Crotalus Horridus crot-h.

Boger's Synoptic Key — Materia Medica

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

Region

BLOOD. Heart. Cerebro-spinal nerves. Liver. Throat. Occiput. Right side.

Worse

Lying on R. side. Falling to sleep. Warm weather. Spring. Alcohol.

Better

Light. Motion.

General

Deathly sick, tremulous and weak. HÆMORRHAGE; slow; oozing of dark, thin blood; pharyngeal. Bloody pus or sweat. Putridity, rapid decomposition and MALIGNANCY. Septic; tonsils, goitre, ulcers, abscess, etc. Dark or bluish parts. Petechiæ. Gangrene. General burning.

Particulars

Plaintive speech. Timid; fears evil. Torpid. Forgetful. Mistakes in writing. Delirium. Faintings. Occipital ache; in waves from spine. Distorted face on waking. Epilepsy. Dark, besotted face. Grinds teeth. Mouldy breath. Swelled tongue. Stiff palate. Craves pork. Craves stimulants. Bilious vomit. Perineal abscess. Mouldy excretions. Anxious, labored breathing. HEART, weak, trembles, feels loose or turns over; sensitive to lying on l. side. First one limb then the other is numb. Jaundice. Blood-boils. Horrible dreams; of the dead. Black-water fever. High fever; with scarlet skin. Œdema about affected parts.

Related

Complementary: Lycps. Related: Lach. Sul-ac.

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

Is indicated in strumous, debilitated, haemorrhagic, broken-down constitutions; during zymotic diseases; in inebriates; tendency to carbuncles or blood boils (Anthr.). Diseases caused by a previous low state of the system; low septic typhoid or malarial fever; chronic alcoholism; exhausted vital force; genuine collapse. Apoplexy; apoplectic convulsions in inebriates, haemorrhagic or broken down constitutions. Haemorrhagic diathesis; blood flows from eyes, ears, nose, and every orifice of the body; bloody sweat. Yellow color of conjunctiva; clears up vision after keratitis, or kerato-iritis. Malignant jaundice; haematic rather than hepatic. Purpura haemorrhagica; comes on suddenly from all orifices, skin, nails, gums. Tongue fiery red, smooth and polished (Pyr.); intensely swollen. Malignant diphtheria or scarlatina; oedema or gangrene of fauces or tonsils; pain < from empty swallowing; if vomiting or diarrhoea come on. Prostration of vital force; pulse scarely felt; blood poisoning (Pyr.). Vomiting: bilious, with anxiety and weak pulse; every month after menstruation; cannot lie on right side or back without instantly producing dark, green vomiting; black or coffee grounds, of yellow fever. Diarrhoea; stools black, thin; like coffee-grounds; offense; from noxious effluvia or septic matters in food or drinks; from "high game" (Pyr.); during yellow fever, cholera, typhoid, typhus. Intestinal haemorrhage when occurring in typical septic, or zymotic disease; blood dark, fluid, non-coagulable. Dissecting wounds; insect stings; bad effects of vaccination. Vicarious menstruation; in debilitated constitutions (Dig., Phos.). Menopause: intense flushings and drenching perspirations; faintness and sinking at stomach; prolonged metrorrhagia, dark, fluid, offensive; profound anaemia. Malignant diseases of uterus, great tendency to haemorrhage, blood dark, fluid, offensive.

Relations

Compare: Elaps, Lach., Naja, Pyr. In Lach., skin cold and clammy; Crot. cold and dry; Elaps, affections of right lung, expectoration of black blood.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Rattlesnake

General

Snake poisons are supposed to be chemically Cyan hydrates of Soda and other salts. Alcohol is the natural solvent of these salts and is an antidote. Has a profound trophic action. Old age nutritional troubles.

Low septic states. General disorganization of the blood, hæmorrhages and jaundice. A crotalin injection decreases the rate of coagulation of the blood. In epilepsy the average rate is far greater than in normal conditions. Blood decomposition, hæmorrhages (dark fluid that forms no clots), tendency to carbuncles, malignant scarlatina, yellow fever, the plague, cholera, give opportunity to use this remedy. Hæmorrhagic diathesis. Acts as a sedative. Sleeps into his symptoms. More right-sided in its action.

Mind

Weeping mood; clouded perception and memory; impatient. Loquacious, with desire to escape. Sadness. Delusions of cerebral decay.

Head

Vertigo, with weakness and trembling. Dull heavy occipital pain, on right side and right eye. Headache with pain in heart on lying on left side. Headache; must walk on tip-toe to avoid jarring.

Eyes

Very sensitive to light, especially lamp light. Yellow color of eyes. Illusions; blue colors. Ciliary neuralgia; tearing, boring pain, as if a cut had been made around eye. For absorption of intra-ocular hæmorrhages, into the vitreous, but particularly for non-inflammatory retinal hæmorrhages. Diplobia.

Ears

Auditory vertigo. Blood oozes from ears. Feeling of stoppage in right ear.

Nose

Epistaxis, blood black and stringy, ozæna, after exanthemata or syphilis.

Face

Acne. Lips swollen and numb. Leaden-colored and yellow face. Lockjaw.

Mouth

Tongue red and small, but feels swollen. Tongue fiery red, dry in center, smooth and polished. Moldy smell of breath. Fills up with saliva. Tongue when protruding, goes to right. Spasmodic grinding of teeth at night. Cancer of tongue with hæmorrhage.

Throat

Dry, swollen, dark red. Spasm of œsophagus; cannot swallow any solid substance. Tight constriction. Gangrenous, with much swelling.

Stomach

Intolerance of clothing around stomach. Unable to retain anything; violent vomiting of food; bilious vomiting, vomiting of blood. Constant nausea and vomiting every month, after menstruation. Cannot lie on right side, without vomiting dark-green matter. Black or coffee-grounds vomiting. Cancer of stomach with vomiting of bloody, slimy mucus. Trembling, fluttering feeling below the epigastrium. Intolerance of clothing about epigastrium. Faintness and sinking at stomach. Ulceration of the stomach. Atonic dyspepsia. Gastritis in chronic alcoholism. Hungry, craves stimulants, sugar; averse to meat.

Abdomen

Distended, hot, and tender. Pain in region of liver.

Stool

Black, thin, offensive, like coffee-grounds. Intestinal hæmorrhage; blood dark, fluid, non-coagulable. Blood oozes from rectum when standing or walking.

Female

Prolonged menses. Dysmenorrhœa; pain extends down thighs, with aching in region of heart. Uterine hæmorrhage with faintness at stomach. Puerperal fever; offensive lochia. Phlegmasia alba dolens. Sensation as though uterus would drop out. Painful drawing in uterine ligaments. Cannot keep legs still.

Urinary

Dark, bloody urine. Casts. Inflamed kidney. Albuminous, dark, scanty (Merc cor).

Heart

Action feeble, pulse tremulous. Palpitation, especially at menstrual period. Trembling feeling of heart.

Respiratory

Cough, with bloody expectoration. Tickling from a dry spot in larynx.

Extremities

Hands tremble, swollen. Lower extremities go to sleep easily. Right-sided paralysis.

Fever

Malignant fevers of a hæmorrhagic or putrescent character. Low bilious remittents. Yellow fever. Bloody sweat. Cerebro-spinal meningitis (Cicuta; Cup acet). Cold sweats.

Skin

Swelling and discoloration, skin tense and shows every tint of color, with excruciating pain. Vesication. Sallow. Yellow color of the whole body. Great sensitiveness of skin of right half of body. Purpura hæmorrhagica. Hæmorrhage from every part of body. Bloody sweat. Chilblains, felons. Dissecting wounds. Pustular eruptions. Insect stings. Post-vaccination eruptions. Bad effects of vaccination. Lymphangitis and septicæmia. Boils, carbuncles, and eruptions are surrounded by purplish, mottled skin and œdema. Anthrax. Sore sensation relieved by pressure.

Sleep

Dreams of the dead. Starting in sleep. Yawning. Smothering sensation when awaking.

Modalities

Worse, right side; open air; evening and morning; in spring, coming on of warm weather; yearly; on awaking; damp and wet; jar.

Relationship

Compare: Bothrops; Naja (more nervous phenomena); Lachesis (more markedly worse on left side); Elaps (preferable in otorrhœa and affections of right lung); Crotalus cascavella (thoughts and dreams of death. Paralysis of articulation, embarrassed stertorous breathing and semi-consciousness. A magnetic state is produced; cutting sensation all around eyeball). Bungarus-Krait--(poliomyelitis).

Antidote: Lach; Alcohol. Radiant heat; camphor.

Dose

Third to sixth potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Here is another snake poison which, although like Naja has been proven only in the low preparations, has a better clinical record. Yet it lacks the clear-cut indications of Lachesis. It has shown enough, however, to indicate that it is a remedy of great value. It seems, so far, to have shown its greatest usefulness in diseases which result in a decomposition of the blood of such a character as to cause hæmorrhages from every outlet of the body (Acetic acid); even the sweat is bloody. This occurs in the lower fevers of hot climates, such as the bilious remittent fevers, typhoids, and that dread scourge of tropical climates, yellow fever. It is also the chief remedy in diphtheria when the profuse epistaxis occurs which marks many cases of a malignant type. In hæmorrhages of the nose in an old man of broken down constitution, where none of the remedies usually applied did the least good, Crotalus acted promptly and no doubt saved the man's life. This was a patient of my own, and, although he had frequent attacks before, he never had another after the Crotalus. As would be expected with such a remedy, there is great prostration at such bleedings. Crotalus is right-sided.

Malignant jaundice is set down as an indication for Crotalus, but the yellowness of the skin, so characteristic of Crotalus, is after all, I imagine, more of hæmatic than hepatic origin; yet there may be an element of both, as hepatic troubles are so common in hot latitudes where Crotalus has gained its greatest laurels.

Crotalus richly deserves proving in the potencies in order to bring out its finer characteristics.

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

Rattle-snake. N. O. Crotalidæ. The Rattle-snake of North America. Symptoms of C. Durissus as well as C. Horridus are included in the pathogenesis. Trituration of sugar of milk saturated with the venom. Solution of the venom in glycerine.

Clinical

Amblyopia. Apoplexy. Appendicitis. Bilious fever. Boils. Cancers. Carbuncles. Cerebro-spinal meningitis. Chancre. Ciliary neuralgia. Convulsions. Delirium tremens. Dementia. Diphtheria. Dysmenorrhœa. Dyspepsia. Ears, discharges from. Ecchymosis. Epilepsy. Eyes, affections of. Erysipelas . Face, eruption on; distortion of. Hæmaturia. Hæmorrhagic diathesis . Headache. Heart, affections of. Herpes. Hydrophobia. Intestinal hæmorrhage. Jaundice . Keratitis. Liver, disorders of. Lungs, affections of . Mastitis. Measles. Milk-leg. Meningitis . Ovaries, affections of. Ozæna. Palpitation. Peritonitis. Perityphlitis. Phlebitis. Psoriasis palmaris. Purpura . Pyæmia. Remittent fever . Rheumatism. Scarlatina . Sleeplessness. Small-pox . Stings. Sunstroke. Syphilis. Tetanus. Thirst . Tongue, inflammation of; cancer of. Ulcers . Urticaria. Vaccination, effects of. Varicosis. Varicocele. Vomiting, bilious. White-leg. Whooping-cough. Yellow Fever .

