Gelsemium Sempervirens gels.

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

CIRCULATION. BRAIN CORD: OCCIPUT. Base. Neck. MOTOR NERVES: MUSCLES. Knees. EYES (LIDS. VISION.) MUCOUS MEMBRANES: Nose. Gall-ducts. Right side.

Worse

EMOTIONS; DREAD. Surprise. Shock. Ordeals. Motion. Weather: SPRING. Foggy. HUMID. Muggy. Heat of summer. Periodically. Dentition. Tobacco. Gas.

Better

Profuse urination. Sweating. Shaking. Alcoholic drinks. Mental effort.

General

ACHING, TIRED, HEAVY, WEAK AND SORE; < limbs. Grippe. Overpowering aching. Heavy single parts, heart, liver, etc. Lies quietly, half reclining. Nerve exhaustion. Dull, drowsy and dizzy. TREMOR; or twitches of single muscles, face, chin, tongue, etc.; wants to be held. Chorea, of pregnancy. Paretic effects; eyes, throat, anus, bladder, etc. Inco-ordination. Fulness. Passive congestion. Symptoms accompanied by vertigo, eye or visual effects, drowsiness or polyuria.

Particulars

CONFUSED, dazed, apathetic, torpid, dull, drowsy and dizzy, or indifferent; answers slowly. DREAD of falling; of ordeals, death, pains, etc. VERTIGO; drunken; in occiput. Headache; dull, HEAVY, band-like, occipital, to over eyes; < tight hat; swelled feeling; basilar. Meningitis. Apoplexy. Suffused, sore, aching eyes. HEAVY, DROOPING EYELIDS. VISION; double; swimming; blind spells; affected, then migraine. Face full, dusky - red; heavy, expressionless; besotted. Ciliary neuralgia; pains into ears on swallowing. Pains to occiput. Nose stuffed. Sneezing; thin, acrid coryza. Sensation as of hot water flowing from the nostrils. Heavy tongue; thick speech. THIRSTLESS. Griping in gall-bladder. Copious, yellow stools. Painless, nervous diarrhœa. Rectal pains after labor. Clear, watery urine, > headache. Alternate pelvic and head symptoms. Atonic seminal losses. Heavy, sore uterus; it feels grasped. Dysmenorrhœa. Labor pains go up, backward or down thighs. Rigid os. Deep yellow leucorrhœa. Hoarse, during menses. Tiresome breathing. Chest; as of a lump behind sternum; congestion. Heart sore; threatens to stop, must move. Spine, dull pains up and down, > walking; with occipital pain. Pains under scapulæ. Hard ache in r. humerus. Wants hands in cool water. Heavy lower limbs. Weak knees, < descending. Tottering gait; can't direct his legs. Moist, yellow skin. DROWSINESS; starts on dropping to sleep. Heavy, stupid sleep. Full, round, soft pulse. Blood rushes from occiput to forehead. Visual disturbances, then chill. Chilly and achy; with languor (Sil.); mingled or alternating with heat; up and down back. Cold hands and feet. Heat with sopor. ABSENCE OF THIRST, or trembling. Cold sweat on genitals. Fevers; bilious-remittent; malarial; cerebro-spinal. Measles. Ebullitions and heats. Sluggish fever. Shuddering chill.

Related

Complementary: Arg-n. Sep. Related: Con. Ign. Mur-ac. Nat-m. Sep. Ver-v.

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

For children, young people, especially women of a nervous, hysterical temperament (Croc., Ign.). Complete relaxation and prostration of whole muscular system with entire motor paralysis. Excitable, irritable, sensitive; for the nervous affections of onanists of both sexes (Kali p.). Bad effects from fright, fear, exciting news and sudden motions (Ign. - from pleasant surprise, Coff.). Fear of death (Ars.); utter lack of courage. The anticipation of any unusual ordeal, preparing for church, theatre, or to meet an engagement, brings on diarrhoea; stage fright, nervous dread of appearing in public (Arg. n.). General depression from heat of sun or summer. Weakness and trembling; of tongue, hands, legs; of the entire body. Desire to be quiet, to be let alone; does not wish to speak or have any one near her, even if the person be silent (Ign.). Vertigo, spreading from the occiput (Sil.); with diplopia, dim vision, loss of sight; seems intoxicated when trying to move. Children; fear of falling, grasp the crib or seize the nurse (Bor., Sanic.). Headache; preceded by blindness (Kali bi.), > by profuse urination. Lack of muscular co-ordination; confused; muscles refuse to obey the will. Headache: beginning in the cervical spine; pains extend over head, causing bursting sensation in forehead and eyeballs (Sang., Sil., begins in the same way, but semi-lateral); < by mental exertion; from smoking; heat of sun; lying with head low. Sensation of band around the head above eyes (Carb. ac., Sulph.); scalp sore to touch. Fears that unless on the move heart will cease beating (fears it would cease beating if she moved, Dig.). Slow pulse of old age. Great heaviness of the eyelids; cannot keep them open (Caust., Graph., Sep.). Chill without thirst, especially along spine, running up and down the back in rapid, wave-like succession from sacrum to occiput.

Relations

Compare: Bap. in threatening typhoid fever; Ipecac. in dumb ague, after suppression by quinine.

Aggravation

Damp weather; before a thunderstorm; mental emotion or excitement; bad news; tobacco smoking; when thinking of his ailments; when spoken to of his loss.

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)

Mental

Bad effects from great fright or fear; threatened abortion from fright. (This Gelsem. fright is an awe-stricken feeling, a deep-seated fright or fear, that has made a deep impression.)

Eyes

Loss of sight; eyes feel bruised: double vision; sensation of double vision controllable by the will, during pregnancy; appearance of smoke before the eyes, cannot see anything; pupils dilated.

Sensations

Dull pain in back part of the head; headache with giddiness and faintness; pain in the neck, also in the limbs; drowsiness; sensation as though the skin at the middle of the forehead and about the face were contracted; also of contraction of the muscles of the face, particularly about the mouth, making it difficult to talk; spasmodic pains; bruised sensation all over the body, as if resulting from severe bodily exertion.

Generalities

Does not wish to be spoken to; all exciting news cause diarrhœa; pulsations of the carotid arteries; sneezing; powerless condition of the lower extremities. Heat of the face with fulness of the head, and cold feet; putrid breath and fetid taste; frequent discharge of flatus with constipation. During parturition, when at every pain, with rigidity of the neck of the uterus, the pain strikes into the abdomen, above or below the navel, running from before, backward and upward; also, when the pain starts all right, then breaks and runs up the back, thus losing its efficacy. Respiration frequent and very unequal; coldness of the wrists and hands; hands dry and hot; especially the palms; delirium occurring soon as sleep comes on; waking from sleep with headache or colic; fevers, where muscular power is affected, patient feels so utterly without power.

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

Heaviness of the head, relieved after profuse emission of watery urine. Partial paralysis of the eyelids, tongue, or organs of deglutition. Fullness in head, heat of face, chilliness, thick speech, brain feels as if bruised. Diarrhoea after sudden emotions, as grief, fright, bad news, or the anticipation of an unusual ordeal. Inefficient labour pains, or none at all, or widely dilated, complete atony, or labour delayed by a rigid os. Fever beat with drowsiness. Sleep with half waking and murmuring frequently. Little thirst, feels very languid, and wants to lie still. Febrile chilliness, cold extremities, heat of the head and face.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Yellow Jasmine (GELSEMIUM)

General

Centers its action upon the nervous system, causing various degrees of motor paralysis. General prostration. Dizziness, drowsiness, dullness, and trembling. Slow pulse, tired feeling, mental apathy. Paralysis of various groups of muscles about the eyes, throat, chest, larynx, sphincter, extremities, etc. Post-diphtheritic paralysis. Muscular weakness. Complete relaxation and prostration. Lack of muscular co-ordination. General depression from heat of sun. Sensitive to a falling barometer; cold and dampness brings on many complaints. Children fear falling, grab nurse or crib. Sluggish circulation. Nervous affections of cigarmakers. Influenza. Measles. Pellagra.

Mind

Desire to be quiet, to be left alone. Dullness, languor, listless. "Discernings are lethargied. " Apathy regarding his illness. Absolute lack of fear. Delirious on falling to sleep. Emotional excitement, fear, etc, lead to bodily ailments. Bad effects from fright, fear, exciting news. Stage fright. Child starts and grasps the nurse, and screams as if afraid of falling (Bor).

Head

Vertigo, spreading from occiput. Heaviness of head; band-feeling around and occipital headache. Dull, heavy ache, with heaviness of eyelids; bruised sensation; better, compression and lying with head high. Pain in temple, extending into ear and wing of nose, chin. Headache, with muscular soreness of neck and shoulders. Headache preceded by blindness; better, profuse urination. Scalp sore to touch. Delirious on falling asleep. Wants to have head raised on pillow.

Eyes

Ptosis; eyelids heavy; patient can hardly open them. Double vision. Disturbed muscular apparatus. Corrects blurring and discomfort in eyes even after accurately adjusted glasses. Vision blurred, smoky (Cycl; Phos). Dim-sighted; pupils dilated and insensible to light. Orbital neuralgia, with contraction and twitching of muscles. Bruised pain back of the orbits. One pupil dilated, the other contracted. Deep inflammations, with haziness of vitreous. Serous inflammations. Albuminuric retinitis. Detached retina, glaucoma and descemetitis. Hysterical amblyopia.

Nose

Sneezing; fullness at root of nose. Dryness of nasal fossæ. Swelling of turbinates. Watery, excoriating discharge. Acute coryza, with dull headache and fever.

Face

Hot heavy, flushed, besotted-looking (Bapt; Op). Neuralgia of face. Dusky hue of face, with vertigo and dim vision. Facial muscles contracted, especially around the mouth. Chin quivers. Lower jaw dropped.

Mouth

Putrid taste and breath. Tongue numb, thick, coated, yellowish, tremble, paralyzed.

Throat

Difficult swallowing, especially of warm food. Itching and tickling in soft palate and naso-pharynx. Pain in sterno-cleido-mastoid, back of parotid. Tonsils swollen. Throat feels rough, burning. Post-diphtheritic paralysis. Tonsillitis; shooting pain into ear. Feeling of a lump in throat that cannot be swallowed. Aphonia. Swallowing causes pain in ear (Hep; Nux). Difficult swallowing. Pain from throat to ear.

Stomach

As a rule, the Gelsemium patient has no thirst. Hiccough; worse in the evening. Sensation of emptiness and weakness at the pit of the stomach, or of an oppression, like a heavy load.

Stool

Diarrhœa from emotional excitement, fright, bad news (Phos ac). Stool painless or involuntary. Cream-colored (Calc), tea-green. Partial paralysis of rectum and sphincter.

Urine

Profuse, clear, watery, with chilliness and tremulousness. Dysuria. Partial paralysis of bladder; flow intermittent (Clematis). Retention.

Female

Rigid os (Bell). Vaginismus. False labor-pains; pains pass up back. Dysmenorrhœa, with scanty flow; menses retarded. Pain extends to back and hips. Aphonia and sore throat during menses. Sensation as if uterus were squeezed (Cham; Nux v; Ustilago).

Male

Spermatorrhœa, without erections. Genitals cold and relaxed (Phos ac). Scrotum continually sweating. Gonorrhœa, first stage; discharge scanty; tendency to corrode; little pain, but much heat; smarting at meatus.

Respiratory

Slowness of breathing, with great prostration. Oppression about chest. Dry cough, with sore chest and fluent coryza. Spasm of the glottis. Aphonia; acute bronchitis, respiration quickened, spasmodic affections of lungs and diaphragm.

Heart

A feeling as if it were necessary to keep in motion, or else heart's action would cease. Slow pulse (Dig; Kalm; Apoc; Can). Palpitation; pulse soft, weak, full and flowing. Pulse slow when quiet, but greatly accelerated on motion. Weak, slow pulse of old age.

Back

Dull, heavy pain. Complete relaxation of the whole muscular system. Languor; muscles feel bruised. Every little exertion causes fatigue. Pain in neck, especially upper sterno-cleido muscles. Dull aching in lumbar and sacral region, passing upward. Pain in muscles of back, hips, and lower extremities, mostly deep-seated.

Extremities

Loss of power of muscular control. Cramp in muscles of forearm. Professional neuroses. Writer's cramp. Excessive trembling and weakness of all limbs. Hysteric convulsions. Fatigue after slight exercise.

Sleep

Cannot get fully to sleep. Delirious on falling asleep. Insomnia from exhaustion; from uncontrollable thinking; tobacco. Yawning. Sleepless from nervous irritation (Coffea).

Fever

Wants to be held, because he shakes so. Pulse slow, full, soft, compressible. Chilliness up and down back. Heat and sweat stages, long and exhausting. Dumb-ague, with much muscular soreness, great prostration, and violent headache. Nervous chills. Bilious remittent fever, with stupor, dizziness, faintness; thirstless, prostrated. Chill, without thirst, along spine; wave-like, extending upward from sacrum to occiput.

Skin

Hot, dry, itching, measle-like eruption. Erysipelas. Measles, catarrhal symptoms; aids in bringing out eruption. Retrocedent, with livid spots. Scarlet fever with stupor and flushed face.

Modalities

Worse, damp weather, fog, before a thunderstorm, emotion, or excitement, bad news, tobacco-smoking, when thinking of his ailments; at 10 am. Better, bending forward, by profuse urination, open air, continued motion, stimulants.

Relationship

Compare: Ignatia (gastric affections of cigarmakers); Baptisa; Ipecac; Acon; Bell; Cimicif; Magnes phos (Gelsem contains some Magnes phos). Culex--(vertigo on blowing the nose with fullness of the ears).

Antidotes: China; Coffea; Dig. Alcoholic stimulants relieve all complaints where Gelsem is useful.

Dose

Tincture, to thirtieth attenuation; first to third most often used.

Leaders in Homoeopathic Therapeutics

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

Leaders

Complete relaxation and prostration of the whole muscular system, with almost or entire motor paralysis. Eyelids droop; muscles refuse to obey the will.

Trembling of hands or lower extremities if he attempts to move; must lie still.

Mental faculties dull, cannot think; drowsy, with dull red face.

Susceptibility to mental disturbance, excitement or emotion; causes diarrhœa.

Dull, tired, prostrating headache at base of brain; wants head high, sometimes > by profuse urination.

Vertigo with blurred vision; dilated pupils; double sight; sense of intoxication.

Nervous chill, violent shaking with no sense of coldness.

Desire to be quiet; feels too weak to move.

Children: fear of falling, seize the nurse, grasp the crib, especially in intermittents.

Slow, weak pulse of old age.

Great heaviness of the eyelids; cannot keep them open.

Fears that unless constantly on the move, the heart will cease beating.

General deep-seated muscular pain with prostration (la grippe).

This remedy affects, primarily, the whole nervous system. the most prominent symptom, as we are in the habit of recording the effects of remedies, is "complete relaxation and prostration of the whole muscular system, with almost or quite entire motor paralysis." This muscular prostration seems to come through inability of the nerves to convey impressions; thus we have the symptom "muscles will not obey the will." This condition comes on gradually, the first symptom being a feeling of lassitude or general fatigue. He wants to lie down he feels so weak (Picric acid), and is inclined to drowsiness; the pulse becomes weak and slow, but is accelerated on the least motion. Then, if he attempts to walk, the legs tremble, or the hands tremble if he attempts to lift them, the tongue trembles if he attempts to protrude it; all this from weakness, both objective and subjective. If I were to put one adjective before this remedy to indicate its chief characteristic I would call it the trembling remedy. Sometimes this trembling is so severe as to actually shake the patient like a chill, but there is no chill, objective or subjective. This weakness may increase to the stage of complete paralysis, and such symptoms as these appear: The eyelids droop (Sepia, Caust.) until they are completely closed. The fingers become unmanageable, so that he can no longer guide them over the keys of the piano in playing; he cannot guide his feet where he wants to in trying to walk, notwithstanding the sensorium remains clear, with perhaps the exception of a little drowsiness. He knows perfectly well what he wants to do, it cannot do it.

Then again, there may be neuralgia in various parts, and the pains may be a dull aching all over (myalgia), or they may be sudden and darting, so acute as to cause sudden starting. Or, again, it may cause spasms or convulsions; but with all these there is the characteristic prostration, for instance, in prosopalgia the eyelids droop from weakness. So we repeat Gelsemium is pre-eminently a nerve remedy.

Having shown the central action of this great remedy as it manifests itself upon the nervous system, we will proceed to notice some of its local uses which will always be more or less associated with such action. Upon the mind it shows its depressing power, and is portrayed in such symptoms as these: The Gelsemium subject is torpid, sleepy and dreads movement. The mental faculties are dull, cannot think clearly or fix his attention: "desires to be quiet; does not wish to speak or have any one near her for company, even if the person be silent." This condition of mind is in perfect accordance with the general nervous prostration already described. This condition of mind sometimes is temporarily suspended to give place to an alternate condition of excitement. But this is not the leading, characteristic, and legitimate effect of the drug, but is only the reaction; like a state of sleeplessness is to the characteristic sleepiness or stupor of Opium. I consider the large doses of either remedy used by some to quiet excited conditions, or to control spasms or convulsions by their toxic, depressing, or paralyzing action on the muscular system, antipathyc and in no way truly curative.

There is an excessively sensitive condition of the nerves that is very peculiar, and that this remedy controls markedly, viz., susceptibility to mental disturbance, such as sudden excitement or emotion, bad news or fright, the anticipation of an unusual ordeal. One of the effects following these things is a diarrhœa. Many people are thus affected. Gelsemium not only cures the diarrhœa for the time being, but often cures the whole abnormal condition. I have never known the remedy to do much good in these conditions below the 30th potency, but often in the potencies much above that.

As would be naturally supposed from its general action upon the nervous system, this remedy exerts a decided influence upon the sensorium and brain. Dizziness, with blurred vision, pupils dilated, double sight and sense of intoxication, show this influence. One very characteristic symptom appears here which is found under only one other remedy with any prominence, viz., "child starts and grasps the nurse and screams, as if afraid of falling." If there is any difference between it and Borax, it is that in Borax the child manifests this fear only when it is being laid down in the cradle, or from downward motion.

The most characteristic headache of Gelsemium is a dull, tired headache at the base of the brain. The patient wants to lie with head raised upon a high pillow, and lie perfectly still. It is aggravated by mental labor, smoking tobacco, lying with the head low, and in the heat of the sun. (Glonoine, Lachesis, Lyssin, Natrum carb.). It is temporarily ameliorated by pressure and stimulants. Such headaches often follow a debauch. Sometimes we have a headache from passive congestion; then the pain begins in the occiput and spreads all over the head. The aggravations are about the same as in the other variety, or nervous headache. One notable characteristic is that sometimes the headache is relieved by a profuse flow of urine. (Lac defloratum has a profuse flow of urine during sick headache to which it is adapted, but the pain is not so markedly relieved by the flow). Gelsemium has also a sick headache that is preceded by blindness. As the head begins to ache the blindness disappears. The sick headache of this remedy is not accompanied with much nausea and vomiting, as is that of Sanguinaria, Iris versicolor and Lac defloratum, but is accompanied by the characteristic weakness and trembling belonging to this remedy. Gelsemium is one of the so-called fever remedies. It is useful in the remittent fever of children. The fever is never of that active or violent form calling for Aconite or Belladonna, but of a milder form. The child lies drowsy, does not want to move, or, if it does, cannot move much on account of the weakness. One author says that Gelsemium stands midway between Aconite and Veratrum viride. I should rather place it between Baptisia and Belladonna. Like Baptisia, there is prostration, but the typhoid tongue and other symptoms are not so strong. There may be dark red face with both and a sort of besotted expression; but with Baptisia the sensorium comes more fully under the influence of the drug, so that the patient will fall asleep even when trying to answer questions. Then the offensive sweat, stool and urine of Baptisia are not found under Gelsemium. Like Belladonna, there is congestion to the brain and dilated pupils, but it is not so intense, accompanied by active or violent delirium as with Belladonna. Gelsemium is not a very great intermittent fever remedy; but is one of the best for nervous chill (Gelsemium chills run up and down the back in wave-like succession from sacrum to occiput; chill begins between scapulæ, Capsic., Sepia; chill begins in lumbar region, Eupat. purp. and Nat. m.; chill begins in dorsal region, Eupat. perf., Lach.); when there is great shaking and chattering of the teeth, with no objective, or even sense of coldness. Patient wants to be held because he shakes so." This kind of chill is frequently found in hysterical, and heart diseases (organic). The pulse of Gelsemium is slow when quiet, but greatly accelerated on motion. For the weak, slow pulse of old age there is no remedy oftener useful. For the nervous prostration already described, just preceding typhoid, there is nothing like Gelsemium. I have aborted many cases of typhoid fever with this remedy -at least I think so.

