Ignatia Amara ign.

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

MIND. NERVOUS SYSTEM. Cerebro - spinal axis.

Worse

EMOTIONS: GRIEFS. Chagrin. WORRY. Fright. Shock. AIR: Open. Cold. Odors. Touch. Coffee. Tobacco.

Better

Position: Change of. Lying on part. Urination. If alone. Pressure.

General

ERRATIC, CONTRADICTORY OR SPASMODIC EFFECTS; often violent; with rigidity, twitchings, tremor, etc.; during pain. Jerks run through whole body. SENSE OF A LUMP, foreign body or sharp pressure. Globus. Clavus. Hysteria. Pain in a spot, < close attention. Symptoms pass off with a profuse flow of urine. Oversensitive to pain. Tonic spasm of single parts, with frothing at mouth. Neurotic inheritance. Spasms from punishment (Agar.).

Particulars

Brooding grief. Silent and sad; inward weeping. Intolerant of contradiction; of reprimands (Colo. Stap.). Angry with himself. Delicately conscientious. Everything irks her. Weak and excitable. ALERT, OVERSENSITIVE AND NERVOUS. Highly emotional. Capricious. Moody. Changeful. Faints easily. SIGHS, weeps or laughs by turns. Unhappy; love. Enjoys being sad. GRIEF; brooding. Alternate headache and backache (Melil.). Headache ends in yawning and vomiting. Eyelids seem dry. Flashes of light, from violent coughing. Nose sensitive to inspired air. Pain over root of nose. Sneezing attacks. One cheek red. Jaws snap shut; bites inside of cheek, tongue, etc. Masseters stiff and hard. Indurated tonsils; with little ulcers. Cramp in gullet. Swallows over a lump, > solids. Hiccough; with eructations, empty or bitter. Nausea or vomiting, > indigestible foods. Hunger, with nausea. Craves raw foods. Empty sinking or spasmodic ache in stomach; not > eating. Stool painful; difficult although soft, then constriction of rectum. Obstipation of neurasthenics. Pain shoots up rectum. Piles, > sitting. Prolapsus recti. Irregular menses. TAKES DEEP BREATHS; for relief. Choking. Spasm of glottis. Hacking cough. Cough violent, it shuts off the breath; dry, as from dust or sulphur fumes; < coughing. Constriction of thorax. Goitre. Tension in nape. Cramp in calf. Heavy feet. Painful skin, > pressure. Violent, spasmodic yawning. Light sleep, every sound wakes. Dreams same horrid dreams, over and over. Chill with a red face. Chill, shaking; nervous; with thirst; < pain. Heat, with aversion to uncover, but no thirst.

Related

Complementary: Aur. Nat-m. Pho-ac. Sep. Related: Cimi. Nux-v. Sep.

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

Especially suited to nervous temperament; women of a sensitive, easily excited nature; dark hair and skin but mild disposition, quick to percieve, rapid in execution. In striking contrast with the fair complexion, yielding, lachrymose, but slow and indecisive, Pulsatilla. The remedy of great contradictions: the roaring in ears > by music; the piles > when walking; sore throat feels > when swallowing; empty feeling in stomach not > by eating; cough < the more he coughs; cough on standing still during a walk (Ast. fl.); spasmodic laughter from grief; sexual desire with impotency; thirst during a chill, no thirst during the fever; the color changes in the face when at rest. Mental conditions rapidly, in an almost incredibly short time, change from joy to sorrow, from laughing to weeping (Coff., Croc., Nux m.); moody. Persons mentally and physically exhausted by long-concentrated grief. Involuntary sighing (Lach.); with a weak, empty feeling at pit of stomach; not > by eating (Hydr., Sep.). Bad effects of anger, grief, or disappointed love (Cal. p., Hyos.); broods in solitude over imaginary trouble. Desire to be alone. Finely sensitive mood, delicate consciousness. Inconstant, impatient, irresolute, quarrelsome. Amiable in disposition if feeling well, but easily disturbed by very slight emotion; easily offended. The slightest fault finding or contradiction excites anger, and this makes him angry with himself. Children, when reprimanded, scolded, or sent ot bed, get sick or have convulsions in sleep. Ill effects, from bad news; from vexation with reserved displeasure; from suppressed mental sufferings; of shame and mortification (Staph.). Headache, as if a nail was driven out through the side, relieved by lying on it. (Coff., Nux, Thuja). Cannot bear tabacco; smoking, or being in tabacco smoke, produces or aggravates headache. In talking or chewing, bites inside of cheek. Sweat on the face on a small spot only while eating. Oversensitiveness to pain (Coff., Cham.). Constipation; from carriage riding; of a paralytic origin; with excessive urging, felt more in upper abdomen (Ver.); with great pain, dreads to go to the closet; in women who are habitual coffee drinkers. Prolapsus ani from moderate straining at stool, stooping or lifting (Nit. ac., Pod., Ruta); < when the stool is loose. Haemorrhoids: prolapse with every stool, have to be replaced; sharp stitches shoot up the rectum (Nit. a.); < for hours after stool (Rat., Sulph.). Twitchings, jerkings, even spasms of single limbs or whole body, when falling asleep. Pain in small, circumscribed spots. Fever: red face during chill (Fer.); chill, with thirst during chill only; > by external heat; heat without thirst, < by covering ( > by covering, Nux). Complaints return at precisely the same hour. Ignatia bears the same relation to the diseases of women that Nux does to sanguine, bilious men. There are many more Ignatia persons in North America than Nux vomica persons - Hering.

Relations

Incompatible: Coff., Nux, Tab. The bad effects of Ign. are antidoted by Puls.

Aggravation

From tabacco, coffee, brandy contact, motion, strong odors, mental emotions, grief.

Amelioration

Warmth, hard pressure (Cinch.); swallowing; walking.

Key-Notes to the Materia Medica

Henry N. Guernsey · Key-Notes to the Materia Medica · homeoint.org / Médi-T HTML text (Guernsey d. 1885; public domain)

Mental

Any one suffering from suppressed or deep grief, with long-drawn sighs, much sobbing, etc.; also, much unhappiness, can't sleep, entirely absorbed in grief; for recent grief, as at the loss of a friend; affections of the mind in general; particularly if actuated by grief; sadness; hopelessness; hysterical variableness; fantastic illusions.

Sensations

As of a ball in the inner parts; pain as if parts would burst, were pushed or pressed as under; sensation as if inner parts were distended; of hollowness. "Faint, all gone" feeling, especially in the pit of the stomach; griping with feeling of tearing away; of a nail or of darting in the inner parts; burning, darting in the epigastrium.

Generalities

Affecting particularly the left ear; right side; internal head; left hypochondriac region; joints of the jaws--as lame, cracking when chewing etc.; inner region of the stomach; region of the spleen; rectum; heel. Catalepsy with bending backward; opisthotonos; hysterical spasms, especially if accompanied with sighing; corns painful, as if sore; dreams continuing a long time, are exciting, and cause patient to feel a good deal troubled; chilliness of single parts.

Patient's face changes color very often when at rest; flat taste; obstructed flatus in general; stools acrid.

Worse

From mental affections; from anger; anger with fright; anger with silent grief; from anxiety; anxiety with sorrow; unhappy love; mortification caused by offence; from exertion of the mind; sweets; coffee; tobacco; from pressure on painless side, can lie better on painful side; from strong smells; between swallowing; from ascarides; when yawning.

Better

From changing the position; while eating; from eructation; when taking an inspiration; from swallowing (as in some sore throats); near a warm stove.

Remedies following

Arsen., Bellad., Cal. carb., China., Lycop., Nux vom., Pulsat., Rhus tox., Sepia., Sulphur.

Antidotes

Coffea, Nux vom., Pulsat.

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

Full of suppressed grief, seems weighed down by it, broods over imaginary troubles. Ailments from grief, or suppressed mental sufferings. Slight blame or contradiction irritates and excites him to anger. Headache as if a nail were driven out through the side of the head, relieved by lying on the painful side. Headache increased by smoking tobacco, or being where another is smoking. Sensation of weakness and sinking in pit of stomach. Frequent sighing; constant desire to take deep breath. Every time he stands still during a walk he coughs. Sleepy after each coughing spell. Spasmodic affections of children consequent on being put to sleep soon after punishment. Change of position relieves the pain During the chill, thirsty, external warmth pleasant, during the fever heat, no thirst; external warmth intolerable.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

St. Ignatius Bean (IGNATIA)

General

Produces a marked hyperæsthesia of all the senses, and a tendency to clonic spasms. Mentally, the emotional element is uppermost, and co-ordination of function is interfered with. Hence, it is one of the chief remedies for hysteria. It is especially adapted to the nervous temperament-women of sensitive, easily excited nature, dark, mild disposition, quick to perceive, rapid in execution. Rapid change of mental and physical condition, opposite to each other. Great contradictions. Alert, nervous, apprehensive, rigid, trembling patients who suffer acutely in mind or body, at the same time made worse by drinking coffee. The superficial and erratic character of its symptoms is most characteristic. Effects of grief and worry. Cannot bear tobacco. Pain is small, circumscribed spots (Oxal ac). The plague. Hiccough and hysterical vomiting.

Mind

Changeable mood; introspective; silently brooding. Melancholic, sad, tearful. Not communicative. Sighing and sobbing. After shocks, grief, disappointment.

Head

Feels hollow, heavy; worse, stooping. Headache as if a nail were driven out through the side. Cramp-like pain over root of nose. Congestive headaches following anger or grief; worse, smoking or smelling tobacco, inclines head forward.

Eyes

Asthenopia, with spasms of lids and neuralgic pain about eyes (Nat m). Flickering zigzags.

Face

Twitching of muscles of face and lips. Changes color when at rest.

Mouth

Sour taste. Easily bites inside of cheeks. Constantly full of saliva. Toothache; worse after drinking coffee and smoking.

Throat

Feeling of a lump in throat that cannot be swallowed. Tendency to choke, globus hystericus. Sore throat; stitches when not swallowing; better, eating something solid. Stitches between acts of swallowing. Stitches extend to ear (Hep). Tonsils inflamed, swollen, with small ulcers. Follicular tonsillitus.

Stomach

Sour eructation. All-gone feeling in stomach; much flatulence; hiccough. Cramps in stomach; worse slightest contact. Averse to ordinary diet; longs for great variety of indigestible articles. Craving for acid things. Sinking in stomach, relieved by taking a deep breath.

Abdomen

Rumbling in bowels. Weak feeling in upper abdomen. Throbbing in abdomen (Aloe; Sang). Colicky, griping pains in one or both sides of abdomen.

Rectum

Itching and stitching up the rectum. Prolapse. Stools pass with difficulty; painful constriction of anus after stool. Stitches in hæmorrhoids during cough. Diarrhœa from fright. Stitches from anus deep into rectum. Hæmorrhage and pain; worse when stool is loose. Pressure as of a sharp instrument from within outward.

Urine

Profuse, watery (Phos ac).

Respiratory

Dry, spasmodic cough in quick successive shocks. Spasm of glottis (Calc). Reflex coughs. Coughing increases the desire to cough. Much sighing. Hollow spasmodic cough, worse in the evening, little expectoration, leaving pain in trachea.

Female

Menses, black, too early, too profuse, or scanty. During menses great languor, with spasmodic pains in stomach and abdomen. Feminine sexual frigidity. Suppression from grief.

Extremities

Jerking of limbs. Pain in tendo-Achillis and calf. Ulcerative pain in soles.

Sleep

Very light. Jerking of limbs on going to sleep. Insomnia from grief, cares, with itching of arms and violent yawning. Dreams continuing a long time; troubling him.

Fever

Chill, with thirst; not relieved by external heat. During fever, itching; nettle-rash all over body.

Skin

Itching, nettle-rash. Very sensitive to draught of air. Excoriation, especially around vagina and mouth.

Modalities

Worse, in the morning, open air, after meals, coffee, smoking, liquids, external warmth. Better, while eating, change of position.

Relationship

Compare: Zinc; Kali phos; Sep; Cimicif. Panacea arvensis--Poor man's Mercury--(Sensitiveness over gastric region with hunger but an aversion to food).

Complementary: Nat mur.

Incompatible: Coffea; Nux; Tabac.

Antidotes: Puls; Cham; Cocc.

Dose

Sixth, to 200th potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Remedy of paradoxicalities. Head better lying on painful side, moody, goneness not > by eating, sore throat < by swallowing, thirst during chill, face red during chill, etc.

Sad, sighing, changeable, moody disposition.

Twitching or spasms, or convulsions from exciting or depressing emotions, fright, etc.

All-gone, weak, empty sensation in stomach not > by eating.

Anal troubles (piles, prolapsus, soreness and pain after stool, pains shooting up into abdomen).

Adapted to emotional, hysterical subjects.

Cough; dry, spasmodic; not relieved by coughing; the longer he coughs the more the irritation to cough increases.

Pain; in small circumscribed spots; over-sensitive (Coff., Hep.).

In most cases Ignatia should be given in the morning.

Ignatia bears the same relation to the diseases of women that Nux does to bilious men.

Ignatia is another one of the long list of our nervous remedies. Its peculiar mental symptoms, like those of Aconite, Chamomilla, Nux vomica and many others, are most characteristic. Like these remedies, it seems to exalt the impressionability of all the senses; but unlike the others, it has in it a marked element of sadness, and disposition to silent grieving. Anyone suffering from suppressed, deep grief, with long drawn sighs, much sobbing, etc., and especially if inclined to smother or hide that grief from others, is just the subject for this remedy. She desires to he alone with her grief. Sighs much and seems so sad and weak. The weakness is complained of right in the pit of the stomach. She feels weak, faint, and "all gone " there. Another equally characteristic state or mind is a changeable mood. No remedy can equal Ignatia for this. Aconite, Coffea, Nux moschata and a few others have it, but Ignatia in the greatest degree. And so this remedy becomes one of our best in the treatment of hysterical affections. The patient is at one time full of glee and merriment, to be followed suddenly with the other extreme, of melancholy sadness and tears, and so these states of mind rapidly alternate. Again, we have in Ignatia an impatient, quarrelsome, angry mood (but not to the degree of Chamomilla) at times. Again the Ignatia patient is, because of her excessive impressibility, easily frightened. Here it becomes one of our best remedies for the effects of fright, vying with Aconite, Opium and Veratrum album. In short, Ignatia may justly be termed Pre-eminently the remedy of moods.

Aside from its mental symptoms, it is a great nervous remedy. Its acts upon the spine as decidedly as Nux vomica, affecting both motor and sensory nerves. It is one of our best remedies for spasms or convulsions, and is especially adapted to spasmodic affections originating in mental causes, as after fright, punishment of children or other strong emotions. In one case of puerperal convulsions, other remedies having failed to do any good, the consulting physician while observing the patient during one of the spasms noticed that she came out of it with a succession of long drawn sighs. He inquired if the patient had had any recent mental trouble, and learned that she had lost her mother, of whom she was exceedingly fond, and whom she had mourned for greatly, a few weeks before. Ignatia 30th quickly cured her. Again, short of actual convulsions, Ignatia has, in a most marked degree, twitchings all over the body, hence it becomes one of our best remedies for chorea, especially if caused by fright or grief on the mental side, or teething or worms on the reflex irritation side. There is only one remedy that comes near it for these twitchings and that is Zincum metallicum. Of course, Agaricus, Hyoscyamus, Cuprum met., etc., come close, and some might think are equal. Veratrum viride, when better known, may lay claim to high rank here. Ignatia is sometimes recommended for paralysis, but will be found, I think, exceptionally useful, and that mainly in hysterical cases, which are not of a very dangerous character. Like Aconite, Chamomilla and Coffea, Ignatia is over-sensitive to pain.

Ignatia, like its male partner, Nux vomica, is a great remedy for headaches of nervous, especially hysterically nervous, subjects. That would be about the same as saying, that while Nux vomica is adapted to nervous men Ignatia is the same for women, which is quite true. You will remember that hysterical, nervous headaches are often one-sided. Hence Ignatia is such an efficient remedy for headaches as expressed in these words: "Headache as if a nail there driven out through the side of the head relieved by lying on it." These headaches come on in highly nervous and sensitive subjects, or in those whose nervous systems have suffered from over-anxiety, grief or mental work. The ever-changeable and contradictory symptoms so characteristic of the drug shows here as elsewhere. Not only does the pain in head change locality but at one time the pain will come on gradually and abate suddenly (like Sulphuric acid), or, like Belladonna, it will come on suddenly and abate as suddenly as it came. Like Aconite, Gelsemium, Silicea, and Veratrum album, the headache often terminates with a profuse flow of urine. That is often the case in headaches of nervous hysterical women. (Lac defloratum, profuse flow during headache).

Finally the headaches are aggravated by coffee, smoking, the abuse of snuff, inhaling tobacco smoke, alcohol, close attention, from pressing at stool, and, while it is sometimes relieved while eating, is aggravated soon after. The Ignatia headache is sometimes accompanied by hunger like that of Psorinum. It is also < by cold winds, turning head suddenly, stooping, change of position, running, looking up long, moving the eyes, noise and light.

It is ameliorated by warmth, lying on it, soft pressure, external heat and profuse flow of limpid urine. Ignatia has some strong throat symptoms. In the first place it has the so commonly observed symptom called "globus hystericus," or as if a lump came up from the stomach into the throat as if she would choke. She swallows it down but it comes right back and is very distressing. It is especially apt to come if she gets grieved and wants to cry. These are of course purely nervous sensations, but Ignatia goes further, and also cures real serious affections of the throat like tonsillitis and diphtheria. In these cases the real characteristic symptom is, that the pain and suffering in the throat is relieved by swallowing or is worse between the acts of deglutition. (Capsicum). A very peculiar symptom for such troubles, for such cases are generally aggravated by swallowing, hence we would not expect to frequently find a case in which this would be the remedy; but such cases do arise occasionally and baffle us if we haven't the remedy. Here is where Homœopathy, as we say in base ball, "scores some of its best runs," and the satisfaction of curing such a case with an unusual remedy is, to say the least, very gratifying to him who performs the cure. With Ignatia cases, in addition to the aggravation when swallowing liquids and relief from swallowing solids. This is like Lachesis, you remember, but is the reverse of Baptisia, which can swallow liquids only; the least solid food gags. It is necessary to keep these correspondences and opposites in mind, for it often enables us to make what are called "snap shot" prescriptions and save much time, study and suffering.

Some of the particularly valuable "guiding symptoms" of Ignatia, in addition to those already noticed, are "extreme aversion to tobacco smoke." This is a general aversion and aggravates many, many complaints. "Weak, empty, gone feeling at the pit of the stomach." In the case of Ignatia this symptom is apt to be accompanied by a disposition to sigh or take a long breath. Two other remedies have this symptom of goneness in the stomach as prominently as Ignatia. They are Hydrastis and Sepia. The other symptoms must decide between them. This weak feeling in the stomach in Ignatia is sometimes described as a feeling of flabbiness, as though the stomach hung down relaxed. Ipecacuanha has a similar feeling. Sometimes we come across very severe cases of gastralgia in women of hysterical tendencies. Here this remedy is the first to be thought of.

Ignatia has as positive action upon the anus and rectum as does Nux vomica. Prolapsus of the rectum is marked. (Ruta graveolens). Like Nux vomica it has frequent desire for stool, but in place of stool, or with it, comes the prolapsed rectum. The patient is afraid to strain at stool, to stoop down or lift, for fear of the prolapsus. A contractive sore pain follows after a stool and lasts for an hour or two. This is like Nitric acid, which has the same symptom only after a loose stool. There is also some pain in anus without reference to stool. Dunham, that prince of observers, gave us the characteristic: "Sharp pains shooting upward into the rectum." (Sepia has similar pains in uterus). It is a gem, and has often been verified. So we see that Ignatia is one of our important anal and rectal remedies.

This remedy is also very unique in its fever symptoms. There is no disease in which we are better able to show the power of the potentized remedy to cure, than intermittent fever. Chronic cases that have resisted the Quinine treatment for years are often quickly and permanently cured by the 200th and upwards. The following symptoms indicate Ignatia: 1st. Thirst during chill and in no other stage. 2d. Chill, relieved by external heat. 3d. Heat aggravated by external covering. 4th. Red face during the chill. Here are four legs to the stool, and we may sit upon it in perfect confidence. No other remedy has thirst during chill and in no other stage. In Nux vomica, you will remember, the chill is not relieved by the heat of the stove, or the bed, and during the heat Nux vomica must be covered, as the least uncovering brings back the chill. So we see that notwithstanding the alkaloid of both drugs is strychnia they differ widely when we come to apply them to the cure of the sick. The red face during chill led me to the cure of an obstinate case, and after I noticed the red face I also noticed that the boy was behind the stove in the warmest place he could find. The 200th promptly cured. Two other cases in the same family, at the same time, and from the same malarious district, were cured, one by Capsicum, 200th. the other by Eupatorium perfoliatum, same potency. The former had chill beginning between shoulders, in the latter the chill in the A. M., great pain in bones before, and vomiting of bile at the end of chill. I do not know but I have mentioned these three cases before; but it will bear repeating, for it illustrates the efficacy of potencies in obedience to our great law of cure. can any reasonable man doubt such evidence?

