Ferrum Metallicum ferr.

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

VASO-MOTORS: CIRCULATION. Blood-vessels. Blood. Spleen. Digestion. Left deltoid.

Worse

NIGHT. Emotions. Violent exertion. Eating. Drinking. Vital losses. Sweats. Quinine. Eggs. Heat and cold. Sudden motions. Raising arms.

Better

Gentle motion. Slight bleeding (Calad. Card-m. Lach.). Leaning head on something.

General

Pale mucous membranes. False erethism or plethora; weak; lies down. Excited, irregular surgings. Wandering orgasms; head, face, chest, etc. Pulsations. Hæmorrhages (bright or with small clots); in rapidly growing youths. Relaxed blood-vessels; dilated veins, < during menses, etc. Red faced old men. Exophthalmos. Pressure on chest, stomach, etc. Nightly pains that compel motion of part. Dry; food seems; vagina, etc. Rapid emaciation. Anæmia. Cachexy. Irritable mind and body.

Particulars

Always in the right; excited by the least opposition. Weeps and laughs immoderately. Sensitive and excitable; < least opposition. Brain-tire. Throbbing, hammering headache, starts in the temples; < cough or stooping; > letting hair down; with vertigo. Pain over l. eye. Blind attacks. Puffy eye-lids. Nose - bleed. Face flushes and pales or reddens from the least thing; florid; feels bloated. Erethistic chlorosis. Toothache, > ice water. Stomach won't tolerate any food. Averse to meat. Spits up his food. Nausea at mid-night. Easy vomiting. Diarrhœa; painless lientery; < while eating; nightly gushing; spluttering; alternating with constipation; < if nervous or tired. Chronic nephritis. Enuresis by day only. Emissions; nightly, with backache; after over-exertion. Raw vagina, < coition. Menses pale; intermit. Leucorrhœa; acrid, milky, watery, at puberty. Changeable voice. Dry, tickling cough. Blood-spitting (streaked). Constriction of or flying stitches in chest. Dyspnœa or palpitation, > motion. Sudden cramps or tearing boring in limbs. Cracking joints. Omodynia. Swelled hands and feet. Heels pain, if lies on back. Sleepless. Chill, with red face and thirst. Heat, with distended veins. Sweats, clammy, yellow, cold, acrid or debilitating. Soft pulse.

Related

Complementary: Chin. Related: Arn. Mang.

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

Persons of sanguine temperament;; pettish, quarrelsome, disputative, easily excited, least contradiction angers (Anac., Coc., Ign.); > mental exertion. Irritability: slight noises like crackling of paper drive him to despair (Asar., Tar.). Women who are weak, delicate, chlorotic, yet have a fiery red face. Extreme paleness of the face, lips and mucous membranes which becomes red and flushed on the least pain, emotion or exertion. Blushing (Amyl., Coca.). Erethitic chlorosis, worse in winter. Red parts become white; face, lips, tongue and mucous membrane of mouth. Vertigo: with balancing sensation,, as if on water; on seeing flowing water; when walking over water, as when crossing a bridge (Lys.); on descending (Bor., Sanic.). Headache: hammering, beating, pulsating pains, must lie down; with aversion to eating or drinking. For two, three or four days every two or three weeks. Menses: too early, too profuse, too long lasting, with fiery red face; ringing in the ears; intermit two or three days and then return; flow pale, watery, debilitating. Haemorrhagic diathesis; blood bright red, coagulates easily (Fer. p., Ipec., Phos.). Regurgitation and eructation of food in mouthfuls (Alum.). without nausea. Canine hunger, or loss of appetite, with extreme dislike for all food. Vomiting: immediately after midnight; of ingesta, as soon as food is eaten; leaves table suddenly and with one effort vomits everything eaten, can sit down and eat again; sour, acid (Lyc., Sul. ac.). Diarrhoea: undigested stools at night, or while eating or drinking (Crot. t.); painless with a good appetite; of consumptives [Compare Kent's Lectures]. Constipation: from intestinal atony; ineffectual urging; stools hard, difficult, followed by backache or cramping pain in rectum; prolapsus recti of children; itching on anus at night. Always feels better by walking slowly about, although weakness obliges the patient to lie down. Cough only in the day time (Euphr.); relieved by lying down; > by eating (Spong.). Dropsy; after loss of vital fluids; abuse of quinine; suppressed intermittent (Carbo v., Cinch.).

Relations

Complementary: to, Alum., Cinch. Cinch.: the vegetable analogue follows well in nearly all diseases, acute or chronic. Should never be given in syphilis; always aggravates the condition.

Aggravation

At night; at rest, especially while sitting still.

Amelioration

Walking slowly about; in summer.

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 may think of this remedy on seeing a very weak and very much debilitated person.

Face

Fiery red; sallow-colored; reddish-yellow; red spots on the checks.

Gastric

Vomiting in general; of blood; of what has been eaten; in whooping cough, where the child vomits food with every coughing spell.

Stool

Painless diarrhœa, particularly if it be with undigested food; undigested feces; stool with ascarides.

Sexual

Female: Metrorrhagia, especially when accompanied by a very red face; menses profuse; acrid leucorrhœa.

Generalities

Great variability of the mind; expectoration bloody, and blood-streaked. Plethora; bleeding from inner parts; congestion of blood to single parts: swelling and distension of blood vessels. Affections of the left lower extremity; of the upper arm; of the shoulder-joint; in young weakly persons; bloatedness and paleness of the skin; chlorosis. Tendency to get fat; inclination to motion; pain like labor pains; darting from above downward; debility.

Worse

In the night, particularly after midnight; from changing the position; on beginning to move; lying down, from fat food; abuse of Peruvian bark; while resting; on beginning to walk; from ascarides.

Better

On leaning against anything; from moving; from continued motion; from moving affected part; when walking.

Remedies following

Acon., China, Conium, Lycop., Phosphor., Pulsat., Sulphur.

Antidotes

China, Pulsat., Thea.

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

Fiery redness of the face; veins of the face and head swollen. Flying pains in the chest and spitting of blood, especially in persons who flush easily and are subject to epistaxis, dyspnoea, palpitation, etc. In persons who, though weak and nervous, have a very red face.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Iron

General

Best adapted to young weakly persons, anæmic and chlorotic, with pseudo-plethora, who flush easily; cold extremities; oversensitiveness; worse after any active effort. Weakness from mere speaking or walking though looking strong. Pallor of skin, mucous membranes, face, alternating with flushes. Orgasms of blood to face, chest, head, lungs, etc. Irregular distribution of blood. Pseudo-plethora. Muscles flabby and relaxed.

Mind

Irritability. Slight noises unbearable. Excited from slightest opposition. Sanguine temperament.

Head

Vertigo on seeing flowing water. Stinging headache. Ringing in ears before menses. Hammering, pulsating, congestive headache; pain extends to teeth, with cold extremities. Pain in back of head, with roaring in neck. Scalp painful. Must take down the hair.

Eyes

Watery, dull red; photophobia; letters run together.

Face

Fiery-red and flushed from least pain, emotion, or exertion. Red parts become white, bloodless and puffy.

Nose

Mucous membrane relaxed, boggy, anæmic, pale.

Mouth

Pain in teeth; relieved by icy-cold water. Earthy, pasty taste, like rotten eggs.

Stomach

Voracious appetite, or absolute loss of appetite. Loathing of sour things. Attempts to eat bring on diarrhœa. Spits up food by the mouthful (Phos). Eructations of food after eating, without nausea. Nausea and vomiting after eating. Vomiting immediately after eating. Vomiting after midnight. Intolerance of eggs. Distention and pressure in the stomach after eating. Heat and burning in stomach. Soreness of abdominal walls. Flatulent dyspepsia.

Stool

Undigested, at night, while eating or drinking, painless. Ineffectual urging; stool hard, followed by backache or cramping pain in rectum; prolapsus recti; itching of anus, especially young children.

Urine

Involuntary; worse daytime. Tickling in urethra extending to bladder.

Female

Menses remit a day or two, and then return. Discharge of long pieces from uterus. Women who are weak, delicate, chlorotic, yet have a fiery-red face. Menses too early, too profuse, last too long; pale, watery. Sensitive vagina. Tendency to abortion. Prolapse of vagina.

Respiratory

Chest oppressed; breathing difficult. Surging of blood to chest. Hoarseness. Cough dry, spasmodic. Hæmoptysis (Millefol). With the cough pain in occiput.

Heart

Palpitation; worse, movement. Sense of oppression. Anæmic murmur. Pulse full, but soft and yielding; also, small and weak. Heart suddenly bleeds into the blood vessels, and as suddenly draws a reflux, leaving pallor of surface.

Extremities

Rheumatism of the shoulder. Dropsy after loss of vital fluids. Lumbago; better, slow walking. Pain in hip-joint, tibia, soles, and heel.

Skin

Pale; flushes readily; pits on pressure.

Fever

General coldness of extremities; head and face hot. Chill at 4 am. Heat in palms and soles. Profuse, debilitating sweat.

Modalities

Better, walking slowly about. Better after rising. Worse, while sweating; while sitting still. After cold washing and overheating. Midnight aggravation.

Relationship

Antidotes: Ars; Hep.

Complementary.: Chin; Alum; Hamamel.

Compare: Rumex (similar in respiratory and digestive sphere and contains organic iron).

Ferrum aceticum (alkaline urine in acute diseases. Pain in right deltoid. Epistaxis; especially adapted to thin, pale, weak children who grow rapidly and are easily exhausted; varices of the feet; copious expectoration of greenish pus; asthma; worse, sitting still and lying; phthisis, constant cough, vomiting of food after eating, hæmoptysis).

Ferrum arsenicum (enlarged liver and spleen, with fever; undigested stool; albuminuria). Simple and pernicious anæmia and chlorosis. Skin dry. Eczema, psoriasis, impetigo (Use 3x trituration).

Ferrum bromatum (sticky, excoriating leucorrhœa; uterus heavy and prolapsed, scalp feels numb).

Ferrum cyanatum (neuroses with irritable weakness and hypersensitiveness, especially of a periodical character; epilepsy; cardialgia, with nausea, flatulence, constipation, alternating with diarrhœa; chorea).

Ferrum magneticum (small warts on hands)

Ferrum muriaticum (Arrested menstruation; tendency to seminal emissions or copious urination at puberty; very dark, watery stools; diphtheria; phlegmonous erysipelas; pyelitis; hæmoptysis of dark, clotty blood; dyspareunia; pain in right shoulder, right elbow, and marked tendency to cramps and round red spots on cheeks; bright crystals in urine. Anæmia, 3x, after meals. Tincture 1-5 drops 3 times daily for chronic interstitial nephritis).

Ferrum sulphuricum (Watery and painless stools; menorrhagia pressing, throbbing between periods with rush of blood to head. Basedow's disease. Erethism. Pain in gall-bladder; toothache; acidity; eructation of food in mouthfuls); Ferrum pernitricum (cough, with florid complexion); Ferrum tartaricum (cardialgia; heat at cardiac orifice of stomach).

Ferrum protoxalatum (Anæmia). Use 1x trit. Compare also; Graph; Mangan; Cupr.

Dose

States of debility where the blood is poor in hematin require material doses; plethoric, hæmorrhagic conditions call for small doses, from the second to the sixth potency.

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

Anxiety as after committing a crime. Changeable disposition, one evening low-spirited and melancholy, the next excessively cheerful. Quarrelsome, disputative.

Head

Vertigo, particularly when descending and on seeing flowing water ; with sickness at the stomach in walking ; with the sensation as if the head would constantly incline to the right side. Congestion of blood to the head, with pulsation and hammering in the head, heat and redness of the face, enlarged veins, sensitiveness of the head to the touch ; worse after midnight and towards morning ; returning periodically. Pain in the back part of the head when coughing. Sensitiveness of the head to the touch and falling off of the hair ; the hair is also painful to the touch. Pressure on the top of the head when the cold air touches ; it.

Eyes

Dull, lustreless eyes with blue rings around them. Inflammation and redness of the eyes with burning or stinging. Obscuration of sight in the evening. Redness and swelling of the upper and lower lids. Suppurating stye on the upper lid.

Ears

Stitches in the ear in the morning. Ulcerative pain of the outer ear.

Nose

Bleeding from the nose (evening). The nose is ; continuously filled with clotted blood.

Face

Earthy, jaundiced color of the face. Paleness of the face with red spots on the white face. Pale bloated face, especially around the eyes. Fiery redness of the face ; the veins are enlarged. Pale, dry lips. Yellow spots in the face.

Mouth and Throat

Aching, pressing pain in the throat during deglutition, with heat in the fauces. Constrictive sensation in the throat.

Stomach and Abdomen

Aversion to and bad effects from meat, beer and acids. Cannot eat or drink any thing hot. Unquenchable thirst (or thirstlessness). Longing for acids. Solid food becomes dry and insipid in the mouth during mastication. Every thing he eats tastes bitter. Sour eructations. Bitter eructations after fat food. Vomiting of the ingesta as soon as he eats. Vomiting of the food tasting sour in the morning or during the night. Every thing vomited tastes sour and is acrid. Vomiting after eating eggs. Spasmodic pressure at the stomach after taking the least food or drink, especially after eating meat. Hardness and distention of the abdomen. Spasmodic contraction of the abdominal muscles, as if the abdomen were constricted, especially when stooping, so that he can only straighten himself slowly. Painful weight of the abdominal viscera in walking, as if they would fall down. The bowels feel sore as if bruised, when touching them or when coughing. Flatulent colic at night (violent rumbling in the abdomen).

Stool and Anus

Watery diarrhœa with burning at the anus. Diarrhœa ; passes undigested food. Discharge of blood and mucus at every stool. With the slimy stool discharge of ascarides. Painless diarrhœa (involuntary during a meal). Contractive spasm in the rectum. Protrusion of large varices at the anus. Itching at the anus from ascarides at night (children).

Urinary Organs

Involuntary micturition, particularly in the day-time.

Sexual Organs

Men. Impotence. Nocturnal emissions. Discharge of mucus from the urethra. Women. Menstruation too early and too profuse. Suppressed menstruation. Hæmorrhage from the uterus, with labor-like pains in the abdomen and glowing heat in the face ; the blood in partly pale, partly clotted. Miscarriage. Painfulness of the vagina during an embrace. Swellings and indurations in the vagina. Prolapsus of the vagina.

