects. He thinks, nevertheless, that the primary action is one of "rigidity, condensation, and constriction of the fibres, with swelling of the glands and diminution of the senses." In this Teste concurs, adding that the action is primarily inflammatory, and that this accounts for its suitability for "persons of a lively, quick, sanguine disposition, with a marked development of the glandular system;" and explains why it is characteristically adapted to painful glandular affections, "principally such as result from a strain or blow, but the precise cause of which may have escaped our recollection." Teste places Con . at the head of the analogues of Acon . It is to the glands and capillary system what Acon . is to the heart and arterial system. In many cases Con . may be regarded as the " Aconite of chronic diseases ." The other Aconite analogues, according to this author, are Cham., Seneg., Canth ., and Phos. ac. Con . corresponds to chronic or subacute inflammation with sanguineous engorgement of the parenchyma, induration, and even subsequent ulceration of the tissues. Thuja represents the slow and progressive hypertrophy of certain tissues, certain constituents of our organs. Stoerck used Conium in his heroic fashion and made with it some notable cures of scirrhous tumours, ulcerating and otherwise; but it was Hahnemann who first showed how the remedy could be used safely as well as effectively. Guernsey writes: "This remedy is characterised by a great dizziness, brought on when lying down, and moving the head ever so slightly, or even the eyes ─ all the contents of the room appear to whirl around; patient wishes to keep the head perfectly still . In urinating the water flows at first in a full stream, then stops, flows again, again stops," &c. Nash illustrates the modality: < by moving the head. He thinks "turning the head sideways" is the most characteristic form of it. Some give it as "Lying down in bed and turning over," but he regards the "lying down" as the least important part. He cured a patient who had all the symptoms of locomotor ataxy, and who could not, when walking, turn the head the least bit sideways without staggering or falling. A case of lumbago was cured with Con . in six days, after seven months' suffering, this symptom being present: Cannot turn over in bed without being dizzy. < Ascending; by exercise. ─ Feeling of ball pressing into back over left hip, pain shooting clown left leg, ending in a spot that felt as though pricked by a bunch of hot needles. Under "Sensations" Guernsey gives these: "Heartburn; e.g ., in pregnant women where an excessive heartburn comes on, when going to bed at night. Attacks of sick feeling. Sensation as if a hoop, band, or something tight was around the parts. Deficiency of irritability of the body; the body has very little sensation. Darting from within outwards, in the bones; tension in inner parts, also in outer parts; pricking in the bones." Another symptom is "yellow nails." Proell ( H. R ., xxx. 541) mentions a use of Con . which illustrates the symptom: "Interrupted flow." He has had excellent results with Con . 10 in strangury and ischuria, when the urine cannot be discharged, from nervousness, or swelling of the prostate. ( Nat. sul . 5 trit. was effective where the bladder could not be entirely emptied.) Con . has a very marked action on the pelvic organs. Constipation is very pronounced; or there may be diarrhœa. Faintness after stool. Burning, or coldness, in the rectum. Sircar has recorded ( Calcutta J. of Med ., May, 1896) a striking case illustrating the latter. A patient had severe diarrhœa, for which the doctor was about to give Sulph ., when he asked if the stools were hot. "On the contrary, they are cold ," replied the patient. Sircar found "cold flatulence" under Con ., and gave it on analogy with brilliant effect. On the sexual sphere Con . has profound action, often meeting quite contradictory conditions ─ hypertrophy or atrophy of glands; excess of function or abrogation. "Unsatisfied sexual desire" is a very leading indication; and sufferings therefrom in either sex are effectually allayed by Con . I have used the remedy with very great good in numberless cases of weakness from masturbation in men and youths. "Emission on the slightest stimulus, such as merely being in the society of a woman," is very typical. Many "engaged" young men have been helped by the remedy. It corresponds more to scanty menses than the opposite. Goodno ( Hoyne's Theurapeutics ─ Amer. Hom ., xxi. 386) cured a girl of 25 of severe dysmenia (which had existed since the periods commenced) with scanty, almost arrested flow. She had also epistaxis, cough, and stitches through left lung at times. Two years previously, after unusual excitement, she had bearing-down pains, prolapse, and anteversion. The dysmenia pains were relieved by Sepia and other remedies, but prolapse increased, with bearing-down as though the womb would be forced from vulva, < standing and walking before and during menses; intermittent flow of urine, with cutting after micturition obstinate constipation of long standing; stool (once in seven days) large, hard, followed by tremulous weakness; she must lie down; dull pain below left mamma. Prompt relief and speedy cure were effected by Con . 1m. Scanty menses (especially in old maids) is an indication. Checked lochia. Pains in breast before menses, < by every step, is a strong indication for Con . Also all effects of hurts to the breast by falls or blows. After a blow on the breast a course of Con . should always be given. Nash mentions another characteristic of Con .: "Sweats day or night; as soon as one sleeps, or even on closing the eyes." This enabled Lippe to cure a man of 80 of hemiplegia. R. C. Markham cured with Con . 1m. an obstinate cough, dry, hard, frequent, with asthmatic wheezing or fine rattling in chest on deep breathing, < slightest exposure to cold air; getting into cold bed, or out of a warm one, or even putting arms out was sufficient to bring on severe coughing. The guiding symptom which appeared last and led to the remedy was this: "Pain in the apex of left lung, with soreness in a small spot, midway between neck and shoulder just back of clavicle. The pain, cutting and stitchlike, ran downward and inward toward the sternum . A. H. Birdsall reports a case of contusion of testicle. He found the patient writhing in agony, the pain complained of being "sharp, cutting, running up spermatic cord to lower part of back, and also through scrotum to root of penis". Con . 200 relieved in five minutes, and at the end of twenty minutes the pain was gone ( H. P ., ix. 190.) Conium corresponds to: light-haired persons; old persons; old, feeble men; old maids and bachelors; women of rigid fibre and easily excited, and also to those of the opposite temperament; persons of strong, sedentary habit more than to lively, slender persons and children; persons who are easily intoxicated with stimulants; women who have scanty menses; scrofulous constitutions; cancers and glandular enlargements. The effects of blows or falls; effects of grief; of over study. Patients who are < when idle. Conium is said to have been, and almost certainly was, the poison with which Socrates was executed; and whether or not this was the case ascending paralysis, which occurred in his poisoning, is an indication for Conium . Benumbed sensation; inability to sustain mental effort; weak memory; tired sensation in brain; imbecility. Hot spots on head. Erysipelas, pain piercing to brain. Red vision. Weakness; tremulousness and palpitation after every evacuation. Sensation of unreality, as if in a dream. Insanity, periodical or alternating. Vertigo < on turning in bed. Accumulation of earwax. Craving for salt, coffee, and sour things. There is the same flatulent tendency as with Ammoniac and Asafœtida , its relatives. Numbness and deadness of limbs. Stabbing pains are a great indication for Conium . Weak-spells; faintness; sudden loss of strength while walking. Paroxysms of hysteria and hypochondriasis from abstinence from sexual intercourse. In phthisis patients cannot expectorate, must swallow sputa. The eye symptoms are very pronounced: photophobia; ptosis, &c. These symptoms are < night and early morning. Most symptoms appear when at rest, especially in the night and in periodical attacks; some when walking in the open air. < During eating; while standing; while lying down (cough); when at rest, when lifting the affected part; when turning in bed (vertigo) moving the head ever so little; turning head sideways. > In the dark; from letting the affected limb hang down; from moving; when walking; by stooping. Aversion to open air. Desire for warmth, especially that of sun. Liability to take cold from least exposure of feet. Great liability to take cold. Night and morning sweat, with offensive odour and smarting in skin; or offensive odour without sweat. Touch < , cannot bear the pressure of tight clothing. Jar, shock, or fall < .

Relations

Conium should be compared with Æthusa, Œnan., Phell., Petrosel., Ammoniac., Asafœt., and other Umbelliferæ. It is antidoted by: Coff., Dulc., Nit. ac., and Nit. Sp. dulc. It antidotes: Merc., Nit. ac., Sul. Compatible: Arn., Ars., Bell., Calc., Lyc., Nux, Phos., Puls., Rhus, Stram. Incompatible: I have sometimes found Con. disagree with patients who had been taking Psorin. Compare: in swelling and painfulness of breasts before and during menses, Calc. (Con. precedes and follows Calc. well in Calc. subjects who have scanty menses; Bell. corresponds to Calc. in other respects); in scanty menses, Graph.; in suppressed lochia, Nux, Hyo., Pul., Secal.; as if in a dream, Ambra, Anac., Calc., Can. ind., Stram.; ascending paralysis, Hydrocy. ac., Mang. (descending, Merc.); paralysis, post-diphtheritic, Gels.; sexual melancholia, Zn. ox.; vertigo when turning in bed, Sil. (Sil. has vertigo when turning to left, whilst lying down); < beginning to move, > by continued motion, Rhus; bruised glands, Sul. ac. Impotence, Phos.; weakness after stool, Phos. (most marked), Nux.

Causation

Contusions. Blows. Grief. Sexual excess. Sexual abstinence. Excitement. Over-work. Snowy air. Spring.

Mind

Hysterical anguish, with sadness and great inclination to weep, from suppression of, or from too free an indulgence in, the sexual instinct. ─ Anthropophobia, and yet fear of solitude. ─ Timidity of character (fear of robbers). ─ Superstitious ideas. ─ Disposition to be frightened. ─ Ill-humour and moroseness. ─ Hypochondriacal indifference. ─ Want of mental energy. ─ Inaptitude for labour. ─ Irritability, and disposition to be angry. ─ Derangement of ideas and mania. ─ Confusion of ideas, as from drowsiness. ─ Slowness of conception. ─ Weakness of the intellectual faculties, and of the memory. ─ Ready forgetfulness; excessive difficulty of recollecting things. ─ Delirium.

Head

Intoxication, after having taken the smallest quantity of spirituous liquid; even wine and water in small quantities intoxicates him. ─ Vertigo when turning in bed; feels as if the bed were floating. ─ Whirling vertigo on rising, and sometimes so as to cause a fall, sideways, on looking behind (on looking around); or when lying down in bed, esp. in the morning. ─ Attacks of headache, with nausea, and vomiting of mucus. ─ Lancinating pain, esp. in the vertex. ─ Stupefying pains in the head, esp. when walking in the open air, first in the fore-part of the head, later in the back part, with coryza; relieved on stooping and moving the head. ─ Excessive sensibility of the brain, even to talking, and to any other noise. ─ Quotidian headache, on account of insufficient evacuations. ─ Semi-lateral pains in the head, as if it were bruised. ─ Tearing in the temples and sides of the head, with the sensation as if the brain were gone to sleep; worse from contact, motion, and after eating; better in a recumbent position, or while stooping. ─ Headache as if the head were beaten to pieces, or would be pressed asunder. ─ Downward pressure as from a stone on top of the frontal bone. ─ Sticking in head while coughing. ─ Sensation as if there were a large foreign substance in the head. ─ Heaviness and fulness in the head, esp. on waking in the morning. ─ Pulling in the head, with numbness of the brain. ─ Hydrocephalus; the pains are < when awaking, after eating, in the open air; > on external pressure, on lying down, and on closing the eyes. ─ Attack of tearing headache, which forces the patient to lie down. ─ Obstinate shooting pains in the sinciput, which seem coming through the forehead. ─ Hot flush in occiput; later in head. ─ Heaviness, and squeezing, as from a claw, in the forehead, and as if proceeding from the stomach. ─ Apoplexy with paralysis (in old people). ─ Falling off of the hair.

Eyes

Aching of the eyes when reading. ─ Itching below the eyes, with burning and smarting pain when they are rubbed. ─ Itching, shootings, or smarting in the internal canthi. ─ Sensation of cold, or burning, in the eyes, when walking in the open air. ─ Pain, as of burning in the eyes, with aching in the orbits in the evening. ─ Inflammation and redness of the sclerotica. ─ Hordeolum. ─ (Specks in the cornea.). ─ Cataract from contusion. ─ Short-sightedness. ─ Yellow colour of the sclerotica. ─ Eyes dull. ─ Eyes prominent. ─ Tremulous look. ─ Obscuration of the sight. ─ Momentary blindness by day in the brightness of the sun. ─ Myopia. ─ Presbyopia. ─ Diplopia. ─ The lines seem to move while reading. ─ Black spots and coloured bands before the sight, in a room. ─ Red appearance of objects. ─ Dazzling of the sight by the daylight. ─ Aversion to light without inflammation of the eyes. ─ Photophobia, with pale red colour of the ball of the eyes.

Ears

Tearings and shooting in the ears, and round the ears, esp. when walking in the open air. ─ Accumulation of cerumen, which resembles mouldy paper, and which is mixed with purulent mucus. ─ Blood-coloured cerumen. ─ Roaring and humming in both ears. ─ Buzzing, tinkling, and rumbling in the ears. ─ Painful sensibility of hearing. ─ Diminution of hearing, ceasing when the cerumen is removed, and until it is renewed. ─ Swelling and induration of the parotids.

Nose

Swelling of the nostrils. ─ For several days tip of nose thick red, hot, painful, < l. side; later a yellow blister full of pus appeared l. side of lip. ─ Purulent discharge from the nose. ─ Nasal hæmorrhage, frequent when sneezing. ─ Increased acuteness of smell. ─ Too frequent sneezing. ─ Troublesome sensation of dryness in the nose. ─ Obstinate stoppage of the nostrils. ─ Stoppage of the nose in the morning.

Face

Heat in the face. ─ Complexion sickly, pale, and bluish, sometimes even with swelling of the face. ─ Fissures in the skin of the face, with pain as from excoriation after washing and wiping. ─ Nocturnal pains in the face, tearing and shooting. ─ Itching, eruptions, tetters and gnawing ulcers on the face. ─ Moist and spreading herpes in the face. ─ Eruptions of pimples on the forehead. ─ Dryness and exfoliation of the lips. ─ Blisters and ulcers on the lips. ─ Cancerous ulcer on the lip (from the pressure of the pipe). ─ Spasmodic clenching of the jaws. ─ Grinding of the teeth.

Teeth

Odontalgia, generally drawing, provoked by walking in the open air, or excited in hollow teeth by cold food. ─ Shootings, jerks, gnawing, and piercing in the teeth. ─ Gums swollen, ecchymosed and bleeding.

Mouth

Dryness of the mouth and of the throat; or salivation. ─ Embarrassed speech. ─ Tongue stiff, painful, swollen, dry; covered with dirty mucus. ─ Horribly offensive tongue. ─ (Cancer of tongue.)

Throat

Sore throat, as from a ball (globus hystericus) mounting from the epigastrium. ─ Impeded deglutition. ─ Involuntary deglutition, esp. when walking in the wind. ─ Constant want to swallow, when walking against the wind. ─ Cramps in the gullet. ─ Scraping in the throat. ─ Spasmodic constriction of the throat.

Appetite

Bitterness in the mouth and in the throat. ─ Putrid or acid taste in the mouth. ─ Total absence of appetite, and great weakness of digestion. ─ Bread will not go down, and does not please the taste. ─ Bulimy. ─ Desire for coffee or for acid or salt food. ─ During a meal, and esp. after taking milk food, a sensation of inflation in the stomach, and in the abdomen, and speedy satiety. ─ After a meal, sourness, pyrosis, pressure and fulness in the stomach, risings, colic, flatulency, nausea, deadness in the fingers, weakness, fatigue, and sweat.