Characteristics

The first regular proving of Crotalus was made by Hering and under his direction. Stokes also contributed a proving; but the most complete account of the remedy is to be found in the monograph of J. W. Hayward, forming part of Materia Medica Physiological and Applied . This includes provings made by Hayward and his provers. Crotalus produces profound nervous shock and prostration with trembling, mental alienation, and disorganisation of the fluids and tissues. It causes bleeding from all orifices and surfaces, and it corresponds to the hæmorrhagic diathesis; to diseases caused by previous low states of system, by zymotic or septic poisoning, by abuse of alcohol, &c. Low, typhoid states, with oppressed nervous system, and degraded blood-supply often require it. Neuralgia occurring as a sequel of septic toxæmic, or even miasmatic disease; or chronic bilious, climateric, or albuminuric conditions. Broken-down constitutions. The Crotal . patient is readily moved to tears. Weeping mood; agony, despair. In one prover perception was so clouded that she was in danger of being run over in the street; and memory was so impaired that on entering a shop she forgot what she had come for. Sleepy, but cannot sleep. Grinds teeth. " Crotal . is preferable in fluid hæmorrhages, yellow skin (hence in yellow fever with black vomit), epistaxis of diphtheria. Naja has more nervous phenomena. Lach . has skin cold-clammy rather than cold and dry; hæmorrhage, with charred-straw sediment; and more markedly ailments of the left side. Elaps . is preferable in otorrhœa and in affections of the right lung. The cobra poison ( Naja ) coagulates blood into long strings. Crotalus poison is acid; the Viper neutral. The Rotton-snake ["Birri"] causes more sloughing than any other" (Hering). But Hayward observed that sloughing is a strong indication for Crotal ., and the cure by this remedy of his own daughter of scarlatina maligna, with gangrenous-looking sore-throat, was a dramatic outcome of his researches. A case of rattle-snake bite and its isopathic cure, related by Dr. J. S. M. Chaffee, in Hom. News , Sept., 1892, gives a good general idea of the action of the venom: "I was called to see James Wright, aged 54 years, who, while binding wheat, was bitten on third finger of right hand by a rattlesnake. I found him bleeding from the bitten finger, and from eyes, nose, ears, mouth, rectum and urethra; pulse 110, small, wiry; respiration 40; temperature 105; haggard expression; whole body bathed in hot perspiration; delirium. This patient had had the regular routine treatment of whisky, quinine and carbonate ammonia for ninety-six hours, when the attendants withdrew and pronounced the case beyond the reach of medical aid. A marked characteristic symptom was a mouldy smell of breath , with scarlet red tongue, and difficult swallowing. Great sensitiveness of skin of right half of body, so much so that the slightest touch would produce twitching of muscles of that side. I prescribed Crotalus hor . 30th trituration, 30 gr. in four ounces of water, a teaspoonful every hour, until my return visit, twenty-four hours later, when I found marked improvement. Temperature normal; pulse full, soft and regular; delirium gone; saliva and urine slightly tinged with blood; appetite returning, he having asked for food for the first time since the accident." The medicine was continued for two more days, when recovery was practically complete. The action on the right side is noteworthy, as Crotal . is predominantly a right-side medicine ( Lach . is more left); it acts strongly on the liver and corresponds to jaundice and yellow fever. Crotalus has been used with great success in the treatment of yellow fever, and also as a prophylactic against it. For this, inoculation with diluted virus has been practised. The pains of Crotalus alternate rapidly with each other, and frequently recur; also (except headache) appear and disappear suddenly after lasting some time. Swelling of whole body. Fetor of evacuations and discharges. Hæmorrhages from all the orifices and even pores of the skin. Peculiar sensations are: as from a blow on occiput; as if tongue and all round throat were tied up; as of a plug in throat to be swallowed; of choking; as if the heart turned over like a tumbler pigeon. Periodicity marks many of the symptoms. Metastasis of erysipelas to brain. Many symptoms are < in morning on waking; or wake the patient up in the night. Orbital pains < in evening. Rest > , and motion and exertion < . Open air > head and stomach symptoms. Cold air < throat and respiratory symptoms. Dry air < cough.

Relations

Antidoted by: Lach. Its effects are modified by Ammon., Camph., Opium, Coffea, Alcohol, and radiant heat. Compare: C. Cascavella (thoughts dwell on dead and dreams of the dead); Tarent-cub., Arsen., Lauroc. (tetanus, whooping-cough); Apis., Carb. v., Silic. (vaccination effects); Camphor (coldness; Crotal. has more marked genuine collapse with confused speech), Hyos. Op., Nux v., Cupr., Bell. (sleepy but cannot sleep); Cad. s. (yellow fever).

Causation

Fright. Sun. Lightning. Alcohol. Foul water. Noxious effluvia.

Mind

Memory weak; stupid, cannot express himself; makes ridiculous mistakes; with coldness of skin. ─ Inability to hold her mind to a subject; perception clouded, on walking street would have been run over but for her sister's watchfulness; entering a shop she forgot what she came to purchase. ─ Torpid, sluggish, incoherent, hesitating, quiet indifference. ─ Delirium: with drowsiness; with wide-open eyes; loquacious with desire to escape; delirium tremens. ─ Sadness; thoughts dwell on death continually. ─ Oppression of brain, as if from carbonic acid. ─ Excessive sensitiveness, easily moved to tears by reading. ─ Weeping, with timidity, fear, anxiety. ─ Snappish temper.

Head

Vertigo: with faintness; with weakness and trembling; with pale face; epileptic; auditory cardiac with soft, weak pulse; > resting head; with venous congestion and degraded blood; with dilated pupils from lightning, anæmia, or sunstroke; from fright. ─ Fainting on assuming upright position. ─ Dizziness and fainting with occipital headache. ─ Apoplectic convulsions: at outset of zymotic diseases; in inebriates. ─ Awakes in morning with headache over eyes. ─ Headache extending into eyes. ─ Dull, heavy pain and heat over eyes and in sides of nose; > walking in open air. ─ Severe pains in r. eye and top of head, on r. side down back of neck at intervals. ─ While sitting in chair, heaviness of head came on so much that head felt as if it would tumble about, as if muscles of neck were too weak to support it, and needed the help of the hands. ─ Dull, heavy throbbing occipital headache, faint spells; pain as from a blow in occiput. ─ Violent itching of scalp; eruptions, pustules; falling off of hair.

Eyes

Illusions; blue colours; vanishing of sight while reading. ─ Blood exudes from eye. ─ Yellow colour of eyes. ─ Tearing, boring pain, as if a cut had been made round the eye, sometimes sticking, < morning and evening.

Ears

Full sensation in ears. ─ Deafness; illusions of hearing; auditory vertigo. ─ Otorrhœa. ─ Blood oozes from ears.

Nose

Epistaxis; in zymotic diseases; blood thin, dark, uncoagulable; with flushed face, vertigo or fainting. ─ Ozæna after exanthemata or syphilis.

Face

Acne; of all varieties; of masturbation; of drunkards. ─ Face, puffed; yellow; red. ─ Neuralgia of a dull character, chronic or periodic. ─ Parotitis. ─ Lips swollen, stiff, numb. ─ Lockjaw. ─ Copious, red, itching, papular eruption on face, esp. chin, with delayed menses.

Mouth

Grinding of teeth during sleep. ─ Tongue and all round throat during sleep feels tied tip, cannot speak a word. ─ Tongue very red, smooth and polished, feels swollen. ─ Tongue: enormously swollen; protruded; inflammation of; cancer of, with much tendency to hæmorrhage; syphilis of. ─ Fetid breath; peculiar mouldy smell. ─ Putrid sore mouth. ─ Salivation, bloody or frothy.

Throat

Tight constriction of throat. ─ Sensation of a plug to be swallowed; as if uvula swollen or stiff; as of a dry spot or tickling, esp. l. side; < on waking. ─ Impossible to swallow solids. ─ Gangrenous or diphtheritic throat with much swelling; much swelling of glands, head thrown up and backwards.

Stomach

Hunger with trembling, weakness, and occipital headache. ─ Unquenchable burning thirst. ─ Eructations, sharp, sour, rancid. ─ Nausea on movement, bilious vomiting. ─ Dark green vomiting immediately on lying on r. side or back. ─ Black vomit. ─ Frequent faint sinking, hungry sensation about epigastrium with trembling and fluttering sensation lower down. ─ Craving for stimulants. ─ Agonising pain, restlessness, coldness, weak pulse. ─ Cannot bear clothes round stomach or hypochondria. ─ Hæmatemesis, blood does not coagulate.

Abdomen

Stitches in region of liver on drawing a long breath, < by pressure. ─ Aching in liver, vomiting, coldness. ─ Violent pain in l. side near last ribs as if in diaphragm. ─ Jaundice; malignant jaundice with hæmorrhage. ─ Heat and tenderness of abdomen, can scarcely bear clothes on. ─ Swelling. ─ Violent pain in course of colon; in region of appendix. ─ Bubo.

Stool and Anus

Stools: black, thin, like coffee-grounds, offensive; dark green, followed by debility; yellow, watery with stinging in abdomen; low spirits and indifference to everything. ─ Shuddering with diarrhœa; aphonia. ─ Diarrhœa from noxious effluvia; from septic matter in food or drink; from high game; summer diarrhœa. ─ Dysentery; septic; from foul water, food, &c.; excessive flow of dark fluid blood, or involuntary evacuations; great debility and faintness. ─ Constipation with congestion to head and headache. ─ Vomiting, purging and micturition simultaneously caused by spasmodic contractions with tenesmus and strangury. ─ White stools. ─ Hæmorrhage, dark, fluid, uncoagulable. ─ Hæmorrhoids: great tendency to bleed, on using paper, on straining a little at stool, or on standing; in pregnant women; with menstrual irregularities; with heart or liver disease; in inebriates.

Urinary Organs

Hæmaturia. ─ Suppression or painful retention of urine. ─ Urine: scanty, dark and red with blood; jelly-like; green-yellow from much bile; copious and light-coloured.

Male Sexual Organs

Sexual instinct increased with entire relaxation of penis. ─ Sharp cutting in glans.

Female Sexual Organs

Menses a week too soon, first preceded by weight in head and ears, accompanied by pains in abdomen and back, and cold feet. ─ The pains last some hours longer than usual, and go off after two days with intense frontal headache, which lasts from 10 p.m. to 1 a.m. ─ Five days before menses much pain in hypogastrium and down thighs; in region of heart, l. arm and shoulder-blade; with cold feet. ─ In evening, severe sharp shooting, rather burning pain, repeated at short intervals; apparently starting l. side of womb, passing up to region of transverse colon, there shooting or cutting across from both sides to centre; thence passing up l. side of trunk to l. side of face and temple as a sharp, cutting, intermittent, neuralgic pain; and across middle of forehead there was a heavy, dull, continuous pain; the sharp pain in temple lasted an hour; the dull pain only ceased on going to sleep. ─ Flushing and sinking of menopause. ─ Puerperal fever, or convulsions, with albuminous and septic conditions. ─ Offensive lochia. ─ Inflamed breasts. ─ Phlegmasia alba dolens, < from slightest touch.

Respiratory Organs

Hoarseness, with weak, rough voice. ─ Bruised pain from larynx to chest. ─ Cough with stitch in l. side and bloody expectoration. ─ Dry cough on speaking, < in dry or cold air. ─ Nervous cough, esp. laryngeal; dry tickling, constant choking, as if from dry, irritating vapours, or salt or pepper, or from dry spot in larynx, < l. side; provoked by: cold or dry air; deep inspiration; speaking; by external pressure, which cannot be borne, < on waking. ─ Whooping-cough, with blueness or pallor which is long in passing off, attacks followed by puffiness of face and hæmorrhagic spots, bloodshot eyes, epistaxis, frothy, stringy, bloody expectorations; threatened œdema and paralysis of lungs. ─ Excessive oppression of chest. ─ Burning in chest with heat in forehead. ─ Pneumonia with tendency to gangrene. ─ Lungs seem passive. ─ Stitches in r. chest near sternum.

Heart

Much pain in heart, through l. shoulder-blade and down l. arm. ─ Palpitation with sore pain in and about heart; feeling as if heart tumbled over. ─ Heart tender when lying on l. side. ─ Pulse hardly perceptible. ─ Phlebitis; varicosis; varicocele.

Neck and Back

Tearing pains from (r.) shoulder to neck, < on moving arm. ─ Pain on top of shoulder and in ascending aorta. ─ Aching in r. kidney and in stomach.

Limbs

Painful paralytic sensation. ─ Rheumatic and neuralgic pains. ─ Bruised pain in joints and bones. ─ Heaviness, as if bones were made of heavy wood. ─ Numb pain as after cramp in anterior of fingers and in toes. ─ Contraction of flexors.

Upper Limbs

Bruised pains in bone of shoulder in paroxysms. ─ Large inflamed furuncle on r. upper arm near elbow. ─ Tight, cord-like feeling extending from front of l. elbow down front of forearm, with "round spots" of pain here and there along front of forearm. ─ Tubercle on wrist, near end of radius, size of large split-pea, and rather blue from sting of insect some years before, more pronounced in summer months. ─ Vesicular and pustular eruption about wrists. ─ Trembling of hands. ─ Hands (esp. l.) go dead on least exertion. ─ Violent spasmodic pains in l. palm as from bee-sting. ─ Itching and heat of palms. ─ Oozing of blood from under nails.

Lower Limbs

Starting, jerking, trembling, cramps, numbness. ─ Drawing suddenly from l. hip to foot. ─ During and after walking, feels as if a tendon was drawing from sole of r. foot through bone of leg. ─ Small purple spots on legs.

Skin

Itching stinging all over; urticaria. ─ Skin dry, stiff like thin parchment; usually cold. ─ Yellow colour of whole body (hæmatic rather than hepatic jaundice). ─ Petechiæ. ─ Vesicles; herpes; pimples; boils; carbuncles; burns; stings; pemphigus; ulcers; gangrene; felons; anthrax. ─ Old cicatrices break out again. ─ Peliosis rheumatica. ─ Dropsies.

