Digitalis Purpurea dig.

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

Vagus. HEART; muscle. CIRCULATION: Liver. Lungs. Stomach. Occiput. Genito-urinary organs.

Worse

Raising up. Exertion. Heat. Lying on L. side. Motion. Smell of food. Cold drinks. Excesses: Sexual.

Better

Rest. Cool air. Lying flat on back.

General

WEAKNESS, faint - like; can hardly talk. Heart slow, with indefinite or causeless symptoms. HEART SLOW, weak or irregular; quick, on motion; with liver or sexual symptoms; at puberty. Must walk about, with precordial anxiety; with teasing to urinate.

Particulars

Anxious solicitude. Dizzy. Crashes in head; on dropping to sleep. Spastic hemicrania. Yellow-red conjuctiva. Seething in ears. Face pale; bluish, also lips and tongue. Thick, flabby tongue. Much thirst, little appetite (Sul.), but no fever. Deathly nausea or with faint sinking at pit of stomach. Liver sore, swelled. White, putty-like stools. Dribbling urination. Dropsy. Throbbing in neck of bladder. Early morning erection. Swelled prostate; senile. Atonic night losses. Glans inflamed; gonorrhœa of (Jaca.). Profuse, thick, yellow-white gonorrhœa. Slow breathing. Cough, with pains in shoulders and arms. HEART; weak; feels like stopping; sprains; palpitation. Slow, intermittent pulse. Numb or weak left arm. Drowsy. Dreams of falling; wakes with a shock. Cold skin. Flushes of heat, then great weakness. Cold, clammy sweat.

Related

Related: Glo. Spi.

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

Sudden flushes of heat, followed by great nervous weakness and irregular intermitting pulse, occurring at the climacteric; < by least motion. Weak heart without valvular complications. Sensation as if heart would stop beating if she moved (Cocaine - fears that unless constantly on the move, heart will cease beating, Gels.). Faintness or sinking at the stomach; exhaustion; extreme prostration; feels as if he were dying. Night emissions, with great weakness of genitals after coitus. Great weakness of chest, cannot bear to talk (Stan.). Stools: very light, ash-colored; delayed, chalky (Chel., Pod.); almost white (Cal., Cinch.); pipe-stem stool; involuntary. Pulse full, irregular, very slow and weak; intermitting every third, fifth or seventh beat. Face pale, deathlike appearance and bluish-red. Blueness of skin, eyelids; lips and tongue. Respiration irregular, difficult, deep sighing. The fingers "go to sleep" frequently and easily. Dropsy: post-scarlatinal; in Bright's disease; with suppression of urine; of internal and external parts; with fainting when there are organic affections of the heart (with soreness in uterine region, Conv.). Fatal syncope may occur when being raised to upright position.

Relations

Cinchona antidotes the direct action of Digitalis and increases the anxiety.

Aggravation

When sitting, especially when sitting erect; motion.

Key-Notes to the Materia Medica

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

General

A very slow pulse is one of the chief characteristics of this remedy; never think of it where there is a rapid pulse, say over 80. Bluish appearance of the face. Stools gray or ash-colored; discharge of urine too scanty (with slow pulse); pulsations of the heart intermit: cyanosis; dropsy of inner parts; fainting.

Pulse

Pulse full; irregular; slow, very slow.

Worse

When sitting, especially when sitting erect.

Remedies following

Bellad., China, Lycop., Pulsat., Nux vom., Sulphur, Veratr.

Antidote

Camphor.

Seven Hundred Red Line Symptoms from Materia Medica

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

Red line symptom

Respiration irregular, difficult, performed by frequent deep sighs. Sudden sensation as if the heart stood still, with great anxiety. Extremely slow pulse.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Foxglove (DIGITALIS)

General

Comes into play in all diseases where the heart is primarily involved, where the pulse is weak, irregular, intermittent, abnormally slow, and dropsy of external and internal parts. Weakness and dilatation of the myocardium. Its greatest indication is in failure of compensation and especially when auricular fibrillation has set in. Slow pulse in recumbent posture, but irregular and dicrotic on sitting up. Auricular flutter and fibrillation especially when subsequent to rheumatic fever. Heart block, very slow pulse. Other symptoms of organic heart disease, such as great weakness and sinking of strength, faintness, coldness of skin, and irregular respiration; cardiac irritability and ocular troubles after tobacco; jaundice from induration and hypertrophy of the liver, frequently call for Digitalis. Jaundice with heart disease. Faint, as if dying. Bluish appearance of face. Cardiac muscular failure when asystole is present. Stimulates the heart's muscles, increases force of systole, increases length. Prostration from slight exertion. Collapse.

Mind

Despondency; fearful; anxious about the future. Dullness of sense. Every shock strikes in epigastrium. Melancholia, dull lethargic with slow pulse.

Head

Vertigo, when walking and on rising, in cardiac and hepatic affections. Sharp, shooting frontal pain, extending into nose, after drinking cold water or eating ice-cream. Heaviness of head, with sensation as if it would fall backward. Face bluish. Confusion, fullness and noise in head. Cracking sounds during a nap. Blue tongue and lips.

Eyes

Blueness of eyelids. Dark bodies, like flies, before eyes. Change in acuteness of perception of shades of green. Objects, appear green and yellow. Mydriasis; lid margins red, swollen, agglutinated in morning. Detachment of retina. Dim vision, irregular pupils, diplopia.

Stomach

Sweet taste with constant ptyalism. Excessive nausea, not relieved by vomiting. Faintness, great weakness in stomach. Burning in stomach extending to œsophagus. After cold water or ice-cream, sharp pain in forehead, extending to nose. Faintness and vomiting from motion. Discomfort, even after a small quantity of food, or from mere sight or smell. Tenderness of epigastrium. Copious salivation. Neuralgic pain in stomach, unconnected with taking food.

Abdomen

Pain in left side apparently in descending colon and under false ribs. Severe abdominal pains, pulsation in abdominal aorta, and epigastric constriction. Enlarged, sore, painful liver.

Stool

White, chalk-like, ashy, pasty stools. Diarrhœa during jaundice.

Urine

Continued urging, in drops, dark, hot, burning, with sharp cutting or throbbing pain at neck of bladder, as if a straw was being thrust back and forth; worse at night. Suppressed. Ammoniacal, and turbid. Urethritis, phimosis, strangury. Full feeling after urination. Constriction and burning, as if urethra was too small. Brick-dust sediment.

Female

Labor-like pains in abdomen and back before menses. Uterine hæmorrhage.

Male

Nightly emission (Digitalin), with great weakness of genitals after coitus. Hydrocele; scrotum enlarged like a bladder. Gonorrhœa, balanitis (Merc), with œdema of prepuce. Dropsical swelling of genitals (Sulph). Enlarged prostate.

Respiratory

Desire to take a deep breath. Breathing irregular, difficult; deep sighing. Cough, with raw, sore feeling in chest. Expectoration sweetish. Senile pneumonia. Great weakness in chest. Dyspnœa, constant desire to breathe deeply, lungs feel compressed. Chronic bronchitis; passive congestion of the lungs, giving bloody sputum due to failing myocardium. Cannot bear to talk. Hæmoptysis with weak heart.

Heart

The least movement causes violent palpitation, and sensation as if it would cease beating, if he moves (Opposite; Gels). Frequent stitches in heart. Irregular heart especially of mitral disease. Very slow pulse. Intermits; weak. Cyanosis. Inequality of pulse; it varies. Sudden sensation as if heart stood still. Pulse weak, and quickened by least movement. Pericarditis, copious serous exudation. Dilated heart, tired, irregular, with slow and feeble pulse. Hypertrophy with dilatation. Cardiac failure following fevers. Cardiac dropsy.

Extremities

Swelling of the feet. Fingers go to sleep easily. Coldness of hands and feet. Rheumatic pain in joints. Shining, white swelling of joints. Muscular debility. Nocturnal swelling of fingers. Sensation in legs as if a red hot wire suddenly darted through them (Dudgeon).

Sleep

Starts from sleep in alarm that he is falling from a height. Continuous sleepiness.

Fever

Sudden flushes of heat, followed by great nervous weakness.

Skin

Erythema, deep red, worse on back, like measles. Blue distended veins on lids, ears, lips and tongue. Dropsical. Itching and jaundiced.

Modalities

Worse, when sitting erect, after meals and music. Better, when stomach is empty; in open air.

Relationship

Antidotes: Camph; Serpentaria. Incompatible: China. Compare: Nerium odorum (resembles in heart effects Digitalis, but also has an action like Strychnia on spinal cord. Spasms appear more in upper part of body. Palpitation; weak heart will be strengthened by it. Lock-jaw). Adonia; Cratægus (a true heat tonic); Kalmia; Spigel; Liatris; Compare also; Digitoxinum (Digitalis dissolved in Chloroform; which has yellow vision very marked, and distressing nausea, aggravated by champagne and aerated waters). Nitri spir dulc increases action of Digit. Ichthyotoxin. Eel Serum (Experiments show great analogy between the serum and the venom of vipera. Indicated whenever the systole of the heart is insufficient, decompensated valvular disease, irregular pulse due to fibrillation of the auricle. Assytole, feeble, frequent, irregular pulse, dyspnœa and scanty urine. Liver enlarged, dyspnœa, albuminuria. No œdema). Convallaria (heart disease with vertigo and digestive disturbances). Quinidin-Isomeric methoxyl compound.--(Restores normal rhythm in auricular fibrillation, often supplements the action of Digitalis. Two doses of 3 grains each, three hours apart-if no symptoms of cinchonism develop, 4 doses 6 grs each daily (C. Harlan Wells). Paroxysmal tachycardia. Establishes normal heart rhythm at least temporarily, less in valvular lesions).

Dose

The third to thirtieth attenuation will bring about reaction when the drug is homeopathically indicated; but for palliative purposes the physiological dosage is required. For this purpose, the tincture made from the fresh plant, in doses of five to twenty drops, when the cardiac stimulation is desired, or the infusion of 1 1/2 per cent. Dose, one-half to one ounce if the diuretic action is wanted. The tincture may be given on sugar or bread, and nothing liquid be taken for twenty minutes before or after its administration. Of the powdered leaves, 1/2 to 2 grains in capsules. Digitoxin 1-250 grain. No matter what form of digitalis is given the dose should be reduced as soon as the pulse rate has been lowered to 80 beats a minute and the normal rhythm has been partially or completely restored. Under such conditions a good rule is to cut the dose in half and still more if there be a sudden falling off of the urinary output.

Leaders in Homoeopathic Therapeutics

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

Leaders

Extremely slow, intermittent pulse; weak heart; or rapid, very irregular pulse.

Respiration; irregular, difficult, slow, deep or performed by frequent deep sighs; sometimes stops on dropping off into sleep.

Excessive jaundice, with slow, weak heart, and ashy-white stools.

Faintness or sinking at the stomach; feels as if he would die if he moved.

Blueness of skin, eyelids; lips, tongue; cyanosis. Distended veins on lids, ears, lips and tongue.

Very much has been said and written upon this as a heart remedy: It is called a cardiac tonic, but Homœopathy knows no such thing as a tonic in medicines. The only tonic, in the sense of something to impart strength or tone to the human organism, is nourishing food. If Digitalis is capable of correcting a diseased condition, it does so by opposing its own power to cure to the power that is making the patient sick, which is called disease.

The leading characteristic of Digitalis is a every slow pulse. This may alternate with a very quick pulse, and between the two we may sometimes get a very irregular or intermittent pulse.

One day I saw an old but very strong man staggering across the road toward my office. I thought he was drunk, but on closer observation I noticed that his face looked purple, his lips bluish, and I stepped out and helped him in. He sat down and could not for a few minutes speak a word, but sat and struggled for breath. His pulse was very irregular and intermittent. When he could speak, he told me that for a number of weeks past he had been having these spells, had fallen several times and been obliged to go into the stores and sit, before he could go along the streets. Auscultation revealed hard, blowing sound with first beat of the heart. He had had inflammatory rheumatism in his younger days. He had been obliged to give up all manual labor and dared not go away from home on his business, that of bridge builder. Said he expected to die with this heart disease. I gave him Digitalis 2, a few drops in water. In a few days I saw him shoveling snow from the walk in front of his dwelling. "Hello," he said, "I have no heart disease;" and I saw him often after that and he told me that that medicine cured him of "those spells."

A young man of good habits was taken with nausea and vomiting. He was drowsy, and after a couple of days he began to grow very jaundiced all over. The sclerotica were as yellow as gold, as was indeed, the skin all over the body, even to the nails. The stools were natural as to consistence, but perfectly colorless, while the urine was as brown as lager beer, or even more so. Where you could see through it, on the edge of the receptacle, it was yellow as fresh bile. The pulse was only thirty beats per minute, and often dropped out a beat.