Stomach

Empty risings, frequent and noisy, sometimes during the entire day. ─ Abortive risings, with sensation of fulness in the hollow of the throat. ─ Risings, with taste of food. ─ Suppressed eructations, with subsequent pain in the stomach. ─ Pyrosis, ascending up into the throat, sometimes after a meal. ─ Acid regurgitation, esp. after a meal. ─ Nausea with inclination to vomit, and complete loss of appetite, or else with eructations and lassitude. ─ Nausea after every meal, or in the evening. ─ Nausea and vomiting during pregnancy. ─ Vomiting of mucus. ─ Pressure on the stomach, even during a meal. ─ Inflation of the stomach. ─ Cramp-like, contractive pain, shootings, and pain as from excoriation, in the stomach and in the epigastrium. ─ Sensation of soreness and rawness of the stomach and of the abdomen when walking on the stones. ─ Pain, with sensation of cold in the stomach.

Abdomen

After taking milk sensation of inflation of the abdomen. ─ Tensive pain in the hypochondria, as from a band tightly fastened. ─ Hardness of the abdomen from swelling of the mesenteric glands. ─ Pressure, traction, tearings, and shootings in the hepatic region. ─ Lancination in the left hypochondrium, even in the morning in bed, with oppression. ─ Lancinations in the abdomen, as if knives were plunged in; stitches in the spleen. ─ Fulness of the abdomen, even in the morning on waking. ─ Swelling of the mesenteric glands. ─ Contraction of the abdomen, with oppression. ─ Spasmodic colic. ─ Incisive and tearing abdominal pains. ─ Movement and digging in the umbilical region. ─ Sensation as of excoriation in the abdomen, esp. when walking on the pavement. ─ Noise and borborygmi in the abdomen. ─ Expulsion of cold wind, with cuttings. ─ Incarceration of flatus. ─ Cuttings on expelling flatus.

Stool and Anus

Constipation with tenesmus. ─ Constant urging without stool. ─ Hard evacuations, only every second day. ─ Hard stool, with tenesmus (headache; discharge of prostatic fluid). ─ Loose, undigested evacuations, with cuttings, and frequent risings. ─ Debilitating diarrhœa. ─ (Stools undigested, with colic.). ─ Lancinations in the anus. ─ Heat and burning sensation in the rectum, while evacuating, and at other times. ─ Emission of fetid or cold flatulence; (stool feels cold). ─ Fæces, with streaks of blood. ─ After the evacuations, weakness, palpitation of the heart, frequent expulsion of flatulence, and trembling. ─ Involuntary discharge of fæces during sleep.

Urinary Organs

Pressure on the bladder, as if the urine were going to issue forth with violence (with stitches); worse when walking, better when sitting. ─ At night, emission of urine, frequent, and sometimes involuntary. ─ Flow of urine, attended by violent pain. ─ Urine thick, white and turbid. ─ Urine red. ─ Retention of urine. ─ Difficult emission of urine, which flows only drop by drop. ─ Nocturnal urination. ─ Wetting the bed. ─ Diabetes, accompanied by great pain. ─ Frequent inclination to emit urine, which is clear and aqueous. ─ Viscid mucus, mixed with the urine, which cannot be passed without great pain. ─ Discharge of pus from the urethra. ─ Emission of blood, sometimes with difficulty of respiration. ─ The urine stops suddenly, and does not begin to flow again for some moments. ─ Incisive pains in the urethra during the emission of urine. ─ Burning sensation and shootings in the urethra, esp. after the emission of urine.

Male Sexual Organs

Swelling of the testes (after contusion). ─ Cutting pain through scrotum to root of penis. ─ Lasciviousness. ─ Impotence, insufficient erections, and absence of erections. ─ Want of energy in coition. ─ Erections imperfect, and of too short duration. ─ Easy emission of semen, even without firm erections. ─ Dejection, after coition. ─ Immoderate pollutions. ─ Flow of prostatic fluid during evacuation, and after any mental emotion. ─ With weakness of sexual organs, much sexual erethism, amatory thoughts, even emissions provoked by mere presence of women.

Female Sexual Organs

Cramps in the uterus, with pinchings or contracting, or with digging above the vulva, accompanied by tension in the abdomen, and shootings extending into the l. side of the chest. ─ Itching in the external and internal genital parts. ─ Shootings in the vagina, and sensation as of bearing down. ─ Shooting in the labia. ─ Catamenia premature and too weak. ─ Suppression of catamenia. ─ Before the catamenia, pains in the breasts; anxious dreams, dry heat, pain as from fatigue in the limbs, lachrymose humour, inquietude, and hepatic pains. ─ During the catamenia, sensation of bearing down and dragging in the thigh, or painful cramps in the abdomen. ─ Suppressed menstruation (with barrenness). ─ Burning, acrid, corrosive, and pungent leucorrhœa, accompanied or preceded by colic. ─ Breasts flabby. ─ Inflammation of the mammæ, with stitches; scirrhus of the mammæ after contusion. ─ Scirrhous induration of the mammary glands, with itching and shooting pains.

Respiratory Organs

Catarrh, with fever, sore throat, and want of appetite. ─ Hoarseness. ─ Dryness in one small circumscribed place in the larynx, and tickling which excites coughing. ─ Cough provoked by tickling and scraping in the throat. ─ Dry cough, provoked by a tickling, with oppression of the chest, and fever in the evening. ─ Suffocating cough, with flushes of heat in the face. ─ Dry, convulsive cough. ─ Cough, like whooping-cough, with sanguineous expectoration, or in violent fits during the night, caused by itching in the chest and throat, or from a small dry spot in the larynx, without expectoration at night, and difficult, bloody, purulent, offensive expectoration during the day. ─ The cough manifests itself generally at night or in the evening. ─ Shortness of breathing when walking; suffocative attacks; oppressed breathing, in the morning, when waking. ─ Cough provoked by taking a deep breath, or by taking acid or salt things. ─ Loose cough, but without expectoration; he must swallow what he coughs up. ─ Yellow and purulent expectoration, of a putrid smell. ─ Cough increased by lying down. ─ During the cough, pains in the head or in the abdomen, with shootings in the l. side aggravated by movement. ─ Cough during pregnancy.

Chest

Short respiration when walking, and on the least movement, often with convulsive cough. ─ Cough relieves the tightness of the chest. ─ Difficulty of respiration, even in the morning on waking. ─ Respiration difficult and slow, esp. in the evening in bed. ─ Difficulty of respiration, with pains in the chest, in the evening in bed. ─ Fits of suffocation, as if there were an obstruction in the throat. ─ Shooting in the sternum, or in the side of the chest. ─ Beating stitch, with pain in upper and l. part of chest towards the centre of the chest. ─ Pressure behind sternum and desire to breath deeply. ─ Violent pains in the chest, with violent cough. ─ Pressure on the chest, in the sternum, and in the region of the heart. ─ Drawing pains in the chest. ─ Shocks in the chest. ─ Caries of the sternum.

Heart

Palpitation of the heart, esp. after drinking. ─ Frequent shocks in the region of the heart.

Neck and Back

Tension in the nape of the neck. ─ Pain as from excoriation in the vertebræ of the neck. ─ Enlargement of the neck. ─ Pains in the loins on bending backwards. ─ Aching and compression above the hips. ─ Pressive, cramp-like, and tractive pain in the back. ─ Pain, as from a sprain in the l. side of the back and neck.

Upper Limbs

Shoulders painful, as if they had been bruised and excoriated. ─ Humid, scabby, and burning tetters in the forearms. ─ Numbness of the hands, and esp. of the palms of the hands. ─ Cracking in the wrist-joint. ─ Sweat in the palms of the hands. ─ Torpor of the fingers. ─ Itching in the back of the fingers. ─ Yellow spots on the fingers and yellowish nails. ─ Panaris.

Lower Limbs

Drawing pains in the hips. ─ Arthritic pains in the knee, tearing, and tensive, aggravated on beginning to walk after sitting down, with a sensation as if the tendons were too short (during the suppression of catamenia). ─ Restlessness and heaviness in the legs. ─ Lassitude in the knees. ─ Cracking of the knee-joint. ─ Painful swelling of the legs and of the feet. ─ Red spots on the calves of the legs, sometimes painful, becoming subsequently green or yellow, as after a blow or bruise, and impeding the movement of the foot, which is drawn back, as if the tendons were contracted. ─ Cramps in the calves of the legs. ─ Coldness, and strong disposition to take cold in the feet (even from a slight exposure of the feet). ─ Torpor and insensibility of the feet. ─ Pustules in the feet.

Generalities

Cramps and cramp-like pains in different parts. ─ Pain, as from fatigue in the limbs and joints, while at rest. ─ Nocturnal pains and sufferings, which disturb sleep. ─ The symptoms appear during repose, and are aggravated on beginning to walk, or by any movement. ─ Tendency to strain the lower part of the back. ─ Attacks of hysteria and hypochondriasis. ─ Shocks in the tendons, trembling and convulsive shakings in the limbs. ─ Ebullition of blood. ─ Dropsical swellings. ─ Swelling and induration of the glands, with tingling and shooting pains. ─ Fainting fits. ─ Great general dejection, with involuntary laughter. ─ Sensation of fatigue esp. early in the morning in bed. ─ Restlessness in the body, esp. in the legs. ─ Want of energy, and nervous debility. ─ Consumption. ─ Sudden sinking, while walking. ─ Great liability to take cold. ─ Great fatigue and other sufferings, from walking in the open air. ─ Continued deprivation of natural vital heat.

Skin

Shootings, and pricking itching in the skin. ─ Swelling of the glands, with tingling and stitches after contusions and bruises. ─ Bluish colour of the skin over the whole body. ─ Painful inflammation of the skin. ─ Nettle-rash in consequence of violent bodily exercise. ─ Pimples, like those in scabies, which become scurfy. ─ Brownish, or red and itching spots, over the whole body, which disappear and return. ─ Humid, or scabby and burning tetters. ─ Blackish ulcers, with sanious, sanguineous, and fetid discharge, and tingling tension. ─ Gangrenous ulcers. ─ Ulceration of the bones. ─ Panaris. ─ Petechiæ. ─ Reddish and greenish spots, as from ecchymosis.

Sleep

Drowsiness during the day, even very early in the morning. ─ Somnolence. ─ Inclination to sleep in the evening, with falling down of the eyelids. ─ Tardy sleep. ─ Disturbed and unrefreshing sleep, with lachrymation, and frequent, anxious, and frightful dreams. ─ Dreams of disease, mutilation, death, danger, and quarrels. ─ At night, headache, nausea, gastralgia, bleeding of the nose, pains in the limbs, &c. ─ Half-waking after midnight, with great anguish. ─ Nightmare. ─ Starting of the limbs during sleep.

Fever

Shivering, frequent coldness and shuddering. ─ Coldness and chilliness in the morning and forenoon. ─ Chilliness, with desire for heat, esp. in the sunshine. ─ Heat internally and externally, with great nervousness. ─ Dry, internal heat. ─ Slow fever, with total want of appetite. ─ Inflammatory fever with great heat, abundant sweat, anorexia, diarrhœa, and vomiting. ─ Fever with inflammation of the throat, and cough. ─ Pulse irregular; generally slow and full, alternating with small and frequent beats. ─ Nocturnal sweat, even at the commencement of sleep. ─ Heat with profuse perspiration. ─ Perspiration day and night, as soon as one closes the eyes and goes to sleep. ─ Local, fetid, and acrid sweats.

The Guiding Symptoms of Our Materia Medica

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

Mind

Obtuseness of all the senses ; unconsciousness ; wandering about as if half asleep.
Extremely insensible.
Weak memory. θ Vertigo.
Memory enfeebled, likewise the power of correctly expressing one's self ; difficult comprehension.
Forgetfulness ; excessive difficulty of recollecting things, particularly dates.
Dulness, like stupefaction, difficulty in understanding what he reads.
Inability to sustain any mental effort.
Tired, weary sensation in brain, with physical as well as nervous prostration.
Sensation in forehead or front part of brain like an inability to fix the mind on any subject ; loses hold of the idea and gets confused.
Buried in thought ; apprehensive respecting the present or future.
Insanity of a periodical or alternating type.
Imbecility more frequent than insanity.
Inclined to cry, sobs aloud when alone.
Likes to wear his best clothes, makes useless purchases, cares very little for things, wastes or ruins them ; does not want to work, prefers to play.
Picks his nose, which bleeds easily ; or picks his fingers ; lies in bed most of the time ; does not like to answer questions.
Involuntary laughing and weeping.
Dislike to society and yet a dread to be alone. θ Hysteria.
He is averse to being near people, and to the talk of those passing him ; is inclined to seize hold of and abuse them.
Patient averse to talking, dressing himself, taking food or seeing her children ; spleen enlarged. θ Melancholia.
Disinclination for business.
Mood serious ; unsympathizing, from indolence.
Complete indifference ; takes no interest in anything, particularly walking in open air. θ Hypochondriasis.
Great depression of spirits preceding menstrual period.
Alternate fits of silent depression and quarrelsome liveliness. θ Mania.
Sad and gloomy for days, then excited.
Great unhappiness of mind, recurring every fourteen days.
Easily disturbed by trifles, moved to tears ; anxious.
Solicitude concerning the future ; great concern about any little thing that may happen.
Hypochondriasis and hysteria from suppression of, or too free indulgence in, sexual instinct, with low-spiritedness, anxiety and sadness.
Hypochondriasis with suppression of menses.
Great anxiety ; precordial anguish ; superstitious and full of fear, with frequent thoughts of death ; loss of memory.
Discouraged, despondent, and dissatisfied with herself and her surroundings.
Timid, cannot be persuaded to work ; want of proper will.
Irritable, gets out of temper easily, and then his sight gets blurred, and face becomes pale. θ Anemia of brain.
Very ill-humored in afternoon, from 5 to 6, as though a great grief weighed upon him, with paralyzed feeling in all the limbs, indifference and taking no interest in anything.
Morose mood ; everything about him impresses him unpleasantly.
She feels peevish, vexed and easily put out about trifles.
Very much excited, passionate, domineering, quarrelsome, scolds and will not bear contradiction.
Inclination to start, as with fright.
Cannot endure any kind of excitement, it brings on physical and mental depression, with weakness.
Ailments from grief.
Worse when idle.

Sensorium

Delirium and unconsciousness.
Continued stupefaction, with constant inclination to sleep.
Confused feeling in head, often sits lost in thought.
Constant confusion in forehead in region of eyebrows and root of nose.
Dizziness and whirling sensation in head.
Vertigo and pressure in head with unaltered pulse.
Cannot count up anything ; vertigo, < from stooping. θ Uterine disorder.
Vertigo : each time when turning the head ; like turning in a circle ; on rising from a seat ; worse when lying down, as though the bed was turning in a circle ; when turning in bed or when looking around ; from motion downward ; when
walking ; with inclination to fall sideways ; with black spots before eyes ; from smallest quantity of spirituous liquors ; depending upon paresis of third pair.
The slightest spirituous drink intoxicates him.
Patient wishes to keep the head perfectly still.