Respiratory Organs

Hot breath. Oppressed, short breathing. Fulness and tightness of the chest. Asthma (after midnight), compelling one to sit up. Asthma most violent when lying, or when sitting still without doing any thing ; relieved by walking and talking. When sitting still loud breathing, as if asleep. Roughness of the throat, hoarseness. Stitches and soreness in the chest. Sensation of dryness in the chest. Spasmodic constriction in the chest. Spasmodic cough from tickling in the trachea, with expectoration only in the morning of blood-streaked, purulent, albuminous mucus ; greenish or frothy, tasting sweetish, putrid or sour. Cough worse in the evening, till midnight. Spasmodic cough in the morning relieved by eating. Spasmodic cough after eating and with vomiting of the ingesta. In the morning, copious expectoration of purulent matter ; in the evening, the cough is dry. Hæmoptysis in the morning and at night. When coughing, stitches in the chest ; sensation of soreness.

Extremities

Upper. Paralytic tearing pain from the shoulder-joint into the upper arm (left) ; he cannot raise the arm ; slow movement improves it gradually. Cracking in the shoulder-joint. Nightly tearing and stinging in the arms. Numbness and contraction of the fingers. Swelling of the hands (and feet). Lower. Nightly tearing and stinging from the hip-joint to the thigh, gradually improving from slow motion. Numbness of the thighs. Painful cramps in the calves, while at rest, especially at night. Swelling of the feet. The toes are contracted.

Sleep

Very sleepy at night, with inability to go to sleep. Can only lie on her back at night. Anxious tossing about in bed (after midnight). Vivid dreams. The child does not sleep, disturbed by the itching caused by the ascarides.

Generalities

Great emaciation. Weakness of the body almost paralytic ; she is so weak that she must lie down. Restlessness in the limbs. Contraction of the limbs. Cramps ; in the limbs (during the day). Cracking in the joints.

Fever

Pulse full and hard -Violent ebullitions. Chilliness in frequent short attacks. Chill with thirst and red hot face. Coldness in the evening in bed, frequently continuing all night. Chilliness and want of animal heat. Dry heat over the whole body, especially in the evening, with very red face and inclination to uncover oneself. Profuse and long continued perspiration, during the day when moving, and at night, and in the morning hours in bed. Clammy and debilitating perspiration. Every other day perspiration in morning till noon. Cold perspiration (with convulsions). The perspiration is immediately preceded by headache. Intermittent fever s (consequent upon the abuse of Cinchona) with congestion of blood to the head, distention of the veins, vomiting of the ingesta, swelling of the spleen.

Skin

Dirty, earth-colored skin. Dropsy.

Conditions

Especially suitable after the abuse of Quinine, Tea, and Alcoholic drinks. Aggravation towards and in the morning, and while at rest, especially when sitting still. Amelioration from slow exercise.

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

Iron. Fe. (A. W. 56). Including also symptoms of the acetate and the carbonate. Triturations of the pure metal and of the carbonate; solution of the acetate. The Protoxalate is also a useful preparation in the crude and in trituration. "Hensel's Tonicum," a liquid, is another serviceable form.

Clinical

Anæmia. Aphonia. Asthma. Biliousness . Catalepsy. Chlorosis. Chorea. Consumption (Fe. acet.). Cough. Cramps. Debility. Diarrhœa . Enuresis diurna. Fever, intermittent. Goître , exophthalmic. Gonorrhœa. Hæmorrhages. Heart, affections of; palpitation of. Hectic. Hydrocephalus. Kidneys, affections of . Lienteria. Menstruation, disorders of . Neuralgia. Paralysis of viscera. Pregnancy, disorders of. Rectum, prolapsus of. Rheumatism. Shoulder, affections of. Spasms. Syphilis. Toothache. Urine, incontinence of. Vertigo.

Characteristics

Ferrum , the Mars of the alchemists, is one of the prominent constituents of the animal body, being present in considerable quantity in the blood. It is present in many articles of daily food, and when given in excess to men or animals its first effect is to increase the amount of iron in the blood, stimulate the appetite, augment the heart's beats and the bodily vigour. The secondary effects, which ensue sooner or later if the administration of iron is continued, are those which give the indications for homœopathic prescribing. Hahnemann ( Mat. Med. Pur .) describes the effects of iron on persons who habitually drink chalybeate waters: "In such localities there are few persons who can resist the noxious influence of the continued use of such waters and remain quite well, each being affected according to his peculiar nature. There we find more than anywhere else chronic affections of great gravity and peculiar character, even when the regimen is otherwise faultless. Weakness, almost amounting to paralysis of the whole body and of single parts, some kinds of violent limb pains, abdominal affections of various sorts, vomiting of food by day or by night, phthisical pulmonary ailments, often with blood spitting, deficient vital warmth, suppression of the menses, miscarriages, impotence in both sexes, sterility, jaundice, and many other rare cachexias are common occurrences."

The digestive disorders set up by Iron are marked and peculiar, and among them is intolerance of eggs. The occurrence of this symptom in a patient about forty-five, who had had repeated attacks of articular rheumatism, led Kunkel to cure his case after he bad been dosed for three weeks with salicylate of soda by the allopaths. The only other distinctive feature was constant. < of pain after midnight. The obvious advantages derived in many cases of anæmia from the use of Iron in its crude forms has led to very grave abuses in old-school practice. That Iron is what may be called a "nutritive" remedy in certain defective blood conditions, having an organopathic relation to the blood, I have no doubt. In the anæmia of cancer and syphilis it is often of great service as an accessory, and need not interfere with more specific remedies. But it is not suited to all cases of anæmia and chlorosis, or even to a majority of them, and should never be given without discrimination and careful watching. But apart from its organopathic sphere, Ferrum has a strictly homœopathic use in anæmia in which the highest potencies are curative. For excess of Iron will cause anæmia, and at times will aggravate it when present. The type of anæmia caused by Iron and suited for its homœopathic use is commonly seen in young persons subject to irregular distributions of blood. The cheeks are flushed as if in blooming health; but in spite of bloom in appearances there is pallor of lips and mucous membranes, great fatigue and breathlessness, and any motion will set up the symptoms. Delicate girls, fearfully constipated, with low spirits. Chlorosis with erethism. Mucous membranes abnormally pale. Feet swell. The irregular distribution of blood in chlorotics recalls another set of symptoms which indicate Ferrum: hæmorrhages of many kinds, from over-fulness of blood-vessels from vaso-motor paralysis, or else from delicacy of the vessels themselves. Throbbing pains, the blood-vessels all over the body throb violently. Feet swell. Fulness of blood-vessels accompanies neuralgia, which is brought on by washing in cold water, especially after being over-heated. Hammering headache. The pulse of Ferrum is full and yielding ; (that of Acon . is full and bounding ). With Ferrum there is excessive irritability, both of the mind and of the tissues. It is like Arsen . and Chin . in this, as in many other symptoms, and it is an antidote to both. It is one of the best remedies for over-dosing with quinine, and hence the favourite old-school combination of "Quinine and Iron" is so far a wise one. Cramps are well marked in the pathogenesis; irritability of the bladder causing incontinence of urine when standing; irritability of the bowels, causing diarrhœa whilst eating. This symptom is peculiar to Ferrum , the diarrhœa coming on when the patient begins to eat. Many remedies have it immediately after eating. < From eating eggs. There is also gastralgia, heavy pressure in region of stomach; a feeling as if something rolled into the throat and closed it like a valve; frequent spells of nausea, periodic vomiting (especially at twelve midnight). The liver and spleen are affected. Walls of abdomen are sore. Pain in os tincæ on lying down; feeling of dryness in vagina. Ferrum is a remedy that should be given carefully in hæmorrhagic phthisis, as it may aggravate. The acetate, iodide, and phosphate are better than the metal in such cases, unless the similarity is very close. Rheumatic symptoms, especially of left shoulder and deltoid. Paralytic weakness. Restlessness. Tremor. Most symptoms are < by motion, especially sudden motion. Vertigo on suddenly rising; when crossing a bridge over water; vertigo as if balancing to and fro, as when on water. Neuralgia is > moving slowly about. In fact " > moving about slowly" is a keynote condition of many Ferrum cases. Rest < cramps. Lying down < pain in face; asthma; = pain in os tincæ; > cough ( H. W ., xxxi. 57). Descending stairs < headache. Walking slowly > palpitation; pain in arms; in hip-joint. The chief time of aggravation is night, and especially midnight, and also in early morning. The symptoms generally are < in cold weather, and > in warm air; but there is a good deal of contradictoriness in this respect, showing the irritability of Ferrum to all influences: uncovering chest > asthma and constriction, but too light covering < pain in shoulder. Over-heating = neuralgia, and so does washing in cold water. There is dread of open air, but open air > headache. The chlorosis of Ferrum is < in winter.

Relations

Ferrum compares with Graphites (which contains iron), Manganum, and the other metals. Teste puts it at the head of a group comprising Plumb., Phos., Carb. an., Puls., Zinc., Secal., Mag. mur., Chi., Bar. c. It is antidoted by: Ars., Chi., Hep., Ip., Puls. It antidotes: Ars., Chi., Iod., Merc., Hydrocy. ac., tea and alcoholic drinks. It is complementary to: Alumina, Chi. Compatible: Aco., Arn., Bell., Chi., Con., Lyc., Merc., Phos., Verat. Incompatible: Thea, beer. Compare: Borax (vertigo on descending); Mang. (cough > lying down); Anac., Spo. (cough > after eating), Ars., Chi. (intermittent fever); Phos. (cholerine); Selen., Thuj. (bad effects of tea). Graph. (flushes of heat); Rhus ( > from motion); Oleand. (lienteria); Caust. (paralyses).

Mind

Anxiety, with throbbing in the epigastrium. ─ Anxiety as after committing a crime. ─ Peevish, passionate, and disputative. ─ Irritable; little noises drive to despair. ─ Gaiety, alternating with sadness, every other day.

Head

Confusion and heaviness in the head. ─ Vertigo, which causes falling forwards, as from the motion of a carriage, esp. on moving, stooping, &c. ─ Dizziness and turning vertigo, on looking at running water; with sickness at the stomach in walking; with the sensation as if the head would constantly incline to r. side. ─ Pressive pain in the head, esp. in the fresh air. ─ Painful confusion in the head, above the root of the nose, esp. in the evening. ─ Pulling from the nape of the neck to the head, with shootings and buzzing. ─ Periodical hammering and pulsative headache, which oblige the patient to lie down, every two or three weeks. ─ Congestion in the head; enlarged veins, sensitiveness of the head to the touch; worse after midnight and towards morning; returning periodically. ─ Pain in the back part of the head when coughing. ─ Pain in the scalp, as if it were galled. ─ Profuse falling off of the hair, with pain when it is touched.

Eyes

Eyes cloudy, dull, and watery, with blue rings around them, esp. after slight fatigue (in writing). ─ Eyes red, with burning pain. ─ Swelling and redness of the eyelids, with a sty, suppurating on the upper lid.

Ears

Buzzing in the ears, mitigated by supporting the head on a table.

Nose

Epistaxis, chiefly from one nostril and in the evening. ─ Constant accumulation of clots of blood in the nose.

Face

Face earth-coloured, or pale and wan, with sunken eyes. ─ Fiery redness of the face; the veins are enlarged. ─ Yellow or bluish spots on the face. ─ Small red spots on the cheek, which is pale. ─ Puffing of the face round the eyes. ─ Lips pale.

Throat

Pressive pain in the throat, on swallowing. ─ Spitting of blood. ─ Constrictive sensation in the throat; feeling as if something rolled into throat and closed it like a valve.

Appetite

Sweetish taste, like that of blood. ─ Bitter taste of food. ─ Want of appetite, esp. in the morning, alternating with bulimy. ─ Dislike to food and acids. ─ Longing for acids. ─ Meat lies heavy on the stomach. ─ Insatiable thirst, or absence of thirst. ─ Solid food appears too dry. ─ After every meal, risings and regurgitation of food, even of that which has been eaten with good appetite. ─ Vomiting after taking acids. ─ Pressure on the stomach and on the abdomen, always following eating and drinking. ─ Beer affects the head, or causes vomiting. ─ Cannot eat or drink anything hot.

Stomach

Nausea, with inclination to vomit, during a meal. ─ Vomiting of food, esp. at night, or immediately after a meal, even after eating only fresh eggs. ─ Sour vomiting and acid rising. ─ Everything vomited tastes sour and is acrid. ─ Bitter risings after eating fat things. ─ Pressure on the stomach, esp. after eating meat, or even after taking the least food or drink. ─ Cramp-like pain in the stomach. ─ Pressive cramps in the stomach, on every occasion of eating or drinking.

Abdomen

Inflation and hardness of the abdomen. ─ Liver enlarged, sensitive. ─ Spleen large, sore. ─ Cramps in spleen region. ─ Cramp-like pains in the abdomen. ─ Cramps in the abdominal muscles, as if the abdomen were contracted, esp. during physical exertion, and on stooping, so that he can only straighten himself slowly. ─ Flatulent colic at night (violent rumbling in the abdomen). ─ Painful heaviness in the hypogastrium on walking. ─ Painful weight of the abdominal viscera in walking, as if they would fall down. ─ The bowels feel sore as if bruised, when touching them or when coughing.

Stool and Anus

Watery and corrosive diarrhœa, sometimes accompanied by cramp-like pains in the abdomen, the back, and the anus. ─ Watery diarrhœa with burning at the anus. ─ Discharge of blood and mucus at every stool. ─ Painless diarrhœa (involuntary during a meal). ─ Undigested fæces. ─ Slimy fæces. ─ Ascarides in the rectum discharged with the slimy stool. ─ Costive: stools hard and difficult, followed by backache. ─ Constipation from intestinal atony; with hot urine. ─ Contractive spasms in rectum. ─ Itching at the anus from ascarides at night (children). ─ Protrusion of large varices at the anus. ─ Blind and fluent hæmorrhoids.

Urinary Organs

Pains in bladder. ─ Involuntary urination by night; also by day. ─ Constant desire to urinate, with pain in liver, chest, and kidneys. ─ Urine blood-red, contains blood corpuscles. ─ Albuminuria. ─ Hot urine.

Male Sexual Organs

Increase of sexual desire, with frequent erections and pollutions. ─ Impotence. ─ Nocturnal emissions. ─ Flow of mucus from the urethra.

