Kalmia Latifolia kalm.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

NERVES: SPINAL. Eyes. Face (R). HEART. Circulation. Joints. Skin. Right; head; deltoid. Left; chest; arm.

Worse

MOTION: Lying on L. side. Bending Forward. Looking down. Heat. Becoming cold. With the sun.

Better

Eating. Cloudy weather. Continued motion.

General

Aching, bruised, stiff feeling. Tingling, numbness, trembling or paralytic weakness. Changing pains; shoot outward along nerves; or dull tearing, crushing, moving downward, then suddenly, to heart or alternating with cardiac symptoms, or between upper and lower limbs. Neuralgia. Rheumatism.

Copyright © Médi-T 1999

Particulars

Vertigo. Cracking noise in head. Shooting from nape to vertex and face. Maddening supra-orbital (r) pain. HEART; irritable; pains, sharp, burning; formication; numbness; weak; radiating to l. scapula or arm; taking away the breath; fluttering; palpitation, visible; paralysis. Pulse very slow; weak, tremulous. Brachialgia. Stiff, eyelids, lips, skin, etc.

Related

Complementary: Benz-ac. Spi. Related: Aco. Dig. Rhus-t. Spi.

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

Adapted to acute neuralgia, rheumatism, gouty complaints, especially when heart is involved as a sequel of rheumatism or gout. In heart diseases that have developed from rheumatism, or alternate with it. Pains sticking, darting, pressing, shooting in a downward direction (Cac. - upward, Led.); attended or succeeded by numbness of affected part (Acon., Cham., Plat.). Severe stitching pain in right eye and orbit (left eye, Spig.); stiffness in muscles, pain < when turning the eyes (Spig.); begins at sunrise, < at noon and leaves at sunset (Nat. m.). Rheumatism: pains intense, change places suddenly going from joint to joint; joint hot, red, swollen; worse from least movement. Vertigo when stooping or looking down (Spig.). Pulse slow, scarcely perceptible (35 to 40 per minute); pale face and cold extremities.

Relations

Similar: to, Led., Rhod., Spig., in rheumatic affections and gout. It follows Spig. well in heart disease.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Mountain Laurel

General

A rheumatic remedy. Pains shift rapidly. Nausea and slow pulse frequently accompanying. Has also a prominent action on the heart. In small doses, it accelerates the heart's action; in larger it moderates it greatly. Neuralgia; pains shoot downwards, with numbness. Fulgurating pains of locomotor ataxia. Protracted and continuous fevers, with tympanites. Paralytic sensations; pains and aching in limbs accompany nearly every group of symptoms. Albuminuria.

Head

Vertigo; worse stooping. Confusion of brain. Pain in front and temporal region from head to nape and to teeth; from cardiac origin.

Eyes

Vision impaired. Stiff, drawing sensation when moving eyes. Rheumatic iritis. Scleritis, pain increased by moving the eye.

Face

Neuralgia; worse right side. Stitches in tongue. Stitches and tearing in bones of jaw and face.

Stomach

Warm, glowing sensation in epigastrium. Nausea; vomiting. Pain in pit of stomach; worse by bending forward; relieved by sitting erect. Bilious attacks, with nausea, vertigo, and headache. Sensation of something being pressed under the epigastrium.

Urinary

Frequent, with sharp pains in lumbar region. Post-scarlatinal nephritis.

Heart

Weak, slow pulse (Dig; Apoc can). Fluttering of heart, with anxiety. Palpitation; worse leaning forward. Gouty and rheumatic metastasis of heart. Tachycardia, with pain (Thyroid). Tobacco heart. Dyspnœa and pressure from epigastrium toward the heart. Sharp pains take away the breath. Shooting through chest above heart into shoulder-blades. Frequent pulse. Heart's action tumultuous, rapid and visible. Paroxysms of anguish around heart.

Female

Menses too early, or suppressed, with pain in limbs and back and inside of thighs. Leucorrhœa follows menses.

Back

Pain from neck down arm; in upper three dorsal vertebræ extending to shoulder-blade. Pain down back, as if it would break; in localized regions of spine; through shoulders. Lumbar pains, of nervous origin.

Extremities

Deltoid rheumatism especially right. Pains from hips to knees and feet. Pains affect a large part of a limb, or several joints, and pass through quickly. Weakness, numbness, pricking, and sense of coldness in limbs. Pains along ulnar nerve, index finger. Joints red, hot, swollen. Tingling and numbness of left arm.

Sleep

Sleepless, wakes very early in morning.

Modalities

Worse, leaning forward (opposite, Kali carb); looking down; motion, open air.

Relationship

Compare: Kalmia contains Arbutin g v. Derris pinuta (of great service in neuralgic headaches of rheumatic origin).

Compare: Spigelia; Pulsat.

Complementary: Benz acid.

Dose

Tincture, to sixth potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Ought to be noticed just here, because it seems, at first sight, so much like Spigelia, and Hering says it follows Spigelia well in heart disease.

Both remedies have severe neuralgia of the face, but Kalmia is oftenest right-sided, Spigelia left. Both have pains in eyes, worse on turning them, but Kalmia has a sense of stiffness (Rhus tox. and Natrum mur.). Spigelia eyes hurt as if too large for the orbit. Both affect strongly the heart, and are useful in heart troubles of rheumatic origin. Both have violent, visible, tumultuous action of heart; Spigelia is invariably so, while Kalmia has at times remarkable slowness of the pulse (like Digitalis). The Kalmia form of rheumatism, like Cactus, goes from above downward (Ledum from below upward), and the pains in Kalmia shift suddenly. If we were called to a case of migratory rheumatism, and the heart seemed to be suffering, we would think of Kalmia before Pulsatilla, of course all the other symptoms taken into consideration. The pain of Kalmia often extends down to left hand (Rhus).

So far as the neuralgic symptoms of Kalmia are concerned, they are not much like Spigelia, except that they locate in the face, and are very violent. The sides and time of aggravation are different, and Kalmia is not often found involving the whole head, like Spigelia. Hering mentions that with Kalmia "weakness is the only general symptom with neuralgia" The neuralgic pains of Kalmia are sometimes attended with, or followed by, numbness of de parts affected, in this resembling Aconite, Chamomilla, Gnaphalium and Platina. It is to study up the points of resemblance of remedies having a particular affinity for the same region or organ, and to note ado more particularly the differences, that perfects the true homœopathic prescriber. No kind of labour will bring better returns.

Text Book of Materia Medica

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

Head

Giddiness, with headache and nausea. Giddiness when stooping and looking downwards. Sensation of heat in the head in the morning. Pain in the forehead in the morning when waking, after rising and then increasing. Pulsating headache as if a pulse were beating in the forehead. Pressing pain on a small spot on the right side of the head. The headache is worse in the evening and in the open air.

Eyes

Everything is ; black before the eye when he looks downward ; with nausea and eructations of wind (in the morning). Dull weak eyes. Pressure in the right eye (evening). Pressure above the right eye. Sensation of stiffness around the eyes and in the eyelids. Stitches in the eyes (ears, fingers, feet). Itching in the eyes, and when rubbing them they sting. The eye symptoms are worse in the evening and in the open air.

Ears

Stitches in the right ear (ears), behind the right ear, neck and thighs (at night).

Nose

Coryza, with increased sense of smell.

Face

Stitches ; and tearing in the lower jaw. Fothergill's faceache. Paleness of the face. Itching in the face at night. Roughness of the cheeks (during every summer).

Mouth and Throat

Lips swollen, dry and stiff (morning). Cracked lips with dry skin. Tongue white, dry. Stitches in the tongue. Increased secretion of saliva. The throat feels swollen. Sensation as if a ball were rising in the throat. Sensation of dryness in the throat, with difficult deglutition and thirst. Pressure in the throat, stitches in the eyes, and nausea.

