Kali Bichromicum kali-bi.

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

MUCOUS MEMBRANES: Air passages. NOSE. Pharynx. Stomach. Duodenum. Fibrous tissue. Ligaments. JOINTS. Skin. Circulation. Kidneys. Root of nose, tongue, or penis, etc.

Worse

COLD: Damp. Open air. Spring. Undressing. MORNING; after sleep. 2-3 A.M. Protruding tongue (Cist.). Hot weather. Alcohol. Beer. Suppressed catarrh.

Better

Heat. Motion.

General

Slow, deep processes; little fever, but great weakness. Sickly, chilly and cachectic. Fair, fat and sluggish. Bitings, like bugs. ADHESIVE SECRETIONS; STICKY taste, expectoration, leucorrhœa, foot-sweat, etc. STRINGY, TOUGH, lumpy or thick discharges. Fibrous exudates going downward. Yellow, eyes, vision, tongue, etc. Slow reaction. Heaviness. Crusts in nose, on skin, etc. Pains in small spots; jump about and finally attack stomach. Sharp stitches. Ascending; gastric pains, chills, heats, etc. Furred membranes. Old catarrhs. Ulcers; with dark dots, deep, perforating, round; look punched out; septal; peptic; with overhanging edges or thick crusts. Like a solid block on forehead. As of a hair on tongue, in nostril, etc. Internal itching; vagina, lungs, etc. Cracking joints.

Particulars

Indifferent. Indolent. Pains outward along (r) brow. Bristling hair. Blindness, then pain over one eye, < cold, > pressing on root of nose. Migraine. Vision seems crossed, > looking with one eye. Eye-lids red, itching, swelled, granular. Nose pains at bridge or root; pressure or stuffed at root; retains foul secretions. Abscess. Ozœna. Nasal discharges, acrid; profuse; green clinkers. Nasal diphtheria. Snuffles. Radiating toothache; with swelled glands. Tongue, glistens; cracked, smooth or heavy, lemon yellow cast; pains when protruded. Sticky mouth. Sweet, metallic taste. Hawks thick mucus; must wipe it away. Œdema of uvula. Fissured pharynx. Throat; dry; burning in; something sticks in; with pains into neck and shoulders. Craves beer. Regurgitates liquids. Vomits bright yellow water. Sore spot in stomach, or food lies like a load. Constriction from liver to shoulder. Gelatinous stools or gushes of brown, frothy water, then burning and tenesmus, < after rising. Heavy kidneys. A drop remains after urinating. Constriction at root of penis. Acrid leucorrhœa. Milk is stringy. Hoarseness. Laryngitis. Tickling cough, after eating; with eructations; > heat; then vertigo. Under sternum; rawness; pains through to back. As of a bar across chest. Asthma. Deep cough with stringy expectoration. Heart weak; feels cold. Paralytic weakness of hands. Sciatica, < flexing leg. Sore heels. Pains along border of foot. Stubborn suppuration. Pustules with black apices. Skin, > in cold air. Hot flushes, then sticky sweat, then chill. Cold sweat on hands and feet. Chill with sweat.

Related

Complementary: Ars. Pho. Psor. Related: Kali-c. Merc. Phyt. Pul.

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

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

Keynote

Fat, light-haired persons who suffer from catarrhal, syphillitic or psoric affections. Fat, chubby, short-necked children disposed to croup and croupy affections. Affections of the mucous membranes - eyes, nose, mouth, throat, bronchi, gastro-intestinal and genito-urinary tracts - discharge of a tough, stringy mucus which adheres to the parts and can be drawn into long strings (compare Hyd., Lys.). Complaints occurring in hot weather. Liability to take cold in open air. Rheumatism alternating with gastric symptoms, one appearing in the fall and the other in the spring; rheumatism and dysentery alternate (Abrot.). Pains: in small spots, can be covered with point of finger (Ign.); shift rapidly from one part to another (Kali s., Lac c., Puls.); appear and disappear suddenly (Bell., Ign., Mag. p.). Neuralgia every day at same hour (Chin. s.). Gastric complaints: bad effects of beer; loss of appetite; weight in pit of stomach; flatulence; < soon after eating; vomiting of ropy mucus and blood; round ulcer of stomach (Gym.). Nose: pressive pain in root of nose (in forehead and root of nose, Stict.); discharge of plugs, "clinkers;" tough, ropy, green fluid mucus; in clear masses, and has violent pain from occiput to forehead if discharge eases. Ulceration of septum, with bloody discharge or large flakes of hard mucus (Alum., Sep., Teuc.). Diphtheria: pseudo-membranous deposit, firm, pearly, fibrinous, prone to extend downwards to larynx and trachea (Lac c. - reverse of, Brom.). Oedematous, bladder-like appearance of uvula; much swelling, but little redness (Rhus). Cough: violent, rattling, with gagging from viscid mucus in the throat; < when undressing (Hep.). Croup: hoarse, metallic, with expectoration of tough mucus or fibro-elastic casts in morning on awakening; with dyspnoea, > by lying down (worse when lying down, Aral., Lach.). Deep-eating ulcers in fauces; often syphilitic. Headache: blurred vision or blindness precedes the attack (Gels., Lac d.); must lie down; aversion to light and noise; sight returns as headache increases (Iris, Nat., Lac d.). Prolapsus uteri, seemingly in hot weather. Sexual desire absent in fleshy people.

Relations

Compare: Brom., Hep. Iod. in croupy affections. After: Canth. or Carb. ac. has removed the scrapings, in dysentery. After: Iod. in croup, when hoarse cough, with touch membrane, general weakness and coldness are present; Cal. in acute or chronic nasal catarrh. Ant. t. follows well in catarrhal affections and skin diseases.

Aggravation

Heat of summer; hot weather.

Amelioration

Skin symptoms are better in cold weather (reverse of, Alum. and Pet.).

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)

Eyes

Smarting, burning pain in the eyes. Inflammation of the lids; agglutination of, in the morning. Dryness and feeling of sand in the eyes. Various colors and bright sparks before the eyes.

Ears

Violent tickling and itching in. Redness; heat and itching of external ears; discharges from. Hard, painful swelling of the parotid gland.

Chest

Throat dry and rough, with great hoarseness or aphonia. Expectoration is very glutinous and sticky; adhering to the fauces, teeth, tongue, and lips, finally leaving the mouth in a long, stringy and very tenacious mass. This expectoration sticks in the chest so as to almost cause strangulation; it is found in croup, whooping cough, catarrhs, discharges from ulcers, and even in leucorrhœa. Sniffles of infants, particularly in fat, chubby, little babes, where there is a tough, stringy discharge from the nose, etc. Stitching pains.

Skin

Dryness of, with itching of the whole body. Yellow, scaly, itching spots. Herpes.

Generalities

Stinging pain; aching pain as from bruises. Pulsations felt in all the arteries. Liability to take cold in the open air; drowsy in the open air.

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

Discharges from nose, mouth, vagina, or any other mucous membrane, of a tough, stringy mucous, which sticks to the parts and may draw out in long strings. Sensation as if the nose were swollen and stiff, and as if a heavy weight were hanging from it. Membranous and diphtheritic croup; invading larynx, trachea and bronchi. Cough worse when undressing; better after getting warm in bed; worse in the morning on waking; wheezing and panting, then violent cough, with retching and expectoration of stringy viscid mucus. Especially useful in fat, light haired persons; fat chubby children. Ulceration deep, as if cut out with a punch, edges regular.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Bichromate of Potash (KALI BICHROMICUM)

General

The special affinities of this drug are the mucous membrane of stomach, bowels, and air-passages; bones and fibrous tissues. Kidneys, heart, and liver are also affected. Incipient parenchrymatous; nephritis. Nephritis with gastric disturbances. Cirrhosis of liver. Anæmia and absence of fever are characteristic. General weakness bordering on paralysis. It is especially indicated for fleshy, fat, light complexioned persons subject to catarrhs or with syphilitic or scrofulous history. Symptoms are worse in the morning; pains migrate quickly, rheumatic and gastric symptoms alternate. More adapted to subacute rather than the violent acute stage. Mucous membranes everywhere are affected. Catarrh of pharynx, larynx, bronchi and nose, and a tough, stringy, viscid secretion is produced, which condition is a very strong guiding symptom for this drug. Perforation of the septum. Chronic atonic catarrh. Polypus. Dilatation of stomach and heart.

Head

Vertigo with nausea when rising from seat. Headache over eyebrows, preceded by blurred vision. Aching and fullness in glabella. Semilateral headache in small spots, and from suppressed catarrh. Frontal pain; usually over one eye. Bones and scalp feel sore.

Eyes

Supra-orbital neuralgia, right side. Eyelids burn, swollen, œdematous. Discharge ropy and yellow. Ulcers on cornea; no pain or photophobia. Descemetitis, with only moderate irritation of eye. Croupous conjunctivitis; granular lids, with pannus. Iritis, with punctuate deposits on inner surface of cornea. Slight pain, with severe ulceration or inflammation (Conium opposite).

Ears

Swollen, with tearing pains. Thick, yellow, stringy, fetid discharge. Sharp stitches in left ear.

Nose

Snuffles of children, especially fat, chubby babies. Pressure and pain at root of nose, and sticking pain in nose. Septum ulcerated; round ulcer. Fetid smell. Discharge thick, ropy, greenish-yellow. Tough, elastic plugs from nose; leave a raw surface. Inflammation extends to frontal sinuses, with distress and fullness at root of nose. Dropping from posterior nares (Hydr). Loss of smell. Much hawking. Inability to breathe through nose. Dryness. Coryza, with obstruction of nose. Violent sneezing. Profuse, watery nasal discharge. Chronic inflammation of frontal sinus with stopped-up sensation.

Face

Florid complexion. Blotchy, red appearance. Acne (Juglans; Kal ars). Bones sensitive, especially beneath orbits.

Mouth

Dry; viscid saliva. Tongue mapped, red, shining, smooth, and dry, with dysentery; broad, flat, indented, thickly coated. Feeling of a hair on tongue.

Throat

Fauces red and inflamed. Dry and rough. Parotid glands swollen. Uvula relaxed, œdematous, bladder-like. Pseudo-membranous deposit on tonsils and soft palate. Burning extending to stomach. Aphthæ. Diphtheria, with profound prostration and soft pulse. Discharge from mouth and throat, tough and stringy.

Stomach

Nausea and vomiting after beer. Load immediately after eating. Feels as if digestion had stopped. Dilatation of stomach. Gastritis. Round ulcer of stomach. Stitches in region of liver and spleen and through to spine. Dislikes water. Cannot digest meat. Desire for beer and acids. Gastric symptoms are relieved after eating, and the rheumatic symptoms reappear. Vomiting of bright yellow water.

Abdomen

Cutting pain in abdomen, soon after eating. Chronic intestinal ulceration. Soreness in right hypochondrium, fatty infiltration of liver and increase in soft fibrous tissue. Painful retraction, soreness and burning.

Stool

Jelly-like, gelatinous; worse, mornings. Dysentery; tenesmus, stools brown, frothy. Sensation of a plug in anus. Periodic constipation, with pain across the loins, and brown urine.

Urinary

Burning in urethra. After urinating a drop seems to remain which cannot be expelled. Ropy mucus in urine. Urethra becomes clogged up. Congestion of kidneys; nephritis, with scanty, albuminous urine and casts. Pyelitis; urine mixed with epithelial cells, mucus, pus, or blood. Hæmatochyluria.

Male

Itching and pain of penis, with pustules. Ulcers, with paroxysmal stitches; aggravated at night. Constriction at root of penis, at night on awakening. Syphilitic ulcers, with cheesy, tenacious exudation. Erections (Picric ac).

Female

Yellow, tenacious leucorrhœa. Pruritus of vulva, with great burning and excitement. Prolapsus uteri; worse in hot weather.

Respiratory

Voice hoarse; worse, evening. Metallic, hacking cough. Profuse, yellow expectoration, very glutinous and sticky, coming out in long, stringy, and very tenacious mass. Tickling in larynx. Catarrhal laryngitis cough has a brassy sound. True membranous croup, extending to larynx and nares. Cough, with pain in sternum, extending to shoulders; worse when undressing. Pain at bifurcation of trachea on coughing; from mid-sternum to back.

Heart

Dilatation, especially from coexisting kidney lesion. Cold feeling around heart (Kali nit).

Back

Cutting through loins; cannot walk; extends to groins. Pain in coccyx and sacrum extending up and down.

Extremities

Pains fly rapidly from one place to another (Kali sulph; Puls). Wandering pains, along the bones; worse cold. Left-sided sciatica; better, motion. Bones feel sore and bruised. Very weak. Tearing pains in tibia; syphilitic rheumatism (Mez). Pain, swelling and stiffness and crackling of all joints. Soreness of heels when walking. Tendo Achilles swollen and painful. Pains in small spots (Oxalic ac).

Skin

Acne. Papular eruptions. Ulcer with punched-out edges, with tendency to penetrate and tenacious exudation. Pustular eruption, resembling smallpox, with burning pains. Itching with vesicular eruption.

Modalities

Better, from heat. Worse, beer, morning, hot weather, undressing.

Relationship

Compare: Tart emet; Brom; Hepar; Ind; Calc; Ant cr. In the production of false membranes compare: Brom; Ammon caust; Sulph ac; Ipecac.

Antidotes: Ars; Lach.

Dose

Third trituration, also thirtieth attenuation and higher.

The lower preparations of this salt should not be kept too long.

Leaders in Homoeopathic Therapeutics

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

Leaders

Affections of the mucous membranes with discharge of tough, stringy, adherent mucus, which can be drawn out into long strings.

Formation of jelly-like mucus on mucous membranes.

Round deep ulcers, as if cut out with a punch.

Diphtheritic membranes on mucous surfaces.

Migratory pains, which appear and disappear suddenly.

Pains appear in small spots, which can be covered by a silver dollar or the point of the finger, especially in the sick headache, which is preceded by blindness.

Yellow coating at base of the tongue; or dry, smooth, glazed, cracked tongue.

Rheumatism alternating with dysentery or diarrhœa.

Gastric complaints; bad effects of beer; loss of appetite; weight in pit of stomach; flatulence.

Nose; pressing pain in root of nose; discharge of "clinkers", plugs.

"Affections of any mucous membrane with discharges of tough, stringy, adherent mucus, which can be drawn out into long strings." No remedy has this more prominently than this one. Hydrastis comes near to it, and Lyssin may approach it when from the mouth or throat; also Iris versicolor.

But Kali bich. produces and cures this kind of discharge from nose, mouth, fauces, pharynx, larynx, trachea, bronchi, vagina and uterus.

And the action of the drug does not stop here but goes on to the formation of tough membrane, on the same surfaces. Again it causes and cures ulcerations of the mucous membranes. These ulcers are peculiar, "deep as if cut with a punch, edges regular." I remember one case of years ago in which such ulcers appeared in the throat of a woman. One had eaten up through the soft palate into the posterior nares, and the whole palate looked as though it would be destroyed by the ulcerative process if not speedily checked. The case had a syphilitic look to me and had been under the treatment of two old school physicians for a long time. I gave Kali bich. 30th, and to say that I was astonished at the effect (for it was in my early practice) is putting it mildly, for the ulcers healed so rapidly, and her general condition, which was very bad, correspondingly improved, that it three weeks from that time she was well to all appearance and never had any return of the trouble afterwards, or for years, at least as long as I knew her. I forgot to state that she also had the stringy discharge, though not so profuse as I have often seen in other cases.

I once cured a dog that had a sore mouth and throat, from which the saliva hung in strings, and dragged on the ground as he staggered along. People who saw him said he was mad, but I think not, as he did not snap or bite or have suffocating spasms.

Kali bichromicum is one of our sheet anchors in the treatment of disease of the mucous membrane of the nose. Not only in inflammations of an acute character, which are attended with stringy discharges, but also of a chronic kind known as "chronic catarrh." In these cases the patient often complains of much pressure at the root of the nose (Sticta pulm.), and especially if an habitual discharge becomes suddenly suppressed. Slugs and clinkers form in the nose, which form again and again after removal. Sometimes there discharge tough green masses or hard plugs. This process of chronic inflammation may go on from bad to worse, until ulceration sets in to such an extent that the whole septum may ulcerate away. I have known a case in which the apparently "punched out" ulcers ate a hole right through the septum. This may be syphilitic or not. If in syphilitic cases the destructive process should attack the bones, Kali bich. may still be of use, thigh I should expect to be obliged to resort to Aurum met. or some more deeply acting remedy.

I have likewise found in those troublesome cases of chronic post-nasal catarrh, where the dropping back into the throat is stringy, or those crusty or pluggy formations occur, this to be a good remedy, and it has gained me some fast friends.

In its formation of membranes in the throat it is as positive as any other remedy, and when the membrane extends downward into the larynx, causing membranous croup, I believe no remedy excels it. I have with it cured many cases of diphtheritic croup, and of late years never give it below the 30th Potency, because abundant experience has convinced me that it does better than the low triturations.

Kali bichromicum has been of use in the treatment of stomach troubles. The vomiting is often of the ropy character, and here also, as in nose, mouth and throat, we may have formed "round ulcers" But short of actual ulceration we have a form of dyspepsia, in which this remedy is very useful. It is often found in drunkards, especially beer drunkards. There is great weight in the stomach, fullness, a distress immediately after eating (like Nux moschata), but not like Nux vomica, which comes on two or three hours after, nor like Anacardium, which also comes on two or three hours after eating, and then the pain continues until he eats again, which relieves.

There are two appearances of the tongue which may be present in conjunction with these stomach troubles; one is a yellow coating at the base (Mercurius prot. and Natrum phos.), the other a dry smooth glazed or red cracked tongue. This latter tongue is found more often in connection with dysentery in which Kali bich. has sometimes done good service.

There is one kind of discharge which comes from mucous membranes of which I have not yet written, "jelly-like mucus." (Aloe socotrina). It may come from nose, posterior nares, vagina or anus. This is especially found in dysentery where the stools have by some other remedy changed from an appearance "like scrapings" to the jelly-like form. Of course leucorrhœas of both the ropy and jelly-like variety come under this remedy and many fine cures have resulted from its use. It is no less so in affections of the respiratory organs, in coughs, croup, bronchitis, asthma, and even in consumption. The chromic acid element in this combination of Kali seems responsible for the ropy mucus, as no other Kali has it in any such degree.

There are a few more points about this remedy that ought not to be omitted. The pains are peculiar. They appear in small spots, which can be covered with the point of a finger. This is markedly so with the pains in the head. In sick headache often so. Farrington says: "There are quite a number of remedies having blind headache, but Kali bichromicum is the best of them." The blindness comes on before the headache; then, as the headache begins, the blindness disappears. (See Iris versicolor and Natrum mur.) Then the pain settles in a small spot, and is very intense. Again, the pains of Kali bichromicum appear and disappear suddenly. This is like Belladonna. Then, again, they fly from one place to another like Pulsatilla. There are five remedies having markedly wandering or erratic pains, viz.: Kali bichromicum, Kali sulphuricum, Pulsatilla, Lac caninum and Manganum aceticum. Kali bichromicum does not stay as long in a place as Pulsatilla does, nor is there so much disposition to swell. Kali sulphuricum is most like Pulsatilla in all its symptoms (see Boericke & Dewey's Twelve Tissue Remedies). The Manganum pains shift crosswise from joint to joint, while Lac caninum alternates sides, being worse on one side one day and on the other the next, etc. Then, again, Kali bichromicum alternates symptoms; for instance, rheumatic and dysenteric symptoms alternate. (Also, Abrotanum). Platina alternates back symptoms, with general mind and bodily symptoms.

Kali bichromicum is particularly adapted to fat, light-haired persons, or children disposed to catarrhal, croupy, scrofulous or syphilitic affections. Dr. Drysdale deserves much credit for what he has done for the profession by introducing this truly great remedy.

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

Ill-humor ; low-spirited ; indifferent. Aversion to mental (and bodily) exertion.

Head

Sudden attacks of giddiness, when rising from a seat. Vertigo, with nausea, inclination to vomit ; retching up of sour watery fluid. Headache in the forehead, often only over one eye. In the morning, when waking, pain in the forehead and vertex ; later, extending to the back part of the head. Violent pricking, stinging pain, from the root of the nose, extending over the (left) orbital arch to external angle of the eyes, with obscuration of sight, as if scales were before the eyes ; beginning in the morning, increases at noon and disappears towards the evening. Complete obscuration of sight (blindness) is followed by violent headache, compelling one to lie down ; wit great aversion to light and noise ; the sight returns with the increasing headache. Stinging headache (in one temple). Periodical attacks of semi-lateral headache, on small spots that could be covered with the point of the finger. Morning headache. Headache from suppression of the discharge from the nose (Ozœna). The bones of the head feel sore. Stitches in the bones of the head, as from a sharp needle. Lancinating stitches in the right side of the head, lasting but a short time. Pressure on the vertex, as from a weight.

Eyes

Heaviness of the upper eyelid on waking ; it requires an effort to open it. Eyelids burning, inflamed, much swollen. Watering, itching and burning in the eyes ; heat in the eyes and desire to rub them, with redness of the conjunctiva. The eyes are glued in the morning ; accumulation of yellow matter in the angles. Œdematous swelling of the eyelids. Itching and redness of the eyelids ; tender to the touch ; the tarsi seem rough, causing the sensation of friction, as from sand on the eyeballs when moving them ; feeling of sharp sand in the eyes. The conjunctiva is reddened and traversed by large red vessels. The albuginea is dirty-yellow and appears puffy, with yellowish-brown points, like pin-heads. Soreness in the right caruncula. Photophobia ; when opening the eyes twitching of the eyelids ; lachrymation and burning of the eyes. Small white, granular pustules on the (left) cornea, with pricking pain. Brown spots on the conjunctiva. Obscuration of sight ; objects appear yellow.

Ears

Stinging in the ears ; from the external meatus into the internal ear. Violent stitches in the (left) ear, extending into the roof of the mouth, into the corresponding side of the head and the same side of the neck, which was painful to the touch and the glands swollen. The external meatus of the (left) ear swelled and inflamed. Stitches in the left ear and left parotid gland, with headache. Discharge of fetid, thick, yellow pus from both ears (after scarlet fever). Itching of the lobe of the (right) ear (waking him at night).

Nose

Nose painfully dry ; the air passes with great ease through it. Tickling, like a hair moving or curling itself in the top of the left nostril. Sneezing (in the morning). Coryza, fluent ; worse in the evening, in the open air ; obstruction in the morning and bleeding of the nose (right nostril). Profuse secretion from the right nostril ; a spot in the right lachrymal bone is swollen and throbbing. Flow of acrid water from the nostril, excoriating the nostrils and burning the upper lip (right). Pressure at the root of the nose. The nose is stuffed up. The sensation of a hard substance compels one to blow the nose, but there is no discharge from the dry nose. When blowing the nose violent stitches in the right side of the nose, and the sensation as if two loose bones ; rubbed one against the other. The exposed air feels hot in the nose. Scab on the septum. The septum ulcerates. -Round ulcer in the septum. Small ulcers on the edge of the (right) nostril, violent, burning when touched. Discharge of large masses of thick, clean mucus from the nose ; if that ceases he has violent headache ; pain from the occiput to the forehead. Watery secretion with great soreness and tenderness of the nose. Discharge of tough green masses from the nose. Discharge of hard, elastic plugs (clinkers) from the nose. Sensation of fetid smell before the nose. -Loss of smell. Fetid smell from the nose.