Female Sexual Organs

Metrorrhagia, with over-excitement of the sanguineous system. ─ Face fiery red, and copious flow of blood, at one time liquid, at another black and coagulated, accompanied by pains in the sacral region and abdomen, similar to those of child-birth. ─ Catamenia feeble and of a pale blood. ─ Suppression of the catamenia. ─ During coition, smarting and pain, like that of excoriation in the vagina, with want of enjoyment. ─ Swellings and indurations of the vagina. ─ Prolapse of vagina; pain in os tincæ on lying down. ─ Before the catamenia, shooting pains in the head, with tingling in the ears. ─ Abortion. ─ Milky and corrosive leucorrhœa. ─ Sterility.

Respiratory Organs

Hot breath. ─ Oppressed, short breathing. ─ Hoarseness and roughness in the throat. ─ Tickling in the trachea, which greatly excites coughing. ─ Cough, only on moving and walking. ─ Cough > on lying down. ─ Purulent expectoration from the cough. ─ Spasmodic cough, esp. in the morning, with expectoration of tenacious and transparent mucus, ceasing immediately after a meal; or dry, spasmodic cough, commencing after a meal, with vomiting of food. ─ Sensation of dryness in the chest. ─ Cough worse in the evening, till midnight. ─ Fetid, greenish expectoration, with streaks of blood, esp. at night, or in the morning. ─ Cough after a meal, with vomiting of food. ─ On coughing, pains in the occiput, or shootings, and pains as of a bruise in the chest.

Chest

Difficulty of respiration, with almost imperceptible rising of the chest, and great dilation of the nostrils during expiration. ─ Difficulty of respiration, esp. at night, or in the evening, as if commencing in the epigastrium, < during repose, and > by intellectual or physical occupation. ─ Fulness and tightness of the chest. ─ Asthma (after midnight) compelling one to sit up. ─ Asthma most violent when lying, or when sitting still without doing anything; > by walking and talking. ─ When sitting still, loud breathing as if asleep. ─ Fits of suffocation, in bed in the evening, with burning pain in the throat and the upper part of the body, and coldness in the extremities. ─ Constrictive oppression of the chest. ─ Constrictive spasms in the chest, < by walking or movement. ─ Stitches and soreness in the chest. ─ Tensive lancinations in the chest, extending to the shoulder-blades. ─ Congestion in the chest.

Heart

Palpitation: < from least motion; > walking slowly; in onanists; after loss of fluids. ─ Venous murmurs. ─ Hypertrophy.

Neck and Back

Stiffness of the muscles of the neck, with pain during movement. ─ Swelling of the glands of the neck. ─ Tearing (paralytic) between the shoulder-blades at night, into the upper arm (l.); he cannot raise the arm; slow movement improves it gradually. ─ Shootings in the shoulder-blades on moving the arms.

Upper Limbs

Shootings and tearings in the joint of the shoulder, and in the arm, or pullings, paralytic weakness, and heaviness. ─ Cracking in the shoulder-joint. ─ Nightly tearing and stinging in the arms. ─ Uneasiness in the arms. ─ Swelling and desquamation of the skin of the hands. ─ Cramps and numbness in the fingers.

Lower Limbs

Tearings, with violent lancination, from the coxo-femoral joint to the tibia, < in evening in bed, and during repose. ─ Paralytic weakness and numbness in the thighs. ─ Weakness in the knees, so that they yield, with uneasiness of the feet. ─ Varices on the legs. ─ Stiffness, traction and heaviness in the legs. ─ Swelling of the knees and of the joints of the feet. ─ Swelling of the feet, with drawing pain, esp. on beginning to walk. ─ Cramps in the calves of the legs, the soles of the feet, and the toes. ─ The toes are contracted.

Generalities

Violent pains, tearings and shootings, esp. at night, which compel movement of the parts affected. ─ Varices. ─ Contraction of the limbs. ─ Cramps in the limbs (during the day). ─ Dropsical swellings, with shooting pains. ─ Ebullition of blood and hæmorrhage. ─ The majority of the symptoms show themselves at night, are aggravated by a sitting posture, and mitigated by gentle movement. ─ Great lassitude and general weakness (almost paralytic), produced even by speech, often alternating with anxious trembling of the whole body; she is so weak that she must lie down. ─ Emaciation. ─ After walking in the open air, sickly feeling of fatigue, to the extent of losing consciousness, with obscuration of the eyes, and buzzing in the head. ─ Restlessness of the limbs. ─ Great need to lie down. ─ Cracking in the joints.

Skin

Burning sensation in different parts of the skin, with pain as from excoriation on being touched. ─ Paleness of the skin over the whole body. ─ Dirty, earth-coloured skin. ─ Dropsy.

Sleep

Excessive drowsy fatigue, with agitated sleep, at night, anxious tossing, numerous dreams, and difficulty in going to sleep again after waking. ─ Vivid dreams. ─ Can only lie on her back at night. ─ The child does not sleep, disturbed by the itching caused by the ascarides. ─ Sleep retarded in the evening. ─ Anxious tossing about in bed (after midnight). ─ Eyes half open during sleep. ─ Inability to sleep when lying on the side.

Fever

Frequent shiverings of short duration. ─ Shiverings in the evening with a feeling of cold when in bed, all night. ─ Shiverings with violent thirst, preceded or accompanied by headache. ─ Chill with thirst and red, hot face. ─ Dry heat, with urgent inclination to throw off all covering. ─ Pulse full and hard. ─ Ebullition of blood in the day, with heat in the evening, esp. in the hands. ─ Fever, with congestion in the head, puffing round the eyes, swelling of the veins, vomiting of food, short respiration and paralytic weakness. ─ Copious perspiration, excited by the least movement during sleep. ─ Nocturnal perspiration of a strong smell. ─ Cold perspiration, with anxiety during the spasms. ─ Colliquative, clammy sweat. ─ Profuse and long-continued perspiration, during the day when moving, and at night, and in the morning hours in bed.

The Guiding Symptoms of Our Materia Medica

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

Mind

Mind confused, cannot collect his thoughts.
Prone to weep or laugh immoderately ; with a choking sensation in throat, as if swollen outside.
Lively in evening.
Not inclined to talk or study ; nervous, restless.
Great indifference.
Changeable disposition, one evening low-spirited and melancholy, next excessively cheerful.
Depression of spirits ; also after menses.
Mental depression, gloomy foreboding thoughts.
Mind in highest degree oppressed ; despondent ; great solicitude about those belonging to him, with constant thoughts of death. θ Aphonia.
Anxiety as after committing a crime.
From slightest cause, anxiety, with throbbing in pit of stomach.
Nervous, hysterical feeling ; fear of apoplexy.
Irritability ; little noises, such as crackling of a newspaper, drive him to despair.
Pettish, quarrelsome, disputative, easily excited, least contradiction angers.
Excited by slightest opposition ; everything irritates or depresses her.
Vehement ; quarrelsome ; anxious.
Haughtiness ; proud, self-contented look.
Ailments from anger.
Moderate mental exertion improves many symptoms.

Sensorium

Head confused, muddled ; with cold feet and stiff fingers.
Gloomy feeling in head, which feels heavy and confused.
Dulness of head, want of disposition to think.
Confusion of head.
Vertigo : on rising suddenly, things grew black, had to lean against something or fall ; with nausea, prostration lethargy ; as if balancing to and fro ; as when on water when walking over water, like when crossing a bridge when
descending, with disposition to fall forward.
Whilst walking, giddy as if drunk, as though she would fall over obstacles.
On looking at running water dizzy and giddy in head as if everything went round with her.
Staggering in walking, as if intoxicated ; reeling sensation and vertigo on seeing flowing water ; vertigo with sickness at stomach in walking ; momentary shock, with giddiness in brain.
Sensation as if head would constantly incline to right side.

Inner head

Pressive headache in forehead as if it would burst.
Pressure in frontal eminences, after rising and dressing in morning, after quarter of an hour, extending over whole forehead to vertex and becoming more intense and after twenty minutes changing to a pressive pain from within outward ; on going down stairs pain <, involuntarily
presses palm of hand on painful spot which momentarily > the pain, but it is only decidedly > in open air.
Dull, pressive sensation in frontal eminence, afterward spreading over whole forehead and finally to vertex > by pressure of hands ; in open air ; < descending.
Severe frontal headache all day, with cold feet.
Lancination in forehead.
Awake 3 A. M. with severe stitches, as from a pen-knife in both temples, gradually extending over whole ford head, with chilliness, rendering her unable to go to sleep again.
Headache every evening above root of nose.
Sticking pain over left eye, coming suddenly.
Hammering, boring pain beginning mostly in left temple with sensation of expansion of blood-vessels in the temples.
Violent shooting headache in left side, in afternoon.
Headache : occupying left side of head ; with coryza ; after menses.
Tearing from lambda to temporal bone.
Headache on top of head, as if skull was pushed upward.
Throbbing pain in top of head when moving suddenly.
Beating in back of head and neck, gradually extending to sides and forehead, < stooping or moving.
Drawing from nape of neck into head, with stinging hammering and roaring in head.
Drawing, from nape upward into head, in which there is then shooting, roaring and humming.
Pain in back of head when coughing.
Weight in back of head, from ear to ear.
Confusion of mind, with hammering, beating sensation in head.
Sensation in head as of the beatings of the pulse, with slight sticking.
Rush of blood to head, with swelling of veins of head, and slight flushes of heat.
Rush of blood to head, with throbbing pains, roaring, buzzing and prickling in brain.
Hammering and throbbing headache, obliging one to lie down, or as if brain were rent asunder.
Hammering, pulsating pain ; humming in ears ; congestion of head, with pale face ; intolerance of all spirituous liquors ; dread of movement, with loss of muscular tone and debility.
Headache : for two, three, or four days, every two or three weeks ; hammering, beating, pulsating pains, must lie down in bed ; with aversion to eating and drinking.
Hammering, pulsating headache ; ulcerative pain of scalp, with loss of hair ; bruit du diable in vessels of neck ; paleness of mucous membranes of mouth and eyes ; vigorous, healthy appearance, the general condition simulating a plethoric
rather than an anemic habit. θ Megrim.
Congestion of blood to head, with pulsation and hammering in head, heat and redness of face, enlarged veins, sensitiveness of head to touch ; < after midnight and towards morning ; returning periodically ; > external pressure.
Head dull and full, eyelids heavy, apt to sleep, while sitting reading.
Writing causes headache to re-appear.
Headaches of anemic, debilitated persons, especially with congestion of head or chest.
Head hot, feet cold.
Apoplexia sanguinea.
Hydrocephalus with open fontanelles and great anemia.

Outer head

Pressure on top of head when cold air touched it.
Great sensitiveness of scalp to touch.
Scalp and hair feel sore ; falling out of hair.
Formication or slight itching in scalp ; cold feet.
Cannot keep head quiet.
Distended veins on temples.

Sight and eyes

At night capability to see in dark, with hysteric persons ; pupils can be dilated but little ; red eyes with burning pains.
Dark before eyes ; giddy.
Darkness before eyes in evening, with aching pains and slight epistaxis.
Amaurosis.
Letters run together when reading or writing.
Weak eyes with lachrymation.
Pupils contracted.
Blue rings around eyes, which are dull, lustreless.
Bloated appearance about eyes ; face pale. θ Intermittent.
Face fiery red ; red spots on cheeks ; puffiness of face around eyes ; livid, jaundiced complexion ; pale face and lips.
Inflamed eyes, burning, stinging ; suppurating sties.
Pressure in eye as of a grain of sand.
Pressure in eyes as if they would protrude ; the right worse.
Sticking pain over left eye coming very suddenly and lasting a short time.
Can scarcely open eyes ; lids pressed down.
Redness and swelling of both lids.
Marked muscular debility ; redness of eyes, swelling of lids ; slimy pus-like discharge from Meibomian glands ; sweet taste in mouth ; circumscribed dark or violet spots on skin. θ Intermittent.
Suppurating stye on upper lid and nightly agglutination.
Morbus Basedowii ; especially after suppression of menses ; protruding eyes ; enlarged thyroid ; palpitation of heart ; excessive nervousness.

Hearing and ears

Over-sensitive to sounds.
Discharge from left ear ; chlorotic complexion ; impaired hearing ; murmur in left jugular vein ; palpitation of heart.
Ringing in ears, particularly the right.
Stitches in ears in morning.
Ulcerative pain in outer ear ; singing, humming in ears ; > laying head on table.

Smell and nose

Bleeding from nose in morning on stooping.
Epistaxis in anemic children, with frequent changing of color of face.
Epistaxis in anemic patients subject to ebullitions.
Epistaxis alternating with spitting of blood.
Nose continuously filled with clotted blood ; especially with coryza.
Dropping of fluid from posterior nares or frontal sinuses ; headache. θ Nasal catarrh.
Bloody, puruloid greenish, whey-like, slimy, acrid discharge ; cold in head.
Scabs come out of nose or are coughed up every few weeks.

Upper face

Extreme paleness of face, which becomes red and flushed on least emotion, pain or exertion.
Face pale, collapsed, or expressionless, stiff and stupid.
Face ashy pale or greenish ; pale and wan.
Pale, earthy color of face. θ Aphonia.
Pale, livid face, sometimes bloated, with blue margins around eyes.
Pale face, with red spots on each cheek.
Livid, or pale face and lips.
Cadaverous, jaundiced complexion.
Face yellow, or yellow in spots.
Face flushes easily on least excitement or exertion.
Flushed face with burning cheeks.
Face fiery red, veins large ; congestion to head.
Face becomes suddenly fiery red, with vertigo ; ringing in ears ; great palpitation of heart, and dyspnœa.
Very red face of children.
Face feels as if swollen and bloated.
Œdema of feet and face, especially upper and lower eyelids.
Pain in face < to an intense degree by lying down ; > sitting up. θ Neuralgia.
Neuralgia after cold washing and overheating ; during paroxysm face fiery red, sometimes only in one spot ; cannot keep head quiet ; at intervals face looks pale and earthy.
Eruption on face followed by bluish spots.

Lower face

Lips pale, dry. θ Intermittent fever.
Swelling of gums and cheeks ; with bleeding ; pale lips.

Teeth and gums

Great paleness of gums. θ Intermittent fever.
Toothache all morning.
Toothache, momentarily > by cold water.
Persistent diarrhœa the result of morbid dentition ; stools composed of mucus and undigested food ; face flushed or has a red spot on each side ; dentition advances slowly.

Taste, speech, tongue

Unbearable taste of blood ; children complain of it.
Taste like rotten eggs.
Sweet or bitter taste in mouth. θ Intermittent fever.
Bread tastes dry and bitter.
Earthy, putrid taste, all food has a dry, woody, insipid taste ; no appetite ; no thirst ; vomiting of blood.
Bad taste, mouth dry, tongue coated white.
Numb and pithy feeling of tongue, as if burned.
Burnt sensation on back and middle portion of tongue.

