Dulcamara dulc.

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

MUCOUS MEMBRANES: Bronchi. Bladder. Eyes. BACK: Muscles. LOINS. SKIN. Umbilicus. Lymphatics.

Worse

BEING CHILLED: WHILE HOT. Sudden change of temperature. Uncovering. COLD WET; feet, ground, cellars, beds, etc. Suppressed discharges, sweat, eruptions, etc. Autumn. Night. Rest. Injuries. Mercury. Before storms.

General

Excessive secretion of mucus. Catarrhal-rheumatic-herpetic tendency. Stiff, numb, achy and sore from every exposure to damp cold. Tearing. Paralytic effects. Griping in bowels, testes, etc.

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Particulars

Confusion. Depression. Scolding. Difficult speech. Easily becomes delirious. Occiput feels large. Ringworm of scalp. Aching in nose. Coryza; stuffed; summer colds, with diarrhœa. Nose obstructed by the least fresh air. Nosebleed; replaces menses. Thick, brown-yellow crusts on face. Swelled tongue. Tenacious, soapy saliva. Cutting at navel; then painful, green, slimy stools. Sour, watery stools, < night. Every cold settles in eyes, throat or affects bladder (Pul.), bowels or respiration (Sul.). Frequent urination. Cloudy, slimy or foul urine. Cystitis. Dropsy. Enlarged testes, with griping pains. Watery menses. Cough: caused by tickling in back of throat; in prolonged fits; with much loose, easy expectoration. Eruptions; scaly, thick, crusty, moist, bleeding or herpetic; < before menses. Urticaria. Pruritus. Large, smooth, fleshy, flat warts. Coldness; in occiput; lumbar region; in bowels; icy, of paralyzed part. Chilliness starts from back; not > warmth; < evening. Chill with urging to stool and urinate. Foul sweat.

Related

Complementary: Bar-c. Nat-s. Related: Rhus-t.

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

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

Keynote

Adapted to persons of phlegmatic scrofulous constitutions; restless, irritable. Catarrhal rheumatism or skin affections, brought on or aggravated by exposure to cold, damp, rainy weather, or sudden changes in hot weather (Bry.). Increased secretions of mucous membranes; perspiration being suppressed from cold. Patients living or working in a damp, cold basement, or a milk dairy (Aran., Ars., Nat. s.). Mental confusion; cannot find the right word for anything. Skin is delicate, sensitive to cold, liable to eruptions, especially urticaria; every time patient takes cold or is long exposed to cold. Anasarca; after ague, rheumatism, scarlet fever. Dropsy: after suppressed sweat; suppressed eruptions; exposure to cold. Diarrhoea: from taking cold in damp places, or during damp, foggy weather; change from warm to cold weather (Bry.). Catarrhal ischuria in grown-up children, with milky urine; from wading with bare feet in cold water; involuntary. Rash before the menses (Con. - during profuse menses, Bell., Graph.). Urticaria over whole body, no fever; itching burns after scratching; < in warmth, > in cold. Thick, brown-yellow crusts on scalp, face, forehead, temples, chin; with reddish borders, bleeding when scratched. Warts, fleshy, large, smooth; on face or back of hands and fingers (Thuja.).

Relations

Complementary: to, Baryta carb., Kali s. Incompatible: with, Acet. ac., Bell., Lach., should not be used before or after. Follows well: after, Cal., Bry., Lyc., Rhus, Sep. Similar: to, Mer., in ptyalism, glandular swellings, bronchitis, diarrhoea; susceptibility to weather changes; night pains; to, Kali s. the chemical analogue. For the bad effects or abuse of Mercury.

Aggravation

From cold in general; cold air; cold wet weather; suppressed menstruation, eruptions, sweat.

Amelioration

From moving about (Fer., Rhus).

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

We think of this remedy especially for disease brought on, or particularly aggravated, by exposure to damp, cold weather or air, such as being in a damp, cold cellar, or in a milk dairy, etc.

Sexual

Female: Menstruation too late; too scanty; suppressed; blood pale. Milk decreased.

Skin

Dryness of; blotches on, which may be brought on by the least and every exposure to damp, cold air, which itch exceedingly, and are very troublesome; exanthema like nettle-rash tetters in general; warts.

Generalities

In epistaxis, uterine hæmorrhage, etc. blood is always very pale; affections of left side of abdomen; fetid urine; expectoration bloody; blood pale; disposition to catch cold; paralyzed organs caused by sitting on damp, cold ground; paralysis of the inner parts; digging up or rooting pain; want of perspiration; stinking perspiration.

Worse

In the night; from cold in general; in cold air; in cold, wet weather; from suppressed menstruation; after lying down and rising again; while resting; when sitting; in wet weather.

Better

from moving; from moving the affected part; on rising from bed; after rising from a seat; when walking; from warmth in general; in warm air; in dry weather.

Remedies following

Bellad., Calc. carb., Lycop., Rhus tox., Sepia.

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

Always as a forerunner of the menses, a rash appears on the skin. Nettle-rash with much itching, after scratching it burns, increases in warmth, better in cold. If cold air or water chills him, his tongue gets lame, even the jaws. Dropsical affections after suppression of sweat by damp, cold air. From taking cold, the neck stiff, back painful, loins lame. After disappearance of tetters on face, faceache, violent asthma. All symptoms aggravated by a change to cool wet weather.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Bitter-sweet

General

Hot days and cold nights towards the close of summer are especially favorable to the action of Dulcamara, and is one of the remedies that correspond in their symptoms to the conditions found as effects of damp weather, colds after exposure to wet, especially diarrhœa. It has a specific relation also to the skin, glands, and digestive organs, mucous membranes secreting more profusely while the skin is inactive. The rheumatic troubles induced by damp cold are aggravated by every cold change and somewhat relieved by moving about. Results from sitting on cold, damp ground. Icy coldness. One-sided spasms with speechlessness. Paralysis of single parts. Congestive headache, with neuralgia and dry nose. Patients living or working in damp, cold basements (Nat sulph). Eruptions on hands, arms or face around the menstrual period.

Head

Mental confusion. Occipital pain ascending from nape of neck. Headache relieved by conversation. Rejects things asked for. Back part of head chilly, heavy, aching, during cold weather. Ringworm of scalp. Scaldhead, thick brown crusts, bleeding when scratched. Buzzing in head.

Nose

Dry coryza. Complete stoppage of nose. Stuffs up when there is a cold rain. Thick, yellow mucus, bloody crusts. Profuse coryza. Wants nose kept warm, least cold air stops the nose. Coryza of the new born.

Eyes

Every time he takes cold it settles in eyes. Thick, yellow discharge; granular lids. Hay-fever; profuse, watery discharge, worse in open air.

Ears

Earache, buzzing, stitches, and swelling of parotids. Middle-ear catarrh (Merc dulc; Kal mur).

Face

Tearing in cheek extending to ear, orbit, and jaw, preceded by coldness of parts, and attended by canine hunger. Humid eruption on cheeks and face generally.

Mouth

Saliva tenacious, soapy. Dry, rough tongue, rough scraping in throat, after taking cold in damp weather. Cold-sores on lips. Facial neuralgia; worse, slightest exposure to cold.

Stomach

Vomiting of white, tenacious mucus. Aversion to food. Burning thirst for cold drinks. Heartburn. Nausea accompanies the desire for stool. Chilliness during vomiting.

Abdomen

Colic from cold. Acts prominently on umbilical region. Cutting pain about navel. Swelling of inguinal glands (Merc).

Stool

Green, watery, slimy, bloody, mucus, especially in summer, when the weather suddenly becomes cold; from damp, cold weather and repelled eruptions.

Urine

Must urinate when getting chilled. Strangury, painful micturition. Catarrh of bladder from taking cold. Urine has thick, mucous, purulent sediment. Ischuria from wading with bare feet in cold water.

Female

Suppression of menses from cold or dampness. Before appearance of menses, a rash appears on skin, or sexual excitement. Dysmenorrhœa, with blotches all over; mammæ engorged and sore, delicate, sensitive to cold.

Respiratory

Cough worse cold, wet weather, with free expectoration, tickling in larynx. Cough, hoarse, spasmodic. Whooping-cough, with excessive secretion of mucus. Winter coughs, dry, teasing. Asthma with dyspnœa. Loose, rattling cough; worse wet weather. Must cough a long time to expel phlegm. Cough after physical exertion.

Back

Stiff neck. Pain in small of back, as after long stooping. Stiffness and lameness across neck and shoulders, after getting cold and wet.

Extremities

Paralysis; paralyzed limbs, feet icy cold. Warts on hands. Perspiration on palms of hands. Pain in shin-bones. Rheumatism alternates with diarrhœa. Rheumatic symptoms after acute skin eruptions.

Skin

Adenitis. Pruritus, always worse in cold, wet weather. Herpes zoster, pemphigus. Swelling and indurated glands from cold. Vesicular eruptions. Sensitive bleeding ulcers. Little boils. Red spots, urticaria, brought on by exposure, or sour stomach. Humid eruptions on face, genitals, hands, etc. Warts, large, smooth, on face and palmar surface of hands. Anasarca. Thick, brown-yellow crusts, bleeding when scratched.

Fever

Dry burning heat all over. Chilliness towards evening, mostly in back. Icy coldness, with pains. Dry heat and burning of skin. Chilliness with thirst.

Modalities

Worse, at night; from cold in general, damp, rainy weather. Better, from moving about, external warmth.

Relationship

Antidotes: Camph; Cupr.

Complementary: Baryta carb.

Incompatible: Bellad; Laches.

Compare: Pimpinello--(Bibernell).--Respiratory mucous membrane sensitive to draughts, pain and coldness in occiput and nape. Whole body weak; heavy head and drowsiness; lumbago and stiff neck; pain from nape to shoulder; chilliness. Rhus; Cimicif; Calc; Puls; Bry; Nat sulph.

Dose

Second to thirtieth potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Affections caused by taking cold when the air changes suddenly from dry and warm to wet and cold.

Tongue and jaws become lame, if cold air or water chills them; neck stiff, back painful, loins lame, after taking cold.

Colic as if diarrhœa would occur, from taking cold.

Yellow watery diarrhœa with cutting colic before every stool, or dysentery from taking cold.

Most catarrhal states, with secretion of much mucus, caused by exposure to damp cold.

Dropsical swelling after suppressed sweat, or paralysis and other troubles from suppressed eruptions, after taking cold.

Glands; swell and hypertrophy on repeated exposures to cold, damp air, also acute and chronic tonsilitis.

This remedy, like many others, finds its chief characteristic in its modality. "Complaints caused or aggravated by change of weather from warm to cold." Of course all kinds of inflammatory and rheumatic diseases may spring from such a cause and so Dulcamara comes to be indicated in a long list of them. For instance: After taking cold the neck gets stiff, back painful, and limbs lame, or the throat gets sore and quinsy results, with stiff tongue and jaws; the tongue may even become paralyzed. We see here a resemblance to Baryta carb., and indeed the two remedies complement each other nicely. If we had present in a sore throat the above mentioned stiffness and lameness, Dulcamara would be preferred. This cold in throat may travel downward and invade the bronchi and lungs, and cough and bloody expectoration result. It is especially apt to occur in children or old people this way, and then there is apt to be much mucous secretion, hard to raise, with threatened paralysis of the vagi. Here it again resembles Baryta carb. It also resembles it in the tendency to get these colds. Asthma humidum, loose cough and rattling of mucus is another affection, and the choice here may lie between Dulcamara and Natrum sulphuricum, which is another wet cold weather remedy. Colic and diarrhœa, from cold exposure, are often quickly relieved by Dulcamara, especially if taking place in hot weather, when the days or nights become suddenly cold; also dysentery. Let me repeat that it is a great remedy for back troubles from taking cold. I have made particular mention of these affections because such marked relief has followed its administration; but we need not by any means stop here. The bladder, skin or any other part of the body comes in for the beneficial action of this remedy, when we have present its characteristic modality. Dulcamara is for affections from damp cold, what Aconite is for the same from dry cold.