Face

Pale, yellowish complexion. Pain in one side of the face, especially in the malar bone. Sensitive painfulness as ; if bruised, of the bones of the face. Perspiration on the upper lip. Digging pain in the rami of the lower jaw.

Mouth and Throat

Dryness of the mouth and lips only for a short time relieved by drinking cold water. Accumulation of saliva in the mouth ; saliva bitter, viscid, frothy, tasting salt. Tongue coated, thick brown, as with thick yellow felt, at the root ; papillæ elevated. Tongue dry, smooth, red, cracked (in dysentery). Ulcers with hard edges, smarting at the mucous surface of the lips. Painful ulcer on the tongue. Stinging pains in the tongue. Sensation of a hair on the back part of the tongue and velum ; not relieved by eating or drinking. Erythema of the fauces and soft palate, bright or dark-red or of a coppery color. The soft palate slightly reddened ; uvula relaxed, with the sensation of a plug in the throat, which is not relieved by swallowing. Deep-excavated sore, with a reddish areola, containing a yellow, tenacious matter at the root of the uvula ; the fauces and palate presenting an erythematous blush. The posterior wall of the pharynx dark-red, glossy, puffed, showing ramifications of pale-red vessels ; on the middle, towards the left side, a small crack, from which blood exudes. Sharp, Shooting pain in the left tonsil, towards the ear ; relieved by swallowing. Burning in the pharynx, extending to the stomach. In the forepart of the palate are single circumscribed spots, of the size of a barley-corn, colored red, as if little ulcers were about to form. Ulcer on the roof of the mouth, with sloughing (Syphilis). Ulceration of the uvula and tonsils. The throat pains more when the tongue is put out. Sensation as if an acid, acrid fluid were running through the posterior nares over the palate, causing cough. Discharge of thick yellow matter through the posterior nares. Taste coppery ; sweetish ; sour.

Stomach and Abdomen

Loss of appetite ; increased thirst. Longing for beer or acidulated drinks. Eructations of air. Nausea, with feeling of heat over the body, with giddiness, rush of blood to the head ; aggravated by moving about ; in the morning at sight of food, after meals ; after stool ; excited by drinking and smoking ; relieved by eating ; better in the open air. Nausea and vomiting of mucus. Vomiting of undigested food, sour ; of bile, bitter ; of pinkish, glairy fluid ; of blood ; with cold perspiration on the hands ; burning in the stomach ; heat of the face. After eating a full meal, which was relished a sensation as if digestion were suspended ; the food lies in the stomach like a heavy load. Pressure and heaviness in the stomach after eating. Giddiness, followed by violent vomiting of a white, mucous ; acid fluid, with pressure and burning in the stomach. Colic alternating with cutting pain at the umbilicus, during the night. Swelling of the stomach (in the evening), with fulness and pressure ; cannot bear tight clothes. Sensitiveness of the abdomen to the least pressure. Dull, heavy pressure or stitches in the region of the liver. Stitches in the region of the spleen, aggravated by motion and pressure. Tympanitis ; the whole abdomen feels bloated ; followed by eructations. Cutting in the abdomen, as from knives, soon after eating. Attacks of periodical spasmodic constriction of the intestines, with nausea, followed by a papescent stool and burning in the anus, with tenesmus. Stitches through the abdomen, extending to the spinal column.

Stool and Anus

Constipation, with debility, coated tongue, headache and coldness of the extremities. Scanty, knotty evacuations, followed by burning in the anus. Stools dry, with burning at the anus. Constipation, with painful retraction of the anus. Very painful evacuation of extremely hard feces. Periodical constipation (every three months). Stools slate-colored, bloody. Papescent evacuations, with much rumbling in the intestines. Morning diarrhœa ; wakes from urgent pressure to stool ; the watery contents gush out, followed by violent tenesmus ; she cannot rise on that account ; later, burning in the abdomen, nausea and violent straining to vomit. Frequent bloody evacuations, with gnawing pain about the umbilicus with tenesmus ; tongue smooth, red, cracked. Dysenteric evacuations of brownish, frothy water, with violent painful pressing, straining and tenesmus. Pressing and straining in the anus, with tenesmus. Periodical dysentery every year in the early part of the summer. Sensation of a plug in the anus (can scarcely sit down). Soreness at the anus, making it very painful to walk. Fulness in the hæmorrhoidal vessels.

Urinary Organs

During micturition heat in the urethra. During and long after micturition burning in the glandular portion of the urethra. After micturition burning in the back part of the urethra, with the sensation as if one drop of urine had remained behind with unsuccessful effort to void it. Stitches in the urethra, especially after micturition. Frequent discharge of watery urine of strong smell (wakens him at night). Continuous desire to urinate during the day. Painful drawing from the perineum into the urethra. Urine with white film and deposit, with mucous sediment. Violent pain in the os coccygis ; worm when rising, after he sat long, to urinate.

Sexual Organs

Men. Stitches in the prostate gland (when walking ; must stand still). Itching in the hairy parts of the genitals ; the skin becomes inflamed and small pustules of the size of a pin's head are formed. Constrictive pains at the root of the penis (in the morning on waking). Pricking and itching at the glans penis. Women. Menstruation too early, with giddiness, nausea and headache. Swelling of the genitals. Soreness and rawness in the vagina. Fluor albus, yellow, ropy ; pain and weakness in the small of the back and dull pain in the upper part of the abdomen.

Respiratory Organs

Sensation as from ulceration in the larynx. Accumulation of mucus in the larynx, causing hawking. Hoarse, rough voice. Hoarseness (in the evening). Tickling in larynx ; every inhalation causes cough (with hoarseness). Cough in the morning, with viscid expectoration. Dry cough, with stitches in the chest. Violent, rattling cough, lasting some minutes, with an effort to vomit and expectoration of viscid mucus, which can be drawn in strings to the feet. Cough, with thick, heavy expectoration ; bluish lumps of mucus. Hawking up of copious, thick, bluish mucus. Expectoration with traces of blood. Cough, with pain in the sternum, darting to between the shoulders. Sensation of dryness in the bronchi (in the morning). Dry cough after dinner. Cough, with pain in the loins, vertigo, dyspnœa, shootings in the chest. Stitches below the ; sternum, extending to the back. Pressure and heaviness on the chest, as from a weight ; wakens with this sensation at night and is relieved after rising. Sensation of pressure on the heart (after eating). Pricking pain in the region of the heart.

Back and Neck

Stiffness of the neck when bending the head forward. Sharp, stinging pain in the region of the kidneys. Pain, as from a knife, through the loins ; cannot walk. Pain in the sacrum ; cannot straighten himself. Pain in the os coccygis (in the morning) ; worse from walking and touching it.

Extremities

Upper. Rheumatic pain in both shoulders (worse at night). Stitches at the lower angle of the left shoulder-blade. Stiffness of the shoulder-joint. Sensation of lameness of the right arm (as if it had gone to sleep). Burning pain in the middle of the forearm, extending to the wrist. Painful stiffness of the right arm. Stinging pain in the left elbow. Rheumatic pains in the joints, especially the wrists. Great weakness ; in the hands. Spasmodic contraction of the hands. Rheumatic pains in the fingers. Cracking of all the joints from the least motion. Lower. Rheumatic pains in the hip-joints and knees ; on moving, and more especially during the day. Pain in the course of the left sciatic nerve, extending from behind the great trochanter to the calf of the leg. Pain in the tendons of the muscles of the calf, as if stretched, causing lameness. Soreness in the heels when walking. Heaviness of the legs. Pain in the right hip, extending to the knee. Pain in the middle of the tibia. Sensation of dislocation in the left ankle.

Generalities

Pains which wander quickly from one part of the body to another. Periodical wandering pains in all the limbs. Sensitive painfulness of the whole body in the morning on rising. The gastric symptoms supersede the rheumatic symptoms. Great debility, with desire to lie down.

Sleep

Unrefreshing sleep ; feels very debilitated, especially in the extremities. Wakens in a start, with nausea or headache (2 A.M.), with heat and perspiration, accelerated pulse, palpitation of the heart and dyspnœa ; with anxiety, heat in the pit of the stomach and spitting of blood ; from frequent desire to urinate.

Fever

Pulse accelerated ; irregular, small, contracted. Great inclination to yawn and stretch. Chilliness in the back and sleepiness ; seeks a warm place. Chilliness alternating with flushes of heat. Chilliness, with giddiness and nausea, followed by heat with the sensation of coldness and trembling, and periodical stinging pain in the temples ; without thirst. Attacks of chilliness, extending from the feet upwards, and sensation as if the skull on the vertex became contracted, in frequently returning paroxysms. Chill, followed in an hour by heat, with dryness of the mouth and lips, which have to be moistened all the time ; follow in the morning with great thirst but no perspiration. Chilliness, especially on the extremities, and flushes of heat alternating with general perspiration. Heat of the hands and feet ; nausea ; pain in the upper part of the abdomen ; dryness of the mouth ; sleeplessness, followed by perspiration of the hands, feet and thighs ; ceasing for two hours, when they reappear. Giddiness ; violent, painful vomiting is followed by pain in the forehead, burning of the eyes, great burning heat of the upper part of the body and face, with internal chilliness and violent thirst. Perspiration on the back during effort to stool.

Skin

Hot, dry and red skin all over the body. Dry eruption, like measles, over the whole body. Small pustules over the whole body, similar to small-pox ; they disappear without bursting open. Pustules over the whole body, appearing on inflamed parts of the skin, as large as a pea, with a small black scab in the middle. Blood-boil on the right thigh ; on the right side of the spine, near the last rib ; painful on the least motion. Small pustules on the roots of the nails, spreading over the hands to the wrist ; the arm became red and the axillary glands suppurated ; the small pustules on the hands secreted a watery fluid when they were broken ; if they were not touched the fluid became thickened to a yellow, tough mass. The eruption begins ; in hot weather. Suppurating tetter (Ecthyma). The pustulous eruption resembling small-pox, with a hair in the middle, is more prominent on the face and on the arms. Brown spots (on the throat) like freckles. Blister, full of serum, in the sole of the (right) foot. Scabs (fingers and corona glandis). Ulcers, dry, form oval ; have overhanging edges, a bright-red, inflamed areola, hard base ; movable on the subjacent tissues ; dark spot in the centre ; after healing the cicatrix remains depressed. After an abrasion, a swelling like a knot, forming an irregular ulcer, covered with a dry scab and painful to the touch ; under the skin is felt a hard, movable knot, like a corn, with a small ulcerated spot in the middle, where it touches the cuticle ; the hard, knotty feel remains after the healed ulcer is covered with white skin. The ulcers corrode and become deeper, without spreading in the circumference. Ulcers on the previously inflamed feet. Ulcers on the fingers, with carious affection of the bones. The hands become covered with deep-stinging cicatrices.

Conditions

Periodically appearing complaints (dysentery every year in the beginning of the summer ; headache in the morning) ; at the same hour daily. The symptoms alternate (Rheumatism and gastric affections). The pains will fly rapidly from one place to another, not continuing long at any place, and intermit. Aggravation in the morning (headache ; nausea) ; from cold (the open, moderately cold air affects him painfully) ; after eating ; during the summer. Amelioration from heat. Fat and light-haired persons are more affected by it. The best antidote for too large doses or too intense symptoms is its relative Pulsatilla, which can also be given before or after it to advantage. An interesting group for study are Kali bichr., Pulsat. and Thuya.

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

Potassæ bichromas. Potassic dichromate. Bichromate of Potash. Red Chromate of Potash. K 2 Cr 2 O 7 . Solution in distilled water. Trituration.

Clinical

Acne. Anæmia. Asthma. Blotches. Bone, nodes on, exostoses. Bronchitis; croupous. Burns . Cachexia. Catarrh . Climacteric flushes. Coccygodynia . Conjunctivitis. Constipation. Cornea, opacities of. Coryza. Descemetitis. Duodenum, ulcers of. Dyspepsia . Ears, pains in; inflammation of, internal and external. Emaciation. Epilepsy. Epistaxis. Eyes, iritis; keratitis . Farcy. Gastric ulcer. Glanders . Gleet. Gout. Hay fever. Headache. Intermittent fever. Intestines, ulceration of. Lumbago. Lupus. Measles . Mumps. Neuralgia . Nightmare. Nodes. Nose, pressure at root of; soreness of . Ophthalmia. Ozæna. Polypus . Post-nasal catarrh. Pruritus vulvæ. Rheumatism . Rhinitis, atrophic. Sciatica. Scrofula. Smell, illusions of . Sun-headache. Sycosis. Syphilis. Throat, hair sensation in; sore . Tobacco, intolerance of. Trachea, affections of. Ulcers . Urethritis. Warts. Whooping-cough.

Characteristics

Kali bichromicum (with the other Chromium preparations, Chro. ac . and Chro. ox .) owes its introduction into the homœopathic materia medica to the late Dr. J. J. Drysdale, whose monograph upon it, forming one section of the Hahnemann Materia Medica , and now occupying pp. 457 to 573 of Materia Medica Physiological and Applied , is the most complete account of the remedy which we possess. The Bichromate of Potash , which is manufactured in large quantities from chrome-iron-ore, is the preparation from which all other salts of Chromium are derived. The native association of Chromium with Ferrum is worthy of note. The Bichromate is largely used in the arts in dying, calico-printing, wood-staining, in photography, and as a solution for producing the current in electric batteries. Many of the most remarkable symptoms were obtained from workmen engaged in the preparation of the salt. Some of these had been noted before Drysdale took up the study of the drug. The first proving was published by him in 1844 in the British Journal of Homœopathy . The following year it was proved by the Austrian Society. The effects of the drug show profound action on the entire organism, and characteristic features of the utmost value to the prescriber have been brought out, rendering the drug one of the most important members of the homœopathic materia medica. Among these keynotes of Kali bi . four may be named as pre-eminent: ( 1 ) Discharges from mucous membranes of tough, stringy mucus, or muco-pus, which adheres to the part and can be drawn out in strings. ( 2 ) The occurrence of pain in small spots . In connection with this is another feature showing a sharply defined action: ( 3 ) Punched-out, perforating ulcers, occurring on skin, mucous membranes, and affecting bones ( e.g . vomer, palate). ( 4 ) Alternating and shifting conditions: pains wander from part to part; rheumatic pains alternate with gastric symptoms, or with dysentery; headache alternates with blindness; fibrinous deposits extend downwards. Among other leading characters, scarcely less distinctive are: ( a ) The formation of plugs or clinkers on mucous membranes, especially in the nose. (This may be regarded as an advanced stage of the stringy mucous secretions.) ( b ) Still another Variety of this is the formation of false membranes as in croup and diphtheria, with hoarse, metallic cough; and the formation of casts of the bronchial tubes in fibrinous bronchitis. ( c ) Yet another characteristic mucous discharge is one of "jelly-like mucus." ( d ) Indigestion from drinking beer; loss of appetite; weight in pit of stomach immediately after eating; flatulence. ( e ) Among peculiar sensations the "hair sensation" is marked in Kali bi . It occurs chiefly on the back part of the tongue and in the left nostril. ─ It can hardly be questioned that Chromium is the predominant partner in the action of this salt, but it would be wrong to consider the Kali element as of no account, and it would be still more wrong to disregard the very large proportion of oxygen. It is as an oxydising agent and disinfectant that K. bi . is chiefly known in general medicine, and it is probably to the oxygen element that the ulcerating properties of the drug are largely due. One of its effects is "odourless stools," and the oxygen element is probably accountable for this. Another point in this connection is that the antidotes to poisonous doses of Kali bi . are the same as the antidotes to the acids. The Kali parallels must be sought chiefly in Causticum and Kali carb . The general resemblance is great, but the minute correspondences are not very striking. One possible point of correspondence has been pointed out. Storer ( Med. Adv ., xxv. 98), cured with Kali bi . a case of asthma in a man who noticed that the attacks were caused by and always followed coitus . The Kali bi . was prescribed on other indications, but this symptom must be noted for future verification. Kali c . has marked " < from coitus," and also from emissions; and Caust . has stupid feeling in the head the day after an emission." Caust . has many symptoms of disordered vision; though it has not the "blindness followed by headache, the sight improving as the pain becomes worse" of Kali bi . This is very characteristic and has led me to many cures. Both Caust . and Kali bi . have many symptoms of ulceration internal and external. Nash relates a good cure with Kali bi . A woman had deep punched-out ulcers with regular edges. One of them had perforated the soft palate and threatened the whole palate. It had a syphilitic appearance, and the patient had been long under old-school treatment. There was also a stringy discharge, but not to a great amount. In three weeks Kali bi . 30 made a cure which proved permanent; the local condition entirely healed and the patient's general state improved correspondingly. Apropos of syphilis Drysdale quotes a long series of cases of syphilis in all stages treated by J. E. Güntz with "Chrome water." This consists of an artificial aerated water containing in 600 grammes of water Kali bi . 0.03 grms., Kali nit . 0.1 grm., Natr. nit ., 0.1 grm., Nat. mur ., 0.2 grm.; this mixture is incorporated with carbonic acid under the highest pressure, at low temperature, and kept some time before use. The dose given was from half to two bottles daily (each bottle containing 600 grammes) in five doses, given on a full stomach. Even in this dilution the mixture was sufficiently disgusting in taste, and to some quite intolerable. A number of the Kali bi . symptoms were produced, but on the whole very notable and evidently specific curative action was observed. Out of 100 cases of primary syphilis 64 remained without constitutional symptoms. In secondary and tertiary syphilis "chromo-water" was also remarkably successful. In strictly homœopathic practice Kali bi . has been no less successful, as its symptoms correspond to a great variety of the manifestations of that disease, especially keratitis and iritis, ozæna, bone-pains and nodes, sore throat, syphilitic rheumatism and ulcers. Like Causticum it has some sycotic symptoms as well, including asthma, early morning < , gleety discharge, and, according to Farrington, scabs on fingers, often about the nails, and on corona glandis. J. B. Garrison records the rapid action of Kali bi . in two cases of intermittent fever ( H. R ., iii. 105), on an indication given him by Martin Deschere. The latter once took by mistake an overdose of Kali bi ., which was followed by vomiting of a large quantity of bright yellow water , tasting very bitter. Garrison's first case was a labourer, ill a month with fever, pains and paroxysm at 1 p.m. just before Garrison saw him he had vomited "a large quantity of bright yellow water." Kali bi . 1x, one grm. dissolved in a tumbler of water, a teaspoonful every two hours, cured at once. Case ii. was that of a woman who had been nine months under allopathic treatment, had not been out of the house for two months, and had been told she could not recover. Among other symptoms was this: Vomited much more than she drank: in the morning vomited a large bowlful of bright yellow fluid. The yellowness of Kali bi . secretions and excretions is noteworthy. Kali bi . is particularly suited to fat people; and Goullon (quoted H. R ., vi. 267) gives the case of an enormously fat man of "formless colossal body" who complained of chronic accumulation of phlegm ─ he seemed fairly filled up with it, especially in the morning ─ for which all domestic remedies and mineral waters had been given in vain. Kali bi . 2x was ordered, a few grains in hot water every evening. In two weeks the patient could resume his walks. He felt easy on his chest, the accumulation of phlegm disappeared, his bowels became regular instead of constipated. H. W. Champlin ( Med. Adv ., xix. 393), cites a case of chronic rheumatism in an old over 70 confirming symptoms of Kali bi . She was restless and sleepless at night, and Rhus relieved this somewhat, but closer investigation brought out this: ( 1 ) The pains changed rapidly from one place to another, and ( 2 ) they occupied small spots that could be covered with the point of a finger. Kali bi . cured rapidly. Kali bi . also causes: Rheumatic-like or shooting and pricking pains here and there. In one prover (Drysdale himself) the rheumatic pains were < , and the gastric pains > , after eating. There were cramps in various parts; twitches in hands and feet; stinging pains all over. Pains in short jerks as if a nerve were suddenly pulled. Sudden pains. Pains appear and disappear suddenly. Diagonal pains ; right mamma and left elbow; left forearm and right occiput; right knee and hip, left breast and shoulder; right axilla, left thigh; right big toe, left little finger; right forearm, left elbow; right foot, ankles, shin, left hip, arm, shoulder; right big toe and thumb; wrists and ankles. Shifting pains and sudden pains. "Indolence" is a characteristic of many conditions ─ indolent ulcers; indolent inflammation about and of the eyes; slow scrofulous or sycotic ophthalmia, soreness of the canthi, pustules round the eyes, lids adhering and puffed, whites of the eyes yellowish. The face is bloated and blotched; may be yellowish; acne accompanies headaches and gastric conditions. The tongue is thick and broad and takes the imprint of the teeth. The stomach symptoms are very distressing. Painful vomitings; sour, and mixed with clear mucus; may be bitter from the presence of bile; vomiting caused by every attempt to eat or drink, with distress and burning rawness about the stomach. This corresponds to the vomiting of drunkards, especially in beer-drinkers; also to gastric ulcer. The abdomen swells up immediately after a full meal. Food lies like a load as if digestion were suspended. There is aversion to meat; and longing for beer; and for acid drinks. It removes the chronic effects of drinking too much malt liquor, especially lager beer. Some of the workmen found they could not drink coffee as it made them worse, and they were obliged to take to tea instead. (This bears out Hering's dictum that "wine-drinkers should take coffee and beer-drinkers should take tea." Coffee antidotes wine and tea antidotes beer; so as Kali bi . corresponds to beer effects tea will be likely to agree with it better than coffee). Kali bi . causes great prostration, discomfort, debility, and desire to lie down. The neuralgic attacks sometimes recur every day, at the same hour. Epilepsy has been cured by it when there was flow of tough, stringy fluid from the mouth in the attacks. In very weak solutions (about 1 to 2,000) Kali bi . has been used with much success as a local application for ulcers, especially when they are very painful. Lord and Moore had good success in treating horses for farcy, using the remedy both externally and internally. In the cough of Kali bi . the stringy, difficult expectoration, and early morning < will generally indicate; or a pain from mid-sternum through to back. But there is also a cough caused by eating . W. J. Pierce ( H. W ., xxx. 567) records the case of James S., 40. For four months past, as soon as he swallowed food (not liquids), a tickling in throat excited a severe cough, which stopped only on vomiting, and was followed by a watery coryza. This was so distressing that for two months he had eaten only two meals a day. There was pharyngeal catarrh with stringy mucus hanging from naso-pharynx. Kali bi . 1, a tablet every two hours, was given. He had no more vomiting, and only coughed twice in the next five days, and was soon quite cured. Kali bi . is credited with the cure of a case of Descemetitis [inflammation of the internal (Descemet's) membrane of the cornea] with redness of right eye, brightness of the lid and lachrymation. Kali bi . removed the spots and relieved the other symptoms. Kali bi . is especially suited to fair-haired, fat persons, especially fat, chubby children; fat, sluggish people. Most of the symptoms appear in the early morning or are < then 2 a.m. heat in pit of stomach; awakes with oppressed breathing with a start. 2 to 3 a.m. croup; early morning cough; morning diarrhœa; 9 a.m. pain in head begins; goes off in afternoon. Shooting from root of nose to external angle of eye begins morning, increases to noon, and ceases towards evening (sun-headache). Affections of autumn and spring. Complaints of hot weather are particularly likely to want Kali bi ., but at the same time there is "great liability to take cold in open air"; and "moderately cold air is felt very unpleasantly." Eruptions begin in warm weather (opp. Rhus ). Open air > symptoms generally, especially vertigo; but < gastric complaints and chilliness. Uncovering < ; wrapping up > . Warmth > cough; undressing < cough. Cold weather > itching of eruption. < By eating; eating = cough weight in stomach. Touch < most symptoms; but pressure > . But pressure = pains to shoot along sciatic nerve. Moving the affected part > the pain. Most symptoms are < at rest and > by motion. Stooping < ; sitting < .