Inner mouth

Lips, gums, tongue and mucous membrane of entire buccal cavity pale and bloodless.
Mouth dry in the morning.
Cankered sore mouth ; mucous membrane very pale ; vomiting after coughing.

Palate and throat

Sensation of a lump in left side of throat below tonsil ; < when swallowing empty, not when eating or drinking.
Aching, pressing pain in throat during deglutition, with heat in fauces.
Constrictive sensation in throat.
Throat sore ; feels dull and heavy all day ; lively in evening.
Exophthalmic goitre, especially after suppression of menses ; protruding eyes, enlargement of thyroid, palpitation of heart and excessive nervousness.

Appetite, thirst. desires, aversions

Appetite voracious, double amount of an ordinary meal in evening hardly sufficient.
Canine hunger, alternating with loss of appetite.
Anorexia ; extreme dislike to all food.
Anorexia, without bad taste or thirst.
Has no appetite, always feels full ; drinks are relished.
Unquenchable thirst or thirstlessness.
Insatiable thirst. θ Intestinal catarrh.
Appetite for bread.
Improved by wine, except such as are termed acid wines.
Desire for raw tomatoes.
Can only eat bread and butter ; meat disagrees ; children accustomed to meat suddenly become disgusted with it.
Aversion to : meat, which disagrees ; eggs ; beer and ale ; hot things ; sour things.

Eating and drinking

All food tastes bitter.
Solid food is dry and insipid while masticating.
After eating eructation and regurgitation of food, without nausea or inclination to vomit.
Taste putrid, bitter, or dry and insipid ; loss of appetite, owing to a constant feeling of repletion ; meat disagrees ; after eating, heat and anxiety, dulness of head, preventing mental exertion ; vomiting after eating.
After eating : heat in stomach ; nausea ; regurgitation of food.
After least food or drink, especially after meat, spasmodic pressure at stomach.
After fat food, bitter eructations.
After eggs, vomiting.
Worse from meat ; sour fruit ; drinking milk ; tobacco, tea and beer.
Beer rises to head ; stomach disordered after drinking beer.
Wine agrees, if not acid.
Bad effects from drinking tea ; toothache, etc.
Worse on an empty stomach, better after breakfast.

Hiccough, belching, nausea and vomiting

Constant eructation as soon as she has eaten.
Eructations : sour ; foul ; burning ; relieving burning in stomach.
Regurgitation of food.
Nausea : with headache ; with nightly diarrhœa ; with vertigo.
Reeling and staggering as if intoxicated, with sickness in stomach when walking.
Vomiting of food, and a flow of water from mouth.
Vomiting after breakfast.
Vomiting after eating, coming each time with new force ; vomiting of infants.
Spasmodic vomiting of food during pregnancy.
Vomiting as often as food has been taken, never at other times ; not as a symptom of other disease, nor depending on organic affections of stomach.
Vomiting of ingesta with constant pressure in pit of stomach and weariness of feet.
Vomiting with pain in stomach.
Vomiting of everything eaten without being digested.
Vomiting of food, particularly after breakfast.
Vomiting of food immediately after midnight, by aversion to food and dread of open air.
Everything vomited tasted sour and acid.
Frequent vomiting of food with children ; easy vomiting.
Vomiting of food with a fiery red face.
Vomiting of of ingesta after every cough ; after exercise.
Better after vomiting.
Hematemesis.

Scrobiculum and stomach

Distension of epigastric region.
Anxiety from slight causes, with throbbing in pit of stomach.
Palpitating in stomach and through œsophagus, as if a nerve was quivering, with an occasional suffocating feeling, as if a valve rose in throat.
Pit of stomach sensitive to touch.
Feeling of fulness and pressure in pit of stomach.
Stomach feels full and bloated after eating a few mouthfuls, with burning heat in it.
Spasmodic pressure at stomach after taking least food or drink, especially after eating meat.
Pressure in stomach after eating. θ Intermittent fever.
Pressure at stomach with vomiting of food, followed by nausea and vomiting of water ; pain in stomach > after vomiting ; < drinking mild. θ Chlorosis.
Pressure in stomach and acidity. θ Chronic diarrhœa.
Pressure in stomach and head.
Heat rising from pit of stomach.
Heat and burning in stomach, with momentary, cramp-like pain in splenic region.
Occasional uneasiness at splenic end of stomach.
Cramp-like stomachache.
Neuralgic and anemic cardialgia ; atony of digestion ; vomiting of food immediately after eating, without any preceding nausea, also when coughing or moving about ; cardiac uneasiness.
Gastralgia after drinking.
Pit of stomach sensitive to touch, and soreness all over abdomen ; pulse full, excited ; face pale ; greatly exhausted. θ Hematemesis.
Hemorrhage from stomach and pain in stomach through to spine.

Hypochondria

Swelling and hardness in hypochondriac regions.
Tightness in right hypochondriac region and shooting pains in left.
Fulness in region of liver.
Liver enlarged, sensitive to pressure.
Marked swelling of liver which is very sensitive to touch ; pains along back particularly in places upon which she must lie ; cannot lie long upon either side.
Pain in small of back and liver, all day.
(OBS :) Dropsy of liver.
Cramp-like sensation in splenic region.
Splenic region swollen and sore on pressure ; spleen large.
Chronic affections, and swellings of spleen and liver, with infractions of liver.

Abdomen and loins

Painful weight of viscera when walking, as if they would drop.
Congestion to head, blood-vessels dilated ; swelling about eyes ; pressure in stomach and abdomen after smallest quantity of food, vomiting of food, tension in abdomen causing shortness of breath, weakness almost to paralysis, hardness and fulness in
right side of abdomen, beginning dropsy, swelling of feet. θ Intermittent.
Bowels feel sore when touched, as if bruised, or weakened by cathartics.
On feeling abdomen and on coughing, bowels are sore as if beaten, or as if they had been acted upon by purgatives.
Abdomen feels sore and bruised when walking.
Soreness all over abdomen ; > by warmth. θ Intestinal catarrh.
Stitching in abdomen.
Hardness and distension of abdomen, without flatulence.
Rumbling, with pain in small of back and kidneys, and slight urethral soreness when urinating.
Rumbling in bowels, with constant feeling as though they were going to move.
Flatulent colic at night ; violent rumbling.
Colic with watery diarrhœa.
Pale face and lips, or fiery redness, with scanty discharge of pale blood with violent colic. θ Dysmenorrhœa.

Stools and rectum

At 8 A. M. very sudden discharge from bowels, watery, painless and odorless.
Diarrhœa < mornings ; bad sleep before midnight.
Sudden, gushing diarrhœa.
Sudden, watery, painless stool, without smell.
Frequent diarrhœa ; stools watery, with or without tenesmus, and preceded or not by pain, but always with much flatulence and more frequent after taking food or water.
Acrid watery diarrhœa, excoriating the anus, with vomiting of food soon after eating.
Frequent diarrheic with burning at anus.
Obstinate diarrhœa, stools composed of slime and undigested food ; painless, excoriating and exhausting.
Chronic, watery, painless diarrhœa, coming regularly every afternoon.
Painless diarrhœa, involuntary during a meal.
Painless stools like from a spout. θ Intestinal catarrh.
Chronic watery diarrhœa in children, usually soon after eating and drinking, without pain or effort, mostly containing undigested substances.
Undigested stools at night, or while eating or drinking.
Diarrhœa ; pale, miserable complexion ; emaciation ; abdomen hard and distended without flatulency ; bulimia alternating with anorexia ; thirst.
Slimy, watery, painless diarrhœa, < at night ; abdomen painless to pressure ; face pale ; marked swelling of body which pits upon pressure ; skin cold ; no appetite ; great thirst ; great weakness : slight fever towards evening ; peevish
and tearful.
Painless, large, watery discharge, with a good appetite.
Watery diarrhœa, brown, painless and weakening.
Colliquative diarrhœa in phthisical subjects ; passages very frequent and finally become almost involuntary ; great debility.
Diarrhœa during pregnancy.
Summer complaint of children with emaciation.
Rice-water discharges ; cold, with cold, sour sweat.
Profuse discharge of flakes of mucus, or formed into lumpy balls.
Cholerine where the enteric symptoms are particularly severe ; extreme sensitiveness of intestinal tract, so that the least motion, or smallest amount of food or drink, renews or < diarrhœa ; intestinal scrapings discharged in large quantities ; vox cholera
present ; blue rings around eyes ; pulse beginning to fail.
Slimy, bloody stools with tenesmus.
Straining for stool all day, sick at stomach, disagreeable taste, worse drinking cold water.
Constipation from intestinal atony.
Costive : stools hard and difficult, followed by backache.
Chronic constipation ; ineffectual urging ; anemia ; easily flushed head and face, with cold hands and feet.
Hard, difficult stools, followed for hours by cramping pain in rectum. θ Intermittent.
Constipation with hot urine.
Contractive spasm in the rectum.
Prolapsus recti, particularly with children.
Itching at anus at night, from ascarides ; tenia.
Discharge of ascarides with slimy stool.
Helminthiasis ; wretched complexion ; itching in anus at night, from seat worms.
Piles, copious bleeding or ichorous oozing ; tearing pains with itching and gnawing.
Protrusion of large varices at anus.
Profuse hemorrhoidal flux from anus and bladder.
Aggravation : after abuse of cinchona ; while eating or drinking ; at night.

Urinary organs

Pains in bladder.
Urging to urinate, with tickling in urethra extending to neck of bladder.
Continual desire to urinate, with pain in liver, chest and kidneys.
Involuntary urination at night, and also when walking about by day.
Incontinence of urine, more frequent by day than by night, but floods bed five or six times at night ; urine smells like strong ammonia, stains sheets very dark ; yellowish clay-colored sediment sticks to sides and bottom of vessel.
Nocturnal enuresis ; urine dark red, sometimes with mucous sediment.
Urine blood-red, and plentifully charged with blood corpuscles.
Urine clear as water. θ Anemia.
Urine more copious and clear ; with relaxation and prostration, making him very nervous.
Urine alkaline.
Hot urine ; metrorrhagia.
Burning in urethra during micturition, as if urine were hot.
Slight soreness in urethra.
Diabetes.
Albuminuria, with chronic fatty degeneration, much anemia and excessive prostration, with anasarca.
Chronic vesical catarrh and gleet.

Male sexual organs

Erections night and day ; nocturnal emissions ; sterility ; sexual desire increased.
Impotence.
Discharge of mucus from urethra after a cold.
Copious, slimy, painless discharge from urethra, remaining after an attack of gonorrhœa.
Gonorrhœa of long standing with milky discharge.
Chronic gleet with anemia.

Female sexual organs

Sexual desire lessened, sterility.
Anemia of ovaries, with amenorrhœa and general anemia.
Dropsy of uterus ; face flushes red ; great debility.
Sticking, shooting pains in uterus.
Pain in os tincæ on lying down ; bearing down feeling, at same time dryness in vagina.
Sharp pains in abdomen, bearing down in uterus, with aching below it.
Before menses, stinging headache, ringing in ears, discharge of long pieces of mucus from uterus.
Labor-like colicky pains.
Anemia, with uterine congestion, burning pain or pressure and weight in sacrum ; dragging pains in loins, pelvis and thighs ; cold hands and feet.
Menses : too late, long lasting and profuse ; flow watery, or in lumps ; preceded by labor-like pains ; varices in legs < ; intermit two or three days, then return ; uterus displaced ; come on with a physical languor and mental depression
unfitting her for work, could overcome them by forced exertion ; followed by hysterical symptoms.
Menses : too soon, too profuse, too long lasting, with fiery red face, ringing in ears ; flow pale, watery, debilitating.
During menses, must keep perfectly still, least movement greatly < the flow.
Copious discharge of partly fluid and partly black and coagulated blood, with pains in loins and labor-like colic in weakly persons, with fiery red face and vascular excitement ; headache and vertigo ; constipation and hot urine. θ Hemorrhage.
Uterine hemorrhage with labor-like pains in abdomen and small of back, and hard, full pulse.
Passive hemorrhage dark grumous in character. θ Menorrhagia.
Metrorrhagia, especially when accompanied by a very red face ; menses profuse ; acrid leucorrhœa ; miscarriage ; sterility ; painfulness of vagina during an embrace.
Face pale and bloated in appearance ; skin cold and pits upon pressure, especially about ankles, great lassitude, cries easily, want of appetite, aversion to food, indication of acidity of stomach, constipation, stool often absent a whole week, menses too frequent and too copious. θ After
severe hemorrhages.
The menses intermit and then re-appear.
Scanty pale catamenial discharge, with violent colic.
Menses pale, watery, debilitating.
Amenorrhœa or watery menses ; women who flush easily ; especially after drinking wine, with dyspnœa and palpitation.
Amenorrhœa with chlorosis ; congestive headache ; fiery red face ; they feel weary and tired all the time, with desire to lie down.
Suppression of menses with extreme nervousness.
Mucous discharge in place of menses. θ Chlorosis.
Headache and singing in ears after menses.
Displacement of uterus ; hysteralgia ; metritis.
Swellings and indurations in vagina.
Prolapsus of vagina.
Vagina too dry.
Insensible or painful during coitus.
Much itching of vulva in weakly, delicate women with red face.
Leucorrhœa before menses.
Leucorrhœa resembling watery milk, smarting and corroding when first appearing, not afterwards ; dragging pains in loins, pelvis and thighs.
Leucorrhœa mild and milky, or acrid and sharp, with soreness. θ Chlorosis.
Eruption on genitals or inflamed ; ascarides in vulvæ.
Gonorrhœa of women.

Pregnancy. parturition. lactation

Sterility ; insensibility during coition.
Prevents abortion ; promotes expulsion of moles.
Prolapsus of vagina, only during pregnancy.
Suddenly leaves table and with one effort vomits all the food taken, appetite not thereby impaired, can sit down and eat again. θ Pregnancy.
Varicose veins during pregnancy.
Great nervous erethism, flowing, and pain, with fiery red face ; she is weak and pale. θ Miscarriage.
Uterine hemorrhage with threatened premature labor, at end of eighth month.
Uterine hemorrhage with labor-like pains, glowing face ; flow watery, or containing lumps ; pulse full, hard.
Spasmodic labor pains.
Violent pains in loins and abdomen, like those of labor, with discharge of partly fluid and partly clotted blood ; full, hard pulse ; frequent short shuddering ; headache and vertigo ; hot urine ; feeble ; fiery red face. θ Excessive
or too long lasting after-pains.

