Graphites graph.

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

NUTRITION. Circulation. SKIN: Folds. Behind ears. Angles. Flexures. Orifices. Nails. Mind. Mucous membranes. Glands. Eyes.

Worse

COLD. Drafts. Light. During menses. Suppressions of eruptions. Empty swallowing. Fats. Hot drinks. Warmth of bed. Scratching. Night. Wet feet.

Better

Open air; after walking in. Eating. Touch.

General

LUMPY, THICK OR HARD (Chin. Thu.); skin, glands, tarsi, nails, scars, callosities, stools, crusts, etc. Infiltrations. EXCORIATIONS, CRACKS OR FISSURES; in angles; at margins of mucous membranes; of eyes, nostrils, mouth, finger-tips, nipples, anus, etc. Emaciation; of affected part. Scanty, foul, thin, sticky, corrosive secretions. Watery hæmorrhages. Sense of burning, numbness or deadness. Pains go to part not lain on. Fat, relaxed, chilly and costive.

Particulars

Impulse to groan. Sad, fearsome and irresolute. Music brings tears. Brain feels numb. Burning spot on vertex. Heavy occiput. Wens. Matted, brittle or falling hair; < vertex and sides. Milk crust. Sore or cracked outer canthi. Scrophula of eyes. Pale tarsi. Ingrown lashes. Photophobia. Inflamed or dry, scaly tarsi. Scales from ears. Briny otorrhœa. Tinnitus. Hears > in a noise. Moist eruption behind ears. Dryness in ears and nose. Nose; stuffed coryza; bleeding, < before menses. Acute smell. Sensation as of a cobweb on face. Acne before menses. Barbers'itch. Lumpy goitre. Rotten taste. Dots of thick, white fur on tongue. Choking; on swallowing, from goitre, etc. Sour: taste, eructation, blood about teeth, stool, urine, odor from mouth, sweat, etc. Hunger. Averse to meats and sweets. Alternate digestive and skin symptoms. Gastric pains -burning- necessitate eating. Morning sickness during menses. Can't bear pressure about waist. Foul belching. Flatulence. Stomach > heat, hot food, eating and lying. Abdomen distended, as from incarcerated flatus. Intestinal torpor. Large, knotty, difficult, stringy, slimy coated stools; or loose, brown, lienteric and very foul. Constipation; for days (Sep.). Fissures of anus bleed and ulcerate. Stool of masses of mucus. Slender stool and urinary stream. Priapism. Sexual exhaustion. Itching of anus and pudendum; before menses. Averse to coition. Swelled (l) ovary. Cramps in various places or burning. Indurations; ovaries, mammæ, etc. Menses irregular; late, scanty, painful, etc.; cold taking, morning sickness or sweats during. Gushes of irritating, white leucorrhœa; instead of menses. Suffocation, after mid-night, > eating. Voice lacks control, > using it. Circulation irregular. Flushings. Rushes of blood to head. Bunions, < fire heat, > pressure. Can't stretch enough. Paralysed feeling in limbs. Arms and legs go to sleep. Rawness in folds of skin. Eruptions, cracked, moist and bleed easily; < on head and behing ears. Foul, acrid foot - sweat; chafes toes. Crippled, crumbling nails. IRRITABLE, DRY, rough skin, that breaks easily and exudes A GLUEY MOISTURE; < in folds - and is slow to heal. MOIST, CRUSTY ERUPTIONS. Eczema; anal, crural, palmar, etc. Wandering or recurrent erysipelas (Hyds. Rhus-t.). Eruptions, < from heat. Supersensitive to cold; it < bone-pains, coryza and stomach. Cold, wet feet. Burning coldness.

Related

Complementary: Sul. Related: Ars. Calc-fl. Carbons. Fer. Kali-bi. Pul.

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

Suited to women, inclined to obesity, who suffer from habitual constipation; with a history of delayed menstruation. "What Pulsatilla is at puberty, Graphites is at the climacteric.". Excessive cautiousness; timid; hesitates; unable to decide about anything (Puls.). Fidgety while sitting at work (Zinc.). Sad, despondent; music makes her weep; thinks of nothing but death (music is intolerable, Nat. c., Sab.). Eczema of lids; eruption moist and fissured; lids red and margins covered with scales or crusts. Sexual debility from sexual abuse. Menses: too scanty, pale, late with violent colic; irregular; delayed from getting feet wet (Puls.). Morning sickness during menstruation; very weak and prostrated (Alum., Carbo an., Coc.). Leucorrhoea: acrid, excoriating; occurs in gushes day and night; before and after menses (before Sep., after, Kreos.). Hard cicatrices remaining after mammary abscess, retarding the flow of milk; cancer of breast, from old scars and repeated abscesses. Unhealthy skin; every injury suppurates (Hep.); old cicatrices break open again; eruptions upon the ears, between fingers and toes and on various parts of body, from which oozes a watery, transparent sticky fluid. The nails brittle, crumbling, deformed (Ant. c.); painful, sore, as if ulcerated; thick and crippled. Cracks or fissures in ends of fingers, nipples, labial comminssures; of anus; between the toes. Burning round spot on vertex (Cal., Sulph. - cold spot, Sep., Ver.). Cataleptic condition; conscious, but without power to move or speak. Takes cold easily, sensitive to draught of air (Bor., Cal., Hep., Nux). Suffering parts emaciate. Hears better when in a noise; when riding in a carriage or car, when there is a rumbling sound (Nit. ac.). Diarrhoea: stools brown, fluid, mixed with undigested substances, and of an intolerable odor; often caused by suppressed eruptions (Psor.). Chronic constipation; stool difficult, large, hard, knotty, with lumps united by mucous threads; too large (Sulph.); smarting sore pain in anus after stool. Children: impudent, teasing, laugh at reprimands. Sensation of cobwebs on forehead, tries hard to brush it off (Bar., Bor., Brom., Ran. s.). Phlegmonus erysipelas: of face, with burning, stinging pain; commencing on right side, going to left; after application of iodine. Decided aversion to coition (both sexes).

Relations

Complementary: Caust., Hep., Lyc. Graphites follows well: after Lyc., Puls., after Cal. in obesity of young women with large amount of unhealthy adipose tissue; follows Sulph. well in skin affections; after Sepia in gushing leucorrhoea. Similar: to, Lyc., Puls. in menstrual troubles.

Aggravation

At night, during and after menstruation.

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)

Ears

Affections of left ear particularly--if the right ear is affected, it is generally from spreading from the left ear to the right. Noise in the ears in general, with hardness of hearing; can scarcely hear in the house at all, as the noises in the ear seem so loud; but when rolling along in the cars or carriage, hears distinctly ordinary tones of voices.

Skin

A very characteristic symptom of this remedy, is the exudation of a thin, sticky, glutinous, transparent, watery fluid from any raw or sore place. Exanthema, corroding and spreading with the characteristic exudation. Erysipelatous, moist, scurfy sores. Skin red. Callus, which may appear in breasts that have been inflamed; humid; pain in, as if ulcerated. Tetters in general; corroding and spreading; scurfy; humid.

Nails

Brittle and crumbling; deformity of; troubles of the toe nails; (in this "nail trouble," look out that no "toe doctor" is at work, whose manipulations, applications, drugs, etc., are interfering with the action of your medicines); complaints of the nails in general; painful, as if sore, or as if ulcerated; thickening of.

Sexual

Female: Menses too late (particularly if the characteristic exudation appears anywhere); too scanty; suppressed; delay of first; complaints during and after. Watery leucorrhœa; nipples very sore during nursing, especially if there are little bluish blisters on the nipple, which discharge the characteristic fluid. Troubles of cicatrized mammæ, resulting from gathering; as there may be a deficiency in the flow of milk, or troubles of any kind when large and many cicatrices are seen on the breasts. Male: Weakness of sexual power in the male.

Sleep

Waking too late; stupor-like sleep in the morning; anxious dreams; anxious dreams about fatal accidents.

Sensations

Sensation of contraction in outer parts; same of joints; as if single parts were gone to sleep; sore pain in outer parts; prickling itching.

Generalities

This remedy affects the right upper extremity and right lower extremity; left ear; hair of the head (which the patient may be losing); external head behind the ears; external crown of the head; internal nose. Affections of the anus (such as itching hæmorrhoids, etc.); sacrum and buttocks; calves; heels; toes; between the fingers, where there is itching exanthema with the exudation. Glittering before the eyes; face covered as if with erysipelas (especially when discharging the mentioned exudation); bad smell from the mouth. Constipation; hunger; flatulence in general; flatus obstructed; hæmorrhoids worse after the bowels have been moved. Stool very large and very hard: with tape-worm. Discharge of urine too scanty. Limbs drawn together, crooked, from the bones being bent. Emaciation in general; muscles being shortened; inclination to sit down; soreness from lying in bed; flushes of heat; yellow perspiration.

Worse

In the night; during menstruation, and after, and from suppressed; from light in general, particularly daylight; from having a tape-worm.

Better

In the dark; from eructation.

This remedy is very applicable for females with a tendency to unhealthy corpulence, with perhaps deformed nails, characteristic exudation, menstrual troubles, etc.

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

Eczema capitis of the whole scalp, forming massive, dirty cruets which mat the hair together, painful and sore to touch. Soreness and cracking of the lips and nostrils, as from cold. Moist eczema on the face; especially on chin and around the mouth. Itching blotches, from which oozes a corrosive, watery, sticky fluid, on many parts of the body. Especially adapted to persons inclined to obesity, particularly women with disposition to delayed menstruation.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Black Lead-Plumbago

General

Like all the carbons, this remedy is an anti-psoric of great power, but especially active in patients who are rather stout, of fair complexion, with tendency to skin affections and constipation, fat, chilly, and costive, with delayed menstrual history, take cold easily. Children impudent, teasing, laugh at reprimands. Has a particular tendency to develop the skin phase of internal disorders. Eradicates tendency to erysipelas. Anæmia with redness of face. Tendency to obesity. Swollen genitals. Gushing leucorrhœa. Aids absorption of cicatricial tissue. Induration of tissue. Cancer of pylorus. Duodenal ulcer.

Mind

Great tendency to start. Timid. Unable to decide. Want of disposition to work. Fidgety while sitting at work. Music makes her weep. Apprehensive, despondency, indecision.

Head

Rush of blood to head with flushed face also with nose bleed and distension and flatulence. Headache in morning on waking, mostly on one side, with inclination to vomit. Sensation of cobweb on forehead. Feels numb and pithy. Rheumatic pains on one side of head, extending to teeth and neck. Burning on vertex. Humid, itching eruption on hairy scalp, emitting a fetid odor. Cataleptic condition.

Eyes

Ophthalmia, with intolerance of artificial light. Eyelids red and swollen. Blepharitis. Dryness of the lids. Eczema of lids; fissured.

Ears

Dryness of inner ear. Cracking in ears when eating. Moisture and eruptions behind the ears. Hears better in noise. Hardness of hearing. Hissing in the ears. Detonation in ear like report of a gun. Thin, white, scaly membrane covering membrane tympani, like exfoliated epithelium. Fissures in and behind the ear.

Nose

Sore on blowing it; is painful internally. Smell abnormally acute; cannot tolerate flowers. Scabs and fissures in nostrils.

Face

Feels as if cobwebs were on it. Eczema of nose. Itching pimples. Moist eczema around mouth and chin. Erysipelas, burning and stinging.

Mouth

Rotten odor from mouth. Breath smells like urine. Burning blisters on tongue, salivation. Sour eructations.

Stomach

Aversion to meat. Sweets nauseate. Hot drinks disagree. Nausea and vomiting after each meal. Morning sickness during menstruation. Pressure in stomach. Burning in stomach, causing hunger. Eructation difficult. Constrictive pain in stomach. Recurrent gastralgia. Flatulence. Stomach pain is temporarily relieved by eating, hot drinks especially milk and lying down.

Abdomen

Nauseous feeling in abdomen. Fullness and hardness in abdomen, as from incarcerated flatulence; must loosen clothing; presses painfully at abdominal ring. Croaking in abdomen. Inguinal region sensitive, swollen. Pain of gas opposite the side on which he lies. Chronic diarrhœa, stools brownish, liquid, undigested, offensive. Very fetid gas preceded by colic.

Stool

Constipation; large, difficult, knotty stools united by mucus threads. Burning hæmorrhoids. Prolapse, diarrhœa; stools of brown fluid, mixed with undigested substance, very fetid, sour odor. Smarting, sore anus, itching. Lump stool, conjoined with threads of mucus. Varices of the rectum. Fissure of anus (Ratanhia; Paeonia).

Urine

Turbid, with sediment. Sour smelling.

Female

Menses too late, with constipation; pale and scanty, with tearing pain in epigastrium, and itching before. Hoarseness, coryza, cough, sweats and morning sickness during menstruation. Leucorrhœa, pale, thin, profuse, white, excoriating, with great weakness in back. Mammæ swollen and hard. Induration of ovaries and uterus and mammæ. Nipples sore, cracked, and blistered. Decided aversion to coitus.

Male

Sexual debility, with increased desire; aversion to coition; too early or no ejaculation; herpetic eruption on organs.

Respiratory

Constriction of chest; spasmodic asthma, suffocative attacks wakes from sleep; must eat something. Pain in middle of chest, with cough, scraping and soreness. Chronic hoarseness with skin affections. Inability to control the vocal chords; hoarseness on beginning to sing and for breaking voice.

Extremities

Pain in nape of neck, shoulders and back and limbs. Spinal pains. Pain in small of back with great weakness. Excoriation between thighs. Left hand numb; arms feel asleep; finger-nails thick, black, and rough, matrix inflamed (Psor; Fluor ac). Œdema of lower limbs. Toe-nails crippled. Stiffness and contraction of toes. Nails brittle and crumbling. Nails deformed, painful, sore, thick, and crippled. Cracks or fissures in ends of fingers. Offensive perspiration of feet.

Skin

Rough, hard, persistent dryness of portions of skin unaffected by eczema. Early stage of keloid and fibroma. Pimples and acne. Eruptions, oozing out a sticky exudation. Rawness in bends of limbs, groins, neck, behind ears. Unhealthy skin; every little injury suppurates. Ulcers discharging a glutinous fluid, thin and sticky. Swelling and induration of glands. Gouty nodosities. Cracks in nipples, mouth, between toes, anus. Phlegmonous erysipelas of face; burning and stinging pain. Swelling of feet. Wens. Chronic Poison Oak.

Modalities

Worse, warmth, at night, during and after menstruation. Better, in the dark, from wrapping up.

Relationship

Complementary: Argent nit (follows well in gastric derangements); Caustic; Hep; Lycop; Ars; Tuberc.

Compare: Petrol; Sep; Sulph; Fluor ac. The associated constipation with mucus-covered stools and gastric flatulency should be taken into consideration and differentiate it from such remedies as Petrol and Lycop (Raue).

Antidote: Nux; Acon; Ars.

Dose

Sixth to thirtieth potency. Locally as a cerate, in sore nipples.

Leaders in Homoeopathic Therapeutics

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

Leaders

Eruption on the skin, oozing out of thick, honey-like fluid.

Mucous outlets; eyelids inflamed, with pustules; ears discharge, moist sore places behind ears; mouth cracked in corners; anus, eruptions, itching, fissured.

Nails grow thick, cracked, out of shape.

Constipation; stools knotty, large lumps, united by mucous threads.

Diarrhœa; stools, brown fluid, mixed with undigested substances, and of an intolerably fœtid odor.

Sad and desponded; inclined to weep; thinks of nothing but death.

Especially adapted to persons inclined to obesity; particularly females who delay menstruation.

Hears better when in a noise; when riding in a carriage or car; when there is a rumbling sound.

Sensation of cobweb on forehead; tries hard to brush it off.

The chief leading characteristic of this remedy is found in its skin symptoms.

Hoyne had expressed it nearly right. "Eruptions oozing out a thick, honey-like fluid." It may be found on any part of the body, but is especially found on or behind the ears, on head, face, genitals, or eyelids. I once treated a case of eczema of the legs which was of twenty years' standing. It was in an old obese woman, and, by the way, that is the kind of subject in which this remedy is found most efficacious.

I gave her, on account of much burning of the feet, a dose of Suphur c. m. In two or three weeks an eruption was developed all over the body which exuded a glutinous, sticky fluid. One dose of Graphites c. m., dry on the tongue, cured this as well as the eczema of the legs and left her skin as smooth as that of a child. This was years ago. Erysipelas sometimes takes this form, and in such cases recurs again and again. It will naturally occur to the physician that, because of this recurrence, there is some psoric taint which must be met by Sulphur. But we must not make the too common mistake of thinking that Sulphur is the remedy on account of its great antipsoric powers, or on the often misleading indication "when seemingly indicated remedies don't act," because Sulphur is not the only anti-psoric and where Graphites is indicated is not at all the anti-psoric for the case in hand. In short, we must not prescribe for psora (which is only a name after all) without indications any more than we would prescribe for the name scarlatina or diphtheria. Graphites is a powerful anti-psoric, as are also Psorinum, Lycopodium, Causticum and many others. Symptoms must decide here, as elsewhere. In order to still further show the wonderful anti-psoric powers of this remedy I will give another case from practice.

A child three years of age had eczema capitis. Under allopathic local treatment the eczema disappeared; but soon entero-colitis of a very obstinate character set in. Then the regulars could not "do" that as they had the eczema, and after they had given up the case, pronouncing it consumption of the bowels, the homœopath (myself) was called in on the ground that he could do no harm if he could do no good (so they said).

Case. -Child greatly emaciated, little or no appetite, very restless, and "stools brown fluid mixed with undigested substances, and of an intolerably fœtid odor." Taking into the account the history of the suppressed eczema I prescribed Graphites 6m. (Jenichen) and in a short time a perfect cure was the result. Psorinum has a similar stool as was present in this case, but the eruptions of the two remedies are different and this one corresponded to Graphites, hence Psorinum was ruled out. If this case of so long standing had not had the eruption I might have thought of China on account of the extreme weakness from long-continued drain or loss of fluid, for China is another remedy that has brown, loose, fœtid stools. So we must take into consideration all the case, psora and all. In chronic cases, in which Graphites is likely to be the remedy, we may look for affections of the eyelids, of the same eczematous character as that found on the head, behind the ears, etc.

Notice. -Eczema of lids, eruptions moist and fissured margins of lids covered with scales and crusts. In Sulphur lids the margins are very red. All the orifices under Sulphur are very red. Graphites leads all the remedies for eczematous affections of the lids, Staphisagria stands next, but of course special indications, local or general, or both, must decide.

Graphites is one of our best anal remedies. We have given the kind of loose stool characteristic of the drug. This is, however, exceptional, for it generally tends to constipation instead of diarrhœa. The stools are knotty and large, the lumps sometimes united by mucous threads and mucus often follow the stool. There is often eczema around the anus, and it is one of our best remedies for fissura ani. There is in these cases apt to be much pain after stool, and much soreness in anus on wiping it. Now if all this should occur in subjects of this tendency to sticky eruptions, we should not hesitate to give Graphites with expectations of success.

Another very characteristic calling for this remedy is found in the nails. Both finger and toe nails become thick, grow out of shape. Never forget Graphites when you find this state of nails present. Again, Graphites has cracks or fissures in the ends of the fingers (Sarsaparilla), nipples, labial commissures, of anus, and between toes (Petroleum). It is one of our best remedies for wens found in persons of herpetic dyscrasia. Old, hard cicatrices soften up and go away under its action, especially those left by abscesses of the mammæ. Lumps in the breast of suspicious appearance also go away under the action of this remedy. In menstrual troubles it resembles Pulsatilla, but there are plenty of points to differentiate them. In temperament it resembles Calcarea ostrearum; but in Graphites the menses are mostly scanty and delayed, in Calcarea too soon and too profuse; Graphites cures complaints of many kinds when you have present two things:

1st. The peculiar tendency to obesity.