Stomach and Abdomen

Nausea, everything becomes black before the eyes, with pressure in the throat, incarcerated flatulence, oppression of breathing, and rheumatic pains in the limbs. Pressure in the pit of the stomach, worse when sitting in a stooping position, better when sitting erect, with the sensation as if something should be pressed off below the pit of the stomach. Pains in the region of the liver. Incarcerated flatulence, with nausea. Sensation of weakness in the abdomen extending to the throat, relieved by eructation.

Stool and Anus

Stool like mush, easily discharged, as if glazed, followed by pressure on the rectum.

Urinary Organs

Frequent micturition of large quantities of yellow urine.

Sexual Organs

Women. Menstruation insufficient and too late.

Respiratory Organs

When breathing, a noise as from spasm in the glottis. Pain in the chest as from a sprain. Difficult and oppressed breathing ; the throat feels swollen, nausea ; with rheumatism. Cough caused by scraping in the throat. Hypertrophy of the heart ; palpitation of the heart.

Neck and Back

Violent pain in the upper three vertebræ, extending through the shoulders. Pain in the back during menstruation. Sensation of lameness in the back. Sensation as if the spinal column would break from within.

Limbs

Upper. Pain in the right shoulder. Stitches in the lower part of the left shoulder-blade. Rheumatic pains in the arms (right). Cracking in the elbow-joint. Stitches in the fingers ; stitches in the fingers. The hands feel as ; they had been sprained. Pain in the left wrist, causing the hand to feel paralyzed. Erysipelatous eruption on the hands and extending further. Weakness in the arms ; the pulse being slow. Lower. Tearing pain from the hip down the leg, extending to the feet. Stitches externally on the knee : in the feet, soles of the feet, toes, left big toe. Pain in knee (the left). Sensation of weakness in the calves. The feet feel sprained. Rheumatic pains in the extremities.

Sleep

Restless sleep, turns often. While sleeping he stands up and walks about. Talking during sleep.

Fever

Pulse slow, weak. Chilliness. Cold limbs, the pulse is scarcely perceptible. Heat with burning and pain in the back and loins. Cold perspiration.

Skin

Pricking sensation in the skin and moderate perspiration. Dry skin. Erysipelatous, inflamed eruption on the hand, similar to the eruption caused by Rhus-tox., with oppressed breathing. Eruption like itch.

Conditions

Motion increases especially the great weakness and tired feeling in all the muscles. The head and eye symptoms are worse in the evening and in the open air. Bending forward increases the sensations in the pit of the stomach. Stooping and looking downwards increases the giddiness. The rheumatic pains are mostly in the upper arms and lower parts of the legs ; and are worse when going to sleep. Amelioration when lying down. The rheumatism often attacks the heart, and generally goes from the upper to the lower parts. Wine relieves the vomiting.

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

Ledum floribus bullatis. Cistus chamærhododendros. Mountain Laurel. American Laurel. Calico Bush. (Rocky sterile hills, near water, in New England States. Flowers May and June.) N. O. Ericaceæ. Tincture of fresh leaves when the plant is in flower.

Clinical

Angina pectoris. Blindness. Bright's disease. Dropsy. Dysmenorrhœa. Gastralgia. Globus hystericus. Gout. Headache. Heart, disease of. Herpes zoster; neuralgia after. Keratitis. Leucorrhœa. Locomotor ataxia. Lumbago. Neuralgia . Paraplegia. Ptosis. Pregnancy, albuminuria of. Retinitis albuminurica. Rheumatism . Rumination. Scleroderma. Sclerotitis. Somnambulism. Sun-headaches. Syphilitic sore throat. Tinnitus. Tobacco, effects of. Vertigo. Vomiting.

Characteristics

Kalmia is the name of a genus of heathworts, natives of North America. K. latifolia , which has large and showy flowers, is found in the northern parts of the United States. Its flowers "yield a honey said to be deleterious, and its leaves and shoots certainly are so to cattle. K. angustifolia , probably for the same reason, has received the name of Lambkill. The powdered leaves of some are used as a local remedy in some skin diseases. The hard wood of K. latifolia is used in the manufacture of various useful articles. The Canadian partridge is said to become poisonous as human food after feeding on Kalmia berries" ( Treasury of Botany ). Hering introduced Kalmia into homœopathic practice, himself and his friends being the first provers. The head, including eyes and face, shows the chief intensity of its action, and scarcely less so, the heart. A number of skin symptoms confirm the popular use of the leaves; and among them a "stiffness" of the skin (especially of the eyelids) is the most remarkable. Neuralgias (especially of right side); wandering rheumatic pains which tend to travel from above downwards; tumultuous action of the heart and slow pulse ─ these are the cardinal features of Kalm . Though Kalm . acts most markedly on the right side of the head, it acts very markedly on the left (heart-) side of the chest and left arm. Von der Luhe cured with Kalm . 200 an intercostal neuralgia of left side, so intense that the patient could not lie down or sleep at night. The chief guiding symptom was a concomitant numb sensation of whole left arm ( H. W ., xxxiii. 503). With the same potency I cured in a married woman the following symptoms: "Sick feeling and pains flying about, especially down left side; headache at vertex; chilliness"; and in a case of hypertrophied heart in an unmarried woman, "pain through heart region with inability to lie on left side." Lambert has recorded ( H. W ., xxx. 64) the case of a gate-keeper, 54, who had smoked since he was seven years old, and who suffered from "tobacco heart," palpitation, occurring on least exertion or fright, and sometimes awakening him in the night; pulse intermittent; no valvular lesion; tingling in left arm and leg and sensation as if the blood did not circulate in them. He could walk all right, but not far. The chief thing he complained of was sharp pain in right temple like pins and needles, of eighteen months' duration. It was induced by touch and turning head quickly. Kalm . 3x cured the temporal neuralgia and greatly alleviated all the other symptoms. Kalm . also relieved an old ataxic patient (man) of "vertigo and pains in legs which shoot and shift their position frequently." In connection with this spinal case the effects on animals are worth recalling. Meadows ( C. D. P. , quoting Southern J. of H ., Apr., 1890,) says cattle eat Kalm . in the latter part of the winter when they are in want of something green. The first symptom is intense thirst; then follow trembling, weakness, staggering, and jerking, the abdomen being full of wind. Then clonic spasms, every fifteen to twenty minutes, increasing to violent convulsions, which are renewed if the animal tries to rise in the intervals between the seizures. Eyes become fixed, pupils turned up, head drawn back, limbs rigid, abdomen bloated, bowels loose. If the animal recovers there is prostration for a week or more, and for three or four months it is weak, nervous, and walks as if intoxicated, tottering as if unable to control its limbs. The spinal action is unmistakable here, and the provings give "weakness and paralytic condition of limbs"; "shuns all exertion, can hardly go upstairs"; and many symptoms of pain in back. Neuralgias appear in almost all regions ─ in eye; in uterus (dysmenorrhœa); in stomach as well as head, chest, and limbs. Pains in the periosteum preventing sleep. The rheumatic pains proceed from above downwards, but some of the sensations ascend: as if a ball was rising in the throat. Sensation of weakness in abdomen extending to throat. Every heart-beat has a strumming as if it would burst, along sternum to throat. Pain between shoulders coming up over head. Also in rheumatism, the lower limbs are affected first, then the upper. Other peculiar sensations are: As if something loose in head diagonally across the top. As if the body was surcharged with electricity, a shuddering without coldness. As if something would be pressed off below pit of stomach. As if the stool was glazed. As if one squeezed throat with thumb and finger. Pain in chest (in hands, in feet) as from a sprain. Pressure like a marble from epigastrium to heart. Cracking in head frightens him, ending in sound in ears like blowing a horn. As if something was being pressed away from under sternum. The pains and conditions requiring Kalm . frequently have nausea and slow pulse as concomitants. Among noteworthy symptoms are: Dry throat. Dry, stiff, swollen, cracked lips. Tingling in salivary glands immediately after eating. Stitches in tongue. Vomiting with ruminating action; without the least nausea. Pressure on rectum after stool. The sensation of "rigidity of the skin" should make us think of it in scleroderma. There is much external sensitiveness: Face, pit of stomach, muscles of neck sore, < by touch. Rubbing eyes = stinging in them. The pains are < during early part of night, or soon after going to sleep. Pain in forehead conies on in morning on waking. The headache is < again in evening, when eye-symptoms and pains generally are < . Kalm . has a "sun-headache," < and > with the sun. (H. G. Grahn cured in a girl, 18, a headache "beginning in occiput, going over forehead; comes on at sunrise, gets < towards noon and declines as sun sets ," with Kalm . 2x. A few weeks later exposure to the sun brought on another attack, which was promptly cured with the same remedy.) A sudden chill, or exposure to a sudden wind = the pains. Heat < and cold > pain in head. Open air < headache and eyes. Every summer there is roughness of cheeks. Mental effort < headache. Motion < . Lying down, mental faculties and memory perfect, least motion = vertigo. Lying on back > breathing; on left side < palpitation. The < from motion is very marked, almost equalling that of Bry .; even motion of eyes and eyelids is painful. The pains in the stomach are < sitting bent, though he feels impelled to do so, > sitting or standing upright. But symptoms of vision are < in erect position. Vertigo is < on stooping; on looking down; on rising from a seat. Palpitation is < on bending forward; and < by mental effort. (Proell cured with Kalm . 1, 2, and 3 headache and weakened memory preventing him from continuing his studies, in a boy of 13 who had insufficiency of the mitral valve.) The neuralgic pains are > by food; wine > vomiting. Symptoms < during leucorrhœa. A leading concomitant of the Kalmia neuralgias is a paralytic weakness and trembling.