This was a perfect Digitalis case of jaundice, and this remedy cure him perfectly in a few days, improvement in his feelings taking place very shortly after beginning it; the stools, urine and skin gradually taking on their natural color. The characteristic slow pulse was the leading symptom to the prescription, for all the rest of the symptoms may be found in almost any well-developed case of severe jaundice.

In dropsies, consequent on heart disease, Digitalis is often the remedy, and in these cases the skin is more apt to be bluish, as from venous stagnation, than in those cases dependent on renal disease.

Among the troubles consequent upon weak heart action with slow pulse that are particularly amenable to digitalis are vertigo (this is often found in the aged); dropsy of brain, chest, abdomen or scrotum; passive congestion of the lungs.

Among the more characteristic symptoms, aside from the slow pulse, are:

"Blueness of skin, especially eyelids, lips, tongue, and nails; cyanosis."

"Faintness or sinking at stomach; feel as if he were dying."

"Sensation as if the heart would stop beating if she moved." (Gelsemium, if she did not keep moving. Lobelia, as if it would cease any way).

"Respiration irregular, difficult, performed by frequent deep sighs."

"Great weakness and general sudden sinking of strength."

When going to sleep the breath fades away and seems to be gone; then wakes up with a gasp to catch it, cannot get to sleep on this account. (Grindelia and Lachesis).

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Great anxiety and inclination to shed tears ; apprehension about the future. Gloomy and peevish. Indisposed to speak ; inclination to lassitude.

Head

Giddiness, with trembling. Dulness of the head, with limited power of thinking. Stitches in the temples (evening and night). Stitches in the forehead, extending into the nose, especially after drinking something cold. When stooping, sensation as if something fell forward in the head. Pressure in the forehead, from mental exertion. Sensation of itching in the head (inside, one-sided). Sudden cracking in the head (during a siesta), with starting, as in a fright. Hydrocephalus ; sensation as if waves or water were heating on the skull ; worse while standing, talking, shaking the head and bending the head backward-relieved when lying down or bending the head forward. The head is inclined to sink backward.

Eyes

Burning pain in the right eyebrow. Blueness of the eyelids. Swelling of the lower lid. Inflammation of the Meibomian glands. Agglutination of the eyes in the morning. Lachrymation (tears, acrid) ; worse in the room than in the open air ; worse from bright light and cold air (in the morning). Diminished irritability of the pupil ; aversion to light. Painless obscuration of the lens. Obscuration of sight. Dark bodies, like flies, hover before the eyes. Double vision (diplopia). Things appear green (or yellow).

Ears

Hissing before the ears, like boiling water (with hardness of hearing). Single stitches behind the ears. Painful swelling of the parotid gland and behind the ear.

Nose

Pain above the root of the nose. Coryza, with hoarseness.

Face

Pale face ; bluish hue under the pale skin. Blue lips (and eyelids). Lips dry, parched. Black pores in the skin, which suppurate and become ulcerated. Convulsions on the left side of the face.

Mouth and Throat

Blueness of the tongue. Swelling of the tongue. White-coated tongue (morning). Fetid or sweetish ptyalism (with soreness of mouth, gums and tongue). Ulcer on the tongue. Mouth and throat rough, sore ; scraped feeling of.

Stomach and Abdomen

Loss of appetite and clean tongue. Continuous thirst, with dry lips. Flat, slimy taste ; bread tastes bitter. Gulping up of an acrid or tasteless fluid. Nausea ; convulsive efforts to vomit. Vomiting (morning) of the ingesta, of a green liquid. Nausea, as if he would die with it ; continuous, and not relieved by vomiting. Nausea and vomiting of food as soon as he eats. If she expectorates she has to vomit at once what she has eaten. Vomiting of mucus. Great sensation of weakness in the stomach (sinking), as if he would die, soon after eating. Burning in the stomach, extending up to the œsophagus. Colic, with nausea and vomiting. Stitches in the pit of the stomach, extending to the sides and back. Contractive pain in the abdomen. Sensitiveness to pressure in the region of the liver. Distension of the abdomen (ascites).

Stool and Anus

Stool gray, ash-colored, white as chalk. Watery diarrhœa. Diarrhœa, consisting of fæces and mucus. Chilliness previous to stool.

Urinary Organs

Pressure on the bladder, with the sensation as if it were too full, continuing after micturition. Continual desire to urinate ; each time only a few drops are emitted ; the urine is dark-brown, hot, and burning on passing. Frequent emission of small quantities of water-colored urine. Excessive emission of urine. While in a recumbent position the urine can be retained for a longer time. Difficult micturition, as if the urethra were constricted. Inflammation of the bladder (neck of the bladder). Cutting pain before and after micturition.

Genital Organs

Men. Hydrocele ; the scrotum looks like a bladder filled with water. Dropsical swelling of the genitals. Contusive pain in the right testicle.

Respiratory Organs

Oppressed breathing when walking and in a recumbent position. Hoarseness (in the morning, after a night-sweat). Tenacious mucus in the throat, detached by coughing. Hollow, spasmodic cough, from roughness and scraping in the throat ; expectoration, only in the evening, of yellow jelly-like mucus, tasting sweet ; sometimes small quantities of dark blood are expectorated (expectoration like boiled starch). Cough worse at midnight and during the morning hours. The cough is caused by talking, walking, drinking any thing cold ; when bending the body forward ; after eating. Sensation of soreness in the chest. Increased activity of the heart, with slow pulse. Violent, audible palpitation of the heart, with sensation of contractive pains on the sternum. Hydrothorax.

Extremities

Upper. Heaviness or paralytic weakness of the left arm. The fingers go to sleep frequently and readily. Lower. Weakness and lassitude of the lower extremities. Tightness in the bends of the knees ; swelling (fatty) of the knee, with stinging pain. Pain in the hip-joint. Swelling of the feet during the day (diminished at night). Coldness of the feet (and hands).

Sleep

Continuous sleepiness during the day (lethargy). Uneasy, unrefreshing sleep. Frequent waking at night ; smarting up from a dream, as with fright, as if one were falling from a height or into water. Uneasy sleep at night, on account of constant desire to urinate. Feeling of great emptiness of the stomach frequently, previous to falling asleep.

Generalities

Faintness and debility, with perspiration. Attacks of great debility, especially after breakfast and dinner. Great nervous weakness. Graty nodosities. Prickling pain in the muscles of the upper and lower extremities. Dropsy of internal and external parts.

Fever

Pulse very low, especially when at rest (every other heat intermits). Pulse irregular ; intermitting. While moving about the pulse is accelerated, and soon sinks down again to its accustomed slowness when at rest. Chilliness more internally, with heat of the face ; beginning with coldness of the extremities, from them extending over the whole body. Internal chilliness, with external heat. Chilliness, with heat and redness of the face. Coldness of the hands and feet, with cold perspiration. Sudden flushes of heat, followed by great debility. Increased heat of the body, with cold perspiration on the face. Heat of one hand and coldness of the other. Perspiration, generally at night ; cold and clammy. Perspiration after the chill, no heat intervening.

Skin

Jaundice ; cyanosis ; dropsy. Elastic white swelling of the whole body. General paleness of the skin.

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

Digitalis purpurea. Fox-glove. N. O. Scrophulariaceæ. Tincture from the leaves of the second year of the plant.

Clinical

Amaurosis. Angina pectoris. Asthma. Bright's disease. Cyanosis. Delirium tremens. Dropsy . Fever. Gonorrhœa. Headache. Heart, affections of . Hydrocele. Hydrocephalus. Impotence. Jaundice. Lungs, congestion of. Memory lost . Meningitis. Noises in head . Paraphimosis. Prostate, enlarged. Ptyalism. Spermatorrhœa. Toothache. Urinary disorders. Vision, disorders of.

Characteristics

There are three main symptoms in the Digitalis pathogenesis which should be borne in mind: ( 1 ) Slow, weak, irregular and intermittent pulse. ( 2 ) Enlarged, sore, painful liver. ( 3 ) White, pasty stools. Along with these is prostration from slight exertion. The mental condition is: anxious; low-spirited; tearful, wants to be alone; tries to escape if others force themselves on her. Anxiety as if conscience-troubled. "Anxious and concentrated sadness, with sleeplessness at night, owing to pains at the heart: for instance, from unhappy love, especially in women of brown complexions, firm and obstinate dispositions. In such cases far preferable to Ignatia " (Teste). Teste classes Digit . with Bryonia and Ignatia . The stomach symptoms (from portal engorgement) are nausea and vomiting; the mere sight or smell of food excites violent nausea, with clean tongue, thirst for water, absence of fever; the complaints may come either from excessive venery or from high living. In old men there are: enlarged prostate; impotence; lascivious thoughts. Malcolm Macfarlan ( H. P ., xiii. 490) reports Digit . having produced severe urethritis, phimosis, and strangury. He has cured with it many cases of gonorrhœa. Ballard cured a man of headache and dizziness originating probably in gonorrhœa suppressed several years before. He complained of feeling bad about the head after drinking, and this keynote symptom was elicited: "after drinking cold water the pain would seat itself in the forehead and extend down the nose." Delirium tremens in high livers, stomach and liver diseases with the mental state of the drug. Nausea < from smell of food; not > by vomiting. The food eaten comes up by mouthfuls, cannot expectorate without vomiting. Every shock, like bad news strikes her in the epigastrium. Deathly sinking in the epigastrium. The use of Digitalis as a remedy for pneumonia in the old school is well known. It has proved a very dangerous remedy, but it has been used by homœopaths with very good effect in senile pneumonia (E. V. Ross., H. P ., xvii. 177). Ross regards the indications as being: "Dry cough with mucous râles and no expectoration or only 'prune-juice' expectoration; cyanosis, cold extremities; feeble, intermittent pulse deathly nausea or gone sensation at epigastrium." Restlessness with great nervous weakness. Lassitude, mental and bodily. Faintness. Convulsions, with retraction of head, syncope, and collapse. Among the peculiar sensations of Digit . are: Sensation as if the heart would stand still if he moved, must hold the breath and keep still ( Gels . has "must keep moving or the heart would stop.") As if the brain were loose; as if something fell forward in the head on stooping; as if the brain were made of fine glass and shattered at a blow; as if something were running out of urethra; as of a weight attached to stomach; as if the internal parts were grown together. As if the lungs were constricted and tied up in bundles. As if heart stood still; as if heart had torn itself loose and were swaying to and fro by a thin thread; as if the stomach would sink into abdomen. Terrible pain at root of nose after vomiting.

Discharged blood coagulates slowly or not at all. Distended veins in eyes, ears, lips, and tongue. Blue skin. Digitalis is suited to the climacteric period: sudden flushes of heat followed by great debility; least motion = palpitation. Nervous lymphatic constitutions. Children with very white complexions, light hair, scrofulous. Most symptoms are < at night or on waking in the morning. Symptoms are > when stomach is empty; < after meals; from cold diet; after drinking (anything); < from spirituous liquors. Motion < most symptoms and may = fatal collapse. < From being raised up in bed. < From touch or pressure. Great sensitiveness to cold air; cold weather; changes of weather; cold food; cold drinks; all of which < . Getting heated < cough. In a room, lachrymation is < . With fear of suffocation there is desire for open air, and the symptoms of catarrh are > in open air. < From music; sadness from music.

Relations

Antidoted by: Vegetable acids, Vinegar, infusion of galls, Ether, Camphor, Serpentaria. It antidotes: Wine, Myrica cerif. (Jaundice). Compatible: Bell., Bry., Cham., Chi., Lyc., Nux, Op., Phos., Puls., Sep., Sul., Verat. Incompatible: Chin. (increases the anxiety); Spirit. nitros. dulcis. Compare: Acon. (anxiety), Ant. t. (deathly nausea), Apocy., Arsen., Bell., Bry., Camph., Chi., Con., Zn., Kalm., Lach. (sleep), Lobel., Lycopus, Cratægus (weak heart), Nat. m., (frequent and intermittent pulse), Phos. (genital symptoms), Spi., Sul., Tabac. (deathly nausea), Verat. In gonorrhœa, Sul. (prepuce indurated; Dig., puffed, infiltrated with serum); paraphimosis, Coloc. Palpitation with diarrhœa, Ant. t. Act on base of brain, Lob., Tab. One hand cold, the other hot, Chi., Pul., Ip., Mosch. Fainting before stool, Sul. (after stool, Nux, Crot. t.). Food eaten comes up by mouthfuls, Fer., Pho. Every shock strikes in pit of stomach, Pho., Mez., Kali c., Calc. Cracking in head, Alo. Headache extending into nose, Diosc.