2d. The characteristic glutinous eruptions.

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

Melancholy with inclination to grief, anxiety about the future, and nightly restlessness driving one out of bed. Despairing grief with shedding of tears. Anxious fear of an approaching misfortune. Irresoluteness and excessive cautiousness. Easily vexed and wrathful. Want of disposition to work. Forgetfulness, chooses wrong words in speaking or writing.

Head

Feeling of intoxication, in the morning on rising, the forehead is contracted, with nausea and vomiting. Headache every morning on waking, semilateral, with inclination to vomit. Pain in the head as if the head were numb and pithy. Burning on the top of the head on a small spot. Fulness in and congestions to the head, the menstruation being suppressed. Humid, spreading, scurfy eruption on the top of the head, painful to the touch, as if from subcutaneous ulceration, and emitting a disgusting odor ; extending down the sides of the head into the whiskers ; after scratching, more sore and humid ; later drying up to a white scurf. Smooth large wens on the hairy scalp ; the hairy scalp is very hot and itches very much, especially when walking in the open air. The hair becomes gray early and falls out from the top and sides ; of the head and the whiskers. Rheumatic pains in the scalp, principally in the sides, extending to the teeth and the cervical glands ; worse when walking and becoming cold in the open air, relieved from warmth and while getting warm when walking. Perspiration smelling acid or very offensive, coloring the linen yellow ; on the head (as on the whole body) at night and during the day, from the least exercise ; increased even while talking, better when walking in the open air.

Eyes

Pressure and stinging in the eyes, with lachrymation. Inflammation of the eyes with photophobia, and red, swollen eyelids. Intolerance to the light (of day). Short-sightedness. Sensation of dryness of the eyelids. Agglutination of the eyes early in the morning. Dry gum in the eyelashes.

Ears

Dryness of the inner ear. Sensation as if the (left) ear were filled with water. Moisture and sore places behind the ears. Hardness of hearing. Cracking in the ears when moving the jaw.

Nose

Painful dryness of the nose. Bleeding at the nose. Black sweaty pores on the nose. Dry scurfs in the nose. Frequent discharge of thick, yellowish, fetid mucus from the nose. Coryza as soon as ; he becomes cold. Smell too sensitive (cannot bear the smell of flowers).

Face

Pale-yellow color of the face. Flushes of heat in the face. Swelling and erysipelatous inflammation of the face, burning and stinging ; the erysipelas is spreading in rays. Semilateral (left) distortion and paralysis of the face which impedes the speech. Continued feeling as of cobweb on the face. Eruption on the face, as if the skin were raw. Ulcers on the surface of the lips. Ulcerated corner of the mouth. Scabby eruptions on the chin and around the mouth. Swelling and induration of the submaxillary glands.

Mouth and Throat

Lancinating pain in the teeth from cold drinking, and aggravated by warmth. Swelling of the gums. The gums bleed readily when rubbing them. Fetid odor from the gums and mouth. Sensation in the throat (at night) as if a plug had lodged in it. Constant spasm in the throat, obliging him to swallow as if he were choking. Swelling of the tonsils, with pain when swallowing. Accumulation of a great deal of mucus in the throat. Bitter taste in the mouth, the tongue being much coated. Taste of rotten eggs in the morning, after rising.

Stomach and Abdomen

Canine hunger (with acidity of the stomach). Frequent sour eructations, with bitter taste in the mouth. Morning nausea. Nausea and vomiting after each meal ; sour vomiting. Repugnance to salt food. Violent thirst, early in the morning. The abdomen becomes inflated after eating. Burning in the stomach, causing hunger. Fulness and heaviness in the abdomen. Distended abdomen with diarrhœa. Hardness of the abdomen. Painfulness of the groins, and swelling of the inguinal glands. Colic and pressure in the stomach with nausea ; relieved by heat. Inflation of the abdomen, owing to an accumulation and incarceration of flatulence. Inflation of the abdomen, with congestion of blood to the head, heaviness in the head and vertigo. Excessive discharge of fetid flatulence. Rumbling in the abdomen. Croaking, as of frogs in the abdomen. Pinching in the abdomen, previous to every emission of flatulence.

Stool and Anus

Constipation ; the stool hard, knotty, the lumps being united by mucous threads ; hard, of too large a size. A quantity of white mucus is expelled with the stool. Mucous diarrhœa. Sour-smelling stool with burning at the rectum. Continuous soft stools ; of too small a size. With the stool discharge of a little blood ; of tape-worm. Itching and sore feeling of the anus. Varices of the rectum, and between them burning rhagades at the anus. Prolapsus ; recti with the varices, as if the rectum were paralyzed.

Urinary Organs

Anxious, painful desire to urinate, with discharge of small quantities ; of brown urine in drops, with a stitch in the urethra, when emitting it. The urine smells sour. The urine becomes very turbid, with a reddish sediment. During micturition pain in the os sacrum. Wetting the bed at night. Nightly desire to urinate -frequent micturition.

Genital Organs

Men. Tension and lascivious feeling in the genitals ; voluptuous irritation of the genital organs. Immoderate sexual desire ; violent erections. Eruptions on the penis. Dropsical swelling of the prepuce and the scrotum. During an embrace painful cramps in the calves ; no emission of semen. After an embrace coldness of the legs, exhaustion, heat of the body and perspiration. Women. Soreness of the vagina. Painful swelling of the (left) ovary. Menses too late, too scanty and too pale. The first menses delay. Suppression of the menses, with heaviness of the limbs and congestions of blood to the head. Before and during the menstruation, fatiguing cough (morning and during the day). During the menses, colic ; violent headache with nausea ; morning sickness ; soreness between the legs ; swelling of the feet ; chilliness ; pain in the varices. Profuse white, thin, leucorrhœa, with weakness in the back.

Respiratory Organs and Chest

Sensitiveness of the larynx ; scraping in it and roughness, hoarseness. Cough, caused by taking a deep inspiration in the evening and at night. Voice (when singing) cracked. Stitches in the chest and palpitation of the heart from the least exercise. Oppression of the chest -Asthma in the evening in bed. Perspiration on the sternum every morning. Swelling and induration of the mammary glands. Soreness of the nipples with small corrosive blisters.

Back and Neck

Sensation as if the small of the back were broken or bruised. Formication in the back. Contractive pain between the shoulders. Painful stiffness of the neck, when bending the head and raising the arms.

Extremities

Upper. Emaciation of the hands. Distortion of the fingers. Gouty nodosities on the finger-joints. Soreness between the fingers. The nails are thick and crippled. Lower. Soreness between the thighs. Numbness and stiffness of the thighs (and toes). Stiffness and contraction of the muscles in the bend of knee. Stiffness of the knee. Stiffness and contraction of the toes. Coldness of the feet (in the evening, in bed). Stinging pains in the heels. Between the toes soreness, with violent itching. On the toes, spreading blisters, ulcers. Ulceration on the borders of the big toe. Sore pains of the corns. The nails are thick and crippled.

Sleep

Unable to fall asleep before midnight on account of a fixed idea. Perspiration about the head, when falling asleep. Bleeding from the nose at night. Wakens at night with a suffocative attack. During sleep frightful, vexatious dreams. Constant talking during sleep. Bleeding from the nose at night. Wetting the bed at night while asleep.

Generalities

Great emaciation. The limbs go to sleep. Drawing through the whole body, with inclination to stretch. Contractions of the muscles. Pulsation through the whole body whenever he moves. Sensation of debility, without pain, compelling one to groan.

Fever

Pulse full and hard, but not accelerated. Chill and chilliness, principally in the evening, after 4 P.M. General dry heat, evening and night, preceded by a chill. Heat when riding in a carriage. Perspiration from the least exercise. Perspiration sour, coloring the linen yellow, of offensive smell. Night-sweat, offensive smelling. Inability to perspire. Quotidian fever ; shaking chill in the evening ; an hour afterwards heat in the face and cold feet, without any subsequent perspiration.

Skin

Swelling and induration of the glands. Dryness of the skin and want of perspiration. Erysipelatous inflammation. Humid tetters and eruptions. Soreness and rawness of the skin (in the bends of the limbs, groins, neck, behind the ears), especially in children. Unhealthy skin ; every little injury causes suppuration. Ulcers, with fetid pus ; proud flesh ; itching, stinging. Burning pain in an old cicatrix. Itching of the varices on the lower limbs. Twitching-stinging on the surface of a mole.

Conditions

Liability to take cold ; has to avoid a draught of air. Dread of the open air (in the morning), sensitiveness to a draught of air. Aggravation, at night ; from becoming cold ; during and after menstruation ; from suppressed menstruation. Amelioration from eructations.

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

Plumbago. Black Lead. An allotropic modification of carbon. (The finest specimens contain traces of iron, 0.04 to 0.6 per cent.; poor qualities as much as 4 per cent.) Trituration of prepared Black Lead from finest English drawing-pencils.

Clinical

Acne. Amenorrhœa. Anus, affections of . Blepharitis. Breasts, indurated; cancer of. Cancer. Catarrh. Chaps . Chlorosis. Colic. Constipation . Deafness. Dropsy. Dysmenorrhœa. Ears, affections of. Eczema . Epistaxis. Erysipelas . Eyes, affections of . Face, erythema of. Feet, affections of . Fissures. Gastralgia. Glandular swellings. Gleet. Gravel . Hæmorrhoids. Headache. Herpes. Hydrocele. Influenza . Irritation. Lachrymal duct inflamed. Leucorrhœa. Lips, cracked. Liver, indurated. Menstruation, disorders of . Mentagra. Nails, disorders of. Noises in head. Nose, affections of . Nose-bleed. Obesity. Ovarian tumours. Paralysis . Parotitis. Pityriasis . Priapism. Pruritus vaginæ. Psoriasis. Ptosis. Rectum, affections of . Rhus poisoning. Scar., inflamed. Scrofula. Seminal emissions. Skin, affections of. Smell, disorders of . Stomach, cramp in. Sycotic diathesis. Syphilis . Trichiasis. Tumours. Ulcers. Urine, disordered . Uterus, cancer of. Vaccination, effects of. Wens. Whooping-cough. Worms. Zona.

Characteristics

The first idea of using this substance as a drug, says Hahnemann, is due to S. Weinhold, who was led to it by seeing workmen in a mirror-factory use it as a local application for tetters. Ruggieri followed him, using it both internally and locally. Hufeland relates the cure of a lady, 41, by the internal and external use of Graph ., of an acne rosacea which had defied all other modes of treatment. Teste classes Graph . in the Pulsatilla group with Silic., Calc., Hepar , and Phos . He gives the following among other symptoms as common to Puls., Silic ., and Graph .: "Anxious, changeable, wavering mood; aversion to work; vertigo with cloudiness; a sort of intoxication in the morning; sense of fulness or emptiness in the head; drowsiness in daytime; single, acute, deep shocks in right half of brain; flickering before eyes; suspension of visual power; photophobia; lachrymation in open air; foul smell before nostrils; amenorrhœa; swelling of right testicle; swelling of veins; wandering pains; pain in the parts not lain upon; heaviness in affected parts; rheumatism at nape of neck; sweat at night having odour of urine; drowsiness in daytime."

Hahnemann was quick to perceive that Graph . was much more than a mere remedy for skin affections. Like that other great skin remedy, Sulphur, Graph . proved to be a leading antipsoric. Hahnemann's provings and observations defined its powers over skin affections. Its special characteristic is: "Eruptions oozing out a thick, honey-like fluid." Wherever such eruptions are found Graph . is in all probability the remedy. I have cured many cases, notably some occurring on the occiput, and behind the ears. It is no less frequently a remedy for the results of repelled eruptions of the kind. Nash records such a case: A child had been "relieved" of an eczema capitis under old-school treatment, whereupon entero-colitis set in, and became so alarming that it was pronounced "consumption of the bowels." Nash when called in found the child greatly emaciated, with little or no appetite, very restless, passing " stools of brown fluid mixed with undigested substances, and of an intolerably fetid odour ." Graph . 6m (Jenichen) cured promptly. Graph . being one of the forms of Carbon, it is therefore related to Carbo anim ., and Carbo veg .; and as it contains a small percentage of iron, it is also related to Ferrum .

Graph . causes slight erethism at first, then a weak, relaxed, condition; anæmia; chlorosis. The typical Graphites patient is "fat, chilly, and costive." Lymphatic glands are swollen. Like the skin, the mucous membranes are cracked and fissured, and have scanty secretions. Irregularities in the distribution of the blood occur, pallor of skin and mucous membranes. The circulation is at first excited, then follows loss of energy and consequent venous hyperæmia. Fainting readily occurs with great anxiety; motion is impaired and the tissues relaxed, but paralysis is not complete. A marked characteristic of Graphites is a rush of blood to head, with flushed face. I have cured two very severe cases of nose-bleed in elderly people where this symptom was present. In one case there had been flushing of head and neck for many months previous to the attack, and flushing preceded and accompanied each occurrence of the bleeding. In the other case the patient said the precursory flush seemed to come up from his toes. He had had his nostrils plugged, without avail, before I saw him. Graphites , in a high potency, cured promptly in both instances. Hahnemann gives the symptom on which I based the prescription as follows: "Bleeding of the nose at 10 p.m.; preceded in the afternoon by rush of blood to the head, and heat of face," There is also "rush of blood to head, with distension and flatulence."

Graphites is suited to persons who have a tendency to put on unhealthy fat. Defective animal heat from defective oxygenation; always cold, indoors or out. Chlorotics. Affections of glands, skin, and mucous membranes, especially at orifices. The Graphites condition is not sensitive and herein it differs from Hepar , which has extreme sensitiveness of affected parts. The tone of mind is sad and foreboding. The eyes, ears, and nose are affected, especially the integumentary parts. There is a very characteristic symptom in reference to the hearing: "hardness of hearing > when riding in a carriage." There is a sore throat like that of Lachesis ; sensation of a lump, < on empty swallowing. It has also a "lump" sensation at the stomach. It resembles Lachesis , too, in its flushings; in gastralgia > by eating. Hurries to meals to relieve violent pain at epigastrium; especially to dinner and supper. Goullon cured two notable cases of cramps in the stomach with "improvement of the cramps by eating." There was also clean tongue. Milk agreed well, especially hot milk. In one case roast meat agreed, but not boiled meat, and, still less, potatoes. In the morning there was a fishy taste, disappearing later in the day. Another cure by Goullon was of a young lady who was troubled with salivation, coming on any time; sometimes just before sitting down to dinner; oftenest when riding in a carriage, less often when riding in a train. She was prevented by it from seeing company, and was low-spirited. There was also habitual costiveness. Graph . 12 at first aggravated and then rapidly cured. Goullon understood the power of Graphites , perhaps, more completely than any other writer, and I will give another of his cures, as it illustrates several points in the drug's action. A well-grown, healthy-looking girl of fifteen had violent headache in right temple every four weeks; the pain was stinging. Glittering before the eyes frequently preceded and followed the attack, which recurred to the hour, and sometimes also on the following day. Drowsiness accompanied the attack, deep sleep, heat and redness of the head, followed by a chill. Sep . 6 relieved the headache, but the glitter remained. The heaviness of the eyelids led Goullon to Graph . (which causes ptosis). His choice was strengthened on learning that there had been no menstruation, and finally she "had a degree of hoarseness that indicated chronic hypertrophy of the tonsils. (A. Vogel claims this to be a sign of scrofula derived from syphilis.") Graph . 2x trit., in two-grain doses, was given six mornings in succession. The period for the headache passed without recurrence, and the sensation of lights completely disappeared ( H. R ., vi. 271). Graphites causes suffocative spells which arouse the patient from sleep, he must jump out of bed, < after midnight ( Lach . < after sleep). There is a diarrhœa of thin, offensive, partly digested stools. Constipation is more common, the stools being in lumps coated with mucus, and with mucous shreds. Habitual costiveness and, in females, scanty menses form a keynote indication when found associated with other complaints, as headache, skin-affections, &c. Moist itching excoriation around anus and fissures. The male sexual organs are affected as well as the female: Uncontrollable sexual excitement, with violent erections. Priapism. (I have frequently seen this condition produced in patients taking Graph . for other things; and have frequently relieved priapism with Graph .) Impotence. In the female the breasts are affected. Pain under left breast at menstrual period, often waking patient in the night. Hysterical melancholia with occipital headache. Leucorrhœa profuse, in gushes, excoriating. It has many symptoms in common with Sepia , but Graph . affects the ovaries more markedly than the latter. There is a feeling as if the uterus would press out at the vagina. Stiffness of knees. The skin of Graphites is rough, hard, and dry. Eczematous and herpetic eruptions predominate. Eruption on occiput exuding gluey humour; eczema of ears; moist eczema round anus. Pimples, acne. Wens. Gastro-intestinal affections alternating with acne and erythema of face, herpetic lesions or scrofulous hypochondriasis. Excoriations between toes. Syphilitic and "constitutional" ulcers. Recrudescence of scars. Cracks and fissures. Offensive discharges and secretions. Sweat: stains yellow; sour, offensive.

The senses are abnormally acute: music causes weeping; cannot tolerate the smell of flowers. Weak, exhaustion of whole body. Spasms; contractions of muscles; twitching of eyelids. Cataleptic condition. Sensitiveness of internal parts; numbness in various parts; drawing pain in whole body. Pain as if head were numb, or pithy, or made of wood. Pain as if constricted in occiput, extending to nape of neck, which pains as if broken. "Intense, heavy weight in occiput, as if head drawn back, must rest it, unable to read or think" (result of 2x and 3x, on three separate occasions in a patient of Dr. W. Epps. Chi . 1x. relieved in a few days ─ Hom. Rev ., xl. 162). As if skin of forehead was drawn into folds. As if a skin were before ear. As if a hard body as large as an egg were behind ear. As of a cobweb over the face. As of a lump in stomach, with beating as of two hammers. As if intestines were torn; croaking as of a frog in abdomen. As if everything would be torn to pieces during menstruation. Bearing-down pains in various parts. Rest > ; motion < . Riding in a carriage < many complaints; but > hardness of hearing. < Lying on left side. Cold drinks, cold air, damp, wet atmosphere, washing < . Warmth < tearing pain in teeth; warmth of bed < itching; > crampy pain in stomach; scrofulous affections of bones. Eating > cramps in stomach; hot drinks, especially hot milk, > . < In open air; in wind. Bathing after measles = paralysis of face. Getting feet wet = delayed menses. Attacks occur during summer and autumn. Ears feel stuffed at the full moon. Suffering parts emaciate. Overlifting easily. Hæmorrhages. (When giving Graphit . internally in cases of anal eruption I have found the external use of an ointment made with a drachm of the 3x trituration to an ounce of Cetacean ointment of great service. Hirsh, of Prague, has also used Graph . locally in cases of disease of the nails, with very good results.)

Relations

Antidoted by: Acon., Arsen., Chi., Nux v. Antidote to: Arsen., Iod., Rhus t. It follows: Calc., Lyc., Puls., Sep., Sul. Complementary: Caust., Hep., Lyc. Compare: Petrol., Lach., Carb. v., Carb. a., Caust., Nit. ac., Rhus (erysipelas, left then right; Graph., right then left), Ant. c., Ratan., Pæon, Nit. ac., Sil. In priapism, Pic. ac. In affections of right ovary, Pallad., Op. Laughing and weeping alternately, Aur., Pul., Lyc., Stram., Alum. Hears better in ears, Nit. ac. Obesity, Calc. ars. Trichiasis, Borax. Erysipelas beginning on nose, Canth. Fat constitutions, Calc. Burning excoriating discharge from eyes, Ars. (but with Ars. there is spasmodic closing of lids); Sul. has margins of lids reddened; with Graph. they are paler than usual; Euphr. has thick, purulent discharge, Graph. has thin. Profuse salivation, Bism. Graph. is a chronic, or over-grown Puls. (but Puls. has < , and Graph. has > from milk).