Relations

Antidoted by: Aco., Bell. Antidote to: Tab.? Follows well: Nux, Thyroidin, Spigel. Compare: Tab. (slow pulse and heart; nausea; blindness); Puls. (wandering rheumatism; but Puls. has > by motion); Led. (botan.; rheumatism affects first lower then upper parts; but Led. pains shoot up, Kalm. pains shoot down); Rhod. (botan.; rheumatism); Abrot. (metastasis of rheumatic pains to heart); Arbut. (rheumatism < by movement; urinary symptoms); Æsc. g. (paralytic symptoms); Æsc. h. (rectal symptoms); Urt. ur. (gout); Rhus (rheumatism; numbness of l. arm; but Rhus is > by movement); Act. r. (headache; eyes); Ced. (supraorbital neuralgia; Ced., l.; Kalm., r.); Aco. (heart; numbness of l. arm and fingers); Ars. (neuralgia, burning pains); Dig. (chest rheumatism, pains so sharp, take away breath, shoot down into stomach, slow pulse; Kalm. more suited to gout or rheumatism shifting from joints to heart); Gels. (ptosis ─ Kalm. muscles and lids are stiff; Gels., heavy); Bell. (throbbing head, erysipelas, symptoms travel down); Benz. ac. (gout); Calc. (cardiac hypertrophy); Diosc. (gastralgia); K. bi. (catarrhs, shifting rheumatism); Lith. c. (heart); Lyc. (rheumatic gout; urinary symptoms); Spigel. (rheumatism, neuralgia, eyes, heart, tobacco antidote; < and > with sun; but Spigel. more left side, and often affects whole head, pains stitching, run back, < by least jar or noise); Cact. (heart, pains shooting down); Alo. (cracking in head); Sang. (headache < and > with sun). Led., Rhod., and Uva ursi are close allies.

Causation

Chill. Exposure. Wind. Sun.

Mind

When lying down mental faculties and memory perfect, but on attempting to move, vertigo. ─ Anxiety and palpitation. ─ Cross.

Head

Vertigo: with headache (and nausea), blindness, pains in limbs, weariness; while stooping and looking down; with aching in face. ─ Every motion = vertigo. ─ Aching in forehead, followed by rending in bones of r. and l. side of face; shooting down into teeth, moving backward down neck and outwardly on both sides; followed by pains in l. shoulder; rending in bones of legs and feet. ─ Pain in r. eye; giddiness; eyes weak and watery. ─ Pressing pain on a small spot r. side of head. ─ Headache internally, with sensation when turning of something loose in head diagonally across top. ─ Pain between shoulders coming up over head to temples (not affecting eyeballs). ─ Neuralgia every afternoon and night; begins back of neck and runs up; affects also face, < r. side. ─ A cracking in head frightens him; it ends in a sound in ears like blowing a horn. ─ Drowsy feeling, followed by raging headache in temples and occiput. ─ A shuddering without coldness commences with cracking as if surcharged with electricity. ─ Severe pressing headache < and > with sun. ─ Sensation of heat in head, morning. ─ Dulness in head, headache; backache; preceded by nausea. ─ Neuralgic paroxysmal pains. ─ Headache < in evening and in open air. ─ A shock towards occiput from back of neck, with heat. ─ Rheumatic pain in scalp (r.).

Eyes

Glimmering before eyes. ─ Almost complete blindness when in erect position. ─ Blindness < in erect position; < during paroxysms of vomiting; < looking down. ─ (Retinitis albuminurica; pain in back as if it would break.). ─ (Sclero-choroiditis anterior, with glimmering before eye, < on reading with the other.). ─ Severe pain in r. eye extending over forehead; begins at sunrise, increases till noon, and leaves at sunset (cured after Aco . and Bell . failed). ─ Pains in eyes; < turning them; < evening and in open air. ─ Stiffness in muscles round eyes and lids. ─ Pressure (r.); stitches; itching in eyes.

Ears

Stitches in and behind r. ear; in neck and thighs, at night. ─ Acute inflammation of meatus. ─ Sound like blowing a horn, after cracking in head. ─ Menière's disease.

Nose

Coryza; with increased sense of smell; with sneezing, dulness, headache, and hoarseness. ─ Tearing in root of nose and nasal bones, with nausea.

Face

Face: red, with throbbing headache; pale. ─ Anxious expression. ─ Flushing with vertigo. ─ Pressing pains, r. side of face, esp. between eye and nose. ─ Prosopalgia (r.); pains, rending; agonising; stupefying or threatening delirium; with alkaline taste in mouth. ─ Neuralgia involving upper teeth, but not from caries. ─ R. ─ sided neuralgia after exposure to cold, going down r. arm; attended or succeeded by numbness in the parts; pains shooting downward, irregular; < by worry or mental exertion, > by food. ─ Face itches at night. ─ Cheeks rough in summer. ─ Lips swollen, dry, stiff. ─ Cracked lips, with dry skin. ─ Stinging in jawbones. ─ Tired feeling in masticator muscles. ─ Stitches and tearing in lower jaw.

Teeth

Teeth tender with neuralgia of face. ─ Pressing pain in molars, late in evening.

Mouth

Bitter taste with nausea, > after eating. ─ Tongue: white, dry; sore l. side; hurts when talking. ─ Stitches in tongue. ─ Cutting pain r. side of tongue > by biting on it. ─ Tingling in salivary glands, immediately after eating, with sense of fermentation in œsophagus and copious salivation. ─ Sublingual salivary gland inflamed.

Throat

Throat feels swollen, sensation as of a ball rising. ─ Sensation of dryness in throat (and actual dryness with aching pains, dryness causing cough), difficult swallowing, thirst. ─ Pressure in throat, stitches in eyes and nausea.

