Hepar Sulphuris Calcareum hep.

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

NERVES. CONNECTIVE TISSUE. RESPIRATORY MEMBRANES. Flexures. GLANDS. Kidneys. Skin. Bridge of nose (Kali-bi.).

Worse

COLD, dry: AIR. WINTER. DRAFTS. WIND. PART BECOMING. LEAST: UNCOVERING. TOUCH. Noise. Exertion. Lying on painful part. Mercury. Night.

Better

HEAT: WARM WRAPS. TO HEAD. Moist. DAMP WEATHER.

General

Lax. CHILLY AND OVERSENSITIVE; to cold; to pain; or to touch; faints easily, etc. Profuse secretions; foul; like old cheese. Sour, stools, smell of body, sweat, etc. SWEATS EASILY, but dare not uncover; and profusely, without relief. As of a wind blowing on part. Wears overcoat in hot weather. Tak(e cold from damp exposure. Sore STICKING, like sharp splinters. EVERY HURT FESTERS. SUPPURATION; threatens, or much thick pus. Abscess. Mastoiditis. Yellow, sclerotic, expectoration, sweat, etc.

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Particulars

Bad temper. Sudden weak memory. Touchy, mentally and physically; to pain, cold; easily becomes cross and violent. Hasty, violent, irritable or dissatisfied. Hair falls in spots; sore to touch. Corneal ulcer or maculæ. Photophobia. Chronic otorrhœa. Boring at root of nose. Stuffed, painful nose. Ripened colds and old catarrhs. Sneezes from every cold wind. Hawks mucus. Rough sticking like a splinter, fish-bone, etc., in throat. Quinsy. The upper jaw projects. Goitre (r); pains into head. Stomach weak; easily upset. Craves acids, condiments or stimulants. Eating refreshes, but causes heaviness. Foul mucus from anus. Stool difficult, although soft. Must wait to urinate; passes blood and pus afterwards. Nephritis; after scarlatina. Very foul, hot, membranous or pussy leucorrhœa. Painful larynx. Cough from least uncovering. Whistling, choking breathing; must bend head back. Croup. Hoarseness; chronic; of singers. Aphonia. Asthma; after suppressions. Cough, choking, barking; < cold drinks or in A.M.; hacking, as from a feather; LOOSE, but can't expectorate, tightens up in cold air. WEAKNESS AND MUCH RATTLING IN CHEST. Much expectoration; thick, yellow. Recurrent bronchitis; from every cold. Skin sensitive to cool air (Agar.). Foul, moist eruptions in folds. Torpid, pulsating ulcers; encircled by smaller ones, pimples or boils. Impetigo. Poor granulation. Sweaty and rattles with every cold or cough. Night-sweats. Low fevers. Hectic. Body exhales a foul odor.

Related

Complementary: Iod. Sil. Related: Merc. Follows: Pho. Sil. Antidotes: Bell. Cham. Kali-io. Merc. Sil.

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

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

Keynote

For torpid lymphatic constitutions; persons with light hair and complexion, slow to act, muscles soft and flabby. The slightest injury causes suppression (Graph., Mer.). Diseases where the system has been injured by the abuse of Mercury. In diseases where suppuration seems inevitable, Hepar may open the abscess and hasten the cure. Oversensitive, physically and mentally; the slightest cause irritates him; quick, hasty speech and hasty drinking. Patient is peevish, angry at the least trifle; hypochondriacal; unreasonably anxious. Extremely sensitive to cold air, imagines he can feel the air if a door is open in the next room; must be wrapped up to the face even in hot weather (Psor.); cannot bear to be uncovered (Nux - cannot bear to be covered, Camp., Sec.); take cold from slightest exposure to fresh air (Tub.). Urine: flow impeded; voided slowly, without force, drops vertically; is obliged to wait a while before it passes; bladder weak, is unable to finish, seems as if some urine always remains (Alum., Sil.). Cough: when any part of the body is uncovered (Rhus); croupy, choking, strangling; from exposure to dry west wind, the land wind (Acon.). Asthma: breathing, anxious, wheezing, rattling; short, deep breathing, threatens suffocation; must bend head back and sit up; after suppressed eruption (Psor.). Croup: after exposure to dry cold wind (Acon.); deep, rough, barking cough, with hoarseness and rattling of mucus; < cold air, cold drinks, before mid-night or toward morning. Sensation of a splinter, fish bone or plug in the throat (Arg. n., Nit. ac.); quinsy, when suppuration threatens; chronic hypertrophy, with hardness of hearing (Bar., Lyc., Plumb., Psor.). The skin is very sensitive to touch, cannot bear even clothes to touch affected parts (Lach. - sensitive to slightest touch, but can bear hard pressure, Cinch.). Skin affections extremely sensitive to touch, the pain often causing fainting. Ulcers herpes surrounded by little pimples or pustules and spread by coalescing. Middle of lower lip cracked (Am. c., Nat. m. - cracks in commissures, Cund.). Eyeballs: sore to touch; pain as if they would be pulled back into head (Olean., Paris). Diarrhoea: of children with sour smell (Cal., Mag. c. - child and stool have a sour smell, Rheum); clay colored stool (Cal., Pod.). Sweats: profusely day and night without relief; perspiration sour, offensive; easily, on every mental or physical exertion (Psor., Sep.).

Relations

Complementary: to, Calendula in injuries of soft parts. Hepar antidotes: bad effects of mercury and other metals, iodine, iodide of potash, cod-liver oil; renders patient less susceptable to atmospheric changes and cold air. Compare: The psoric skin affections of Sulphur are dry, itching, > by scratching, and not sensitive to touch; while in Hepar the skin is unhealthy, suppurating, moist, and extremely sensitive to touch.

Aggravation

Lying on painful side (Kali c., Iod.); cold air; uncovering; eating or drinking cold things; touching affected parts; abuse of mercury.

Amelioration

Warmth in general (Ars.); wrapping up warmly, especially the head (Psor., Sil.); in damp, wet weather (Caust., Nux - rev of, Nat. s.).

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)

Skin

Any trouble occurring on the skin, when there is a great sensitiveness to the slightest touch; patient can't bear to have even the clothes touch the part, or hates to be touched in any way. Exanthema, like nettle-rash, sore to the slightest touch. Skin hard to heal; inflammation of; sensitive soreness of. Ulcers with bloody pus; with sour-smelling pus; stinking pus; putrid (ulcers); with redness around; with little pimples around--10, 12, or even as many as 50 may surround the large ulcer, and the ulcer sometimes spreads by the little pimples joining in; painful; painful at the edge; suppurating; with pain as if sore; difficult to heal; inflamed; itching; looking like a lump of lard with a hole in it; cancerous ulcers.

Sleep

Complaints concomitant to waking; sleep not refreshing; sleeplessness in general; anxious dreams of fire.

Chest

Suffocative attacks of breathing (in croup where the child chokes in its coughing spells, and there is much rattling); respiration with mucous rattle; expectoration in the morning, none in the evening; cough, with expectoration during the day, no expectoration at night (in croup where there is no expectoration at night, but only in the daytime,--with the suffocative coughing spells); low, weak voice.

Urine

Urine very acrid; complaints while passing water and after.

Sexual

Male: Nocturnal emissions; escape of prostatic fluid at any time, and at stool, etc.; affections of sexual organs occurring on the right side.

Generalities

Affections of the left eye; abdomen, left side; left lower extremity; hair of the head; internal and external forehead; eyeball; inguinal glands; sacrum and buttocks (may have tetters, etc.); axilla; point of the elbow (olecranon). Dimsightedness; erysipelatous color of the face; obstruction of the bowels from inactivity of the peristaltic motion; pain as if bruised in outer parts, also in bones; festering glands. Heat with thirst; perspiration in general; cold perspiration.

The great sensitiveness under this remedy must not be overlooked. It is not confined to touch merely, but the same exists in reference to a draft of air--patient can't bear the slightest draft of air on him; nor the slightest noise. Great sensitiveness in everything.

Worse

In the night; on wakening; when blowing the nose; from cold in general; in cold air; in cold and dry weather; on single parts of the body getting cold; from getting the skin rubbed off; on uncovering the head; from surgical injuries in general; from lying on the painful side; from daylight; from pressure from without; from abuse of Mercury; during sleep; when swallowing, particularly when swallowing food (parts are so tender); while urinating; in clear, fine weather; in dry weather; in the east wind.

Better

From wrapping the head up; from warmth in general; the air being warm; in damp and wet weather; from wrapping up the body warmly.

Remedies following

Bellad., Bryon., Mercur., Nux vom., Pulsat., Rhus tox., Sepia, Silic., Sulphur.

Antidote

Bellad.

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

Sensation as if a fish bone, or splinter were sticking in the throat. Stomach inclined to be out of order; longing for sour or strong tasting things. Green slimy diarrhoea of a sour smell. Croup after dry, cold wind with swelling below the larynx, and great sensitiveness, to cold air or water. Cannot bear to be uncovered, coughs when any part of the body is uncovered. Unhealthy, suppurating skin, every out or hurt suppurates. Ulcers very sensitive, burning or stinging edges, discharges corroding, smelling like old cheese, little pimples surround the principal ulceration. Ailments after west or northwest wind. Affections from the abuse of mercury, or iodine, particularly the iodine of potash. To promote suppuration in boils, abscesses, etc.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Hahnemann's Calcium Sulphide (HEPAR SULPHURIS CALCAREUM)

General

Suits especially scrofulous and lymphatic constitutions who are inclined to have eruptions and glandular swellings. Unhealthy skin. Blondes with sluggish character and weak muscles. Great sensitiveness to all impressions. Sweating patient pulling blanket around him. Locally, it has special affinity to the respiratory mucous membrane, producing croupous catarrhal inflammation, profuse secretion; also easy perspiration. After abuse of Mercury. Infected sinus with pus forming. The tendency to suppuration is most marked, and has been a strong guiding symptom in practice. The lesions spread by the formation of small papules around the side of the old lesion. Chilliness, hypersensitiveness, splinter-like pains, craving for sour and strong things are very characteristic. Feeling as if wind were blowing on some part. The side of the body on which he lies at night becomes gradually insufferably painful; he must turn. Pellagra (material doses required). Syphilis after antispecific gross medication.

Mind

Anguish in the evening and night, with thoughts of suicide. The slightest cause irritates him. Dejected and sad. Ferocious. Hasty speech.

Head

Vertigo and headache, when shaking the head or riding. Boring pain in the right temple and in root of nose every morning. Scalp sensitive and sore. Humid scald-head itching and burning. Cold sweat on head.

Eyes

Ulcers on cornea. Iritis, with pus in anterior chamber; purulent conjunctivitis, with marked chemosis, profuse discharge, great sensitiveness to touch and air. Eyes and lids red and inflamed. Pain in the eyes, as if pulled back into the head. Boring pain in upper bones of the orbits. Eyeballs sore to touch. Objects appear red and too large. Vision obscured by reading; field reduced one-half. Bright circles before eyes. Hypopion.

Ears

Scurfs on and behind the ears. Discharge of fetid pus from the ears. Whizzing and throbbing in the ears, with hardness of hearing. Deafness after scarlet fever. Pustules in auditory canal and auricle. Mastoiditis.

Nose

Sore, ulcerated. Soreness of nostrils, with catarrhal troubles. Sneezes every time he goes into a cold, dry wind, with running from nose, later, thick, offensive discharge. Stopped up every time he goes out into cold air. Smell like old cheese. Hay-fever (Hepar 1x will often start secretions and profuse drainage in stuffy colds).

Face

Yellowish complexion. Middle of lower lip cracked. Vesicular erysipelas, with pricking in parts. Neuralgia of right side, extending in streak into temple, ear, alæ, and lip. Pains in bones of face, especially when being touched. Ulcers in corners of mouth. Shooting in jaw on opening mouth.

Mouth

Ptyalism. Gums and mouth painful to touch and bleed readily.

Throat

When swallowing, sensation as if a plug and of a splinter in throat. Quinsy, with impending suppuration. Stitches in throat extending to the ear when swallowing. Hawking up of mucus.

Stomach

Longing for acids, wine, and strong-tasting food. Aversion to fat food. Frequent eructations, without taste or smell. Distention of stomach, compelling one to loosen the clothing. Burning in stomach. Heaviness and pressure in stomach after a slight meal.

Abdomen

Stitching in region of liver when walking, coughing, breathing, or touching it (Bry; Merc). Hepatitis, hepatic abscess; abdomen distended, tense; chronic abdominal affections.

Stool

Clay-colored and soft. Sour, white, undigested, fetid. Loss of power to expel even a soft stool.

Urine

Voided slowly, without force-drops vertically, bladder weak. Seems as if some always remained. Greasy pellicle on urine. Bladder difficulties of old men (Phos; Sulph; Copaiva).

Male

Herpes, sensitive, bleed easily. Ulcers externally on prepuce similar to chancre (Nitr acid). Excitement and emission without amorous fancies. Itching of glans, frænum, and scrotum. Suppurating inguinal glands. Figwarts of offensive odor. Humid soreness on genitals and between scrotum and thigh. Obstinate gonorrhœa "does not get well".

Female

Discharge of blood from uterus. Itching of pudenda and nipples, worse during menses. Menses late and scanty. Abscesses of labiæ with great sensitiveness. Extremely offensive leucorrhœa. Smells like old cheese (Sanicula). Profuse perspiration at the climacteric (Tilia; Jaborandi).

Respiratory

Loses voice and coughs when exposed to dry, cold wind. Hoarseness, with loss of voice. Cough troublesome when walking. Dry, hoarse cough. Cough excited whenever any part of the body gets cold or uncovered, or from eating anything cold. Croup with loose, rattling cough; worse in morning. Choking cough. Rattling, croaking cough; suffocative attacks; has to rise up and bend head backwards. Anxious, wheezing, moist breathing, asthma worse in dry cold air; better in damp. Palpitation of heart.

Extremities

Finger-joints swollen; tendency to easy dislocation. Nail of great toe painful on slight pressure.

Skin

Abscesses; suppurating glands are very sensitive. Papules prone to suppurate and extend. Acne in youth. Suppurate with prickly pain. Easily bleed. Angio-neurotic œdema. Unhealthy skin; every little injury suppurates. Chapped skin, with deep cracks on hands and feet. Ulcers, with bloody suppuration, smelling like old cheese. Ulcers very sensitive to contact, burning, stinging, easily bleeding. Sweats day and night without relief. "Cold-sores" very sensitive. Cannot bear to be uncovered; wants to be wrapped up warmly. Sticking or pricking in afflicted parts. Putrid ulcers, surrounded by little pimples. Great sensitiveness to slightest touch. Chronic and recurring urticaria. Small-pox. Herpes circinatus. Constant offensive exhalation from the body.

Fever

Chilly in open air or from slightest draught. Dry heat at night. Profuse sweat; sour, sticky, offensive.

Modalities

Worse, from dry cold winds; cool air; slightest draught, from Mercury, touch; lying on painful side. Better, in damp weather, from wrapping head up, from warmth, after eating.

Relationship

Antidotes: Bellad; Cham; Sil.

Compare: Acon; Spongia; Staphis; Silica; Sulph; Calc sulph; Myristica. Hepar antidotes bad effects from Mercury, Iodine, Potash, Cod-liver oil. Removes the weakening effects of ether.

Dose

First to 200th. The higher potencies may abort suppuration, the lower promote it. If it is necessary to hasten it, give 2x.

Leaders in Homoeopathic Therapeutics

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

Leaders

Hypersensitive to touch, pain, cold air; fainting with the pain.

General tendency to suppurations; even slight injuries or scratches on the skin suppurate.

Tendency to croupy exudations (larynx and kidneys; and mucous membrane).

Atony; stools passed with great difficulty, even when soft; urine flows slowly, must wait for it, then drops vertically down without force.

Sour diarrhœa; whole child smells sour.

Coughs; croup, bronchitis, consumption; < when exposed to least cold air.

Like Sulphur, Hepar is adapted to the psoric, scrofulous diathesis.

This remedy standing half-way between those two great anti-psorics, Calcarea carb. and Sulphur, has some very strong characteristics which guide to its use in a variety of ailments. Its strongest characteristic is its hypersensitiveness to touch, pain, and cold air. The patient is so sensitive to pain that she faints away, even when it is slight. If there are inflammation or swelling in any locality, or even eruptions on the skin, they are so sensitive that she cannot bear to have them touched, or even to have the cold air to blow upon them. This is like China off., only that while the latter is sensitive to the lightest touch it can bear hard pressure. (Remedies especially < in cold air are Arsenicum alb., Calcarea ost., Hepar sul., Nux vomica, Psorinum, Silicea, Tuberculinum.). This supersensitiveness to pain runs all through the drug. It is mental as well as physical, for the slightest cause irritates with hasty speech and vehemence. Next to this is the power of Hepar sulph. over the suppurative stage of local inflammations. It comes in only when pus is about to form, or is already formed. If given very high in the first case (that is before pus is formed), and not repeated too soon or often, we may prevent suppuration and check the whole inflammatory process. But if pus is already formed, it will hasten the pointing and discharge and help along the healing of the ulcer afterwards. I am not at all sure, as is generally taught, that it is necessary to give it low to hasten suppuration. The most rapid pointing, opening, and perfect healing I ever saw was in the case of a large glandular swelling on the neck of a child, under the action of the c. m. potency. Hepar has a general tendency to suppuration, for even the eruptions on the skin are liable to form matter, and slight injuries suppurate. (Graphites, Mercurius, Petroleum.) This remedy is very valuable in diseases of the respiratory organs. I have found it very useful in cases of chronic catarrh, when the nose stopped up every time the patient went out into the cold air. He says it seems as if I get a new cold every time I get a breath of fresh air (Tuberculinum). It is relieved in a warm room. In croup it has been, ever since Bœnninghausen prescribed his celebrated five powders, one of our standard remedies. We do not use the five powders as Bœnninghausen did in a certain order, but only use them according to indications. Hepar croup is accompanied with rather loose cough, with wheezing and rattling. Cough as if mucus would come up, but it does not. It is seldom indicated at first; but oftener comes in after Aconite or Spongia. Like Aconite it seems most effectual in those cases brought on by exposure to dry cold air; but the Aconite croup comes on in the evening after first sleep and Hepar in the early morning hours. This tendency to croupy exudations on mucous membranes seems characteristic of Hepar and is not confined to the respiratory organs. Kafka uses it on the ground of its ability to control such conditions in post scarlatinal dropsy, to prevent or cure, and claims great success for it. I believe it to be one of the best prophylactics in such cases, for the reason that during and after the desquamative stage the skin is unusually susceptible to the effects of chill in cold air, and this is in accordance with the leading characteristic of this remedy. It fortifies the patient against such atmospheric influence.

In croup, as in other affections of Hepar, the cough, difficult breathing and all other symptoms are aggravated by the least of breath cold air, which the little patient must be carefully guarded against. Traveling downward the larynx is attacked, then the bronchia, and even the lungs, and the formation of croupy exudates will take place if not checked by the remedy. The breathing in all these cases becomes rattling, anxious, wheezing, even to threatened suffocation, so that the patient seems asthmatic. In. these cases it is often able to relieve, especially if this condition follows a hard cold and the acute inflammatory symptoms have been controlled by Aconite or some other indicated remedy.

In chronic asthma, Hepar often resembles Natrum sulphuricum, but there is this diagnostic difference, which is very valuable. The Hepar asthma is worse in dry cold air and better in damp, while Natrum sulph. is exactly the opposite, like Dulcamara. There is no other remedy that I know that has the amelioration so strongly in damp weather as Hepar sulphur. One characteristic must not be forgotten, viz.: "Coughs when any part of the body becomes uncovered." (Baryta and Rhus tox.). This is found in croup, laryngitis, bronchitis and consumption, and not only is the cough worse, but the whole case is aggravated. Then, again, it must be remembered that this is one of our strongest anti-psorics, and for that reason should be thought of for all respiratory ailments for which it has such a strong affinity, especially when such ailments have followed a suppressed or retrocedent eruption on the skin.

In accordance with its great power over all suppurative processes, it should come to mind in abscess of the lungs, of course in all cases when indicated by the symptoms in toto. Upon the throat we have 1st, "sticking in the throat, as from a splinter, on swallowing, extending to the ear, also on yawning." "Sensation as if a fish bone or splinter were sticking in the throat" (Argentum nitricum, Dolichos and Nitric acid), but probably the condition where Hepar is oftenest of use in throat trouble is in that distressing complaint, quinsy.

Here, as in croup, it is not generally indicated in the beginning. Having had much success and experience in this disease, I may here give the results of the application of several remedies and their indications:

Belladonna. -High fever, great swelling, and redness, headache, throbbing carotids.

Mercurius vivus. -Either side, fœtid breath, flabby, moist, indented tongue, and sweat without relief.

Mercurius proto-iodatus. -same symptoms, but begins on right side, and tongue thickly coated yellow at the base.

Lachesis. -Left side extending to right, great sensitiveness to touch, and aggravation after sleep.

Lycopodium. -Begins right side, extends to left, with tongue swollen and inclined to protrude from the mouth, and stuffing up of nose.