Modalities

Modalities: < from wet, cold weather after warm, dry; at nights and when at rest; > rising from a seat; motion; warmth in general and dry weather.

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 restlessness and impatience. Inclination to scold without being angry.

Head

Painful stupefaction of the head. Delirium at night with the pain, and during the fever-heat. Vertigo when rising from bed, with darkness before the eyes. Stupefying headache ; heaviness ; of the head. Congestion of blood to the head, with humming in the ears and hardness of hearing. Boring headache, from within to without, in the temples and forehead ; worse before midnight and when lying quiet ; better when talking. Sensation of enlargement of the cerebellum. Digging pain in the forehead, with the sensation as if the brain were enlarged ; worse in the evening till midnight when becoming cold ; better when lying down. Unpleasant sensation of chilliness in the cerebellum and over the back, with the sensation as if the hair were standing on end ; returning every day in the evening. Thick crusts on the scalp, causing the hair to fall off.

Eyes

Twitching of the eyelids in the cold air. Ophthalmia from catching cold. Dim-sightedness ; sees every thing as through gauze (amaurosis). Sparks before the eyes. Sensation as if fire were darting out of the eyes, when walking in the sun or in the room.

Nose

Bleeding of the nose, -the blood is bright-red, very warm,- accompanied with a pressure above the nose. Dry coryza aggravated in cold air.

Face

Pale face, with circumscribed redness of the cheeks. Thick herpetic crusts, brown or yellow, on the face, forehead and chin. Crusta lactea. Humid eruptions ; on the cheeks. Warts ; and eruption in the face. Twitching movement of the lips when the air is cold. Distortion of the mouth ; it is drawn to one side.

Mouth and Throat

Inflammation of the throat after catching cold. Dryness (and roughness) of the tongue, with much thirst and increased flow of saliva. Swelling of the tongue, hindering speech and impeding breathing. Paralysis of tongue (in damp and cold weather). Ptyalism ; the gums are loose and spongy ; saliva tenacious, soap-like. Continual hawking up of very tough saliva, with much rawness in the fauces. Itching, crawling on the tip of the tongue.

Stomach and Abdomen

Strong desire for cold drinks (with dryness of the tongue and increased saliva). Hunger after the fever-heat. Bitter taste. Vomiting of (white) tenacious mucus (morning). Sensation of inflation in the pit of the stomach, with disagreeable sensation of emptiness in the abdomen. Retraction of the pit of the stomach, with burning pain. Cutting pain around the umbilicus. Colic from cold, as if diarrhœa would set in. Dropsy of the abdomen. Swelling of the inguinal glands.

Stool and Anus

Diarrhœa, with colic, after a cold. Diarrhœa, consisting of a green or white mucus. Slimy diarrhœa, with faintness. Chronic, bloody diarrhœa, with biting at the anus, or with vomiting, eructations and thirst. Diarrhœa, with colic, particularly in the summer ; nocturnal, watery evacuations when the weather suddenly becomes cool -with prolapsus recti.

Urinary Organs

Retention of urine ; strangury ; painful micturition. Urine turbid and white. Turbid, fetid urine. Sediment of the urine, mucous. Involuntary discharge of urine, from paralysis of the bladder.

Sexual Organs

Men. Tetters on the genitals. Women. Menstruation too late and of too short duration ; blood watery, thin. Suppressed menstruation, from cold. Rash before menstruation. Herpes on the mammæ in nursing women. Suppression of milk from a cold.

Respiratory Organs

Oppressed breathing, from a cold ; from accumulation of mucus. Hooping-cough, with profuse secretion of mucus in the larynx and trachea ; during each attack easy expectoration of tasteless mucus, which is often streaked with blood. Cough, with expectoration of bright blood. Hoarseness. Violent palpitation of the heart at night.

Back

Lameness of the small of the back, from a cold. While at rest, drawing from the small of the back down the thighs ; when moving, stitches in it ; they are relieved by pressure. Stiffness of the neck, from a cold. Swelling of the glands on the neck.

Extremities

Upper. Paralysis of the arms ; they are icy cold, especially during rest. Herpetic eruptions on the arms and hands. Warts on the hands. Perspiration in the palms of the hands. Lower. Herpetic eruption on the knee. Erysipelas of the feet ; they peel off and itch. Tingling in the feet, as from formication. Burning in the feet.

Sleep

Restless sleep after midnight. Wakens early.

Generalities

One-sided spasms, with speechlessness. Paralysis of different, single parts. Rheumatic pains and other complaints, from a cold. Increased secretion of mucus from the mucous membranes and glands, the activity of the skin being suppressed. Dropsical swelling of the body.

Fever

Pulse small, hard, tense, especially at night. Chill extending from the back (towards evening) ; heat does not relieve it. Chilliness with the pains. Chill, with violent thirst. Dry, burning heat over the whole body. Heat and burning in the back. Heat, with delirium, without thirst. Fetid perspiration, at night and in the morning, over the whole body ; during the day, more on the back, in the armpits and hands. Perspiration suppressed and entirely wanting.

Skin

Swelling and induration of the glands. Redness, dryness, and heat of the skin. Urticaria (eruption of white blotches, with red areola), stinging, itching and burning when rubbed. Vesicular eruptions. Herpes, moist, suppurating ; pale, oozing water when scratched ; red, with a red areola, bleeding when scratched ; small, round, yellowish-brown tetters, they bleed when scratched. Thick crusts all over the body. Red spots, as if caused by flea-bites.

Conditions

The conditions are worse in the evening and when at rest. Aggravation in the cold air, in wet weather. Amelioration from moving about ; after rising from a seat ; when walking in the warm air.

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

Solanum dulcamara. Woody Nightshade. Bitter-sweet. N. O. Solanaceæ. (Not to be confounded with "Deadly Nightshade," Belladonna, nor with "Climbing Bitter-sweet," Celastrus.) Tincture prepared from fresh green stems and leaves, gathered just before flowering.

Clinical

Adenitis. Angina faucium. Aphonia. Bladder, affections of . Blepharophthalmia. Catarrh. Cholera. Crusta lactea. Diarrhœa . Dropsy. Dysentery. Emaciation. Exostoses. Hæmorrhage. Hæmorrhoids. Hay-fever. Headache. Herpes. Influenza. Irritation . Lichen. Lumbago . Measles. Meningitis. Myalgia . Myelitis. Nettle-rash . Neuralgia. Ophthalmia. Paralyses. Pemphigus. Rheumatism . Scarlatina. Scrofula. Stammering. Stiff-neck. Thirst . Tibiæ, pains in. Tongue, affections of . Tonsillitis. Tumours. Typhoid. Urine, difficulty in passing; incontinence of. Warts. Whooping-cough.

Characteristics

The leading indication for the homœopathic use of Dulcamara is found in its modality, " < from cold and damp." Any condition which has this feature may find its remedy in Dulc . Effects of lying on damp ground ( e.g ., paralysis); conditions which are < in cold, damp weather; or, from changes from hot to cold weather, especially if sudden. Phlegmatic, torpid, scrofulous patients, who are restless and irritable and who take cold on damp changes, are especially suited for Dulc . Sensitiveness to cold and damp runs through the Solanaceæ, and is marked in Bell . and Caps ., but it is supreme in Dulc . This feature among others renders them all good antidotes to Mercurius. Baryta carb , is the complement of Dulc . in " < from cold weather, especially in scrofulous children." In poisoning cases Dulc . produces: Hard, griping pains in bowels; unconsciousness; tetanic spasm; trismus; loud, rattling breathing; death. Paralyses are numerous: paralysis of tongue; of lungs; of heart (pneumogastric paralysis). (I once gave Dulc . 30, with complete relief to the pain, in a case of sarcoma of the bones at the base of the skull, in which there were stabbing pains in the front of the head, and partial paralysis of the tongue. It was the latter symptom which determined the choice of the remedy.) Paralysis of the bladder. Rheumatic paralyses. Paralysed part feels icy cold. One-sided spasms. Convulsions beginning in face. Trembling, especially of right arm. It cured: "Paralysis of vocal cords (aphonia) from sleeping over a damp cellar." McLaren cured with a single dose the following case, which was the result of a wetting: Facial paralysis (l.) following neuralgia, the eye having remained unclosed for eight months. Red rash with itching < in damp weather. After a slight aggravation improvement began in two weeks and continued steadily ( Med. Adv ., xviii. 214). Dulc . is a scrofulous remedy and has many scrofulous-looking eruptions: moist or dry, red, tettery eruptions, especially on face; furfuraceous; herpetic; urticaria; skin callous; warts, fleshy or large, smooth. Painless ulcers. ( Dulc . 30 cured in two doses a rash like mosquito-stings appearing every month before the menses, < when warm; compelled to sit where it is cold.) It corresponds to results of repercussed eruptions. Offensive sweat; effects of sudden cooling whilst sweating. Dropsical affections. Catarrhal troubles. Dryness of mucous membranes strongly indicate it. Dulc . causes diarrhœa, and a characteristic form is when there is vomiting with the stool. It causes a mucous-like sediment in the urine and is particularly indicated when a muco-purulent urine is associated with general one-sided sensitiveness, especially of the abdomen. ( Amer. Hom ., xxi. 317), records the cure with six doses of Dulc . 200 of the following case: A prison-warder had difficulty with urine four years; frequent micturition, dribbling a few drops. Stains linen yellow. < Afternoon; in damp cold weather. Some pain over left kidney and left iliac region; > after moving about or in warm weather. Sweats easily and often takes cold, when he suffers from sore-throat. Dislikes sweets.) Pains in many parts, as if from cold. Bruised feeling. Sensations: as of a board pressing against forehead; as if head were enlarged; as if hair stood on end; as if fire were darting out of eyes; as if worms were crawling up and down in abdomen; biting in rectum as from salt; as if lung moved in waves; as if arms were of wood; as of needles over whole body. Crawling, tickling itching of various parts; of tip of tongue. < Lying on back; > lying on side. < Stooping, > erect. < Bending diseased part backward. Most symptoms < at rest and > by motion. Most symptoms are < evening and night. Warmth > most symptoms, but < cough and nettle-rash. < Cold air; cold change of weather; damp weather; getting wet; using water. < From cold drinks; from ice-creams. Skin eruptions are sensitive to touch; pressure > . Small furuncles appear on places hurt by concussion.

Relations

Dulc. antidotes: Cupr. and Merc. Is antidoted by: Camph., Cup., Ip., Kali c., Merc. Follows well: Bry., Calc. c., Lyc., Rhus t., Sep., Verat. Incompatible: Bell., Lach. Complementary: Baryta c. Compare: Acon., Ars., Cham., Helleb., Nit. ac., Puls., Staph., Sul. In faintness during stool, Crot. t., Ver. Effects of cold, moist winds, Ars., Calc., Nux m. (cold, dry winds, Aco., Bry.). Effects of exposure to wet, and > by motion, Rhus. Rheumatic paralysis, Rhus, Caust. Hasty speech and actions, Hep., Bell., Lach., Sul. Paralysis of lungs, Solania.

Causation

Damp with cold. Wading. Washing. Injuries. Checked eruptions. Checked perspiration.

Mind

Mental agitation. ─ Great impatience and restlessness. ─ Impatient desire for different things, which are rejected as soon as they are obtained. ─ Inclination to scold, without being angry. ─ Combative disposition, without anger. ─ Nocturnal delirium, with aggravation of pains.