Causation

Grief. Fear. Overlifting.

Mind

Dejection, sadness and profound melancholy with discouragement and much weeping. ─ Feels miserably unhappy. ─ Agitation, compression of the heart, and anguish, as if at the point of death, or under the fear of some calamity, often with headache, vertigo, nausea, and perspiration. ─ Anxious agitation (with inclination to grief, anxiety about the future), sometimes when seated at work, or at night, with impulse to quit the bed. ─ Agitation and inquietude in the morning. ─ Much inclined to grieve and cry in evening, whilst in forenoon she had laughed about every trifle, contrary to her habit. ─ Weeping without cause. ─ Obliged to weep at music. ─ Timid disposition. ─ Irresoluteness with excessive cautiousness and hesitation. ─ Too great susceptibility to impressions. ─ Tendency to be frightened. ─ Irascibility. ─ Dread of labour. ─ Extreme hesitation; unable to make up her mind about anything. ─ Absence of mind. ─ Forgetfulness with misapplication of words in speaking or writing.

Head

Fatigue in consequence of intellectual labour. ─ Sensation of numbness in the head. ─ Intoxication and vertigo, esp. in the morning on rising, or on awaking (the forehead is contracted, with nausea and vomiting); as well as in the evening, with want to lie down. ─ Confusion in the head. ─ Attacks of headache, sometimes semi-lateral, with nausea and acid vomiting. ─ Feeling of looseness of the whole brain. ─ Violent headache with eructations and nausea, during menstruation. ─ Periodical unilateral headache, with constipation and amenorrhœa. ─ Pain in the head as if the head were numb and pithy. ─ Violent headache in the morning, driving out a cold perspiration, and inducing syncope. ─ Headache from the motion of a carriage, as well as on moving the head, or during and after a meal. ─ Headache on the side which presses the pillow. ─ Tension and pressive constriction in the occiput, with stiffness at the nape of the neck. ─ Intense heavy weight, or dull pressure, in upper part of occiput, with a feeling as if the head were drawn back, obliging him to rest his head; unable to read or work while pain lasts. ─ Sensation of compression and contraction in the forehead. ─ Compressive pain in the vertex in the afternoon, with rotatory movement in the head. ─ Burning on the top of the head on a small spot. ─ Ebullition of blood, with beating and buzzing in the head. ─ Fulness in and congestions to the head, the menstruation being suppressed. ─ Tearing and pulling in the scalp, in the teeth, and in the glands of the neck. ─ Itching in the scalp. ─ Humid scabs on the head. ─ Humid, spreading, scurfy eruption on the top of the head, painful to the touch, as if from subcutaneous ulceration, and emitting a disgusting odour; extending down to sides of the head into the whiskers; after scratching, more sore and humid; later drying up to a white scurf. ─ Sweat on the head, while walking in the open air. ─ Smooth large wens on the hairy scalp; the hairy scalp is very hot, and itches very much, esp. when walking in the open air. ─ Abundant desquamation of the scalp. ─ Falling off of the hair, even on the sides of the head and the whiskers. ─ Rheumatic pains in the scalp, principally in the sides, extending to the teeth and cervical glands; < when walking and becoming cold in open air, > from warmth and while getting warm when walking. ─ Perspiration smelling acid or very offensive, colouring the linen yellow; on the head (as on the whole body) at night and during the day, from the least exercise; < even while talking, > when walking in the open air. ─ The hair turns grey.

Eyes

Eyelids heavy and falling, as if paralysed. ─ Aching in the eyes and eyelids, as if sand had been introduced into them. ─ Shootings in the eyes. ─ Heat and burning sensation in the eyes, esp. by candle-light. ─ Inflammation of the eyes, with redness of the sclerotica, injection of the veins, swelling and abundant mucous secretion of the eyelids. ─ Hordeolum, with drawing pain. ─ Dry humour in the eyelids, and in the eyelashes. ─ Agglutination of the eyelids and lachrymation. ─ Pressure and stinging in the eyes, with lachrymation. ─ Agglutination of the eyes early in the morning. ─ Dry gum in the eyelashes. ─ Obscuration of the sight on stooping. ─ Myopia. ─ Confusion of characters on reading. ─ Sparkling before the eyes. ─ Photophobia, esp. by day, inflammation and red, swollen eyelids. ─ Intolerance to the light of day.

Ears

Shootings and beatings in the ears. ─ Dryness of the internal ear. ─ Fetid smell and discharge of blood and of pus from the ears. ─ Scabs, tetters, running, and excoriation, behind the ears. ─ Hardness of hearing. ─ Hardness of hearing, > by the motion of a carriage. ─ Singing, tinkling buzzing, and rumbling like that of thunder in the ears. ─ Buzzing in the ears at night. ─ Sensation, as if air were enclosed in the Eustachian tube. ─ Sensation as if the (l.) ear were filled with water. ─ Sensation as if a skin were before the ear. ─ Whistling in the ears. ─ Cracking in the ears when moving the jaw.

Nose

Swelling of the nose. ─ Sensation of tension in interior of nose. ─ Black pores on nose. ─ Dry scabs in nose. ─ Painful dryness of nose. ─ Nostrils, excoriated, cracked and ulcerated. ─ Fetid smell from nose. ─ Discharge of blood when the nose is blown. ─ Epistaxis, esp. in the evening and at night; preceded by rush of blood to head, and heat in the face. ─ Discharge of fetid pus from the nose. ─ Sense of smell sharpened (too sensitive, cannot bear the smell of flowers). ─ Stoppage, and troublesome dryness of nose. ─ Quotidian coryza, on being chilled. ─ Dry coryza, with headache and nausea, which compel the patient to lie down. ─ Flow of mucus from the nose, liquid, or yellowish, or thick, with putrid smell. ─ Fluent coryza, with catarrh (as soon as he becomes cold).

Face

Pale yellow complexion, with livid circles under eyes. ─ Flushes of heat in face. ─ Erysipelatous inflammation and swelling of the face (burning and stinging; the erysipelas spreading in rays), with eruption of vesicles. ─ Erysipelas preceded by chills and heat alternating; beginning r. side of face, going to l. ─ Encysted tumour on the cheek. ─ Constant sensation, as if the face were covered with cobweb. ─ Semi-lateral paralysis, and distortion of the muscles of the face, with difficult articulation. ─ Drawing and tearing pains in the bones of the face. ─ Eruption on the face, in appearance as if the skin were raw. ─ Scabs and moist pimples on the face. ─ Ephelis. ─ Falling off of the beard. ─ Ulcers on the internal surface of the lips. ─ Fissures in the ulcerated lips. ─ Ulcerated corner of the mouth. ─ Lips cracked. ─ Scabby eruption on the chin and round the mouth. ─ Painful nodosities in the lower jaw. ─ Swelling and hardness of the submaxillary glands.

Teeth

Toothache at night, or in the evening in bed, < by heat, and sometimes with heat of the face and swelling of the cheek. ─ Pains in the molars, on closing the jaws. ─ Lancinating and drawing toothache, esp. after drinking anything cold, and < by warmth. ─ Pain, as from excoriation, in teeth and gums, during and esp. after a meal. ─ Easy bleeding and swelling of the gums. ─ Fetid odour from the gums and mouth. ─ Discharge of black and sour blood from the teeth.

Mouth

Dryness of the mouth in the morning. ─ Putrid and urine-like smell from the mouth, gums, and nose. ─ Pain, as from excoriation, vesicles and ulcers on the tongue. ─ Bitter taste in the mouth, the tongue being much coated. ─ Taste of rotten eggs in the morning, after rising. ─ Profuse salivation, and accumulation of mucus in the palate and throat. ─ Speech impeded by paralysis of the muscles.

Throat

Almost constant soreness of the throat, on swallowing, generally lancinating, with feeling of strangulation. ─ Pain in the throat, even at night, as if there were a plug within it, or as if the food had stopped there. ─ Swelling of the tonsils, with pain when swallowing. ─ Cramps in the throat, with feeling of strangulation. ─ Roughness and scraping in the throat.

Appetite

Bitter or acid taste, with sourness in the mouth and throat. ─ Great thirst in the morning, and after a meal. ─ Immoderate hunger (with acidity of the stomach). ─ Repugnance to cooked food, and to meat: also to anything saline or saccharine. ─ Weakness of digestion, with drowsiness, headache, pains in the stomach, fulness, and inflation of the abdomen, after a meal. ─ Hot things disagree with stomach.

Stomach

Frequent and sometimes abortive risings. ─ Sour risings, with bitterness in the mouth. ─ Sour regurgitation of food. ─ Bitter and green regurgitations. ─ Frequent hiccough, esp. after a meal. ─ Nausea, esp. in the morning, or after every meal, with inclination to vomit. ─ Water-brash, at night. ─ Obstinate vomiting of food. ─ Vomiting after the slightest loathing, with great nausea and pinching in the abdomen. ─ Retching, with rising up of mucus. ─ Acid vomitings. ─ Colic, and pressure on the stomach, sometimes with vomiting, > by a recumbent position, and by the heat of the bed. ─ Cramp-like pains, or squeezing, as from claws in the stomach. ─ At night, pinching in the stomach, with digging in the chest. ─ Burning pain in the stomach, which compels eating. ─ Cramps in stomach > by eating.

Abdomen

Tension, shootings, and beatings in the hypochondria. ─ Hepatic pains after breakfast, which render it necessary to lie down. ─ Fulness and heaviness, in abdomen. ─ Abdomen enlarged, tight, inflated. Inflation of the abdomen, with congestion of blood to the head, heaviness in the head, and vertigo. ─ Hardness in the abdomen. ─ Nocturnal, cramp-like pain in all the intestines, with deficient secretion of urine. ─ Incarceration and accumulation of flatus in the abdomen. ─ Expulsion of an excessive quantity of fetid flatus, preceded by pinchings. ─ Rumbling in the abdomen. ─ Croaking, as of frogs in the abdomen. ─ Painful sensitiveness of the groins. ─ Painful swelling of the inguinal glands. ─ Erysipelatous inflammation, with large vesicles near the navel. ─ Pressive, stitching, boring pain in region of navel; extending into back and hypochondria; with habitual costiveness; < evening.

Stool and Anus

Obstinate constipation, with hard fæces (the lumps being united by mucous threads), and hardness in the hepatic region. ─ Fæces hard, knotty, of too great a size, and scanty. ─ A quantity of white mucus is expelled with the stool. ─ Fæces too soft. ─ Stools of a putrid, sour smell (with burning at the rectum), or of sanguineous mucus. ─ Mucous diarrhœa. ─ Diarrhœa, with tightness of the abdomen. ─ Fæces of a very small size, like a worm. ─ Lumbrici and ascarides. ─ Tænia. ─ Itching, sensation of excoriation, and swelling of the anus. ─ Large hæmorrhoidal excrescences in the anus, with pain as from excoriation, esp. after a stool. ─ Painful and burning cracks between the hæmorrhoidal tumours. ─ Prolapsus recti with the varices, as if the rectum were paralysed.

Urinary Organs

Urgent, anxious, and painful want to make water, with emission drop by drop, with a stitch in the urethra, when emitting it. ─ Scanty secretion of a deep-coloured urine, soon becoming turbid, with white or reddish sediment. ─ Urine of an acrid sour smell. ─ Stream of water small, as if from contraction of the urethra. ─ During micturition pain in the os sacrum. ─ Involuntary emission of urine. ─ Nocturnal emission of urine. ─ Wetting the bed at night. ─ Pain in the coccyx when urinating.

Male Sexual Organs

Tension and cramp-like pains in the genital parts, with troublesome voluptuous ideas. ─ Eruption of pimples on the prepuce, and on the penis. ─ Dropsical swelling of the prepuce and the scrotum. ─ Dropsical swelling of the testes. ─ Voluptuous excitation in the genital parts. ─ Indifference, or extreme excitement of sexual desire. ─ Violent erections. ─ Uncontrollable sexual excitement. ─ Priapism. ─ Absence of erections in the morning. ─ Emission of semen, almost involuntary, without erection. ─ During an embrace painful cramps in the calves. ─ After an embrace coldness of the legs, exhaustion, heat of the body, and perspiration. ─ Absence of emission of semen during coition. ─ Feeble enjoyment during coition. ─ Flatulent colic during the excitement in the genital parts.

Female Sexual Organs

Great aversion to coitus. ─ Vesicles and pimples on the vulva. ─ Excoriation on the vulva and between the thighs. ─ Soreness of the vagina. ─ Painful swelling of the ovaries; < every time she takes cold or gets her feet wet. ─ Swelling and hardness of ovaries after menses. ─ Tearing, grinding, bursting in r. ovary, as if it would burst, before and during menses. ─ Tumour in r. iliac fossa; also l. ─ Pain in uterus when reaching high with arms. ─ Sensation of bearing down towards the genital parts. ─ Catamenia too slow, too scanty, and too pale. ─ The first menses delay. ─ Suppression of catamenia, with heaviness of the limbs and congestions of blood to the head. ─ Cutting pains on the appearance of the catamenia. ─ During the catamenia, flow of blood from the anus, pains in the limbs, ulcers become worse, swelling of the cheeks or of the feet, catarrh, with hoarseness and coryza, toothache, or cramps and violent cuttings in the abdomen, headache, nausea, pain in the chest, and weakness. ─ Before and during the menstruation, fatiguing cough (morning and during the day.). ─ Leucorrhœa, white and liquid, like water, with tension of the abdomen, and weakness in the back. ─ Leucorrhœa, before and after the catamenia. ─ Leucorrhœic discharge occurs in gushes day or night. ─ Painful sensibility and excoriation of the breasts, with eruption of running phlyctenæ. ─ Obstruction and induration of the mammary glands. ─ Hard cicatrices remaining after mammary abscess.

Respiratory Organs

Sensitiveness of the larynx. ─ Catarrhal roughness and hoarseness, with sensation of excoriation, burning pain and scraping in the throat, coryza and obstruction in the chest. ─ Voice false (for singing). ─ Accumulation of slimy matter in the chest. ─ Cough, produced by roughness of the throat. ─ Cough at night, or in the evening in bed, excited by taking a full inspiration, with oppression of the chest.

Chest

Difficulty of respiration and oppression on the chest. ─ Nocturnal attacks of suffocation, on going to sleep, or on walking in the open air. ─ Suffocative paroxysm at night, awakens him out of sleep, usually after midnight; must quickly jump out of bed, hold himself firmly to something, and quickly eats whatever is at hand, which gives relief; or hoarse cough (asthma). ─ Wheezing respiration. ─ Pain in the chest on ascending, on riding on horseback, on yawning, or on putting the hand on the chest. ─ Perspiration on the sternum every morning. ─ Swelling and induration of the mammary glands. ─ Soreness of the nipples, with small corrosive blisters. ─ Pressive, cramp-like pain in the chest. ─ Spasms in the chest. ─ Shootings in the chest on the least movement.

Heart

Palpitation of the heart on the least movement. ─ (Constant emptiness and coldness about the heart and in chest, with sadness.). ─ Region of heart: constriction; pressure; stitches. ─ Sensation like electric shock from heart toward front of neck. ─ Strong pulsations of blood in whole body, but esp. about heart, < by every motion. ─ Throbbing in region of heart, in evening, after lying down, when lying on l. side so violent that the covering was moved thereby, with anxiety; disappearing on turning over.

Neck and Back

Stiffness in the nape of the neck. ─ Violent pain in the nape of the neck and the shoulders, on stooping the head, and on raising the arms, like a tearing incision. ─ Blisters on the neck. ─ Swelling of the glands of the neck. ─ Tearing in the glands of the neck. ─ Bruising pains in the loins, or violent achings in the loins, like squeezing from claws, or from twisting the body. ─ Contractive pain in the back (between the shoulders). ─ Sensation of tingling in the back. ─ Formication in the back.

Upper Limbs

Tearing and lancinating in the shoulders. ─ Sensation of contraction in the joint of the elbow, on extending the arms. ─ Cramp and tearing in the hands. ─ Emaciation of the hands. ─ Erysipelas, callosities, dry skin, and cracks in the hands. ─ Pain as from dislocation, in the joint of the thumb. ─ Swelling and inflexibility, stiffness and distortion of the fingers. ─ Granulated eruption and corrosive vesicles on the fingers. ─ Arthritic nodosities on the fingers. ─ Tettery excoriation between the fingers. ─ Thickness of the nails of the fingers.

Lower Limbs

Heaviness, lassitude, and numbness of the legs in the open air. ─ Excoriation between the legs. ─ Arthritic tearing in the hip-joint, the feet, and the toes. ─ Numbness and stiffness of the thighs, and of the toes. ─ Restlessness in the legs. ─ Tetters on the thighs, on the hands, and on the tibia. ─ Sensation of contraction in the tendons of the ham, and in the tendo Achillis. ─ Tension in the varices, on extending the legs. ─ Stiffness and want of flexibility in the knee, which does not permit sitting squat. ─ Cramps and starting of the muscles in the calves of the legs. ─ Congestion in the legs and in the feet, when standing upright. ─ Ulcers in the legs. ─ Swelling of the legs and of the feet, with hardness and shooting pain. ─ Stiffness of the instep. ─ Shooting pain, like that of an ulcer, in the heel and in the soles of the feet, on rising from the sitting posture. ─ Cold feet, even in the evening in bed. ─ Feet burning. ─ Fetid sweat on the feet. ─ Contraction of the toes. ─ Swelling and distortion of the toes. ─ Sore pain of the corns. ─ Callous skin, corrosive vesicles and ulcers on the toes. ─ Ulceration on the borders of the big toe. ─ Tettery excoriation between the toes, with violent itching. ─ Thickness and deformity of the toe-nails.

Generalities

Cramp-like pains, cramps and contraction in different parts. ─ Tension in some parts, as from contraction of the tendons. ─ Starting and distortion of the limbs. ─ Arthritic pullings and tearing in the limbs and joints, esp. in ulcerated parts. ─ Arthritic nodosities. ─ Tendency to strain the back. ─ Limbs become easily numbed. ─ Stiffness and complete inflexibility of the joints. ─ Hard swellings, with shooting pains. ─ Nocturnal pains, which are felt even during sleep. ─ The symptoms disappear after a walk in the open air. ─ Varices, with shootings, tension, and itching. ─ Swelling and hardness of the glands. ─ Pains during change of weather. ─ General uneasiness (sensation of debility), which extorts groans, without any distinct sensation of pain. ─ Strong pulsation in the whole body, and esp. in the heart, augmented by the least movement. ─ Pulling in the whole body, with urgent inclination to extend the limbs. ─ Sensation of trembling in the whole body, with jerking of the limbs. ─ Great emaciation. ─ Great tendency to take cold, and fear of the open air, and of currents of air. ─ General lassitude. ─ Rapid failure of strength.

