Lachesis lach.

Boger's Synoptic Key — Materia Medica

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

Region

Mind. Throat. NERVES: CUTANEOUS. VASO-MOTOR. Sympathetic. PNEUMO-GASTRIC. BLOOD; HEART. CIRCULATION. LEFT SIDE; then right: THROAT. OVARIES. FEMALES. Vertex.

Worse

SLEEP; AFTER. MORNING. HEAT: SPRING. SUMMER SUN. ROOM. DRINKS. SWALLOWING; EMPTY; liquids. SENSITIVE TO: SLIGHT TOUCH OR PRESSURE OF CLOTHES; < NECK, Waist (Ap. Bro. Grap.); Noise. RETARDED DISCHARGES. Start and close of menses. CLIMAXIS. ALCOHOL. Cloudy weather.

Better

OPEN AIR. FREE SECRETIONS. Hard pressure. Bathing part. COLD DRINKS.

General

Rapid onset, intensity, prostration or malignancy. LEFT-SIDED COMPLAINTS, OR MOVING FROM LEFT TO RIGHT. Sepsis. Disintegration. Gangrene; diabetic. Carbuncle. Erysipelas. Blueness; hands. FETOR; of acrid discharges; oris; stools, etc. HÆMORRHAGE, thin; dark particles; nose-bleed; vicarious; bloody urine, etc. Purpura. ASCENDING SENSATIONS, in throat; from eyes over vertex; from nape; from ovary to heart; chills; FLUSHES OF HEAT; rushes of blood. A LUMP; ascends throat and is swallowed back again; in liver, abdomen, rectum; rolls about in bladder, etc. EXCESSIVE PAINFULNESS; of throat; ulcers; spots over body. Constriction; of throat, > eating; as of a skull cap; of anus. Drawing; vertex to jaws; in rectum, etc. Tremor; of tongue; hands, etc. Hard throbbing or hammering (Fer.). Congestion. Apoplexy. Epilepsy.

Particulars

Nervous, excitable. LOQUACITY; rambling; then sadness or repeats same thing. Compelling delusions. Persistent, erotic ideas, without ability. Depression; on awaking. Insane jealousy. Suspicion. Feels full of poison. Fears, going to sleep, lying down, or that heart will stop. Indolence. Vertigo, < turning to right. Headache; heavy; bursting; down nose; side (r) feels cut off. Eyes feel small. Nose; stopped coryza; discharges with every cough; bloody pus from; rum blossom (Agar. Led.). Face purple, mottled; netted veinlets; dusky during heat. Faceache. Lower jaw drops. Septic mumps. Aphthæ. Much thick, pasty saliva. Tongue catches on teeth. Thick, blundering speech. Peppery taste. Can't bear anything before mouth or nose. THROAT; PAINFUL, into ears; as of a soft body in; choking; MUST LOOSEN COLLAR; hot lump in; pit feels swelled or sore spot back of pit. SWALLOWING; the wrong way; painful; returns through nose. Diphtheria; laryngeal. Tonsilitis. Quinsy. Hawks foul pellets from throat. Thirsty, but fears to drink. Dipsomania. Soreness or cramp in epigastrium. Sore festering throb, deep in liver. Septic gall-bladder. Pain from anus to navel. Constipation of pregnancy. Piles; < coughing. Pain in l. ovary; must lift covers. Dark, scanty menses. Suffocates on dropping to sleep. Must take deep breaths. Air hunger. Tickling, choking cough, < touching neck or auditory canal, > retching out a little expectorate. Larynx, as of a skin hanging in, or a valve. Heart weak; turns over or too big, as if. Carditis; metastatic. Axilla; swelled glands. Numb, l. arm; finger-tips. Cracks in skin, at corner of nails. Cold knees, or cold, foul foot-sweat. Toes feel broken. Mottled or livid skin; dark marks. Eating ulcers, on legs; with dark areolæ; fungoid; varicose. Sleepless from cerebral irritation; tipplers. Frightful dreams; of snakes. Dilated capillaries. Chill, < drinking; with sweat. HEAT; on vertex; IN FLUSHES, on waking or falling to sleep. Sweat; about neck, during sleep; in axillæ; bloody; staining blackish; garlicky.

Related

Complementary: Lyc. Pho. Zin-io. Related: Caus. Sep. Zin.

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

Persons of a melancholy temperament, dark eyes, and a disposition to low spirits and indolence. Women of choleric temperament, with freckles and red hair (Phos.). Better adapted to think and emaciated than to fleshy persons; to those who have been changed, both mentally and physically, by their illness. Climacteric ailments: haemorrhoids haemorrhages; hot flushes and hot perspiration; burning vertex headache, especially at or after the menopause (Sang., Sulph.). Ailments from long lasting grief; sorrow, fright, vexation, jealousy or disappointed love (Aur., Ign., Phos. ac.). Women who have not recovered from the change of life, "have never felt well since that time.". Left side principally affected; diseases begin on the left and go the right side - left ovary, testicle, chest. Great sensitiveness to touch; throat, stomach, abdomen; cannot bear bed-clothes or night-dress to touch throat or abdomen, no because sore or tender, as in Apis or Bell., but clothes cause an uneasiness, make her nervous. Intolerance of tight bands about neck or waist. Extremes of heat and cold cause great debility. Drunkards with congestive headaches and haemorrhoids; prone to erysipelas or apoplexy. Headache: pressing or bursting pain in temples < from motion, pressure, stooping, lying, after sleep; dreads to go to sleep because she awakens with such a headache. Rush of blood to head; after alcohol; mental emotions; suppressed or irregular menses; at climaxis; left-sided apoplexy. Weight and pressure on vertex (Sep.); like lead, in occiput. All symptoms, especially the mental, worse after sleep, or the aggravation wakes him from sleep; sleeps into the aggravation; unhappy, distressed, anxious, sad < in morning on waking. Mental excitability; ecstacy, with almost prophetic perceptions; with a vivid imagination; great loquacity; (Agar., Stram.); want to talk all the time; jumps from one idea to another; one word often leads into another story. Constipation: inactivity, stools lies in rectum, without urging; sensation of constriction of sphincter (Caust., Nit. ac.). Menses at regular time; too short, scanty, feeble; pains all relieved by the flow; always better during menses (Zinc.). Menses at regular time; too short, scanty, feeble; pains all relieved by the flow; always better during menses (Zinc.). Piles: with scanty menses; at climaxis; strangulated; with stitches shooting upward (Nit. ac.). The least thing coming near mouth or nose interferes with breathing; wants to be fanned, but slowly and at a distance (rapidly, Carbo v.). As soon as he falls asleep the breathing stops (Am. c., Grind., Lac c., Op.). Great physical and mental exhaustion; trembling in whole body, would constantly sink down from weakness; worse in the morning (Sulph., Tub.). Epilepsy; comes during sleep (Bufo); from loss of vital fluids; onanism, jealousy. Haemorrhagic diathesis; small wounds bleed easily and profusely (Crot., Kreos., Phos.); blood dark, non-coagulable (Crot., Sec.). Boils, carbuncles, ulcers and intense pain (Tar.); malignant pustules; decubitus; dark, bluish, purple appearance; tend to malignancy. Bad effects of poison wounds; post-mortem (Pyr.). Sensation as of a ball rolling in the bladder. Fever annually returning; paroxysm every spring (Carbo v., Sulph.), after suppression by quinine the previous autumn. Fever: typhoid, typhus; stupor or muttering delirium, sunken countenance, falling of lower jaw; tongue dry, black, trembles, is protruded with difficulty or catches on the teeth when protruding; conjunctiva yellow or orange color; perspiration cold, stains yellow, bloody (Lyc.). Diphtheria and tonsillitis, beginning on the left and extending to right side (Lac. c., Sabad.); dark purple appearance (Naja); < by hot drinks, after sleep; liquids more painful than solids when swallowing (Bell., Bry., Ign.); prostration out of all proportion to appearance of throat.