Text Book of Materia Medica

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

Mind and Disposition

Great irritability, does not wish to be spoken to. Vivacity, carelessness, followed by depression of spirits. Unconnected ideas ; cannot follow an idea for any length of time ; if he attempts to think consecutively he is attacked by a painful vacant feeling of the mind. Stupor, cannot open the eyes. Sensation of intoxication with diarrhœa. Confusion ; when attempting to move, the muscles refuse to obey the will ; head giddy. Every exciting news ; causes ; diarrhœa ; bad effects from fright and fear.

Head

Staggering as if intoxicated when trying to move. Giddiness as if intoxicated, as if should fall clown. Giddiness with loss of sight, chilliness, accelerated pulse, dulness of vision, double vision. Fulness in the head with heat in the face and chilliness. Great heaviness of the head, relieved by profuse micturition. Pain as from a tape around the head. Dull pain in the back part of the head after breakfast worse when moving and stooping. Sensation as if the brain were bruised. With the headache giddiness, faintiness, pain in the neck, pulsation of the carotid arteries, pain in the limbs, great drowsiness, sneezing, double vision, loss of sight. Sensation of contraction of the skin in the middle of the forehead. Itching on the head (face neck, shoulders), preventing sleep.

Eyes

Eyes feel bruised. Yellow color of the eyes. Great heaviness of the eyelids, cannot keep the eyes open. Fulness and congestion of the eyelids ; ; paralysis of the eyelids. Double vision controllable by the strength of the will, or when looking sideways, not when looking straight forward. (During pregnancy). Distant objects ; look obscure. Appearance like smoke before the eyes. Dimness of vision (during pregnancy). Cannot see any thing (complete blindness). Pupils dilate. Aversion to light, -more to candle-light.

Ears

Sudden loss of hearing (deafness) ; for a short time.

Nose

Sneezing followed by tingling and fulness in the nose. Sneezing with fluent coryza ; profuse watery discharge excoriates the nostrils. Sensation of fulness at the root of the nose extending to the neck and clavicles.

Face

Heavy, dull expression of the countenance. Yellow color of the face. Paleness and nausea. Heat of the face with fulness in the head and cold feet. Erythema of the face and neck. The muscles of the face seem to be contracted, especially around the mouth, making it difficult to speak. Stiffness of the jaws, the jaws are locked. Lips dry, hot and coated.

Mouth and Throat

Saliva colored yellow as from blood. Sticky feverish feeling in the mouth. Putrid taste and fetid breath. The tongue is coated yellowish-white with fetid breath. Thick coating of the tongue (during the chill). Tongue red, raw, painful, dry, inflamed in the middle. Paralysis of the tongue (glottis and eyelids). Dryness and burning in the throat. Dry roughness in the, throat when coughing. Dryness of the throat with hoarseness. Sensation of heat and constriction in the throat. Burning in the mouth extending to the throat and stomach. Sensation as if a foreign body were lodged in the throat. Difficult deglutition (paralytic dysphagia).

Stomach and Abdomen

Thirst (during the perspiration). Increased appetite, or easily satisfied with small quantities of food. Sour eructations. Nausea (with giddiness and headache). Sensation of emptiness in the stomach. Burning in the stomach extending to the mouth. Gnawing pain in the transverse colon. Sudden spasmodic pains ; in the upper part of the abdomen, compelling him to cry, leaving a sensation of contraction. Sensation of soreness in the abdominal walls. Bumbling in the abdomen with discharge of wind above and below. Periodical colic with diarrhœa. (Yellow discharges setting in the evening).

Stool and Anus

Frequent discharge of flatulency. The soft stool is passed with difficulty, as if the sphincter ani resisted the passage by contraction. Paralysis of the sphincter ani, with disposition to prolapsus ani. Stool is loose, color of tea, dark-yellow. Diarrhœa with intermittent fever.

Urinary Organs

Frequent micturition (relieving the headache).

Sexual Organs

Men. Genitals cold and relaxed. Involuntary emissions, without erections. Painful redness at the urethra. (Secondary gonorrhœa). Women. Sensation of heaviness in the uterus. Suppressed menstruation with convulsions (every evening). Rigidity of the neck of the uterus. Spasmodic labor-pains. During pregnancy, violent pains in the uterus, headache, drowsiness, double vision, obscuration of sight, giddiness, pulsation of the carotid arteries, small slow pulse. Premature labor (abortion) (after fright).

Larynx and Respiratory Organs

Voice weak. Paralysis of the glottis with difficult deglutition. Spasm of the glottis evening, threatening suffocation. Roughness of the throat, raw, as ; if ulcerated in the larynx-bronchitis. Hoarseness with dryness of the throat. Burning in the larynx, descending into the trachea. Heaviness ; in the middle of the chest (afternoon). Sensation of constriction in the lower thorax. Stitches in the chest (right side), heart. Dry cough with soreness of the chest and fluent coryza. Pain in the heart when rising from a seat. Breathing frequent.

Back and Neck

Pulsation of the carotid arteries (during pregnancy). The muscles of the neck feel bruised. Sensation of constriction in the right side of the neck. Pain in the neck under the left shoulder blade.

Extremities

Upper. In the shoulders pain during the night. Sensation as if the right elbow were sprained. Pain in the elbow (left) from draught of air (at night). Pain as if sprained in the right wrist. Trembling of the hands when lifting them up. Coldness of the wrist and hands. Hot dry hands, especially the palms of the hands. Lower. Unsteady gait. Loss of the voluntary motion. Violent lancinating pain in the thigh. Rheumatic pains during the night in the knees. Sudden dislocation or slipping of the knee-pain (during breakfast). The calves of the legs feel bruised, pain at night. Cold feet. Spasmodic contraction of the toes.

Sleep

Sleepiness and long continued sleep. As soon as he goes to sleep he is delirious. Yawning. Cannot to sleep on account of violent itching on the head, face, neck and shoulders. He wakens from headache or colic.

Generalities

Paralytic affections, muscles weak and will not obey the win. Rheumatic pains (wandering) in the bones and joint (night). Spasmodic contractive pains. Sensation as if bruised.

Fever

Pulse slow, accelerated by motion. Limbs cold with oppressed breathing. Cold hands and feet. In the evening, when entering the warm, room, thirst, pain in the back and loins and in the lower part of the thigh. Chilliness in the upper part of the body, back. Chilliness every day at the same hour. Chilliness especially in the morning. Nervous chill, the skin is warm ; wants to be held that he may not shake so much. Chill with cold hands feet and headache. Chill with weak pulse. Coldness of the feet as if the were in cold water, with heat in the head and face and headache. Chill followed by heat and later by perspiration. Heat principally on the head and face. Profuse perspiration relieving the pains. Perspires freely from slight exertion.

Skin

Papulous eruptions ; resembling measles especially on the face. Itching on the head, face, neck and shoulders. Skin hot and dry.

Conditions

Smoking tobacco aggravates the headache. Bad effects from suddenly hearing bad news ; from fright ; and from thence, diarrhœa, abortion.

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

Gelsemium sempervirens. G. Lucidum. G. Nitidum. Bignonia sempervirens. Yellow jessamine. N. O. Loganiaceæ. Tincture of the bark of the root.

Clinical

Amaurosis. Anterior crural neuralgia. Aphonia. Astigmatism. Bilious fever. Brain, affections of . Cerebro-spinal meningitis. Choroiditis. Colds. Constipation . Convulsions. Deafness. Dengue fever . Diarrhœa. Diphtheria Dupuytren's contraction . Dysentery. Dysmenia . Emotions, effects of. Epilepsy. Eyes, affections of. Fever . Fright. Gonorrhœa. Hay-fever. Headache . Heat, effects of. Heart, diseases of. Hydro-salpingitis. Hysteria. Influenza. Intermittent fever. Jaundice. Labour. Liver, affections of. Locomotor ataxia. Mania. Measles. Meningitis. Menstruation, painful ; suppressed. Metrorrhagia. Myalgia . Neuralgia. Nystagmus. Œsophagus, stricture of. Paralysis . Paralysis agitans. Paraplegia. Pregnancy, albuminuria of. Ptosis. Puerperal convulsions. Remittent fever . Retina, detachment of. Rheumatism. Sexual excess, effects of. Sleep, disordered . Spasms. Sun-headache. Sunstroke. Teething. Tic-douloureux. Tobacco, effects of. Tongue, affections of . Toothache. Tremors. Uterus, affections of. Vertigo. Voice, loss of . Writer's cramp.

Characteristics

Gelsemium , which belongs to the same order of plants as Nux vomica and Curare , is not only one of the most important additions to the materia medica for whose introduction we are mainly indebted to Hale, but it is also in the first rank of importance among the vegetable polychrests. A drug is of importance in homœopathy not so much by reason of the great number of the symptoms it causes, as by possessing a number of well-marked and clearly characterised symptoms which correspond to symptoms constantly met with in every-day practice. It was this which at once gave Gelsem . a place among the polychrests of homœopathy. Like its botanical relatives, Gelsem . is a great paralyser. It produces a general state of paresis, mental and bodily. The mind is sluggish; the whole muscular system is relaxed; the limbs feel so heavy he can hardly move them. This condition exists in the cases of typhoid that call for it; the lassitude is expressed by the patient; with Mur. ac . there is the lassitude, but the patient does not express it. The same paretic condition is shown in the eyelids, causing ptosis; in the eye muscles, causing diplopia; in the œsophagus, causing loss of swallowing power; in the anus, which remains open; in diarrhœa from depressing emotions or bad news; in relaxation of the genital organs. Functional paralyses of all descriptions. This is shown again in some features of the headaches. They are accompanied by blurring of the sight, and relieved by a copious discharge of watery urine from a paretic condition of the kidneys. Conversely there may be a desire to urinate during the night, and if the call is not immediately responded to a violent headache supervenes. Post-diphtheritic paralysis; debility after pollutions; great prostration from irritability of seminal vesicles. The mental prostration is typified in "funk," as before an examination, stage-fright, effects of anger, grief, bad news, and is accompanied by drooping eyelids. Alcoholic stimulants relieve all complaints where Gels . is useful. Hysterical dysphagia or aphonia, after emotions. Measles and eruptive disorders, with drowsy state, stiff used face, and even convulsions. Convulsions are no less marked in Gels . than paralyses. Erskine White ( H. W ., xxxii. 501) cured an infant born in convulsions three weeks after its mother had been terribly frightened by seeing her little brother nearly burnt to death. The only guiding symptom was "the child's chin quivered incessantly ." In thirty seconds after the dose the quivering ceased; in three minutes the convulsions were at an end. White had to ride twelve miles over mountains to reach the patient after receiving the summons, so the convulsions must have lasted a considerable time. Tremor is a keynote of the remedy. Gels . is adapted to children and young people; to persons of a nervous, hysterical temperament; to irritable, sensitive, excitable people. The following provings related by Dr. George Logan, of Ottawa ( Med. Adv ., xxiii. 125) show the power Gels . has over the mental sphere. The subject of the first was Mrs. Logan, who describes her experience thus:-

"A few moments after taking the medicine there is an extreme feeling of restlessness ─ not able to be still for a second, keep turning and twisting all the time. This is succeeded by intense pain over the right eye, always the right; it seems as if my forehead would come right over my eyes and close them; my eyes feel as if they were turning into my head, roll up all the time. Then a strong inclination to commit suicide. Want to throw myself from a height; invariably think of going to the window and dashing myself down ─ feel as if it would be a relief. This is succeeded by an inclination to weep, and I generally have a good cry, but before I cry and while the feeling lasts of wishing to throw myself from a height, I clench my hands, and nervous rigors or sensations run all over my body down to my fingers and toes; it seems as if I would lose my senses. Then a great dread of being alone seizes me, and I am afraid of what may happen; think I may lose all self-control. The pain still continues over the right eye, and often the back part of my head seems to have a spot about four inches square that is turning to ice. These feelings are followed by a strong inclination to talk or write, very great exhilaration, and a better opinion of my mental capacity ─ indeed it seems as if my memory was better, that I can recall almost anything I ever read; nearly always repeat long passages of something to myself that I have read years before. It appears to me that I can remember almost anything I love to recall. Now this is my invariable experience whenever I take Gelsemium ─ no matter whether in the 3rd or 1,000th potency ─ and I have been in the habit of using it for twenty years. I am writing this under the influence of the drug. I could not give the symptoms so accurately at any other time. As I am getting over the effects of the drug I have to urinate every few minutes. While suffering I like to have people in the room ─ have a perfect horror of being alone. I find Cinchona an antidote for most of the symptoms, but it leaves me much exhausted, thoroughly tired, and with a wish to be quiet."

Dr. Logan adds that he first gave the patient Gels . 2 for insomnia and headache. It produced the symptom "wishing to throw herself from a height" so markedly that he was alarmed lest she should carry it out. A year or two after, wishing to give the remedy again, he gave two pellets of the 30th ─ with the same result. He next prescribed the 1,000th, and the result of that was the proving now related. Here is the second case in Dr. Logan's words: ─

" I gave Mr. Dorion, since Dr. Dorion, of St. Paul, five or six, drops of Gelsemium 1st for some ailment the nature of which I fail now to remember. Within a few hours after taking the Gelsemium I was sent for to see Mr. Dorion, who, I was told, was 'insane.' He was brandishing a sword in a threatening manner, and frightening all the occupants of the house. On my arrival at his room I found him in the position of 'shouldering arms' with his sword. I playfully admired his military appearance, and thus secured the dangerous weapon, very much to the relief of his fellow-boarders. It then occurred to me that the symptoms were produced by Gelsemium , and placing him in charge of one of the boarders, I returned to my office in order to procure the antidote, of which I was unaware at the time. I gave Cinchona 30 each half-hour, which, in the course of two or three hours brought him all right again." J. H. Nankivell drank two ounces of tincture of Gelsem . instead of a glass of sherry. He walked a few feet with assistance and in another minute his legs were paralysed. He dragged himself to the bedside with his arms, but they were unable to help him to bed, into which he had to be lifted. As long as he lay quiet there was no trouble, but on the least exertion there were excessive tremors. Vomiting occurred during the next twenty-four hours. Temperature rose to 101.5° F. Heart's action very violent and intermittent (possibly an aggravation of existing disease). All the muscles of the eyes were affected, but of voluntary muscles those of the right side suffered most. Prolonged conversation involved paralysis of upper lip. There was somnolence; absence of mental excitement; and good appetite. The effects passed away in the order of occurrence, from below upwards; but after the arms had recovered, vision was not perfect for twenty-four hours. A patient of mine once took a drachm of the tincture for a headache. On going out he could not tell which side of the street he was on. He was near St. Paul's Cathedral and saw two cathedrals instead of one. The following case of poisoning was recorded by Dr. Edward Jepson ( Brit. Med. Jour ., Sept. 19, 1891, p. 644). Although Gels . was given with other drugs, and on the last occasion with one of its antidotes (quinine), which probably saved the patient's life, the symptoms are unmistakably those of Gels .:-

"About two months ago Miss W., aged about forty, an inmate of my house, was seized with very severe neuralgia about both temples. I gave her tincture of Gelsemium 10 minims, with a bismuth mixture to be taken every two or three hours. After taking this for about a day and obtaining no relief ─ but rather she grew worse, being, as is described, 'nearly mad with pain' ─ I gave her the full dose of the tincture of Gelsemium , according to Squire's Companion of the Pharmacopœia , 1882, and Whitla's Materia Medica , third edition, namely, 20 minims in a quinine mixture. This was taken every three hours, but with only moderate relief, three or four doses having been taken during the night. At about eight o'clock the following morning Miss W. was able to speak pretty well, and said she thought she was better. At about nine o'clock she was speechless and in the greatest distress of mind and body; there was total loss of power in the tongue; it could not be protruded, she could not articulate, and with very great difficulty could she swallow the brandy and water we forced upon her. There was alteration in vision; she could not distinguish us clearly, and the pupils were widely dilated. She had uncertain power over the muscles of the hand and arm, so that she could not write her name. All this time she was perfectly conscious, and nodded her head in answer to questions. She was greatly alarmed as to herself, and, as she informed us afterwards, she thought she was about to have a fit. Not knowing of any special antidote for Gelsemium , and seeing that there was no time to lose if we wanted to avert any increase of the paralysis, it fortunately came into my mind to give her a subcutaneous injection of Strychnine , using 1 minim of the liquor Strychninæ , or 1-120th part of a grain. Ten minutes after this the change for the better was most marked; there was return of power in the tongue and in the hands, and an improvement in the vision. . . . I again injected a minim of the Strychnine , and with further improvement in the condition of the patient. After this she took food and stimulants, and all paralysis disappeared. The vision was not perfectly restored for some hours, the pupils being less dilated. She had some return of the neuralgia, and was very weak for a few days, but eventually she quite recovered, and has had altogether better health since this event than she had prior to it." Gelsem . in the attenuations is a great neuralgic remedy. I have cured among other cases one of neuralgia of the anterior crural nerve. The paralysis of the tongue recalls another condition, trembling of the tongue, which is one indication for Gels . in typhoid, in which it is a leading remedy. The tongue is only thinly coated, and has not the dark streak of the Bapt . tongue. The Gels . face is flushed crimson, but not quite as besotted as that of Bapt . There is excessive weakness and trembling, but the consciousness is not so clouded. In coryza and hay fever Gels . has an important place. Early morning sneezing and streaming colds are a strong indication. The characteristic headache of Gels . begins in the occiput and spreads over the whole head, settling down over eyes. Dizziness and dim vision, and dizziness rising up from occiput and spreading over whole head, with depression, from heat of summer. Headache with stiff neck, < in morning; > urinating; preceded by blur before eyes, drowsiness with headache, difficulty in keeping eyes open, dull headache over eyes to vertex and occiput, with irregular action of eye-muscles. Neurotic symptoms in cigar-makers, impotence, palpitation. Many symptoms occur in connection with the sexual organs, male and female. [J. H. Allen ( H. P ., xiii. 244) cured a case of hydrosalpingitis, of gonorrhœal origin, with Gels . 1m. The symptoms were: Feeling of fulness and heaviness in uterine region, cramp-like pains during menses, sharp pains moving from uterus to back and hips. A languid aching in back and hips a day or so before menses; great weakness and loss of power in lower extremities; very little pain after menses began. Lump in throat which she cannot swallow. After menses, pains in back of head and spine. Pains running up back of neck, with a feeling of tightness in the brain; irritable, easily angered. Fever in afternoon, twitching of muscles. Menses last eight days; for first three days appear natural, but afterwards very light-coloured, like serum. The tumour, which was in the left side of abdomen, disappeared in three months, improvement having set in from the first.] Dysmenia; epileptiform convulsions at menstrual period; rigid os in labour; chill, beginning in hands; or feet; and running up back. There is < both before, during, and after menses. Itching of skin; eruption like measles. Sensations of lightness: of head, of body. Sensation as if the head were enlarged; as if there were a tape round the head; as if the skin were contracted in the middle of the forehead; sensation from throat up into left nostril like a stream of scalding water; sensation as if a lump were in œsophagus; load in stomach as if stomach were quite gone; as if the uterus were squeezed by a hand; as if he would die; as if the blood ceased to circulate as if the heart would stop unless he kept moving; as if a knife were thrust through from occiput to forehead; as if eyes were jumping out of head; as if a lump were in throat which could not be swallowed. The stools of Gelsem ., whether loose or constipated, are mostly yellow, like the flower. The colour comes out also in the colour of the tongue, and bilious symptoms generally. Wants to lie down and rest. Wants to be held, that he may not shake. Motion < most symptoms; > muscular pains; > heart. Rising from seat = pain in heart. Shaking head > heaviness of head. Lifting arms = trembling of hands. Playing piano = tired sensation in arms. (J. G. Blackley pointed out the suitability of Gels . to writer's cramp and professional paralyses. I have relieved with it cases of Dupuytren's contraction.) Great distress and apprehensive feeling at approach of a thunderstorm. Heat of sun or summer < . Hot applications > pain back of head. Must be covered in all stages of the paroxysm. Complaints from sudden change from hot or dry to damp air. Catarrh occurring in warm, moist, relaxing weather. < Damp weather; cold, damp atmosphere; > cold, open air; < from fog. Cold drinks are vomited immediately; warm or spirituous drinks can partially be swallowed. " > From stimulants" is a very general characteristic.