Head

Vertigo when rising from bed, with darkness before the eyes. ─ Giddiness early in the morning, > on getting up. ─ Giddiness so as to occasion failing, with trembling of the whole body, and general weakness. ─ Giddiness, with heat ascending to the face. ─ Dull pressure, as if a board were resting heavily on the forehead. ─ Pressive stunning pains in different parts of the head. ─ Piercing and burning pain in the forehead, with digging from the inside outwards, with the sensation as if the brain were enlarged; < in evening till midnight and when becoming cold; > when lying down. ─ Bursting pains extending from forehead to bridge of nose. ─ The headache is < by the slightest movement, and even by speaking. ─ Boring headache, from within to without, in the temples and forehead; < before midnight and when lying quiet; > when talking. ─ Sensation of heaviness in the head. ─ Congestion in the head, with buzzing in the ears, and hardness of hearing. ─ Sensation in the occiput as if it were enlarged. ─ Stupefying headache; heaviness of the head. ─ Stupefying ache in occiput ascending from nape of neck. ─ Unpleasant sensation of chilliness in the cerebellum and over the back, with the sensation as if the hair were standing on end; returning everyday in the evening. ─ Thick crusts on the scalp, causing the hair to fall off.

Eyes

Aching in the eyes, esp. when reading. ─ Sensation as if fire were issuing from the eyes when walking in the sun or in the room. ─ Inflammation of the eyes (ophthalmia from catching cold). ─ Itching of the eyelids in the cold air. ─ Ptosis. ─ Eyelids dry. ─ Sparks before the eyes. ─ Confused sight, as from incipient amaurosis, sees everything as through gauze.

Ears

Otalgia, at night, with nausea. ─ Acute pullings, with shootings in the ears.

Nose

Epistaxis of a very hot and bright red blood, with pressive pain above the nose. ─ Coryza; dry; with stoppage of the nose, < in cold air.

Face

Paleness of the face, with circumscribed redness of the cheeks. ─ Eruptions and warts on the face. ─ Thick, brownish or yellowish, scabs on the face, on the forehead, on the temples, and on the chin. ─ Crusta lactea. ─ Moist tetter in the cheeks. ─ Twitching of the lips in the cold air. ─ Paralysis of the lower jaw. ─ Swelling of the sub-maxillary glands. ─ Redness of the face. ─ Distortion of the mouth; it is drawn to one side.

Mouth

Salivation; saliva tenacious, soap-like. ─ Dryness of the tongue and roughness, with much thirst and increased flow of saliva. ─ Tongue loaded with thick mucus. ─ Swelling of the tongue, hindering speech and impeding breathing. ─ Stammering from time to time as if drunk; indistinct articulation, though he tried constantly to speak. ─ Pimples and ulcers in the mouth. ─ Gums loosened and fungous. ─ Paralysis of the tongue, and obstructed speaking, esp. after taking cold. ─ Itching, crawling on the tip of the tongue.

Throat

Sore throat, as if from elongation of the uvula, with pressive pain. ─ Burning heat in the palate. ─ Sore throat, as after a chill. ─ Continual hawking up of very tough saliva, with much rawness in the fauces.

Appetite

Sickly and saponaceous taste in the mouth. ─ Bitterness in the mouth. ─ Burning thirst for cold drinks, generally with dryness of the tongue, joined to a more abundant secretion of saliva. ─ Hunger after the fever-heat. ─ Hunger, with repugnance to all food. ─ Distension of the abdomen and epigastrium after eating moderately. ─ Nausea, with vomiting of viscid phlegm. ─ Vomiting of (white) tenacious mucus (morning).

Stomach

Aching in the stomach, extending to the chest. ─ Cramp-like contraction in the stomach, so as to suspend respiration. ─ Retraction of the epigastrium, with burning pain. ─ Sensation of inflation in the pit of the stomach, with disagreeable sensation of emptiness in the abdomen. ─ Retraction of the pit of the stomach, with burning pain.

Abdomen

Pains in the umbilical region. ─ Shooting, pinchings, and cuttings in the umbilical region, esp. at night. ─ Pinchings, gnawing, and sensation as if a worm were wriggling in the abdomen. ─ Pain in the abdomen as from the effects of cold. ─ Inflammatory congestion and induration of the inguinal glands, with drawing and tensive pains. ─ Swelling of the inguinal glands. ─ Dropsy of the abdomen.

Stool and Anus

Constipation. ─ Difficult, dry, infrequent stool. ─ Diarrhœa, as after a chill, with cuttings, or with vomitings, risings, and thirst. ─ Diarrhœa of greenish (white) or brownish mucus. ─ Slimy diarrhœa, with faintness. ─ Chronic, bloody diarrhœa, with biting at the anus. ─ Sanguineous diarrhœa, with itching in the anus, and prolapsus of the rectum. ─ Nocturnal watery diarrhœa, with colic, particularly in the summer; also when the weather suddenly becomes cool ─ with prolapsus recti.

Urinary Organs

Retention of urine. ─ Scanty and fetid urine. ─ Clear and viscid urine, or troubled, with sediment-like mucus. ─ Red, burning urine. ─ Involuntary discharge of urine, as from paralysis of the bladder. ─ Difficult (painful) urination, water issuing drop by drop. ─ Thickening of the bladder. ─ Discharge of mucus from the urethra. ─ Stricture of the urethra. ─ Turbid and whitish urine.

Male Sexual Organs

Tetters on the genitals.

Female Sexual Organs

Catamenia retarded, and too abundant; blood watery, thin. ─ Tettery eruption of the labia. ─ Miliary eruption before the catamenia. ─ Suppressed menstruation from cold. ─ Tetters on the breast in nursing women. ─ Suppression of milk from a cold.

Respiratory Organs

Oppressed breathing, from a cold; from accumulation of mucus. ─ Catarrh and hoarseness, as from having taken cold. ─ Cough, with hoarseness. ─ Moist cough. ─ Cough, with expectoration of bright red blood. ─ Cough, similar to whooping-cough, excited by taking a deep inspiration, with profuse secretion of mucus in the larynx and trachea; during each attack easy expectoration of tasteless mucus, which is often streaked with blood.

Chest

Great oppression of the chest, esp. when breathing. ─ Dull shooting, as from blows in and upon the sides of the chest. ─ Troublesome undulating pain in the l. side of the chest. ─ (Impending paralysis of lung.)

Heart

Strong palpitation of the heart, at night, perceptible externally.

Neck and Back

Stiffness at the nape of the neck. ─ Stiffness of the neck from a cold. ─ Engorgement and induration of the glands of the nape, and of the neck. ─ Violent pains in the lumbar region, above the hips, digging, shooting, or drawing, chiefly at night during repose. ─ Lameness of the small of the back, from a cold. ─ Shooting pullings in the loins, shoulders, and arms.

Upper Limbs

Paralysis of the arms, with icy coldness (esp. during rest), as from apoplexy. ─ Paralytic pain in the arms, as from a bruise, chiefly during repose. ─ Tettery eruption, and warts, on the hands. ─ Perspiration in the palms of the hands.

Lower Limbs

Tractions and tearings in the legs, esp. in the thighs. ─ Tetters on the knee. ─ Puffing and swelling of the leg as far as the knee. ─ Burning sensation in the feet, and in the toes. ─ Erysipelatous desquamation and itching in the feet. ─ Tingling in the feet, as from formication.

Generalities

Tearing, shooting, or drawing pains in the limbs. ─ Sufferings, as from a chill in various parts. ─ Rheumatic pains and other complaints, from a cold. ─ Aggravation of sufferings, chiefly in the evening or at night, and during repose; > by movement. ─ Pains, with coldness of the body. ─ Immoderate secretion and excretion of mucous membranes and glands, the activity of the skin being suppressed. ─ Swelling and induration of the glands. ─ Emaciation. ─ Dropsical swelling of the whole body, limbs, and face. ─ Rapid swelling of the whole body. ─ Weakness and painful weariness of the whole body. ─ Semilateral convulsions, with loss of speech. ─ Paralytic affections of the limbs (of different single parts). ─ Great lassitude.

Skin

Dryness and heat of the skin. ─ Miliary nettle-rash, with fever. ─ Tetters of different kinds, such as humid, scaly, pale tetters, oozing after having been scratched; reddish tetters, with red areola, bleeding after having been scratched; tetters with red edges, painfully sensitive to the touch, and to cold water; small, round, yellowish-brown tetters, bleeding after having been scratched; dry, furfuraceous tetters. ─ Tettery scabs over the whole body. ─ Tettery eruptions, with swelling of the glands. ─ Warts. ─ Tetters in the joints. ─ Eruption of itching pustules, which pass into suppuration, and become covered with a scab, esp. in the lower limbs and the hinder part of the body. ─ Red spots, as if caused by flea-bites.

Sleep

Great inclination to sleep during the day. ─ Nocturnal sleep, agitated, restless, in consequence of heat and startings in the body, esp. after midnight. ─ Waking very early. ─ Cannot sleep because of impossibility of remaining in a position long enough. ─ Frightful dreams. ─ Visions in the morning on waking.

Fever

In the evening, frequent shiverings and coldness, not even relieved by the heat of the fire. ─ Cold during the pains. ─ At first, febrile shivering, then burning heat with stunning pain in the head, face red, burning heat in the palate, and insatiable thirst for cold drinks. ─ Dry, burning heat over the whole body. ─ Heat and burning in the back. ─ Dry heat and burning sensation in the skin, with delirium and thirst. ─ Heat with delirium without thirst. ─ Fever, with aggravation in the evening. ─ Pulse small, hard, and tight, esp. at night. ─ General sweat, esp. at night. ─ Fetid sweat, with discharge of much urine. ─ Fetid perspiration, at night and in the morning, over the whole body; during the day, more on the back, in the armpits and hands. ─ Perspiration suppressed and entirely wanting.

The Guiding Symptoms of Our Materia Medica

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

Mind

Cannot find the right word.
Mental confusion, cannot concentrate his thoughts.
Delirium at night with the pain, and during fever-heat.
Imbecility more frequent than insanity.
Asks for one thing or another, rejecting it when proffered.
Depressed ; solicitude concerning the future.
Quarrelsome, irritable mood ; easily angered.
Great restlessness and impatience.
Inclination to scold, without being angry.

Sensorium

Momentary vertigo ; vertigo when walking, with darkness before eyes.
On awaking in morning, dizzy, dark before eyes.
Dulness of senses.
Dulness and painful stupefaction of head.
Heaviness of head.

Inner head

Sensation as of a board pressing against the forehead.
Boring, burning in forehead, with digging in brain ; < from motion, even talking ; head heavy ; increased flow of saliva, with dryness of tongue and thirst ; pulse hard and tense ; great weakness and prostration in limbs.
Boring headache from within to without, in the temples and forehead ; < before midnight and when lying quiet.
Pressing, stupefying pain in forehead, with obstruction of nose.
Bursting pains extending from forehead to bridge of nose.
Stupefying ache in occiput, ascending from nape of neck.
Chilliness in cerebellum and over back, returning every evening ; cerebellum as if enlarged ; < in cold, damp weather ; < until 2 P. M. ; > better lying down.
Congestion to head, buzzing in ears, dull hearing ; < from getting feet wet.
Feeling as if head was enlarged.
Continual dull pain in head, chest, and stomach, with great uneasiness, depression of spirits, labored respiration, mental confusion, and inability to concentrate thoughts. θ Chronic
headache.
Catarrhal and rheumatic headaches, < in damp, cold weather.

Outer head

Sensation of chilliness in cerebellum and over back ; feeling as if hair stood on end ; recurs every evening.
Ringworm of scalp ; glands about throat swollen.
Thick crusts on scalp, causing hair to fall out.
Scald-head, thick, brown crusts with reddish borders on forehead, temples, and chin, bleeding when scratched.
Tinea capitis, crusta lactea and dandruff, < by change of weather.