Stomach

Pains > by food. ─ Eructations. ─ Nausea, everything black before eyes, pressure in throat, incarcerated flatus, oppressed breathing, pains in limbs. ─ Vomiting with ruminating action, without the least nausea. ─ Wind > vomiting. ─ Pressure in pit of stomach, like a marble; < sitting in stooping position (yet a feeling as if this was necessary), > sitting erect; sensation as if something would be pressed off behind pit of stomach. ─ Rumbling and sense of emptiness in stomach, as if he had had no breakfast. ─ Pit of stomach sore to touch.

Abdomen

Pains in region of liver. ─ Incarcerated flatus with nausea. ─ Sensation of weakness in abdomen extending to throat; > by eructation. ─ Sudden pains in paroxysms, across abdomen, above umbilicus, from lower border of liver downward towards l., then ceasing in r. side; < from motion and from lying on either side, obliged to lie on back; > sitting up. ─ Neuralgia of bowels in married women.

Stool and Anus

Stool like mush, easily discharged, as if glazed, followed by pressure on rectum. ─ Diarrhœa, with dulness, dizziness, weariness, nausea, and bellyache.

Urinary Organs

Frequent micturition of large quantities of yellow urine. ─ Profuse micturition > headache. ─ Frequent micturition in small quantities; it feels hot. ─ Albuminuria: with pains in lower limbs; with dropsy, casts, triple phosphates, sallow complexion, skin very dry.

Male Sexual Organs

Frequent, spontaneous, lasting erections, without desire. ─ Pain in r. testicle, morning; changed to l., afternoon.

Female Sexual Organs

Menses too soon, regular but painful. ─ During menses, pains in limbs, loins, back, and interior of thighs. ─ Suppressed menses, with severe neuralgic pains throughout body. ─ Leucorrhœa yellowish; one week after menses; symptoms < during leucorrhœa.

Respiratory Organs

Pressure as if one squeezed throat with thumb and finger. ─ Noise as from spasm of glottis when breathing. ─ Hoarseness with coryza. ─ Tickling in trachea. ─ Frequent cough caused by dryness or scraping in throat. ─ Expectoration easy, smooth, grey; tasting putrid; saltish. ─ Difficult and oppressed breathing; throat feels swollen, nausea. ─ Oppressed breathing with palpitation, anxiety; with pain (angina pectoris).

Chest

Feverish heat with great pain in chest; < when breathing and from slightest motion. ─ Pain in chest as from a sprain. ─ Shooting through chest above heart into shoulder-blade; pain in l. arm. ─ Stitches in lower chest. ─ Stitches below breast. ─ (False pleurisy of winter season.). ─ Rheumatism of muscles of thorax and back; < from every motion.

Heart

Fluttering of heart. ─ Palpitation; with anxiety, suppressed breathing; with faint feeling; with dyspnœa, pain in limbs, stitches in lower chest; r. ─ sided prosopalgia. ─ Palpitation up into throat, after going to bed, trembling all over; < lying on l. side; > lying on back; anxiety. ─ Severe pain in cardiac region, slow, small pulse (hypertrophy, dilatation, aortic obstruction). ─ Paroxysms of anguish about heart, dyspnœa, febrile excitement; rheumatic endocarditis, with consequent hypertrophy and valvular disease. ─ Pressure like a marble from epigastrium towards heart, with strong, quick heart-beats; every beat has a strumming as if it would burst, along sternum to throat; third or fourth beat louder, followed by an intermission. ─ Wandering rheumatic pains in region of heart, extending down l. arm. ─ Shooting stabbing from heart through to l. scapula causing violent beating of heart. ─ Quickened but weak pulse. ─ Pulse: slow, weak; arms feel weak; scarcely perceptible, limbs cold; irregular; remarkably slow; 40 to 48; slow, very feeble.

Neck and Back

Muscles of neck sore to touch and on moving them. ─ Stiffness in neck, greatest at vertebra prominens. ─ Pain in sterno-mastoid muscle. ─ Tearing in nape. ─ Pains from neck down arm to little and fourth finger; neck tender to touch; pain, paroxysmal, < in early part of night, and attended by stiffness; slow pulse. ─ Violent pain in upper three dorsal vertebræ, extending through scapulæ. ─ Constant pain in spine, sometimes < in lumbar region, with great heat and burning. ─ Sticking in lumbar region < on motion; comes and goes. ─ Pain in back during menses. ─ Lameness in lumbar region. ─ Sensation as if spinal column would break with an anterior convexity. ─ Feeling of paralysis in sacrum. ─ Aching across joints.

Limbs

Rheumatic pains, mostly in upper arms and lower part of legs, < when going to sleep. ─ Joints hot, red, swollen. ─ Pains shift suddenly.

Upper Limbs

Pain in shoulders. ─ Deltoid rheumatism, esp. r. ─ Stitches in lower part of l. scapula. ─ Paroxysmal pains in r. arm. ─ Pain in l. arm. ─ Cracking in elbow-joint. ─ Stitching in hands; hands feel as if they had been sprained. ─ Pain in l. wrist, causing hand to feel paralysed. ─ Erysipelatous eruption on hands extending further. ─ Weakness in arms, pulse slow.

Lower Limbs

Tearing pains from hip (r.) down leg to feet. ─ Stitches: externally on knee; in feet, soles, toes, big toe. ─ Sensation of weakness in calves. ─ Feet feel sprained. ─ Unable to walk; ankles swollen; pains, though mostly confined to ankles, shift about from joint to joint.

Generalities

Rheumatism often attacks heart, and generally goes from upper to lower parts; pains shift suddenly. ─ Weariness in all muscles; shuns all exertion, can hardly go upstairs. ─ Weary and giddy, with diarrhœa. ─ Weakness the only general symptom with neuralgia. ─ Trembling, thrilling, strumming, with palpitation.

Skin

Sensation of rigidity of skin. ─ Pricking sensation in skin, with moderate sweat. ─ Dry skin. ─ Erysipelatous inflamed eruption on hand (like that of Rhus), with oppressed breathing. ─ Eruption like itch. ─ Red inflamed places here and there, exceedingly painful, as if boils would form.

Sleep

Restless sleep, turns often. ─ Periosteal pains prevent sleep. ─ While sleeping stands up and walks about; talks in sleep. ─ Dreams: racking his brains; fantastic; of murder.

Fever

Chilliness with coldness; shaking chill in cold air; chills run over back. ─ Febrile excitement. ─ General heat; with burning and pain in back and loins. ─ Cold sweat.

The Guiding Symptoms of Our Materia Medica

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

Mind

In a recumbent posture, mental faculties and memory perfect, but on attempting to move, vertigo.
Anxiety with palpitation.
Toward evening and next forenoon very cross.

Sensorium

Vertigo : with headache, blindness, pains in limbs and weariness ; while stooping and looking down.
Vertigo : with aching in face. θ Neuralgia.
Giddiness, with headache and nausea.

Inner head

Pulsating headache in forehead.
Pain in forehead in morning when waking, < after rising.
Aching in forehead, followed by rending in bones of right or l. side of face ; shooting downward into eye teeth ; moving backward down neck and outwardly on both sides ; succeeded by pain in left shoulder ; rending in bones of legs to feet.
Pain over right eye ; giddiness ; eyes weak and watery.
Pressing pain on a small spot on right side of head.
Headache internally, with sensation, when turning, of something loose in head, diagonally across top.
A cracking in head frightens him, it ends in a sound in ears like blowing a horn.
A shuddering without coldness commence with cracking as if surcharged with electricity.
Severe pressing headache, < and > with sun.
Sensation of heat in head in morning.
Dulness in head ; headache ; backache.
Neuralgic paroxysmal pains.
Headache < in evening and in open air.