Relations

In the ordinary text-books the antidotes to Kali bi. are given as the same as antidotes for poisoning by Acids: Bicarbonates of Soda and Potash, Magnesia, Chalk, Soap, Milk, Eggs; olive or almond oil, also the Hydrated peroxide of iron. But no very brilliant results have been recorded from any of these, and they would be useless unless administered almost immediately after the dose, so rapid is the action of the poison. Among the dynamic antidotes are: Ars.; Laches. (croup, diphtheria, &c.); Puls. (wandering pains). K. bi. antidotes: Effect of beer; arsenical vapour; Merc.; Merc. iod. I have found it the best general antidote to the effect of metallic poisoning among brass workers. Compatible: After Canth. in dysentery, when, though scrapings continue, the discharge becomes more jelly-like; after Apis (scrofulous ophthalmia); after Iod. in croup. It is followed well by: Ant t. in catarrhal affections and skin diseases. Compare: Oxygen Caust.; Kali carb. (fat subjects); Kali iod. (syphilis); Chrom. ac. (sudden pains, shifting pains, > motion, ulcerations, rheumatism); Bro. (croup, fair subjects); Mez. (bone diseases); Nit. ac, (syphilis); Phytol. (syphilitic bone affections); Spo. (cramp); Sil. (bone affections); Hippoz. (ozæna, glanders, farcy); Hecl. (nodes); Hydrast. and Ir. v. (viscous, tough secretions); Lach. Tereb. (glazed tongue); Kali ca., Caust., and Staph. ( < after coitus); Sep. and Teucr. ("clinkers"); Puls. (wandering rheumatism; gonorrhœal rheumatism; pains < in warm room; measles; catarrhal deafness; swelling of salivary glands); Thuj. (ozæna in sycotic subjects); Apis (scrofulous ophthalmia); Lach. (constriction of anus; sensation of plug in anus; diarrhœa brown, frothy, watery, spurting out in early morning and followed by tenesmus ani; dysentery, red, cracked, smooth tongue, blackish stools, typhoid cases; Lach. has more offensiveness, Kali bi. more jelly-like or stringy mucus) Coc. c., whooping-cough (mucus, clear stringy, Kali bi. yellow-stringy) Kaolin (membranous croup ─ with Kaolin there is internal and external soreness along course of trachea and upper part of chest -Farrington); Rhus ( > of pain on moving affected part; Rhus has > by warmth; eruptions of Kali bi. begin in hot weather, those of Rhus in cold); Abies n., Bry., Nux, &c. (indigestion with sensation of weight in stomach); Graph. and Rhus (inflammation of external ears; Sul. (sensation of hair in throat).

Causation

Indulgence in beer and malt liquors. Hot weather. Autumn. Spring.

Mind

Ill-humour; low-spirited. ─ Listless. ─ Anthropophobia; taciturnity; misanthropy. ─ Vanishing of thoughts. ─ Aversion to mental (and bodily) exertion. ─ Weak memory. ─ Anxiety arising from chest.

Head

Lightness in the head, across the forehead, on stooping; < morning. ─ Sudden attacks of giddiness, when rising from a seat. ─ Vertigo on rising up in bed (room seemed to whirl round); on lying down again it became < and was immediately associated with inclination to vomit. ─ Vertigo, with nausea, inclination to vomit; retching up of sour watery fluid. ─ Frequent, sudden attacks of vertigo when standing or walking. ─ Confusion and heaviness in head. ─ Headache in forehead, often only over one eye. ─ Soon after dinner a dull, heavy throbbing about eyes, as if head would burst; > by lying, or pressing head against anything, or in open air; < stooping or moving about.In morning, when waking, pain in forehead and vertex; later, extending to back part of head. ─ Violent pricking, stinging pain, from root of nose, extending over (l.) orbital arch, to external angle of eyes, with obscuration of sight, as if scales were before eyes; beginning in morning, increases at noon, and disappears towards evening. ─ Headache comes and goes with the sun. ─ Complete obscuration of sight is followed by violent headache, compelling one to lie down; with great aversion to light and noise; the sight returns with the increasing headache. ─ Stinging headache (in one temple). ─ Periodical attacks of semi-lateral headache, on small spots that could be covered with point of finger. ─ Morning headache. ─ Headache from suppression of discharge from nose (ozæna). ─ Bones of head feel sore. ─ Stitches in bones of head, as from a sharp needle. ─ Lancinating stitches in r. side of head, lasting but a short time. ─ Pressure on vertex, as from a weight. ─ Headache: > by warm soup; by pressure; in open air; by eating; < by stooping; by motion; by lying on it; at night.

Eyes

Heaviness of upper eyelid on waking; it requires an effort to open it. ─ Eyelids burning, inflamed, much swollen. ─ Watering, itching and burning in eyes; heat in eyes and desire to rub them, with redness of conjunctiva. ─ Dryness; burning pain; itching. ─ The eyes are glued in morning; accumulation of yellow matter in angles. ─ Œdematous swelling of eyelids. ─ Large acute granulations of lids. ─ Large polypus springing from conjunctiva of upper lid. ─ Itching and redness of eyelids; tender to touch; tarsi seem rough, causing sensation of friction, as from sand on the eyeballs when moving them; feeling of sharp sand in eyes. ─ Conjunctiva reddened and traversed by large red vessels. ─ Rheumatic sclero-iritis with excessive pain and photophobia. ─ Syphilitic iritis. ─ Sequelæ of iritis; pains pricking, stinging, wandering; < l.; chemosis; photophobia not commensurate with degree of inflammation. ─ Ulcers and pustules of cornea with no photophobia and no redness. ─ Corneal ulcers tend to perforate rather than spread laterally. ─ Dense long-lasting opacities. ─ Albuginea dirty yellow, appears puffy, with yellowish-brown points, like pin-heads. ─ Soreness in r. caruncula. ─ Photophobia; only by daylight; when opening lids they twitch. ─ Lachrymation and burning of eyes. ─ Small white, granular pustules on (l.) cornea, with pricking pain. ─ Brown spots on conjunctiva. ─ Obscuration of sight; objects appear yellow. ─ Various colours and bright sparks before eyes.

Ears

Stinging in ears; from external meatus into internal ear. ─ Violent stitches in (l.) ear, extending into roof of mouth, corresponding side of head and neck, which was painful to touch; glands swollen. ─ External meatus of (l.) ear swelled and inflamed. ─ Stitches in l. ear and l. parotid gland, with headache. ─ Hard, painful swelling of parotid gland. ─ Discharge of fetid, thick, yellow pus from both ears (after scarlet fever). ─ Itching of lobe of (r.) ear (waking him at night). ─ Redness, heat and itching of external ears. ─ Violent tickling and itching in ears.

Nose

Nose painfully dry; air passes with great case through it. ─ Nose dry, burning, stopped up, swelling; < in warm, > in cool air. ─ Great dryness of nose, with feeling of pressure in nasal bones; also extending along frontal sinuses with soreness and burning. ─ Tickling, like a hair moving or curling itself in top of l. nostril. ─ Sneezing (in morning). ─ Coryza, fluent; < in evening, in open air; in wind; obstruction in morning and bleeding of nose (r. nostril). ─ Coryza fluent, excoriating nose and lips; discharge of mucus streaked with light-coloured blood. ─ Profuse secretion from r. nostril; a spot in the r. lachrymal bone is swollen and throbbing. ─ Flow of acrid water from nostril, excoriating nostril and burning upper lip (r.). ─ Violent shooting pains from root of nose along l. orbital arch. ─ Pinching pain in bridge, > by hard pressure. ─ Pressure at root of nose. ─ Nose stuffed up. ─ Nasal speech. ─ The sensation of a hard substance compels one to blow the nose, but there is no discharge from the dry nose. ─ When blowing nose violent stitches in r. side of nose, and sensation as if two loose bones rubbed against each other. ─ Expired air feels hot in nose. ─ Scab on septum. ─ Septum ulcerates. ─ Round ulcer in septum. ─ Small ulcers on edge of (r.) nostril, violent, burning when touched. ─ Discharge of large masses of thick, clean mucus from nose; if that ceases he has violent headache; pain from occiput to forehead. ─ Watery secretion with great soreness and tenderness of nose. ─ Discharge of tough green masses from nose. ─ Discharge of hard, elastic plugs (clinkers) from nose. ─ Though accustomed to smoke, every inhalation through the nose caused a sickening sensation like sulphuretted hydrogen. ─ Sensation of fetid smell before nose. ─ Loss of smell. ─ Fetid smell from nose.

Face

Face: pale; yellowish; red in blotches; flushed; anxious expression. ─ Acne. ─ Shooting in l. upper maxillary bone towards ear. ─ Shooting inward in l. malar bone with pressure, < in morning. ─ Sensitive painfulness, as if bruised, of bones of face. ─ Syphilitic eruption from root of nose to upper lip. ─ Lupus r. side of nose with troublesome itching. ─ Lupus; pustules; impetigo of face, with much itching. ─ Perspiration on upper lip. ─ Lower lip swelled, chapped. ─ Digging pain in rami of lower jaw. ─ Mumps r. side. ─ Parotids swollen.

Teeth

Gnawing, dull burrowing, boring in roots of teeth. ─ Stitches in teeth extending to other parts, and alternating with wandering rheumatic pains. ─ Toothache not > by heat or cold, only momentarily > by pressure. ─ Gum of r. lower jaw much swollen, dirty white, extremely tender; teeth that side quite loose, will not bear slightest pressure; profuse ptyalism; gums of both sides unusually sensitive; cannot masticate any food; liquid food makes gums feel very sore and tongue rough.

Mouth

Dryness of mouth and lips, > by drinking cold water. ─ Accumulation of saliva in mouth; saliva bitter, viscid, frothy, tasting salt. ─ Papillæ very long on dorsum with a brown-coloured patch. ─ Sensation of a hair on back part of tongue. ─ Tongue coated, thick brown, as with thick yellow felt, at root; papillæ elevated. ─ Tongue dry, smooth, red, cracked (in dysentery). ─ Ulcers with hard edges, smarting, at mucous surface of lips. ─ Painful ulcer on tongue. ─ Stinging pains in tongue.

Throat

Sensation of a hair on back part of tongue and velum; not > by eating or drinking. ─ Erythema of fauces and soft palate, bright or dark red, or of a coppery colour. ─ Soft palate slightly reddened: uvula relaxed, with sensation of a plug in throat, which is not > by swallowing. ─ Deep-excavated sore, with a reddish areola, containing a yellow, tenacious matter at root of uvula; fauces and palate presenting an erythematous blush. ─ Posterior wall of pharynx dark-red, glossy, puffed, showing ramifications of pale-red vessels; on middle, towards l. side, a small crack, from which blood exudes. ─ Sharp, shooting pain in l. tonsil, towards ear; > by swallowing. ─ Burning in pharynx, extending to stomach. ─ In forepart of palate single circumscribed spots, of size of a barleycorn, coloured red, as if little ulcers were about to form. ─ Ulcer on roof of mouth, with sloughing (syphilis). ─ Pimples on uvula. ─ Œdematous bladder-like appearance of uvula; much swelling but little redness. ─ Ulceration of uvula and tonsils. ─ Throat pains more when tongue is put out. ─ Sensation as if an acid, acrid fluid were running through posterior nares over palate, causing cough. ─ Discharge of thick yellow matter through posterior nares.

Appetite

Taste: coppery; sweetish; sour; bitter in morning. ─ Loss of appetite; increased thirst. ─ Longing for beer or acidulated drinks. ─ Aversion to meat.

Stomach

Eructations of air, relieving an uneasiness of stomach as from wind pent up at great curvature. ─ Sudden nausea. ─ Nausea, with feeling of heat over body, with giddiness, rush of blood to head; < by moving about; in morning at sight of food; after meals; after stool; excited by drinking and smoking; > by eating; > in open air; with sweetish flat salivation. ─ Nausea and vomiting of mucus. ─ Vomits large quantities of bright yellow water. ─ Vomiting: of undigested food, sour; of bile; bitter; of pinkish, glairy fluid; of blood; with cold perspiration on hands; burning in stomach; heat of face. ─ Burning in stomach and stomach pit. ─ After eating a full meal, which was relished, a sensation as if digestion were suspended; food lies in stomach like a heavy load. ─ Pressure and heaviness in stomach after eating. ─ Giddiness, followed by violent vomiting of a white, mucous, acid fluid, with pressure and burning in stomach. ─ Swelling of stomach (in evening), with fulness and pressure; cannot bear tight clothes. ─ (Round ulcer of stomach, and duodenum.)

Abdomen

Colic alternating with cutting pain at umbilicus, during night. ─ Sensitiveness of abdomen to least pressure. ─ Dull, heavy pressure or stitches in region of liver. ─ Stitches in region of spleen, < by motion and pressure. ─ Stitches in spleen extending into lumbar region. ─ Tympanites; whole abdomen feels bloated; followed by eructations. ─ Cutting in abdomen, as from knives, soon after eating. ─ Attacks of periodical spasmodic constriction of intestines, with nausea, followed by a papescent stool and burning in anus, with tenesmus. ─ Stitches through abdomen, extending to spinal column. ─ Chronic ulceration of mucous membrane attended with vomiting of ingesta, hectic and emaciation.

Stool and Anus

Constipation, with debility, coated tongue, headache and coldness of extremities. ─ Scanty, knotty evacuations, followed by burning in the anus. ─ Stool in one mass of excessive hardness. ─ Stools dry, with burning at anus. ─ Constipation, with painful retraction of anus. ─ Very painful evacuation of extremely hard feces. ─ Periodical constipation (every three months). ─ Stools slate-coloured, bloody. ─ Stools: blackish, watery; yellowish, watery; clay-coloured, watery and lumpy; jelly-like; involuntary and often painless and odourless; bloody and extremely painful. ─ Papescent evacuations, with much rumbling in intestines. ─ Morning diarrhœa; wakes from urgent pressure to stool; the watery contents gush out, followed by violent tenesmus; she cannot rise on that account; later, burning in abdomen, nausea and violent straining to vomit. ─ Frequent bloody evacuations, with gnawing pain about umbilicus with tenesmus; tongue smooth, red, cracked. ─ Dysenteric evacuations of brownish, frothy water, with violent, painful pressing, straining and tenesmus. ─ Pressing and straining in anus, with tenesmus. ─ Periodical dysentery every year in early part of summer. ─ Sensation of a plug in anus (can scarcely sit down). ─ Soreness at anus, making it very painful to walk. ─ Fulness in hæmorrhoidal vessels.

Urinary Organs

During micturition heat in urethra. ─ During and long after micturition burning in glandular portion of urethra. ─ After micturition burning in back part of urethra (in bulbus urethræ; in glands of urethra; in fossa navicularis), with sensation as if one drop of urine had remained behind with unsuccessful effort to void it. ─ Stitches in urethra, esp. after micturition. ─ Frequent discharge of watery urine of strong smell, awaking him at night. ─ Continuous desire to urinate during day. ─ Painful drawing from perineum into urethra. ─ Urine with white film and deposit, with mucous sediment. ─ Violent pain in os coccygis; < when rising, after he sat long, to urinate. ─ Some time in passing urine. ─ Scanty red urine, with pain across back.

Male Sexual Organs

Sexual desire absent; in fleshy people. ─ (Provoked by and following coition, asthmatic attacks.). ─ Stitches in prostate gland (when walking; must stand still). ─ Itching in hairy parts of genitals; skin becomes inflamed and small pustules of size of a pin's head are formed. ─ Constrictive pains at root of penis (morning, on waking). ─ Pricking and itching at glans. ─ Chancres ulcerating deeply. ─ Gleet, with stringy or jelly-like profuse discharge.

Female Sexual Organs

Menstruation too early, with giddiness, nausea, and headache; suppression of urine or red urine. ─ Membranous dysmenorrhœa. ─ Swelling of genitals. ─ Soreness and rawness in vagina. ─ Leucorrhœa yellow, ropy; pain and weakness in small of back and dull pain in upper part of abdomen. ─ Subinvolution. ─ Prolapsus uteri, seemingly from hot weather. ─ Climacteric flushes. ─ Vomiting of pregnancy. ─ Milk as it flows appears to be stringy masses and water.

Respiratory Organs

Respiration oppressed; wakens 2 a.m. ─ Sensation of choking on lying down. ─ Sensation as from ulceration in larynx. ─ Accumulation of mucus in larynx, causing hawking. ─ Hoarse, rough, or nasal voice. ─ Hoarseness (in evening). ─ Tickling in larynx; every inhalation causes cough (with hoarseness). ─ Cough caused by eating. ─ At dinner, after first mouthful, great tickling in larynx; > on eating more. ─ Cough in morning, with viscid expectoration. ─ Cough hoarse, metallic, with expectoration of tough mucus or fibrous elastic plugs (croup; membranous or croupous bronchitis). ─ Dry cough, with stitches in chest. ─ Violent, rattling cough, lasting some minutes, with an effort to vomit, and expectoration of viscid mucus, which can be drawn in strings to the feet. ─ (Expectoration sticks in chest so as to almost cause strangulation; it is found in croup, whooping-cough, catarrhs. ─ Snuffles of infants, particularly in fat, chubby, little babes, where there is a tough, stringy discharge from the nose, &c. ─ Cough, with thick, heavy expectoration; bluish lumps of mucus. ─ Hawking up of copious, thick, bluish mucus. ─ Expectoration with traces of blood. ─ Expectoration of yellowish tough matter. ─ Cough, with pain in sternum, darting to between shoulders. ─ Sensation of dryness in bronchi (in morning). ─ Dry cough after dinner. ─ Cough, with pain in loins, vertigo, dyspnœa, shootings in chest. ─ (Asthmatic attacks always caused by and follow coition). ─ Oppressed breathing, awakens at 2 a.m.; palpitation; orthopnœa: cold sensation and tightness about heart, lower portions of lungs oppressed. ─ "Stuffing" cough, with pain in chest and expectoration of yellow or yellowish green tough matter.

Chest

Pressure and heaviness on chest, as from a weight; wakens with this sensation at night and is > after rising. ─ Stitches below sternum, extending to back. ─ Dull pain in r. side of chest over circumscribed spot, < on inspiration.

Heart

Cold sensation about heart: tightness of chest; dyspnœa. ─ Sensation of pressure on heart (after eating). ─ Sharp, irritating, fixed pain in region of apex of heart. ─ Pricking pain in region of heart. ─ Palpitation. ─ Pulsation felt in arteries.

Neck and Back

Stiffness of neck when bending head forward. ─ Sticking pain from ears to glands. ─ Swollen cervical glands and occipital glands. ─ Sharp, stinging pain in region of kidneys. ─ Pain in back striking through to sternum with cough. ─ Pain, as from a knife, through loins; cannot walk. ─ Violent aching pain, "like a gathering," in small spot in sacrum, a steady, throbbing pain, < at night hindering sleep; > in day when up, walking about, but unable to lift anything. ─ Pain in sacrum; cannot straighten himself. ─ Cutting in outer l. side of sacrum, shooting up and down. ─ Pain in os coccygis (in morning); < from walking and touching it. ─ Pain in coccyx while sitting.

Limbs

Rheumatic pains in limbs. ─ Periodical wandering pains, also along bones. ─ Cracking in joints, < by motion.

Upper Limbs

Rheumatic pain in both shoulders ( < at night). ─ Stitches at lower angle of l. shoulder-blade. ─ Stiffness of shoulder-joint. ─ Sensation of lameness of r. arm (as if it had gone to sleep). ─ Burning pain in middle of forearm, extending to wrist. ─ Painful stiffness of r. arm. ─ Stinging pain in l. elbow. ─ Rheumatic pains in joints, esp. wrists. ─ Great weakness in hands. ─ Bones of hands as if bruised, when pressed, ulcers on fingers with caries. ─ Spasmodic contraction of hands. ─ Rheumatic pains in fingers. ─ Cracking of all joints from least motion. ─ Psoriasis diffusa of hands, degenerating into impetigo. ─ Ulcer under thumb-nail. ─ Pustules on roots of nails.

Lower Limbs

Rheumatic pains in hip-joints and knees on moving ─ more esp. during day. ─ Pain in course of l. sciatic nerve, extending from behind great trochanter to calf of leg; > by motion. ─ Stitches in r. side of chest and l. sciatic nerve. ─ Pain in tendons of muscles of calf, as if stretched, causing lameness. ─ Soreness in heels when walking. ─ Heaviness of legs. ─ Pain in r. hip, extending to knee; > by walking and flexing leg; < in hot weather, by standing, sitting, or lying in bed; pressure = pain to shoot along entire nerve. ─ Pain in middle of tibia. ─ Sensation of dislocation in l. ankle. ─ Ulcers on previously inflamed feet. ─ Small irregular ulcers on leg. ─ Acute twinging pain in l. great toe; pricking and stinging pains in different parts of body; acute gouty pain in ball of r. great toe, four minutes after same pain in l. ─ Sore pain inner side r. great toe where the nail joins the flesh.

Generalities

Pains which wander quickly from one part of body to another. ─ Periodical wandering pains in all limbs. ─ Sensitive painfulness of whole body (morning on rising). ─ Gastric symptoms supersede rheumatic symptoms; or they alternate with one another. ─ Liability to take cold in the open air; drowsy in open air. ─ Great debility, with desire to lie down. ─ Great prostration. ─ Drawing in various parts; in sheaths of muscles; near bones, as if in periosteum; in neck, back, and limbs; in morning on waking, > on rising.

Skin

Hot, dry, and red skin all over body. ─ Dry eruption, like measles, over whole body. ─ Small pustules over whole body, similar to smallpox; they disappear without bursting open. ─ Pustules over whole body, appearing on inflamed parts of skin, as large as a pea, with a small black scab in middle. ─ Blood-boil on r. thigh; on r. side of spine, near the last rib; painful on the least motion. ─ Small pustules on roots of nails, spreading over hands to wrist; arm became red and axillary glands suppurated; the small pustules on hands secreted a watery fluid when they were broken; if they were not touched the fluid became thickened to a yellow, tough mass. ─ The eruption begins in hot weather. ─ Suppurating tetter (ecthyma). ─ The pustulous eruption resembling small-pox, with a hair in the middle, is more prominent on face and arms. ─ Brown spots (on throat) like freckles. ─ Blister, full of serum, in sole of r. foot. ─ Scabs on fingers, or corona glandis. ─ Ulcers, dry, form oval; have overhanging edges, a bright red, inflamed areola, hard base; movable on subjacent tissues; dark spot in centre; after healing the cicatrix remains depressed. ─ After an abrasion, a swelling like a knot, forming an irregular ulcer, covered with a dry scab and painful to touch; under skin is felt a hard, movable knot, like a corn, with a small ulcerated spot in middle, where it touches the cuticle; the hard knotty feel remains after the healed ulcer is covered with white skin. ─ Ulcers corrode and become deeper, without spreading in circumference. ─ Ulcers esp. painful in cold weather. ─ Ulcers on previously inflamed feet. ─ Ulcers on fingers, with carious affection of the bones. ─ Hands become covered with deep, stinging cicatrices.

Sleep

Sleepiness and prostration, can hardly write. ─ Unrefreshing sleep; feels very debilitated, esp. in extremities. ─ Wakens in a start, with nausea or headache (2 a.m.), with heat and perspiration, accelerated pulse, palpitation of heart and dyspnœa; with anxiety, heat in pit of stomach, and spitting of blood; from frequent desire to urinate. ─ Woke with great oppression on chest (nightmare). ─ < After sleep.