Sleep

Yawning; torpor; sopor. ─ Drowsiness with inability to sleep. ─ Starting in sleep. ─ Dreams of travelling, of quarrels; of the dead. ─ Symptoms < after sleep.

Fever

Surface cold, esp. extremities. ─ Flushes of heat all over. ─ Sweat: cold; coloured, esp. axillary; bloody. ─ Malignant scarlatina, with infiltration of tissues, esp. of throat. ─ Low, bilious remittents of South. ─ Yellow fever, hæmorrhagic, oozing of blood from every pore, vomiting and purging bloody and bilious; fainting. ─ Septic or purpuric fevers. ─ Cerebro-spinal meningitis.

The Guiding Symptoms of Our Materia Medica

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

Mind

Memory weak ; obtuse, stupid, cannot express himself correctly ; makes ridiculous mistakes in spelling.
Perception diminished.
Confused speech ; disconnected answers, with coldness of skin and rapid pulse.
Torpor, sluggishness, incoherency, hesitation and quiet indifference.
Mental delusions, such as mistakes in keeping his accounts and in writing letters, forgetfulness of figures, names and places ; awaking in the night struggling with imaginary foes ; imagines himself surrounded by enemies or hideous animals ; taking
antipathies to members of family. θ Incipient stage of senile dementia.
Delirium : with languor, drowsiness, stupor ; at night ; with moans ; with wide open eyes ; in yellow fever.
Loquacious delirium, with desire to escape from bed.
Muttering delirium of typhus.
Delirium tremens, nearly constant drowsiness, but with inability to sleep ; trembling ; numbness of extremities ; repeated attacks ; broken down constitutions.
Mania in zymotic diseases and when connected with puerperal or ovario-uterine disease.
Moaning and groaning.
Pains in head, with oppression of chest, burning fever and accelerated pulse ; loss of speech, sopor from which he cannot be aroused, muttering and lockjaw. θ Apoplexy.
Marked indifference, seems only half alive ; utter apathy.
Sadness, her thoughts dwell on death continually.
Oppression, as if brain had been intoxicated by carbonic acid, or by degraded or non-oxygenated blood.
Depression, anxiety and lowness of spirits. θ Intestinal hemorrhage.
Nervousness and depression of spirits. θ Headache.
Excessive sensitiveness ; moved to tears by reading.
Weeping mood, agony and despair.
Melancholy, with timidity, fear ; anxiety ; weeping ; or snappish temper.
Melancholia, with timidity, fear, distress and anguish.
Suspicion and snappishness, or quiet indifference.
Anxious and pale, with cold sweat.
Anxiety and distress, mental and bodily.
Great anxiety, intense restlessness, much delirium.
Anguish, moaning and groaning, with sleeplessness.
Snappish temper ; irritable, cross, infuriated by least annoyance.
Intense restlessness, twitching and nervous agitation.
Lethargy, weakness, debility, powerlessness, staggering, trembling, vertigo, numbness, loss of co-ordination of movements.
Fits of drowsiness or coma.

Sensorium

Vertigo : with faintness, weakness, nervous trembling ; with pale face ; with falling and loss of consciousness ; epileptic ; auditory ; cardiac, with soft, weak pulse ; anemic, > resting head ; with venous congestion and degraded
blood ; with dilated pupils ; from lightning or sunstroke ; from fright.
Fainting : on assuming an upright position ; in attacks ; and falling.
Attacks of dizziness, fainting and weakness, with occipital headache, several times a day.
Apoplectic convulsions, especially at onset of some zymotic disease.
Apoplexy in hemorrhagic or broken down constitutions, or in inebriates.

Inner head

Severe frontal headache, with coma and delirium, difficult deglutition, nausea and bilious vomiting.
Awakes in morning with headache over eyes. θ Dysmenorrhœa.
Headache extending into eyes.
Dull, heavy pain and heat over eyes and in sides of nose, also dull, pressing pain at back of ear, heat in forehead, lightness of head in open air, sickness of stomach in morning, nausea and vomiting, with nervousness and depression of spirits.
Headache in forehead above eyes, in temples, < in right, with vertigo, nausea and vomiting of bile ; is obliged to lie down ; constipation ; > from walking in open air.
Pressure and oppression above eyes.
Bilious headache every few days, beginning behind left ear and passing around lower forehead as a pressing down on eyes, with nausea and vomiting. θ Distortion of face.
Severe pain at centre of forehead ; dilated pupils ; profuse menses.
Dull, heavy, congested feeling in front of brain, < from exerting intellect.
Frontal headache in left anterior lobe, particularly at its under surface.
Pressure and heavy pain on top of head from 6 A. M. until evening.
Very severe pain in right eye and top of head, on right side down back of neck, at intervals, for twenty years.
Sick headache, with vertigo, heat on top of head and general sweat.
Throbbing and heat in left side of head, with nausea before menstruation ; vomiting green bile ; urine high colored.
Head aches all over, with high fever, < at night, with great drowsiness ; aching in all the bones ; heat in forehead and burning in chest, < from motion.
Frightful headache. θ Diphtheria.
Dull, heavy, throbbing occipital headache, faint spells ; hunger and general trembling.
Terrible headache ; pain as from a blow in occiput. θ Cerebro-spinal meningitis.
Headache : especially of a dull, heavy, aching, drawing, pressing, compressive, or pulsating character ; shooting, or stinging ; in morning on awaking, generally going off while dressing ; after mental exertion ; confusion and loss of memory,
especially for words and figures ; vertigo, nausea, vomiting and malaise.
Headache as if constricted, then sensitiveness of brain ; pulsations ; sensitiveness of heart when lying on left side.
Cerebral congestion ; severe headache, vertigo, nausea or vomiting ; accompanying zymotic or septic diseases.
Meningitis resulting from extension of ear disease ; toxemic, alcoholic, albuminuric, scarlatinoid, varioloid, particularly at period of effusion, accompanied by paralytic symptoms or mental deficiency.
Softening of brain, hydrocephaloid, or apoplexy following toxemic states in broken down constitutions.

Outer head

Violent itching of scalp ; eruptions, pustules, boils, carbuncles, with tendency to unhealthy hemorrhagic contents, or recurrent, or slow, or with œdematous surroundings.
Falling off of hair, especially as a result of toxemia, such as scarlatina, typhus, variola, etc.

Sight and eyes

Illusions, blue colors, dimness, or loss of vision ; vanishing of sight while reading.
Momentary disappearance of vision, with profuse lachrymation.
Amblyopia, caused by grief and overuse of eyes in sewing ; cutting pains around eyes ; muscæ volitantes and various colored flames.
Retinal hyperesthesia in debilitated, broken down strumous and hemorrhagic constitutions.
Hemorrhages into retina, whether occurring during course of retinitis albuminurica and other diseases, or when it seems to be of spontaneous origin.
Retinitis, especially albuminuric and syphilitic.
Amblyopia, amaurosis, especially from hemorrhage, debility and exhaustion.
Diplopia ; glaucoma.
Ecchymosis, chemosis, conjunctival hemorrhage, especially in course of zymotic disease, menstrual irregularities and in hemorrhagic states of body.
Ophthalmia, conjunctivitis, iritis, especially as occurring in eruptive diseases, variola, morbilli and syphilis, or other blood diseases.
Exopthalmic goitre ; when traceable to any exhausting or toxemic cause, such as overlactation, excessive or suppressed menstruation.
Dilated pupils ; blue rings around eyes.
Outward distortion of eyes.
Paralysis of ocular muscles.
Yellow color of eyes.
Blood exudes from eye.
Tearing, boring pain, as if a cut had been made around eye, sometimes sticking in character and < morning and evening ; great sensitiveness to light, especially lamplight ; lids swollen in morning, with pains in forehead and occiput ; palpitation of heart, especially at
menstrual periods. θ Ciliary neuralgia.
Sensation of dryness and burning ; redness with a zone around cornea.
Burning in eyes ; redness with lachrymation.
Pressure and oppression above eyes.
Eyes weak and very red, with agglutination of lids, sight very weak ; photophobia.
Blepharitis ; œdema of, or hemorrhage into eyelids, especially when of an erysipelatous character and when occurring in the course of septic or zymotic diseases.
Ptosis.
To clear up the vision after an attack of keratitis or kerato-iritis.

Hearing and ears

Sensitive to noises.
Feeling of fulness in ears.
Deafness ; illusions of hearing ; auditory vertigo.
Otorrhœa the result of exanthemata, menstrual irregularities, alcoholism, albuminuria, naso-pharyngeal catarrh, diphtheria, typhoid, syphilis, etc.
Erysipelas of external ear, in broken down or hemorrhagic constitutions.
Abscess and furuncle in meatus, or external ear ; frost-bite.
Severe otorrhœa after scarlatina, offensive and sanguinolent, with considerable deafness.
Blood oozes from ears.

Smell and nose

Epistaxis ; at onset or during course of zymotic and septic diseases ; or in broken down constitutions, or depraved state of blood and where blood appears thin, degraded, uncoagulable, dark ; also with flushes of face, vertigo or fainting.
Catarrh ; with sanguinolent discharge.
Ozæna ; especially left by exanthemata or syphilis, discharge sanguinolent rather than offensive.
Redness and blueness of point of nose ; with swelling and coldness. θ Old inebriates. θ Zymosis.
Bleeding from nose and all the orifices of body.

Upper face

Expression : besotted ; anxious, pale ; excited, flushed ; of indifference.
Paleness of face, as in faintness.
Yellow color of face.
Flushes of face.
Color : livid, bloated ; purple, face tumid ; blue around sunken eyes ; chalky ; deathlike pallor ; leaden.
Red, puffed face.
Distended red face with delirium tremens and fever.
Wakes up during night grinding her teeth and face much distorted, mouth and nose drawn to left side.
Frequently recurring erysipelas of face.
Cold sweat, drawn features, formication, trembling and quivering of lips and eyelids.
Face swollen, puffiness at angles of lower jaw ; swelling of parotid and submaxillary glands.
Acne : all varieties ; of masturbators ; of drunkards.
Discoloration, blueness, varicosis of nose and lips. θ Heart disease. θ Asthma.
Neuralgia of a dull character, chronic or periodic.
Parotitis.

Lower face

Lips swollen ; stiff and numb.
Lockjaw. θ Apoplexy.
Copious, red, itching papular eruption on face, especially chin, which has existed for some months since menstruation has been delayed.

Teeth and gums

For years subject to grinding of teeth during sleep, most of molars broken ; mouth and nose drawn towards left side. θ Distortion.
Gums : white ; swollen ; painful ; borders reddened.

Taste, speech, tongue

Complete loss of taste. θ Hepatic disorder.
Tongue and all around throat feel tied up, he cannot speak a word.
Tongue very red, smooth and polished, feels swollen. θ Atonic dyspepsia.
Tongue : red and sore ; yellow ; stiff and numb.
Tongue yellowish-brown, dry in centre. θ Remittent.
Foul tongue having red tip. θ Peri-typhlitis.
Swelling of tongue till there is no more room in mouth, with inflammation.
Tongue swollen to nearly twice the normal size.
Tongue protruded.
Œdema of tongue ; after sting of insects.
Glossitis ; erysipelatous or gangrenous symptoms.
Syphilis of tongue.
Cancer of tongue, with much tendency to hemorrhage.

Inner mouth

Fetid breath ; peculiar mouldy smell from mouth. θ Bilious remittent. θ Malignant
intermittent. θ Yellow fever.
Mouth feels foul and sticky on awaking. θ Dyspepsia.
Stomacace or putrid sore mouth ; cancrum oris.
Salivation ; flow bloody or frothy.

Palate and throat

Sensation of tight constriction of throat.
Throat dry and swollen, with thirst ; connective tissue greatly infiltrated ; glands enlarged.
Scraping, rancid sensation down œsophagus to stomach.
Sensation of a plug in throat to be swallowed, or sensation of contraction or choking, or as if uvula or velum was elongated or stiff, or as of a dry spot or a tickling in throat, especially left side, < on awaking from sleep.
Sore, raw or pricking pain, especially at left side, near root of tongue, or extends to ear, or is as if proceeding from ear ; < from empty deglutition and from swallowing fluids rather than solids.
Neuralgic drawing in fauces, < left side, near root of tongue, almost causing choking.
Deglutition of any solid substance quite impossible ; soup must be strained in order to remove all meat fibre and solid particles. θ Spasm of œsophagus.
Fauces much swollen and dark red ; pulse 120, very small and weak ; skin hot but perspiring ; frightful headache ; great prostration, can hardly raise himself in bed ; great thirst. θ Diphtheria.
Nervous sore throat ; pain out of all proportion to the visible trouble ; fauces dry, great irritability and sensitiveness to dry or cold air.
Sudden sore throat as if uvula and velum were swelling, with dry mouth ; preceded by palpitation and trembling of heart.
Quinsy ; with much venous congestion, dark, bluish color of surrounding parts, much œdema, tonsils bulge and are tender to pressure at angles of lower jaw ; pain < from empty deglutition ; especially with scarlatina or diphtheria.
Angina tonsillaris ; constriction of throat ; tongue yellow.
Diphtheria, throat swelling fast ; difficult swallowing.
Malignant diphtheria, life threatened by blood poisoning, much œdema or gangrene of fauces or tonsils, or much swelling at angles of lower jaw, head thrown up and backward, difficult respiration, dark, swollen, puffy countenance ; great prostration, much tremulousness, very soft,
scarcely perceptible pulse ; or if vomiting or diarrhœa be present.