Relations

Antidoted by: Atrop., Chi., Coff., Dig., Nux. mos. In cases of poisoning, artificial respiration and faradisation of respiratory muscles. Foy found Nitro-glycerine a perfect antidote in one case. Jephson antidoted his case with Strychnine. It Antidotes: Mag. phos. It antagonises: Atrop., Op. Compatible: Bap. (in typhoid, influenza); Ipec. (in dumb ague). Compare: Bell. (labour); Caulo., Caust. (complaints of women); Coccul., Con., Curare (paralysis); Fer. phos. (fever); Phos. (effect of thunderstorms); Ol. an., Verat. (headache): Borax (sense of falling). Bry. (typhoid; dreads movement, Gels. because he is so weak, Bry. because movement < pains); Hyper. ( < from fog).

Causation

Depressing emotions. Fright. Anger. Bad news. Sun. Heat. Damp weather, warm or cold. Thunderstorms. Alcohol. Self-abuse.

Mind

Great irritability, does not wish to be spoken to. ─ Irritable, sensitive; desires to be let alone. ─ Incapacity to think or fix the attention. ─ Vivacity, carelessness, followed by depression of spirits. ─ Unconnected ideas; cannot follow an idea for any length of time; if he attempts to think consecutively he is attacked by a painful vacant feeling of the mind. ─ Loss of memory, with headache. ─ Unconsciousness. ─ Delirium in sleep; half-waking, with incoherent talk. ─ Acts as if crazy, brandishes a sword in a threatening manner. ─ Stupor, cannot open the eyes. ─ Dulness of the mental faculties. ─ Sensation of intoxication, with diarrhœa. ─ Cataleptic immobility, with dilated pupils, closed eyes, but conscious. ─ Confusion; when attempting to move, the muscles refuse to obey the will; head giddy. ─ Strong inclination to suicide. ─ Want to throw myself from a height. Invariably think of going to the window. This is succeeded by an inclination to weep, and I generally have a good cry, and while the desire to throw myself from a height lasts, I clench my hands and nervous rigors run all over my body down to fingers and toes. It seems as if I should lose my senses. ─ Dread of being alone; afraid of what may happen; think I may lose self-control. These feelings are followed by a strong inclination to talk or write, increased sense of mental capacity and memory. ─ Every exciting news causes diarrhœa; bad effects from fright and fear. ─ Cowardice.

Head

Staggering as if intoxicated when trying to move; < from smoking. ─ Lightheaded and dizzy; < by sudden movement of the head, and walking. ─ Giddiness as if intoxicated, as if he should fall down. ─ Dizziness and blurred vision. ─ Giddiness with loss of sight, chilliness, accelerated pulse, dulness of vision, double vision. ─ Sensation of falling in children; child starts, grasps nurse or crib and screams out from fear of falling. ─ Intense pain over r. eye, as if forehead would come right over eyes and close them. ─ Sick headache, principally r. temple, beginning in the morning and increasing during day; < from motion and light; > after lying down; > by sleep or vomiting. ─ Neuralgic headache, beginning in upper cervical spine; vertebra prominens sensitive; numbness of occipital region; pains extend over head, causing a bursting pain in forehead and eyeballs; < at 10 a.m., when lying; with nausea, vomiting, cold sweat, cold feet. ─ Cerebro-spinal meningitis, stage of congestion; severe chill; dilated pupils; congestion of spine and brain. ─ Fulness in the head, with heat in the face and chilliness. ─ Great heaviness of the head, relieved by profuse micturition. ─ Pressure on vertex, so great as to extend into shoulders; head feels very heavy. ─ Pain as from a tape around the head. ─ Dull pain in the back part of the head after breakfast, worse when moving and stooping. ─ Back part of head seems to have a spot four inches square that is turning to ice. ─ Sensation as if the brain were bruised. ─ With the headache giddiness, faintness, pain in the neck, pulsation of the carotid arteries, pain in the limbs great drowsiness, sneezing, double vision, loss of sight. ─ Sensation of contraction of the skin in the middle of the forehead. ─ Itching on the head (face, neck, shoulders), preventing sleep.

Eyes

Eyes feel bruised. ─ Yellow colour of the eyes. ─ Drooping of the eyelids; they are heavy; can hardly open them or keep them open. ─ Fulness and congestion of the eyelids; paralysis of the eyelids. ─ Double vision controllable by the strength of the will, or when looking sideways, not when looking straight forward. ─ Eyeballs oscillate laterally when using them. ─ Double vision, cannot tell which side of the street he is on. ─ Diplopia and dim vision during pregnancy. ─ Amaurosis from masturbation. ─ Smoky appearance before the eyes, with pain above them. ─ Detached retina. ─ Dimness of sight, and vertigo. ─ Cannot see anything (complete blindness). ─ Sudden blindness. ─ Pupils dilated. ─ Aversion to light; more to candle-light. ─ Thirst for light. ─ Confusion of sight; blindness; astigmatism.

Ears

Sudden loss of hearing for a short time; rushing and roaring in ears. ─ Catarrhal deafness, with pain from throat into middle ear. ─ (Deafness and loss of speech from quinine.). ─ Earache from cold.

Nose

Sneezing followed by tingling and fulness in the nose. ─ Early morning sneezing; streaming of water from nose. ─ Sneezing with fluent coryza; profuse watery discharge excoriates the nostrils. ─ Sensation of fulness at root of nose extending to neck and clavicles.

Face

Heavy, dull expression of the countenance. ─ Heavy, besotted expression; flushed and hot to the touch. ─ Heat of the face with fulness in head and cold feet. ─ Lips dry, hot, and coated. ─ Paralysis of upper lips after prolonged conversation. ─ Yellow colour of the face. ─ Paleness and nausea. ─ Erythema of the face and neck. ─ The muscles of the face seem to be contracted, esp. around the mouth, making it difficult to speak. ─ Orbital neuralgia in distinct paroxysms, with contractions and twitching of the muscles on the affected side. ─ Stiffness of the jaws, the jaws are locked. ─ Lower jaw dropped. ─ Chin quivers incessantly. ─ Lower jaw began wagging sideways; had no control over it.

Mouth

Saliva coloured yellow as from blood. ─ The tongue is coated yellowish-white with fetid breath. ─ Putrid taste and fetid breath. ─ Sticky, feverish feeling in the mouth. ─ Lips dry; coated with dark mucus. ─ Thick coating of the tongue (during the chill). ─ Tongue red, raw, painful, dry, inflamed in the middle. ─ Numbness of the tongue; feels so thick he can hardly speak; partial paralysis.

Throat

Dryness and burning in throat. ─ Dry roughness in throat when coughing. ─ Dryness of throat with hoarseness. ─ Sensation of heat and constriction in throat. ─ Burning in the mouth extending to throat and stomach. ─ Spasmodic sensations and cramp-like pains in gullet. ─ Sensation as if a foreign body were lodged in the throat. ─ Difficult deglutition (paralytic dysphagia). ─ Swallowing causes shooting into the ear. ─ Diphtheria; local tingling of the parts during the fever; incipient paralysis.

Stomach

Thirst (during the perspiration). ─ Increased appetite, easily satisfied with small quantities of food. ─ Sour eructations. ─ Nausea (with giddiness and headache). ─ Sensation of emptiness in the stomach. ─ Feeling of emptiness and weakness in the stomach and bowels. ─ Oppression and fulness in stomach; < from pressure of clothing. ─ Burning in the stomach extending to the mouth.

Abdomen

Gnawing pain in the transverse colon. ─ Sudden spasmodic pains in upper part of abdomen, compelling him to cry, leaving a sensation of contraction. ─ Sensation of soreness in abdominal walls. ─ Tenderness in r. iliac region during typhus. ─ Rumbling in abdomen with discharge of wind above and below. ─ Periodic colic with diarrhœa (yellow discharges setting in in the evening.). ─ Acute catarrhal enteritis during damp weather.

Stool and Anus

Frequent discharge of flatus. ─ The soft stool is passed with difficulty as if the sphincter ani resisted the passage by contraction. ─ Paralysis of the sphincter ani, with disposition to prolapsus ani. ─ Stools loose, colour of tea, dark yellow. ─ Stools yellow; fæcal; bilious; cream-coloured; clay-coloured; green. ─ Diarrhœa with intermittent fever. ─ Diarrhœa after sudden emotions, grief, fright, bad news; anticipation of any unusual ordeal.

Urinary Organs

Frequent micturition (relieving the headache). ─ Copious discharge of clear, limpid urine, relieving the headache. ─ Incontinence from paralysis of the sphincter; in nervous children. ─ Tenesmus of the bladder. ─ Irritable neck of bladder (in hysterical women), calling for constant urination.

Male Sexual Organs

Genitals cold and relaxed. ─ Involuntary emission of semen without an erection; also during stool. ─ Excitable sexual desire (spermatorrhœa). ─ Sexual power exhausted, slightest caress causes an emission. ─ Painful redness at the urethra. ─ (Secondary gonorrhœa.)

Female Sexual Organs

Sensation of heaviness in the uterus. ─ Sensation as if uterus squeezed by a band. ─ Suppressed menstruation with convulsions (every evening). ─ Metrorrhagia; almost continuous flow without any pain; after ague suppressed by quinine. ─ Severe, sharp, labour-like pains extending to back and hips. ─ Dizziness and headache with amenorrhœa. ─ Ailments from masturbation with depression and languor. ─ Rigidity of the neck of the uterus. ─ Spasmodic or neuralgic dysmenorrhœa. ─ Vaginismus. ─ Leucorrhœa; white; in gushes; with backache. ─ Spasmodic labour-pains. ─ False labour-pains; rigid os. ─ Premature labour (abortion) (after fright). ─ During pregnancy, violent pains in the uterus, headache, drowsiness, double vision, obscuration of sight, giddiness, pulsation of the carotid arteries, small, slow pulse. ─ Cramps in the abdomen and legs during pregnancy; diplopia; drowsiness; loss of muscular power; convulsions. ─ Inefficient labour-pains or none at all; os widely dilated; complete atony.

Respiratory Organs

Voice weak. ─ Paralysis of the glottis with difficult deglutition. ─ Spasm of the glottis, in evening, threatening suffocation. ─ Roughness of the throat, raw, as if ulcerated in the larynx. ─ Bronchitis. ─ Hoarseness with dryness of the throat. ─ Burning in the larynx, descending into the trachea. ─ Dry cough with soreness of the chest and fluent coryza. ─ Breathing frequent.

Chest

Heaviness in middle of chest (afternoon). ─ Sensation of constriction in the lower thorax. ─ Extreme and alarming difficulty of breathing; extreme restlessness from threatened suffocation. ─ Stitches in the chest in region of heart. ─ Paralysis of the lungs.

Heart and Pulse

Irregular beating of the heart; palpitation. ─ Feeling as if the heart would stop beating if she did not move about. ─ Stitches in the region of the heart. ─ Pain in the heart when rising from a seat. ─ Pulse frequent, soft, weak, almost imperceptible.

Neck and Back

Pulsation of the carotid arteries (during pregnancy). ─ The muscles of the neck feel bruised. ─ Sensation of constriction in r. side of neck. ─ Pains in the neck and under l. shoulder-blade. ─ Pains in neck like those of cerebro-spinal congestion. ─ Myalgic pains in the neck, mostly in upper part of the sterno-cleido muscles, back of the parotid glands. ─ Pains from the spine to the head and shoulders. ─ Congestion of spine; prostration; languor; muscles feel bruised, and do not obey the will. ─ Dull aching in lumbar and sacral regions; cannot walk, muscles will not obey. ─ Locomotor ataxia. ─ Paraplegia.

Limbs

Trembling in all the limbs. ─ Deep-seated, dull aching in the muscles of the limbs and in the joints. ─ Neuralgic and rheumatic pains in the extremities.

Upper Limbs

In the shoulders pain during the night. ─ Arms weak, numb. ─ Sensation as if r. elbow were sprained. ─ Pain in elbow (l.) from draught of air (at night). ─ Cramps in forearm on attempting to write. ─ Pain as if sprained in the r. wrist. ─ Trembling of the hands when lifting them up. ─ Coldness of the wrists and hands. ─ Hot dry hands, esp. the palms of the hands. ─ Spasmodic contraction of fingers. ─ Dupuytren's contraction.

Lower Limbs

Unsteady gait. ─ Fatigue after slight exercise. ─ Loss of voluntary motion. ─ Violent lancinating pain in the thigh. ─ Obstinate sciatica; pains < at rest and particularly when beginning to walk; burning pains, < at night, compelling her to lie awake; pain in sole of foot when walking. ─ Deep-seated muscular pains in legs > by motion. ─ Anterior crural neuralgia. ─ Paroxysmal; shooting pains. ─ Violent lancinating pain in thigh. ─ Thighs sore to touch as a boil; pains all > when in a sweat. ─ Rheumatic pains during the night in the knees. ─ Sudden dislocation or slipping of the knee-pan (during breakfast). ─ The calves of the legs feel bruised, pain at night. ─ Cold feet. ─ Spasmodic contraction of the toes.

Generalities

Hyperæsthesia. ─ Excessive irritability of mind and body. ─ Paralytic affections, muscles weak and will not obey the will. ─ Complete relaxation and prostration of the whole muscular system, with entire motor paralysis. ─ Trembling and weakness; listless and languid; easily fatigued. ─ Rheumatic pains (wandering) in the bones and joints (night). ─ Spasmodic contractive pains. ─ Sensation as if bruised. ─ Neuralgia; acute, sudden, darting pains; shooting, tearing along the tracks of the nerves; esp. if aggravated by changes in the weather. ─ Congestions, arterial or venous, with sluggish circulation.

Skin

Papulous eruptions resembling measles, esp. on the face. ─ Itching on the head, face, neck, and shoulders. ─ Skin hot and dry.

Sleep

Sleepiness and long-continued sleep. ─ As soon as he goes to sleep he is delirious. ─ Yawning. ─ Languid and drowsy, but cannot compose the mind for sleep. ─ Sleeplessness from nervous irritation. ─ Cannot go to sleep on account of violent itching on the head, face, neck, and shoulders. ─ Restless sleep; unpleasant dreams. ─ He wakens from sleep with headache or colic. ─ Night-terrors, from nose being stopped. ─ Dreamed of dying, and felt his eyes sinking into their sockets.

Fever

Pulse slow, accelerated by motion. ─ Limbs cold with oppressed breathing. ─ Cold hands and feet. ─ In the evening, when entering a warm room, thirst, pain in the back and loins and in the lower part of the thighs. ─ Chilliness in upper part of body and back. ─ Chilliness every day at same hour. ─ Chilliness esp. in the morning. ─ Chilliness, languid aching in back and limbs, sense of fatigue, every afternoon, 4 to 5 o'clock. ─ Nervous chill, the skin is warm; wants to be held that he may not shake so much. ─ Chill with cold hands, feet, and headache. ─ Chills begin in the hands; chills running up the back, hands and feet cold. ─ Chilliness esp. along spine. ─ Chill with weak pulse. ─ Coldness of the feet as if they were in cold water, with heat in the head and face, and headache. ─ Chill followed by heat and later by perspiration. ─ Heat principally on the head and face. ─ Typhoid fever when so-called nervous symptoms predominate. ─ In eruptive and other fevers less restlessness than in Acon.; less violence and suddenness of aggravation than Bell.; languid asthenic fever. ─ Profuse perspiration relieving the pains. ─ Perspires freely from slight exertion. ─ Intermittent fevers. ─ Children's remittent fever. ─ Cerebro-spinal meningitis. ─ Measles.)

The Guiding Symptoms of Our Materia Medica

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

Mind

Cataleptic immobility, with dilated pupils, closed eyes, but conscious.
Stupid, comatose condition attending typhoid fever.
Torpor, sleepiness, and dread of movement.
Stupor, cannot open the eyes.
Unconsciousness.
After losing son, inclined to brood over her loss ; at times becomes unconscious, or, rather, "rapt", in imagination thinks herself at the grave ; smothered pressure on chest after the spell.
Dulness of all the mental faculties.
Dulness of mind, > after profuse emission of watery urine.
Incapacity to think or fix the attention.
Unconnected ideas, cannot follow any idea for any length of time ; if he attempts to think consecutively, he is attacked by a painful, vacant feeling of the mind. θ Yellow fever.
Delirium in sleep, half waking, with incoherent talk.
Sensation of intoxication with diarrhœa.
Confusion ; when attempting to move, the muscles refuse to obey the will ; head giddy.
Paroxysms of frenzy ; eyes red, protruding and ghastly, hair dishevelled and wild demeanor ; talking and singing alternately ; hands, feet and head alternately hot and cold ; tongue much coated ; constipation ; appetite capricious. θ Acute
mania after melancholia.
Loquacity ; brilliant eyes ; shooting through temples and nasal sinuses ; fever.
Starts up screaming.
Desires to be let alone ; irritable, sensitive.
Desires to be quiet, does not wish to speak, nor have any one near her for company, even if the person be silent.
Depression of spirits ; anxiety following a somewhat cheerful, careless mood.
Great depression of spirits in onanists, with confusion of mind and excessive languor.
Melancholy and desponding mood.
Solicitude about the present and the future.
Fear of death ; has no courage.
Anxiety ; incoherency of thought, aversion to study.
Great irritability, does not wish to be spoken to.
Nervous, irritable, easily angered.
Mental exertions cause a sense of helplessness from brain-weakness ; inability to attend to anything requiring thought.
Great lack of courage.
Every exciting news causes diarrhœa ; bad effects from fright and fear.
Bad effects from suddenly hearing bad news ; from fright ; diarrhœa, abortion, etc.
Nervous dread of appearing in public ; singers and speakers.
Complaints : from exciting or bad news ; sudden emotions ; the anticipation of any unusual ordeal ; general depression from heat of sun or summer.
Effects of grief ; cannot cry ; < when thinking of his symptoms, also when spoken to of his loss ; > from diverting talk ; oppression and palpitation of heart ; feels a sense of peril ; face flushed ;
sleeplessness ; subdued manner ; sensation of soreness about heart.