Relations

Complementary: Hep., Lyc., Nit. ac. Incompatible: Acet. ac., Carb. ac. [Psor.]. In intermittent fever Nat. m. follows Lach. well when type changes.

Aggravation

After sleep; contact; extremes of temperature; acids; alcohol; cinchona; mercury; pressure or constriction; sun's rays; spring. summer.

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)

General

A strong indication for this remedy is any trouble beginning on the left side of any part of the body, particularly in the throat, whether going over to the right side subsequently, or remaining on the left side. In diphtheria, or any sore throat, where the trouble begins on the left of the throat or tonsils; if we find the soreness, swelling, or diphtheritic patches on both sides of the throat, ascertain which side was attacked first; or if it is almost entirely on the right side, ascertain whether it started on the left side. (Lycop. is just the reverse of the above; Lycop. troubles begin on the right side.) The patient will probably be restless, with very high pulse, great fever, etc.

Another characteristic is: where the patient sleeps into an aggravation; as e.g., in croup; is very well while awake, but as soon as goes to sleep, the croup symptoms appear in great violence; child almost suffocates, and the mother or nurse is consequently really afraid to let him go to sleep. Also in convulsions; patient has none while awake, but as soon as he is asleep they appear. And so with any trouble that is brought on by going to deep at any time, in day or night.

In all hæmorrhages from the bowels in the typhoid or typhus fever, when in the bottom of the vessel are seen black particles of blood like charred straw; there may be epistaxis, with bleeding from the mouth and bowels at the same time.

Mental

Amativeness; affections of the intellect in general. Sadness when wakening in the morning or night (particularly in the morning; no desire at all to mix with the world. Restless and uneasy); does not wish to attend to business, but wants to be off somewhere all the time.

Sexual

Female: In females who never get well from the change of life--"have never felt well since that time;" may have unnatural unwell periods. During change of life, where she has flashes of heat all day, and cold flashes on retiring at night.

Skin

Burning of; blueness of. Flat exanthema which do not fill up. Blotches on; boils; blue-black swellings; pustulous exanthema; spongy excrescences; wounds bleed profusely and a great while; skin very hard to heal; itching blisters. Itching ulcers, and ulcers in general; with dark blisters around; bluish (ulcers); flat; hard on the circumference; with white spots in them; with black base or bottom; discharging too little pus; bleeding--especially if they bleed a great deal.

Generalities

Affections in general of the right chest; left side of the throat; right lower extremity; right abdominal ring; symptoms generally appear on right side; symptoms beginning on left side with great tendency to spread to the right side. Apoplexy. Cyanosis. In old chronic sore throats--throat may not be very sore, but a great quantity of mucus will stick there, and occasions much hawking and spitting to no purpose--the mucus will stick and can't be forced up or down. Constipation where the anus feels tight, and as if nothing could go through it.

Worse

In the evening; on sleeping, suitable for sufferings of drunkards; from violent bleeding; from narcotic medicines; from spirituous liquors; from abuse of mercury; on rising from the bed; after rising from the bed.

Better

While eating.

Remedies following

Acon., Arsen., Hyosc., Lycop., Mercur., Nux vom., Phosphor., Pulsat., Silic., Sulphur.

Antidotes

Bellad., Mercur.

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

Tongue trembles when protruded, or catches behind the teeth. Sensation of a swelling in the throat, as if two large lumps came together, on empty swallowing; better on swallowing food. Tonsilitis worse on left side, choking when swallowing; or, when swallowing. pains from the throat to the ear; neck very sensitive to touch. Uterus will not bear contact, even of the bed clothes; they cause uneasiness in the abdomen; no tenderness. Menses at the regular time, but too short and feeble. Uterine and ovarian pains, relieved by a flow of blood. Suddenly something runs from the neck to the larynx and interrupts breathing; awakens him at night; spasm of glottis. Aching pain in the shin bones. Hot flashes, metrorrhagia, and other troubles during climacteric period. Most symptoms aggravated after sleep. Great physical and mental exhaustion in morning on rising.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Bushmaster or Surucucu (LACHESIS)

General

Like all snake poisons, Lachesis decomposes the blood, rendering it more fluid; hence a hæmorrhagic tendency is marked. Purpura, septic states, diphtheria, and other low forms of disease, when the system is thoroughly poisoned and the prostration is profound. The modalities are most important in guiding to the remedy. Delirium tremens with much trembling and confusion. Very important during the climacteric and for patients of a melancholic disposition. Ill effects of suppressed discharges. Diphtheritic paralysis (Botulinum). Diphtheria carriers. Sensation of tension in various parts. Cannot bear anything tight anywhere.

Mind

Great loquacity. Amative. Sad in the morning; no desire to mix with the world. Restless and uneasy; does not wish to attend to business; wants to be off somewhere all the time. Jealous (Hyos). Mental labor best performed at night. Euthanasia. Suspicious; nightly delusion of fire. Religious insanity (Verat; Stram). Derangement of the time sense.

Head

Pain through head on awaking. Pain at root of nose. Pressure and burning on vertex. Waves of pain; worse after moving. Sun headaches. With headache, flickerings, dim vision, very pale face. Vertigo. Relieved by onset of a discharge (menses or nasal catarrh).

Eyes

Defective vision after diphtheria, extrinsic muscles too weak to maintain focus. Sensation as if eyes were drawn together by cords which were tied in a knot at root of nose.

Ears

Tearing pain from zygoma into ear; also with sore throat. Ear-wax hard, dry.

Nose

Bleeding, nostrils sensitive. Coryza, preceded by headache. Hay asthma; paroxysms of sneezing (Silica; Sabad).

Face

Pale. Trifacial neuralgia, left side, heat running up into head (Phos). Tearing pain in jaw-bones (Amphisbæna; Phos). Purple, mottled, puffed; looks swollen, bloated, jaundiced, chlorotic.