Appetite, thirst. desires, aversions

Hunger with trembling, weakness and occipital headache.
No appetite, extreme thirst. θ Peri-typhlitis.
Unquenchable burning thirst. θ Diphtheria.

Hiccough, belching, nausea and vomiting

Heartburn ; œsophagus as if full of a rancid fluid.
Eructations sharp, sour ; acrid or rancid.
Sickness of stomach in morning.
Nausea and malaise, anxiety ; deathly sickness.
Ineffectual retching, with feebleness.
Nausea and vomiting. θ Headache.
Vomiting : and giddiness ; incessant with thirst ; preceded by faintness ; violent, of food ; green ; of bile ; of blood ; on least exertion.
Nausea on movement ; bilious vomiting every month after menstruation. θ Hepatic disorder.
Bilious vomiting, with violent fever and delirium ; dulness of head, with great apathy and forgetfulness ; everything tastes bitter, and sometimes acid ; very fetid diarrhœa ; tongue dark brown ; constant drowsiness ; dryness of skin ; urine high
colored.
Bilious vomiting, with anxiety, palpitation, weak pulse.
Cannot lie on right side or back without instantly producing dark green vomiting ; soreness in back part of head on pressure, < on motion or sitting up in bed ; drawing in right side of head, < after eating and producing great dizziness in back part of head ; sleeps
only in middle of night, after which she feels better ; feels sick if she sleeps in daytime ; light hurts the eyes and everything looks yellow (at first everything looked blue).
Black vomit. θ Yellow fever.

Scrobiculum and stomach

Frequent faint, sinking, hungry sensation about epigastrium, with trembling and fluttering sensation a little lower down, followed by flushes of heat over whole body ; extreme weakness ; tongue very red, smooth and polished, and feels swollen ;
mouth foul and sticky on awaking.
Weight on stomach, tremulous weakness, as from impending evil ; soreness, tenderness.
Violent cramp in stomach after eating.
Agonizing pain, restlessness, coldness, weak pulse.
Pylorus constricted ; lining of stomach turgid.
Cannot bear clothes around stomach and hypochondria.
Painfulness in pit of stomach.
Stomach irritable, unable to retain anything.
Hematemesis from ulceration.
Distressing sensation of sinking, craving for stimulants.
Gastric disturbances of nervous origin, cerebral, sensorial, or reflex, and such as occur on invasion of zymotic or septic diseases, or in connection with menstrual or uterine complaints, jaundice, nephritis, albuminuria, etc.
Hematemesis ; blood has little or no tendency to coagulate, or is dark, as if from passive congestion or malignant disease, or atonic ulcer, or when disease is sympathetic, as in vicarious menstruation.
Cancer : much hemorrhage or much vomiting of mucus, slimy or sanguinolent.

Hypochondria

Intolerance of clothing about epigastric region and hypochondria.
Shooting in region of liver.
Stitches in region of liver on drawing a long breath, < by pressure ; complete loss of taste ; constipation ; urine jelly-like and red like blood.
Pain in region of liver, also on top of shoulder ; pulsating in ascending aorta, nausea on movement, stools white ; bilious vomiting every month after menstruation.
Aching in liver ; great heaviness in stomach, with vomiting of everything she eats in morning, can eat better in afternoon, feels sometimes as if she could eat fat pork ; continual acid taste on tongue ; constipation ; menses too early and too sparse, dark at
first ; roaring in ears ; great numbness of arms and legs, with coldness at times ; skin very dark brown. θ Bilious vomiting.
Passive hepatic congestion ; especially when from heart disease, or from imperfect performance of uterine functions, or if a sequel of malarial fever.
Acute atrophy of liver.
Violent pain in left side near last ribs, as if in diaphragm.
Jaundice ; malignant jaundice ; dark hemorrhages from nose, mouth, etc. ; dark, scanty urine.

Abdomen and loins

Heat and tenderness of abdomen, can scarcely bear her clothes on. θ Peritoneal inflammation.
Swelling of whole abdomen.
Violent pain in course of colon.
Pulse 140, skin hot and dry, extreme pain in region of appendix, with frequent paroxysmal aggravations, great tenderness on pressure in a spot size of small orange, with some feeling of hardness ; cannot bear right leg straightened, but lies with it bent and supported by pillow. θ Peri-typhlitis.
Typhlitis and peri-typhlitis ; low type, red-tipped tongue, prostration ; no stool, or discharges very offensive.
Peritonitis ; in course of septic or zymotic disease ; temperature below normal ; low, debilitated or hemorrhagic condition ; effusion of bloody serum.
Enlarged inguinal glands ; sloughing, unhealthy pus.
Swelling of inguinal glands, bubo ; from septic absorption, as from sloughing sores on genitals, or gangrenous affection of toes, etc.

Stools and rectum

Violent purging, with disagreeable sensation through whole body and nauseous taste.
Stools : black, thin, like coffee-grounds ; offensive.
Liquid, dark green stools, followed by debility ; yellow, watery, with stinging in abdomen ; a number of liquid stools, with colic, or with nausea and colic, or with scraping in posterior wall of rectum ; lowness of spirits and indifference to everything.
Nausea and diarrhœa ; shuddering with diarrhœa ; pulse feeble and quick, then slow ; aphonia.
Diarrhœa : from noxious effluvia ; imbibition of septic matters in food or drink ; from "high game ;" summer diarrhœa ; cholera, etc.
Dysentery : of septic origin ; from foul water, food, etc. ; excessive flow of dark, fluid blood, or involuntary evacuations ; great debility and faintness.
Bowels irregular, either diarrhœa or constipation. θ Distortion of face.
Constipation, with congestion to head and headache.
Vomiting, purging and micturition simultaneously caused by spasmodic contraction, with tenesmus and strangury.
Stools white. θ Hepatic disorder.
Bleeding from anus and other orifices.
Bloody passages from bowels, sometimes involuntary.
Intestinal hemorrhage ; when occurring during course of septic or zymotic disease ; when of hepatic, splenic, or cardiac origin ; or from cancer, atonic ulcer, menstrual irregularities, or if blood is dark, fluid and uncoagulable.
Dark, fluid hemorrhage with stool, with oozing of blood on standing or walking ; debility, faintness, and aching in left iliac region ; with depression, anxiety and lowness of spirits ; bowels relaxed.
Cholera ; sudden and extreme coldness and blueness ; collapse, cramps, diarrhœa, vomiting ; embarrassed respiration, scarcely perceptible pulse, suppression of urine.
Varicosis of anus and lower bowels ; idiopathic hemorrhoids, with great tendency to bleed on using paper, or straining a little at stool, or on standing.
Hemorrhoids ; bleeding piles ; blood dark, thin, and little disposed to coagulate ; also in pregnant women, and with menstrual irregularities, and connected with heart disease, liver disease, or the hemorrhagic diathesis, in broken down constitutions, in chronic
inebriates.

Urinary organs

Passive renal congestion ; when from embarrassed circulation, as from obstructive heart disease, asthma, chronic bronchitis, etc., particularly during a course, or as sequela, of zymotic disease.
Nephritis albuminosa ; when occurring in course of any of the toxemia, or in pregnancy ; urine dark, smoky from admixture of fluid blood.
Hemorrhage from urethra.
Suppression, or painful retention of urine.
Urine : extremely, scanty, dark red with blood ; jelly-like ; green-yellow from much bile ; copious and light colored.
Hæmaturia ; with cancer of bladder or prostate.

Male sexual organs

Sexual instinct increased with entire relaxation of penis.

Female sexual organs

Ovaritis ; in hemorrhagic constitutions, or connected with menorrhagia or puerperal septicemia ; ovarian abscess.
Ovarian neuralgia ; in form of pure neurosis, and at climacteric, with flushings, or pressing pain in vertex.
Menorrhagia ; during course of septic or zymotic disease, or other toxemic states, as Bright's disease ; or in hemorrhagic diathesis ; blood dark, fluid, offensive.
Sharp neuralgic pains, intermittent, from left side of womb to transverse colon, thence cutting across as if from both sides towards centre ; thence up to face and temple ; dull frontal headache.
Menstruation delayed, dark and scant. θ Papular eruption of face.
Menstruation late, six to eight weeks interval, scanty and dark, very painful at beginning. θ Distortion of face.
Catamenia a week too soon ; very profuse with severe frontal headache, weight in head and ears, with pains in abdomen and back, cold extremities ; yellowness of skin.
Five days before menstruation, much pain in hypogastrium and down thighs, lasting during first two days of flow ; flow very copious first three days and then lingers on and off for four days more ; much dull, continuous, aching pain in region of heart,
down left arm and through to left shoulder blade, < on drawing deep breath and going up-stairs or a hill ; feet cold. θ Dysmenorrhœa.
Vicarious menstruation ; in debilitated, depraved states.
Leucorrhœa offensive, bloody.
Menopause ; flushings, perspirations ; head troubles (throbbing, noises, giddiness) ; cardiac troubles, as sudden palpitations ; "sinking at stomach ;" fainting at epigastrium ; weak, debilitated constitutions ; or
when there is metrorrhagia or other hemorrhagic phenomena, blood being dark, fluid and offensive.
Cancer uteri, fungoid, malignant sarcoma, cauliflower excrescence, with much tendency to hemorrhage ; in very degraded states of system.

Pregnancy. parturition. lactation

Miscarriage during course of septic or zymotic disease ; and in nurses exhausted by long nursing of zymotic or septic patients ; and from other blood-poisoning causes.
Puerperal fever or convulsions ; in connection with albuminuria ; torpidity, coma ; blue, bloated countenance ; septic or zymotic influence, or in hemorrhagic or broken down constitutions.
Lochia very offensive, from retained and decomposing matter ; also after-pains with such lochia.
After parturition, left breast inflamed and hard, with fever and prostration, yellow spots on face ; trembling tongue ; breast discharges thin, milky pus and masses of broken down tissue from an opening beneath the nipple ; pulse small and rapid ; stitching pain in a
hard lump which formed in the lower outer part of breast.
Phlegmasia alba dolens ; left leg swollen to twice its size, grinding pain in leg, < from slightest touch.

Voice and larynx. trachea and bronchia

Loss of speech. θ Apoplexy.
Laryngismus stridulus, spasmus glottidis : from local nervous irritability, or from central irritation, being a part of a general convulsive condition ; during course of zymotic disease ; hysteria.
Hoarseness, with weak, rough voice.
Paralysis glottidis (paralytic aphonia) from muscular or nervous irritability, as in hysteria.
Laryngitis acuta ; œdema glottidis ; acute catarrhal aphonia, especially erysipelatous and scarlatinal ; from scalds, stings of insects ; irritating vapors, with great sensitiveness and irritability on talking, or to contact of dry, cold air, or to pressure (which
also induces coughing) ; sore, raw, pricking pain, < on left side ; or as if in a small dry spot ; much tickling irritability and hawking, as if from presence of a little sticky mucus, which had to be got up ; also during course of scarlatina, morbilli, variola, etc.
Ulceration from necrosis of cartilages of larynx.
Bronchiectasis, putrid bronchitis, chronic bronchorrhœa, especially in broken down or hemorrhagic constitutions, with tendency to gangrene.

Respiration

Dyspnœa, anxiety, thirst, nausea, diarrhœa.
Breathing : anxious ; embarrassed, with constriction of throat ; jerking ; quick, labored, with weak pulse and nervous agitation ; slow, labored, imperceptible pulse ; difficult, as if lungs would not expand.
Asthma ; especially with cardiac disease ; great debility and prostration, blue, puffy countenance, cold sweat.