Sensorium

Head feels light and large, with vertigo.
Lightness of head : with vertigo ; with dimness of vision ; < by sudden movement of head and walking.
Heaviness of head, with dulness of mind, dimness of sight and vertigo ; swimming sensation in head, vertigo on rapid movement.
Heaviness of head, > after profuse emission of watery urine.
Fulness in head, with heat in face and chilliness.
Dizziness of head and blurring of vision, gradually increasing, all objects appear very indistinct.
Vertigo, confusion of head, spreading from occiput over whole head ; pupils dilated, dim sight ; general depression from heat of sun or summer.
Vertigo, dim vision, fever ; seems as if intoxicated when trying to move ; < from smoking.
Giddy, with loss of sight, chilliness, accelerated pulse ; dulness of sight, double sight.
When attempting to move, the muscles refuse to obey the will ; giddy, confused, lack of muscular co-ordination.
Child dizzy, when carried seizes hold of nurse, fearing that it will fall.
Patient appears intoxicated.
Staggering as if intoxicated when trying to move.
Sensation of falling, in children ; child starts and grasps nurse or crib, and screams out from fear of falling.
Serious attacks of vertigo, with dimness of vision and fever, appears like one intoxicated.

Inner head

Pain most frequently in forehead and temples.
Pain in head, over eyes and across forehead.
Severe pain in forehead and vertex, dim sight, roaring in ears ; head feels enlarged ; wild feeling ; alternating with uterine pains.
Severe and continued pain, day and night, accompanied by dizziness when stooping, and a sensation as if he would fall headlong ; tongue coated ; appetite poor ; pain < in frontal region, but at times extended over entire head.
Hyperemia of brain ; dull feeling in forehead and vertex, and a fulness in region of medulla before spasms.
Fulness in head, heat of face, chilliness ; pulsation of carotids ; thick speech ; brain feels as if bruised ; eyeballs feel sore when moving them ; double vision.
Heaviness of head ; slightly > by shaking head ; > after profuse micturition.
Sick headache, principally in right temple, beginning in morning and increasing during day ; < from motion and light ; > after lying down, and > by sleep or vomiting.
Tightness of brain.
Pain as from a tape around head.
Band-like pain surrounds head, with shooting pain in each jaw.
Sensation of weight and pressure in head.
Pain in head constant, dull, stupefying and pressive.
Cramp-like pains of drawing or tearing character, < by study or exertion, following fever and ague.
Sensitive, bruised sensation of brain.
Excruciating headache, accompanied by slight nausea ; pain slightly > by shaking head.
In morning on rising, dull pain in head and a slight tendency to throbbing in right side of head.
Blind headache, shooting pain into ears when swallowing, cannot sit or lie, must stand or walk.
Headache coming on suddenly, with dimness of sight or double vision ; with vertigo, great heaviness of head, it feels too big, and often too light, semi-stupor, bright red face ; dull, heavy expression of countenance ; full pulse, general malaise.
Nervous headache, from emotional excitement.
Hemicrania with dim sight or double vision, or preceded by great sensibility to noise.
Excruciating pains in head preceding or following intermittent fever.
Headache especially of a remittent or intermittent character.
Headache all over head, extending into bones of face ; head feels very sore, as from a bruise ; sharp neuralgic pains running around edges of the teeth ; shooting pains extending into ears when swallowing ; roof of mouth feels terribly, as if swollen and as if cavity
were closing up, but upon examination, it did not appear swollen or even inflamed ; constant burning, stinging sensation in mouth ; burning and stinging pains occurring suddenly in various parts of body, as if a bee had stung her ; urination frequent and scanty, with
scalding ; burning pains in urethra while passing urine, and temporary prostration after it ; cannot sit or lie, has to stand or walk.
Constant, gradually increasing headache for three or four months ; dull, heavy pain, extending to nape of neck, frequent throbbing in temples, and vertigo on rapid movement.
Nervous headache, pain begins in cervical portion of spinal column, and from thence extends over whole head.
Dull aching in occipital region, occasionally extending into os frontis.
Dull pain in back part of head after breakfast, < when moving and stooping.
Headache, principally in occiput, > by reclining head and shoulders on a high pillow.
Settled, dull, heavy headache, mainly in occiput, mastoid or upper cervical region, extending to shoulders ; > when sitting by reclining head high on a pillow.
Patient finds himself getting blind before headache ; they faint away in consequence of their suffering, or have to lie down and be quiet all day ; swimming-tearing sensation as in sea-sickness ; headache principally in occiput ; > reclining head and shoulders on a
high pillow ; staggering, as if drunken, when trying to move ; double vision ; squinting ; great heaviness of head ; > by profuse micturition or shaking head ; severe pain in forehead and vertex ; dim sight ; roaring in ears ; head feels
enlarged ; wild feeling, alternating with uterine pains ; sensation as if brain were bruised ; passive venous congestion.
Terrible neuralgia, commencing in upper portion of spinal cord, proceeding thence gradually through upper portion of cerebrum, and terminating in a bursting pain in forehead and eyeballs, < about 10 A. M. ; < lying down, with nausea, vomiting, cold sweat on forehead, and cold
feet ; vertigo and obscuration of sight on stooping ; sensation of a band drawn tightly around head above ears, and soreness in scalp and brain ; vertebra prominens and cervical vertebræ sensitive to pressure ; lameness and stiffness of neck ; on waking at night
retraction of head backward, > bending head forward ; frequent urging to urinate, with partial loss of power in sphincter vesicæ ; heat in palms of hands and itching all over body, preventing sleep ; after scratching, a raw sore, surrounded by blisters. θ Neuralgic
headache after cerebro-spinal meningitis
Neuralgic headache beginning in upper cervical spine ; vertebra prominens sensitive ; pains extend over head, causing a bursting pain in forehead and eyeballs ; < at 10 A. M., when lying ; with nausea, vomit, cold sweat, cold feet.
Neuralgic headache with cramp-like, drawing, tearing pains in upper cervical and occipital region, extending upward and forward ; or in forehead, over one or both eyes ; < by exertion or study.
With headache, giddiness, faintness, pain in neck, pulsation of carotid arteries, pain in limbs, great drowsiness, sneezing, double vision, loss of sight.
Pain < by anything around head.
Headache > when sitting and reclining head and shoulders on a high pillow.
Smoking tobacco aggravates headache.
Symptoms of depression from heat, with vertigo, dilatation of pupils, dimness of sight, dull, confused headache, spreading from occiput over whole head ; no thirst ; no appetite ; feels completely played out.
Stupor attending the fevers of children.
Intense congestion of brain in children during dentition.
Active congestion of brain, when occurring during fevers, from unusual exertion, or from exposure to sun.
Meningitis, especially in children.
Threatened or actual apoplexy, with stupor, coma and nearly general paralysis (rarely useful in hemiplegia or paraplegia) ; headache, with nausea, lightness of brain ; giddiness ; tendency to stagger, with imperfect vision ; vertigo with
falling ; intense passive congestion to head with nervous exhaustion.
Dull burning pain in occiput, coming in forenoon, feeble gait, twitching of single muscles, starting in sleep ; double vision followed by burning pain in occiput, < by anything light around head ; > pressure on vertex ; θ Brain
affection.
Irritation of mucous surfaces ; lower jaw wagging side-ways, has no control over it ; jerking of whole left side on falling asleep ; disposition to squint ; sudden shrill cries on awakening ; frantic spells from pain ; fear of falling ; pulsating
fontanelle ; red or sometimes sickly face. θ Meningitis ;
Cerebro-spinal meningitis, stage of congestion ; severe chill, dilated pupils ; congestion of spine and brain.
Meningitis cerebro-spinalis, at very onset of disease, severe chill followed by congestion of brain and spinal cord, livid cheeks, dilated pupils, little or no thirst ; loss of strength and great exhaustion, staggering gait, dulness of speech, icy-coldness of hands and feet, pulse
very weak or hardly perceptible ; laborious and weak respiration, nausea, vomiting ; eyelids close involuntarily in spite of all he can do ; itching of head, face and neck ; sweating relieves ; mental faculties retain their activity though power over muscles is
impaired, cannot direct movements of limbs with precision ; coma.
Child wants to be let alone, wants to lie still ; head hot, hands and feet cool ; face red ; eyes dull ; tongue coated yellowish-white ; no thirst ; breath hot, sometimes offensive, sleepy and drowsy, sometimes comatose ; during sleep, convulsive
motions ; creeps and flushes run up back ; more or less moisture of skin, especially on palms of hands and in axillæ ; pulse depressed at first, later frequent and soft ; during summer or warm weather with southerly or southeasterly winds. θ Meningitis.

Outer head

Sensation of contraction of skin in middle of forehead.
Itching on head (face, neck, shoulders), preventing sleep.
Sensation of a band around head above ears ; scalp sore.
Dull dragging pain in occiput, mastoid and upper cervical regions, extending to shoulders ; > quietly resting head on a high pillow, with eyes half closed ; eyes heavy, sleepy, red.
Pressure on vertex so great as to extend into shoulders ; head feels very heavy.
Cramp-like drawing and tearing, < from study and exertion ; after fever and ague.
Cannot hold head erect.

Sight and eyes

Aversion to light, particularly to candle-light.
Sees double, when inclining head towards shoulder, or looking sideways.
Double vision controllable by strength of will.
Paralysis of oculo-motor and abducens. θ Diplopia.
Diplopia with spasm of various muscles throughout body, without thirst.
Diplopia and dim vision during pregnancy.
Swimming black specks before eyes, vision dim, can neither read nor write, words run together, cannot recognize one across room, with heat in eyes extending to forehead.
As if a snake were before vision, with pain over eyes.
Blindness with dilated pupils.
Photophobia.
Black and bright specks before eyes. θ After ague.
Thirst for light.
Sense of sight tardy in following movements of objects.
Disturbance of power of accommodation.
Confused vision, eyes look heavy.
Misty or glimmering appearance before eyes.
Smoky appearance before eyes, with pain above them.
Dimness of sight and vertigo.
Distant objects seem indistinct, riding or walking.
Amaurosis from masturbation ; mind and body prostrated.
Pupils dilated, iris sluggish, vision nearly lost ; palate slightly paralyzed and uvula deviated to left. θ Amaurosis after an attack of putrid sore throat.
Amaurosis of congestive origin ; after apoplexy ; caused by quinine.
Confusion of sight ; blindness.
Blindness : with violent dizziness ; with ptosis ; with vertigo and dilated pupils.
Cloud over outer half of field of vision of left eye, due to sub-retinal effusion.
Increased tension, balls sore.
Glaucoma from increased secretion rather than from obstructed secretion.
Hazy vitreous, very fine.
Serous choroiditis ; iritic complications ; vision varies from day to day or from hour to hour ; sometimes fever, with thirstlessness.
Serous choroiditis with dull pain in or about eye extending to back of head, > by hot application, but not by cold ; impairment of vision gradually developed and not characterized by sudden changes, either for > or or < ; heaviness of lids ; inability to accommodate
eye quickly for varying distances ; asthenopic symptoms not marked, but great irritability of eye, resulting from want of tone or energy of muscular structures, constituting a passive rather than an active asthenopia ; general feeling of depression and lassitude, not > by food
or stimulants.
Inflammatory affections of retina and choroid.
Retinitis albuminurica, sudden dimness of vision during pregnancy, < after delivery ; no pain, only an itching of eyes ; white patches and extravasations of blood in retina ; outer part of optic nerve whiter than usual.
Retino-choroiditis, in which there seemed to be a bluish snake before vision.
Vitreous so hazy fundus cannot be seen ; vision nearly lost ; eyes red and irritable ; pupils slightly dilated ; constant sore, aching pain in eyes and around, with sharp sticking pain on moving eyes ; finally small transparent points ; elevations of
epithelium appeared on right cornea, looking like swollen ends of nerve filaments ; they were excessively sensitive to touch or movement of lids. θ Serous choroiditis.
Disseminate choroiditis and retino-choroiditis, with no outside symptom.
Choroidal and venous congestions, either with or without serous effusion ; amaurotic symptoms, with dilatation of pupils, disturbed accommodation, pain in eyes, with or without lachrymation.
Detachment of retina dependent upon an injury, with diffuse haziness of vitreous and serous inflammation of choroid and retina.
Right vision 20/100 with difficulty ; left vision, counted fingers at 20 feet ; serous inflammation of iris and choroid, deposits on membrane of Descemet, aqueous and vitreous hazy in both eyes, left pupil dilated and sluggish ; sensation of pressure over both eyes and
headache in temples.
Detachment of retina from myopia ; severe attacks of neuralgia.
Serous iritis ; serous choroiditis ; dull pain to back of head ; > from hot applications.
Astigmatism.
Pupils dilated.
Deposits on lower posterior portion of left cornea, pupil dilated, vitreous hazy with floating opacities ; moderate ciliary injection ; no pain ; vision.
Heat in eyes and forehead.
Bruised pain above and behind eyes.
Soreness as from a foreign body, with photophobia and lachrymation.
Aggravation of eye symptoms from the use of wine.
Heaviness of eyes, as after night-watching.
Soreness of eyeballs ; drawing over eyes.
Dull, full feeling with aching in whole of orbits.
Eyes feel bruised.
Pain in both eyes, < left, with dimness of sight.
Constant inclination to squint.
Asthenopia, with insufficiency of external rectus ; edges of lids red, as if from crying, with hypermetropia ; photophobia from sun or gas-light.
Asthenopia dependent upon weakness of external recti muscles.
Paresis or paralysis of any of ocular muscles ; also paralysis following diphtheria, and when associated with paralysis of muscles of throat.
Eyeballs oscillate laterally when using them.
Fulness and congestion of lids.
Drooping of eyelids ; ptosis.
Eyelids heavy ; eyes close when looking steadily.
Great heaviness of lids ; difficulty of opening or keeping them open.
Ptosis due to congestion of brain coming on after an attack of ophthalmia.
Eyes red and watery ; lachrymation.
Inflammation with great flow of tears at intervals.
Blepharitis and conjunctival hyperemia due to refractive errors.
Eyes feel sore in evening, sensitive to light, with lachrymation ; lids feel full and congested.
Yellow color of eyes.
Orbital neuralgia, periodic, every day at same hour.
Rarely found of benefit in superficial affections of eye, but especially adapted to diseases of fundus and paralysis of nerves.

Hearing and ears

Great sensitiveness to all sounds.
Rushing and roaring in ears ;
Sudden, temporary loss of hearing.
Neuralgia ; nearly deaf ; spasms of throat, sometimes extending to upper part of chest ; loss of consciousness ; < towards night. θ Deafness with loss of speech
produced by massive does of Quinine.
Catarrhal deafness, with pain from throat into middle ear.
Digging in right ear ; also stitches.
Neuralgic otalgia, especially when periodical.
Earache from cold.
Catarrhal inflammation, at beginning ; cold in head and closure of Eustachian tube ; tense, dull, bound, giddy sensation in head, with chilliness ; stupor, drowsiness. θ Otitis
media.
Pains ascending from back to occiput, affect the ears.
Stitches behind ear.
Left ear seems to matter which it never did before.

Smell and nose

Violent morning paroxysms of sneezing ; tingling in nose.
Fulness at root of nose ; pains extending to neck and clavicles.
Watery, excoriating discharge ; a feeling from throat up into left nostril, like a stream of scalding water ; right nostril stopped up ; nasal voice.
Hay fever, with morning sneezing.
Acute coryza, with dull headache and fever.
Coryza in changeable weather, with inflammation of upper part of throat and shooting pain into ear when swallowing, also hard hearing.
Summer colds with violent sneezing in morning ; edges of nostrils red and sore ; pharyngeal inflammation with pain on swallowing, shooting up into ear ; deafness ; hands and feet cold in P. M. ; then drowsy ; fever until morning ; disposition to catch
cold, with every change in weather.
Tingling in nose ; bloody, mucous discharge.
Coryza in spring and summer weather.
Edges of nostrils red, sore.
Epistaxis with suppressed menses.

Upper face

Expression heavy, dull, drowsy.
Face flushed and hot to touch.
Heavy besotted appearance of face.
Heat of face with fulness in head and cold feet.
Crimson flush of whole face in all positions.
Face dark red, mahogany color.
Erythema of face and neck.
Pale face ; sickly look ; paleness and nausea.
Face yellow ; jaundiced.
Sensation as though skin on middle of forehead and about face, was contracted.
Muscles of face, especially around mouth, seem contracted, making speech difficult.
Orbital neuralgia in distinct paroxysms, with contractions and twitchings of muscles on affected side.
Facial neuralgia in nervous women ; jaws affected spasmodically.
Congestive facial neuralgia ; grumbling or shooting pains ; < on pressure ; especially in malarial.
Neuralgic affections of fifth pair, particularly when pain is traceable along one of its three divisions at a time.
Pain in right temple gradually growing more severe and extending into ear, and spreading from thence to eye and side of head ; these parts affected alternately, finally pain settles in right wing of nose where the paroxysms become extremely severe. θ Prosopalgia.
Sudden darting, acute pains, traceable from region of ear and side of head to supra-orbital region, and again to infra-orbital region, still at other times to chin and front of lower jaw ; pain flying from one branch of fifth pair to another, without any regular order as to
succession, pain however being more or less constantly present and starting from region of temple or ear. θ Facial neuralgia.
Sharp shooting pains through face, eyes and head, which feel like rheumatic pains ; face congested and of a dark or dusky hue ; headache commences in neck quite suddenly, spreads from thence over head, or vice versa ; dimness of vision ; heaviness of head ;
vertigo ; stupor ; dull expression of countenance ; powerlessness of muscles.
Severe pain increasing for past two years, in region of infra-orbital nerve ; < from motion, as eating, laughing or crying.
Sore, acute, red pimples on face.
Papular eruption on face.

Lower face

Lips dry ; coated with dark mucus.
Muscles of face seem to be contracted, especially around mouth, making it difficult to speak.
Shooting pains in jaws.
Lower jaw wagging sideways, has no control over it.
Sensation of stiffness in muscles of jaws.
Stiffness of jaws ; difficulty of opening mouth ; trismus.

Teeth and gums

Toothache from a cold, or purely neuralgic ; pains from teeth to temple.
Toothache with general nervous excitement or weak and trembling condition ; pains come in paroxysms, are decidedly neuralgic, and dart through jaws and face ; congestion of head and face.
Tic douloureux after exposure on a cold damp day ; seat of irritation located at root of left canine tooth of upper jaw ; gum, upper lip and infra-orbital region swollen and very sensitive to touch ; tooth exquisitely tender and loose in its socket ; constant pain, at
times shooting and darting and then changing to a grumbling toothache.
Dentition ; child frantic, awakens with fierce and sudden screams ; face deep red ; fontanelle pulsates too strongly ; pain about ear.
Gums swollen and tender.
Child frantic at times, especially when gums are examined.

Taste, speech, tongue

Taste : foul, putrid, with blood-colored saliva ; seldom bitter ; clammy and feverish during the sweat.
Numbness of tongue.
Can hardly put tongue out, it trembles so ; red, raw, painful, inflamed in middle.
Tongue felt very thick ; could hardly speak.
Irritation or paralysis of tongue or glottis.
Tongue and glottis partially paralyzed ; speech thick, as if drunk, from congestion of base of brain.
Tongue ; yellowish-white, breath fetid ; coated thick, brown ; nearly clean ; margin red, centre white.

Inner mouth

Dryness of mouth and throat, with disposition to swallow frequently.
Dryness of mouth ; thickly coated tongue.
Sticky feverish feeling in mouth.
Saliva colored yellow as from blood.
Partial paralysis of glottis and tongue.
Irritation and soreness of fauces.
Sore mouth, coincident with febrile and catarrhal states, intermittent or remittent type.
Tonsils much swollen, high fever, intense heat of skin, photophobia, pain shooting in right ear, thirst, partial delirium.
Tonsils swollen and very red ; crimson flush of face ; cold hands and feet ; great nervous excitement. θ Scarlatina.
Tonsillitis, from acute catarrh.
Aphthous looking spot on right tonsil, and another on pharynx ; no swelling ; throat sore ; deglutition painful ; vomiting. θ Miliary fever.