Lac caninum. -Alternates sides, one day worse on one, and the next on the other.

Hepar sulph. -When notwithstanding all other remedies the case seems bound to suppurate and there is much throbbing pain. Now with each of these remedies I have aborted many cases in old quinsy subjects, who never expected to, and were told by old school physicians that they never could, get well, without suppuration, and in the end have cured them of all tendency thereto. I will add here that Hepar sulphur, is also a good remedy in chronic hypertrophy of tonsils, with hardness of hearing. In these cases which are generally very intractable, Baryta carbonica, Lycopodium, Plumbum, and others are also to be consulted according to indications.

Upon the alimentary canal Hepar has a decided influence. We have already noticed its action upon the throat. The stomach is inclined to be out of order, and there is a "longing for acid things." (Veratrum alb.) This is often the case in chronic dyspepsia and Hepar helps. This condition of the stomach is sometimes found in marasmus of children. It is often accompanied by diarrhœa, and a very important feature is that the diarrhea is sour; indeed the whole child seems to smell sour no matter how much it is bathed. The sour stool is also very prominently under Magnesia carbonica and Calcarea carbonica. Then there is another condition of the bowels, namely, a kind of atony. The stools are passed with great difficulty, even though they are soft and clay-like, as they sometimes are under this remedy. This state of atony is also found in the bladder.

"Micturition impeded, he is obliged to wait awhile before the urine passes, and then it flows slowly for many days." "He is never able to finish urinating; it seems as if some urine always remains behind in the bladder." "Weakness of the bladder, the urine drops vertically down and he is obliged to wait awhile before any passes." This inability to expel makes one think of Alumina and Veratrum album and Silicea. Again, Hepar sulph. is a great "sweat " remedy, either partial or general. It may, for instance, come in after Mercurius in rheumatism, in which the patient "sweats day and night without relief," and Mercurius does not help. So, too, with quinsy, and in large boils and swellings; and by the way Hepar sulph. is one of our best remedies after Mercurius either in homœopathic practice, or as an antidote to old school poisoning so also is it the leading antidote to Iodide of Potassa poisoning from the same source. We could not well do without this valuable remedy.

Modalities

Modalities: < exposure to dry cold air; > in moist wet weather.

Text Book of Materia Medica

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

Mind and Disposition

Great anguish in the evening, almost driving one to commit suicide. Over-sensitiveness and irritability, with quick, hasty speech. The slightest cause irritates him and makes him extremely vehement. Dejected, sad, with inclination to shed tears.

Head

Faint giddiness when riding in a carriage or when shaking the head, with headache and obscuration of sight. Boring headache from without to within, in the right temple ; on one side of the head ; the root of the nose, when waking from sleep ; aggravated by motion and stooping. Pressure in the head, semi-lateral, as from a plug or dull nail, at night and when waking in the morning ; aggravated when moving the eyes ; and on stooping ; relieved when rising and from binding the head up tight. Aching in the forehead, like a boil, from midnight till morning. Lancinating headache ; better when walking in the open air. Sense of swashing in the head. Boring headache in the root of the nose, every forenoon. Morning headache, aggravated from every contusion. Humid eruption over the whole head, feeling sore, of fetid smell ; itching violently on rising in the morning ; burning and feeling sore on scratching. Boils on the head and neck, very sore on contact and when lying on them. The head is bent backwards, with swelling below the larynx, with violent pulsation of the carotid arteries ; and rattling breathing (in croup). Falling off of the hair, with very sore, painful pimples and large bald spots on the scalp ; sensitiveness of the scalp to contact, with burning and itching in the morning after rising (after abuse of mercury). Burning-itching on the scalp, from the forehead to the back part of the head. Cold, clammy perspiration, smelling sour, principally on the head and face, with aversion to be uncovered ; worse from the least exercise and during the night ; better from warmth and when at rest. Nodosities ; on the head, sore to contact ; better from covering the head warm and from perspiration. Disposition to catch cold when uncovering the head.

Eyes

Inflammation of the eyes and eyelids ; they are sore to the touch, with lachrymation. Pressure in the eyes, as from a foreign body (sand). The eyes are protruded. Spasmodically closed eyelids (at night). Photophobia. Ulcers and spots on the cornea. Obscuration of sight when reading. The eyes ache from the bright light of day, when moving them. The objects appear to be red.

Ears

Darting pain in the ears. Itching of the external ear. Discharge of fetid pus from the ear. Scurfy eruption on and behind the ear. Whizzing and throbbing in the ears, with hardness of hearing. Detonation in the ear when blowing the nose. Increase of cerumen.

Nose

Inflammation (redness and heat) of the nose. The nose feels sore, as if bruised. Sore pain on the dorsum of the nose when touching it. Very sensitive smell. Coryza, with inflammatory swelling of the nose, which feels as sore as a boil.

Face

Heat and fiery redness of the face. Erysipelatous swelling of the face. Yellow color of the face, with blue border around the eyes. Pain in the bones ; of the face on touching them. Boils on the lips, chin and neck, very painful to the touch. Eruption in the corners of the mouth. Itching around the mouth. Ulcer in the corner of the mouth. Eruption in the face, scurfy, very painful to the touch. Itching pimples on the chin. The middle of the lower lip becomes chapped. Sore and smarting pimple in the vermilion border of the upper lip.

Mouth and Throat

The gums and mouth are very painful to the touch and bleed readily. Toothache worse in the warm room ; increased when pressing the teeth against one another. Looseness of the teeth. The hollow teeth feel too long and painful. Ulcer on the gums and in the mouth, with a base resembling lard. The tip of the tongue is very painful and feels sore. When swallowing, sensation as ; if a plug were in the throat, or as ; if splinters were sticking in it. Scraping in the throat when swallowing saliva. Hawking up of mucus. Swelling of the tonsils and glands of the neck. Dry throat. Stitches in the throat, extending to the ear.

Stomach and Abdomen

Longing for acids, wine, sour and strong-tasting substances. Unusual hunger in the forenoon). More thirst than hunger ; much thirst. Aversion to fat. Distention of the pit of the stomach, compelling one to loosen the clothing. Burning in the stomach. Heaviness and pressure in the stomach after moderate eating. Pressure in the stomach, as if lead were in it. Spasmodic contraction in the abdomen. Sensation of soreness (as if bruised) in the abdomen (in the morning). Cutting pain in the abdomen. Vomiting (every morning). Stitches as the region of the liver, when walking. Splenetic stitches when walking. Rumbling in the abdomen (incarceration of flatulence). Swelling and suppuration of the inguinal glands ; (bubœs).

Stool and Anus

Constipation ; hard, dry stool. The feces are not hard, but are expelled with great difficulty. Sour-smelling, whitish diarrhœa, in children. Clay-colored stool. Dysenteric stools ; difficult evacuation of soft stool, or of bloody mucus, with tenesmus. Hæmorrhage from the rectum, with soft stool. Soreness of the rectum after stool, with ichor. Burning at the rectum. Protrusion of the varices. Perspiration on the perineum.

Urinary Organs

The urine is passed slowly, with difficulty ; drops out perpendicular. Sharp, burning urine, corroding the prepuce. Burning in the urethra during micturition. Urine dark-red, hot. Bloody urine. Stitches in the urethra. Inflammation and redness of the orifice of the urethra. Discharge of mucus from the urethra. Wetting the bed at night.

Sexual Organs

Men. Itching of the penis (glans, frænulum). Ulcers like chancres on the prepuce. Humid soreness on the genitals, scrotum, and the folds between the thigh and the scrotum. Diminished sexual instinct. (Feeble erections). Discharge of the prostatic juice during the hard stool and after urinating. Women. Congestion of blood to the uterus. Menstrual discharge delayed and diminished. Discharge of blood between the times of menstruation. Itching nipples. Scirrhous ulcer on the mamma, with stinging-burning of the edges, smelling like old cheese.

Respiratory Organs

Rattling breathing (during deep). Dry, hoarse cough. Titillation, as from dust in the throat, inducing cough, which is deep, wheezing, with expectoration only in the morning of mucus ; bloody or like pus, generally tasting sour or sweet. Cough worse from evening till midnight. Cough caused by a limb becoming cold ; from eating or drinking any thing cold ; from cold air ; when lying in bed ; from talking, crying. Sneezing or crying, after the attacks of cough. Anxious wheezing breathing. Suffocative attacks, compelling him to raise himself up and to bend the head backwards. Wheezing in the larynx and painfulness of a small spot in the larynx. Swelling below the larynx. Roughness in the throat. Hoarseness. Sensitiveness of the larynx to cold air. Croup, with swelling under the larynx. Cough, with expectoration of blood. Bronchitis. Soreness in the chest. Weakness of the chest ; cannot talk from weakness. Tenacious mucus in the chest. Spasmodic constriction of the chest. Violent palpitation of the heart, with fine stitches ; in the heart and the left half of the chest.

Back and Neck

Violent pulsation of the carotid arteries. Sensation as if bruised in the small of the back and thighs. Stitches and rheumatic pains in the back.

Extremities

Upper. Suppuration of the axillary glands. Fetid sweat in the axilla. Pain, as from bruises in the humeri. Red, hot swelling of the joints of the hands and fingers. Cold perspiration of the hands. Deadness of the fingers. Tingling in the tips of the fingers. Itching in the palms of the hands. Steatoma at the point of the elbow. Rough, dry, grating, cracked skin of the hands. Panaritium. Lower. The hip-joint feels sore, as if sprained when walking. Sensation of soreness in the thighs. Swelling of the knee. Pain, as from bruises in the knee. Cramp in the soles and toes. Tickling in the soles of the feet. Prickings in both heels. Swelling of the feet around the ankles (with difficult breathing). Tingling in the toes. Burning, stinging pain in the toes. Cracked skin of the feet.

Sleep

Sleepiness during the day (morning and evening) with spasmodic yawning. Restless, soporous slumber, with the head bent backwards. Starts up from sleep with the feeling as though he would suffocate. Wakes at night with an erection and an urgent desire to urinate. The side on which he lays at night becomes ; painfully sore ; he must change as position.

Generalities

Fainting (evening) from slight pains. Rheumatic pains in the limbs and stitches in the joints. Weakness in all the limbs ; they feel bruised.

Fever

Pulse hard, full, accelerated ; at times ; intermitting. Chill in the evening, 6 or 7 P.M. Chilliness and heat alternating during the day, with photophobia. Chilliness at night ; in bed aggravating all the symptoms. Great chilliness in the open air. Dry, burning heat, with redness of the face and violent thirst all night. Flushes of heat with perspiration. Profuse perspiration day and night. Perspiration easily excited through the day, especially from exertions of the mind. Night and morning sweat, with thirst. Cold, clammy or sour or offensively smelling perspiration. Intermittent fever; first chills, then thirst and, an hour later, much heat, with interrupted sleep. Violent chill 8 P.M., with chattering of teeth ; hands and feet are cold ; followed by heat with perspiration, especially on the chest and forehead, with slight thirst.

Skin

Inflammation, swelling and suppuration of the glands. Caries. Erysipelatous inflammation on external parts. Suppurations, especially after previous inflammation. Ulcers very sensitive to contact, easily bleeding, burning or stinging, with corrosive pains. Eruptions ; very sensitive and feeling sore when touched. Burning-itching in the skin after scratching ; white vesicles. Nettle-rash. Unhealthy skin ; the slightest injuries produce suppuration and ulceration. Promotes suppuration. Yellow skin and complexion.

Conditions

Great sensitiveness of the affected parts to contact. Aggravation, at night ; from cold air ; from lying on the painful side ; from external pressure ; from touching the parts ; during sleep ; when swallowing food. Amelioration from warmth ; from wrapping oneself up warmly.

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

Hepar sulphuris calcareum. An impure Sulphide of Calcium prepared by burning in a crucible the white interior of oyster shells with pure flowers of sulphur. Trituration.

Clinical

Abscess. Amaurosis . Angina pectoris. Appetite, disordered . Asthma. Axilla, abscess in. Beard, eruptions of . Blepharitis. Boils . Breast, affections of. Bronchitis . Bubo. Burns. Carbuncle. Caries. Chilblains . Chlorosis. Cold . Constipation. Consumption . Cornea, ulceration of; opacity of. Cough. Croup . Diaphragmitis. Diarrhœa. Ear, affections of; polypus of. Eczema . Emphysema. Erysipelas. Eyes, affections of. Fester, tendency to. Glandular swellings . Hæmoptysis. Hæmorrhoids. Headache . Hectic. Herpes preputialis. Hip-joint disease. Hoarseness. Jaundice. Joints, affections of. Laryngitis . Leucorrhœa. Lips, swollen. Liver, affections of. Lungs, affections of. Lupus . Marasmus. Menorrhagia. Mouth, sore . Nipples, sore. Ovaries, affections of. Parametritis. Pleurisy. Pneumonia . Pregnancy, sickness of. Pruritus mercurialis. Pylorus, affections of . Quinsy. Rhagades. Rheumatism. Scarlatina . Scrofula. Skin, affections of . Spinal irritation. Stye. Suppuration . Syphilis. Tenesmus. Throat, sore. Urticaria. Wens. Whitlow. Whooping-cough .

Characteristics

"Liver of Sulphur" is a name which was given by the old chemists to several sulphur compounds whose Colour was supposed to resemble that of liver. Before Hahnemann's time Hepar sulphuris calcareum , Sulphuret of lime, was used as an external remedy for itch, rheumatism, gout, goître and scrofulous swellings. In 1794 Hahnemann proposed to use it internally to arrest mercurial salivation. A few years later it was tried (Teste thinks first by Dr. Busch of Strasburg) for asthma and pulmonary phthisis. That this was a happy inspiration Hahnemann's provings and clinical experience has thoroughly borne out. The Hepar of Hahnemann is not identical with ordinary sulphuret of lime, being prepared with oyster shells, instead of ordinary lime, in a special way. Neither is it identical in composition or properties with Calcium sulphate (Gypsum) of Schüssler. Being a chemical combination of Calcarea carb . and Sulph . it has some of the properties of both, but is very different from either, and though it is useful to compare them, Hepar must be studied as a separate entity. The one feature which more than any other characterises Hepar cases is over-sensitiveness . It runs throughout the remedy. "Any trouble occurring on the skin where there is a great sensitiveness to the slightest touch ; patient can't bear to have even the clothes touch the part, or have it touched in any way. Exanthema, like nettle-rash, sore to the slightest touch. Skin hard to heal; inflammation of; sensitive soreness of," is Guernsey's admirable definition of this feature as it affects the skin and touch. But the sensitiveness is not confined to touch, there is excessive sensitiveness to the air; patient can't bear the least draught; and if a hand accidentally gets outside the bed-clothes it brings on an aggravation; sensitiveness to noise, to odours. The mind is no less "touchy" than the body. " Dissatisfaction with oneself and others ; dreamy, atrabilious mood , a sort of ferocious spleen, as though one could murder a man in cold blood (even in persons who are generally of a merry and benevolent disposition)." This is from Teste, who says he has removed these symptoms with Hepar . Irritable and angry, feels inclined to kill any one who offends him. Another instance of the sensitiveness of Hepar is in relation to pain: the slightest pain causes fainting. There is also irritable heart. The sensitiveness to cold air is more to the dry cold air of Acon . and Bry . This distinguishes it from Nat. sulph . in asthma, which has < from damp cold ( Nat. sulph . is Grauvogl's typical hydrogenoid remedy); and also fixes its applicability in croup. Hepar croup is accompanied with rather loose cough, with wheezing and rattling. Cough as if mucus would come up but it does not. The time of the Hepar croup is early morning (Acon. in evening). The least breath of cold air < the cough, or any uncovering. Another feature of Hepar is the sensation of a splinter or fish-bone in the throat. In quinsy with throbbing pain, where suppuration is imminent, Hepar is indicated. Throbbing, stabbing pains, with general rigor are characteristic. The relation of Hepar to the suppuration process is very marked. It meets the hectic condition generally and the process locally. I once cured with Hep . 6 a case of axillary abscess with a large collection of pus. The whole was absorbed without breaking. In an article published in Minneap. Hom. Mag ., ii. 292, L. P. Foster distinguishes between Hepar, Calc. sul ., and Kali sul ., in their action on tissues. Kali s . acts on the epidermis; Hepar on lymphatic glandular system, skin and respiratory mucous membrane, Calc. s . acts much as Hep ., only more deeply. Hep . acts on abscesses before they open, Calc. s . after. Foster cured a lady with Calc. s ., high, of "several large ulcers in the gluteal region 3 in. in diameter and 3/4 in. deep, exposing the bone." The pain ceased immediately, and the cure was completed in two months. Calc. s . is suited to quinsy after it breaks, Hep . before. In this connection it may be well to speak of the relation of Hep . to Mercurius . Hahnemann's instinct led him to see in Hepar an antidote to mercurial poisoning, and it remains still the chief antidote, whether to the effects of massive doses or to over-action of the potencies. Silic . and Merc . are inimical, but if Hepar is given as an intermediary no unpleasant effects will occur. It follows Merc . when this ceases to help, or has aggravated, in rheumatism, quinsy, boils and suppurations. In a case of eczema pudendi in a young girl, 11, three months after puberty, the parts red and itching, Merc . was given and the whole body became covered with the rash; Hep . was then given and removed all immediately. "Sweats day and night without relief." It antidotes the sensitiveness of Merc . to atmospheric conditions. In the old days of mercurialisation one of the chief things to be avoided by a patient under the "course" was exposure to chill. Hepar has this same sensitiveness to chill and liability to take cold from every exposure. Coryza, nose swollen and sore to the touch, especially inside the alæ. Boring at root of nose with catarrhal symptoms or headache is characteristic. Croupous inflammations of throat, respiratory organs, bowels and kidneys ─ the inner as well as the outer skin, in fact. The ulceration of the skin is peculiar. Guernsey thus describes it: "Ulcers with bloody pus; with sour-smelling pus; stinking pus; putrid ulcers; with redness around; with little pimples around ─ ten, twelve, or even as many as fifty may surround the large ulcer, and the ulcer sometimes spreads by the little pimples joining in. Painful; painful at the edge; suppurating; with pain as if sore; difficult to heal; inflamed; itching; looking like a lump of lead with a hole in it; cancerous ulcers." "Smelling like old cheese" is very characteristic of Hep . ulcers and discharges. The itching of Hep . is noteworthy; it occurs in connection with jaundice. It has cured cases of pruritus especially when of mercurial origin. In the respiratory organs there are suffocative attacks of breathing (in croup the child chokes in its coughing spells and there is much rattling). It meets many cases of asthma and whooping-cough. Respiration with mucous rattle; expiration in the morning, none in the evening; cough with expectoration during the day, none in the night (in croup no expectoration at night but only in the daytime ─ with the suffocative coughing spells; low, weak voice (Guernsey). There is a semi-paralytic condition of the rectum and bladder somewhat like that of Alumina . The stools are passed with great difficulty even when clay-like and soft. Fetid stools with a sour body-smell in children. Sour stools are also very marked in diarrhœa; and this maybe noted along with the desire of Hepar for acid things. Micturition is impeded; obliged to wait awhile before the urine passes, and then it flows slowly for many days. Never able to finish urinating; it seems as if some urine always remains behind in bladder. Urine drops vertically down. The urine is very acrid. There are complaints during micturition and after. Nocturnal emissions. Escape of prostatic fluid at any time, and at stool. Affections of the sexual organs occurring on the right side. Hepar is one of the great antipsorics. In his "Medicine of Experience" Hahnemann speaks of the itch-like eruptions caused by Hepar and its corrective properties in wool-worker's itch. It is suited to: The psoric, scrofulous, diathesis. Debilitated subjects. Great tendency to suppuration. Strumous, outrageously cross children. Torpid, lymphatic constitutions; persons with light hair and complexion, slow to act, muscles soft and flabby. Slow, torpid constitutions with lax fibre and light hair; great sensitiveness to slightest contact of ulcers, eruptions and parts affected. (These conditions differ from the Sulph . type: lean, stoop-shouldered; unclean-looking, aversion to warmth.) The symptoms are: < in the night; on awakening; when blowing the nose; from cold in general; in cold, dry weather; on single parts of the body getting cold; from getting the skin rubbed off; on uncovering the head; from surgical injuries in general; from lying on the painful side; from daylight; from pressure from without; from abuse of Mercury; during sleep; when swallowing, particularly when swallowing food (parts are so tender); while urinating; in clear, fine weather; in dry weather; in the least wind. Symptoms are: > from wrapping up the head; from warmth in general; the, air being warm; in damp and wet weather; from wrapping up the body warmly; by eating (a comfortable feeling after eating is very characteristic). There is marked periodicity in Hepar : every day; every four weeks (attack of paralysis); every four months (scabby eruptions on head); every winter (whitlows); spring and autumn, bilious attacks. The bends of the elbows and popliteal spaces are affected by Hep . In eye affections patient likes to have them covered lightly . The following case was cured by Hep . after Sul . and Calc . had failed. Pustular ophthalmia of left eye, > keeping eye closely covered with some soft fabric, < mornings, > as day advanced. Pimples surround affected eye.