Voice and larynx. trachea and bronchia

Voice hoarse, almost extinct, utterance difficult and panting. θ Intermittent.
Complete aphonia, causing much anxiety.
Can talk only in a toneless whisper, and only that which is absolutely required from him ; pain in larynx and trachea ; after talking, burning ; sensation as if something was in larynx, which he wished to remove by hawking or coughing ; sensation, externally,
as if throat was being squeezed ; tickling in larynx, producing violent attacks of cough, loses breath, blood mounts to head, tears run from eyes, he sinks down exhausted ; easily vexed ; least thing excites him ; pulse accelerated toward evening ; cannot get to
sleep in evening, and after he does fall asleep, sweat awakens him ; some nights, congestion to chest ; palpitation of heart ; pulsations in all the arteries, and anxiousness ; despondent ; solicitude about those belonging to him, with constant thoughts of
death ; pale, earthy color of face. θ Aphonia.
Low tone of voice ; pain in larynx and trachea ; burning sensation after talking ; laryngeal hemorrhages ; asthmatic symptoms with hæmoptysis. θ Aphonia.
Hoarseness, with sensation of roughness in larynx.
General weakness, caused by speaking.
Influenza, cough and vomiting of food immediately after eating.

Respiration

Hot breath.
Uneasy breathing, from pain across chest.
Breathing dry, loud, anxious ; sometimes rattling in children.
Oppressed, short breathing.
Continued shortness of breath.
Difficult inspiration, as from heaviness of chest.
Difficult breathing, oppression of chest, as if some one pressed with hand upon it.
Cannot get any air ; even when seated his breathing is difficult.
Oppression from orgasm of blood ; chest scarcely moves when breathing ; nostrils dilated during expiration.
Difficult inspiration, want of air in coughing out, want of air in drawing in.
Breath fails at end of coughing fit.
Suffocative fits in evening, in bed, with warmth of neck and trunk, limbs cold. θ Spasmodic asthma.
Asthma, with oppression of chest and anxiety at pit of stomach, preventing free respiration.
Catarrhal asthma every morning from 10 to 11.
Asthma worse after 12 P. M., must sit up ; > walking about slowly and talking ; > uncovering chest ; after itch.
Asthma, with difficult, slow breathing, > by walking and talking or by constant reading or writing ; < when sitting still, and most violent when lying down, especially in evening.
Dyspnœa increases slowly. θ Pneumonia.
Pneumonia epidemica : dyspnœa gradually increased ; no pressure under sternum ; pale face ; stupid ; roof of mouth white ; skin neither burning nor cold and damp ; pulse never hard and full.
Dyspnœa. θ Intermittent fever.

Cough

Spasmodic, from tickling in trachea ; at night, must sit up to raise sputa ; spasmodic, after eating, with vomiting of food ; after drinking ; with stitches in chest and soreness.
Cough with expectoration only in morning of blood-streaked, purulent, albuminous mucous, greenish or frothy, tasting sweetish, putrid or sour.
Constant tickling irritation to cough, with copious, greenish, blood-streaked, purulent expectoration, great debility, emaciation and hectic fever ; complete cessation of menstrual flow which is replaced by a blenorrhagia.
Catarrhal cough, with aching pain in upper part of sternum.
Spasmodic cough with expectoration of transparent, tenacious mucous, and vomiting of ingesta.
Spasmodic cough after meals with vomiting of all the food taken.
Cough with gagging and vomiting.
Spasmodic cough, in evening without, in morning with blood-streaked, purulent, slimy, sometimes frothy expectoration, of a sweetish, putrid or sour taste, < in evening till midnight ; during this period the sputa are not dislodged, but in
daytime, during motion, they are loosened ; suitable for drinkers of brandy, excessive tea-drinkers, or for persons who have taken much Cinchona.
Spasmodic whooping cough, dry in evening, in morning, copious, purulent, blood-streaked expectoration, and sour vomiting of food ; at once > by eating a small quantity of food.
Whooping cough ; child vomits food with every coughing spell ; great pallor and weakness.
Cough : worse from abuse of tea, quinine, brandy ; tobacco smoke ; loss of fluids ; when moving ; violent exertion ; after talking ; at night.
Cough with oppression of chest and pale face.
Cough excited by drinking, often > by eating.
Cough only in daytime.
Gastric cough, eased by vomiting.
So-called galloping consumption with pus-like expectoration ; vomiting of ingesta ; swollen feet ; leucorrhœa ; diarrhœa.
Chronic blenorrhœa pulmonum.
Sputa : copious, putrid, purulent, greenish or frothy, bloody ; < morning ; copious when moving ; scanty, thin, frothy, with streaks of blood.
Hawking up of bloody phlegm.
Scanty, thin, frothy expectoration, with streaks of blood.
Coughing up of blood in morning on rising from bed.
Dry, tickling cough with blood-spitting.
Cough with expectoration of blood, in lean people with yellowish color of face, who cannot sleep well at night.
Patients of venous constitution, who have for some time had bloody expectoration and complain of shortness of breath without any particular pain in chest, and suffer occasionally from palpitation of heart.
Hæmoptysis : of onanists and consumptives ; from severe exertion ; after loss of fluids ; from suppressed menses.
Hæmoptysis in a laborer whose work compelled him to receive constant light blows on pit of stomach ; blood watery and coagulated ; precordial region sensitive to touch and painful, pain spreading from thence over nearly whole abdomen ; pulse
full, hard and excited ; face pale ; great weakness.
Blood scanty, clear and bright red, escaping with an easy effort at vomiting pain between shoulders ; constriction of chest, < at night ; cannot sit, but is > by slowly walking about, must frequently lie down, is very weak, particularly after talking ; must cough
after any exertion. θ Hæmoptysis.
Hæmoptysis morning and night ; blood bright, coagulated, scanty during slight cough with inter-scapular pains ; heavy breathing ; must sip up ; > walking slowly about ; notwithstanding weakness obliges lying down ; palpitation.

Inner chest and lungs

Slight heaviness in upper part of left lung, making breathing rather difficult ; sore feeling below clavicle and left nipple, cannot take a long breath.
Slight, dull, heavy pain across upper part of chest, rendering breathing uneasy.
Fulness and tightness in chest as if constricted, < walking.
Pain in left side with dyspnœa. θ Intermittent fever.
Fugitive pains in chest, flying from one point to another.
Women who blush easily ; < after wine ; epistaxis in alternation with spitting of blood ; pains in chest fugitive, cannot be located ; menses watery or absent. θ Pulmonary
consumption.
Shooting stinging in chest.
Sticking and bruised sensation in chest.
When coughing, stitches in chest ; sensation of soreness.
Feeling of dryness and heat in chest.
Burning in upper part of sternum after coughing.
Pressure superiorly under sternum, with catarrh and cough.
Contractive cramp in chest, and cough only when moving and walking.
Constriction of chest at night due to erethism of vascular system and congestion of blood to chest ; < from least covering of bed clothing ; > lying with chest elevated ; boring in chest ; not noticeable during day while going about.
Congestion to chest. θ Aphonia.
Congestion of blood to lungs, with hæmoptysis, attended by palpitation of heart, obliging patient to sit up.
Rush of blood to head and chest, with cold hands and feet, followed by debility.
Hæmoptysis, especially when tickling cough and oppression of chest are present.
Hæmoptysis ; morning and at night ; > by walking slowly.
Incipient tuberculosis, with transient pains in chest and discolored sputa ; in later stages when there is vomiting of food ; constant pressure in epigastrium, and crowded sensation in chest.
Tuberculosis with flying pain in chest, and hectic fever.
Pulmonary tuberculosis ; especially in young, florid subjects, with a remarkable erethism of vascular system, and inclination to congestion to chest.
Anemia in chlorotic, or tuberculous subjects with profuse serous effusion, with ascites and œdematous feet, scanty urination ; bruised feeling in chest, orthopnea ; want of air ; < in walking, preventing inspiration and compelling them to sit up in bed ; <
after midnight ; pains in chest, with stitching and tension between shoulders, allowing no motion.
Consumption in consequence of erethic chlorosis.
Whole body emaciated and covered with a clammy colliquative, sweat ; face hippocratic, sunken, earthy in color with circumscribed redness of right cheek ; eyes sunken, dull, yellowish and filled with tears ; pale lips ; tongue pale and flabby ; whole throat and
pharynx sore and ulcerated ; voice rough, hoarse, scarcely audible ; constriction of chest ; difficult respiration (mainly accomplished, by abdominal muscles, the thorax being motionless, with great expansion of alæ nasi during expiration) ; stitching pain in chest
extending back into shoulder blades ; tickling in larynx with anxious irritation to cough, copious, greenish, blood-streaked, foul-tasting expectoration ; great debility and lassitude ; stitching pain here and there in limbs ; colliquative diarrhœa excoriating the rectum ;
chilliness, particularly over back, < evenings, with cold extremities and hot palms of hands ; loss of appetite ; thirst and sleeplessness ; scalp painful to touch with falling out of the hair. θ Phthisis
florida after pneumonia.
No ailments previous to chill ; dyspnœa increases slowly ; face pale, and in adults collapsed, hippocratic or expressionless, stiff and stupid ; roof of mouth always white ; skin neither cold nor burning hot ; pulse neither full nor hard ; stool consistent,
brown. θ Pneumonia.
Inflammation of lungs with roof of mouth white ; dry skin and gradually increasing oppression.
Pneumonia senilis ; laxity of fibre ; pulse soft and quick, occasionally slow and easily compressible ; dyspnœa slowly increasing ; bloody expectoration.
Neglected pleuro-pneumonia ; absorbs exudation.

Heart, pulse and circulation

Drawing constrictive pain in region of heart.
Congestion to chest ; anxiety ; palpitation of heart ; pulsation in all the arteries. θ Aphonia.
Palpitation, with fear ; has to move about, can neither sit nor stand.
Palpitation ; beats of heart < from least motion.
Palpitation : > walking slowly ; in onanists ; after loss of fluids ; with blood-spitting ; in chlorosis.
Anxiety in chest, heat rising from pit of stomach upward, after bodily exercise ; palpitation. θ Heart disease.
Rapid action of heart.
Hard, strong beating of heart ; pseudo-plethora.
Bellows-sound of heart, and anemic murmur of the arteries and veins ; muscles feeble, and easily exhausted from slight exertion ; œdema of body. θ Anemia.
Consecutive heart disease ; chlorosis.
Hypertrophy of heart.
Endocarditis with chlorotic symptoms.
Fatty degeneration of heart.
Pulse accelerated towards evening. θ Aphonia.
Violent ebullitions.
Pulse full, hard ; increased by exertion.
Pulse hard and full at beginning of paroxysm ; or weak, small and scarcely perceptible during apyrexia. θ Intermittent fever.
Soft, quick, occasionally slow pulse ; weak, easily compressible. θ Pneumonia.
Small, weak pulse, sometimes intermittent, sometimes uneven.
Chlorosis with vertigo on moving, stooping, etc., pressing pain in forepart of head and in stomach, anorexia, constipation, skin of face and body of waxy appearance, lips and tongue pale, menses scanty, watery and at times entirely absent, emaciation, great debility, as if her knees
would sink under her, occasionally swelling of face, hands and particularly of feet, urine clear as water, constant chilliness and coldness, pulse weak.
Chlorosis in consequence of retarded puberty ; after loss of blood.
Erethic chlorosis, < in winter.
Anemia masked behind plethora and congestions ; pale color of mucous membranes, with nun's murmur.
Great erethism of the circulation ; red face and full pulse ; blood partly fluid and partly clotted, with labor-like pains in abdomen ; feels < in the night, particularly after midnight, from fat food, abuse of Peruvian bark ; very
weak. θ Hemorrhage.
Throbbing in all the blood-vessels ; soft bellows-sound at apex.
Nun's murmur in the veins.

Outer chest

Sensation in clavicle as if gone to sleep.
Pain in outer parts of chest.
Drawing in chest and around heart ; scalp sore.

Neck and back

Neck sore as if bruised ; stiff.
Neck and shoulder painful when lying on right side.
Pains between shoulders.
Constant pains along back, < in those parts she bad to lie on. θ Enlargement of liver.
Lumbago all night, goes off on rising.
Pain in region of kidneys, with desire to make water ; urine albuminous, feet and legs dropsical.
Stitch-like jerks in small of back when walking, extending toward hips rather than upper parts ; more painful after sitting or standing (almost as after straining the parts by lifting).

Upper limbs

Paralytic heaviness in shoulder-joint.
Omodynia, either side ; pain especially in deltoid muscle, of a constant, drawing, tearing, laming nature, < in bed, must get up and slowly move about ; also < from being too lightly covered for any length of time ; face pale, flushing easily ; no swelling.
Omodynia in Spring, affecting both deltoid muscles ; in Fall a recurrence, but only in left deltoid ; violent lancinating pain when moving arm, making her cry out.
Constant dull tearing or quick darting pain in deltoid, particularly at insertion of biceps muscle, and extending with decreasing severity to elbow ; < holding arm quiet, warmth of bed, uncovering for any length of time ; cannot move elbow from body without severe
pain ; lifting arm, or lifting hand to head, or putting hand behind back utterly impossible.
Pain, shooting and tearing, from shoulder-joint into upper arm and farther downward, which makes it impossible to raise it.
Downward shooting pains (in shoulders and arms) more severe than the shooting upward.
Slight gnawing pain in left arm, finally becoming so severe as to compel her to keep arm quietly at side ; pain constant, preventing sleep ; least movement of fingers causes pain in arm ; arm heavy as lead ; pressure upon head of humerus very painful ;
chilliness, heat, thirst and sweat present. θ Rheumatismus humeri.
Flesh of right arm and shoulder sore to touch, feels bruised, < from motion, pain > by external heat.
Pinching in right deltoid.
Boring in right shoulder, and from biceps to elbow ; < from motion ; > from heat ; < from weight of bedclothes.
Paralytic tearing pain from shoulder-joint into upper arm (left) ; he cannot raise arm ; slow movement improves it gradually.
Nightly tearing and stinging in arms.
Cracking in shoulder-joint.
Right arm lame.
Arms nearly rigid.
Irresistible desire to bend arm, with intense pain ; drives out of bed, 2 A. M. ; > walking slowly about.
Swelling and stiffness of arm and hand.
When writing hand trembles, > when writing fast.
Hands cold, stiff, numb ; palms hot.
Fingers stiff, numb, contracted.