Sight and eyes

Aching in eyes when reading ; sight dim ; scintillations ; < at rest.
Threatened amaurosis in scrofulous children.
Dim sight, sees as through a gauze.
Sparks before eyes.
Sensation as if fire were darting out of eyes, when walking in sun or in room.
Pupils greatly dilated.
Idiopathic iritis after exposure in damp weather ; < at night, also in cold air ; > during motion and from warmth.
Ophthalmia ; scrofulous, from every exposure to cold.
Ophthalmia neonatorum (often accompanied by constipation), with chemosis of conjunctiva.
Scrofulous blepharophthalmia and adenitis ; crusty eruption on margin of eyelids and swelling and induration of cervical glands.
Twitching of eyelids in cold air.
Paralysis of upper lids.
Eruption of yellow vesicles under eyes ; bluish-red cheeks.

Hearing and ears

Buzzing in the ears.
Dull pains, humming in ears, obtuse hearing.
Earache ; nausea ; buzzing ; < at night and when still.
Earache the whole night, preventing sleep.
Stitches in auditory meatus and parotid gland.
Swelling of parotids ; also after measles.

Smell and nose

Nosebleed, hot, clear blood ; pressure above nose ; < after getting wet.
Coryza, dry ; > during motion ; < during rest ; renewed by slightest exposure, and < in cold air.
Severe coryza, skin hot, dry ; limbs cold, stiff, numb and painful ; general offensive sweat ; coryza with children.
Nostrils entirely filled up, preventing breathing through nose, constant sneezing, profuse discharge of water from nose and eyes, < in open air, > in closed room, < on awaking in morning, in evening, eyes sometimes swelled and full, at one time nose most affected, then again
eyes, cannot be near cut grass or newly mown hay, > at sea-side. θ Hay fever.
Stoppage of nose ; discharge suppressed from least contact with cold air.
Nasal catarrh dry, in a dry atmosphere.

Upper face

Complexion pale, watery or milky.
Face pale, with circumscribed red cheeks.
Face bloated ; dropsy.
Facial neuralgia on left side, involving temple, ear, orbit and jaws ; usually seemed to start from malar bone ; paroxysms preceded by the parts becoming very cold, and attended by canine hunger ; < or excited by slightest exposure to cold ; > by external
warmth.
Faceache and asthma, after disappearance of tetters in face.
Humid eruptions on cheeks.
Pimples and little ulcers around mouth, with tearing pains when moving the parts.
Thick brown-yellow crusts on face, forehead, temples and chin ; crusta lactea.
Thick brown herpetic crusts on face, with reddish borders, bleeding when scratched.
Impetigo faciei.
Warts and eruptions on face.
Convulsions beginning in face.

Lower face

Twitchings of lips when in the cold air.
Toothache with salivation.
Teeth feel blunt.
Mouth distorted ; drawn to one side.

Teeth and gums

Toothache from cold, especially with diarrhœa ; confusion in head ; profuse salivation ; teeth feel blunt, or as if asleep.
Scurvy from cold.
Receding, spongy gums ; ptyalism.

Taste, speech, tongue

Bitter taste.
Itching, crawling on tip of tongue.
Mouth and tongue dry ; dry, swollen tongue.
Dryness and roughness of tongue, with much thirst and increased flow of saliva.
Swelling of tongue, hindering speech and impeding breathing.
Inarticulate speech from a swollen tongue, but talks incessantly.
Tongue and jaws become lame, if cold air or water chills him.
Tongue paralyzed from cold.

Inner mouth

Saliva tenacious, soap-like ; gums spongy.
Increased flow of saliva ; rheumatic.
Mouth dry, without thirst.
Stomacace, rheumatic, also after abuse of mercury, with ptyalism and swollen cervical glands.
Mucous membrane of mouth greatly swollen and very red ; throughout its whole extent here and there raw, excoriated and very painful spots denuded of epithelium ; talking, chewing, and swallowing greatly impeded ; teeth thickly coated with tenacious, foul mucus, deeply
imprinting cheeks and edges on tongue ; constant flow of saliva, which as well as the breath, has a fetid, putrefactive odor ; attack preceded by paleness of face, heaviness of eyes, and lassitude of limbs. θ
Stomacace.
Ulceration trivial, but swelling extreme, with spongy, loose gums and swollen tongue ; holds cold water constantly in mouth, as pain and heat is > thereby. θ Cancrum oris.

Palate and throat

Much mucus in fauces.
Continual hawking up of very tough saliva, with much rawness in fauces.
Tonsillitis from every cold change.
Pressure, as if uvula were too long.
Catarrhal angina after catching cold ; hyperemia of soft palate and uvula ; swelling of tonsils ; difficult deglutition.

Appetite, thirst. desires, aversions

Hunger, without appetite. θ Pemphigus.
Hunger, after the fever.
Great thirst for cold drinks.
Unquenchable thirst.
Aversion to food ; shuddering as though he would vomit.

Hiccough, belching, nausea and vomiting

Empty eructations, with shuddering as from disgust.
Frequent eructations while eating.
Nausea, loss of appetite. θ Cholerine.
Nausea, vomiting, disgust for coffee, great thirst.
Nausea accompanies the desire for stool ; general prostration. θ Diarrhœa from cool change of weather.
Great chilliness during vomiting.
Vomiting, early in morning, of tenacious mucus.
Vomiting : of greenish, yellow, slimy substances, together with the liquid drank ; after cold drinks.

Scrobiculum and stomach

Retraction and burning in epigastric region.
Sensation of inflation in pit of stomach, with disagreeable sensation of emptiness in abdomen.
Diaphragmitis, with simultaneous rheumatic affections of spinal cord.
Indigestion with chilliness, < every cool change of weather.

Abdomen and loins

Cutting pain about navel.
Violent pinching in abdomen, as if worms were crawling up and down in it and were gnawing and pinching the parts.
Colic, as if diarrhœa would occur, with rumbling in bowels and pain in small of back.
Colic after a cold ; griping, nausea, followed by diarrhœa.
Colic, such as is usually caused by cold and wet weather.
Dropsy of the abdomen.
Swelling of inguinal glands from a cold.

Stools and rectum

Vomiting and diarrhœa, with great inclination to chilliness during vomiting ; copious mucous, or watery yellowish evacuations, expelled with much force ; faintness when at stool. θ
Influenza.
Desire for stool, in evening, with griping in whole lower abdomen, followed by a large, moist, at last very thin, sour smelling stool, after which relief, but feeling of weakness.
Nightly stools with colic, especially in umbilical region ; loss of appetite, thirst, nausea, vomiting, pale face, languor, restlessness.
Severe cutting in abdomen, < about umbilicus, followed by nausea, cold sweat, watery diarrhœa and occasional vomiting ; at night, stools follow each other in rapid succession, nausea is constant, with eructations and violent thirst ; biting in rectum as from salt ;
evacuations often green, bilious. θ After exposure.
Alternately watery, or slimy, or dark-brown fecal diarrhœa, preceded by cutting in abdomen and followed by burning in anus ; tongue coated, no appetite ; abdomen bloated. θ Diarrhœa
and catarrh of stomach.
Bloody diarrhœa of fifteen months duration, brought on by exposure to cold and dampness ; violent cutting around navel, < at night ; unceasing, unquenchable thirst ; pain and diarrhœa allow no sleep at night ; rectum protrudes ; biting at anus, as from
pepper.
Diarrhœa with great prostration or colicky pains around umbilicus ; < after every change of cold weather.
Drawing and tearing in limbs, stiffness of limbs ; painful stiffness of nape of neck ; pain in small of back ; diarrhœa without much pain ; little urging ; slimy, bloody discharges. θ
Dysentery.
Profuse diarrhœa with severe cutting in abdomen ; evacuations mucous and bloody with tenesmus and pain in back ; chilliness alternating with heat, great thirst.
Patient lies in a constant drowsy condition, cheeks slightly flushed, soft and painless bloating of abdomen, great emaciation of body, aversion to all food ; painless, thin, yellowish, greenish, watery stools, sometimes passing involuntarily, and containing flakes of mucus ;
urine turbid with white sediment ; neither speaks nor eats ; at night, moaning and restless tossing about.
Patient pale, weak, emaciated and without least desire for food ; after eating, morning, and frequently in evening, and particularly in damp weather, watery, slimy, lienteric stool, preceded by pains in abdomen and followed by tenesmus. θ
Chronic diarrhœa.
Thin stools, several afternoons in succession, with flatulence.
Yellow watery diarrhœa twice a day, with tearing cutting colic before each evacuation, as after taking cold.
Slimy diarrhœa with faintness.
Slimy, alternate yellow and greenish diarrhœa.
Slimy, brown, liquid stools. θ Pemphigus.
Intestinal catarrh with mucous stools and tenesmus.
Chronic, bloody diarrhœa, with biting at anus, or with vomiting, eructations and thirst.
Stools : frequent ; scanty ; corrosive ; whitish, watery ; with flocculi ; slimy, mucous, watery, yellow-green ; changeable, white, yellow or green ; watery ; sour smelling ; nausea, with desire to evacuate ; < at night and
in wet weather.
Diarrhœa : from cold, or change from warm to cold, especially cold, damp weather ; in morning, profuse thin stools ; of rheumatic origin ; during dentition ; with colic, particularly in summer ; with prolapsus recti.
Dysentery, from cold, damp weather ; increased flow of saliva ; burning, itching of rectum ; heat of skin ; thirst.
Cholera infantum, relapse from an unusually cold night or caused thereby.
Constipation and painful strangury.

Urinary organs

Dropsy, with pain in region of kidneys, and albumen in urine.
Bright's disease from exposure to cold and dampness.
Constant desire to urinate, felt deep in abdomen. θ Cystitis.
Constant desire to urinate, with an unpleasant sensation of bearing down towards the vesical region and urethra.
Retention of urine ; strangury from cold, or cold drinks.
Urine passed involuntarily. θ Paralysis of bladder.
Catarrh with strangury, followed after six weeks by incontinence of urine ; very impatient, scolding and irritable mood.
Painful pressing about bladder and urethra, discharge of a few drops of urine, with mucous sediment.
Burning in meatus urinarius while urinating.
Urine : scanty, fetid, turbid ; on standing, oily ; containing a tough, jelly-like, white or red mucus mixed with blood ; milky ; fetid or muco-purulent ; reddish, burning.
Emission of urine, drop by drop ; slimy sediment.
Urine offensive, turbid when passed, and excoriating the skin. θ Pemphigus.
Catarrh of the bladder from taking cold in damp weather.

Male sexual organs

Impotence ; herpes on genitals.
Herpes : preputialis, bleeding ; brown, dry, humid or furfuraceous ; painful ; red, pale-red, or with a red areola ; round, scaly and small ; suppurating, yellow.

Female sexual organs

Heat and itching in genitals, with desire for an embrace, < by a cold change in the weather.
Menses too late and too short ; blood watery, thin ; suppressed by cold.
Dysmenorrhœa in those taking cold easily ; has blotches all over, especially in cold, damp weather ; liable to take cold in head.
Rash before menses.
As a forerunner of catamenia, a rash appearing on skin, with extraordinary sexual excitement during rash and catamenia.
Herpetic eruptions on vulva, < by every cold change of weather, or by exposure in cold, damp situations.
Catarrhal ailments in damp, cold weather.
Mamma engorged, hard, sore and painful, with leucorrhœa or amenorrhœa.