Palate and throat

Fauces dry, burning, irritated, sore.
Inability to swallow or speak. θ Paralysis.
Tried to swallow but could not.
Warm or spirituous fluids can partially be swallowed ; cold drinks come up immediately. θ Stenosis œsophagi.
Paralytic dysphagia.
Spasmodic affections of throat.
Swallowing causes shooting in ear.
Dryness and burning in throat.
Dry roughness in throat when coughing.
Dryness of throat with hoarseness.
Sensation of heat and constriction in throat.
Throat feels filled up ; tonsils inflamed, swollen, frequently, or at beginning, in right.
Throat red, raw, tonsils swollen ; tongue white or yellowish-white ; tickling, tearing cough preventing sleep.
Soreness of throat felt at upper part of left tonsil, extending thence across soft palate, along left nostril, attended by a sensation at every inspiration as if a stream of scalding water rushed along nasal passage of that side, the other nostril at same time being stopped up ;
continuous accumulation of irritating mucus about throat, with hard, painful cough ; shooting pain in ear, when swallowing ; hard hearing ; thirstlessness with the fever ; < at night. θ Influenza.
Inflammation of upper part of throat and shooting pain into ear when swallowing ; hardness of hearing. θ Coryza, after changeable weather.
Chilly creepings up spine ; sore throat, headache, fever, intense thirst, earache ; tonsils much swollen and covered with diphtheritic patches ; nausea, extreme nervousness, partial delirium.
Tonsillitis and inflammation of throat, palate and uvula.
Catarrhal inflammation of pharynx and tonsils.
Local tingling of parts during fever ; incipient paralysis or anesthesia ; defective or impaired vision ; objects appear a long way off, are seen double or inverted. θ Diphtheria.
Painful sensation of a lump in œsophagus that cannot be swallowed in hysterical women.
Painful sensation of something having lodged in œsophagus.
Spasmodic sensations and cramp-like feeling in gullet.
Œsophagitis (catarrhal).
Burning in œsophagus extending to stomach.
Inflammation and irritation of throat from acid secretion of stomach.

Appetite, thirst. desires, aversions

Great hunger ; eructation ; nausea.
Increased appetite, or easily satisfied with small quantities of food.
Increased appetite from active hyperemia of mucous lining of stomach.
Little appetite and thirst, but can take food or drink.
Want of appetite and weakness of stomach, or paralytic state of masticating organs.
Thirst, but does not drink much ; it hurts to swallow. θ Prodromal stage of intermittent fever.
Thirst during perspiration.
Little or no thirst.
Thirstlessness, with sticky sweat, especially about genitals.

Eating and drinking

Wine aggravates, especially headache and eye symptoms.
Thirst absent or slight.
Worse from smoking tobacco.

Hiccough, belching, nausea and vomiting

Sour eructations.
Nausea, giddiness, headache.
Nausea, vomiting, cold sweat on forehead and cold feet. θ Neuralgic headache.
Slow, intermittent pulse, slightly furred tongue, wild, protruding eye, dilated pupil : had been drinking hard for two or three weeks ; stomach rejects everything, even water ; sleepless, feels as if he would become delirious.

Scrobiculum and stomach

Sensation of a heavy load, with weight, tension and dull pain ; empty, faint sensation in epigastrium ; a false hunger, a kind of gnawing ; nervous exhaustion, as found in persons of dissolute habits.
Rumbling and dull pain in epigastrium, > by passage of flatus.
Great sensation of weakness, emptiness of stomach, as if it were quite gone.
Feeling of emptiness and weakness in stomach and bowels.
Sensation of weight in stomach, with dull pain.
Oppression and fulness in stomach, < from pressure of clothing.
Distension, with pain and nausea.
Flatulence of stomach, swelling, eructation and dull pain, probably caused by want of elasticity in muscular fibres of this organ.
Cramp in stomach, > riding and sitting erect.
Burning in stomach, extending to mouth.
Congestion of stomach, with hyperemia of its mucous lining.
Gastralgia, cardialgia, cramps in stomach and other cramp-like conditions of this organ.

Hypochondria

Passive congestion of liver, with vertigo, dim sight and fulness of head.
Deficient secretion of bile.
Passive congestion of liver, bilious diarrhœa and relaxed gall ducts.
Jaundice, with prostration ; clay-colored stools.

Abdomen and loins

Rumbling and roaring in abdomen, with discharge of wind up and down.
Sudden spasmodic pain in upper part of abdomen, leaving a sensation of contraction causing him to cry out.
Gnawing pain in transverse colon.
Periodical colic, with yellow diarrhœa in evening.
Griping in lower abdomen, > by copious bilious stools.
Spasmodic and flatulent colic.
Wandering, pinching wind colic, > when sitting erect ; < beginning to move, > during continual motion.
Tenderness in right iliac region during typhus.
Neuralgia of intestines periodic, malarial ; sharp, lancinating pains, with great excitement and restlessness, cold hands and feet, rapid pulse, and tendency to general cramps.
Intestinal obstructions.
Acute enteritis (catarrhal) during damp weather, warm or cold.
Sensation of soreness of abdominal walls.
In strangulated hernia, at the very first ; applied internally and externally.

Stools and rectum

Disposition to go to stool whenever anything startles her.
Diarrhœa, or threatening of same, after excitement, especially after fright.
Diarrhœa : in nervous persons, subject to nervous chills ; after sudden emotions, as grief, fright, bad news, the anticipation of any unusual ordeal ; of soldiers before a battle ; during dentition ; with intermittent fever.
Sudden depressing emotions cause yellow fecal stools with colic and flatus.
Before stool : colic ; passage of flatus.
Frequent discharge of flatus.
Loose, papescent stool.
Bowels loose, with great difficulty in discharging anything, as if sphincter resisted passage by contraction.
Stools : yellow fecal ; bilious ; cream-colored ; clay-colored ; color of green tea ; involuntary.
Diarrhœa, bilious, fermented, with much wind and great nervous weakness, more than the evacuations could cause.
Chronic diarrhœa, with watery, thin, dark brown, or dark green stools ; little or no pain ; brought on or made < by any exciting news, emotion, or mental irritation ; chilliness in back, every day during diarrhœa, but not at any fixed hour ; became much tired by
a short walk ; sank into a chair and appeared quite unconscious for about two minutes, during which time her eyes were closed, her arms when lifted dropped down heavily ; she did not hear when spoken to or see when her eyelids were opened ; when conscious, said that she could
not open eyelids ; very nervous and prostrated.
Catarrhal diarrhœa, with spasmodic colic and tenesmus.
Acute catarrhal enteritis, mucous diarrhœa, mucous dysentery ; discharges almost involuntary ; intense spasmodic colic and tenesmus.
Dysentery (epidemic), malarial or catarrhal.
Slow stool, leaving a sensation of more remaining to be passed, and of abdominal repletion.
Constipation, when the motion is retained in consequence of want of tone in muscles of bowels.
Acts specifically on nerves and muscles of rectum.
Difficult passage of stool, as though sphincter ani were spasmodically closed.
Paralysis of sphincter ani, with involuntary diarrhœa, the result of nervous excitement.
Paralysis of sphincter ani, with disposition to prolapsus.

Urinary organs

Spasmodic affection of ureters from passage of calculi.
Spasm of bladder, with alternate dysuria and enuresis.
Spasm of bladder ; in women, often combined with uterine spasm ; in men, with colic.
Tenesmus of bladder.
Paralytic conditions of sphincter muscles of bladder : following diphtheria ; in old people.
Acute catarrhal conditions of bladder and uterus.
Detrusor and sphincter muscles paralyzed.
Bladder distended up to navel ; constant dribbling of urine, but not a drop flows on making the greatest effort ; no pain, not even on pressure. θ Paralysis of bladder.
Frequent urging, with scanty emission and tenesmus of bladder.
Dysuria, with frequent urging, scanty urine and vesical tenesmus ; spasmodic retention of urine.
Alternate dysuria and enuresis ; spasm of bladder.
Sensation as if something remained behind when urinating ; the stream stops and commences again.
Involuntary micturition from excitement.
Constant involuntary discharge of urine every fifteen minutes.
Enuresis, from paralysis of sphincter, in nervous children at night.
Frequent emission of copious, clear, limpid urine, relieving dulness and heaviness of head.
Urine much increased in quantity.
Albuminuria.
Painful redness of urethra.

Male sexual organs

Involuntary emissions of semen without an erection.
Seminal emissions from excessive irritation of organs of generation, either from emotional or local congestive causes, with a condition similar to satyriasis.
Seminal weakness from irritability of seminal vesicles.
Spermatorrhœa from relaxation and debility.
Sexual organs irritable, weak ; involuntary emissions without erections ; spermatorrhœa ; emissions of semen during stool.
Flaccidity and coldness of genitals, with great languor and depression of spirits ; nocturnal emissions, with sexual dreams, followed next day by great languor and irritability, with pain in base of brain.
Excitable sexual desire ; depression of spirits ; heavy dragging gait ; pale face, sunken eyes. θ Spermatorrhœa.
Sexual power completely exhausted, so that most powerful stimuli fail to cause an erection ; after marriage, slightest caress produced an emission ; face pale and emaciated, dark circles around eyes ; mind weak, memory defective, haunted by thoughts of suicide ;
emission while straining at stool ; penis flaccid ; both testicles had become small. θ Spermatorrhœa due to onanism.
Blue rings around eyes ; discharge of liquor seminis with micturition ; during coition too early discharge of semen.
Gonorrhœa, in acute stage ; great pain, inflammation, fever and scanty discharge.
Gonorrhœa ; last part of incubation, and first part of inflammatory stage, when discharge is rather moderate ; little pain but much heat, and urine is voided in sufficient quantities, rather frequent, with smarting at meatus.
Whitish discharge ; severe erections ; burning when urinating ; rheumatism ; orchitis. θ Gonorrhœa.
Suppressed gonorrhœa, with fever, rheumatism, orchitis.
Painful redness at urethra. θ Secondary gonorrhœa.
Spasmodic stricture of urethra.
Genitals cold, relaxed ; dragging pains in testicles.
Testicles very much relaxed, bag continually sweating.
Profuse warm sweat on scrotum.

Female sexual organs

Ovarian irritation with characteristic headache.
Uterus, as if squeezed by a hand ; anteflexion.
Sensation of heaviness in uterine region, with increase of white leucorrhœa discharge ; nervous, excitable, hysterical females, given to masturbation, with great depression of spirits and excessive languor ; feeling of fulness in hypogastrium, and aching across sacrum.
Congestion of uterus ; pains spasmodic ; neuralgic pains with cramps in uterus and legs ; cramps in uterine ligaments.
Uterine pains shoot up back and compel her to sit up. θ Labor. θ Dysmenorrhœa. θ Hemorrhage
during menopause.
Severe, sharp labor-like pains in uterine region, extending to back and hips.
Languid aching in back and limbs day before appearance of menses.
Loss of voice during menses.
Amenia.
Dysmenorrhœa : vertigo ; sick headache ; faintness at stomach, vomiting ; congestion to head ; deep red face ; bearing down in abdomen ; spasmodic neuralgic pains ; cramps in uterus and legs ; general hysterical condition.
Menses suppressed, with congestion to head ; sharp darting, twitching pains in face and head ; convulsions every evening.
Menorrhagia, almost continuous flow, without any pain.
After menorrhagia, low, quick, intermittent pulse, cold extremities, extreme restlessness, tossing of hands ; intolerable nausea, vomits everything taken into stomach.
Vaginismus of purely nervous character with uterine irritation.
White leucorrhœa with fulness in uterine region, in nervous, excitable, hysterical females, old maids and students.
Leucorrhœa white, with aching across lower part of back ; heavy fulness in uterine region ; amenorrhœa.
Leucorrhœa in gushes, day and night ; constipation.

Pregnancy. parturition. lactation

During pregnancy : dimness of sight ; double vision, headache, drowsiness, vertigo, pulsating carotids, small, slow pulse ; cannot walk, for muscles will not obey the will ; cramps in abdomen and legs ; convulsions, with complete
unconsciousness.
Threatened abortion from sudden depressing emotions.
Severe vomiting ; pain in uterus ; severe pain across small of back, and a burning pain up the spine to head, which ached ; confused feeling in head affecting mental operations. θ Threatened
abortion from fright.
False pains before parturition.
Severe pains in abdomen, which run directly upward, or backward and upward ; feeling as if muscular power was weakened, which arises from a weakness of will power. θ False labor pains.
False labor pain, so severe as to interrupt true pains which seems utterly inefficient ; sometimes cramping pain in various parts of abdomen ; os rounded and hard, and feels as if it would not dilate.
Cutting pains in abdomen from before backward and upward, rendering labor pain useless ; these come on with every pain, are very distressing, and may be felt throughout body.
Nervous chills, "chatters", in first stage of labor.
Pains in uterus going through to back and then up back.
With every pain child seems to ascend instead of descend.
Pains leave uterus and fly all over body.
Sensation like a wave, from uterus to throat, ending with a choking feeling ; this seems to impede labor ; impending spasms.
Hysterical women, with rigid unyielding os during labor, attended with much nervous excitement.
Atony of uterus, loss of contractility ; passive hemorrhage.
Labor pains gone, os widely dilated, complete atony ; face flushed ; patient drowsy, dull.
Insufficient labor pains from uterine inertia.
Everything seems relaxed ; neck of uterus flabby, os open, no pains, bag of waters bulging, patient grows more and more drowsy, speech thicker, convulsions seem threatening.
Albumen in urine during pregnancy ; at beginning of labor patient sank into a semi-stupid state, out of which she could be aroused by shaking, but would soon relapse ; if an answer could be forced from her, it was spoken with a thick tongue like one intoxicated ; no labor
pains, but os dilated and membranes protruding ; face pinkish as if uniformly flushed ; pulse slow, full.
Albuminuria ; thirstless ; erratic pains.
Threatened convulsions during confinement ; pulse large and soft ; face puffed and expression heavy.
Convulsions (apoplectic form) during labor.
A convulsion every fifteen minutes, lasting from one to ten minutes ; during intervals rational, knew every one but her child ; did not know she had been confined, and when questioned, insisted angrily to the contrary ; would have every one in the house with her ;
rather disposed to expose herself ; very anxious to know what was the matter with her ; burning heat in head with flushed face ; palms of hands very hot, bathing them in cold water somewhat modified a convulsion ; would cry if not talked to constantly ; could not
endure gaslight. θ Puerperal convulsions.
After-pains ; cramps in uterus, commencing in front and extending upward and backward.
After-pains too severe and lasting too long, sensitive women, who cannot compose themselves to sleep ; sleep with half-waking and murmuring.

Voice and larynx. trachea and bronchia

Hoarse in paroxysms, with dry, rough throat, rawness of chest, catarrh.
Voice weak, thick.
Nervous aphonia, with dryness and burning in throat, restless sleep and twitching of muscles.
Aphonia from catarrhal paralysis.
Paralytic aphonia during menstruation ; voice returning when catamenia stops.
Paralysis of the glottis.
Spasm of glottis, evening, threatening suffocation.
Laryngismus stridulus, Miller's asthma, or spasm of glottis, in children.
Burning in larynx, descending into trachea.
Roughness of throat, raw, as if ulcerated. θ Laryngitis.
Acute catarrhal bronchitis.
Hawking bloody water.

Respiration

Sudden sensation of suffocation, as in hysteria ; respiration almost imperceptible ; sighing respiration.
Sudden and severe attacks of dyspnœa, with crowing noise, profuse perspiration and darkly flushed face.
Spasmodic asthma ; asthma Millari.
Slow breathing and slow pulse ; heavy, labored breathing ; congestion to chest.
Long crowing inspiration, sudden and forcible expiration ; spasm of glottis.
Breathing frequent.

Cough

Excessive excitability of respiratory centre, with small secretion of mucus and violent, frequent cough.
Convulsive, spasmodic cough, especially in hysterical women ; irritative cough without expectoration.
Severe cough, with much pain in chest in places ; tenderness of epigastrium with vomiting, in paroxysms.
Cough from tickling or roughness of fauces ; hoarse ; rawness and soreness of chest ; coryza ; bronchial catarrh.
Burning in larynx and chest when coughing.
Cough a good deal during the night.
Croupy cough ; measles.
Spasmodic croup.
Catarrhal affections growing out of relaxed and debilitated condition of system on return of warm weather at close of Winter ; Spring fever ; hoarseness, with dryness of throat ; burning in larynx, descending into trachea ; cough from tickling and dryness of
fauces ; sensation of soreness in chest when coughing.
Catarrhal affections, especially if motor disturbances occur, such as spasm of larynx, pharynx and glottis, or so-called spasmodic asthma.

Inner chest and lungs

Paroxysmal pain in upper part of right lung, when taking a long breath.
Stitches in lungs from above downward.
Stitches in chest in region of heart.
Constrictive pain around lower part of chest.
Soreness in chest when coughing.
Dry cough with soreness of chest and fluent coryza.
Heaviness in middle of chest (afternoon).
Severe chill, with great weariness and prostration, pains in back, head and limbs ; extreme oppression of chest.
Extreme and alarming difficulty of breathing, with distressing sense of fulness and oppression of chest, great chilliness ; extremities cold ; pulse slow, sluggish, laboring ; extreme restlessness from threatened suffocation ; continual demand for fresh air ;
respiratory murmurs feeble and obscure.
Paralysis or debility of lungs of nervous origin.
Affections of lungs and pleura marked by erethism or vascular irritation, or when congestion is to be feared, or is already present.
Spasmodic affections of lungs and diaphragm, such as convulsive hiccough, certain forms of asthma, spasms of passages, convulsive cough.
First stage of pneumonia.
Congestive pneumonia, with suffering under scapulæ, both sides ; caused by checked sweat ; short paroxysms of pain superior part of right lung, on taking a deep breath ; pulse slow, full.

Heart, pulse and circulation

Stitching sensation in region of heart.
Pain in heart when rising from a seat.
Oppression and palpitation of heart, < when thinking of it, or when spoken to of his loss ; sensation of soreness about heart. θ Effects of grief.
Excessive action of heart from plethora, congestion, neuralgic or rheumatic irritation, or hysterical palpitation.
Irregular beating of heart ; palpitation.
Cardiac neurosis, with deficient power and action ; hysterical palpitation in plethoric women.
Action of heart and arteries much depressed, with cold hands and feet ; chills with pain in head.
Heart's action slow and feeble ; beats cannot be felt.
A peculiar action of heart ; as though it attempted its beat which it failed fully to accomplish, the pulse intermitting each time ; < lying, especially on left side.
Fears that unless constantly on move, her heart will cease beating, with fear of death.
Nervous chill, yet skin is warm ; wants to be held that she may not shake so. θ Heart disease.
After a violent fit of anger and a quick run, the beating of the heart omits every tenth beat ; with the intermission he feels faint, sinks backwards, feels as if he would die, without fear.
Full, round, soft, flowing pulse, with slight fever.
Pulse frequent, soft, weak, almost imperceptible ; slow and full.
Pulse quick, soft, irregular. θ Intermittent fever.
Pulse irregular, intermitting, yet full.
Fluttering pulse ; pulse full, 120 ; pulse slow and full, or slow and soft.
Marked decrease in frequency of pulse.
Sensation as though blood had ceased to circulate.
Heart's action : feeble, slow ; depressed ; hands and feet cold.

Outer chest

Periodical pains in pectoral muscles.