Cough

Nervous cough, especially laryngeal ; dry, tickling, constant, choking, as if from dry, irritating vapor, or salt or pepper, or as if from dry spot in larynx, < on l. side ; or as if provoked by dry or cold air, or by deep inspiration, by speaking and particularly
by external pressure on larynx which cannot be borne ; or is very apt to occur on awaking from sleep.
Extreme sensitiveness and irritability ; dry cough on speaking, < in dry or cold air ; much hawking ; hoarseness or loss of voice ; sudden tickling causing choking, spasmodic cough.
Pertussis : with great debility, much cardiac weakness, blueness or pallor of countenance after an attack and tardy return to natural color ; attacks followed by puffiness of face or hemorrhagic spots, purple lips, bloodshot eyes, epistaxis, or much
frothy, stringy, sanguineous expectoration ; when there is any threatening of pulmonary œdema or paralysis.
Cough ; in phthisis when incessant and apparently from nervous sensitiveness and irritability.
Cough with stitch in left side and bloody expectoration.
Spitting of blood.

Inner chest and lungs

Excessive oppression of chest ; in old people affected with hydrothorax ; in fever and ague ; in apoplexy.
Burning in chest, with heat in forehead.
Stitch pains in chest ; pleurisy with remittent fever.
Hæmoptysis.
Hydrothorax : in broken down constitutions ; whether secondary dropsy or left by pleurisy ; with weak heart, albuminuria, menstrual irregularities or hepatic disease.
Œdema pulmonum ; gangrena pulmonum ; in inebriates and old persons ; in course of septic or zymotic diseases.
Abscess or cancer pulmonum ; tendency to gangrene ; with typhoid symptoms ; with hemorrhage or fetor.
Pneumonia ; with tendency to gangrene or hemorrhage.

Heart, pulse and circulation

Much dull, continuous, aching pain in region of heart, down left arm and through to left shoulder blade, < on drawing deep breath and going up stairs or a hill. θ Dysmenorrhœa.
Heart tender when lying on left side.
Pain in heart ; heart beat rapid, sometimes intermittent.
Palpitation, with sore pain in and about heart, feeling as if heart tumbled over, or trembling of heart.
Palpitation of debility, obesity, or fatty heart ; nervous palpitation, angina pectoris, and the imitation of the latter occurring in hysterical women.
Heart beat feeble, or imperceptible.
Pulse : rapid ; slower than natural (sixty beats), or intermitting and scarcely perceptible ; feeble and quick, then slow ; feeble, fluttering, frequent, small, quick, threadlike, weak, scarcely perceptible, trembling, wavy, or slow ; irregular.
Pulse 120, very small and weak. θ Diphtheria.
Passive and venous congestions in low states of vitality and in broken down constitutions, where there is a tendency to general or local venous relaxation or torpidity, such as liability to chilblains, frost-bite, etc.
Pernicious anemia, leucocythemia ; in constitutions broken down by gonorrhœa, syphilis, alcohol, etc., tendency to hemorrhages from gums, mucous membranes and skin ; blood non-coagulable.
Hemophilia, hemorrhagic diathesis, softening in vascular walls, or disorganization of blood ; blood indisposed to coagulate, even though arterial, or is dark in color.
Passive hemorrhages, where blood appears to ooze through vascular walls and escapes into surrounding tissues, or over or from free surfaces, mucous membranes, etc., as if blood was dissolved, or as if vessels had no power to retain within them the circulating fluid, as if whole system
was in a state of dissolution.
Phlebitis ; in low, debilitated, erysipelatous state of system.
Varicosis, varicose veins, varicocele, venous torpidity, especially resulting from alcohol.
Lymphangitis, angioleucitis ; from septic absorption, pyæmia, etc.

Neck and back

Drawing, tensive pain from right shoulder along neck, as from a tense tendon, < from pressure and moving arm.
Carbuncles, boils, pustules, pimples or bed sores owing to a degenerate state of blood.
Pain in top of shoulder ; also in ascending aorta. θ Hepatic disorder.
Aching pain in right kidney and in stomach. θ Headache.
Softening of spinal cord, bed sores, spinal congestion, or irritation, spinal meningitis, myelitis, or spinal paralysis.

Upper limbs

Left axillary glands swollen and tender.
Paroxysms of bruised pains in bones of shoulder.
Throbbing pains in finger tips, etc.
Paralyzed sensation, trembling, jerking, cramps and neuralgia in arms.
Large inflamed furuncle on right upper arm near elbow.
Tight, cord-like feeling extending from front of left elbow down front of forearm, with "round spots" of pain here and there along front of forearm ; the "spots of pain" remain only for a few minutes and then pass away, but recur frequently during both day and
night, cannot grasp with left forefinger and thumb, cannot extend left arm without pain. θ Pyæmia resulting from injury to r. middle finger.
Right middle finger swollen, hard, tense and of a glossy blue-grey, color, quite rigid and incapable of any movement ; the other fingers also more or less involved ; blush of redness on back of hand, with pain extending to elbow ; loss of appetite ; she feels low,
miserable, weak ; finally angioleucitis of palm, then three red lines and an abscess in right axilla discharging. θ Pyæmia.
Tubercle on wrist, near end of radius, size of a large split pea and rather blue, resulting from sting of insect several years ago, had existed ever since, being more pronounced during Summer months.
Vesicular and pustular eruption about wrists.
Trembling of hands.
Tingling and prickling, "going to sleep" of hands, especially of left one, on least exertion, "they become quite dead" when she sews ; left leg similarly affected.
Coldness and blueness of hands and fingers connected with weak nervous system and heart.
Violent, spasmodic pain in left palm as from a bee-sting.
Itching and heat of palms.
Parchment-like condition of skin of hands.
Burning, itching red spot on back of left third finger, originally resulting from bite of insect twenty years ago ; had returned regularly at same time every year since, each time lasting about a week.
Oozing of blood from under nails.
Chilblains, especially when threatened with gangrene, and when chronic or occurring in not very cold weather, thus indicating a low nervous and vascular vitality.
Psoriasis palmar, pimples, pustules, boils, suppurating axillary glands, tubercles, petechiæ and numbness.

Lower limbs

Starting ; jerking ; trembling and cramps of lower extremities.
Legs "go to sleep" and tingle while sitting, or when crossing them.
Drawing suddenly from left hip to foot.
During and after walking feels as if a tendon was drawing from sole of right foot through bone of leg.
Cramplike pains in calf, heels and toes.
Sore pain in calf ; in sole of foot.
Swelling of feet every evening.
Paralysis of extensors in left foot after typhus ; drags toes.
Itching of skin on lower extremities.
Pimples ; pustules ; boils ; tubercles ; petechiæ ; hemorrhagic spots ; varicose veins ; ulcers, especially varicose, hemorrhagic, gangrenous ; chilblains.
Small purple spots appearing on legs and very soon both legs, from knees to ankles, became covered with ecchymosis ; some bleeding with stools and general circulation very languid.

Limbs in general

Painful paralytic sensation.
Starting, jerking, trembling and unsteadiness of limbs.
Rheumatic and neuralgic pains.
Bruised pain in joints and bones.
Heaviness, as if bones were made of heavy wood.
Numb pain, as after cramp, in anterior of fingers and in toes.
Drawing pains in knee, tibia, back, etc.
Contraction of flexors.
Gonorrhœal rheumatism ; in chronic syphilitics and inebriates.

Rest. position. motion

Resting head : > vertigo.
Lying down : headache compels.
Cannot lie on left side.
On lying on right side or back : dark green vomiting.
When lying on left side ; sensitiveness of heart.
Cannot bear right leg straightened, lies with it bent and supported by a pillow.
Head thrown up and backward, with diphtheria.
Sinking down towards foot of bed.
Sitting : legs go to sleep.
Standing : oozing of blood from anus ; great tendency of hemorrhoids to bleed.
Motion : vomiting ; soreness in back part of head < ; nausea ; heat in forehead and burning in chest <.
Can hardly raise himself in bed.
Sitting up in bed : soreness in back part of head <.
On assuming upright position : fainting.
Legs go to sleep when crossing them.
On moving arm : pain from right shoulder along neck <.
On sewing : going to sleep of hands.
Walking : headache, with vertigo, nausea and vomiting > ; oozing of blood from anus ; as if a tendon was drawing from sole of right foot through bone of leg during and after.
Going up stairs : aching in region of heart, down left arm and through to left shoulder blade, also on ascending hill.
Exertion : vomiting on least ; going to sleep of hands from least ; easily tired by slightest.

Nerves

Tremulous weakness all over, as if some evil was apprehended.
General loss of power ; muscles refuse their service.
Easily tired by slightest exertion. θ Dysmenorrhœa.
Sudden and great prostration of vital force.
Great prostration, can hardly raise himself in bed. θ Diphtheria.
Frequent fainting spells, with imperceptible pulse and inclination to vomit.
Palsy, old rheumatisms.
Paralysis : following apoplexy, particularly of right side glosso-pharyngeal ; post-diphtherical ; of the insane ; general.
Myelomalachia, with entire absence of, or very little local pain ; pain only < from pressure, weakness of back, impaired mental activity, difficult speech, oppression of chest, convulsions, painless paralysis of extremities, with numbness and great coldness of affected limb.
Multiple sclerosis, lateral sclerosis, locomotor ataxy, progressive muscular atrophy, tetanus, etc.
Hysteria : especially when convulsive or apoplectiform.
Neuralgia : when occurring as a sequel of septic, toxemic or even miasmatic disease, or chronic bilious, climacteric or albuminuric conditions.
Local spasms, cramps, trismus, etc. ; when occurring as a sequel of toxemia, or in broken down constitutions.
Convulsions, with trembling of limbs, without foaming at mouth ; loss of senses ; indifference, seems only half alive ; paleness of face as in faintness ; sensation of tight constriction of throat. θ Epilepsy.
Convulsions : occurring at onset of exanthemata ; also puerperal, and particularly if there be albuminuria, coma, blue bloated countenance, with frothy, sanguinolent saliva, or tendency to hemorrhage.
Convulsions and paralysis. θ Cerebro-spinal meningitis.
Cramps and convulsions, with shrieking or delirium.
Convulsions resulting from extension of disease of ear, after the exanthemata and in whooping cough.
Epileptic convulsions, occurring at onset of septic or zymotic disease.
Chorea : especially when it can be traced to anything septic or toxemic, and even if autogenetic, as in rheumatic, gouty, albuminuric, or amenorrheic subjects.
Tremblings and twitchings, especially if resulting from alcoholism, or septic or zymotic disease.
Hydrophobia.

Sleep

Yawning, with oppressed nervous system, or degraded blood supply.
Torpor and drowsiness of invasion, or termination of zymotic or septic disease or other toxemia, such as albuminuria, menstrual irregularities, hepatic or cardiac disease, etc.
Sopor, from which he cannot be aroused. θ Apoplexy.
Constant drowsiness, with inability to sleep. θ Delirium tremens.
Sleeplessness from nervous and mental distress connected with bodily suffering, but out of all proportion to the suffering.
Chronic sleeplessness.
Starts in sleep.
Symptoms < after sleep.
Dreams : of traveling ; of quarrels ; of the dead.

Time

Time
In morning : on awaking, headache over eyes ; sickness of stomach ; headache, going off while dressing ; pain around eyes < ; lids swollen, with pains in forehead and occiput ; sickness of stomach ; vomits everything she eats.
In afternoon : can eat better.
During day : feels sick if she sleeps.
In evening : pains around eyes < ; swelling of feet.
At night : awakes struggling with imaginary foes ; delirium ; headache with fever < ; wakes up grinding teeth, face much distorted ; sleeps only in middle of night.

Temperature and weather

Open air : lightness of head ; headache with vertigo, nausea and vomiting better.
Cold air : great irritability and sensitiveness of throat to dry or ; laryngitis acuta with great sensitiveness to dry or ; dry cough < in dry or.
Summer : diarrhœa ; tubercle on wrist more pronounced.