Causation

High living. Sexual abuse, or sexual excess. Alcohol.

Mind

Extreme anguish, esp. in the evening, with disposition to weep and great fear of the future. ─ Gloomy and peevish. ─ Indisposed to speak; inclination to lassitude. ─ Remorse. ─ Tearful moroseness; with sensation of internal uneasiness. ─ Indifference. ─ Great love of labour. ─ Weakness of memory. ─ Nocturnal delirium and agitation. ─ Sadness from music.

Head

Dizziness. ─ Vertigo with trembling. ─ Dulness of the head, with limited power of thinking. ─ Jerking pressure in the head, esp. during intellectual labour. ─ Pressure in the forehead, from mental exertion. ─ Tension in the forehead on turning the eyes. ─ Tearing in temples and sides of the head. ─ Shootings in the temples and in the forehead, sometimes extending to the point of the nose, esp. after drinking anything cold. ─ Stitches in the temples (evening and night). ─ Itching in the brain, on one side of the head only. ─ Sensation on stooping, as if the brain were falling forwards. ─ Undulations in the brain, as if it contained water, with confusion in the head. ─ (Hydrocephalus; sensation as if waves or water were beating on the skull; < while standing, talking, shaking the head and bending the head backward, > when lying down or bending the head forward.). ─ Swelling of the head. ─ The head is constantly inclined backwards. ─ Sudden cracking in the head (during a siesta) with starting, as in a fright.

Eyes

Aching in the eyes, greatly augmented by the touch. ─ Burning pain and pressure above the eyes, with confused sight. ─ Burning pain in the r. eyebrow. ─ Shootings in the eyes. ─ Inflammatory redness of the conjunctiva and of the eyelids, with swelling, and sensation as if sand were introduced into the eyes. ─ Blueness of the eyelids. ─ Inflammation of the meibomian glands. ─ Smarting lachrymation, increased by a bright light, and by cold air. ─ Agglutination of the eyelids, with copious secretion of mucus (in the morning). ─ Disposition of the eyes to turn sideways. ─ Pupils insensible and dilated. ─ Sight confused, as if directed through a mist. ─ Obscuration of the sight and complete blindness, as from amaurosis. ─ Opacity of the crystalline lens. ─ Painless obscuration of the lens. ─ Illusion of the sight. ─ Phantoms, visions, and the colours of the rainbow before the eyes. ─ Dark bodies, like flies, hover before the eyes. ─ Objects appear green or yellow. ─ Sparks before the eyes. ─ Diplopia.

Ears

Hissing before the ears, like boiling water (with hardness of hearing). ─ Single stitches behind the ears. ─ Otalgia, with tensive and contractive pains in the ears. ─ Swelling of the parotids, and behind the ear.

Nose

Pain above the root of the nose. ─ Coryza, with hoarseness.

Face

Paleness of the face (bluish hue under the pale skin.). ─ Blue colour of the lips and eyelids. ─ Convulsions on one (l.) side of the face. ─ Cramp-like and drawing pains in the cheek-bones. ─ Swelling of the cheek, with pain on being touched. ─ Eruptions, with gnawing itching in the cheeks and in the chin. ─ Pores of the face black and suppurating. ─ Bluish swelling of the lips. ─ Eruptions on the lips. ─ Dryness of the lips.

8, 9. Mouth and Throat. ─ Roughness, excoriation and scraping in the mouth and throat, with clammy taste. ─ Sweetish and fetid saliva. ─ Profuse flow of frothy saliva compelling to spit all the time. ─ Salivation with excoriation of the tongue, and of the gums. ─ Bluish tongue. ─ Swelling of the tongue. ─ Ulcer on the tongue. ─ Tongue loaded with white mucus (morning). ─ Stinging in throat between acts of swallowing. ─ Peculiar sensation in fauces as if walls of pharynx swollen, or as if they were constricted by swelling of tonsils. ─ Spasmodic constriction of throat. ─ Sore pain on swallowing.

Appetite

Sweetish taste, esp. after smoking tobacco, sometimes with constant accumulation of saliva in the mouth. ─ Bitterness in the mouth. ─ Clammy taste. ─ Bitter taste of bread. ─ Want of appetite, sometimes even with a clean tongue. ─ Continuous thirst, with dry lips. ─ Thirst esp. for acid drinks. ─ Gulping up of an acrid or tasteless fluid. ─ Great appetency for bitter things. ─ After a meal, pressure and inflation of the abdomen and of the stomach.

Stomach

Sour eructation and regurgitations, sometimes after a meal. ─ Pyrosis. ─ Nausea, with inclination to vomit, moral dejection and inquietude. ─ Convulsive retchings. ─ Vomitings and nausea, with fulness and pressure on the epigastrium. ─ Vomiting in the morning (of the ingesta; of a green liquid), or at night. ─ Vomiting of mucus, of food, or bile, with excessive nausea. ─ Nausea in the morning, on waking. ─ Nausea and vomiting during a meal. ─ Vomiting of food on expectorating. ─ Sensation or retraction in the stomach. ─ Burning in the stomach, extending up to the œsophagus. ─ Pressure, burning pain, and heaviness in the stomach and in the epigastrium. ─ Nausea, as if he would die with it; continuous, and not relieved by vomiting. ─ Sensation of weakness in the stomach, as if life would be extinguished, esp. immediately after a meal. ─ Deathly sinking in the stomach-pit. ─ Cramp-like pains in the stomach, sometimes with nausea and vomiting, mitigated by eructations. ─ Shootings in the pit of the stomach, extending to the sides and the back. ─ Fulness in the pit of the stomach.

Abdomen

Contractive tense pain in the hypochondria. ─ Sensibility, and pressive pains, in the region of the liver. ─ Twisting, and cramp-like pinching, in the intestines. ─ Shooting and tearing colic, with inclination to vomit, esp. during movement and expiration. ─ Inflation of the abdomen (ascites). ─ Dropsical swelling of the abdomen. ─ Cuttings, as from a chill, or a diarrhrœa. ─ Cramp-like tension in the groins. ─ Sufferings from flatulency.

Stool and Anus

Fæces white, like chalk, or the colour of ashes. ─ Diarrhœa of excrement mixed with mucus, preceded by shiverings and cutting pains. ─ Dysenteric evacuations. ─ Involuntary stools. ─ Retention of stool; prolonged constipation. ─ Watery diarrhœa; with much thirst.

Urinary Organs

Retention of urine. ─ Urgent and almost futile, inclination to make water, with discharge of hot, burning, and very scanty urine. ─ Pressure on the bladder, with the sensation as if it were too full, continuing after micturition. ─ Frequent emission of small quantities of water-coloured urine. ─ While in a recumbent position the urine can be retained for a longer time. ─ Difficult urination, as from contraction of the urethra. ─ Wetting the bed at night. ─ Urinary flux. ─ Diminution of the secretion of urine, sometimes alternating with abundant emission. ─ Incisive pains in the urethra, before and after the urinary discharge. ─ Involuntary emission of urine. ─ Urine of a deep colour, brownish or reddish. ─ Nausea before and after urination. ─ On making water, burning sensation and constriction in the; urethra. ─ Inflammation of the neck of the bladder. ─ Prostate enlarged.

15, 16. Sexual Organs. ─ Hydrocele (l.); scrotum looks like a bladder filled with water. ─ Testes; bruise-like pain in; swelling of. ─ Gonorrhœa; phimosis; with burning, and dropsy of prepuce. ─ Desire strongly excited, frequent erections and pollutions. ─ Dropsical swelling of genitals. ─ (Nymphomania. ─ Menorrhagia.)

Respiratory Organs

Hoarseness (in the morning after a night sweat). ─ Hollow, spasmodic cough, from roughness and scraping in the throat; expectoration only in the evening, of yellow jelly-like mucus, tasting sweet. ─ Hoarseness and coryza in the morning. ─ Much phlegm in the larynx, which is detached by a slight cough. ─ Cough, after a meal, with vomiting of food. ─ Dry cough, with pains in the shoulders and arms. ─ Cough, with expectoration of matter resembling starch. ─ Smarting in the chest on coughing. ─ Cough worse at midnight and during the morning hours. ─ The cough is caused by talking, walking, drinking anything cold; when bending the body forward. ─ Troublesome choking sensation with cough; mostly at night, and on physical exertion. ─ Dry, cramp-like cough, excited by prolonged conversation. ─ Sanguineous expectoration on coughing (small quantities of dark-blood).

Chest

Sensation of soreness in the chest. ─ Respiration painfully restricted, esp. at night, when lying down, or in the day, when walking, or seated. ─ In the morning, suffocating constriction of the chest, forcing the patient to rise up in the bed. ─ Asthmatic sufferings as from hydrothorax. ─ Pressure on the chest from keeping the body bent. ─ Tension in the chest, with necessity to breathe deeply. ─ Contractive pain in the chest, when sitting with the body bent. ─ Smarting in the chest. ─ Sensation of weakness in the chest, proceeding from the stomach. ─ Congestion in the chest. ─ Shuddering at the mammæ.

Heart

Acceleration of the movements of the heart, with palpitations that can be heard (with slow pulse), anguish, and contraction in the sternum. ─ Very slow pulse. ─ On rising up in bed pulse becomes much more frequent and irregular. ─ Irregular and intermittent pulse. ─ Dull uneasiness in various parts of heart region, with sensation of weakness in forearm. ─ Feeling of slight confusion of heart, esp. on moving, with painful sensation of weakness in wrist and forearms. ─ Sudden sensation as though heart stood still, with great anxiety and necessity for holding breath, after dinner; must keep perfectly still. ─ Peculiar sensation as though heart standing still; single, violent, slow heart-beats, with sudden violent heat in occiput, and transient unconsciousness (the whole lasting only a moment). ─ Shifting pains in heart. ─ Oppression, must breathe deeper. ─ Heart's action has lost its force; beats more frequent, intermittent, irregular. ─ Palpitation easily excited on going up slight ascent. ─ Heart seems to dilate slowly; palpitation at each movement of body; slight uneasiness at heart, cold sweats. ─ Constant pain or anguish at heart, with palpitation, < by exercise or mental emotion; at times < without apparent cause, when perfectly at rest; paroxysms accompanied by sinking sensation, face purple; fainting, believes she is dying; dizziness ringing in ears; sharp pain in l. shoulder and l. arm, tingling in arm and fingers; paroxysms come sometimes at night, with suffocation, wakes up in anguish; terrifying dreams. ─ Heart so weak that even sitting up in bed has caused fatal syncope. ─ Attacks of angina brought on by any slight careless movement, esp. of arms in an upward direction; inexpressible anxiety with fainting; for a moment heart seems to stand still, and then several rapid and violent pulsations occur, with sensation as if heart had torn itself loose and were swaying to and fro by a thin thread. ─ Cyanosis. ─ Frightful stitches in region of heart, coming on every fifteen minutes, lasting only five or six seconds each time.

Neck and Back

Stiffness and tension of the muscles of the neck and of the nape of the neck. ─ Drawing pains in the back and in the loins, as after a chill. ─ Bruise-like pains in the loins on blowing the nose.

Upper Limbs

Paralytic pullings, and tearings in the arms. ─ Heaviness or paralytic weakness of the l. arm. ─ Sharp pain in l. shoulder and arm, tingling in arm and fingers; with heart affection. ─ Nocturnal swelling of the r. hand and of the fingers. ─ Coldness of the hands. ─ Tearings in the joints of the fingers. ─ Sudden and paralytic stiffness in the fingers. ─ Torpor and disposition to numbness of the fingers.

Lower Limbs

Pain in the hip-joint. ─ Great stiffness in the legs after being seated, which abates when walking. ─ Want of energy, and paralytic weakness in the legs. ─ Swelling in the knee, like steatoma. ─ Incisive pains in the thigh, and burning sensation in the calf of the leg, on crossing the legs. ─ Tension in the ham. ─ Coldness of the feet. ─ Swelling in the feet, by day only (diminished at night).

Generalities

Burning shootings and tearings, esp. in the limbs. ─ Penetrating pains, and painful weariness in the joints, as after great fatigue. ─ Engorgement of the glands. ─ Tense and painful swellings, esp. of the limbs. ─ Convulsions. ─ Epileptic fits. ─ Dropsical swellings of internal and external parts. ─ Emaciation. ─ Great dejection and nervous weakness. ─ Throbbing in every part of the body, < by pressure. ─ Gouty nodosities. ─ Pricking pain in the muscles of the upper and lower extremities. ─ Fits of excessive weakness esp. after breakfast and dinner. ─ Sudden prostration of strength, as if about to faint, with general perspiration.