Neck and back

Pains in neck like those of cerebro-spinal congestion.
Lameness and stiffness of neck ; on waking at night retraction of head backward, > bending head forward. θ Neuralgic headache.
Contractive sensation in right side of nape.
Pains in neck, myalgic, mostly in upper part of sterno-cleido muscles, back of parotid glands.
Pain in neck and under left shoulder-blade.
The muscles of the neck feel bruised.
Vertebra prominens and cervical vertebræ sensitive to pressure. θ Neuralgic headache.
Dull, aching pain in back, extending up to occiput.
Pains from spine to head and shoulders.
Chills run up back from sacrum to base of occiput.
Creeps and chills running up back.
Feeling of lightness in body from spinal exhaustion, in onanists and hysterical subjects.
Congestion of spinal cord and cerebellum ; prostration, languor ; muscles feel bruised and will not obey the will.
Spinal congestion ; with incipient aphasia.
Paralytic condition of lumbar and sacral muscles.
Dull aching in lumbar and sacral region ; cannot walk, muscles will not obey.
Sharp cutting pains from back down to hips.
Severe pain in hip, < at rest and when beginning to walk ; burning pain during forepart of night, preventing sleep. θ Ischias.
Pain in back and loins and lower part of thigh ; in evening, when entering warm room ; thirst.
Paraplegia.
Locomotor ataxia.
Early stage of myelitis of anterior horns ; spinal weakness from exhaustion ; confusion of head, spreading from occiput to forehead ; dim sight ; expression of face heavy, dull, drowsy ; paresis of tongue and glottis ; incontinence of urine ; muscles
feel bruised and will not obey the will ; loss of voluntary motion.

Upper limbs

Pain in shoulders during night.
Deep-seated muscular pains in both arms.
Arms weak, numb.
Arms become powerless ; loss of voluntary motion.
Tired sensation in arms when playing piano, steadily increasing ; vague pains from tips of fingers to scapulæ.
Severe aching pain in left elbow.
Pain as if sprained in right wrist and elbow.
Coldness of wrists and hands.
Trembling of hands when lifting them up.
Hot, dry hands, especially the palms.

Lower limbs

Fatigue of lower limbs, after slight exercise.
Difficulty of walking or inability to stand, due to inability to control muscular movements.
Heaviness, weight ; loss of voluntary motion, muscles not obeying will ; calves feel bruised ; pain at night.
Unsteady gait ; staggers as if drunk, on attempting to walk.
Obstinate sciatica ; pains < at rest and particularly when beginning to walk ; burning pains, < at night, compelling her to lie awake ; pain in sole of foot when walking.
Deep-seated muscular pains in legs, > by motion.
Shooting pains in paroxysms.
Paroxysmal pain in lower extremities.
Drawing, contracting, crampy pains in legs, from thighs into toes ; < on motion or walking.
Coldness of extremities, especially of feet, as if in cold water, with anguish and pain in legs.
Violent lancinating pain in thigh.
She was so sore on her thighs, touch felt like a boil ; pains were all > when in a sweat.
Rheumatic pains during night in knees.
Feeling when walking, as in a partial luxation of patella.
Sudden dislocation or slipping of patella (during breakfast).
Excessive drawing and contractive pains in gastrocnemius muscle of left leg.
The calves of the legs feel bruised, and pain at night.
Rheumatic pain in right knee and left side of neck.
Pains in left foot and ankle ; spasmodic contraction of toes.
Cold feet.

Limbs in general

Trembling in all the limbs.
Control of limbs gradually lost, could not direct their movements with precision.
Great soreness of thighs, < left, sore as a boil to touch ; pains > while sweating ; almost total paralysis, < left side ; head drawn to left side ; can move thigh but slightly ; cannot raise hands to head.
Neuralgic and rheumatic pains in extremities.
Neuralgic pains in limbs. θ Sequel to scarlatina.
Deep-seated, dull aching in limbs and joints generally, induced by cold, and attended by loss of motion.
Deep-seated, aching pains in bones and joints of extremities.
Numbness, feeling as if limbs were going to sleep, in nervous, hysterical subjects.
Limbs cold, with oppressed breathing ; cold hands and feet.

Rest. position. motion

At rest : pain in hip <.
Wants to lie still and rest ; wants to keep quiet.
Lying down : sick headache > ; neuralgia < ; bursting pain in eyeballs < ; pulse intermitting.
Cannot lie or sit, must stand or walk.
Sitting : > dull heavy pain in back part of head : cramp in stomach > ; pinching wind colic >.
Compelled to sit down by pains up back.
Wants to be held that he may not shake so much.
Reclining head on high pillow : < headache.
Bending head forward : > retraction of head backward.
Stooping : headache and dizziness ; dull pain in back part of head < ; obscuration of sight.
Motion : sick headache < ; dull pain in back part of head < ; of eyelids < elevation of epithelium on cornea ; pain in region of infra-orbital nerve < ; colic > from continued motion ; fears heart will stop beating unless constantly in motion ; slight
exercise, fatigue of lower limbs ; muscular pains > ; drawing crampy pains in legs < ; loss of motion with deep-seated pains in limbs and joints ; of arms and legs makes them tremble.
Dread of movement.
Slight exertion : causes sweat.
When attempting to move : muscles refuse to obey will ; seems as if intoxicated ; eyeballs feel sore ; colic < ; to walk, staggers as if drunk.
Sudden movement of head : lightness of head < ; vertigo.
Can move thigh but slightly.
Rising from a seat : pain in heart.
Shaking head : > heaviness of head.
Cannot open eyes : cannot raise hand to head.
Lifting arms : trembling of hands.
Playing piano : tired sensation in arms.
Walking : distant objects seem indistinct ; causes complete exhaustion ; impossible, for muscles will not obey will ; pain in hip < ; difficult ; pain in sole of foot ; crampy, drawing pain in legs < ; feeling as in a partial luxation of patella.

Nerves

Hyperesthesia.
Excessive irritability of mind and body ; vascular excitement.
Nervous excitement of hysterical patients.
Nervous chills in very sensitive subjects.
Nervous chill yet skin is warm ; wants to be held that she may not shake so.
Great distress and apprehensive feeling at approach of thunder-storm, after having seen a house struck by lightning in a previous storm.
Pain from occiput through to forehead, as if a knife were thrust through ; pain across root of nose ; pain in eyes as if they were jumping out of head ; pain through chest below heart, from left side to right : complete blindness. θ Hysteria,
from grief.
Hysterical women, with spasms ; feeling as of a lump in throat which cannot be swallowed ; general numbness of extremities.
Hysteria, with spasms, palpitation of heart, great nervous excitability, a copious flow of nervous urine.
A nervous young lady, uneasy before a thunder-storm, set up a terrific scream after a heavy thunder-bolt, and continued it without cessation in spite of all efforts to quiet her.
Hysterical convulsions, with spasms of glottis ; hysterical epilepsy ; excessive irritability of mind and body, with vascular excitement ; semi-stupor, with languor and prostration ; nervous headache, commencing in neck and spreading over whole head ;
migraine ; dysmenorrhœa of a neuralgic or spasmodic character.
Hysterical epilepsy, after suppressed menses, lasting an hour or two ; so severe was the spasm of glottis that asphyxia seemed inevitable.
Hysterical condition in plethoric subjects.
Sudden hysterical spasms.
Spasmodic croup ; laryngismus stridulus.
Jactitation of muscles.
Convulsions from reflex irritation ; spasms of one leg.
To prevent convulsions, before development of eruptive disorders.
Puerperal spasms, preceded by great lassitude, dull feeling in forehead and vertex, fulness in region of medulla ; head feels "big," heavy, with half stupid look ; face deep red ; speech thick ; pulse slow, full ; from protracted labor ; rigid os
uteri ; albuminuria.
Epilepsy of ten years' standing, preceded by dull feeling in head and vertex, and some pain and fulness in region of medulla oblongata.
Epileptiform convulsions after suppressed menses, with severe spasm of glottis.
Tetanic spasms ; jaws locked.
Hydrophobia.
Acute, sudden, darting pains, evidently along single nerve branches, in almost any part of body or limbs, sometimes so sudden and acute as to cause starting.
Neuralgia ; shooting, tearing along tracks of nerves, especially if < by changes in weather.
Neuralgia ; absence of organic lesion, with indistinct or double periodicity.
Listless and languid.
Great lassitude ; general fatigue.
Feeling of relaxation of whole body, especially of hands and feet, with indisposition to move.
Becomes easily tired and exhausted ; especially lower limbs.
Curious sensation of falling. θ Ague.
Weakness and trembling through whole system.
Great weakness, with paleness of face, nausea, and trembling of lower extremities.
Tremulousness with profuse urination.
Intense prostration of whole muscular system.
Great feebleness ; complete loss of muscular power.
Complete relaxation and prostration of whole muscular system, with entire motor paralysis.
Insulation ; feels "played out ;" hot, damp, stifling weather.
Coup de soleil.
Overpowering fear, with fatigue ; tendency to diarrhœa ; exhaustion, drowsiness ; anxious, unconscious muttering ; pale and languid face ; aching in back and limbs ; fear of injury. θ Traumatic
shock.
Numbness and coldness.
Paralysis of motion ; muscles will not obey will ; feel bruised ; tingling, pricking, crawling.
Muscles lose power to contract at will of patient, without loss of sensation or slightest change in temperature.
Periodic aphonia ; loss of voice only during menses.
Suddenly an inability to raise eyelid which increased until eye was completely closed.
Numbness and coldness of right hand, right side of face, and right half of tongue ; speech thick as if drunk.
In a case of long-standing diarrhœa, child fell down without power to raise her arms or legs, mind, however, remained bright and clear.
Infantile paralysis, complete relaxation of whole muscular system, with enteric motor paralysis ; giddiness and faintness, with pain in neck ; great drowsiness ; loss of sight ; muscles weak and will not obey the will, feel bruised ; tingling, pricking,
crawling ; limbs cold ; locomotor ataxia ; paraplegia, unsteady gait ; trembling of hands when lifting them up ; mental exertions cause a sense of helplessness from brain weakness ; no loss of sensation.
Paralytic symptoms throughout entire muscular system.
Paralytic symptoms in throat, in limbs ; spasms from reflex irritation ; cataleptic immobility, with dilated pupils, closed eyes, but consciousness.
Coma and apoplexy, sub-arachnoid, arising from passive congestion with nervous exhaustion.

Sleep

Yawning, chilly.
Languor and drowsiness when trying to study.
Peculiar stupor or sleepiness in students, or persons of sedentary life, especially in hot weather.
Disposition to sleep, a sort of stupor.
Drowsiness and long, sound sleep.
Unusually sound morning sleep, with difficult, weary waking.
Drowsy ; dim sight ; a kind of drunken stupor.
Stupor in beginning of fevers ; especially with children.
Cannot get to sleep on going to bed at night, on account of thinking, which she cannot control.
Sleeplessness from nervous irritation.
Sleeplessness ; a wide awake feeling.
Wakeful or lies in a half awake state ; incoherent talk.
Languid, drowsy, but cannot compose mind for sleep.
Sleeplessness during dentition.
Sleeplessness in delirium tremens.
Sleepless from violent itching of face, head and shoulders ; also from exhaustion.
Very restless during night, especially towards morning ; unpleasant dreams after midnight.
Jerking of whole left side on falling asleep ; sudden shrill cries on awaking. θ Meningitis.
Night terrors, on account of his nose being stopped up and dry.
Delirium in sleep, half waking, with incoherent talk ; delirium as soon as he falls asleep.
Awakens from sleep with headache or colic.

Time

Morning : sick headache ; dull pain in head ; sneezing ; fever until morning ; unusually sound morning sleep ; decline of heat without perspiration ; decline of fever ; crimson flush of whole face ; chill.
At 10 A. M. : < bursting pain in forehead and eyeballs ; fever without chill.
Forenoon : dull burning pain in occiput.
Day : sick headache ; leucorrhœa in gushes.
Afternoon : hands and feet cold ; heaviness in middle of chest.
Evening : eyes feel sore ; spasm of glottis ; pain in back, loins and lower part of thigh ; crimson flush of whole face.
Night : on waking, retraction of head backwards ; neuralgia ; fever ; sore throat < ; enuresis ; leucorrhœa in gushes ; cough ; burning pain in hip ; pain in shoulders ; pain in limbs ; rheumatic pain in knees ; calves
pain ; cannot sleep on going to bed ; very restless ; terrors ; heat long lasting ; sweats ; marked exacerbation of fever.
After midnight : unpleasant dreams.

Temperature and weather

Heat of sun or summer : general depression ; insulation ; stupor ; sleepiness.
Hot application : > dull pain back of head.
Must be covered in all stages of paroxysm.
Cannot move away from fire without chilliness.
Complaints from sudden change from hot or dry to damp air.
Warm or spirituous fluids can partially be swallowed.
Continual demand for fresh air.
Changeable weather : coryza.
Atmospheric changes cause bilious remittent fevers.
Damp weather : acute enteritis ; insulatio.
Cold open air : relieves.
Cold damp day : tic douloureux.
Cold damp atmosphere : causes catarrhal fevers.
Cold water : on hands modified a convulsion ; feet feel as if in cold water.
Cold drinks : come up immediately.

Fever

Chilliness, languid aching in back and limbs ; sense of fatigue, desire to avoid all muscular exertion ; every day, 4 to 5 P. M.
Sudden mental emotions hasten onset of chill.
Chilliness, especially along spine.
Chills begin in hands ; chills running up back ; hands and feet cold, as if they were in cold water ; hot head and face.
Shaking begins in hands, with thirst, headache, vertigo ; pains in back, limbs, knee, with cramps. θ Intermittent fever.
Chill ascending from feet ; chill and chilliness, especially along spine ; running up back from loins to nape of neck, and following each other in rapid wave-like successions from sacrum to occiput.
Transient chilliness, with profuse urination.
Chill preceded by incontinence of urine. θ Intermittent.
Nervous chills, in which, with shivering and chattering of teeth, there is no sensation of chilliness.
Nervous chill, skin warm ; wants to be held that he may not shake so much.
Chill : mostly during morning ; every day at same hour ; with or without thirst ; with weak pulse.
Chill every day, 4 or 5 P. M. ; slight with "goose-flesh ;" lasts three-quarters of an hour ; with thirst.
Limbs cold, with oppressed breathing.
Coldness so severe as to be painful.
After chill : sleepy ; flying heat and pricking in skin, rapidly followed by profuse perspiration ; heat, principally of head and face.
Heat, with some thirst, begins in head ; headache, vertigo ; heat and chill together, shivers up back ; red cheeks ; hot face. θ Intermittent
fever.
Warmth over whole body, as if sweat would break out, then chilly down back.
Slight fever, with full, round, soft, flowing pulse.
General heat, mostly about head and face.
Heat : with nervous restlessness ; with languor or drowsiness.
Fever without thirst ; wants to lie still and rest ; tonsils inflamed, right side.
Flushed, crimson face during fever.
Heat, with intense burning.
Fever, with shooting, pressive pains through temples and nasal sinuses, with brilliancy of eyes and loquacity.
Heat in face ; sleepy, stupid, besotted ; with half-waking, muttering delirium ; tired, wants to lie still, or great nervous restlessness ; sensation of falling in children ; child starts and grasps attendant or crib, and screams out from fear of falling.
Fever heat, with drowsiness ; sleep, with half-waking and murmuring frequently ; little thirst ; feels very languid, and wants to be still ; chill beginning in hands and feet ; throat feels thickened, filled up and sore ; tonsils slightly swelled ;
throat somewhat red.
With the heat, semi-stupor, cannot open eyes or think correctly ; vertigo ; staggers as if intoxicated ; sensitive to light or noise.
Long-lasting heat, far into night ; pain in one leg ; jerking of limbs.
Heat in palms of hands. θ Neuralgic headache.
Fever without chill at 10 A. M.
Slight occasional moisture ; sweat coming gradually and moderately, always relieving the pains.
Thirst during sweat, clammy, feverish taste.
Perspiration, sometimes profuse and lasting from a few hours to twenty-four, with languor and prostration.
Sweat most profuse on genitals.
Thirstlessness, with sticky sweat, especially about genitals.
Sweats freely from slight exertion.
Night-sweats, especially those of phthisis.
Intermittents, in which nervous symptoms predominate ; severe chill and fever, but not much sweat ; paroxysms occur daily, with great restlessness.
Intermittent or remittent fevers contracted at summer watering places and "wintered over", making their appearance in early Spring.
Fevers characterized by severe chill, little shaking, followed by fever.
Intermittent fever with sick stomach and vomiting during paroxysm ; thirst during sweat ; sleeping throughout heat ; muttering on half waking up ; wants to be held so that he will not shake so much ; heavy eyelids ; great prostration ; drowsy, stupid
condition, with little thirst.
Cold, chilly, congestive stage with depressed pulse, dull headache, etc. ; the reactive stage with hot, dry skin, flushed face, acute pain of head and quickened pulse, followed by sweats ; headache mostly in temples.
Heat long, severe, may last till nearly time for next chill ; the sweating short, most marked ; much debility during apyrexia ; attacks had been suppressed by quinine, but always reappeared, preceded by enuresis.
Intermittent fever (tertian type) ; fever lasts five hours, very hot, with delirium, jerking of limbs, violent headache ; aching in one leg.
Intermittent fever (tertian type) ; pain in head and pain over body when he has no chill ; tongue not much coated.
Intermittent, where there is want of distinctness in its several stages, and the whole presenting an adynamic condition of the system.
Fever coming on every evening after supper, which gradually increased and went off before morning, the patient continuing asleep.
Regular periodic fever, without chill.
Type : quotidian ; tertian ; same hour of day with every paroxysm ; periodicity well marked ; fevers of regular type, but characterized by disorders of innervation.
Time : afternoon and evening paroxysm 2, 4, 5, and 9 P. M. ; fever without chill at 10 A. M.
She must be covered in all stages of paroxysm. θ Intermittent fever.
As soon as reaction takes place after chill, pulse rises as much above normal as it was depressed below it.
Intermittent of children ; burning fever and restlessness, no thirst, no fear of falling, great regularity of paroxysm.
Convulsions in children with ague ; "dumb ague", from abuse of quinine ; "masked ague", choreic or neuralgic manifestations being present.
Intermittent fever ; malarial, generally quotidian.
Suppressed intermittents, with general prostration, aching and soreness in body ; "dumb ague".
Simple, uncomplicated cases of intermittent fever.
Post-typhoid intermittents.
Apyrexia often wanting or very short ; great prostration of whole muscular system during apyrexia.
Heat and perspiration are so extended that many fevers are more remitting than intermitting.
When the remittent takes on the intermittent type, or vice versa.
Irritative, remittent and intermittent fevers in very nervous, sensitive people and children, with excessive erethism and no gastric, hepatic, or visceral complications.
Infantile remittents, due to irritation of teething, intestinal troubles, worms, or malarial influences.
Bilious remittent fevers, caused by atmospheric changes in Spring, or due to miasmatic influences in Autumn ; intense frontal or occipital headache, puffed face, slimy, bitter taste in mouth ; tongue white or yellow ; breath foul.
Marked exacerbation of fever towards night, and decline of heat without perspiration towards morning ; heaviness of head, with vertigo and blindness ; loss of appetite, with bitter taste ; large, deeply bilious stools, asthma and stupor.
Simple fever, without functional disturbance.
Irritable, sensitive children, sometimes wakeful ; nervous, even threatened with convulsions, or drowsy ; eyelids heavy ; want to remain perfectly quiet ; chills up and down back ; followed by fever, with increased drowsiness ; pulse full, soft ; sweat
moderate, with relief.
When fever develops under circumstances which favor a paresis of motor nerves of both voluntary and involuntary muscles ; it corresponds to that stage in which the blood-vessels are dilated and full, but lack the firmness and resistance of a fully developed sthenic
inflammation ; such a fever is accompanied by languor, muscular weakness, desire for absolute rest and drowsiness.
Nausea and disgust ; confusion of head with dull pain ; drowsiness ; indisposition and almost inability to exert mind or body ; sense of debility ; pains in region of kidneys, as if produced by pressure of a blunt instrument as large as end of thumb ; dull,
heavy, pressing pains in bones of upper and lower limbs, becoming cramp-like in muscles ; pains < in shin-bones ; malaise.
For a week, languor, loss of appetite, confusion of head, etc. ; finally confused headache ; pains in back and limbs ; no appetite ; bad taste in mouth ; nausea ; thick dirty-white coat on tongue ; languid, listless, prostrated ; pulse quick ;
skin hot and dry.
Violent pains in limbs, back and head ; wants to be quiet and let alone ; does not want to talk or have persons about her in the room. θ Febrile conditions.
Nervous chills, with shivering and chattering of teeth, depending upon some irritation of nerves of motion, in very sensitive subjects ; from fear or fright ; they often attend relaxation of os uteri in labor, or occur after labor has just been
completed.
Fevers of children during dentition.
Low fevers when pulse is slow, and by lifting or turning patient it becomes accelerated.
Incipient typhoid, with severe pains in head, back and limbs ; extreme lassitude ; fever ; chilliness ; thick, brown coated tongue.
First stage of typhoid, when patient seems to have "taken cold ;" sudden onset ; non-complication by drugs ; patient of an afternoon gets "very tired," with languid aching in back, extending down limbs ; wants to rest, even to sleep ; hands
and feet become cold ; general chilliness, then hot fever, with crimson flush of whole face ; occasional moisture here or there ; sleeps frequently half waking and talking incoherently ; morning decline of fever ; throat feels sore and filled up ; tongue clean
or yellow ; head feels "big as a bushel ;" tremulous ; vertigo ; blind spells ; epistaxis ; iliac tenderness.
Pulse full, weak, vacillating, about 100 ; tongue red and dry ; hands and tongue tremulous ; when a little drowsy, mind wanders and he reaches after imaginary objects ; lips dry and parched, teeth covered with sordes.
Typhoid fever ; nervous symptoms predominate ; patient drowsy and stupid, with great debility ; legs and arms tremble when moving, with some chilliness.
Typhoid fever in a child, nervous movements, every night, like spasms ; oscillation of eyeballs.
Dull, heavy headache ; drowsy and stupid ; he is so weak that he can hardly control his movements ; feeling of great prostration ; tongue slightly coated, can hardly put it out, it trembles so ; mouth sticky, no thirst, no appetite ; skin hot and dry ;
pulse 120 and full ; eyes look dull, eyelids drooping ; hands tremble violently when trying to lift or move them ; legs also tremble very much when trying to walk. θ Typhoid.
Great prostration of all vital forces, with strange sensation in head and continued jactitation of muscles. θ Typhoid.
Unconnected ideas, cannot follow up any idea ; painful vacant feeling in mind on attempting to think ; giddiness with loss of sight ; indistinctness of vision, or double vision ; fulness of head, with heat in face, and cold feet ; pain in back of neck ;
heavy, dull expression of countenance and yellow face, or nausea and paleness ; sticky feeling in mouth ; fetid breath ; tongue whitish or yellow ; dryness and burning in throat ; sour eructations ; pulse frequent, full, but soft ; as soon as he goes to
sleep, is oblivious. θ Yellow fever.
Cerebro-spinal fevers, especially if caused by malaria, with stupor and tendency to convulsions ; intense passive congestion ; wild, incoherent delirium ; sweating relieves ; trembling, weak limbs ; bruised pain in muscles.
Cerebro-spinal meningitis, ushered in by a severe chill, accompanied by evident congestion of spine and brain.
In forming and inflammatory stage of measles, with chilliness, watery discharge from nose, etc.
Eruptive fevers : especially children, tendency to convulsions at time of eruption ; intense fever, heat, erethism, but less restlessness than Acon. ; less violence and suddenness of aggravation than Bellad. ; languid ; asthenic fever ; stupor.
Catarrhal fevers, from influence of cold, damp atmosphere, or sudden change from hot and dry to damp air.
Chilliness up back, cannot move away from fire without chilliness ; head hot before fever sets in ; torpid, heavy condition during fever ; head feels heavy and big, face scarlet, eyes suffused, nose runs a watery mucus, but little sore throat, pulse large, full and quick,
but not very hard, febrile motions remittent ; < about same hour every day. θ Influenza.
Heat with languor and drowsiness ; aching in back and limbs ; little thirst ; sleep interrupted by half-waking and muttering ; evening or early morning crimson flush of whole face, sometimes preceded by cold hands and feet ; distant objects look confused, as if
outlines were shaded with some colors ; eyes heavy looking, suffused, sometimes oscillating ; wants to keep very still ; pulse full, frequent, not tense. θ Inflammatory fever.
Rheumatic fever, especially in muscular rheumatism.
Irritative fevers due to some local irritation, such as ulceration, suppuration, abscess, presence of a foreign body, etc.
Hectic fever, even when shaking chills, followed by great heat, and drenching sweats occur.