Skin

Obstinate dryness of the skin, and absence of perspiration. ─ Ephelides. ─ Red spots on the skin, like flea-bites. ─ Erysipelatous inflammations. ─ Vesicular erysipelas, like zona, on the abdomen and on the back. ─ Itching of the varices on the lower limbs. ─ Itching-stinging on the surface of a mole. ─ Eruptions oozing out a thick honey-like fluid. ─ Tetters, and other humid or scabby eruptions, sometimes with secretion of corrosive serum, or with itching in the evening, and at night. ─ Eruption of pimples and nodules (principally under hair and on covered parts) which itch very much. ─ Swelling and induration of the glands. ─ Encysted tumours. ─ Corrosive nodules. ─ Excoriation of the skin (in the bends of the limbs, groins, neck, behind the ears), esp. in children. ─ Unhealthy skin, every injury tending to ulceration. ─ Proud flesh, and fetid pus, in ulcers, with tearing pains, burning, and shooting. ─ Scrofulous and syphilitic ulcers. ─ Burning pain in an old cicatrix. ─ Deformity and thickness of the nails.

Sleep

Great drowsiness during the day, and early in the evening. ─ Difficulty in falling asleep. ─ Agitated sleep at night, with frequent waking. ─ Nocturnal sleep incomplete, as if only dozing. ─ Unable to fall asleep before midnight on account of a fixed idea. ─ Unrefreshing sleep at night, followed in the morning by a comatose sleep. ─ At night, profusion of ideas, sometimes troublesome. ─ Great agitation at night, with anxious and frightful dreams, oppression and choking. ─ During sleep, starts, with fright. ─ Dreams of death and of fire; dreams with meditations. ─ At night, discomforting ideas, anguish, heat, inquietude, startings, gastric sufferings, and many other affections. ─ Perspiration about the head, when falling asleep. ─ Bleeding from the nose at night. ─ Wakens at night from a suffocative attack. ─ Constant talking during sleep. ─ Wetting the bed at night while asleep.

Fever

Pulse full and hard, but not accelerated. ─ Shiverings, morning and evening, with or without heat, and followed by perspiration. ─ Chill and chilliness, principally in the evening, after 4 p.m. ─ General dry heat, evening and night, preceded by a chill. ─ Heat when riding in a carriage. ─ Perspiration sour, colouring the linen yellow, of offensive smell. ─ Inability to perspire. ─ Perspiration, often very fetid, on the least movement, or on the least fatigue, even from speaking. ─ Nocturnal sweat, sometimes fetid. ─ Quotidian fever; shaking chill in the evening; an hour afterwards heat in the face, and cold in the feet, without any subsequent perspiration.

The Guiding Symptoms of Our Materia Medica

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

Mind

Forgetfulness ; dim recollection of recent events.
Weakness in head, can scarcely think.
Slow in thought ; absent minded.
Dread of work.
Mood : changeable ; forlorn ; depressed ; dejected.
Sadness, with thoughts of nothing but death.
Sad, despondent ; she must weep ; music makes her weep.
Oppression.
Feels miserable, unhappy.
Grief about slightest occurrences, even to despair.
Apprehensiveness, with inclination to weep, in frequent attacks.
Extreme apprehensiveness, so that she did not know how to overcome it.
It frequently seemed to him as though his end was near, or the greatest misfortunes were impending.
Full of fear in the mornings.
Solicitude concerning spiritual welfare.
Great anxiety.
Fidgety while sitting at work.
Desperate state of mind. θ Ophthalmia after syphilis.
Extreme hesitation ; she is unable to make up her mind about anything ; timidity.
Irritability. θ Gastrodynia.
Fretful : ill-humored ; easily vexed ; irritable.
Extremely fretful ; everything angers and offends him.
Impudent, teasing, laughs at reprimands. θ Cough after pertussis.
Very easily excited ; hot hands even from speaking.
Scientific labor fatigues him.
Thoughts of many things at night prevent sleep.
Ailments from grief (or fright).

Sensorium

Weakness of head down to neck.
Desolate, empty feeling in head.
Dulness of head.
Beclouded feeling in forehead.
Confusion of head, in morning, with nausea and sour vomiting.
Feels as if drunken when rising from bed in morning.
Attacks of dizziness, with inclination to fall forward.
Vertigo : during and after stooping ; on looking upwards ; in the morning on awaking ; in evening ; was obliged to lie down ; with inclination to fall forward ; venous stagnation.
Rush of blood with feeling of heat in head.
Congestion to head with roaring in ears, in young people.
Frequently feels faint, with partial loss of senses.

Inner head

Forehead : pressure deep in ; drawing ; tearing ; bursting.
Lancinating pain in right temple, with flickering before eyes and lassitude ; heaviness of eyelids.
Transient stitches in left temple.
Stinging or stitching pains in temples.
Pain from left temple down side of face to shoulder ; face distorted ; left corner of mouth drawn inward and downward.
Periodical, unilateral headache ; numbness in left side of head, violent nausea with straining and retching ; obstinate constipation. θ Amenorrhœa.
Semilateral headache, early in morning, in bed, with inclination to vomit.
Tearing pain in one side of head, in teeth and glands of throat.
Throbbing in sides of head.
Oppressive headache on top of head.
Pressive pain : in vertex ; in occiput.
Pain as if constricted, especially in occiput, extending to nape of neck, which pains on looking up, as if broken.
Pain as if head were numb and pithy.
Pressive pain in head.
Violent headache, with eructations and nausea, during menstruation.
Frequent congestions to head and chest, dark red cheeks, oppression and anguish when lying down. θ Amenorrhœa.
Headache, in morning on waking.

Outer head

Sensation as if skin of forehead was drawn into folds.
Scalp feels bruised.
Coldness of scalp.
Itching on scalp.
Sweat on head when walking in open air.
Burning round spot on top of head.
Lumpy patches on vertex, red and painful.
Humid eruption on vertex, painful to touch.
Scurfy spots on vertex, with violent sore pain when touched.
Much scaliness on head, causing distressing itching, becomes scurf, which disappears on washing, and is then humid.
Humid eruption on head, pains as if suppurating, only when touched.
Intolerable itching all over body, followed by a moist eruption behind right ear ; crept gradually upwards on right side of scalp, forming pustules, which discharged an acrid, sticky fluid, by which hair stuck together, and finally fell off, leaving a bare spot behind, covered with
a mealy dust and small crusts ; felt < after washing ; is very sensitive to cold air ; has chronic lachrymation and fluor albus.
Eczema capitis, of entire scalp, forming massive, dirty crusts, which mat the hair together ; painful and sore to touch.
Fissured eruption back of and above ears, on cheeks, and about region of posterior fontanelle, exuding a glutinous secretion, forming a scab, and cracking open, itching a little all the time, but excessively before a storm ; perfectly indifferent to any
one touching the sore places.
Tinea capitis ; eruption dry and scabby, large and confluent, color dark ; cervical glands swollen and hard.
Eczema capitis in scrofulous child, infesting entire hairy scalp, and forming massive, dirty crusts, which mat the hair together.
Falling out of hair of scalp.
Bald places on head perfectly smooth and shining.
Circumscribed bald spot on front of head covered with herpes.
Porrigo decalvans.
Hair falls out, even on sides of head.

Sight and eyes

Photophobia ; great sensitiveness of eyes to day-light ; more than gas-light.
Photophobia usually intense and lachrymation profuse ; child cannot open eyes before 9 or 10 A. M. ; redness of eye generally marked ; muco-purulent discharges, constant, thin and excoriating ; pains sticking, burning, aching or itching.
Light blinds or dazzles the eyes.
Eyes very sensitive to sun-light ; it causes lachrymation.
Sun-light causes lancinating pains in eyes.
Hyperesthesia of eyes ; venous stagnation ; constipation ; incarceration of flatus.
From overexertion of eyes by reading, sewing, etc. θ Vertigo.
Weakness of eyes.
Short-sightedness.
Letters : appear double when writing ; run together when reading.
Sees fiery zigzags around outside of field of vision, in evening, with open eyes.
Flickering before eyes. θ Headache.
Sees as through a mist.
Everything turns black before eyes when stooping.
During menstruation sight vanishes ; blackness before eyes ; left hand becomes numb and dead ; with crawling in it extending up arm, and also with crawling in lips.
Tiredness of eyes.
Pressing pain in eyes, morning and evening.
Drawing, extending from eyes up into head.
Stitches from temple through eye to inner canthus, on looking at anything white or red, or at sun.
Smarting in eyes, with heat in them.
Biting in eyes.
Burning and aching in eyes.
Burning pain around eyes.
Ulcer on cornea : with a few small vessels running into it ; with moist fissured eczematous eruptions.
Pustules on cornea and conjunctiva, with much lachrymation.
Pustule on cornea, of reddish appearance, with white halo around it ; corners of lids raw and bleed easily.
Arthritic ophthalmia, with contraction and irregularity of pupils.
Deep ulcers on cornea, even with hypopyon ; more particularly adapted to superficial ulcerations, especially if resulting from pustules, often with considerable vascularity of cornea ; pustules on cornea or conjunctiva, especially on former ; attacks may be acute or
chronic, but it is particularly called for in chronic recurrent forms.
Chronic pustular inflammation of cornea ; recovery from one attack quickly followed by another ; great photophobia, could not open eyes to see his way, profuse lachrymation, burning and aching in eyes, sneezing upon opening them, external canthi cracked and easily bleeding,
both corneæ pannused, thin, acrid discharge from eyes, nose sore and surrounded by thick, moist scabs.
Keratitis pustulosa in children, who cry whenever light comes to eye, so must be kept in a dark room, corners of eyes cracked and bleed easily, eruption on face.
Conjunctivitis pustulosa and ciliary blepharitis, with cracks behind ears.
Keratitis pustulosa, corners of lids crack and bleed easily, great photophobia and lachrymation, with some yellowish discharge.
Superficial keratitis with pustules of right eye and pustules on lower borders of corner of left eye, outer canthi cracked, also cracks behind ears and eruption on face.
Pustule on conjunctiva of a child, nose sore and excoriated, prickly heat.
Pustular conjunctivitis with old, ciliary blepharitis after measles ; thick, heavy scabs on lashes.
Old, recurrent pustular keratitis with no pain or photophobia.
Recurrent pustular keratitis, no photophobia or pain, eye some red and agglutinated in morning, lids red and margin covered with scurfs.
Small pustules on edge of cornea, photophobia and redness, and characteristic eruption behind ears and on face.
Pustule on cornea of a reddish appearance and with a white halo around it, canthi cracked, great photophobia and lachrymation.
Keratitis pustulosa with vascular cornea and pannus.
Pustules on cornea and conjunctiva, much lachrymation, slight photophobia, and the child acts as if it had pain, which is < about noon and in afternoon.
Herpes corneæ, when combined with a chronic eczema, which covers face and eyelids like a mask.
Frequent lachrymation of eyes.
Lachrymation : in open air ; chronic.
Thin, acrid discharge from eyes.
Pus-like discharge from eyes.
Internal canthi : itching ; burning ; stitches ; sore.
External canthi : sore and fissured ; fissured and bleed easily.
Stillicidium lachrymarum, from obstruction of nasal duct.
Right eye waters constantly, especially in damp, sultry weather, and skin underneath inner half of lower eyelid sore and excoriated, from constant irritation of tears trickling over it ; projection underneath inner canthus (mucocele), arising from obstruction to duct ;
lachrymal sac not much inflamed.
Catarrhal or scrofulous ophthalmia, characterized by ulcers and pustules.
Intense photophobia, with nightly sticking together of lids ; obstinate constipation ; rhagadic places running like radii towards corners of mouth ; outside on cheek an infiltrated spot covered with dry scales.
Syndesmitis exanthematica, especially with crusta lactea.
Conjunctiva swollen and red, puffed about edge of cornea ; constant purulent discharge, with agglutination of lids at night ; great photophobia ; burning pain about region of eyes ; sensation of foreign body in throat on swallowing, as if ulcerated ;
constipation ; despairing mood.
Redness of whites of eyes, lachrymation and photophobia.
Heat in eyes and about lids.
Heat in eyes and some pus in canthi.
Swelling of eyelids and lachrymal gland.
Red, painful inflammation of lower lid and inner canthus.
Sensation of dryness in lids and pressure.
Heaviness of eyelids ; cannot open his eyes. θ Hemicrania.
Edges of lids much inflamed.
Chronic ciliary blepharitis ; edges of lids slightly swollen, and of a pale red color ; inflammation may be confined to canthi (blepharitis angularis), especially to outer, which have a great tendency to crack, and bleed easily upon any attempt to
open lids ; margins ulcerated ; dry scurfs on cilia ; burning and dryness in lids, and biting and itching, which cause a constant desire to rub the eyes.
Eczema of lids, eruption moist and fissured, margins of lids covered with scales or crusts.
Agglutination of lids : at night ; in morning.
Lids red and margins covered with scurfs.
Left lower lid hangs down.
Inverted lids (margins), wild hairs.
Slight roughness of integument of lids, intense itching.
Dry mucus in lashes.
Styes on lower lid, with drawing pain.
Prevents recurrence of successive crops of styes.
Cystic tumors of eyelids ; wens on lids.
On both eyes hordeola and chalazonæ in all stages.
Coldness over eyes.
Twitchings beneath eyes.

Hearing and ears

Music makes her weep.
Reverberations in ear, even his own words and every step.
Humming, hissing, ringing, rushing, roaring, cracking, or clucking sounds in ears.
Violent nocturnal roaring, ears feel stuffed at times (during full moon).
Thundering, rolling sound before ears.
Cracking in ear : when eating in evening ; on moving jaw, but only in morning while lying in bed ; when sneezing.
Snapping in ear after every eructation, as if air penetrated the Eustachian tube.
A sound in vertex like the ticking of a watch.
Sensation as if left ear were filled with water.
Sensation as if skin were before the ear.
Loss of hearing, with dryness of ears.
Deafness, with dry external meatus.
Deafness after scarlet fever ; cannot hear watch held close to ear, nor ordinary conversation ; thin, watery, offensive discharge from both ears ; mucous membrane of meatus red and excoriated ; moist eczematous rash on face ; tympani not perforated, but appear
covered with a white coating.
Hears better when in a noise ; when riding in a carriage.
Acute pressure in inner ear, like otalgia.
Stitches in ears.
Distended capillaries on membrane of right drum.
Both tympani covered with a white coating, but not perforated.
Moisture in ears.
Gluey, sticky discharge at external meatus.
Pus runs out of ear.
Bloody discharge from ear.
Bad odor from ear.
Copper-colored nodes on ears.
Swelling of both ears, with moist eruption behind ears.
Behind the ears ; moisture ; fissures ; sore places ; scabs ; itching.
Eczema impetiginoides ; began at first as a moisture behind l. ear, spread over cheeks and neck ; child moved continually on account of severe itching.
Sensation as if a hard body as large as an egg were behind ear.
Swelling of glands beneath ears, with tensive pain.
Affections of left ear, particularly if right ear becomes affected ; generally spreads from left to right

Smell and nose

Smell abnormally acute ; she cannot tolerate flowers.
Loss of smell : with dryness of nose ; with coryza.
Nosebleed : in evening, preceding afternoon rush of blood to head and heat of face ; at night ; in morning ; with running coryza.
Bloody mucous discharge from nose.
Blowing of blood from nose.
Offensive purulent discharge from nose.
Frequent discharge of thick, yellowish, fetid mucus from nose.
Discharge of bloody, fetid slime or purulent secretion ; bad smell from nose, as from burnt hair or sulphur vapors ; ulcerative nostrils covered with crusts ; herpetic eruption. θ Ozæna.
Ozæna ; discharge more offensive during menstruation ; eruption about anus and genitals ; takes cold very readily.
Chronic nasal catarrh.
Dryness of nose, sometimes painful.
Sore sensation in nose on blowing it.
Soreness of mucous membrane of nose ; injections of iodine in water had made it worse, and caused obstruction of nose and an erysipelatous redness upon left cheek.
Violent stopped catarrh, with great nausea and headache, without vomiting ; was obliged to lie down.
Sneezing : on opening eyes ; with very dry nose or running coryza.
Periodical attacks of fluent coryza of short duration with continual stoppage and breathing through mouth ; dulness with heat in head and face, especially nose ; soreness and roughness of larynx with tickling cough ; smell in nose as from an
old cold ; hawking up of phlegm ; nausea ; < in cold and in open air.
Stoppage of nose, with secretion of tough, badly-smelling mucus.
Thin, acrid discharge from nose accompanying ophthalmia.
Coryza on getting cold.
Excoriation of nose.
Mucus often forms hard masses or crusts in coryza.
Dry scabs in nose, with sore, cracked and ulcerated nostrils.
Swelling of nose.
Nose painful internally.
Red nose, with black pores.
Black, watery pores on nose.
Ulcerated nostrils covered with scurf.
Nose sore, surrounded by thick, moist scabs.

Upper face

Face : pale and haggard ; pale and bloated ; pale and yellow ; chlorotic ; flushed ; eyes sunken.
Flushes of heat in face.
Dulness with heat in face and head, especially of nose.
Constant sensation as of a cobweb on face.
Itching blotches on face and other parts of body.
Itching pimples on face, becoming moist after scratching.
Scabs on face, skin dry ; constipated, large stools.
Moist eczema on face.
Eczema squamosum on face of fifteen years' duration ; applications had caused the external eruption to recede, the patient suffered with headache, vertigo and a general feeling of debility and loss of appetite.
Whole surface of forehead and cheeks red and scurfy ; after vaccination in a child eighteen months old.
Rhagades on cheek, running like radii toward corners of mouth ; an infiltrated spot on cheek, is covered with dry scales.
Annular raised spots on face.
Erysipelas, eruption appearing on cheeks, preceded by chills and heat alternating ; constrictive headache, especially in occiput ; burning, stinging and itching of parts.
Erysipelas : of both sides of face, with burning, stinging pain ; of cheeks, preceded by alternating chills and heat ; of left cheek, after mal-application of Iodium for sore of inner nose ; of face, from smell of wood ;
commencing on right side and going to left.
Freckles.
Very painful tearing in left zygoma, so that she had to cry out, in evening in bed.
Pain from left temple down left side of face to left shoulder ; face distorted ; left corner of mouth drawn inward and downward, and left lower eyelid hangs down ; after catching cold.
Muscles on one side of face contracted ; speech difficult.
Rheumatic, peripheric paralysis of face.
Hair of whiskers or beard falls out.

Lower face

Upper lip : twitching ; stinging ; swollen ; painful pimples.
Heaviness in lower lip.
Formication in lips during menses.
Dryness of lips, with constant burning ; they crack.
Soreness and cracking of lips and nostrils as from cold.
Lips chap ; corners of mouth ulcerate and are the seat of eruptions.
Chin covered with eruptions.
Scabby eruptions on chin and around mouth.
Painful nodules on lower jaw.
Indurated swelling of submaxillary glands, painful to touch.

Teeth and gums

Pressing pain in teeth, < from touch or biting.
Drawing pain in molars while walking in wind.
Tearing pain, < by warmth ; renewed by going to bed.
Drawing or sticking toothache.
Stinging toothache after cold drinks.
Toothache, < at night, with heat in face.
Ulcerations on inside of lips.
Painful soreness on inner side of gums.
Swelling of gums and dryness of mouth.
Gums bleed readily when rubbing them.
Fetid odor from gums and mouth.

Taste, speech, tongue

Sour taste after a meal.
Bitter taste in mouth, with sour eructations.
Salty taste.
Taste in mouth as of rotten eggs every morning, which nauseates her.
Tongue coated white.
The tongue after a meal is rough, raw and scraping ; the papillæ are very sensitive, as if they were rubbed against the teeth.
Sore pain on left side of tongue when moving it.
Whitish, painful ulcer on lower surface of tongue.
Burning blisters on lower side and tip of tongue.
Painful vesicles and tubercles on back part of tongue.

Inner mouth

Rotten odor from mouth and gums.
Acid, foul odor from mouth.
Breath smells like urine.
Saliva increased, much spitting.
Saliva runs from mouth in morning on stooping.
Dryness of mouth in morning.