Fever

Pulse accelerated; irregular, small, contracted. ─ Great inclination to yawn and stretch. ─ Chilliness in the back and sleepiness; seeks a warm place. ─ Chilliness alternating with flushes of heat. ─ Chilliness, with giddiness and nausea, followed by heat with sensation of coldness and trembling, and periodical stinging pain in temples; without thirst. ─ Attacks of chilliness, extending from feet upwards, and sensation as if skull on the vertex became contracted, in frequently returning paroxysms. ─ Chill, followed in an hour by heat, with dryness of mouth and lips, which have to be moistened all the time; followed in morning with great thirst, but no perspiration. ─ Chilliness, esp. on extremities, and flushes of heat alternating with general perspiration. ─ Heat of hands and feet; nausea; pain in upper part of abdomen; dryness of mouth; sleeplessness, followed by perspiration of hands, feet, and thighs; ceasing for two hours, when they reappear. ─ Giddiness; violent, painful vomiting is followed by pain in forehead, burning of eyes, great burning heat of upper part of body and face, with internal chilliness and violent thirst. ─ Perspiration on back during effort to stool.

The Guiding Symptoms of Our Materia Medica

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

Mind

Great weakness of memory.
Misanthropy and ill humor, even to disgust of life.
Frequent vanishing of thoughts ; senseless staring at an object.
Listlessness, languor ; great disinclination for mental or bodily labor.
Indifferent of low spirited after least annoyance, with distress in stomach.
Ill humored ; low spirited.
Aversion to motion ; inclination to lie down.
Anxiety arising from chest.
Anthropophobia ; taciturnity ; misanthropy.

Sensorium

Lightness in head, across forehead, on stooping ; < mornings.
Sudden, transient attacks of vertigo, rising from a seat.
Vertigo, with nausea, inclination to vomit ; pain in epigastrium.
Confusion and heaviness in head.

Inner head

Headache in forehead over one eye.
Soon after dinner a dull, heavy throbbing above eyes, as if head would burst ; > by lying, or pressing head against anything, or in open air ; < stooping or moving about.
Pain beginning in right supraorbital ridge and spreading over one side of head, coming on early in day and lasting ten hours, leaving soreness of scalp. θ Supraorbital neuralgia.
Pain in left temple, stretching across forehead to right temple, and round eye and malar bone of right side ; complete loss of sight in right eye, and puffy swelling on malar bone during pain ; attack begins 9 A. M. and goes off in afternoon. θ Supraorbital
neuralgia.
Shooting pains over eyebrow.
Acute throbbing pain in centre of right eyebrow, commencing in morning, lasting all day, and accompanied by persistent retching and vomiting of food and bile, without relief. θ Migraine.
Pain in left side of head and over left eye ; < at night ; pain in right side of chest, from scapula round to anterior part ; gnawing at epigastrium after meals ; catamenia scanty ; leucorrhœa. θ Headache.
Sudden violent pain in temples ; a shooting outward, in temples and over eyes, continuing day and night, but less severe during night ; < stooping, which also brings on vertigo ; no coryza. θ Headache.
Stinging headache in one temple.
Blindness, followed by violent headache, must lie down ; aversion to light and noise ; sight returns with increasing headache.
Headache which involves optic nerve ; comes in morning, sight is blurred ; as pain increases, dimness of sight decreases ; comes and goes with sun and is accompanied by nausea.
Burning headache with vertigo, during which all objects seemed to be enveloped in a yellow mist ; > by warm soup.
Violent pain in left side of head, at zygomatic process ; < when lying on it ; shooting inwards and towards throat ; throat a little reddened but not swelled ; gastric symptoms present. θ Headache.
Periodical attacks of semilateral headaches on small spots that could be covered with point of finger ; nausea, eructation, vomiting.
Periodic headache with vertigo and nausea, morning awaking, also in evening ; often > by pressure, in open air, or by eating.
Pain in head, at a point.
In morning, on awaking, pain in forehead and vertex ; later extends to back of head.
Headache from suppression of discharge from nose.

Outer head

Violent shooting pains from root of nose along left orbital arch to external angle of eye, with dim sight, like a scale on eye ; begins in morning, increases till noon, and ceases towards evening.
Frontal headache ; usually over one eye ; shooting at intervals in right temple.
Semilateral headache in small spots, or along course of a few nerves.
Darting or aching pains on one side ; flying pains.
Pressure on vertex, as from a weight.
Bones of head feel sore ; sharp stitches in bones. θ Rheumatic headache.
Eczema of scalp, which all over and down to eyebrows was red, raw and oozing a thin moisture, which dries into yellow scabs here and there ; hair thin and scattered, and nearly all fallen off ; much creeping, itching and smarting of affected
parts.
Circumscribed patches of eruption, varying greatly in size, commencing at supraorbital regions, and covering nearly entire scalp ; eruption consists of a number of minute vesicles closely crowded together, and filled with a transparent, viscid fluid, which burst and form thick,
laminated crusts, of a dirty grey color ; no inflammation or swelling of skin between patches of eruption ; much itching ; agglutination of lids, and discharge of purulent matter from inner canthus ; patches of eruption on face, and thick crusts around nostrils ;
external ears greatly swollen, red and glazed, behind ears excoriated with profuse discharge of serous fluid ; patches of eruption about 1 1/2 inches in length, deeply fissured, in folds of skin of neck, with sero-purulent discharge ; fretful, rests badly ; sucks with
difficulty, from stuffing up of nostrils ; emaciation ; green, slimy diarrhœa.
Eruption began on ear and spread over half the head ; greenish crusts, with oozing of whitish, thick matter.
Eruption of painful small boils on back of head.

Sight and eyes

Photophobia only by daylight ; when opening lids they twitch.
Various colors and bright sparks before eyes.
Burning headache with giddiness, during which objects seem to be covered with a yellow veil.
Eyeball tender when rubbed, especially the left ; sees point of pen double.
Sight dim, confused : before headache ; with vertigo ; with yellow sight.
Indistinct outline ; figures vanish on looking at them.
Granular lids, complete pannus of right eye so could barely count fingers, and partial pannus of left eye ; considerable discharge ; everything appeared slightly red to him ; > when lying on face. θ Trachoma
with pannus.
Rheumatic sclero-iritis, with excessive pain and photophobia. θ Syphilis.
Sequela of iritis ; pains pricking, stinging, wandering ; mostly left eye ; lymph and pigment deposited upon anterior capsule of lens, or posterior wall of cornea ; photophobia not commensurate with degree of inflammation ; œdema of lids ; great desire to
rub lids ; conjunctival chemosis with small spots here and there like ecchymoses.
Indolent ulcers of cornea ; pale ring around cornea.
Right eye inflamed ; lids ulcerated ; ulcer on cornea ; slight blepharospasm.
Ulcers and pustules of cornea with no photophobia, no redness.
Ulcer with slight photophobia in morning and agglutination ; smarting < after rubbing ; stringy discharge from eye. θ Ulceration of cornea.
Corneal ulcers which have a tendency to bore in without spreading laterally.
Small, white, granular pustules on left cornea, with pricking pain.
Cornea affected with a large opaque spot, to which large red vessels ran from injected conjunctiva across clear margin ; a zone of fine injection of bulb round cornea. θ Catarrho-strumous
ophthalmia.
Much injection of conjunctiva, both of the bulb and eyelids of both eyes ; very red at edges of cornea, and phlyctenula on edge ; several deep ulcers on the cornea ; great photophobia and flow of tears ; no pain. θ Scrofulous
ophthalmia.
Long lasting dense opacities of cornea.
Pustule on left cornea, with surrounding indolent inflammation.
Left eye greatly injected ; cornea dim ; much photophobia in both eyes ; upon right eye and old cicatrix ; eczema squamosum over whole body ; θ Conjunctivitis
scrofulosa.
Mild cases of croupous conjunctivitis (a condition midway between purulent and genuine croupous inflammation), in which the false membrane is loosely adherent, easily detached, and has a tendency to roll up and separate in shreds, which come away in discharges, giving them a stringy
appearance ; conjunctiva very much inflamed, even chemosis ; lids swollen and cornea may be hazy.
True descemititis ; fine punctate opacities in membrane of Descemet, especially over pupil, with only moderate irritation of eye.
Iris muddy and sluggish ; cornea looked projecting ; fine sclerotic injection round it, and some conjunctival injection ; sight very dim, like a gauze ; lachrymation on exposure ; stiffness at outer canthus ; burning pain on upper eyelid on touching it. θ Rheumatic
inflammation.
Small white pustules in conjunctiva.
On opening eyes, lachrymation and burning.
Itching and burning in both eyes, lachrymation and photophobia.
Burning in eyes.
Heat and pressure in eyes.
Heat and redness in eyes, with desire to rub them.
Conjunctiva red, traversed by large vessels ; or chemosis, with small spots here and there, like ecchymoses.
Inflammation of eyes ; conjunctiva reddened, injected and chemosed ; much flow of tears ; eyelids reddened and agglutinated, with thick matter at edges.
Conjunctivitis, congestion of lids and globe ; no photophobia ; soreness in eyes < by reading or using eyes, with smarting lachrymation upon using.
Catarrhal inflammation, stringy discharge, or scanty secretion, < morning on awaking.
Inflammation of eyes, with yellow discharge and agglutination, in morning.
White of eye dirty yellow, puffy, and covered with yellow brown points.
Lids agglutinated in morning ; yellow matter in canthi.
Œdema of lids ; great desire to rub them.
Heaviness of upper lids on waking ; requires an effort to open them.
Lids red, itching, tender ; tarsi seem rough, causing a sensation as from sand in eyes ; granular lids.
Margin of lids very red.
Eyelids burning, inflamed, much swollen ; granular.
Large acute granulations of lids.
Large polypus springing from conjunctiva of upper lid.

Hearing and ears

Stitches in left ear and left parotid gland, with headache.
Violent stitches in left ear, extending into roof of mouth, side of head and neck ; glands swollen, neck painful to touch.
Stinging from external meatus into internal ear.
Pulsating pain at night, purulent otorrhœa ; stitches extending into mouth, or down neck, enlarged parotid.
Pulsating pains in ears at night, also stinging ; external meatus swollen and inflamed.
Thick, yellow, fetid discharge from both ears. θ After scarlatina.
Chronic suppuration ; membrana tympani perforated ; cicatrization of edges of perforation complete ; tissues appear as if changed to mucous membrane, and secretion is often more mucus than pus ; discharge yellow, thick, tenacious, so that
it may be drawn through perforation in strings ; lancinations, sticking sensations that cannot be located with any degree of positiveness.
Ulcers upon tympanum, dry but not painful, excepting sharp stitches.
Violent tickling and itching in ears.
External meatus of left ear swelled and inflamed.
Redness ; heat and itching of external ears.
Eruption covering both ears, and considerable portion of surrounding skin ; hot and itching, and constant oozing of watery discharge. θ Eczema.
Itching of right ear lobe, waking him.
Mumps on right side lip.

Smell and nose

Loss of smell.
Fetid smell from nose.
Dryness of nose.
Nose very dry, with feeling of pressure in nasal bones.
Nose painfully dry ; air passes with great ease through it.
Dryness of nose ; constant feeling of being stopped up ; disagreeable feeling of burning and swelling, and at times actual swelling ; tensive feeling as if it must burst ; hot upper lip ; eyes affected ; < in warm, > in cool temperature. θ Chronic
inflammation of mucous membrane of nose.
Dryness of nose with pressive sensation at root as in commencement of stopped catarrh ; pressive pain extended to temples and affected head.
Disagreeable sensation in nose, as if it were swollen, mucous membrane dry ; walls of nose feel stiff and velvety.
Sensation of a hard substance compelling one to blow nose, but there is no discharge.
Sensation as if nose was swollen and stiff ; must blow out a thick substance, but no discharge ; feels as if a heavy weight was hanging from it.
Sensation as if nostrils were made of parchment.
Burning and beating inside of root of nose ; externally heat and distinct throbbing rhythmical with pulse ; nose swollen at root and hot without being red ; nose seemed thick and full, "spoke through it ;" frequently inclined to blow nose on account of
sensation of thick substance in it, but nothing was expelled ; nose dry ; sensation as of a heavy weight hanging from it.
Violent shooting pains from root of nose along left orbital arch to external angle of eye, with dimness of sight like a scale on eye ; beginning in morning, it increases till noon, and gives way towards evening. θ Ozæna.
Pressure and pressive pain in root of nose.
Aching pain at root of nose, with acrid discharge.
Soreness in nose ; yellow scab at lower (outer) surface of septum ; dorsum of nose painful to touch.
On blowing nose violent stitches in right side of nose, as though two loose bones were rubbed against each other.
The nose feels too heavy.
Expired air feels hot in nose.
Tickling, as from a hair, high up in left nostril.
Frequent sneezing : in morning ; on going into open air.
Constant snuffing in warm, damp weather.
Watery secretion, great soreness and tenderness of nose.
Burning, excoriating, watery discharge from right nostril ; whitish scabs in nostril ; sensation of pressure at root of nose ; eyes watery, < in wind ; dizzy on stooping and on going up stairs ; easily takes cold. θ Nasal
catarrh.
Watery discharge with redness of nose and putrid smell.
Scanty, acrid, mucous discharge from nose, causing burning of septum.
Coryza fluent, excoriating nose and lip ; nostrils sensitive, ulcerated ; round ulcer or scabs on septum.
Small perforating ulcer on septum.
Distress and fulness from inflammation in frontal sinuses.
Coryza, with pressure and tightness at root of nose ; < evenings and in open air ; in morning obstruction and bleeding from right nostril.
Troublesome coryza and loss of sense of smell and taste ; after syphilis and large doses of mercury.
Constant running from eyes and nose, severe pain in frontal sinuses, some fever and great weakness ; cough prevents sleeping ; always < at night.
Sneezing, redness of Schneiderian membrane and alæ of nose, suffused eyes, lachrymation, rawness of throat and great languor. θ Hay fever.
Nose stuffed up ; especially upper part, with a difficulty of detaching thick mucus which more readily passes by posterior nares.
Formation of plugs in nostrils.
Nose constantly full o thick mucus.
Clinkers in nose ; if allowed to remain a few days can be easily detached ; but if pulled away too soon, it causes soreness at root of nose, and intolerance to light.
Discharge of large masses of thick, clean mucus from nose, if that ceases he has violent headache ; pain from occiput to forehead.
Pinching pain in bridge of nose, > by hard pressing ; small, lumpy, nasal discharge ; greater portion, which is tough and ropy, passes down from posterior nares into throat, and is hawked up with difficulty and disgust. θ Nasal
catarrh.
Ropy, tough discharge, often from posterior nares ; offensive or not.
Nasal catarrh, with acrid or thick yellow, ropy discharge from posterior nares.
Constant discharge of thick yellow matter from left nostril, mostly early in morning, and fetid smell, after any fresh cold ; severe pain up muscles of left side of neck to one small spot in side of head, brought on and aggravated by blowing nose ; in left nostril, half way up,
severe smarting pain, extending to malar bone below eye ; constipation ; tongue white. θ Chronic inflammation of Schneiderian membrane.
Discharge of tough, green masses, or hard plugs.
On blowing nose, violent sticking in right side of nose, as though two loose bones rubbed against each other ; frequent discharge of greenish colored masses of offensive odor, that, passing through posterior nares, have very disagreeable taste ;
right nostril filled with hard masses ; small ulcers on external borders of nostrils.
Mucus tough, ropy, green, bloody ; in clear masses, and has violent pain from occiput to forehead if discharge ceases.
Nostrils filled with a dry, hard crust, bloody at edges when discharged ; itching pains in ethmoid bone ; crista nasalis, or septum narium, which irritation often affects periosteum of superior maxilla. θ Catarrh.
Discharge of crusts slightly tinged with blood.
Internal ulceration, with thin, watery discharge or collection of elastic plugs, which cause great pain in removal, and leave nose very sore.
Membrane of septum dotted with minute ulcerations.
Ulceration of septum narium ; purulent inflammation of whole nasal mucous membrane.
Entire cartilaginous septum destroyed, and whole nasal mucous membrane in a state of purulent inflammation ; disease mistaken for syphilis.
Septum narium completely ulcerated away.
Swelling of a highly vascular spongy texture in right nostril, distending it and apparently growing upwards, finally also traveling downward and protruding externally ; left nostril also became affected in same way ; soft parts of alæ nasi
involved, but bony structure unaffected ; very slight and occasional muco-purulent discharge ; fetor ; occasionally, severe paroxysms of lancinating pain in affected parts, making him cry out ; by the continued growth and pressure of the tumors neighboring soft parts were
absorbed, causing much disfigurement ; voice hoarse. θ Malignant ulceration of nose.
Syphilitic caries of septum narium.
Small ulcers on edges of right nostril, violent burning when touched.
Spot in right lachrymal bone is swollen and throbbing ; profuse secretion from nostril.
Ulceration of frontal sinuses, with violent headache at root of nose, and in frontal prominences, if discharge stops.
Nasal polypi, recent or of long standing.
Thick, dark red blood from nose ; irregular, small, contracted pulse.
Nasal lupus.

Upper face

Face : pale, yellowish ; red, in blotches ; flushed ; expression anxious.
Sensitiveness of bones of upper jaw, beneath orbit.
Shooting pain in left upper maxillary bone, towards ear.
Shooting inward in left malar bone, with pressure ; also same across bridge of nose ; hot and cold alternately ; cough < in morning ; sputa greenish yellow, bitter ; inclined to cry ; shooting sometimes in bone over the eye ; cough hurts painful part
of cheek.
Thick brown scabs, under which yellow matter formed ; much itching ; eruption extended from root of nose to upper lip. θ Syphilitic eruption.
Twenty years previously small tubercle appeared on right side of nose ; this gradually melted away and formed an ulcer, which has ever since slowly traveled in furrows, healing behind ; there is now present an irregular sulcus one inch and a half long ; besides this there
are scabs on nose, and scars indicating the sites of former sores ; troublesome itching. θ Lupus.

Lower face

Twanging like wires in left face and neck, followed by burning sensation, as if losing her reason.
Sore on left cheek about size of large almond ; base clear and raw ; profuse discharge of clear, watery fluid, very hot and scalding. θ Herpes exedens or
lupus.
Pustules on cheeks, forehead and chin, becoming covered with brownish scab, without oozing of matter ; itching after washing.
Impetiginous eruption on face ; pustules form frequently, discharge a watery pus and leave a brownish scab, and are accompanied with much itching.
Perspiration on upper lip.
Lower lip swelled, chapped.
Ulcerations with indurated edges and smarting pain on mucous surface of both lips.
Digging in rami of lower jaw.
Mumps on right side.
Parotids swollen ; pains from ears into glands.

Teeth and gums

Gums of right lower jaw very much swollen, of a dirty white color, and extremely tender to touch ; teeth on that side quite loose, and will not bear slightest pressure ; profuse ptyalism ; gums of both sides of mouth unusually sensitive ;
cannot masticate any food ; liquid food causes gums to feel very sore, and tongue rough ; tongue furred, dirty brown at sides, in centre red and irritable looking ; throat swollen and painful ; sour taste in mouth ; constant eructation for some time after taking
food ; after meals aching pain in forehead and occiput, and a feeling of giddiness and faintness ; light pain across lower part of chest, extending to between scapulæ, particularly when eating ; is very weak and has become thin. θ Stomacace.

Taste, speech, tongue

Taste : coppery ; sweetish ; sour ; bitter, in morning.
Tongue dry, smooth, red, cracked ; dry and red.
Tongue broad and flat, with raised, almost scollop shaped edges, surface rough and yellowish, dry or moist, while underlying this yellow roughness tongue is very red, fur being thin, and lying on a red ground. θ Dyspepsia.
Tongue coated : yellowish white ; thick yellow mucus, edges red and full of small painful ulcers.
Thick yellow fur toward base of tongue. θ Catarrh of stomach.
Papillæ of tongue very long on dorsum ; with a brown colored patch.
Tongue coated, thick brown, as with thick yellow felt, at the root ; papillæ elevated.
Syphilitic ulcers on tongue ; deep ; stinging ; yellow base.
Deep ulcer on edge of tongue.
Stinging and pricking pains in tongue.
Sensation of a hair on back part of tongue and velum ; not > by eating or drinking.

Inner mouth

Dryness in mouth.
Dryness of mouth and lips, > by drinking cold water.
Sticky saliva in mouth and upper part of throat about uvula.
Saliva : increased, bitter, viscid, frothy, tasting salt.
In forepart of palate single circumscribed spots, of size of barley corn, colored red, as if little ulcers were about to form.
Ulcer on roof of mouth, with sloughing. θ Syphilis.
Ulcers with hard edges, smarting, at mucous surface of lips.
Aphthous ulcers, deeply corroding.
Syphilitic affections of mouth and fauces.