Pregnancy. parturition. lactation

Threatened miscarriage induced by exposure in a damp, cold place, as in a spring-house or cellar.
Lochia suppressed by cold or damp.
Mamma swollen, inactive, painless, itching, in consequence of a cold which seems to have settled in them.
Suppression of milk or lochia, from taking cold.
Herpes on mamma ; nursing women.
After weaning, mother has eruptions on the skin ; sore nipples.

Voice and larynx. trachea and bronchia

Rough, hoarse voice. θ Catarrh after measles.
Constant titillation in larynx, with desire to cough.
Trachea full of mucus, tough, greenish expectoration with moderate cough. θ Laryngo tracheitis.
Influenza.
Bronchitis of children, caused by cold, damp air, with offensive smelling night-sweats.

Respiration

Labored respiration.
Asthma, with faceache, after disappearance of tetters in face.
Asthma humidum, dyspnœa, loose rattling cough, copious sputa ; < during wet weather.
Oppression of chest, from mucus.

Cough

Cough dry, hoarse, and rough, or, loose, with copious expectoration of mucus, and dull hearing. θ Catarrhal fever.
Cough from damp, cold atmosphere, or from getting wet ; must cough a long time to expel phlegm, especially infants and old people ; threatened paralysis of vagi.
Spasmodic cough, with profuse secretion of mucus in larynx and trachea.
Barking cough after a deep breath.
Panting cough, like whooping cough, < from each deep inspiration.
Whooping cough ; attacks excited by excessive secretion of mucus in larynx and trachea ; during each attack easy expectoration of tasteless mucus, often streaked with blood.
Chronic mucous cough after measles.
Cough : < lying down, from warmth of room, or deep inspiration ; > in open air.
During cough : stitches in sides ; hoarseness.
Tough, greenish expectoration, with moderate cough ; diarrhœa ; great disposition to catch cold. θ Phthisis.
Easy expectoration of tasteless mucus, often streaked with blood.
Expectoration of bright blood.

Inner chest and lungs

Mucus on chest, must cough long before raising it ; suffocative catarrh.
Bronchitis ; offensive smelling night-sweats.
Catarrhal affections of chest, with or without mucous rales ; cough with either easy or difficult expectoration ; pulse excited.
Tuberculosis in scrofulous subjects ; < in changes from warm to cold ; sputa tough, green ; cough moderate ; stitches here and there in chest ; diarrhœa.
Phthisis mucosa.
Rheumatic pleuritis and pleuro-pneumonia, with tough, difficult, discolored sputa.
Continuous irritable states from rheumatic pleuritis and pleuro-pneumonia, with tough, difficult, discolored expectoration ; simultaneously hyperemia of cord.
Pneumonia notha, when the morbid condition has lasted some time, and has almost developed into a chronic affection, a preponderance of inflammatory symptoms being present.
Hydrothorax, < in wet weather.
Hæmoptysis, bright red ; tickling in larynx ; < at rest ; caused by a cold or protracted loose cough.
Deep cutting pain in left side of chest, close below clavicle, > by pressing on part.
Dull stitch in chest below right clavicle from within outward.
Pain in left chest, as if lung moved in waves.
Dull stitching pain in right side of chest, in region of third rib, especially when pressing on part, when the pain went to small of back and extended between the shoulders ; with stitches in border of left scapula, during inspiration.
Pain in left side of chest in region of fifth and sixth ribs, as if a blunt knife were thrust in.
Lancinating pain from middle of sternum to the dorsal spine, when sitting, goes off when rising.

Heart, pulse and circulation

Palpitation at night.
Pulse : small, hard and tense, especially at night ; soft, full, slow, bounding ; slower than beat of heart ; frequent at night, slow during day, collapsed.
Pulse full, hard, somewhat accelerated. θ Diarrhœa.

Outer chest

Stitching pains here and there in chest.
Small pimples on chest and abdomen.

Neck and back

Neck stiff, back painful, loins lame, after taking cold.
Pain in nape, as if head had been lying in an uncomfortable position.
Swelling of glands on neck.
Adenitis, glands swollen, often very painful and sensitive ; cervical and submaxillary lymphatic glands (with a sub-inflammatory condition), painful every turn of head.
Chilliness with dull pain in region of lower cervical and upper dorsal vertebræ ; difficulty in raising head or turning about in bed ; at night, fever, sleeplessness ; in morning motion of arms greatly impaired, as if they were of wood, numbness and formication in right
hand, cannot close the hand ; pulse 100, hard ; temperature of skin elevated ; tongue dry ; loss of appetite ; urine scanty, dark, offensive, ammoniacal ; stool absent ; spine not sensitive to pressure ; cervical portion of spinal column stiff, any
motion thereof causing disagreeable tension and dull pain deep in, which extends toward both shoulders. θ Myelitis.
Lassitude, pains like those brought on by a cold ; dryness, heat and burning of skin ; restlessness ; delirium at night ; nausea and vomiting of mucus ; sensation of inflation at pit of stomach ; white mucous diarrhœa ; diarrhœa with faintness ;
oppression or tightness of chest ; pinching or deep cutting pain in chest ; constrictive pain as if in muscles of back ; drawing in muscles of thigh ; bloatedness and swelling of leg ; burning in feet ; < at night, from cold, while lying down and from
washing. θ Myelitis.
Spinal meningitis during scarlatina or measles, eruption does not develop.
Myelitis after taking cold during menstruation.
Hyperemia of the spinal cord.
Rheumatic affections of spinal cord.
Dull stitches in both loins, with sensation as of squeezing from within outward, at every inspiration, while sitting bent (after a short walk).
Deeply cutting pain in right loin, transiently disappearing upon pressure.
Drawing pain from small of back down thighs, during rest ; stitches when moving, > by pressure.
Pain in small of back, as after stooping a long time.
Severe rheumatic stitching pressing pains in arms and back, after catching cold while sweating ; pains < at night and while resting ; > from motion ; slight fever, much thirst.
Burning in head, with stupefying headache, red face, dry tongue, burning heat in gums, unquenchable thirst for extremely cold drinks ; anorexia ; urine very red, with painful burning on urination ; sleepless ; skin dry and hot, burning sensation in skin ; severe
rheumatic stitching, drawing in small of back, shoulders, and arms ; after getting wet whilst warm.
Lameness in the small of the back, from a cold.
Cold chilly feeling in small of back.
Sacrum feels cold.

Upper limbs

Paralysis of arms ; they are icy cold, especially during rest.
Paralytic, bruised pain in left arm.
Herpes on arms and hands.
Exostosis on the arm, from suppressed itch.
Warts on hands, on backs of fingers.
Sweat in palms of hands.

Lower limbs

Drawing-tearing pain, or constant pain, at one time sticking, at another pinching, in both thighs, disappearing on walking, then changing to weariness, and immediately returning while sitting.
Drawing from small of back through thighs, during rest, with stitches in parts during motion, which are > by pressure.
Herpetic eruption on knee.
Exostosis on upper part of right tibia, with bluish-red spots ; suppurating lumps.
Intolerable (non-syphilitic) pains in shin-bones, < at night, from rest, obliging him to walk the floor, and in damp weather.
Swelling of calf of leg ; scrofula.
Gout in big toe ; first left, then right.
Tingling and burning in feet.
Erysipelas of feet ; skin peels off ; itching.

Limbs in general

Cold limbs.
Rheumatism after acute eruptions, or when chronic forms alternate with attacks of diarrhœa.
After getting wet, tearing in limbs, particularly in feet ; restless sleep, profuse sweat.
Stitching-drawing and tearing pains in limbs after an acute eruption or after catching cold ; < at night, or during evening, when there is an exacerbation of fever.
Rheumatism after exposure to wet ; parts as if beaten ; severe pains when remaining in one position, subside only when he moves about.
Pains in the joints on exposure to cold.
Sharp shooting pains in left toes and thumb.
Sudden swelling of body and puffiness of limbs, at times painful, or accompanied by a sensation as if going to sleep.
White blotches with red areola on arms and thighs.

Rest. position. motion

Worse lying on back > on side.
Worse when stooping, > when erect.
Worse bending diseased part backwards.
Worse dancing.
At rest : scintillations < ; buzzing in ears < dry coryza < ; tickling in larynx < ; drawing pain from small of back down thighs ; arms icy cold ; intolerable pains in shin bones ; rheumatism <.
Lying quiet : headache < ; cerebellum as if enlarged, > ; cough < ; myelitis <.
Sitting : pain from sternum to spine ; dull stitches in both loins ; drawing tearing pain in thighs.
Rising : pain from sternum to spine >.
Walking : vertigo ; sensation as if fire were darting out of eyes ; after short walk dull stitches in both loins ; drawing tearing pain in thighs disappears ; pain in shin bones forces him to walk ; must get up and walk at night.
Motion : headache < ; iritis > ; dry coryza > ; pimples and ulcers around mouth painful ; cervical and submaxillary lymphatic glands painful ; stitches in back ; pain in back > ; stitches in thighs ; drawing in small of back ; rheumatism >.

Nerves

Great general uneasiness, restlessness.
Weariness, prostration, languor.
Trembling, particularly of right arm. θ Urinary difficulty.
One-sided spasms ; speechlessness.
Convulsions beginning in face.
Paralysis : of different, single parts ; from suppressed eruptions ; from cold ; of upper and lower limbs and tongue ; the paralyzed arm feels icy cold.

Sleep

On falling asleep in evening, starts as in affright.
During sleep, mouth open, snoring.
Uneasy sleep, confused dreams, frequent sweat ; tosses from side to side.
Sleep restless after 12 A. M. ; worst after 3 A. M.
Uneasy sleep after 4 A. M., no matter how he lay.
Sleeplessness.
Fearfully confused dreams ; she has to get up at night and walk about the room ; a sinking sensation all over ; she fancied she would sink through the bed.
On awaking in morning giddy and dizzy ; dark before eyes, trembling and weakness.

Time

Morning : on awaking dizzy, dark before eyes ; hay fever < ; vomiting ; watery, slimy stools ; profuse thin stools ; motion of arms greatly impaired ; offensive sweat.
Day : pulse slow ; sweat on back ; sweat in axillæ ; sweat on palms.
Until 2 P. M. : cerebellum as if enlarged.
Evening : hay fever < ; desire for stool ; watery, slimy stools, preceded by pains in abdomen and followed by tenesmus ; tearing drawing pains in limbs < ; on falling asleep, starts as if in affright ; chilliness over back towards evening ; cold shuddering
up back.
Night : delirium ; idiopathic iritis < ; buzzing in ears < ; earache the whole night ; stools with colic ; stools follow each other in rapid succession ; violent cutting around navel < ; pain prevents sleep ; moaning ; restless tossing
about ; palpitation ; pulse small, hard and tense ; pulse frequent ; fever ; sleeplessness ; myelitis < ; pain in back < ; intolerable pain in shin bones ; stitching drawing pains in limbs < ; must get up and walk about the room ;
sleeplessness ; offensive sweat.
Before midnight : headache <.
After midnight : sleep restless.
After 3 A. M. : sleep very restless.