Relations

Antidoted by: Acet. ac., Bell., Cham., Sil. It antidotes: Metals, and especially mercurial preparations, Nit. ac., Calc., Iod., Kali iod., Cod-liver-oil. It removes the weakening effects of Ether. Compatible with: Aco., Arn., Bell., Lach., Merc., Nit. ac., Sil., Spo., Zinc. Complementary to: Calend. in injuries. Compare: In > from warmth: Ars., Calc., Nux v., Nux mos., Pso., Sil., Mag. m. In aversion to be washed Ant. c., Clem., Rhus, Sep., Spi., Sul. In aversion to be touched Ant. c., Ant. t., Cin., Sil., Thu. In irritable heart: Cact., Pho. In suppuration: Sil., Luet. (succession of abscesses), Calc. s., Merc. Every little scratch suppurates: Merc., Cham., Sil., Lyc. Cries during cough: (Arn., before and after; Bell. after), Sharp splinter or fish-bone sensation: Arg. n., Nit. ac., Sil., Fl. ac., Merc., Alm. Hasty speech and actions: Bell. (hasty speech, hasty drinking), Lach., Dulc., Sul. Little pimples round eye: Euphras., Phos. Croup: Aco. (Hep. follows Aco.; Aco. is anxious, high fever, distressed breathing); Spo. (dry, hard cough; little or no expectoration; starts from sleep choking, < before midnight; Hep. < after); Bro., Iod. Constipation: Alm., Bry., Nux, Nat. c. Sour stools: Mag. c., Calc., Rhe. Pains = fainting: Cham., Val., Verat. Sensitiveness of ulcers, &c.: Lach. (absence of sensitiveness, Graph.). Teste puts Hep. in his Pulsatilla group with Sil., Calc., Graph., and Phos.

Causation

Cold, dry winds. Injuries. Mercury. Suppressed eruptions.

Mind

Sadness and desire to weep. ─ Anguish and extreme apprehension, esp. in evening, and sometimes suggesting suicide. ─ Ill-humour; dislike even to see friends. ─ Excessive irritability. ─ Vexation and passion, with hasty speech and excessive weakness of memory. ─ The slightest cause irritates him and makes him extremely vehement. ─ A sort of furious spleen as though one could murder a man in cold blood. ─ Anger; would have no hesitation in killing a man who offended him, only he knows better. ─ Visions in the morning, in bed.

Head

Vertigo on moving the head, as well as from the motion of a carriage, or in the evening, with nausea. ─ Sense of swashing in the head. ─ Vertigo, with loss of intellectual power, and obscuration of sight. ─ Headache in the morning, excited by the slightest shock ( < from every contusion). ─ Headache at night, on moving the eyes; the forehead seems about to be torn asunder. ─ Pain in the head, as if a nail were driven into it. ─ Boring headache from without to within in r. temple; on one side of head; at root of nose, when waking from sleep; < by motion and stooping. ─ Pressure in the head, semi-lateral, as from a plug or dull nail, at night and when waking in the morning; < when moving the eyes and on stooping; > when rising and from binding the head up tight. ─ Pressure on the temples and on the vertex, with palpitation of the heart in the evening. ─ Tension above root of nose. ─ Aching in the forehead, like a boil, from midnight till morning. ─ Pain, as from ulceration, in the head, directly above the eyes, every evening, or else at night, in bed. ─ Shootings in the head, esp. after having been in the open air, and on stooping, or at night, as if the head were going to burst. ─ Piercing in the head, esp. at the root of the nose, every morning. ─ Falling off of the hair, with very sore, painful pimples and large bald spots on the scalp; sensitiveness of the scalp to contact, with burning and itching in the morning after rising (after abuse of Mercury). ─ Cold sweat on the head. ─ Cold, clammy perspiration, smelling sour, principally on the head and face, with aversion to be uncovered; < from least exercise and during night; > from warmth and rest. ─ Disposition to catch cold when uncovering the head. ─ Tuberosities on the head, with pain as of excoriation, on their being touched; > from covering the head warm and from perspiration. ─ Humid scabs on the head, feeling sore, of fetid smell; itching violently on rising in the morning and feeling sore on scratching. ─ The head is bent backward, with swelling below the larynx, with violent pulsation of the carotid arteries and rattling breathing (in croup).

Eyes

Pain, as if the eyes were driven, or drawn back, into the head. ─ Painful and difficult movement of the eyes. ─ Heat, pressure and shootings in the eyes. ─ Throbbing in and about the eye. ─ Pressure in the eyes, as from a foreign body (sand). ─ Pain, as from ulceration, immediately above the eye, every evening. ─ Inflammation of the eyes and of the eyelids, sometimes erysipelatous, with pain as of a bruise, and of excoriation, on being touched. ─ Pimples above the eyes, and on the eyelids. ─ Specks and ulcers on the cornea. ─ Nocturnal lachrymation and agglutination of the eyelids. ─ Spasmodic closing of the eyelids (at night). ─ Eyes prominent. ─ Obscuration of the sight on reading. ─ Photophobia by day, and by candle-light. ─ The eyes ache from the bright light of day, when moving them. ─ Confusion of sight, in the evening, by candle-light, alternately with clearness of vision. ─ The objects appear to be red.

Ears

Darting pain in the ears. ─ Shootings in the ears, on blowing the nose. ─ Detonation in the ear, when blowing the nose. ─ Heat, redness, and itching in the ears. ─ Itching of the external ear. ─ Discharge of pus from the ears, which is sometimes fetid. ─ Scabs behind and on the ears. ─ Hardness of hearing, with pulsations and buzzings in the ears, esp. in the evening in bed. ─ Increase of cerumen.

Nose

Inflammation, redness, and swelling of the nose. ─ Pain, as of a bruise, and of excoriation in the nose, on its being touched. ─ Burning pain, as from ulceration and scabs in the nostrils. ─ Epistaxis, in the morning, and after singing. ─ Want of, or increased power of smell. ─ Coryza, chiefly on one side, with roughness in the throat, inflammatory swelling of the nose, fever, or painful weariness in all the limbs.

Face

Face yellow, with blue circles round the eyes. ─ Face burning, and of a deep red. ─ Nocturnal heat of face. ─ Erysipelatous inflammation and swelling of the face and cheeks, with pricking tension, and eruption of vesicles. ─ Drawing and tearing pains, commencing from the cheeks, and extending to the ears and the temples. ─ Pains in the bones of the face, on the parts being touched. ─ Pimples on the forehead, which disappear in the open air. ─ Swelling of the lips, with tension and pains on touching them. ─ Eruption at the corners of the mouth. ─ Ulcer in the corner of the mouth. ─ Ulceration at the commissure of the lips. ─ The middle of the lower lip becomes chapped. ─ Blisters (boils) on the lips, chin, and neck, painful on being touched. ─ Eruption on the face, scurfy, very painful to the touch. ─ Vesicles on the chin. ─ Shootings in the articulation of the jaw, on opening the mouth.

Teeth

Odontalgia, with starting and drawing pains, < by closing the teeth, by eating, and in a hot room. ─ Looseness of the teeth. ─ The hollow teeth feel too long. ─ Swelling and inflammation of the gums, which are painful when touched. ─ Ulcer on the gums and in the mouth, with a base resembling lard. ─ The gums and mouth bleed readily.

Mouth

Accumulation of water in the mouth. ─ Salivation, hawking up of mucus. ─ The tip of the tongue is very painful and feels sore. ─ Speech hoarse and precipitate.

Throat

Sore throat, as if there were a peg in it, or an internal tumour. ─ Painful scraping in the throat, with difficulty in speaking and in swallowing the saliva. ─ Hawking up of mucus. ─ Shootings in the throat, and even into the ears, as from splinters, on swallowing, coughing, breathing, and on turning the head. ─ Violent pressure on the throat, with danger of suffocation. ─ Deglutition impeded and almost impossible, without great efforts. ─ Dryness in the throat. ─ Swelling of the amygdalæ.

Appetite

Loss of appetite. ─ Bitterness of the mouth and of food. ─ Earth-like and bitter taste in the throat, with natural taste of food. ─ Violent thirst. ─ Unusual hunger in the forenoon. ─ Bulimy. ─ Desire only for acids, wine, sour and strong-tasting substances, or highly seasoned things. ─ Dislike to fat. ─ Desire for wine.

Stomach

Risings, with burning sensation in the throat. ─ Burning in the stomach. ─ Attacks of nausea, sometimes with cold and paleness. ─ Nausea, with inclination to vomit in the morning. ─ Acid, bilious, greenish, or mucous and sanguineous vomitings. ─ Frequent and easy derangement of the stomach. ─ Pressure at the stomach, even after eating very little. ─ Pressure in stomach, as if lead were in it. ─ Swelling in the region of the stomach, with pressive pains. ─ Pressure, inflation and sensation, as if there were Something weighing heavily on the epigastrium, with inability to continue seated, and to endure tight clothes.

Abdomen

Shootings in the region of the spleen. ─ Splenetic stitches when walking. ─ Shootings in the hepatic region, esp. when walking. ─ Pain, from a bruise in the in the morning. ─ Cramps and contractive pains in the abdomen. ─ Sensation of violent clawing in the umbilical region, with nausea, anxiety, and heat of the cheeks. ─ Cutting pains. ─ Pain, as from ulceration in the abdomen. ─ Shootings in abdomen, esp. on l. side. ─ Swelling and suppuration of the inguinal glands (buboes). ─ (Rumbling in the abdomen.). ─ Incarceration and difficult emission of flatus, esp. in the morning.

Stool and Anus

Constipation; hard and dry fæces. ─ Difficult emission of scanty and soft excrement, with urgent want, and tenesmus. ─ Diarrhœa of feculent matter with cutting pains. ─ Whitish diarrhœa, of an acidulous smell, esp. in children. ─ Dysenteric evacuations, greenish, or of a clay-colour, with evacuation of sanguineous mucus. ─ After the evacuation, pain, as of excoriation, and sanious discharge from the anus. ─ Hæmorrhage from rectum, with soft stool. ─ Burning at the rectum. ─ Protrusion of hæmorrhoidal pimples from the rectum. ─ Perspiration at the perineum.

Urinary Organs

Urine slow and turbid, with whitish sediment. ─ The urine is passed slowly, with difficulty; drops out perpendicularly. ─ Abundant secretion of pale urine, with pressure on the bladder. ─ Acrid, corrosive (corroding the prepuce), or pale and watery, or deep-red, and hot urine. ─ Nocturnal emission of urine. ─ Wetting the bed (at night). ─ Emission of blood after urination. ─ Burning in the urethra during micturition. ─ Stitches in the urethra. ─ Redness and inflammation of the orifice of the urethra. ─ Discharge of mucus from the urethra.

Male Sexual Organs

Weakness of the genital parts. ─ Itching of the penis (glans, frænulum). ─ Smarting, excoriation, and oozing, between the thigh and the scrotum. ─ Cancerous ulcer on the prepuce. ─ Painful, cramp-like, and tensive erections. ─ Absence of sexual desire and of erections. ─ Erections without energy, during coition. ─ Excitement of the genital parts, as if for emission. ─ Flow of prostatic fluid, esp. after making water, and during a difficult evacuation.

Female Sexual Organs

Excoriation of the vulva, and between the thighs. ─ Congestion of blood to the uterus. ─ Irritation of ovaries (l.); with swelling; and great sensitiveness. ─ Discharge of blood between the periods, with inflation of the abdomen. ─ Catamenia too long delayed, and diminished. ─ Leucorrhœa, with smarting at the vulva. ─ Cancerous ulcer on the breast, with stinging-burning of the edges, smelling like old cheese. ─ Itching nipples.

Respiratory Organs

Hoarseness. ─ Pain and great sensitiveness (to cold) of the larynx, with weak and rough voice, emaciation, hectic fever, and sleeplessness. ─ Rattling breathing (during sleep). ─ Swelling below the larynx. ─ Roughness in the throat. ─ Croup, with swelling under the larynx. ─ Permanent pain in the larynx, < by pressure, speech, coughing, and breathing. ─ Weakness of the organs of speech, and of the chest, causing a hindrance to speak loud. ─ Cough, excited by irritation or pain in the larynx. ─ Titillation as from dust in the throat, inducing cough, which is deep, wheezing, with expectoration, only in the morning, of mucus, bloody, or like pus, generally tasting sour or sweet. ─ Cough, deep and dull, excited by difficulty of respiration. ─ Suffocating, violent cough, with retching. ─ Cough, similar to whooping-cough. ─ Cough after drinking. ─ Dry cough, in the evening, on taking cold in any part of the body, or when lying on the bed. ─ Cough worse from evening till midnight. ─ Cough caused by a limb getting cold; from eating or drinking anything cold; from cold air; when lying in bed; from talking, crying. ─ Attacks of dry, rough, and hollow cough, with anguish and suffocation, often ending in lachrymation. ─ Barking cough. ─ Cough, with spitting, of blood. ─ Cough, with abundant expectoration of mucus. ─ Ringing, and pain in the head during the cough, as if it were going to burst. ─ Sneezing after the cough. ─ Bronchitis.

Chest

Anxious, hoarse, wheezing respiration, with danger of suffocation on lying down. ─ Soreness in the chest. ─ Attacks of suffocation, which force the patient to throw back the head. ─ Shortness of breath. ─ Weakness of the chest; cannot talk from weakness. ─ Tenacious mucus in the chest. ─ Spasmodic constriction of the chest. ─ Frequent want to breathe deeply, as after running. ─ Shootings in the chest on breathing and walking. ─ Pimples and furunculi on the chest, with lancinations, and pain as of excoriation on the part being touched.

Heart

Violent palpitation of the heart, with fine stitches in the heart and l. half of chest. ─ Irritability of the heart.

Neck and Back

Swellings on the neck, painful when touched. ─ Violent pulsation of the carotid arteries. ─ Burning, shooting pain in the region of the loins. ─ Pain, as from a bruise in the loins, extending to the thighs. ─ Shootings and pulling in the back, between the shoulder-blades and in the muscles of the neck. ─ Stitches and rheumatic pains in the back. ─ Nocturnal tension in the back, on turning in bed. ─ Fetid sweat under the armpits. ─ Suppuration of the axillary glands.

Upper Limbs

Pain, as from a bruise, in the bones of the arm (humeri). ─ Arthritic swelling of the hand, of the fingers, and of the joints of the fingers, with heat, redness, and pain, as of dislocation during movement. ─ Skin of the hands cracked, rough and dry. ─ Granulated eruption on the hands and on the wrists. ─ Nettle-rash on the hands and on the fingers. ─ Cold perspiration of the hands. ─ Tingling in the tips of the fingers. ─ Itching in the palms of the hands. ─ Steatoma at the point of the elbow. ─ Easy dislocation of the fingers. ─ Fingers dead. ─ Panaris.

Lower Limbs

Pain in the buttocks on sitting down. ─ Furunculi on the buttocks. ─ Pain, as from a bruise, on the thighs. ─ Painful tension in the thighs, which prevents sleep. ─ Frequent sudden lassitude of the limbs, when walking. ─ The hip-joint feels sore, as if sprained when walking. ─ Pain as from bruises in the knee. ─ Prickings in both heels. ─ Tingling in the toes. ─ Burning, stinging pain in the toes. ─ Swelling of the knees. ─ Cramps in the calves of the legs, the soles of the feet, and the toes. ─ Feet burning. ─ Swelling of the feet, and in the ankle-bones, with difficulty of respiration. ─ Red, rheumatic swelling in the ankle-bones, with pain, which increases at night. ─ Cracks in the feet. ─ Shootings in the corns.

Generalities

Tearing or paralytic pullings in the limbs, esp. in the morning on walking. ─ Weakness in all the limbs. ─ Pains, as from excoriation or bruising on various places, when they are touched. ─ Rheumatic pains in the limbs and shootings in the joints. ─ Arthritic swellings, with heat, redness, and pains as from dislocation. ─ Swelling, inflammation, and ulceration of the glands. ─ Appearance or aggravation of the pains at night, esp. during the chills. ─ Emaciation, sometimes with anguish, irritability, shiverings in the back, redness of the cheeks, sleeplessness, &c. ─ Physical depression and trembling after smoking tobacco, or on walking in the open air, with heat and anxiety. ─ Fainting fit, esp. in the evening, from moderate pains.

Skin

Erysipelatous inflammations, even with swelling and vesicles. ─ Yellowish colour of the skin, esp. on the face, with yellowish colour of the sclerotica, and urine red like blood. ─ Jaundice, with much itching. ─ Burning itching in the body, with white vesicles after scratching. ─ Nettle-rash. ─ Eruption of pimples and tubercles, painful to the touch. ─ Unhealthy skin; every injury tends to suppuration and ulceration. ─ Promotes suppuration. ─ Cracks in the skin. ─ Putrid ulcers, smelling like old rotten cheese, and easily bleeding, with shootings, sensation of gnawing (esp. at night), or with burning and pulsative pains. ─ Cancerous ulcers. ─ Suppurations; esp. after previous inflammations. ─ Panaris. ─ Caries.

Sleep

Strong desire to sleep, morning and evening, with convulsive yawning. ─ Unquiet sleep, with the head turned back. ─ Prolonged sleep with stupefaction, as in lethargy. ─ Sleeplessness, caused by a great flow of ideas. ─ Dreams of fire, sickness, danger, guns, &c. ─ At night, gastric sufferings, headache, agitation, starting of the limbs, and dry heat. ─ Starts at night, during sleep, as from want of air, with tears and great anguish. ─ Wakes at night with an erection and an urgent desire to urinate. ─ The side on which he lies at night becomes painfully sore; he must change his position.

Fever

Pulse hard, full, accelerated; at times intermitting. ─ Shuddering and shivering, esp. in the open air. ─ Shiverings, with chattering of the teeth and coldness in the hands and feet, followed by heat and sweat, esp. on chest and forehead, with little thirst. ─ Chill in the evening, 6 or 7 p.m. ─ Chilliness and heat alternating during the day, with photophobia. ─ Chilliness at night; in bed aggravating all the symptoms. ─ Bitterness in the mouth, afterwards shivering with thirst; an hour after, heat with sleep, after which, vomiting and cephalalgia. ─ Dry heat at night. ─ Flushes of heat with sweat. ─ Burning, feverish heat, with redness of the face and violent thirst. ─ Strong disposition to perspire in the daytime, on the least effort, and on the least movement. ─ Profuse perspiration day and night. ─ Perspiration easily excited through the day, esp. from exertions of the mind. ─ Nocturnal sweat. ─ Sweat in the morning. ─ Night and morning sweat, with thirst. ─ Viscid acid sweat. ─ Cold, clammy, or sour or offensively smelling perspiration. ─ Intermittent fever; first chills, then thirst, and, an hour later, much heat, with interrupted sleep.

The Guiding Symptoms of Our Materia Medica

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

Mind

Great weakness of memory with the irritability.
Dementia, with complete stupidity, sits silent and speechless in a corner.
Delirious mutterings, with burning heat of body.
Frightful imaginings.
Frightful visions of fire and of dead persons.
Hasty speech and hasty drinking.
Violent, fretful, passionate ; spoke with great volubility, would not listen to any remarks offered. θ Mind affection.
On awaking, rushed home with frightful gestures, threatened to murder wife and children, attempted to set house on fire, and was with difficulty controlled ; after being received in an asylum, sat in corner of room silent and motionless ; urine and feces passed
involuntarily ; whole surface of body covered with scabious eruption ; restless at night. θ Scabies.
Malicious mood ; feels as if he could murder some one with pleasure.
Repulsive mood, with desire to be left alone.
Child does not incline to play or to amuse itself in any way ; does not laugh.
Depressed or irritable mood.
Sad mood for hours ; must cry vehemently.
Low spirited, even to thoughts of suicide.
Great anxiety in the evening.
Melancholy humor, cries bitterly ; unreasonably anxious.
Impelled by unaccountable attacks of internal anguish, which sometimes come on quite suddenly, to attempt suicide.
Violent fright on slumbering.
The slightest cause irritates him and makes him extremely vehement.
Violent, passionate fretfulness ; she spoke with such volubility that one could not always get a chance to reason with her, and she would not listen to the most just remarks. θ Affection
of mind.
Hypochondriasis.
Temper obstinate and cross, a ferocious spleen which would lead to cold blooded murder even among those habitually gay and benevolent.
Wrathful irritability, even to most extreme violence, threatening to end in murder and arson.
Extreme discontent, indisposition to everything.
Peevish ; angry at least trifle.

Sensorium

Vertigo : mornings ; when closing eyes, at siesta ; evening, with nausea ; when riding in a carriage ; during dinner, after belching, with blackness before eyes, when shaking head.
Short attacks of stupidity, vertigo, dulness of mind and want of memory.
Forepart of head feels stupefied and heavy.
Fainty giddiness when riding in a carriage or when shaking head, with headache and obscuration of sight.
Fainting from slightest pains ; evenings.