Lower limbs

Violent pain in hip-joint, < evening until 12 P. M. ; must get out of bed and walk about ; can hardly put foot down, but pain lessens while walking.
Shooting and tearing in hip-joint, which pains as if bruised when touched ; down along tibia ; < evening, in bed ; must get up and walk about.
Remitting pains ; < in night ; although at first scarcely able to stand on affected limb, by continued motion and walking about, pain gradually becomes milder ; pain in l. shoulder ; face pale, emaciated, but flushes easily. θ Sciatica.
Numbness of thighs.
Varicose veins inside of right thigh, then of left
Neuralgia, throbbing at night ; < in rest ; > moving.
Painful drawing in legs, with heaviness and stiffness.
Legs feel weak.
Great weakness of knees, almost sinks to the ground.
Calves weak as if bruised.
Cramps in calves, < at rest, especially at night.
Sore throat and chronic enlargement of tonsils ; great weakness in joints, especially in ankles ; ligaments became so relaxed that she could not walk or stand, on attempting to do so her legs seemed to slip off the feet and she would drop upon her external ankles. θ Anemia.
Feet cold, numb, stiff.
Œdema of feet. θ Intermittent fever.
Varices on feet.
Shooting pricking in right instep.
Cramps in soles of feet and toes, with painful contraction of toes ; cramps in calves of legs at night.
Soles feel hot.
Heel pains.
Easily fatigued by walking ; better from moving and walking slowly about, but weakness obliges to lie down.

Limbs in general

Nightly tearing in arms and legs.
Stitching tearing pains, < at night ; must constantly change position of limbs ; face pale and emaciated.
Neuralgia in limbs, throbbing, < at night, by lying down, in rest, in sitting ; > on moving.
Restlessness in limbs.
Contraction of limbs.
Cramps in limbs (during the day).
Cracking in joints.
Swelling of hands and of legs up to knees.
Hands and feet almost continually cold.

Rest. position. motion

Rest : neuralgia < ; cramps in calves <.
Laying head on table : > singing and humming in ears.
Holding arm quiet : < pain.
Lying with chest elevated : constriction >.
Lying down : desire to ; hammering pain in head compels one to ; pain in face < ; pain in os tincæ ; asthma < ; weakness obliges.
Pain < from lying down, > from rising.
Sitting up : > pain in face ; asthma > ; cough compels him to sit up to raise sputa ; congestion of blood to lungs, with palpitation, obliges patient to sit up.
Sitting up after sleeping : sweat goes off suddenly.
Pain < in part of back she lies on.
Can only lie on back at night.
Cannot lie long on either side.
Must change position to relieve pains in limbs.
Sitting still : asthma < ; stitch-like jerks in back < ; falls asleep.
Standing : stitch-like jerks in back <.
Better walking slowly about.
Motion : sudden, brings on throbbing headache ; beating pain in head < ; the least renews diarrhœa ; least < flow of menses ; sputa dislodged during ; cough < ; cramp and cough ; boring in chest > ; pains in chest and between
shoulders allow no motion ; must move about, cannot sit or stand ; palpitation < ; vertigo with chlorosis ; of arm, lancinating pains ; the least of fingers causes pain ; bruised feeling in right arm and shoulder < ; boring in shoulder < ; slow motion >
pain in arm ; > pain in lower limbs ; neuralgia > ; heat > ; sweat <.
Talking : burning in larynx ; asthma > ; cough <.
Rising : vertigo ; after rising and dressing pressure in frontal eminence ; coughing up blood on rising from bed ; lumbago >.
Cannot keep head quiet.
Cannot move elbow from body without severe pain ; cannot raise arm.
Irresistible desire to bend arm.
Stooping : < beating pain in head ; nosebleed ; vertigo with chlorosis.
Must get up and slowly move about.
After getting out of bed : chill >.
Going down stairs : headache <.
Fall forward : must lean against something to prevent falling ; danger of falling when descending.
Walking : giddy, as if drunk ; vertigo, with sickness of stomach ; painful weight of viscera ; abdomen feels sore and bruised ; involuntary urination ; asthma > ; heavy breathing > ; tightness in chest < ; cramp and cough ; slowly, hæmoptysis
> ; palpitation > from slow ; stitch-like jerks in small of back ; slowly > pain in arms ; pain in hip-joint > ; must get out of bed and walk slowly.

Nerves

Over-sensitiveness to pain.
Nervous excitability and anxiety.
Increased bodily irritability.
Restless, must walk slowly about.
Great nervousness and debility ; great disposition to lie or sit ; red face ; weak, chlorotic.
Weak and nervous, suffers much, has very red cheeks.
Very weak and tired, but always > walking slowly about.
Tired, aching, as from lying long in one position.
Relaxation and debility after excitation which might be mistaken for exuberance of life.
After an attack of pneumonia, debility and chlorosis ; paleness of face and mucous membranes ; swelling of spleen ; want of muscular power ; anemic murmurs.
Great weakness and prostration ; very easily fatigued.
Laxness and weakness of whole musculature, with emaciation, weakness of digestion, and coldness of extremities.
General weakness, even from talking.
Great languor, with emaciation.
Prostration, debility and great loss of muscular power.
Prostration, with slow, weak pulse.
Prostration, lethargic dulness, vertigo.
Weakness of body almost paralytic ; she is so weak that she must lie down.
Paralysis from loss of fluids.
Consecutive paralysis ; generally one-sided.
Frequent attacks of tremor, alternating with a sensation of weakness, as if very weary ; trembling of whole body.
Frequent and sudden attacks of trembling throughout body, with great weakness, lassitude and desire to sleep, which does not relieve.
Fainting spells, with subsequent weakness.
Light spasms, with numbness of limbs.
Tetanic spasms with cataleptic condition of upper portion of body.
Chorea.
Catalepsy.

Sleep

Falls asleep : from weariness or debility ; while sewing ; sitting and studying.
Excessive and drowsy fatigue, with restless sleep at night.
Sleepy at night, with inability to sleep.
Restless sleep at night ; cannot get to sleep in evening : after he does fall asleep, a sweat breaks out which awakens him, and he has to lie a long time before he can go to sleep again, and so on until morning ; some nights, congestion to chest ; palpitation of
heart ; pulsation in all the arteries, with anxiousness. θ Aphonia.
Bad sleep before midnight.
Anxious tossing in bed before 12 P. M. ; has to get up and walk.
Child does not sleep because of itching from ascarides.
Can lie only on back at night.
The pain forces him to get up out of bed at night and walk slowly about.
Is worse from being too lightly covered for any length of time.
Weariness and drowsiness in daytime, with light sleep at night, full of dreams, attended with seminal emissions ; vivid dreams of being engaged in war, or that he fell into water.
Disturbed by dreams ; much weariness on rising in morning.
Dreams : vivid ; confused ; unpleasant.
Nightmare.

Time

Morning : pressure in frontal eminence, extending over whole forehead to vertex and becoming more intense ; headache < towards ; stitches in ears ; nosebleed ; toothache ; mouth dry ; diarrhœa < ; cough with expectoration of
blood-streaked mucus ; whooping cough ; copious blood-streaked expectoration ; coughing up of blood ; hæmoptysis ; much uneasiness on rising ; loose stool early in ; chilliness with headache ; sweat <.
At 2 A. M. : driven out of bed by pain.
At 3 A. M. : severe stitches in temples.
At 8 A. M. : sudden discharge from bowels.
At 12 P. M. : asthma < after.
All day : frontal headache ; dull and heavy ; pain in small of back and liver ; straining for stool.
By day : involuntary urination ; incontinence of urine more frequent ; erections ; sputa dislodged ; cough and boring in chest > ; sweat <.
Afternoon : shooting headache ; violent chill lasting half hour.
Evening : lively ; headache ; darkness before eyes ; appetite voracious ; fever towards ; pulse accelerated towards ; cannot get to sleep ; suffocating fits ; asthma < ; spasmodic cough ; putrid or sour taste < ; till midnight sputa
not dislodged ; whooping cough dry ; hæmoptysis ; chilliness < ; violent pain in hip joint < till midnight ; chilly ; general coldness ; heat < ; can only sit up short time.
Night : capability to see in dark ; diarrheic flatulent colic ; undigested stool ; slimy, watery diarrhœa < ; itching in anus ; hemorrhoidal flux from anus and bladder < ; involuntary urination ; incontinence of urine, floods bed five or six
times ; erections ; nocturnal emissions ; congestion to chest ; must sit up to raise sputa ; cough < ; constriction of chest ; after abuse of Peruvian bark, from fat food feels < ; lumbago ; tearing and stinging in arms ; remitting pains in lower
limbs < ; cramps in calves < ; tearing in arms and legs ; restless sleep at night ; can only lie on back ; chilly ; general coldness ; feet cold and numb ; sweat.
Midnight : headache < after ; vomiting of food immediately after ; bad sleep before ; after, anemia < ; after abuse of Peruvian bark, or from fat food feels <.

Temperature and weather

Overheating produces neuralgia.
External heat : > pain in arms ; boring in shoulder <.
Warmth of bed : pain in arm <.
Warmth : > soreness of abdomen.
Uncovering chest : asthma >.
Too lightly covered : omodynia <.
Least covering : constriction <.
After getting out of bed : chill >.
Open air : > headache ; dread of.
Cold water : > momentarily toothache ; taste in mouth <.
Cold washing produces neuralgia.
Cold air : pressure on top of head caused by.
In July, sleeping with window open : intestinal catarrh.
Generally < in cold weather, > in warm air.
Winter : erethic chlorosis <.

Fever

Vomiting of ingesta as chill is coming on ; loose stool in early morning.
Frequent short attacks of shivering or shuddering.
Chilliness with trembling all over.
Chilly ; want of animal heat.
Chilliness, with headache in morning.
Chill with thirst ; headache ; hot, red face ; chilly all night.
Chilliness, with great thirst, preceded and succeeded by headache.
During chill face is glowing hot.
Chilly every evening ; hectic fever.
General coldness of body, hands and feet very cold.
General coldness in evening, in bed, often lasting all night.
Hands and feet cold and numb, chilly all over, not > by walking.
Feel very cold, toes cold as ice, fingers stiff.
Feet cold and numb all night, as after skating.
Chill, lessened after getting out of bed.
Chill better after eating.
Sensation of heat all over body, which is cold to touch, with sensation in face and around eyes, as if swollen and bloated.
Heat, with very red face and inclination to uncover.
Heat in body, with red cheeks, but head is free.
Head hot, feet cold.
Great heat of palms of hands and soles of feet.
Heat in stomach (> by eating), vomiting of ingesta.
Dry heat, < towards evening ; inclination to uncover ; > by moving about, eating and speaking.
Heat, without thirst.
Fever, without chill, 3 to 8 P. M.
Heat abating when moving about.
Flushes over body as if perspiration would break out.
The perspiration is immediately preceded by headache.
Sweat profuse, long lasting and debilitating, by day at every motion, at night and morning in bed.
Sweat from early morning until noon, every other day, preceded by headache.
At times anxious cold sweat (with cramps of different parts).
Nausea during sweat.
Clammy, generally debilitating sweat.
Strong smelling night-sweat.
Sweat stains yellow, is fetid on going to sleep.
Viscid, exhausting sweats.
Sweat often confined to lower part of body.
Sweat lessened : while speaking ; after meals.
All the symptoms < while sweating.
Cold perspiration with convulsions.
During apyrexia profound disturbance of digestive organs, fulness and pressure in stomach, regurgitation and vomiting of food, slimy or watery diarrhœa ; oppression of chest, tendency to mucorrhœa and hemorrhage, palpitation of heart, vertigo and headache, great paleness of lips
and gums ; anemic murmur ; paroxysms not severe but protracted and irregular ; sweat profuse and debilitating ; type of fever easily changing ; marked swelling of spleen. θ Intermittent.
Prostration, debility and great loss of muscular power ; anemia ; œdema of feet and face, especially upper and lower eyelids ; headache ; vertigo ; swelling of cutaneous veins ; splenic region swollen and sore on pressure ; vomiting of everything
eaten ; constipation or chronic diarrhœa with lienteria ; cadaverous, jaundiced complexion ; yellow spots on face ; very weak and tired, but always > walking slowly about ; cases maltreated by quinine. θ Intermittent.
Chill lasting one hour, 7 to 8 A. M., one day, and from 9 to 10 the next, first in feet, extending to back, < right side ; nails blue ; very little thirst, nausea or pain ; slight temporal headache ; paroxysm preceded by one loose stool early in morning, and great
nervousness ; ill-humor, scolds about everything and everybody ; fever lasts two hours, feet continuing cold some time after fever sets in ; sweat profuse and debilitating on falling asleep, but goes off suddenly on sitting up ; dreads sweat more than chill or
fever ; nausea during sweat ; sleep restless and disturbed ; no appetite ; face sallow, light leather-color ; right cheek slightly swollen, though not sore ; weak, can only sit up a short time in evening. θ Intermittent.
Complete aphonia, great prostration, skin pale, puffiness about eyes, lips and gums colorless, anemic murmur, constant dyspnœa, œdema of feet, loss of appetite with pressure in stomach after least food, hard, difficult stool followed by cramping pains in rectum, lasting several hours,
profuse, offensive smelling sweat on going to sleep ; cough ; spleen enlarged. θ Tertian intermittent.
Paroxysm every other day ; headache ; pressing in forehead, followed by violent chilliness, lasting three-quarters of an hour, with increased headache and much thirst, afterwards moderate heat and sweat ; bitter taste, loss of appetite, constipation, yellowish
complexion ; great weakness ; moderate headache during apyrexia. θ Intermittent.
In afternoon violent chill for half an hour, then thirst, must go to bed, followed by heat with perspiration.
Intermittent fever after abuse of quinine ; congestion to head ; veins distended ; vomiting ingesta ; swelling of spleen ; anemia, masked by pseudo-plethora ; skin transparent when it is not earthy.
Intermittent fever of long duration and maltreated by quinine, where there is complete prostration with great anemia, face and lips pale, body cold, particularly extremities, digestion impaired, lassitude and weakness of whole musculature, and great emaciation, lungs affected,
circulation disturbed and tendency to hemorrhages ; tuberculosis threatens.
Œdematous swelling of body ; cool skin ; constant chilliness, evening fever, simulating hectic fever.
The skin becomes paler and paler ; well-marked black or dark purplish spots on skin. θ Intermittent.
Type : tertian ; morning chill ; afternoon fever.