Inner head

Brain sensitive to noise.
Painful sensation of looseness (lockerheit) in head when shaking head.
Heaviness in head.
Sensation of a large, heavy lump in brain.
Cracking in head, wakens from siesta with fright and a start.
Stitching pain from within outward, in forehead, mornings, or at noon.
Pain sometimes shoots over to front of head, with sensation as if something like a fringe was falling down over eyes. θ Uterine disorder.
Darting, tearing pains, chiefly in forehead and vertex.
Throbbing from forehead to occiput.
When shaking head, feels a pain from brow to occiput, as if something had become detached.
Stupefying headache, first in forepart of head, later in back part, with coryza, < by open air, > by moving head and while stooping.
Tearing in temples and sides of head, with sensation as if brain had gone to sleep, < by contact, motion, after eating, and by a recumbent position, or while stooping.
Tightness of head as if both temples were compressed, after a meal.
Stitches in top of head.
Scorching on top of head ; hot spots on back of head, > by going out into open air, and by cold water, < from excitement or overwork. θ Uterine disorder.
Lancinating pains, especially in vertex.
After overstudy : feeling at times of a foreign body under skull, in vertex ; > during reading, < after ; < on going to sleep, or from excitement or thinking of pain ; > by touch ; relief during reading seems to rise from diversion of mind from the
pain ; clicking noise in left vertex on walking and during stool ; also in occiput on walking, especially in evening when tired.
Pain in occiput, with every pulse, as if pierced with a knife.
Heaviness in occiput on bending head forward ; vertigo.
Sensation in right half of brain as of a large foreign body.
Semilateral, gradually increasing headache, as if the head had been bruised, and as if a load was pressing down on it ; this sensation is increased by moving head towards affected side.
One-sided headache, with nausea.
Numbness, with sensation of coldness one side of head.
Tearing in head, must lie down ; one-sided.
Griping and heavy fulness alternately in various parts of forehead ; this sensation seems to come from stomach, at same time brain so sensitive that it is painfully shaken even by a slight noise or conversation.
Stupefying headache in outer part of head.
Headache as if head was too full and would burst ; morning when awaking.
Tearing headache, with nausea.
Headache early in morning, as if head had been bruised by blows, or would fall to pieces.
Headache, with nausea and vomiting of mucus.
Sick headaches, with inability to urinate ; great giddiness, < lying in bed, when everything in room seems to go round.
Chronic stitching headache.
Headache : caused by too small but frequent stools, with tenesmus ; with pains all over chest ; during violent coughing fits ; < from least noise, during motion and from a sudden jar or shock.
Congestion to head, with catarrhal sensation and heat of face.
Hydrocephalus : pains < when awaking, after eating, in open air ; > by external pressure, lying down, and closing eyes.
Inflammation of brain in children.

Outer head

Falling off of hair.
Impetigo capitis.

Sight and eyes

Optical illusions in dark or prismatic colors.
Objects look red ; rainbow colored ; striped, confused spots.
Black spots before eyes with vertigo. θ Dysentery.
Dark points and colored bands before eyes.
Flickering before eyes.
Sensation as if something like a fringe was falling over eyes.
Double vision.
Weakness of sight ; amaurosis.
Shortsighted ; asthenopia.
Cannot read long without letters running together ; burning pain deep in eyes, with hot flushes, cannot bear either light or heat ; < in a warm room ; > in mornings and on a cloudy day ; black spots are seen on closing eyes ; distant objects appear more
distant ; objects are surrounded by prismatic colors out of doors ; eyes perfectly normal in appearance ; asthenopia.
Feeling of coldness in eyes, when walking in open air.
Sluggish adaptation of eye to varied range of vision.
Near objects are seen indistinctly.
Vision becomes blurred when he is irritable. θ Anemia of brain.
Vision good for fixed objects, but when put in motion before eyes, there are a haze and dull vision, producing vertigo.
Cannot bear bright light or heat.
Weakness and dazzling of eyes, together with dizziness, and debility, especially of arms and legs ; on walking, staggering as if drunk.
Tremulous look as if eyes were trembling.
In room, eyes are dazzled by light of day.
Aversion to light, without inflammation of eyes.
Intense photophobia of both eyes, with which were associated particularly in left eye, redness of sclerotic, dimness of cornea, swelling and redness of eyelids, great increase of secretion of mucus and tears ; scrofulous constitution.
Photophobia, with profuse flow of tears when eyes are forcibly opened ; very slight or no redness ; pains < at night and in any light ; > in a dark room and by pressure.
Severe photophobia and lachrymation ; borders of eyelids red and swollen ; ulcers on cornea near sclerotic where there is great vascularity ; catamenia irregular.
Photophobia of strumous ophthalmia.
Conjunctival vessels injected from inner canthus of eye to margin of cornea, which appears dull and depressed in centre ; pressing pain in eyeball ; < from light ; sensation as if eyeball was swollen ; swelling of cheek and lids of affected side ;
twitchings ; lachrymation ; ulcers ; tearing pain in right side of head. θ Traumatic inflammation.
Keratitis punctata, with great photophobia.
Pupils dilated.
Cataract from contusion ; grey cataract.
Scrofulous ophthalmia ; sluggish cases, not much injection but excessive photophobia.
Inflammatory conditions of cornea (ulcers and pustules), especially if inflammation is superficial, involving only the epithelial layers, and whether caused by an injury, cold, or more frequently, a scrofulous diathesis.
Ulcers on cornea, right to left.
Right eye bloodshot ; aches on lying down to sleep ; agglutination in morning, also lachrymation.
Burning of eyes.
Drawing pain with redness in eyes.
Eyes feel as if pulled outward from nose (external rectus muscle) ; photophobia ; vertical pain in head, < in open air ; must often leave school on account of a sensation of overpowering giddiness coming over her ; farsighted.
Pressure in eyes as from a grain of sand ; < in forenoon, with inflammation and redness of white of eye, and smarting tears.
Feeling of pressure in eyes when reading, writing, or doing any fine work ; photophobia.
Shooting, smarting, itching in inner canthus, with lachrymation.
Pressure in outer canthus, as from a grain of sand.
Partially paralyzed condition of external muscles of eye.
Discharge of mucus or pus rarely profuse and intimately mixed with tears.
Induration of lids ; ptosis.
Upper lids swollen to such an extent as to completely cover the lower ones, swelling also extends above eyebrows ; lids pale red, shining, with a doughy feel and sensitive to slightest touch ; margin of lids bluish-red and indurated ; on attempting to open lids, the
puffed, dark red conjunctiva palpebrarum tilts forward in a swollen mass ; conjunctiva oculi not much inflamed ; cornea clear ; great photophobia ; discharge of thin yellow pus ; lachrymation ; burning, stinging pain, < at night ; patient scrofulous.
Lids only opened with great difficulty, and when done, a flood of hot tears spurts out.
Could scarcely raise eyelids, they seemed pressed down by a heavy weight ; disposed to fall asleep.
Burning on inner surface of lids.
Lids glued up in morning.
Hordeola where the trouble recurs ; several hordeola become indurated, and on occasion inflame again.
Blennorrhœa of lachrymal sac.
Itching below eyes and smarting, burning when rubbing them.
Eyes have a leaden hue. θ Morning sickness.
Paralysis of optic nerve ; amaurosis.
Hyperesthesia of retina.
Paralysis of muscles.

Hearing and ears

Painful sensitiveness of hearing ; noise startles, deafness follows.
Ringing, singing, humming, buzzing and roaring in ears.
Tingling in ears.
Obstruction of ears ; feel stopped up, when blowing nose.
Hardness of hearing.
In inner ear, sharp shocks from within outward when swallowing, and piercing pains and aching ; painful tension behind ear, and piercing pains in mastoid process.
Drawing stitching in ear from within outward.
Tearing and stitching in and about ears.
Pinching pain in right ear. θ Uterine disorder.
Hardness of hearing, ceasing when wax is removed, returning as wax again accumulates.
Accumulation of earwax, looking blood red, or like decayed paper, with pus or mucus.
Tumors and boils behind ears.
Parotid glands swollen and hard.
Suppuration of left parotid with profuse sweat, disturbing sleep. θ Diabetes.

Smell and nose

Excessively acute sense of smell.
Boring in nostrils ; smell of animals in back part of nose.
Constantly picks his nose, which bleeds easily. θ Mental derangement.
Troublesome feeling of dryness in nose.
Tingling in nose, frequent sneezing, with watery, slimy discharge.
Stinging soreness and itching at tip and inside of nose.
Pain deep in root of nose before menses, < from panting or pressure ; discharge of blood and pus from nose.
Ozæna, with burning in nostrils and stitching pain in nasal septum, discharge of pus and blood from nose ; after abuse of mercury.
Fluent coryza. θ Cough.
Flow of acrid mucus from nose. θ Inflammation of eyes.
Purulent discharge from nose ; also hardened crusts.
Epistaxis.
Nosebleed : with suppressed menses, from taking cold ; frequent ebullitions of blood ; from slightest cause ; in Spring ; after sneezing.
Frequent excessive sneezing.
Obstruction of nostrils of long standing.
Inflammation of nose with bleeding from right side, after abuse of mercury.
Fibrous polypi, hard and elastic, pricking and itching after touching or handling ; excessively acute smell, with purulent discharge.

Upper face

Sickly and pale complexion.
Face : earthy, yellow ; reddish-yellow ; pale ; sallow ; bluish ; purple ; bloated.
Face flushed. θ Whooping cough.
Heat in face with congestion of blood.
Heat of face, congestion to head, with catarrhal sensation.
Itching in face.
Drawing, extending from jaws to ears and head.
Stinging tearing faceache, at night.
Lacerating in right half of face.
Itching pimples in face.
Gnawing ulcers in face, or moist and spreading herpes.
Eruption of small and large pustules on right cheek. θ Inflammation of eyes.
Ulcers on face and lips ; cancer of cheek ; spreading cancerous ulcers ; cancerous tumors of lips and face.

Lower face

Pressure and compression above lips.
Lips and tongue dry and sticky.
Lips and teeth covered with black crusts.
Lips : burning ; shooting in them ; dry and scaly.
Blisters, or eruption on lips.
Induration of lymphatics of lip after contusion.
Cancer of lips ; from pressure of pipe.
Submaxillary glands swollen and hard.

Teeth and gums

Gnashing of teeth.
Jerking pain in teeth ; seem loose during mastication.
Violent drawing toothache ; teeth feel loose.
Drawing pain in sound teeth when walking in open air.
Drawing in a hollow tooth, when eating cold things or from cold drink.
Darting pains in teeth, < from eating and drinking.
Stitching pain in teeth.
Teeth and lips covered with black crusts.
Drawing pains and fine stitches in gums and teeth.
Gums swollen, blue-red and bleed readily.

Taste, speech, tongue

Bitter taste in mouth, with thirst.
Loss of speech.
Speech difficult ; distortion of tongue and mouth.
Lisping voice.
Tongue and lips dry and sticky.
Tongue swollen, painful, stiff.

Inner mouth

Dryness of mouth and fauces.
Violent ptyalism ; saliva thready.
Drawing extending from jaws to ears and head.
Parotid and submaxillary glands swollen and hard as a stone ; lips and teeth are covered with black crusts ; skin hot, patient delirious or senseless.

Palate and throat

Constant inclination to swallow ; involuntary swallowing, especially when walking in wind.
Strange rising in throat, with sense of stuffing, as if something was lodged there.
Sense of fulness in throat as of a lump, with involuntary attempts at swallowing.
Fulness in pit of throat, with suppressed eructations.
Pressure in œsophagus as if a round body was ascending from stomach. θ Globus hystericus.
The bread will not go down, it does no taste well.
Bitterness in throat.
Spasmodic constriction of throat.
Contraction in throat, with retching.
Spasm of œsophagus.
Tickling sensation in throat.
Itching in throat, with irritation to a hacking cough.
Scraping, itching and tingling in throat, causing a continual itching cough.
Excruciating pains in throat. θ Uterine polypi.
Burning in œsophagus and pharynx after a meal.
Exudation dirty greyish. θ Diphtheria after scarlatina.

Appetite, thirst. desires, aversions

Loss of appetite. θ Morning sickness.
Want of appetite and disturbed digestion.
Appetite very poor, but with a strong craving for salt things. θ Chronic dysentery.
Appetite very poor, no thirst. θ Uterine disorder.
Ravenous hunger.
Craves coffee, salt, or sour things.
Aversion to bread.
Thirst. θ Ophthalmia.
Thirst, with internal heat, or burning heat through whole body.

Eating and drinking

Sour rising from stomach, after eating.
After taking a small quantity of milk, sudden distension of abdomen.
Nausea and vomiting, with swelling and soreness of breasts with menstrual periods.
Worse during eating and after.
After eating, aching in back of neck, vertex and forehead, with nausea ; a gentle heat seems to pass from stomach through arms to fingers, and then hands appear as if dead.
Palpitation after drinking.

Hiccough, belching, nausea and vomiting

Eructations : of wind ; loud, tasting of ingesta ; frequent and sour, with hardness and distension of abdomen ; suppressed, with subsequent pain in stomach ; offensive ; frequent, empty ; painful and acid.
Heartburn, and acidity rises from stomach after eating.
Sour rising of food. θ Suppressed menses.
Sour belching, < at night. θ Marasmus.
Nausea : frequent ; with tearing headache ; after eating ; of pregnant women.
Retching, with contraction in throat.
Nausea and vomiting during pregnancy ; slimy, watery.
Nausea, vomiting, eructations of wind and expectoration of phlegm, with induration and enlargement of ovary.
She wakes in morning very sick at stomach and vomits several times from 5 o'clock until breakfast ; substance vomited is white and frothy, followed by something yellow, like bile ; vomits several times during day.
Vomiting : violent ; of mucus ; of black masses, like coffee-grounds, in clear, sour water ; of chocolate-colored masses, sour and acrid, bitter, slimy, watery.

Scrobiculum and stomach

Aching and pressure in epigastrium ; it extends from epigastrium up to pharynx, and feels as if a ball was rising to throat.
Oppressive contraction of epigastrium.
Sense of fulness and repletion in stomach.
Suppressed eructations, with subsequent pain in stomach.
Heartburn, with offensive, frequent, empty eructations.
Pressure in stomach during eating, contraction in back part with sensation of coldness, griping and sore feeling.
Violent pains in stomach, always two or three hours after eating, but also at night ; somewhat > in knee-elbow position.
Swelling in region of pylorus.
Pressing, burning, squeezing pain, extending from pit of stomach into back and shoulders.
A stinging seeming to come from stomach and extending under left ribs and as far as back.
Pressure and sore raw feeling at pit of stomach.
Sensation of soreness and rawness of stomach and abdomen when walking on stones.
Burning in stomach, nausea and severe vomiting of mucus.
Contractive spasmodic pains in stomach.
Spasm of stomach.
Cramps in stomach with tendency to constipation, especially in those of lymphatic temperament.
Spasms in pit of stomach extending from right to left, also to back, coming on in paroxysms ; before attack cramp in calves ; pyrosis ; throbbing in forehead to occiput.
Painful spasm of stomach, feeling as if stomach contracted, or of a heavy burden upon stomach ; she cannot bear tight clothing ; pain never entirely ceased, but was sometimes moderate, and then gradually became very severe ; tendency to constipation ; wearisome,
spasmodic cough which < gastralgia ; cough < by talking, running, and by emotion.
Dyspepsia with acidity of stomach.
Cancer of stomach.