Inner head

Aching in forehead : as if bruised ; like a boil ; from midnight till morning.
Burrowing headache in frontal region as if an abscess were forming.
Violent headache, at night, as if forehead would be torn out, with general heat, without thirst.
Headache with a feeling as if eyes would be drawn back into head.
Tensive, aching pain above nose.
Headache over eyes pressing down upon eyes.
Pressure and drawing in temples by day.
Painful throbbing in right temple.
Aching in vertex, with palpitation of heart, in evening.
Stitches in head, when stooping ; sensation as if skull would burst, waking him at night.
Sticking headache.
Hammering sensation in head.
Burrowing, sharp headache, neuralgic in character.
Boring headache : at root of nose, every morning ; in right temple, from without inwards ; < from motion or stooping.
Pressure in head, semi-lateral, as from a plug or dull nail, at night, and when waking in morning ; < when moving eyes and on stooping ; > when rising and from binding head up tight.
Constant pressive pain in one-half of brain, as from a plug or nail.
Wabbling as of water in brain.
Sense of swashing in head.
Headache when shaking head.
Headache > by tying something tightly around head.
Dull headache every morning in bed, > after rising.
Morning headache, < from every concussion.
Lancinating headache, > when walking in open air.
Headache from abuse of mercury.
Traumatic cerebritis, in infants and children, with spasms.
Pulse-like stitches in lower portion of occiput.
Pressive pain externally right of occiput, gradually extending to nape, throat and shoulder blades.
Severe stitches in occiput and both temples, as if plug or nail were being driven in.

Outer head

Head bent backward, with swelling below larynx ; violent pulsation of carotids, rattling breathing.
Sensitiveness of scalp to touch, with burning and itching in morning after rising (after abuse of mercury).
Extreme sensitiveness of scalp, could hardly bear to comb her hair or have anything touch the head.
Disposed to take cold from uncovering head.
Burning itching on scalp, from forehead to occiput.
Nightly pain in skull bones.
Nodosities on head, sore to touch, > by covering head warmly and from sweat.
Painful tumors on head ; sebaceous tumors inflamed and ready to discharge.
Boils on head and neck, very sore on contact.
Falling off of hair, with very sore, painful pimples, and large bald spots on scalp.
Loss of hair following mercurialization or chronic headache.
Cold, clammy perspiration, smelling sour, principally on head and face, with aversion to being uncovered ; < from least exercise and during night ; > from warmth and when at rest.
Fissured eruption behind and on both ears, exuding a thick, gluey secretion, which mats hair ; resents with force on attempt to place finger on head ; utter abhorrence to be bathed, during which she would scream and fight.
Humid eruptions : feel sore ; of fetid odor ; itching violently on rising in morning ; burning and feeling sore on scratching ; scabs easily torn off, leaving a raw, bleeding surface.
Favus, extending to nape of neck or face.

Sight and eyes

Photophobia.
Objects appear to be red.
Feeling of blindness before eyes on rising and standing up after sitting bent over.
Sight becomes dim when reading.
Eyes become dim, cannot see well in evening by candle light.
Anesthesia of retina, the result of looking at an eclipse ; sees a light spot in centre of field of vision, surrounded by a dark ring, and again by a lighter ring, all of which were constantly turning and changing into various colors, especially green ; < coming into room
from bright sunlight ; feeling as if eyes were being pulled back into head, with photophobia ; vision 21/100 ; field of vision very much contracted.
Flickering before eyes ; pupils dilated and insensible to light ; after abuse of mercury.
Inflammation of ciliary body.
Purulent capsulitis after extraction of cataract.
Prolapsus iridis.
Iritis with Hypopion or associated with small abscesses in iris (suppurative iritis).
Anterior chamber about half filled with pus ; eye sensitive to light and air, and must be covered ; no syphilitic origin. θ Iritis with Hypopion.
After injury to eye, violent inflammation ; sclerotica looks like raw beef ; light intolerable ; feeling as of sand in eye ; in anterior chamber a collection of pus apparently about two lines in diameter ; meditates suicide, especially in evening. θ Hypopion.
Onyx.
Cornea dim, opaque and bulging, with a blister-like elevation, as large as end of knitting needle, in centre, forming base of an open ulcer ; Hypopion ; fever with pressing, burning, bruised pain in eyes, extending into head. θ Hypopion.
For three months left cornea so hazy that iris could hardly be seen, and for two months right cornea had gradually become involved from periphery toward centre ; both corneæ opaque and vision lost ; considerable pain in eyes and head, with iritis ; great ciliary injection
and excessive dread of light ; lachrymation ; no history of syphilis.
Severe inflammation in cornea and iris of left eye ; cornea ulcerated superficially, much ciliary injection, pupil contracted, iris sluggish, great photophobia and lachrymation, much pain extending from eye into corresponding side of head, < at night, especially about 2 or 3 A.
M. ; seat of pain in head, as well as eye, quite sore to touch ; lids considerably swollen and slight discharge. θ Kerato-iritis.
Kerato-iritis with ulceration of cornea, Hypopion, sensitiveness to air and touch.
Ulcers and abscesses of cornea, especially for deep sloughing form and when Hypopion is present ; intense photophobia ; profuse lachrymation ; great redness of cornea and conjunctiva, even chemosis ; pains severe, of a throbbing, aching, stinging character ; >
from warmth, so that he constantly wishes to keep eye covered ; < from any draught of air ; at night or in evening lids often swollen, spasmodically closed and very sensitive to touch, or may be red, swollen and bleed easily upon opening.
Sclerotic violet red, cornea dim ; great photophobia and lachrymation ; lower lids swollen. θ Ulceration of cornea.
Recurring ulceration of cornea in ophthalmia scrofulosa.
Torpid ulceration of cornea ; where there is a want of lachrymal secretion.
Red, vascular, elevated ulcer, like a piece of red flesh, at margin of cornea.
Opacities of cornea.
Acute aggravation of pannus, which tends toward ulceration, especially in mercurialized subjects.
Epithelioma of cornea.
Herpes conjunctivæ bulbi ; enlarged veins, run nearly horizontally towards cornea, and terminating in little blisters near edge of cornea ; < from crying.
Eyes very red, great photophobia, lids red and swollen, with burning pain in affected parts. θ Ophthalmia.
Inflammation of eyes and lids ; sore to touch ; lachrymation.
Catarrhal inflammation and blenorrhœa of eyes ; lids inflamed, excoriated, running, as if corroded, especially at inner canthus ; internal surface of lids, especially of lower, of deep red color and inflamed ; heat, especially in morning on waking ; pain, as of a
burn, smarting, itching in lids ; lids and angles agglutinated in morning by purulent mucus ; conjunctiva red, traversed by large vessels ; photophobia ; in evening, vision of colored and dim halos around candle, with pressive pain forcing her to shut eyes occasionally.
Inflammation of eye, small ulcer on left cornea ; eyeballs slightly swollen ; eyes closed by swelling at night, and discharging much purulent mucus ; hair fell off profusely, leaving bald places on scalp ; scabs on head, face and neck, painful when touched ;
itching in scalp ; frequent calls to stool, with difficult evacuations ; sour smelling sweat at night ; peevish, fretful humor.
Violent pain over right eyebrow ; excessive lachrymation of l. eye ; photophobia alternating with unusually clear and distinct vision in dark part of room ; everything appearing illuminated ; at times objects appeared red ; left pupil much dilated, not sensitive
even to strong light ; r. pupil normal ; conjunctiva reddened from canthi, but not on cornea ; sensation as if eyes projected ; painful pressure in eyeball as if bruised ; acute bruised pain on slightest touch. θ Foreign
body in eye.
Purulent conjunctivitis with profuse discharge and excessive sensitiveness to air and touch.
Catarrhal conjunctivitis after inflammatory stage has passed.
Scrofulous inflammation of eyes, especially in phlegmatic, fat, large bellied children, with fine white skin, light hair, thick neck and swollen glands, subject to eruptions and ulcerations of skin.
Chronic inflammation of eyes, with great photophobia, lachrymation and mucous discharge ; formation of ulcers with pressing, burning pains as if eyes were bruised.
Symptomatic forms of chronic catarrh of conjunctiva with infarction of Meibomian glands and purulent secretion, in scrofulous subjects.
Stitches in the eyes.
Pressure in eyes, especially on moving them, with redness.
Eyes ache from bright daylight, when moving them.
Pain in eye at each step.
Eyeballs sore to touch ; pain as if they would be drawn back into head.
Pressing pain in eyeballs, feel bruised when touched.
Pressure in eyes as from sand.
Eyes are protruded. θ Croup.
Dacryo-cystitis and orbital cellulitis, especially if pus has formed and there is great sensitiveness to touch, with throbbing pain ; prevents formation of pus or accelerates its discharge.
Inflammation of lachrymal sac after pus has formed ; blenorrhœa, with great sensitiveness to touch and to cold, with profuse discharge.
Lachrymal duct closed by an exudative swelling ; constant lachrymation ; had existed a long time.
Burning pains in bones above orbits.
Smarting pain in external canthus, with accumulation of hardened mucus.
Cutting pain in outer canthus.
Anchylops.
Redness, inflammation and swelling of upper lid, with pain more pressing than sticking.
Redness, inflammation and swelling of upper lid, with pressive pain.
Lids closed in morning on waking, cannot open them for a long time.
Blepharophthalmia when Meibomian glands are involved, and when little pimples surround the inflamed eye.
After frequent straining of eyes, inflammation of glands of both eyelids ; lids swollen, palpebral conjunctiva inflamed, erysipelatous ; at outer canthi lids as if corroded and ulcerated ; secretion of glands increased ; eyes agglutinated in morning ; every
effort and light cause pain.
Upper lid margins unevenly rounded, swollen and red ; tough mucus in lashes and canthi ; scleral conjunctiva injected with red vessels running towards cornea, where they form little vesicles with turbid secretion ; lachrymation ; pain in evening, agglutination in
morning ; right eye worse ; small pimples or little furuncles on face, or elsewhere, in complication with tinea.
Acute phlegmonous inflammation of lids, which tends toward suppuration ; lids swollen, tense and shining, as if erysipelas had invaded them, with throbbing, aching, stinging pain and sensitiveness to touch ; pains < cold, > warmth.
Blepharitis ; after the first stage, when suppuration threatens ; lids inflamed, throbbing, aching, stinging, very sensitive to touch ; ameliorated by heat.
Chronic ciliary blepharitis complicated with swelling of Meibomian glands, or ulcers and swellings on margin of lid, which are painful in evening and upon touch.
Palpebral tumors.
Spasmodically closed eyelids (at night).
Eczema palpebrarum, where scabs are thick and honeycombed.
Little pimples surround inflamed eyes.

Hearing and ears

Whizzing and throbbing in ears, with hardness of hearing.
Cracking in ear when blowing nose.
Darting pain in ears.
Increase of earwax.
Discharge of fetid pus from ears.
Canal filled with white, cheesy, bloody pus, and surrounding skin scurfy and irritated ; little pustules in meatus and auricle, wherever pus touched ; hemorrhage from slightest touch ; > from hot applications, cannot bear anything cold.
Itching of ears, green discharge ; liquid wax.
Itching in ears.

Smell and nose

Hyperesthesia of smell.
Sense of smell acute, also with vertigo.
Loss of smell.
Nosebleed (after singing).
On blowing nose unpleasant sensation in left side of nose with whizzing and snapping in ear.
Blowing nose causes a raw feeling in side of nose.
The nose feels sore as if bruised.
Contractive sensation in nose.
Itching in nose, causing sneezing.
Nose stopped up in morning.
Febrile fluent coryza if it gets dry, especially with scrofulous and rachitic children ; hoarseness, or hollow, croupy cough.
Heat and burning in nose ; ulcerative pain in nostrils ; drawing pain in nose passing into eyes, becoming a smarting there ; pain lasts far into night ; annoying occlusion of nostrils ; crusts and scabs ; interior of nose painful and sensitive to air and
touch.
Fluent coryza, with continual necessity to blow nose, which yields a thin, badly smelling slime ; sometimes yellowish, sticky matter drops out of one nostril.
Coryza, with inflammatory swelling of nose, painful like from a boil ; also with cough.
Blowing of offensive mucus from nose.
Mucus from posterior nares mixed with blood.
Nasal discharge thick and purulent, sometimes tinged with blood.
Offensive smelling discharge from nose, which is swollen and red ; scabs in nose ; loss of smell ; eyes inflamed, lids red, excoriated and burning, as if raw ; photophobia.
Violent pain in bony part of nose with thick mucopurulent discharge from one nostril ; > in dry weather ; < on approach of rain, or in changeable weather ; after abuse of mercury.
Four years ago discharge of bone as large as pea from left nostril, preceded by severe neuralgic pains in region of l. orbit, followed by discharge of mucus, which, after a few months became very profuse and purulent ; dizziness and headache.
Scurfy formation in right half of nose, extending down upon lip with a deep fissure, very sore and sensitive to touch.
Scrofulous inflammation of nose with loss of sense of smell.
Scrofulous coryza with formation of crusts and painful inflammation of alæ nasi.
Ozæna scrofulosa.
Bones of nose painful to touch.
Sore pain on dorsum of nose, when touching it.
Inflammation (redness and heat) of nose.

Upper face

Yellow color of face, with blue rings around eyes.
Yellowness of face and skin.
Heat and fiery redness of face.
Heat of face, night and morning, on waking at 7 P. M.
Erysipelatous color of face.
Chronic neuralgia of face, extending in streaks into temple, ear, alæ nasi and upper lip ; particularly if < in open air, and > wrapping up warmly.
Spasmus facialis, especially if caused by diseased bones or teeth.
Hard swollen cheek, and upon it an outgrowth size of walnut, as hard as cheek.
Pains in malar bones, < from touch, extending to ears and temples, < in fresh air, and > by wrapping up face ; at same time coryza, hoarseness, much sweating and rheumatic pains.
Bones of face painful to touch.
Erysipelatous swelling of cheeks in morning.
Nettlerash eruption on face.
Humid herpes, especially on face.
Eruptions scurfy and very painful to touch.
Crusty pimples on face of young people.
Boils very painful to touch.
Lupoid ulceration of face, intolerance of touch, every breath of air caused pain.

Lower face

Great swelling of upper lip, painful to touch, but otherwise only tense.
Sore smarting pimple on vermilion border of upper lip.
Middle of lower lip cracked.
Eruption, with sensation of heat in corners of mouth.
Ulcer at corner of mouth.
Hydroa around mouth. θ Tertian ague.
Itching around mouth.
Red, itching spot beneath lower lip, soon becoming covered with many yellow blisters, which change to a scurf.
Boils on lips and chin, very painful to touch.
White blisters on lips, chin and neck.
Itching pimples on chin.
Acute inflammation of right parotid gland ; threatened suppuration ; a few pimples appeared on face.
High fever, eyes inflamed and half open ; involuntary discharges from bowels and bladder ; great restlessness. θ Parotitis after scarlet fever.
Fungous growth on inferior maxillary, with necrosis.

Teeth and gums

Throbbing pain as if blood were entering tooth, or a drawing pain ; pains < after eating and in a warm room, or at night.
Toothache in all teeth, immediately after drinking cold things, or opening mouth.
Toothache, < in warm room, and when biting teeth together.
Hollow teeth feel too long and painful.
Loose molar teeth ; mouth sore ; breath offensive ; small aphthæ on gums and roof of mouth.
Looseness of teeth ; gums tender.
Gums and mouth very painful to touch, bleed easily.
Gums ulcerated, tender and painful.
Mercurio-syphilitic diseases of gums.

Taste, speech, tongue

Taste : putrid ; sour ; metallic ; bitter ; of rotten eggs in morning.
Bitterness in back of throat, with natural taste of food.
Coating on back of tongue resembling dry clay.
Tip of tongue very painful, and feels sore.
Hasty speech.

Inner mouth

Offensive odor from mouth, as from disordered stomach, which he himself notices.
White aphthous pustules on inside of lips and cheeks and on tongue.
Thrush < on inside of lower lip.
Ulcers on gums and in mouth, base resembling lard.

Palate and throat

Elongated flabby uvula, with tickling sensation in back of throat and enlargement and inflammation of mucous follicles.
Roughness of fauces.
Swollen tonsils and hard glandular swellings on neck, with sticking, when swallowing, coughing, breathing, or turning neck.
Sore throat ; tonsils so much swollen as to leave no opening visible ; pulse high, about 100 ; intense pain, could neither speak, move nor swallow ; extreme uneasiness. θ Quinsy.
Tonsils enlarged, red ; throat and pharynx raw, and studded over with enlarged reddish follicles ; could not venture out in slightest damp without being in fear of inflammation of throat, which at last produced a nervous sort of terror of being choked ; incapacitated from
work, as the damp from the clay affects him with hoarseness and irritability of chest.
Tonsillitis recurring regularly every two or three years ; difficult deglutition ; severe pain ; right tonsil particularly red and swollen ; twenty days after beginning of attack pus is discharged.
Chronic tonsillitis, especially when accompanied by hardness of hearing.
Dryness of throat.
Scraping in throat when swallowing saliva.
Scraping sore throat, impeding speech but not swallowing.
Smarting, rawness and scraping in throat, < swallowing solid food.
Violent pressure in throat, believes that it is quite constricted and that she must suffocate.
Pain in throat, on swallowing, as from an intense swelling ; sensation as if he had to swallow over a swelling.
A feeling in throat as of a plug of mucus or an internal swelling at entrance of throat.
Sticking in throat, extending to ear on turning head.
Sticking in throat as from a splinter, on swallowing, extending towards ear on yawning.
Stitches in throat, extending to ear, < when swallowing food.
Sore ulcerative pain in throat as of a splinter, very severe from afternoon to midnight, preventing sleep.
Sensation as if a fish bone or splinter were sticking in throat.
Hawking up of mucus.
After violent inflammation of throat when there still remains some redness, dryness and swelling of mucous membranes.

Appetite, thirst. desires, aversions

Unusual hunger in forenoon.
Excessive thirst from morning till evening.
Craving for condiments, sour, highly flavored, pungent articles.
Great desire for vinegar.
Longing : for acids ; wine ; sour and strong tasting things.
Appetite for something at times, and when he gets it he does not like it.
Aversion to fat.

Eating and drinking

Strong and comfortable feeling after a meal.
Child seems to be better after eating.
Heaviness and pressure in stomach after moderate eating.
Hasty speech and hasty drinking.
Better from tobacco.

Hiccough, belching, nausea and vomiting

Constant sensation of water rising in œsophagus, as if she had eaten sour things.
Eructations frequent, odorless and tasteless.
Fetid eructations, with sensation of burning in throat.
Eructations after eating.
Hot, sour regurgitation of food.
Heartburn.
Inclination to vomit, with flow of saliva from mouth.
Frequent but momentary attacks of nausea.
Attacks of nausea, with coldness and paleness.
Vomiting of green, acrid water.
Sour vomiting.
Vomiting of bile, in morning, after long, violent retching.
Vomiting every morning.

Scrobiculum and stomach

A feeling of hard body in epigastrium, immediately followed by hæmoptysis.
Tension across pit of stomach ; is obliged to loosen his clothes, and then cannot tolerate sitting.
Empty sinking feeling of stomach, > by eating.
Pressure in stomach after moderate eating, as if lead were in it.
Pressure and pain in stomach, > by eating, eructation, and by passing flatus.
Frequent desire to loosen clothing about stomach after a meal.
Dull aching pain in stomach after moderate eating.
Stomach painful when walking, as if it hung loose.
Drawing pain from region of stomach to back.
Burning in stomach.
Gnawing in stomach, as from acids, which also rise up into throat.
Acrid feeling in stomach during digestion.
Distension of pit of stomach, has to loosen clothing.
Swelling and pressure in region of stomach.
Stomach frequently and easily disordered.
Stomach inclined to be out of order ; longing for sour or strong tasting things.
Indigestion with burning pain in stomach and up œsophagus, palpitation of heart when pain is severe.
Indigestion characterized by eructation of quantities of wine, especially in nervous persons, with craving for condiments.
Dyspepsia of herpetic and hemorrhoidal subjects, with flatulency and even tympanitis.

Hypochondria

Sticking in hepatic region when walking.
Stitches : in region of liver ; in region of spleen, when walking.
Hepatitis with jaundice, stools white or greenish.
Frequent bilious attacks especially in Spring and Autumn ; engorgement of liver with jaundice ; lassitude, inability for work, want of appetite and obstinate constipation ; everything, even cold water, has a bitter taste ; skin and sclerotic yellow ; urine
dark ; stools whitish ; overfatigue or chill in damp weather brings on attacks of white, frothy diarrhœa ; exposure to rays of July sun followed by intense colic which was > by copious and perfectly white stools ; paroxysms of ungovernable irritability ;
enlargement of left lobe of liver ; in Autumn attacks are accompanied by great sexual weakness ; is extremely sensitive in change of weather to rain ; predicts the approach of rain ; very sensitive to damp winds.
Liver enlarged, extending two or three inches beyond ribs ; every kind of food disagrees ; chronic constipation ; skin dirty yellow, like the hue of malignant disease ; uterus enlarged and anteverted with congestion of ovaries ; coitus intolerable ; ovum
could not be retained. θ After abuse of mercury.
Hepatogenous jaundice, mercurial history.
Chronic engorgement of liver.
Hepatic abscesses.
During inflammatory process in cirrhosis of liver.