Mouth

Gums swollen, spongy, bleed. Tongue swollen, burns, trembles, red, dry and cracked at tip, catches on teeth. Aphthous and denuded spots with burning and rawness. Nauseous taste. Teeth ache, pain extends to ears. Pain in facial bones.

Throat

Sore, worse left side, swallowing liquids. Quinsy. Septic parotiditis. Dry, intensely swollen, externally and internally. Diphtheria; membrane dusky, blackish; pain aggravated by hot drinks; chronic sore throat, with much hawking; mucus sticks, and cannot be forced up or down. Very painful; worse slightest pressure, touch is even more annoying. In diphtheria, etc, the trouble began on the left side. Tonsils purplish. Purple, livid color of throat. Feeling as if something was swollen which must be swallowed; worse, swallowing saliva or liquids. Pain into ear. Collar and neck-band must be very loose.

Stomach

Craving for alcohol, oysters. Any food causes distress. Pit of stomach painful to touch. Hungry, cannot wait for food. Gnawing pressure made better by eating, but returning in a few hours. Perceptible trembling movement in the epigastric region. Empty swallowing more painful than swallowing solids.

Abdomen

Liver region sensitive, cannot bear anything around waist. Especially suitable to drunkards. Abdomen tympanitic, sensitive, painful (Bell).

Stool

Constipated, offensive stool. Anus feels tight, as if nothing could go through it. Pain darting up the rectum every time be sneezes or coughs. Hæmorrhage from bowels like charred straw, black particles. Hæmorrhoids protrude, become constricted, purplish. Stitches in them on sneezing or coughing. Constant urging in rectum, not for stool.

Female

Climacteric troubles, palpitation, flashes of heat, hæmorrhages, vertex headache, fainting spells; worse, pressure of clothes. Menses too short, too feeble; pains all relieved by the flow (Eupion). Left ovary very painful and swollen, indurated. Mammæ inflamed, bluish. Coccyx and sacrum pain, especially on rising from sitting posture. Acts especially well at beginning and close of menstruation.

Male

Intense excitement of sexual organs.

Respiratory

Upper part of windpipe very susceptible to touch. Sensation of suffocation and strangulation on lying down, particularly when anything is around throat; compels patient to spring from bed and rush for open window. Spasm of glottis; feels as if something ran from neck to larynx. Feels he must take a deep breath. Cramp-like distress in præcordial region. Cough; dry, suffocative fits, tickling. Little secretion and much sensitiveness; worse, pressure on larynx, after sleep, open air. Breathing almost stops on falling asleep (Grind). Larynx painful to touch. Sensation as of a plug (Anac) which moves up and down, with a short cough.

Heart

Palpitation, with fainting spells, especially during climacteric. Constricted feeling causing palpitation, with anxiety. Cyanosis. Irregular beats.

Back

Neuralgia of coccyx, worse rising from sitting posture; must sit perfectly still. Pain in neck, worse cervical region. Sensation of threads stretched from back to arms, legs, eyes, etc.

Extremities

Sciatica, right side, better lying down. Pain in tibia (may follow sore throat). Shortening of tendons.

Sleep

Patient sleeps into an aggravation. Sudden starting when falling asleep. Sleepiness, yet cannot sleep (Bell; Op). Wide-awake in evening.

Fever

Chilly in back; feet icy cold; hot flushes and hot perspiration. Paroxysm returns after acids. Intermittent fever every spring.

Skin

Hot perspiration, bluish, purplish appearance. Boils, carbuncles, ulcers, with bluish, purple surroundings. Dark blisters. Bed-sores, with black edges. Blue-black swellings. Pyemia; dissecting wounds. Purpura, with intense prostration. Senile erysipelas. Wens. Cellulitis. Varicose ulcers.

Modalities

Worse, after sleep, (Kali bich). Lachesis sleeps into aggravation; ailments that come on during sleep (Calc); left side, in the spring, warm bath, pressure or constriction, hot drinks. Closing eyes. Better, appearance of discharges, warm applications.

Relationship

Antidotes: Ars; Merc; Heat; Alcohol; Salt.

Complementary: Crotalus cascavella often completes curative work of Lachesis (Mure; Lycop; Hep; Salamandra).

Incompatible: Acet ac; Carb ac.

Compare: Cotyledon (climacteric troubles); Nat m; Nit ac; Crotal; Amphisbœna -snake lizard--(right jaw swollen and painful, lancinating pains; headaches, lancinating pains. Eruption of vesicles and pimples); Naja; Lepidium.

Dose

Eighth to 200th potency. Doses ought not be repeated too frequently. If well indicated, a single dose should be allowed to exhaust its action.

Leaders in Homoeopathic Therapeutics

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

Leaders

Feels very sad and despondent, < after sleeping, or in the morning.

Enemy of all constriction; must loosen everything (neck, chest, throat, abdomen, etc.)

Left-sided affections generally, especially throat, chest, ovaries.

Inflamed parts very tender to touch and of bluish or dark color.

Great weakness and trembling; tongue trembles when protruding it; catches under the teeth (lower).

Blood decomposes, breaks down, hæmorrhages; blood uncoagulable; ulcers and even slight wounds bleed profusely.

Many complains connected with the menopause: hot flushes, hot sweats, burning vertex headaches, hæmorrhoids, hæmorrhages.

Great physical and mental exhaustion; trembling in whole body; would constantly sink from weakness.

To Dr. Constantine Hering belongs the honor of introducing and developing the wonderful medicinal properties of this snake poison. If he had never done anything beside this for medicine, the world would owe him an everlasting debt of gratitude. It alone would immortalize him. All this, and more; notwithstanding, Chas. Hempel wrote in his first volume of Materia Medica: "In spite of every effort to the contrary, the conviction has gradually forced itself upon my mind that the pretended pathogenesis of Lachesis, which has emanated from Dr. Hering's otherwise meritorius and highly praiseworthy efforts, is a great delusion, and that with the exception of the poisonous effects with which this publication is abundantly mingled the balance of the symptoms are unreliable." Hempel modified his views somewhat, I think, in later editions.

Now, it is interesting to note that in Allen's Encyclopædia of Pure Materia Medica, the verified, and especially the black-typed symptoms, almost all of them, are verifications of provings made with the 30th potency. It is also significant that the provings of Hahnemann's polycrest remedies, mostly made with the potencies, are among the most useful and reliable we have to-day. Some have sought to destroy confidence in the provings of all remedies which are made with the 30th potencies and upwards; not only that, but in their power to cure even when the provings were made with cruder preparations. With us, who know the value of these potencies, all such efforts only excite pity. But many who do not know are misled and prejudiced so as to never dare to test for themselves. To all such we say take no man's ipse dixit, but prove all things, "hold fast that which is true."