Attacks, periodicity

Frequent short shuddering.
Periodical headaches.
Quarter of an hour ; headache in morning, grows <.
During 20 minutes : headaches changing to pressive pain from within outward.
Three quarters of an hour : chilliness.
Stools followed for hours by cramping pain in rectum.
Chill lasting one hour from 7 to 8 A. M., one day, and from 8 to 10 the next.
Every morning from 10 to 11 : catarrhal asthma.
Every afternoon : chronic watery, painless diarrhœa.
Every evening : chilly.
Every other day, from early morning until noon ; sweat, preceded by headache ; paroxysm.
Every two or three days : menses intermit and then return.
Every two weeks : for a few days headache.
Every few weeks : scabs come out of nose or are coughed up.

Locality and direction

Right : as if head would incline to side ; eye feels as though it would protrude ; ringing in ear ; tightness in hypochondriac region ; hardness and fulness on side of abdomen ; circumscribed redness of cheek ; neck and shoulder painful when
lying on side ; flesh of arm and shoulder sore to touch ; pinching in deltoid ; boring in shoulder ; arm lame ; varicose veins inside of thigh ; pricking in instep ; chill < right side ; cheek slightly swollen.
Left : sticking pain over eye ; hammering boring pain in temple ; shooting headache in side ; headache on side ; sudden pain over eye ; discharge from ear ; murmur in jugular vein ; sensation of lump in side of throat ; shooting pains in
hypochondriac region ; heaviness in upper part of lung ; sore feeling below nipple ; pain in side ; omodynia in deltoid ; gnawing pain in arm ; paralytic tearing pain from shoulder-joint to upper arm ; varicose veins inside of thigh.
From within outward : headache.

Sensations

Giddy, as if drunk ; as if everything went around with her ; as if balancing to and fro ; staggering as if intoxicated ; as if head would constantly incline to right side ; as if skull were pushed upward ; as if brain were rent asunder ; as
if grain of sand were in eyes ; pressure in eyes as if they would protrude ; face as if swollen or bloated ; tongue as if burnt ; as of a lump in left side of throat ; throat as if swollen outside ; as if a nerve was quivering in stomach ; as if a valve
rose in throat ; as if viscera would drop ; bowels as if bruised ; bowels as if beaten, as if they had been acted upon by purgatives ; bowels as though they were going to move ; as if something was in larynx ; as if throat was being squeezed ; chest as if
constricted ; clavicles as if gone to sleep.
Pain : in back of head ; in face ; in stomach ; in stomach through to spine ; in back ; small of back and liver ; in kidneys ; in chest ; in bladder ; in os tincæ ; in loins ; in vagina ; in larynx and trachea ;
across chest ; between shoulders ; in left shoulder ; between scapulæ ; in left side ; in outer parts of chest ; in neck and shoulders ; in deltoid muscle ; in heels.
Intense pain : in arms.
Severe frontal headache.
Violent pains : in loins and abdomen ; in hip-joint.
Violent shooting : headache in left side.
Lancinating : in forehead ; when moving arm.
Tearing : from lambda to temporal bone ; at anus ; in deltoid, extending to elbow ; from shoulder-joint to upper arm ; from shoulder-joint into upper arm ; in arms ; in hip-joint ; in legs.
Shooting pains : in left hypochondriac region, in uterus ; in chest ; from shoulder-joint into upper arm ; downward in shoulder and arms ; in hip-joint ; in right instep.
Stitches : severe in both temples ; in ears ; in abdomen ; in chest.
Stitch-like jerks : in small of back ; to hips.
Stitching pain : between shoulders ; in chest ; into shoulder-blades ; in limbs.
Sticking pain : over left eye ; in head ; in uterus ; in chest.
Stinging : in head ; in eyes ; in chest ; in arms.
Pulsating pain : in head.
Beating : in back of head and neck, extending to sides and forehead ; of pulse in head.
Hammering : in temples ; in head.
Throbbing : in pit of stomach ; pain in top of head ; in brain ; in all arteries ; in limbs.
Boring : in left temple ; in chest ; in right shoulder ; from biceps to elbow.
Pinching : in right deltoid.
Sharp pains : in abdomen.
Labor-like pains : in abdomen.
Remitting pains : in lower limbs.
Fugitive pains : in chest.
Flying pains : in chest.
Darting : in deltoid, extending to elbow.
Neuralgia : in face ; neuralgic cardialgia in limbs.
Cramps : in calves ; in soles of feet and toes ; in limbs.
Cramping pain : in rectum.
Contractive cramp : in chest.
Cramp-like pains : in splenic region ; stomachache.
Constrictive pain : in region of heart.
Colicky pains : in abdomen.
Gnawing : at anus ; in left arm.
Burning pains : in eyes ; in sacrum.
Constant pains along back.
Aching pains : in eyes ; in throat ; below uterus ; upper part of sternum.
Paralytic pain from shoulder-joint to upper arm.
Ulcerative pain : of scalp ; in outer ear.
Pressing pain : in forehead ; in throat ; in forepart of head ; in stomach ; in head of humerus.
Dragging pain : in loins ; in pelvis ; in thigh.
Heavy pain : across upper part of chest.
Headache : above root of nose, left side ; on top of head.
Dull pain : across upper part of chest.
Burning : in stomach ; at anus ; in urethra ; in larynx ; in upper part of sternum.
Heat : of face ; of head ; in stomach ; in chest ; in soles ; all over body.
Flushes of heat : in head.
Anxiety : at pit of stomach ; in chest.
Bruised feeling : of abdomen ; in chest ; in neck ; in hip-joint ; in calves.
Constriction : of chest.
Contraction : of limbs.
Drawing : from nape of neck to heel ; in region of heart ; in chest ; painful in legs.
Choking sensation : in throat.
Tickling : in urethra ; in larynx ; in trachea.
Prickling : in brain.
Pricking : in right instep.
Soreness : of throat ; of abdomen ; of bowels ; of urethra ; in chest ; below clavicle ; below left nipple ; of pharynx.
Roughness : in larynx.
Dryness : of mouth ; of vagina ; in chest.
Crowded sensation : in chest.
Heavy feeling in head ; in eyelids ; in upper part of left lung ; in legs.
Paralytic heaviness : in shoulder-joint.
Fulness : in pit of stomach ; in region of liver ; in right side of abdomen ; in chest.
Bearing down feeling : in uterus.
Painful weight : of viscera.
Weight : in back of head ; in sacrum.
Pressure : on top of head ; in eyes ; at stomach ; in pit of stomach ; in abdomen ; in sacrum ; under sternum.
Tension : in abdomen ; between shoulders.
Tightness : in right hypochondriac region ; in chest.
Oppression : of chest.
Palpitation : in stomach.
Trembling : of whole body.
Restlessness : of limbs.
Uneasiness : at splenic end of stomach.
Weakness : of legs ; of knees ; of calves ; of whole body.
Weariness : of feet.
Dulness : of head.
Roaring : in head ; in brain.
Murmur : in left jugular vein.
Humming : in ears.
Singing or ringing : in ears.
Buzzing : in brain.
Cracking : in shoulder-joint ; in limbs.
Rumbling : in abdomen.
Burnt sensation : on back and middle of tongue.
Pithy feeling : of tongue.
Stiffness : of legs.
Numb feeling : of tongue ; in arms ; in fingers ; in feet ; in thighs.
Formication : of scalp.
Itching : on scalp ; at anus ; of vulva.

Tissues

A cachectic state from faulty nutrition and assimilation.
Tendency to get fat.
Emaciation.
Relaxation and weakness of entire musculature with emaciation ; muscles feeble and easily exhausted from slight exertion.
Pseudo-plethora ; congestions, etc., yet anemic ; face is earthy, flushing easily.
Hemorrhages ; blood light or lumpy ; coagulates easily.
Blood-vessels distended, especially those of head, face and feet.
Red parts become white.
Increase of watery elements of blood and decrease of solids.
Anemia, from whatever cause ; chlorosis of defective menstruation, or simple poverty of blood induced by hemorrhages, deficiency of air, light, and suitable food, or of exhausting diseases.
After severe, hemorrhages ; pale, bloated appearance ; skin cool, and pitting upon pressure, particularly about joints ; great lassitude and debility ; cries easily ; loss of appetite with aversion to food ; indications of
acidity of stomach ; constipation ; menses too frequent and too profuse. θ Anemia.
Erethic chlorosis, worse during cold weather.
Chlorosis after great loss of blood.
Anemia and asthenia of Addison's disease.
Dropsy after loss of fluids, abuse of Cinchona, intermittent fever ; anasarca.
Dropsy of scrotum, legs and feet.
Dropsy acute or chronic in liver complaints.
Body bloated ; pressure with finger leaves indentations.
Swelling of cutaneous veins ; varices.
Glands swollen, with rending, tearing pains.
Bonds disposed to soften or bend ; fracture unites slowly.
Scrofulosis.
Atrophy of children.
Cracking in joints.
Sudden emaciation ; muscles lax, limbs cold ; weak digestion.

Touch. passive motion. injuries

Touch : head sensitive to ; scalp very sensitive ; pit of stomach very sensitive ; bowels sore to ; flesh of right arm and shoulder sore to touch ; burning sensation with pain in skin when touched.
Pressure : > headache ; liver sensitive to ; splenic region sore on pressure ; abdomen painless ; swelling of body pits upon pressure ; upon head of humerus very painful.
Weight of bed clothes : boring in shoulder <.
Constant light blows on pit of stomach : cause hæmoptysis.

Skin

Dry skin. θ Pneumonia.
Skin pale, yellow, sallow, dirty, withered, flabby.
Burning sensation, with pain as if excoriated when touched.
Yellow-brown spots, sore to touch.
Inflammation and suppuration of dark hepatic spots.
Dirty brownish discoloration of skin.
Sharply defined black, or dark violet spots on skin.
Skin peels off on shoulders and left hand.
Scarlatina during desquamation.
Swelling of cutaneous veins.
Anasarca.
Ulcers pale, œdematous.
Warts on fingers and backs of hands.

Stage of life, constitution

Constitution.
Adapted to persons of sanguine, choleric temperament ; pettish, quarrelsome, disputative, easily excited, least contradiction angers ; women are weak, delicate, chlorotic, yet have a very red face.
Very weak and thin.
General hemorrhagic diathesis.
Hemorrhophilia.
Dark hair.
Child, æt. 2 1/2 years, marked lymphatic constitution ; diarrhœa.
Child, æt. 3 ; enuresis diurna.
Boy, æt. 14 years, of rapid growth, very pale and thin ; diarrhœa.
Girl, æt. 15, not yet menstruated ; anemia.
Boy, æt. 16 ; gonorrhœa.
Girl, æt. 20 ; chlorosis.
Man, æt. 24, sanguine, choleric temperament, after pneumonia ; phthisis.
Man, æt. 24, light complexioned, strong, had intermittent fever of tertian type suppressed by quinine, and then reappeared as a quartan with marked symptoms of Cinchonism.
Girl, æt. 25 ; blonde, chlorosis.
Woman, æt. 26, mother of two children, lymphatic constitution, phlegmatic temperament, after loss of much blood ; anemia.
Man, æt. 27, tall, pale, while at work in factory receives constantly a slight blow in epigastric region ; hæmoptysis.
Plump. strong, butcher's widow, aged 28 ; anemia with migraine.
Mrs. B., æt. 28, lymphatic temperament ; enuresis diurna.
Man, lively disposition, dark complexioned, after washing face in cold water while overheated ; neuralgia.
Man, æt. 34 ; intermittent fever.
Man, æt. 37 ; aphonia.
Man, æt. 45, dyer, thin, muscular, choleric, dark complexion ; rheumatism.
Woman, æt. 53, after inflammation of liver ; pain and swelling of liver.

Relations

Antidoted by : Arsen., Cinchona, Hepar, Ipec., Pulsat .
It antidotes : Arsen., Cinchona, Iodium, Mercur., Prus. acid , tea, and alcoholic drinks.
Compatible : Acon., Arnica, Bellad., Cinchona, Conium, Lycop., Mercur., Phosphor., Veratr .
Incompatible : Thea, beer.
Complimentary : to Alum., Cinchona .
Compare : Borax (vertigo when descending), Anac., Spongia (cough > after eating), Arsen ., Cinchona (intermittent fever), Phosphor .
(cholerine), Selen., Thuja (bad effects of tea).

Lectures on Homoeopathic Materia Medica

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

Iron

We will take up the study of Ferrum metallicum. The Old School has been giving Iron for anaemia throughout all tradition. They have given it in great quantities in the form of the tincture of chloride, and the carbonate.

Whenever the patient became anemic, pallid, waxy and weak, Iron was the tonic. It is true that Iron produces anemia, and it would be astonishing to any one who ever read the provings of Ferrum of the allopaths did not create additional bloodlessness with the doses of Iron they administer.

It is true that under the provings, and under those circumstances where Iron has been given in excess, the patient becomes greenish, waxy, yellow and pallid, with a sickly and anemic countenance. The lips become pale; the ears lose their pink color; the skin of the body becomes waxy, and there comes a tendency to hemorrhage, at times with clots, but commonly with copious, thin, liquid blood, very dark.

The clots will separate and the fluid parts look brown, dirty and watery. The patient gradually emaciates. He is pallid and waxy; his muscles become flabby and relaxed; he is incapable of endurance. All the muscular fibers become tired from any exertion. Rapid exercise, or, any unusual exertion. is impossible. Any rapid exertion or motion brings on weakness, dyspnea, sinking and fainting.

A strange thing running through all the constitutional conditions of Ferrum is that the pains and sufferings come on during rest.

The palpitation sometimes comes on during rest, the dyspnoea comes on during rest, and even the weakness. The patient is ameliorated by moving gently about, but any exertion tires and causes faintness.

Any rapid motion aggravates the complaints. The pains are ameliorated by moving about the house slowly, so that the exertion does not excite or fatigue. In many cases the patient is dropsical. The skin pits upon pressure and is pale, yet the face shows an appearance of plethora. From every little excitement the face becomes flushed.

During the chill the face becomes red. From taking wine or stimulant the face becomes flushed, and the patient, though flabby, relaxed and tired, does not get credit for being sick.

She fails to get the sympathy of her friends. She is feeble, she suffers from palpitation and dyspnoea, she has great weakness with inability to do anything like work, she feels that she must lie down-yet the face is flushed. This is called a pseudo-plethora.

The blood-vessels are distended, the veins varicose, and their coatings relaxed. On this account bleed ing takes place easily; capillary oozing; hemorrhage from all pass of the body, haemorrhage from the nose, the lungs, the uterus.