Palate and throat

Soft palate slightly reddened ; uvula relaxed, with sensation of a plug in throat, not > by swallowing.
Sensation as if an acid acrid fluid was running through posterior nares over palate, causing cough.
Œdematous uvula.
Deep, excavated sore, with a reddish areola, and containing a yellow, tenacious matter, at root of uvula ; fauces and palate erythematous, bright or dark red, or coppery.
Uvula and tonsils red, swollen and painful, finally becoming ulcerated.
Swollen tonsils with deafness of children.
Tonsils swollen ; neck thick outwardly below angle of jaw ; Eustachian tubes seem blocked up ; is very deaf ; could not hear watch, except when very close to ear.
Sharp, shooting pains in left tonsil, extending toward ear > by swallowing ; suppuration of tonsils.
Indolent enlargement of tonsils, where there is little perceptible inflammation ; patient flabby ; leuco-phlegmatic habit of body ; foul tongue ; thickening of nasal mucous membrane, and disposition to scabby nostrils.
Subacute inflammation of tonsils, with little fever, but tendency to formation of small ulcers on tonsils and velum.
Swelling of amygdala with dirty redness, violent pain on swallowing ; no suppuration ; very little fever.
Ulcers on tonsils and throat, surface of which seemed covered with an ashy slough ; surrounding mucous membrane dark, livid and swollen.
Congestion of all vessels, ulcers on tonsils, pimples on uvula, uvula swollen and red.
Sensation of hair in fauces.
Dryness in mouth and throat.
Dryness and burning in throat, morning ; often coincident with inability to breathe through nose.
Throat pains more when putting tongue out.
Much tenacious mucus, sometimes thick, gelatinous, hawked in morning.
Mucus so viscid that it draws out like a long thread from gullet and throat ; continually a troublesome retching and cough.
Very sore throat, pain much < by swallowing ; throat full of tough mucus which she could neither swallow nor hawk up ; pains < putting tongue out ; pain in side of head ; shooting pain in left ear ; left side of neck painful to touch and much swollen ;
tonsils, especially l. much swollen and inflamed.
Burning in pharynx, extending to stomach ; solids cause pain when swallowed, and leave a sensation as of something remaining there.
Posterior wall of pharynx dark red, glossy, puffed, showing ramifications of pale red vessels ; to left of middle a small crack, exuding blood.
Two ulcers in back part of throat, over one half inch in diameter, deep, filled with cheesy looking matter, edges elevated, with well defined borders ; also one ulcer which had eaten through velum palati, and from which continually oozed matter like that of the others ;
pale ; emaciated ; loss of appetite ; very weak ; "miserable all over." θ Ulcerated sore throat.
Follicular enlargement of mucous membrane of pharynx, with chronic coryza, that forms hardened yellow pieces of mucus.
Ulcers in fauces, also in pharynx, discharging cheesy lumps of offensive smell.
Deep-eating ulcers in fauces, often syphilitic.
Chronic ulcer of pharynx.
Tonsils red, ulcerated ; uvula nearly destroyed, only a very small portion remaining ; large ulcer on gums gradually increasing in size, with dirty edges and foul discharge ; destruction of nasal septum, foul smelling ozæna, thick, puslike discharge from nose ; upon
drinking water it escapes through nose ; glands of neck and lower jaw enlarged ; severe pain on swallowing ; voice hoarse, nasal ; excruciating pains in small of back. θ Syphilis.
Ulceration of fauces to a great extent, with much redness of tissue surrounding ulcerated parts ; at one part ulcer has perforated velum palati, forming a clean oval hole ; much pain on swallowing ; cough and thick, blackish mucus in morning ; frequent tickling
cough ; swelling and feeling of fulness in nose and sensation of a fetid smell. θ Syphilis.
Syphilitic mercurial sore throat, full of pockets.
Increased redness of sound places of mucous membrane of mouth and fauces, with heightened sensitiveness. θ Diphtheritis.
Pharynx red and swollen ; thick, tenacious, ashy grey membrane, tough and glutinous, on tonsils and between them ; thick, gurgling sound, with a flapping noise as of a piece of loose membrane, heard over larynx ; face and especially forehead, of a bluish tinge ; nose
pinched ; mouth drawn ; low fever ; unable to swallow. θ Diphtheria.
Entire throat much swollen ; thick, tenacious membrane covering both tonsils and extending down pharynx, and also to nostrils and eyes ; fetid discharge from nose ; shivering chills followed by dry heat ; prostration extreme. θ Diphtheria.
Diphtheria ; pseudo-membranous deposit, firm, pearly, fibrinous, prone to extend downwards to larynx and trachea ; bladder-like appearance of uvula, much swelling, but little redness.
Entire pharynx coated with tenacious, greyish, pseudo-membrane of offensive odor ; harsh and stridulous breathing ; voice partially suppressed ; harsh cough. θ Diphtheria.
During course of diphtheria, croupy cough ; epiglottis covered on apex and sides with membrane ; breathing labored ; could not lie down ; cough hard, expectoration consisting of long, tenacious mucus ; paroxysms of suffocation at night ; great drowsiness. θ Diphtheritic
croup.
Patch on right tonsil, croupy cough, bad odor from mouth, no appetite ; temperature 101 ; pulse 100. θ Diphtheritic croup. (Kali bich. during day and Spongia at night).
Shrill, croupy cough, occasionally whistling and wheezing ; rough, hoarse sound of voice with difficult breathing, as though lungs were stuffed with cotton ; throat purple, with numerous isolated patches of greenish yellow exudation all over fauces ; tongue, cheeks, gums
smelling like decayed meat ; pains extending to right ear, when swallowing ; expectoration frequently streaked with blood ; exudation tough and firmly adhering, spreading upwards into nostrils and down into larynx ; tendency to diphtheritic deposits upon remote mucous
membranes ; great weakness ; cachectic look ; swollen glands. θ Diphtheria.
Almost unconscious condition ; when aroused from it or when awaking from apparent sleep, complains most, or feels worse ; awakes often with desire to cough, or to hawk up detached portions of diphtheritic deposit ; while making this attempt throws off tough, ropy, yellow,
discolored mucus ; very great fetor ; deposit covers throat, uvula, tonsils and even roof of mouth, and is of a yellow greyish color ; becomes hoarse ; tongue either quite red, or covered with a thick, yellow substance ; the (r.) parotid gland is much smaller and,
upon deglutition, pain shoots up to ear and down neck of affected side. θ Diphtheria.
Diphtheria : pain in ear extending to swollen parotid glands and to head ; tongue coated yellow, especially at root ; pricking in tonsils and scraping with stitches in throat ; burning in throat ; after abuse of Iod. of Mercury.
Violent stitches in left ear extending into roof of mouth, into corresponding side of head and same side of neck, Which was painful to touch and glands swollen. θ Diphtheria.
Diphtheria on a wounded palate ; much prostration ; exudation looked like mould on bread ; discharge from nostrils.
Extensive, well organized deposit, exciting much cough.
Corresponds to form of disease in which vegetable parasite found in diphtheritic deposit resembles the spirobacteria.

Appetite, thirst. desires, aversions

Appetite lost ; thirst increased ; foul tongue ; languor.
Longing for beer ; for acid drinks, which increases.
Dislike to meat.

Eating and drinking

Food lies like a load ; sensation after a full meal as if digestion was suspended. θ Dyspepsia.
Pressure and heaviness in stomach, immediately after eating. θ Dyspepsia.
After dinner external stitches in epigastrium and breast into nipple (male), and in right hypochondrium.
Secondary bad effects from malt liquors ; especially from lager beer.

Hiccough, belching, nausea and vomiting

Fetid eructations.
Eructations of air, relieving an uneasiness of stomach, like from pent up wind at great curvature.
Sudden nausea.
Nausea : feeling of heat over body, with giddiness, rush of blood to head ; < on moving about, in morning, at sight of food, after meals, and after stool ; excited by drinking and smoking ; > by eating and in open air.
Nausea, with burning pain in anus, and erections lasting half an hour.
Giddiness, followed by vomiting of an acid, white, mucous fluid, with pressure and burning in stomach. θ Ulcer of stomach.
Almost immediately after eating, vomits all her food, sour ; appetite good ; tongue red in middle ; bitter taste ; constipation.
Vomiting : sour, undigested ; of bile, bitter ; pinkish, glairy fluid ; of mucus and blood ; of blood, with cold sweat on hands, face hot ; of yellow, purulent mucus.
Nausea and vomiting of drunkards.

Scrobiculum and stomach

Swelling of stomach (evening), with fulness and pressure ; cannot bear tight clothing ; tongue yellow.
Pressure and heaviness in stomach ; immediately after eating.
Food lies on stomach like a load ; digestion suspended.
Awakens with a start ; heat in pit of stomach and spitting of blood ; 2 A. M.
Awoke with uneasiness, soreness and tenderness, especially in a small spot towards left of ensiform cartilage ; headache in a small spot.
Feeling of coldness in stomach and bowels.
Pains and uneasiness in stomach, alternate with pains in limbs.
Gastric pains > after eating and rheumatic pains reappear ; when gastric symptoms reach to any height rheumatic pains subside.
Organic cardialgia ; eructations ; nausea like sea sickness ; sensation of fulness, heaviness ; malaise after a meal ; chilliness ; inflation ; gnawing, burning, constricting pain in stomach and hypochondria, < in morning and
during motion, > by eating.
After food, choking, as if there was something hard all down œsophagus, then a hiccup, and a jumping and shaking as if stomach jerked up, not painful ; then a curious feeling as of something eating in bowels ; gulping up of food unchanged and not sour, with pain across middle
of back ; constipation. θ Gastric affections.
Constant nausea and at times vomiting ; choking feeling, like a hair in back of throat, comes suddenly and causes sickness ; constant tearing pain at epigastrium ; smarting between scapulæ ; bad taste ; tongue white ; vertigo on rising. θ Gastric
disorder.
Want of appetite ; fulness at chest, much flatulence ; taste of rotten eggs coming into mouth, with constant nausea ; great dislike to fat meat ; tongue reddish and rough ; sharp, shooting, stabbing pains all over head, < afternoon and evening ;
constipation ; heat of whole body when walking ; eyes weak ; pain in eyeballs ; drowsiness and languor in daytime, sleeplessness at night ; frequently sharp, shooting, aching pains in sides and back.
Nausea on moving about or taking a short walk ; frequent sensation of nausea rising from stomach to pit of throat ; paleness of face ; flow of water in mouth ; coppery taste ; faintness and general coldness, and desire to lie down ; frequent pain at
epigastrium, pricking through to back, lasting about half an hour ; thirst ; brown tongue in morning ; bowels very constipated ; abdomen distended ; constant hunger and craving ; milk disagrees ; almost daily headache, shooting from back to front ;
pains in both hypochondria on walking ; excessive languor and indisposition to bodily and mental exertion ; sleep unrefreshing. θ Affection of stomach.
Pain in right hypochondriac region, towards epigastrium, < by touch and walking ; vomiting of greenish, watery mucus in morning ; thick yellow fur on tongue ; no appetite. θ Gastric
derangement.
Appetite poor, but must eat often ; as otherwise she felt faint ; nausea, > after a meal ; heartburn ; not much flatulence ; risings after food ; metallic taste in mouth ; pain or weight at stomach immediately after taking food, especially after
meat ; headache and giddiness ; constipation ; urine high colored ; abdomen bloated ; tongue too red and dry, but with a yellowish or brownish fur on it ; arches of palate red ; catamenia irregular and excessive ; great weakness ; rheumatism even
when well. θ Dyspepsia.
Bad effects of overindulgence in beer or other malt liquors ; great weight in pit of stomach ; flatulency ; loss of appetite ; oppression of food immediately after eating ; nausea, confused feeling, especially in morning, and vomiting
of mucus ; bad humor.
Dines at 6 P. M., and in about three hours has waterbrash, raises phlegm continually, vomits whatever food remains in stomach, and rarely sleeps before midnight, as phlegm chokes him ; cough ; constipation, stools hard and passed with some exertion.
θ Affection of stomach.
Vomiting of food, sour, with nausea, coming on an hour after eating ; pain at pit of stomach, like a stone ; tongue white and flabby ; bowels costive ; meat, tea or coffee vomited immediately. θ Dyspepsia.
Stomach complaint when there is pain in region of liver and sodden looking tongue, without much acidity or other symptoms, except general discomfort and sometimes white stools.
Gastric catarrh with acid vomiting ; sudden dyspepsia while eating.
Dyspepsia and vomiting from chronic gastric catarrh ; tongue coated thick, yellowish.
Chronic catarrh of stomach.
Ulceration of stomach and duodenum.
Round ulcer of stomach.

Hypochondria

Dull pain or stitches in right hypochondrium, especially when limited to a small spot ; clay colored stools ; metallic taste ; confusion in head.
In evening is seized with a violent aching continued pain, drawing her downwards, in right hypochondrium, stretching from epigastrium round to shoulder ; must undress immediately, though not perceptibly swelled ; great oppression of breathing ; pain lasts several hours and
subsides gradually, without any evacuation or passing of wind ; at times it is accompanied with nausea and some little vomiting ; tongue flat and furred ; bowels regular ; complexion not yellow.
Pain in a small spot in right hypochondrium ; pretty constant, but < to a sharp stitch on sudden motion after sitting ; appetite good and health not much affected.
Pain in hypochondrium, under ribs, unaffected by eating or pressure, or respiration, < by a chill, or great bodily exertion.
Constant dull aching in right hypochondriac region.
Spasmodic attacks resembling those accompanying gall stones.
Dull, heavy pressure or stitches in region of liver.
Stitches in region of spleen, extending into lumbar region, < from motion or pressure.

Abdomen and loins

Tympanitis ; abdomen feels bloated, followed by eructations.
Sensitiveness of abdomen to least pressure.
Stitches through abdomen, extending to spinal column.
Cutting, as from knives, soon after eating ; colic, alternating with cutting at navel, during night.
Cutting pains in lower intestines, and rumbling of gas in upper.
Dull, colicky pain round navel, coming on after any exposure to cold wind.
Almost immediately after eating complains of coldness and nausea, looks pale, and has pain in abdomen, then vomiting of food, unchanged, sometimes sour or tinged with bile ; vomiting gives relief ; during rest of day languid, drowsy, and complains of cold, though body is
hot ; frequent colicky pains in abdomen ; tongue white, furred ; thirst ; bowels moved several times a day ; stools pale and liquid. θ Gastro-intestinal
irritation.
Attacks of periodical spasmodic constriction of intestines, with nausea, followed by a papescent stool and burning in anus, with tenesmus.
Pain as in enteritis ; vomits in rapid succession bilious, bloody matter ; blood bright and clotted ; listless, indifferent, languid mood. θ Intussusception.
Gastro-intestinal inflammation, cramps here and there, < in calves and inner parts of thighs.
Chronic ulceration of mucous membrane attended with vomiting of ingesta, hectic and emaciation.

Stools and rectum

Watery, gushing diarrhœa in morning ; awakes from urgent desire ; followed by violent tenesmus, which prevents her rising ; later, burning in abdomen, nausea and violent straining to vomit.
Diarrheic stool, of brown, frothy water, with excessively painful pressure, urging and tenesmus in anus.
Stools frequent, clay colored, thin, with lumps, blood streaks, much straining ; little appetite, no thirst, no fever ; insular large patches on tongue.
Clay colored stools. θ Chronic diarrhœa.
Chronic morning diarrhœa ; cough ; early in morning, pains darting through right lung, from below mamma to back below right scapula ; very acute pains darting from behind left hip down on outside of left thigh, and sometimes to calf of leg ; severe acute pains about
left eye and l. side of forehead.
Chronic whitish diarrhœa with hepatic derangement of children.
Diarrhœa < from lager beer.
Stools : blackish, watery ; yellowish, watery ; clay colored, watery and lumpy ; jellylike ; involuntary and often painless and odorless ; bloody and extremely painful.
Dysentery : brownish, frothy, watery, or frequent bloody evacuations, gnawing about navel, tenesmus ; tongue smooth, red, cracked ; after a burn.
Diarrhœa or dysentery after rheumatism.
Periodical dysentery every year ; early part of Summer.
After Canthar. has removed stools like scrapings, jelly-like stools will sometimes appear ; Kali bich. will then complete cure. θ Dysentery.
Before stool : abdominal pains ; erections.
During stool : painful urging ; burning and straining in anus ; succus prostaticus ; gnawing about navel ; pain in region of spleen ; metallic taste in mouth ; offensive breath ; confusion in head.
After stool : remission of complaints ; tenesmus ; burning soreness or drawing in anus with nausea.
Papescent evacuations, with much rumbling in intestines.
Constipation, debility, coated tongue, headache, cold extremities ; stools dry, knotty.
Great constipation ; stools too large in size, and very painful to expel ; insular large patches on tongue.
Stool in one mass, of excessive hardness.
Hard, dry, knotty, difficult stools.
Hard evacuation, followed by burning and pressure in anus.
Scanty, lumpy stool, followed by burning in anus.
Habitual constipation ; stools scanty, knotty, followed by painful retraction of anus.
Stools dry, with burning at anus.
Tendency to constipation, especially when there exists an aggravation of general symptoms in consequence of its presence.
Periodic constipation every three or six months.
During an emission of wind from anus, sweat all over body, but especially on face, from which it runs in streams.
Falling of rectum.
Pressing and straining in anus, with tenesmus.
Burning in anus after dry and knotty stool.
Sensation of plug in anus, can scarcely sit down.
Soreness at anus, making it very painful to walk.
Fulness in hemorrhoidal vessels.
Painful dry piles, protruding after stool.
Hemorrhage from bowels ; strength much impaired ; lips completely blanched ; palpitation on slightest exertion ; tenderness over cecum ; stools sometimes natural, sometimes mucus streaked with blood, sometimes almost pure blood ; somewhat distended
abdomen ; stools never caused pain when they were solid, but when there was mucus or blood there was some tenesmus.

Urinary organs

Pain across back, with red urine.
Shooting in renal region, small pulse, prostration ; suppressed urine.
Constant aching in region of kidneys, < in right side, where pain was frequently shooting through to bowels ; soreness at stomach and acidity ; urine high colored and scanty.
Continuous desire to urinate during day.
Frequent discharge of watery urine, of strong smell, awaking him at night.
Suppression of urine, with much pain in renal region.
Suppression of urine following cholera.
Scanty, reddish urine.
Scanty, high colored urine, with copious, whitish sediment and pain in back.
Scanty urine, with a white film and whitish deposit ; mucous sediment.
Urine alkaline and ropy.
Painful drawing from perineum into urethra.
Before urination : pain in coccyx, extending into urethra.
During urination : heat in urethra ; burning in glandular part of urethra, continuing long after ; burning in fossa navicularis or in bulbus of urethra ; backache.
After urination : burning in back part of urethra, with sensation as if one drop had remained behind, with unsuccessful effort to void it ; stitches in urethra.

Male sexual organs

Sexual desire absent, in fleshy people.
Constrictive pain at root of penis ; morning on awaking.
Itching in hairy parts, skin inflames, small pustules form, of size of a pin's head.
Chancres ulcerating deeply.
Indurated chancre.
Pricking and itching at glans penis ; ulcers.
Stitches in prostate when walking, must stand still ; prostatic fluid escapes at stool. θ Chronic prostatitis.
Gleet, with stringy or jelly-like, profuse discharge.

Female sexual organs

Prolapsus uteri, seemingly from hot weather.
Subinvolution of uterus.
Membranous dysmenorrhœa.
Menses : too soon, with vertigo, headache, nausea and feverishness ; obstinate suppression of urine or red urine.
Soreness and rawness in vagina.
Swelling of genitals.
Itching, burning and excitement about vulva ; genuine pruritus.
Leucorrhœa yellow, ropy ; pain and weakness across small of back, and dull, heavy pains in hypogastrium.
Leucorrhœa that can be drawn out in long strings ; yellow, ropy, stiffening the linen.
Accumulation of thick, tenacious mucus.
Flushes in face, during climacteric period.

Pregnancy. parturition. lactation

Sudden nausea ; yellow coated tongue ; inward coldness and heat of face ; constipation ; violent abdominal pains ; faintness. θ Vomiting of pregnancy.
Long and continued vomiting during pregnancy ; can retain no food in stomach ; great emaciation and debility.
Milk, as if flows from breast, has appearance of being composed of stringy masses and water.

Voice and larynx. trachea and bronchia

Rough, hoarse or nasal voice.
Hoarseness and accumulation of mucus in larynx, in morning.
Hoarseness in evening.
Chronic hoarseness with laryngitis.
Throat dry and rough, with great hoarseness or aphonia.
Tickling in throat, causes cough.
Accumulation of tough mucus in larynx, causes hawking.
Hawks copious, thick blue mucus, in morning.
Sensation as from ulceration in larynx.
Frequent attacks of hoarseness, cough and difficulty of swallowing ; sore throat and sensation of a lump, partially > by swallowing ; hoarseness and loss of voice ; cough with blackish sputa, most in morning, with pain at sternum "like pins and needles".
Pain in throat, and feeling of swelling in larynx ; hoarse, husky voice ; cough with sputa difficult to detach ; cough and dyspnœa in morning ; pain across epigastrium and abdomen ; constipation. θ Affection
of larynx.
After catching cold, sensation of dryness in throat sometimes becoming a burning, which extended to larynx ; voice rough, hoarse ; at times, short, dry cough ; greyish white coating on posterior wall of pharynx ; debility and lassitude. θ Laryngitis.
Oppression of chest ; without cough, expectoration of blood mixed with phlegm, brought on by any exertion, or by reading or talking loud or laughing ; < morning ; cannot bear clothes tight over chest or throat, otherwise a sensation of faintness comes on ; sore,
smarting feeling in left side of throat, somewhat > by swallowing ; feeling of throat as if lined with wash leather ; > dry, warm air ; < in damp weather, whether hot or cold. θ Affection
of fauces and larynx.
Catarrhal laryngitis and catarrhal aphonia ; < in evening and when weather is going to change, and after long talking.
Attacks of dyspnœa, and more or less difficulty in taking an inspiration at all times ; tough, offensive expectoration ; constant hoarseness ; appetite poor ; emaciation. θ Chronic
inflammation of larynx and trachea.
Pharynx bluish with varicose veins ; vocal cords and posterior parts of larynx red and puffy and covered with greyish mucus ; sensation of dryness ; tickling in larynx when speaking ; voice rough and hollow ; cough with scanty, stringy expectoration, provoked by
speaking and laughing ; chronic laryngitis.
Chronic laryngitis, with congestion ; swelling of tissues and increased secretion of a glutinous fluid ; < towards morning, when tough mucus nearly strangles him. θ Follicular
laryngitis.
Gradual and insidious onset ; at first only slight difficulty of breathing, when mouth is closed ; as disease progresses there is fever, increased difficulty of breathing, hoarse voice, constant cough at intervals ; cough hoarse, dry, barking, metallic ; deglutition
painful ; tonsils and larynx red, swollen, covered with false membrane, difficult to detach, with expectoration of tough, stringy mucus ; finally breathing performed only by abdominal muscles, and those of neck and shoulders ; head bent backwards, breath offensive ;
diminished temperature, prostration, stupor and death from asphyxia, if not relieved. θ Membranous croup.
Croupy cough ; labored and quick breathing ; epiglottis slightly covered with a pale, pearly coating ; cough dry and severe ; pain and soreness in larynx ; expectoration gelatinous. θ Membranous
croup.
Fever, fluent coryza, croupy cough, < in morning ; membrane throughout fauces, tending to spread downwards to larynx ; epiglottis faintly covered ; coughed up tough, chunky mucus. θ Membranous
croup.
On fourth day of slight attack of diphtheria, sudden croupy cough ; breathing labored ; could not lie down ; cough hard ; expectoration of long, tenacious mucus ; very drowsy ; epiglottis covered on apex and sides with membrane. θ Diphtheritic
croup.
Croupy cough and difficult breathing, with wheezing ; expectoration of yellow, somewhat stringy mucus, which had to be removed with finger ; tonsils and fauces lined with a white, pearly coating, extending down to larynx ; < on right side. θ Membranous
croup.
After riding against a cold west wind, cold in head and throat, followed by croupy cough ; increased dryness of throat at night, breathing could be heard distinctly through house ; cough in paroxysms, fearfully increased after sleep. θ Croup.
Membranous or diphtheritic croup invading larynx, trachea and even bronchi ; voice hoarse, uncertain, cough hoarse, metallic ; deglutition painful, tonsils red, swollen, or covered with false membrane difficult to detach, with expectoration of
tough, stringy mucus ; coughs up casts of elastic, fibrinous nature ; loud mucous rales ; wheezing rattling in sleep ; insidious approach ; fat, chubby, light haired children.
Early, formative stage of croup ; < 2 to 3 A. M. ; tough mucus strangles him.
Sensation of lump in upper part of trachea, and of hairs across base of tongue, which neither hawking, swallowing nor eating relieves.
Catarrh of fauces and trachea ; great accumulation of ropy mucus ; hoarseness ; cough ; suppressed voice ; burning of mucous membrane, extending up into nostrils ; tonsils enlarged, causing dulness of hearing ; ulceration of pharynx and larynx ;
oppressed breathing.
Burning sensation in trachea and bronchi.
Sensation of dryness in bronchi in morning.
Violent ringing cough ; difficult, yellowish white expectoration ; burning, raw pain down throat and along sternum ; dyspnœa and wheezing, must sit partially up in bed ; pulse quick and small ; no sleep throughout whole night. θ Acute
bronchial catarrh.
Constant cough, keeping him awake whole night, and causing much distress from pain in chest, which he described as a tearing and burning ; constant running from nose ; pain in frontal sinuses ; general feeling of lassitude and languor. θ Catarrh
of chest.
Frequent severe paroxysms of cough, loose, wheezing sound, no sputa ; perspiration < at night ; loud wheezing and rattling ; dyspnœa on lying down. θ Bronchial catarrh.
Violent paroxysms of cough, with little expectoration, and that of stringy mucus, leaving patient excessively exhausted, sometimes attended with dry retching. θ Bronchitis.
Acute capillary bronchitis.
Every two or three weeks, after any slight exposure, is seized with chilliness and languor, with flushed face, headache and hot hands for half a day ; then heat of whole body ; disturbed sleep and screaming at night, followed by paroxysms of coughing, with vomiting of tough
mucus like white of egg and yellow, acid fluid ; then for several days cough ; want of appetite ; foul tongue ; constipation. θ Bronchial attacks after whooping cough.
Common bronchitis, vacillating between acute and torpid inveterate character of disease, and especially if attended by periosteal or rheumatic pains of chronic character.
Violent, tight, dry cough, < during day, and always excited by any exposure to smoke ; wheezing at night in bed. θ Chronic bronchitis.
Rattling in chest, dyspnœa on lying down. θ Chronic bronchitis.
Chronic bronchitis for many months ; cough slight, but much viscid expectoration, in grey lumps ; slight sore throat ; pain at epigastrium ; flatulence.
After catching cold, one year ago, cough, with great oppression of chest and swelling of veins of neck ; sputa in tough, black lumps ; cough < after eating or drinking ; dyspnœa on exertion. θ Chronic
bronchitis.
Stringy expectoration ; sensation of choking on lying down. θ Chronic bronchitis.
Chronic bronchitis caused by inhalation of vapor of arsenic.
Subacute and chronic inflammatory processes in larynx or bronchial tubes, with congestion and swelling of tubes and increased secretion of glutinous mucus, which veils and alters voice.
Bronchial dilatation with fetid breath and expectoration.