Skin

Gnawing itching, which changes, if the skin be not scratched, into a burning and insupportable pricking. ─ Dry, and heat of skin. ─ Desquamation of the skin from the whole body. ─ Jaundice. ─ Bluish skin (cyanosis), particularly at the eyelids, lips, tongue, and nails. ─ Dropsy. ─ Elastic white swelling of the whole body. ─ General paleness of the skin.

Sleep

Continuous sleepiness during the day (lethargy). ─ Uneasy, unrefreshing sleep. ─ Drowsiness in the day, and somnolency interrupted by fits of convulsive vomiting. ─ At night, half-asleep with agitation. ─ Nocturnal sleep, interrupted by anxious dreams, with starts (as if one were failing from a height or into water). ─ Uneasy sleep at night on account of constant desire to urinate. ─ Feeling of great emptiness of the stomach frequently, previous to falling asleep.

Fever

Chilliness with heat and redness of face. ─ Coldness of the body, often with cold sweat, esp. on the forehead or one side of the body only. ─ Coldness in the hands and in the feet (with cold perspiration). ─ Heat of one hand and coldness of the other. ─ Frequent and sudden flushes of heat, followed by weakness. ─ Copious nocturnal perspiration, preceded sometimes by shivering and shuddering, with internal heat (beginning with coldness of the extremities, from them extending over the whole body), during the day. ─ Perspiration generally at night; cold and clammy. ─ Perspiration after the chill, no heat intervening. ─ Pulse small, weak, and excessively slow (esp. when at rest, every other beat intermits), but accelerated by the slightest movement. ─ Pulse irregular; intermitting.

The Guiding Symptoms of Our Materia Medica

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

Mind

Weakness of memory.
Thinking difficult, forgets everything immediately.
Dulness of head like from inebriation, with increased mental activity.
Delirium tremens ; in cases which come on slowly with gradually increasing pain in pit of stomach, continuous nausea, thirst, palpitation of heart, headache, vertigo, and paleness of face.
Paroxysmal mania with rage, attended by high degree of delirium, indigestion and melancholy, followed by headache.
(OBS :) Epileptic mania ; given at beginning of excitation, frequently cuts short attack.
Lascivious fancies day and night.
Wants to be alone ; indisposed to speak ; inclination to lassitude.
Tearfulness, low spirits.
Profound melancholy, < by music, with frequent sighing and weeping, which bring relief ; gloomy, morose, ill-humor, great fear of future ; insane obstinacy and disobedience, with desire to escape.
Melancholic, despondent, and constantly tortured by fear of death or loss of reason. T Tertian intermittent.
Desponding and irresolute.
Great anxiety, like from troubled conscience.
Gloomy, peevish, and distrustful.

Sensorium

Sopor ; unconsciousness ; pupils dilated, insensible to light ; blindness ; one-half of face convulsed ; pulse very slow, often hard, with a corresponding powerful stroke of heart, sometimes intermittent and small ; breathing
heavy, slow and deep ; sleep with frequent startings, and dreams of falling ; general convulsions.
Fainting, with slow, irregular pulse ; cold sweat ; death-like appearance of countenance.
General weakness, with fainting fits.
Weak action of heart, so that it is unable to stimulate sufficiently the brain, which feels fatigued and weak ; severe vertigo.
Vertigo, with anxious sensation as though faintness would occur while standing or leaning against a chair.
Vertigo : on rising from sitting, and noticeable weakness of limbs when walking or riding ; with trembling ; with very slow pulse.
Constant dizziness of head and ringing in ears. θ Angina.
Confusion of head.
Dulness of head, with limited power of thinking.
Every night on going to sleep he is suddenly awakened with a start by a loud metallic crash in head ; occurs several times before he can fall into quiet sleep.

Inner head

Throbbing headache in forehead, or at bottom of orbits.
Pressure : in forehead when exerting mind ; in paroxysms, at times in temples, at times in whole head.
Stitches : in forehead, extending into nose, especially after drinking something cold ; in temples (evening and night).
Head heavy, confused, as if full.
Headache, pressure and weight, as if caused by congestion of blood to head.
Headache like waves beating from side, < by lying down, blood rushes in, bubbles and swashes, but is not hot.
Drawing in sides of head which makes one feel giddy.
Brain feels loose.
Sensation as if something fell forward in head, when stooping.
Sudden cracking noise in head during mid-day nap, with frightened starting up.
Wakened from sleep in fright by a crash in head as if brain were made of fine glass, and shattered at a blow.
Report in head, like the firing of a pistol.
Sensation of itching in head (inside, one-sided).
Violent, lancinating headache, especially in occiput and vertex.
Sudden and sharp crying with clutching of hair or nurse's face, squinting of eyes and desire to get head back as far as possible ; can take no nourishment without vomiting ; frequent distressing and exceedingly offensive stool ; abdomen flat and
shaped like a boat ; extremities cold, and if not constantly wrapped up, coldness extends to trunk. θ Cerebro-spinal meningitis.
Face pale ; eyes sunken, dim ; pupils very much dilated ; vision entirely gone ; lids closed, at rare intervals half-opened ; hearing impaired ; lachrymation and discharge of thick mucus from left eye ; sudden sharp cries with much tossing about, <
at night ; skin hot and dry ; involuntary urination ; entire absence of stool ; pulse quick, jerking, intermittent ; tongue brown, dry towards base ; lips and teeth covered with brown sordes. θ Hydrocephalus
acutus.
Sensation as if waves of water were beating on skull ; < while standing, talking, shaking head, and bending head backward ; > when lying down or bending head forward.
Hydrocephalus with scanty urine ; head falls back from weak neck ; squints ; pulls hair ; slow, weak pulse ; cold surface and cold sweat ; bores head into pillow ; peculiar sharp cry ; vomits easily, especially on taking
anything into stomach.
Apoplexia nervosa, or serosa ; apoplexy oftener than paralysis.

Outer head

Head constantly falls backward while sitting or walking, as if anterior cervical muscles were paralyzed and powerless. θ Hydrocephalus.

Sight and eyes

Dim-sightedness.
Painless obscuration of lens ; cataract.
Amaurotic blindness for three days.
Objects appear paler and have a greenish look ; green, red, or yellow ; hemiopia, as if upper part of field of vision were covered by a dark cloud, evenings while walking.
In morning on waking all objects appear to him covered with snow ; faces appear deadly pale ; a sort of twinkling light composed of red, green and yellow.
Optical illusions in bright or prismatic colors ; sees hairs before his eyes, or dark bodies, like flies.
Both eyes incline to turn to left, when turning them to right they feel painful, and he sees all things double or threefold.
Diplopia.
Pupils dilated and insensible.
Pupils not very active ; generally contracted.
Detachment of retina ; wavering, everything appears green or yellow.
Superficial inflammation of eye and its appendages ; blepharo-adenitis.
Catarrhal inflammation of eye after disappearance of coryza ; conjunctiva red, lids swollen, great photophobia, constant lachrymation, < in light, or cold air, copious secretion of purulent mucus accumulating in canthi during night, burning in eyes, feeling of sand in them and
stitches darting through, with stoppage and dryness of nose.
Meibomian glands inflamed.
Lachrymation < in a room ; eyes are dim, hot, congested, with pressive pain ; mucus in canthi.
Lid margins slightly swollen and pale red ; inside of lids yellowish-red ; burning of lid margin ; photophobia ; lachrymation and mucous discharge.
Blueness of eyelids.
Yellowish redness of conjunctiva palpebrarum.
Agglutination of lids in morning.
Chronic inflammation of conjunctiva.
Worse when looking into distance.
Burning pain in right eyebrow.

Hearing and ears

Noise before ears like boiling water.
Hissing before ears, with hardness of hearing.
Sudden crashing noise in head, on falling asleep, awaking with a frightened start.
Single stitches behind ears.
Painful swelling of parotid gland and behind ear.

Smell and nose

Smell of food excites violent nausea, with clean tongue, thirst for water, without any fever.
Pain above root of nose.
Coryza : with hoarseness ; dry oftener than fluent.
Nosebleed.

Upper face

Expression of face remarkably sickly.
Face pale ; of death-like appearance ; bluish-red.
Pale face ; bluish hue under pale skin ; blue lips and eyelids.
Cold blue skin. θ Gastritis.
Bloating and paleness of face.
Yellow color of face and conjunctiva.
Convulsions on left side on face.
Black pores in skin, suppurate and ulcerate.

Lower face

Lips dry, parched.

Teeth and gums

Horrid toothache in a hollow tooth, lasting three days.

Taste, speech, tongue

Taste : flat, slimy ; sweetish, with constant ptyalism ; bread tastes bitter.
Bitter taste. θ Icterus.
Clean tongue with nausea from smelling food.
Tongue covered with white slime ; nausea, even after vomiting. θ Icterus.
Tongue coated white.
Blueness of tongue ; swelling ; ulcer.

Inner mouth

Mouth and throat sore ; scraped feeling.
Profuse flow of frothy saliva ; nocturnal flow of saliva.
Violent fetid ptyalism ; ptyalism during nervous fever.
Fetid or sweetish ptyalism with soreness of mouth, gums and tongue ; aphthæ ; stomatitis.

Palate and throat

Choking when he tries to swallow, spasm of glottis, diarrhœa and thirst.
Stinging in throat between acts of swallowing.

Appetite, thirst. desires, aversions

Loss of appetite.
No appetite, tongue clean, stomach empty.
Thirst ; continuous, with dry lips.
Desire for sour drinks and bitter food ; for beer.

Eating and drinking

Better on an empty stomach ; < after breakfast.
Worse : after meals ; from cold diet ; after drinking ; from spirituous liquors.

Hiccough, belching, nausea and vomiting

Nausea : deathly, as if she would die ; continuous, and not > by vomiting ; with anguish and great despondency.
Smell of food excites violent nausea and gagging, with clean tongue, thirst for water, and absence of fever.
Nausea, disposition to vomit, with frequent empty retching. θ Icterus.
Nausea early on rising ; bitter taste in mouth ; thirst ; slimy vomiting ; diarrheic stool, and great debility.
Persistent nausea even after vomiting.
Vomiting : in morning ; of food ; of bile ; of mucus.
Nausea and vomiting of food as soon as he eats.
Nausea ; convulsive efforts to vomit.
If she expectorates, she has to vomit what she has eaten.
Gulping of an acrid or tasteless fluid.
Appetite for food, but as soon as he eats he commences to spit it up by mouthfuls, "sourer than any vinegar ;" after stomach was emptied, terrible pain and uneasiness for one or two hours ; bowels not costive ; slow pulse.
Vomiting sometimes accompanied by external heat, mingled with chills, and followed by perspiration with chilliness.

Scrobiculum and stomach

Sense of extreme anxiety, referred to epigastrium.
Extreme sensitiveness in epigastric region, producing frequent deep sighs.
Faintness or sinking at stomach, as if he would die, with deathly nausea and vomiting.
Soreness and bloatedness of pit of stomach.
Stitches in pit of stomach, extending to sides and back.
Burning in stomach, extending up œsophagus.
Pains in stomach.
Want of appetite ; discomfort after eating even a small quantity of light food ; distension and tenderness of region of stomach ; gradual decline of strength and natural heat of body ; restless, unrefreshing sleep ; mental depression ; intense
jaundice ; disgust for food, frequent nausea, retching and even vomiting of small quantities of tasteless watery fluid ; bowels confined ; urine scanty and dark ; great prostration of strength and coldness of body ; melancholy, disposed to cry.
Gastric catarrh, with sensation of extreme lassitude.
Dyspepsia, with slow pulse, or quick, trembling and weak pulse.
Weakness (sinking) at stomach, feels as if dying.

Hypochondria

Tenderness and pressure in precordium and region of liver. θ Icterus.
Soreness and hardness in region of liver.
Sensitiveness to pressure in region of liver.
Enlarged liver from organic heart disease.

Abdomen and loins

Fulness of abdomen.
Distension of abdomen. θ Ascites. θ Icterus.
Cutting and contractive pain in abdomen.
Colic, with nausea and vomiting.
Dropsy, with dull percussion as high as third intercostal space ; commenced in feet.
Incarcerated hernia ; caused a relaxation of abdominal ring.