Abdomen and loins

Abdomen distended, tense.
Abdomen swollen and somewhat tender.
Rumbling in abdomen.
Fermentation above navel, with eructation of hot air.
Sensation of soreness, as if bruised, in abdomen, morning.
Contractive pain in abdomen.
Spasmodic contraction in abdomen.
Cutting pains in abdomen.
Clawing in umbilical region, extending from both sides of abdomen towards middle, and sometimes up to pit of stomach, causing nausea, with anxious heat of cheeks, by paroxysms ; almost like the effects of taking cold, or the preliminaries of menstruation.
Colic, with dry, rough cough.
Deep, circumscribed swelling in ileo-cecal region ; lies on back, with right knee drawn up.
Decreased peristaltic motion.
Mesenteric tubercles.
Chronic abdominal affections.
Swelling and suppuration of inguinal glands.

Stools and rectum

Stools : white and fetid, child has a sour smell ; sour smelling and whitish ; clay colored ; green, slimy, of sour smell ; light yellow fecal ; greenish ; black ; thin or papescent ; watery ;
undigested ; painless.
Diarrhœa : < during day ; after eating, and after drinking cold water ; with colic ; with every cutting of teeth ; in morning ; colliquative.
Cholera infantum from irritation of teeth, chiefly with morning aggravation.
Dysenteric stools ; difficult evacuation of soft stool or of bloody mucus with tenesmus.
Chronic diarrhœa : after abuse of mercury or quinine ; after suppression of scabies.
Stools soft, yet passed with great exertion.
Difficult expulsion of a small quantity of soft excrement with great efforts and tenesmus.
Sluggishness and inactivity of bowels, in consequence of which abdominal muscles must bear down in order to effect an evacuation.
Constipation : stools hard and dry ; with eruption in bend of elbows, or in popliteal space, from congestion and inaction of rectum.
Before stool : pinching in abdomen.
During stool : abdominal pain, straining, pressing, rumbling and nauseous feeling in abdomen ; succus prostaticus ; heat in hands and cheeks ; inclination to lie down.
After stool : sore pain in anus and sanious secretion ; soreness of rectum with ichor ; tympanitis ; obstruction of nose.
Burning in rectum, swelling of anus.
Creeping in rectum.
Promotes speedy suppuration in peri-proctitis, the swelling being hard and inflamed.
Prolapsus of rectum, which protruded at every stool about two inches, with slight oozing of blood ; bowel very difficult to return ; engorgement of veins but no distinct piles ; mercurial history.
Hemorrhoids from engorgement of liver, with great abdominal distress ; preventing abdominal respiration.
Hemorrhoids with engorged liver from abuse of mercury.
Inflammation and suppuration of hemorrhoidal tumors.
Hemorrhage from rectum, with soft stool.
Sweat on perineum.

Urinary organs

Pain in kidneys with constant urging to urinate, later purulent sediment in urine ; emaciated ; renal region sensitive to slightest touch ; incessant, painful urging to urinate, voiding of few drops of purulent urine ; violent fever with
unquenchable thirst ; colliquative diarrhœa and night sweats. θ Kidney disease.
Croupous nephritis passing into suppurative stage, with fever, chills, alternating with burning heat.
Albuminuria accompanying and following diphtheria.
Enuresis ; hot, acrid discharge ; head thrown back during sleep.
Micturition impeded ; is obliged to wait awhile before urine passes, and then it flows slowly.
Weakness of bladder ; urine drops vertically down, is obliged to wait awhile before any passes.
Urine passed tardily and without force, feels as if bladder could not be emptied thoroughly.
Is never able to finish urinating ; it seems as though some urine always remains behind in bladder.
Painful micturition.
Urine : dark red and hot ; bloody ; sharp, burning, corroding prepuce and pudenda ; dark yellow, scalding whilst discharged ; brown red, the last drops mixed with blood ; blood red ; pale, clear, on standing, turbid and thick, and deposits a white
sediment ; pale, with flocculent, muddy sediment ; milky, turbid, even while passing, with a white sediment.
Greasy pellicle on urine, or glistening with various colors.
During urination : sensation in right shoulder-blade as if something were running or creeping.
Burning and soreness in urethra.
Stitches in urethra.
Inflammation and redness of orifice of urethra.
Discharge of mucus from urethra.
Wetting the bed at night.

Male sexual organs

Sexual desire increased, but erections feeble.
Diminished sexual instinct ; feeble erections.
Nocturnal emissions ; sudden appearance of furuncles ; attacks of blindness during day ; waterbrash, with brown coated tongue.
Discharge of prostatic fluid, also after micturition and during hard stool.
Prostatitis.
Discharge of mucus from urethra.
Ulcer similar to a chancre, externally on prepuce.
Chancres not painful but disposed to bleed readily.
Easily bleeding chancres with lardaceous edges and fetid discharge.
Chancres secreting watery pus with diffuse borders and red bottoms, elevated above surface.
Mercurialized chancres.
Itching on penis and at frenum preputii.
Phimosis with discharge of pus, accompanied by throbbing.
Figwarts, smelling like old cheese or herring brine.
Herpes preputialis ; small vesicles in groups, whitish, with red bases, and intolerable itching of parts ; eruption exceedingly sensitive to touch.
Long standing hydrocele ; large swelling of scrotum, containing dark, thick fluid ; throbbing in scrotum.
Large bubo, stony hard, in right groin. θ Syphilis.
Bubo in left groin as large as a hen's egg, stony hard.
Buboes after mercurial treatment.
Scrofulous buboes.
Humid soreness on genitals, scrotum, and folds between scrotum and thigh.
Secondary syphilis.

Female sexual organs

Uterus enlarged and anteverted, with congestion of ovaries ; coitus intolerable ; frequent abortions.
Uterine ulcers, with bloody suppuration, smelling like old cheese ; edges of ulcer sensitive, frequently a pulsative sensation in ulcers.
Metritis, with burning, throbbing pains.
Congestion of blood to uterus.
Hemorrhage from uterus.
Menorrhagia, in women with chapped skin and rhagades of hands and feet.
Menses delayed and too scanty.
Before menses : constricting headache.
During menses : itching of vulva.
Discharge of blood between menses.
Discharge of white, yellowish, or discolored pus, attended with fetid smell, particularly when occasioned by scrofulous leucorrhœa, or after repeated attacks.
Leucorrhœa, with smarting of vulva.
Pruritus pudendi during menses.
Mastitis in hysterical and nervous patients ; pain as if in bones of arms and thighs ; suppuration preceded by frequent crawls in affected part, which remains hard, with scanty discharge.
Scirrhous ulcer on mamma, with stinging burning of edges, smelling like old cheese.
Much itching, or little pimples around ulcer on mamma.
Itching nipples.

Pregnancy. parturition. lactation

Frequent momentary attacks of nausea.
Mamma swollen, not sensitive to touch, but she cannot walk up or down stairs.
Cancer of breast, with stinging burning of edges ; smells like old cheese.
Little pimples, or smooth ulcers, surround scirrhous, or principal ulceration.

Voice and larynx. trachea and bronchia

Weakness of organs of speech and of chest, she cannot speak aloud.
Hoarseness, roughness in throat.
Obstinate hoarseness ; scraping in throat causing rough, barking cough ; voice toneless, weak ; scarcely audible in evening ; pale swelling of tonsils and uvula ; lassitude in limbs.
Hoarseness, grating, irritation in larynx or lower part of fauces ; mucous rales.
Sensation of down in larynx.
Scraping in larynx.
Pressure beneath larynx, immediately after supper, as if something were sticking in throat.
Pain in one spot of larynx, < by pressure, speech, cough and breathing.
Sensitiveness of larynx to cold air.
Wheezing in larynx, and painfulness of a small spot in larynx.
Sudden attacks of suffocation ; child looks anxiously about and attempts to cry without being able to do so ; loud, whistling inspiration ; face dark red ; lips bluish ; bends head back and gasps for breath ; after attacks have lasted ten minutes, they end
with a whistling, crowing sound, and are followed by hoarseness.
Spasmodic croup ; violent fever, face indicating great anguish ; weeping ; restless ; cough hoarse and rough without sputa.
Lies with head thrown back, buried in pillow, face swollen, neck stretched ; mucous and sibilant rales ; clucking noise in glottis ; respiration noisy ; cough loud and harsh, with distinct croupy tone ; exhaustion ; pulse 140, hard and full. θ Croup.
Assumes a sitting posture, on account of anxiety which sets in when lying down ; somnolence, with restless tossing about ; respiration snoring, hoarse, whistling, and often so short and oppressed that he starts from sleep with violent, dry, hoarse cough, which causes
retching ; grasps at larynx, in the greatest fear ; begins to cry ; red face, protruding eyes, and frequent throwing back of head ; after several minutes the paroxysms again return ; frequent drinking ; great heat ; sweat ; pulse quick and hard ;
hasty speech ; frequent passages of dark urine. θ Croup.
Respiration somewhat whistling ; on every inspiration great retraction of diaphragm, abdominal muscles and ribs, so that a large concavity is formed ; hoarse cough, occasionally croupy in tone ; voice hoarse, at times entirely lost ; clammy sweat on head, rest of body
dry and hot ; color of face changing constantly ; pulse hard, cannot be counted ; tossing about, or sits up hastily. θ Croup.
Croup with great dryness of larynx and respiratory passages, whistling respiration, dry cough with ineffectual retching, nothing but a slight quantity of frothy saliva being discharged ; cough ending with a short sneeze.
Lies upon his mother's arm with head thrown back, mouth open, bluish redness of face, protruding eyes ; body bathed in sweat ; fearful anxiety and dyspnœa ; cannot speak. θ Croup.
Frequently recurring paroxysms of violent croupy cough with great dyspnœa, grasps at larynx ; great thirst ; pulse 120 ; respiration anxious and noisy. θ Croup.
Croup after exposure to dry, cold wind, with swelling below larynx ; great sensitiveness to cold air ; red face, high fever, hoarseness and rattling of moist mucus, which child is unable to get rid of, but still little or no difficulty in
breathing ; after midnight or towards morning ; sensation as if there was a fishbone in throat, or of internal swelling, when swallowing.
Croup : with deep, rough, barking cough, hoarseness or loss of voice with slight suffocating spasms, some rattling of mucus ; with swelling below larynx ; with great sensitiveness to cold air or water ; cough < before midnight, or
toward morning.
Croupy cough, with continual hoarseness.
Catarrhal croup with or without fever.
Croup, when panaritia, angina, urticaria or erysipelas prevail.
Light attacks of croup in teething children.
Violent attacks of croup from time to time, as if suffocation or vomiting would ensue.
After influenza violent attack of croup ; restless ; tossing back of head ; anxious, sawing, metallic cough.
Violent respiratory efforts, during which chest scarcely moves ; anxious throwing back of head ; convulsive twitchings ; irritation of gums and Schneiderian membrane ; vomiting of mucus, mixed with portions of membrane. θ Croup.
Much green mucus in larynx.
Severe laryngeal catarrh, with roughness and pain in upper part of throat ; sensation as of a clot of mucus or internal swelling when swallowing ; stitches and pain extending from ear to ear.
Laryngeal catarrh, grafted on an organism of tubercular disposition ; scanty, tenacious, muco-purulent secretion, with difficulty of expectoration ; hoarseness remains some time.
Acute catarrh of larynx and bronchi with tickling and roughness in larynx, and hoarseness or aphonia ; also acute catarrh of lungs with scratching, tickling sensation in air tubes, pressure and heaviness under sternum, and frequent, dry, tearing cough ; rough, whistling,
respiratory sounds, indicating a dry condition of mucous membranes ; such inflammations are usually of long duration ; constant oppression of chest and irritation to cough, which become < by long continued and fatiguing coughing, finally gasping for breath, and expectorating
very little sputa ; < sitting and bending over, must lean back or get up and walk about ; < breathing cool air.
After catching cold, cough next day, tickling and dryness in air passages, followed by hoarseness and finally aphonia ; redness and swelling of posterior wall of pharynx ; rough, whistling sound in trachea, extending to large bronchi ; larynx and trachea sensitive to
touch ; on forced inspiration stitching in larynx and cough.
Chronic tracheitis (the beginning of tracheal or laryngo-tracheal phthisis) ; voice hoarse, and if exerted for any length of time accompanied by stitching pain in larynx ; in morning on rising, severe cough with stitching pain in larynx and scanty expectoration of mucus ;
when walking, particularly against wind, and when eating warm food, stitching and burning in throat ; no fever.
Tracheal and bronchial inflammation in children, with continual fever and headache, difficult, short, anxious breathing, hoarse voice, violent, dry, painful, alternating rough and hollow sounding cough, < by eating and drinking anything cold, by cold air, talking or crying.

Respiration

Breathing : rattling ; anxious, wheezing ; frequent deep breaths, like after running ; anxious, short, wheezing, threatening to suffocate ; must bend head back and sit up.
Involuntary deep inspirations.
Attacks of asthma, awaking patient from sleep, face becomes blue, saliva increased ; sensation as of dust in lungs ; smoking and throwing head back > ; after attack, expectoration frothy.
Difficult respiration, preventing sleep at night ; whistling, wheezing, with copious mucous expectoration ; just as he has fallen asleep is aroused and startled by threatened suffocation ; must get up to relieve dyspnœa ; > during day. θ Asthma
after suppressed eruption of skin.
Suffocative attacks, compelling him to raise himself up and bend the head backwards.
Dyspnœa.

Cough

Spasmodic cough in paroxysms, with titillation in larynx and efforts of vomiting.
Violent, deep cough, consisting of several impulses which strike painfully against larynx and occasion retching.
Almost uninterrupted cough, from tickling in upper part of left side of throat, < talking and stooping, constantly getting < till late in evening, and then suddenly ceasing.
Titillation, as from dust in throat, inducing cough, which is deep, wheezing ; expectoration only in morning of mucus, bloody or like pus, generally tasting sour or sweet.
Chronic laryngeal cough, very distressing, especially at night, compelling her to spring up in bed, from a feeling of choking or suffocation.
Deep, dry cough, with obstructed breathing on inspiring, and pain in top of chest at every cough.
Dry cough, < taking deep inspiration, or speaking any length of time ; roughness in throat ; pressure under sternum ; difficult respiration ; pressive headache.
Suffocative cough, simply caused by tightness of breath.
Subdued cough from oppression of chest.
Dry cough with tightness of chest and sore throat.
Deep, dull, whistling cough, in evening without, in morning with expectoration of masses of mucus, purulent and bloody, sour, or of a sweet taste and offensive odor.
Deep, dry, wheezing, hoarse cough ; bloody, pus-like, mucous expectoration ; rheumatic pains in limbs and joints ; pulse hard, full, accelerated, and at times intermitting ; symptoms < at night and from cold air ; > by wrapping up and keeping warm. θ Chest
troubles succeeding repelled itch.
Cough so aggravated by deep breathing that it caused vomiting.
Troublesome hacking cough as soon as he was about to fall asleep, continuing all night, coughs even on shutting eyes ; > during sleep ; < 1 P. M. to 1 A. M. θ Typhoid.
Dry, nervous cough all night.
Paroxysms of cough, as from taking cold, with excessive sensitiveness of nervous system, as soon as slightest portion of body becomes cold.
Coughs when any part of body is uncovered.
Cough < from exposure to chilly night air, and from drinking cold water.
Paroxysms of dry cough, in evening.
Hacking cough, immediately after eating.
The child cries when coughing.
Cough with expectoration during day, no expectoration at night.
Croup or cough from exposure to dry West wind.
Croupy cough, with rattling in chest, but without expectoration.
Rattling, choking, moist cough, depending on an organic or catarrhal basis ; < towards morning and after eating.
Cough : croupish, hoarse ; scraping, rough ; suffocative ; loose and choking ; with bloody expectoration ; whooping, croupish sound, pain in larynx, choking from mucus in larynx, < in morning ; spasmodic ; deep, wheezing ; deep and
dry ; deep, dull, whistling ; hacking ; dry, nervous ; barking, after measles.
Cough caused by : limb getting cold ; eating or drinking ; anything cold ; cold air ; lying in bed ; talking ; crying ; drinking.
During cough : stitches, burning and swelling in throat ; burning in chest and stomach ; catching of breath ; nausea, retching, vomiting ; reverberation in head, throbbing in forehead and temples ; dulness ; sneezing ; chills ; anxiety and
bending backwards of body in lying.
After cough : sneezing ; crying.
Cough < from evening till midnight.
Abundant expectoration of tenacious mucus with relief to the rattling breathing.
Dirty yellowish, purulent, badly smelling expectoration.

Inner chest and lungs

Sensation as if hot water were floating in chest ; as of drops of hot water in left chest.
Soreness in chest.
Shattering shocks and soreness in chest.
Weakness of chest ; cannot talk, from weakness.
Spasmodic constriction of chest, after talking.
Stitching pain in right side of chest, in direction of back.
Tenacious mucus in chest.
Constant rattling of mucus in chest of infants, threatening suffocation at times.
Extreme emaciation, skin cadaverous and dry, countenance of yellowish hue, eyes deeply sunken in sockets, dull and feverish ; tongue dry and yellow in middle ; thirst, disgust for food, distended epigastrium ; hard stool ; urine scanty, brownish red ; night
sweats ; alternations of rigor and heat ; pulse small, 136 ; sleeplessness on account of stitches in anterior, inferior and posterior part of chest to shoulder-blade ; cough, internal uneasiness, fearful disposition ; delirium of frightened character ; great
inclination to cry ; lies immovable on r. side, with knees drawn up to chest ; on right hip-joint commencing bedsore ; great fear of being touched, as every movement causes pain in chest, cough and dyspnœa ; right side of chest, arched like a barrel from axilla
downwards ; intercostal spaces prominent, motionless during respiration ; dull sound to percussion ; entire absence of respiratory sounds and vocal fremitus ; dull sound on percussion over large surface at base of heart ; heart's sounds and impulse diminished. θ Pleuritis
with plastic exudation.
Pleurisy, croupous exudation, with a yellow or yellowish-brown tint in face, in scrofulous and lymphatic persons.
Pleurisy with fibrinous exudation.
Diaphragmitis (after Bryon.), in fibrinosis ; promotes resorption.
Bronchitis.
On right side of chest in nipple line, in fifth intercostal space, dull percussion sound and weak respiratory murmur ; after coughing and profuse expectoration, there was on that place tympanitic percussion sound and bronchial breathing ; other
portions of chest revealed catarrhal symptoms ; expectoration of dirty yellowish masses, badly smelling ; respiration accelerated ; no fever ; cough < in morning. θ Bronchial
catarrh.
Bronchitis from repelled eruptions.
Subacute catarrhal processes ; characterized by incipient collection of glutinous, sticky mucus in air cells, giving rise to violent and suffocative paroxysms of coughing, often attended by retching preceding its expulsion.
Habitual bronchial catarrhs, with loud rattling of mucus.
Chronic catarrh of scrofulous subjects, especially when morbid process shows a tendency to invade pulmonary vesicles.
Great emaciation ; slight hectic fever ; constantly troubled by cough, sometimes spasmodic, with purulent and fetid expectoration, diarrhœa and loss of appetite ; right side of thorax considerably hollowed, with perfectly empty sound on percussion, and intense bronchial
respiration and slight rales ; left side abnormally bulging. θ Pleuro-pneumonia.
Pneumonia, mild suppurative stage, extending only over small part of a lung, with lentescent fever.
Pneumonia, during stage of resolution.
Chronic pneumonia, with profuse purulent expectoration.
Pulmonary abscess ; empyema ; pyothorax.
Pain in right occipital protuberance ; fluent, acrid, nasal coryza, swelling at root of nose, upper eyelid, upper lip ; white ulcers in mouth ; uvula elongated, pale ; appetite for fat meat and sweet food ; thirst for cold water at
night ; stomach distended after eating ; eructations of fluid, then of food ; more at night ; constipation alternating with diarrhœa ; cough constant, moist ; moist rales in left lung ; feeble, vesicular respiration ; upper part of left side of thorax
dilated backward ; curvature of spine between shoulders ; agonizing dyspnœa, could not lie in a recumbent position ; cough constant from 12 M. till morning ; sleeps with head thrown back, restless ; the least exposure aggravates all the symptoms. θ Emphysema.
Bronchiectasia.
In tuberculosis when there is oppression of breathing ; periodic stitches ; cough before midnight and in morning, dry at first but finally accompanied by a serous expectoration containing small flocculi ; occasionally patient will spring up and after coughing expectorate a
mass as large as a pea which when crushed between fingers emits a carrion-like odor ; in affected parts (particularly upper portions of chest) faint respiratory murmur, with percussion dulness.
Tubercles of lungs in herpetic patients, especially after suppression of exanthems, in scrofulous and in hemorrhoidal subjects.

Heart, pulse and circulation

Palpitation, with fine stitches in heart and left half of chest.
Anxious feeling of debility about heart with palpitation. θ Hypertrophy.
Dyspnœa, pain in neck, faintness and inability to recline ; dry, nervous cough, commencing towards evening and lasting all night. θ Angina pectoris.
Sequela of angina pectoris ; dyspnœa after attack ; dry, nervous cough from evening all through night ; pain in neck after attack ; faintness and inability to recline after attack.
Pulse hard, full, accelerated ; at times intermitting.