Temperature and weather

Warmth : idiopathic iritis > ; facial neuralgia > ; cough < ; chill not > ; nettle rash <.
Cannot get warm near hot stove.
Closed room : nostrils stopped up ; constant sneezing < ; profuse discharge of water from nose and eyes <.
Dry air : nasal catarrh dry.
Open air : nostrils stopped up ; constant sneezing ; profuse discharge of water from nose and eyes ; cough > ; chilliness.
Cold : ophthalmia from exposure ; twitching of eyelids ; dry coryza < ; discharge from nose suppressed from least contact with cold air ; facial neuralgia < ; twitching of lips ; toothache ; diarrhœa ; scurvy ; tongue and jaws become lame
from contact ; tongue paralyzed by ; ulceration in mouth > by holding cold water in it ; tonsillitis from cold change of weather ; great thirst for cold drinks ; diarrhœa from cool change of weather ; vomiting after cold drinks ; dysentery < ;
strangury from cold drinks ; pains in joints ; paralysis of different parts from cold ; exposure causes urticaria ; nettle rash > ; herpetic eruptions < by applications of cold water.
Damp weather : watery, slimy stools, preceded by pain in abdomen and followed by tenesmus ; asthma < ; hydrothorax < ; intolerable pain in shin bones.
Change of weather ; tinea capitis, crusta lactea, and dandruff < ; tonsillitis ; diarrhœa from cool change ; indigestion with chilliness < ; diarrhœa and colic < by cold change ; heat and itching on genitals < ; herpetic eruption on vulva < ; cold
change, tuberculosis < ; insensible painless ulcers <.
Getting wet feet : dull hearing < ; pressure above nose < ; cough ; rheumatic pains in small of back getting wet whilst warm ; tearing in limbs ; rheumatism.
Cold, damp weather : cerebellum as if enlarged ; catarrhal and rheumatic headache < ; idiopathic iritis ; bloody diarrhœa brought on by exposure ; dysentery, Bright's disease ; catarrh of bladder ; dysmenorrhœa with blotches all over < ; herpetic
eruptions on vulva < ; catarrhal ailments (female sexual organs) ; threatened miscarriage by exposure ; bronchitis of children ; cough ; fever caused by exposure ; dropsical affections ; retrocession of eruptions from exposure ; insensible painless
ulcers <.

Fever

Chilliness of back, without thirst, in open air, but especially in a draft.
Chilliness, mostly towards evening, over back, nape of neck, occiput, with sensation as if hair stood on end.
Shaking, with a feeling of coldness, or actual coldness over whole body, cannot get warm near hot stove, with shuddering from time to time.
Chill commencing in or spreading from back, not > by warmth ; mostly towards evening.
Chill : with pains ; with violent thirst ; without thirst.
Chilliness alternating with fever, mind dull, face red, skin dry and hot ; nausea with anxiety ; sleeplessness at night ; pulse feels hard, somewhat accelerated ; general prostration. θ
Diarrhœa.
General dry burning heat all over.
Heat : burning in back ; with delirium ; without thirst.
Burning in skin of whole back as if he were sitting by a hot stove, with sweat in face and moderate heat.
Double tertian fever.
Scarlet fever, particularly in scrofulous subjects, pain in limbs, cold shuddering up back in evening, vomiting followed in many cases by sopor ; dry burning heat of skin ; frequently, suppression of urine. As the case progresses, the pains become
particularly severe in head and feet ; eruption assumes a miliary character, although light-red spots can also be detected ; redness of gums and throat, with difficult deglutition ; great swelling of the glands of neck and of those about ears ; at times the inflammation
extends to larynx, causing a croupous cough ; high fever with delirium and thirst ; urine turbid and offensive. Cases where the eruption is scanty and does not develop properly, looking very much like a nettlerash, with slight anginose symptoms, but severe pains in limbs, which
often cause crying and are frequently followed by œdematous swelling of whole body ; extremely tardy desquamation.
Typhoid fever, when patient distinctly remembers having taken cold ; tongue clean, stools yellow, liquid, with rumbling, cutting, digging and griping pain in umbilical region or whole abdomen.
Fevers caused by exposure ; living in damp rooms, sleeping in a damp bed ; during cold, rainy, changeable weather.
Fetid sweat, with skin diseases ; copious limpid urine.
Offensive sweat, night and morning, over whole body ; during day, more over back, in axillæ and palms.
Sweat suppressed and entirely wanting.
Conditions arising from sudden cooling of body whilst sweating.

Attacks, periodicity

Frequent : sweat ; suppression of urine.
Attacks : of whooping cough.
Twice a day : yellow watery diarrhœa.
From time to time : shuddering.
Every evening : chilliness in cerebellum ; feeling as if hair stood on end.
Several afternoons in succession : thin stools, with flatulency.
Six weeks : incontinence of urine.
Fifteen months : bloody diarrhœa.

Locality and direction

Left : facial neuralgia on side ; deep cutting pain in side of chest ; pain in chest as if lung moved in waves ; stitches in border of scapula ; pain in chest as if knife were thrust in ; bruised pain in arm ; sharp shooting pains in toes and
thumb.
Right : dull stitch in chest below clavicle ; dull stitching pain in chest ; numbness and formication in hand ; deeply cutting pain in loin ; exostosis on upper part of tibia ; trembling of arm.
From left to right : gout in big toe.
From within to without : headache ; dull stitch in chest below right clavicle ; dull stitches in loins with sensation of squeezing from within outward.
Rending pains upward. θ Rheumatism.

Sensations

Pains in many parts, as if from cold ; bruised feeling.
Sensation as of a board pressing against forehead ; as if head were enlarged ; as if hair stool on end ; as if fire were darting out of eyes ; teeth as if asleep ; pressure as if uvula were too large ; shuddering as though he would vomit ;
sensation of inflation in pit of stomach ; sensation of emptiness in abdomen ; as if worms were crawling up and down in abdomen ; as if diarrhœa would occur ; biting in rectum as from salt ; as if lung moved in waves ; as if a blunt knife were thrust into
chest ; as if head were lying in an uncomfortable position ; as if arms were of wood ; sensation in loins as of squeezing from within outward ; pain in back as after stooping a long time ; limbs as if beaten ; limbs as if going to sleep ; heat in back as if
he were sitting by hot stove ; as of needles over whole body ; burning itching like crawling of insects.
Pain : in limbs ; in spots in mouth ; in small of back ; in back ; in abdomen ; in region of kidneys ; in chest ; in l. side of chest ; in nape of neck ; in cervical glands ; in shin-bones ; in joints.
Lancinating pain : from middle of sternum to dorsal spine.
Tearing pains : around mouth ; in limbs ; in abdomen ; in thighs.
Cutting pain : about navel ; in abdomen ; in chest ; in right loin.
Shooting pains : in left toes and thumb.
Stitching pain : in right side of chest ; here and there in chest ; in arms and back ; in thighs.
Stitching sensation : over whole body.
Stitches : in auditory meatus ; in sides ; in chest ; in one border of left scapula ; in both loins ; in thighs.
Constrictive pain : in muscles of back.
Pinching : violent, in abdomen ; in chest ; in thighs.
Colic : in umbilical region.
Griping : in abdomen.
Bursting pains : from forehead to bridge of nose.
Drawing pain : from small of back down thighs.
Boring : in forehead ; in temples.
Neuralgia : of face ; temple ; ear ; jaws.
Tensive pain : in cervical and inguinal glands.
Bruised pain : in left arm.
Rooting digging pains : in brain ; in abdomen.
Burning : in forehead ; in epigastric region ; in anus ; in rectum ; in meatus urinarius ; in feet ; in gums ; in back ; in skin of back.
Tingling : in feet.
Pressing pain : in forehead ; about bladder and urethra ; in arms ; in back.
Aching : in eyes ; in ears ; in teeth.
Dull pain : in head ; in chest ; in stomach ; in ears ; in region of liver ; deep in spinal column.
Rheumatic affection : of spinal cord.
Stupefying ache : in occiput from nape of neck.
Stupefaction : painful, of head.
Pressure : above nose.
Bearing down : towards vesical region and urethra.
Rawness : in fauces.
Dryness : of tongue.
Roughness : of tongue.
Drawing : in limbs ; in muscles of thigh.
Heaviness : of head ; of eyes.
Dulness : of senses ; of head.
Heat : dry and burning all over ; in genitals.
Biting : in rectum, as from salt ; in anus.
Sinking sensation ; all through body.
Prostration : of limbs.
Lassitude : of limbs.
Blunt feeling : in teeth.
Stiffness : in limbs ; of nape of neck ; in cervical portion of spinal column.
Lameness : of loins ; in small of back.
Numbness : in limbs ; in right hand.
Oppression : of chest.
Buzzing : in ears.
Formication : of right hand.
Crawling : on tip of tongue.
Titillation : in larynx.
Tickling : in larynx.
Itching : on tip of tongue ; of rectum ; in genitals ; in mamma ; over skin of body.
Chilly feeling : in cerebellum.

Tissues

Hemorrhages ; blood watery, or bright red.
Skin inactive ; mucous surfaces overactive, especially from suppression of eruptions by cold.
Catarrhal troubles, caused by exposure to damp, cold weather.
Acts especially on mucous membranes and muscular tissues, giving rise to catarrhal inflammations, the symptoms like those which result from exposure to damp, rainy weather ; it also acts upon lymphatics and skin, producing glandular enlargements, cellular effusions and
eruptions.
Chronic rheumatism, < from a little exposure to cold, or any change of temperature from warm to cold ; rheumatic pains after acute cutaneous eruptions, or when chronic form alternates with attacks of intestinal catarrh.
Cold swelling of glands, also inflammation and induration of cervical and inguinal glands ; tensive pain.
Induration of cellular tissue.
Dropsical affections after suppression of sweat by damp, cold air, and from taking cold ; the neck stiff, the back painful, the loins lame.
Paralysis of tongue, internal organs, and of limbs.
Anasarca after fever and ague, scarlatina, or rheumatic fever.
Scrofula ; exostoses ; emaciation.

Touch. passive motion. injuries

Touch : eruption sensitive.
Pressure : pain on left side of chest > ; dull stitching in right side of chest < ; dull stitches in loins > ; stitches in back > ; drawing in small of back > ; stitches in thighs and small of back >.
Small furuncles on places hurt by concussion.

Skin

Skin hot and dry.
Sticking itching in various parts of body.
Sticking sensation as of needles, over whole surface of body. θ Urticaria.
Burning itching, like the rapid crawling of insects.
Skin delicate and sensitive to cold ; has urticaria or some other eruption every time she takes cold, or is long exposed to cold.
Vesicular eruption, large as a pea, containing yellow, translucent fluid, and on a red, inflamed base, covering whole body, except face. θ Pemphigus.
Vesicular eruption on face and extremities, oozing a watery fluid.
Tetter, oozing a watery fluid, bleeds after scratching.
Eruption of itching pustules, ceasing to itch after scabbing over ; sensitive to touch ; < from washing.
Bright red acuminated pimples, filling with pus.
Small furuncles on places formerly injured by concussion.
Red spots, as from flea-bites.
Nettle-rash over whole body, without fever.
Nettle-rash ; with much itching ; after scratching in burns ; < in warmth, > in cold ; with gastric fever.
Eczema scrofulosum ; tettery crusts over whole body ; glandular enlargements ; exudating vesicles on face and extremities ; eruption of itching vesicles, which pass into suppuration, and become covered with a crust, especially on lower limbs and posterior
surface of body.
Impetiginous eczema of scrofulous children.
Thick brown herpes, red border ; glands swollen.
Thick crusts all over body.
Round, scaly and small herpes ; suppurating yellow herpes.
Herpetic eruptions associated with fetid perspiration ; skin affection < by application of cold water.
Herpes preputialis, easily bleeding, brown, dry, humid or furfuraceous, red, pale-red or with a red areola.
Lichen (mehlflechte) on knee, old, obstinate, size of a dollar.
Retrocession of eruptions, from exposure to damp, cold air.
Suppressed itch.
Skin callous.
Warts, fleshy, or large, smooth ; on dorsa of hands and on face.
Insensible, painless ulcers, hard, sensitive ; < at night, from wet or cold and when weather changes.
Painful ulcers ; discharge scanty.
Swelling and induration of glands.