Hypochondria

Painful tension about hypochondria as from a constricting band.
Pressive, tensive pain in hypochondria ; stitching pains in hepatic region ; excessive colicky pains.
Aching in right hypochondrium, < by inspiration ; aching tension in left hypochondrium, extending low down in abdomen, with sensation of heaviness throughout abdomen.
Stitches or painful tearing in hepatic region.
Pain in liver with accumulation of earwax.
Pressing pain in right hypochondriac region, < from pressure, convex, hard swelling, extending towards precordial region and nearly to right crest of ilium. θ Enlargement of liver.
Constant pain in liver, with hardness and œdema. θ Uterine polypi.
Enlarged liver with pain on pressure ; jaundice.
Hard swelling of liver.
Chronic enlargement of liver or spleen, with torpid action of bowels.
Stitches in left hypochondrium and in spleen.
Enlargement of spleen. θ Melancholia.
Sudden attack of vomiting and diarrhœa at night ; vomiting of a white substance consisting of saliva without any admixture of contents of either stomach or bowels ; gouty diathesis. θ Acute
inflammation of pancreas.

Abdomen and loins

Trembling of whole abdomen.
Flatulency ; incarceration of flatus ; rumbling and grunting in abdomen.
Fulness in abdomen, early in morning when awaking.
Fulness and bearing down in abdomen. θ Dysmenorrhœa.
Heaviness and pressure in abdomen or perineum.
Inflation of abdomen after meals, particularly after milk.
Swelling of abdomen.
Swelling in region of pylorus.
Hardness and distension of abdomen with frequent sour evacuations ; < during night, > by day.
Hardness of abdomen from swelling of mesenteric glands.
Sensation as if he must take hold of abdomen when coughing ; feels as if cough came from there. θ Anemia of brain.
Great sensitiveness of abdomen and sore feeling.
Child complains of pain in belly when coughing.
Aching pain in abdomen during pregnancy, every night, after going to bed, > by getting up and moving about.
Writhing and grinding (searching) in umbilical region.
Pressing, aching pain in abdomen, with involuntary drawing of abdomen up towards thorax.
Pain in umbilical region as if bowels were bruised by blows.
Stitches extending from abdomen to right side of chest.
Pinching pains in abdomen, as if diarrhœa would set in.
Oft recurring, constricting pains in abdomen, coming and going at intervals, like labor pains.
Lancinations in abdomen as if knives were plunged in.
Griping in abdomen before discharge of leucorrhœa.
Painful abdominal spasms during menses.
Contractive labor-like colic from both sides of abdomen.
Colic from incarcerated flatus.
Cutting in abdomen before emission of flatus.
Colic during emission of flatus.
Colicky pains of a most violent kind.
Labor-like contractions ; pain in iliac regions.
Contractive pain in lower abdomen, like after-pains, with urging to stool.
Constrictive pains in lower part of abdomen.
Pain in hypogastric region during menses, going down legs.
Aching pain in hypogastric region, like menstrual colic.
Forcing down feeling in hypogastric region, like menstrual labor pains.
Bearing down pain and burning in hypogastric region. θ Uterine derangement.
Pains in groins as if swollen.
Tumors in abdomen.
Enlargement of mesenteric glands.

Stools and rectum

Constant inclination to evacuate the bowels to relieve soreness.
Emissions of fetid or cold flatus.
Involuntary discharge of feces during sleep.
Diarrhœa. θ Vertigo.
Frequent diarrhœa and copious urination.
Slime, mixed with greenish substances and containing bloody specks ; stools are very small, offensive, with tenesmus and discharge of flatus during passage, with a weak, trembling feeling after ; no pain at all ; eight to fourteen stools daily, the passages becoming more
frequent at night. θ Chronic dysentery.
Stools : liquid, fecal ; mingled with hard lumps ; watery, undigested, and passed with loud emissions of flatus, with colic ; liquid, diarrheic, with colic, discharge of flatus and much mucus or undigested food, or even blood ; undigested, painless ;
painful ; hard, with tenesmus ; very debilitating ; frequent and sour ; streaked with blood ; with discharge of blood.
Diarrhœa only by day, not at night.
Chronic diarrhœa of old men.
Constipation and diarrhœa alternately. θ Uterine polypi.
Constipation alternating with bilious diarrhœa.
Stools sometimes regular, sometimes hard and tardy, or green and diarrheic. θ Enlargement of liver.
Frequent ineffectual urging to stool ; or small quantity passed each time.
Constipation, with ineffectual desire for stool ; constant urging, without stool.
Stools tardy, hard and dry. θ Cough.
Hard stool, with tenesmus, headache and discharge of prostatic fluid.
Obstinate constipation, no stool for seven days, stools large, hard, and followed by tremulous weakness ; she must lie down. θ Prolapsus and dysmenorrhœa.
Hard stool every other day. θ Mental derangement.
Before stool : cutting abdominal pain.
During stool : burning, cutting and straining in rectum ; flatus ; prostatic juice ; rigors.
During stool a foreign body protrudes from the vulva. θ Uterine polypi.
After every stool, trembling, weakness and palpitation.
Heat in lower portion of rectum.
Frequent stitches in anus.

Urinary organs

Pain in kidneys if urine is restrained.
Sharp pressing in bladder.
Pressure upon bladder as if urine would come out immediately.
Pressure in neck of bladder, with stitches, < when walking, > when sitting.
Great pain in bladder, constant disposition to urinate, only a few drops passing at a time. θ Morning sickness.
Sharp stitches shortly after urinating in region of neck of bladder for many hours.
Shooting stitches in back part of urethra.
Burning, cutting and drawing through urethra while urinating.
Pain in urethra during micturition. θ Vertigo.
Immediately after urinating, burning in urethra, in morning.
Strangury.
Urine cannot be retained.
Constant urging to urinate, with heat on urinating.
Frequent micturition at night. θ Mental derangement.
Passing water does not relieve the desire to do so.
Urine clear as crystal and intermitting in its flow. θ Chronic dysentery.
Intermittent flow of urine with cutting after micturition.
Violent itching, the urine flowing and stopping alternately, at every emission.
Urine : clear as crystal ; thick ; white, turbid, with grey or white sediment ; mucous ; bloody.
Urine turbid, after standing, dirty grey, with a yellowish tint. θ Diphtheria after scarlatina.
Urine scant, brown or full of sediment, containing bile, with burning on urination. θ Enlarged liver.
Urine feels hot. θ Uterine disorder.
Parenchymatous nephritis after scarlet fever.
Gravel.
Diabetes : accompanied by great pain ; with swelling and suppuration of left parotid gland.

Male sexual organs

Sexual desire without erection.
With weakness of sexual organs, much sexual erethism, amatory thoughts, even emissions provoked by mere presence of women.
Great sexual desire with partial or complete incapacity ; emissions on slightest provocation, melancholy.
Emissions without dreams.
Nightly emissions and spermatorrhœa ; urine flowing and stopping again at each passage of water.
Painful emission of semen.
Pollutions, with subsequent excitement of sexual desire.
Excessive pollutions, particularly of young people.
Excessive pollutions, with no history of previous excesses.
Bad effects from suppressed sexual desire, or from excessive indulgence.
Sexual weakness. θ Anemia of brain. θ Mental derangement.
Insufficient erection, lasting only a short time ; feeble embrace ; weakness after an embrace.
Impotence and want of erections.
Swelling and induration of testicles, particularly after contusion.
Cutting pain through scrotum to root of penis ; pressing and tearing pains in testes.
Chronic prostatic disease, the gland swollen, hard as stone, firmly fixed, and much biting-itching, or biting like flea-bites, a weight like a stone in perineum.
Discharge of prostatic fluid on every change of emotion, without voluptuous thoughts, or while expelling feces ; with itching of prepuce.
Very severe pains, coming on at night, waking from sleep ; orchitis from contusion swelling of testes ; firm hematocele, like a stone.
Recent cases of gonorrhœa with orchitis and severe nocturnal pains.
Indurated chancre of long standing.
Rheumatism after suppressed gonorrhœa.
Syphilitic sarcocele.

Female sexual organs

Ill effects of suppressed sexual instinct, or non-gratification of sexual appetite.
Induration and enlargement of ovaries or womb, with lancinating pains.
Indurations, especially of a scrofulous nature or from injuries.
Prolapsus uteri complicated with induration, ulceration and profuse leucorrhœa.
Uterus prolapsed and anteverted ; bearing down as though womb would be forced from vulva ; < when standing and walking, before and during menses ; dysmenorrhœa.
Induration of cervix ; sharp pains in part ; prolapsus uteri ; acrid leucorrhœa ; swelling of breasts ; stitches in breasts mostly at night.
Weight and lancinating pains in womb and ovaries, extending through whole lower part of abdomen, hips and back ; during stool a foreign body protrudes from vulva ; copious and frequent uterine hemorrhages ; leucorrhœa reddish, extremely fetid. θ Uterine
polypi.
Uterine spasms ; rigidity of os uteri.
A grinding pain is felt above pudendum ; the abdomen becomes inflated, the chest is affected and stitches are felt in left side.
Uterine spasm during too early and scanty catamenia, followed by leucorrhœa, with nightly pains, hysterical paroxysms.
Labor-like contractions.
Labor-like colic from both sides of abdomen.
Stitching pains in womb, with such symptoms as accompany pregnancy ; nausea and vomiting, craving sour or salt things ; pain and swelling of mamma during menses, dejection of spirits, etc.
Pinching and griping in uterus.
Stitches in uterus extend to right side of chest.
Burning, stinging, darting pains in neck of uterus, with indurations and scirrhosities.
Burning, sore, aching sensation in region of uterus.
Before menstruation : anxious dreams ; heat without thirst ; general bruised feeling, with inclination to weep ; restlessness and anxious apprehensiveness ; pains in breasts, with soreness and swelling ; stitches in liver ; distension.
Great soreness of breasts precedes menstruation ; < by least jar or walking.
Amenorrhœa : genitals very sensitive ; complicated with ovarian or uterine disease and chlorosis ; with venous abdominal hyperemia.
Brownish blood instead of menses.
During menstruation : great fears when alone, but dread of strangers or company ; labor-like abdominal pains, extending into thigh ; stitches in chest ; headache ; eruption ; stinging pains in neck of uterus.
At every menstrual effort the breasts enlarge, become sore and painful.
Breasts relaxed, except at menstrual period.
Pressure from above downward, and drawing in legs during menses.
Menses too weak.
Menses irregular, three months passing sometimes without appearance of menses, and then they are scanty. θ Inflammation of eyes.
Dysmenorrhœa, with shooting pains in left chest, or sharp pains about heart.
Dysmenorrhœa : pains in hypogastric region and down legs ; sharp pain in back ; chills commencing in breasts ; vertigo in bed, everything turning round ; menses too soon, too profuse, natural in color ; has weak spells.
Catamenia too late, scanty, and of short duration.
Menses : suppressed ; feeble, too late and scanty, of short duration.
Delayed and scanty menstruation, with symptoms pointing to congestions in other organs, and especially when mamma are lax and shrunken.
Menses scant, clotted, accompanied by rash over whole body of small red pimples, which burn severely when scratched, and disappear with cessation of menstruation.
Menses stopped by taking cold ; putting hands in cold water ; sour rising of food ; urine intermits ; nosebleed.
Every four weeks, great sensitiveness of labia majora and minora ; constant dry heat of body without thirst ; anxious dreams ; heaviness in all the limbs ; tearfulness ; restlessness ; anxious concern about trifles ; stitches in hepatic region, often
lasting several days and greatly prostrating her, with entire absence of menstruation.
Violent itching of pudenda and vagina, especially after menses.
Leucorrhœa ten days after menses, stopping suddenly and soon flowing again, lasting several days, with much pain in bowels before discharge.
Acrid and burning leucorrhœa, white or yellow, preceded by griping and pinching pains in abdomen and lameness of small of back, followed by weariness.
Leucorrhœa : profuse ; bloody, mucous ; excoriating ; thick, milky, with contractive, labor-like colic, coming from both sides ; of white, acrid mucus, causing burning or smarting sensation.
Bearing down and stitches in vagina.
Severe itching deep in vagina.
Indurations of vulva from injuries.
Severe stitches in vulva.
Peculiar digging in vulva, a crampy pain.
Violent itching of vulva, followed by pressing down of uterus, especially after menses.
Sensitive pudenda and mammary glands.
Cutting pain between labia on micturition.
Sero-purulent eruption on mons veneris.
Large pimple on mons veneris, painful to touch.
Climaxis, with flushes of heat and sweat.
Shriveling of mamma, without sexual desire.
Fibroid tumors of uterus.

Pregnancy. parturition. lactation

Unready conception due to passive congestion.
Terrible nausea and vomiting in women suffering from scirrhosities during pregnancy.
Terrible nausea and vomiting during pregnancy.
Wakes in morning sick at stomach, vomiting several times from 5 o'clock till breakfast ; the substance vomited is white and frothy, followed by something yellow, like bile, < from raising head ; vomits several times during day ; three months pregnant.
Aching pain in abdomen during pregnancy ; is disturbed between 12 and 3 o'clock at night by having to get up to urinate ; has no affection for anybody.
Cough during pregnancy, < at night.
Obstinate cramps in stomach during pregnancy ; sensation of constriction, or of a heavy weight pressing upon stomach ; pains are constant but remittent in character, gradually growing so severe as to become unbearable ; constant dry, spasmodic cough which aggravates the
cramps ; cough < from speaking, walking, or mental emotions.
Excessive heartburn at night while going to bed, in pregnant women.
Rigidity of os uteri during labor.
During parturition, complete sleeplessness and exhaustion ; can hardly speak a few words ; extreme sensibility to light, shunning the light to such a degree that smallest ray of sunlight causes great anguish.
After-pains excited by child nursing, pains extending from left to right.
In first week after delivery, could not move head to turn over in bed on account of great vertigo.
Constant discharge of thin, watery milk from breasts for nine months after child has been weaned.
Induration of right mammary gland during lactation ; burning pain. θ Mastitis.

Voice and larynx. trachea and bronchia

Lisping voice.
Larynx sensitive to touch. θ Cough.
Dry spot in larynx, where there are crawling and almost constant irritation to cough.
Constant tickling and itching, dry, teasing cough.
Scraping in larynx, with irritation to cough, and dry cough in evening.
Hoarseness : cough and expectoration ; after leucorrhœa.
Blennorrhœa bronchialis.
Chronic cough from enlargement of bronchial glands, with irritation of tracheal and laryngeal lining.
Nervous bronchial asthma, paroxysmal, coming on in wet weather.

Respiration

Want of breath on taking least exercise and copious cough, with mucous discharge.
Shortness of breath when walking.
Constriction of chest, with dyspnœa. θ Cough.
Oppressed breathing in morning when waking.
Sawing, snoring breathing. θ Diphtheria after scarlatina.
Asthmatic paroxysms come on in wet weather ; face bluish-red.
Asthma in morning when awaking.
Nervous bronchial asthma.
Asthma of old people, with tickling cough.
Noise in larynx, which resembles very much an unarticulated "sha-li-sha-li" in sound ; this so disturbing that he must cease going to school ; marked spasmodic twitchings of muscles of right side of face ; these often precede the sounds ; spasmodic pressing
pain in region of ligam. glottid. ; noise and twitchings of face < from talking, > by rest and sleep ; patient scrofulous and glands are swollen. θ Affection of inf. laryngeal
nerve.
Bronchitis.
Catarrh, with dry, tickling cough, great lassitude, restlessness and thirst.