Outer head

Pain from back of neck up over scalp to top of head and temples, also affecting face right side ; tender to touch ; pain shooting twitching ; sometimes in spots ; > from cold, < from heat ; every afternoon, last with great
severity, through night. θ Neuralgia.
Rheumatic pain in scalp.

Sight and eyes

Glimmering before eyes.
Everything black before eye when he looks downward ; nausea and eructations of wind (in morning).
Dull, weak eyes.
Retinitis albuminurica, occurring during pregnancy ; pains in back.
Nephritic retinitis accompanied by much pain in back, as if it would break.
Sclera inflamed, vitreous perfectly filled with exudation, and glimmering before eye, especially on reading with the other. θ Sclero-choroiditis anterior.
Sclerotis, particularly in rheumatic subjects ; eyeball painful on motion.
Parenchymatous keratitis.
Severe pain in right eye, extending to forehead ; commences at sunrise, < until noon ; then > and leaves at sunset. θ Neuralgia oculorum. (After Acon. and Bellad. failed.)
Pressure in right eye (evening) ; also above right eye.
Stitches in eyes, ears, fingers and feet.
Itching in eyes ; when rubbing them they sting.
Pain in eyes, which makes it painful to turn them.
Sensation of stiffness in muscles around eyes, and of eyelids.
Asthenopia ; stiff, drawing sensation in muscles upon moving eyes.
Eye symptoms < evening and in open air.

Hearing and ears

Stitches in and behind right ear ; in neck and thighs, at night.
Sound like blowing a horn, after cracking in head.
Meniere's disease.

Smell and nose

Coryza : with increased sense of smell ; with sneezing, dulness, headache and hoarseness.
Tearing in root of nose and nasal bones, with nausea.

Upper face

Face : red, with throbbing headache ; pale.
Anxious expression of countenance. θ Rheumatism of heart.
Flushing of face, with vertigo. θ Neuralgia.
Pressing pains in right side of face, especially between eye and nose.
Prosopalgia, right sided ; pains rending ; agonizing ; stupefying or threatening delirium.
Fothergill's faceache.
Severe neuralgia in right cheek, with alkaline taste in mouth.
Facial neuralgia, involving teeth of upper jaw, but not from caries.
After exposure to cold, pains in right side of head, ear and face, and even going down to arm, sometimes attended with numbness, or succeeded by numbness in parts affected ; pains sticking, teasing, pressing, or shooting in a downward direction ; pains occur at irregular times,
continue for no definite period, coming suddenly or gradually, and leaving as uncertainly ; < by worry or mental exertion ; > by food. θ Neuralgia.
Facial neuralgia after zoster.
Face itches at night.
Roughness of cheeks (during every Summer).

Lower face

Lips swollen, dry and stiff.
Cracked lips with dry skin.
Stinging in jawbones.
Tired feeling in chewing muscles.
Stitches and tearing in lower jaw.

Teeth and gums

Teeth tender, with neuralgia of face.
Pressing pain in molars, late in evening.

Taste, speech, tongue

Bitter taste with nausea, > after eating.
Tongue : white, dry ; sore left side ; hurts hen talking.
Stitches in tongue.

Inner mouth

Tingling in salivary glands, immediately after eating, with sense of fermentation in œsophagus and copious salivation.
Sublingual salivary gland inflamed.

Palate and throat

Throat feels swollen ; sensation as if a ball was rising.
Sensation of dryness in throat, difficult deglutition, thirst.
Pressure in throat ; stitches in eyes and nausea.
Great dryness of throat, with aching pains, the dryness causing frequent cough. θ Chronic syphilitic sore throat.

Eating and drinking

Pains > by food. θ Neuralgia.

Hiccough, belching, nausea and vomiting

Eructations of wind. θ Angina pectoris. θ Gastralgia.
Nausea, everything becomes black before eyes, pressure in throat, incarcerated flatus, oppression of breathing, rheumatic pains in limbs.
Wine relieves vomiting.

Scrobiculum and stomach

Pressure in pit of stomach, like a marble ; < sitting in a stooping position, > sitting erect ; sensation as if something would be pressed off below pit of stomach.
Pit of stomach sore to touch.
Pains < sitting bent, yet a feeling as if to do so was necessary, > by sitting or standing upright ; crampy pain, with eructations of wind, palpitation of heart. θ Gastralgia.

Hypochondria

Pains in region of liver.

Abdomen and loins

Incarcerated flatus, with nausea.
Sensation of weakness in abdomen, extending to throat ; > by eructation.
Sudden pains in paroxysms, across abdomen above umbilicus, from lower border of liver, downward toward left, then ceasing in right side ; < from motion and from lying on either side, obliged to lie on back ; > when sitting up. θ Abdominal
neuralgia.
Neuralgia of bowels in married women.

Stools and rectum

Stool like mush, easily discharged, as if glazed, followed by pressure on rectum.
Diarrhœa, with dulness, dizziness, weariness, nausea and bellyache.

Urinary organs

Frequent micturition of large quantities of yellow urine.
Profuse micturition > headache.
Albuminuria ; also with pains in lower limbs.
Abdomen greatly distended ; extremities, especially lower ones, swollen ; much difficulty in standing and walking ; urine scanty, high colored, 5 per cent. albumen, fibrinous casts, large epithelial scales, one prismatic crystal of triple phosphate ; vertigo ;
occasional pain in head ; much pain in lower extremities ; complexion sallow and skin unnaturally dry. θ Bright's disease.

Female sexual organs

Menses too soon ; regular, but painful.
During menses, pain in limbs, loins, back and interior of thighs.
Suppressed menses, with severe neuralgic pains throughout whole body.
Leucorrhœa yellowish ; one week after menses ; symptoms < then.

Voice and larynx. trachea and bronchia

Pressure as if some one squeezed throat with thumb and finger.
Noise as from spasm in glottis when breathing.
Hoarseness, with coryza.
Tickling in trachea.

Respiration

Difficult and oppressed breathing ; throat feels swollen, nausea. θ Rheumatism.
Oppression and short breathed, which obliges him to breathe quickly, involuntarily.
Oppressed breathing, with palpitation of heart, anxiety.
Dyspnœa and pain. θ Angina pectoris.

Cough

Frequent cough, caused by dryness or scraping in throat.
Expectoration easy, smooth, grey ; tasting putrid ; saltish.

Inner chest and lungs

Feverish heat, with great pain in chest ; < when breathing and from slightest motion.
Pain in chest as from a sprain.
Shooting through chest above heart into shoulder blade ; pain in left arm.
Stitches in lower part of chest.