Stage of life, constitution

Phlegmatic, torpid, scrofulous patients, who are restless and irritable ; take cold in cold damp changes.
Dark hair : skin delicate, sensitive to cold ; liable to eruptions from being exposed to cold.
Child, æt. 13 mos., no teeth, old-looking face, great emaciation ; pemphigus.
Boy, æt. 13 mos., delicate, weak ; pemphigus.
Girl, æt. 5 ; diarrhœa and catarrh of stomach.
Boy, æt. 12 ; weak, pale, ill-nourished, poorly developed, with constant tendency to diarrhœa ; severe diarrhœa.
Girl, æt. 16, not yet menstruated ; strangury followed by incontinence of urine.
Wm. Baker, æt. about 18 ; hay fever.
Girl, æt. 20, choleric temperament, sparely built, but strong ; diarrhœa after cold.
Man, æt. 24 ; urticaria.
Man, æt. 27, headache for two years.
Woman, frail constitution ; diarrhœa.
Woman, cook, slender build, after exposure of heated body to cold ; cholerine with urticaria.
Shepherd, who had been in habit of watching flocks by night ; bloody diarrhœa.
Man, æt. 30, choleric temperament, energetic, strong ; diarrhœa for 3 1/2 years.
Woman, æt. 35 ; another, æt. 63 ; muscular rheumatism.
Unmarried woman, æt. 36 ; for six days, severe diarrhœa.
Healthy woman, æt. 40, during a damp, rainy day, sudden loss of consciousness, from which she recovered with a severe headache ; headache.
Woman, æt. 40, choleric temperament, strong, after catching cold from washing during a cold day ; diarrhœa.
Man, æt. 60, after catching cold ; urinary difficulties.
Man, æt. 72, gouty, with tendency to marasmus after catching cold ; myelitis.

Relations

It antidotes : Cuprum, Mercur .
Antidoted by : Camphor. Cuprum, Ipec., Kali carb., Mercur .
Compatible after : Bryon, Calc. ostr., Lycop., Rhus tox., Sepia, Veratr .
Incompatible : Bellad., Laches .
Complementary : Baryta carb .
Compare : Acon., Act rac., Arsen., Bellad., Bryon., Calc. ostr., Cham., Cuprum, Helleb., Ipec., Kali carb., Lycop., Mercur., Nitr. ac., Pulsat., Rhus tox., Sepia, Staphis., Stannum, Sulphur and Veratr .

Lectures on Homoeopathic Materia Medica

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

Lecture

This medicine seems especially to affect the mucous membranes. It appears to have a tendency to establish or ultimate discharges, both acute and chronic.

Modalities

The Dulcamara patient is disturbed by every change in the weather, from warm to cold, from dry to moist, and from suddenly cooling the body while perspiring. He is ameliorated in dry, even weather; cold and damp aggravate all the conditions. He is worse evening and night and during rest.

Diarrhea

Dulcamara produces catarrh of the stomach, intestines, nose, eyes, cars, and inflammatory conditions of the skin with eruptions. If you go through any of these in detail, you will be astonished to find how disturbed is the constitutional state of this patient by weather changes.

It is a medicine wonderfully useful in diarrhoea, at the close of the summer, hot days and cold nights, with changeable stool; diarrhoea of infants. There seems to be no digestion; yellow, slimy stool; yellow-green stool, with undigested stool; frequent stool, blood in the stool and quite a mass of slime, showing a marked catarrhal state.

This gets better and worse; this gets better under ordinary remedies; it will often get better from Pulsatilla, because Pulsatilla symptoms seem to predominate, and sometimes it is relieved by Arnica; but every time the child takes cold, it comes back again, and soon the physician will realize that he has not struck the remedy belonging to all the symptoms. It is very often an annoying condition, because the symptoms are not recognized until two or three attacks have come. It is not easy to discover that the attacks come on from cold.

There are people in a certain kind of business that really constitute a Dulcamara state. Suppose we look at our ice-cream men and our ice handlers and cold storage men; in a cold room they are handling ice; the summer weather is hot, they must go out and take some of the heat, and then they go back into their cold rooms and handle the ice. I have seen these things and have had occasion to follow them out. These men are subject at times to bowel troubles, and other catarrhal affections, but generally to diarrheic affections.

Their business cannot stop because it is their means of living. Dulcamara cures such chronic diarrheas when the symptoms agree. Arsenicum is a medicine that would be suitable for such patients if the symptoms agreed, but the symptoms at times agree with Dulcamara, for that is the nature of the remedy, to take cold from cold, damp place flora suppressing a sweat, from going out of a hot atmosphere into an ice house, into icy rooms; into cold rooms; in this climate such complaints as come on from overexertion, overheating, and then throwing off the clothing and becoming chilled, suppressing the sweat; fevers may come on, aching in the bones, trembling with the aching, trembling in the muscles, and as the fever goes on, he is in a distressed state, cannot remember, forgets what he was about to speak of, forgets the word that would naturally express his idea, and he enters into a dazed state, a state of confusion.

It suits these colds that have this sluggish circulation of the brain, with trembling and chilliness, coldness as if in the bones.

Babies

Every year women bring their babies back from the mountains, at the end of the season, and then we get some Dulcamara cases. One needs to be in the mountains at the close of the summer season to know what the condition is.

If you go into the mountains at such a time, either in the North or West, you will notice that the sun's rays beat down during the day with great force, but along towards sunset if you walk out a draft of cold air comes down that will chill you to the bone.

This will make the baby sick; it is too warm to take the child out in the middle of the day, and so he is taken out in his carriage in the evening; he has been overheated in the house during the day, and then catches this draft in the evening.

Dulcamara is suitable for conditions that would arise from just such a state. So with an adult who has been out in the beat of the sun and catches the cold draft by night, which means hot days and cold nights, such as occur in the fall of the year, at the close of the summer and coming in of the winter; this intermingling of hot air and cold drafts.

You go up towards the foot of the hills after a hot day, you will walk through a stratum of air that will make you perspire and the next minute a cold air that will make you want your overcoat on, and then again a stratum of hot air and so on.

Such a state will bring out a sweat and then suppress it. The symptoms that come from Dulcamara seem to be like symptoms that arise from just such causes. And we are free, then, to infer from such an experience that Dulcamara cures these cases.

I have been puzzled in times past over these babies that have been brought home from the mountains, and have prescribed upon the visible symptoms, until I thought about the matter carefully and figured it out that they had come from these hot and cold regions.

Babies have to be hurried home at times, because of the diarrheas that cannot be cured in the mountains, but a dose of Dulcamara will enable them to stay there and live right in that same climate. Chronic recurrent dysentery from cold. If they have a dose of Dulcamara it fortifies them against the continual taking of cold.

Rheumatism

Dulcamara is full of rheumatism, full of rheumatic pains and aches, sore and bruised all over, the joints are inflamed, become red, sensitive to touch and are swollen. It is suitable, in cases of inflammatory rheumatism, due to suppressed perspiration, induced by changing from a high to low temperature, or from cold wet weather. Worse evening and night and during rest.

Now, it has many chronic complaints. A catarrhal condition of the eyes, purulent discharges, thick, yellow discharges, granular lids; eyes become red every time he takes cold;

"every time he takes cold it settles in the eyes," is a common expression of the patient. The patient will often ask the question,

"Why is it, doctor, that every time I take cold it settles in my eyes? If I get into a cold atmosphere, or take off my coat after being heated, I have to look out."

If it becomes cold in the night and he has thrown the clothes off, he takes cold, or, if a cold rain comes on, he takes cold and then has sore eyes.

Such eyes are very often effectually cured by Dulcamara. As to the eye itself, it is only an ordinary catarrhal state, but the manner in which it comes on is the important thing. That is the nature of the patient to have sore eyes whenever he takes cold; it belongs to some other remedies as well, but this one particularly.

Nose

Dulcamara has also catarrhal discharges from the nose, with bloody crusts; blowing out thick, yellow mucus all the time.

In infants and children who have sniffles, they are always worse in cold, damp weather. When the patient says:

"Doctor, in cold, damp weather I cannot breathe through my nose; my nose stuffs up;" or,

"I must sleep with my mouth open."

Dulcamara is a very useful remedy to know in catarrhal cases that always stuff up when there is a cold rain.

It is markedly an autumnal remedy. The Dulcamara patients go through the summer very comfortably; their catarrhal conditions to a great extent pass away; the warm days and warm nights, because of the even temperature seem to agree with them, but as soon as the cold nights come on and the cold rains come, all their difficulties return; there is an increase of the rheumatism and of the catarrhal discharges.

This medicine has been used a long time by our mothers. They used to make ointments out of Dulcamara. You will find that the old lady, in almost any rural district in which Dulcamara grows, gather it and make it into a salve for ulcers. Well, it is astonishing how soothing it is when applied externally to smarting wounds, whether in solution or salve or any other way. But it is a better medicine, of course, when indicated by symptoms of the constitutional state; it is a better medicine if used internally.

Ulcers

It produces ulcers and a tendency to ulceration of the mucous membranes and this condition will become phagedenic. Sometimes it starts as nothing more than an herpetic eruption, but it spreads and finally yellow pus forms and then the granulations that should come, do not come; an eating condition appears and the surface does not heal.

Especially along the shin bone there will be raw places, which even extend to the periosteum, to the bone, producing necrosis and caries; so we have affections of the mucous membranes or skin, first becoming vesiculated and then breaking open and eating.

It is especially related to very sensitive, bleeding ulcers with false granulations, phagedenic ulcers. This is not generally known; it is a matter of experience with those that have watched this medicine; and again, strange to say, Arsenicum, which I have already mentioned once or twice, has this state. Arsenicum leads all other medicines for ulcers that eat, phagedenic ulcers. Arsenicum is a typical remedy for spreading sores, for spreading ulcers, and especially those that come from a bubo that has opened and will not heal.

Skin

Another feature of this medicine is its tendency to throw out eruptions over the body. It is a wonderfully eruptive medicine, producing vesicles, crusts, dry, brown crusts, humid crusts, herpes. Dulcamara produces eruptions so nearly like impetigo that it has been found a useful remedy in that condition. i.e., multiple little boil-like eruptions; it produces little boils, and the boils spread.

Enlargement and hard ness of the glands. Eruptions upon the scalp that look so much like crusta lactea that Dulcamara has been found a very useful medicine. Extreme soreness, itching, and the itching is not I relieved by scratching, and the scratching goes on, until bleeding - and rawness take place.

Eruptions that come out upon the face, upon the forehead, all over the nose, but especially on the cheeks, which become completely covered with these crusts; eczema of infants. Children only a few weeks old break out with these scalp eruptions, and Dulcamara is one of the medicines that you will need to know.

It is about as frequently indicated as any of the medicines. Sepia, Arsenicum, Graphites, Dul camara, Petroleum, Sulphur and Calcarea are about equally indicated, but of these, in this climate at least, I think Sepia is probably more frequently indicated.

All of these catarrhal symptoms, the rheumatic symptoms, the eruptions upon the skin, are subject to the peculiar aggravations of the constitutional state. No matter what the symptoms are, the constitutional state is worse in cold, damp weather.

"Catarrhal and rheumatic headaches in cold, damp weather."

Headache

When the headache is the main trouble, the catarrh takes a different course from what it does when the catarrh is the principal ailment. There are two ways in which that conducts itself. In some Dulcamara patients, whenever he takes cold from the cold, damp weather, he commences to sneeze, and to get a coryza, and soon comes a copious, thick, yellow flow from the nose.

On the other hand, Dulcamara has a dry catarrh in its first stage, and a fluid catarrh only in the second stage.

One who is subject to Dulcamara headaches, has the dry catarrh; whenever he takes cold instead of the usual catarrhal flow with it, he at first sneezes and then feels a dryness in the air passages, a slacking up of the usual discharge, which would give him relief, and then he knows that he must look out, for along will come the neuralgic pains, pains in the occiput, and finally over the whole head. Congestive headaches, with neuralgic pains and dry nose.