Lachesis is a remedy of wide range of action. It has an alternate action on the mind and sensorium, that of excitation and depression. Illustrative of the former are the following symptoms: "Quick comprehension, mental activity with almost prophetic perception, ecstasy, a kind of trance. Exceptional loquacity, with rapid change of subjects; jumps abruptly from one idea to another." This kind of excitation may be found in acute chronic complaints; in the delirium of fevers, or in mania of a settled form. On the side of depression occur: "Weakness of memory; makes mistakes in writing; confusion as to time. Delirium at night; muttering; drowsy; red face; slow, difficult speech and dropped jaw. Feels extremely sad, depressed, unhappy and distressed in mind," and this condition is very apt to be worse on awaking in the morning, or indeed after any sleep, day or night. "Chronic complaints from depressing cause, like long-lasting grief or sorrow." This depressed side of the remedy may also be found in both acute and chronic complaints. Again these opposite conditions may be found alternating in the same person, and a notable fact is that the alternations are extreme. Of course the causes of these conditions of mind and sensorium are varied, but we will often find them in old topers, subjects of broken-down constitution, and in the troubles incident to the climacteric age. Such cases are subject to sudden attacks of giving away of strength, fainting, vertigo from rush of blood to the head causing apoplectic seizure, or opposite symptoms arising from sudden anæmia of the brain. In short, the circulation in Lachesis subjects is very uncertain. This is what makes it so valuable in sudden flushes during the climacteric period.

Lachesis has some prominent head symptoms where no other remedy can take its place. It is one of our best remedies for sun headaches; of course it does not compare with Glonoine for the immediate effects of sunstroke, but does come in well after the first effects are overcome by that remedy. The patient is troubled with headache every time he is exposed to the sun's heat, and the trouble has become chronic (Nat. carb.).

This is another characteristic symptom, namely weight or pressure on the vertex. (Cactus, Glonoine, Menyanthes). This is found mostly in women suffering at the menopause, and coupled with it in such cases there is sometimes burning on the vertex. Sulphur has this symptom, but if it occurred at the menopause the remedy would oftener be found in Lachesis, unless, indeed, there were some marked psoric complications. Lachesis has a variety of headaches, but I know of only two characteristics that have been of very much value to me in prescribing for them, namely, with then headache very pale face, and the patient sleeps into the headache; dreads to go to sleep because she awakens with such a distressing headache. These two are very valuable indications, otherwise I would expect to get my indications outside of the headache itself. "Headache extending into the nose, comes mostly in acute catarrh, especially when the discharge has been suppressed or stops after sleep. This kind of headache is often found in hay fever, with frequent and violent paroxysms of sneezing. Now if the hay fever paroxysms of sneezing are decidedly worse after sleeping, even in the daytime, Lachesis 2000th may stop the whole business for the season." Being an old hay fever subject myself, I am authority on that statement.

We now come to the action of Lachesis on the alimentary tract; first the gums are often swollen and spongy, easily bleeding; when this is found Lachesis often follows Mercury well. If the gums turn purple the indication is strengthened for Lachesis. One of the most characteristic symptoms of Lachesis is found in the tongue, especially in diseases of a typhoid type; namely, puts the tongue out with great difficulty; it is very dry; trembles and catches under lower teeth. The tongue trembles and is protruded with difficulty under Gelsemium, but it is not so dry as in Lachesis. This is a sign of great weakness, but in Gelsemium it occurs in the very beginning of the fever, while in Lachesis it comes later. There is bad odor from the mouth in Lachesis, and it may be very dry throughout; or there may be an abundant accumulation of tenacious mucus. Here it again resembles Mercury. Lachesis is one of our best remedies for sore mouth in the last stage of consumption. This is sometimes a very distressing symptom, and relief for it is often very difficult to find. If Lachesis should relieve it, my experience has been that the patients are also greatly relieved in other ways; so much so, indeed, that they think that they are, after all, going to get well. This brings me to notice what I believe I have not spoken of before, that where a cure is no longer possible, and temporary relief is the only thing left, we have the best means of giving it in the homœopathically indicated remedy. Narcotics, counter irritants, so-called tonics, stimulants, etc., do not and cannot compare with the simillimum (if properly administered) in smoothing the pathway to the inevitable termination. Lachesis has won its chiefest laurels in affections of the throat.

"Throat and neck sensitive to slightest touch, or external pressure (Sepia); everything about throat distresses, even the weight of the bed covers." This is very characteristic. Another peculiarity is that empty swallowing, or swallowing of saliva or liquids, aggravates a great deal more than swallowing of solids. The pains in the throat run up into the ears. There is much mucus in fauces, with painful hawking. In tonsillitis and diphtheria, swelling of tonsils begins on left side and extends to the right (Sabadilla). The pains are aggravated by hot drinks (reverse, Sabadilla). All these symptoms are peculiar to Lachesis, and are all apt to be very much worse after sleep. In old quinsy subjects, where the trouble always began on the left side, I have often not only aborted the attack, but cured the predisposition thereto.

Sometimes the throat assumes a gangrenous appearance, but if the other indications are present it is an additional indication for its use. Lachesis is always one of the first remedies to be thought of in any disease, when it seems inclined to spend its main force in the throat, such as typhoid fever, pneumonia, scarlatina, etc.

If the skin turns purple or bluish, as if mortification were impending, there is no remedy like it. Not only is Lachesis an unusually efficacious remedy for these acute throat troubles, but for those of a chronic form, and the same symptoms are present, even in syphilitic throat troubles. We have placed great stress upon the great sensitiveness of the throat to all touch or pressure; but this does not end it, for, as Lilienthal expresses it, Lachesis is the great enemy of all constriction. "The pit of stomach sore to the touch, or even to pressure of clothes." "Cannot bear any pressure about the hypochondria." In the abdomen there is "Painful distention, flatulence, which is very annoying, can bear no pressure; the surface nerves are sensitive." "Is obliged to wear clothes, especially about stomach, very loose; they cause uneasiness; even in bed, obliged to loosen and pull up night dress to avoid pressure; dare not lay the arm across the abdomen on account of pressure." "Uterus does not bear contact; has to be relieved of all pressure; frequently lifts the clothes; they cause an uneasiness in the abdomen, even with no tenderness." "Larynx sensitive to least touch, which causes suffocation and feeling of lump in the throat." "During heat, as of an orgasm of blood, he is obliged to loosen clothes about the neck; sensation as though they hindered the circulation of blood, with a kind of suffocative feeling. "Intolerance of tight neck bands." I could no better express the value of this symptom, or great modality of Lachesis, aggravation from pressure or constrictions, than by quoting entire from Guiding Symptoms the above. It does nor seem, after such an array of oft-verified symptoms, that more need be said to impress this upon the memory and confidence of any physician. Now, the why of this almost invariable aggravation from pressure of Lachesis and almost as invariable amelioration from the same of Bryonia I leave for those to explain who pretend to be able to do so. It is, however, another proof of the value of modalities.