Women suffer much from haemorrhage from the uterus, especially during and after the climacteric period. Ferrum will be found of great value when the symptoms agree in that wonderful anemic state called "green sickness," that comes on with girls at the time of puberty and in the years that follow it.

There will be almost no menstrual flow, but a cough will develop, with great pallor. So common is this sickness among girls that all mothers are acquainted with and dread it. In a large practice you will have a number of cases of chlorosis.

Sometimes the early menstrual period is attended with a copious, and then occurs, and this goes on for a number of years before anything like menstrual regularity is established.

In these cases the Old School always used to feed their patients Iron in great quantities, but the more Iron the patient took the worse she grew.

Congestion, tending upwards, with red face, hot head and coldness of the extremities. But the heat of the head and face is not at all in proportion to the red appearance. It will be found that this congestion upward in Ferrum will take place during a chill, in septic fevers or in other forms of fever, and the head is not always hot, but sometimes cool. The face may be red and cool.

Face

Another grand feature of Ferrum is that, like China, it has complaints from loss of animal fluids; from prolonged haemorrhage, with weakness remaining a long time. There is no repair, no assimilation. The bones are soft and easily bent; they take on crooks. Emaciated and feeble children. Dryness of the joints, causing cracking on motion. Sudden emaciation, with false plethora.

Redness of face - a healthy looking bloom - in one who is unable to walk fast on the street, or to stand any exertion. Yet some of the complaints of Ferrum are better from occupation, from doing something, from taking a little exercise, because the complaints come on during rest.

Over-excitability and sensivity of the nerves; oversensitiveness to pain. The sensitive woman who needs Ferrum has a flushed face and is often complaining because she gets no sympathy. She does not look sick, yet she puffs on going up stairs; she feels weak and wants to lie down.

Restless when keeping still; must keep the limbs moving. Rending pains in the limbs; dull aching in the limbs. These pass off when moving about quietly and gently, like Pulsatilla. But Ferrum is a very cold remedy, and is ameliorated by warmth, except the pains about the neck, face and teeth, which are ameliorated by cold. But most of the pains are ameliorated by heat; the patient wants to keep warm and dreads anything like fresh air or a draught.

Weakness and prostration; weakness even from talking. Prostration with irregular pulse and rapid pulse, or with too slow pulse; palpitation. And then comes paralytic weakness; the limbs give out. Paralytic conditions from anaemia or haemorrhage. Fainting spells from haemorrhage. Jerking and twitching of the muscles; chorea; catalepsy.

Mind

You may easily imagine something of the character of the mental symptoms, for they are like the physical. The mind is confused and the patient tearful. Depression of spirits; mental weariness and depression. The highest degree of depression and despondency. Anxiety from the slightest cause; irritability.

The least noise, like the crackling of paper, sets the patient wild. It brings on nervous excitement and restlessness; she must get up and move.

Excitement from the slightest opposition. Any sudden or rapid motion, or the least hurry, causes blackness before the eyes; dizziness; things turn in a circle; she must sit down. And with all this the face is red. When alone and at rest, the face becomes pale and cold, but the least excitement brings a flush to the cheeks.

Headaches

The headaches are congestive in character, with mounting of blood upwards. There is a sense of fullness and distension, with red face.

Fullness and distension of the eyes; fullness of the neck. Palpitation of the heart. Exophthalmic goitre. The headaches are ameliorated by pressure. Ferrum wants to be pressed to support the veins. Throbbing like hammers in the head.

Every quick motion aggravates the headache. Coughing aggravates the headache; pain in the head and occiput from coughing. These pains are sometimes ameliorated by walking gently. Going up stairs, sitting down, rising from a seat unless it is done very deliberately - will arouse all the pains of Ferrum.

Any sudden motion will bring on hammering and a feeling of great expansion in the head. And then will come more or less shooting, tearing pains. Beating in the back of the head from rising or from coughing, because coughing is a sudden motion. Confusion of mind with hammering headache. Rush of blood to the head. Congestive headaches from excitement; from taking cold; from exposure; lasting three or four days or a week. The face is gushed and perhaps cold, the head somewhat hot, but not as hot as would be expected.

Redness of the eye; engorged vessels. Great weakness, dyspnoea and palpitation. Writing - a mental operation - causes the headache to reappear. Great sensitiveness of the scalp. The patient must let the hair hang down. Mental disorders and headaches accompanying or following haemorrhages, and in lying in women.

Bloated appearance about the eyes. All sorts of disturbance of vision from congestion. Venous stasis; swelling of the eyelids; pus-like discharge. Over-sensitiveness to sound; ringing in the ears.

The symptoms of the nose are numerous. Colds and catarrhal troubles, ending in nosebleed. Nosebleed on slight provocation, with headaches at the menstrual nisus.

Scabs form in the nose. Extreme paleness of the face; face becomes red and flushed on the least emotion. Flushed face with dropsy of the lower limbs; flushed face with chill. Thirst during the chill is a striking feature of Ferrum. During the menstrual period there are violent pains, and as soon as the pain starts the face becomes flushed.

Nothing taken into the stomach digests, and yet there is no special nausea. It is the exception to find nausea in Ferrum. Food goes into the stomach and is vomited without nausea-simply emptied out. Sometimes there are eructations of food by the mouthful, like Phosphorus.

Food

Phosphorus was the remedy with all the old masters for spitting up of food by the mouthful until. the stomach was empty.

Canine hunger. It says in the next:

"Double the amount of an ordinary meal in the evening was hardly sufficient."

All food tastes bitter; solid food is dry and insipid. After eating there are eructations. Heat in the stomach; regurgitation of food. Spasmodic pressure in the stomach after the least food or drink, especially after meat. Aversion to meat, to eggs, to sour fruit. Aversion to milk, and to his accustomed tobacco and beer. Sweet wines agree, but sour wines and all sour things disagree. The tongue feels as if burnt. As soon as the stomach is empty vomiting ceases until he eats again. Vomiting of food, immediately after midnight, Vomitus tastes sour.

Pregnancy

Ferrum is occasionally indicated during pregnancy. A few weeks after becoming pregnant the woman commences to throw up her food by the mouthful.

There is no nausea, but the face is flushed and the woman is flabby and weak. She vomits without becoming sick. Fullness and pressure in the stomach; pressure in the stomach after eating. Ferrum is an unusually interesting remedy because of this peculiar stomach. It is like a leather bag; it will not digest anything. Fill it up and it empties itself just as easily as it was filled.

Ferrum has a troublesome diarrhoea, with acrid watery excoriating stool. Morning diarrhoea. Many of these patients are old sinners with broken-down constitutions, who have suffered long from constipation. Chronic constipation with ineffectual urging and hard, difficult Stools.

Relaxation runs through the remedy. From this relaxation there is prolapsus of the rectum, vagina and uterus. Dragging down in the lower part of the body, as if the organs would come out-and sometimes they do come out.

Bladder

The bladder is also relaxed. Its sphincter is weak, and there is no regularity of its muscular action. Hence, we have involuntary urination from sudden motion, from walking, or from coughing. In little children the urine dribbles all day just as long as the child plays the urine dribbles and keeps the clothing wet, but this better while keeping perfectly quiet.

The bladder is so relaxed and tired that it cannot hold the urine, and as soon as it is partially filled it allows its contents to escape. This relaxation runs through the remedy and gives it character, just like a human being. You know what each one of your friends is likely to do on every occasion. So it is with a remedy. You ought to know what it is most likely to do, in order to know what it will accomplish in curing the sick.

Genital

Weakness and relaxation of the genital organs is common to Ferrum. The menstrual flow comes in for its share. Copious, watery flow; haemorrhage or suppression - amenorrhoea - no flow at all, only a leucorrhoea. Suppression of the menses with great nervous excitement; with flushed face; with weakness and palpitation. Prolapsus of the vagina. Insensibility of the vagina during coition. Metrorrhagia. Menses too soon too profuse and lasting too long.

Respiration

Difficult respiration; pains and disturbances in the chest. Difficult breathing, with a sense of a great load on the chest. Suffocating fits at night; catarrhal conditions of the respiratory tract; congestion of the chest; dyspnoea.

Spasmodic cough, such as we find in whooping cough, coming on in violent paroxysms. Cough after every meal, with gagging, emptying the stomach of its contents. Cough felt in the head. Cough worse from the abuse of brandy, tobacco or tea. Cough coming on after the loss of fluids, as after haemorrhages.

Chest troubles following uterine hemorrhage, and after other hemorrhages. Coughing up blood; bleeding from the lungs. Persons debilitated by secret vices, with a tendency to go into tuberculosis.

Palpitation of the heart from fear, excitement, or exertion. Rapid action of the heart, or sometimes slow action. Fatty degeneration of the heart. Pulse accelerated toward evening. Pulsations throughout the body, feeling like little hammers.

Rheumatic pains

in the extremities, ameliorated by heat and by gentle motion; aggravated by cold, by exertion, or by rapid motion. Pains through the deltoid muscles are spoken of more prominently than pains in other parts, but these pains are no more striking than the pains anywhere in Ferrum.

Tearing pains through the limbs. Inability to raise the arm; paralytic pains, - that is, pains that are benumbing. Pains that make him feel as if he were going to lose the power to move the part. Violent pains in the hip-joint are just as common as the pains in the shoulder.

Lippe says,

"Rheumatism in the left shoulder," but it is just as common in the right. Rheumatic pains in the deltoid muscle of either side. Violent pain in the muscles and along the nerves. Pinching in the right deltoid; boring in the right shoulder; aggravated by motion and by the weight of the bedclothes; ameliorated by heat.

Tearing and stinging pains. The Ferrum pains come on in the night, because the patient attempts to keep still in bed. Rest brings on the Ferrum pains. When moving gently about in the daytime be will not have so much pain. Coldness of the limbs; and again, heat of the soles and palms, they change about. With all this weakness and prostration dropsical conditions come on, so that the feet and hands become bloated.

Evening chill or chilliness with fever, cold hands and feet and red face. Icy cold feet with the chill. Chill ameliorated after eating. Thirst with the chill. Copious sweat which stains yellow. All symptoms worse while sweating. Strong-smelling night sweats. All the febrile symptoms are better by slowly moving about. In intermittent fever after the abuse of quinine.

We read in the text that Ferrum is a remedy for diarrhea in the last stages of consumption. Well, sometimes it is, if the patient is prepared to die.

Ferrum will stop the diarrhea, but after it is stopped the patient will not live long. The diarrhea is not usually painful. It is annoying, but it is painless, and the night sweats are painless. Do not suppress them; they had better be let alone. Let the patient go on to a peaceful termination.

The best remedy for diarrhoea in the last stages of consumption is Saccharum lactis in the crude form, given in very small quantities and repeated as often as is required by the patient and the bystanders.

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 sanguine temperament; pettish, quarrelsome, disputative, easily excited, least contradiction angers (Anac., Coc., Elaps); women who are weak, delicate, chlorotic, yet have a very red face.

Hemorrhagic diathesis; blood bright red, coagulates easily (Fer. p., Ipec., Phos.).

Extreme paleness of the face, which becomes red and flushed on the least pain, motion or exertion; blushing (Amyl, Coc.).

Irritability: slight noises, like crackling of paper, drive him to despair (Asar., Ther.).

Always feels better by walking slowly about, although weakness obliges the patient to lie down.

Erethitic chlorosis, worse in winter.

Red parts become white; lips, face, tongue.

Menses: early, profuse, protracted, with fiery red face; ringing in the ears; intermit two or three days and then return; flow pale, watery, debilitating.

Vertigo; with balancing sensation as if on the water; on seeing flowing water; when walking over water, as when crossing a bridge (Lys.); when descending (Bor., San.).

Headache: for two, three, or four days, every two or three weeks; hammering, beating, pulsating pains, must lie down in bed; with aversion to eating or drinking.

Regurgitation and eructation of food in mouthfuls (Alum.), without nausea.

Canine hunger, or loss of appetite, with extreme dislike for all food.

Vomiting : immediately after midnight; of ingesta, as soon as food is eaten; leaves table suddenly and with one effort vomits everything eaten, can sit down and eat again; sour, acid (Lyc., Sul. ac.).

Diarrhœa :

Bar., coldness of body which was hot to the touch). Flushes over the whole body, as if perspiration would break out. Heat of head, feet cold. Great heat of palms of hands and soles of feet. Heat in the stomach (relieved by eating), vomiting of the ingesta. Dry heat, worse towards evening; inclination to uncover (Sec.); > by moving about, eating, speaking. Face very red.

Sweat

From early morn till noon every other day, preceded by headache. Sweat profuse, long-lasting, whether by day at every motion, or night and morning in bed. Strong-smelling, clammy, debilitating night-sweat. Sweat stains yellow, and is fetid on going to sleep. Sweat > while speaking and after eating. All the symptoms are < while sweating (all the symptoms are > by sweating, Nat., Psor.). "Nausea during sweat."—C. PEARSON.

Tongue

Coated white. Lips, gums, tongue and mucous membrane of entire buccal cavity pale and bloodless (Sec.). All food tastes bitter, dry, woody and insipid. Taste like rotten eggs (Acon., Arn.). Anorexia; extreme dislike to all food.

Pulse

Hard and full at beginning of paroxysm; or weak, small and scarcely perceptible during apyrexia; great ebullition of blood.

Apyrexia

Prostration, debility and great loss of muscular power. Anæmia. Œdema of feet and face, especially upper and lower eyelids (Apis, Ars.—of upper eyelids, Kali c.). Headache; vertigo; swelling of the cutaneous veins; splenic region swollen and sore on pressure (Apis, Arn.). Vomiting of everything eaten without being digested. Constipation or chronic diarrhœa with lienteria. Cadaverous, jaundiced complexion. Yellow spots on the face (Sep.). Very weak and tired, but always better when walking slowly about (better from being perfectly still, Bry.). Cases maltreated by Quinine.

"Iron is evidently one of the most precious remedies against the cachectic condition; but I admit that its action is due to neither the chemical reasons that have been imagined and which have been current even on the lips of our school, nor the massive doses which naturally flow from these considerations; it is by its dynamic virtues that Ferrum acts and confers all its benefits.—A. CHARGE.

Intermittent fever after abuse of Quinine; congestions to head and face; veins distended; vomiting ingesta; swelling of spleen; anæmia marked by pseudo-plethora; skin transparent when it is not earthy. The totality of the characteristic symptoms.

Analysis

A history of anæmia, chlorosis, and general constitutional weakness.

Pale face, flushed during chill or heat.

Feet cold, as if in snow.

Profuse, long-lasting, debilitating sweat; clammy and cold at night.

Maltreated by Quinine.