Cough

Unbearable titillation in pit of throat, with lisping voice, causing paroxysms of coughing.
Periodic, dry cough with tickling sensation in throat, or behind sternum ; cough comes on in short spells, especially while lying down, talking or laughing.
Dry, tickling cough after catarrh, spasmodic tickling in larynx, which is very sensitive to touch ; cough recurs every evening at 6 o'clock, lasting several hours, and is very annoying to patient.
Tickling, dry cough, annoying most at night, with violent headache, disturbing sleep ; fluent coryza ; oppression of chest.
Powerful, spasmodic paroxysms of cough excited by itching and tickling in chest and throat, or by a dry spot in larynx, < at night and when lying down, greatly fatiguing patient.
Dry cough, < towards morning, with constriction and oppression of chest.
Dry, tearing cough, persistent and annoying, < lying down, going out of warm room into air, and changing position in bed at night. θ Anemia of brain.
Dry, hacking, almost continuous cough ; < on lying down at night ; hardly any cough during day ; paroxysms of cough simulating whooping cough.
Especially dry, tickling cough in children and nightly cough of adults.
Cough, when first lying down, during day or evening ; is obliged to sit up and cough it out, after which rest.
Cough very much < by lying down ; in beginning many shocks of coughing as if he would vomit ; constant severe cough in evening on going to sleep.
Cough, wakes frequently at night out of a restless sleep, with stitching pains in sides of chest.
Dry, spasmodic, nightly, almost continually titillating cough, with violent oppression of chest and evening fever ; suffocating cough in scrofulous patients ; want of breath on taking least exercise and copious cough, with mucous discharge.
Chronic cough from enlargement of bronchial glands, or irritation of laryngeal lining ; dry, hacking, laryngeal cough.
Headache during violent coughing fits.
Lying down and taking a deep breath cause cough.
Sensation when coughing as if he must take hold of abdomen, feels as if cough proceeded from there. θ Anemia of brain.
Child complains of pain in belly when coughing.
Cough, with flatulency, dyspnœa, pain in limbs and on different places of chest, not < by the cough.
Cough with : stitches in head or chest ; shocks in head ; oppression and constriction of chest ; colic ; vomiting of mucus ; pain in abdomen.
Spasmodic cough after influenza, not ceasing until a mass of mucus is vomited.
After influenza : cough coming with no regularity, but more frequent at night than at any other time and continuing until retching and vomiting occur, expelling a small quantity of frothy mucus with a yellow nucleus.
Cough : loose, with inability to expectorate ; must swallow what is raised.
Whooping cough : expectoration only during day, with attacks of suffocation ; tickling in chest, shortness of breath, bloody mucus : difficulty in expectorating what has been loosened by cough, < at night.
Violent attacks of whooping cough in scrofulous children, face flushed, expectoration bloody.
Whooping cough if subacute bronchitis has supervened.
Expectoration : during day ; difficult ; bloody, purulent, sometimes hardened ; of putrid taste and smell, especially after measles, scarlatina, or during pregnancy.
Violent cough at night, with influenza.

Inner chest and lungs

The clothes lie like a weight on chest and shoulders.
Tickling sensation behind sternum.
Tight feeling in chest, > by cough.
Oppressive constriction of chest, with dry cough.
Violent oppression of chest and evening fever.
Pressure on chest, with spasmodic, tickling night cough.
Pains all over chest, with headache.
Itching, scraping, titillation under sternum, or in throat, causing periodic dry cough.
Sharp thrusts directly through chest, from sternum to spine, while sitting.
Stitches : in right chest about nipple, on every inspiration, while walking, < from hard pressure with hand ; in left side of chest, with uterine spasms ; from abdomen to right side of chest.
Jerks in chest.
Cutting pains in both sides of chest, < by inspiration ; tension and weakness in chest ; visible palpitation, especially after drinking.
Dull pain in left chest, tenth rib, < from coughing. θ Anemia of brain.
Hæmoptysis, or hemorrhage especially after masturbation, with tensive, pressing, stitching pains in chest.

Heart, pulse and circulation

Precordial anguish.
Jerking sensation about heart.
Violent palpitation of heart. θ Morning sickness.
Violent palpitation after drinking, when rising from bed.
Palpitation after stool ; intermissions in beats of heart.
Violent beating of heart, with pain at each pulsation, as if a knife was being thrust through occiput ; heart beat sometimes strong, sometimes quick or vacillating.
Frequent shocks in region of heart.
Aching or sharp pains about heart, with dysmenorrhœa.
Sensible beating of arteries through whole body.
Pulse : accelerated ; unequal in strength and sometimes irregular in rhythm ; irregular, generally slow and full, alternating with small and frequent beats ; extremely irregular, principally slow and large, but with intervening small and quick beats ; pulseless.

Outer chest

The clothes lie like a weight on chest and shoulders.
Itching of breast and nipple, with red, scaly skin, and burning after rubbing.
Stitches as with needles in left mamma.
Stitching pain in sides of chest, with cough, which wakes him at night.
Violent stitches in left side of chest above nipple, on every inspiration while walking, not > by hard pressure of hand.
Violent stitches in right side, as if a knife was plunged into side, causing loud moaning. θ Pneumonia.
Beating stitch, with pain, in upper and left part of chest towards centre of chest.
Inflammation of breast, with stitches.
The mammary glands painful in evening.
Pain in mamma, which often swell and become hard.
Hot pains through left breast and axilla. θ Uterine disorder.
Dull pain below left mamma. θ Prolapsus and dysmenorrhœa.
Hardness of right mamma, with painfulness to touch, and nightly stitches in it.
Mammary induration following abscess of right mammary gland, remaining without change for two years.
Painful swelling of breast, about size of walnut.
Hard and painful lumps in mamma.
Tumor under left nipple as large as a hen's egg, moving freely under superficial fascia, and very hard and painful on pressure ; nipple inverted and sensitive to touch ; stinging, twinging pains ; leaden cast of areola.
Small and painless tumor in breast near nipple.
Tumors in mamma, with piercing pains, < at night, gland abnormally tender.
From contusion, hard lump as large as walnut on right side of nipple of right breast ; constant, dull, heavy pain in breast ; at night after spot has been irritated in any way, sharp and shooting pains.
After contusion of right breast, an uneven swelling, hard as stone, supporting a rough, wart-like, humid elevation ; axillary glands swollen ; fever in evening ; dull stitches in breast.
Hard, scirrhous-like tumors.
Stony-hard scirrhus of breast, sharp, shooting pains and occasional twinges.
Scirrhus in mamma, hard as cartilage and uneven, which had grown during climacteric period to size of hen's egg.
Scirrhous cancer of breast, stony, hard, large as teacup ; pains shooting ; sense of great heaviness in breast.
Scirrhus of left breast ; occasionally twitching in affected part, rarely pain ; the mass is immovable, and skin covering it not discolored.
Hypertrophy of breast, either general or lobular, followed by atrophy.
Wasting of breasts ; complete atrophy of mammary gland, leaving a flaccid, baglike skin.
Caries of sternum.

Neck and back

Tightness in nape of neck ; pain and stiffness.
Soreness in lower cervical vertebræ.
Pain as from a sprain in left side of back and neck.
Enormously enlarged cervical glands. θ Caries lower jaw.
Cervical glands hard and tender.
Indurated and swollen cervical glands in scrofulous children.
Neck twisted by hard swelling to right shoulder. θ After scarlatina.
Herpetic eruption on neck and behind ears, < from heat, which causes a burning sensation.
Pain between shoulders and in lumbar region.
Weakness and lameness in small of back and subsequent lassitude.
Dragging pain in small of back. θ Uterine disorder.
Stitches in small of back, with drawing through lumbar vertebræ, while standing.
Contraction in back, with sensation of coldness, griping and sore feeling.
Sharp pains in back, with chills. θ Dysmenorrhœa.
Dorsal pain between shoulders and in lumbar region.
Peculiar tumor in central part of back, as large as a cherry, growing on half an inch long pedicle ; tumor and pedicle of a bluish color.
Pain in back, especially on bending backward, or after a short walk, with nausea and weariness.
Lancinating pains and weight in back, hips and lower part of abdomen, extending from womb and ovaries. θ Uterine polypi.
Stitches and tensive drawing pains, much increased by moving arms upward ; severe aching in sacral region from walking a short distance, followed by nausea and lassitude ; stitches in sacrum when standing, with drawing through lumbar vertebræ.
After falling from a height upon back, acute pain in lower part and in region of small of back, especially when laughing, sneezing, or taking a quick breath.
Ill effects of bruises and shocks to spine.
Coccyodynia.
Upon buttocks small, scattered, flat, wart-like, greyish-brown growths of hypertrophied epidermis. θ Enlargement of liver.

Upper limbs

Shoulders feel bruised and sore.
Axillary glands swollen. θ Mammary tumor.
Arms when lifted fall like inert masses and remain immovable.
Humid tetters on forepart of arm.
Ichorous, biting, burning herpes on hands and forearms.
Cracking in wrist joint.
Sweat of palms of hands.
Itching on dorsum of finger.
Yellow spots on fingers.
Yellow nails.

Lower limbs

Drawing pain in hips.
Uneasiness in lower limbs.
Dragging and weakness in legs.
Pressing downward and drawing in thighs, scanty menses.
Numbness in thighs.
Sensation of weakness even to trembling, in right thigh while walking.
Staggering gait.
Painless loss of power in lower limbs ; faltering, vacillating gait ; staggers as if drunk, dragging his legs after him.
Lassitude in knees.
Pain in knee as from fatigue.
Herpetic eruption over popliteal space.
Pain going from hypogastric region down legs. θ Dysmenorrhœa.
Cracking of knee joint.
Cramps of calves.
Red spots on calves, turning yellow or green, as from contusion, preventing movement.
Liability of feet to catch cold from slight exposure.
Pustule on foot.

Limbs in general

Heaviness and sense of weariness in all limbs.
Limbs feel bruised.
Paralyzed feeling in all limbs.
Difficulty in using limbs ; unable to walk.
Unpainful lameness ; trembling of limbs.
Weakness and debility, especially of arms and legs.
Shooting pains through arms and legs. θ Uterine disorder.
Paralysis of lower, afterward of upper extremities, or the reverse.
Numbness of fingers and toes, the former looking as if they were dead.
All the joints pain as if beaten.
Piercing and tearing pains through extremities and in joints, particularly in elbows and hip joints.
Coldness of hands and feet.
Sensation as if bones of upper and lower extremities were surrounded by tight bands ; periostitis, with throbbing and burning pain, as if from an ulceration, < in morning and at night, also when standing, lying, or lifting the part, > when letting limb hang down and from
motion ; r. side, or left upper and right lower.

Rest. position. motion

Rest : > noise in larynx and twitchings of face.
Patient wishes to keep head perfectly still.
Letting limb hang down : > pain.
Lying down : vertigo < ; hydrocephalus, pains > ; aching in right eye ; cough < ; powerful, spasmodic paroxysms of cough < ; dry, tearing cough < ; dry, hacking, almost continuous cough < ; pain in bones <.
Must lie down : tearing in head.
Lying in bed : sick headache <.
Lying on side : <.
Recumbent position : tearing in temple and sides of head <.
Sitting : pressure in neck of bladder, with stitches > ; sharp thrusts directly through chest from sternum to spine ; sweat while dozing ; pain in ulcer.
Is obliged to sit up and cough it out, after which rest.
Patient < after going to bed, is obliged to sit up or walk about to get relief.
Standing : bearing down in uterus < ; stitches in small of back, with drawing through lumbar vertebræ ; pain in bones < ; stitches in sacrum ; pain in ulcer.
Knee-elbow position : violent pains in stomach better.
Motion : tearing in temples and sides of head < ; headache, with pains all over chest < ; aching in abdomen after going to bed, during pregnancy > ; pain in bones > ; pain in ulcer < ; > parts affected ; symptoms at first <, > by continued.
Changing position in bed : dry, tearing cough worse.
When turning in bed : vertigo worse.
When rising from bed : violent palpitation.
Rising from seat : vertigo.
Closing eyes : hydrocephalus, pains > ; black spots seen.
When looking around : vertigo.
Moving head : headache, with coryza > ; semilateral headache worse.
Raising head : vomiting during pregnancy worse.
On bending head forward : heaviness in occiput.
When turning head : vertigo.
When shaking head : painful sensation of looseness ; pain from brow to occiput, as if something had become detached.
Moving arms upward : stitches and drawing pains in back worse.
Bending backward : pain in back.
Stooping : vertigo < ; headache, with coryza > ; tearing in temples and sides of head worse.
Walking : complete indifference, takes no interest in anything ; vertigo < ; clicking in left vertex, also in occiput ; feeling of coldness in eyes ; staggers as if drunk ; drawing in sound teeth ; involuntary swallowing ; soreness and rawness of
stomach and abdomen ; pressure in neck of bladder, with stitches < ; bearing down in uterus < ; soreness in breasts before menses < ; cough during pregnancy < ; shortness of breath ; stitches in r. side of chest, about nipple ; violent stitches in left side of
chest, above nipple ; pain in back after ; aching in sacral region ; weakness, even to trembling in right thigh ; great weakness after ; noise is felt at every step, as of the breaking of a finger nail ; as if paralyzed after ; sudden loss of strength
while ; staggering when ; after standing, > by.
Downward motion : vertigo worse.
On ascending an eminence : pains in ulcer worse.
Exercise : want of breath on taking least ; urticaria from violent.
Running : cough worse.

Nerves

Great nervousness, involuntary laughing and weeping, great weakness after least walk ; urine intermits in its flow.
Inclination to start as if with fright.
Fear of noise and talking, on account of great sensitiveness of head.
At every step in walking a noise is felt, as of the breaking of a finger nail.
Restlessness and constant desire to change position.
Very easily overstrained.
Weakness and lassitude with desire to sit or lie down.
Weak spells. θ Dysmenorrhœa.
Weariness, with nausea and pain in back.
Great physical and mental debility.
Sensation of debility in morning when in bed.
Great prostration of nervous and muscular systems, < from excitement. θ Anemia of brain.
Exhausted, faint, and as if paralyzed after a short walk.
Sudden loss of strength while walking.
Complete sleeplessness and exhaustion, can hardly speak a few words.
Faintness ; sick and faint early in morning in bed, or after stool.
Fainting fits.
Tremulous weakness after every stool, > in open air.
Trembling of all the limbs ; muscular tremor.
Staggering when walking outdoors.
Hysteria ; globus hystericus.
Paroxysms of hysteria and hypochondriasis from abstinence from sexual intercourse.
Hysterical spasms, convulsions.
Frequent attacks of an apoplectic nature ; headache and fainting. θ Uterine polypi.
Apoplexy with paralysis, particularly in old people.
Paralysis of old people, especially of old women ; general paralysis of voluntary muscles, paralyzing first peripheral nerves, and finally spinal cord ; unpainful lameness.
Muscular paralysis without spasms.
General spinal paralysis and that which follows diphtheria.
Paraplegia, after concussion of spine.
Chorea.
Trismus.