Modalities

Modalities: < slight touch, smoking, coffee; > lying on painful side; hard pressure; profuse watery urination.

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

Sensitiveness of feeling ; delicate conscientiousness. Fearfulness, timidity. Irresoluteness ; anxious ; to do now this, now that. The slightest contradiction irritates. Intolerance of noise. Taciturn, with continuous sad thoughts ; still, serious melancholy, with moaning. Anger, followed by quiet grief and sorrow. Inclination to grief, without saying any thing about it ; keeping it to himself. Great tenderness. Changeable disposition ; jesting and laughing, changing to sadness, with shedding of tears. (Hysteria). Inclination to start.

Head

Heaviness in the head. Pressing, stinging pain, from within to without, in the forehead and root of the nose. Headache, as if a nail were pressing, from within to without, in the temples and sides of the head ; relieved when lying on the painful side. Pressing headache in the forehead and vertex. Sensation as if sore ; bruised in the head (morning). The headache is aggravated in the morning, from coffee, alcohol, tobacco, noise ; from reading and writing ; from the sunlight ; from moving the eyes ; and is relieved when changing the position and when lying on the painful side. Trembling and shaking of the head. ; the head is bent backward (during spasms) ; relieved by heat.

Eyes

Acrid tears in the eyes during the day ; agglutination during the night. Pressing in the eyes, as if grains of sand were lodged under the upper lids. Swelling of the upper eyelid, with bluish veins ; the eyelid is turned upwards. Inflammation of the upper art of the eyeball as far as it is covered by the upper lid. Convulsions of the eyes. Cannot bear the glare of light. Flickering zigzags before the eyes.

Ears

Itching in the ears. Hard hearing, except for speech. Noise before the, ear, as from strong wind.

Nose

Soreness and sensitiveness of the inner nose, with swelling of it. Ulcerated nostrils. Stoppage of one nostril. Dry coryza.

Face

Alternate redness and paleness of the face. Redness and heat of one cheek (and ear). Clay-colored, sunken face, with blue margins around the eyes. Perspiration only in the face. Convulsive twitchings in the muscles of the face. Twitching of the corners of the mouth. Spasmodic closing of the jaws (lock-jaw). Lips dry, cracked, bleeding. Ulceration of one of the corners of the mouth.

Mouth and Throat

Toothache from cold in the molars, as if they were crushed. Difficult dentition, with convulsions. Redness, inflammation and soreness of the inner mouth. Stitches ; in the soft palate, extending to the ear. Stitches ; in the throat, when not swallowing (only between the acts of deglutition). Sensation as from a plug (lump) in the throat, when not swallowing. When swallowing, sensation as ; if one swallowed over a lump, causing soreness and a cracking noise. Inflamed, hard, swollen tonsils, with small ulcers. Accumulation of much acid saliva in the mouth. When talking and masticating, he bites his tongue easily. Pain in the submaxillary glands, when moving the neck. Trembling, low voice.

Stomach and Abdomen

Sour taste in the mouth. Food has no taste. Feeling of hunger in the evening, which prevents one going to sleep. Desire for a variety of things, but when they are offered the appetite fails. Aversion to tobacco, warm food, meat and brandy. Hiccough from smoking. Taste flat, like chalk. Gulping up of a bitter fluid. Regurgitation of the ingests. Hiccough after eating and drinking (evening). Nausea without vomiting. Vomiting of food at night. Sensation of emptiness in the stomach. Sensation of weakness (sinking) in the pit of the stomach. Spasmodic pains ; in the stomach. Stitches in the region of the stomach. Burning in the stomach, especially after brandy. Heaviness and pressure in the pit of the stomach. Fulness and swelling in the epigastrium. Swelling and induration of the spleen. Periodical abdominal spasms. Drawing and pinching in the region of the navel. Spasmodic pains, cutting-stinging, like labor pains. Pulsation (throbbing) in the abdomen. The colic pains are aggravated by brandy, coffee and sweet things. Sensation of protrusion in the umbilical region. Protrusions on various parts of the abdomen. Rumbling in the bowels, as from hunger. Flatulent colic (at night). Increased accumulation of flatulence and an increased discharge of it. The flatulence presses on the bladder.

Stool and Anus

The stool is of too large a size, soft, but difficult to discharge. Diarrhœa, with smarting in the rectum. Unsuccessful urging to stool, felt mostly in the upper intestines. Constipation from taking cold and riding in a carriage. Stitches from the anus up the rectum. Itching and creeping (as from ascarides) in the rectum. Prolapsus ani, with smarting pain, from slight pressure to stool. Constriction of the anus after stool.

Urinary Organs

Sudden irresistible desire to urinate. Frequent discharge of watery urine. Pressure to urinate, from drinking coffee. Burning and smarting in the urethra during micturition. Itching in the forepart of the urethra.

Genital Organs

Men. Violent itching of the genitals in the evening ; relieved by scratching. Lasciviousness without erections. Contraction of the penis ; it becomes quite small. Erections during stool. Perspiration on the scrotum. Women. Menstruation too early (and too profuse). Menstrual blood, black, of putrid odor, in clots. Metrorrhagia. During menstruation uterine spasms, with crampy pressing (relieved by pressure and in a recumbent posture). Uterine spasms with lancinations or like labor pains.

Respiratory Organs

Impeded breathing and suffocative attacks. Desire to draw a long breath. Slow breathing. Oppression of the chest at night (after midnight). Oppressed breathing, alternating with convulsions. Arrest of breathing when running. Spasmodic constriction of the chest. Sensation of soreness in the larynx. Constrictive sensation in the trachea and larynx. Low voice. Hollow spasmodic cough, caused in the evening from a sensation of vapor of sulphur or dust in the pit of the throat ; in the morning, from a tickling above the pit of the stomach, with expectoration in the evening difficult, tasting and smelling like old catarrh. (Hooping-cough). Dry spasmodic cough. The longer he coughs the pore the irritation to cough increases. Stitches in the chest, from flatulent colic. Palpitation of the heart at night, with stitches in the heart.

Back and Neck

Painless glandular swellings on the neck. The back is bent forward. Lancinating stitches in the back through the loins, extending to the legs, as from a sharp-cutting knife. Pain in the os sacrum in the morning, when lying on the back. Stitches in the small of the back, in the nape of the neck.

Extremities

Upper. Lancinating, cutting pain in the shoulder-joint, when bending the arm forward. Pain in the shoulder-joint, as if dislocated, on moving the arm. Twitching, jerking in the deltoid muscle ; arms ; fingers. Sensation of numbness of the arts, at night in bed, with the sensation as if something living were running in the arm. Warm perspiration in the palm of the hand and fingers. Lower. Lancinating, cutting pain in the hip-joints. When walking the knees are involuntarily drawn up. Convulsive jerking of the lower limbs. Cracking in the knee. Heaviness of the feet. Sensation as if bruised or stinging in the soles of the feet. Burning in the heels at night ; when they come in contact they are cold to the touch. Coldness of the feet and legs, extending above the knee.

Sleep

Spasmodic yawning, with pain in the lower jaw, as if dislocated, with running of the eyes. Light sleep ; hears every thing that happens around him. Restless sleep and great restlessness at night. Dreams with fixed ideas, continuing after waking.

Generalities

Convulsive twitchings, especially after fright or grief. Convulsions alternating with oppressed breathing. Hysterical spasms. Trembling of the limbs. Pressing pains, as from a hard-pointed body pressing from within to without. Sensation as of dislocation in the joints. Lancinating stitches, as from a sharp knife.

Fever

Pulse hard, full and frequent, or very variable. Chill and coldness, causing the pains to increase. Chill with thirst, and relieved by external heat. Chill, frequently only of the back part of the body. External coldness with internal heat. External heat with internal coldness. Only external heat without thirst, with aversion to external heat. Flushes of heat externally. Burning heat of the face, only on one side. Very little perspiration or only in the face. Perspiration while eating. Intermittent fever; chill with thirst, followed by heat without thirst ; redness of the cheeks, or first heat (without thirst), followed by chill with thirst, or afternoon fever ; shiverings with colic (and thirst), afterwards weakness and sleep, with burning heat of the body. During the fever violent itching ; nettle-rash over the whole body.

Skin

Itching over the whole body, which disappears on scratching. Itching when becoming heated in the open air. Great sensitiveness of the skin to a draught of air.

Conditions

The symptoms ; are renewed after dinner, in the evening after lying down, and in the morning as soon as awaking ; they are relieved when lying on the back or on the painful side, or from a change of position. Aggravation from tobacco, coffee and brandy.

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

Ignatia amara. (Strychnos ignatia? Strychnos multiflora?-The actual tree from which the so-called "beans" are obtained is not known.) Faba indica. St. Ignatius' Bean. (Philippine Islands.) N. O. Loganiaceæ. Tincture and trituration of the seeds.

Clinical

Abdomen, distended. Anger, effects of. Anus, affections of. Anxiety. Appetite, disordered. Back , weakness of. Catalepsy. Change of Life. Chorea. Clavus . Convulsions. Croup. Debility . Dentition. Depression of Spirits . Diphtheria. Dysmenorrhœa. Epilepsy. Fainting. Fear, effects of . Flatulence; obstructed. Glands, enlargement of. Hæmorrhoids. Headache. Heart, affections of. Hiccough. Hysteria. Hysterical-joint . Intermittent fever. Locomotor ataxy. Melancholia. Numbness. Œsophagus. Paralysis . Phlyctenular ophthalmia. Proctalgia. Rectum, prolapse of. Rheumatic fever. Sciatica. Sensitiveness. Sinking. Sleep, disordered. Spinal irritation. Tenesmus. Throat, sore . Toothache. Tremors. Urine, abnormal. Vagina, spasm of. Voice, lost. Yawning .

Characteristics

In order to obtain a proper understanding of the power and place of Ignatia it is necessary to get rid of two prevalent erroneous ideas. The first of these is that Ign . is a remedy for hysteria and nothing else; and the second is that it is the only remedy ever required in cases of hysteria. One minor inconvenience attending these notions is, that patients have become very shy of the drug, and resent having it prescribed for them, thinking that their doctor deems them hysterical if he does prescribe it. The recent outbreak of plague in the East has recalled the fact that Ign . has earned a reputation as curative even in that disease. Honigberger relates that it was a common plan when plague was raging in Constantinople for people to wear a bean attached to a string as a prophylactic; he administered "minute doses" of it to patients affected with plague with the best success. Later on he himself caught the disease in India, and cured himself with the same remedy ( H. W ., xxxiii. 51). In intermittent fever it is the only remedy that will cure certain cases. In the early part of my homœopathic career I astonished myself once by curing rapidly with Ign . (prescribed at first as an intercurrent remedy) a severe case of rheumatic fever, which had been making no progress under Bryonia , &c. The mental symptoms called for Ign ., and along with these the inflammation of the joints, as well as the fever, disappeared under its action. The seeds of Ign . contain a larger proportion of Strychnia than those of Nux vomica , and the great differences in the characteristic features of the two medicines prove the wisdom of considering medicines apart from their so-called "active" principles. There are many activities in plants besides the alkaloids they may contain, and these are often the determining factors of the drug's specific action. It is in the mental sphere that the majority of the keynote symptoms of Ign. are developed. "Although its positive effects," says Hahnemann ( M. M. P .), "have a great resemblance to those of Nux v . (which indeed might be inferred from the botanical relationship of these two plants) yet there is a great difference in their therapeutic employment. The emotional disposition of patients for whom Ign . is serviceable differs widely from that of those for whom Nux v . is of use. Ign . is not suitable for persons or patients in whom anger, eagerness, or violence is predominant; but for those who are subject to rapid alternations of gaiety and disposition to weep, or other characteristic emotional states, provided always that the other corporeal morbid symptoms resemble those that this drug can produce." Guernsey thus depicts the Ign . state of mind: "Any one suffering from suppressed or deep grief, with long-drawn sighs, much sobbing, &c.; also much unhappiness, cannot sleep, entirely absorbed in grief; for recent grief at the loss of a friend; affections of the mind in general, particularly if actuated by grief; sadness; hopelessness; hysterical variableness; fantastic illusions." To this list fixed ideas may be added, and desire to be alone. Ign . covers many of the effects of grief, especially if recent. I once gave instant relief with Ign . 30 in the case of a lady who had just heard of her brother's death (not unexpected), and who complained of an intense pain in the head just over the root of the nose. The consequences of worry, or a worrying state of mind, no less than grief, call for Ign . ─ an introverted state of mind. The special indication of Ign . in cases of hysteria is the rapid alternation of moods. Uncontrollable laughter alternating with outbursts of tears. Laughs when she ought to be serious. Sensitive, impressionable. This condition with the characteristic globus hystericus (a lump rises from the stomach into throat as if she would choke; she swallows it down but it constantly returns; < by drinking water) unmistakably indicate Ign . Nervous twitchings and even convulsions also occur. Distortion of the facial muscles whenever the patient attempts to speak. Pains rapidly alternate in character and are excessive. Exaggerated and outlandish symptoms. Rapid alternation of effects is one of the leading features of the drug; also paradoxicalness. Ign . has cured many cases of diphtheric and other sore throats, when the pain has been > by swallowing. In the fever of Ign ., the thirst occurs during the chill and in no other stage. This is a very unlikely condition, and no other remedy has it. Empty retching is > by eating. Suddenness is another note of the Ign . effects. Sudden loss of function in any organ. There are many bodily conditions not associated with mental disturbance that require Ign .; for it must always be borne in mind that the absence of any particular characteristic of a drug is no contraindication to its use provided other indications are sufficiently pronounced. Ign . will cure many painful conditions of the anus and rectum, including piles and prolapse when characterised by "sharp stitching pain shooting up the rectum"; or "constricting pain at anus < after stool, > whilst sitting." Pressure as of a sharp instrument from within outward is a characteristic. "Headache as if a nail were driven out through the side of the head, > by lying on it." Pains 2 change their locality, come gradually and abate suddenly, or come and go suddenly. Headaches terminate with a profuse flow of urine. In dentition it is frequently called for. It has cured hydrocephalus from sudden metastasis from bowels to brain during dentition, with sudden pallor, delirium, rolling of head, difficult swallowing; convulsive movements of eyes and lids. The eye symptoms are also noteworthy. It has cured many cases of inflammatory affections, especially with intense photophobia and nervous excitement; also asthenopia with spasms of lids and neuralgic pains. Ign . is one of the remedies which have "goneness." or sinking at the stomach, in a very pronounced degree. It often occurs in the night, keeping the patient awake. With this there is a disposition to sigh. Sometimes a feeling as if the stomach were relaxed. There is regurgitation of food. Hiccough < by eating, or smoking, or emotional disturbances (especially in children); empty retching > by eating; vomiting at night of food taken in evening. Hysterical vomiting. Sour saliva and sour taste in mouth. Toothache, < after a meal, not so bad whilst eating ─ another paradoxical condition. The facial expression of Ign . is one of deadly pallor, or it may be flushed at times. There are twitchings of individual muscles of eyelids or mouth, and fluttering in chest, and in smaller muscles of body; heart flutters and rises in chest, causing choking and oppression; it seems to rise and fall as she attempts to sleep. Convulsions, spasms from fright. The child stiffens out and bends backward. Half-unconscious state, thumbs clenched, face blue. Cramps and spasms are prevalent as with Nux . The dysmenorrhœa in which Ign . is indicated has labour-like bearing-down in hypogastrium, > by pressure; by lying down; by change of position. The flow is black, putrid; if profuse, clotted. Spasms and convulsions, ending in long-drawn sighs , are met by Ign . Nash relates a case of puerperal convulsions in which this feature led to a cure. There are a number of characteristic respiratory symptoms: Hysterical aphonia. Laryngismus stridulus; patient sits up in bed, hoarse, hacking cough. The characteristic cough of Ign . is an irritable and irritating cough: the longer the cough lasts the more the irritation to cough increases. Kent describes it as: "Hack, hack-ety-hack, ending in sobbing." Cough every time he stands still during a walk. Hollow, spasmodic cough as from sulphur fumes. Cough as from inspired feathery dust. Sensations of formication and numbness are very general. Pains are apt to be in small circumscribed spots. The fever characters are: Thirst during cold spell only. Red face during chill. Chill > by external heat (wraps, stove). External chilliness and internal heat. As soon as heat commences must be uncovered (opp. Nux ). Sensation as if sweat would break out but does not. Sweats: when eating; cold at times, generally warm; sometimes sour. Ign . is one of the chilly medicines like Nux, Caps., Ars . Cold < and warmth > (except in the last stage of fever). Rest > the pains; and so does change of position. Lying down > . Lying on side < headache; lying on painful side > headache. Sitting > anal and many other symptoms. < By stooping, walking, standing. < From slight touch; > from hard pressure. Soft pressure > headache. Slightest touch < stomach pains; cramps in uterus; tenderness of scalp and region of pylorus. There is great aversion to tobacco, which < many symptoms. Aversion to warm food, meat, alcohol. Desire for sour things; for bread, especially rye bread. < From emotion; from sweets; coffee; strong smells; from ascarides; when yawning. > From changing position; while eating; from eructation; when taking an inspiration; from swallowing. Ign . acts rapidly, and the duration of its action, according to Hahnemann, is short. "It is best administered in the morning if there is no hurry. When given shortly before bedtime it is apt to cause too much restlessness at night." It is adapted to the sensitive, excitable, nervous temperament; women of a sensitive, easily excited nature; dark hair and skin, but mild disposition; quick to perceive, rapid to execute. Ign . has been called the "feminine" of the "masculine" Nux . B. Simmons defines the place of Ign . in sciatica thus: "Lancinating, cutting pains, beating, bursting pains, < in winter, > in summer, chilliness with thirst, flushes of heat, chiefly face, without thirst." The limb is swollen and thigh knotty, and she cannot get up or lie down without pain; generally left side.

Relations

Antidoted by: Puls. (chief antidote); Arn., Camph., Cham., Coccul., Coff. It antidotes: Brandy, coffee, chamomile tea, tobacco, Selen., Zinc. Compatible: Ars., Bell., Calc., Chi., Lyc., Nux, Puls., Rhus t., Sep., Sulph., Zinc. Incompatible: Coffea, Tabac., Nux (sometimes). Compare: Croc. (irresistible fits of laughter; rapidly alternating mental states); Lyc. (sinking sensation at night, preventing sleep canine hunger at night; also Chi.); Sep. (sinking, gone sensation with Ign. it is attended with sighing); Phos. ac., Gels., Coloc. (grief Phos. ac., especially for chronic condition); Asaf., Asar. (nervous persons); Ars., Nux (fevers; > from external warmth). In difficult swallowing of liquids, Bell., Caust., Cin., Hyo., Lach., Lyc., Pho. Globus hystericus, Lach., Lyc., Plumb. Piles ( > sitting, Ign. ─ < sitting, Lyc., Thuj., Phos. ac.). Piles during menses, Lach., Collins., Puls., Sul. Worry and its effects, Nux, Sul. (Sul. worried by trifles). Laughter when ought to be serious, Anac., Pho. Sadness, Puls. (Ign. hides her grief, Puls. shows it). Prolapsus ani, Pod. Jealousy, Apis, Hyo. Disappointed love, Phos. ac. > From hard pressure hollow cough as from sulphur fumes, Chi. Laryngismus, Gels. Headache ending in copious flow of clear limpid urine, Gels., Aco., Sil., Ver. Worms, Cin. In functional paralysis from fatigue, emotions, or worms, Stan., Coccul., Pho. Hysteria, Cupr., Plat., Hyo., Asaf., Mosch. (faints easily), Valer., Nux mosch. Spasms in delicate women, Bell. (but Bell. has bright red face, shining eyes, hot head, fever: Ign. has no fever with spasms), Hyo. (Hyo. has unconsciousness, Ign. not). Sudden effects of emotions, Opium (very similar, but Op. has dark red, bloated face), Glon. (in the convulsions of Glon. the fingers spread out widely, also Secal.), Ver., Cupr., Cham. In uterine spasms, Coccul., Cham., Mag. mur., Act. r. Hiccough (Ign. < by eating, smoking, emotions), Hyo. (after operations on abdomen), Stram. and Ver. (after hot drinks), Ars. and Puls. (after cold drinks), Teucr. (children, after nursing). Nervous cough, the more he coughs the more annoying the irritation, Apis. Sadness, indifference, profound melancholy, Tarent. (Ign. introverted state of mind; Trnt. cunning attempts to feign paroxysms and wild dancing, no paroxysms if no observers). Chorea; eye symptoms, Agar. Extreme sensitiveness to pain; flushing of one or other cheek, Cham. Ear symptoms, Phos. (Ign. hard of hearing except to human voice; Pho. exact opposite, over-sensitiveness to ordinary sounds, deaf to voice). Nervous women, Mg. c., Mg. m. Tears, fevers, Nat. m. (Nat. m. is the chronic of Ign.). Teste places Ign. in his Ipec. group: Nausea and vomiting; reversed peristalsis; congestive headaches and engorgements resulting from vomiting; tenesmus; intermittent fevers are the leading characteristics of the group.