Stools and rectum

Constipation ; stools gray, clay-like.
Frequent, distressing and exceedingly offensive stools ; bowels perfectly flat and shaped like a boat. θ Cerebro-spinal meningitis.
Frequent desire to evacuate bowels, accompanying urging to urinate ; very small, soft stools, without relief.
Every other day at same hour, early in morning, coldness, slight chills, followed instantly by exhaustive, watery, grayish-colored stools, changing towards brown and curdled, resembling coffee settlings ; no synchronism between radial artery and heart, or between the larger arteries
themselves ; pulse slow and intermitting ; cold, profuse, thin perspiration all over body ; chest and bowel symptoms seem to alternate, cough of one fit of sickness followed by diarrhœa in next, and vice versa. θ Dropsy.
Violent diarrhœa of watery, ash-gray stools, with cutting and tearing pains, and sensation of sinking in stomach as if one would die.
Diarrhœa accompanied by violent beating of heart, not rapid, but too violent.
Diarrhœa : watery ; consisting of feces and mucus.
Stools : ash-colored, or very light ; delayed, chalky ; very light, almost white ; yellowish-white fecal ; involuntary.
White evacuations, with bilious vomiting, jaundice and sinking in stomach.
Stool in evening, passing great quantities of thread worms.
Before stool : cutting or tearing colic ; chilliness ; fainting ; vomiting.
During stool : cutting pain in abdomen.
After stool : renewed desire ; urging in rectum ; faintness.

Urinary organs

Nephritis after desquamation, with anasarca and œdema of lungs. θ Scarlatina.
Throbbing pain in region of neck of bladder, during straining efforts to pass water.
Pressure on bladder, with sensation as if it were too full, continuing after micturition.
Contractive pain in bladder during micturition ; urine more easily retained in recumbent posture.
Micturition difficult, as though there were almost no urine in bladder, and yet, great urging to urinate ; after micturition, pressure in bladder and burning in urethra for half on hour.
Inflammation of bladder (neck of bladder).
Fruitless effort to urinate.
Constant urging to urinate, with scanty discharge.
Difficult micturition, as if urethra were constricted.
Feeling of fulness, continuing after urination.
Increased desire to urinate after a few drops have passed, causing patient to walk about in distress, although motion increases desire ; frequent desire to defecate at same time ; very small soft stools passed without relief.
Constant urging to urinate at night.
Profuse and frequent emission of clear pale urine.
After profuse discharge of urine there follows retention with nausea, vomiting and diarrhœa.
Alternation of diminished secretion of urine, with copious secretion of watery urine ; enuresis, vomiting and diarrhœa.
Urine : thick, turbid, yellowish-brown, blackish, acrid.
Brick-dust sediment in urine.
Continual desire to urinate ; each time only a few drops are emitted ; urine dark brown, hot and burning.
Dribbling discharge of urine. θ Enlarged prostate.
Heavy specific gravity of urine.
Dropsy with suppression of urine.
Uremic poisoning with drowsiness, insensibility and frightful convulsions. θ Contracted kidney.
Bright's disease ; general nervous prostration ; effusions from weakness of vessels, and diminished force of circulation ; jaundice and easy vomiting ; slow and intermittent pulse.

Male sexual organs

Amorous desires without ability to perform coitus.
Great irritability and weakness of genitals ; after an emission a sensation in urethra as if something were running out of it ; frequent palpitation and trembling of limbs ; in conversation with strangers he commences to stammer and becomes embarrassed. θ Prostatic
troubles.
Great irritability of genital organs ; frequent, debilitating pollutions ; muscular power diminished ; memory impaired ; appetite lost ; constipation ; palpitation of heart ; even delirium and convulsions ; oppressed respiration ; restless
sleep ; pain in precordial region ; flushes of heat ; weak pulse.
Spermatorrhœa ; irritation of sexual organs, with painful erections, night and day ; pollutions always accompanied by lewd dreams and subsequent pains in penis ; violent beating of heart at least movement ; despondency and fear of future.
Senile hypertrophy of prostate ; cardiac symptoms marked.
Nightly emissions, with great weakness of genitals.
Excessive pollutions in consequence of onanism ; pollutions at night, three or four times every week ; prostration and ill-humor on following day ; patient wasted.
After coitus, nightly pollutions for 8-12 nights.
From excessive indulgence in coitus and life of debauchery, great debility, impaired digestion, foul taste in mouth ; complete loss of appetite ; palpitation of heart, transient flushes of heat, fainting, ringing and roaring in ears, dyspnœa at night, severe pain in precordial
region with febrile disturbance ; pollutions day and night.
In consequence of onanism, pain in chest, palpitation of heart, headache, disinclination to work, impairment of memory, weakness of legs.
Several pollutions during night ; great prostration of strength ; appetite completely lost ; pain in back ; sleep disturbed by nightmare. θ Spermatorrhœa.
Gonorrhœa.
Balanitis, phymosis, with great burning on urinating ; dropsy of prepuce.
Dropsical swelling of genitals.
Contusive pain in right testicle ; testicles swollen.
Hydrocele ; the scrotum looks like a bladder filled with water.
Hydrocele ; left side most affected ; pulse very slow.

Female sexual organs

Lascivious state of fancy day and night ; remarkably slow pulse ; stools of a very light color. θ Nymphomania.
Dropsy of uterus ; heart sympathizes very much ; pulse accelerated or intermittent ; light-colored stools.
Menorrhagia.
Labor-like pains in abdomen and back, before menses.
Catamenia scanty and too late.
Suppressed menses with cough and vicarious menstruation from lungs.
For several years menses irregular, being half normal then again very profuse, persisting sometimes for weeks as a hemorrhage ; anorexia, bad taste in mouth, extreme thirst, debility, emaciation ; face waxy, pale, yellowish and expressive of
greatest anxiety and suffering ; respiration quick, oppressed, voice scarcely audible, speech very fatiguing ; pulse very quick and scarcely perceptible ; greatest lassitude ; constant icy coldness despite warm coverings and high temperature of room ; urine
diminished ; stools watery, diarrheic ; severe indefinable pains through whole body ; constant restlessness ; fear of death ; œdema, marked ascites, enormous swelling of labia so that bladder can scarcely be evacuated ; strong pulsations of jugular veins, loud
venous murmurs, marked organic changes present in heart.
Face dark red, merging into a bluish color ; veins about eyes, ears, lips and tongue distended ; hands blue and swollen as if frozen ; warmth of skin diminished, chilliness ; pulse small, feeble, 60-70 ; a cut or wound is followed by an extremely sluggish escape
of dark, thick blood ; head heavy, dull, confused, with frequent throbbing, pressing pain in forehead, which can only be > by lying quietly on back ; dry, tickling cough in chest ; spasmodic constriction in chest with dyspnœa, slow and labored breathing, constant yawning
and violent pulsations of heart, particularly at night, when the great anxiety and fear of suffocation drive her out of bed ; appetite diminished ; nausea, occasionally vomiting in morning ; pressing cramps and sensation as of a weight attached to stomach ; stools
irregular, sometimes hard, at other times diarrheic ; frequent urging to urinate ; profuse, acrid leucorrhœa ; no menstrual molimina ; tearing in limbs ; great weakness ; paralytic sensation in thighs ; feet and ankles swollen. θ Emansio
mensium.
Leucorrhœa.

Voice and larynx. trachea and bronchia

Hoarseness early in morning.
Frequent painless hoarseness.
Hurried, abrupt speech.
Voice hoarse or screeching, rarely failing.
Choking when trying to swallow (spasm of glottis).

Respiration

Respiration irregular, and performed by frequent deep sighs.
Constant desire to take a very deep breath, but on attempting to do so, it seemed as though chest could be only half-filled, or as though some impediment existed deep in chest ; dry cough on deep inspiration.
Respiration difficult, slow and deep.
Respiration slow, asthmatic ; paroxysm early in morning, especially in cold weather.
Oppressed breathing when walking and in a recumbent position.
Distressing dyspnœa.
Respiratory murmur feeble.
When she goes to sleep the breath fades away and seems to be gone, then she wakes up with a gasp to catch it ; legs œdematous, especially the left.
Fear of suffocation at night with desire for open air.
Between 10 and 12 A. M., and 4 and 6 P. M., sudden oppression of respiration and sensation as if walls of chest were being constricted ; great anxiety and restlessness ; no heat ; at times when paroxysm is at its height, sensation as if sternum were torn to pieces ;
quiet horizontal position finally brings relief. θ Asthma.
Could only breathe in gasps, each one seeming as though it would be the last ; must sit up. θ Dropsy.
Asthma, with much rattling mucus in lungs.
Painful asthma, worse when walking.
Asthma, particularly if dependent upon heart disease.
Inflammation of serous membranes, especially pleurisy, resulting in anemia ; vomiturition or vomiting ; oppression in centre of chest ; difficult breathing ; pulse in beginning suppressed, quick ; nails blue ; face pinched and cold ; in spite of anemia
patient cannot bear a high temperature, even during reaction ; prefers to sit rather than lie down. θ Diaphragmitis.

Cough

Hollow, deep, spasmodic cough, excited by roughness and scratching in roof of mouth and in trachea ; morning without, evening with scanty, yellow, jelly-like mucus, expectorated with difficulty.
Cough < about midnight and toward morning ; from getting heated ; from eating ; from drinking cold fluids ; talking or walking in open air.
Expectoration like boiled starch ; great prostration after cough.
Cough caused by talking, walking, drinking anything cold, bending the body forward, or after eating.
Cough, with profuse loose purulent sputa.
During cough : contracting pain in chest ; asthma ; tensive pressure in arm and shoulder ; vomiting ; heat ; perspiration.
Expectoration of sweetish taste ; sometimes with a little dark blood.
Tenacious mucus in throat, detached by coughing.
Peculiar cough and strangulation, which seemed almost to choke her ; paroxysm lasted an hour or more, and resulted in expectoration of a liver-colored mass of sputa ; attacks repeat themselves frequently, and usually come before catamenia, with pains in chest, difficulty of
using arms, pain in hepatic region and through back, extending to knees ; pain in scapular region and right hand, with paralytic sensations ; cough at night, choking and spasmodic, compelling her to jump out of bed, with attacks of choking, and a valvular constriction in throat
before discharging sputa ; expectoration of a solid, bloody mass of mucus, which, when discharged, affords immediate relief ; occasionally leucorrhœa before catamenia, also nasal hemorrhage ; changes of weather bring on attack, followed by expectoration of tough, ropy mucus
at night ; cough at times like whooping cough ; sore throat and soreness of œsophagus ; great difficulty in detaching mucus ; oftentimes presenting a rusty, black and clot-like appearance. θ Vicarious
menstruation.
Whooping cough with persistent fever, which causes patient to be in a state of constant nervous excitement, skin being hot and dry ; expectoration bloody ; scraping sensation extending to larynx, and feeling of constriction in chest and throat.

Inner chest and lungs

Trembling in chest.
Great weakness in chest, can't bear to talk.
Heaviness and dyspnœa in chest.
Suffocation painful constriction of chest, as if internal parts were grown together.
Sensation of soreness in chest.
Hæmoptysis : before menstruation with pain in chest, back and thighs ; from obstruction of pulmonary circulation in consequence of heart disease and tuberculosis ; engorged veins about head, pale, livid complexion, coldness of skin with cold
sweats, irregular pulse and palpitation of heart.
Passive congestion of lungs, depending on a weakened, dilated heart.
Peculiar, seemingly rheumatic pains and catarrhal affections of lungs, with serous exudation.
Sudden severe attack of asthma during night ; patient propped up in bed, afraid to move or speak ; severe pain across front of chest ; frequent retching, at times so severe as, with the painfully laborious breathing, to threaten almost instant death ; pulse almost
imperceptible ; cardiac action so tumultuous as to render it difficult to distinguish between first and second sounds ; both sounds sharper than natural ; no cardiac murmurs ; face bedewed with cold sweat ; feet and legs cold ; comparative dulness over lower
half of right side of lung ; bronchial breathing in upper half of lung ; respiratory sounds in lower half heard only on attempting to take a deep inspiration ; extensive congestion present, and clearly traceable to impeded circulation ; cough with hæmoptysis ; all
food refused or rejected ; urine scanty, not albuminous ; legs œdematous ; ascites.
Chronic catarrhs in tubercular patients, in phthisical subjects, and particularly in phthisis florida ; shortness of breath, anxiety and oppression of chest, with pressing pains in chest ; cannot sit in a stooping posture ; dry cough, or scanty expectoration containing
small particles of hard, yellow phlegm ; also bloody expectoration with stitching pains in chest ; abnormalities in heart's action ; > in open air.
Senile pneumonia ; broncho-pneumonia, with paralysis of pneumogastric ; moist rales all over chest, yet cough dry, fatiguing and unsatisfactory ; small thready pulse ; sometimes purple expectoration ; surface (especially face and extremities) blue and cold ;
intense weakness and prostration ; lungs feel constricted and tied up in bundles.
Emphysema, in complication with heart disease, feels > while lying perfectly quiet in horizontal position ; paroxysms early in morning, especially in cold weather ; < when walking.
Pleuritis, serous form ; especially in a rheumatic case, accompanied by Bright's disease from hyperemia of kidneys.
Hydrothorax.