Sleep

Drowsiness by day, stupid in morning. θ Vertigo.
Drowsiness in evening, with spasmodic closing of eyelids.
Somnolence, with constant waking and change of position, sawing snoring breathing ; condition < at night. θ Diphtheria after scarlatina.
Stupor-like, unrefreshing sleep, broken by heavy dreams.
Very restless sleep. θ Mental derangement.
Uneasy sleep, great trembling and short, rapid snoring respiration.
Cough disturbing sleep.
Falls asleep late, after midnight.
Complete sleeplessness and exhaustion. θ Photophobia.
Five minutes after falling asleep wakes up bathed in sweat, most profuse on head and upper portion of body. θ Diabetes with parotitis.
Nocturnal pains in ulcers prevent sleep.
Awakes from sleep with fright and start on account of a cracking in head.
Anxious sleep, full of fancies.
Dreams frightful.
Sleep disturbed by nightmares. θ Anemia of brain.
Patient always feels < after going to bed, is obliged to sit up or walk about to get relief.

Time

In morning : stitching in forehead ; headache on awaking ; asthenopia > ; agglutination of right eye ; pressure in eyes < ; awakens very sick at stomach and vomits several times, from 5 o'clock until breakfast ; fulness in abdomen when awaking
early ; burning in urethra after urinating ; when awaking, oppressed breathing ; asthma when awaking ; pain in bones < ; sensation of debility when in bed ; sick and faint early, in bed ; stupid ; chill and coldness ; internal chill ; sweat.
At noon : stitching in forehead.
In afternoon : very ill-humored from 5 to 6 ; chill and coldness, 3 to 5 ; shivering.
During day : vomits several times ; hardness and distension of abdomen, with frequent sour evacuations > ; cough ; whooping cough ; attacks of suffocation ; expectoration only ; drowsiness.
In evening : clicking in vertex, also in occiput ; dry cough ; constant severe cough on going to sleep ; fever ; mammary glands painful ; drowsiness ; spasmodic closing of eyelids ; irresistible desire to scratch eruption.
At night : pains in eyes < ; stinging-tearing faceache sour belching < ; violent pains in stomach ; sudden attack of vomiting and diarrhœa ; hardness and distension of abdomen, with frequent sour evacuations < ; frequent micturition ; orchitis ; very
severe pains coming on ; stitches in breasts ; between 12 and 3 must get up to urinate ; cough during pregnancy < ; excessive heartburn in pregnant women while going to bed ; tickling, dry cough, with violent headache, disturbed sleep ; powerful spasmodic
paroxysms of cough ; dry, tearing cough, < on changing position in bed ; dry, hacking, almost continuous cough < on lying down ; cough wakes frequently out of a restless sleep, with stitching pains in sides of chest ; whooping cough < ; violent cough, with
influenza < ; stitches in right mamma ; pains in tumors of mamma < ; sharp, shooting pains in right breast after any irritation ; pain in bones < ; pains in ulcers prevent sleep ; skin hot, burning in bed ; sweat ; pains in spine prevent sleep ;
marasmus, with frequent sour belching < ; pain in uterus <.
Late after midnight : falls asleep.
Towards morning : dry cough, with constriction and oppression of chest <.

Temperature and weather

Heat : asthenopia < ; herpetic eruption on neck and behind ears < ; causes burning sensation in herpetic eruption.
Warmth : fibroids >.
In room : eyes are dazzled by light of day.
Warm room : asthenopia <.
From warm room into air : dry, tearing cough <.
Chill, with continuous desire for warmth, particularly that of sun.
Open air : complete indifference, takes no interest when walking in ; headache, with coryza < ; hot spots on back of head > ; hydrocephalus, pains < ; feeling of coldness in eyes ; vertical pains in head < ; drawing in sound teeth when walking ; tremulous
weakness > ; fibroids < ; aversion to.
Out of doors : objects surrounded by prismatic colors ; staggering when walking.
Cold water ; hot spots on back of head < ; suppression of menses from putting hands in.
Cold food and drink : drawing in hollow tooth.
In wind : involuntary swallowing when walking.
Cloudy day : asthenopia >.
Wet weather : nervous bronchial asthma, paroxysmal.
From taking cold : nosebleed, with suppression of menses.
Liability of feet to catch cold from slightest exposure.
Worse from growing cold and in cold weather ; > from growing warm and in warm air ; < in snowy air.
Spring : nosebleed.

Fever

Chill and coldness in morning and afternoon (3 to 5 o'clock).
Extremities and whole body icy cold ; shivering over whole body.
Chill, with trembling in all the limbs.
Chill, with continuous desire for warmth, particularly that of sun.
Chilliness along whole of back. θ Anemia of brain.
Chilliness in back, with cold hands and blue nails.
Chilliness during stool.
Internal chill in morning ; with shivering in afternoon.
Chills during pains, commencing in breasts. θ Dysmenorrhœa.
Heat, with thirst and redness of face.
Great heat, internal and external, with great nervousness.
Constant dry heat all over without thirst.
Skin is hot, and patient delirious or senseless.
Feeling of heat in whole body ; perspiration general.
Skin hot, burning at night in bed. θ Anemia of brain.
Internal heat, with thirst.
Catarrhal fever.
Burning heat through whole body, with thirst.
Heat, with profuse sweat at same time.
Sweat on head, face and neck. θ Ophthalmia.
Sweat day and night, as soon as one sleeps, or even when closing eyes.
Sweat while sitting in a chair and dozing.
Sweat over whole body, with redness of face.
Night and morning sweat, with offensive odor and smarting in skin, or offensive odor without perspiration.
Profuse sweat on limbs, perineum and genitals.
Fecal, fetid, smarting perspiration, with pimples.

Attacks, periodicity

Frequent : sneezing ; eructations, sour evacuations ; diarrhœa and copious urination ; ineffectual urging to stool ; stitches in anus ; uterine hemorrhages ; shocks in region of heart, attacks of apoplectic nature ; sour belching.
Oft recurring : constricting pains in abdomen, coming and going at intervals, like labor pains.
Periodical : insanity ; dry cough.
Every evening at 6 : dry, tickling cough, several hours.
Every night : after going to bed, aching in abdomen.
Every other day : hard stool.
Every fourteen days : great unhappiness of mind.
Every four weeks : great sensitiveness of labia.
Constant : inclination to sleep ; confusion of forehead ; inclination to swallow ; pain in liver ; inclination to evacuate bowels ; urging, without stool ; urging to urinate ; dry heat of body without thirst ; dry, spasmodic cough during
pregnancy ; discharge of thin, watery milk from breasts nine months after child has been weaned ; irritation to cough in larynx ; severe cough in evening ; dull, heavy pain in right breast ; desire to change position.
Lasting many hours : sharp stitches after urinating, in region of neck of bladder.
Diarrhœa only by day, none at night.
Day and night : sweat.
Lasting several days : stitches in hepatic region.
Chronic : stitching headache ; dysentery ; enlargement of liver or spleen ; diarrhœa of old men ; prostatic disease ; cough, from enlargement of bronchial glands.

Locality and direction

Right : as of a large foreign body in half of brain ; tearing in side of head ; eye bloodshot, aches on lying down, agglutination in morning ; pinching in ear ; bleeding from side of nose ; lacerating in half of face ; small and large
pustules on cheek ; aching in hypochondrium ; pressing in hypochondriac region, with swelling extending towards precordial region and nearly to crest of ilium ; induration of mammary gland, with burning pain ; spasmodic twitchings of muscles of side of face ;
stitches about nipple on every inspiration ; violent stitches as if a knife were plunged into side ; hardness of mamma, with painfulness to touch, and nightly stitches in it, mammary induration following abscess of mammary gland ; after contusion of breast, hard lump as large
as walnut ; constant, dull, heavy pain in breast ; after contusion of breast, uneven swelling, axillary glands swollen, dull stitches in breast ; neck twisted by, hard swelling to shoulder ; weakness, even to trembling in thigh.
Left : clicking in vertex ; redness of sclerotic, dimness of cornea ; in hypochondrium ; stitches in side ; shooting pain in chest ; dull pain in chest, tenth rib ; stitches as with needles in mamma ; hot pains through breast and axilla ; dull
pain below mamma ; tumor under nipple ; scirrhus of breast ; pain as from a sprain in side of back and neck.
Right to left : ulcers on cornea ; spasms in pit of stomach.
Left to right : after-pains.
From within outward : stitching in forehead ; shocks in ears ; stitches in ear.
From above downward : pressure during menses.

Sensations

As though a great grief weighed upon him ; as though bed was turning in a circle ; as of looseness in head ; as of a large heavy lump in brain ; as if something like a fringe was falling down over eyes ; as if something had become detached on shaking
head ; as if brain had gone to sleep ; as if both temples were compressed ; as of a foreign body under skull ; as if occiput was pierced with a knife, with every pulse ; as of a large foreign body in right half of brain ; as if head had been bruised, and as if a
load was pressing down on it ; as if head was too full and would burst ; as if head had been bruised by blows or would fall to pieces ; as of catarrh in head ; as if eyes were trembling ; as if eyeball was swollen ; as if eyes were pulled outward from
nose ; as of overpowering giddiness coming over her ; as of a grain of sand in eyes, in outer canthus ; as if eyelids were pressed down by a heavy weight ; as if ears were stopped up on blowing nose ; as if teeth were loose ; as if a round body was ascending
œsophagus, from stomach ; as of a gentle heat passing from stomach through arms to fingers, and then hands appear as if dead ; as if stomach contracted ; of a heavy burden upon stomach ; as of a constricted band about hypochondria ; as if he must take hold of
abdomen when coughing ; as if cough came from abdomen ; as if bowels were bruised by blows ; as if diarrhœa would set in ; as if knives were plunged into abdomen ; as if groins were swollen ; as if urine would come out immediately ; as though womb would be
forced from vulva ; as of a heavy weight pressing upon stomach ; as if knife was being thrust through occiput with each pulsation of heart ; as if a knife was plunged into right side ; as from a sprain in l. side of back and neck ; as if shoulders were bruised and
sore ; as from fatigue in knees ; as if limbs were bruised ; as if beaten, in all the joints ; as if bones of upper and lower extremities were surrounded by tight bands ; as from an ulceration, in limbs ; as if paralyzed after a short walk ; as if part
affected by ulcer was beaten to pieces.
Sensation in forehead like an inability to fix mind on any subject.
Strange rising in throat, with sense of stuffing, as if something was lodged there.
Precordial anguish.
Pain : all over chest ; deep in root of nose ; in stomach ; in liver ; in belly when coughing ; in umbilical region ; in iliac regions ; in hypogastric region during menses, going down legs ; in groin ; in kidneys ; in bladder ;
in urethra ; in mamma ; sharp, about heart ; in hypogastric region and down legs ; sharp, in back ; in bowels before discharge of leucorrhœa ; in belly when coughing ; in limbs and on different places of chest ; in abdomen ; in left chest ;
in mamma ; in nape of neck ; between shoulders and in lumbar region ; in back ; from hypogastric region down legs ; in knee.
Lancinating : in vertex ; in abdomen ; in womb and ovaries, extending through whole lower part of abdomen, hips and back ; in tumors.
Cutting : in abdomen ; in rectum ; through urethra ; after micturition ; through scrotum to root of penis ; between labia on micturition ; in both sides of chest.
Lacerating : in right half of face.
Darting : in forehead and vertex ; in teeth ; in neck of uterus.
Piercing pain : in inner ear ; in mastoid process ; in tumors of mamma ; through extremities and in joints.
Stitches : in top of head ; in teeth ; in hepatic region ; in hypochondrium and spleen ; from abdomen to right side of chest ; in anus ; in neck of bladder ; in breasts ; in left side ; in uterus, extending to right side of chest ;
in vagina ; in vulva ; in head ; about right nipple on every inspiration ; as with needles in left mamma ; violent in left side of chest ; dull in right breast ; in small of back ; in sacrum ; in swollen and indurated glands ; in liver.
Stitching : in forehead ; headache ; in and about ears ; in nasal septum ; in teeth ; in hepatic region ; in womb ; in sides of chest ; in chest.
Drawing-stitching : in ear.
Burning stitches : in ulcers.
Shooting stitches : in back part of urethra.
Beating stitch : in upper left chest towards centre.
Sharp thrusts : through chest, from sternum to spine.
Stinging : in eyes ; at tip and inside of nose ; seeming to come from stomach and extending under left ribs and as far as back ; in neck of uterus ; in tumor under left nipple ; in ulcers.
Stinging-tearing : faceache.
Pricking : in fibrous polyp of nose ; in skin.
Shooting : in inner canthus ; in lips ; in left chest ; sharp in right breast ; sharp in breasts ; in cancer of breast ; through arms and legs.
Tearing : in forehead and vertex ; in temples and sides of head ; in head, one-sided ; headache ; in right side of head ; in and about ears ; in hepatic region ; in testes ; through extremities and in joints.
Drawing : in eyes ; from jaws to ears and head ; toothache ; in sound teeth ; in hollow tooth ; in gums ; through urethra while urinating ; in legs during menses ; through lumbar vertebræ ; tensive, in back ; in hips ; in
thighs ; in legs.
Burning : deep in eyes ; on inner surface of lids ; when rubbing eyes ; in nostrils ; in lips ; in œsophagus ; from pit of stomach into back and shoulders ; in stomach ; in hypogastric region ; in rectum ; through urethra ; in
neck of uterus ; in region of uterus ; of rash ; leucorrhœa causes ; in right mammary gland ; of breast after rubbing ; in herpetic eruption on neck and behind ears ; herpes on hands and forearms ; with periostitis ; in ulcers ; of
inflammation of skin.
Digging : in vulva.
Twinging : in tumor under left nipple ; in breasts.
Sharp shocks : in inner ear.
Shocks : in head ; frequent in region of heart.
Jerking : in teeth ; about heart.
Jerks : in chest.
Writhing : in umbilical region.
Grinding : (searching) in umbilical region above pudendum.
Pressive pain : in hypochondria.
Tensive pain : in hypochondria ; in chest ; in ulcers.
Sharp pains : about heart ; in back.
Dragging : in small of back ; in legs.
Squeezing : from pit of stomach into back and shoulders.
Pinching : in right ear ; in abdomen ; in uterus.
Griping : in various parts of forehead ; in stomach ; in abdomen ; in uterus ; in back.
Scraping : in throat ; in larynx ; under sternum.
Smarting : in inner canthus ; when rubbing eyes ; leucorrhœa causes.
Scorching : on top of head.
Excruciating pains : in throat.
Biting-itching : with prostatic disease.
Biting : like flea-bites, with prostatic disease ; herpes on hands and forearms.
Soreness : at tip and inside of nose ; of breasts ; in stomach ; of abdomen ; of bowels ; of breasts before menses ; in lower cervical vertebræ ; in back ; in ulcers ; in shoulders.
Sore aching : in region of uterus.
General bruised feeling before menses.
Aching : in right eye ; in inner ear ; in back of neck, vertex and forehead ; in epigastrium up to pharynx ; in right hypochondrium ; in left hypochondrium, extending down in abdomen ; in abdomen during pregnancy ; in hypogastric region, like
menstrual colic ; about heart ; in sacral region.
Straining : in rectum during stool.
Bearing down : in abdomen ; in hypogastric region ; in uterus ; in vagina.
Labor-like pains : in abdomen during menses, extending into thigh.
Forcing-down feeling : in hypogastric region, like menstrual or labor pains.
Pressing, aching pain : in abdomen, with involuntary drawing of abdomen up towards thorax.
Pressing pain : in eyeball ; from pit of stomach into back and shoulders ; in right hypochondriac region ; in abdomen ; sharp in bladder ; in testes ; spasmodic in region of ligamentum glottidis ; in chest.
Pressure : in head ; in eyes ; in outer canthus ; above lips ; in œsophagus ; in epigastrium up to pharynx ; in stomach ; in abdomen or perineum ; upon bladder ; in neck of bladder ; from above downward during menses ; downward
of uterus after menses ; on chest ; downward in thighs.
Constricting pains : in abdomen, like labor pains ; in lower part of abdomen.
Constriction : spasmodic, of throat ; of stomach during pregnancy ; of chest ; oppressive of chest.
Contractive, labor-like colic : from both sides of abdomen.
Contraction : in throat ; oppression of epigastrium ; in back part of stomach ; in back ; spasmodic pains in stomach ; in lower abdomen ; like after-pains.
Cramps : in stomach ; in calves.
Crampy pain : in vulva.
Tension : painful, behind ear ; painful, about hypochondria ; in chest.
Rawness : at pit of stomach ; of stomach and abdomen.
Hot pains : through left breast and axilla.
Tight feeling : in chest ; in ulcers.
Tightness : of head ; in nape of neck.
Stupefying : headache ; headache in outer part of head.
Constant dull, heavy pain in right breast.
Heaviness : in head ; in occiput ; throughout abdomen ; in perineum ; in all the limbs ; in breast.
Weight : in perineum, like a stone ; in womb and ovaries extending through whole lower part of abdomen, hips and back.
Clothes lie like a weight on chest and shoulders.
Oppression : of breathing ; of chest.
Fulness : in various parts of forehead ; in throat, as of a lump ; in pit of throat ; in stomach ; in abdomen.
Twitching : in left breast.
Throbbing : from forehead to occiput ; with periostitis.
Creeping : in ulcer.
Crawling : in larynx.
Tingling : in ears ; in nose ; in throat ; in swollen and indurated glands.
Tickling : in throat ; in larynx ; cough, in old people ; behind sternum ; in chest.
Sore raw feeling : at pit of stomach.
Painful sensation of looseness : in head.
Titillation : in pit of throat ; under sternum.
Paralyzed feeling : in all the limbs.
Lameness : of small of back.
Weakness : in chest ; in small of back ; in legs ; in right thigh ; in arms.
Weak, trembling feeling after stool.
Weary sensation : in brain ; in all the limbs.
Whirling : dizziness in head.
Confusion : in head ; of forehead in region of eyebrows and root of nose.
Cracking : in head.
Clicking : in left vertex ; in occiput.
Tired sensation : in brain.
Lassitude : in knees.
Uneasiness : in lower limbs.
Numbness : of one side of head ; in thighs ; of fingers and toes ; from contusions.
Dryness : of nose ; of lips and tongue ; of mouth and fauces.
Heat : of face ; in lower portion of rectum ; on urinating ; of hands and feet.
Coldness : side of head ; in eyes ; in stomach ; in back.
Itching : in inner canthus ; below eyes ; at tip and inside of nose ; in fibrous polyp of nose ; in face ; of pimples in face ; in throat ; urine flows and stops alternately, with violent ; of prepuce ; violent, of pudenda and
vagina ; severe, deep in vagina ; violent, of vulva ; in larynx ; in chest and throat ; under sternum ; of breast and nipple ; on dorsum of finger ; erratic, as from fleas in all parts of body.