Causation

Grief. Fright. Worry. Disappointed love. Jealousy. Old spinal injuries.

Mind

Taciturn, with continuous sad thoughts; still, serious melancholy, with moaning. ─ Sadness and concentrated sorrow, with sighing. ─ Irresolution; anxious to do now this, now that. ─ Impatience. ─ Strong disposition to be frightened. ─ Morose and discontented humour, and involuntary reflections on painful and disagreeable things. ─ Intolerance of noise. ─ Effrontery. ─ Tenderness of disposition and of conscience. ─ Inconstancy. ─ Alternation of foolish gaiety and tearful sadness. ─ Laconic speech. ─ Great weakness of memory. ─ Love of solitude. ─ Anguish, esp. in the morning on waking, or at night, sometimes with palpitation of the heart. ─ Lachrymose and apathetic humour, with dread of exertion. ─ Inclination to grief, without saying anything about it. ─ Changeable disposition; jesting and laughing, changing to sadness, with shedding of tears (hysteria). ─ Despair of being cured. ─ The least contradiction excites rage and passion, with redness of face. ─ Fearfulness, timidity. ─ Anger, followed by quiet grief and sorrow. ─ Fear of robbers at night. ─ Cries, and complete discouragement, at the least provocation.

Head

Vertigo; with sparks before the eyes. ─ Great heaviness of the head, as if it were full of blood. ─ Pressive headache, esp. above the root of the nose, and often accompanied by inclination to vomit, < or > by stooping. ─ Stinging pain, from within to without in the forehead. ─ Cramp-like pressure on the forehead and occiput, with obscuration of sight, redness of the face, and weeping. ─ Painful sensation of expansion in the head, as if the cranium were going to burst, esp. when conversing, reading, or listening to another. ─ Pain, as from a bruise in the head, esp. in the morning, on waking. ─ The headaches are < by coffee, brandy, tobacco-smoke, noise, strong smell, from reading and writing; from the sunlight; from moving the eyes; > when changing the position and when lying on the painful side. ─ Headaches with zigzags before the sight. ─ Skin across forehead feels drawn, with a lost and drowsy feeling, and thousands of stars float before sight. ─ Headache, as if a nail were driven into the brain; or out through the side of the head; > when lying on painful side. ─ Pressive headache in the forehead and vertex. ─ Piercing and shooting tearings, deep in the brain and forehead, > by lying down. ─ Pressive, pulsative headache. ─ Trembling of the head. ─ Throwing of the head backwards (during spasms); > by heat. ─ Falling off of the hair.

Eyes

Pressure on the eyes, sometimes, as if sand had been introduced into them. ─ Inflammation of the eyes. ─ Redness of the eyes. ─ Acrid tears in the eyes during the day; agglutination of the eyelids during the night. ─ Lachrymation, esp. in the brightness of the sun. ─ Swelling in the upper lid, with enlargement of the (bluish) veins; the eyelid is turned upward. ─ Inflammation of the upper part of the eyeball as far as it is covered by the upper lid. ─ Convulsive movements of the eyes, and of the eyelids. ─ Fixed look, with dilated pupils. ─ Photophobia. ─ Sight confused, as if directed through a mist. ─ Flickering zigzags (and stars) before the eyes.

Ears

Swelling of the parotids, with shooting pain. ─ Redness and burning heat in one of the ears. ─ Hardness of hearing; except for the human voice. ─ Itching in the ears. ─ Noise before the ear, as from a strong wind. ─ Worry takes away hearing and intensifies the noises.

Nose

Itching in the nose. ─ Nostrils excoriated and ulcerated, with swelling of the nose. ─ Epistaxis. ─ Stoppage of one nostril; dry coryza, with dull headache, and excessive nervous excitement. ─ Dryness of the nose.

Face

Face pale, red, or blue, or earth-coloured and wan. ─ Alternate redness and paleness of the face. ─ Clay-coloured, sunken face, with blue margins around the eyes. ─ Perspiration on the face alone. ─ Redness and burning heat in one of the cheeks (and in one ear). ─ Convulsive startings and distortion of the muscles of the face. ─ Eruption on the face. ─ Lips dry, cracked, and bleeding. ─ Pain, as of excoriation, in the internal surface of the upper lip. ─ Scabs on the commissuræ of the lips, and on the lips. ─ Pains in the submaxillary glands. ─ Convulsive jerking of the corners of the mouth. ─ Ulceration of one of the corners of the mouth. ─ Spasmodic clenching of the jaws (lock-jaw).

Teeth

Odontalgia, as if the teeth (the molars) were broken. ─ Looseness of the teeth. ─ Toothache towards the end of a meal, < after its conclusion. ─ Difficult dentition, with convulsions.

Mouth

Inflammation and redness of the mouth, and of the palate. ─ Constant secretion of mucus, or accumulation of acid saliva in the mouth. ─ Aptness to bite the tongue, on one side posteriorly, when chewing or speaking. ─ Moist tongue, loaded with a white coating. ─ Stitches in palate, extending to the ear. ─ Foam at the mouth. ─ Voice weak and tremulous.

Throat

Sore throat, as if there were a plug in it, when not swallowing. ─ Palate red and inflamed, with a sensation as if what is swallowed passed over a burning and excoriated tumour. ─ Shootings in the throat, extending sometimes to the ear, chiefly when not swallowing. ─ When swallowing sensation as if one swallowed over a lump, causing soreness and a cracking noise. ─ Inflammation, swelling, and induration of the tonsils, with small ulcers. ─ Impeded deglutition (of drinks). ─ Constriction of the gullet, with sobbing risings. ─ Pain in the submaxillary glands when moving the neck.

Appetite

Repugnance to food and drink, esp. to milk, meat, cooked victuals, and tobacco-smoke. ─ Want of appetite, and speedy satiety. ─ Insipid taste, like chalk, in the mouth. ─ Weakness and difficulty of digestion. ─ Sour taste in the mouth. ─ Bitter and putrid taste of food, esp. of beer. ─ Repugnance to, or strong desire for, acid things. ─ Dislike to wine and brandy. ─ Painful inflation of the abdomen after a meal. ─ Feeling of hunger in the evening, which prevents one going to sleep. ─ Desire for different things, which are disregarded when obtained. ─ Food has no taste. ─ Milk taken in the morning leaves an after-taste for a long time. ─ After smoking, hiccough, nausea, sweat, and colic.

Stomach

Regurgitation of food, or of bitter serous matter. ─ Hiccough from smoking. ─ Hiccough, always after eating or drinking. ─ Acid risings. ─ Nausea, with agitation and anguish. ─ Vomiting of food, even at night. ─ Vomiting of bile and mucus. ─ Periodical attacks of cramp in the stomach, which disturb sleep at night, and are < by pressure on the part affected. ─ Dull aching or shootings in the epigastrium. ─ Coldness, or sensation of burning in the stomach, esp. after taking brandy. ─ Sensation of emptiness, and of weakness, in the epigastrium. ─ Sensation of weakness (sinking) in the pit of the stomach. ─ Heaviness and pressure in the pit of the stomach. ─ Fulness and swelling in the epigastrium. ─ Painful sensitiveness of the pit of the stomach to the touch.

Abdomen

Sensation of fulness and inflation of the hypochondria, with difficulty of respiration. ─ Pain in the l. hypochondrium, < by pressure, and by walking. ─ Shooting sensation of burning and pressure, or swelling and hardness in the region of the spleen. ─ Expansive pain in the abdomen, as if the intestines were going to burst. ─ Inflation of the abdomen. ─ The flatulence presses on the bladder. ─ Cutting pains in the umbilical region. ─ Spasmodic pains, cutting, stinging, like labour pains. ─ Violent aching in the abdomen. ─ Rolling sensation around the navel. ─ Drawing and pinching in the region of the navel. ─ Sensation of protrusion in the umbilical region. ─ The pains in the abdomen are < after taking coffee, brandy, or things sweetened with sugar. ─ Shootings and pinchings in the abdomen, esp. in the sides. ─ Periodical cramp-like pains in the abdomen. ─ Cramp-like pressure in the inguinal region. ─ Beating in the abdomen. ─ Borborygmi in the intestines. ─ Flatulent colic, esp. at night. ─ Sensation of weakness and trembling in the abdomen, with sighing respiration.

Stool and Anus

Constipation from taking cold; from riding in a carriage. ─ Hard evacuations, with frequent ineffectual efforts. ─ Unsuccessful urging to stool, felt mostly in the upper intestines. ─ Fæces yellow, whitish, of a very large size, soft but difficult to eject. ─ Diarrhœa of sanguineous mucus, with rumbling in the abdomen. ─ Slimy evacuations, accompanied by colic. ─ Discharge of blood from the anus. ─ Prolapsus of the rectum while at stool. ─ Itching and tingling in the anus. ─ Ascarides in the rectum. ─ Contraction of the anus. ─ Contractive pain, as of excoriation, in the anus, after evacuation. ─ Prolapsus ani, with smarting pain, from slight pressure to stool. ─ Shootings from the anus high up into the rectum. ─ Smarting in the rectum during the loose evacuations.

Urinary Organs

Frequent and copious emission of watery urine. ─ Urine lemon colour. ─ Involuntary emission of urine. ─ Urgent and irresistible want to make water. ─ Continual want to urinate after taking coffee. ─ Sensation of burning and smarting in the urethra during micturition. ─ Itching in the fore part of the urethra. ─ Urging to urinate with inability.

Male Sexual Organs

Much itching in the genital parts, and in the penis, in the evening after lying down, removed by scratching. ─ Pain, as of excoriation and ulceration, on the margins of the prepuce. ─ Strangling sensation, and aching in the testes, esp. in the evening, after lying down. ─ Sweat on the scrotum. ─ Lasciviousness, with weakness of genital power (without erections). ─ Contraction of the penis; it becomes quite small. ─ Absence of sexual desire. ─ Erections, with painful uneasiness, and aching at the pubis. ─ Erections during every evacuation.

Female Sexual Organs

Catamenia premature and violent, every ten or fifteen days. ─ Blood of the catamenia black, of putrid odour, mixed with clots. ─ Metrorrhagia. ─ During the catamenia, heaviness, heat, and pain in the head, photophobia, colic, and contractive pains, anxiety, palpitation of the heart, and great fatigue, even to fainting. ─ Cramp-like and compressive pains in the region of the uterus, with fits of suffocation; pressure, and lying on the back, mitigate the pain. ─ Cramp in the uterus, during the catamenia. ─ Uterine spasms, with lancinations, or like labour pains. ─ Corrosive and purulent leucorrhœa, preceded by contractive pressure in the uterus.

Respiratory Organs

Sensation of soreness in the larynx. ─ Constrictive sensation in the trachea and larynx. ─ Voice feeble, inability to speak loud. ─ Catarrh, with coryza and headache. ─ Cough, excited by a sensation of constriction at the fossa of the neck, as from the vapour of sulphur. ─ Hollow spasmodic cough, caused in the evening from a sensation of vapour or dust in the pit of the throat; in the morning, from a tickling above the pit of the stomach, with expectoration in the evening difficult, tasting and smelling like old catarrh. (Whooping-cough). ─ Obstinate nocturnal cough. ─ Dry cough, sometimes with fluent coryza. ─ Cough, continuing equally day and night. ─ The longer he coughs the more the irritation to cough increases. ─ Dry, hoarse cough. ─ Spasmodic shaking cough. ─ Short cough, as from a feather in the throat, becoming stronger from repetition (the more he coughs, the more he wants to). ─ Hoarse dry cough, excited by a tickling above the stomach.

Chest

Desire to draw a long breath. ─ Slow breathing. ─ Difficulty of respiration, and oppression of the chest, esp. at night (after midnight). ─ Oppressed breathing, alternating with convulsions. ─ Difficult respiration, as if hindered by a weight upon the chest. ─ Shortness of breath when walking, and cough as soon as one stands still. ─ Sighing respiration. ─ Feeling of suffocation on running. ─ Aching of the chest. ─ Constriction of the chest. ─ Shootings in the chest and in the sides, excited by flatulency (flatulent colic).

Heart

Palpitation of the heart at night, with shootings in the heart, or else in the morning on waking, as well as when meditating, and during repose. ─ Throbbing in the chest. ─ Sticking in precordial region on expiration. ─ Cardiac hyperæsthesia. ─ Anxious feeling in precordia; sinking sensation and emptiness at stomach; constriction, with anxiety and disposition to cry.

Neck and Back

Stiffness of the nape of the neck. ─ Stitches in the small of the back; in the nape of the neck. ─ Aching pain in the glands of the neck. ─ Enlarged glands (painless), like nodosities, in the neck. ─ Pain in the os sacrum in the morning, when lying on the back. ─ Violent sacral pains, like shootings or pullings, or like squeezing by a claw. ─ The back is bent forward. ─ Convulsive bending backwards of the spine. ─ Lancinations as by knives, from the loins to the thighs. ─ Weak back, with sciatica.

Upper Limbs

Lancinating, cutting pain in the shoulder-joint, when bending the arm forward. ─ Insupportable pains in the bones and joints of the arms, as if the flesh were being loosened, or with a paralytic sensation and pain of dislocation (on moving the arm). ─ Convulsive startings in the arms (in the deltoid muscle) and in the fingers. ─ Tearing in the arms, excited by cold air. ─ Tension in the wrist. ─ Hot sweat of the hands. ─ Sensation of torpor and digging in the arms, at night in bed (with the sensation as if something living were running in the arm). ─ Warm perspiration in the palm of the hand and fingers.

Lower Limbs

Incisive, tearing pains in the posterior surface of the thighs, on fatiguing the muscles. ─ Sciatica, with weakness of back and lower limbs. ─ Limbs swollen, thigh knotty, cannot get up or lie down without pain (generally l.). ─ Heaviness of the legs and of the feet, with tension in the legs, and calves of the legs, on walking. ─ Heat of the knee, with coldness and itching of the nose. ─ Convulsive startings of the legs. ─ Stiffness of the knees and of the feet. ─ When walking, the knees are involuntarily drawn up. ─ Cracking in the knee. ─ Painful sensibility of the soles of the feet, when walking. ─ Shootings and pain, as from ulceration in the soles of the feet. ─ Sensation of burning in the heels at night, on placing them near one another; when they come in contact they are cold to the touch. ─ Coldness of the feet and legs, extending above the knee. ─ Sensation of burning in corns.

Generalities

Simple and violent pain, in various parts, when they are touched. ─ Incisive or acute, and sometimes hard pressive pain (as from a hard pointed body pressing from within to without), in the limbs and other parts. ─ Trembling of the limbs. ─ Lancinations, as by knives. ─ Sensation of pressing asunder, or constriction in the internal organs. ─ Arthritic tearing in the limbs. ─ Pain, as of dislocation, or of a sprain in the joints. ─ Heaviness, and crawling numbness, in the limbs. ─ Convulsions alternating with oppressed breathing. ─ Attacks of cramps and of convulsions, sometimes with anxiety, fits of suffocation, throwing back of the head, bluish or red face, spasms in the throat, loss of consciousness, &c. ─ Epileptic convulsions, with foam at the mouth, frequent yawning, convulsed eyes, retraction of the thumbs, face red, or alternately pale and red, &c. ─ Convulsive twitchings, esp. after fright or grief. ─ Involuntary movements of the limbs, as in St. Vitus' dance. ─ After the convulsions, profound sighs, or drowsy sleep. ─ Great sensitiveness to the open air. ─ Convulsions, with cries and laughter. ─ Tetanus. ─ Hysterical debility, and fainting-fits. ─ Hysterical spasms. ─ The symptoms chiefly manifest themselves just after a meal, also in the evening, after lying down, or in the morning, immediately after rising. ─ Coffee, tobacco, brandy, and noise aggravate the pains. ─ The pains are removed either by lying on the back, or by lying on the part affected, or on the healthy side, and always by change of position. ─ Nocturnal pains which disturb sleep.

Skin

Itching (over the whole body), which is easily removed by scratching. ─ Chilblains. ─ Excoriation of the skin; (esp. round vagina and mouth. ─ Cooper). ─ Itching on becoming warm in the open air. ─ Great sensitiveness of the skin to a draught of air. ─ Nettle-rash over the whole body, with violent itching (during the fever).

Sleep

Profound and comatose sleep, with stertorous respiration. ─ Violent spasmodic yawnings (with pain in the lower jaw, as if dislocated, with running of the eyes), esp. in the morning, or after a siesta. ─ Very light sleep; hears everything that happens around him. ─ Sleep, disturbed by nightmare, or by starts and frequent dreams. ─ Starting of the limbs on going to sleep. ─ Dreams, with reflection and reasoning, or with fixed ideas. ─ Dreams with fixed ideas, continuing after waking. ─ Restless sleep, and great restlessness at night. ─ Starts with fright on going to sleep. ─ Whimpering during sleep.

Fever

Pulse hard, full and frequent, or very variable. ─ Febrile shivering, esp. in the back and arms, with thirst for cold water, and sometimes with nausea and vomiting. ─ Chill, frequently only of the back part of the body. ─ Mitigation of the cold by external heat. ─ External heat with internal coldness. ─ Universal heat, esp. in the head, with redness, principally (of one) of the cheeks, and adipsia, sometimes with internal shuddering, coldness of the feet, shootings in the limbs, and headache. ─ Chill and coldness, causing the pains to increase. ─ Sudden flushes of heat over the whole body. ─ Troublesome sensation of heat, sometimes with sweat. ─ Absence of thirst during the heat, and perspiration, or during the apyrexia. ─ Only external heat, without thirst, with aversion to external heat. ─ Fever, with headache, and pain in the pit of the stomach, great fatigue, paleness of face, or paleness and redness alternately, lips dry and cracked, nettle-rash, tongue white, profound sleep with snoring, &c. ─ Intermittent fever; chill with thirst, followed by heat (without thirst), followed by chill with thirst, or afternoon fever; shiverings with colic (and thirst), afterwards weakness and sleep, with burning heat of the body. ─ During the fever violent itching; nettle-rash over the whole body. ─ Burning heat of the face, only on one side. ─ Very little perspiration, or only in the face. ─ Sweat, with shootings and buzzing in the ears. ─ Sweat during a meal.