Outer chest

Tettery eruption on chest.
Suppurating pimples on sternum.
Ulcer on last rib of right side.

Neck and back

Violent pulsation of carotids.
Hard, glandular swellings around neck.
Carbuncle on back of neck ; surrounding tissues highly inflamed and extremely sensitive to touch.
Carbuncle on left side of back, extending from upper border of scapula downward about six inches, surrounded by small pustules ; pus offensive and scanty ; pain intense, depriving him of sleep ; great weakness and prostration.
Drawing between scapulæ.
Great weakness in whole of spine.
Sensation as if bruised, in small of back and thighs.
Sharp pressure and pain, as from bruises ; in small of back and lumbar vertebra, especially in region of sacroiliac symphysis, extending into lower limbs ; the pain is felt when sitting, standing or lying, and causes a sort of limping when
walking.
Stitches and rheumatic pains in back.
Blood boils on the back.
Red tubercle on right buttock.
Boil on buttock.

Upper limbs

Pain in shoulder as if a weight were resting on it.
Suppuration of axillary glands.
Offensive sweat in axillæ.
Tearing in arms, extending toward the suppuration in breast.
Pain as if bruised in os humeri.
Encysted tumor or steatoma at point of elbow.
Violent itching in bend of elbow.
Intensely violent itching in bends of elbows, on hands, wrists and in palms.
Carbuncle, size of silver half-dollar, on forearm ; very painful, with three spots, like boils, near it.
Swelling of right hand.
Itching, with rough, dry, shrivelled or scaling skin on hands.
Itching in palms.
Red and hot swelling of joints of hands and fingers.
Swelling of fingers of both hands, with stiffness, while lying.
Cold perspiration of hands.
Fingers as if dead.
Tingling in tips of fingers.
Corrosive blister on thumb, stinging when pressed.
Thumb livid ; violent throbbing, cutting, burning pain ; lymphatics inflamed ; lump in axilla.
Whitlow in palmar surface of ungual phalanx of right thumb ; skin yellow, matter could be seen and felt under it ; throbbing, burning pain ; cannot bear weight of poultice ; pain kept her awake.
Inside of right thumb swollen, livid, with beating, cutting, burning pain, so violent that it drove her to madness.
Whitlow on middle finger of right hand ; severe throbbing pain in last joint ; hard, red, swollen state of pulp ; lymphatics of arm inflamed, lump in axilla ; fever and irritation.
Whitlow ; violent, throbbing, "gathering pain ;" accelerates suppuration.
Whitlows occurring every winter for several years.
Panaritium.
After injury, suppuration of middle joint of right index finger ; whole finger involved in phlegmonous inflammation.
Superficial erysipelatous inflammation around root of nail.
Onychia.

Lower limbs

Left hip pains as if sprained, when walking in open air.
Buttocks and posterior thighs painful when sitting.
Hip disease, suppurative stage, patient wants to be tightly covered.
Caries of hip-joint.
Sensation of soreness in thighs.
Bruised pain in anterior muscles of thighs.
Raised, flat, purplish swelling on left thigh ; it had a doughy feel for a space larger than a silver dollar ; small openings ; pus ichorous ; for a considerable distance around was red, swollen and painful, with two prominent, indurated and painful spots, like
boils ; pain intense, no sleep for several nights ; when this had healed, a second carbuncle, or at least a flat, purplish and painful swelling showed itself, about six inches from first, which Hepar healed without suppuration.
Carbuncle of right thigh, nearly three inches in diameter ; had it for a week ; exceedingly painful and leg swollen ; no evidence of boils or pustules ; several openings and centre looking gangrenous.
Knee pains as if bruised.
Swelling of knee.
Severe pains in lower extremities ; pain described as a terrible corroding itching "as from salt water ;" both legs swollen round ankles, with watery discharge ; color of legs either red or bluish.
Cramp in calves.
Swelling of feet around ankles, with difficult breathing.
After catching cold, pains in foot as after taking a misstep ; pains occasionally wander up to thigh ; no redness nor swelling ; depression of mind.
Tickling in soles of feet.
Cramps : in soles and toes.
Pricking in both heels.
Coldness of feet.
Cracked skin of feet.
Tingling in toes.
Burning, stinging pains in toes.
Violent stitch extending into great toe.

Limbs in general

Weakness in limbs ; they feel bruised.
Drawing pains in limbs, especially in morning, when awaking.
Mercurial rheumatism, especially in scrofulous subjects ; tearing and shooting in limbs and joints, < at night, especially during a chill ; excessive nervous excitability, so that all impressions on body or mind cause internal trembling.
Rheumatic pains in limbs and stitches in joints.
Dry, herpetic eruption in bends of joints, greatly itching.
Chapped skin and rhagades of hands and feet.
The limb upon which the ulcer has healed cannot bear its own weight by suspension.
Continued dull itching of soles of feet and palms of hands.

Rest. position. motion

Rest : cold perspiration >.
Lies immovably on right side with knees drawn up to chest.
Side on which he lies becomes painfully sore, must change his position.
Lies with head thrown back to escape suffocation.
Lying in bed : causes cough ; pain in back and limbs.
Lies on back with right knee drawn up.
Inclination to lie down.
Inability to recline ; could not lie in recumbent position.
Head thrown back, sitting up >.
Sitting : cannot tolerate it from tension of stomach ; acute catarrh of larynx < ; pain in back and limbs ; buttocks and posterior thighs pain ; falls asleep.
Stooping : stitches in head ; boring headache < ; pressure in head < ; cough < from tickling in throat.
Standing up after sitting bent over : feeling of blindness.
Rising : pressure in head > ; feeling of blindness ; great difficulty from feeling of stiffness of limbs.
Moving : pressure in eyes ; headache during fever.
Shaking head : headache.
From slightest motion : sweats easily.
Every movement : causes pain in chest.
Walking : stomach painful ; stitches in region of liver ; > catarrh of larynx ; against wind, itching and burning in throat ; pain in thigh, back and lower limbs ; causes limping ; in open air left hip pains.
Cannot walk up and down stairs.
Exercise : cold perspiration < ; attacks of debility <.
Springs up in bed : from cough.
Child throws itself about unconsciously.

Nerves

Disinclination for mental or bodily exertion.
Oversensitiveness to pain ; fainting from slight pains.
Every impression upon body or mind is followed by tremulousness.
Nervous trembling.
Excessive nervousness from abuse of mercury.
Trembling weakness, after tobacco smoking.
Daily attacks of indescribable sudden debility, commencing with a chilly and creeping sensation in right leg, traveling slowly upward to chest, with profuse perspiration on head ; suddenly and soon after a feeling of weakness, as if he was dying, with trembling of limbs so that he
is unable to stand or sit ; consciousness retained ; attack lasts two or three hours, when strength gradually returns, coupled with a dull, pressing headache about vertex, which continues for some hours ; < in Summer, after cooling rains, and after bodily exertions and
walking ; about every four months scabby eruption, moist at base, of yellowish color, on scalp and forehead, as far down as eyes, and sometimes on chest.
General exhaustion.
Paroxysms of fainting in evening, preceded by vertigo.
Coldness of head, chiefly forehead ; severe headaches, with sensation of weight at back of eyeballs, and a feeling as though eyes would be drawn back into head ; stiffness of nape of neck ; on rising from seat great difficulty from a feeling of stiffness of limbs ;
pain in bottom of back, around waist, also around shoulders and nape of neck ; numbness of right arm and hand ; burning sensation from pit of stomach to throat and ears, > by eating ; fixed coldness at pit of stomach, felt occasionally when burning sensation was not
present ; fatigue from least exercise. θ Spinal irritation.
Cramp in left hand which becomes spasmodically closed, with formication and creeping up arm, extending to throat, with sensation as if something was sticking there and that he would choke ; face bluish red ; mouth drawn to left side ; complete consciousness ; after
half-hour, another, less violent attack, accompanied by tickling in arm and paralysis of left side ; after four weeks a very violent attack occurred followed by complete paralysis of arms and legs, so that he could not move ; lameness of tongue, speech unintelligible. θ After
suppressed eruption and abuse of mercury.
Traumatic convulsions, caused by excessive pressure on brain during delivery ; trismus of newborn babes.
Paralysis from suppressed eruptions, or after mercurial poisoning.

Sleep

So sleepy and fatigued, in evening, that he falls asleep while sitting.
Great, irresistible inclination to sleep in evening ; must lie down immediately after supper and sleeps till morning.
Sleepiness during day, < toward evening, with frequent, almost spasmodic yawning.
Restless, soporous slumber, with head bent backwards.
Side on which he lies at night becomes painfully sore, must change his position.
Fright during sleep.
Starts from sleep, feeling as if about to suffocate.
Violent starts, when falling asleep.
Loss of sleep after midnight.
Excess of thoughts prevent sleep, after midnight.
Wakes at night, with erection and desire to urinate.
Dreams : anxious ; of fire.

Time

Morning : vertigo ; on awakening pressure in head as from a nail ; burning and itching of scalp ; violent itching of humid eruption on head ; heat in eyes on awaking ; lids and angles agglutinated ; lids closed ; nose stopped up ;
heat of face ; erysipelatous swelling of cheeks ; putrid taste ; excessive thirst from morning till evening ; vomiting of bile ; sensation of soreness in abdomen ; chronic tracheitis ; expectoration only ; rattling, choking moist cough < ; croupy
cough < ; eczema <.
At 2 A. M. : chill.
Day : pressing and drawing in temples ; diarrhœa ; attacks of blindness ; dyspnœa > ; cough with expectoration ; sleepiness ; chill ; sweats easily ; restless ; stools <.
From 4 P. M. all night : heat, delirium, thirst.
From 4 to 8 P. M. : febrile chill.
At 7 P. M. : heat of face.
At 8 P. M. : violent chill.
Evening : great anxiety ; vertigo with nausea ; fainting ; aching in vertex ; meditates suicide ; lids swollen ; pain in eyes ; swellings on lids painful ; voice almost inaudible ; cough < till late ; deep whistling cough ;
dry cough ; cough < till midnight ; cough commencing toward evening and lasting all night ; irresistible inclination to sleep.
Night : violent headache ; sensation as if skull would burst wakes him ; pressure in head ; cold perspiration < ; photophobia and lachrymation <, about 2 or 3 A. M. ; lids swollen ; vision of colored and dim halos around candle ; eyes closed by
swelling ; sour smelling sweat ; spasmodically closed eyelids ; pain in nose lasts far into night ; heat of face ; toothache < ; wetting bed ; difficult respiration prevents sleep ; chronic laryngeal cough ; deep wheezing cough < ; dry, nervous
cough ; thirst for cold water ; eructations < ; wakes with erection and desire to urinate ; febrile chill ; pain < ; dry heat of body ; sweat ; sleepless ; restless ; pains in tumors < ; burning and throbbing in ulcers.
Midnight : aching in forehead till morning ; croup < before ; cough constant from 12 M. till morning ; loss of sleep after midnight ; excess of thought prevents sleep ; sweat before midnight.

Temperature and weather

Exquisite sensitiveness to open air.
Better from warmth ; desire to be warmly covered, even during hot weather or in a warm place ; < from wrapping up warmly.
Cannot bear to be uncovered ; coughs when any part of body is uncovered.
Ailments from West or Northwest wind (dry, cold wind), or soon after it ; improved by warmth.
Great chilliness in open air.
Extremely sensitive to cold air ; must be wrapped up to face even in hot weather ; cannot bear to be uncovered.
Warmth : cold perspiration > ; pains in eyes > ; ears > ; neuralgia > ; pains in malar bones > ; toothache < ; cough > ; chilliness > ; nettlerash >.
Covering head warmly : > soreness of head.
Patient with hip disease wants to be warmly covered.
Summer : attacks of debility <.
Dry weather : pain in nose >.
Air : eyes sensitive ; eyes < from draught ; interior of nose painful and sensitive.
Open air : lancinating headache > ; neuralgia of face < ; pains in malar bones < ; left hip pains as if bruised when walking ; sensitive to ; great chilliness in open air.
Least-exposure < all symptoms ; chill returns.
Dampness : < throat ; overfatigue or chill in damp weather brings on attacks of white frothy diarrhœa.
On approach of rain : pains in nose <.
Damp winds : sensitive to.
After cooling rains : attacks of debility <.
Changeable weather : pain in nose <.
Cool air : acute catarrh of larynx < ; cough <.
Cold : pain in eyes < ; great sensitiveness ; cough < ; any part of body exposed causes cough ; skin very sensitive ; pains in tumors.
Cold air : deep, wheezing cough < ; least draught causes catarrh.
Cold drink : causes toothache ; cough < ; causes cough.
Dry, cold wind : causes croup.
Exposure to chilly night : cough <.

Fever

Sensitiveness to open air, with chilliness and frequent nausea.
Great chilliness in open air ; must get to warm stove ; heat feels agreeable but does not relieve.
Desire to be covered even in a warm room.
Internal chill, with weariness and soreness in all the limbs.
Internal shivering from below upwards.
Violent shaking chill with chattering of teeth, icy coldness and paleness of face, hands and feet, unconsciousness and coma.
Violent chill every morning, at 6 or 7 o'clock, without subsequent heat.
Chill during day, alternating with heat and photophobia.
Excessive shivering followed by feverishness.
Chill at 2 A. M., with febrile shivering and hot, dry skin.
Febrile chill from 4 to 8 P. M., or in night, could not get warm, with aggravation of all complaints ; without subsequent heat.
Pain < during febrile chill at night.
Nightly chill in bed, with aggravation of all complaints.
Nettlerash, with violent itching and stinging, disappears as heat begins.
Burning, febrile heat, with almost unquenchable thirst, distressing headache and slight delirium, lasting from 4 P. M. all night, without chilliness.
Violent fever with flushing heat in face and head.
Dry heat of body at night, with sweaty hands, which cannot tolerate being uncovered.
Dry burning heat, with redness of face and violent thirst, all night.
Fever blisters around mouth during pyrexia.
During heat larynx much affected, hoarse, weak voice.
Morning fever preceded by bitter taste in mouth, returning twice a day.
Fever, without chill, 4 P. M., lasting all night.
Heat very slight in comparison with chill.
Flushes of heat, with sweat.
Patient sweats easily from least exertion and turns pale, afterwards burning redness of face and heat and dryness of palms of hands.
Sweats easily during day, from every exertion of mind or after slight motion.
Sweats easily, by every, even slight motion.
Frequent breaking out of sweat over body, only momentary and without heat.
Sweat on perineum, groins and inside of thighs.
Cold, clammy, frequently sour, offensive smelling sweat.
Night or morning sweat, with thirst.
Sweats day and night, without relief ; or first can't sweat at all, and then sweats profusely.
Profuse, sour smelling sweat at night.
Sweat before midnight.
Itching nettlerash precedes paroxysm ; chill of three hours' duration followed by heat ; during fever headache when moving ; loss of consciousness preceded by vertigo ; bitter taste in mouth ; white coated tongue ; vomiting of food ; pain and
rumbling in abdomen ; then follows sweat which covers whole body ; thirst in all stages. θ Tertian ague.
Paroxysm preceded by an itching urticaria ; chill ; fever with thirst, diarrhœa, rumbling in abdomen, bilious vomiting, formication in arms and dark urine ; by the time fever has passed eruption has disappeared. θ Quotidian
ague.
One hour before chill, thirst ; after chill, fine, stinging nettlerash, with bleeding at nose, bitter taste in mouth, and greenish diarrhœa ; chill followed by heat with sweat and discharge of reddish urine ; during termination of latter stage eruption disappeared ;
during apyrexia great debility, yellow color of face. θ Tertian intermittent.
Chill generally in evening, preceded by bitter taste in mouth ; itching, stinging nettlerash before and during chill, when he constantly desires to be covered ; sweat and from the least uncovering chill again.
Violent chill, 8 P. M., with chattering of teeth ; hands and feet cold ; followed by heat with perspiration, especially on chest and forehead, with slight thirst.
After catching cold, heat and sweat, with thirst ; pain in l. hypochondrium and arm ; sweats again at night. θ Tertian ague.
Pain in limbs, then sweat with thirst, followed by shaking chill with thirst ; after chill belching, bitter taste, yellow tongue. θ Tertian intermittent fever.
Chill, then thirst ; one hour later, much heat, with interrupted sleep. θ Intermittent.
Apyrexia never clear, constitutional symptoms always present.
Type : simple, quotidian ; period the same every day.
Hectic fever with intermittent paroxysms.
Catarrhal fever ; general exhaustion, with great sensitiveness of skin to touch and to slightest cold ; constant chilliness, with sore throat, as if raw, painful on swallowing saliva ; muscles of nape of neck, especially at sides beneath ears very painful to touch ;
dry cough ; no appetite ; no thirst ; sleepless the whole night, with groaning and moaning.
Scarlatina preceded by cerebral symptoms and parotitis ; restlessness day and night ; mouth could not be opened, eyes injected and half open ; continuous fever ; involuntary evacuations ; temperature low ; child throws itself about unconsciously ;
dysuria ; puffing under lower eyelids.
Scarlet fever with hydrops and albumen in urine ; convulsions, bloated face ; nosebleed.
After scarlet fever, anasarca and ascites ; urine suppressed ; tongue clean ; next day convulsions followed by vomiting ; conscious, but complains of a sensation as if a veil were hanging over eyes ; urine very scanty ; legs and scrotum greatly
swollen ; skin cool, pulse little accelerated and pretty full ; next day recurrence of convulsions with more or less unconsciousness and complete blindness ; deafness.
Scarlatina ; sequela retarding convalescence ; croupy inflammation of nasal mucous membrane ; swelling of parotid and submaxillary glands ; early decrease of urinary secretion, with traces of albumen and cylindrical tubuli ; fully developed dropsy from Bright's
disease.
After scarlet fever, anasarca and convulsions.
Measles, characterized by croupy cough < in morning, without expectoration and rattling in chest.

Attacks, periodicity

Attacks : last ten minutes then end in hoarseness ; of debility last two or three hours.
After scarlet fever : anasarca and ascites, urine suppressed, tongue clean ; next day convulsions and vomiting ; next day recurrence of convulsions.
One hour before chill : thirst.
For three hours : chill followed by heat.
Twice a day : fever and bitter taste.
Every morning : boring headache ; dull headache ; vomiting ; violent chill at six or seven o'clock.
Daily attacks : of sudden indescribable debility.
Every night : pain in skull bones ; chill.
Four weeks after slight paralysis another attack of complete paralysis of arms and legs.
Every four months : scabby eruptions on head.
Every Winter : whitlows.
Spring and Autumn : bilious attacks.
For three months : left cornea so hazy that iris could hardly be seen.
Repeated attacks : tonsillitis.

Locality and direction

Right : painful throbbing in temple ; headache in temple ; pressive pain in occiput ; cornea involved from periphery toward centre ; violent pain over eyebrow ; pain in eye < ; scurvy formation in half of nose ; acute inflammation of
parotid gland ; sensation in shoulder as of something creeping ; large bubo, stony hard in groin ; stitching pain in chest ; lies immovable on side ; lies on hip-joint ; side of chest arched like a barrel from axilla downward ; side of chest dull percussion
sound ; side of thorax considerably hollowed ; pain in occipital protuberance ; ulcer on last rib ; red tubercle on buttock ; swelling of hand ; inside of thumb swollen, livid ; whitlow on middle finger ; suppuration of middle joint of index
finger ; carbuncle on thigh ; chilly creeping sensation in leg ; numbness of arm and hand.
Left : cornea so hazy that iris could hardly be seen ; severe inflammation in cornea and iris ; small ulcer on cornea ; excessive lachrymation of eye ; pupil much dilated ; unpleasant sensation in side of nose ; discharge of bone as large as pea from
nostril ; severe neuralgic pain in region of orbit ; bubo in groin ; upper part of side of throat tickling causing cough ; as of drops of hot water in chest, side of thorax abnormally bulging ; moist rales in lung ; upper part of side of thorax dilated
backwards ; fine stitches in half of chest ; carbuncle on side of back ; hip pains as if sprained ; raised, flat, purplish swelling on thigh ; cramp in hand ; mouth drawn to side ; paralysis of side ; pain in hypochondrium and arm.
From below upwards : internal shivering.