Attacks, periodicity

Fevers remit or intermit.
Periodical attacks ; every day at same hour.
Sudden : loss of hearing.
Rapid wave-like succession : chills follow each other.
Every fifteen minutes : constant involuntary discharge of urine ; convulsions.
Lasting an hour or so : hysterical epilepsy.
From hour to hour : vision varies.
From a few hours to twenty-four : profuse perspiration.
Five hours : fever lasts.
Three-quarters of an hour : chill lasts.
Every afternoon from 4 to 5 : chilliness.
Every day at same hour : orbital neuralgia ; chilliness in back during diarrhœa ; chill ; chills and fever, and restlessness ; chilliness <.
From day to day : vision varies.
At 2, 4, 5, 9 P. M. : paroxysm.
Evening : periodical colic with diarrhœa ; convulsions ; after supper, fever.
Every night : nervous movements like spasms.
Regular periodic fever without chill.
For a week : languor, loss of appetite.
Return of complaints when the year comes round.
Three or four months constantly increasing headache.
Ten years' standing : epilepsy.

Locality and direction

Right : temple, sick headache ; throbbing in side of head ; elevations of epithelium appeared on cornea ; digging in ear ; nostril stopped up ; pain in temple ; pain in wing of nose ; shooting pain into ear ; aphthous looking spot
on tonsil ; tonsil swollen and inflamed ; pain in upper part of lung ; side of nape contractive feeling ; sprained pain in wrist and elbow ; rheumatic pain in knee ; numbness and coldness of hand, face and half of tongue ; tonsil inflamed.
Left : jerking of side ; uvula deviating to left ; cloud over outer half of fluid of vision of eye ; pupil dilated ; deposits on lower posterior portion of cornea ; pain in eye ; feeling up into nostril as of a stream of scalding water ; pain at
root of canine tooth, upper jaw ; tonsil sore ; soreness extends to nostril ; tenderness in iliac region ; lying on side pulse intermits ; pain under shoulder-blade ; severe pain in elbow ; drawing pain in gastrocnemius muscle of leg ; rheumatic pain
in side of neck ; pain in foot, in ankle ; thigh sore as a boil ; side of head drawn to side ; jerking of whole side on falling asleep.
From left to right : pain through chest below heart.
From above downward : stitches in lung.
Pains in abdomen : run upward or backward and upward.

Sensations

Rheumatic pains (wandering) in bones and joints.
Bruised sensation all over body, as if from severe bodily exertion.
Local tingling of parts during fever.
As if intoxicated ; head as if enlarged ; as if he would fall headlong ; brain as if bruised ; pain as from a tape around head ; roof of mouth feels as if swollen ; as if a bee had stung her ; as if skin was contracted in middle of forehead ; as if
a snake were before vision ; from throat up into left nostril like stream of scalding water ; as if a lump were in œsophagus ; as if something had lodged in œsophagus ; feels as if he would become delirious ; sensation of a heavy load in stomach ; as if
stomach were quite gone ; as if sphincter resisted passage by contraction ; as if something remained behind when urinating ; uterus as if squeezed by a hand ; as if muscular power weakened ; like a wave from uterus to throat, ending with a choking feeling ;
throat as if ulcerated ; feels as if he would die ; os feels as if it would not dilate ; as though blood had ceased to circulate ; as if sprained in r. wrist and elbow ; as if feet were in cold water ; when walking as in a partial luxation of patella ; as
if limbs were going to sleep ; as if a knife were thrust through from occiput to forehead ; as if eyes were jumping out of head ; as of a lump in throat which cannot be swallowed ; head feels big as a bushel ; distant objects feel as if outlines were shaded by
colors ; pain in kidney as if produced by pressure of a blunt instrument as large as the end of a thumb.
Pain : in forehead ; in temples ; in head ; over eyes ; across forehead ; in base of brain ; in uterus ; in bones of face ; begins in cervical portion of spinal column, extends over whole body ; in neck ; in back of neck ; in
limbs ; in eyes ; from throat to middle ear ; from back to ear ; from nose to neck and clavicles ; in right temple then to ears, eye and side of head, then to nose ; in teeth, about ear, in tongue ; in urethra ; uterus into back ; leave uterus and
fly all over body ; in chest ; in heart ; in neck ; in upper part of sterno-cleido muscles ; under left shoulder-blade ; from spine to head and shoulders ; in back and loins and lower part of thigh ; in shoulders ; in muscles of arms ; in
legs ; in left foot and ankle ; across root of nose ; through chest below heart ; over body ; in region of kidneys ; in shin-bones ; Anguish of legs.
Violent pains in limbs, back and head.
Acute pains : flying from one part of head and face to another ; in almost any part of body ; in head.
Excruciating pain : in head.
Sharp pains : in uterine region ; from back down to hips.
Severe pain : in forehead ; in vertex ; in region of infra-orbital nerve ; in uterine region ; across small of back ; in abdomen ; in hip ; in left elbow ; in limbs ; in head ; in back.
Tearing sensation : in head ; in upper cervical region ; in occipital region ; cough ; along tracks of nerves.
Sudden spasmodic pain : in upper part of abdomen ; colic ; in uterus.
Lancinating pain : in abdomen ; in thigh.
Darting pains : flying from one part of head and face to another ; in tooth ; in almost any part of body.
Cutting pain : in abdomen ; from back down to hips.
Stitches : in ear ; behind ear ; in lungs ; in chest ; in region of heart.
Stitching pains : on moving eyes.
Stinging : in mouth ; in various parts of body.
Shooting : through temples ; through nasal sinuses ; in each jaw ; into ears ; in face ; in tooth ; along track of nerves.
Stitching sensation : in region of heart.
Pricking : in skin.
Prickling : in muscles.
Burning : in mouth ; in urethra ; in occiput ; in œsophagus ; in stomach ; when urinating ; up the spine in back ; in head ; in throat ; in larynx ; in trachea ; in chest ; in hip.
Smarting : at meatus.
Digging : in right ear.
Gnawing pain : in transverse colon.
Bursting pain : in forehead and eyeballs.
Cramp-like pain : in gullet ; in legs ; in thighs ; in toes ; in muscles.
Cramps : in stomach ; in uterus ; in legs ; in abdomen.
Constrictive pain : around lower part of chest.
Contractive pains : in legs ; in gastrocnemius muscle of left leg.
Contraction : of abdomen ; in right side of neck.
Labor-like pains : in uterine region.
Griping : in lower abdomen.
Rumbling pain : in epigastrium ; in abdomen.
Grumbling pain : in face ; in tooth.
Pinching colic.
Band-like pain : around head.
Bearing down : in abdomen.
Dragging pain : in occiput ; mastoid and upper cervical regions ; in testicles.
Drawing pain : in upper cervical region ; in occipital region ; over eyes ; in legs ; thighs ; toes.
Deep-seated, dull, aching pains in bones and points of extremities.
Aching : in occipital region ; in os frontis ; in eyes ; in orbits ; across sacrum ; in back : in limbs ; in lumbar and sacral region ; in left elbow ; in body.
Languid aching : in back ; in limbs.
Soreness : of heart ; of eyeballs ; of head ; in scalp ; in brain ; of eyes ; of edges of nostrils ; of throat ; of abdominal walls ; of chest ; of thighs ; in body.
Bruised pain : above and behind eyes ; in muscles of neck ; in calves ; in muscles.
Pressing pain : in bones of upper and lower limbs.
Pressing pains : through temples and nasal sinuses.
Pressure : of chest ; in head ; on vertex ; over both eyes.
Throbbing : in right side of head.
Sudden pains : in almost any part of body.
Paroxysmal pain in upper part of right lung.
Twitching pains : in face and head.
Neuralgic pains : around edges of teeth ; in upper portion of spinal cord ; upper portion of cerebrum ; in forehead ; in eyeballs ; in face ; in teeth ; in intestines ; in uterus ; in limbs.
Rheumatic pains : left side of neck ; in knees ; in limbs.
Suffering : under scapulæ.
Dull pain : in head ; in back part of head ; in occiput, mastoid or upper cervical region extending to shoulders ; in or about the eye ; feeling in orbits ; in stomach.
Vague pains from tips of fingers to scapulæ.
False pains before parturition.
Rawness : of chest.
Roughness : of throat.
Sticky feeling in mouth.
Periodical pains : in pectoral muscles.
Stiffness : in muscles of jaws ; of neck.
Stiffness : of neck.
Tightness : of brain.
Tension : in stomach.
Pressure : on chest.
Excitability : of respiratory centre.
Irritability : of eye ; of throat ; of organs of generation ; of seminal vesicles ; ovarian ; of mind and body.
Sensitiveness : to sounds.
Tenderness in right iliac region ; of epigastrium.
Strange sensation : in head ; falling sensation.
Lightness : of head, in body.
Vacant feeling : in mind.
Empty sensation : at epigastrium ; of bowels.
Big feeling of head.
Distension : of stomach ; of bladder.
Swimming sensation : in head.
Depression : from heat of sun.
Faintness : at epigastrium ; of body.
Flaccidity : of genitals.
Relaxation : of whole body ; hands and feet.
Weakness : of stomach ; of bowels ; of spine ; of arms ; of whole system ; of brain.
Sense of fatigue.
Tired sensation : in arms.
Confusion : of head ; blind headache.
Weight : in head ; in stomach.
Heaviness : of head ; of eyelids ; of eyes ; in uterine region ; in middle of chest.
Oppression : of heart ; of chest.
Dulness : of all mental faculties ; of sight ; in forehead ; in vertex.
Wandering colic.
Fulness : in head ; in region of medulla ; of lids ; at root of nose ; in hypogastrium ; in uterine region ; of chest.
Congestion : to chest ; of stomach ; of spinal cord ; of cerebellum.
Roaring : in ears ; in abdomen.
Rushing : in ears.
Suffocation : sensation of.
Palpitation : of heart.
Twitching : of single muscles.
Jerking : of whole left side ; of limbs.
Trembling : of hands ; in all the limbs ; of whole body.
Spasms : of bladder ; of glottis ; of one leg.
Paralytic condition : of lumbar and sacral muscles.
Lameness : of neck.
Crawling : in muscles.
Numbness : of tongue ; of limbs ; of extremities.
Tingling : in nose ; of throat ; in muscles.
Tickling : cough ; of fauces.
Itching : all over body ; of head ; of face ; of neck ; of eyes ; of shoulders.
Heat : in face ; in palms of hands ; in eyes ; in forehead ; of skin ; in head.
Coldness : of genitals ; of wrists and hands ; of right hand ; right side of face ; right half of tongue.
Dryness : of mouth ; of throat.

Tissues

Active or passive congestion of brain, spinal cord, lungs, liver and other organs.
Paralysis, general and special, of voluntary and involuntary nerves.
Acts principally upon motor side of spinal cord, upon brain and the mucous membranes.
Affects principally the nerves of motion ; causes muscular prostration through the nerves.
Partial paralysis of all involuntary muscles.
Myalgia from over-exertion ; lameness and stiffness.
Pains in back, shoulders, neck and occiput, preceding or following attacks of ague ; also when these or similar pains are of a neuralgic nature, arising from some form of spinal irritation, or come on as the result of a cold, having something of a rheumatic character.
Congestions, arterial or venous, with sluggish circulation.
Hemorrhages, blood in drops, crimson.
Septicemia ; during the drowsiness fever and great prostration.
In scarlet fever it determines the eruption to the surface, controls the pulse, calms the nervous erethism, and lessens the cerebral congestion.
At first arrests secretion of glands and afterwards increases it.
Catarrh of eyes, nose, mouth, particularly in flabby, lax-fibred persons, or from conditions of atmosphere favoring relaxation of body.
Cold in Spring ; soreness over body, great tiredness, as if he could not move ; spasmodic sneezing, < in morning ; thin, excoriating discharge ; nose red, inflamed ; mucous membrane dark ; co-existing neuralgia.
Catarrh of mucous membranes ; watery mucous, never purulent discharges.
Suppressed or undeveloped catarrh.

Touch. passive motion. injuries

Touch : elevations on epithelium appeared on touch ; right cornea, gum, upper lip and infra-orbital region very sensitive ; great soreness of thigh.
Pressure : vertebræ sensitive ; on head < pain ; on vertex > burning pain in occiput ; facial neuralgia < ; oppression of stomach < from pressure of clothing ; causes no flow of urine ; vertebra prominens and cervical vertebræ sensitive.
Lifting or turning patient accelerates pulse.
Riding : distant objects seem indistinct ; cramp in stomach >.

Skin

Erythema of face and neck.
Itching all over body, preventing sleep ; after scratching, a raw sore, surrounded by blisters. θ Neuralgic headache.
Itching on head, face, neck and shoulders.
Itching of skin, without eruption, < at night and from warmth.
Skin hot, dry ; gastric and nervous fevers.
Pimples on forehead and neck.
Vesico-pustules not itching ; pimples like small cutaneous indurations.
Papulous eruption like measles, especially on face.
Measles : catarrhal symptoms predominant ; watery ; excoriating discharge ; spasmodic sneezing ; dry, teasing cough ; fever with drowsiness, dulness ; clinging to crib.
Erysipelas, not vesicular or phlegmonous, but a milder variety, with erythema or papular eruption.
Measles, with torpor, sleepiness and dread of movement.
Rubeola ; it seems to prevent chronic catarrhal affections and bronchitis.
After Acon. ; great deal of coryza ; drowsy with fever heat, no thirst ; when the eruption turns livid, with cerebral symptoms. θ Measles.
In retrocedent measles, with livid spots ; dulness of brain or abdominal or thoracic congestion ; fever heat, with drowsiness.
Scarlet fever, with stupor and flushed red face.
Asthenic forms of scarlet fever ; intense fever, with nervous erethism during prodromal stage, followed by profound prostration of muscular power ; cerebral intoxication ; pulse frequent, soft, weak, sometimes filiform ; impaired vision ; heat, with languor and
drowsiness ; crimson flush of face in all positions ; heavy-looking, suffused eyes ; throat feels as if swelled or filled up, is diffusely red ; tonsils red and slightly swelled ; delirious mutterings when asleep or half awake ; spasms and paralysis ; when
eruption recedes, viscera are threatened

Stage of life, constitution

Adapted to children ; young people ; women of a nervous, hysterical temperament ; irritable, sensitive, excitable ; people ; onanists, both sexes.
Girl, æt. 3, "has always had ague," many times suppressed by quinine, only to re-appear ; intermittent fever.
Girl, æt. 12 ; sciatica.
Miss, æt. 16 ; acute mania.
Girl, æt. 16 ; affection of throat.
Mrs. --- ; rigid os uteri.
Girl, æt. 18, after exposure ; miliary fever.
Boy, æt. 19 ; fever.
Miss ---, æt. 19, had two years ago severe attack of congestive intermittent fever, quotidian type ; facial neuralgia.
Lady, æt. 19, red hair ; quotidian intermittent every afternoon at 1 o'clock.
Man, æt. 21 ; chest affection.
Man, æt. 21 ; nervous headache.
Man, æt. 21, sanguine temperament, ailing for some weeks ; febrile disturbance.
Girl, æt. 21, thin and spare, dark eyes, black hair, bilious temperament ; intermittent fever.
Man, æt. 22 ; irido-choroiditis.
Man, æt. 22, bilious temperament ; spermatorrhœa.
Man, æt. 24, lymphatic temperament, subject to epistaxis ; gonorrhœa.
Piano teacher, observed for two years tired sensation in arms when playing.
Man, bilious temperament ; febrile attack.
Man, nervous-bilious temperament ; fever.
Woman, æt. 30, spare, of dark complexion, in third month, after fright ; threatened abortion.
Miss S., æt. 30, was afflicted with neuralgia, for which massive doses of quinine and morphia were given ; aphonia and deafness.
Man, æt. 30 ; febrile attack.
Miss B., æt. 30 ; chronic diarrhœa.
Woman, æt. 32, seamstress ; irido-choroiditis.
Mrs. ---, æt. 35 ; brain affection.
Primipara, æt. 35 ; rigidity of os uteri.
Mrs. H., æt. 36 ; menorrhagia.
Woman, æt. 40 ; dystocia.
Woman, æt. 45 ; after exposure on a cold, damp day ; tic douloureux.
Mrs. R., æt. 46, subject to quinsy ; affection of throat.
Mrs. E., æt. 50, after losing son ; bad effects of grief.
Man, æt. 52, light hair, blue eyes, had cerebro-spinal meningitis ; neuralgic headache.
Mrs. T., æt. 56, dark complexion, bilious temperament ; serous choroiditis.
Man, æt. 69 ; typhoid.
Mrs. M., at. 74 ; febrile disturbance.