Tissues

Great liability to take cold.
Swelling and induration of glands, with tingling and stitches ; after contusions and bruises.
Contusions which produce a condensation of cellular tissue and induration of glandular structures, accompanied by a sensation of numbness.
Bleeding of ulcers, with secretion of fetid ichor ; a portion becomes gangrenous ; concealed cancer of bones ; cancerous swelling and induration of glands ; cancer of lips ; spreading cancerous ulcers in face ; cancer and cancerous ulcers after contusions,
burning stitches ; stinging in affected parts.
Burning, crusty, and deep ulcers ; painless, hard, and fistulous ulcers ; nocturnal pains in spine prevent sleep ; pus fetid, watery and ichorous.
Marasmus, with frequent sour belching, < during night.
Scrofulosis, with engorgement of lymphatics.
Rachitis.
Tumors of all kinds, especially scirrhous, coming on after contusions ; stony hardness of tumor, and feeling of weight ; cancerous swelling and induration of glands (secondary deposit) ; fibroids.
Gangrene from contusions, and of one part of an ulcer.
Viscid, putrid pus.
Straining and overstraining of membranous and tendinous structures from contusions, falls, or other external injuries.

Touch. passive motion. injuries

Touch : tearing in temples and sides of head < ; sensation as of a foreign body under skull > ; swollen lids sensitive to slightest pricking and itching of fibrous polyp ; large pimple on mons veneris painful ; larynx sensitive ; right mamma
painful ; left nipple inverted and sensitive.
Cannot bear tight clothing.
Pressure : hydrocephalus, pains > by external ; pains in eyes > ; pains in root of nose < ; pain in right hypochondriac region < ; enlarged liver, pain ; stitches in right side of chest < from hard ; tumor under left nipple hard and painful ;
fibroids <.
From pressure of pipe ; cancer of lips.
Rubbing : smarting, burning of eyes ; burning of breast ; fibroids < ; pain in ulcer.
Scratching : itching < ; vesicles < ; pain in ulcer.
Jar or shock : headache with pains over chest < ; soreness in breasts before menses, < from least.
Lifting affected part : pain <.
From injuries : indurations ; indurations of vulva.
After contusion : induration of lymphatics of lip ; swelling and induration of testicles ; orchitis ; hard lumps on right side of nipple of right breast, as large as walnut ; swelling and induration of glands ; cancerous ulcers ; tumors ;
gangrene ; blackish ulcers.
Ill effects of bruises and shocks to spine.
After falling from a height upon back, acute pain in lower part and in region of small of back.

Skin

Blueness of whole body.
Yellow color of skin ; jaundice.
Yellow spots on fingers ; yellow nails.
Brown spots upon body.
Want of action of skin.
Erratic itching of all parts of body, as from fleas.
Itching on dorsum of finger.
Itching < by scratching.
Urticaria, from violent bodily exercise.
Eruptions developed by being overheated.
Inflammation of skin all over body ; painful and burning.
White transparent pimples filled with an acrid humor, which forms scabs resembling those of scabies.
A man, æt. 73, fell out of buggy ; bruises on left arm, formed a scab, left a scar, surrounded by an induration which burned and itched. Con. [30] reduced the induration to one-third in a week, softened the remainder, and helped markedly an involuntary mucous diarrhœa, jelly-like,
white, inodorous, at times slimy, almost white, a dozen or more stools daily, so that he has now regular passages, also had incontinence of urine which is >.
Glandular enlargement ; moist vesicles, < by scratching, followed by pricking in skin ; gluey, sticky discharge, forming hard crusts about face, arms and mons veneris ; eruptions in old people suffering from vertigo, especially in bed.
Sudden herpetic eruption on forearm, beginning as a small spot and gradually spreading over arm ; skin red, swollen and corrugated, lymph or blood oozing from broken places in skin, lymph drying and forming white crusts under which the exudation still
continues ; intense itching in affected parts, with irresistible desire to scratch, particularly in evening ; surrounding lymphatics swollen and involved.
Herpetic eruption forming into scabs as large as hand in various parts of body.
Acne on face.
Tetters : humid, burning, corroding, crusty, old.
Sero-purulent eruption in aged people, and hypochondriacal old maids.
Petechia in old persons.
Tumor can be traced to a bruise ; lancinating pains.
Adenitis.
Blackish ulcers, with bloody, fetid, ichorous discharges, especially after contusions.
Ulcers : cancerous ; scabby ; destitute of feeling ; with tight, tense feeling ; speckled.
Scurfy exanthema ; polypus ; greenish mortification ; tetters in general.
Edges of ulcer become black ; gangrene of parts of ulcer ; creeping, with a tensive pain ; ulcers which are bluish have a livid appearance and are tumid ; pain in part as if it was beaten to pieces ; swollen ulcers, hard to heal ; inflamed ulcers, with a
feeling of soreness.
Bleeding from ulcers.

Stage of life, constitution

Cannot take alcoholic stimulants ; easily intoxicated.
Strong persons of a sedentary habit are affected more than lively and slender persons and children.
Suited to women of rigid fibre, easily excited, as well as to those of opposite temperament.
Hypochondriacal old maids ; old, weak and feeble men.
Especially useful to old people, and among these to women more than to men.
Light-haired persons.
Debility of old people ; diseases caused by a blow or fall ; cancerous and scrofulous people, with tight rigid fibre.
Scrofulous constitutions ; strumous condition, enlarged glands.
Apoplectic paralysis.
Children who are prematurely old ; with marasmus, with frequent sour evacuations, < during night, > by day.
Girl, æt. 4 ; diphtheria after scarlatina.
HS., æt. 4 1/2, had jaundice two years ago ; ophthalmia.
Girl, æt. 6, of scrofulous constitution, had suffered for a long time from ulcer on right great toe, which had healed up for ten months ; she had also cicatrix resulting from suppuration of glands on neck and lower jaw ; seven months after healing of ulcer, inflammation of
eyes.
Girl, æt. 10 ; cough.
Boy, æt. 13, noise in larynx, with twitching of muscles of face ; allopathic treatment of no avail ; Bellad. given without result ; under old school treatment had received Conium without effect.
Young man, æt. 16, strong and healthy ; derangement of mind.
Girl, æt. 16, tissues flabby, scrofulous, menstruated one year ; swelling of lids.
Young lady, æt. 18, lymphatic, scrofulous constitution ; photophobia.
Susanna F., æt. 19, robust, of slender form, perfectly developed, affected from infancy with ophthalmia ; inflammation of eyes.
Robust girl, æt. 20, suffering formerly from swelling of lymphatics and eruptions on head ; herpetic eruption.
Woman, æt. 22, delicate, but healthy ; for five years after contusion scirrhus of left breast.
Miss G., æt. 25, has always had dysmenorrhœa ; prolapsus and dysmenorrhœa.
Girl, æt. 26 ; suffering since childhood from herpes.
Woman, æt. 27, pale, scrofulous appearance ; cramps in stomach during pregnancy.
Miss A. P., æt. 28 ; dysmenorrhœa.
Woman, æt. 30, otherwise healthy ; half year after contusion of right breast, tumor.
Ammon S., æt. 32, well developed, strong looking, five feet four inches in height, sick with peritonitis after having for a year felt tired and overworked, convalescence slow and protracted ; anemic state of brain.
Woman, æt. 33, married ; uterine disorder.
Mrs. B., æt. 35, fell, striking right breast on back of chair, causing a hard tumor.
Young man, tuberculous, after attack of catarrh ; dry, tickling cough.
Young man, after falling from second story upon back ; pain in lower part of back and in region of small of back.
Lady, accomplished, lively ; melancholia.
Strong, corpulent woman ; scirrhus in mamma.
Woman, weak, excitable ; galactorrhœa.
Mrs. G., æt. about 40 ; tumor of left breast of six or seven years standing.
Mrs. F., æt. 40 ; tumor on breast.
Edward S., a Russian, æt. 45, formerly soldier in United States army, and under allopathic treatment ; dysentery of four years' standing.
Woman, æt. 48 ; vertigo.
Woman, æt. 48, nervous constitution ; enlargement of liver.
A. man, æt. 48 ; first threatened softening of brain, helped by Laches., then right-sided paralysis, particularly facial, helped by Caustic., afterwards diabetes mellitus of two years' standing, with swelling and suppuration of left parotid and profuse sweat with insomnia.
Woman, æt. 54, plethoric ; uterine polypi.
Mrs. S. R., æt. 54, and Mrs. C. N., æt. 62 ; scirrhous cancer of breast.
Man, æt. 60 ; after injury to eye by a splinter of wood, traumatic inflammation.
Woman, æt. 60 ; cancer of stomach.
Lady, æt. 67, unmarried ; cough.
Woman, æt. 74, paralyzed many years on left side ; cough.
Mrs. ---, æt. 75 ; pain in chest during pneumonia.

Relations

Antidoted by : Coffea, Dulcam., Nitr. ac., Nitr. spir. dulc .
It antidotes : Mercur . (swelling of lymphatics) ; Nitr. ac., Sulphur . (swollen glands).
Compatible : Arnic . (contusions) ; Arsen . (cancer) ; Bellad . (incipient amaurosis, cerebro-spinal irritation, cancer) ; Calcar .
(scrofula, lymphatic enlargement) ; Droser . (pertussis) ; Lycop., Nux vom., Phosphor., Pulsat., Rhus tox . (contusions) ; Stramon . (sexual debility).
Wine and spirits often improve the sick who require Conium , though it suits persons who cannot take alcoholic stimulants.
Compare : Arnic., Arsen., Bar. carb . (lymphatic swellings) ; Bellad., Calcar., Cicut., Coffea, Droser., Dulcam., Lycop., Mag. mur., Mercur., Nitr. ac., Nitr. spir. dulc., Nux vom., Phosphor., Pulsat., Rhus tox.,
Stramon., Sulphur, Valer .

Lectures on Homoeopathic Materia Medica

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

Lecture

This medicine is a deep, long acting antipsoric, establishing a state of disorder in the economy that is so far reaching and so long lasting that it disturbs almost all the tissues of the body.

Glands

The complaints are brought on from taking cold, and the glands become affected all over the body. From every little cold the glands become hard and. sore. Infiltration in deep-seated diseases in the region of ulcers and in the region of inflamed parts; in the glands along the course of the lymphatics, so we get a chain like knots.

The glands under the arm inflame and ulcerate. The glands in the neck, in the groin and abdomen become enlarged. Ulcerated parts indurate. An abscess of the breast becomes surrounded by lumps and nodules. Nodules in the breast even where milk has not yet formed; lumps and nodules, indurations and enlarged glands form under the skin all over the body.

Conium has been used extensively for malignant affections of glands, because it takes hold of glands from the beginning and infiltrates, and they gradually grows a stony hardness, like scirrhus.

Now, another grand feature running through this remedy is the action upon the nerves.

Trembling, jerking of the muscles and twitching from the weakness of the nerves. Inability to stand any physical effort without great exhaustion.

Gradually growing paralytic weakness, somewhat as was described in Cocculus. Exhaustion of body and mind, that is a general slowing down of all the activities of the body. The liver becomes indurated, sluggish, enlarged. The bladder is weak, can expel only a part of the urine. Or sometimes there is a paralytic condition and no expulsive power. This shows that the remedy increases toward a paralytic weakness.

A marked condition is that of swelling of the glands about the face, ear and under the jaws. The parotids are swollen and, hard. The same gradually increasing hardness in the sub-maxillary and sublingual glands.

Enlargement of the glands of the side of the neck in cancerous affections. It has cured epithelioma of the lid, and of the nose and of the cheek. Ulcers about the lip with induration. Deep under the ulcer there will be hardness, and along all the vessels that send lymph towards that ulcer there will be a chain of knots.

Paresis extending to paralysis of the oesophagus; difficulty in swallowing; food goes down part way and stops. As food is about to pass the cardiac orifice it stops and enters with a great effort.

"Strange rising in the throat, with sense of stuffing, as if something were lodged there.