Palate and throat

Palate : feels sore.
Palate and fauces somewhat reddened. θ Deafness.
Violent catarrh in fauces, with sensation as though food had to pass over a lump in throat ; roughness and rawness in throat ; hoarseness in evening. θ Ozæna scrofulosa.
Swelling of tonsils, with pain when swallowing.
Ulcerative pain in throat.
Roughness and rawness in throat.
Hawking of phlegm ; throat seems full of gurgling mucus.
Sensation on left side of throat as though he had to swallow over an elevation, with scraping in it.
On swallowing sensation of lump in throat, and especially on empty swallowing a constrictive retching from œsophagus up to larynx.
Constant spasm in throat, obliging him to swallow as if he were choking, as if food would not go down.
Constant cramp in throat, causing him to retch, as if the food would not go down.
Nightly pains in throat like a plug, as if the food filled him to the top.

Appetite, thirst. desires, aversions

Excessive hunger.
Canine hunger with acidity of stomach.
Appetite excessive or wanting, with much thirst, or with fulness of abdomen.
Violent thirst, early in morning.
Desire for drink to cool one's self internally, without thirst.
Aversion : to animal food, when thinking of it ; to fish ; to cooked food.
Great aversion to salt.
Sweet things are disgusting and nauseous.

Eating and drinking

Worse when hungry.
Food will not go down.
Pains in stomach necessitate eating.
Is obliged to eat on account of burning in stomach.
Must quickly eat a piece of bread, to > suffocative paroxysm.
Hot things disagree with the stomach.
Abdomen becomes inflated after eating.

Hiccough, belching, nausea and vomiting

Hiccough after meals.
Eructations : sour ; bitter or sour green water ; putrid ; tasting of the food eaten ; > pressure in stomach ; constant ; ineffectual ; while walking.
Cramp in stomach, with nausea, collection of water in mouth in such quantities that she cannot speak, but has to keep the mouth open ; vertigo, at times has neuralgia of face (region of os zygomaticum), and intense headache (clavus) ; during first day of menses cramp-pain in
legs, costiveness, cold feet.
Rancid heartburn, particularly after eating.
Qualmishness, as from abdomen, with contractive pain below umbilicus, and much mucus in throat, especially in morning, and for several hours after a meal.
Nausea : and vertigo ; and sweat, with anxiety ; like faintness, preventing sleep : with spasm in throat ; with eructations ; with headache ; with inclination to vomit ; and sour vomiting ; in morning ; after eating.
Nausea, in morning, with weakness and trembling during day, during menstruation.
Vomiting : of all food taken ; with pressure in stomach ; sour ; of food.
Vomiting, purging, and icy-cold sweat, with headache.

Scrobiculum and stomach

Sickening, painful feeling at pit of stomach.
Insipid and "spoiled" sensation in stomach, though a good appetite.
Pressure in pit of stomach : whole forenoon, > by eructation ; night and morning.
Binding, constricting pain in gastric region.
Constrictive pain in stomach.
Sensation of lump in stomach, with constant beating, as of two hammers. θ Hysteria.
Pain in stomach : necessitates eating ; > from warm milk, < from boiled meat and cold drinks.
Nightly pinching pain in stomach and rooting pain in chest.
Griping in stomach, with flatulency.
Griping in stomach, with nausea ; she was constantly obliged to spit, as in water-brash.
Fulness in stomach and abdomen.
Burning in stomach, causing hunger.
Crampy, spasmodic, or clawing pains, or pressure, with vomiting of ingesta, > by lying down, and warmth of bed, returning when rising, with vomiting ; acidity ; constipation ; pain in hepatic region ; > from warm food or drinks ; nervous cardialgia, with
anemia ; chlorotic color of face ; dysmenorrhœa ; herpetic constitution.
Gastralgia a few hours after dinner ; < by cold drinks and boiled meats ; > by warm milk ; furry taste ; pain is to left of stomach and great severity, with absence of usual gastric symptoms as acidity, water-brash, nausea, vomiting ; constant yawning with
bloatedness of gastric region. θ Chlorosis.
Periodical gastralgia with vomiting of food immediately after eating ; the pains are burning and radiate into abdomen.
Gastrodynia with anemia ; chlorotic color of face ; dysmenorrhœa ; constipation ; irritability.
Cardialgia or gastric catarrh ; in women during climacteric period.
Chronic catarrh of stomach, with frequent eructations ; frequently feels faint with partial loss of senses.
Chronic gastritis, with thirst, especially after abuse of alcoholic drinks.

Hypochondria

Stitches in both hypochondria.
Hardness in region of liver.
Burning in left hypochondrium, internally, < when lying on it.
Cannot bear tight clothing around hypochondria.
Cutting, bearing down pains in hypochondria and hips.

Abdomen and loins

Pain in upper abdomen, as if everything would be torn to pieces during menstruation.
Cramp in lower abdomen. θ Dysmenorrhœa.
Pain below navel, as if intestines were torn.
Burning pains radiating through abdomen. θ Gastralgia.
Burning in a small spot on left side of abdomen.
Pain in belly, in left side, when lying on right, and vice versa.
Stitches in left side of abdomen.
Colic immediately after eating.
Griping, digging pains in abdomen.
Zona ; large blisters on raised ground, from umbilicus to spine ; all blisters opened by scratching ; excruciating burning.
Rumbling in abdomen.
Croaking, as of frogs, in abdomen.
Cannot endure anything tight about abdomen after eating.
Heaviness in abdomen.
Distension of abdomen, with rush of blood to head, heaviness of head, vertigo and confusion.
Great distension of abdomen, with dulness and heaviness of head.
Distended abdomen : after eating ; with diarrhœa.
Abdomen tense, with menses delaying, scanty and pale.
Abdomen distended, tense, hard.
Hardness in lower part of abdomen.
Full abdomen, as from accumulation and incarceration of flatus ; she cannot bear anything tight about hypochondria.
Incarcerated flatus, painfully pressing towards groins and anus.
First two after birth, colic, arising from excessive accumulation of inodorous gas ; during paroxysm of pain, which occurs mostly in evening, child throws itself back and straightens body.
Flatulence suddenly appears and presses painfully towards abdominal ring.
Passage of much offensive flatus, which constantly collects anew.
Griping in abdomen every time before passage of flatus.
Œdema of external abdomen ;
Ascites progressing steadily and apparently to a fatal termination ; great accumulation of serum in abdominal cavity, and great œdema of extremities, chiefly lower, which were elephantine in size ; profuse and constant watery exudation from skin below knees ; epidermis
exfoliated ; exudation glutinous in character.
Ascites in conjunction with moist tetter, with glutinous exudation. θ Herpes zoster.
Itching of abdomen.
Pain in inguinal regions.
Swelling and great sensitiveness of one inguinal gland.
Herpetic eruption in groins.
Glandular swellings in groins.

Stools and rectum

Excessive discharge of flatus.
Frequent discharge of offensive flatus, with distension of abdomen.
Stools brown, fluid, mixed with undigested substances, and of an intolerable fetor.
Thin, scalding stools, light brown.
Diarrhœa, almost without colic, followed by great prostration, of short duration.
Watery stools.
Mucous diarrhœa.
Continuous soft stools of too small a size.
Chronic softness of stool.
Stool pasty, like mud, adhering to vessel.
A quantity of white mucus is expelled with the stool, or the hard feces are covered with slime.
Stools knotty, the lumps being united by mucous threads ; even after stool there is still mucus coming from anus.
Much inclination to stool ; though not hard, still it is evacuated with much exertion, on account of total inactivity of rectum.
Constipation ; stool large, knotty.
Feces very large and difficult of passage.
Hard stool, with much urging and sticking in anus.
Constipation from hardened stool or from inactivity of bowels ; stools knotty and large.
Obstinate constipation and delayed menstruation occur together.
Hard, lumpy stool, with slime and blood. θ Hemorrhoids.
Sensation of heaviness in abdomen ; chronic constipation with hardness in region of liver ; hard, knotty stool, with pain in hemorrhoids and discharge of mucus and blood ; prolapsus of rectum without any urging to stool, as if anus were paralyzed ; menses late ;
thin, watery leucorrhœa.
Constipation with dryness of mucous membrane of rectum and fissure of anus.
Constipation in women who are inclined to erysipelatous inflammation and ulcerative processes of lower extremities on a rheumatic basis, and who are of a timid, morose and dejected disposition.
Constipation in subjects of herpetic diathesis or with scrofulous cachexia ; in hypochondriacal subjects with marked abdominal symptoms.
Constipation ; menses irregular ; a cough and a fixed pain in left side, just above cardiac region ; she was dejected and had lost her natural vivacity and spirits.
Stools : rarely diarrheic and then usually painless : purging and vomiting, with icy-cold sweat ; insufficient ; hard, lumpy, with slime and blood.
Sour-smelling stool with burning at rectum.
Stools very thin, like a round worm.
During stool : burning in rectum ; tenesmus.
With the stool discharge of a little blood ; of tape-worm.
After stool : smarting and soreness in anus ; much mucus remains about anus ; great but transient prostration.
Prolapsus of rectum with its hemorrhoids, even without urging to stool, as if anus had lost its contractility and was paralyzed.
Easy prolapse of rectum, as though parts had lost their tonicity ; it becomes prolapsed without even a desire for stool.
Discharge of mucus from rectum.
Piles of twelve years' duration, with frequent attacks of hemorrhage, which caused anemia ; she was daily getting weaker from loss of blood and restless nights ; pulse low and feeble ; rectum partially prolapsed with two filbert-shaped piles,
as large as little finger, knotty and fissured, from which a sanious fluid oozed with an odor like that which is characteristic of cancer.
Hemorrhoids of rectum, with burning rhagades at anus.
Hemorrhoids, with pain on sitting down, or on taking a wide step as if split with a knife, also violent itching, and very sore to touch.
Varices feel very sore after an evacuation ; painful burning fissures between varices.
Large hemorrhoidal tumors.
Fissura ani ; severe, sharp, cutting pain during stool, followed by constriction and aching for several hours, < at night.
Severe pain during evacuation, sharp, cutting, followed by constriction and aching for several hours, and especially severe at night. θ Fissures of anus.
Burning and bleeding during stool ; pressure and burning and sharp, cutting stitches in anus ; soreness at anus, and smarting on contact ; bleeding from rectum, with sharp, stitching pains ; prolapsus ani, with sensation as though sphincter had lost its contractile
power and was paralyzed. θ Fissures of anus.
Hemorrhoids in anus, causing burning.
Swelling of anus.
Cutting and stitches in anus.
Smarting, sore pain in anus on wiping it.
Itching of anus.
Tape-worm.

Urinary organs

Cutting and downward pressure in both kidneys before urinating.
Anxious pressure in bladder, with sudden desire to urinate, but scanty emission.
Frequent urination, particularly at night.
Urging to urinate, with scanty discharge.
Urging to urinate, with dribbling after the usual discharge.
Urine clear, but after four or five hours, covered with an iridescent film.
Urine becomes turbid and deposits a white sediment.
Urine becomes very turbid after two hours, with reddish sediment ; biting in urethra while passing it.
Urine : dark brown ; fetid ; sour.
Stitches or smarting in urethra when urinating.
Urinary troubles, with burning in urethra between acts of micturition.
Very thin stream of urine, as if urethra were contracted.
Pain in sacrum or coccygis when urinating.
Nocturnal enuresis.

Male sexual organs

Uncontrollable sexual excitement ; violent erections.
Voluptuous irritability of genitals.
Tension and lascivious feeling in genitals.
Revival of sexual desire and fantasies.
Pollutions with weakness and pain in sacrum ; neuralgic pains in back of neck.
Seminal emissions at night, with flaccid penis ; they wake him, but no voluptuous feelings ; sensation of great weakness in genitals ; costiveness ; from previous sexual abuse.
Emissions with amorous dreams.
Sexual weakness, consisting of lively desire with incomplete erection and too rapid or too early discharge of semen, such as sometimes follows the habit of masturbation, acquired in boyhood and abandoned early.
Almost involuntary emission, without much erection, during an embrace.
Sexual debility from sexual abuse.
Decided aversion to coition.
Impotence, with dislike to coition.
Want of proper sensation during coition.
Painful cramps in calves during an embrace.
No ejaculation follows coition in spite of every exertion.
After an embrace coldness of legs, exhaustion, heat of body and perspiration.
Dropsical swelling of prepuce and scrotum.
Herpetic eruptions on penis.
Prepuce swells to a large water blister without pain.
Vesicular eruption on prepuce.
Testes swollen.
Hydrocele (l. side), herpetic eruption on scrotum, in groins, or on lower extremities either preceding or accompanying the disease, or when arising from suppression of cutaneous disease.
Itching and moist eruption on scrotum.
Itching on scrotum.
Gonorrhœa.
Stricture of urethra with sudden arrest of flow, then oozing of snuff-colored slime in a long thread, or, instead, a few drops of bloody water ; after micturition sudden peremptory urging near glans, or seems to run back when costive.
Gluey, sticky discharge at meatus urinarius, blocking up urethra. θ Gleet.

Female sexual organs

Great aversion to coitus.
Enlarged ovaries, which become more tender and more enlarged every time she takes cold or gets her feet damp.
Swelling and hardness of ovaries after menses.
Tearing, grinding, twisting pains in right ovary, as if it would burst, before or during menses.
The indurated left ovary swells and becomes very hard ; violent pains on touch, respiration or hawking, when violent stitches shoot into it ; profuse general sweat ; continual loss of sleep.
Tumors, size of an orange, in right iliac fossa, also similar one in left ; both hard, round, slightly movable ; not painful to pressure, nor producing inconvenience from weight.
Bearing down pain in uterus to back, with weakness and sickness. θ Dysmenorrhœa.
Pain in uterus when reaching high with arms.
Os uteri standing backwards, can only be reached with difficulty.
Cauliflower excrescences ; cancer uteri ; severe lancinating, stitching pains through uterus down to lower extremities ; heaviness of abdomen with increased pain when standing.
Hot and painful vagina ; swelling of lymphatic vessels and mucous follicles ; neck of uterus hard and swollen, with tuberculous nodes and cauliflower excrescences ; great weight in abdomen on rising, with fainting sort of weakness and < of pains ; delaying menses,
with < of pains shortly before and at appearance of menses ; discharge of black, lumpy, fetid blood ; stitches shooting through abdomen as far as thighs ; burning and stitching pains ; constipation ; livid complexion ; sad and anxious mood. θ Cancer
uteri.
Bearing down pain in womb, with weakness and sinking ; pain over eyes ; pain in middle of breast, with cough, scraping, rawness and soreness. θ Dysmenorrhœa.
Retarded, deficient menstruation ; discharge watery, thin, and in small quantities ; pulse thin ; constitution feeble ; sick headache, with pain over eyes and numb pain from sacrum down legs ; cold hands and feet ; acne solare in face. θ Dysmenorrhœa.
After mental trouble during menstruation suffered for five years from dysmenorrhœa.
Great emaciation with paleness of face ; terrible pain in small of back and abdomen, which compel her to stay in bed ; for next five days constant discharge of coagula with continuous cramps, so severe that she cries out aloud with
pain ; want of appetite ; stools scanty and painful ; spasmodic urination.
Dysmenorrhœa with severe and obstinate megrim.
Menses delayed, scanty, thick and dark, or else serous pale blood, with griping and abdominal spasms, headache, nausea and pain in chest.
Occasional show of menses which are very pale and very scanty, with abdominal pains and pains in limbs ; swelling of hands and feet.
Menses : too scanty and too pale ; too late, with violent colic ; irregular, lasting only for a few days ; blood dark ; delayed from getting feet wet.
Menses very irregular, appear after 8 or 10 weeks, are very scanty and last but a short time ; discharge pitchy black ; constant pressing headache ; cutting, bearing down pains in hypochondria and hips ; backache ; swelling of abdomen and of upper and lower
limbs, with sensation of numbness, crawling and stitching, as if they were asleep ; chilliness ; coldness of hands and particularly of feet ; rapid obesity.
Sensation of lassitude, heaviness and tiredness ; small, round, red, itching, herpetic patches on forearms, neck and throat.
Menses too late and scanty, sometimes black, often pale, with stitches, burning and dryness of vagina.
Scanty menses with congestion to brain.
Scanty catamenia preceded by menstrual colic. θ Gastralgia.
Menses keep postponing, discharge scanty and pale.
Menses suppressed, with weight in arms and legs.
Suppression of menses, with heaviness of limbs and congestion of blood to head.
Eruptions appear during menses.
Non-appearance of menses for five months ; severe congestion to head and chest, with dark redness of cheeks, anxiety and oppression of chest when lying down.
Tendency to spasms ; menses have not appeared for six months ; chronic catarrh of stomach, with frequent eructations ; frequently feels faint, with partial loss of senses ; os uteri standing backwards, and can only be reached with difficulty.
Young woman, chlorotic, irregular menses ; became pregnant, recovery after labor very slow ; œdema of eyelids, vulva and abdominal walls ; menses very late, pale and scanty ; yellowish tint of skin ; vagina cold ; abdominal walls thick, doughy, pitting on
pressure ; great aversion to coitus.
Lassitude and heaviness in lower extremities, and chronic hoarseness, a forerunner of tuberculosis ; no menses for three months.
Menostasis.
Anemia, with dryness of vagina.
First menses delayed.
Instead of regular period has leucorrhœa and suffers with constipation ; has grown very fat ; as a child had tettery eruption on both forearms, of which, however, no trace is left.
Œdema pedum from amenorrhœa.
Before and during menstruation fatiguing cough.
Before and during menses cough throughout day, fatiguing chest ; no cough at night.
Leucorrheic discharge occurs in gushes day or night.
Pain in epigastrium during catamenia, as if everything would be torn to pieces, with labor-like pains ; persistent and stinging toothache. θ Dysmenorrhœa.
During menses : dry cough and profuse sweats, morning sickness, swelling of feet and painless swelling of face ; hoarseness, violent coryza and catarrhal fever ; colic ; violent headache with nausea ; morning sickness ; chaffing between legs ; swelling
of feet ; chilliness ; pain in varices ; hoarseness with dry cough, headache evenings ; painless swelling of cheeks ; colic-like labor pains ; backache ; heat in abdomen ; urging, pressing, like labor pains ; itching in abdomen ; weakness in
feet, that she cannot walk ; pain in abdomen ; growing dark before eyes.
After menses, jerking in arms ; at other times ; pain below navel, as if intestines were torn ; lying upon right side, pain is in left, and vice versa ; reaching with arms high, pain in region of womb ; constipation.
Lassitude and weakness with the catamenia.
Morning sickness of pregnancy or during menses.
Vagina cold. θ Chlorosis.
Biting or smarting in vagina.
Vesicles or excoriations in vagina. θ Pruritus.
Itching, smarting, painful vesicle on vulva ; itching pimples on vulva.
Itching vesicles and pimples on labia, which smart and are painful ; painless pimples on inside of labia.
Painful pressure towards pudenda.
Itching of pudenda before menstruation.
Excoriations in perineum, vulva and between thighs.
Soreness between thighs, near pudenda, during menstruation.
Feeling of external irritation at genitals as if the parts were swollen.
Œdema of pudenda. θ Chlorosis.
Acrid, excoriating leucorrhœa, in gushes, day and night, before and after menses.
Profuse leucorrhœa, with weakness of back and sacrum, when walking and sitting.
Yellowish-white leucorrhœa, excoriating skin ; uterus indurated, swollen and sore ; straining in anus, with protruding piles, and bearing down in bowels long after an evacuation.
Leucorrhœa ; profuse, perfectly white, especially on rising in morning ; weakness of back when walking or sitting, with distension of abdomen, and painful pressure towards pudenda ; discharges occur in gushes day and night ; turbid
urine ; frequent micturition, especially at night ; difficult stool ; great lassitude.
Copious, thin leucorrhœa, causing a biting, smarting sensation in vagina.
During climaxis : cardialgia ; gastric catarrh.
Tendency to obesity. θ Uterine complaints.