Sensations

Bruised sore feeling of body, < from any motion.
Burning, throbbing pain, with chilliness.
Fainting with the pains.
Painful throbbing in different parts.
As if he could murder some one ; forehead as if bruised ; as if an abscess was forming in head ; as if forehead would be torn out ; as if eyes would be drawn back into head ; as if skull would burst ; as from a plug in head ; wabbling as from
water in brain ; sense of swashing in head ; as if a nail was driven into occiput ; as of sand in eye ; eyelids as if corroded ; as of a burn in eyelids ; as if eyes projected ; as if eyeballs were bruised ; nose as if bruised ; as if blood was
entering tooth ; tooth as if too long ; pain in throat as from an intense swelling ; as of a plug in throat ; sensation of water rising in œsophagus ; as if she had eaten sour things ; as of a hard body in epigastrium ; as if stomach hung loose ;
abdomen as if bruised ; as if bladder could not be emptied thoroughly ; as if something were running or creeping in right shoulder-blade ; pain as if in bones of arms and thighs ; as if there was a fishbone in throat ; as of dust in lungs ; nose as if
bruised ; as from a splinter in throat ; as if hot water was floating in chest ; as of drops of hot water in l. chest ; as if bruised in small of back and thighs ; as if a weight was resting on it ; pain as if bruised in os humeri ; fingers as if
dead ; left hip pains as if sprained ; knee pains as if bruised ; pain in foot as after taking a misstep ; as if something was sticking in throat ; as if he would suffocate ; throat as if raw ; as if a veil was hanging over eyes.
Pain : in skull bones ; in tumors on head ; in pimples ; in eyes and head ; on inside of nose ; malar bones ; in tooth ; in tip of tongue ; in throat ; in abdomen ; in kidneys ; in one spot of larynx ; in upper part of
throat ; extending from ear to ear ; in top of chest ; in right occipital protuberance ; in neck ; in small of back and lumbar vertebra ; in shoulder ; in bottom of back ; around waist and shoulders ; in abdomen ; in left hypochondrium and
arm ; in limbs ; in bones.
Intense pain : in throat ; in carbuncle on back.
Violent pain in head ; over right eyebrow ; in bony part of nose ; in thumb.
Sharp pain : in head.
Severe pain : in right tonsil ; in lower extremities.
Tearing : in arms extending toward suppuration in breast ; in limbs and joints.
Cutting pain : in outer canthus ; in abdomen ; in thumb.
Lancinating pain : in head ; in tumors.
Violent stitch : extending into great toe.
Stitches : in head ; in eyes ; in region of liver ; in region of spleen ; in urethra ; extending from ear to ear ; in larynx ; in throat ; in lungs ; in heart ; in back ; in joints.
Pulse-like stitches : in lower portion of occiput.
Burning stinging pains : on toes.
Stinging pain : in lids.
Stinging : of ulcers on breast ; of blister on thumb.
Stitching : in head ; in throat ; in hepatic region ; in larynx ; in right side of chest.
Severe neuralgic pains : in region of left orbit ; of face, extending in streaks into temple, ear, alæ nasi, upper lip.
Darting pain : in ears.
Ulcerative pain : in nostril ; in throat.
Drawing pain : in nose ; in tooth ; from region of stomach to back ; between scapulæ ; in limbs.
Throbbing pain : in right temple ; in eyes ; in ears ; in tooth ; in scrotum ; in thumb ; in last joint of middle finger, right hand ; in abscess.
Clawing : in umbilical region.
Gnawing : in stomach.
Cramp : in calves ; in soles and toes ; in left hand.
Pinching : in abdomen.
Burrowing : headache.
Boring : headache ; at root of nose ; in right temple.
Burning, bruised pain : in eye.
Burning pain : in eyes ; in bones above orbits ; in nose ; in thumb.
Burning itching : on scalp.
Burning : of body ; in throat ; in stomach ; in rectum ; prepuce and pudenda ; in urethra ; on edges of ulcers ; in throat ; from pit of stomach to throat and ears ; in ulcers.
Smarting pain : in eyelids ; in pimple on upper lip ; in throat ; of vulva.
Pressive pain : in eyes ; in lids.
Aching : in forehead ; in vertex ; in eyes.
Constriction : of chest.
Contractive sensation : in abdomen.
Tensive aching pain : above nose.
Dull aching pain : in stomach.
Rheumatic pains : in limbs and joints ; in back.
Acute bruised pain : in eyeballs.
Bruised pain : in anterior muscles of thighs ; in limbs.
Oversensitiveness to pain.
Sore pain : on dorsum of nose ; in anus ; in rectum.
Soreness : of urethra ; on genitals ; of scrotum ; of folds between scrotum and thigh ; in chest ; in thighs ; of all limbs.
Hammering : in head.
Throbbing : in ears ; in forehead and temples.
Pulsative sensation : in ulcers on female sexual organs.
Violent pressure : in throat.
Anxious feeling : about heart.
Pressure : in head ; in eyes ; in stomach ; beneath larynx ; under sternum ; sharp in small of back and lumbar vertebræ ; on brain during delivery.
Distressing headache.
Dull headache.
Empty, sinking feeling : in stomach.
Scraping : in throat.
Raw feeling : in side of nose.
Scratching : in air tubes.
Acrid feeling : in stomach.
Unpleasant sensation : in left side of nose.
Heaviness : in stomach.
Sensation of weight : at back of eyeballs.
Numbness : of right arm and hand.
Stiffness : of nape of neck ; in limbs.
Pricking : in both heels ; in tumors.
Tickling sensation : in back of throat ; in air tubes ; in soles of feet ; in arm.
Tingling : in toes ; in tips of fingers.
Dry heat : of body.
Dryness : of palms of hands.
Creeping : in rectum ; in right leg ; from left hand up arm.
Formication : in arms.
Intensely violent itching : in bend of elbows ; on hands, wrists and in palms ; in lower extremities.
Itching : on scalp ; in ears ; in nose ; around mouth ; on spot beneath lower lip ; on penis ; of vulva ; of nipples ; in throat ; of ears ; violent at bend of elbow ; on hands ; in palms ; of eruption in bends of
joints ; dull itching of soles of feet and palms of hands.

Tissues

Child looks plump, yet the flesh is flabby, the muscles withered, digestion weak ; intolerant of pressure about stomach after eating ; food temporarily > the debility ; stools green, watery, undigested, or white, sour smelling and painless ; < during
day ; little tendency to cerebral symptoms ; glands swollen and child subject to catarrhs from least draught of cold air ; eczema, < morning, when it itches, burns and smarts.
Chlorosis with flatulent dyspepsia, delayed menses and leucorrhœa.
Hard, burning nodosities.
Pains in bones ; caries.
Caries with watery, foul smelling pus.
Rheumatic swelling, with heat, redness and sensation as if sprained.
Useful in promoting suppuration when a former acute pain suddenly ceases after a chilly feeling, and is followed by a beating pain, or throbbing, indicating formation of pus.
Strumous patients, where suppurative process has not been arrested by Mercur., or where suppuration seems inevitable ; it hastens formation of abscess.
For elimination of foreign bodies by process of suppuration.
Suppuration of soft parts, of carious bones, of ulcers, of fistulous tracts, of exanthems.
Lacerating and pricking pains in tumors ; throbbing and beating in abscess ; skin over abscess highly inflamed, hard, hot and swelling ; pus scanty, bloody, corroding, smelling like old cheese ; pains < night, and by exposure to cold.
Felons.
Tendency to formation of abscesses.
Suppurative adenitis of armpit and of groin.
Suppurating buboes in inguinal and axillary regions.
Open buboes, which do not heal, especially after mercury or iodine.
Glandular swellings, particularly when obstinate and after abuse of mercury ; suppuration of axillary and inguinal glands ; strumous suppuration of joints with profuse sweats day and night.
Absorption of old glandular swellings.
Anasarca with tendency to formation of boils, on hairy scalp ; tonsils and submaxillary glands enlarged ; albuminous urine. θ After scarlet fever.
Anasarca from Bright's disease, especially after so-called light cases of scarlatina.
Preventive of dropsy after scarlet fever as soon as traces of albumen are discovered in urine.
The child has a sour smell, and white, fetid evacuations.
Sour smell of the excretions.
Scrofulosis.
Gout with arthritis, without tophus.
Secondary syphilis, especially after mercury and iodide of potassium.

Touch. passive motion. injuries

Extreme sensitiveness to contact ; dread of contact, out of proportion to actual pain.
Touch : scalp sensitive ; nodosities sore ; boils on head and neck ; head and eye ; cornea sensitive ; slightest touch acute bruised pain ; swelling in lids painful ; hemorrhage from ear on slightest touch ; interior of nose
sensitive ; nose very sensitive ; bones of nose sensitive ; pains in malar bones < ; bones of face painful ; boils very sensitive ; ulceration of face, intolerance of touch ; great swelling of upper lip ; gums and mouth very painful ; renal region
sensitive to slightest touch ; eruption on male sexual organs sensitive ; larynx and trachea sensitive ; skin very sensitive ; muscles of nape of neck sore.
Pressure : < pain in one spot in throat ; on corrosive blister causes stinging.
Binding head up tight : > pressure.
Has to loosen clothing.
Riding in a carriage : vertigo.
When shaking head : vertigo.
From concussion : morning headache <.
After injury : to eye violent inflammation ; suppuration of middle joint of right index finger.

Skin

Yellowness of the skin.
Constant offensive exhalations from body.
Child smells sour.
Great sensitiveness of skin to touch and to slightest cold.
Unhealthy, suppurating skin ; even slight injuries maturate ; every cut or hurt suppurates.
Cracking of skin and smarting of hands and feet.
Bruised sensation, or as of subcutaneous ulceration, < by contact.
Suppression of exanthems, followed by mania ; melancholia ; ophthalmia ; laryngismus stridulus, with epileptiform convulsions.
Erysipelatous inflammation on external parts.
Suppuration of long inflamed boils on body, or on limbs, commencing with blisters.
Burning itching on body, with white vesicles, after scratching.
Itching rash in bend of knees and elbows.
Eczema, spreading by means of new pimples appearing just beyond the old parts.
Humid soreness on genitals, scrotum and folds between scrotum and thighs.
Herpes zoster, from spine around left side to median line ; vesicles, bullæ, some containing dark pus ; acute neuralgic pains in seat of eruption ; vesicles on an inflamed base, with severe itching and scratching, and nightly aggravation.
Dry and slightly cracked condition in both axillæ, especially left ; much itching, < when body becomes heated ; rash generally dry ; occasionally slight moisture exuded ; similar eruption about mouth ; severe headache, pain < back of eyeballs, which felt
as if they would be drawn back into head.
Nettlerash.
Chronic urticaria, eruption chiefly in hands and fingers.
Crusta lactea ; tetters ; rhagades ; excoriations.
Fat, pustular and crusty itch.
Dry, pimply eruptions.
Miliary rash in circles.
Adenitis ; acne punctata ; boils ; crusta lactea and serpiginosa ; herpes ; intertrigo ; scurvy ; encysted tumors ; varices.
Eruption after mercurialism.
Eruptions very sensitive and sore to touch.
Skin inclined to ulcerate ; the large sore surrounded by small pustules.
Ulcers very sensitive to contact, easily bleeding, burning or stinging, with corrosive pains.
Bleeding of an ulcer, even on slight wiping.
Ulcers : discharge bloody pus, smelling like old cheese ; edges very sensitive, and have a pulsating sensation ; discharge corroding ; burning in ulcers ; burning in night only ; pains resembling recent excoriations ;
throbbing and shooting ; jagged edges, and surrounded with pustules ; bluish, bleeding ulcers ; pus laudable, acrid or sanguineous ; fetid and ichorous.
Margins of ulcers elevated and spongy, without granulations in centre.
Little pimples or smooth ulcers surrounding principal ulceration.
Severe stitching pain in ulcers when laughing ; burning and throbbing at night.
The ulcer itches very much.
Stinging burning of edges of ulcers.
Mercurial ulcers.
Warts become inflamed and stinging, as if ulceration would set in.
Scabs easily torn off, leaving a raw and bleeding surface.

Stage of life, constitution

Torpid, lymphatic constitutions ; persons with light hair and complexion, slow to act, muscles soft and flabby.
Slow, torpid constitutions, with lax fibre and light hair ; great sensitiveness to slightest contact of ulcers, eruptions and parts affected.
Figure lean, complexion bilious ; pimply and subject to erysipelatous inflammation ; pallor of face when excited by movement, or very red and flushed.
Suitable to scrofulous and debilitated subjects.
Psoric scrofulous diathesis.
Psora of children.
Strumous, outrageously cross children.
Purulent diathesis, great tendency to suppuration.
Child, æt. 4 1/2 months ; crusta lactea.
Girl, æt. 1/2 year, weak, scrofulous ; laryngismus stridulus.
Boy, æt. 1/2 year ; croup.
Strong boy, æt. 8 months, since birth has had an eczema of face and head, which five weeks ago began to get better of itself, as eruption was nearly healed, epileptiform spasms set in ; laryngismus stridulus.
Boy, æt. 21 months ; dropsy after scarlet fever.
Boy, æt. 2, had tinea capitis, for which Sabad. was given ; inflammation of eyes.
Boy, æt. 2 1/2 ; croup.
Boy, æt. 2 1/2 ; croup.
Boy, æt. 3 ; parotitis.
Boy, æt. 3 ; scarlet fever.
Child, æt. 3 1/2 ; parotitis.
Boy, æt. 4 ; croup.
Girl, æt. 4, lively temperament ; croup.
Boy, æt. 4 1/2, light hair, blue eyes, pale face, of mild, mischievous disposition, had pneumonia when an infant ; emphysema.
Boy, æt. 5, healthy and strong ; pleurisy.
Boy, æt. 5 ; croup.
Boy, æt. 5, weak, excitable, after a catarrh which had lasted eight days ; croup.
Boy, æt. 6, delicate, weak, muscles flabby, face puffed, upper lip swollen, eyes sunken, frequent swelling of glands of neck ; abnormal passages from bowels. θ Ophthalmia.
Boy, æt. 6, twenty weeks after pneumonia, treated allopathically ; pleuro-pneumonia of right side, with absorption of pleuritic exudation, but continued presence of pneumonic infiltration in a state of purulent dissolution.
Boy, æt. 7, scrofulous constitution ; ulceration of cornea.
Boy, æt. 8 ; anasarca and convulsions.
Boy, æt. 12 ; anasarca and convulsions.
Boy, æt. 13, suffering one year ; ozæna.
Boy, æt. 16, robust, blonde, exposed to chills and must frequently strain his sight ; inflammation of glands of eyelids.
Girl ; whitlow.
Young girl, three months after puberty ; mind affection.
Mr. K., æt. 18, fast-living, German ; affection of cheek.
Girl, æt. 18, strong, healthy, very excitable and has been suffering three months ; affection of throat.
Girl, æt. 18, after catching cold ; laryngitis.
Miss M., æt. 18 ; chest troubles succeeding repelled itch.
Needle-woman, æt. 19 ; whitlows.
Young man, while fencing, received small, scarcely visible fragment of steel in eye, which stuck into cornea ; traumatic ophthalmia.
Housemaid, æt. 22 ; whitlow.
Miss S., æt. 24, dark hair and eyes, pale face ; angina pectoris.
Woman, single, æt. 25, menstruation scanty, suffering for three years ; skin eruption.
Tenor singer, three years ago had an herpetic eruption in epigastric region which returned after the asthma had been cured ; asthma.
Stonecutter, gonorrhœa one year ago, had taken much mercury, struck in eye by small piece of stone ; Hypopion.
Waiter, after catching cold when going into cellar ; pains in foot.
Mr. R., had been suffering for two weeks, Arsen. and Laches. without benefit ; carbuncle.
Man, after drinking iced milk while in a heated condition ; sensation as if a splinter or fishbone were sticking in throat.
Woman, psoric constitution ; catarrhal inflammation of eyes.
Woman, suffering for years ; indigestion.
Professional man, afflicted for twenty years, has frequently taken mercury ; bilious attacks.
Sculptor, suffering for twenty-five years, has been overdosed with mercury ; chronic tonsillitis.
Man, æt. 30 ; kidney disease.
Man, æt. 30 ; syphilitic bubo.
Man, æt. 30 ; bubo.
Woman, æt. 33, suffered severely from rheumatic pains, no history of syphilis ; keratitis parenchymatosa.
Man, æt. 34, married, tall, slender, dark complexion, lymphatic, torpid temperament, has epilepsy and heart disease, also a recurring eruption which he treated with binoxide of mercury ; attacks of debility.
Man, æt. 36, phlegmatic temperament, healthy, strong constitution, for half a year had itch, after bodily exhaustion slept upon ground ; affection of brain.
Unmarried woman, æt. 36, has had repeated attacks since eighteenth year ; father affected same way ; tonsillitis.
Man, æt. 36, another æt. 45 ; chronic tracheitis.
Miss H., æt. 37, supposed she was bitten by some insect on forearm ; carbuncle.
Man, æt. 37, big, strong, after suppressed syphilitic eruption ; paralysis.
Woman, æt. 38, weak and flabby, scrofulous during youth, corneitis ; hypopyon.
Mrs. P., æt. 40 ; affection of nose.
Scrofulous woman, æt. 40, subject to suppurating sore throat ; tonsillitis.
Mr. W., æt. 40 ; carbuncle.
Woman, æt. 44, has suffered for many years, has taken large doses of quinine and mercury ; hepatic and uterine disease.
Man, æt. 45 ; ill effects of Merc. sol.
Man, æt. 47, carbuncle.
Widow, æt. 52, suffering six years ; spinal irritation.
Mrs. H., æt. about 60, large, fleshy woman with frequent attacks of jaundice ; carbuncle.
Patient, æt. 63, sick since five years ; bronchial catarrh.
Man, æt. 67, has spent much of his life in foreign stations, mercurial history ; hepatogenous jaundice.

Relations

Antidoted by : Acet. ac., Bellad., Chamom., Silic .
It antidotes : mercurial and other metallic preparations ; iodine, and especially the iodide of potash ; cod-liver oil.
Removes weakening effects of ether.
Compatible : Acon., Arnic., Bellad., Laches., Mercur., Nitr. ac., Silic., Spongia, Zincum .
Compare : Alumina (constipation) ; Calc., Iodium, Kali bich., Mercur., Rheum, Sulphur .
Complementary : to Calend ., in injuries.

Lectures on Homoeopathic Materia Medica

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

Coldness

The Hepar patient is chilly. He is sensitive to the cold and wants an unusual amount of clothing when in cold air. He wants the sleeping room very warm and can endure much heat in the room, many degrees warmer than a healthy person ordinarily desires, He has no endurance in the cold and all his complaints are made worse in the cold. If he becomes cold in sleep his complaints come on or if he is out in the cold, dry wind, complaints come on; inflammatory and rheumatic complaints appear.

The exposure of hand or foot at night in bed brings on symptoms. He wants the covers drawn close about the neck when in bed. This patient is also oversensitive to impressions, to surroundings and to pain. What with an ordinary person would only be an ache or disagreeable sensation becomes with Hepar an intense suffering.

Pains

But the pains of Hepar may be very severe, very sharp. Inflamed spots, eruptions, boils or suppurations are full of sharp pains. This is so intense that it is described at times, as a sticking and jagging like sharp sticks.

The pains in ulcers are often felt like sticks; intense and sharp as if sticks were jagging the ulcer. This sensation is often expressed by the patient suffering from sore throat. Lip feels as if he had swallowed a fish bone, or stick. This is in keeping with the general character, because it is present everywhere, in inflammations, ulcers, pustules, boils and eruptions; all seem to have sticks in them or some thing jagging.

Eruptions are sensitive, to touch. This accords with the oversensitiveness of the nerves found everywhere. The Hepar patient faints with pain, even from slight pain.

Mind

This remedy belongs to patients that are called delicate, that are oversensitive to impressions. The mind takes part in this oversensitiveness and manifests itself by a state of extreme irritability.

Every little thing that disturbs the patient makes him intensely angry, abusive and impulsive. The impulses will overwhelm him and make him wish to kill his best friend in an instant. Impulses also that are without cause sometimes crop out in Hepar.

A man may have a sudden impulse to stab his friend. A barber has an impulse to cut the throat of his patron while in the chair. Mothers may have an impulse to throw the child into the fire or an impulse to set herself on fire; an impulse to do violence and to destroy. These symptoms increase to insanity and then the impulses are often carried out. It becomes a mania to set fire to things.

The patient is quarrelsome, hard to get along with; nothing pleases; everybody disturbs oversensitiveness to persons, to people and to places.

He desires a constant change of persons and things and surroundings and each new surrounding or person or thing again displeases and makes him irritated. With this irritability of temper and physical irritability there is a tendency to suppuration in parts. Localized inflammations incline to suppurate, especially in glands and cellular tissue do we have suppuration and ulcers.

The glands of the neck, axilla and groin and the mammary glands swell, become hard and suppurate. First the hard swellings with the feeling as if they had sticks jagging in them, then it becomes highly inflamed and red over the part and ultimately it suppurates, discharges and heals slowly.

The bone even suppurates and takes on necrosis and caries. Felons around the root of the nail and ends of the fingers. The nail suppurates and loosens and comes off. Sensation of splinters under the nails, even when they do not suppurate.

The nails become hard and brittle. Warts crack open and bleed, sting and burn and suppurate. Hepar is especially useful in felons in such a constitution as described, but sometimes you will have nothing more than the fact that the patient is a scrawny, chilly patient, who is always taking cold and subject to felons. I have often had to give Hepar on no better information and have known it to stop the tendency to felons. It also competes with Silica.

The patient is often scrawny, and has a tendency to enlargement of glands. The lymphatic glands are generally hard and enlarged, They are chronically enlarged without suppuration, and at any cold that comes on some particular gland may suppurate.