The Guiding Symptoms of Our Materia Medica

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

Mind

Memory weak and untrustworthy.
Heaviness of head ; very great weakness of memory ; forget everything except dreams ; hardness of hearing ; sees everything as if through a fog ; sits quietly, with a vacant gaze, always thinking of the mortification endured, and knowing nothing of what passes
around him ; prefers to be alone ; thinking of the past mortification prevents him from going to sleep as early as usual ; restless sleep, starts during sleep, much dreaming ; pain in left hypochondrium < by pressure and continuous walking ; loses hair ; face
colorless, hollow ; voice low, trembling, with distortion of muscles of face ; does not like to talk ; no desire to eat or drink ; appetite is soon satisfied ; feels cold, especially in evening ; very weak ; staggering walk ; walks carefully ;
increased stool and urine. θ Melancholy after mortification.
Absent-mindedness.
Difficult comprehension ; mental dulness ; mental effort is irksome.
Incapacity for thought in evening.
Brooding over imaginary or real troubles ; is wrapt in thought.
Hurry of mind, after exerting brain, especially in morning ; is unable to talk, write or do anything else as rapidly as he wishes, whereupon there occur anxious behavior, mistakes in talking and writing and awkward actions requiring constant corrections.
A torrent of words pours out of mind, and confusion of writing is caused by profusion of thought.
Fancies ; delirium ; insanity.
Spasms and insanity after fright ; imagines her soul cannot be saved and cries very much ; at times rages and tears clothes, can scarcely be restrained by four strong persons.
After catamenia, which came at night time, symptoms of insanity ; believes herself married and pregnant ; is tormented by remorse for imagined crimes ; seeks constantly to escape to drown herself ; terrible anxiety from rush of blood to head and heart ; is only
quiet when lying undisturbed and brooding over her troubles, which she rehearses in a doleful tone ; if disturbed, screams, strikes and tears things, crying all the while "I am neglecting my duty, breaking my vow ;" face pale and distorted ; desire for sour
things ; difficulty to get her to eat ; conscientious scruples after eating ; menses suppressed.
Desire to be alone.
Sighs and sobs ; will not be comforted.
Inclined to be very secretive and passive.
Changeable disposition, laughing and crying almost in same breath.
Looks about bed as if to find something.
Taciturn, with continuous sad thoughts ; still, serious melancholy, with moaning.
Aversion to being alone.
Incredible changes of mood ; at one time jokes and makes merry, at another is lachrymose, alternating every three or four hours.
Apprehensive feeling.
Sadness and sighing, empty feeling in pit of stomach.
Melancholia from suppressed mental sufferings, with much sighing ; desire to be alone so as to give way to her real or imaginary grief ; weeps bitterly.
Silent melancholy ; twitching of one muscle at a time.
Melancholy after disappointed love, always combined with spinal symptoms.
Fright is followed by grief.
Great grief after losing persons or objects very dear.
Unhappy love with silent grief.
Senseless staring at one object, with sighing and moaning ; remorse about imaginary crimes, intolerance to noise ; great inclination to have fixed ideas.
Appetite and digestion left him. θ Morbid grief.
Became bilious, nervous, depressed, and would scarce move from the fire, for days together. θ Morbid grief.
A peculiar trembling of hands disturbs her very much in writing, most when she has to write in any one's presence, gets worse as soon as she fancies any one might notice it.
Unusual tendency to be frightened.
Dread of every trifle, especially of things coming near him.
Fear of thieves, on waking after midnight.
Fearfulness ; does not like to talk ; prefers to be alone.
Anxiety as though something terrible had happened ; cannot speak because of it ; hurry, fearfulness, terror, alternating with irresolution and inertness.
Tears wept inwardly, the pain and penalty of unrequited love ; desires solitude so that one may nourish inward grief ; great anxiousness at night or when awaking in morning, with taciturnity ; aversion to every amusement.
Anxiety, as if he had committed some crime.
Anxiety and disquiet as if she had done something wrong, or as if some great misfortune were about to happen, this so overpowers her, that she can with difficulty refrain from weeping ; has oppression of breathing, but feels distinctly that oppression begins at stomach and spreads
up into throat ; becomes very weak, incapable of work, and disinclined to company ; no appetite ; bowels torpid and insufficiently moved ; paroxysms about twice a day, one lasting often for hours.
Anxiety, sleeplessness, despair ; severe palpitation ; loss of appetite ; constipation.
Altered appearance ; made an unsuccessful attempt to end his almost unendurable sufferings, by eating the phosphorus from matches ; after business embarrassments.
A state of anguish in which she shrieks for help, with suffocating constriction of throat, difficult deglutition ; comes out of spasms with deep sighing. θ Parturition.
Indifferent to everything ; seemed to live without his usual good humor.
Suppressed menstruation with melancholy ; indifference to things she loved best ; sits alone and weeps, imagines things, especially that she might go crazy ; in all parts crawling sensation as if gone to sleep, as if she had no feeling in epigastrium ; sleep
unrefreshing and disturbed by dreams.
Sensitive disposition and hyperacute feeling.
Tender mood, with very clear consciousness.
Finely sensitive mood, delicate conscientiousness.
Amiable disposition if feeling well ; every little emotion disturbs her.
Mild disposition ; bears suffering, even outrage, without complaining. θ Leucorrhœa.
Jealousy, disappointed love.
Inconstant, impatient, irresolute, quarrelsome.
The slightest contradiction irritates.
Slight blame or contradiction excites him to anger, and this makes him angry with himself.
Peevish, capricious and quarrelsome ; impatient.
Anger, followed by quiet grief or sorrow.
Fright ; inclination to start.
Headache < from reading and writing.
Palpitation while engaged in deep thought.
Spasmodic affections of children, consequent on being put to sleep soon after punishment.
After fright : disturbed, introspective, taciturn ; insomnia and great restlessness ; anorexia.
Melancholia after great grief and much domestic trouble ; complete sleeplessness ; suicidal thoughts and desire to escape.
Ill effects from hearing bad news ; from vexation with reserved displeasure ; from grief, or suppressed mental sufferings ; of shame and disappointed love.

Sensorium

Vertigo.
Periodical fits of vertigo, with intolerable pain in back following ; slightest motion of head, especially stooping, increases vertigo ; gastric symptoms ; gaping ; coated tongue ; anemia ; tingling as of ants ;
jerkings ; heaviness of right arm, which had been paralyzed.
Epileptic vertigo.
Heaviness of head.

Inner head

Pressive pain in frontal region ; above root of nose, must bend head forward, followed by qualmishness.
Pressive headache in right side of forehead, extending down into right eye ; it seems as though eyeball would be pressed out ; burning in eyes and increased lachrymation, with much mucus.
Pressive, drawing headache above right orbit at root of nose, renewed by stooping low down.
Pressure in right frontal region, above eyebrow.
Intense pain over right eye and seemingly through supraorbital orbital foramen ; pains as though needle were pushed through into brain, pressure from without inward ; appetite disordered ; sometimes mad delirium ; nausea and vomiting ; eyes red, swollen and
protruding ; pains come on about 9 A. M., generally stopping at 2 P. M. ; < from noise, washing hands in cold water, dropping head forward, stepping heavily ; > from soft pressure, lying on back, and heat.
Throbbing pains in right side of forehead beginning at inner end of right eyebrow and running around eye, at 8 A. M. every morning, gradually < until 10.30 when gradually >, and entirely disappear about 1 P. M. ; when attack is at its height, must lie down ; lachrymation
and redness of eye.
Pain beginning in forehead, drawing, extending down one-half of nose ; pain extends to middle of vertex, where there is a pressure as of a weight, with nausea and tendency to vomit ; < morning till afternoon, then gradually getting better until evening ; sensitive to
least noise or loud talking ; pale face ; suffering expression ; great lassitude of limbs.
Pressing pain over nose, > leaning forward ; pressure from within outward ; twitching, throbbing, tearing pain in forehead, or as if a nail was being driven in ; lancinating, boring, deep in brain, with nausea, darkness before eyes, photophobia, pale face, copious,
watery urine ; pains often > by change of position, come again after eating, in evening after lying down, or early in morning while rising ; patient anxious, fickle, or silent and depressed.
Periodical headache, weekly, fortnightly or monthly ; gradual increase with sudden abatement ; unilateral headache, which affects chiefly the eye, eyebrow or side of head, with general chilliness ; crisis with secretion of copious limpid urine ; momentary
disappearance of pain by change of position.
Anxious suffering expression of face, eyes almost fear the light, frown across brow, from frequent closure of eyes in pain ; extreme pain in both temples, with pain in back and nape of neck ; great mental and physical prostration ; bowels relaxed ; tongue covered with
white fur ; skin cold ; pain > from pressure and rest ; < from light, sound and thinking ; pulse thin and weak.
Dull headache, confined to right half of forehead and involving r. eye, which was very sensitive.
Pain extending from head into left eye ; burning in eyes and lachrymation.
Pressing, stinging pain from within to without, in forehead and root of nose.
Pressure in temples sometimes with deep sleep.
Headache as if temples would be pressed out.
When lying in bed on the side, furious headache as if pressing through temples, > by lying on back.
Pain as if a nail was driven out through side of head, > by lying on it.
Aching in one half of head, when walking in open air, < by talking and reflecting.
Headache in morning on awaking, as if brain was beaten and bruised ; on rising it disappears and a toothache takes its place, as if nerve of tooth was shattered and crushed, changes to a similar pain in small of back ; headache always renewed on
thinking.
Jerking headache : on ascending steps ; < by raising eyes.
Headache like a pressure with something hard on upper surface of brain ; in paroxysms.
Sudden pressure in head, now in one place, now in another, in evening.
Throbbing headache ; pain with every throb of arteries.
Congestion to head, from being spoken to harshly.
Heat in head.
Talking aloud excites a headache, as if head would burst, going off entirely when reading to himself or writing.
Deep sighing and sobbing with a strange compressed feeling in brain.
Headache with heaviness and heat in head.
Head feels sore, bruised.
Headache in highly nervous and sensitive temperaments, or in those whose nervous system has given way to anxiety, grief, or mental work.
Periodical headache increases gradually in severity, and then suddenly abates.
Headache passes off with a flow of pale, limpid urine.
Nervous headaches in hysterical women, suddenly appearing and disappearing.
Headache : from abuse of coffee ; from smoking, or abuse of snuff ; from inhaling smoke ; from being where others smoke ; from tobacco or alcohol ; from close attention.
Headache > by warmth, rest, and sometimes by stimulants ; < by cold winds, turning head suddenly, at stool, stooping, change of position, running, looking up long, from moving eyes ; noise and light.
Throbbing pain in occiput, < when pressing at stool.
Pain in occiput ; < from cold, snuffing or smelling tobacco ; > from external heat ; good appetite, even keener than usual ; headache > whilst eating, but < soon after.
Weight at back of head ; tendency of head to incline backward.
Stabbing pain, deep seated, in eyes, going to occiput and nape of neck, and finally to vertex ; pain very acute, driving him almost frantic ; pain generally begins on rising in morning, is at its height at 4 P. M., and passes off with a night's rest ; > from warmth,
< from sound ; irritability of disposition day before headache ; scalp tender to touch, and dull, uncomfortable feeling as if headache might return, day after ; headaches occur every month.
Nervous headaches coming at same hour and day, weekly lasting forty-eight hours ; come and go at 11 A. M. their coming is preceded by a sense of vacuity in stomach and chest, stiffness of nucha and muscles (trapezius) on each side of this ligament ; at end of twelve hours from
attack, pain extends to vertex and remains there several hours, being of a compressive and burning character ; after some time they continue their course towards sinciput and eyes, latter feeling hot and heavy ; nausea and salivation, but without vomiting ; first night of
attack cannot sleep, though with eyes closed perceives figures and objects moving about ; in acute stage cannot lie down, but must, with closed eyes, remain in a dark room ; sleeplessness, profuse diuresis of pale urine, melancholia, and much sighing succeed each attack.
Sudden metastasis from bowels to brain during dentition, with sudden pale face ; rolling, tossing of head ; difficult swallowing ; delirium, with convulsive motions of eyes and lids. θ Hydrocephaloid.
Cerebro-spinal meningitis ; hysterical symptoms or complications, or rapid alternation of symptoms.
Threatenings of apoplexy ; head feels empty, face is pale.
Nervous apoplexy.

Outer head

Trembling and shaking of head.
Pain in a spot in right parietal bone, < by stooping, with pain in right breast.
Pain in outer part of head, which is painful on feeling it.
Weight in back of head, tendency of head to incline backward against back of chair, probably from congestion to cerebellum.
Head bent backward, during spasms.
Inclines head forward ; lays head forward upon table.

Sight and eyes

Hyperesthesia of retina with hysteria ; intense photophobia ; ciliary neuralgia ; general nervous symptoms.
Cannot bear glare of light ; sunlight causes headache.
Zigzag and serpentine white flickering at one side of field of vision.
Dim-sighted.
Asthenopia and amblyopia in females, due to onanism or ciliary neuralgia ; hysterical subjects.
Dimness before one eye while reading, as if tears were in it, which is not the case.
Two "chipping ulcers" at upper margin of right cornea, with peri-orbital pains, sharp sticking generally in one spot in superciliary ridge, temple or side of head ; sleep disturbed ; digestion poor.
In commencement before pimples have formed, where there is only slight injection, pain, dacryorrhœa, and photophobia. θ Herpes cornea.
Intense but fitful photophobia.
Sensation as of sand in eyes.
Excessively nervous, starts at slightest noise ; after working late at night, feeling as of sand under eyelid, with great dryness. θ Conjunctivitis.
Catarrhal inflammation of eyes when subjective symptoms are particularly marked, rather than objective ; pressive pain in eyes ; photophobia ; lachrymation ; coryza.
Upper part of eyeball, as far as covered by lid, inflamed.
Traumatic ophthalmia, with violent pains and sensation as if sand was rolling around beneath lids.
Catarrhal ophthalmia, with sensation of sand in eye and great dryness, lachrymation only in sunlight.
Ophthalmia of newborn infants.
Convulsive movements of eyes and lids.
Pain under upper lid, as if it was too dry.
Swelling of upper lid.
Nightly agglutination of lids.
Morbid nictation, with spasmodic action of various muscles of face.
Eyelid turned upward.
Occasionally left eye appears smaller than right in consequence marked ptosis of upper lid ; lachrymation, < when exerting eye in open air ; vision impaired ; occasional twitching pain and sensation of pressure and heaviness as if eye would fall
out, < reading, sewing, etc. ; loss of sense of smell ; diminished sense of taste ; foul odors seem to be perceived in mouth.
Very nervous and restless at night, walking and talking in her sleep ; "swelling of eyes", lachrymation and pain in eyes, with headache for six months, after having had tooth drawn ; moderate amount of exophthalmus, present, together with palpitation of heart ;
pulse 120 ; congestive headaches ; no enlargement of thyroid gland ; menses regular.
Sensation as if a particle were in left external canthus.
Acrid tears in eyes, during day.
Ciliary neuralgia ; severe pains extending from eye to top of head, producing nausea, and often alternating with swelling in throat (globus hystericus) ; pains begin very slightly, increase gradually until they become very severe, and only cease when she became exhausted.
Pain from head into left eye ; latter burns and waters.

Smell and nose

Stoppage of one nostril ; dry coryza.
Fluent coryza.
Coryza in nervous persons ; general hysterical irritability ; dull pain in forehead.
Soreness and sensitiveness of inner nose, with swelling.
Nostrils ulcerated.
Itching of nose.

Upper face

Convulsive twitchings of muscles of face.
Face distorted, deathly pale and sunken.
Face clay colored and sunken, blue rings around eyes.
Redness and heat of one cheek and ear.
Alternate redness and paleness of face.
Sweat on face while eating.
Prosopalgia coming on suddenly without any warning, or preceded by slight premonitory symptoms, such as bruised feeling, tension, twitching in face ; duration of paroxysm, and time of occurrence very various ; exciting causes chiefly mental
emotions ; but sometimes they were excesses in mental work, in musical performances, in venere and in baccho ; also suppressed perspiration, blenorrhœa and hemorrhoidal fluxes, were frequently remote causes ; seat of pain usually in smaller twigs of facial nerves, and having
no tendency to radiation ; the attacks by day are preceded by uneasy sleep, waking with a bruised feeling, pandiculations and ill humor ; pains boring, dart-like shoots, giving quite a shock, dull drawing, twisting, formication, being borne in dull resignation ; partial
convulsions of facial muscles ; trismus ; paleness and coolness of face ; lachrymation and photophobia ; spasms in cheek ; yawning ; shuddering ; diuresis ; urinary tenesmus ; pulse quickened, small ; cutaneous temperature cool ; quiet
weeping ; pusillanimity.
Prosopalgia : in women of the upper ranks, delicate, soft fibred, anemic, nervous, of melancholic or melancholic sanguine temperament ; in those suffering from special irritation due to sexual excesses or to inordinate mechanical irritation of spinal nerves, as in case of some
musical virtuosi ; due to presence of ascarides ; arthritic form ; in course of typhoid and miliary fevers ; in rou‚s during prolonged course of gonorrhœa ; due to prolonged nursing, pollutions, musical excesses, etc. ; during pregnancy ; after
diuresis ; after lancinating uterine pains ; after attacks of proctalgia.

Lower face

Twitching of corners of mouth.
Spasmodic closing of jaws.
Every evening, about half an hour after going to bed, pains in right lower jaw, which continue until she falls asleep ; pains last one to one and a half hours, with exacerbations, and are followed by quiet sleep and sweating.
Lips dry, cracked, bleeding.
Ulceration of one of corners of mouth.
Inside of lower lip painful, as if raw and sore.
Eruption on lips and corners of mouth. θ Intermittent.
Pain in submaxillary glands, when moving neck.

Teeth and gums

Jaws feel as if crushed.
Soreness and tenderness in teeth, felt more between meals than when eating.
Boring pain in front teeth.
Odontalgia as if teeth were crushed into fragments.
Toothache from cold in molars, as if they were crushed.
Toothache : < after drinking coffee, after smoking tobacco ; after dinner ; in evening ; after lying down ; in morning on awaking ; < in intervals between meals.
Difficult dentition, with convulsions.

Taste, speech, tongue

Sour taste in mouth ; with sour eructations ; saliva tastes sour.
Taste : flat, like chalk.
Food has a bitter, repulsive taste, or no taste.
Tongue white, flabby, shows marks of teeth, trembles protruded.
When talking or chewing, bites cheek or tongue.

Inner mouth

Sticking in palate extending to inner ear.
Putrid odor from mouth.
Inner mouth inflamed and sore.
Copious secretion of saliva.
Accumulation of acid saliva.
Sudden attack of ptyalism without any apparent cause ; < from every motion of tongue, as in talking, chewing, etc. ; after eating, sensation as if food lodged over orifice of stomach and could not get down ; fluids taste bitter ; bitter belching and
regurgitation of food ; loss of strength ; pulse small, quick ; slight fever in evening ; papillæ of tongue enlarged and turgescent ; mucous membrane of mouth very red and in several places corroded, with raw pain ; orifices of salivary glands swollen ;
constant flow of saliva prevents sleep ; inner surface of lower lip pain as if raw and sore ; anterior half of tongue as if numb ; when eating tongue feels as if burnt or raw ; painful swelling of orifice of salivary duct ; sensation as if whole mucous membrane of
mouth was about to become raw ; difficult deglutition ; mouth constantly full of mucus ; constant discharge of white, frothy mucus ; increased secretion of saliva with constant spitting of frothy saliva ; everything eaten, and especially beer, tastes bitter or
putrid ; loss of appetite, could not swallow bread, as if it was too dry ; pain in epigastrium on pressure, as if it was raw inside.

Palate and throat

Stitches in soft palate, extending to ear.
Crawling in pharynx.
Hysterical spasm of throat and gullet, result of suppressed grief ; cannot swallow either liquids or solids.
Retching (constrictive) sensation in middle of throat, as if a large morsel of food or plug was sticking there ; felt more when not swallowing ; disappears on continuing to swallow but returns.
Choking sensation from stomach up into throat.
Sensation as from a lump in throat, when not swallowing.
Stinging in throat between acts of deglutition ; sensation when swallowing as if swallowing over a bone, with a rolling around.
Stitches in throat, only between acts of swallowing.
Sore throat ; sticking in it when not swallowing, and even somewhat while swallowing ; the more he swallows, however ; the more it disappears ; if he swallows anything solid, like bread, it seems as though the sticking entirely
disappeared.
Unable to swallow bread, it seems too dry.
Both tonsils greatly swollen and inflamed ; several small openings filled with pus on tonsils ; pharynx red, inflamed ; stitching pains in throat < swallowing ; stitches extend to ear when swallowing ; right parotid, swollen, hard to touch, but painless ;
stitches in parotid ; tongue covered with tenacious white mucus ; foul taste in mouth ; offensive odor from same ; chilliness, in afternoon fever with red cheeks, and at same time chilliness and coldness of feet ; despondent, depressed, tearful. θ Angina.
Inflamed, hard, swollen tonsils, with small ulcers.
Acute paroxysms in chronic tonsillitis, with feeling of swelling in throat ; painful soreness during deglutition.
Follicular tonsillitis.
Whitish tough mucus in spots on tonsils, simulating diphtheria.
Green vomiting, substance scum-like or membranous ; putrid throat, seldom painful (the painful cases were less likely to prove fatal) ; greenish-yellow patches ; delirium ; headache ; pain in limbs ; nosebleed ; dilated pupils ; diarrhœa ;
green stools ; suppression of urine ; chilliness ; high fever. θ Diphtheria.
Commences on right side ; high fever ; delirium characterized by fearfulness or dread ; soreness of throat greatest between acts of deglutition ; pains in back of head, nucha and sometimes in ears. θ Diphtheria.
Throat < when not swallowing, and when swallowing liquids ; > when swallowing food.

Appetite, thirst. desires, aversions

Hunger and nausea at same time.
Feeling of hunger in evening, prevents sleep.
Good appetite : headache > while eating, < soon after.
Appetite for : sour things ; bread, particularly rye bread.
Thirst, with a chill.
Desire for various things, but when offered appetite fails.
Fanciful aversion to special articles of food, or craving for a particular article, and after a small portion has been enjoyed, sudden and great aversion to it.
Extreme aversion to tobacco smoke.
Aversion to : tobacco ; warm food ; meat ; spirituous liquors.

Eating and drinking

It is difficult to persuade her to eat ; after doing so she is tormented with conscientious scruples.
Sweat on face while eating.
Symptoms renewed after dinner.
Headache < from coffee, tobacco and alcohol.
Better from partaking of sour things.
Worse from drinking coffee.