Pregnancy. parturition. lactation

Large and corpulent women of venous constitution, who are subject to tettery eruptions, which itch and emit glutinous fluid.
Labor pains weak or have ceased entirely.
Nipples painful and cracked.
Sore nipples of nursing women, end of nipple cracked and fissured, exuding a limpid serum.
Hard cicatrices remaining after mammary abscess, retarding flow of milk.
Cancer of mamma, from old cicatrices, which had remained after repeated abscesses.

Voice and larynx. trachea and bronchia

Voice : impaired ; not clear, in singing ; cracked, in singing.
Hoarseness in evening. θ Coryza.
Chronic hoarseness.
Soreness and roughness of larynx, with tickling cough.
Laryngeal region sensitive to touch.

Respiration

Respiration has a dry sound.
Constriction of chest, as if about to suffocate when falling asleep.
Constriction of the chest, as if too narrow.
Suffocative paroxysm at night, awakens him out of sleep, usually after midnight, must quickly jump out of bed, hold himself firmly to something, and quickly eats whatever is on hand, which gives relief ; very hoarse cough. θ Asthma
spasmodicum.
Cough, caused by taking a deep inspiration in evening and at night.

Cough

Cough : caused by deep inspiration ; loose, from tickling deep in chest.
Cough at night.
Whooping-cough with strangling, red face, watery eyes ; strains all over ; sometimes wind comes from anus ; raises phlegm ; morning much hard coughing, throat feels full of gurgling mucus ; impudent, teasing ; laughs at
reprimands ; several hard straining small stools daily.
Expectoration : salty ; day and evening.

Inner chest and lungs

Cramps of chest.
Pains in chest.
Pain in middle of chest, with cough, scraping, rawness and soreness.
Raw pain in chest, like raw flesh.
Stitching pains in chest.
Stitches in chest and palpitation of heart from least exercise.

Heart, pulse and circulation

Region of heart : constriction ; pressure ; stitches.
Sensation like an electric shock, from heart toward front of neck.
Strong pulsation of blood in whole body, but especially about heart, < by every motion.
Palpitation of heart ; with anxiety ; with nosebleed.
Pulse full and hard, somewhat accelerated in morning, slow during day and evening.

Outer chest

Stinging in fleshy part of chest.
Pimples and herpes on chest.
Zona on left side, with pain in thoracic muscles on motion.
Itching vesicles and restlessness at night.
Perspiration on sternum every morning.
Nipples painful and cracked.
(In sick :) Aching soreness and bleeding of male nipples.
Soreness of nipples, with small, corrosive blisters or ulcers, oozing a limpid serum, or a thick, glutimous fluid, which forms a crust that is removed by nursing, when the same formation again occurs, and so on ; disposition to fissure and crack.
Small bluish blisters on nipple, with fluid discharge.
Threatened suppuration, when breasts are marked with many cicatrices from former ulcerations.
Hard scars remaining after mammary abscesses.
Mammary cancer developed from old cicatrices formed from repeated abscesses in mamma.

Neck and back

Pain in nape of neck.
Stiffness of back of neck ; also with headache.
Glands on side of neck down to shoulder, swollen and painful when bending neck to one side, or lying upon it ; as if tense and stiff.
Glandular swellings on left side of neck.
Painless swollen glands on side of neck.
Small boils on neck, back and arms.
Eruption on nape of neck dry, peeling in fine, mealy scales, without itching.
Chronic eruption on scalp and nape of neck ; falling out of hair ; dandruff ; terrible itching and burning ; skin on nape of neck hard, nodulous and rough ; habitual constipation ; in a woman past climacteric age.
Small of back aches, as if bruised or broken.
Pain in small of back, as if broken, especially on touching ; pressing, grasping and twitching, with sensation in arms and feet as if they were turned outward.
Tabes dorsalis, especially in women, with great weakness in legs and back, palpitation ; dulness of sense ; numbness or torpor of genital organs and pains in chest.
Contracting pains in back.
Weakness in back and loins on walking ; back aches.
Sacral pains, with sensation of crawling and stitching.
Numb pain, from sacrum down legs.
Dull drawing in coccyx in evening.
Pain in os coccygis while urinating.
Violent itching of coccygeal region, the part becoming moist with scurfy formations.

Upper limbs

Shoulder and neck painful.
Tearing in left shoulder-joint, on moving arm.
Rheumatic or burning pains, especially in left shoulder.
Violent sticking in left shoulder.
Burning pressure beneath armpit.
Right upper arm sore, tender and swollen.
Arms feel "asleep".
Jerking in arms.
Herpes circinatus hard to touch and wrinkled looking, itching terribly, in bend of elbow.
Cramp in hand.
Tearing in hands like rheumatism.
Left hand numb and dead, with formication extending up arm.
Horny callosities in hands.
Skin of hands hard and cracked.
Eczema upon back of left hand ; commencing in a small place with vesicles ; spreads, forms crusts, and finally fissures, especially upon knuckles of first phalanges.
Gouty swellings of fingers ; in joints.
Raw, moist places between fingers.
Constant chafed soreness between fingers.
Pain in thumb-joint, as if sprained.
Rheumatic pressive tearing in first joint of right thumb.
Vesicle on little finger itches, suppurates and discharges much matter, with burning and sticking, which, like the suppuration, continues a long time.
Finger-nails black and rough, matrix inflamed, with soreness, throbbing and numbness, no suppuration ; < from water.
Finger-nails become thick.

Lower limbs

Smarting soreness between nates.
Eruption over nates and posterior part of thighs ; no diffused redness, but numerous small, brown scabs, with slight moisture ; occasional paroxysms of itching ; troublesome at night ; some small, red, itching spots on arms.
Painful soreness between pudendum and thigh, covered with pimples, vesicles and ulcers.
Red, raw spot like a tetter on upper part of thigh, opposite scrotum, itching somewhat in morning.
Painful soreness between upper part of thighs near genitals.
Pains extending from pudenda to thighs.
Soreness high up between thighs, during and after walking.
Tearing or bruised pains in thighs.
Numbness of thighs.
Ulcers on lower limbs, with acrid pus, dryness of skin and constipation.
Restlessness in legs.
Heaviness of legs.
Legs and feet heavy and swollen ; she thought her feet must burst.
Swelling of legs, even while lying in bed.
Great œdema of limbs, chiefly lower, which are very large, with profuse, constant, watery exudation from skin below knees, epidermis exfoliated. θ Ascites.
Bruised pain in knees.
Stiff feeling in hollow of knee, as if tendons were too short.
Tetters in hollow of knee.
Jerking in all the muscles of left calf.
Cramp in calves.
Weakness of feet, cannot walk.
Sometimes feet are icy-cold, again quite burning.
Cold feet in evening in bed.
Coldness of dorsum of foot.
Feet sweat profusely (not so offensive as under Silica), but moderate walking causes soreness between toes, so that the parts become raw.
Profuse sweat on feet ; they begin to smell.
Ulcers on feet, form purulent pustules, always inflamed and very painful.
Callous ulcers of the feet.
Œdema pedum, with solitary itching papula ; erysipelatous redness of face ; menses scanty.
Œdema pedum from amenorrhœa.
Rheumatic tearing in feet and toes.
Burning of heels with crawling, especially in morning in bed.
Stitches in heel, when putting it down.
Gouty tearing in toes.
Stiffness and contraction of toes.
Ulcers, or spreading blisters on toes.
Horny skin on toes.
Sore pains of corns. θ Lung disease.
Thick and crippled toe-nails.
Hypertrophied nail of left big toe ; it was formed almost like a horn, and so hard, that only by repeated and long-continued operations with a file, it could be diminished.
Pain in nail of great toe.
Ingrowing toe-nail.

Limbs in general

Drawing pains in limbs.
Tearing pain in feet and hands ; in all the limbs.
Falling asleep of arms and legs while sitting ; while walking, crawling in them.
Limbs go "to sleep".
Weakness of all the limbs.
Startings of hands and feet.
Heaviness in limbs.
Paralyzed sensation of all the limbs.
Hands and feet either hot or cold.
Limbs drawn together, crooked, from bones being bent.
Back of both forearms and dorsum of hand covered with corroding, herpetic exanthema, consisting partly of a kind of cortical crusts, partly of red fissures, looking like raw meat, partly of elevated islets ; the exanthema was spreading and painfully itching,
especially at night ; discharge of turbid matter and acrid water ; lips and skin of fingers fissured ; upper arm nearly free ; on lower extremities flexors are affected, and especially bend of knee and external surface, with same discharge and same burning itching, which
becomes < when eruption is dry ; < during fall ; > during summer ; pale, slightly œdematous face ; sluggishness of all secretions and excretions ; spontaneous fissures in skin ; cannot bear damp atmosphere ; when a youth had measles, and in
consequence of bathing too soon had paralysis of face ; mouth drawn sideways ; cannot close left eye, which looks smaller than right.
Eczema chronic on dorsal region of both forearms and hands, and on bends of knees and calves of legs ; eruption composed partly of thick crusts and partly of a raw surface, with deep rhagades, constantly secreting eczematous fluid ; intolerable itching, < at night and from
warmth of bed ; lips chapped, fingers full of rhagades ; face pale, bloated ; bowels torpid, constipated ; all < in damp and wet.

Rest. position. motion

Obliged to lie down : vertigo headache.
Pains in back compel her to stay in bed.
Inclination to sit down.
Lying in bed : swelling of legs, soreness from.
Lying down : > crampy, spasmodic, clawing pain in stomach ; on left hypochondrium, pain < ; anxiety and oppression of chest.
Lying on neck : causes pain.
Lying : on right side, pain in belly, in left ; lying upon left pain in right side. θ Between catamenial periods.
While sitting : falling asleep of arms and legs.
Sitting down : pain in hemorrhoids ; profuse leucorrhœa ; weakness of back.
Stooping : during and after, vertigo ; everything turns black before eyes ; saliva runs from mouth.
Standing : < pain with heaviness of abdomen.
Looking upward : vertigo.
Putting down heel : causes stitches.
Bending neck : causes pain.
Stiffness on first beginning to move.
Motion : causes pain in thoracic muscles.
Motion during eating, talking, laughing or yawning : brings on attacks of convulsions of left side of body.
Every motion : < strong pulsation of blood ; causes sweat.
Least exertion : stitches in chest and palpitation of heart.
Rising : from bed feels as if drunken ; < crampy pain in stomach ; weight in abdomen.
Moving jaw : cracking in ear.
Walking : eructations ; profuse leucorrhœa ; weakness in back and loins ; soreness high up between thighs during and after ; causes soreness between toes.
Every step makes reverberations in ear.
Reaching high with arms : pain in uterus.
Child throws itself back and straightens body.

Nerves

Tremulous sensation through whole body.
Tired feeling ; lassitude ; inclination to sit down.
Amazingly weary and sleepy.
Debility, without pain, compelling him to groan.
Frequently feels faint, with partial loss of senses.
Weak exhaustion of whole body.
Sudden sinking of strength.
Binding, constricting pain in different parts, especially in gastric region ; sensation of lump in stomach, with constant beating as of two hammers ; great desire to vomit ; feels so tired that death would be a relief ; hates to be addressed, or to work, feels
indifferent to everybody and everything ; constant chilliness as if skin were tightened over body ; great anguish before menses ; obstinate constipation.
Full of spasms. θ Amenorrhœa.
Contractions of muscles.
After local treatment of erysipelas, twitching of eyelids, which gradually spread to muscles of left side of face, and in course of two years developed into general convulsions of whole left side ; any motion during eating, talking, laughing or yawning, brought on an attack which
often lasted a quarter of an hour.
Cataleptic condition ; conscious, but without power to move or speak.
Numbness and deadness, with coldness of fingers of both hands, extending as far as middle of upper arm ; coldness and numbness of face, < left side ; great vertigo and blindness, with prostration of strength ; face pale and haggard ; much emaciation without
perceptible cause ; both kidneys sore, with ischuria. θ Paralysis.

Sleep

Constant yawning, with bloatedness of gastric region.
Inclination to stretch, without being able to satisfy it sufficiently.
Excessively tired and sleepy.
Sleepiness : during day, must lie down ; after dinner.
Perspiration about head, when falling asleep.
Night-sweat.
Constant talking during sleep.
Wetting the bed at night while asleep.
Wakens at night with a suffocative attack.
Bleeding from nose at night.
Light slumber or unrefreshing sleep ; starting ; wandering fancies.
Nightly pains felt in sleep.
Stupid morning sleep.
Cannot go to sleep till late.
Unable to fall asleep before midnight on account of a fixed idea.
Sleepiness.
Great sleepiness by day, goes to sleep early in evening, but during night there is wakefulness, tossing about, heat and anxiety ; dreams anxious and terrifying ; at last sinks into a profound and dull morning sleep.
Great agitation at night ; anxious, frightful dreams.
Sleep disturbed by dreams.
Numerous dreams, with distorted images.
Disturbed sleep.
Dreams : vivid ; anxious ; horrible ; vexations ; about fatal accidents.

Time

Morning : full of fear ; confusion in head ; feels as if drunken when rising from bed ; vertigo ; semilateral headache ; headache ; pressing pain in eyes ; eye red and agglutinated ; lying in bed cracking in ear ;
nose-bleed ; saliva runs from mouth ; dryness of mouth ; violent thirst ; qualmishness ; much mucus in throat ; nausea ; pressure at pit of stomach ; much hard coughing ; accelerated pulse ; perspiration on sternum ; itching in spots on
thigh ; burning of heels with crawling ; stupid sleep ; chilliness.
At 9 or 10 A. M. : child cannot open eyes.
Till noon : headache on vertex and nape of neck.
Forenoon : pressure in pit of stomach.
Afternoon : child acts as if it had pain ; rush of blood to head.
At 4 P. M. till evening : chill.
At 5 P. M. : chilliness and coldness of whole body.
During day : trembling ; cough ; leucorrhœa ; salty expectoration ; slow pulse ; must lie down ; great sleepiness.
Evening : vertigo ; sees fiery zigzags around outside of field of vision ; pressing pain in eyes ; cracking in ears when eating ; nosebleed in bed ; had to cry out on account of tearing in zygoma ; hoarseness ; paroxysms of pain from accumulation
of gas ; headache ; cough ; salty expectoration ; slow pulse ; dull drawing in coccyx ; cold feet in bed ; goes to sleep early ; heat.
Night : thoughts prevent sleep ; agglutination of lids ; nosebleed ; toothache < ; pains in throat like a plug ; pressure at pit of stomach ; pain in fissura ani ; after an evacuation sharp cutting followed by constriction and aching for several
hours ; frequent urination ; seminal emissions ; leucorrheic discharge ; frequent micturition ; suffocating paroxysm ; cough ; itching vesicles and restlessness at night ; itching troublesome ; painful itching of exanthema on back of forearms and
dorsum of hand ; wakens with a suffocating attack ; pains felt in sleep ; unable to fall asleep before midnight ; wakefulness ; great agitation ; heat, with scrofulous affections of bones.
After midnight : profuse perspiration lasting till morning ; dry heat.

Temperature and weather

Open air : sweat on head when walking ; lachrymation ; fluent coryza < ; chill > Warmth : tearing pain in teeth < ; > crampy pain in stomach ; > scrofulous affection of bones.
Warmth of bed : < itching.
Warm drinks : pain in stomach > ; pain in hepatic region >.
Wind : while walking, drawing pain in molars.
Water : inflamed matrix <.
Bathing after measles : paralysis of face.
Washing : scurf disappears ; feels < after.
Wet feet : delayed menses.
Damp, wet atmosphere : < symptoms.
Cold drinks : stinging toothache ; pain in stomach <.
Cold air : very sensitive to ; fluent coryza < ; scrofulous affections of bones <.

Fever

Chilliness in morning, in bed.
Shaking chill every day, in evening ; after an hour, hot face and cold feet without subsequent sweat.
Chill in evening, with headache and tearing in limbs, great thirst and profuse perspiration after midnight, lasting till morning.
Chill and chilliness, most in evening.
Chill from 4 P. M. till evening.
Chilliness and coldness of whole body at 5 P. M., with icy-cold feet.
Child < after meals, > after drinking, > in open air.
Sometimes feet are icy-cold, again quite burning.
Flushes of heat.
Violent febrile chilliness morning and evening, the heat followed by sweat.
Dry heat every evening and night, lasting till morning, with headache on vertex and in nape of neck till noon.
Heat evening and night ; with restlessness ; unable to sleep, or remain in bed on account of it.
Hands and soles of feet hot and burning.
Heat when riding in a carriage.
Sweats from slightest motion.
Sweat often on front of body only.
Sweat on front of body and centre of chest (sternum).
Sweat stains yellow, is sour and offensive smelling, and frequently cold.
Fetid sweat.
Profuse sweat on feet ; they swell and become sore.
Profuse night-sweat.
Entire inability to sweat.
Type : quotidian ; double quotidian.
Time : 6 or 7 A. M. ; morning in bed ; afternoon, 4, 5, 6, 7, 8 P. M.
Glands are affected, along with hectic ; discharge gluey ; chills and fever (P. M.) ; cold feet ; hot, red face or pale face ; sweat absent, or else offensive. θ Irritable
fever.

Attacks, periodicity

Recovery from one attack quickly followed by another.
At times : neuralgia of face.
Attacks of convulsions last quarter of an hour.
Periodical attacks : of fluent coryza of short duration with continual stoppage and breathing through mouth.
Daily : small stools.
Every morning : violent febrile chilliness.
Every evening : shaking chill ; chill with headache and tearing in limbs ; violent febrile chilliness ; dry heat.
Every night : eyelids stick together ; violent roaring in ears ; pinching pains in stomach ; rooting pain in chest.
During Summer : discharge and burning of eruptions >.
During Fall : discharge and burning eruption on limbs <.
During full moon : ears feel stuffed.
One hour after chill : hot face, cold feet.
For several hours after a meal : qualmishness.
For five days : constant discharge of coagula.
Eight or ten weeks : menses appear.
Five months : non-appearance of menses.
Six months : menses have not appeared.
In two years : twitching of face developed into convulsions of whole left side.
Five years : dysmenorrhœa.
Twelve years' duration : piles.
Fifteen years' duration : eczema squamosum.

Locality and direction

Right : lancinating pain in temple ; moist eruption behind ear crept gradually upwards on side of scalp ; pustules of eye ; tearing, grinding, twisting pains in ovary ; tumor in iliac fossa ; lying upon right side pain is in left ; upper arm
sore ; rheumatic pressive tearing in first joint of thumb.
Left : stitches in temple ; pain from temple down side of face to shoulder ; corner of mouth drawn inward and downward ; numbness on side of head ; hand becomes numb ; crawling into arm ; pustules on lower borders of corner of eye ; lower lid hangs
down ; as if ear was filled with water ; moisture behind ear ; erysipelatous redness upon cheek ; tearing in zygoma ; pain from temple down side of face to shoulder ; corner of mouth drawn downward and inward ; lower eyelid hangs down ; sore pain on
side of tongue when moving it ; as though he had to swallow over an elevation on side of throat, with scraping in it ; pain is to left of stomach ; burning in hypochondrium ; burning in small spot on side of abdomen ; pain in side of belly ; stitches in side of
abdomen ; fixed pain in side just above cardiac region ; hydrocele (l. side) ; herpetic eruption on scrotum ; tumor in iliac fossa ; lying upon left side pain in right ; zona on side ; glandular swellings on side of neck ; tearing in
shoulder-joint ; rheumatic pain or burning in shoulder ; violent sticking in shoulder ; hand numb and dead ; eczema on back of hand ; jerking in all muscles of calf ; hypertrophied nail of great toe ; cannot close eye on account of paralysis ;
twitching of muscles of side of face ; convulsions of whole side ; coldness and numbness of face < on side ; circular herpes at bend of elbow.