Respiration

Oppressed breathing, awakens at 2 A. M. ; palpitation ; orthopnea, sits bent forward ; caused by mucus, croup, croupous diphtheria, chronic bronchitis, membranous bronchitis, or from disturbed circulation ; cold sensation and tightness about heart, lower
portions of lungs oppressed.
Pressure and heaviness on chest, as from a weight ; wakens with this sensation at night and is relieved after rising.
Like a heavy load on chest when awaking from sleep.
Wheezing, panting on awaking ; then cough which forces him to sit up, bent forward.
Wheezing at night after whooping cough.
Dyspnœa.
Slight dyspnœa, as if mucous membrane of bronchi was thickened, on rising in morning.
Tightness at bifurcation of bronchi.
Sensation of choking on lying down.

Cough

Cough excited by : tickling in larynx, or at bronchial bifurcation ; by oppression at epigastrium, or accumulation of mucus in larynx.
Dry, short, continual tickling cough and pain in larynx, as if from an ulcer.
Cough accompanied by inward soreness in chest, especially in one point, as if an ulcer was there.
Cough, with pain, from mid-sternum through to back ; severe stitching, or weight and soreness in chest.
Dry cough, with stitches in chest, pain in loins, vertigo, dyspnœa, shootings in chest.
During cough : bloody taste in mouth ; nausea ; ulcerative pain in throat ; pressure in sternum and larynx, extending into os hyoides ; burning pain in sternum, extending into shoulders ; heaviness, sensitiveness and pains in chest ; palpitation with
rattling in throat ; pains in sides and loins > by pressure.
Loud, harsh cough, in single coughs, at different times, for an hour or two, and then not for some hours, most in morning on waking.
Cough in morning on awakening, with dyspnœa, > by lying down.
Cough, especially in morning, with expectoration of white mucus, "tough as pitch," can be drawn out into strings.
Constant hacking cough, sometimes with expectoration of blood ; nocturnal perspiration ; night disturbed by cough ; tickling irritation in larynx ; no appetite ; pale ; phthisical habitus.
Continuing cough, with expectoration of blood ; irritation to cough coming from larynx ; sweating in sleep nights.
Cough < : undressing ; morning on awaking ; after eating ; deep inspiration ; > after getting warm in bed.
Wheezing and panting, then violent cough, with retching and difficult expectoration of mucus, so viscid that it can be drawn in strings down to feet.
Cough caused by eating ; dry cough after dinner.
Cough with smooth or follicular inflammatory redness of pharynx and fauces.
Dyspnœa and dry cough for six weeks, followed by expectoration of dark grey mucus of consistence of white of egg, with soreness and oppression of chest.
Cough resonant, whistling, with nausea and expectoration of thick mucus ; whistling, loud rattling in chest.
Choking cough, with tough, stringy mucus, which sticks to throat, mouth and lips.
Cough hoarse, metallic, in croup (membranous or diphtheritic), with expectoration of tough mucus or fibro-elastic casts.
Stuffing cough with pain at chest, and expectoration of yellowish, heavy, tough matter.
Cough with expectoration of yellowish green tough matter.
Cough with thick, heavy expectoration, bluish lumps of mucus.
Cough with transparent, dirty, slate colored sputa.
After whooping cough, six months previously, cough still continued, loose and rattling and tickling in fits at night ; wheezing during day without cough ; occasional pituitous vomiting.
Whooping cough ; mucus so viscid that it stretched in long strings from mouth to ground.
Expectoration is very glutinous and sticky ; adhering to fauces, teeth, tongue and lips, finally leaving mouth in long, stringy and very tenacious mass.
Expectoration with traces of blood.

Inner chest and lungs

Pains from back to sternum ; or, from mid-sternum darting to between shoulders.
Itching behind sternum, causing violent, racking, paroxysmal cough.
Face slightly flushed ; nasal mucous membrane irritable, either dry or secretes copiously a yellow mucus ; eyes now healthy, often catarrh in corners ; teeth all destroyed (mercurial sequela) ; tongue clear at tip, which is covered with red points, root thickly coated
yellow ; great dryness of mouth, alternating with salivation ; gums livid ; fauces and pharynx covered with red granulations, interlaced with white streaks and reaching down to œsophagus ; constant irritation, as from a foreign body in throat, sometimes severe burning
and scratching ; taste sour, often metallic ; great thirst ; stomach bloated, with sensitiveness, fulness and pressure ; vomits sometimes ; region of rectum sensitive to pressure ; urine very acid ; stool hard and defecation difficult ; dysmenorrhœa ;
dull percussion sound over right upper anterior and posterior part of chest ; weak, rattling murmur in apex of r. lung ; same symptoms on left side, only weaker ; cough mostly dry, but troublesome, especially in morning after dressing and late in evening ; thick, tough,
white sputa ; heat and titillation in larynx before coughing, causing restlessness and impatience. θ Consumption.
Cough, with profuse, yellow, stringy expectoration, and much sweating ; pain, as of ulceration of larynx, causing cough at almost every inspiration ; feeling of stiffness in larynx. θ Phthisis
pulmonalis.
Scirrhous degeneration of both lungs, expectoration so viscid that it could be drawn a yard from mouth ; cough very violent, preventing sleep and rest.
Hæmoptysis ; pneumonia.

Heart, pulse and circulation

Cold sensation about heart ; tightness of chest ; dyspnœa.
Pressure on heart after eating.
Pricking pain in region of heart.
Palpitation, dyspnœa, accelerated pulse, heat ; awakens suddenly with a start, 2 A. M.
Hypertrophy of heart ; insufficiency of aortic valves.
Pulse : irregular, small, contracted, with nosebleed ; accelerated, often soft, weak, even fluttering.
Pulsation felt in all the arteries.

Outer chest

Dull pain in right side over a circumscribed spot, < on inspiration.

Neck and back

Stiffness of nape of neck on bending head.
Brown spots on throat like freckles.
Stabbing from third cervical to fifth dorsal vertebra, striking forward through chest to sternum, < on motion ; inability to straighten spine after stooping.
Pain in back striking through to sternum with cough and expectoration of tough, black mucus.
Pain in small of back.
Sharp, shooting pains, first left then right renal region, extending down thighs, < on motion.
Sharp, stinging pain in region of kidneys.
Aching in back and down left side into hip.
Pain : as from a knife, through loins ; cannot walk.
Pains across loins with coldness of extremities.
Rheumatic pains in back, while stooping felt as if something cracked across sacrum, cannot stoop or move for pain, which remains constant even while at rest, but < on least movement of trunk or legs.
A violent aching pain, "like a gathering," in a small spot in sacrum, a steady, throbbing pain, most felt at night and hinders sleep ; > in day, when up and walking about, but unable to lift anything.
Pain in sacrum ; cannot straighten himself.
Cutting pain in outer left side of sacrum, shooting up and down.
Pains in os coccygis, < from walking, or touch, and after rising after long sitting.
Pain in coccyx, while sitting.

Upper limbs

Rheumatic pains in both shoulders, < at night.
Stitches at lower angle of left shoulder blade.
Stiffness of shoulder joint.
Painful stiffness of right arm.
Sensation of lameness in right arm, as if it had gone to sleep.
Burning pain in middle of forearm, extending to wrist.
Swelling of arm, followed by a boil-like elevation, which turned into a large ulcer with overhanging edges.
Pustules on arms size of split pea, with a hair in centre.
Itching of forearms and hands, then intolerable pain and formation of numerous ulcers, from which above a dozen nearly solid masses of matter fell on striking the arm firmly, leaving ulcers clean, dry cavities, which slowly filled up and healed.
Rheumatic pains in elbows and wrist joints ; stinging in l. elbow.
Papular eruption on forearms, lasting a few days, and frequently recurring.
Redness, swelling and itching in a spot on wrist ; then great pain ; after some time matter formed and broke the skin, and continued to ooze out for two or three months, then healed, leaving a cicatrix depressed as if scooped out.
Great weakness of hands.
Spasmodic contraction of hands.
Psoriasis diffusa of hands, after some time degenerating into impetigo.
Hands completely covered with depressed cicatrices which look as if they had been punched out with a wadding cutter.
Hands become covered with deep, stinging cicatrices.
Bones of hands as if bruised, when pressed ; ulcers on fingers, with caries.
Rheumatic pains in fingers joints.
After redness and swelling of finger, with some throbbing pain, an ulcer formed over joint of forefinger, with white overhanging edges and dark, gangrenous central points, skin and cellular tissue movable as if separated from their attachments.
Small pustules on roots of nails, spreading over hands to wrists ; arm became red and axillary glands suppurated ; small pustules on hands secreted a watery fluid when broken ; if not touched fluid became thickened to a yellow, tough mass.
Painful ulcer under thumb nail.

Lower limbs

Rheumatic pains in hip joints and knees, on walking or moving, also with retlessness, in diphtheria.
Pain in course of left sciatic nerve, from behind great trochanter to calf ; > in motion.
Stitches in right side of chest and in left sciatic nerve.
Sciatica : in males ; left side, pain running from hip to knee ; wandering, erratic pains, sharp pain in knee and hip joint, aching in leg, with trembling ; pains come on quickly and subside soon ; jerking aching pain in hip ; pain > by walking and
flexing leg ; < in hot weather, by standing, sitting, or lying in bed ; pressure causes pain to shoot along entire length of nerve. θ Sciatica.
Severe pains in hip and down outside of thigh ; < in afternoon and evening, > in bed ; < on any change in weather. θ Sciatica.
Pain aggravated by standing, sitting, or lying in bed ; > by walking and flexing leg ; pressure caused pain to shoot along entire length of nerve ; left leg affected. θ Sciatica.
Sciatica from getting her clothes damp ; pain in left hip, > from motion.
Pain in right hip, extending to knee.
Heaviness of legs ; aching and weakness in calves on walking or going up stairs.
Eruption on legs and thighs of reddish, hard knots, from size of a pin's head to that of a split pea, with a depressed, dark scurf in centre, with an inflamed base.
Violent pains in shin bones and burning, extending up legs ; aching and shooting in front of thighs and knees ; < at night, without swelling.
Pain in tendons of muscles of calf, as if stretched, causing lameness.
Tearing in right tibia.
Tearing pains in tibia, from tertiary syphilis.
Pain in middle of tibia.
Periostitis from a blow on skin, leaving an ulcer on spot about size of a shilling, skin and cellular tissue around it much inflamed ; great pain in leg when he stands ; violent pain shooting up to knee ; stiffness of flexor muscles of knee.
Red, painful, doughy swelling on right shin ; tender to touch and after standing, but especially painful at night, when gnawing and scraping pains keep her awake ; leucorrhœa and itching of vulva. θ Syphilitic
periostitis.
A number of small, irregular ulcers on leg, which leave a depressed cicatrix on healing. θ Syphilis.
Small pimples on legs, which spread into large scarlet blotches, discharging yellow matter.
Sensation of dislocation in left ankle.
Violent burning heat around ankle and heel, deep seated, and hindering sleep ; three small, irregular, shallow ulcers ; costive bowels ; fluttering at heart.
Soreness in heels when walking.
Blister, full of serum, on sole of right foot.
Ulcers on previously inflamed feet.

Limbs in general

Shooting pricking pains, < in morning.
Frequent and severe pain in limbs, especially arms, attended with cramping of hands ; when free from pain in limbs had pain and uneasiness in stomach and pain in malar bones.
Periodical, wandering pains, also along bones ; generally without localized inflammatory process.
Pain in limbs shifting from place to place.
Bones feel bruised ; cracking in joints from motion.
Stiff all over, could hardly move in morning.
All the limbs stiff, with shooting pains, < in morning.
Rheumatism of limbs, especially in joints.
Rheumatic pains : in limbs ; in hips and fingers, < during day.
Chronic rheumatism of a cold variety ; bones feel sore and bruised.
Periosteal and syphilitic rheumatism.
Audible cracking in joints on slight motion of wrists, ankles and spine, < by motion.

Rest. position. motion

Lying : throbbing over eyes > ; on painful side < ; dyspnœa ; sensation of choking ; cough > ; sciatica < ; pains from patella to foot <.
Lying on face : pannus of eyes >.
Bending head : stiffness of nape of neck.
Head bent backward : membranous croup.
Twisting head : during epileptic attack.
Must lie down : on account of violent headache.
Inclination to lie down.
Could not lie down : during diphtheria.
Stooping : lightness in head ; throbbing over eyes < ; shooting in temples and over eyes < ; dizziness ; felt as though something cracked across sacrum.
After stooping : cannot straighten spine.
Rising after sleep : sensation of weight on chest >.
Rising from a seat : vertigo.
Sitting : pain in coccyx ; sciatica < ; profuse sweat on back.
After rising after long sitting : pains in os coccygis <.
Could hardly sit down : sensation of plug in anus.
Must sit up partially in bed : on account of dyspnœa.
Sits bent forward : orthopnea ; on account of wheezing.
Standing : sciatica < ; great pain in leg.
After standing : doughy swelling on right shin.
Motion : aversion to ; organic cardialgia < ; sudden, after sitting, sharp stitch in right hypochondrium ; pain through chest to sternum < ; shooting pain in renal region < ; rheumatic pain < on movement of trunk and limbs ; rheumatic pains in hip joints
and knees ; pain in course of sciatic nerve > ; cracking of joints.
Slightest motion : pain in blood boil on right side of spine.
Slightest exertion : causes palpitation ; expectoration of blood mixed with phlegm ; dyspnœa.
Moving about : throbbing over eyes < ; nausea <.
Cannot stoop or move : with pain across sacrum which remains constant even while at rest.
Putting tongue out : pain in throat <.
Going up stairs : dizziness ; aching in calves.
Flexing leg : > pain in hip.
Walking : heat of whole body ; pains in both hypochondria ; in right hypochondriac region ; painful on account of soreness at anus ; stitches in prostate, must stand still ; pain in sacrum > ; pain in os coocygis < ; rheumatic pains in hip joints and
knees ; jerking aching pain in hip > ; aching in calves ; soreness in heels.
Must walk up and down room whole night on account of burning itching of papular itching.
Cannot walk : on account of pain through loins.
Tossing arms : during sleep.

Nerves

Great weariness, and general discomfort ; debility, with desire to lie down.
Weariness in limbs as the pains subside.
Prostration ; face pale, cold sweat on face and body.
Neuralgia every day at same hour.
Epileptic attacks ; hands get lame ; nausea followed by chill, gaping, fainty feeling and headache ; loses consciousness with the headache ; winking with eyelids during attack ; twisting the head ; loud screaming ; face
changing, now pale, now red ; froth at mouth ; tough, stringy fluid runs from mouth, could be drawn out in a thread six yards long.

Sleep

Great inclination to yawn and stretch.
Drowsy in open air.
Unrefreshing sleep ; feels debilitated, especially in extremities.
During sleep frequent starts, incoherent talk, tossing arms.
Awakened : with desire to urinate ; by dyspnœa ; palpitation ; heat ; headache.
Worse on awaking : head and chest symptoms especially.

Time

Most symptoms appear in morning, or are then most severe.
At 2 A. M. : heat in pit of stomach and spitting of blood ; oppressed breathing awakens ; awakens with a start.
From 2 to 3 A. M. : croup <.
Mornings : lightness in head < ; pain in one side of head comes on ; acute throbbing in eyebrows, lasting all day ; sight is blurred ; on awakening, headache ; pain in forehead and vertex ; slight photophobia ; catarrhal inflammation < on
awaking ; inflammation of eyes with agglutination ; frequent sneezing, obstruction and bleeding from right nostril ; thick, yellow discharge from left nostril ; cough < ; taste coppery, sweetish, sour, bitter ; dryness and burning of throat ; much tenacious
mucus hawked ; black mucus from throat ; nausea < ; organic cardialgia < ; brown tongue ; confused feeling ; watery, gushing diarrhœa ; chronic diarrhœa ; pains darting through right lung ; on awaking, constrictive pain at root of penis ;
hoarseness and accumulation of mucus in larynx ; hawks copious, thick, blue mucus ; cough with blackish sputa ; cough and dyspnœa ; expectoration of blood mixed with phlegm < ; chronic laryngitis < towards mornings, when tough mucus nearly strangles him ;
fever and croupy cough < ; dryness of bronchi ; when rising, slight dyspnœa ; loud, harsh cough < ; cough with dyspnœa ; cough < ; limbs stiff with shooting pains < ; great thirst.
At 9 A. M. : attack of pain in head begins, goes off in afternoon.
Begins morning, increases till noon, ceases towards evening ; violent shooting from root of nose to external angle of eye.
Day : shooting in temples and over eyes ; drowsiness and languor ; continuous desire to urinate ; violent, tight cough < ; wheezing without cough ; aching in sacrum > ; rheumatism of hips and fingers <.
Afternoon : sharp pains all over head ; sciatica <.
Evening : headache ; coryza < ; swelling of stomach ; sharp pains all over head ; violent aching pains in right hypochondrium ; hoarseness ; catarrhal laryngitis ; catarrhal aphonia < ; cough < ; sciatica <.
Night : pain in left side of head < ; shooting in temples and over eyes ; pulsating pain in ears ; running from nose and eyes, always < ; paroxysms of suffocation ; sleeplessness ; cutting at navel ; frequent discharge of watery urine of strong smell
awakening him ; dryness of throat < ; no sleep on account of cough ; perspiration < ; disturbed sleep and screaming ; wheezing in bed ; sensation of weight on chest ; sweats ; cough ; tickling cough ; aching in small spot in sacrum < ;
rheumatic pain in shoulders ; aching in front of thighs and knees < ; doughy swelling on right shin ; heat and itching of skin ; burning itching of papular eruption ; throat sore on swallowing.

Temperature and weather

Complaints in hot weather.
Liability to take cold in open air.
Eruption begin in warm weather. (Rhus in cold).
Moderately cold air is felt very unpleasantly.
General feeling better outdoors, particularly vertigo > while walking in open air ; chilliness and complaints of stomach < in open air.
Uncovering < ; wrapping up >.
Open air : throbbing over eyes > ; headache > ; frequent sneezing and coryza < ; nausea > ; drowsy.
In bed : sciatica > ; pain from patella to foot <.
Seeks a warm place : on account of chilliness in back.
Dry, warm air : throat >.
Warm temperature : dryness of nose < ; cough > ; itching of skin.
Warm, damp weather : constant snuffing ; throat <.
Warm soup : burning headache >.
Hot weather : prolapsus uteri, seemingly from ; sciatica < ; violent itching of eruption < ; eruption begins.
Wind : watery discharge from right nostril <.
Cool temperature : dryness of nose >.
Cold weather : itching of eruption > ; ulcers painful.
Cold, west wind : riding against caused cold in head followed by croup.
Cold winds : cause dull, colicky pains around navel.
Cold, damp weather : throat <.
Drinking cold water : does not > dry mouth and lips.
Change of weather : sciatica <.
When weather is going to change : catarrhal laryngitis <.
Undressing : cough <.
After catching cold : cough.

Fever

Chilliness in back, sleepiness ; seeks a warm place.
Chilliness alternating with flushes of heat.
Chilliness with giddiness and nausea, followed by heat, with sensation of coldness and trembling ; periodical stinging pains in temples ; without thirst.
Attacks of chilliness from feet upwards, and sensation as if skull at vertex became contracted, in frequently returning paroxysms.
Chill, followed in an hour by heat, with dryness of mouth and lips, which have to be moistened all the time ; followed in morning by great thirst but no sweat ; ill humor.
Chilliness, especially on extremities, and flushes of heat alternating with general sweat.
Burning heat op upper part of body and face, with internal chilliness and violent thirst.
Giddiness ; violent, painful vomiting followed by pain in forehead, burning of eyes, great burning heat of upper part of body and face, with internal chilliness and violent thirst.
Flushes of heat ; in face. θ Climaxis.
Heat of hands and feet ; nausea ; pain in upper part of abdomen ; dryness of mouth ; sleeplessness ; followed by sweat of hands, feet and thighs.
Flushes of heat alternating with general sweat.
Hands cold and bathed in cold sweat.
Sweat on forehead ; rest of face dry.
Sweat : on back, during effort at stool ; profuse while sitting quietly ; cold on forehead and hands ; on hands, feet and thighs.

Attacks, periodicity

Pains fly rapidly from one place to another, not continuing long at any place, and intermit.
Symptoms alternate.
Gastric symptoms supersede rheumatic.
Pains appear rapidly, disappear suddenly.
Frequently returning paroxysms : sensation as if skull or vertex became contracted.
Periodical attacks : of semilateral headaches ; spasmodic constriction of intestines ; of stinging pains in temples.
Periodic : headaches ; constipation.
At intervals : shooting in right temple.
An hour after eating : vomiting of food with nausea.
One hour after chill : heat.
Several times a day : bowels moved.
Comes and goes with sun : headache.
Every day at same hour : neuralgia.
Almost daily : headache.
On fourth day of diphtheria : sudden croupy cough.
For several days, after exposure : cough, want of appetite.
Every two or three weeks : after slight exposure is seized with chilliness and languor, flushed face, headache, hot hands for half a day.
For six weeks : dyspnœa and dry cough.
Every three or six months : constipation.
Fall and Spring : alternately gastric symptoms and rheumatism.
For many months : chronic bronchitis.
Every year : periodical dysentery.
One year ago : after catching cold, cough.
Dines at 6 P. M., and in about three hours has waterbrash.
Lasting half an hour : erections ; pricking through back.
Lasts ten hours : pain in head.
Lasting a few days : papular eruptions on forearms.