Hiccough, belching, nausea and vomiting

Hiccough : after emotions ; after eating and drinking ; from smoking ; especially in children.
Eructations : of food into mouth ; of bitter fluid ; with pressure in cardia.
Spasmodic ructus and singultus, occurring periodically every afternoon, and lasting for hours ; after violent mental excitement.
Qualmishness from smoking.
Nausea, without vomiting.
Empty retching, better by eating.
Vomit : bitter ; of food.

Scrobiculum and stomach

Weak, empty feeling at pit of stomach, not > by eating ; involuntary sighing ; must take a long breath.
Sensation of weakness, sinking, or "goneness" in pit of stomach, with qualmishness and flat taste.
Feeling of weakness in epigastrium, and pain as if sprained, with great depression.
Fulness, heaviness or pressure in pit of stomach.
Fulness and swelling in epigastrium.
Burning, darting in epigastrium.
Anxious feeling in precordia.
Feeling in stomach as from fasting, with physical exhaustion.
Feeling of flabbiness in stomach ; stomach and intestines seem to hang down relaxed.
Feeling of emptiness or goneness in stomach, with sensation as if a number of pins were sticking in it ; not > by eating.
Sensation as if stomach was shortened.
Painful pressure as from a stone, especially after eating or at night, in region of pylorus ; sensitiveness to contact, and burning in stomach.
Bloated stomach.
Stitches in region of stomach.
Burning in stomach, especially after brandy.
Gnawing, cutting pain in stomach.
Spasmodic pains in stomach ; > when eating.
Gastralgia, with sticking pains, brought on by starvation.
Gnawing sensation in stomach in morning, > by eating ; swelling in region of stomach, cannot button, or is frequently obliged to unloosen clothing ; frequent sensation of rawness in throat, a little below larynx, and on l. side of throat when swallowing ; ptyalism and
accumulation of saliva in throat ; constipation.
Pressure in stomach after eating, < at night, with nausea and sensation of rawness in stomach ; on moving pain becomes cutting in character ; trembling in stomach.
Twitching in pit of stomach, with periodical attacks of weakness and qualmishness, so severe that she becomes pale and almost faints, accompanied by a sensation of hunger.
Attacks of extremely severe pains in stomach 7 to 8 P. M., but more frequently about midnight, lasting two to three hours ; vomiting of slime ; can only eat broths or other fluid food with any comfort ; digestion greatly impaired ; stools regular ; urine pale,
watery, profuse ; nausea with great restlessness and anxiety ; pressing pains ; sensation in region of stomach as if he would like to vomit, with oppression and spasmodic constriction of chest ; < from pressure over stomach ; frequent vomiting of food with great
restlessness and anxiety ; hemorrhoidal pains in anus and pressure in sacrum.
Periodical attacks of cramps in stomach, coming on usually at night, or after eating ; < by slightest contact, mitigated by change of position. θ Gastralgia.
Catarrh of stomach from grief and worriment.
Dyspepsia with great nervous prostration, caused by mental depression.

Hypochondria

Great distension of hypochondria, pit of stomach and small of back ; unable to breathe on account of fulness and tension under ribs.
Jaundice, with silent melancholy, twitching of one muscle at a time.
Swelling and induration of spleen.
Painful pressure in region of spleen and pit of stomach.
Pain in left hypochondrium ; < from pressure.

Abdomen and loins

Peculiar sensation of weakness in upper abdomen and pit of stomach.
An anxious feeling mounts up from abdomen, after breakfast.
Pulsation (throbbing) in abdomen.
Drawing and pinching in umbilical region.
Sensation of protrusion in umbilical region.
Stitching and lancinating in sides of abdomen.
Sharp sticking, above and to left of umbilicus.
Colic pains, first griping, then stitching, in one or other side of abdomen.
Drawing and griping in abdomen ; in rectum it occurred like a pressure, with qualmishness and weakness in pit of stomach, and paleness of face.
Periodical abdominal spasms, colic particularly at night, waking out of sleep, with stitches running up into chest and to sides ; pains > passing wind, which, however, is difficult.
Spasmodic pains, cutting stinging, like labor pains ; spasmodic colic.
The colic pains are < by brandy, coffee and sweet things.
Flatulent colic ; flatus incarcerated, rumbling and rolling about, making a loud noise ; rumbling as from hunger.
Wind presses on bladder.
Excessive flatulence ; hysterical females.
Protrusions on various parts of abdomen.
Unsatisfactory, short and abrupt emissions of flatus, of offensive odor, not without exertion of abdominal muscles.

Stools and rectum

Bowels inclined to be loose ; with stabbing pains in rectum.
Diarrhœa : painless, with rumbling of wind ; < at night and from fright, with great timidity ; with smarting in rectum ; stools frequent ; but scanty.
Copious diarrhœa, < at night, painless, with much wind ; emaciated ; great nervousness ; in a little girl, after a great fright which almost produced convulsions.
Great nervous erethism and tenesmus, occurring only after stool. θ Dysentery.
Pale, cold, fixed, staring look, occasional screams, vomiting food. θ Cholera infantum.
Stools large and soft, but passed with difficulty.
Excessive desire for stool, more in upper intestines and upper abdomen ; it causes great urging, nevertheless stool is insufficient, though soft.
Great urgency and desire for stool, in evening, felt mostly in middle of abdomen, but no stool follows, only rectum protrudes.
Constant urging to stool, which causes smarting pain.
Ineffectual urging to stool with erections.
Difficult stool, causing prolapse of rectum.
Hard stools, tries often, but in vain.
Constipation : from taking cold ; of a paralytic origin.
Alternate diarrhœa and constipation following inflammation of bowels ; tenesmus only after a discharge.
Stools : whitish, yellowish white, slimy ; thin ; pasty ; mucous ; bloody mucus ; acrid ; mucous, with colic.
Before stool : rumbling ; urging, felt mostly in middle and upper abdomen.
Sharp, pressive pain in rectum.
Frequent cutting deep in rectum.
Sudden sharp stitches in rectum, extending upwards into body ; < from excessive grief.
Spasmodic tension in rectum.
Contractive sore pain in rectum, like from blind hemorrhoids, one or two hours after stool.
Sensation of excoriation and contraction in rectum.
Neuralgia of rectum ; pains in anus, returning regularly every day ; < walking or standing ; > sitting.
Dull pain in rectum as if distended with gas, after stool.
Unpleasant crawling low down in rectum, near anus, as from thread worms.
Violent itching in rectum, in evening, in bed.
Passive hemorrhage from rectum, after stool (of long standing) ; flow bright red ; stools regular ; bowels flatulent ; faintness when hemorrhage is profuse ; must lie down after stool.
Bleeding during and after stool ; hemorrhage and pain are < when stool is loose.
Ennervation of longitudinal and circular muscles of rectum, causing a semi-paralyzed state of bowel and allowing feces to accumulate.
Anxious desire for stool, with inactivity of rectum ; is unable to evacuate feces without danger of eversion and prolapsus of rectum.
Prolapsus of rectum from moderate straining at stool.
Tenesmus ; prolapsus recti after stool.
Prolapsus of rectum, with a male child, æt. 4 ; parents have to return the bowel after each stool, sometimes twice a day and with great difficulty.
Severe, constant, stitching and sore, burning pains in rectum, completely robbing her of sleep ; prolapsus of rectum ; hard, bloody stools greatly aggravating the pains ; ulcerated hemorrhoids in rectum.
Hemorrhoids : after confinement, with sharp, painful pressure in rectum after stool, even a soft stool ; also sharp stitches from anus to rectum ; bleeding slightly and protruding at stool, followed by severe contractive pain in anus and stitches up rectum, lasting until
exactly 5 P. M. each day, when pain suddenly ceases ; with sensation of excoriation or contraction of anus ; tumors prolapse with every stool, and have to be replaced ; they are sore as if excoriated ; hemorrhage and pain < when stool is loose ; dragging pains
around pelvis.
Blind piles, pressure and soreness in anus and rectum ; painful while sitting and standing, less while walking, though renewed and < after taking fresh air.
Stitches in hemorrhoidal tumors during cough.
Pain in anus as from blind piles, sore pain after soft stool.
Sore pain in anus, without reference to stool.
A coarse stitch extending from anus deep into rectum.
Pain in anus returning at same hour each day, < walking and still < standing, > on sitting down.
Constriction of anus after stool, < while standing.
Painless contraction of anus for many days.
Itching and tingling in anus. θ Pruritus.
Itching of anus : at night ; child is nervous and spasmodic ; from seat worms.
Fissures of anus.
Blotches at anus.
Stitches, itching and a creeping sensation in lower part of rectum. θ Ascarides.
Ascarides causing itching in rectum and anus.
Thread worms in rectum, especially when there are traces of blood in stools.
Convulsions ; suddenly fell prostrate and remained unconscious for half an hour ; after which she was unable to speak for several minutes ; after Ignat. passed tapeworm, and convulsions did not recur.
Increased accumulation of flatus and increased discharge of it.

Urinary organs

Sudden, irresistible desire to urinate.
Painful pressure, with a scraping sensation in neck of bladder, especially when walking ; turbid urine.
Pressure to urinate, from drinking coffee.
Frequent discharge of much watery urine. θ Hysteria.
Urine : nervous, watery ; clear, lemon colored ; scanty, dark and acrid.
Involuntary discharge of urine.
Burning, smarting or soreness during urination.
Itching in forepart of urethra.

Male sexual organs

Lasciviousness without erections.
Sexual desire weak, or sexual desire with impotence.
Erections during stool ; emission of prostatic fluid.
Hysterical spasmodic stricture.
Contraction of penis, it becomes quite small.
Itching around genitals and on penis, in evening after lying down ; passes off after scratching.
Soreness and ulcerative pain, combined with itching, at margin of prepuce.
Sweat on scrotum.

Female sexual organs

Cramp pains in uterus, with lancinations, < from touching parts.
Uterine spasms with lancinations or labor-like pains.
Metrorrhagia from chamomile tea.
Menses : too soon and profuse ; scanty, delayed.
Menses too early and profuse, appearing every 10-14 days ; before and during menses heat and heaviness in head, severe pressing pain in forehead, eyes sensitive to light, ringing in ears, loss of appetite, sensation of emptiness in stomach, cramping pains in abdomen, chilliness
alternating with heat, anxiety, palpitation, extreme prostration of whole body and especially of extremities.
Menstruation profuse and irregular ; leucorrhœa, with bearing-down pain.
Menorrhagia with sighing and sobbing, faint feeling at pit of stomach ; great despondency, seems full of suppressed grief.
Brought on a flow in a lady, æt. 62, who had suffered from grief ; also in a lady, æt. 30, whose menses had been suppressed for three months.
Menstrual blood black, of putrid odor, in clots.
Irregular menstruation, especially dysmenorrhœa, originating in irritation of nervous system, and not in uterine congestion.
Menses scanty, attended by violent spasms and pains, lasting several days, and resembling pains of parturition ; nervous system in very excitable state. θ Dysmenorrhœa.
Amenorrhœa ; ulcers on feet ; anemic ; region of liver and spleen swollen.
Suppression of menses caused by suppressed grief ; much involuntary sighing and sobbing ; precordial anguish ; weak and empty feeling in pit of stomach.
During menstruation uterine spasms, with crampy pressing, > by pressure and in a recumbent posture.
During menses : photophobia ; contractive colic ; anguish ; palpitation of heart ; backache ; lassitude approaching faintness.
Pain from sacral region through to front, followed by leucorrhœa and a numb and stupid feeling in brain ; difficulty in answering questions.
Violent labor-like pain ; purulent, corrosive leucorrhœa.
Chronic leucorrhœa, with excited sexual desire.
Menses scanty, stringy, with dark clots ; great dysmenia both before and after ; fearful griping and cutting uterine colic ; milky whites ; constant burning heat in vagina, < before menses ; very acute darting pains in vulva, only during day ; intensely
sore pain at entrance of vagina during coitus, almost driving her frantic ; heavy and sleepy after meals, must lie down after dinner ; pain and sickness at stomach while standing, > sitting down ; sinking and emptiness at epigastrium ; total loss of appetite except at
supper time ; stitches in breasts ; feet burning hot, or cold ; feels as if stockings were cold and damp ; one cheek generally hot, the other not so ; hysteria ; constipation with great pain, dreads to go to closet ; deep sighing inspiration ;
inflammation of vagina and vulva. θ Vaginismus.
Pruritus of young girls, with leucorrhœa and associated with ascaris vermicularis.

Pregnancy. parturition. lactation

Emptiness, qualmishness and weakness in region of stomach, with flat taste ; distension of abdomen after eating ; hiccough ; sour eructations ; frequent regurgitation of food, and of bitter liquid ; vomiting at night of food taken in
evening ; empty retching, > by eating. θ Morning sickness.
After great fright, during seventh month of pregnancy, severe pain in epigastrium ; undefined anxiety ; restlessness ; falls asleep late at night ; also pain low down in l. side of abdomen.
After fright during pregnancy, trembling, followed next day by labor pains and hemorrhage, > lying on back without ???low and with lower end of mattress elevated.
Deep sighing and sobbing with strange, compressed feeling in brain ; groaning and stretching of limbs at termination of each spasm. θ Spasms during labor.
Spasms with twitching of muscles of mouth and eyes ; wild expression ; eyes upturned ; constant attempt to tear her hair ; laughing and crying ; nervous and excitable. θ Puerperal
convulsions.
Puerperal convulsions commence and terminate with groaning and stretching of limbs ; vomiting.
The labor does not progress.
After-pains with much sighing, sadness and despondency
Infantile colic after taking breast of mother or nurse, who suffers from grief.
Milk diminished.

Voice and larynx. trachea and bronchia

Voice : low ; trembling ; hoarseness from cold.
Subdued, low voice ; is unable to talk loud.
Hysterical aphonia, mental anxiety, spinal symptoms.
Sensation of soreness in larynx.
Constrictive sensation in trachea and larynx.
Uninterrupted provocation to a hacking cough in larynx (not tickling) in evening after lying down ; it does not disappear on coughing, only on suppressing cough.

Respiration

Frequent sighing.
Sighing and sobbing continue long after crying.
Snoring inspiration during sleep.
Desire to take a deep breath. θ Hysteria. θ Dyspepsia.
Frequently obliged to take a deep breath, which momentarily relieves pressure upon chest.
Impeded inspiration, like from a weight on chest.
Oppressed breathing, alternating with convulsions.
Oppression of chest at night, < after midnight.
Slow breathing.
Inspiration slow ; expiration quick.
Loses breath when running.

Cough

Tickling cough which may be suppressed by an effort of will.
Constant, dry cough, excited by tickling in suprasternal fossa ; as from inspired feathery dust, not < by coughing, but more excited the more he allows himself to cough ; especially < towards evening.
Cough caused by constrictive sensation above throat pit.
Constant hacking cough in evening in bed.
Dry, spasmodic cough.
Hollow, spasmodic cough, caused, in evening, by a sensation like from fumes of sulphur, or from dust in pit of throat ; in morning, from a tickling above pit of stomach.
Hollow, spasmodic cough, < evening, with but little expectoration, leaving pain in trachea.
Cough dry and rough, with fluent coryza, headache and weak voice.
Nervous cough and oppression frequently accompanying catarrhal affections in young people and women.
Spasmodic cough in nervous, sensitive persons.
Cough every time he stands still during a walk.
Cough after warm drink.
The longer the cough, the more irritation to cough.
Sleepy after each coughing spell.
During cough : nauseous feeling in epigastrium ; concussions in hypogastrium ; pain in penis ; convulsions.
Expectoration : in evening, rarely in morning ; difficult, in evening ; tasting and smelling like old catarrh.

Inner chest and lungs

Stitches : in chest, from flatulent colic ; in left side of chest.
Spasmodic constriction of chest.
Chest feels as if too small ; spasmodic yawning.

Heart, pulse and circulation

Heart, Pulse and Circulation
Anxious feeling in precordia.
After excessive anxiety followed by sudden joy ; uncertain, weak, weary sensation in chest ; sinking sensation and emptiness in pit of stomach ; heart's impulse feeble ; pulse small, soft and 100 to 110 per minute. θ Cardiac
hyperesthesia.
Constriction at heart, with anxiety and disposition to cry ; loss of appetite ; pressure in stomach ; palpitation ; menses more profuse than usual ; sleepiness ; weakness of eyes ; after grief.
Palpitation : at night, and in morning, in bed ; at night, with stitches in heart ; during deep meditation.
Pulse : generally hard, full and frequent, with throbbing in bloodvessels ; less frequently small and slow ; variable, very changeable ; frequent in morning, slower during day and evening.

Outer chest

Stitches in nipple on deep inspiration.

Neck and back

Stiffness of nape of neck. θ Diphtheria.
Stitch in nape of neck.
Pressive pain in cervical glands.
Painless glandular swellings on neck.
Tensive pains in back on standing erect.
Simple pains which are apt to become excessive when touched ; jerks through whole body.
Pains in back during chill.
Stitches in small of back.
Lancinating stitches as from a sharp knife, in back through loins, extending to legs.
Pain in sacrum, also when lying on back, morning in bed.
Spine disease, with gressus gallinaceus.
The back is bent forward.

Upper limbs

Quivering jerks in deltoid muscle.
After anxiety sudden stroke as if right shoulder had been paralyzed by a stroke of lightning, which extended through whole arm, extending to tips of thumb, index and middle fingers ; use of arm completely lost, can hardly raise it ; sensation as if arm did not belong to
her ; on touching objects it seems as if they were covered with fine felt. θ Hysterical paraplegia.
Pain in shoulder-joint as if dislocated, on moving arm.
Lancinating, cutting pain in shoulder-joint when bending arm forward.
Numb feeling of arms at night, in bed, with it a sensation as if something living were running in arm.
Pains in joints of arms, when bending them backwards, like from overexertion, or as if bruised.
Warm sweat in palms and on fingers.

Lower limbs

Lancinating, cutting pains in hip-joint.
Pains, incisive, throbbing, intermittent ; at first every other day, then daily ; chilliness ; mild, melancholic temperament ; fever, but no thirst ; returns every winter. θ Sciatica.
Paroxysms of excruciating neuralgia of sciatic nerve and its perineal branches preceded by intense coldness and shivering, < at night, obliging her to get up and walk about room ; pain acute, of a tearing, digging, boring character, and lasts sixty to ninety minutes, when it
slowly departs.
Ischias : intermitting, chronic ; > in summer, < in winter ; beating as though it would burst hip joint, accompanied by chilliness, with thirst, flushes of heat, particularly in face, without thirst.
Boil on inner side of thigh.
Tumor large as an egg, a short distance above knee, quite movable, hard upon pressure ; great nervousness, continually sighing, afraid she would die ; great fear of coming sorrow or trouble ; very despondent ; slight twitching of
muscles ; drawing limbs to body.
Knees are involuntarily drawn upwards when walking ; gressus gallinaceus.
Heat of knees, with coldness of nose.
Cracking of knees.
Tearing pains in back of legs.
Tearing pain in tendo achillis and calf, as though parts would be cut off ; < standing, walking, or exerting muscles.
Numbness of feet, legs, and sometimes of lower limbs.
Coldness of feet and legs, extending above knee.
Heaviness of feet.
Burning in heels, at night ; when they come in contact, however, they feel cold.
Bruised or stinging sensation in soles of feet.
Corns painful as if sore.
Convulsive jerking of lower limbs.
Staggering walk.

Limbs in general

Trembling of limbs ; languor.
Single jerks of limbs, when falling asleep.
Sudden spasmodic action of a muscle ; limbs jerk.
Crawling, asleep sensation in limbs.
Tingling in limbs.
Pain as if sprained or dislocated, in shoulder, hip and knee-joints.
Neuralgic pain in right shoulder when raising arm or when turning it towards chest ; loss of sensation in right knee and tension in same when stretching leg.
Painfulness of limbs on going to sleep.
Cold hands, and cold feet up to knees.