Fever

Surface cold, especially extremities.
Chilliness every afternoon ; a kind of crawling up and down back and afterwards all over for five or six hours ; severe pressure on top of head, running to ears, with lightheadedness and confusion and heat from head to feet ; shooting pain from occiput down spine and
arms ; foul breath ; tongue coated yellow ; bitter taste in mouth and nausea ; soreness right side of pit of stomach through to shoulders ; aching in middle of chest to back ; dull pain across hips and also in back and left shoulder ; constant inclination
to stool, with dark brown, blackish discharges.
Chilliness alternately with heat, occasionally sudden cold perspiration, pulse full and 100 ; eyes sunken, with dark brown rings ; tongue dry in centre and yellow, point red ; constant vain efforts to evacuate bowels, nausea, sick stomach ; passages, black, slight and
pappy ; soreness in chest and stomach, pain on touching them ; cannot lie on left side ; great drowsiness and excessive weakness. θ Bilious remittent fever.
Flushes of heat all over.
Tongue dry and cracked, dark brown streak down centre, edges of a deep red color ; occasional bilious discharges ; no appetite ; cold, clammy perspiration on forehead and temples ; skin yellow ; would speak when roused by shaking, seemed entirely unconscious of
everything ; urine dark red, depositing a dark, yellowish-red sediment ; pulse 50 and weak. θ Bilious fever.
Intense fever, copious, dark, confluent eruption, considerable œdema of face ; ophthalmic and nasal symptoms very severe, throat and chest symptoms moderately so ; some delirium. θ Morbilli.
Burning fever, accelerated pulse. θ Apoplexy.
Skin hot and dry, pulse 140. θ Peri-typhlitis.
No sweat ; patient sometimes cold, but it is a dry cold.
Sweat cold ; sudden attacks of cold sweat.
Sweat colored, especially axillary ; bloody sweat.
Malignant scarlet fever, with great infiltration of connective tissue, especially at throat.
Bilious remittents of the South ; low type, tendency to hemorrhage.
Fevers with hemorrhagic symptoms, or tendency to putrescence.
Yellow fever ; hemorrhagic tendency, oozing of blood from every orifice and even pores ; skin yellow ; vomiting of bile or blood ; fetid, bilious or bloody stools ; liver tender ; heart weak ; fainting.
Fevers resulting from septic absorption and in purpuric cases of zymotic diseases ; puerperal fever.
Pyæmia ; hectic fever ; attending suppuration, ulceration, burns, scalds, maturation stage of variola, compound fractures, lacerated wounds, dissection wounds, cellulitis, erysipelas, malignant pustule, carbuncle, stings of insects, phagedena, etc. ; for that
attending diphtherial and scarlatinal absorption ; or that of secondary or tertiary syphilis ; cholera.
Typhus ; oppression of nervous centres ; eyes congested, countenance heavy, dull, bloated, besotted ; eruption dark, purple, copious ; during second week, heart becomes markedly soft, systolic sound nearly inaudible, pulse soft, flagging, tremulous ; great and
distressing restlessness, much stupor, twitching, jerking, tremulousness, sinking down towards foot of bed, or deafness ; pneumonia or œdema glottidis supervenes ; swelling of salivary glands, diarrhœa, albuminuria, or suppression of urine.
Relapsing fever ; tendency to syncope, hemorrhage, epistaxis, menorrhagia, petechial eruption or œdema of lungs or legs, effusion into joints, ophthalmia, diarrhœa, dysentery ; in old or intemperate subjects.
Cerebro-spinal fever ; glanders ; plague.

Attacks, periodicity

Sudden : sore throat ; extreme coldness and blueness ; palpitations ; tickling, causing choking ; great prostration of vital force ; cold perspiration.
Frequent : erysipelas of face ; faint sensation about epigastrium, with trembling above umbilicus, followed by flushing of heat ; paroxysmal aggravations of pain in region of appendix ; fainting spells.
Constant : drowsiness, with inability to sleep ; vomiting ; acid taste on tongue ; cough ; inclination to stool ; vain efforts to evacuate bowels.
Several times a day : attacks of dizziness, fainting and weakness, with occipital headache.
Every afternoon : chilliness and crawling sensation for five or six hours.
From 6 A. M. until evening : pressure and heavy pain on top of head.
Every few days : bilious headache.
Every month : vomiting after menstruation.
For some months : eruption on face.
Periodic : neuralgia.
Marked periodicity : pains come and go suddenly or reappear every three months, every year, etc.
For years : grinding of teeth during sleep, with distortion of face ; tubercle on wrist.
Chronic : neuralgia ; chilblains ; sleeplessness ; bronchitis ; bronchorrhœa.
For twenty years : severe pain in right eye and top of head, on right side down back of neck, at intervals.
Burning, itching red spot on finger resulting from bite of insect twenty years ago, returning regularly at same time every year since, each time lasting about a week.

Locality and direction

Acts more on right side.
Right : headache < in temple ; severe pain in eye and top of head, on side down back of neck ; drawing in side of head ; cannot bear leg straightened, lies with it bent and supported by a pillow ; drawing, tensive pain from shoulder along neck ; aching in
kidney ; large inflamed furuncle on upper arm near elbow ; middle finger swollen, incapable of movement, other fingers also involved, pain extends to elbow, abscess in axilla ; as if a tendon was drawing from sole of foot through bone of leg ; paralysis of side.
Left : bilious headache beginning behind ear ; frontal headache in anterior lobe ; throbbing and heat in side of head ; throat < on side ; neuralgic drawing in fauces < on side ; pain in side, near last ribs as if in diaphragm ; aching in iliac
region ; aching in region of heart, down arm and through to shoulder blade ; neuralgic pains from side of womb to transverse colon ; breast inflamed and hard ; leg swollen twice its natural size ; laryngitis acuta < on side ; stitch in side with cough ;
tight, cord-like feeling from elbow down forearm ; round spots of pain along front of forearm, cannot grasp with forefinger and thumb, cannot extend arm without pain ; going to sleep of hand and leg ; violent spasmodic pain in palm ; red spot on back of finger ;
drawing from hip to foot ; paralysis of extensors of foot ; dull pain in shoulder.

Sensations

As if brain had been intoxicated by carbonic acid, or by degraded blood ; as from a blow in occiput ; as if head was constricted ; as if a cut had been made around eyes ; as if tongue and all around throat were tied up ; as if tongue was swollen ;
as of a plug in throat to be swallowed, or of contraction or choking, or as if uvula or velum was elongated or stiff, or as of a dry spot or tickling in throat ; as if uvula and velum were swelling ; as if œsophagus was full of rancid fluid ; as if lungs would not
expand ; as of a dry spot in larynx ; as if heart tumbled over ; as of a tense tendon from right shoulder along neck ; as if arms were paralyzed ; as from a bee-sting in left palm ; as if a tendon was drawing from sole of right foot through bone of leg ; as
if bones were made of heavy wood.
Pain : in head ; at centre of forehead ; in right eye and top of head, on right side down back of neck ; in forehead and occiput ; in pit of stomach ; in region of liver ; on top of shoulder ; in left side, near last ribs, as if in diaphragm ;
in course of colon ; in region of appendix ; in abdomen and back ; in hypogastrium and down thighs ; in heart ; in top of shoulder ; in ascending aorta ; violent, spasmodic in left palm.
Tremulous weakness, as from impending evil.
Distressing sensation of sinking.
Agonizing pain : in stomach.
Cutting : around eyes.
Boring : around eyes.
Grinding : in left leg.
Stitches : in region of liver ; in hard lump in lower outer part of breast ; in left side ; in chest.
Stinging : headache ; in abdomen ; all over.
Pricking : in throat, especially left side, near root of tongue, or extends to ear, or as if proceeding from ear with ; laryngitis acuta ; of hands.
Shooting : headache ; from occiput down spine and arms ; in region of liver.
Tearing : around eyes.
Jerking : in arms.
Drawing : headache ; neuralgic, in fauces ; in right side of head ; from right shoulder along neck ; from left hip to foot ; in knees, tibia, back ; in bones.
Scraping : down œsophagus to stomach ; in posterior wall of anus.
Burning : in chest ; in eyes ; in spot on back of left third finger.
Raw pain : in throat, especially left side, or extends to ear, or as if proceeding from ear ; with laryngitis acuta.
Sore pain : especially at left side of throat, near root of tongue, or extends to ear, or as if proceeding from ear ; with laryngitis acuta ; in and about heart ; in calf ; in sole of foot.
Soreness : of throat ; in back part of head ; of right side of pit of stomach through to shoulders ; in chest and stomach.
Pressing : dull, at back of ear ; down on eyes ; headache ; in vertex.
Tensive pain : from right shoulder along neck.
Constriction : tight, of throat.
Contraction : in throat.
Compressive : headache.
Cramps : in stomach ; in arms ; of legs ; in calf, heels and toes.
Neuralgic pains : sharp, from left side of womb to transverse colon, thence cutting across as if from both sides towards centre, thence up to face and temples ; in arms ; in limbs.
Rheumatic pains : in limbs.
Paralytic pain : in extremities ; in bones.
Numb pain : as after cramp, in anterior of fingers and in toes.
Bruised pain : in bones of shoulder ; in joints and bones.
Dull pain : across hips, in back, in left shoulder.
Heavy pain : dull, over eyes and in sides of nose ; on top of head.
Aching : in bones ; dull, heavy in head ; in liver ; in left iliac region ; dull, continuous, in region of heart, down l. arm and through to left shoulder blade ; in right kidney and in stomach ; in middle of chest to back.
Pulsating : headache ; in brain.
Throbbing : in left side of head ; dull, heavy, in occiput ; in finger tips.
Fluttering : above umbilicus.
Oppression : of chest ; above eyes.
Pressure : above eyes ; on top of head.
Weight : on stomach ; in head and ears.
Heaviness : in stomach ; of limbs.
Congested feeling ; dull, heavy, in front of brain.
Fulness : in ears.
Dulness : of head.
Lightness : of head.
Dizziness : in back part of head.
Sinking : about epigastrium ; at stomach.
Faintness : about epigastrium.
Weakness : of back.
Numbness : of arms and legs ; of affected limb.
Crawling : up and down back.
Tingling : of hands ; in legs.
Tickling : in throat ; with laryngitis acuta ; cough.
Choking : in throat.
Heartburn.
Hungry sensation : about epigastrium.
Heat : over eyes and in sides of nose ; in forehead ; on top of head ; in left side of head.
Dryness : in eyes ; of fauces ; of mouth ; of skin.
Itching : of scalp ; eruption on face ; of palms ; in red spot on back of left third finger ; of skin on lower extremities ; all over.

Tissues

Very rapid and direct depressing influence on sensorium and medulla oblongata, deranging both circulation and nutrition ; after death, in subacute and chronic cases, the cerebrum, cerebellum and medulla are found in a state of engorgement, with dark, fluid, degraded
blood, and apparently threatened with softening.
Cortical substance of brain, and membranes of brain in a state of engorgement, with dark, fluid, degraded blood ; the cortex highly congested and stained a deep brown color ; the arachnoid thickened, tough, opaque and adherent to the pia mater, and the meshes of the latter
distended with serum ; extravasation and ecchymosis.
Seems to act primarily upon cerebro-spinal nerve centres, producing secondarily decomposition of blood and destruction of blood fibrin, hemorrhages, ecchymoses.
Affects principally the blood, the solar plexus and pneumogastric nerves ; also the cerebro-spinal system.
Organs of vision profoundly affected, even to extent of annihilating their functions.
Hemorrhages from all orifices of body, eyes, ears, nose, mouth and urethra, even bloody sweat ; blood flows suddenly from eyes, ears, nose, gums and beneath nails.
Œdematous swelling of whole body.
Indicated in diseases of an adynamic character, whether caused by previous low states of system, or by zymotic and septic poisoning, abuse of alcohol, etc. ; especially characteristic are evidences of cardiac debility, feeble pulse, sluggish circulation, bluish skin,
faintness, general debility.
Bruised, drawing, or paralytic pains in bones, < on awaking.

Touch. passive motion. injuries

Touch : left leg < from slightest ; laryngitis acuta, with great sensitiveness to ; pain in chest and stomach.
Cannot bear clothing around stomach, hypochondria, epigastric region or abdomen.
Pressure : at angles of lower jaw, tonsils sensitive ; soreness in back part of head ; stitches in region of liver < ; region of appendix very tender ; laryngitis acuta with great sensitiveness ; laryngeal cough ; pain from right shoulder along
neck ; < myelomalacia, pains <.
Shaking : seemed entirely unconscious, would speak when roused by.
Great tendency of hemorrhoids to bleed on using paper.
From irritating vapors : laryngitis acuta.
After sting of insects : œdema of tongue ; laryngitis acuta ; tubercle on wrist ; burning, itching red spot on back of l. third finger.
From scalds : laryngitis acuta.
Burns, scalds, compound fracture, lacerated wounds, dissecting wounds.
Compound fractures ; in course of septic or zymotic disease, in broken down constitutions, old inebriates or other states of low vitality or degraded blood ; tendency to gangrene or unhealthy suppuration, threatening septic absorption.