Locality and direction

Right : pain beginning in supraorbital ridge, spreading over one side of head ; pain round eye and malar bone ; loss of sight of eye ; acute throbbing in centre of eyebrow ; pain in side of chest ; shooting in temple ; complete pannus of
eye ; eye inflamed ; na old cicatrix upon eye ; itching of ear lobe ; mumps on side of lip ; on blowing nose violent stitches in side of nose ; watery discharge from nostril ; obstruction and bleeding from nostril ; violent sticking in side of nose on
blowing it ; nostril filled with hard masses ; swelling of a highly vascular, spongy texture in nostril ; small ulcer on edge of nostril ; spot in lachrymal bone swollen and throbbing ; small tubercle on side of nose ; mumps ; gum of lower jaw very much
swollen ; patch on tonsil ; pains extending to ear ; stitches in hypochondrium ; pain in hypochondriac region ; aching in hypochondrium ; pains in a small spot in hypochondrium ; constant dull aching in hypochondriac region ; pains dart through lung
from below mamma to back below scapula ; aching in region of kidney ; dull percussion sound over upper anterior and posterior part of chest ; weak rattling murmur in apex of lung ; dull pain in side over a circumscribed spot ; painful stiffness of arm ; stitches
in side of chest ; pain in hip to knee ; tearing in tibia ; red, painful, doughy swelling on shin ; blister full of serum on sole of foot ; blood boil of thigh ; blood boil on side of spine ; blisters full of serum on sole of foot.
Left : pain in temple stretching to right temple ; pain in side of head and over eye ; violent pain in side of head, zygomatic process ; shooting pain along orbital arch ; eyeball tender when rubbed ; partial pannus of eye ; pricking, stinging pains in
eye ; small, white, granular pustules on cornea ; eye greatly injected ; shooting pains in ear ; stitches in ear and parotid gland ; violent stitches in ear extending to roof of mouth, side of head and neck ; external meatus of ear swelled and inflamed ;
tickling high up in nostril ; constant discharge of thick, yellow matter from nostril ; severe pain up muscle of side of neck ; half way up nostril severe smarting pain ; spongy swelling in nostril ; shooting pain in upper maxillary bone towards ear ; shooting
inward in malar bone ; twanging like wires in face and neck ; sore on chest ; shooting pain in tonsil ; uneasiness, soreness and tenderness in a small spot towards left of ensiform cartilage ; pain in hypochondrium ; acute pains darting from behind hip, down on
outside of thigh ; acute pains about eye and side of forehead ; smarting feeling in side of throat ; weak, rattling murmur in apex of lung ; aching down side into hip ; pain in outer side of sacrum ; stitches at lower angle of shoulder blade ; stinging at
elbow ; pain in course of sciatic nerve ; stitches in sciatic nerve ; pains running from hip to knee ; sensation of dislocations in ankle.
First left then right renal region : sharp, shooting pains.
Outward : a shooting in temples and over eyes.

Sensations

Pains in small spots, which can be covered with point of finger.
Pains attack first one part, then reappear in another.
Heavy feeling in many parts.
As if head would burst ; pressure on vertex as from a weight ; sensation as from sand in eyes ; as if nose must burst ; as if nose was swollen ; a stiff sensation of a hard substance in nose ; as if a heavy weight was hanging from nose ; as
if nostrils were made of parchment ; as if two loose bones were rubbed against each other ; nose feels too heavy ; tickling as from a hair high up in left nostril ; as if losing her reason from burning sensation in face ; sensation of a hair on back part of
tongue ; sensation of a plug in throat ; as if acid fluid was running through posterior nares over palate ; as if something remained in throat after swallowing ; as though lungs were stuffed with cotton ; as if digestion was suspended ; as if there was something
hard all down œsophagus ; as if stomach jerked up ; as if something was eating in bowels ; sensation of plug in anus ; as from ulceration in larynx ; as from a lump in throat ; feeling of swelling in larynx ; throat as if lined with wash leather ;
cutting as from knives in abdomen ; sensation as if one drop of urine had remained behind ; pain at sternum "like pins and needles ;" as if a lump was in upper part of trachea, and of hairs across base of tongue ; like a heavy load on chest ; as if mucous
membrane of bronchi was thickened ; pain in larynx as if from ulcer ; as if an ulcer was in chest ; irritation as from foreign body in throat ; as from a knife through loins ; as if something cracked across sacrum when stooping ; as if right arm had gone to
sleep ; cicatrices on hands look as if they had been punched out with a wadding cutter ; bones of hands as if bruised ; as if tendons of muscles of calf were stretched ; as if skull on vertex became contracted ; stitches in bones as if from needles ; pain as if
in bone of foot.
Pain : in epigastrium ; in forehead over one eye ; beginning in right supraorbital ridge, spreading over one side of head ; in left temple ; across forehead ; to left temple ; around eye and malar bone of right side ; in left side of head and over
left eye ; in right side of chest ; in head at a point ; in forehead and vertex ; from occiput to forehead ; from ears into glands ; in throat when putting tongue out ; in side of head ; extending from throat to ear ; in ear extending to swelled
parotid gland and to head ; in stomach ; in limbs ; across middle of back ; in eyeballs ; in epigastrium ; in both hypochondria ; in right hypochondriac region ; at pit of stomach ; in region of liver ; in abdomen ; as in
enteritis ; in region of spleen ; across back ; in coccyx into urethra ; at sternum ; in throat ; across epigastrium ; in larynx ; in chest ; in frontal sinuses ; in larynx from mid sternum through to back ; in loins ; in
sides ; in sacrum ; in small of back ; across loins ; in os coccygis ; in coccyx ; in course of left sciatic nerve from behind great trochanter to calf ; from hip to knee ; in left hip ; in right hip to knee ; in tendons of muscles of
calves ; in middle of tibia ; in forehead ; in upper part of abdomen.
Excruciating pain : in small of back.
Intolerable pain : in forearms and hands.
Excessive pain : in eyes.
Violent pain : in temples ; in head ; in left side of head at zygomatic process ; from occiput to forehead ; in throat ; in abdomen ; in shin bones ; from patella to foot.
Severe pain : in frontal sinuses ; up muscles of left side of neck to small spot on side of head ; on swallowing ; about left eye and left side of forehead ; in hip and down outside of thigh ; in limbs ; in arms.
Great pain : in nose on removal of elastic plugs ; in a spot on wrist ; in leg when he stands.
Acute throbbing pain : in centre of right eyebrow.
Tearing pain : in chest ; in right tibia.
Constant tearing pain : in epigastrium.
Cutting : in abdomen ; at navel ; in lower extremities ; in outer left side of sacrum, shooting up and down.
Stabbing : from third cervical to fifth dorsal vertebra.
Lancinations : in ear ; in nose.
Darting pains : in head ; through lungs ; from behind left hip on outside of left thigh.
Violent shooting pain : from root of nose along left orbital ; arch to external angle of eye, up to knee.
Sharp, shooting, stabbing pains : all over head.
Sharp, shooting, aching pains : in sides and back, first left then right renal region, extending down thighs.
Shooting pain : over eyebrow ; in temples ; over eyes ; inward towards throat ; in left upper maxillary bone ; in left malar bone ; in bone over eye ; in left tonsil ; in left ear ; from back to front ; in renal region ; from
kidneys through to bowels.
Shooting : in chest ; thighs and knees ; in limbs.
Violent stitches : in left ear, extending into roof of mouth, side of head and neck ; in right side of nose.
Sharp stitches : in bones of head ; in ulcers on tympanum ; in right hypochrondrium.
Stitches : in left ear and left parotid gland ; in throat ; in epigastrium and breast into nipple ; in right hypochondrium ; in region of liver ; in region of spleen ; through abdomen ; in urethra ; in prostate ; in chest ; at lower
angle of left shoulder blade ; in right side of chest ; in left sciatic nerve.
Violent sticking : in right side of nose.
Sharp pain : in knee and hip joint.
Pinching pain : in bridge of nose.
Digging : in rami of lower jaw.
Constricting pain : in stomach ; in hypochondria ; at root of penis.
Stinging pains : in eyes ; in ulcers on tongue ; in tongue ; in left elbow ; in temples ; in skin ; in one temple ; from external meatus into internal ear ; in region of kidneys.
Severe smarting pain : extending to malar bone below eye.
Scraping pain : in right shin.
Pricking pains : in eyes ; in granular pustules on left cornea ; in tongue ; in tonsils ; through to back ; in glans penis ; in region of heart.
Burning pain : in head ; on upper eyelid ; in anus ; down throat, and along sternum ; in chest ; in sternum ; in middle of forearm.
Violent aching : in right hypochondrium ; in small spot in sacrum.
Steady throbbing pain : in sacrum.
Ulcerative pain : in throat.
Pulsating pains : in ears.
Jerking, aching pain : in left hip.
Aching pain : on one side of head ; at root of nose ; in forehead ; in sides and back ; in region of kidneys ; down left side to hip ; in legs ; in hip ; in calves ; in front of thighs and knees.
Flying pains : in head ; to all parts.
Wandering pain : in eyes ; from hip to knee ; along bones without localized inflammatory processes ; to all parts.
Rheumatic pains : in stomach ; in back ; in both shoulders ; in elbows and wrist joints ; in finger joints ; in hip joints and knees ; in limbs.
Raw pain : down throat and along sternum.
Pressive pain : in root of nose.
Colicky pains : in abdomen.
Gnawing : at epigastrium ; in stomach ; in hypochondria ; about navel ; in right chin.
Cramps : in hands ; in calves and inner side of thigh.
Dull aching : in right hypochondriac region.
Throbbing, dull, heavy : above eyes ; distinct and rhythmical with pulse ; in right lachrymal bone.
Beating : inside of root of nose.
Light pain : across lower part of chest.
Semilateral headache : in small spots.
Gastric pains : in stomach.
Dull pain : in hypochondrium ; around navel ; in right side.
Dull, heavy pain : in hypogastrium.
Painful pressure : in anus.
Drawing : in anus ; painful, from perineum into urethra.
Twanging like wires : in left face and neck.
Bruised feeling : in bones.
Scratching : in throat.
Smarting : of affected parts ; between scapula ; in left side of throat ; scabs of pustules on arms and legs ; on mucous surface of lips.
Sticking sensation : in ear.
Soreness : of bones of head ; in eyes ; in nose ; of gums ; in small spot towards left of ensiform ; in anus ; at stomach ; in vagina ; of throat ; of larynx ; of chest ; in heels.
Rawness : in vagina.
Violent burning : in small ulcer on right nostril ; in throat ; around ankle.
Great burning heat : of upper part of body.
Burning : in both eyes ; in eyelids ; of nose ; inside of root of nose ; of septum ; in face ; in throat ; in pharynx ; in stomach ; in hypochondria ; in anus ; in abdomen ; in glandular part of urethra ; in fossa
navicularis ; in bulbous portion of urethra ; about vulva ; of mucous membrane extending up into nostrils ; in trachea and bronchi ; in shin bones and up legs ; in skin.
Heat : in eyes ; of external ears ; in external nose ; in pit of stomach ; in urethra.
Painful stiffness : of right arm.
Dull, heavy pressure : in region of liver.
Constriction : of intestines.
Tightness : about heart ; at bifurcation of the bronchi ; of chest.
Pressive sensation : at root of nose ; in temples.
Stiffness : of larynx ; of nape of neck ; of shoulder joint.
Stiff sensation : in walls of nose.
Lameness : in right arm ; of hands.
Fulness : in stomach ; at chest.
Great weight : in pit of stomach ; in chest.
Pressure : on vertex ; in eyes ; at root of nose ; in stomach ; in anus ; on chest ; in sternum ; on heart.
Heaviness : of head ; of upper eyelids ; in stomach ; on chest ; of legs.
Oppression : of chest.
Lightness : in head ; across forehead.
Confusion : of head.
Sensation of choking : on lying down.
Dryness : of nose, of mouth and lips ; in throat ; in bronchi.
Velvety feeling : on walls of nose.
Gaping, fainty feeling : with headache.
Uneasiness : in stomach.
Sensation of dislocation : in left ankle.
Tickling : high up in left nostril ; in throat ; in larynx ; in bronchial bifurcation.
Violent tickling and itching : in ears.
Intense burning itching like fire : of eruption over body.
Violent itching : over whole surface of body.
Itching pain : in ethmoid bone.
Itching : of affected parts ; of eruptions on scalp ; of lids ; of external ears ; of eruption on ears ; of right ear lobe ; of scabs on face ; of pustules on face ; in hairy parts of male sexual organs ; at glans penis ; about
vulva ; behind sternum ; of forearms and hands ; in a spot over wrist ; of chin.
Creeping : of affected parts.
Inward coldness and heat : of face.
Feeling of coldness : in stomach and bowels.
Cold sensation : about heart.

Tissues

Emaciation ; anemia ; general cachexia.
Diphtheritic formations in nose, mouth, fauces, pharynx, larynx, trachea, bronchi, and even uterus and vagina.
Plastic exudations.
Affections of any mucous membranes, with discharges of tough, stringy, adherent mucus, or can be drawn out into long strings.
Catarrh alternating with rheumatic pains.
Rheumatism alternating with gastric symptoms, one appearing in the Fall, the other in Spring.
Bones feel bruised ; caries.
Cracking in all joints from least motion.
Rheumatic pains in nearly all joints.
Bone pains with stitches as if from sharp needles.
Syphilis.

Touch. passive motion. injuries

Touch : burning pain on upper eyelid ; neck painful ; dorsum of nose painful ; violent burning in ulcer on nostril ; gum on r. lower jaw tender ; left ear and neck painful ; pain in hypochondriac region < ; pain in os coccygis < ;
swelling like a knot painful.
Pressure : hard, > throbbing over eyes ; headache > ; pinching pain in bridge of nose > ; teeth will not bear slightest pressure ; stitches in region of spleen < ; abdomen sensitive ; pains in sides and loins > ; region of rectum sensitive ; causes
pain to shoot along length of sciatic nerve.
Cannot bear clothes tight over chest or throat.
Must undress immediately on account of pain in right hypochondrium.
Desire to rub eyes.
Rubbing : smarting of eyes <.
After an abrasion : swelling like a hurt.
From a blow on chin : periostitis.

Skin

Burning stinging in skin.
Skin hot, dry and red.
Whole of lower part of body, from a little below navel in front and from top of nates behind, down thighs and legs, covered with a smooth, shining, elevated, bright red eruption, giving those parts appearance of boiled lobster shell ; skin has na appearance of thickening and
induration ; not much irritation or heat.
Heat and itching of skin at night, when warm in bed, followed by reddish, hard knots, from size of pin's head to that of a split pea ; centre depressed, with a dark scurf, surrounded by an inflamed base.
Dry eruption like measles.
Upon development of eruption, hoarse, croupy, distressing cough ; nose sore, small ulcers in nostrils, and discharge tough, thick, viscid, stiff ; expectoration stringy and tough, and detached with great difficulty. θ Measles.
Papular eruption, began as a spot on calf of leg and spread all over body ; large papular elevations, red and irregular, like measles, but more raised, with intense and excessive burning itching like fire, especially at night, compelling her to walk about room whole night ;
general debility ; gnawing and pain at epigastrium, and sensation of internal itching there, > taking food ; bowels open ; urine hot and high colored, and at times scanty ; catamenia regular.
Violent itching of whole surface ; then small pustules form, mostly on arms and legs ; scabs smart, pain and burn ; < in hot, > in cold weather.
Small pustules over body like small pox ; they disappear without bursting ; mostly on face and arms.
Pustules over whole body, appearing on inflamed parts of skin, as large as a pea, with a small black scab in middle.
Eruption all over body, beginning as a small lump on skin, which inflames and gets red, and finally discharges a bloody fluid, and leaves a small, depressed, ulcerative surface with an inflamed base, which heals and breaks out again ; wherever discharge
touches it causes a fresh spot ; violent itching at night. θ Pustular eruption.
Small pustules on roots of nails, spreading over hands to wrists ; arm red, axillary glands suppurate ; small pustules on hands secrete a watery fluid when broken ; if not touched, fluid thickens into a yellow, tough mass.
Boil-like elevation which turned into a large ulcer, with hard centre and overhanging edges.
Blood boil on right thigh ; right side of spine, near last rib ; painful on least motion.
Vesicular eruptions.
Blisters full of serum on sole of right foot.
Herpes after taking cold, with fluent coryza and bronchial irritation.
Scabs on fingers, or corona glandis ; deep, stinging cicatrices on hands.
Brown spots like freckles on throat.
Suppurating tetter (ecthyma).
Pustular syphiloderma.
Impetigo, pustules.
Zona.
Lupus, chronic form, with burning and itching.
The eruption begins in hot weather.
After an abrasion, swelling like a knot, forming an irregular ulcer, covered with a dry scab and painful to touch ; under skin, hard, movable knot, like a corn, with small ; ulcerated spot in middle, where it touches the cuticle ; the hard, knotty feel remains
after the healed ulcer is covered with white skin.
Ulcers : deep yellow, dry, oval ; edges overhanging, bright red areola ; base hard, corroding ; becoming deeper ; blackish spot in centre ; cicatrix remains depressed ; deep as if cut out with a punch, edges regular.
Syphilitic ulcers, deep with hard edges, on genitals, in throat, uvula, septum of nose, etc.
Ulcers painful in cold weather.
Suppurating, solitary skin tubercles, forming deep holes.
Head and scalp covered with dry, red, scaly patches at roots of hair, and bringing out hair ; much itching at night, but no moisture or pain ; on face and body brown flat spots and papulæ ; cervical glands behind ears swollen and painful ; violent pains from patella
to foot, of a "linking" character, and as if in the bone ; pains < in bed and on lying down ; at night must get up and walk about most of the time ; at times much swelling along tibia ; leg feels swelled and doughy along the bones ; throat sore on
swallowing, especially at night, and is red but not ulcerated ; several flat, elevated ulcerations on tongue, and one large patch in centre ; voice hoarse ; constipation ; nausea after meals ; flushes of heat and perspiration ; catamenia regular but painful. θ Eruption
and periostitis, probably syphilitic.

Stage of life, constitution

Fat, light haired persons, who suffer from catarrhal, syphilitic, or scrofulous affections.
Fat, chubby, short necked children, disposed to croupous inflammations.
Persons of florid complexion, of a blotchy, red appearance and thick skin.
Dyspeptic beer drinkers.
Suited to persons subject to catarrhs of mucous surfaces.
Boy, æt. 5 months ; constipation.
Child, æt. 5 months, strumous constitution, ailing three months ; eruption on head.
Boy, æt. 10 months, bright, vivacious, light complexioned ; membranous croup.
Child, æt. 11 months ; diphtheria.
Girl, æt. 18 months ; eruption on body.
Child, æt. 1 1/2 ; six months ago had whooping cough, since then suffering ; cough.
Boy, æt. 2 ; scrofulous conjunctivitis.
Boy, æt. 2 1/2, suffering nine months ; hoarseness.
Boy, æt. 3, good constitution ; bronchitis.
Girl, æt. 3 ; membranous croup.
Child, æt. 3 ; diarrhœa.
Boy, æt. 4 ; scrofulous conjunctivitis.
Child, æt. 4 ; diphtheria.
Girl, æt. 4, fair complexion ; diphtheritic croup.
Girl, æt. 4, light complexion, flaxen hair ; membranous croup.
Boy, æt. 4, sanguine temperament ; chronic diarrhœa.
Boy, æt. 5 ; diphtheritic croup.
Girl, æt. 5, fair haired, had whooping cough, after which she caught cold ; gastro-intestinal irritation.
Girl, æt. 5 ; pustular eruption.
Boy, æt. 6, suffering two days ; catarrhal ophthalmia.
Boy, æt. 6 ; scrofulous conjunctivitis.
Child, æt. 6 ; diphtheria.
Girl, æt. 7, affected most of her life ; scrofulous ophthalmia.
Boy, æt. 7, lymphatic, pale complexion, sanguine temperament ; eruption.
Girl, æt. 8, had whooping cough four years ago, since then ill ; recurring bronchial attacks.
Boy, æt. 8, stout, large head, after a burn ; dysentery.
Girl, æt. 8 1/2 ; scrofulous conjunctivitis.
Boy, æt. 9 ; scrofulous conjunctivitis.
Child, æt. 10 ; diphtheria.
Girl, æt. 10, ill six weeks ; eczema.
Girl, æt. 11, ill two months ; vomiting.
Girl, æt. 12, had croup six years ago, since which she has been suffering ; hoarseness ; cough.
Girl, æt. 13, suffering a month ; scrofulous ophthalmia and ulceration of cornea.
Girl, æt. 13 ; sore throat.
Girl, æt. 13 ; croup.
Girl, æt. 14, not yet menstruated ; affection of stomach.
Boy, æt. 14, lymphatic, nervous temperament, fair hair, light eyes ; pustular eruption.
Girl, æt. 15, suffering for a year ; catarrh of nose ; Young lady, æt. 17, just returned from India ; pain in right hypochondrium.
Girl, æt. 17, caught cold one year ago, since which she has been suffering ; bronchitis.
Young girl, suffering several months, operation unsuccessful ; nasal polypus.
Girl, sanguine, lymphatic temperament, for six years after diphtheritis ; pains in limbs.
Lady, æt. 22 ; pain in hypochondriac region.
Man, æt. 22, had syphilis two years ago ; ulcers on leg.
Woman, æt. 22 ; syphilis.
Man, æt. 24, has gastric and rheumatic troubles ; pain in back.
Young man, blonde ; gastric derangement.
Young tenor singer, after catching cold ; laryngitis.
Man, æt. 24, healthy, suddenly seized with violent pain in temples a month ago, since which he has suffered ; headache.
Officer, æt. 24, strong, plethoric constitution, choleric temperament, 15 months ago had chancre ; syphilis.
Young woman, mother of two children ; ulcerated sore throat.
Woman delicate, married five years ; eruption and periostitis.
Woman, æt. 25, unmarried, suffering for three months ; stomacace.
Lady, æt. 25, strumous constitution, suffering many years ; lung fever.
Man, æt. 26 ; chronic bronchitis.
Woman, æt. 26, blonde, small figure, steel grey eyes, oxygenoid constitution ; gracile, but not phthisicky habit ; excessively nervous, anxiety at least ailment ; irritability and tendency to spasm, and of tearful disposition ; catches cold easily and then coryza and
cough are troublesome for a long time ; suffered from acute gastric and intestinal catarrh, for which she took very large doses of nitrate of silver ; consumption.
Woman, æt. 27, married ; migraine.
Man, æt. 27 ; trachoma with pannus.
Woman, æt. 28 ; ulcer.
Man, æt. 28 ; pustular eruption.
Woman, æt. 30, had syphilis eleven years ago, and was treated with mercury, had one stillborn child ; syphilitic sore throat.
Irishman, æt. 30, strong and hearty, during day is able to work and enjoys his breakfast and lunch ; affection of stomach.
Man, æt. 30, after being exposed to cold some months before ; affection of kidneys.
Lady, æt. 30, unmarried, suffering for years ; affection of fauces and larynx.
Woman, æt. 30, since confinement three months ago ; cough.
Mrs. ---, æt. 30, delicate, subject to perspirations ; papular eruption.
Man, æt. 32 ; supraorbital neuralgia.
Man, æt. 32, suffering three years ; pain in right side.
Mrs. D., æt. 32, phthisical habit, lymphatic temperament ; convalescent from mild attack of gastric fever ; pain in tibia.
Woman, æt. 33, had syphilis several years ago ; affection of nose and throat.
Woman, æt. 35, married, fair hair, stout ; suffering daily for about ten days ; pain in right hypochondrium.
Policeman, æt. 35, suffering for one month ; sciatica.
Maid servant, æt. 36, suffering three years ; eczema of scalp.
Woman, æt. 36, suffering two months ; affection of larynx.
Woman, æt ; 37, ill seven weeks ; gastric disorder.
Woman, æt. 38, suffering six months, headache.
Man, æt. 38, spare, blonde, father of four healthy children, four years ago had syphilis and was subjected to severe mercurial treatment ; coryza with loss of taste and smell.
Man, æt. 39, suffering 18 months ; dyspepsia.
Woman, æt. 39, general health impaired, feeble frame ; ulcer on leg.
Man, æt. 40 ; boils on head.
Man, æt. 40, in bad health for two years, has had rheumatic gout and rheumatic iritis ; inflammation of eyes.
Lady, æt. 40, fat, fair, of florid complexion, uses beer at meals, and whiskey in evening, suffers from enlarged liver and jaundice ; dyspepsia.
Middle aged woman, suffering for four years ; gastric affection.
Man, tall, spare frame, suffering for eight years ; sciatica.
Florid, red haired woman, husband had syphilis before marriage ; five years ago, had sore throat and ulcer on lips ; first two children premature and stillborn, remaining two delicate, now nursing for last six months ; syphilitic periostitis.
Woman, æt. 44, suffering for a fortnight ; supraorbital neuralgia.
Lady, æt. 44, stout, florid countenance, subject to chronic coughs ; acute bronchial catarrh.
Man, æt. 45 ; laryngitis.
Mrs. ---, æt. 45, nervous temperament ; chronic inflammation of larynx and trachea.
Man, æt. 45 ; chronic bronchitis.
Man, æt. 45 ; cough.
Woman, æt. 46, suffering one month ; headache.
Man, æt. 46, suffering seven years ; pustular eruptions.
Man, æt. 48, chronic bronchitis.
Man, æt. 48 ; pustular eruption.
Man, æt. 50, operated upon three times within last 23 years ; nasal polypus.
Mrs. H., æt. 50, subject to colds in head, and determination of blood to head, catamenia ceased about two years ago, after influenza two years previously ; chronic catarrh of nose.
Man, æt. 50, stout, red faced, suffering many months, had been treated with caustics and counter irritants ; enlarged tonsils with deafness.
Woman, æt. 50, delicate ; laryngitis.
Man, æt. 50, rheumatic ; general pains.
Man, æt. 50, after a blow ; periostitis.
Man, æt. 50 ; affection of kidneys.
Lady, æt. 52 ; polypus of conjunctiva.
Man, æt. 55, major ; chronic inflammation of larynx and trachea.
Man, æt. 55 ; chronic bronchitis.
Woman, æt. 60, weak, rheumatic, for several weeks has been suffering from sudden and profuse discharges of clear, watery fluid from nose which suddenly ceased ; affection of œsophagus.
Man, æt. 60, fell and hurt leg 16 years ago ; periostitis.
Mrs. ---, æt. 60, subject to attacks of dyspepsia and sick headache ; lupus.
Man, æt. 62 ; chronic rheumatism.
Man, æt. 64, had syphilis 40 years ago, but no symptoms of it during intermediate time, for last ten years ; sore on cheek.
Woman, æt. 65 ; cough.
Man, æt. 67 ; bronchitis.
Man, æt. 69 ; chronic bronchitis.
Man, æt. 82, lived for thirsty years in India, had fever, dysentery, bronchitis ; bowels generally loose, habitual snuff taker ; malignant ulceration of nose.