Rest. position. motion

Rest : pains > ; headache >.
Change of position > pain.
Lying : pains in head > ; vertigo.
Lying down : pains come again ; toothache ; itching around genitals ; uterine pains > ; hacking cough ; jerking in forearm.
Lying on back : > headache ; labor pains and trembling > ; pains in sacrum ; chorea >.
Lying on side : headache < ; pain as if nail was driven in head >.
Must lie down : when pain in head is bad ; after hemorrhage from rectum ; after dinner.
Must bend head forward ; lays it upon table.
Inclines head backward, or is drawn powerfully back.
Leaning forward : pain over nose >.
Bends himself backward, so that he rests on head and feet.
Sitting : pain in anus > ; blind piles painful ; pain and sickness at stomach > ; tremor of legs <.
Sitting and standing very difficult : on account of chorea.
Drawing limbs to body.
Lower jaw thrust forward.
When fingers are extended : trembling of hands.
Change of position : often > pains ; headache < ; cramps in stomach > ; frequent at night in bed.
Moving : pressure in stomach becomes cutting ; pain in shoulder-joint on moving arm.
Slightest motion : of head < vertigo ; of tongue < ptyalism.
Slight motion : knees give way.
Exerting muscles : < tearing in tendo achilles and calf.
Bending arm forward : lancinating pain in shoulder-joint.
Bending arms backward : pains in joints.
Turning arm to chest : neuralgic pain in right shoulder.
Raising arm : neuralgic pain in right shoulder.
Stretching leg : tension in it.
Dropping head forward : < headache.
Turning head suddenly : headache <.
Tossing head : during dentition.
Trembling and shaking : of head.
Stooping : < vertigo ; renews pain at root of nose ; headache > ; pain in a spot in right parietal bone <.
Walking : pain in anus < ; blind piles less painful ; painful pressure in neck of bladder < ; knees involuntarily drawn upwards ; tearing pain in tendo achilles and calf < ; as though breath would fail, becomes qualmish.
Standing : pain in anus < ; blind piles painful ; pain and sickness at stomach ; tensive pain in back ; tearing pain in tendo achilles and calf < ; goes to sleep.
Obliging her to get up and walk about rooms : pain in sciatic nerve.
On ascending steps : jerking headache.
Stepping heavily : headache <.
Stands still during walk : on account of cough.
Running : headache <.
Throws himself wildly about in bed.

Nerves

Persons mentally and physically exhausted by long concentrated grief.
Oversensitive to pain.
Trembling and languor of limbs.
Trembling of hands when writing, most in anyone's presence, and getting < as soon as she fancies any one might notice it ; appears also when fingers are extended.
Her trembling does not make much difference to her writing, but shows itself when she extends her fingers, more marked on right side.
Great languor or deep sleep, with stertorous breathing after or during fever.
Sensation as if she had been fasting a long time with flat taste and languor in limbs.
Faint feeling ; false hunger ; nausea and vomiting of mucus ; habitual smoking.
Great weakness of whole body ; on walking seems as though breath would fail, becomes qualmish in pit of stomach, and then coughs.
Great weakness and exhaustion of whole body ; lassitude in evening.
Debility after arrest of hemorrhage, with disposition to be vehement or vexed.
A simple violent pain here and there in a small spot, as for example, on ribs, only noticed on touch.
Emotional hyperesthesia ending in depression and torpor ; sexual desire with impotence.
Hysterical debility and fainting fits.
Mind very irritable ; easily becomes sad ; frequent attacks of pressing, cramping pain in forehead and occiput, face red, lachrymation ; spasmodic constriction of throat, with difficult deglutition ; much belching, hiccough ; constriction of chest, respiration
impeded, trembling of head, twitching of arms and legs with semi-consciousness, finally a deep sigh followed by profound sleep. θ Hysteria.
After a quarrel with her husband, awoke next morning with a rhythmical tremor of entire left leg which gradually involved both legs ; < sitting, did not interfere with walking ; on following day was accompanied by choreic jerking of head from left to right, and slightly from
above downwards. θ Hysteria.
Anguish, shrieks for help, with suffocating constriction of throat ; difficult deglutition ; comes out of spasm with deep sighing. θ Hysteria.
Hysteria characterized by a mental character which is mild, gentle, yielding though whimsical and introverted.
Hemicrania, globus hystericus, or sudden toothache attacking a healthy tooth, in hysterical subjects.
Great tendency to start.
Jerkings and twitchings in various parts of muscles.
Jerking, as if a mouse was crawling under skin, in one part of muscles of forearm, in evening after lying down.
Convulsive twitchings, especially after fright or grief.
Screaming with violent trembling all over ; single parts seem to be convulsed.
Children are convulsed in sleep after punishment.
Convulsions in children in first period of dentition, with pale complexion, or in consequence of irregular innervation of capillaries, with remarkable redness of one cheek and cold nose ; increased temperature of body transient ; skin cool to touch.
Spasms in children : from fright or from worms ; child pale, cold ; fixed, staring look ; occasional screams ; vomits food ; preceded by hasty drinking.
Spasms with cries or involuntary laughter.
Convulsions alternating with oppressed breathing.
Convulsions with loss of consciousness, and temporary inability to speak.
Convulsions : during dentition, with frothing at mouth, kicking with legs ; during commencement of exanthematic fevers ; of children, after punishment ; after fear or fright ; return at same hour, daily.
Suddenly feels sleepy and lies down, or goes to sleep standing and falls ; lies quietly and unconsciously for half an hour, or several hours ; eyes closed ; makes fists ; hides under bedcover, and peeps timidly from under it ; extremities jerking upwards ;
body thrown upward and lower jaw thrust forward ; suddenly wakes up gasping, and complains of hunger. θ Spasms after fright.
Loss of consciousness, sudden or preceded by headache, especially at night ; bends himself backward so that he rests on head and feet, throws himself wildly about and tumbles out of bed if not prevented ; violent shocks affect the body and particularly chest ; froth mixed
with blood escapes from mouth ; after ten or fifteen minutes spasms pass off but unconsciousness lasts for five or six hours ; confused speech of which later he remembers nothing ; passes stool or urine in every corner of room if not prevented ; severe chill, during which
body is cold as ice, ends the attack, which is followed by great mental and physical prostration.
Children during dentition, or even at an earlier or later period, are suddenly seized with spasms resembling epilepsy ; they often occur without apparent cause or come on after child has been reprimanded for a fault and then put to bed ; twitchings begin at corners of mouth so
that child appears to smile, then spasms rapidly affect muscles of face, forehead, eyes, and often eyeballs, or eyes may be open, fixed and staring, with dilated pupils ; frothing at mouth, biting of tongue or cheeks, teeth firmly clenched and immovable, trismus, twitching of arms, less
often of feet, attacks last from five minutes to half an hour, after which child is covered with sweat and presents all the symptoms of congestion of brain, followed by soporous sleep, from which they are awakened by renewed spasms, or spasms return after a complete intermission ; pulse
frequent, often delirium and involuntary urination.
Clonic convulsions, in hysterical, fitful women.
Violent convulsions ; often tonic spasms predominate.
Tetanic convulsions, with frequent inclination to yawn.
Tetanus after fright.
Spasms and tetanic convulsions in hysterical women and children ; especially when falling asleep.
Catalepsy with bending backwards.
After fright, cataleptic attacks, lasting several hours and returning regularly every two months ; gradually attacks became epileptiform in character, with violent convulsions and loss of consciousness ; attacks also became more frequent, occurring every month, just
before or after menstruation, and finally occurring after any accidental excitement ; spasms and pain during menstruation.
Emotional trismus or opisthotonos ; head drawn powerfully back, countenance livid, pupils dilated, respiration and deglutition of fluids difficult.
Children with pale complexion and blue rings around eyes ; there gradually ensues a great degree of timidity and tendency to start, followed by involuntary movements of facial muscles, and of upper and lower extremities, gradually attaining the intensity of chorea.
Chorea : after fright or grief ; < after eating ; > lying on back.
Emotional chorea, especially after fright, grief, or other mental excitement, with sighing and sobbing ; vacillating gait ; liability to stumble and fall over small objects ; trembling and twitching of various muscles ; precipitancy of volition ; patient
expresses anxiety in his movements ; < after eating, especially after dinner ; after deep grief ; > while lying on back.
Chorea in girls who have been frightened by threats or punishment ; constant and involuntary twitching and throwing about of arms ; objects are dropped from hands ; twitching of eyes and shaking of head.
Sudden and severe chorea after being frightened by mouse running up arm ; twitching in facial muscles and active movements in upper extremities, so that hands seemed always to be engaged in some sort of voluntary work ; at one time put her hand to hair, at another to ear, now
quickly extended arm as if to smooth dress, and so on the whole day ; voluntary movements of hands so far lost that she could neither eat nor drink unassisted.
All sorts of motions and contortions of extremities, head also being affected ; cannot walk nor use hands even to eat. θ Chorea after fright.
Cries out when any one approaches bed, and at intervals repeats her crying, but is not capable of speaking a single word ; hands and feet thrown violently about ; convulsive distortion of muscles of face ; head one moment bent backward, at another to side, and whole body
is thrown violently about, tophi on hands and feet. θ Chorea.
Chorea in such aggravated form that sitting and standing is extremely difficult ; previous bright and active mind degenerated almost to a condition of idiocy.
Chorea ; convulsions are greatest in mouth, producing much distortion of face ; globus hystericus.
Nervous condition in influenza, with general convulsions and frothing at mouth ; attacks resembling epilepsy.
Emotional epilepsy ; caused by fright and suppressed grief ; especially suitable for children ; recent cases.
Convulsive movements in limbs with spasmodic closure of jaws ; attacks lasted about half an hour, and recurred every four to seven days ; they came on at all hours of day and night, and were occasioned by any mental excitement ; finally attacks became more violent ;
fell down, became unconscious, thumbs turned into palms, convulsions and foaming at mouth, terminating in sleep ; the longer the attacks were delayed the more violent they were ; expression of face one of extreme melancholy. θ Epilepsy
after fright.
Face red ; pulse full, 100 ; loss of consciousness ; eyes fixed ; convulsions of extremities with frothing at mouth ; thumbs clenched ; great thirst after consciousness is restored.
Silent, stupid state, with jerking of body, partial spasms of extremities, one limb or only certain muscles at a time ; lassitude after a fit. θ Epilepsy.
Chorea-like and epileptiform convulsions ; paresis ; anesthesia combined often with hyperesthesia of legs ; subsultus tendinum ; jerking of limbs ; trembling of tongue ; delirium tremens.
Paralysis after great mental emotion and night watching in sick chamber.
Hysterical paraplegia.
Perversion of co-ordinations of function ; clavus hystericus.
Great mobility in nervous phenomena.

Sleep

Sleeplessness : from grief, care, sadness ; anxious thoughts and depressing emotions ; after overstraining mind by racking business cares ; before midnight ; from ebullition of blood ; with starting when falling asleep ; inward restlessness,
thirst, fever with anxiety from 2 to 5 A. M.
Sleep very light, hears everything, even distant sounds.
Restless sleep.
Spasmodic yawning : with pain in lower jaw, as if dislocated ; so that water runs from eyes.
Hiccough in children ; restlessness at night, and screaming during sleep.
When going to sleep jerks through whole body, or in a single limb, or a single muscle.
Very restless at night in bed ; hysterical subjects.
Frequently changes his position at night in bed.
Snoring inspiration during sleep.
During sleep of children : chewing motion of mouth and startings (flexors) ; stamping feet and grinding teeth.
Child awakens from sleep : with piercing cries and trembles all over ; in spasms after being punished and sent to bed.
Somnambulism ; describes clearly the interior of brain ; again sees everything that passes in street, but recollects nothing of it when awake. θ Effects of wounded honor.
In his dream is occupied thinking of the same object throughout whole night ; a fixed idea, which does not leave him on waking.
Dreams with reflections and deliberations.

Time

The morning is the best time to give this remedy. H.
Aggravation at 4 A. M. and 4 P. M., lasting till evening.
Morning : pains come on at 9 o'clock and last till 2 P. M. ; pain < till afternoon ; when rising pains < ; on awakening, headache which disappears on rising ; headache < ; stabbing pain in head begins on rising ; toothache ; gnawing pain in
stomach ; hurry of brain ; great anxiousness, hollow, spasmodic cough ; palpitation ; pulse frequent ; pains in sacrum, lying in bed ; general heat.
From 2 to 5 A. M., inward restlessness, thirst, fever with anxiety.
At 11 A. M. : hungry.
During day : acrid tears ; darting pains in vulva ; pulse slow.
Afternoon : pain gradually > till evening ; fever ; heat of whole body ; severe shaking chill.
At 4 P. M. : stabbing pain in head at its height.
At sunset : chilly.
Evening : incapacity for thought ; hacking cough ; hollow, spasmodic cough < ; expectoration difficult ; pulse slower ; lassitude ; jerking as if a mouse was crawling under skin in forearm ; shaking chill, with redness of face ; warm sweat in
hands ; when lying down, pains come on again ; sudden pressure in head now in one place, now in another ; toothache ; slight fever ; feeling of hunger ; desire for stool ; violent itching in rectum ; itching around genitals ; chilliness.
Night : agglutination of lids ; nervous and restless painful pressure in region of pylorus ; pressure in stomach < ; cramps in stomach ; colic ; rumbling of wind < ; diarrhœa < ; itching of anus ; anxiousness ; vomiting ; falls asleep
late ; oppression of chest ; palpitation with stitches in breast ; numb feeling in arms ; sciatica ; burning of heels ; loss of consciousness ; restlessness ; frequently changes position in bed ; fever.
After midnight : fear of thieves on waking ; oppression of chest <.

Temperature and weather

Open air : walking in, aching in one-half of head ; lachrymation < when exerting eye ; itching > when getting heated, out doors.
Fresh air : blind piles <.
Warmth : headache > ; stabbing pains in head ; chills <.
Warm room : > chilliness.
Warm drink : cough.
Warm food : aversion to.
External warmth is intolerable ; must be uncovered as soon as heat begins.
Heat : > headache.
Lying on a hot bed : > chill.
As soon as back is the least uncovered : chill begins.
Cold : pain in occiput < ; pain in teeth.
Cold air : causes chilliness.
Cold winds : headache <.
Cold water : washing hands < pain.

Fever

Chill and chilliness, with increased pains.
Chilliness in face and on arms, with chattering of teeth and gooseflesh.
Chill commences in upper arms, spreads to back and chest, with heat of ears.
Coldness and chilliness of whole body, or only of posterior portions, > in warm room, or by a warm stove.
Chill proceeding from abdomen.
Chilliness about knees, which are not cold externally.
Chill of single parts only.
Shaking chill, with redness of face, in evening.
Chill : with great thirst for large quantities of water ; > from external warmth.
Chilly at sunset or in cool air ; very cold all over, with one-sided headache.
During chill : ill humor ; violent thirst ; colic ; nausea ; vomiting of food, bile or mucus ; great paleness of face ; pain in back ; lameness of lower limbs ; urticaria.
Chill > after eating.
Internal chill, with external heat.
External coldness, with internal heat.
Continuous quick alternations from heat to cold.
Hot knees, with cold nose.
One ear and one cheek red and burning ; the other cold and pale.
Heat with cold feet.
Heat or coldness of single parts.
One-sided burning heat of face.
External warmth is intolerable, must be uncovered as soon as heat begins.
External heat and redness, without internal heat ; flushes.
Heat of whole body, in afternoon, without thirst, with sensation of dryness of skin, though with some perspiration on face.
General heat in morning in bed, with thirst, does not wish to be uncovered.
Frequent flushes of heat with sweat.
Fainting during the heat or sweat.
Sudden attack of continued fever, consequence of reverse of fortune.
During heat : deep snoring sleep ; frequent sighing ; beating headache ; vertigo ; delirium ; pain in stomach and bowels ; no thirst ; vomiting of ingesta, with coldness of feet and spasmodic twitching of extremities ; nettlerash
over whole body, with violent itching, easily relieved by scratching, disappears with sweat.
Hunger after fever.
Sweat slight, or only on face.
Sensation as if sweat would break out, which, however, does not follow.
Warm perspiration of extremities.
Warm sweat on hands, or on inner surface of hands and fingers, in evening.
Sweat : at times cold, but generally warm and somewhat sour smelling ; without thirst ; during a meal ; when eating, only on small spot on face ; often confined to upper part of body ; in hands.
Paroxysm preceded by much yawning and stretching ; in afternoon severe shaking chill, particularly on back and arms, with thirst, lasting about an hour, followed by heat of whole body, with cold feet ; internal shuddering with red cheeks and warm skin which is only > by
onset of sweat, which usually lasts several hours ; during heat and sweat no thirst ; short periodical attacks of pressing pains in head from within out ; accompanied by tearing in forehead, both > lying ; dull, pressing pain in epigastrium ; oppression of
chest ; appetite increased ; ineffectual urging to stool followed by hard stool ; heaviness in limbs with pain in joints ; during apyrexia great lassitude ; knees give way on slight motion ; sound sleep with snoring respiration ; taciturn, indifferent,
startled when spoken to ; tongue white and moist ; lips cracked and dry ; face pale ; pulse small, and somewhat increased during fever. θ Tertian ague.
Slight chilliness gradually extending over whole body, and finally becoming a shaking chill with chattering teeth ; stretching, yawning, tearing in limbs, and great thirst ; nausea with vomiting ; vomits the water she drinks, mixed with slime ; oppression of
chest ; vomiting at end of chill, followed by heat without thirst ; headache ; sweat without thirst ; chilliness of long duration, heat and sweat being much shorter. θ Tertian
ague.
Paroxysm assuming all types-quotidian, tertian, quartan, anticipating or postponing, and coming on at all hours of day or night ; chill severe and pronounced, lasting usually about an hour, with intense thirst only during chill ; chill > by external warmth ; as soon as
chill began, although temperature was over 90, would go at once to stove, and "over a hot fire drink the hydrant dry ;" fever well developed, with much headache and vertigo, but no thirst ; rarely any perspiration, and with exception of some vertigo felt well during
apyrexia.
Slight chill lasting about half an hour, and accompanied by violent thirst and vomiting ; after chill pains in breast, followed by heat with headache ; no sweat.
During paroxysm : vertigo on lying ; palpitation of heart ; chilliness with thirst ; chilliness > by external warmth ; heat and sweat without thirst ; chill > by lying in a hot bed ; great weakness during fever.
Severe chill followed by dry heat, sweating stage absent ; thirst before, during and after chill, with pains and lassitude in lower limbs and diarrhœa. θ Quartan ague.
Chill > by wrapping up warm ; begins as soon as back is least uncovered ; jerking of limbs ; jactitation.
Ague recurring each Spring for several years and annually suppressed by Quinine ; thirst during chill.
Quotidian fever with violent thirst at commencement of violent and continuous chills ; is quiet and taciturn.
Return of chill in one month, in a boy, æt. 7, of mild, quiet disposition, very laconic in speech ; headache between paroxysms, chill with thirst > from external warmth ; fever with heavy sleep, perspiration light.
Strumming sensation in body. θ Intermittent.
Apyrexia : heaviness in head ; throbbing in temples ; sensation as if head was smaller ; burning in head with cold hands and feet ; face pale ; eruption on lips and in corners of mouth ; lips dry and chapped ; pappy taste in mouth ;
hungry about 11 A. M., but little or no appetite at time of meals ; aching pain in pit of stomach ; colic, with hard stools and ineffectual urging ; pain in back and limbs ; irritation to cough in larynx, sensation as of a foreign body lying over it ; languor,
apathy, giving away of knees, starting in sleep, or sound sleep with snoring ; sleep usually continues from heat through sweating stage into apyrexia.
Type : quotidian ; tertian ; quartan ; irregular ; continually changing, especially after abuse of quinine ; paroxysms accompanied by spasmodic symptoms.
Time : irregularity of hour ; paroxysm at sunset, late in afternoon or evening, then fever heat all night ; anteponing paroxysms, usually postponing.
Attacks irregular both in periodicity and evolution of their stages.
Typhoid fever in women or in young men ; for some time before attack patient does not feel well, then suddenly and without any gradual exacerbations the paroxysm sets in and is usually very severe ; fever begins in afternoon and continues through whole
night ; patient although suffering greatly cannot clearly describe his symptoms, and does not know where he is ailing or what is the matter with him ; almost beside himself with impatience and despair, and cries out for help to those standing about ; easily frightened, fears
this or that may hurt him ; sensation as if swung to and fro in a swing or cradle ; least noise or jar aggravates the complaints ; during first five days paroxysms begin with slight chilliness and coldness, with or without thirst, followed by heat with chilly creepings and
thirstlessness ; as the disease progresses chilliness precedes fever ; yawning and stretching ; severe throbbing headache in forehead and over eyes, < from light ; pain in nape of neck, neck as if stiff ; bitter taste and dryness in mouth, without thirst, latter
being only present during chill ; choking sensation from stomach up into throat with oppression of chest, > from belching ; pressure as from a stone in pit of stomach ; indescribable sensation in pit of stomach over which there is a feeling of constriction accompanied by
shortness of breath, as if lower part was tightly laced ; severe palpitation of heart, patient often losing consciousness, eyes are closed and respiration seems suspended ; trembling and shaking of single parts ; attacks ; begin and end with stretching and yawning ;
pressure, or weak and empty feeling in stomach, which is somewhat painful to touch ; constipation ; severe, indescribable pains in back and limbs ; strumming through limbs ; jerking of tendons ; at no time sweat, skin generally dry ; great sleeplessness ;
on falling into a doze starts up, affrighted by various visions ; troublesome dreams.