Skin

Itching, stinging, all over ; urticaria.
Skin dry, stiff, like thin parchment ; usually cold.
Skin hot, perspiring. θ Diphtheria.
Yellow color of whole body.
Acute jaundice, of hematic rather than hepatic origin.
Petechia, little blotches, or ecchymosed purple spots.
Yellow-greenish and bluish spots, with decreased swelling.
Yellow and black spots all over.
Purpura hemorrhagica.
Scarlet erythema or scarlet redness with rash-like vesicles.
Blisters and livid spots on body.
Small blisters around eyes.
Vesicular eruption on septum narium.
Swelling on wrist containing serum.
Pimples on face.
Eruption around mouth.
Herpes on scrotum.
Swelling of whole body and of submaxillary glands and tonsils especially.
Suppuration of glands ; in broken down constitutions, with low fever, tendency to slough, and discharge of dirty or hemorrhagic matter.
Burns and scalds, threatening erysipelas or gangrene.
Ulceration ; especially phagedenic, sloughing, varicose, irritable, bubo, "soft sore," mercurio-syphilitic, with offensive discharge, etc., in constitutions broken down by previous disease or bad living ; in inebriates.
Stings of insects, when they assume an erysipelatous or gangrenous character.
On eighth day after vaccination, centres of insertion blackish, and circles filled with dark lymph and surrounded by a patch of inflammation ; small, red, raised papules on arm and forearm ; on ninth day skin of nearly whole upper extremity inflamed, dark red and thickened,
skin of shoulder, neck, chest, abdomen and back in similar condition, and on lower extremities eruption in small patches ; about the elbow blackish. θ Erysipelas.
Pustular eruption after vaccination.
Abscesses on elbow discharging a red brown matter, with shiny particles.
Felons, pemphigus, pustules, boils, carbuncle, furuncle, gangrene abscesses, etc., when fever is low, parts bluish and discharges scanty, tardy, or dark fluid, unhealthy ; diarrhœa with gangrene.
Old cicatrices break open again.
Hot swellings, with cold skin and sickly appearance.
Obstinate ulcers, even malignant, with yellow complexion and great indifference.
Anthrax, malignant pustule ; especially if of a dark color, with much fever or threatening gangrene, or if there be several of them, or if occurring in a constitution already broken down by disease or bad living ; sloughing, hemorrhage, fever of a low type.
Dissection wounds ; symptoms those of phlegmonous erysipelas ; accumulation of dirty pus in distant parts, typhous condition supervening.
Eschoriæ, dry and finally black.
Malignant ulcer where bite was inflicted (fourteen years before), with swelling of the parts.
Chilblains, gangrene pending ; circulation sluggish.
Gangrene, skin separated from muscles by a fetid fluid ; black spots with red areola and dark blackish redness of adjacent tissues.
General local phlegmonous, phlyctenous or œdematous erysipelas ; skin bluish-red, low fever ; during zymosis or in the enfeebled ; also in wounds ; more frequent in face.
Morbilli : especially malignant or purpuric form ; and for such sequela as gangrene of mouth or genitals ; and for retrocession of eruption ; also in later stages when eruption remains too long or reappears as a mottling.
Scarlatina ; when in primary invasion there is evidence of great intoxication, vomiting, general collapse and coldness, or brain greatly oppressed, coma, convulsions ; throat livid and rapidly swelling, much œdematous swelling at angles of lower jaw, chin raised and head
thrown back, eruption patchy, dark or petechial, pulse extremely quick and feeble, frequent epistaxis, face dusky ; moaning and tossing about, or heavy, dull and stupid ; swelling of fauces and tonsils seem to threaten suffocation or gangrene, much puffiness around neck, tenacious,
sanguineous mucus from mouth and nostrils, breathing irregular and jerky ; secondary infection by absorption from gangrenous and sloughing fauces, inducing a low typhoid state ; also for complications, œdema glottidis, laryngitis, meningitis, etc. ; and for succeeding dropsy,
when urine is of dark, smoky color, bloody or albuminous.
Syphilis ; primary, if chancre becomes gangrenous or phagedenic ; secondary, for mucous tubercles and phagedenic and deeply penetrating ulceration of mucous membranes, necrosis of cartilages, etc. ; tertiary, for fetid and hemorrhagic ulceration, and if brain, liver or
kidneys become implicated.
Pemphigus ; with low typhoid conditions, and, when contained fluid, assumes a dark or sanguineous character, or gangrene threatens.
Peliosis rheumatica ; with œdema, large purpuric spots and bullæ in which black purpuric patches, covered with a flaccid envelope of bullæ after serum had escaped, were like patches of skin which had mortified.
Dropsy : cardiac ; hepatic ; renal ; also general dropsy not dependent on organic disease of any of great central organs, but rather an expression of a debilitated, softened state of capillaries, or a general break down of vital powers, and particularly if it has
resulted from chronic alcoholism, or from septic or zymotic or other depraving or debilitating diseases.

Stage of life, constitution

Hemorrhagic diathesis.
Diseases caused by previous low states of system, or by zymotic or septic poisoning, abuse of alcohol, etc.
Low typhoid states.
Oppressed nervous system ; degraded blood supply.
Neuralgia : occurring as a sequel of septic, toxemic or even miasmatic disease ; or chronic bilious, climacteric or albuminuric conditions.
Convulsions of puerperal women, and children.
Rheumatic, gouty, albuminuric, or amenorrheic subjects.
Broken down constitutions.
T., æt. 4 mos., healthy and of a healthy family ; erysipelas after vaccination.
G., æt. 7 1/2, weakly constitution and eruptive skin, whose father died of heart disease and alcoholism, had severe scarlatina, followed by otorrhœa.
Miss H., æt. 9, and her brother, J. D. H., æt. 13 ; scarlatina maligna.
Boy, æt. 10 ; furuncle.
Girl, æt. 12 ; diphtheria.
GK., æt. 16, whose father was a bonvivant and had liver disease, is a weak, pale, bloodless boy, subject to bronchitis and asthma ; after a nervous shock and grief ; peri-typhlitis.
Miss D., æt. 19, sorter and ripper, working in a small, confined room connected with dye works, has been in low state of health for some time ; peritoneal inflammation.
A girl, æt. 20, paralysis of left foot after typhus.
Miss K., æt. 22 ; tubercle on wrist.
Miss M. S., æt. 22 ; bilious remittent fever.
Mr. W., æt. 23, weakly, strumous, lately married, very closely worked, constantly exposed to exhalations from leather ; sensorial disturbances.
Woman, æt. 25, weak menstruation ; ciliary neuralgia.
Miss K., æt. 25, of dirty, yellow, bilious appearance, subject to severe bilious headaches, of an epileptic family ; distortion of face.
A primipara ; mastitis and milk leg.
KD., æt. 27, in good health, but weak with overwork and anxiety, was exposed during day to exhalations of night soil ; diphtheria.
Miss D., æt. 28, pale, weak and strumous looking ; dysmenorrhœa.
Wm. W., æt. 28, constitution remarkably good, never been sick until two months previous, at which time he was in the West and had fever and ague, temperament bilious, sanguine ; bilious fever.
Mr. M., went with volunteers into Maryland, and was encamped on a small stream ; bilious fever.
Man ; suddenly seized with apoplexy.
Mr. G. had lived freely in youth, and suffered from syphilis, mercurialization, polypus, etc., had taken alcohol freely all his life ; chronic sleeplessness.
Lieutenant W., of Commodore Wilke's expedition, contracted yellow fever on coast of Cuba.
Hannah H., mother of four children, sews much and does housework ; for three years, throbbing in left side of head, etc., before menstruation.
Mrs. S., æt. about 30, has suffered for many years from spasm of œsophagus, seems to be hysterical in origin.
Miss R., æt. 33, very weak and low after much nursing, and the loss of her mother ; some years previously had syphilitic affection with revaccination, got her clothes damped, followed by catarrh ; affection of eyes.
Mrs. J., æt. 33, married six years, no children, but several miscarriages ; husband has chronic syphilis and has lately become impotent, for last twelve months she has had ozæna ; tingling and pricking in hands and left leg.
Mr. B., æt. 48, lived freely in his youth and had syphilis ; petechiæ.
Mrs. S., æt. 57, suffered from chronic hemorrhoids ; red, itching spot on finger.
Mrs. E., æt. 57, had gastritis two years ago, now much exhausted from nursing sick family, is debilitated and bloodless ; atomic dyspepsia.
Mr. S., æt. 58, subject to asthma and with weak heart ; after chill had bronchitis, with hæmaturia.
Mr. S., æt. 60, after unsuccessful allopathic treatment ; intestinal hemorrhage.
Mr. L., æt. 62, bachelor, of irregular habits, especially as to alcohol, living in an isolated way ; ecchymoses on lower limbs.
HD., æt. 69, during incipient stage of senile dementia, delusions, etc.

Relations

Antidoted by : Laches . ; its effects modified by Ammon., Camphor, Opium, Coffea, Alcohol , and radiated heat.
Compare : Laches., Naja , and Elaps . ; Crotal . is preferable in fluid hemorrhages, yellow skin (hence in yellow fever with black vomit, etc.), epistaxis of diphtheria. Naja
has more nervous phenomena. Laches . has skin cold and clammy, rather than cold and dry ; hemorrhages with charred straw sediment ; and more markedly, ailments of the left side. Elaps . is preferable in otorrhœa,
and in affections of the right lung. The Cobra poison coagulates blood into long strings. The Crotalus poison is acid ; the Viper neutral. The "Rotten-Snake" causes more sloughing than any other.
Compare also : C. Cascar . (thoughts dwell on death and dreams of the dead), Tarent. cub., Arsen., Lauroc . (tetanus, whooping cough), Apis, Carb. veg., Silic . (vaccination), Camphor .
(in coldness ; probably Crotal . has more marked genuine collapse, with confused speech, etc.), Hyosc . (sleeplessness in delirium tremens), Opium, Nux vom . and Cuprum
(cerebral congestion).

Lectures on Homoeopathic Materia Medica

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

Aspect

The first impression would be to rebel against the use of such substances as Crotalus, Lachesis, Apis and other animal poisons, and it is true that the lay mind must look with something like horror upon their administration; but when they are properly used and when we consider the dreadfulness of the necessity demanding them, and also when we have ascertained that there can be no substitute when demanded, and again that they are potentized and changed until they are perfectly pure, because reduced to a state of simple substance, the horror passes away from the mind.

It is true that the diseases that call for the use of such substances as Crotalus are very grave. When at the bedside of a Crotalus patient one feels that death is very near, the subject is horrible to look upon, and the mother in regard to her child, or the husband, would immediately say,

"Doctor, use anything in order to save the life; resort to anything in order to heal this sick one."

The symptoms are peculiar in Crotalus. The remedy stands out by itself. There can be no substitute for it, as there is no other remedy, taken as a whole, that looks it.

The other snake poisons form the nearest resemblance, but this one is the most dreadful of all, excepting perhaps, the Ancistrodon contortrix (Copperhead).

In the case of snake bites we get the most dire effects; we see death itself, we see the ending after a very rapid course, the very highest type of zymosis. These snake poisons are supposed to be cyanhydrates of soda and other salts.

It is known that alcohol is the natural solvent of the cyanhydrates, and because of this alcohol has been used in great quantities in snake bites, and it has frequently prolonged and even saved life. If he lives through the violent attack he goes on forever manifesting the chronic effects, and from these we have collected symptoms.

Dogs that have been bitten manifested the chronic effects of rattlesnake bite, and in them a peculiar periodicity has been manifested, viz., every spring as the cold weather subsides and the warm days begin

I once had the privilege of tracing up a dog that had been bitten by the Cenchris and had survived. It was bitten in the region of the neck, and in that region a large abscess formed every spring as long as that dog lived, until old age, when he died from that disease. The periodicity in the snake poisons is related to the spring, to the coming on of the warm weather.

Another marked general feature in Crotalus, as in most of the other Ophidians, is that the patient sleeps into the aggravation.

The poison of the Crotalus horridus, in its earliest manifestations, is like unto the zymotic changes that we find in scarlet fever, in diphtheria, in typhoid and low forms of blood poisoning, those cases that come on with great rapidity, breaking down of the blood, relaxation of the blood vessels, bleeding from all of the orifices of the body, rapidly increasing unconsciousness like one intoxicated and besotted in appearance.

Prostration

A mental and physical prostration that is almost paralytic in character. Scarlet fever when it becomes putrid; typhoid when it becomes putrid, diphtheria with much bleeding and putridity. The body appears mottled, blue intermingled with yellow jaundice comes on with astonishing quickness, and the eyes become yellow, and the skin becomes yellow and mottled. Blue in spots. Black and blue spots as if bruised, intermingled with yellow. After hemorrhages the skin becomes extremely anemic.

It is yellow, pale, bloodless. The body looks like wax. Hemorrhage from the ears, eyes, nose, lungs, from the mucous membranes everywhere, from the bowels, from the uterus, A haemorrhagic constitution.

Crotalus is indicated in disease of the very lowest, the most putrid type, coming on with unusual rapidity, reaching that putrid state in an unusually short time. One who has been poisoned rapidly sinks into, this besotted, benumbed. putrid, semi-conscious state. There is a feeling as if death were coming over him. As the blood oozes out it becomes black, It is sometimes fluid.