Lachesis has some peculiar symptoms of stool and anus. There is an urging, or rather a pressing down, in the rectum, but it is worse when he attempts a stool; hurts so that he must desist. It feels as if the anus were closed. This is somewhat like the constant or rather frequent, though ineffectual, urging to stool of Nux vomica; or like the painful constriction of Lycopodium, which either prevents stool, or follows after an incomplete and unsatisfactory one. Another marked symptom is that the stools are often very offensive, whether formed or not. Then, under Lachesis, we have hæmorrhages from the bowels, of decomposed blood, which occur mostly during the course of exhausting, acute diseases, like typhoid. Guernsey gave this: "Flakes of decomposed blood, having form and appearance of perfectly charred wheat straw, in larger or shorter flat pieces; portions more or less ground up." I have met such cases and Lachesis was very efficacious, not only in changing the character of the stool, but bringing about general improvement, ultimating in perfect recovery.

This remedy is often of great use in that very common malady, hæmorrhoids; and here you have the constricted feeling, whether the piles are external or blind, and sometime a beating or throbbing, or as the patient will perhaps express it, a sensation of "little hammers" beating in the rectum. All these symptoms and many more show the affinity of this remedy for the anus and rectum, as they do also its power over disease of the whole alimentary tract.

This is also one of our best remedies in diseases of the female generative organs. In the first place it is eminently an ovarian remedy, and seems to choose by preference the left ovary. It is of use in simple ovarian neuralgia, and from that to actual tumors or every cancer of the left ovary; or the trouble begins in the left and goes to right ovary. (Reverse, Lycopodium). But we may have neuralgia, swelling, induration, suppuration, tumors or cancer of one or both ovaries. Its action in uterine troubles is also very marked. Here is a condition, as expressed in Guiding Symptoms, that I have often verified during climaxis: "Pains in uterine region increase at times more and more till relieved by flow of blood from vagina; after a few hours or days, the same again, and so on."

In these cases you almost always have the intolerance of least contact or pressure over the uterine region so characteristic of this drug. The womb prolapses, is at times persistently congested, and obstinate uterine hæmorrhages repeatedly occur. There are hot flashes, hot vertex, pale face and fainting, uterine displacements of various kinds, and deranged capillary circulation, all so common in females at the menopause and especially hæmorrhages. (See also Crotalus and Kreosote). Probably there are not three remedies in the whole Materia Medica so often indicated in troubles connected with this period, as Lachesis. (Kreosote, post-climacteric diseases). It is often of great use in cancer of either the breasts or uterus. In either case the cancer puts on a bluish or purplish appearance, and if open or fungoid bleeds easily, a dark, decomposed blood. In case of bleeding, the pains and suffering, as in the case of uterine hæmorrhage, are temporarily relieved by it. We would be greatly crippled in the treatment of these various ovarian and uterine troubles without Lachesis.

The respiratory organs and chest also come under the influence of this drug. Paralysis of the vocal chords, causing loss of voice; larynx is sensitive to least touch; it causes suffocation; it is one of our best remedies in desperate cases of croup, where the child gets worse in sleep; seems to sleep into it. Spasm of the glottis; sensation of something running from neck to larynx, stopping the breath. It has great shortness of breath when walking, especially in old topers and in heart affections, when this condition is always the guide to its use. "The least thing coming near the mouth or nose interferes with breathing; tears off the collar or everything about the neck, throat or chest, because it suffocates." Asthma with the same symptoms, has sudden flushes of heat or orgasm of blood; must loosen clothes to prevent suffocation; threatened paralysis of the heart or lungs; dry hacking cough, aggravated by touching throat or larynx, also cough during sleep, without awakening or being conscious of it. Here it often cures very obstinate cases of cough after Chamomilla has failed, which also has this symptom. For the short dry cough sympathetic with heart troubles, Lachesis is often useful. Cough with pain in anus, or stitches in pile tumors. One of our best remedies in typhoid pneumonia or typhoid fever with lung complications.

Now look out for the Lachesis tongue in these cases. Lachesis is also one of our most useful remedies in heart troubles, acute or chronic, the peculiar suffocation, cough and aggravation from constrictions being the guiding symptoms.

No remedy more profoundly impresses the nervous system than this. In the first place it causes trembling, not from fright or excitement, but from extreme weakness. In this it resembles Gelsemium; both have great trembling of the tongue on trying to protrude it. With both remedies the whole body trembles; but with Lachesis she feels faint, as if she must sink right down. This great prostration is both mental and physical, and she does not improve from rest or sleep, but on the contrary is worse in the morning after sleeping. With this prostration there are often pain or other troubles with the heart; nausea, pale face and vertigo. Now if this thing goes on the next stage supervenes and paralysis is the end of it. The paralysis is generally left-sided, as are the majority of complaints of Lachesis, which is pre-eminently a left-sided remedy. This paralysis may come on as a result of apoplexy or cerebral exhaustion; if the latter, there is still great hope of a perfect cure by a judicious use of Lachesis. Of course if the lesion is too extensive in apoplexy, and the extravasation of blood too great, there is little hope; but some apparently most desperate cases do recover even then. It is recommended in epilepsy and locomotor ataxia, but I have never seen good effects from it.

There is, however, another place in which I have seen it accomplish much and that is in the languor, weariness and prostration from hot weather. The heat not only aches, but the whole body seems prostrated by sun heat. (Antim. crud., Gelsemium, Glonoine, Natrum Carb., Natrum m.)

Worse after sleep, or rather the patient sleeps into an aggravation, is a genuine characteristic of this remedy, no matter what the enemies of Lachesis say of it. On this line there is one particular symptom to which I wish to call attention, i. e., "As soon as the patient falls asleep, the breathing stops." This is as Hering expresses it. I have oftener found it this way; the patient cannot go clear off into sleep, because just on the verge of it the breath stops and he wakens catching for breath. This is often found in heart troubles, functional or organic, and is very distressing. Grindelia robusta has a similar symptom. (Also Digitalis).

I once had a case of very obstinate constipation in an old syphilitic case. He was at last taken with very severe attacks of colic. The pains seemed to extend all through the abdomen, and always came on at night. After trying various remedies until I was discouraged, for he "got no better fast," he let drop this expression, "Doctor, if I could only keep awake all the time, I would never have another attack." I looked askance at him. "I mean," said he, "that I sleep into the attack, and waken in it." I left a dose of Lachesis 200. He never had another attack of the pain, and his bowels became perfectly regular from that day and remained so. I could give more cases where this symptom has led me to the cure of ailments of different kinds. It is enough to say that I have no hesitation in adding my testimony to that of others as to the value of this symptom. I think I have said enough about the different symptoms of Lachesis to indicate that it is one of the most useful remedies in typhoid fever. I will only add here that it is generally in the second or third week of the disease that it is found indicated. This is one of the differences between it and Gelsemium. For the trembling and weakness of Gelsemium come early, and if recognized then Gelsemium can abort the disease at once. Of course the sensorium, tongue, mouth, throat, abdominal and stool symptoms already spoken of, especially the sleep symptom, help to decide the choice between Lachesis and other remedies.