Sensations

Great sensitiveness of internal parts.
Numbness in various parts.
Drawing pain in whole body.
As if drunken when rising from bed ; pain as if constricted in occiput extending to nape of neck, which pains as if broken ; as if head were numb and pithy ; as if skin of forehead was drawn into folds ; humid eruption as if suppurating ; sensation of
foreign body in throat ; throat feels as if ulcerated ; as if air penetrated Eustachian tube ; a sound in vertigo like ticking of a watch ; as if l. ear were filled with water ; as if a skin were before ear ; as if hard body as large as an egg were behind
ear ; as of a cobweb over face ; papillæ of tongue sensitive as if it were rubbed against teeth ; as though food had to pass over a lump in throat ; throat as if full of gurgling mucus ; sensation on left side of throat as though he had to swallow over an elevation,
as if he were choking ; as if food would not go down ; as if food filled him to the top ; sensation of lump in stomach with beating as of two hammers ; as if everything would be torn to pieces during menstruation ; as if intestines were torn ; croaking, as of
frogs, in abdomen ; full abdomen as from accumulation of wind ; incarceration of flatus ; as if arms were paralyzed ; hemorrhoids as if split with a knife ; as if sphincter had lost its contractile power and was paralyzed ; as if urethra were contracted ;
as if right ovary would burst ; as if everything would be torn to pieces during catamenia ; as if genitals were swollen ; constriction of chest as if about to suffocate ; chest as if too narrow ; like an electric shock from heart to front of neck ; glands of
neck tense and stiff ; small of back aches as if bruised or broken ; in arms and feet as if they were turned outward ; arm feels "asleep ;" pain in thumb-joint as if sprained ; she thought her feet must burst ; as if tendons of knees were too
short ; sensation of lump in stomach ; as if skin were tightened over body ; itching as though fecal matter would pass through skin ; nails as if ulcerated ; itching as if she must tear with her nails.
Pain : from left temple down side of face to shoulder ; in head ; in lumpy patches on vertex ; in eczema ; from left temple down left side of face to left shoulder ; in ulcer on lower surface of tongue ; in vesicles ; in nodules on lower jaw ;
when swallowing ; in throat ; in stomach ; in hepatic region ; on left of stomach ; in upper abdomen ; below navel ; in belly ; in inguinal region ; in hemorrhoids ; in sacrum ; in coccyx ; in uterus when reaching high with
arms ; over eyes ; in middle of breast ; in chest ; in limbs ; in epigastrium ; in varices ; in pimples and vesicles, on vulva ; in nipples ; in chest ; in thoracic muscles ; in nape of neck ; in glands of neck ; os coccygis
while urinating ; in shoulder and neck ; in thumb-joint ; in ulcers on feet ; in nail of great toes ; in periosteum.
Terrible pain in small of back and abdomen.
Violent pain in head ; in left ovary.
Intense headache.
Great anguish before menses.
Very painful tearing in left zygoma.
Tearing : in forehead ; in one side of head ; in teeth ; glands of throat ; in teeth and gums ; in right ovary ; in left shoulder joint ; in hands ; pains in thighs, in limbs ; in feet.
Gouty tearing in toes.
Lancinating : in right temples ; in eyes ; through uterus down to lower extremities.
Severe, sharp, cutting pain during stool.
Cutting stitches : in anus.
Stitching : in upper and lower limbs ; in sacrum.
Cutting pains : in hypochondria ; in both kidneys.
Ulcerative pain in throat.
Pinching pain : in stomach.
Stitches : from temple through eye to inner canthus ; in ears ; in both hypochondria ; in left side of abdomen ; in urethra ; in left ovary ; shooting through abdomen ; in vagina ; in chest ; in region of heart.
Transient stitches : in left temple.
Stitching pains : in temples ; in anus ; through uterus down to lower extremities ; through abdomen ; in chest ; in fleshy part of chest.
Stitching pains : in eyes ; in teeth ; in gums ; in left shoulder ; in vesicle on little finger.
Stinging pains : in temples ; on cheeks ; both sides of face ; in upper lip ; in teeth ; in old ulcers.
Violent colic.
Gnawing pain : in bones of forearm.
Severe cramps : in abdomen.
Griping : in stomach ; in abdomen.
Cramp pain : in legs ; in stomach ; in varices.
Labor-like pains : during catamenia.
Cramp : in stomach ; in lower abdomen ; in calves ; in chest ; in hand.
Constant cramp : in throat.
Spasmodic pains.
Bearing down pains : in hypochondria ; in hips ; in uterus to back ; in womb ; in bowels.
Colic : after eating.
Neuralgia : of face ; in back of neck.
Twisting pain, in right ovary.
Clawing pain : in stomach.
Digging pains : in abdomen.
Rooting pain : in chest.
Drawing pain : in molars ; in limbs ; in thigh bones ; in forehead ; from eyes up into head.
Tensive pain : beneath ears.
Fixed pain : in left side, just above cardiac region.
Twitching : in arms ; in feet ; in eyelids ; of muscles of left side of face.
Starting : of hands and feet.
Throbbing : in sides of head ; in matrix.
Grasping : in arms and feet.
Bursting : in forehead.
Burning : round spot on top of head ; in eyes ; around eyes ; on cheeks ; both sides of face ; of lips ; in blisters on lower side and tip of tongue ; in stomach ; in left hypochondrium ; in a small spot on left side of abdomen ;
through abdomen ; of vagina ; of scalp and nape of neck ; in vesicles on little finger ; of heels, hands and soles of feet ; in small red pimples ; in fissures between varices ; in shoulder ; in old cicatrices.
Burning pressure : beneath armpit.
Rheumatic pressive tearing : in first joint of right thumb ; in feet and toes.
Binding, constrictive pain : in gastric region ; in different parts.
Constrictive headache : in occiput ; pain in stomach.
Constrictive pain : below umbilicus ; in back.
Aching : in eyes ; in male nipples.
Pressive pain : in vertex ; in occiput ; in head ; in eyes ; in teeth ; from incarcerated flatus towards groins and anus ; in head.
Pressure : deep in forehead ; in lids ; in stomach ; in pit of stomach ; in anus ; in both kidneys ; in bladder towards pudenda ; in region of heart ; in abdomen ; in arms and feet.
Raw pain : in chest.
Numb pain : from sacrum down legs.
Sickening, painful feeling : at pit of stomach.
Violent sore pain : in spots on vertex.
Painful soreness : between pudenda and thigh ; between upper part of thighs near genitals ; of corns.
Soreness : of larynx ; of lips ; on left side of tongue ; in arms ; of breast ; between thighs ; of male nipples ; of right upper arm ; between fingers ; of matrix ; between nates ; between toes ; in both kidneys ; in
nose.
Smarting : in eyes ; in urethra ; between nates ; in vagina.
Biting : in eyes ; in eyelids ; in urethra while urinating ; in vagina.
Bruised feeling : in scalp ; in thighs ; in knees.
Sensitiveness : of one inguinal gland.
Oppressive headache : on top of head.
Constriction : in region of heart.
Beating : in stomach.
Fulness : of abdomen ; in stomach.
Hardness : in lower part of abdomen.
Irritation : of genitals.
Jerking : in arms ; in all muscles of left calf.
Constant spasm : in throat.
Heat : in head ; in eyes ; in abdomen.
"Spoiled," insipid sensation in stomach.
Rawness : of mouth ; of breast.
Scraping : of tongue ; of breast.
Roughness : of larynx ; of tongue ; of mouth.
Dryness : in lids ; of ears ; of nose ; of lips ; of mouth ; of mucous membrane of rectum ; of vagina.
Urging : in abdomen.
Straining : in anus.
Weakness : of head down to neck ; in back ; in legs.
Sinking feeling : in back.
Torpor : of genital organs.
Stiff feeling : in hollow of knees.
Stiffness : of neck ; of toes.
Tremulous sensation through whole body.
Flickering : before eyes.
Tiredness : of eyes ; of forearms.
Heaviness : of eyelids ; in lower lip ; in abdomen ; of head ; of limbs ; of legs.
Desolate, empty feeling : in head.
Numbness : in left side of head ; of left hand ; of matrix ; in various parts.
Dulness : of head ; in face ; in head.
Beclouded feeling : in head.
Confusion of head.
Paralyzed sensation : of all limbs.
Restlessness : of legs.
Tickling : deep in chest.
Crawling : in left hand and arm ; in lips ; in upper and lower limbs ; in sacrum ; in heels.
Formication : in lips ; in hand extending up arm.
Itching : on scalp ; all over body ; in eyes ; of eyelids ; in ears ; blotches on face and other parts of body ; pimples on face ; on cheeks ; of abdomen ; violent itching in hemorrhoids ; on arms ; on scrotum ; of small
herpetic patches on forearms, neck and throat ; vesicles on vulva ; pimples on vulva ; vesicles on labia ; of pudenda ; of scalp and nape on neck ; violent itching of coccygeal region ; herpes circinatus, itching terribly in bend of elbow ; in eruption
over nates ; small spots on arms ; of red spot on upper part of thigh ; papula ; on various parts of body ; violent on face and genitals.
Coldness : of scalp ; of legs.

Tissues

Contraction of muscles.
Hemorrhages, blood light red.
Anemia ; chlorosis. θ Gastrodynia. θ Gastralgia. θ Amenorrhœa.
Pain in periosteum ; gnawing pains in bones of forearm ; drawing pain in thigh bones ; malleoli painful to touch ; exostosis and osteo-sarcoma ; scrofulous affections of bones ; < at night and from cold draught of air ; > from warmth.
Soreness from lying in bed.
Very offensive exhalations from body.
Dyscrasia, especially when caused by a suppression of habitual secretions and excretions.
Scrofulosis ; swelling and induration of glands.
Tumors in persons of herpetic dyscrasia ; wens, smooth and shining, on scalp ; sebaceous cysts, particularly when atheromatous ; pus scanty and smelling like herring-brine.
Emaciation.
Emaciation of suffering parts.
Burning pain in old cicatrices.
General dropsy after an acute exanthema ; was so swollen that he looked like a corpse about to be decomposed ; could not move a limb, and did not even emit a groan ; large round blister that seemed about to burst, on prepuce ; legs and scrotum shone like a mirror.
Œdematous complaints.

Touch. passive motion. injuries

Touch : humid eruption on vertex painful ; scurfy spots on vertex painful ; pain in teeth < ; hemorrhoids sore ; violent pains in ovary ; laryngeal region sensitive ; causes pain in small of back ; circular herpes feels hard.
Cannot bear tight clothing around hypochondria.
Rubbing makes gums bleed.
When riding in carriage : hears better ; heat.
Overlifting, easily.

Skin

Itching over various parts of body.
Itching becomes general and very violent, even on face and genitals.
Great itching, as though foreign matter would pass through skin.
Continual itching, < at night ; nothing visible upon skin before scratching, which produces nodules and long welts.
Violent itching and burning, with eruptions.
Nightly heat. θ Keratitis.
Prurigo in children, with sore, raw places on skin.
Long-lasting want of proper transpiration.
Harsh, rough skin, disposed to chafing.
Skin dry, inclined to crack.
Excoriation of skin, especially in children.
Raw, moist places between fingers and on face.
Unhealthy skin ; every injury suppurates.
Skin is not inclined to heal, ulcerates readily.
Cracks or fissures of ends of fingers and nipples, labial commissures, of anus, between toes, etc.
Irregular fissures about half an inch in length and one-eighth of an inch deep, looking like cuts with the edges closely in apposition ; no discharge ; on separating the edges a little a dirty, yellowish-white slough was seen looking like a piece of
tape.
Itching eruption full of corrosive water in many parts of body.
Itching blotches on various parts of body, from which oozes a watery, sticky fluid. θ Uterine complaints.
Erysipelas beginning in face and gradually spreading over whole body ; high fever.
Erysipelas in women and young girls at time of, or instead of, menses.
Erysipelas beginning on forehead and spreading thence to hairy scalp and neck ; vesicles also form which become dry.
Erysipelas ; eruption assumes a vesicular appearance, or it exudes a transparent, glutinous fluid ; or assumes a chronic form.
Erysipelatous inflammation, running in streaks.
Erysipelas in face commencing on right side and extending to left.
Sumach poisoning ; abdomen and knees affected.
Varicosities itch very much, and have little pimples on surface of integument.
Eruption behind ears, on various parts, from which ooze a watery, transparent, sticky fluid ; nails brittle, crumbling, deformed, painful and sore, as if ulcerated.
Eczema, with profuse serous exudations ; in blondes inclined to obesity.
Numerous small, red, itching pimples, tipped with pus, which burn after scratching.
Eruption first like very light-colored elevations under skin, increasing without areola ; becoming pitted like early vaccine scab ; then itching and gets larger ; picked forms ulcerous scab ; ceases itching and dries up.
Eruption of red spots, one inch in diameter, little elevated, but having milky, bluish-white vesicles, apparently papillary, one line in diameter, and not very high ; constantly tormented by violent itching and burning ; felt as if she must tear it with her nails, but only
rubbed it, followed by such an aggravation that she wept ; face warm and flushed ; menses late, having been checked near end of last period by getting feet wet.
Herpes exuding a sticky matter.
Circular herpes feels hard to touch and wrinkled, situated in bend of left elbow, which itched terribly.
Obstinate lupus of cheeks (improved).
Leprous spots, coppery, annular, raised on face, ears, buttocks, legs and feet ; ulcers on toes, obduration of nose, crusts in nostrils.
Callous ulcers of feet, originating from corroding blisters.
Crusty and scabby ulcers ; pus bloody, watery, acrid and corroding, smelling like herring-brine.
Sensitive, sore, spongy ulcers, with a salty discharge.
Old ulcers, with fetid pus, proud flesh, itching, stinging.
Old hard scars.
Adenitis ; boils ; dandruff ; phlegmonous and vesicular erysipelas ; encysted tumors ; erythema ; eczema ; felons ; freckles ; falling off of hair ; zona ; herpes ; intertrigo ; lichen agrius ;
prurigo ; nodosities ; scrofulosis ; scald head ; ulcers.

Stage of life, constitution

Scrofulous habitus with lymphatic œdema, blonde hair, pale face, low spirits.
Adapted to women inclined to obesity, who suffer from habitual constipation, and whose history reveals a tendency to delaying menstruation.
Child, æt. 8 mos., tinea capitis of four months' standing.
Girl, æt. 13 mos., had an eruption which was suppressed by mercurial ointment, followed by a bloody mucous diarrhœa ; fissures.
Girl, æt. 4, health generally good ; chronic eruption.
Girl, æt. 5, third attack ; erysipelas.
Boy, æt. 5, after suppression of an acute exanthema ; dropsy.
Boy, æt. 8 ; hydrocele.
Boy, æt. 8, scrofulous ; inflammation of eyes.
Miss S., æt. 15, large, well built ; headaches.
Boy, æt. 15 ; zona.
Young, chlorotic woman, æt. 16, menses appeared, lasting, however, but a short time, and finally not coming at all ; at 18 married and gave birth to a child, four months after which menses again appeared, but were extremely pale and scanty ; three months after their
disappearance became pregnant ; chlorosis.
Mrs. A., æt. 18, black hair, pale face, irritable, choleric temperament ; amenorrhœa.
Man, æt. 20 ; chronic eczema.
Girl, æt. 20, after mental trouble ; dysmenorrhœa.
Girl, æt. 20, pale complexion, not clear ; amenorrhœa.
Girl, æt. 20 ; dysmenorrhœa.
Girl, has suffered for seven years ; disease of finger-nail.
Young lady, fine complexion, skin and other organs of sense rather sensitive, manners and character impressible ; eruption.
Man, æt. 21, after scarlet fever, seven years ago ; deafness.
Mrs. S., blonde ; leucorrhœa.
Woman, every eight days, for half a year ; erysipelas.
Woman, who had been exposed to wet for a good while, twelve years ago ; herpetic eruption on scalp.
Man, æt. 24, after catching cold ; styes.
Man, æt. 25, robust, confined three weeks after catching cold ; neuralgia.
Miss W., æt. 34, menstruation only twice a year ; leucorrhœa instead of menses.
Man, æt. 40, had syphilis ; conjunctivitis.
Woman, æt. 45 ; hysteria.
Woman, æt. 56, since 15 years ; eczema squamosum of face.
Woman, æt. 56, robust and healthy until climaxis, which occurred at age of 51, when she had erysipelas of face, which was treated locally ; convulsions.
Man, æt. 58, subject to hemorrhoids and cramps in stomach ; hardness of hearing.
Woman, æt. 65, mother had died of paralysis ; paralysis.
Man, æt. 70, every night for seventeen years ; suffocative paroxysms.
Man, æt. 81, has been doctored for erysipelas ; sick six months ; ascites.

Relations

Antidoted by : Acon . (cough) ; Arsen . (grief) ; Nux vom .
It antidotes : Arsen., Iodium, Rhus tox .
Compatible : after Calcar . in obesity ; Lycop. ; Pulsat ., menstrual troubles ; Sepia (in leucorrhœa) ; after Sulphur
in skin affections.
Complementary : Caustic., Hepar, Lycop .

Lectures on Homoeopathic Materia Medica

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

Lecture

The complaints of Graphites are worse morning, evening and during the NIGHT, especially before midnight. It is useful in people who are morbidly fat, or have been fat and are now emaciating; with constipation more commonly than diarrhoea; in women in these conditions whose menstrual habit is pale, late, short and scanty; catarrhal discharges that are albuminous and viscid represent to the mind some peculiar general states of the sick man not explainable and not common to diseased conditions nor to many remedies; hence, strange, rare and peculiar. Raw surfaces upon the skin are generally marked by such viscid glutinous discharges.

It is a very deep acting remedy, like all carbons, and is accompanied with induration and burning in the base of the ulcers, inflamed tissues and old cicatrices; hence, its great usefulness in cancerous growths and ulceration.

Cancerous development in old cicatrices is a strong feature of this remedy. Contraction of tendons, especially behind the knee. It has hemorrhagic oozing of pale blood. In the higher sense the patient is anaemic and chlorotic. From eruptions, catarrhal discharges, menstrual flow, ulcers, breath and perspiration there is marked offensiveness (like Carbo v., Psorinum, Kali phos., Kali ars.).

When eruptions or discharges have disappeared suddenly from any cause and grave chronic phenomena have followed Graphites is one of the medicines to be studied. Scrofulous conditions and swelling of glands; recurrent herpes upon all parts of the body and especially about the anus and genitals; burning in many parts and especially in old cicatrices; general dropsical tendency; weakness in muscles and tendons after straining them by overlifting.

Modalities

The patient is very sensitive to cold and needs warm clothing; he is sensitive to the cold in winter and to the heat in summer; he is sensitive to a warm room and desires open air which is grateful. Worse in a warm bed; complaints come on from becoming cold or heated; the headaches are worse in a warm room and better in the open air. Graphites has cured deep seated spinal complaints, and in such cases the patient delights to lie heavily covered in a cold draft from an open window.

It is easy to see in this, the resemblance to Carbo veg., which often cures when the patient wants to be fanned. Craving for air is strong in the carbons, yet often easily chilled and just as easily overheated and complaints that come from overheating are related to the carbons. This one becomes ill from being overheated; exertion makes all symptoms worse.