Heart, pulse and circulation

Fluttering of heart.
Palpitation of heart, with anxiety and oppressed breathing ; with faint feeling.
Palpitation up into throat, after going to bed ; trembling all over ; < lying on left side ; > lying on back ; anxiety.
Palpitation, dyspnœa, pain in limbs, stitch in lower part of chest ; right sided prosopalgia.
Heart's action very tumultuous, rapid and visible.
Attacks of angina pectoris. T Fatty degeneration of heart.
Angina pectoris ; slow, feeble pulse ; eructations of wind ; dyspnœa and pain.
Severe pain in cardiac region, with slow, small pulse. θ Hypertrophy with dilation and aortic obstruction.
Paroxysms of anguish about heart, dyspnœa, febrile excitement ; rheumatic endocarditis, with consequent hypertrophy and valvular disease.
Pressure like a marble from epigastrium toward heart, with a strong, quick heart beat ; every beat has a strumming as if it would burst, along sternum to throat ; third or fourth beat harder, followed by an intermission.
Pressure behind middle of sternum, < morning and evening, and when stooping ; palpitation of heart with anxiety ; pulse regular ; first sound of heart somewhat harsh ; pressure behind sternum and in epigastrium, > sitting erect ; as if something was being
pressed away from under sternum.
Severe palpitation of heart, with constriction of throat, < from motion, deep inspiration, or holding breath ; pressure and stitching in region of heart ; severe one sided, tearing headache, < over eye and in bulbus oculi ; during attack anxiety and shortness of
breath ; between attacks, dry cough ; first sound of heart strongly accentuated and often intermitting ; (ictus cordis) impulse of heart plainly visible, lifting stethoscope ; pulse intermittent ; pressure in epigastrium, < in bent position, > sitting
erect ; pressing down sensation in epigastrium.
Wandering rheumatic pains in region of heart, extending down left arm.
Shooting, stabbing pain from heart through to left scapula, causing violent beating of heart. θ Rheumatism.
Pains suddenly leave extremities and go to heart ; shooting, stabbing pain, through to left scapula, causing violent beating of heart, with anxious expression of countenance, quick but weak pulse and difficult breathing. θ Rheumatism.
Articular rheumatism has been treated externally, and cardiac symptoms ensue.
Heart disease, after frequent attacks of rheumatism, or alternating with it.
Hypertrophy and valvular insufficiency, or thickening, after rheumatism, paroxysms of anguish about heart, with dyspnœa and febrile excitement.
Propped up in bed, with anxious expression of face, livid hue of countenance ; visible, tumultuous and very rapid action of heart ; after acute rheumatism. θ Endocarditis.
Quickened but weak pulse. θ Rheumatism of heart.
Pulse : slow, weak ; arms feel weak ; scarcely perceptible, limbs cold ; irregular.
Remarkable slowness of pulse, 48 in minute. θ Neuralgia.
Slow, small pulse. θ Hypertrophy of heart.
Pulse slow and feeble. θ Angina pectoris.
Pulse very slow. θ Dysmenorrhœa.
Very feeble pulse, 40 beats per minute.

Outer chest

Pleuritis falsa in winter season.
High fever ; breathing oppressed, must lie quietly on back, every motion attended with violent pains in thorax, back and axillary joints. θ Rheumatism of
muscles of thorax and back.

Neck and back

Muscles of neck sore to touch and on moving them.
Pains from neck down arm to little and fourth finger ; neck tender to touch ; pains paroxysmal, < in early part of night, and attended by stiffness ; marked slowness of pulse, 48 beats per minute. θ Neuralgia.
Violent pain in upper three dorsal vertebræ, extending through shoulder blades.
Sensation of lameness in back, evening in bed.
Constant pain in spine, sometimes < in lumbar region, with great heat and burning.
Feeling of paralysis in sacrum.
Aching across joints.

Upper limbs

Pain in shoulders.
Deltoid rheumatism, especially on right side.
Stitches in lower part of left shoulder blade.
Paroxysmal pains in right arm. θ Neuralgia.
Pains in left arm.
Rheumatic pains in arms.
Cracking in elbow joint.
Stitches in hands ; hands feel as if they hand been sprained.
Pain in left wrist, causing hand to feel paralyzed.
Erysipelatous eruption on hands extending further.
Weakness in arms ; pulse slow.

Lower limbs

Tearing pain from hip down leg to feet.
Rheumatic pains in leg from hip down.
Pains in lower extremities.
Rheumatic pains in right leg, extending as far as toes, in morning.
Stitches : externally on knee ; in feet, soles, toes, big toe.
Sensation of weakness in calves.
Feet feel sprained.
Unable to walk ; ankles swollen ; pains, though mostly confined to ankles, shift about from joint to joint. θ Chronic rheumatism.

Limbs in general

Rheumatism often attacks heart, and generally goes from upper to lower parts ; pains shift suddenly.
Rheumatic pains, mostly in upper arms and lower parts of legs ; < when going to sleep.
Joints hot, red, swollen. θ Acute rheumatism.
Acute articular rheumatism ; pains shift about from point to point, especially when beginning in upper extremities and subsequently felt in lower ; joints hot, red and swollen ; pains < on least motion and during evening, or soon after going to bed ; rheumatoid
pains from sudden chill or exposure to cold wind.
Arms feel weak, limbs cold.

Rest. position. motion

Pains < : sitting bent, yet a feeling as if to do so was necessary, but > by sitting or standing upright. θ Gastralgia.
Pains < on least motion. θ Acute rheumatism.
In a recumbent posture : mental faculties and memory perfect, but on attempting to move vertigo.
Lying on left side, palpitation <.
Lying on back : palpitation >.
Must lie on back : on account of oppressed breathing ; abdominal neuralgia.
Sitting in a stooping position : pressure in pit of stomach < ; palpitation <.
Sitting erect : pressure in pit of stomach, pains across abdomen > ; pressure behind sternum > ; palpitation >.
Stooping : vertigo ; pressure behind sternum <.
After rising : pain in forehead <.
Standing : difficult on account of swelling of lower extremities.
Stands up and walks in his sleep.
Motion : of eyeballs causes pain ; pains across abdomen < ; slightest, pain in chest < ; palpitation < ; attended with violent pains in thorax, back and axillary joints ; of muscles of neck painful ; pains <.
Turning head : sensation as of something loose in it.
Walking : difficult on account of swelling of lower extremities.
Shuns all exertion ; weariness in all muscles.
Unable to walk : ankles swollen ; can hardly go up stairs.

Nerves

Weariness in all muscles ; shuns all exertion, can hardly go up stairs.
Weary and giddy, with diarrhœa.
Weakness the only general symptom with neuralgia.
Trembling, thrilling, strumming, with palpitation.
Weakness and paralytic condition of limbs.

Sleep

Restless sleep, turns often.
Periosteal pains prevent sleep.
While sleeping stands up and walks about ; talks in sleep.
Dreams : racking his brains ; fantastic ; of murder.

Time

Pains < during early part of night, or soon after going to sleep. θ Neuralgia. θ Acute
rheumatism.
Morning : pain in forehead ; heat in head ; nausea and eructations of wind ; pressure behind sternum < ; rheumatic pains in right leg.
Towards evening and next forenoon ; very cross.
Evening : headache < ; pressure in right eye ; eye symptoms < ; pressing pain in molars ; pressure behind sternum ; lameness of back ; pains <.
Night : headache ; stitches in neck and thighs ; face itches ; early part, pains from neck down arms.

Temperature and weather

Pains are felt from a sudden chill, or exposure to a sudden wind. θ Acute rheumatism. θ Neuralgia.
Heat : pain in head <.
With sun : headache < and > ; pain in right eye < and >.
Open air : headache < ; eyes <.
Cold : pain in head >.
After exposure to cold : pain in right side of head, ear and face ; rheumatoid pains.

Fever

Chilliness, with coldness ; shaking chill in cold air ; chills run over back.
Febrile excitement. θ Endocarditis.
General heat ; with burning and pain in back and loins.
Cold sweat.

Attacks, periodicity

Pain occurring at irregular times, continuing for no definite period, coming suddenly or gradually, and leaving as uncertainly. θ Neuralgia.
Paroxysmal pains : in head ; across abdomen above umbilicus ; from neck down arms ; in arms.
Every afternoon : headache, lasts through night.
Every Summer : roughness of cheeks.
One week after menses : leucorrhœa.

Locality and direction

Right : rending in bones of side of face ; pain over eye ; pressing pain on a small spot on side of head, severe pain in eye ; pressure in eye, above eye ; stitches in and behind ear ; pressing pains in side of face ; prosopalgia ;
severe neuralgia ; pains in side of head, face and ear ; deltoid rheumatism < ; pains in arm ; rheumatic pain in leg.
Left : rending in bones of side of face ; pain in shoulder ; tongue sore on side ; pain in arm ; lying on side palpitation < ; wandering rheumatic pains down arm ; shooting pains from heart through to scapula ; stitches in lower part of shoulder
blade ; pains in arm ; pain in wrist.
Downward : pain shooting into eye teeth ; pain across abdomen from lower border of liver down to left, then ceasing in right side.
Moving backward : pain down neck and outwardly on both sides.
Pains change places. θ Rheumatism.
Pains move downward : head ; bones of face ; from ear to arm ; down spine ; down leg ; arm to fingers.
Pains move upward : neck over head ; ball in throat ; lower limbs, then upper.