Now upon the tissues. We have swelling on all parts of the body, and one of the most characteristic conditions is the color of them. They are bluish verging onto black. (Tarantula Cub., Anthracinum). I never see a swelling of that color but Lachesis immediately comes to my mind, and then if I find that they cannot bear to have them touched, they are so sensitive, even a poultice is unbearable, because it is so heavy, that settles it. I give Lachesis and am seldom disappointed. The blood decomposes, or, as is sometimes said, "breaks down," becomes uncoagulable. This often occurs in typhoid fever, and is of course very serious. The bleeding is easily started, and is very persistent. There seems to be a tendency to hæmorrhagic trouble, so we find Lachesis one of our best remedies in purpura hæmorrhagica. Ulcers and wounds bleed profusely; even "small wounds bleed much;" wounds easily become gangrenous. Here Lachesis is capable of doing great good. Cancers turned bluish or black, bleed much and often, and burn; blood appears in the urine in many affections, indicating its broken down condition.

We find ourselves drawn out to a greater length on this truly

remedy than we had anticipated when we began writing we have also found it a much more useful remedy than we had anticipated from our impressions of it when reading Charles Hempel (for whom we have great respect) in our studenthood. It wears well for those who use it in the 30th potency and upwards. Don't forget that Lachesis is preeminently a left-sided remedy, as Lycopodium is a right-sided one. Left-sided paralysis, ovarian affections, throat troubles, lung troubles, headaches, etc., all make us think of this remedy first because of its positiveness in this respect. Of course, if the other symptoms were present in right-sided affections we would not hesitate to use it. Lachesis is often a remedy of great value in skin affections; in scarlatina maligna, black measles, erysipelas, smallpox, malignant boils, furuncles, carbuncles, chronic ulcers, bed sores; fungus hæmatodes, etc. In all these and many other affections appearing upon the surface, the characteristic dark blue color is present, or we need not expect much from this remedy. So far as stages of life and constitution are concerned, I have found it efficacious in all ages and temperaments. But Perhaps oftener indicated in thin than in fat people.

Now we bid our old and tried friend an affectionate good-by for a time, and heartily recommend all who have not done so to seek his acquaintance.

Modalities

Modalities: < at climacteric; touch, constriction or pressure, sun-heat, after sleeping; > after discharges (suppressed or delayed discharges).

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

Loquaciousness, with mocking jealousy, with frightful images, great tendency to mock, satire and ridiculous ideas. Perfect happiness and cheerfulness followed by gradual fading of spirituality, want of self-control, and lasciviousness ; felt as if she was somebody else and in the hands of a stronger power. Nervous irritability. Discouragement ; distrust ; easily affected to tears.

Head

Giddiness (after resting). Pulsating, beating headache with heat in the head, especially on the vertex or on the right lit side or over the eyes, preceding a cold in the head with stiffness of the neck. Pressing headache in the temples ; as ; if the brain were pressing out, in the morning after rising, from motion, from stooping ; aggravated from pressure and while ascending ; relieved from lying down after eating. Cutting headache as ; if a part of the right side of the head were cut off, worse after rising or ascending ; relieved from heat and after belching up wind. Headache preceding coryza. Headache in the sun. Falling off` of the hair, especially during pregnancy, with great aversion to the rays ; of the sun.

Eyes

The eyes ; water with headache from a cold. Itching and burning of the eyes. Yellow color of the white of the eyes.

Ears

Dryness with want of wax and hardness of bearing.

Nose

Redness of the point of the nose. Bleeding of the nose (blood dark) and blowing of blood from the nose, especially in the morning. Discharge of blood and matter from the nose. Coryza a with discharge of thin water and red nostrils. Scabs in the nose.

Face

Paleness, yellowness or lead-like color of the face. Heat and redness of the otherwise pale face. Erysipelatous inflammations of the cheeks.

Mouth and Throat

Crumbling off of the decayed teeth. Difficulty of moving the tongue, with impossibility of opening the mouth wide. Tongue dry, red, black, cracked, especially on the tip. Swelling of the tongue. Much slimy saliva, especially in the back part of the mouth. Sensation of a plug in the throat, or as if a lump of mucus had collected in the throat, with continued painful desire to swallow. The fluid which is swallowed escapes through the nose. Ulcers in the throat and on the inflamed tonsils. Empty swallowing aggravates the pain in the throat more that the swallowing of food, or fluids ; are swallowed with less pain then solids. Cannot swallow the food after masticating it, because it rests on the back part of the tongue, and produces a thrilling pain there. Tonsils swollen, mostly the left one. When swallowing the pain extends to the (left) ear. The inflammation and ulceration of the throat begin on the left side and extend later to the right side : (vide Lycopodium). Much hawking up of mucus, which is excessively painful. The external throat is very sensitive to the touch.

Stomach and Abdomen

Desire for wine ; desire for oysters. Great thirst. Nausea and vomiting of food. Vomiting of bile or mucus. The pit of the stomach is very painful to the touch. Heat in the abdomen. Inflammation and abscess of the liver. Great discomfort from having the clothes tight around the waist.

Stool and Anus

Constipation, with ineffectual effort to evacuate. Stools excessively offensive. Diarrhœa and constipation in alternation. Constriction in tine rectum, or sensation of a plug in the anus. The desire to evacuate continues after a pappy, offensive stool. Stitch in the rectum when laughing or sneezing. Hæmorrhoidal tumors protrude after the stool, with constriction of the sphincter. Large hæmorrhoidal tumors (in persons addicted to spirituous drinks).

Urinary Organs

Urine foaming. Sensation as if a ball were rolling in the bladder.

Sexual Organs

Men. Great excitement of the sexual desire. Induration of the prepuce. Mercurio-syphilitic ulcers. Women. Menstruation suppressed. Menstruation too scanty (blood black). Menstrual colic, beginning in the left ovary. During menstruation labor-like pain, as if everything were pressed downward, followed by a slight flow. The uterus feels as if the os were open. Redness and swelling of the external parts (with discharge of mucus). Swelling, induration, pain and other anomalies of the left ovary. Mammæ swollen. Nipples swollen, erect, painful to the touch. Sexual desire excited : Nymphomania.

Respiratory Organs and Heart

Burning in the chest. Oppressed breathing, worse when talking and after eating. Shortness of breath and suffocative attacks are caused by touching the larynx and are aggravated on moving the arms. Periodical attacks of asthma (cannot lie down). Hoarseness with a sensation of rawness and dryness in the larynx. Contraction of the chest wakens him after midnight, with slow heavy wheezing breathing, compelling him to sit up with his chest bent forward. Oppressive pain in the chest as if full of wind, relieved by eructations. Stitches in the (left side of the) chest, with difficult breathing. Pain as from soreness in the chest. Pneumonia (hepatization of the inflamed lungs). Palpitation of the heart, with fainting and anxiety. Palpitation of the heart and choking from the slightest exertion. Rheumatism of the heart. Irregularity of the beats ; of the heart. Constrictive sensation in the region of the heart. Cough caused by pressure on the larynx, or by any covering of the throat ; by a tickling in the pit of the throat and sternum ; when falling asleep ; from ulcers in the throat. Cough, with rawness of the chest, difficult expectoration and pains in the throat, head and eyes. Frequent attacks of short cough from tickling in the pit of the stomach, dry during the night ; difficult sometimes watery salty mucus, which has to be swallowed again, is raised. The cough is worse, during the day, after sleeping, from changes in the temperature, from alcoholic drinks, from acids and sour drinks. Cough with hoarseness. -Diphtheria.