Heart, pulse and circulation

Dull uneasiness in various parts of region of heart, with sensation of weakness in forearm.
Abnormal action of heart ; a sense of oppression, with tendency to fainting ; feeble or spasmodic pulse, with anguish ; oppression of chest ; pain extending to head and left arm.
Constant pain or anguish in region of heart, with more or less palpitation, at times pain and palpitation greatly aggravated, < from exercise of body and mental emotion ; but at times sufferings were greatly < without any apparent cause, while sitting perfectly at rest ;
paroxysms accompanied by sinking sensation, face purple ; syncope, believes she is dying ; constant dizziness of head and ringing in ears ; sharp pain in left shoulder and left arm, tingling in arm and fingers ; creeping all over skin ; sometimes paroxysms come on at
night, when it seems as if she were suffocating, wakes up in great anguish ; terrifying dreams.
Pressing constrictive heartbeats, with anxiety and spasmodic pain in sternum and between ribs.
Strong pulsations of heart, with an indistinct and muffled sound of heart ; hurried respiration. θ Rheumatism.
Metallic sounding heart-beat.
Violent, audible palpitation of heart, with anxiety and contractive pains under sternum.
Violent but not very rapid beating of heart.
Rapid, bounding, intermittent beating of heart ; vertigo when walking or rising ; pulse 90, intermittent ; sleeplessness, and feeling of great anxiety at night.
Suddenly violent beating of heart, with disturbed rhythm ; a feeling of impending death, with terror and anxiety, slightest motion increases anxiety and palpitation.
Palpitation of heart, with great depression of mind and constant fear of losing her reason ; anxious, self-reproachful ; attacks short and not very severe, but anxiety.
Palpitation of heart originating in grief ; pain in left chest and arm ; enlargement of heart.
Increased activity of heart, with slow pulse.
Heart-beats strong from twelve to twenty times, and then very weak for four or five times.
Sudden sensation as though heart stood still, with great anxiety, and necessity for holding breath.
Three or four rapid small beats followed by several slow, strong and full beats.
Fluttering at heart after sudden and energetic motions, especially of arms in an upward direction, or lying on left side.
Heart has lost its force ; its beats are more frequent and intermittent, sometimes irregular.
Beating of heart smaller and less energetic, or scarcely perceptible.
Breathlessness with cough ; heart's action irregular and weak, no cardiac murmurs or other signs of structural change.
The least muscular exertion renders the heart's action labored and intermittent.
The heart is so weakened that fatal syncope has been produced by patient changing his position, or being raised to an upright posture.
Enfeebled heart without valvular complications.
Muscular angina, with flabby dilatation of heart.
Drawing tearing pains in left side of chest and left border of sternum, extending to nape of neck and shoulder ; great anxiety and fear of death ; slow pulse. θ Angina.
Sudden attack of angina pectoris brought on by careless, quick movements, particularly of arms in an upward direction, or traceable to no particular cause ; inexpressible anxiety, with fainting ; for a moment heart seems to stand still, and then several rapid and violent
pulsations occur, with sensation as if heart had torn itself loose and were swaying to and fro by a thin thread ; these sensations are repeated at irregular intervals, and attack finally ends in prostration which almost amounts to unconsciousness ; no organic lesion.
Heart's action more vigorous than pulse ; deathly anguish felt in pit of stomach ; vertigo and fainting ; pulse feeble, irregular, slow. θ Angina pectoris.
Frequent attacks of unconsciousness ; pulse full, strong, but beating only 28 to the minute ; no apoplectic symptoms present. θ Hypertrophy of heart.
Dilatation of ventricle due to valvular lesions, with palpitation.
Cardiac dropsy and great anasarca ; extremities cold and blue ; sinking feeling at heart.
Great difficulty in breathing, at times approaching orthopnea, with short, dry, tickling cough ; frequent fainting fits ; great anasarca, legs, penis and scrotum particularly swollen ; feet cold and dark ; legs and thighs pit deeply on
pressure ; tongue white and moist ; urine scanty ; pulse cannot be felt ; heart's action very weak and irregular, the usual sounds inaudible ; distressing sinking feeling in cardiac region ; face pale and anxious ; lips livid ; can scarcely
speak ; no appetite ; great thirst ; respiratory sounds feeble. θ Cardiac dropsy.
Rheumatic endocarditis, rhythm of heart irregular, symptoms of hydrothorax present, urine deposits a brick-dust sediment.
Rushing, blowing regurgitant murmurs synchronous with impulse beat of heart ; every four weeks after menstruation œdematous swelling of face and lower extremities, with almost complete apnea, least motion threatening suffocation and causing face to become blue and yellow ;
great anxiety and suffering ; urine scanty, dark and turbid ; pulse weak, intermittent and very quick, so that it cannot be counted ; compelled to lie with head high ; can scarcely speak ; sleeplessness ; stools infrequent ; on percussion, area of heart
dulness increased ; pulsation almost inaudible.
Rheumatism of heart with irregular pulse.
Pneumonia senilis, heart's action failing ; passive hyperemia of brain, passive congestions of lungs, depending upon a weakened, dilated heart.
Pulse at first slow, afterwards quicker and proportionately weaker.
Thready, slow and intermittent pulse.
Pulse very slow and weak.
Irregular, small pulse.
Pulse very slow, often hard, with a correspondent powerful stroke of heart, sometimes intermittent and small ; respiration heavy, slow and deep ; sleeps with frequent startings and dreams of falling.
While moving about, pulse is accelerated, and soon sinks down again to its accustomed slowness when at rest.
Slightest motion immediately makes pulse more rapid ; on rising from reclining into sitting posture, pulse became in a moment jerky and very much smaller and weaker.
No synchronism between radial artery and heart, nor synchronous pulsation between larger arteries (crural, carotid and radial) themselves ; pulse low and intermitting. θ Diarrhœa.
Ebullition in chest and audible palpitation.
Venous, passive congestion, with pale or livid color of face ; coldness of skin ; swelling and painfulness of feet ; all in consequence of cardiac anomalies.
Cyanosis from non-closure of foramen ovale ; > symptoms.
Child can hardly be turned or its position changed without causing fainting, or nearly so, and almost always causing vomiting ; eyelids, lips, tongue and nails become very blue ; pulse unequal, or very slow. θ Cyanosis.
Distended veins on eyes, ears, lips and tongue ; dark red, bluish color of face ; irregular action of heart ; at puberty.

Outer chest

Dull, clawing stitches along lower border of ribs, below right axilla.

Neck and back

Tearing sharp stitches, aching and cutting pains in nape of neck.
Drawing with pressure in nape of neck.
Stiffness in nape and side of neck.
Lacerating, and sharp stitches in small of back.

Upper limbs

Sharp pain in left shoulder and arm, tingling in arm and fingers. θ Angina pectoris.
Heaviness or paralytic weakness of left arm.
Swelling of right hand and fingers, with scanty high-colored urine. θ Post-scarlatinal dropsy.
The fingers "go to sleep" frequently and easily.

Lower limbs

Pain in hip-joint.
Paralytic feeling in limbs.
Weakness and lassitude of lower extremities.
Staggering.
Lassitude in legs and knees.
Tightness in bends of knees ; swelling of knee, with stinging pain.
Infiltration of lower extremities.
Swelling and painfulness of feet.
Swelling of feet during day, diminished at night.

Limbs in general

Pains in chest ; difficulty of using arms ; pain in hepatic region, and through back, and extending to knees ; pain in scapular region and right hand, with paralytic sensations. θ Vicarious
menstruation.
Neuralgic pains after scarlet fever.
Prickling pain in muscles of upper and lower extremities.
Coldness of limbs.
Elastic swelling of legs, and then of hands and arms.
Coldness of hands and feet.

Rest. position. motion

Sitting : head constantly falls backward ; dyspnœa > ; pain in region of heart and palpitation at times greatly <.
Lying : headache < ; sensation as if waves of water were beating on skull > ; urine more easily retained ; asthmatic attacks > ; palpitation <.
Lying on back : pains in forehead only > ; prefers to lie on back with head low, or is compelled to lie with head high.
Recumbent posture : oppressed breathing ; emphysema >.
Standing : vertigo, with anxious sensation ; sensation as if waves of water were beating on skull <.
Leaning : vertigo, with anxious sensation.
Change of position : fatal syncope.
Motion : violent beating of heart ; palpitation and anxiety < ; fluttering of heart after sudden and energetic ; suffocation threatened ; pulse accelerated ; cyanosis < ; motion brings on angina pectoris.
Stooping : as if something fell forward in head ; cannot sit.
Bending head forward : sensation as if waves of water were beating on skull >.
Bending head back : sensation as if waves of water were beating on skull <.
Shaking head : sensation as if waves of water were beating on skull <.
Bending body forward : causes cough.
On rising from sitting : vertigo and weakness of limbs.
On rising from reclining posture : pulse becomes jerky, smaller and weaker.
Walking : vertigo ; head constantly falls backward ; as if upper part of field of vision were covered by a dark cloud in evening ; desire to urinate and defecate compels walking ; desire to urinate and defecate < ; oppressed breathing ; painful asthma
< ; cough < ; emphysematous attacks <.
Exercise : pain in region of heart and palpitation <.
Moving arms in upward direction : fluttering of heart ; angina pectoris brought on by.
Riding : vertigo.

Nerves

Restlessness and great nervous weakness.
Lassitude, mental and bodily.
Faintness and debility, with perspiration.
Attacks of great debility, especially after breakfast and dinner.
Faintness ; exhaustion ; extreme prostration.
Convulsions, with retraction of head, syncope, and collapse of vital powers. θ Spotted fever.
Epilepsy caused by onanism.
Shock : very slow pulse ; faintness and weakness with sweat ; bluish paleness ; inactivity of pupil, optical illusions.
Syncope.

Sleep

Lethargy, great sleepiness.
Feeling of great emptiness of stomach, frequently previous to falling asleep.
Uneasy sleep at night, on account of constant desire to urinate ; nervous persons.
Frequent waking at night in fright, by dreams of falling from a height or into water.
Frequent startled awaking, at night.
Frequent awaking, as from anxiety, and as if it were time to rise.
Sleep uneasy and unrefreshing.
Prefers to lie on back with head low.

Time

Morning : on waking, all objects appear as if covered with snow, faces appear pale ; twinkling light before eyes ; agglutination of lids ; nausea on rising ; vomiting ; diarrhœa ; hoarseness early ; asthmatic paroxysm early ; dry
cough ; paroxysms in emphysema early.
During day : swelling of feet.
Mid-day : sudden cracking noise in head during nap.
Between 10 and 12 A. M., and 4 and 6 P. M. : asthma.
Evening : stitches in temples ; as if upper part of field of vision were covered by a dark cloud ; stool and passage of worms ; cough with expectoration.
At night : suddenly awakened by crash in head ; stitches in temples ; symptoms in hydrocephalus acutus < ; accumulation of purulent mucus in eye ; flow of saliva ; constant urging to urinate ; pollutions ; dyspnœa ; yawning, and violent
pulsations of heart < ; anxiety and fear of suffocation drive her out of bed ; expectoration of tough, ropy mucus ; sudden asthmatic attack ; attacks of palpitation and pain about heart ; sleeplessness and feeling of great anxiety ; uneasy sleep ; frequent
awaking in fright, dreams of falling ; frequent startled awaking ; cold sweat.
Towards midnight : cough <.

Temperature and weather

Getting heated : cough <.
In room : lachrymation <.
Open air : fear of suffocation with desire for ; cough < walking in ; symptoms of catarrh >.
Cold : great sensitiveness to.
Cold food : < after.
Cold drinks : stitches in forehead extending into nose < after ; cough <.
Cold air : lachrymation <.
Cold weather : asthmatic paroxysms < ; paroxysms in emphysema <.
Changes of weather : cough brought on by.

Fever

Chilliness and shivering over whole back.
Chill commencing in fingers, palms of hands and soles of feet, spreading thence over whole body.
Coldness first of hands and arms.
Cold extremities.
Excessive coldness of hands and feet, with cold sweat.
Internal coldness of whole body.
Great coldness of skin.
Chill early in morning and lasting until 10 o'clock, followed by heat and offensive smelling sweat towards noon ; complete loss of appetite, with disgust for food, foul eructations, bitter taste, yellow coated tongue and difficult stool ; sleep
restless and unrefreshing ; pulse weak and slow ; face yellow ; lips and eyelids bluish. θ Tertian intermittent.
Great sensitiveness to cold.
Chill more internal, with warmth of face, beginning with cold extremities, then spreading over body.
Internal chill, with external heat.
Chill, with heat and redness of face.
Shivering alternating with heat. θ Icterus.
One hand hot, the other cold.
Heat of body, with cold sweat of face.
Sudden flushes of heat, followed by great debility.
Heat without thirst.
General violent heat, with swollen veins and rapid pulse.
Heat, with profuse sweat at same time.
Sweat immediately after chill, no heat intervening.
Covered with copious perspiration, without relief of heart symptoms.
Sweat at night, generally cold and somewhat clammy.
Cold sweat on body, warm sweat on palms of hands.
Sweat : on upper part of body ; on face.
Typhus, with bad smell from nose and hardness of hearing.