Sense of fullness in the throat as of a lump with involuntary attempts at swallowing.

Fullness in throat with suppressed eructations.

Pressure in oesophagus as if a round body were ascending from stomach."

That is a nervous affection found in nervous women and bas been called globus hystericus. When a woman feels as if she wanted to cry, and she swallows and chokes, she will have a similar lump in the throat.

Nervous, broken-down constitutions; tired of life; sees nothing in the future but sickness and sorrow and paralysis or imbecility. When they have their lucid moments they weep, become sad over their enlarged glands and weakness, and have a lump in the throat.

Mind

Hysteria. Hypochondriacal state of mind, with the nervousness, trembling and weakness of the muscles. He gets tired in the earlier stages, but finally this goes on until the limbs are paralytic.

A great many of the complaints are painless. The ulcers and the paralytic conditions are painless. Great physical and mental debility; great prostration of the muscular system; exhaustion, tremulous weakness.

Paralysis of the legs and hip. Mental symptoms, nervous symptoms, trembling, in widows and widowers who have suddenly been deprived of their sexual relations.

When in a state of considerable vigor, if suddenly deprived, the woman or the man takes on a state of trembling weakness, inability to stand any mental effort, and inability to put the attention upon things said by others.

Not so marked or not so common in the woman as in the man. When this state comes on in a woman who is of unusual sexual vigor there may be severe congestion of the uterus and ovaries, Apis is more likely to fit her symptoms than Conium. But with hysteria and excitability Conium is often the remedy. Many of its symptoms come about from such a cause.

Conium has such a deep action that it gradually brings about a state of imbecility. The mind gives out. The mind at first becomes tired like the muscles of the body. Unable to sustain any mental effort. The memory is weak.

The mind will not concentrate, it will not force itself to attention; it cannot meditate, and then comes imbecility. Inability to stand any mental effort or to rivet the attention upon anything are some of the most important symptoms in this medicine.

Insanity of a periodical type. Imbecility, though, is far more frequent than insanity. When you come to examine the mental states you will see symptoms that will make you think the patient is delirious, but that is not quite it.

It is a slow-forming weakness of mind; not that rapid, active state, such as accompanies a fever; it is a delirium without a fever, so to speak, which is not constant. Forms of insanity that are passive. He thinks slowly, and he continues in this stage for weeks and months, if he recovers at all.

Those excitable cases that have more or less violence and activity in mental states are such as will correspond to Bell., Stram. and Ars.

You see nothing of that in this medicine. This state of the mind has come on so gradually that the family has not observed it.

The mind is full of strange things that have come little by little, and when the family look over the many things that he has done and said they begin to wonder if he is not becoming insane, but he is traveling toward a state of imbecility.

Conium is of a slow, passive character. Complete indifference; takes no interest in anything, particularly when walking in the open air.

"He is averse to being near people and to talking of those passing him; is inclined to seize hold of and abuse them."

That, of course is an insane act.

"Sad and gloomy.

Great unhappiness of mind, recurring every fourteen days," showing a two weeks periodicity. The Conium patient will sit and mope in the corner in a state of sadness and depression, giving no reason only that he is so sad.

A hypochondriacal subject going around with whims and notions that people attempt to reason him out of, and the more they attempt to reason with him, the more sad he is. Morose, peevish, vexed.

Every thing vexes and disturbs him. Cannot endure any kind of excitement, it brings on physical and mental distress, brings on weakness and sadness. Sometimes Conium symptoms will be found in persons who have suffered from grief; they become broken in memory. This is likely to come first.

They forge, never can recall things just as they want them. And so they grow weaker and weaker until they become imbeciles. If it is decidedly mental, imbecility results; if it is taking physical course the ending is paralysis, and it is not uncommon for general paralytic weakness to come on, so that body and mind progress toward weakness together until some decided manifestation is made, and then it will be seen to be going toward paralysis, or some decided manifestation is made which will send it toward imbecility, and then the body will seem to remain stationary.

There comes a time in these cases where there is a sort of division between the body and the mind. Whenever under homoeopathic treatment the physical, improves and the mental grows worse, that patient will never be cured. There are such cases. I never like to see the physical grow better and the mental grow worse in any degree.

That does not mean the aggravation caused by the remedy. If the mental does not improve it means that the patient is growing worse. There is no better evidence of the good action of a remedy than mental improvement.

Conium patients cannot endure even the slightest alcoholic drink.

Any wine or stimulating beverage will bring on trembling, excitement, weakness of mind and prostration. There are many headaches -in these patients. Patients going into decline will manifest headaches. Stitching, tearing pains in the head; throbbing in the head. Signs precursory to a giving out of the brain. Neuralgia.

Pains

Weakness of muscles. Weakness of muscles on one side of the face. Paralysis of the upper lids. Tingling pains. These are only in keeping with the signs of a general breakdown. We would not think of giving Conium for those sudden, violent congestions of the brain, or sudden, violent attacks of pain in the head, face or eyes, but those that accompany a general progressive disease.

There are stitching, lancinating, knife-like pains along the course of nerves about face and eyes and head. Stitching in the top of the head. Burning on top of the head. Often the symptoms will lead the homoeopathic physician to make a physical examination. A great deal more important than the physical examination are, the symptoms that point out a remedy.

Excitement will bring on headaches. Numbness of the scalp is one of the common symptoms of Conium. It is a general; wherever there is trouble there will be numbness, numbness with pains, very often numbness with the weakness.

Paralytic conditions are attended with numbness. Sick headache with inability to urinate. Great giddiness. Everything in the room seems to go around. Confused feeling in the head. Often sits lost in thought.

Vertigo

Vertigo and pressure in the head with unaltered pulse. Vertigo, worse from stooping. The slightest spirituous drink intoxicates him. Vertigo when turning the head, like turning in a circle, when rising from a seat; worse when lying down, as though the bed were turning in a circle; when turning in bed or when looking around.

The vertigo most common in Conium is that which comes on while lying in bed rolling the eyes or turning the eyes. This is somewhat as it is in Cocculus, not as to vertigo alone, but the general slowed down condition of the muscles. The paresis, or weakness of the muscles all over the body is also present in the eyes.

There is a muscular weakness of all the muscles of the eye, so that the Conium patient is unable to watch moving objects without getting sick headaches, visual and mental disturbances. Riding on the cars, watching things in rapid motion and inability to focus rapidly, slowness of the accommodation is what we must call it is the cause for many sicknesses.

Eyes

Inability to follow moving objects with sufficient rapidity and a headache comes on.

"Objects look red, rainbow colored, striped; confused spots; double vision; weakness of sight. Short sighted; cannot read long without letters running together."

All this is due to defective accommodation.

"Sluggish adaptation of the eye to varied range of vision.

Vision becomes blurred when he is irritable.

Weakness and dazzling of the eyes, together with dizziness.

Aversion to light without inflammation of the eyes."

The pupil will not accommodate itself to the changes between strong light and dim light, and he suffers from it. Severe photophobia and lachrymation. Photophobia without congestion of any tissue without or within the globe of the eye.

Sometimes the pupils are contracted and sometimes dilated. Conium has cured ulcer of the cornea.

"Burning in the eyes when reading."

'Shooting smarting, burning pain in the eyes.

The lids indurate, thicken and are heavy and fall.

It is with, difficulty that he can lift them up.

So this paralysis extends all through the muscles of the body and affects the mind similarly. "

Could scarcely raise the eyelids, they seemed pressed down by a heavy weight.

Burning on entire surface of lids; Hordeola; paralysis of muscles of the eyes."

Stomach

There are many stomach troubles; ulceration of the stomach; cancer of the stomach. Conium is one of the greatest palliatives in symptoms of the stomach when all the symptoms agree.

It will palliate cancerous conditions for a while, then on comes the difficulty again, because when the symptoms have advanced sufficiently to indicate Conium many times there is no hope of cure.

Hardness of the abdomen, great sensitiveness of the abdomen. Pinching pains, stitching pains, colicky, cutting pains, cramping pains. Bearing down in the abdomen-in the woman as if the uterus would escape.

Often more common than diarrhoea is constipation with ineffectual urging, hard cool, paralysis of the rectum. Inability to strain at cool, inability to expel contents because of the paralytic weakness of all the muscles that take part in expulsion.

Pulsation and emptiness in the abdomen after a normal stool The woman strains so much at stool that the uterus protrudes- from the vagina. After every stool tremulous weakness and palpitation.

Urines

The urine will stop and start. He strains to, expel the urine and gets tired and stops.

The stream of urine stops and without any pressure whatever it starts again and it does that two or three times during urination. Irregular muscular actions while passing urine.

"Intermittent flow of urine, with cutting after micturition.

Urine turbid after standing."

Weakness of the sexual powers of the male; impotency.

Men

He may have most violent sexual desire yet he is impotent.

"Great sexual desire with partial or complete incapacity.

Emissions without dreams.

Painful emissions and painful ejaculations."

"There is a catarrhal state of the seminal vesicles attended with much soreness, so that when ejaculation takes place there is cutting like a knife, as if the semen were acrid.

Bad effects from suppressed sexual desire in widowers and those who have been accustomed to coition.

"Sexual weakness. Insufficient erection, lasting only a short time; weakness after embrace.

Swelling and induration of testicles."

Hardness and swelling of the testicles gradually comes on.

"Discharge of prostatic fluid on every change of emotion, without voluptuous thoughts, or while expelling faeces; with itching of the prepuce."

Hence we have a strange intermingling of increased irritability of the parts, the neck of the bladder, sexual organs, prostrate gland, with weakness, with impotency.

Women

In the male, remember, there is induration and enlargement of the testicles; in the woman induration and enlargement of the ovaries and uterus.

"Uterine spasms during too early and scanty menses."

Soreness in the abdomen in the early stages of gestation, motions of the child are painful. Burning, stinging, tearing pains in the neck of the uterus.

Great soreness of the breasts. This medicine has dwindling of the mammary glands as well as enlargement and induration. Suppressed menstruation, painful menstruation, throbbing, tearing, burning pains in the uterus and in the ovaries, in the pelvis.

It has cured fibroid tumors of the uterus. It has restrained cancerous growth of the cervix. One of the most distressing growths known to women is a cancerous growth of the cervix. It is the most difficult to check of all the cancerous affections known.

It will progress most rapidly, but Conium is one of those remedies that will slow down that inflammation and restrain somewhat the hemorrhages. Conium has produced induration and infiltration of the cervix.

Respiration and cough

Difficult breathing. Dry cough almost constantly, worse lying in bed. Cough when first lying down. Is obliged to sit up and cough is out.

Taking a deep breath causes cough. Such are the striking features of a Conium cough. In the chest, violent stitches. Painful swelling of the breasts. Rending, tearing pains in the chest.

Back

In the back, weakness is a most striking thing, with some dorsal pains, Lancinating pains are spoken of.

"III effects of bruises and shocks to the spine."

After injuries, especially in the lumbar region, pains and filling up of the veins of the lower limbs. Rheumatic pains; paralysis of the lower limbs; ulceration. And the sufferings and conditions are better by letting the limbs hang down.

Conium differs from a great many medicines. It is common for pains and aches to be relieved by putting the feet up on a chair; by putting them up in bed.

But the patient with the rheumatism, with the ulceration of the legs and the other strange sufferings of the legs, will lie down and permit his legs to hang over the bed up as far as the knee. That is something that somebody ought to undertake to account for, so we could have at least one thing we could prescribe for under pathology. But up to date we have no explanation. Tottering gait in middle-aged men.

Another grand feature of the remedy; he sweats copiously during sleep, Sometimes the patient will say that if he merely closes the eyes he will sweat. It is certainly true on closing the eyes preparatory to going to sleep he will break out in a sweat.

Owing to the fact that Conium produces such a marked induration and infiltration of tissues that have been inflamed, stenoses are apt to form where inflammation has been present. Stricture of the urethra and stenosis of the os uteri have been cured by Conium.

The Therapeutics of Fevers

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

Characteristic

Especially suitable for diseases of old men, old maids; women with rigid muscles; persons with light hair who are easily excited; strong persons of sedentary habits.

Debility of old people; complaints caused by a blow or fall; cancerous and scrofulous persons with enlarged glands; com- plaints during and after climacteric.

No inclination for business or study; indolent, indifferent, takes no interest in anything.

Memory weak, unable to sustain any mental effort.

Morose; easily vexed; domineering, quarrelsome, scolds, will not bear contradiction (Aur.); excitement of any kind causes mental depression.

Dreads being alone, but avoids society (Bis., Kali c., Lyc.).

Vertigo : particularly when lying down or turning in bed. Moving the head or the eyes even slightly ; on turning the head to the left (Col.) ; of old people ; with ovarian or uterine ailments.

Menses : feeble, suppressed ; too late, scanty, of short duration ; with rash of small red pimples over body which ceases with the flow (Dul.) ; stopped by taking cold ; by putting hands in cold water (Lac d.).

Leucorrhœa : ten days after menses (Bor., Bov.) ; acrid ; bloody ; milky ; profuse ; thick ; intermits.

Bad effects : of suppressed sexual desire, or suppressed menses ; non-gratification of sexual instinct, or from excessive indulgence.

Glandular indurations of stony hardness ; of mammæ and testicles in persons of cancerous tendency ; after injuries of glands (Ast. r.).

Breasts sore, hard and painful during menstrual period (Lac c.) ; hysterical symptoms and vertigo increased.

Cough : in spasmodic paroxysms, caused by dry spot in larynx (dry spot in throat, Actea) ; itching in chest and throat (Iod.) ; worse at night ; when lying down ; during pregnancy (Caust., Kali br.).

Great difficulty in voiding urine ; flow intermits, then flows again ; prostatic or uterine affections.

Aggravation

At night; lying down; cold air; rising in bed.

Amelioration

In the dark; moving; when walking.

Type

Quotidian; simple.

Time

4 or 5 A. M.—3 to 5 P. M. Very ill humored from 5 to 6 P. M.

Chill

With trembling in all the limbs, and constant desire for warmth, especially for heat of sun (for heat of stove, Lach.— relieved by covering up, Nux, Rhus—warm air seems cold, Thuja). Chilliness in the back, with cold hands and blue nails. Internal chill in the morning; with shivering in the afternoon. Extremities and whole body were icy cold. Shivering over the whole body.

Heat

With thirst, and redness of the face. Great internal and external heat, with great nervousness. Heat, with profuse sweat at same time. Uneasy sleep, great trembling, and short, rapid, snoring respiration.

Sweat

Day and night, as soon as he sleeps, even when closing the eyes (sweats when awake, dry heat when he sleeps, Samb.). Sweat over whole body, with redness of face. Sweat while sitting in a chair and dozing. Night sweat with offensive odor; smarting the skin (Canth.). Profuse sweat on limbs, perineum, genitals (Hep., Thuja). “Eruption during sweat” (what kind?).

Tongue

Stiff and painful; taste bitter; saliva thready; lips and tongue dry and sticky (Nux m.). Craves coffee, salt, or sour things.

Pulse: slow and full or small and quick; pulsation in blood vessels of the whole body.

Apyrexia

Complete; sometimes with vertigo on lying down.

Analysis

Chill; with desire for heat of sun.

Heat; with profuse sweat at same time.

Sweat; as soon as he sleeps (Cinch.), even closing the eyes.

If the mental, urinary, or menstrual symptoms or the vertigo be present, the case is clear.