Back and Neck

Pain in the small of back, with constipation, intermittent fever, palpitation of the heart or dyspnœa. Pain in the os coccygis, when sitting down one feels as if sitting on something sharp. Stiffness of the neck.

Extremities

Upper. Lameness in the left shoulder. Pain in the right shoulder-joint with headache. Perspiration in the axillæ of strong smell (like garlic). Pains in the wrist-joints as if sprained. The hands go to sleep. Trembling of the hands (in drunkards). Tingling and pricking in the left hand. Swelling of the hands. Numbness on the tips of the fingers (morning). Stinging in the tips of the fingers. The hands are cold, as if dead. Lower. Uneasiness in the lower limbs. Trembling of the legs. Stinging in the knees. Sensation as if hot air were going through the knee-joints, which were shaky. The (left) knee feels as if sprained. Swelling of the knees. Caries of the tibia. Coldness of the feet. Swelling of the feet, worse after walking (during pregnancy). Tingling in the toes. Cracked skin between and on the toes, deep rhagades like cuts across the toes. Flat ulcers on the lower extremities, with blue or purple surroundings. Gangrenous ulcers on the legs (toes).

Generalities

Tearing, pricking, and pulsating pains. Contractions of the muscles. The left side is principally affected (paralysis), (throat), (ovaries). Excessively cold and excessively warm weather causes great debility. Inclination to lie down and aversion to move.

Sleep

Sleeplessness, especially before midnight. When falling asleep he is awakened by a tickling cough. Restless sleep, with many dreams and frequent waking. Sleeplessness in the evening with talkativeness.

Fever

Pulse small and weak, but accelerated unequal or intermittent, or alternately full and small. Chill, with chattering of the teeth. Chill ascending the back often on alternate days. Chill and heat alternating and changing localities. Heat, especially in the evening in the hands and feet. Burning in the palms of the hands and soles of the feet at night. Flushes of heat with great sensitiveness of the neck at night. Internal sensation of heat, with cold feet. Perspiration coloring the linen yellow red ; cold ; bloody. Intermittent fever, the paroxysms come on every spring, or after the suppression of the fever in the previous fall by quinine ; in the afternoon ; are accompanied by violent pain in the small of the back and limbs, oppression of the chest, violent headache with a red face and cold feet ; during the hot stage continuous talking ; face yellow or ashy. Typhus fever, especially when the tongue is red or black, dry or in fissures especially on the tip, or when the tongue trembles when it is put out, or if, while endeavoring to put it out, the tip remains under the lower teeth or lip and cannot be put out.

Skin

Itching. Erysipelas. Color of the skin bluish red (purple) or yellow (jaundice). Ulcers with great sensitiveness to the touch, uneven bottom, ichorous, offensive discharge, or burning when touched, especially around the lower extremities ; around the ulcer many small pimples or small ulcers on a purple skin. Carbuncles, with purple-colored surroundings and many smaller boils around them. Gangrenous ulcers. Gangrenous blisters. Purple spots. Small wounds bleed a good deal. Ulcers bleed readily. Cicatrices bleed readily. Pain in old cicatrices.

Conditions

Exacerbation in the evening. Periodically (every spring, every fortnight), returning attacks (sore throat), (intermittent). All the symptoms are worse after sleep, especially after the siesta, or from taking acids, from alcoholic drinks, from the abuse of China and Mercury. After Lachesis, Lycopodium often follows well. Lachesis follows well after Arsenicum, Belladonna and Mercury.

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

Trigonocephalus lachesis. The Surukuku Snake of South America. N. O. Ophidia. Trituration. Dilution.

Clinical

Albuminuria. Alcoholism. Amblyopia. Aneurism. Apoplexy. Appendicitis. Asthenopia. Asthma. Atheroma. Bedsores. Boils. Bubo. Cæcum, inflammation of. Carbuncle. Catalepsy . Chancre. Change of life . Chilblains. Ciliary neuralgia. Cough . Cyanosis. Delirium tremens. Diphtheria . Dog-bite. Dropsy. Dyspepsia. Ears, polypus of; wax in; noises in. Enteric fever. Epilepsy. Erysipelas. Eyes, affections of ; hæmorrhage into. Fainting. Fistula lachrymalis. Flatulence . Fungus hæmatodes. Gall-stones. Gangrene. Glanders . Gums, bleeding of. Hæmorrhages. Hæmorrhoids. Hay fever. Headache. Heart, affections of . Heartburn. Hemiplegia. Hernia. Herpes facialis. Hoarseness. Hydrophobia . Hysteria. Injuries. Intermittent fever. Jaundice. Labour, pains after . Laryngismus. Laryngitis . Leprosy. Liver, affections of. Locomotor ataxy. Malignant pustule . Measles. Ménière's disease . Mercury, effects of. Mind, affections of. Morvan's disease . Mouth, sore. Mumps. Neuralgia. Neurasthenia . Noises in ears. Nymphomania. Œdema of lungs. Otorrhœa. Ovaries, affections of . Paralysis. Paraphimosis. Perityphilitis. Perspiration, bloody ; absent. Phlegmasia alba dolens. Plague . Pneumonia. Puerperal fever and convulsions. Purpura. Pyæmia . Quinsy. Rabies. Scarlatina . Sciatica. Scurvy. Small-pox. Stings . Strangury. Syphilis. Throat, sore. Trachea , affections of. Traumatic fever . Tumours. Ulcers. Veins, varicose . Vertigo. Vicarious menstruation (nosebleed). Warts. Whitlow. Wounds .