Motion increases all symptoms except the numbness and general feeling of stagnation which come on during rest. Extreme weakness. Weakness and desire to lie down. Paralysis in any part but especially in the lower limbs; sensation of paralysis or stagnation creeps over the body and limbs.

He is made sick by bathing and is sensitive to cold, damp weather. What there is in the general life to cause eruptions to come out in the bends of the joints must be left for others to explain, but such is the case with this wonderful remedy.

Convulsions

The same may be said of rawness and excoriation in the same regions. Cataleptic conditions are very marked in which the patient is conscious but without power to move or speak; tremulous sensation throughout the body; sudden sinking of strength; sudden weakness. Constriction in many parts. It has cured many kinds of convulsions. It is not the remedy for the convulsion, but in chronic sickness where the convulsion is but one of many elements it is often suitable. It has cured epilepsy and hysterio-epilepsy and epileptiform spasms many times when the totality of symptoms furnished the basis for the prescription.

A careful comparison of the symptoms shows that this remedy acts predominantly on the left side of the body. The patient is oversensitive to pain and outer parts are very sensitive.

Pains

The pains are burning, drawing, pressing. Soreness. Stitching and tearing. Numbness is more characteristic than pain. The formation of fissures in all the commissures and in the anus with cracked and bleeding skin in many parts with much hardening; the tendency to grow wens on the scalp and elsewhere are features of this remedy not to be overlooked, and when coupled with the mental symptoms form such a strong and striking image of perverted vital action that the neophyte should not overlook Graphites.

It is as broad and deep as Sulphur, showing the great similarity to this great remedy in chronic cases.

Mind

The patient becomes very restless when attempting close mental work and there is a marked dread of mental work. The mental depression is extreme, and it is made worse by music; her sadness is so great that she thinks only of death and salvation. Grief and vexation cause of recurrence of all her distressing mental sufferings.

Her moods are constantly changing; while she may recall all the events of youth, recent events are forgotten; slow of thought and weakness of mind worse in the morning; often excited, hurried and exhilarated in the evening; extremely fretful and impatient; irritable about trifles and very critical. Irresolution is a marked symptom.

She cannot make, up her mind to do or not to do. Extreme activity of mind in the evening and first half of the night, which, prevents sleep until midnight; apprehensive and distressed in the. morning and excited. in the evening; extreme anxiety even to desperation.

Vertigo in the morning on waking; in the evening; on looking upwards; on rising from stooping; compelled to lie down; with inclination to fall forward.

When the above general symptoms strongly predominate in any given sickness the following particulars will be cured by this remedy.

Hyperaemia of the brain in the evening in a warm room; frequent moments of congestion to head and face with faint feelings; numbness felt in whole head; burning spot on the vertex; drawing, pressing and tearing in forehead over the eyes; stitching pains in the temples; pain from temples to side of face and to shoulders; one-sided headaches in the morning on waking; tearing in one side of head extending to teeth and side of neck; pressing pain on the vertex and occiput; compressing, constricting pain in occiput and back of neck; pain as though the head were numb; violent headaches during menses.

Head

The headaches are brought on from becoming cold and from looking into a bright light; are worse in a warm room, and better in the open air. There is marked soreness in the scalp; itching of the scalp with or without eruptions; eczema of the scalp oozing a glutinous fluid; eczema behind the cars; fissures that bleed behind the ears; scaly eruptions on scalp; falling out of the hair; bald, shiny patches on the scalp.

Eyes

Extreme photophobia in the sunlight with copious lachrymation. No remedy has photophobia more marked than Graphites. Pain in the eyes and over the eyes by looking long toward a sun lighted window; complaints from eyestrain.

Letters appear double when writing, letters run together when reading; flickerings and fiery zigs-zags just outside the field of vision in the evening; misty vision; vanishing of sight during menses.

Burning, pressing, stitching pains in the eyes. It has cured ulceration of the cornea. Recurrent pustular inflammation of the cornea. Keratitis pustulosa in children with fissures in the canthi, extreme photophobia and eczema on the face.

Marked congestion and injected veins of the conjunctiva. Chronic lachrymation in open air, tears acrid. The fissured canthi bleed easily and itch violently. Purulent discharges from the eyes; the lids are stuck together at night; the eyes feel hot; the lids are much swollen and the margins are red, raw and bleed easily-sometimes hard; ulcers on the; margins of lids; the lids are covered with crusts; eczema of the eyelids and about the eyes; dry mucus in the lashes, styes on the lids, with drawing pain, especially when they recur frequently. Cystic tumors on the lids.

Ears

Discharge from the ear of sticky, viscid pus; bloody, offensive.

Noises in ears; cracking; bumming; hissing; ringing; rushing, roaring; reverberations. Violent roarings at night and the ears feel stopped; thundering, rolling sounds in ears.

Deafness in various degrees and he hears better in a noise. He can hear better when riding on the cars, in the roaring of the train.

Deafness with eczematous eruptions on and behind the ears. Stitching pains in ears in cold air. Marked swelling of the ears.

Nose

Smell very acute; she cannot tolerate flowers; loss of smell with dryness in the nose; with coryza. Discharge from nose bloody mucus or pus, very offensive, viscid, thick, sometimes yellow.

It is a most useful remedy in chronic nasal catarrh. Very painful dryness in the nose. The bones and cartilages of the nose become very sore to touch. Sneezing and fluent coryza as marked as in Carbo veg.

Frequent attacks of coryza all winter, worse in cold air; the coryza extends to larynx, like Carbo veg; the excoriated, sore, cracked nostrils are plugged with scabs and hard mucus far up in the nose. Ulcers in the nose. Fissures in the nostrils that burn and indurate.

Face

The face is pale, waxy and sickly.

Eczema and herpes are found on the face with glutinous moisture. Itching with or without eruptions. A sensation as of a cobweb on the face. The commissures of mouth are fissured and the fissures ulcerate and the edges become bard and there is great burning in them. The skin chaps and cracks and often becomes excoriated and bleeds. Erysipelas of the face, spreading from right to left. The beard falls out.

Crusts form on the lips and the chin is covered with eczema. The submaxillary gland is swollen and indurated.

Mouth

The gums are settling away from the teeth; the teeth burn and sting; drawing pain in teeth in cold wind; tearing in teeth worse from warmth.

Taste in the mouth is bitter, salty, sour and like spoiled eggs; nauseating taste in the morning; sour taste after eating. The tongue is coated white; burning blisters on lower lip and on tip of tongue, painful ulcers on under surface of tongue, putrid odor from gums and mouth; breath smells like urine.

Dryness of the mouth in morning on waking; also in the night on waking; saliva flows from the mouth during the night.

Throat

Chronic sore throat with ulceration and swelling; swollen tonsils; nightly pain in throat; copious white, viscid mucus; a continuation of the nasal and post nasal catarrh.

Constant choked feeling or constriction in the throat that makes swallowing difficult. Constant spasms in the throat compelling swallowing.

Stomach and abdomen

Ravenous appetite.

Violent thirst in the morning with dry mouth and internal fever. Aversion to meat; to cooked food; to fish; to salt, to sweets. He is driven to eat to relieve a feeling of suffocation and burning gnawing in the stomach.

Pain in the stomach, relieved by eating. Eructations bitter; sour; putrid; tasting of food eaten; of greenish water. Rancid heartburn after eating; nausea much of the time during menses, with trembling; vomits all she eats; vomiting, purging and cold sweat.

The stomach feels constantly in a spoiled state or as from indigestion. Flatulence is as marked as in Carbo veg., and the relief from belching is just as great. Burning, constriction, pulsation and cramping are frequent symptoms. Fullness, distension, pressure are constant features of Graphites.

Retching on swallowing food (like Merc. c.). Gastric catarrh with internal heat drive him to eat and drink. Gastric pains worse from cold drinks and better by warm milk; periodical gastralgia with vomiting of food soon after eating. It is a wonderful remedy for old drunkards when the gastric symptoms agree (like Carbon bisulphide).

It is a most useful remedy in hard, swollen, sore liver with weight and distress in the liver; stitches in both hypochondria, burning in left hypochondrium when lying on it; sensitive to clothing in the liver region. Great suffering in the abdomen from flatulence; incarcerated flatus causes cramping pains, distension, and a continual source of distress.

Everything eaten seems to ferment and turn to gas; rumbling and movements felt in the abdomen; there is great burning and griping; cramping in the abdomen soon after eating; the clothing distresses the abdomen. The slightest indiscretion in eating causes increased flatus, rumbling and diarrhoea; the abdomen is distended with dropsy. Herpes zona oil the side of abdomen; herpes over lower abdomen and groin; hard swelling of inguinal glands; oedema of the abdominal walls.

Anus and stools

From the anus there is copious discharge of very offensive flatus day and night. While diarrhoea is not so common as constipation, yet it is a marked condition in some patients, The diarrhoea is painless with much flatus, with watery, brown, putrid, lienteric stools; excoriating stools, extreme soreness of the anus; fissures of the anus; great burning. Chronic diarrhoea; from the slightest indiscretion in eating on comes a renewed attack.

With the loose stools, and with the constipated stools copious white jelly-like mucus is often found. Discharge of mucus from anus and a constant moisture about the outside parts. Large hemorrhoids extremely sore with fissures.

Constipation with large, hard, knotty, difficult stools passed with extreme pain from soreness and fissures of the anus. Long narrow stools (like Phos.). Violent burning in the anus, prolapsus of the anus.

It has cured many cases of bleeding piles of long standing where there was extreme soreness and fissures and great burning. Violent pains during stool. No desire to go to stool for many days. It requires a long time with hard straining to pass the stool.

It often suits patients who have no stool except by injection or cathartic. Violent itching of the anus; eczema and herpes near the anus or involving the anus. It has cured the stomach and abdominal conditions that favor the tapeworm.

Genitals and urines

The urine flows in a feeble stream, becomes very putrid after standing and deposits much red or white sediment; after standing the urine is covered with an iridescent cuticle.

After urination there is some dribbling; burning in the urinary passages and neck of the bladder when not urinating; pain in the sacrum and coccyx when urinating.

Violent sexual excitement and nightly emissions; the excitement is so strong that ejaculation comes instantly after intromission. The opposite state is also found where there is aversion to coition and erections are wanting. It is a most useful remedy for impotency following secret vice and sexual excesses. Emissions with feeble erections.

Herpes on the prepuce; excoriated and fissured glans penis; dropsical swelling of the scrotum and penis, hydrocele in small boys and baby boys. Itching and moist eruptions on the scrotum. It has cured gleety, viscid discharge from the urethra. It has cured swollen testes.

In the female it causes aversion to coition; enlarged, hard ovaries great tenderness in uterus and ovaries. It has cured ovarian tumor. Pain in the uterus when reaching high with hands; bearing down in uterine region.

It cures cauliflower excrescence of the uterus; it has restrained the growth of cancer in the cervix uteri, when there was burning and putrid bloody discharge; in this it resembles Carbo an. Menses late, irregular, scanty, pale or mixed with scanty dark, small clots, short duration. Menses six or eight weeks apart.

Menses suppressed or very late in chlorotic girls. First menses delayed. Leucorrhoea instead of the menses (Cocculus). Oedema of the vulva. Leucorrhoea in gushes day and night. Dryness and heat in the vagina; coldness in the vagina.

Extreme lassitude during the menses. Many symptoms come during menses; dry cough, copious sweat; oedema of feet; hoarseness; coryza; headache; nausea; morning nausea. Violent itching of the vulva before menses; marked excoriation of the genitals and between the thighs during menses; excoriating leucorrhoea before menses.

Leucorrhea white; yellowish-white; thin; viscid; offensive. Sore, cracked nipples in nursing women. Cancer of the breast coming in the cicatrix of an old cancer.

Larynx and cough

sensitive to touch.

Hoarseness in the evening (like Carbo veg.). Dryness in the larynx in the night; copious glutinous mucus in the daytime.

He suffocates when falling asleep (like Lachesis) and often wakes up in the night gasping for breath; constriction of the chest.

Paroxysmal cough like whooping cough, cough is followed by expectoration of copious white viscid mucus; paroxysms come at any time It has cured whooping cough. Cough from tickling in the larynx or trachea; violent night cough; deep inspiration causes cough.

Rawness in the trachea; stitching pains in the chest.

Constriction of the heart; electric shocks in the heart; palpitation on motion or exertion with strong pulsation all over the body and in the extremities, pulse full and heard, slow during day but fast in the morning; fast pulse in evening after eating, with fever. Itching herpetic eruption on the chest; herpes zona on left side of chest with pain. It is a useful remedy to ward off phthisis.

Enlarged hard painful glands of neck. Painless swollen glands of neck. The spine is very sensitive to the jar of the bed; pain in lumbar region as if "spine were broken "; pain in sacrum with numbness down the limbs; pain in sacrum and coccyx while urinating; itching and moisture over the coccyx.

Drawing and tearing pains in limbs; weakness of all limbs; sensation of paralysis of limbs; herpes and eczema on the limbs; marked numbness of the upper limbs, during rest and when lain on; numbness and coldness of fingers and hands.

Skin

Rheumatic and tearing pains in shoulders, worse in left.

Herpes in axilla and bend of the elbow; horny callosities on the palms; skin of the hands hard, fissured, hot and bleeding. Psoriasis of the hands and fingers; raw, moist places between the fingers; the finger nails thick and brittle; the finger nails become black and fall off. Great heat of palms.

Smarting and sore between the nates; excoriation from walking. Many eruptions on the thigh, but especially herpes and eczema; eruptions that ooze a glutinous fluid. Numbness of lower limbs during rest; the legs are weak and heavy as if paralyzed; oedema of the legs and feet.

Herpes in the groin and hollow of the knee. Cold feet in evening in bed; copious, offensive sweat of the feet; ulcers on the feet and legs; tearing in thighs, legs, feet and toes; burning heat in soles and heels; gouty-tearing in the toes; spreading blisters on the toes that become ulcers; the toenails become black; thick; and crippled toenails the nails are painful; ingrowing toenails.

Dreams vivid; anxious, horrible, vexatious. Sleepless before midnight; sleepiness during the day. Nightly pains in sleep. Frequent waking. Unrefreshed in the morning.

Graphites should be used more frequently in chronic recurrent intermittent fever. Chill in the evening with tearing in the limbs chill intermingled with the fever; wants to be covered in all stages chill worse after eating, better after drinking and in open air. Nightly fevers with chilliness but no sweat; dry beat evening and night, especially before midnight; anxiety and restlessness during the fever, hands and soles very hot; even burning heat.

It has chill with fever followed by sweat; sweat from slight exertion; sweat on front of body; the sweat is offensive, cold and stains yellow; copious night sweats in weakness and during phthisis; entire inability to perspire, in many chronic complaints.

Itching of the skin all over the body, with or without eruptions itching worse at night in the warm bed; itching and burning with eruptions; the skin is very hot at night; excoriation of the skin in the bends of joints.

Every injury festers. Fissures on ends of fingers, on nipples, labial commissures at anus and vulva, between the toes. Itching blotches. Erysipelas beginning in face and spreading to other parts; erysipelas beginning in face and going from right to left.

Itching over varicose veins; itching piles. Herpes and eczema oozing a glutinous moisture. Crusty and scabby ulcers. Hard, painful cicatrices; old ulcers with proud flesh and burning, itching and stinging ulcers with indurated base and margins.

The Therapeutics of Fevers

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

Characteristic

Adapted to women inclined to obesity, who suffer from habitual constipation, and whose history reveals a tendency to delaying menstruation.

"What Pulsatilla is at puberty, Graphites is at the climac- teric."

Morning sickness during menstruation; very weak and prostrated (Alum., Carbo a., Coc.).

Hears better when in a noise; when riding in a carriage or car, when there is a rumbling sound (Nit. ac.).

Excessive cautiousness; timid, hesitates; unable to decide about anything (Puls.).

Fidgety while sitting at work (Zinc.).

Sad, despondent; music makes her weep; thinks of nothing but death (music is intolerable, Nat. c., Sab.).

Eczema of lids; eruption moist and fissured, lids red and margins covered with scales or crusts.

Sexual debility from sexual abuse.

Menses: too scanty, pale; late with violent colic; irregular; delayed from getting feet wet (Puls.).

Leucorrhœa: acrid, excoriating; occurs in gushes day and night; before and after menses (before, Sepia; after, Kreos.).

Hard cicatrices remaining after mammary abscess, retarding flow of milk; cancer from old scars.

Unhealthy skin: every injury suppurates (Hep.); eruptions, behind the ears, on various parts, from which ooze a watery, transparent, sticky fluid; nails brittle, crumbling, deformed; painful and sore, as if ulcerated; old cicatrices re-open.

Cracks or fissures of ends of fingers and nipples, labial commissures, of anus, between the toes (Nit. ac.).

Burning round spot on vertex (Cal., Sul.—cold spot, Sep., Ver.).

Diarrhœa: stools brown, fluid, mixed with undigested substances, and of an intolerable odor; often caused by suppressed eruptions (Psor.).

Chronic constipation : stool difficult, large, hard, knotty, with lumps united by mucous threads ; too large (Sulph.) ; smarting sore pain in anus after stool.

Children ; impudent, teasing, laugh at reprimands.

Sensation of cobweb on forehead, tries hard to brush it off (Bar., Bor., Brom., Ran. s.).

Phlegmonous erysipelas : of face, with burning, stinging pain ; commencing on right side, going to left ; after application of Iodine.

Decided aversion to coition (both sexes).

Cataleptic condition ; conscious, but without power to move or speak.

Takes cold easily ; sensitive to draught of air (Bor., Cal., Hep.); suffering parts emaciate.

Relations

Complementary : Caust., Hep., Lyc.

Follows well after Lyc., Puls.; after Cal. in obesity of young women with large amount of unhealthy adipose tissue.

Aggravation

Cold or becoming cold; night; during and after menstruation; after eating.

Amelioration

Eructations (Carbo v.); while walking; open air.

Type

Quotidian; double quotidian.

Time

6 or 7 A. M.; morning in bed; 4, 5. 6, 7, 8 P. M.

Chill

Without thirst, in the morning in bed; from 4 P. M. till evening; chilliness and coldness of whole body at 5 P. M., with icy cold feet. Violent febrile chilliness morning and evening, the heat followed by sweat. Shaking chill every day, in the evening; after an hour, hot face and cold feet without subsequent heat. Chill in evening, with headache and tearing in the limbs, great thirst, and profuse perspiration after midnight, lasting till morning. Chill < after meals; > after drinking (Caust.—< after drinking, Ars., Caps., Cimex); > in open air (Apis, Ipec.—< in open air, Ign.). Icy cold feet, alternating with burning.

Heat

At night; with restlessness; unable to sleep, or remain in bed on account of it; when riding in a carriage. Dry heat every evening and night, lasting till morning, with headache on vertex and in nape of the neck till noon. Hands and soles of the feet hot and burning.

Sweat

Profuse at night; from the slightest motion; on front of body and centre of chest (sternum); stains yellow; is sour and offensive (Hep., Lyc.). Profuse sweat on the feet; they swell and become sore (Iod., Sil.). Entire inability to sweat (Hep.).

Tongue

Coated white and sensitive. Taste sour, salty, bitter; like rotten eggs Rotten odor from mouth. Breath smells like urine. Lips and nostrils sore and cracked, as from cold. Averse to meat, fish, cooked food, salt.

Apyrexia

Excessive hunger, or no appetite, with great distension of abdomen, as from accumulation or incarceration of flatulence. Constipation. Urine turbid, and deposits white sediment.

Constitutional symptoms of apyrexia are the best guide for selection of remedy.