The catarrhal state

is general.

There is no mucous membrane exempt, but especially do we have catarrh of the nose, ears, throat, larynx and chest. The Hepar patient is subject to coryza. In some instances the colds settle in the nose and then there will be much discharge, with sneezing every, time he goes into a cold wind.

The cold winds bring on sneezing and running from the nose, first of a watery character and finally ending in a thick, yellow, offensive discharge.

Discharges

These offensive discharges smell like decomposed cheese, and this characteristic runs through the remedy.

The discharges from all parts of the body smell like old cheese. The discharges from ulcers are offensive, and have a decomposed, cheesy smell. It has discharges running through it also that smell sour, and this is also a general because it modifies all things that can be sour.

The babies are always sour in spite of much washing. Or it may be noticed by the members of the family that one of the family always smells sour, has a sour perspiration. The discharges from ulcers are sour, and also discharges from, mucous membranes. The discharge from the nose becomes copious, and causes ulceration in patches.

Throat and cough

The throat has a catarrhal condition; the whole pharynx is in a catarrhal state with copious discharge. Throat extremely sensitive to touch; pain as if full of splinters; pain on swallowing. The larynx also is painful on talking; painful as a bolus of food goes down behind the larynx, and painful to touch with the hand.

There is a loss of voice, and a dry, hoarse bark in adults, especially in the mornings and evenings. Every time he goes out in the dry, cold wind, he becomes hoarse, loses the voice and coughs. It is a dry, hoarse, barking cough. Inspiring cold air will increase the cough and putting the hand out of bed will increase the pain in the larynx or cough.

Putting the hand or foot out of bed brings a general aggravation of all the complaints of Hepar. Putting the hand out of bed accidentally when sleeping will bring on cough, and cause sneezing. The larynx has its catarrhal state, and in oversensitive children this catarrhal state becomes a croup.

Sensitive children that are exposed during the day in a cold, dry wind, or cold air, come down next morning with a violent attack of croup. The Hepar croup is worse in the morning and in the evening; evening until midnight. Sometimes cases that at first call for Aconite run into Hepar.

The Acon. croup comes on with great violence, worse in the evening before midnight. The child wakes up from its first sleep with a hoarse, barking croup. A dose of Aconit may prove entirely sufficient; or it may be only a palliative.

The child goes to sleep and along towards morning, or at least sometime after midnight, there is another attack, which shows that Acon. was not sufficient. Such a case will be controlled by Hepar.

When the croup comes on after midnight and the child wakes up frightened, suffocating, rouses up in bed with a dry, hoarse and ringing cough, which rings like a dry whoop, then Spongia will nearly always be the remedy, and again if Spongia palliates it and it is not sufficiently deep and there is a morning aggravation which shows that the trouble is returning Hepar follows. Acon., Hepar and Spongia are closely related to each other and they are truly great croup remedies.

Dry, paroxysmal cough from evening until midnight and sometimes lasting all night, with choking, gagging and crouping; some loose coughing in the daytime; rawness and scraping the larynx; worse in cold air or uncovering hand or foot in bed.

The catarrhal state is sometimes lower down in the trachea, and the trachea becomes extremely sore from much coughing. The patient has been coughing days and weeks and has the morning and evening aggravations; a rattling, barking cough with great soreness of the chest in an oversensitive and chilly patient.

The cough is attended with choking and gagging, even to vomiting; it is worse in the cold air, and from putting the band out of bed. He coughs and sweats. There is much sweating the whole night, without relief. Sweating all night without relief belongs to a great many complaints of Hepar. He sweats easily, so that with the cough and on the slightest exertion he is fairly drenched with perspiration.

Ears

It has catarrhal affections of the ear.

A sudden inflammation comes on in the middle ear, an abscess forms, the drum of the car ruptures and there is a bloody discharge and sticking, tearing pains in the inflamed ear. There is first a sensation of stopping up of the ear, then, bursting and pressure in the ear, and then perforation of the drum.

There is also an inflammatory condition causing a discharge that is foetid, or a bloody yellow, purulent discharge, thick, with cheesy particles and smelling like old cheese.

Eyes

Hepar sometimes is bad on the oculist.

When it is indicated, it cures eyes very quickly, so that the oculist does not have a very long case and it does away with the necessity for washes in the hands of the specialist. From the eyes we have the same offensive thick, purulent discharge. Inflammation of the eyes attended with, little ulcers.

Ulcers of the cornea, granulations, bloody, offensive discharge from the eyes. The eyes look red, the lids are inflamed, the edges are turned out and the margin of the lids become ulcerated. In all sorts of so called scrofulous affections, the eye conditions may be covered by Hepar when the constitutional state is present.

The constitutional state of the patient is the only guide to the remedy. Many times the eye symptoms are nondescript. You have only an inflamed eye with catarrhal discharge, and for this you could give a large number of the anti-psorics; but when you go into the state of the patient and find these general symptoms, then this remedy will cure.

The general symptoms will guide to the remedy that will cure the eyes. You will see that the specialist for the eyes is often limited unless he knows how to secure all the symptoms of the patient and selects the remedy upon the totality of the symptoms.

Bladder

There are other catarrhal, conditions. Catarrh of the bladder, with purulent discharges in the urine and copious muco-purulent deposits. Ulcers of the bladder. The walls of the bladder become hardened, so that it has almost no power to expel its contents, and the urine passes in a slow stream or in drops, or in the male the stream falls down perpendicularly. No ability to expel the urine with force. It is a paresis. There is burning in the bladder and frequent, almost constant, urging to urinate. It has also a catarrhal state of the urethra that resembles gonorrhoea, and it has been a very useful remedy in chilly patients with gleety discharge of long standing. Thick discharge of a white, cheesy character. Ulcers and little inflammatory spots along the urethra.

There is a sticking sensation here and there along the urethra and when passing urine a sensation of a splinter in the urethra. Copious leucorrhoea with the same offensive, cheesy smell.

Leucorrhea

The leucorrhea is so copious that she is compelled to wear a napkin, and the napkins, I have been told by women who have been cured by Hepar, are so offensive that they must be taken away and washed at once because the odor permeates the rooms.

This horribly offensive odor that is so permeating is often cured by Kali phos. It has really one of the most penetrating of odors, so much so that when a woman suffers from this leucorrhoea the odor can be detected when she enters the room.

A very important sphere for Hepar is after mercurialisation. Many old people are walking the street at the present day who have been the victims of Calomel, who have been salivated, who have taken blue pill for recurrent bilious spells, to "tap the liver," until finally they get into a state of chilliness felt, as it were, in the bone.

They sweat much about the head, they ache in the bones, and every change of weather to cold, and every cold, damp spell affects them. They, are like barometers. Hepar is the remedy for that state.

They go into diseases of the bone easily and are always shivering. While they have periods of aggravation from warmth, as a general rule they are chilly subjects, and feel the cold easily. In the more acute affections of Mercury there is an aggravation from the warmth of the bed, but the old subjects who have been years ago poisoned with it get almost bloodless, and they become chilly; they cannot get- clothing enough ib keep them warm.

They become withered and shriveled, and have rheumatic affections about the joints. Then it is that the symptoms of Hepar agree and it becomes a valuable antidote to that state of mercurialisation.

Hepar is also a complement and antidote to potentized Mercury. When Merc. has been administered and has done all it can do as a curative remedy, or when it has acted improperly and has some, what mixed up the case and it is necessary to follow it with the natural complement or antidote and prepare for another series, Hepar is to be thought of as one of the natural followers of Merc. it is well known that Merc. is not followed well by Silica. Sil. does not do useful work when Merc. is still acting or has been acting.

This is the time that Hepar becomes an intercurrent remedy. Sil. follows well after Hepar, and Hepar follows well after Merc., and thus becomes an intercurrent in that series.

In old syphilitic cases when the symptoms agree Hepar is a very full and complete remedy. It corresponds to the majority of symptoms of syphilis, and it only needs to correspond to the symptoms of the individual patient when he is syphilitic to be indicated. Thus in old cases who have been mercurialized, who have had the symptoms suppressed so that the disease is latent and ready to crop out at any time, Hepar will come in and have a decided effect upon the syphilis and upon the mercury.

It will straighten matters out and cause a development that will lead to clear prescribing. In this relationship to syphilis and mercury Hepar is closely allied to Staph., Asa f., Nit. acid, Sil., etc.

Especially Hepar the remedy in those cases of syphilis where great quantities of mercury have been taken, until it is no longer able to suppress the symptoms of the disease; in old cases when the syphilitic miasm attacks the bones of the nose and they sink in, or a great ulceration takes place; those cases you sometimes see walking around the street, with a big patch over the nose or over the opening that leads down into the nasal cavity.

Nose

When there is severe pain in the region of the nasal bones, the bridge of the nose is so sensitive that it cannot be touched and in the root of the nose there is a sensation as if a splinter were sticking in. For offensive discharge from the nose, foetid oezena in an old case, which has been mercurialized, who is chilly in his very bones, think of Hepar. It has cured many such cases; it has healed up the ulcers; it has cured the catarrhal state, and it has hastened the healing up of the portions of diseased bone, by hastening the suppuration and has returned the patient to an orderly state.

Throat

As we go into the syphilitic affections that lead into the throat, we find ulcers of the soft palate which eat away the uvula, small ulcers which finally unite and destroy the soft palate and then commence to work upon the osseous portion of the roof of the mouth.

The odor that comes from that mouth when it is opened to show the throat is extremely offensive; very often like spoiled cheese. The medicines that are especially related, or especially useful in this form of ulceration in old syphilitics, will be Kali bi., Lach., Merc. cor., Merc. and Hepar, but in those syphilitic cases that have been mercurialized Hepar and Nitric acid should be thought of.

Nitric acid is very closely related to Hepar; it is just as chilly; it has the sensation of sticks in the throat and in inflamed parts. It has fine ulcers in the throat, upon the tonsils and in the larynx. Nitric acid competes with Hepar.

You think of the two together. Both have sensation of a fish bone or stick in the throat.

The cartilages of the larynx become attacked in syphilitic affections and old mercurial affections. When the case is not of syphilitic origin but is of sycotic origin, small or large white gelatinous polypi form in the larynx and they are sore, causing loss of voice, or cracked voice; when they cause choking or uneasiness, Hepar is one of the remedies. Hepar, Calc., Arg. nit and Nit. ac. and sometimes Thuja are the remedies related to such conditions.

Genitals

Again, in the earlier syphilitic manifestations, the chancre has the feeling of a stick in it; then comes the formation of a bubo that may be either non-suppurative or a suppurating gland, associated with a chancre or a harmless ulcer upon the penis. These conditions are often indications for Hepar, when the constitutional state is present.

Hepar has also sycotic warts. It is useful in old cases of gleet; also when there is a sensation of a splinter in the urethra. In strictures and constrictions of inflammatory character during the inflammation there is a tendency to ulcerate, and with this the sensation of a stick is felt.

Arg. nit., Nit. ac. and Hepar run close together for this kind of inflammation, and will cure the inflammatory stricture before it becomes a complete and permanent fibrinous stricture.

It is only very rarely that you will be able with your medicines to cure a stricture after it has taken on permanency, after it is many years old, but as long as the inflammation keeps up there is hope.

I remember one very old one that was cured by Sepia. I did not know at first of its presence, but prescribed Sepia on the symptoms of the case, and the patient came back with great suffering in the urethra, and then confessed to me that he had had gonorrhoea and had been troubled for years with a stricture. That inflammation was aroused anew and after it ran its course it really left the passage clear and there was never any more trouble with the stricture.

That was a very unusual result. I have many times prescribed for patients with the utmost endeavors to do the same thing, and have cured the patient in other respects, but the stricture would remain. Remember then that Hepar has fig warts, chronic sycotic discharges, or chronic gonorrhoea, offensive, cheesy discharges, the sensation of sticks in the urethra, inflammatory stricture, which will be associated with difficulty in passing urine, to the extent that there is a weakness of the bladder and the urine falls perpendicularly.

Suppuration

Hepar has served a valuable purpose in its ability to establish suppuration around foreign bodies. For instance, a foreign body is under the skin or is somewhere unknown. Perhaps it is the tip end of a projectile after the projectile itself has been taken away, or under the nail a splinter is forming a suppuration. It is so small that it is hardly observed and it is supposed often that the splinter has been entirely removed, but an inflammatory condition starts up.

Hepar if indicated by the general symptoms of the patient hastens the suppuration and heals up the finger, for it has all such things. Silica is another remedy capable of establishing inflammation and suppuration and removes little foreign bodies that cannot be located.

Of course it is understood that if the physician knows the location of a splinter, he will take such steps as are necessary to remove it, and not wait for the action of a remedy. But at times a needle point breaks off against the bone of the finger of a seamstress, or small portions of the needle may exist where they cannot be found without an immense amount of slashing which the patient refuses. Hepar or Silica will remove it. A little abscess will form and the little mite will be discharged.

Knowing that these two remedies have this tendency to establish a suppuration wherever there are foreign bodies, it is well to be reminded that if a bullet were encysted in the lungs it would be well, if the symptoms called for Hepar or Silica, to consider whether it might not be injurious to give a remedy that would establish a suppuration. It might be that the bullet is resting in a vital place, in a net-work of arteries, and it would be well not to establish suppuration in this vital region.

Deposits, of a tubercular character are often located in a place that they can easily be suppurated out, and the action of the remedy on them would be the same as a foreign body. Hence it is that Hepar, after its administration, will very often abolish a crop of boils all over the economy because in the skin there are small accumulations of sebaceous matter and these will be suppurated out.

Sulphur also does this, so that it may be well to be careful and not give Silica or Sulphur, or Hepar too often, or too high, in patients that have encysted tubercle in the lungs. Rokitansky in his numerous post-mortems found a large number of encysted caseous deposits in the lungs, in cases that had lived and outgrown these trouble; they had become encysted and therefore perfectly safe and the patient had died of something else.

It might be dangerous to administer these medicines that have a tendency to cause suppuration in such, and you should at least proceed cautiously in using them. After you have seen a great many cases you will find that you have killed some of them. If our medicines were not powerful enough to kill folks, they would not be powerful enough to cure sick folks. It is well for you to realize that you are dealing with razors when dealing with high potencies.

I would rather be in a room with a dozen negroes slashing with razors than in the hands of ail ignorant prescriber of high potencies. They are means of tremendous harm, as well as of tremendous good.

In contrast with Hepar (although Hepar is a form of Calcarea), Calc. carb . has no such tearing down nature in it. It does not establish inflammation around foreign bodies and tend to suppurate them but causes a fibrous deposit around bullets and other foreign, substances in the flesh. It causes tubercular deposits to harden and contract and become encysted.

Many excellent homoeopathic physicians have said to me,

"I do not agree with you as to the danger of Sulphur in phthisical cases. I have cured cases of phthisis with Sulphur."

So have I many of them. But I did not refer to curable cases, but to those cases which are well developed and have gave symptoms. It is well to know all the elements in the case; then if you have administered a remedy and killed your patient, you know at least what you have done.

It is better to know what you have done if you have killed your patient, than to be ignorant of it and go on and kill some more in the same way.

The Therapeutics of Fevers

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

Characteristic

For torpid, lymphatic constitutions; persons with light hair and complexion, slow to act, muscles soft and flabby.

Like Sulphur, Hepar is adapted to the psoric, scrofulous diathesis.

In Sulphur the skin affections are dry, itching and not sensitive to touch, in fact, > by scratching and rubbing; while in Hepar the skin is unhealthy, suppurating, even slight injuries cause suppuration; extremely sensitive to touch, the pain often causing fainting.

Diseases where suppuration seems inevitable; where the system has been injured by the abuse of Mercury.

Patient is peevish; angry at the least trifle; hypochondriacal; unreasonably anxious; oversensitive, physically and mentally; the slightest cause irritates; quick, hasty speech and hasty drinking.

Extremely sensitive to cold air, imagines he can feel the air if a door is opened in the next room; must be wrapped up to the face even in hot weather (Psor.); cannot bear to be uncovered (Nux—cannot bear to be covered, Camp., Sec.); takes cold from slightest exposure to fresh air (Tub.).

Urine: flow impeded; voided slowly, without force, drops vertically; is obliged to wait awhile before it passes; bladder weak, is unable to finish, seems as if some urine always remains (Alum., Sil.).

Cough: when any part of the body is uncovered (Rhus); croupy, choking, strangling; from exposure to dry west wind, the land wind (Acon.).

Croup: after exposure to dry cold wind (Acon.); deep, rough, barking cough, with hoarseness and rattling of mucus; < cold air, cold drinks, before midnight or toward morning.

Sensation of a splinter, fish bone or plug in the throat (Arg. n., Nit. ac.); quinsy, when suppuration threatens; chronic hypertrophy, with hardness of hearing (Bar., Lyc., Plumb., Psor.).

Ulcers, herpes, surrounded by little pimples or pustules and spread by coalescing.

Middle of lower lip cracked (Amm. c., Nat.—cracks in commissures, Cund.).

Diarrhœa: of children with sour smell (Cal., Mag. c.—child and stool have a sour smell, Rheum); clay-colored stool (Cal., Pod.).

Eyeballs: sore to touch; pain as if they would be drawn back into head (Olean., Paris).

Aggravation

Lying on painful side (Kali c., Iod.); cold air; uncovering; eating or drinking cold things; touching affected parts; abuse of Mercury.

Amelioration

Warmth in general (Ars.); wrapping up warmly, especially the head (Psor., Sil.); in damp, wet weather (Caust., Nux,—rev. of Nat. s.).

Type

Simple. Quotidian. Period the same every day.

Time

Morning at 2, 6 or 7 o'clock. The evening paroxysm, like Graph., Lyc., Puls. and Rhus, is most severe. 6 or 7 P. M.—4, 5, 6, 7 or 8 P. M.

Fever, without chill, 4 P. M., lasting all night. Morning fever preceded by bitter taste in mouth, returning twice a day.

Prodrome

Itching, stinging, nettle-rash. Bitter taste in the mouth, for hours before chill.

Chill

Without thirst. Great chilliness in open air; must get to warm stove; heat feels agreeable but does not relieve (must get to warm stove as soon as chill begins, Bov.—must get to warm stove, and lie down, Lach.). Great sensitiveness to open air with chilliness (excessively sensitive to open air, Camph.—chill < by least draft of air, Bar.). Violent chill every morning, at 6 or 7 o'clock, without subsequent heat (without subsequent heat or sweat, Bov.). Violent chill, with chattering of the teeth, lasting a quarter of an hour, with coldness of the hands and feet, followed by heat with sweat, especially on the chest and forehead, and slight thirst. Violent shaking chill with chattering of the teeth, icy coldness and paleness of the face, hands and feet, unconsciousness and coma (Bell., Op.). Febrile chill, from 4 to 8 P. M., or in the night, could not get warm, with < of all complaints (Ars.); with-out subsequent heat. Chill at 2 A. M., with febrile shivering and hot, dry skin. Nettle-rash with violent itching and sting-ing, disappears as heat begins (nettle-rash appears as the chill is passing off, Apis—during sweat, Rhus—during heat, Ign.).

Heat

With thirst. Burning, febrile heat, with almost un-quenchable thirst, distressing headache and slight delirium, lasting from 4 P. M. all night, without chilliness. Larynx much affected, hoarse, weak voice. Heat light in comparison with the chill, though he was obliged to uncover himself (Puls.). Dry heat of body at night, with sweaty hands which cannot tolerate being uncovered (Bar.). Febrile paroxysm during the day, chilliness alternating with heat, with photophobia. Violent fever, with flushing heat in the face and head. Fever blisters around the mouth (Ign., Nat., Nux, Rhus).

Sweat

With flushes of heat. Sweats profusely day and night without relief. Perspires easily on every motion, however slight, mental exertion, even on writing a few lines (Psor., Sep.); or, at first, no sweat at all, then sweats profusely. Profuse, sour-smelling sweat at night, which is often clammy (Lyc.). Sweat of perineum, groins, and inside of thighs (sweat most profuse on the genitalia, Gels.). Constant offensive exhalations from the body. Sometimes thirst with night-sweat. After sweat, burning redness of face with heat and dryness of palms of hands.

Tongue

Tip painful and sore; back of tongue coated like dry clay (Cal. s.). Taste: bitter; putrid; metallic; of rotten eggs. Offensive odor from the mouth, which he notices (which he does not notice, Puls.). Longing for acids, strong-tasting things. Aversion to fat. Stomach out of order.

Apyrexia

Characteristic: Never clear. Constitutional symptoms always present, and always guiding. Unhealthy skin, with itching, apt to be developed by the fever.

"Intermittent fever; first chills, then thirst, and an hour later, much heat with interrupted sleep. Violent chill at 8 P. M. with chattering of teeth; hands and feet cold; followed by heat with perspiration, especially on the chest and forehead, with slight thirst."—LIPPE.

Analysis

Sensitive to open air.

Nettle-rash with the chill.

Hydroa around the mouth.

Sweat; profuse, offensive, sour; easy, on every motion; day and night.

Without relief; from mental exertion, even writing a few lines.