Sensations

Sensation as if body was surcharged with electricity.
As of something loose in head diagonally across top ; a shuddering without coldness commences with cracking, as if surcharged with electricity ; as if back would break ; as if a ball was rising in throat ; as if something would be pressed off below pit of
stomach ; stool as if glazed ; as if some one squeezed throat with thumb and finger ; pain in chest as from a sprain ; pressure like a marble from epigastrium towards heart ; a cracking in head frightens him, it ends in a sound in ears like blowing a horn ;
every heart beat has a strumming as if it would burst, along sternum to throat ; as if something was being pressed away from under sternum ; hands as if they had been sprained ; feet as if sprained ; as if furuncles would form here and there.
Pains : in limbs ; in forehead ; in left shoulder ; over right eye ; in head ; in back ; from back of neck up over scalp to top of head and temples ; in eyeball ; in eyes ; in right side of head, ear and face ; in region of
liver ; in lower limbs ; in loins ; in interior of thighs ; in chest ; in left arm ; suddenly leave extremities and go to heart ; from neck down arm to little and fourth finger ; in spine ; in left wrist, causing hand to feel paralyzed.
Sudden pains in paroxysms : across abdomen, above umbilicus, from lower border of liver, downward toward left ; in right arm.
Anguish : about heart.
Violent pain : in upper three dorsal vertebræ.
Severe pain : in right eye to forehead ; in cardiac region.
Great pain : in chest.
Much pain : in lower extremities.
Tearing : in root of nose and nasal bones ; in lower jaw ; in one side of head from hip down leg to feet.
Rending : in bones of right or left side of face ; in bones of legs to feet.
Shooting, stabbing pain : from heart through to left scapula.
Shooting, twitching pain : over head.
Shooting : downward into eye teeth ; through chest above heart into shoulder.
Stitches : in eyes, ears, fingers and feet ; in and behind right ear ; in neck and thighs ; in lower jaw ; in tongue ; in lower part of chest ; in lower part of shoulder blade ; in hands ; externally on knee ; in feet, soles, toes, big
toe.
Stitching : in region of heart.
Stitching, tearing, pressing or shooting pains ; in a downward direction in face.
Stinging : in jawbones.
Pricking sensation : in skin.
Rheumatic pain : in scalp ; in heart ; in limbs ; in region of heart, extending down left arm ; in arms ; in leg from hip down ; in right leg ; shift from joint to joint ; mostly in upper arms and lower parts of legs ; all over body.
Severe neuralgia : in right cheek ; throughout whole body.
Neuralgic paroxysmal pains : in head.
Neuralgia : in bowels.
Throbbing headache.
Pulsating headache : in forehead.
Aching : in face ; in forehead ; in throat ; across loins.
Severe pressing headache.
Pressing pain : on a small spot on right side of head ; in right side of face ; in molars.
Pressure : in right eye ; above right eye ; in throat ; in pit of stomach ; from epigastrium to heart ; behind sternum ; in region of heart.
Burning : in spine.
Great heat : in spine.
Heat : in head.
Soreness : of left side of tongue.
Dryness : in throat.
Dulness : in head.
Swollen feeling : in throat.
Constriction : of throat.
Stiff, drawing sensation : in muscles on moving eyes.
Rigidity of skin.
Numbness : in affected parts after pain.
Feeling of paralysis : in sacrum.
Stiffness : of muscles around eyes and of eyelids.
Lameness : in back.
Weakness : in abdomen extending to throat ; in calves.
Tired feeling : in chewing muscles.
Cracking : in elbow joints.
Tingling : in salivary glands.
Tickling : in trachea.
Itching : in eyes ; in face.

Tissues

Acute rheumatism, going from joint to joint ; violent fever ; pains intense ; ankles most painful and swollen ; < from least movement.
Rheumatic pains all over body.
Pains shifting, pains suddenly changing position ; tendency to metastasis to heart. θ Rheumatism.
Every joint and every muscle of body affected ; high fever ; every attempt to move attended with excruciating pains ; afterwards paralysis of arms and legs. θ Rheumatism.
Dropsy from cold with rheumatic complaints.

Touch. passive motion. injuries

Touch : face tender ; pit of stomach sore ; muscles of neck sore.
Rubbing : eyes causes stinging.

Skin

Sensation of rigidity of skin.
Pricking sensation in skin, with moderate sweat.
Dry skin.
Erysipelatous, inflamed eruption on hand (similar to eruption caused by Rhus tox.), with oppressed breathing.
Eruption like itch.
Red, inflamed places here and there, exceedingly painful, as if furuncles would form.

Stage of life, constitution

Girl, æt. 10, scrofulous diathesis, suffering three months ; Bright's disease.
Girl, æt. 10, suffering ten days ; endocarditis.
Boy, æt. 12 ; rheumatism.
Young German ; chronic rheumatism.
Servant girl, suffering three months ; sun headache.
Woman, suffering one week ; neuralgia.
Man, æt. 27, fourth attack within ten years, each attack lasting from two to four months ; neuralgia oculorum.
Man, æt. 33, formerly treated for ulcer of stomach ; pressure in epigastrium.
Man, æt. 47, rheumatic ; pressure in epigastrium.

Relations

Antidoted by : Acon., Bellad .
Compare : Bellad . (throbbing head, erysipelas) ; Benz. ac . (gout, valvular disease) ; Calc. ostr . (cardiac hypertrophy) ; Diosc .
(gastralgia) ; Kali bich . (catarrhs, rheumatism) ; Lith. carb . (valvular disease) ; Lycop . (rheumatic gout, urinary symptoms) ; Natr. mur .
(hemiopia) ; Pulsat ., rheumatism, shifting pains ; Rhus tox . (rheumatism) ; Spigel . (rheumatic endocarditis).

Lectures on Homoeopathic Materia Medica

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

Generals

The symptoms that indicate this remedy show themselves especially in the muscles, in the tendons, in the joints, along the course of the nerves, in rheumatic complaints.

Pains

The pains change about, wandering pains, and they axe aggravated from motion. The sharp pains spread from the centres to the extremities, the wandering pains go downwards, down the arms, down the back and down the legs; from the shoulder to the fingers, and from the hips to the toes.

These pains sometimes shoot like lightning, again they tear along the nerves, along the sciatic and crural nerves, down through the calves. In rheumatic constitutions the pains are dull, tearing, crushing and pressing, and are aggravated by motion and go from the lower to the upper limbs. Motion will bring on the pain or aggravate it when it is present. The head pains are very severe. They often begin in the back of the neck or back of the head, and extend to the top of the head. There are also pains in the front of the head, pains over one or both eyes, tearing neuralgic pains aggravated by heat and motion.

Pains come and go with the sun, that is, they begin in the morning at the rising of the sun and increase till noon, then gradually decline and disappear at sunset. He is incapacitated for mental work when in motion and even when sitting up, but, when lying upon his back perfectly quiet, making no motion, the mind works well and with clearness; with the slightest motion, however, even of the hand, on comes vertigo and confusion of mind.

Moving about disturbs makes him incompetent. The pains are also worse the first half of the night. With these symptoms there is cardiac trouble of rheumatic origin. The condition has increased until organic disease has come, even hypertrophy of the heart and valves.

For the pains in the eyes, the stitching, tearing pains that occur during kidney disturbance in pregnancy, or during albuminuria, Kalmia becomes a remedy,

This remedy is useful in neuralgia; neuralgia of the eye, neuralgia of the face, violent, tearing pains in the face. Sometimes it takes the form of a nightly < and sometimes it takes the form of daily <. The aggravation in the daytime comes and goes with the sun. The < at night time comes with the lying down.