Attacks, periodicity

Complaints return at precisely the same hour.
Acute paroxysms : chronic tonsillitis.
Momentary disappearance of pain by change of position.
Periodical : fits of vertigo ; headache weekly, fortnightly or monthly ; headache gradually increases, suddenly abates ; attacks of weakness ; attacks of cramps in stomach ; abdominal spasms ; attacks of pressing pain in head ; convulsions.
Irregularity of hour : paroxysm at sunset, late in afternoon or evening.
Every 3 to 4 hours : merry and lachrymose moods alternate.
Twice a day : bowel must be returned after stool ; paroxysms of anxiety lasting for hours.
Every morning at 8 A. M. : < until 10.30, when gradually > and entirely disappears at about 1 P. M.
Every day : pain in anus ; pains in lower limbs ; at same hour, convulsions.
Periodically every afternoon : spasmodic ructus and singultus.
At 7 to 8 P. M. attacks of extremely severe pains in stomach, more frequently at midnight, lasting 2 to 3 hours.
Every evening : half hour after going to bed, pain in right lower jaw lasting from one to one and a half hours.
Every other day : incisive pains in lower limbs.
Day before headache : irritable disposition.
Day after headache : feels as though it might return.
Every four to seven days : attacks of convulsive movements in limbs.
Weekly : same hour (11 A. M.) and day, nervous headache.
Every ten to fourteen days : nausea.
Every month : headache ; just before or after menstruation, cataleptic attacks.
Every two months : cataleptic attacks.
Every Spring : ague recurs.
Every Winter : pains in lower limbs.
During dentition : metastasis from bowels to brain ; spasms.
During menstruation : spasms and pain.
Five minutes to half an hour : duration of spasms.
Lasting sixty to ninety minutes : pain in sciatic nerve.
Chill lasts one hour, sweat lasts several hours.
Lasting till 5 P. M. every day : contractive pain in anus and stitches up rectum.
Lasting several hours : cataleptic attacks.
Lasts from five to six hours : spasms.
For many days : painless contraction of anus.
For six months : lachrymation ; pain in eyes with headache.

Locality and direction

Right : heaviness of arm ; pressive headache in side of forehead extending to eye ; headache above orbit at root of nose ; pressure in frontal region ; intense pain over eye ; throbbing pains on side of forehead from eyebrow around eye ; pain
in a spot in parietal bone ; pain in breast ; two chipping ulcers at upper margin of cornea ; pain in lower jaw ; parotid swollen ; diphtheria commences right side ; shoulder as if paralyzed ; neuralgic pain in shoulder ; loss of sensation in
knee ; trembling of hands < right side.
Left : pains from head into eye ; eye smaller ; as if a particle was in external canthus ; pain in eye ; burning and watering of eye ; rawness on side of throat ; pain in hypochondrium ; sharp sticking left of umbilicus ; pain low down side of
abdomen ; stitches side of chest ; rhythmical tremor of entire leg.
From left to right : choreic jerking of head.
From above downward : jerking of head.
From within outward : pain over nose in forehead ; pressing pain in head.
From without inward : in brain.

Sensations

Oversensitiveness to pain.
Pressing pain from in out, like from a hard, pointed body.
Tension in internal parts.
Pain in small, circumscribed spots.
Pain as from dislocations in joints ; cutting as from a knife ; tingling as of ants ; as though eyeball would be pressed out ; as though needles were pushed through into brain ; pressure as of a weight on vertex ; as if a nail was being driven out
through side of head ; as if temples would be pressed out ; as if brain was beaten and bruised ; as if nerve of tooth was shattered and crushed ; as if head would burst ; as if headache might return ; as if tears were in one eye ; as of sand in eyes ;
as if upper lid was too dry ; as if eye would fall out ; as if a foreign particle was in left external canthus ; as if inside of under lip was raw and sore ; jaws feel as if crushed ; as if teeth were crushed into fragments ; as if food lodged over orifice of
stomach and could not get down ; anterior half of tongue as if numb ; tongue as if burnt or raw ; bread feels as if too dry ; as if epigastrium was raw inside ; as if large morsel of food or plug was sticking in middle of throat ; as from a lump in throat ;
as if swallowing over a bone ; feeling in stomach as from fasting ; as if stomach and intestines were hanging down relaxed ; as if a number of pins were sticking in stomach ; as if stomach was shortened ; as if a stone was pressing in region of pylorus ; as if
he would like to vomit ; as if rectum was distended with gas ; hemorrhoids as if excoriated ; sees everything as through a fog ; as if all parts were asleep ; as if she had no feeling in epigastrium ; as if stockings were cold and damp ; chest as if too
small ; pains as from a sharp cutting knife through back ; as if right shoulder had been paralyzed ; as if arm did not belong to her ; as if objects touched were covered with fine felt ; looks around bed as if to find something ; as if he had committed some
crime ; as if she had done something wrong ; as if some great misfortune was about to happen ; as if shoulder-joint was dislocated ; as if something living was running in arm ; pain in joints of arms as if bruised ; beating as though hip-joint would burst ;
as if back of leg would be cut off ; corns as if sore ; hip and knee-joints as if dislocated ; as if she had been fasting a long time ; as if a mouse was crawling under skin in forearm ; as if jaw was dislocated ; as if sweat would break out ; as if head
was smaller ; as of a foreign body lying over larynx ; as if swung to and fro in a swing or cradle ; neck as if stiff ; pressure as from a stone in pit of stomach ; as if lower part of stomach was tightly laced ; as if flesh was loose on bones on account of
blows.
Pain : from forehead to middle of vertex ; in back and nape of neck ; from head to left eye ; in head with every throb of arteries ; in occiput ; in a spot in right parietal bone ; in right breast ; in outer part of head ; in periorbital
region ; in upper part of lid ; in eyes ; from head into left eye ; in smaller twigs of facial nerves ; in right lower jaw ; in submaxillary glands ; in teeth ; in limbs ; in back of head, nucha ; in ears ; in left hypochondrium ;
in anus ; from sacral region through to front ; at stomach low down left side of abdomen ; in trachea ; in penis ; in back ; in sacrum ; in shoulder-joint ; in joints of arms ; in lower jaw ; in back ; in stomach and bowels ; in
joints ; in breast ; in lower limbs.
Intolerable pain : in back.
Furious headache.
Intense pain : over right eye and seemingly through supraorbital foramen.
Extreme pain : in both temples ; from eye to top of head ; in epigastrium ; in stomach.
Intensely sore pain : at entrance to vagina.
Indescribable pain : in back and limbs.
Excruciating neuralgia : of sciatic nerve and its branches.
Simple violent pain : in small spots.
Pain very acute, driving him almost frantic : through eyes to head.
Tearing pain : in forehead ; in back of legs ; in tendo achilles ; in calf ; in limbs.
Acute, tearing, digging, boring pain : in sciatic nerve.
Lancinating : in sides of abdomen ; in uterus.
Lancinating, cutting pain : in shoulder-joint ; in hip-joint.
Lancinating boring : deep in brain.
Lancinating stitches : in back through loins to legs.
Stabbing pain : deep seated in eyes, going to occiput and nape of neck finally to vertex ; in rectum.
Darting : in face ; in epigastrium ; in vulva.
Cutting : deep in rectum.
Cutting stinging : in abdomen.
Gnawing cutting : in stomach.
Stitches : in soft palate extending to ear ; in throat ; in parotid ; in stomach ; from abdomen into chest ; in sides of abdomen ; up rectum ; in hemorrhoidal tumors ; in lower part of rectum ; in breast ; in left side of
chest ; in nipple ; in nape of neck ; in small of back.
Sharp sticking : generally in one spot ; in superciliary ridge, temple or side of head ; above and to left of umbilicus.
Sticking : in palate to inner ear ; in throat ; in stomach.
Stinging pain : in forehead ; in throat.
Twisting pain : in face.
Fearful griping and cutting : in uterus.
Drawing and griping : in abdomen.
Pinching : in umbilical region.
Boring pain : in face ; in front teeth.
Pressing, cramping pain : in forehead ; in occiput.
Cramp pains : in stomach ; in abdomen ; in uterus.
Twitching pain : in forehead ; in eye ; in stomach.
Incisive, throbbing pains : in lower limbs.
Throbbing pain : in right side of forehead ; in head ; in occiput ; in temples.
Labor-like pains : in uterus.
Bearing-down pain : in abdomen.
Neuralgic pain : in head ; in eyes ; in rectum ; in right shoulder.
Beating : in hip-joint ; in head.
Ulcerative pain : on margin of prepuce.
Severe contractive pain : in anus.
Contractive colic.
Contractive sore pain : in rectum.
Dragging pains : about pelvis.
Crampy pressure : in uterus.
Pressing pain : in head ; in forehead ; in stomach.
Pressive pain : in frontal region ; above root of nose ; in r. side of forehead, extending down into right eye ; in eyes ; in rectum ; in cervical glands.
Pressive, drawing pain : above right orbit at root of nose.
Painful pressure : on upper surface of brain ; in region of pylorus ; in region of spleen ; at pit of stomach ; in rectum ; with scraping sensation in neck of bladder.
Dull, pressing pain : in epigastrium.
Sudden pressure : in head, now in one place, now in another.
Pressure : in right frontal region above eyebrow ; from without inward in head ; as of a weight on vertex ; in temples ; in eye ; in pit of stomach ; in stomach ; over stomach ; in sacrum ; in rectum ; in anus ; on chest.
Drawing pain : beginning at forehead, extending down one-half of nose ; in face ; in umbilical region.
Spasmodic pains : in stomach ; in abdomen.
Jerking : of head ; through whole body when going to sleep ; in a single limb ; in a single muscle ; of tendons.
Bruised pain : in small of back ; in soles of feet.
Dull pain : in head, confined to right half of forehead and right eye ; in forehead ; in face ; in rectum.
Aching : in one half of head ; in pit of stomach.
Raw pain : in mucous membrane of mouth.
Soreness : of inner nose ; in teeth ; of inner mouth ; of throat ; of anus and rectum ; in urethra ; on margin of prepuce ; in larynx.
Sore, burning pain : in rectum.
Burning heat : in vagina ; in feet.
Burning : in head ; in eyes ; in epigastrium ; in stomach ; in urethra ; in heels ; in one ear and cheek.
Heat : in head ; of whole body ; of knees.
Stinging : in soles of feet.
Smarting : in rectum ; in urethra.
Sore and bruised feeling : of head ; of face.
Tenderness : of teeth.
Tensive pain : in back.
Tension : under ribs ; in rectum ; in right knee.
Compressive, burning pain : extending through sinciput and eyes.
Suffocating constriction : of throat.
Constrictive sensation : in trachea and larynx ; above throat pit ; of chest ; of anus ; at heart.
Spasmodic constriction : of throat.
Choking sensation : from stomach up into throat, with oppression of chest.
Anxious feeling : in precordia ; mounts up to abdomen.
Hemorrhoidal pains : in anus.
Indescribable sensation : in pit of stomach over which there is a feeling of constriction.
Fulness : in pit of stomach ; in epigastrium ; under ribs.
Sensation of protrusion : in umbilical region.
Weight : at back of head.
Heaviness : of head ; of right arm ; of eye ; in pit of stomach ; of feet ; in limbs.
Oppression : begins at stomach spreads to throat ; of chest.
Lameness : of lower limbs.
Weakness : in pit of stomach ; of whole body.
Lassitude : of limbs.
Sinking sensation : in pit of stomach.
Peculiar sensation of weakness : in upper abdomen and pit of stomach.
Weary sensation : in chest.
Empty feeling : of head ; of stomach and chest ; at pit of stomach ; at epigastrium.
Faint feeling : at pit of stomach.
Sinking : in pit of stomach.
Flabby feeling : in stomach.
Stiffness : of nape of neck ; of nucha and muscles (trapezius) on each side of this ligament.
Dryness : of skin ; of mouth.
Strumming : through limbs.
Quivering jerks : in deltoid muscle.
Trembling : in stomach.
Ringing : in ears.
Numb feeling : of arms ; of feet ; of legs.
Numb and stupid feeling : in brain.
Trickling : above pit of stomach.
Tingling : in anus ; in limbs.
Crawling, asleep sensation : in limbs.
Crawling : in pharynx ; low down in rectum.
Creeping sensation : in lower part of rectum.
Formication : in face.
Itching : of nose ; of anus ; in lower part of rectum ; in forepart of urethra ; on genitals ; on margin of prepuce.
Violent itching : over whole body ; in rectum.
Chilliness : in face ; on anus spreads to back ; of whole body or of posterior portions ; about knees.
Coldness : of nose ; of feet and legs ; of hands and feet up to knees.

Tissues

Inflammation of external parts.
External parts become black.
Hemorrhages, blood dark.
Anemia.
Painless swelling of glands.
Sensation as of dislocation in joints.
Chlorosis in sensitive, nervous and hysteric women, inclined to spasmodic and intermittent complaints ; induced by mental emotions, such as grief, fright, disappointed love.
Chlorosis : stomach very delicate ; œdema of lower limbs ; globus hystericus.
Suitable to persons who had been starving either from want or other causes.
Pains as if contused or sprained, or sensation as if flesh was loose on bones in consequence of blows.

Touch. passive motion. injuries

Generally < from slight touch ; > from hard pressure ; > from scratching.
Worse during passive motion, riding and after it.
Touch : scalp tender ; head painful ; region of pylorus sensitive ; cramp pains in uterus < ; heels when they come in contact feel cold ; simple, violent pain in small spot here and there, only noticed on touch ; stomach painful ; ulcers <.
Pressure : soft, > headache ; pains > ; pain in epigastrium ; pain in stomach < ; pain in left hypochondrium < ; uterine pains > ; ulcers > from hard pressure.
Slightest contact < cramps in stomach.
Frequently obliged to loosen clothing.

Skin

Great sensitiveness of the skin to a draft of air.
Itching : better from gentle scratching ; when getting heated in open air.
Fine pricking like flea bites.
Eruption on face.
Skin chafed, sore.
Chilblains, excoriation and vesicles.
Ulcers : painless ; discharge scanty ; burning ; generally < from slight touch, > from hard pressure.

Stage of life, constitution

Especially adapted to nervous temperament ; women of a sensitive, easily excited nature ; dark hair and skin, but mild disposition ; quick to perceive, rapid in execution.
The patient is sensitive, peevish, excitable, hysterical, with sanguine, nervous temperament ; is delicate ; falls easily in love ; is romantic ; bears trials meekly ; readily falls into clonic spasms after mental agitation.
Stands in same relation to children and women that Nux vom. does to sanguine, bilious men. [Obs. There are many more Ignatia persons in North America than Nux vom. persons, at least this side of Mason and Dixon's line. Hg.]
Healthy child, æt. 9 months ; mother suffering from nervous disorders ; spasms.
Child, æt. 1 1/2, mother had severe fright during pregnancy ; epileptiform spasms.
Boy, æt. 4, girl, æt. 6 ; epilepsy.
Boy, æt. 7, mild, quiet disposition, laconic in speech ; intermittent.
Girl, æt. 9, after fright ; spasms.
Boy, after fright : spasmodic affection.
Girl, æt. 10, blonde, graceful ; after fright ; epilepsy.
Boy, æt. 10, robust, but pale, had tapeworm after fright ; spasms.
Girl, æt. 10, after catching cold, pain in limbs, followed by gouty swellings of joints ; chorea.
Girl, æt. 11, sick eight days ; angina.
Girl, æt. 11 ; chorea.
Boy, æt. 12, suffering seven months ; chorea.
Girl, æt. 12, after being frightened by a fire ; spasms.
Girl, æt. 14 ; hysterical cramps.
Girl, æt. 17, weak ; affection of mind.
Man, æt. 17 ; tertian ague.
Colored girl, æt. 17 ; exophthalmus.
Girl, æt. 18, delicate appearance, white skin, somewhat pale face, menses regular, has suffered several years ; hysteria.
Italian girl, æt. 18, commenced menstruating at 12 ; four years ago in consequence of fright, epilepsy.
Girl, when five years old was pushed into a stream, the chill and fright bringing on violent fever ; followed a fortnight later by attacks from which she has since suffered ; menstruation set in at 14 without bringing relief ; epilepsy.
Man, æt. 19 ; quartan ague.
Girl, æt. 19 ; amenorrhœa.
Man, æt. 20, sanguine, choleric temperament, strong and well nourished, after deep mortification ; melancholy.
Girl, æt. 20, deformed ; affection of stomach.
Girl, æt. 20, sanguine temperament, very sensitive to joy or sorrow ; melancholy.
Girl, æt. 20 ; affection of mind.
Man, æt. 21, cheerful disposition, after fright ; epilepsy.
Woman, æt. 24, since fifteenth year suffering from attacks of headache, vertigo and vomiting ; for last two years after least mental disturbance, convulsions.
Nursing woman, æt. 24, after fright ; convulsions.
Woman, æt. 24, has conceived four times within the last seven months ; headaches.
Girl, æt. 25 ; after grief ; affection of stomach.
Woman, æt. 25, married eight years, but had never borne children ; hysteria.
Woman, æt. 26, very irritable, dark hair, delicate build, well educated, childless, has suffered since first appearance of menses ; dysmenorrhœa.
Woman, æt. 26, had ague three years ago, delicate, yellow skin, spleen enlarged, suffering four days ; intermittent fever.
Married woman, æt. 27, strumous, leuco-phlegmatic diathesis ; vaginismus.
Man, æt. 28, soldier, strong and healthy, coming from a swampy district ; tertian ague.
Woman, æt. 28, half year ago was greatly frightened by a cat which tore to pieces her canary bird ; affection of mind.
Woman, æt. 29, mother of two children, has suffered for several years ; hemorrhoids.
Woman, æt. 30, nervous temperament, irritable, lively and responsive disposition, after long nursing ; hysterical paraplegia.
Strong man, æt. 30, gardener ; facial neuralgia.
Delicate lady, has had children in rapid succession ; prosopalgia.
Lady artist, dark complexion, excessively nervous ; conjunctivitis.
Young widow, tall, slender, dark hair, eyes and skin ; affection of stomach.
Woman, after being cured of headache, pains in stomach and fluor albus, by Pulsat. ; affection of stomach.
Woman, suffering eleven years, since birth of first child ; hemorrhoids.
Woman, æt. 33, seven months pregnant with her fifth child ; puerperal convulsions.
Man, æt. 33, carpenter, after great mental excitement, eight years previously ; epilepsy.
Woman, æt. 34, during lactation ; affection of shoulder and knee.
Plethoric lady, æt. 35, mother of eleven children ; prosopalgia.
Woman, æt. 35, mother of three children, for three years ; tumor above knee.
Man, æt. 36, weak, after quarrelsome life ; epilepsy.
Woman, æt. 36, thin, weak, confined three weeks ago ; hemorrhoids.
Woman, æt. 37, corpulent, twelve years ago gave birth to child, since which time has been suffering ; affection of eyes.
Woman, æt. 39, unmarried, spare habit, bilious temperament ; headache.
Woman, æt. 40 ; affection of mind.
Patient, æt. 40 ; prosopalgia.
Woman, æt. 40, pregnant, after fright ; pain in epigastrium and abdomen.
Woman, æt. 42, from the country ; affection of mind.
Woman, æt. 42, subject to attacks of migraine, after typhoid fever ; ptyalism.
Woman, æt. 42 ; after being greatly frightened by seeing grandson carried into house apparently drowned ; affection of mind.
Woman, æt. 44, wife of inn keeper, after grief and much trouble ; melancholy.
Strong woman, æt. 46 ; ague.
Strong woman, æt. 46, blonde, after being angered and overheated ; spasms.
Strong, healthy woman, æt. 46 ; neuralgia of face.
Man, æt. 48, married, red hair, blue eyes ; headache.
Woman, æt. 50, sedentary habits, suffering for three months ; sciatica.
Manufacturer, æt. 54, after business embarrassments ; affection of mind.
Mrs. G., æt. 54, blonde ; leuco-phlegmatic ; rather fleshy ; passed climacteric four years ago ; till eight years ago healthy, since then subject to nervous periodical headaches.
Man, æt. 68, artist, thin and weak, sanguine and lively temperament ; affection of stomach.
Aged women, oversensitive to external impressions ; spinal affection (paralysis, fixed pain in spine) ; habitual constipation ; r. half of body weakest ; vertigo.

Relations

Antidoted by : Arnic., Camphor., Chamom., Coccul., Coffea , Pulsat .
It antidotes effects of brandy, coffee, chamomile tea, tobacco, Zincum .
Compatible : Arsen., Bellad., Calc. ostr., Cinchon., Lycop., Nux vom., Pulsat., Rhus tox., Sepia, Sulphur .
Incompatible : Coffea, Nux vom., Tabac .
Compare : Calc. ostr., Chamom., Coffea, Nux vom., Stramon .

Lectures on Homoeopathic Materia Medica

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

Lecture

Ignatia is frequently required and is especially suited to sensitive, delicate women and children; to hysterical women. You will not cure the natural hysterics with Ignatia, but you will cure those gentle, sensitive, fine fibred, refined, highly educated, overwrought women in their nervous complaints with Ignatia when they take on complaints that are similar to such symptoms as come in hysteria.