Every spell of cold, damp weather will bring on that headache. The catarrh is not always acute enough for him to pay attention to it. He does not say very much about it. The Dulcamara headache is very severe, is accompanied by tremendous pains, and he may go to the doctor with the idea of getting rid of the headache, but it is a catarrhal state that is suppressed, that has slackened up, and the nose becomes dry.

As soon as the flow starts up his headache is relieved. Then headache of this catarrhal kind that comes on from every cold, damp spell, or from getting overheated, from getting into a cold draft after being overheated, or get ting overheated with too much clothing, and then throwing the coat off, will also belong to the Dulcamara state.

A form of eruption that is very likely to be a Dulcamara eruption is the ringworm, herpes circinatus. It comes sometimes upon the face and scalp. Children sometimes have ringworms in the hair. Dulcamara will nearly always cure these ringworms in the hair.

Ear

The Dulcamara child is very susceptible to earache.

"Coryza dry, relieved by motion, worse during rest, and renewed by the slightest exposure, and worse in cold air."

Some coryzas cannot tolerate the warm room, and others want a warm room. The Dulcamara coryza is worse going out in the open air and better from motion. The Nux vomica coryza is better in the open air. The patient feels much aching distress in the nose. The Nux vomica patient ordinarily wants warmth and warm air and a warm room, but with the coryza he is the very opposite; he wants motion in the open air, he looks for cool air, for it relieves the distressing sensation.

In the warm room there is a tickling sensation in the nose, and the nose will drip, night and day. The Nux vomica coryza is worse in the house, and worse in the night, and worse in the warm bed, so that the discharge will run all over the pillow.

In Dulcamara it is more fluent in the house, in the warmth, and less fluent in the cold air in a cold room. With the Dulcamara coryza, if the patient should go into a cold room pain will commence in the nasal bones and he will begin to sneeze, and water will be discharged from the nose. That very state would relieve a Nux vomica patient. Allium cepa is made worse in a warm room; like Nux vomica, is better in cold, open air. Commences to sneeze as soon as he gets into a warm room. So that we see the meaning of such things, the necessity of going into particulars and examining every case.

Here is a state that you will often find in the fall of the year, somewhere about August 20 th. They sometimes call it hay fever. Every year as the nights become cold, and there is cold, damp weather and fall rains, he has a stuffing up of the nose with constant sneezing and wants the nose kept warm.

I have known these cases at times to sit in a warm room with cloths, wrung out of hot water, over the face and nose to relieve the distress, the catarrhal state of the eyes and the stuffing up of the nose. Heat relieves the stuffing up of the nose.

These patients can sometimes breathe with these hot cloths over the nose, but if they go out into the night air, or a cold place, and especially if there is a damp, fall rain, they suffer much. Other cases of hay fever suffer during the day, and they go to as cold a place as they can find, and are even driven to the mountains for a cool place.

These things are indicative of a state of the constitution; the state gives out signs and symptoms to lead the intelligent physician to cure. If that state had no means of making itself known by signs and symptoms, there could be no curing it by remedies.

"Profuse discharge of water from the nose and eyes, worse in the open air," "better in a closed room, on awakening in the morning, " etc.

The Dulcamara patient is so sensitive to newly mown grass and drying weeds, that he is obliged to absent himself from the country where they are found.

Hay-fever

For hay fever we have especially to look up such remedies as have complaints worse in the fall of the year. There are other conditions that are just as much hay fever, for instance, "rose cold" that comes on in June.

There are other conditions that come on in the spring, sometimes cured by Naja and Lachesis . So that we have to observe the time of the year, the time of the day, night or day aggravations; the wet and the dry remedies, the hot and the cold remedies. We have to study the remedy by circumstances.

The Dulcamara patient often becomes a sickly patient, with threatening of the catarrhal discharges to centre in the bronchial tubes, i.e., in the mucous membrane of the breathing apparatus. Many adults die of acute phthisis that might have been cured by Dulcamara, and you will find very commonly among this class of patients those that are worse from every cold, damp spell of weather. Such enter right into the Dulcamara sphere. They are better by going South where there is a continuously warm climate. The Dulcamara patient is a sickly patient, threatened with acute phthisis; pallid face, sickly yellow and sallow. This shows that it goes deeply into the life, creating such disorders as are found in very sick patients, i. c., those chronically sick, in persons whose vital economy is so much disordered that it cannot keep the body in repair.

Throat

The throat comes in for its share of trouble. Persons who in every cold damp spell have a sore throat, from getting overheated, throwing off the wraps, getting into a cold place. The Dulcamara patient says:

"Well now, I know I am fixed; I am now chilled; I begin to feel hoarseness in my throat."

On comes the sore throat; it fills with mucus, with yellow slime; the tonsils become inflamed; even quinsy comes on.

Or it may affect the throat uniformly; it may become red and inflamed and dry at times, and at other times filled with mucus, and at night the throat fills with thick, yellow, tough mucus, which is hawked up in great quantities. These colds that settle first in the nose and throat, post-nasal catarrh, of the very worst sort, gradually creep on until the whole respiratory apparatus is in a state of catarrhal Inflammation.

Every cold that be taker aggravates his catarrh wherever that may be. If it be in the nose, then the nose is aggravated; if in the chest, then those parts are aggravated. A continual rousing up. Every experienced physician must have met with many cases where for a time he felt unable to cope with the case because of his inability to reach the constitutional state that underlies this continual taking cold.

So he puzzles, for a long time, and prescribes on the immediate attack and palliates it. For instance, the immediate attack might look like Belladonna or Bryonia, Ferrum phos. or Arsenicum , etc.: he treats that attack without taking into consideration the underlying constitutional state of the patient It is quite a profitable business for one who has not much conscience and not much intelligence.

But a conscientious physician feels worried and knows he is not doing what he ought to do by his patient, unless he reaches out for the remedy which touches the constitution. It is far more useful to keep people from taking colds than to cure colds.

Bright's disease

There is a form of acute Bright's disease that Dulcamara cures. You can probably now surmise from what we have said of the nature of the remedy, that in cases of Bright's disease following scarlet fever, or from malaria, or in any acute disease that has ended badly, i. c., the patient has been exposed to the cold too soon, and has taken "cold," or from sudden change of weather, damp and cold, the feet commence to swell, there is albumin in the urine, the limbs are waxy, the face becomes waxy and sallow, and there is constant urging to urinate. Dulcamara, with other constitutional symptoms, will be suitable.

In bladder catarrh, where there is a copious discharge of mucus, or muco-pus in the urine; when the urine stands, a thick, purulent sediment, yellowish-white, and a constant urging to urinate; every time he takes a little cold, the urine becomes bloody, the frequency of urination is increased, the urine becomes irritating, the catarrh of the bladder rouses up like a flame, all the symptoms are worse in cold, damp weather, and from getting chilled; better from becoming warm. So you see whether it is a catarrh of the kidney or a catarrhal state of the bladder, or an attack of dysentery, or an attack of sudden diarrhea, every cold spell of the weather brings on an increase of the trouble.

There is another Dulcamara symptom which will often be expressed suddenly in the midst of a lot of other symptoms. After you have been hunting for a long time, the patient will say:

"Doctor, if I get chilled, I must hurry to urinate; if I get into a cold place, I have to go to stool, or to urinate."

So we see that the symptoms come on when the patient is cold, and are better when he is warm. Any catarrhal trouble of the bladder that is better in the summer and worse in the winter.

In dry, teasing coughs that are winter "colds," that go away in the summer and return in the winter. Psorinum has a dry, teasing, winter cough. Arsenicum has a winter cough.

"Rash comes out upon the face before the menses."

"As a forerunner of catamenia, with extraordinary sexual excitement, herpetic eruptions."

Its "cold" sores are very troublesome.

The patients are subject to these "cold" sores upon the lips and upon the genitals.

Every time he takes "cold," herpes labialis, herpes preputialis.

"Catarrhal ailments in cold, damp weather."

"Mammae engorged, hard, sore and painful."

"Mammary glands swollen, inactive, painless, itching, in consequence of a 'cold' which seems to have settled in them."

"Cough, from damp, cold, atmosphere, or from getting wet."

"Cough, dry, hoarse and rough, or loose, with copious expectoration of mucus and dull hearing; catarrhal ~fever."

The cough is worse lying and in a warm room and better in the open air.

Rheumatic lameness and stiffness in the back from taking cold better by motion. Drawing pain in the lumber region extending to the lower limbs during rest. Stiff neck from every exposure to cold.

Stitching, tearing, rheumatic pains in limbs after exposure to cold, better by motion, worse at night or in the evening, with some fever. Sore, bruised feeling all over the body.

Warts on hands, fingers and face.

The Therapeutics of Fevers

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

Characteristic

Adapted to persons of phlegmatic, scrofu-lous constitutions; restless, irritable; subject to catarrhal, rheumatic or skin affections, brought on or aggravated by cold, damp, rainy weather, or sudden changes in hot weather (Bry.).

The skin is delicate, sensitive to cold, liable to eruptinos, especially urticaria, every time patient takes cold, or is long exposed to the cold.

Anasarca; after ague, rheumatism, scarlatina, measles.

Dropsy after suppressed sweat, or suppressed skin diseases, from cold air or damp dwellings; working in a milk dairy (Aran., Ars., Nat. s.).

Diarrhœa from taking cold, in damp places or damp weather.

Catarrhal ischuria in grown up children, with milky urine; from wading with bare feet in cold water.

Rash before the menses (Con.—during profuse menses, Bell., Graph.).

Urticaria over whole body, no fever; itching, burns after scratching; $<$ in warmth, $>$ in cold.

Warts, fleshy, large, smooth; on face or back of hands and fingers.

Cannot find the right word for anything. Mental confusion.

Relations

Complementary: to Baryta carb., Kali s.

Aggravation

Evening; during rest; cold, damp weather; suppressed menses, eruptions, sweat.

Amelioration

From moving about (Fer.); warm, dry air.

Type

Double quotidian; tertian; double tertian; double quartan. Continued; typhoid.

Time

Irregular hours.

Cause

Fevers occurring during cold, damp, rainy weather; worse when weather suddenly becomes colder; caused by exposure; living in damp rooms, sleeping in a damp bed.

Chill

With violent thirst. Commencing in or spreading from the back; not relieved by warmth (relieved by hot applications, Caps.); shaking, with a feeling of coldness, or actual coldness over the whole body, so that he could not get warm near the hot stove, with shuddering from time to time. Chilliness of the back, without thirst, in the open air, but especially in a draught (Canth.). Chilliness mostly toward evening, over the back, nape of the neck, occiput, with a feeling as if the hair stood on end (Bar.). With nausea and frequent or involuntary urine.

Heat

General, dry, burning heat all over. Dry heat over whole body; heat and burning in the back. Burning in the skin of the whole back as if he were sitting by a hot stove, with sweat in the face and moderate heat.

Sweat

Offensive sweat, night and morning, over the whole body; during the day more over back, in axillæ, and palms of hands. Badly smelling sweat, with profuse discharge of transparent urine. Often wanting.

Tongue

Dry; swollen, as if paralyzed with cold. Bitter taste. Ptyalism; the gums are loose and spongy; saliva tenacious, soap-like. Great desire for cold drinks.

Analysis

Like Aranea, the fevers to which Dulcamara is adapted, are rare. They are caused by rheumatic exposure, living in damp rooms, sleeping in a damp bed; during cold, rainy, changeable weather; but the fever of Aranea comes on with great regularity, while that of Dulcamara has no reference to time. Compare Crocus and Staphysagria.

Typhoid fever, when patient distinctly remembers having taken cold; tongue clean, stools yellow, liquid, with rumbling, cutting, digging or griping pain in umbilical region or whole abdomen.