Attacks, periodicity

Paroxysmal ; mania with rage ; pressure in temples and in head ; thirst.
Transient : flushes of heat.
For half an hour : pressure in bladder and burning in urethra after micturition.
For an hour : paroxysm of cough.
For one or two hours : terrible pain and uneasiness in stomach after vomiting.
Constant : fears of death or loss of reason ; dizziness of head and ringing in ears ; falling backward of head ; lachrymation ; nausea ; urging to urinate ; icy coldness ; restlessness ; yawning and violent pulsations of heart ; desire to
take deep breath ; nervous excitement ; pain or anguish in region of heart ; fear of losing reason ; hacking cough with dyspnœa.
Day and night : lascivious fancies ; painful erections ; pollutions.
For three days : amaurotic blindness ; toothache.
For eight to twelve nights : after coitus, pollutions.
Sudden : awakening at night by crash in head ; cracking noise in head during mid-day nap ; sharp crying, and clutching of hair or face of nurse, with squinting and retraction of head ; asthmatic attacks ; violent beating of heart ; sensation as though heart
stood still ; attack of angina pectoris ; flushes of heat.
Gradual : increasing pain in pit of stomach ; decline of strength and heat of body.
Every night : awakened by crash in head ; emissions.
Every other day : at same hour in morning, diarrhœa.
Tertian : intermittent.
Three or four times a week : pollutions.
Every four weeks : after menstruation ; œdematous swelling of face and lower extremities.
For several years : menorrhagia.
Chronic : inflammation of conjunctiva ; catarrhs in tubercular patients.

Locality and direction

Right : painful feeling on turning eyes to right ; burning in eyebrow ; contusive pain in testicle ; pain in scapular region and hand ; dulness over lower half of lung ; stitches along lower border of ribs below axilla ; swelling of hands and
fingers.
Left : lachrymation and discharge of mucus from eye ; both eyes inclined to turn to left ; convulsions on side of face ; testicle most affected with hydrocele ; leg especially affected with œdema ; oppression of chest extending to arm ; sharp pain in
shoulder and arm, tingling in arm and fingers ; pain in chest and arm ; palpitation < lying on side ; drawing, tearing, in side of chest and border of sternum, extending to nape of neck and shoulder ; sharp pain in shoulder and arm ; tingling in arm and
fingers ; heaviness or paralytic weakness of arm.
One-half : of face convulsed.
One-sided : itching in head.

Sensations

As if faintness would occur ; as if head was full ; as if waves were beating from side to side in head ; as if blood bubbled and swashed in head ; as if brain was loose ; as if something fell forward in head on stooping ; as if brain were made of
fine glass and shattered at a blow ; as if waves of water were beating on skull ; as if sand were in eyes ; as if bladder were too full ; as if urethra were constricted ; as if something were running out of urethra ; as of a weight attached to stomach ; as
if chest could only be half filled on breathing, or as though some impediment existed deep in chest ; as if walls of chest were being constricted ; as if sternum were torn to pieces ; as if each breath would be the last ; as if internal parts were grown together ; as
if lungs were constricted and tied up in bundles ; as though heart stood still ; as if heart had torn itself loose and were swaying to and fro by a thin thread ; as if stomach would sink into abdomen.
Pain : above root of nose ; terrible, after vomiting ; in stomach ; in precordial region ; in penis ; in chest ; in back ; severe, indefinable, through whole body ; in hepatic region and through back, extending to knees ; in scapular
region and right hand ; across front of chest ; in region of heart ; spasmodic, in sternum and between ribs ; in left chest and arm ; sharp, in left shoulder and arm ; in hip-joint ; in hepatic region and through back, extending to knees ; in scapular
region and right hand.
Anguish : in region of heart.
Cutting : in abdomen ; with diarrhœa ; colic before stool ; in abdomen during stool ; in nape of neck.
Tearing : with diarrhœa ; colic before stool ; in limbs ; in l. side of chest and border of sternum, extending to nape of neck and shoulder.
Lacerating : in small of back.
Piercing pain : in joints.
Lancinating : headache in occiput and vertex.
Stitches : in forehead, extending into nose ; in temples ; darting through eyes ; behind ears ; in pit of stomach, extending to sides and back ; in chest ; dull, clawing, along lower border of ribs, below right axilla ; tearing, sharp, in nape of
neck ; sharp, in small of back.
Stinging : in throat.
Drawing : in sides of head ; in left side of chest and border of sternum, extending to nape of neck and shoulder ; in nape of neck.
Gnawing : in external parts.
Constriction : in chest and throat ; suffocative, painful, of chest.
Pressing constrictive heart-beats.
Pressing cramps : in stomach.
Contracting pain : in chest.
Contractive pain : in abdomen, in bladder ; under sternum.
Labor-like pains : in abdomen ; back.
Neuralgic pains : after scarlet fever.
Horrid pain : in hollow tooth.
Throbbing : in forehead, or at bottom of orbits ; in region of neck of bladder ; in every part of body when touched.
Crashing : in head.
Contusive pain : in right testicle.
Prickling : in muscles of upper and lower extremities.
Burning, prickling : in skin.
Burning : in eyes ; of margin of lid ; in right eyebrow ; in stomach ; in urethra ; on urinating.
Pressive pain : in eyes.
Pressing pain : in chest.
Tensive pressure : in arm and shoulder.
Pressure : in forehead ; in temples ; in head ; in precordium and region of liver ; on bladder ; in nape of neck.
Soreness : of mouth and throat ; gums and tongue ; of pit of stomach ; in region of liver ; of œsophagus ; in chest.
Rheumatic pains : in chest.
Aching : in nape of neck.
Creeping : all over skin.
Roughness : in roof of mouth and trachea.
Scraped feeling : in mouth and throat.
Scraping sensation : extending to larynx.
Scratching : in roof of mouth and trachea.
Oppression : in centre of chest ; about heart ; of chest, extending to head and left arm.
Weight : in head.
Heaviness : of head ; in chest.
Uneasiness : in stomach after vomiting.
Dull uneasiness : in various parts of region of heart.
Confusion : of head.
Anxiety : in epigastrium.
Sinking sensation : at stomach, as if he would die ; with palpitation and pain about heart ; at heart.
Emptiness : in stomach before falling asleep.
Weakness : in forearm.
Lassitude : in lower extremities ; in legs and knees.
Discomfort : after eating little.
Dulness : of head.
Paralytic sensation : in thighs ; in scapular region and right hand ; in limbs.
Itching : in head ; of skin ; corrosive, darting, in skin ; gnawing, in skin.
Titillation : in affected parts.

Tissues

Discharged blood coagulates slowly or not at all.
Skin and muscles lax.
Strengthens and regulates action of heart, when it has lost its energy and becomes irregular.
(OBS :) It is a cardiac tonic and useful in delirium tremens, from anemia of brain, or from weakened action of heart ; in hysterical fainting from same causes ; in shock, with collapse.
It is not a diuretic per se, but by increased activity of left ventricle it produces increased fluxion to kidneys and thus diuresis.
Acts profoundly upon muscular substance of heart and arteries through pneumogastric and vasomotor nerves, producing debility of these tissues even to paralysis, causing a depression of circulation, and an intermission of beats of pulse ; it also secondarily produces functional
derangements of brain, kidneys and digestive apparatus ; chief characteristic is its extremely slow, intermittent pulse.
(OBS :) Valvular defects, where, in stage of compensatory disturbance, radial arteries show an abnormally low tension ; but it must only be given till the tension is increased ; normal diuresis then sets in, and dropsy with its concomitants are removed.
Distended veins on eyes, ears, lips and tongue.
Blueness of skin, especially of eyelids, lips, tongue and nails ; cyanosis.
With drunkards congestion of blood to head and heart.
Has a specific venous relation to kidneys, and may act as a palliative in morbus Brightii.
Urine frequent, scanty and black-colored ; lower eyelids puffed, abdomen distended and legs œdematous ; pulse 120, and small ; tongue dirty white ; constant hacking cough with dyspnœa ; œdema pulmonum. θ Scarlatinal
dropsy.
All kinds of dropsies, with difficult micturition, pale face, intermitting pulse, doughy swelling, which easily yields to pressure of finger ; cyanotic symptoms, with fainting, when there are organic affections of heart.
Dropsy of internal and external parts.
Flabby, œdematous swelling all over.
Piercing pains in joints.
Scrofulous glandular enlargements.
Gouty nodosities.

Touch. passive motion. injuries

Touch : skin painful to ; throbbing in body on.
Pressure : region of liver sensitive to ; legs and thighs pit.
On being raised to upright posture : fatal syncope.
Riding : vertigo.
After cut or wound : sluggish escape of dark, thick blood.

Skin

Surface, especially of extremities, cold ; slow pulse.
General paleness of skin.
Yellowness of body, particularly of conjunctivæ.
Stools almost white ; scanty brown urine, frequent and empty retching ; much debility. θ Jaundice.
Cyanosis.
Elastic white swelling of whole body.
Itching of skin.
Corrosive itching darting ; gnawing itching increasing to intolerable burning pricking, alternately increasing and decreasing ; skin painful to touch ; titillation in affected parts.
Creeping all over skin. θ Angina pectoris.
Black pores in skin ; sebaceous follicles ulcerate.
Pimples on back ; rash on hands ; desquamation.

Stage of life, constitution

During climacteric period, sudden flushes of heat, followed by great debility, irregular pulse ; weak action of the heart ; least motion brings on palpitation.
Nervous lymphatic constitutions.
Children with very white complexion, light hair and more or less tendency to scrofula ; post-scarlatinal dropsy.
Girl, æt. 1 1/2 years, scrofulous ; post-scarlatinal dropsy.
Girl, æt. 3, well nourished and healthy, after suffering for 8 days from general malaise ; acute hydrocephalus.
Man, æt. 18 ; frequent nocturnal pollutions.
Young lady, æt. 19, strong, well built ; emansio mensium.
Man, æt. 20, results of excessive coitus and debauchery.
Man, æt. 20, sculptor, small in stature but strong, otherwise well ; asthma.
Mrs. R. R., æt. 26, blonde, good physique, pulmonary tendencies hereditary ; vicarious menstruation.
Mrs. B., young married lady, subject to frequent attacks of palpitation of heart, was exposed to wet and cold, was taken with acute pain in hip-joint, which lasted about twelve hours, and then, as she expressed herself, "went to her head," and for following 6 or 8 weeks was
afflicted with angina pectoris.
Josepha N., æt. 30 ; gastric disturbance.
Woman, æt. 30, lymphatic temperament ; intermittent.
Woman, æt. 41, married twice within 5 years, one child by first marriage, second childless, has hypertrophy of heart and dilatation of right ventricle, with mitral and tricuspid insufficiency ; metrorrhagia.
Woman, æt. 48, unmarried, gouty diathesis, had two attacks of gout, in consequence of which abnormalities in tricuspid areas developed.
Woman, æt. 50, unmarried, sentimental and very excitable, rheumatic tendency ; palpitation of heart.
Man, æt. 60 ; hypertrophy of heart.
John F. C., æt. 65, enfeebled from frequent illness ; diarrhœa.
JT., æt. 65, of intemperate habits, has been confined to house for 3 months, and subjected to much allopathic treatment ; cardiac dropsy.
Woman, æt. 66 ; cyanosis of one month's standing.
Woman, æt. 66, ill 6 weeks ; morbus ceruleus.
Sarah H., æt 66 ; palpitation of heart originating in grief.
Mrs. F., æt. 69 ; heart disease, with extensive congestion to lung.