Hysterical diathesis

The hysterical diathesis is one that is very singular and difficult to comprehend.

But a woman, when overwrought and overexcited and emotional, will do things that she herself cannot account for. She will do things as if she were crazy in her excitement. Will do things she regrets, while the hysteric is always glad of it. No matter how much foolishness there is in it she has only made an exhibition that she is proud of. But our efforts go out for those who imitate them unconsciously. Those who will to do well.

A woman has undergone a controversy at home. She has been disturbed, is excited, and goes into cramps, trembles and quivers. Goes to bed with a headache. Is sick. Ignatia will be her remedy. When she has great distress; unrequited affections. A sensitive, nervous young girl finds out that she has misplaced her affections; the young man has disappointed her; she has a weeping spell, headache, trembles, is nervous, sleepless; Ignatia will make her philosophical and sensible.

A woman loses her child, or her husband. A sensitive, delicate woman, and she suffers from this grief. She has headaches, trembles, is excited, weeps, is sleepless; unable to control herself. In spite of her best endeavors, her grief has simply torn her to pieces. She is unable to control her emotions and her excitement.

Ignatia will quiet her and tide her over the present moment. In all of these instances where all of these conditions brought on from such troubles keep coming back, where your patient dwells upon them, dwells upon the cause, and the state keeps recurring, Natrum mur. will finish up the case.

It will nerve her up and help her to bear her sufferings. Especially useful in constitutions that have been over wrought at school, in science, music, art. Of course, it is natural for very sensitive girls to go into the arts, such as music, painting, etc.

A daughter comes back from Paris after a number of years close application to her music. She is unable to do anything. She flies all to pieces. Every noise disturbs her. She cannot sleep nights. Excitable, sleepless, trembles, jerks, cramps in the muscles; weeps from excitement, and from every disturbing word. Ignatia will tone her up wonderfully.

Sometimes it will complete the whole case. But especially in these oversensitive girls is Natrum mur. very commonly the chronic. It is the natural chronic of Ignatia. When the troubles keep coming back, and Ignatia comes to a place when it will not hold any longer.

Another place where Ignatia and Natrum mur. run close together. A sensitive, overtired girl, after she has been working in music, and in art, and in school, and has tired herself out, is unable to control her affections. Her affections rest on some one whom she would despise. That may be a singular thing, one may not be able to understand it.

A sensitive girl, though she would not let anyone but her mother know of it, falls in love with a married man. She lies awake nights, sobs. She says,

"Mother, why do I do that, I cannot keep that man out of my mind."

At other times a man entirely out of her station, that she is too sensible to have anything to do with, she just thinks about him. Ignatia, if it is very recent, will balance up that girl's, mind. If not, Natrum mur. comes in as a follower. We do not know half as much about the human mind as we think we do. We only know its manifestations.

These little things belong to this sphere of the action of this medicine. The one who knows the Materia Medica applies it in its breadth and its length, and sees in it that which is similar.

Ignatia has quivering in the limbs. Nervous, tremulous excitement.

"Weakness of the body coming on suddenly.

Hysterical debility and fainting fits.

Fainting in a crowd."

It is especially useful in the tearful, nervous, sad, yielding, sensitive minds.

"Jerking and twitching.

Convulsive twitchings."

Children are convulsed in sleep after punishment.

"Convulsions in children in the first period of dentition.

Spasms in children from fright."

The child is cold and pale, and has a fixed staring look, like Cina.

"Convulsions with loss of consciousness.

Violent convulsions.

Tetanic convulsions.

Tetanus after fright.

Emotional chorea.

After fright, or grief."

Choreic girls. Emotional epilepsy, or epileptiform manifestations. Paralytic weakness.

"Great mental emotion."

Nursing; night watching. A loss of one arm with as perfect paralysis as if it had come from a cerebral haemorrhage. In a few hours this passes off, and the arm is as well as ever. That is a hysterical paralysis.

"Numbness of one or the other arm.

Tingling and prickling in the arm."

Ignatia is full of surprises. If you are well acquainted with sickness, well acquainted with pathological conditions and that manifestations, you are then able to say whether you should or should not be surprised. You are then able to say what is natural, what is common to sickness. In Ignatia you find what is unnatural, and what is unexpected.

You see an inflamed joint, or an inflamed part where there is heat, redness, throbbing, and weakness; you will handle it with great care for fear it will be painful. Ordinarily you have a perfect right to expect it would be painful. But you find it is not painful, and sometimes ameliorated by hard pressure. Is not that a surprise?

You look into the throat. It is tumid, inflamed, red; the patient complains of a sore throat and pain. Naturally you will not touch it with your tongue depressor for fear it will hurt.

You have every reason to suppose that the swallowing of solids will be painful. But you ask the patient when the pain is present, and the patient will say:

"When I am not swallowing anything solid."

The pain is ameliorated by swallowing anything solid, by the pressure. It pains all other times. Mentally, the patient does the most unaccountable and most unexpected things. Seems to have no rule to work by, no philosophy, no soundness of mind, and no judgment. The opposite of what would be expected, then, will be found.

The patient is better lying on the painful side. Instead of increasing the pain, it relieves the pain.

"Pain like a nail sticking into the side of the head."

The only comfort that is felt is by lying upon it, or pressing upon it, and that makes it go away.

Stomach

The stomach is just as strange in its indigestion. Some day or other you will have a queer patient, vomiting everything taken into the stomach, and you will have her try gentle food, a little toast, and the simplest possible things, because she has been vomiting for days and people begin to worry about it for fear she will starve to death.

You try this, and you try that, and she can keep nothing down. Finally she says,

"It I could only have some cole slaw and some chopped onions, I think I could get along all right."

It is a hysterical stomach, and the patient eats some raw cabbage and some chopped onions, and from that time on she is well.

Those strange things that are ordinarily hard to digest ameliorate the nausea rather than increase it. While milk and toast, and delicate things, and warm things, such as are usually taken, disturb the stomach and increase the nausea. Cold food is craved, and cold food will be digested when warm food will be disturbing and create indigestion.

Cough

The cough has similar features in it. An irritation will come in the throat, as a rule, that is why people cough.

People cough from smarting in the larynx and trachea, from irritation, from tickling, and from a sensation of fullness or a desire to expel something, and this is better by coughing.

But when the irritation in the larynx and trachea comes in the Ignatia patient you have the unexpected again; because the more she coughs the more the irritation to cough is observed, until the irritation is so great and the cough is so great that she goes into spasms. It has been known of an Ignatia patient, that the more she coughed the greater the irritation to cough, and she was drenched with sweat, sitting up in bed with her night-clothes drenched, gagging and coughing and retching, covered with sweat and exhausted.

When you are called to the bedside of such a patient, don't wait. You cannot get her to stop coughing long enough to say anything to you about it, only you will see the cough has grown more violent; Ignatia stops it at once. Without any provocation whatever a spasmodic condition will come on in the larynx.

Any little disturbance, a mental disturbance, a fright, or distress, or a grievance, will bring a young, sensitive woman home and to her bed, and she will go on with a spasm of the larynx. It is a laryngismus stridulus that can be heard all over the house. Ignatia stops it at once ( Gelsemium, Moschus).

Mind

Nervous affections and troubles of all sorts come on at the menstrual period. The mind is always in a hurry, in a state of excitement.

No one can do things rapidly enough. The memory is untrustworthy. The mind flies all to pieces. It is a sort of confusion. No longer able to classify the things that have been classically put into the mind. Cannot remember her music, and her rules, and her scholastic methods. They have all vanished, and she is in a state of confusion. She is a worn-out, nervous person.

Then come fancies, vivid fancies, that are like delirium. Without fever, without chill. just after excitement. She comes home from some great disturbance of her emotions, and goes into a state that, if looked upon, per se, would appear to be a delirium such as appears in a fever. But upon close examination it is not a delirium. It is a momentarily hysterical excitement of the mind, in which the balance is lost, and she talks about everything.

Sees every manner of thing; it is a hysterical insanity, because after she rests or the next morning it has vanished. But these spells come oftener and oftener after they have once begun, and she gives way to them easier and easier, and, if they are not remedied, she becomes a lunatic, a confirmed mental wreck, so that excitement, grief, insanity, all intermingle together as cause and effect. These come first at the menstrual period, and then they come at other times, until they come from every little disturbance. Whenever she is crossed or contradicted.

"She desires to be alone and to dwell on the inconsistencies that come into her life.

Sits and sobs.

At times she is taciturn; again, she prattles and is loquacious, and talks to herself."

She comes into a state in a little while where she delights to bring on her fits and to make a scare. The natural hysteric is born with that, and Ignatia will do her no good. But when this is brought on from conditions described, Ignatia is of the greatest benefit. It runs closely along by the side of Hyoscyamus.

"A feeling of continuous fright, or apprehensiveness that something is going to happen."

With all these mental states she has a feeling of emptiness in the stomach and abdomen. Emptiness and trembling.

"Melancholy after disappointed love, with spinal symptoms,"

"Great grief after losing persons or objects very near.

Trembling of the hands disturbs her very much in writing.

Dread of every trifle."

She goes into a state where she is utterly unable to undertake anything, even to write a letter to a friend.

The Ignatia patient is not one that has been a simpleton, or of a sluggish mind or idiotic, but one that has become tired, and brought into such a state from over-doing and from over-excitement. From going too much. If rather feeble in body, from too much social excitement. Our present social state is will calculated to develop a hysterical mind. The typical social mind is one that is always in a state of confusion. Asks questions, not waiting for the answer.

A good many remedies have this state; a lack of concentration of mind, that is what it is, but this is a peculiar kind of lack of concentration of mind. Dread, fear, anxiety, weeping, run through the remedy.

"Sensitive disposition; hyperacute."

Overwrought intense. Ignatia has another thing:

"Thinks she has neglected some duty."

That is very much like Puls., Hell. and Hyos., only Aurum believes that she has committed a great wrong.

"Thinks that she has neglected some duty."

Dwells upon that much.

"Melancholy after great grief."

It is full of headaches, and they are all congestive, pressing headaches, or tearing headaches, or headaches as if a nail were sticking into the side of the head or temple; ameliorated from lying upon it. The headaches are all ameliorated by heat. The patient generally is ameliorated by warmth and aggravated by cold. Wants cold things in the stomach, but warm things externally. Jerking headaches, throbbing headaches, congestive headaches.

Headaches in nervous and sensitive temperaments. Those whose nervous system has given way to anxiety, grief or mental work.

"Headaches from abuse of coffee, from smoking, from inhaling smoke, from tobacco or alcohol."

Headache from close attention.

"Headache ameliorated, by warmth and rest; worse, from cold winds and turning the head suddenly; worse when pressing at stool, or from jar, from hurrying, from excitement."

Looking up increases the pain; moving the eyes; worse from noise, from light.

"Pain in the occiput; worse from cold, better from external heat.

Headache better while eating, but soon after it is worse."

"Disturbance of vision.

Zigzags.

Confusion of vision."

Excessively nervous eyes.

"Acrid tears.

Weeping."

Face

The face is distorted, convulsed, pale and sickly. Pains in the face.

"Violent rending, tearing pains in the face."

Let me put it this way: Some of these overwrought girls that come back from Paris, that I described, overworked in their music, will have violent face-ache, pains in the face, or some other hysterical pains. Others will come back with violent headaches; others with the mental state and confusion; others with all the hysterical manifestations.

Prolonged excitement. Musical excesses. Yes, other girls come back fairly crippled with painful menstruation, ovarian pains, hysterical conditions, displacement; prolapsus of the vagina and of the rectum.

"Tearing, shooting pains upwards from the anus and vagina up into the body towards the umbilicus."

Strange antipathies run through the remedy. It will be impossible for you to ever form any conclusion what one of these sensitive women will think of any proposition that is presented. You cannot depend upon her being reasonable or rational.

It is best to say as little as possible, about anything. Make no promises, listen, look wise, take up your traveling bag and go home after you have prescribed, because anything you say, will be distorted. There is not anything you can say that will please

Thirst when you would not expect it. Thirst during chill, but none during the fever, if she has a feverish state. It is suitable in intermittent fever. Excitable, nervous children and women with intermittent fever.

The Therapeutics of Fevers

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

Characteristic

Especially adapted to the nervous temperament; women of a sensitive, easily excited nature; dark hair and skin, but mild disposition; quick to perceive, to execute. In striking contrast with the fair-complexioned, yielding, lachrymose, but slow and indecisive Pulsatilla.

The remedy of great contradictions: the roaring in ears $>$ by music; the piles $>$ when walking; sore throat feels $>$ when swallowing; empty feeling in stomach not $>$ by eating; cough $<$ the more he coughs; cough on standing still during a walk (Ast. fl.); spasmodic laughter from grief; sexual desire with impotency; thirst during a chill, no thirst in the fever; the color changes in the face when at rest.

Mental conditions rapidly, in an almost incredibly short time, change from joy to sorrow, laughing to weeping (Croc., Nux m.).

Persons mentally and physically exhausted by long concentrated grief; involuntary sighing, and a weak, empty feeling at pit of stomach, not $>$ by eating.

Desire to be alone.

Finely sensitive mood, delicate conscientiousness.

Inconstant, impatient, irresolute, quarrelsome.

Amiable in disposition if feeling well, but easily disturbed by very slight emotion; easily offended.

The slightest fault finding or contradiction excites anger, and this makes him angry with himself.

Bad effects: of anger, grief, or disappointed love (Cal. p., Hyos.); from bad news, from vexation with reserved displeasure; from suppressed mental sufferings; of shame and mortification; broods over imaginary trouble in solitude.

Children: when reprimanded, scolded, sent to bed, get sick or have convulsions in sleep.

Headache, as if a nail were driven out through the side, relieved by lying on it (compare, Cof., Nux, Thuja).

Cannot bear tobacco; produces or $<$ headache (Lob.).

In talking or chewing, bites inside of cheek.

Sweat on the face, of a small spot only, while eating.

Prolapsus ani from moderate straining at stool (Nit. ac., Pod., Ruta).

Constipation: from carriage riding; of a paralytic origin; excessive urging, felt more in upper abdomen (Ver.); with great pain, dreads to go to closet; women who are habitual coffee drinkers.

Hemorrhoids: prolapse with every stool, have to be re-placed; sharp stitches up the rectum (Nit. ac.); < for hours after stool (Rat., Sul.).

Cough: dry, spasmodic; after warm drinks; every time he stands still during a walk; the longer he coughs the more the irritation to cough increases.

Twitchings, jerkings, even spasms of single limbs or whole body, when falling asleep.

Pain; in small circumscribed spots; oversensitive to (Cof., Hep.).

In most cases Ignatia should be given in the morning.

Relations

Incompatible: Cof., Nux, Tab.

Ignatia bears the same relation to the diseases of women that Nux does to sanguine, bilious men.

There are many more Ignatia persons in North America than Nux vomica persons.—HERING.

Aggravation

Tobacco; coffee; brandy. Contact; motion; strong smells; mental emotions, grief, etc.; cold air.

Amelioration

Warmth; hard pressure; lying on the back.

Type

Quotidian; tertian; quartan. Irregular; continually changing, especially by the abuse of Quinine (Eup.).

Postponing or anticipating; the former the rule, the latter the exception (postpones or anticipates, Gamb.). Typhoid.

The attacks are irregular both in periodicity and evolution of stages. Return each spring after suppression by Quinine.

Time

Irregularity of hour, characteristic. Paroxysm at sunset. late in afternoon or evening; then fever heat nearly all night. At all periods.

2 P. M., 4 to 5 P. M., and 9

P. M. Regular—every day at same hour.

Morning fever, without chill.

Not characteristic, chill late in afternoon or evening. Irreg- ular—anticipates or postpones.

Morning fever, with chill.

Prodrome

Violent yawning and stretching; sometimes terrible shuddering.

No symptoms.

Yawning and stretch- ing.

Chill

Always with great thirst for large quantities of water (same, but in all stages, Bry.—before and during chill, Caps., Carbo v., Eup.), only during chill (if thirst in any other stage, it is light and in short spells). Chill commences in upper arms and spreads to back and chest (in both arms at once, Bell.—in hands and feet, Gels.—chill begins in and spreads from arms; goose-flesh; hot face; drowsy; motion; < by getting out of bed Hell.). Chilly at sunset; chilly in cool air; very cold all over, with one-sided headache. Shaking chill, with redness of the face, in the evening. Coldness and chilliness of whole body, or only of posterior portions, > at once in a warm room or by a warm stove (Kali c.). Chilliness on the back, and over upper arms, with heat of ears; about the knees, which are cold externally; in the face and on the arms, with chattering of teeth and goose-flesh; feet and legs, thigh and forearm; chill of single parts only (chill and heat of single parts, Bell., Rhus); proceeding from the abdomen (most severe in abdomen, Meny.—from the stomach, Cal.—running to and terminating in the stomach, Arn.). During the chill: ill humor, colic, nausea, vomiting of food, mucus and bile (rare); great paleness of face; pain in back; lameness of lower limbs. Chill and coldness aggravate the pains. External coldness, internal heat, or internal chill with external heat.

"The febrile coldness relieved by external warmth is characteristic of Ignatia."—HAHNEMANN.

Without thirst; commenc- ing in hands and feet. Chills follow each other in wave-like rapid succes- sion up the spine from sacrum to occiput.

With great thirst; com- mencing in upper arms and spreads to back. Shaking chill with red face, relieved at once in warm room or by heat of stove.

Heat

Without thirst. Heat of the whole body in the afternoon, without thirst, with sensation of dryness of the skin. External heat and redness, without internal heat. Sudden flushes of heat over the whole body. External warmth is intolerable (Puls.); must be uncovered as soon as heat begins (Acon., Sec.). One ear, one cheek, and side of the face red and burning (one cheek red and hot, the other cold and pale, Cham.); hot knees with cold nose; heat of the face, with coldness of the hands and feet; continuous quick alternations from heat to cold. Heat and coldness of single parts (Apis, Bell.). Deep snoring sleep during heat (Apis, Op.); frequent sighing; beating headache; vertigo, delirium; pain in stomach and bowels; vomiting of ingesta, with coldness of the feet and spasmodic twitching of the extremities. Urticaria over the whole body, with violent itching, easily $>$ by scratching, which disappears with the sweat (itching, stinging, nettle-rash before and during chill, Hep.—during chill and heat, Rhus—see Dul.). Patient is hungry after the fever (Eup.).

"The heat of Ignatia is almost always external; also, there is very seldom thirst with this heat, even in intermittent fever; hence Ignatia is able to cure homeopathically and permanently in the smallest dose, intermittent fever which presents thirst during chill but not during heat."—HAHNEMANN.

Without thirst. Flying heat and flushes followed by per- spiration.

Without thirst. External heat and redness, without internal heat.

Sweat

Without thirst; warm perspiration of extremities; usually light, though general. Fainting during sweat, or as the heat passes into sweating stage. Sweat when eating. Sensation as if sweat would break out over the whole body, which, however, does not follow. Warm perspiration on the hands, or on the inner surface of the hands and fingers, in the evening; at times cold, but generally warm and sour-smelling.

Profuse, coming on grad- ually, relieving all the pains.

Light, warm, chiefly on extremities, or of the face only.

Tongue

Clean. Saliva has a sour taste. Food tasteless.

Yellowish-white, breath fetid. Saliva blood-colored.

Clean. Saliva has a sour taste. Food tasteless.

Apyrexia

Complete. The face is pale; eruption on the lips and in the corners of the mouth; lips dry and chapped; hungry about 11 A. M. (Sul.), but little or no appetite at time of meals; aching pain in pit of stomach; colic, with hard stools and ineffectual urging; pain in back and limbs; languor, apathy, giving away of the knees, starting in sleep, or sound sleep with snoring. The sleep usually continues from the heat during and through sweating stage, into apyrexia. All pain and headache aggravated by tobacco and coffee.

"During the chill thirsty, seeks external warmth; during the fever heat, no thirst, external warmth very pleasant; sitting up relieves the chill."—HAHNEMANN.

Ignatia is adapted to recent mild cases, or long-lasting and complicated ones, particularly those occurring among women and young people of a highly nervous organization. No remedy has thirst during chill and in no other stage, chill relieved by external heat, and heat aggravated by external covering, so prominently marked as Ignatia. The Ignatia patient is able to resume his occupation as soon as paroxysm is over. Ignatia is indicated if the tertian type has become quartan after taking large doses of

Quinine.

Gelsemium.

Often wanting or very short. Intermittents often become remittents.

Ignatia.

Complete. Face is very pale. One type frequently changes to another.

Analysis

Red face during chill (Fer.); chill, with thirst dur- ing chill only; $<$ by external heat; heat without thirst, $<$ by covering ($>$ by covering, Nux).