Relations

Antidoted by : Arsen., Laches . (croup, diphtheria, etc.), Pulsat . (wandering pains).
It antidotes : effects of beer ; effects of arsenical vapors ; Mercur., Merc. jod .
Compatible : after Canthar . in dysentery ; after Iodium in croup, when hoarse cough, with tough membrane, general weakness and coldness are present ; Ant. tart .
follows well in catarrhal affections and skin diseases.
Compare : Bromium in croup ; Cannab . in orbital pains ; Hepar in croup, ulcers, etc. ; Kali i . in syphilitic affections
after mercury ; Mezer . in bone diseases ; Nitr. ac . in syphilis ; Phytol . in syphilitic bone affections ; Spongia in
croup ; Silica in bone affections.

Lectures on Homoeopathic Materia Medica

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

Lecture

This remedy is recognized by most physicians by the copious ropy mucous discharges from all mucous membranes, but it is also a most important remedy in rheumatic affections of the joints with swelling, heat and redness, whenever these conditions wander around from joint to joint.

The bones all over the body feel bruised, and caries is reckoned among its symptoms. A marked feature of this remedy is the alternation between catarrhal symptoms and rheumatic pains. Exudations from mucous membranes, somewhat like croup, are found in the larynx, trachea and in the rectum. it is not surprising, therefore, that it has proved a very effective remedy in diphtheria. It emaciates, like the rest of the Kali salts. We have running through it the cachectic conditions, or malignant diseases with ulceration; and especially is it indicated when the ulceration period is present.

Ulceration

is a striking feature of this remedy. Its ulcers are deep; are said to be as if punched out and are very red. Gouty conditions are as common in this remedy as in the other Kalis. It is especially like Causticum with its cracking in the joints. Syphilitic conditions have been cured in the most advanced stages. It has the sharp stitching pains like Kali carb., it has one feature quite its own very severe pain in small spots that could be covered by the end of the thumb.

Pains

It has wandering pains from place to place, and wandering rheumatism in from joint to joint. There are pains in all parts. Pains are sometimes very violent; sometimes shooting; sometimes stitching stinging; again aching. Burning is a very marked symptom of the remedy. The pains appear rapidly and disappear suddenly.

An exception to this is in the sacrum where there is an aching pain at night when lying and is better in the day time on motion. There is pain in the sacrum on straightening up from sitting. Pain in the coccyx from rising after sitting; pain in the coccyx on first sitting down and in the act of sitting down.

The limbs are stiff in the morning on rising and the pains wander about, especially in the joints. Rheumatic pains that wander about. Pains in the limbs are worse from cold and worse from motion. They are better from heat and better in rest. Periodical pains, coming at regular times. The bones feel sore to the touch or on deep pressure.

There is cracking in the joints. Rheumatic pains are very common in the shoulders; lameness; there is burning in the forearms; rheumatic pains in the elbows; weak feeling in the hands and fingers with much clumsiness; spasmodic contraction of the fingers. Bones. in the hands and fingers feel bruised and very tender to hard pressure. Rheumatic pains of the fingers are very common to this remedy. In the lower limbs we have marked rheumatic pains through to hips and knees, worse walking and on motion.

Then comes the exception: pains in the sciatic nerves very, severe, worse in hot weather; these are better in motion, better in the warmth of the bed, worse from changes in the weather and better on flexing the leg. Drawing pains in the tibia are very common. It has cured ulcers on the legs, deep as if punched out.

Burning on the ankles, soreness of the heels. It has cured ulcers on the heels.

The sleep is most restless. Starting in sleep and turning and tossing. Its chest symptoms are worse on walking.

Upon the skin we have pustules, boils, eczema, blisters, herpes, shingles, ulcers on the skin, tubercles, suppurating tubercles and eruptions that are syphilitic in character.

Cold and warm

The patient is sensitive to cold. There is a lack of vital heat. In fact, he wants to be wrapped up and covered warmly, and many of his complaints are much better when he is perfectly warm in bed. All the pains and his cough are relieved from the warmth of the bed, and yet there are other complaints, like rheumatic conditions, that come on in hot weather.

The cough is better in warm weather and worse in winter. Catarrhal conditions of the larynx and trachea are worse in winter, especially in the cold, damp weather, like Calc. phos. when the snow melts. Sensitive to cold winds. Causticum, it ill be remembered, is sensitive to cold, dry winds.

The Kalis generally are sensitive to cold, dry weather, but Kali bichromicum throat troubles are continuous in the winter and during cold, damp weather, and are worse in cold, damp winds. It is a most useful remedy in septic and zymotic fevers.

Many of its symptoms are aggravated about 2 or 3 A.M., like Kali carb. Most of the symptom are worse in the morning yet some come on in the night. A marked feature of Kali. bichromicum is a feeling of great weakness and weariness. When the pain has passed off, if in the limbs, the limbs are felt very weary. Great prostration and cold sweat.

It has neuralgia every day at the same hour, showing its periodicity. Like the rest of the Kalis it has cured epilepsy. Ropy saliva and mucous discharges from the mouth during the convulsion has led to its use in epilepsy. The symptoms generally, especially the pains, are worse from motion, except the sciatic and some of the pains in the lower limbs, which are better from motion. The patient pulsates all over the body.

There are very few mental symptoms owing to the fact that the remedy has been proved only in crude form. It needs to be proved in potencies to bring out the mental symptoms.

Head

It has violent headaches and its headaches are mostly associated with catarrhal conditions. A Kali bichromicum patient always suffers more or less from catarrh of the nose, and if he is exposed to cold weather the catarrhal condition will turn to dryness; then will come on violent headache; also headaches during coryza.

Headaches during coryza when the discharge of the coryza slacks up a little. Headaches often begin with dim vision. Pains are violent. Headaches are better from warmth, especially warm drink; better from pressure; worse from stooping; worse from motion and walking; worse at night and still much worse in the morning. Pain is pulsating, shooting and burning. Headaches come on with vertigo. Headaches are often one-sided. It has been a very useful remedy in syphilitic head pains.

Pains over the eyes and in the forehead. It is very useful when the headaches are with retching and vomiting; when the pain is confined to a very small spot that could be covered with the thumb and is violent; when the headaches come periodically and with dizziness. Headaches are somewhat ameliorated in open air if it is not too cold. It has cured eczema of the scalp with thick, heavy crusts from which ooze a yellow, thick, gluey substance.

Eyes

Daylight brings on photophobia, There are sparks before the eyes; dim vision before the headache, as mentioned above. Rheumatic conditions affecting the eyes, hence it is said rheumatic affections of the eyes. Granular lids. Ulceration of the cornea. The ulcer is deep with pulsation in it. The eyes are much inflamed and red. The lids are red and swollen. Eyes and lids are injected.

Croupous inflammation of the eyes. Burning and itching in the eyes. Inflammation of the mucous membrane of the eyes with copious flow of thick mucus. Margins of the lids are red and swollen. It has cured polypus on the conjunctiva, swelling of the lids and stringy mucus.

Ears

There are yellow, viscid discharges from the ears, with stitching pains and pulsating in the ears. Chronic suppuration of the middle, ear with perforated tympanum; eczematous eruptions on the ears, itching of the whole external ear.

Nasal passages

The symptoms of the nasal passages are very numerous. The most prominent are the catarrhal symptoms. It has catarrhal symptoms both acute and chronic, with copious, thick, viscid, yellow or white mucus. Foetid odor from the nose.

Troubled much with a sensation of dryness in the nose. Loss of smell, and the nose is obstructed nights with thick yellow mucus, too viscid to be blown out. Accompanying this catarrhal condition there is a hard pain at the root of the nose.

Ulcers form all over the nasal mucous membrane. There are ulcers, crusts, mucous plugs; must blow the nose constantly without success, but finally blows out large green crusts or scabs from high up in the nose. Sometimes they are drawn into the posterior nares.

There is burning and pulsating in the nasal cavities. When the nasal cavity is in this state of ulceration and catarrh there is shooting pain from the root of the nose to the external angle of the eye through the whole forenoon. Extreme soreness inside of the nose.

Expired air feels hot and causes a sensation of burning. He has snuffles and increased catarrhal conditions in damp weather. There are also burning. excoriating, watery discharges from the nose, as in acute catarrhal conditions. Coryza is fluent, excoriating, with loss of smell. With the chronic condition there comes perforation of the septum and pressing pains of the frontal sinus.

A very strange condition then is observed. Scabs form upon the nasal septum; when these are removed there comes photophobia, then dimness of vision, followed by hard frontal headache. The septum is sometimes destroyed by ulceration. Much thick blood is blown out of the nose. Now, it has cured these conditions when they were syphilitic. It has cured nasal polypus. It has cured lupus of the nose.

Face

The bones of the face are often very sore, with shooting pains in the malar bones. Pain in the malar bones on coughing. With the catarrhal conditions there is much suffering from the malar bones, like Merc. It has cured lupus exedens. It has cured ulceration of the lip. Swollen parotid is quite a common feature in its proving. It has cured impetigo.

The tongue

is smooth, shiny, sometimes cracked. This is especially observed in low forms of fever, like typhoid. The tongue is often coated, thick and yellow at. the base. Papillae raise on the dorsum of the tongue, making it look like strawberry tongue. Again the tongue is coated a thick brown. The provers seemed to be much annoyed by a sensation of a hair on the base of the tongue. It has produced and cured ulceration of the tongue; even when syphilitic, it is a useful remedy. Ulcers deep as if punched out; with stinging pains.

There is great dryness of the mouth; ropy saliva and mucus ulcers anywhere in the mouth; aphthous patches; ulcers of the roof of the mouth; even when these are syphilitic it is a most useful remedy; deep punched out ulcers.

The throat

symptoms are very numerous. I will only mention a few of the most characteristic ones. Inflammation of the throat in general, involving all the tissues in it, extending up into the nose, and down into the larynx, even with a high degree of ulceration with copious, ropy mucus.

It has cured diphtheria exudation in the throat when it is confined to the throat, and also when it has extended to the larynx. A marked feature of the Kali bichromicum throat is its oedematous uvula: This symptom, is also found in Apis, Kali i., Lach., Mur. ac., Nit ac., Phos., Sulph. ac., and Tab.

Deep ulcers in the throat and ulcers on the tonsils. Ulceration so extensive that it has destroyed the whole soft palate. Inflammation of the tonsils when they are swollen and very red, when the neck is swollen; inflammation of the tonsils with suppuration. In this sore throat there is quite commonly a shooting pain extending to the ears.

Throat

There are also enlarged veins in the throat. Like the sensation of the tongue as if a hair in various places in the fauces and nose. Dry, burning sensation in the throat is very common. Quite a characteristic symptom of Kali bichromicum is the intense pain in the root of the tongue, when putting the tongue out. It has much exudation in the throat that is not diphtheria, but resembles it.

The stomach

symptoms are also very numerous. There is aversion to meat and strange to say, he craves beer, which makes him sick, brings on diarrhoea. Food lies like a load in the stomach; digestion seems suspended; there is a pressure as of a load after eating and much foods eructations. Nausea comes on very suddenly, sometimes while eating, soon after eating; vomits all food and it is sour as if it had turned sour very rapidly; so that there is vomiting of sour, undigested food, bile, bitter mucus, blood, yellow mucus and ropy mucus.

It is a very useful remedy in nausea and vomiting of drunkards and beer drinkers. When a beer drinker has arrived at a point where he can no longer tolerate his beer but it makes him sick, Kali bichromicum is a useful remedy. In the stomach there is also soreness and coldness. It is a very useful remedy in ulceration of the stomach; and when such ulcer is cancerous it relieves the pain, stops the vomiting, makes the patient comfortable for a long time.

In other words, it palliates him. There are some pains in the stomach that are ameliorated by eating; nausea sometimes is ameliorated, but such is the exception. He has a faintness in the stomach which drives him to eat often. Chronic catarrh of the, stomach is a strong feature and perhaps is a condition that is generally present with Kali bichromicum patients.

Liver

There is pain in the liver, hard contracting pain extending to the shoulder, resembling Crot. h. Pain in the liver from motion. Dull, aching pain in the liver. It is a useful remedy in liver conditions associated with gall stones. It corrects the action of the liver so that healthy bile is formed and the gall stones are dissolved. Stitching pain in the liver, and also in the spleen, on motion.

The abdomen is very tympanitic, with tenderness. There are stitching, cutting pains. Sinking in the abdomen with nausea after eating, then comes vomiting, then comes diarrhoea. This is the order in which these symptoms generally appear. It is a very useful remedy in gastro-intestinal cases. Ulcers of the intestines in typhoid conditions.

This remedy has also a morning diarrhoea like Sulphur. It has diarrhoea in phthisis. It has diarrhoea in typhoid fever. Watery Stools. Stools are brown and watery, or may be blackish watery. There is often much tenesmus at stool. Chronic diarrhoea in the morning. Diarrhoea after beer like Aloe, China, Gamb., Lyc., Mur. ac., and Sulph.

Frequently there are clay colored stools. Again there are bloody stools, as in dysentery. It has both diarrhoea and dysentery after rheumatism has disappeared. It seems rheumatic conditions are inclined to alternate with diarrheic conditions. In hot weather it has diarrhoea and dysentery; in winter it has chest troubles and catarrh of the air passages.

There is pain in the abdomen before the stool much pain during the stool, cramping and tenesmus. After stool it has tenesmus like Merc. It has constipation with hard, knotty stool, followed by severe burning in the parts. Burning in the anus after stool. Prolapsus of the rectum. After dry hard stool there is burning in the rectum. Patient suffers from a sensation of a large plug in the rectum and there is great soreness in the anus. He suffers much from hemorrhoids which protrude after stool and are very painful.

Urines

Pain in the back with bloody urine. Shooting pains in the region of the kidneys, also aching in the region of the kidneys with urging to urinate in the day time. There is suppressed urine with aching in the kidneys. Ropy mucus in the urine. Pain in the coccyx before urination, relieved afterwards. Burning in the fossa navicularis during urination.

In the male the sexual desire is generally absent. There is a strong constricting or contracting pain in the end of the penis and much itching of the pubes. Deep punched, out chancres, very hard. Stitching in the prostate gland when walking. Ropy, viscid, mucous discharge from the urethra.

As there is much relaxation in the remedy during hot weather, it especially affects the woman. She suffers from prolapsus in the summer time, during hot weather.

It is a very useful remedy in the woman for subinvolution. In the menstrual flow there are often membranes that cause her to suffer. The menstrual flow is too soon, excoriates the parts, causes the labia to swell and itch. Like the catarrhal conditions of other mucous membranes, there is leucorrhoea that is yellow and ropy.

It has been a most useful remedy in the vomiting of pregnancy when the other symptoms agree and also where the milk becomes stringy.

There are numerous symptoms connected with the larynx and as is usual copious, thick, ropy mucus. Chronic hoarseness, rough voice, dry cough, swollen feeling in the larynx and sensation as if there was a rag in the larynx. Catarrh of the larynx, croup, cough when breathing, membranous croup, diphtheria, burning, smarting and rawness of the larynx, rattling in the trachea.

Now these symptoms come in the cold, damp weather, in the winter. They are associated with much coughing and uneasiness. Sometimes these symptoms are entirely relieved and he is comfortable in a warm bed at night; and he is worse always in cold weather; they come on when the cold weather comes in the fall and last all winter.

Chest

He has much wheezing when breathing; tightness at the bifurcation of the trachea.

Quite a characteristic pain in the chest is the pain from the sternum to the back, associated with catarrhal conditions and with cough. Cough is caused from tickling in the larynx and at the bifurcation; dry, frequent, hard cough; great soreness in the chest when coughing and breathing deep.

Cough with pain in the sternum through to the back. Cough with stitching pain in the chest. Loud, hard cough. When he wakes up in the morning he begins this hard coughing. He is often ameliorated by lying down and is ameliorated by the warm bed; is worse undressing, from exposure to the air, worse after eating, aggravated by taking a deep breath, ameliorated by getting warm in bed.

The irritation and the cough is increased very much exposure to cold air. The cough is also a choking cough at times; sometimes a hoarse cough. It is sometimes much like whooping cough, spasmodic and constrictive.

The expectoration connected with the chest cough is ropy, yellow, or yellowish green, sometimes bloody; sometimes expectorates quantities of clotted blood. There is much rattling in the chest, catarrhal conditions in the winter, last all winter, with rattling catarrhal conditions in old people, rattling in the chest.

It is a most useful remedy in phthisis and hemorrhages from the lungs and cavities in the lungs. There is a cold sensation in the chest which is generally felt in the region of the heart. There is a pressure in the chest after eating also near the heart or supposed to be about the heart and there is palpitation.

It has cured and been a very useful remedy in hypertrophy of the heart with palpitation. In all parts of the body there is chilliness, in the back, especially in the back of the neck. Stabbing pains in the neck and in the dorsal region. Sharp pains in the region of the kidneys. Dull ache in the back. Many of the symptoms in the back are of a rheumatic character and wander from place to place. The rheumatic pains are worse stooping, and, like other pains, worse from motion.

The Therapeutics of Fevers

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

Characteristic

Adapted to fat, light haired persons, who suffer from catarrhal, syphilitic, or scrofulous affections; fat, chubby, short-necked children, disposed to croup and croup affections.

Affections of the mucous membranes—eyes, nose, mouth, throat, bronchi, gastro-intestinal and genito-urinary tracts— discharges of a tough, stringy mucus which adheres to the parts, and can be drawn out into long strings (Hydr., Lys.).

Complaints in hot weather.

Pains: in small spots can be covered with point of finger

(Ign.); shift rapidly from one part to another (Kali s., Lac c.,

Puls.); appear rapidly, disappear suddenly (Bell., Ign., Mag. p.); neuralgia every day at same hour (Aran., Chin. s.).

Headache: blurred vision or blindness precedes the attack

(Gels., Lac d.); must lie down; aversion to light and noise; sight returns as headache increases (Iris, Nat., Lac d.).

Gastric complaints: bad effects of beer; loss of appetite; weight in pit of stomach; flatulence; $<$ soon after eating; vomiting of ropy mucus and blood; round ulcer of stomach (Gym.).

Nose: pressive pain in root of nose (in forehead and root of nose, Sticta); discharge of "clinkers," plugs; mucus tough, ropy, green, bloody; in clear masses, and has violent pain from occiput to forehead if discharge ceases; ulcers and scabs on, or ulceration of septum (Alum., Sep., Teucr.).

Diphtheria: pseudo-membranous deposit, firm, pearly, fibrinous, prone to extend downwards to larynx and trachea (Lac c.—from bronchi to throat, Brom.); bladder-like appearance of uvula, much swelling, but little redness (Rhus).

Deep-eating ulcers in fauces; often syphilitic.

Cough: hoarse, metallic in croup (membranous or diphtheritic), with expectoration of tough mucus or fibro-elastic casts; in morning on awakening, with dyspnœa > by lying down (cough on awakening, with dyspnœa when lying down, Aral., Lach.); sputa tenacious, expectorated but cannot be easily detached, sticks to throat, mouth, lips (tenacious, frothy, detached with great difficulty, but easily expectorated, Aral.).

Sexual desire absent, in fleshy people.

Prolapsus uteri, seemingly in hot weather.

Aggravation

Morning; after eating; heat of summer.

Amelioration

Skin symptoms in cold weather (rev. of Alum., Pet.).

Type

Complaints appear periodically (dysentery every year in the beginning of summer; headache in the morning) at the same hour daily. Pains intermit. "Any type of fever."—LIPPE.

Time

Afternoon or evening paroxysm.

Fever, without chill, 4 and 5 P. M.

Chill

Without thirst. Coldness and shivering of arms, shoulders, back, with sleepiness; seeks a warm place. Shivering, alternating with flushes of heat. Chilliness commencing in feet and legs and extending upwards over whole body, with sensation as if vertex or pericranium were constricted (Sil.) occurring in frequent paroxysms; an hour after chill, heat and dryness of mouth and lips, had to be frequently moistened, followed by great thirst next morning, but no sweat. Ill-humor. Chilliness, especially on the extremities, and flushes of heat alternating with general sweat Feet and hands cold.

Chilliness, with giddiness and nausea, followed by heat, with sensation of cold and trembling; periodical pains in the temples; no thirst.

Heat

With thirst. General heat over whole body at night. Flushes of heat in the face. Face and hands glowing hot, while arms were cold and deep internal chilliness continued. Sudden flushes of heat in the face which came on at 4 and 5 P. M.

Sweat

Profuse while sitting quietly (profuse on least motion, Bry., Sep., Sil., Sul.). Sweat on forehead; rest of face dry. Hands cold and bathed in cold sweat (Sec.). General sweat, alternating with flushes of heat.

Tongue

Broad, with indented edges (Mer.). Thick, yellow coating, coppery taste; saliva stringy, ropy; desire for acids (Ant c.), for beer. Aversion to meat (Arn.).

Analysis

The general symptoms: Ropy, stringy, viscid saliva and mucus. Sweat profuse while sitting quiet.