Relations

Antidoted by : Atrop., Cinchon., Coffea, Digit., Nux mosch ., salt, stimulants, galvanism. In cases of poisoning, resort to artificial respiration, and faradism of muscles of respiration.
It antagonizes : Atrop . and Opium .
Compatible : Baptis . in typhoid fever ; Ipecac . in dumb ague.
Compare : Bellad . in labor ; Cauloph . and Caustic . in complaints of women ; Coccul . and Conium
in paralysis ; Ferr. phosph . in fever ; Quillaia in catarrhs ; Oleum an . and Veratr . in headaches.

Lectures on Homoeopathic Materia Medica

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

Weather

If you will observe the weather conditions in sharp climates, such as Minnesota, Massachusetts and Canada, you will find that the cold spells are very intense and that people when exposed, come down with complaints very rapidly and violently.

That is the way the Bell. and Acon. cases come on, but Gelsemium complaints do not come from, such causes nor appear that way. Its complaints are more insidious and come on with a degree of slowness.

A Gels. cold develops as symptoms several days after the exposure, while the Acon. cold comes on a few hours after exposure. The Aconite child exposed during the day in dry, cold weather will have croup before midnight. But in the South diseases are very slow. Like the people themselves, their organs are very slow, and their reaction is slow.

Their colds are not taken from the violent cold, but from getting overheated. Hence, they take colds and fevers of a low malarial type; they have congestive headaches and congestive complaints that do not come on suddenly. When we think of the climate, and consider the people, and the pace of remedies, we see that Gels. is a remedy for warm climates, while Acon. is a remedy for colder climates.

Certain acute complaints in the North will be like Aconite, while similar complaints will have symptoms in the warmer climate like Gels. The colds and fevers of the mild winters will be more likely to run to this medicine, whereas the colds and fevers of a violent winter will be more likely to run to Bell. and Acon.

It is true that Acon. has complaints in hot weather, fevers and dysentery of hot weather, but they are different from the complaints of winter.

Gels. has been used mostly in acute troubles. In lingering acute troubles and in those resembling the chronic it is very useful, but in chronic miasms it is not the remedy. It is only a short-acting remedy, though slow in its beginning. In this it is like Bryonia. Bry. complaints come on slowly, and hence it is suitable for fevers coming on in the southern climate, but it also has sudden violent complaints, though not to the extent we find in Bell.

Complaints

The complaints of Gels. are largely congestive. Cerebral hyperemia, determination of blood to the brain and to the spinal cord. The extremities become cold and the head and back become hot. The symptoms are manifested largely through the brain and spinal cord. In connection with brain affections there are convulsions of the extremities, crampings of the fingers and toes and of the muscles of the back.

Coldness of the fingers and toes; sometimes the extremities are icy cold to the knees, while the head is hot and the face purple. During the congestion the face is purple and mottled. The eyes are engorged, the pupils dilated (sometimes contracted), the eyes are in a state of marked congestion with lachrymation and twitching.

The patient feels dazed and talks as if he were delirious; incoherent, stupid, forgetful. It is like this in intermittent fever that gradually develops towards a congestive chill. Great coldness running up the back from the lower part of the spine to the back of the head. Shuddering, as if ice were rubbed up the back.

The pains also extend up the back. With the coldness of the extremities, the very dark red countenance, the dazed condition of the mind, the glassy eyes and dilated pupils, we have the neck drawn back and rigidity of the muscles of the back of the neck, so that the neck cannot be straightened, and there are violent pains up the back and coldness in the spine.

This state would remind one of cerebro-spinal meningitis. Pain in the base of the brain and in the back of the neck. With all states there is a very hot skin and a high temperature, with coldness of the extremities. Sometimes the troubles are ushered in with a violent chill.

This is a very important remedy to study when such symptoms are present in intermittents and in a few days the tongue begins to coat, nausea comes on, ending in vomiting of bile, and instead of there being an intermission a continued fever extends from one paroxysm into another, with a higher temperature in the afternoon.

The chill practically subsides, leaving a state which has the appearance of typhoid, with dry tongue, not much thirst and marked head symptoms, dazed in mind. If this continues many days delirium and all the features of typhoid will come on and the fever will change its type altogether from the intermittent to the continued.

In congestive chill with high temperature occurring in the afternoon, the chill part of it subsiding and the fever becoming continued, Gels. is a useful remedy. It is also a very important remedy in afternoon fevers without chill in infants and in children. You will find in malarial districts that it is a common thing for the infants to have remittent attacks, while the adults are having intermittents. it is only occasionally that you will see a child or infant shake with a distinct chill, but they often go into a remittent fever, an afternoon fever which will subside along towards morning, to be followed the next afternoon by fever. With Gels. the child will lie as still as in Bry. but there is more congestion to the head there is the dark red face and duskiness like Bry.

Running through the febrile complaints, in the spinal meningitis, in congestion of the brain, in intermittents or remittents that change to a continued fever, and even in a cold when the patient is sneezing and has hot face and red eyes, there is one grand feature, viz., a feeling of great weight and tiredness in the entire body and limbs.

The head cannot be lifted from the pillow, so tired and so heavy is it, and there is such a great weight in the limbs. The Bry. patient lies quietly because if lie moves the pains are worse. He has an aversion to motion, because he is conscious that it would cause an increase of suffering.

The heart is feeble and the pulse is feeble, soft and irregular. There is palpitation during the febrile state. Palpitation, with weakness and irregularity of the pulse. There is a sense of weakness and goneness in the region of the heart, and this weakness and goneness often extend into the stomach, involving the whole lower part of the left side of the chest and across the stomach, creating a sensation of hunger, like Ignatia and Sepia. There is a hysterical element running through Gels. and it has the nervous hunger, or gnawing.

There are cardiac nervous affections like Digitalis, Cactus and Sepia. Sepia is not known to be as great a heart remedy as Cactus, but it has cured many cases of heart troubles. Sepia has cured endocarditis, and a remedy that will take hold in endocarditis and root it out must be a deep acting remedy. He feels that if he ceases to move the heart will cease to beat.

The headaches are of the congestive type. The most violent pain is in the occiput, and it is felt sometimes as a hammering. Every pulsation is felt like the blow of a hammer in the base of the skull. These headaches are so violent that the patient can not stand up, but will lie perfectly exhausted, as if paralyzed from the pain. There is an occipital headache that compels walking or rolling the head.

There is commonly relief from lying in bed, bolstered up by pillows, with the head perfectly quiet The face is flushed and dusky and the patient is dazed. After the headache progresses a while, the whole head seems to enter into a state of congestion, there is one great pain, too dreadful to describe, and the patient loses his ability to tell symptoms and appears dazed; lies bolstered up in bed, eyes glassy, pupils dilated, face mottled, and extremities cold.

Gels. has also headaches of a neuralgic character in the temples and over the eyes, with nausea and aggravation from vomiting. The headache is relieved by passing a copious quantity of urine; that is, the urine which has probably been scanty becomes free and then the headache subsides.

There is much nervous excitement. Complaints from fear, from embarrassment, from shock that is attended with fear, from sudden surprises that are attended with fright. A soldier going into battle has an involuntary stool; involuntary discharges from fright and surprises accompanying fright. On becoming suddenly overwhelmed by some surprise he becomes faint, weak and exhausted, he becomes tired in all the limbs and unable to resist opposing circumstances. His heart palpitates. This is similar to Arg. nit. Arg. nit. has the peculiar condition that when dressing for an opera a sudden attack of diarrhea comes on, causing more or less sudden exhaustion, and she must go several times before she can finish dressing.

They who are to appear before an audience are detained because of a sudden attack of diarrhoea. A lady has an attack of diarrhoea when about to meet friends over whom she expects to become excited at the meeting. The anticipation brings on the diarrhoea. Such a state is Arg. nit. These medicines are so closely related to each other that there are times when they will appear to do the work of each other.

Then we have paralytic affections of the sphincters, and so with the febrile conditions there is involuntary loss of stool and urine. There is also paralytic weakness of the extremities and of the hands. With paralytic states there is aching along the spine and in the muscles of the back; drawing, cramping in the muscles of the back and aching under the left shoulder blade.

There are many disturbances of vision; double vision, dimness of vision, appearance of a gauze before the eyes; confusion of vision and blindness. These symptoms come on before going into attacks, in connection with chill, at the coming on of sick headaches and congestive headaches. All sorts of objects are seen; the field of vision appears full of black spots, or full of smoke or little waves of various colors. It is useful in inflammation of all the tissues of the eye and of the eyelids. The eyeballs oscillate laterally when using them.

Drooping of the eyelids or ptosis is a marked feature and is in its paralytic nature.

The muscles are relaxed, they do not hold the lids tip. The lids close when he is looking steadily; they simply fall down over the eyes.

The patient in general is thirstless, and it is the exception that there is much thirst. It has a profuse, exhaustive sweat and is aggravated from motion, or rather motion seems to be impossible. It seems that he is unable to move, that be is too weak to move, and this runs through all complaints. At times it is a remedy for coryza, with sneezing and running of water from the nose, with coldness in the extremities, and the trouble will go down into the throat and produce sore throat, with redness, tumefaction, enlargement of the tonsils, hot head and congested face.

With this, as with the other febrile conditions, there is heaviness of the extremities. The red face, the heaviness of the extremities and sore throat that has come on gradually, a little worse from day to day, until it has become a severe throat, will lead you to Gels., especially if there is paralytic weakness all over, and as the throat trouble progresses the food and drink come back through the nose.

This is due to a paralysis of the muscles of deglutition. The tongue also becomes paralyzed and don not perform its work in an orderly way. There are times when the paralytic weakness is not sufficiently marked to account for things seen, but there is an incoordination of muscles and he is awkward. He undertakes to, take hold of an article and takes hold of something else. When he does grasp his hands feel weak. He is awkward and clumsy and the muscles do this and that and something not ordered to do.

The trembling incoordination and paresis are especially noticed during high excitement and afterwards, and these states occur with the febrile condition and remain sometimes after. Useful in paralytic cases that begin with fevers. Tearing is felt in the nerves all over the body and seems to be due to an inflammatory condition. It has cured sciatica, with tearing pains, associated with great weakness of the limbs.

Loss of sensation is sometimes found; numbness of the end of the nose, of the ears, of the tongue, of the fingers, of the hands and feet, numbness, here and there, of the skin.

In the male, the sexual organs arc in the same condition as the patient in general. The semen dribbles away; there is impotency, no ability to perform the sexual act; the sexual organs are relaxed.

The sleep is greatly disturbed. He cannot go to sleep; every excitement keeps him awake. During marked febrile conditions he has a profound sleep or coma. When he is not in this comatose sleep during congestion he is in a state of nervous excitement in which he lies awake thinking, and yet thinks of nothing in particular, because his!mind will not work in an orderly way.

The symptoms of Gels. may be present in inflammation of any organ, uterus or ovaries, stomach, the lungs and of the rectum. It has congestion of organs, but it has also high grade inflammation. There is nothing peculiar in the inflammation itself that would indicate Gels., neither should Gels. ever be given because there is inflammation, but when the mental symptoms are present, the delirium, the flushed face, the determination of blood to the head with the cold extremities, the great heaviness of the limbs, the disturbance of sensation, the paralysis of sphincters, then Gels. would be good for inflammation of any organ of the body.

In a most distressing and violent, rapidly spreading erysipelas that seems destined to cause death in a few days all the symptoms point to Gels., and though Gels. may not have produced erysipelas, it will stop the progress of the disease in a few hours and the patient will go on to a quick recovery.

Many times when erysipelas has spread over the face and scalp and in the most dangerous manner with the dusky red color that belongs to Gels., and other symptoms such as I have described in a general way, Gels. has taken bold of the erysipelas and cured. If we master thoroughly the Materia Medica we do not stop to see if a remedy produces certain kinds of inflammation, etc., but we consider the state of the patient.

The Therapeutics of Fevers

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

Characteristic

Adapted to children; young people; women of a nervous, hysterical temperament (Croc., Ign.); irritable, sensitive, excitable; onanists, both sexes (Kali p.).

Desire to be quiet, to be let alone, does not wish to speak, nor have any one near her for company, even if the person be silent (Ign.).

Fear of death (Ars.); utter lack of courage.

Weakness and trembling; of tongue, hands, legs; of the entire body.

Complaints: from exciting or bad news (from pleasant sur-prises, Coff.); sudden emotions (Ign.); the anticipation of any unusual ordeal brings on diarrhœa; stage fright, nervous dread of appearing in public (Arg. n.); general depression from heat of sun or summer.

Vertigo: spreading from the occiput (Sil.); with diplopia, dim vision, loss of sight; seems intoxicated when trying to move.

Children: fear of falling, seize the nurse, grasp the crib (Bor., San.).

Lack of muscular co-ordination (Kali br.); giddy, confused; muscles refuse to obey the will.

Headache: beginning in cervical spine; pains extend over the head, causing a bursting sensation in forehead and eyeballs (Sang., Sil., begin in same way, but are semi-lateral); worse from smoking; preceded by blindness (Iris, Kali bi., Lac d.,) > by profuse urination.

Sensation of a band around the head above the eyes (Carb. ac., Plat., Sul.); scalp sore.

Slow pulse of old age.

Great heaviness of the eyelids; cannot keep them open (Caust., Graph., Sep.).

Fears that unless constantly on the move, the heart will cease beating (would cease beating if she moved, Dig.).

Aggravation

Damp weather; before a thunder storm; sudden emotions; bad news; rest; smoking tobacco; thinking of his ailments; spoken to of his loss.

Amelioration

In the cold, open air.

Type

Quotidian; tertian; same hour of the day with every paroxysm (Aran., Ced., Sabad.). Periodicity extends throughout its entire pathogenesis; all its fevers are of a regular type, but characterized by disorders of innervation. Simple uncomplicated cases. When the remittent takes on the intermittent type (reverse of Bap., Eup., Quin.). Malarial, yellow, typhoid.

Time

Afternoon and evening paroxysm 2, 4, 5 and 9 P. M. Fever without chill at 10 A. M (Bap., Nat.). Daily, at same hour.

Prodrome

Sudden mental emotions, the anticipation of any unusual ordeal, fright, grief, bad news, may hasten chill or produce diarrhœa. Could tell when chill was about to return, as incontinence of urine would set in. Thirst, but does not drink much; hurts to swallow.

Chill

Without thirst. Chill commences in the hands and feet (in recent cases—in old chronic cases, Nat.). Chill ascend- ing from feet; chill and chilliness, especially along the spine; run- ning up the back from loins to nape of neck, and following each other in rapid wave like succession from sacrum to occiput (running up and down the spine, Eup. purp.). Chilliness with cold hands and feet, headache, and heat of head and face. Chilliness with tired, languid feeling in back and limbs; wants to avoid all mus- cular exertion. Feet feel as if in very cold water. Coldness is so severe as to be painful. Sleepy as chill is leaving (Apis).

Transient chilliness with profuse urination. Nervous chill, the skin is warm; wants to be held that he may not shake so much.

Child wants to be held so that he will not shake so hard (Lach.).

Heat

Without thirst; intense burning. General heat, mostly about the head and face. Warmth over the whole body, as if sweat would break out, then chilly down the back. Directly after the chill comes a flying heat and pricking in the skin, rapidly followed by perspiration, which at times is profuse, and lasting from twelve to twenty-four hours (Caust.). Heat in the face, sleep or sleepy, stupid, besotted; with half-waking, muttering delirium; tired, wants to lie still (Bry.), or great nervous restless- ness; sensation of falling, in children; child starts and grasps attendant or crib, and screams out for fear of falling. Semi-stupor; cannot open his eyes or think correctly; vertigo, staggers as if intoxicated. Sensitive to light or noise (Bell.—intolerant of noise, Caps.). Long-lasting heat; far into night; pain in one leg; jerking of the limbs. Loquacity.

Sweat

With thirst. Profuse, which $>$ the pain. Sweat coming gradually and moderately, always $>$ the pains (sweat $>$ all the symptoms, Nat.). Sweats freely from slight exertion

(Psor.). Perspiration, sometimes profuse and continuing from a few hours to twenty-four, with languor and prostration. Sweat most profuse on genitalia. Freely on slight exertion.

Tongue

Coated yellowish-white, or nearly clean, or with white centre and red margins. If coated thickly, breath fetid.

Taste: bitter, foul, with blood-colored saliva.

Pulse

Irregular, intermitting, yet full (Dig.). Small, weak, feeble, almost imperceptible.

Apyrexia

Often wanting, or very short. Heat and perspira- tion are so extended that many fevers are more remitting than intermitting. Great prostration of whole muscular system. Head- ache < by smoking tobacco (Ign.—> by smoking, Aran.)

Patient is nervous, irritable, easily angered (Cham.—very irritable, Anac., Bry., Tub.).

Analysis

Patient wants to be held during the chill (Lach.); fear of falling; chills along the spine, running up and down the back; sleep throughout heat; thirst during sweat; muttering delirium when half awake; absence of all gastric and hepatic symptoms. Fever apt to end in remittent or typhoid. Convul- sions in children; masked ague from abuse of quinine; choreaic symptoms. Must be covered in all stages of the paroxysm.

"For intermittents or remittents which are contracted at summer watering places and 'wintered over,' making their ap- pearance in early spring, Gelsemium is a remedy of great value."

—LUDLAM. (Ars., Eup., Lach.).

Gelsemium is one of the few remedies that have the regular periodic fever, without chill. It divides the honors equally with

Arsenicum in the treatment of children's intermittents, from which it is distinguished by the regularity of the paroxysm, absence of thirst, and the burning fever and restlessness. The child is neither so weak and prostrated nor pale and feeble as in the Arsenicum fever. Sensation of falling is a genuine symptom, often occurring in children. Gelsemium is always to be thought of in recent uncomplicated cases, where chill begins in extremities (in chronic cases, Nat. mur.). Also where a remittent takes on the intermittent type, or vice versa. Tendency to typhoid.