Relations

Antidoted by : Sweet milk with Fœnum græcum ; vegetable acids, vinegar, infusion of galls, ether, Camphor., Serpentaria . Keep the patient recumbent and give alcohol. Tannin has been recommended, in order to precipitate Digitalin
in the stomach. Effects of small doses may be removed by Nux vom., Opium .
It antidotes : Wine ; Myrica cerifera (the jaundice caused thereby).
Compatible : Bellad., Bryon., Chamom., Cinchon., Lycop., Nux vom., Opium, Phosphor., Pulsat., Sepia, Sulphur, Veratr .
Incompatible ; Cinchon . (increases the anxiety), Spir. nitr. dulc .
Compare : Alkaloids which have similar action, such as Oleandrin, Scilliain, Adonidin, Neriin, Convalamarin, Antiarin, Helleborein. Acon . (anxiety, pulse) ; Ant. tart . (deathly nausea) ; Apocynum
(cardiac dropsy) ; Arsen . (anxiety, weakness) ; Bellad . (throbbing headache, dilated pupils) ; Bryon . (stomach, thirst) ; Camphor .
(coldness) ; Cinchon . (anxiety, respiration) ; Conium (heart intermittent and frequent) ; Ferrum (bladder) ; Kalmia (heart,
rheumatism) ; Laches . (sleep) ; Lobelia, Lycop . (feeble heart) ; Natr. mur . (frequent and intermittent heart) ; Nux vom .
(antidotal) ; Phosphor . (genitals) ; Pulsat . (sadness and depression) ; Spigel . (heart) ; Sulphur (vertigo, eyes) ; Tabac .
(deathly nausea) ; Veratr . (weakness, coldness).

Lectures on Homoeopathic Materia Medica

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

History

This drug as used by the Old School has done more mischief than any one drug in their Materia Medica. Every patient who had a fast heart, or anything the matter with the heart, was given Digitalis.

It has caused more deaths than any drug. If administered when the heart is going fast it will soon produce a peculiar kind of paralysis; the heart then having lost its balance-wheel, compensation gives out, the patient sinks and finally dies.

They do not know that many patients would have lived through fevers, pneumonia and other acute diseases if it had not been for this medicine, used as they have used it in the tincture, in many-drop doses, until the heart was slowed down.

They call it sedative; yes, it is a sedative. It makes the patient very sedate. You have seen how very sedate a patient looks after he has been in the hands of an undertaker and has on his best garments. That is what Digitalis does. In that way it is a sedative in the hands of the allopath. A homoeopathic physician never prescribes to bring down the pulse. He prescribes for the patient and the heart's action takes care of itself.

Digitalis is a very poor fever medicine. Instead of being indicated when the pulse is fast, the proving says it is indicated when the pulse is slow. The allopath gives it when the pulse is fast to make it slow; if given to a well person it will make the pulse slow, and when indicated in a sick person the pulse is slow.

Liver

It produces a great disturbance of the liver.

"Congestion and enlargement of the liver.

Soreness of the liver."

Tenderness about the liver-but during that time the pulse is slow. It makes the bowels very sluggish, produces inactivity of the liver, and stools are bileless, light colored, putty-like-and the pulse is slow.

Add to that jaundice and you have a grand picture of Digitalis: jaundice with slow pulse, with uneasiness in the liver, pale stool, and even if you have never seen or beard of Digitalis before you will scarcely miss it. Now, you might add a myriad of little symptoms, but it does not change the aspect of things. It is Digitalis.

Stomach

Another group of symptoms that belongs with the Digitalis heart, the Digitalis liver and the Digitalis bowels, is a gone, sinking feeling in the stomach. It seems as if be would die, and he does not get better from eating. It is a nervous, deathly sinking that comes with many heart troubles.

You would not be surprised to find in Digitalis much nervous prostration. Restlessness and great nervous weakness.

"Feels as if would fly to pieces.

Anxiety.

Feels that something is going to happen."

Seems as if his whole economy were full of anxious feelings and restlessness. Lassitude, faintness exhaustion and extreme prostration. Faints on the slightest provocation. It begins in the stomach; an awful sensation of weakness in the stomach and bowels.

Sleep

His sleep is full of horrible dreams, nightmare, fright. Dreams of falling, that is very common with cardiac affections. When the pulse is too slow, when it is irregular, the brain is irregularly supplied with blood during sleep, and there is a turbulent state.

A shock goes through the body like an electric shock, like internal jerkings, twitchings. Sudden muscular movements, as if a current of electricity passed through the body. This, with slow pulse, with a sense of faintness, and great weakness. Bluish paleness of the lips in persons who suffer at times with cardiac spells - it seems at times as if the pulse would cease. Face becomes blue, the fingers become blue. Wants to lie on the back. Frequently startled in sleep; jerking at night.

The heart symptoms are numerous, but none is so important as the slow pulse. The pulse is slow in the beginning of the case. It may now be flying like lighting.

Pulse

He is anxious, restless, has horrible dreams and sinking in the stomach - that sounds like the advanced stage of Digitalis - but I want to know if in the beginning, the pulse was slow.

The patient himself seldom knows, but someone says that in the beginning the pulse was 48; that is Digitalis. If the pulse in the beginning was rapid do not think of Digitalis, for it will not do any good.

The Digitalis pulse is at first slow and perhaps remains so for many days, until finally the heart commences to go with a quiver, with an irregular beat, intermits, feels as if it would cease to beat, and then we have all these strange manifestations.

Weakness is the very character of the Digitalis pulse, and all these characteristics go along with it. First it is slow, and sometimes strong. Slow, strong pulse when rheumatism is threatening the heart.

"Violent. but not very rapid pulse.

Sudden violent beating of the heart, with disturbed rhythm."

The slightest motion increases anxiety and palpitation. When the pulse is going very slow, sometimes down to 40, the patient turns the head and the pulse flutters and increases in its action. If he turns over in bed it seems as if the heart would stop. If he moves he feels it fluttering all over him, and it settles back and is slow again; but, finally, it changes and flutters all the time.

Palpitation of the heart originating in grief. Sudden sensation as though the heart stood still. Fluttering of the heart, The least muscular exertion renders the heart's action labored and intermittent in a feeble heart.

Cough

A person with an enlarged liver, with a slow pulse, with jaundice and pale and stool. With that he will have a troublesome cough. Digitalis is not much of a remedy for a cough unless it is a cardiac cough.

Cough at midnight. Cough, with expectoration of "boiled starch." Cough, with expectoration of bloody mucus in hypostatic congestion of the lungs.

Cough, brought on by talking, walking, drinking anything cold, bending the body. These are coughs associated with other troubles.

Respiration

The same thing is to be said of the respiration. There are difficulties of respiration, along with cardiac troubles and liver troubles.

"Respiration irregular and performed with great difficulty.

Constant desire to take a deep breath.

When he goes to sleep the breath seems to fade away, then he wakes up with a gasp. Lachesis, Phosphorus, Carbo veg. and some other remedies have that; remedies that affect the c e rebellum particularly, producing a congestion of the cerebellum.

When a patient goes to sleep the cerebrum says to the cerebellum:

"Now you carry on this breathing a little while, I am getting tired."

But the cerebellum is not equal to the occasion. It is congested, and just as soon as the cerebrum begins to rest the cerebellum goes to sleep, too, and lets the patient suffer; and in that way we get suffocation. The cerebellum presides over respiration during sleep and the cerebrum presides over respiration when the patient is awake. We might learn that from the provings of medicines if we never found it before.

"Fear of suffocation at night."

Now, to analyze that. He knows from experience that every time he drops into a sleep he suffocates, and hence he fears to go to sleep for fear he will suffocate. The fear of suffocation at night is from this origin. It is the same if he falls asleep in the day time.

"Can only breathe in gasps."

Digitalis is a useful medicine when there is a filling up of the lower part of thy lungs. The patient is sitting up in bed, and there is dullness in the lower part of each lung and plenty of resonance in the upper portion. Then it is, if he lies down, he will suffocate. Digitalis likes mostly to lie flat on the back with no pillow, when there is no filling up of the lungs. But when there is hypostatic congestion he suffocates. If early in the case the pulse was slow and it has become fast, Digitalis may be of some benefit.

Urinary organs

Now, a feature in connection with the genito-urinary organs. In old cases of enlarged prostate gland I do not know what I would do without Digitalis. Where there is a constant teasing to pass urines.

In many instances where the catheter has been used for months or years because he is unable to pass urine in a natural way, and where there is a residuary urine in old bachelors and old men, Digitalis is a good remedy.

It diminishes the size of the prostate gland and has many times cured.

"Dropsy with suppression of urine."

In uraemic poisoning and in various phases of Bright's disease of the kidneys we have symptoms indicating Digitalis. Retention of urine; dribbling of urine. Spermatorrhea, Nightly emission. In persons addicted for years to secret vices. Enlarged prostate gland.

It is capable of curing chronic gonorrhoea. It has cured acute gonorrhea. It has cured inflammation of that thin, delicate membrane covering the glans penis. Dropsical swelling of the genitals.

Food

"Loss of appetite and violent thirst."

Most doctors give Sulphur when the patient drinks much and eats little. The nausea of Digitalis is not like that of Ipecac. and Bryonia. It is a singular nausea. The smell of food excites a deathly nausea, a sinking, a goneness, associated with cardiac troubles, with Jaundice and liver troubles.

The nausea is accompanied by a deathly feeling, as if be is sinking away. Sometimes the nausea is relieved by eating, but the sinking remains after eating, showing that it is something besides hunger.

"Persistent nausea.

Extreme sensitiveness, in the pit of the stomach.

Faintness and sinking in the pit of the stomach as if be would die.

No appetite, but great thirst.

Soreness and hardness in the region of the liver.

Sensitiveness to pressure in the region of the liver."

Now remember the liver and the heart symptoms, the jaundice, the slow pulse, the awful sinking in the stomach, the enlargement of the prostate gland, the gray stool, and you have the principal symptoms of Digitalis.

After all that I have said you are not surprised at the horrible anxiety that the Digitalis patient carries with him all the time.

He wants to be alone; sadness, melancholy, despondency and restlessness. He can’t decide upon anything that be ought to do; tremulousness.

The stomach, bowel and liver troubles are just what you see sometimes in a hard drinker after trying to break off. He is prostrated; his heart gives out, is irregular, weak, slow; and he has sadness and melancholy; inability to apply himself. Digitalis will help him straighten out.

The Therapeutics of Fevers

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

Characteristic

Suitable for sudden flushes of heat, fol- lowed by great nervous weakness and irregular, intermitting pulse, occurring at climacteric; < by least motion.

Sensation as if heart would stop beating if she moved

(Cocaine—fears that unless constantly on the move, heart will cease beating, Gels.—See Fer.). Weak heart without valvu- lar complications.

Faintness or sinking at the stomach, feels as if he were dying.

Great weakness of chest, cannot bear to talk (Stan.).

At night frequent waking in a fright, as from a dream, as if he fell from a height or into the water.

Face pale, death-like appearance and bluish-red.

Blueness of skin, eyelids, lips, tongue; cyanosis.

Distended veins on lids, ears, lips and tongue.

Respiration irregular, difficult, deep sighing.

The fingers "go to sleep" frequently and easily.

Dropsy: post-scarlatinal; in Bright's disease; with sup- pression of urine; of internal and external parts; with faint- ing when there are organic affections of the heart (with sore- ness in uterine region, Conv.).

Fatal syncope may occur when being raised to upright position.

Aggravation

Headache by lying down; motion; in a warm room; sitting, especially when sitting erect.

Time

No periodicity. Generally in early morning.

Chill

Commencing in the fingers; palms of the hands, soles of the feet, thence over the whole body. Coldness first of hands and arms (of extremities, Gels.—of arms, Bell., Hell.—in fingers, toes and lips, Bry., Cic.). Great coldness of skin. Great sensitiveness to the cold (Bar. c., Camph.); chilliness and shiver- ing over the whole back; internal chill with external heat; chill and heat in alternation; cold extremities; excessive coldness of the hands and feet, with cold sweat. Chilliness over the whole body with heat and redness of the face

Heat

Without thirst. Sudden flushes of heat followed by weakness of all parts. General violent heat, with swollen veins and rapid pulse. One hand hot, the other cold (Lyc.—one hand is burning hot and pale, the other cold and red, Mosch.). Heat of body, with cold sweat of face. Heat in the head, face and ears, hands, with redness of the cheeks.

Sweat

Immediately after the chill (Bov., Caust.—heat with profuse sweat at same time, Con.). Night-sweat, generally cold and clammy Covered with a copious perspiration, without relief of heart symptoms. Cold sweat on body, warm sweat on palms of hands. Sweat on upper parts of body; on the face.

Tongue

Clean or coated white. Taste: desire for sour drinks and bitter food; bread tastes bitter; want of appetite, or hunger. Constant ptyalism.

Pulse

Third, fifth or seventh beat intermits. Extremely slow and weak when at rest; accelerated, full and hard from every motion. Often characteristic.

Digitalis should not be followed by Cinchona in any form, as according to Hahnemann, Cinchona increases the anxiety caused by Digitalis to deadly anguish.