An awful state of nervousness prevails. Trembling of the limbs, tremulous weakness. On protruding the tongue it comes out quivering. Tired by the slightest exertion. Sudden prostration of the vital powers. A paralytic weakness prevails throughout.

Twitching of the muscles, trembling of the limbs. Sliding down in bed occurs in the typhoid conditions where this remedy has proved of benefit, the forms of yellow fever with great prostration. This species of yellow fever has been cured by this remedy. Convulsions and paralysis. It has twitching of muscles something like chorea, trembling, localized spasms, hysterical manifestations.

Mind

The mental symptoms are well worth examining. The low form of delirium, muttering, talking to himself is a peculiar form of loquacity. It differs somewhat from Lachesis. Both have loquacity.

The Lach. loquacity is so rapid that if anyone in the room commences to tell something the patient will take it up and finish the story, although he has never heard anything about it, so active is his mind. No one is permitted to finish a story in the presence of a Lach. patient. One will commence to tell something. He will say,

"Oh, yes; I understand it and he will go off on another line and finish up with something entirely different.

Crotalus does that, too, but Crotalus will take it up and mumble and stumble over his words in a clumsy manner.

It is a low passive state like intoxication; in Lach. it is wild excitement.

"Delirium with languor, drowsiness, stupor."

That tells it.

"Loquacious delirium with desire to escape from bed."

It is passive, however. His motions are slow.

"Muttering delirium of typhus.

Sadness."

His thoughts dwell on death continually.

"Excessive sensitiveness.

Moved to tears by reading.

Melancholy with timidity, fear.

Anxious and pale, with cold sweat.

Irritable, cross, infuriated by least annoyance."

On motion there is vertigo, dizziness. On keeping still there is pain. On going to sleep there is pain, and he is roused by violent pain. The longer he sleeps the more severe that pain in the head.

Sleep

He sleeps into his symptoms. All the snake poisons more or less sleep into troubles. The head troubles come on after sleep. He sleeps into headache. The longer he sleeps the harder are the headaches.

In the more chronic conditions the individual manifests a terrible state as to his sleep. He rises from sleep as in a fright; has horrible dreams of murder, of death, of dead bodies and dead people, of associating with the dead and with corpses, of being in graveyards; even the smell of the cadaver is dreamed of.

While he is awake he is tired, he is stupid, he cannot add figures, he makes mistakes in writing, he transposes sentences, and in words he transposes letters. He is unable to take care of his own accounts, for he cannot add up things that are at all particular. Sleep alternates with long and tedious periods of wakefulness.

He is disturbed by any change to warm weather. Great irritability, sensitive to spheres, easily disturbed by his surroundings, and easily wrought up into a pitch of excitement are also features of this remedy.

Following this up he is suspicious of his friends and is unable to reason upon a rational basis. He craves intoxicating drinks and is unable to resist the craving. This wonderful resemblance to old inebriates has led to the use of Crotalus in delirium tremens; it has the besotted countenance, the purple aspect of the face, the peculiar kind of hunger in the drunkard, the craving by spells for stimulants.

There is every reason to believe that in fat, robust, besotted drunkards it may, if properly used, be a remedy deep enough to remove the appetite for strong drink.

Head

The headache is so hard in the back of the head that it is almost impossible to raise it from the pillow. The muscles become so tired he has to take hold of it with his hands. This belongs also to Lach. A congestive headache with waxy face, yellow, purple, mottled face, as if there had been bruises.

"Headache extending into the eyes.

Bilious headache every few days."

Severe sick headache, together with dizziness, throbbing in the top of the head. Dull, pulsating headaches. Dull, heavy, throbbing, occipital headaches or the whole head is in a state of congestion. He is confused and dazed. Head feels too large.

Head feels full, feels as if it would burst. Headaches that come on in waves as if they came up the back, a surging of blood upwards, an orgasm described as if the blood rushed upwards.

Headache with surging in waves and excited by motion or jar, by turning over in bed, by rising up in bed, or by lying down. Change of position will cause this surging. In Lach. it is described, and I have seen it verified, as beginning away down in the spine and surging upward coincident with the pulse.

Eyes

Hemorrhage from the eyes. Yellow appearance of the eyes.

"Blood exudes from the eye, burning in eyes; redness with lachrymation."

Pressure in the eyes as if the eyes would be pushed out from the head. Paralysis of the upper lids. Inflammation of the mucous membrane of the lids.

Ears

Surging in the ears.

"Sensitive to noises."

Dull aching and throbbing in the ears. Foetid, copious, yellow, offensive, bloody discharges from the ears. Blood oozing from the ears in drops in zymotic diseases, low forms of scarlet fever, or of diphtheria where there is oozing from the eyes and ears, and copious bleeding from the nose.

The nose is the most common organ to bleed in zymotic diseases. The rush of blood seems to get relief from bleeding from the nose. In this medicine the congestion to the head is violent with bleeding from the nose. It has cured all forms of foetid discharge. Horrible, foetid, putrid discharges from the nose. Ozoena.

Inflammation of the parotid gland. Blueness and discoloration of the face. Yellow appearance of the face, a marked condition of jaundice. In girls who appear waxy or anemic, yellowish green, have for a long time missed the menstrual period and break out in pustules and pimples.

Mouth

This patient often wakes up during the night grinding the teeth. The taste is bad, putrid. Inflammation of the gums. Bleeding from the mouth. Inflammation of the throat with bleeding of the throat. Burning in the throat and mouth, Trembling, quivering and swollen tongue. Trembling of the tongue when it is put out. Trembling of the hands when they are moved.

Those cases of diphtheria that ooze blood from the nose and mouth are very low types, and are sure to die without a well-selected remedy. The throat will be filled up under such circumstances with a diphtheritic membrane that looks dark. There is bleeding all around it. Sore mouth with bleeding. Ulcers in the mouth. Ulcers after Merc. in, those who are pouring forth saliva on the pillow at night. Bleeding ulcers in the mouth. Difficult swallowing. Malignant diphtheria.

Cannot lie on the right side or back without instantly producing black, bilious vomiting. This is a wonderfully bilious remedy, sick headaches, vomiting of bile in great quantities.

The various low forms of disease calling for Crotalus often, begin with vomiting great quantities of bile, sometimes bile mixed with blood.

Stomach

Pain in the stomach; coldness as if a piece of ice were in the stomach or in the abdomen. Stomach irritable, unable to retain anything, constantly throws up blood.

Crotalus has cured ulceration of the stomach. It has greatly restrained the growth of carcinoma when there is much vomiting of bile and blood. Vomiting in many instances where the blood has no tendency to coagulate.

Now, with all these ulcerations of the stomach, cancerous affections, low zymotic disease, jaundice is nearly always present; jaundice and more or less of bleeding; fever seldom runs high; sometimes the temperature is subnormal, but with oozing and bleedings, with dark hemorrhage from the nose and mouth and dark, scanty, bloody urine containing albumen.

Abdomen

The abdomen is greatly distended like the tympanitic abdomen of typhoid and the low zymotic diseases. Ulceration of the bowels, hemorrhage from the bowels. Much pain and soreness in the abdomen with numbness.

Feeling in it as if it were made of wood.

"Stool black, thin, like coffee grounds.

Dysentery of septic origin from foul water, food, etc.

Diarrhoea from noxious effluvia."

Inflammation of the ovaries and of the uterus. Low form of putrid fever.

Women

Hemorrhages, Either dark clots or blood that has no tendency to coagulate and keeps on flowing. There is great trouble at the climacteric period. Hot flashes. Jaundice. Hemorrhage from the uterus or from other parts.

Cancer of the uterus with much bleeding. Great offensiveness. Patient becomes yellow, jaundiced, great exhaustion, mottled appearance of the skin, swelling of the face, of the leg, especially along the course of the veins. Phlegmasia alba dolens. Worse from the slightest touch. Worse from jar, from motion.

There is some reason to think that this will be more or less a heart remedy from the great cardiac weakness it produces. But the other snake poisons like Naja, Lach. and Elaps have had more clinical application than this one.

This one seems to prostrate the heart, but also to prostrate the whole body, and its complaints are more general. Mottled appearance of the limbs. Gangrenous appearance of the extremities.

Skin

Boils, carbuncles and eruptions are surrounded by a purplish condition of the skin, a mottled, blue, splotched or marbled state. It produces boils, abscesses and a condition somewhat resembling a carbuncle, with burning and violent pains, but the peculiar feature is the doughy centre.

Around the boil or carbuncle for many inches there is oedema, with pitting upon pressure. The boil, or abscess, or carbuncle will bleed a thick, black blood that will not coagulate. Carbuncles that come upon the neck and upon the back begin with a pustule, and then several come and they are surrounded by little pustules and papules and there is pitting upon pressure.

For these carbuncles you will need to study particularly Arsenicum, Anthracinum, Lachesis, Secale and Crotalus. They are the medicines that have in their nature malignancy and manifestation.

In puerperal fever there is a continued oozing of black offensive blood that will not coagulate; bleeding from every orifice of the body as well as from the uterus. Imagine a woman who is pregnant suffering from typhoid fever.

She aborts and a low zymotic state comes on with the symptoms that I have described and with all the appearances as if she would bleed to death after the abortion. The blood will not coagulate and the flow continues. Or in a woman during a typhoid fever menstruation comes on. It is not a true menstrual flow, that is, it does not resemble the ordinary flow, because it is copious, dark and liquid, a continuous oozing with all the grave symptoms described, and especially the besotted countenance, the comatose state, the appearance as if she were intoxicated, lying as one dead. When aroused every muscle trembles; if the tongue is protruded it trembles, and there is inability to articulate.

Crotalus may save her life. Would it be possible to think of graver states of sickness than such as are produced by the ophidia?

When a physician sees these symptoms coming on he immediately thinks of a class of remedies that can cover such a state, remedies like Baptisia, Arsenicum, Secale and the Ophidia , and sometimes Arnica, Phosphorus and Pyrogen.

The Therapeutics of Fevers

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

General

Characteristic. Is indicated in strumous, debilitated, hemorrhagic, brokendown constitutions; durnig zymotic diseases; in inebriates; tendency to carbuncles or blood boils (Anthr.).

Diseases caused by a previous low state of the system; low septic, typhoid or malarial fever; chronic alcoholism; exhausted vital force; genuine collapse.

Apoplexy; apoplectic convulsions in inebriates, hemorrhagic or broken down constitutions.

Hemorrhagic diathesis; blood flows from eyes, ears, nose, and every orifice of the body; bloody sweat.

Yellow color of conjunctiva; clears up vision after keratitis or kerato-iritis.

Malignant jaundice ; hematic rather than hepatic.

Purpura hemorrhagica ; comes on suddenly from all orifices, skin, nails, gums.

Prostration of vital force ; pulse scarcely felt ; blood poison-ing (Pyr.).

Vomiting : bilious, with anxiety and weak pulse ; every month after menstruation ; cannot lie on r. side or back with-out instantly producing dark, green vomiting ; black or coffee ground, of yellow fever.

Diarrhœa : stools black, thin, like coffee-grounds ; offensive ; from six hours in afternoon; creeping chills up and down the back, chilliness alternating with heat or sudden cold sweat; skin dry and cold, especially of extremities.

Heat

In first onset intense, burning heat; skin hot and dry; pulse, 130–150; temp., 104–106; face red, flushed; epistaxis.

Hardenstein gives following in yellow fever: Delirium, eyes open; confused, disconnected answers with cold skin and rapid pulse; severe headache; face red, puffed, yellow or pale leaden hue; hemorrhage from every orifice of the body, even bloody sweat; acrid sour eructations; intense thirst; nausea and vomit- ing of bile, of blood, on least exertion; bloody, involuntary stool; abdomen tympanitic; swelling of inguinal glands; urine scanty or retained; pulse weak and slow, or rapid, intermittent and scarcely perceptible; intensely yellow skin; ecchymosis or purple spots; great prostration of vital force; spasms, convulsions, syncope, death.

Sweat

Cold, in sudden attacks; dark colored of axillæ; bloody sweat (Cur., Lach., Lyc.).

Tongue; firey red, smooth and polished (Pyr.); intensely swollen; dry and cracked; dark brown streak down the centre with deep red edges; yellowish brown, dry in centre; protruded.

Breath fetid; mouldy odor. Hemorrhage.

Pulse

Rapid, feeble and quick, then slow; feeble, fluttering, frequent, quick, small, thready, trembling, scarcely perceptible; in waves, irregular.

Analysis

Hemorrhage from every outlet of the body; black, fluid, non-coagulable, offensive. Low types, septic, malignant.

Lachesis, the skin is cold and clammy.

Crotalus, the skin is cold and dry.