"Anxious expression of countenance" associated with rheumatism of the heart.

"Flushing of the face, with vertigo."

After the disappearance of a herpetic eruption, violent neuralgic pains, shooting, tearing pains in those nerves that supply the part where the eruption was. When shingles, ring-worm, cold sore, or isolated vesicular eruptions disappear, suddenly from some violent cause or inappropriate treatment, or from catching cold, violent neuralgias come in their place and continue until the eruption comes out again.

This remedy becomes suitable if the symptoms agree; that is, if the whole patient is in agreement with the state of the remedy.

The pains are stitching and tearing, very severe, sometimes cutting and shooting when this remedy is mw useful. The pain will seem to take hold of a nerve and will hold on to it for many minutes, Coming with violence, coming suddenly and letting loose suddenly. Pains come in the extremities in the same way, taking hold as if the nerve were being pinched by nippers, or as if it were being torn to pieces.

"There, now it is gone!" says the patient.

Pretty soon, again, you will see his face in a state of horrible distress. The pain is there again and he cannot move a muscle, and "there, it is gone!" he says, and it remains away for some minutes and sometimes for hours.

Heart

This remedy has cured that state. Palpitation very marked when lying on the left side, > when lying on the back, sometimes > when sitting erect, < when bending forward.

These symptoms alone cause this remedy to stand out in relief. It is useful in rheumatic patients where syphilis is at the bottom, syphilitic rheumatism that has taken the course described until finally the heart has become affected and there is thickening of the valves. Shooting pains through the heart, pains in the chest, intermittent pulse, pulse skipping a beat now and then.

Either the arterial or venous system, or the valves of the heart, or both, may be affected. Dyspnoea from any kind of exercise, cardiac dyspnoea. You have in this a remedy for such complaints. It goes to the bottom in old cases of rheumatic syphilis, and has cured many a cardiac complaint that was the result of syphilis.

You will be guided to it especially if the pains wander from place to place, and if they go from above down wards, if they go from the shoulder down toward the fingers, from the hips toward the feet, or down the spine. It is also suitable in old cases of gonorrhoeal rheumatism when the symptoms agree.

The slightest motion, the slightest effort or exertion brings on the vertigo, and this is due to disturbance of the circulation. The heart is so susceptible to any exertion that disturbance of the circulation of the blood in the brain comes on from the slightest motion.

"In a recumbent posture mental faculties and memory perfect, but, on attempting to move, vertigo."

If the patient persists in moving, nausea and vomiting will follow. It has palpitation, shaking the whole frame, audible, vehement palpitation. He cannot lie on his left side.

It is suitable in old, troublesome, recurrent headaches associated with cardiac affections. A headache will come on daily if the sun comes out, but it will not come on if the day is clouded. He is aggravated from the light of the sun and the increasing brightness of the sun's rays.

In addition to these there are paroxysms of pain that are nightly. These are the bone pains, pains in the shin bones as if the periosteum would be torn off; these pains come on at night, or the first half of the night. It is well known in syphilis that the < is at night. It is an antipsoric, antisycotic and antisyphilitic, it can be selected when the symptoms agree with any of the three miasms. Pains in the pericranium, pains in the bones nearest to the surface. In bed at night the pains become very severe and last all night.

This night aggravation, is especially true of the marked antisyphilitic medicines. It is found under Hepar and Mercurius ; but in none of the remedies do we find it so strikingly manifested as in the disease, or miasm, syphilis itself.

In syphilis the < comes with the setting of the sun. It is one of man’s enemies that does its work in the night. Many of the complaints of sycosis conform to the day hours, and the pains are < from the rising. to the going down of the sun.

Medicines also have such I queer whims. We must study remedies as we would human character. Some of them seem to be extremely whimsical, and it is by knewing these whimsical, strange and peculiar things that we are able to mark the character of the remedy, When we know these peculiari ties we have found the circumstance under which the remedy Works

The heart has many symptoms which should be studied.

"Fluttering of the heart, palpitation of the heart."

"Palpitation up into the throat, after going to bed, trembling all over."

Very slow pulse . I remember a patient, an old syphilitic, who was told if he ever made a violent move he would die, the valves of his heart were so badly affected. He had all the murmurs that it seemed possible from the heart valves.

He had traveled all over and had taken large doses of Mercury, and his syphilitic condition had to a great extent been suppressed, until finally the whole trouble had located in the heart. Kalmia removed all the dyspnea and palpitation in a few months, and it was nearly two years before there was a marked return of the symptoms and a repetition put him in a state of health, so that be needed no more medicine.

This shows what a deep-acting remedy Kalmia is, how long it may act, what wonderful changes it may effect. A remedy must be capable of going deep into the life to do such things.

"Wandering rheumatic pains in the region of the heart."

"When articular rheumatism has been treated externally and cardiac symptoms ensue."

Rheumatism that goes from the lower to the upper limbs. Not uncommonly you will meet such things. These "rubbers" that go around the streets with a strong liniment and considerable magnetism frequently do cause a rheumatism to leave the knee joint, and when it does that, the heart is likely to be the organ that suffers.

Then Kalmia, Aurum, Bryonia, Rhus tox., Ledum, Calc. and Abrotanum , and sometimes Cactus, are remedies that prove suitable for such cardiac affections. Rheumatic affections that are driven away in this manner are changed without being cured. The people cannot realize the danger, of merely removing symptoms. Every removal that is not in accordance with cure affects the centres of man, that is the heart and brain.

Rubbing is a dangerous thing. When you are importuned with the question,

"Doctor, will it hurt me to have this rubbed?" you reply, "If rubbing does not affect any change in the symptoms, it will do no harm."

In proportion as it mitigates the symptoms or relieves, just in that proportion it does the patient harm, for the whole vital economy is weakened. There are instances where rubbing is of benefit, but not in rheumatism.

In paralyzed muscles it is a beneficial exercise, for then rubbing can take the place of exercise of the patient himself, of the muscles. But rubbing is not admissible if it is used to reduce pain. The more agreeable it is, the worse, it is for the patient.

In a Phosphorus patient you would be astonished what wonderful relief they can get from rubbing. There is no person more inclined to be weak in the vitality, in the internal economy, than the Phosphorus patient. He is an excitable, weakly patient, and feels better by rubbing and craves it, but if he has rheumatism in the knees and the knee is rubbed the rheumatism may go to the heart, The Phos. patient loves to be rubbed, because rubbing relieves the symptoms; he loves to be magnetized.

"Weariness of all the limbs; shuns all exertion."

"Weakness the only general symptom with neuralgia."

This weakness is a state that you can glean something from. When severe pain is fatiguing the economy the heart is threatened. A general weakness, prolonged weakness after confinement, or from the pain, as we find in Hepar, but with the weakness, these pains are threatening to leave their parts and go to the heart. He is perfectly exhausted and continuously tired.

The text speaks only of Aconite and Belladonna as the antidotes. Spigelia follows this remedy very well and antidotes it. Benzoic acid is a natural complement to it. Calc., Lith. carb., Lyc., Nat. mur., and Puls. are the remedies that are closely related and should be compared.

Kidneys

There are kidney affections.

All the organs are related. to each other but especially the heart and kidneys. When the kidneys are not working well, the heart is very often troublesome. All through the varying forms of Bright’s disease the heart is troublesome.

Difficulties of breathing, difficult heart action, with albuminuria. It will relieve the breathing. Again, associated with kidney affections, we have many eye complaints, difficulties of vision, and these also especially call for this remedy. It is often indicated in Bright's disease, with disturbance of vision, occurring during pregnancy.