Characteristics

"The first trituration and first dilution in alcohol of the snake-poison Trigonocephalus lachesis was made by Hering on July 28, 1828. The first cases were published in the Archives in 1835. In 1837 this remedy was introduced into our materia medica." I quote from Hering's Guiding Symptoms , vol. vi., of which Lach . occupies nearly one hundred pages, and comprises the substance of a monograph he was compiling at the time of his death to celebrate the fiftieth anniversary of the introduction of the remedy into the materia medica. To the genius and the heroism of Hering the world owes this remedy and many another of which this has been the forerunner. When Hering's first experiments were made he was botanising and zoologising on the Upper Amazon for the German Government. Except his wife, all those about him were natives, who told him so much about the dreaded Surukuku that he offered a good reward for a live specimen. At last one was brought in a bamboo box, and those who brought it immediately fled, and all his native servants with them. Hering stunned the snake with a blow on the head as the box opened, then, holding its head in a forked stick, he pressed its venom out of the poison bag upon sugar of milk. The effect of handling the virus and preparing the lower attenuations was to throw Hering into a fever with tossing delirium and mania ─ much to his wife's dismay. Towards morning he slept, and on waking his mind was clear. He drank a little water to moisten his throat, and the first question this indomitable prover asked was: "What did I do and say?" His wife remembered vividly enough. The symptoms were written down, and this was the first instalment of the proving of Lachesis . The natives crept back one by one next day, and were astonished to find Hering and his wife alive. The snake grows to seven feet and upwards in length, has fangs nearly an inch long, a reddish brown skin marked along the back with blackish brown rhomboidal spots. Nearly all the provings of Lachesis were made with the 30th and higher attenuations. ─ The four grand characteristics of Lach . are: ( 1 ) < By sleep. ( 2 ) Excessive sensitiveness of the surface with intolerance of touch or constriction. ( 3 ) Left-sidedness, and the direction left to right: symptoms begin on the left side and either remain there or proceed to the right. ( 4 ) > From the onset of a discharge. There is headache > as soon as nasal catarrh comes on. Uterine pains > as soon as menses appear. The other side of this is < from non-appearance of an expected discharge, and it is this which is the foundation of the appropriateness of Lach . to the climacteric state. Wherever one or more of these features is prominent in any case Lach . will most likely prove the remedy. Homœopathic literature abounds with illustrations of the first named ─ < from sleep. I will take an illustration from Nash: An old syphilitic suffered from obstinate constipation, and was taken with severe attacks of colic. The pains seemed to extend all through the abdomen, and always came on at night. The man was not making any progress, when one day he remarked to Nash, "Doctor, if I could only keep awake I would never have another attack." And in response to an inquiring look from the doctor, he added, "I mean that I sleep into the attack and waken in it." He never had another. One dose of Lach . 200 cured the colic and the constipation too. "Sleeps into an aggravation;" " < after sleep whether by day or by night;" "as soon as he falls asleep the breathing stops " ─ there are endless varieties of forms in which this peculiarity may be met with. < By closing the eyes (vertigo) is allied to this. But the presence of the opposite condition > after sleep) does not necessarily contraindicate Lach . Rushmore ( H. P ., xii. 64) cured with Lach . c.m. a married woman who had been a great sufferer from headache, which always began with dim and aching eyes. The pain was of sharp, neuralgic character, in temples and eyes, < right side. If she could not be still with it she had nausea and very bitter vomiting. Sometimes unable to be still a minute, at others could not stir. Brought on by least fatigue. Keeps her in bed all day, and one attack is scarcely over before another comes on. Mental excitement, as receiving a call; induces it. With the headaches she is very cold; and with and after them has a very bitter mouth. Wants to close the eyes with the headache, which is > by sleep . Smarting in eyeballs and dim vision for several days after headache. During the headache much heart trouble; after the headache "skipping beats," soreness about head, pain in side. Loss of appetite after headache. Menses regular, painless, too free. Leucorrhœa many ears. A single dose of Lach . was given at the time, and the severe headache left on the way home. A constant light headache, with heaviness of head in morning, remained some days; but, without repetition, the remedy completely cured the headaches and the heart trouble as well. The hæmorrhages of Lach . have this peculiarity ─ they contain flakes of decomposed blood looking like charred wheat straw. Uterine hæmorrhage and hæmorrhages in typhoid fever presenting these characters will find their remedy in Lach . The sensitiveness to contact of Lach . is not so much on account of pain or aggravation of pain as on account of the uneasiness it causes. In uterine affections the patient wants to lift the clothes up to prevent contact with lower abdomen. Touching the throat in laryngeal affections causes suffocative spasms. A minor characteristic of Lach . is pain in the shin bones. "Much pain in shin bones of an aching kind only." This has been frequently verified, but W. J. Guernsey ( H. P ., x. 476) has pointed out Rat when such pains occur concomitantly with throat affections, Lach . is specific. This I have confirmed. Guernsey remarks that in such cases it will always be found that the throat affection is < on left side or commenced on left side. According to Hering, Lach. is particularly suitable to those of melancholic disposition (Such provers showed most symptoms); next, to choleric individuals. Phlegmatic and lymphatic persons are also suitable, but principally when their dispositions border on the melancholic , with dark eyes and tendency to laziness and sadness. Lach . does not suit sanguine persons with high colour, fine, delicate skins, and impressible natures, unless the disease should have imparted to their disposition a choleric or melancholy tinge. Lach . especially suits choleric women with freckles and red hair. To this list must be added: Persons who have peculiar sensitiveness of the surface of the body. Women who "have never been well since the change of life." Debilitated, weakened persons. Thin rather than fat persons; persons who have been changed both mentally and physically by their illness. Drunkards. Sufferers from effect of masturbation. Persons who have been overdosed with Mercury; and to syphilitic, mercurial affections. Children and old people. Persons who cannot stand the sun and who are < in summer weather. A patient of mine, a tall, broad-shouldered, very nervous man of forty-seven, who had fled from the Cape as he could not bear the summer there, sent for me to see him at his hotel because he did not dare venture out in the middle of the day for fear of being caught in the sun. Lach . 200 soon enabled him to attend garden parties. The delirium of Lach . is of the low, muttering type; at times the patient sinks into a torpid state, with cold extremities, tremor of body and hands, tremor of tongue. Tremor of tongue is a leading feature of many Lach . states. It not only trembles, but it catches in the teeth or lower lip when the patient attempts to put it out. The mind is profoundly disturbed. There are rapidly alternating states: exalted powers, rapid succession of ideas; and again there is weak memory; frequent mistakes in writing; confusion. " Frantic loquacity , jumps from one subject to another," is a strong characteristic; "talks, sings, or whistles constantly; makes odd motions with arms"; "insane jealousy"; "intense sadness and anxiety"; "irritable, irascible, peevish, malicious." A curious symptom in the mental sphere is a derangement of the time sense . It occurs also in Merc . (to which Lach . is an antidote); but is more prominent in Lach ., when a patient is always making mistakes in the time of day, and confounds the morning hours with the evening hours, Lach . will generally put this right, if it does no more. Fainting fits and vertigo on closing eyes; on looking intently at any object; in morning on waking. Rush of blood to head. Sun-headaches. Headache with very pale face. Throbbing headaches in temple, with heat of head. Headache extending into nose; > when nasal catarrh comes on. A woman, forty-four, to whom I gave Lach . 12 for a poisoned finger, experienced after each dose a sensation "as if a hand were in her head, moving and squeezing," an eruption of spots came out, and she felt as if she had no energy. The finger healed, but when she left off the medicine on account of the head pains, the finger became worse with cramping pains and a feeling of pins and needles. There is intense nervous irritability, restless, tossing, moving; nervous exaltation, hysteria. Trembling in whole body, thinks she will faint or sink down from weakness. Convulsions, spasms. Cases of hydrophobia have been cured with Lach ., the thirst, spasms, sensitiveness and nervous prostration closely corresponding to the symptoms of rabies. Fainting accompanying other complaints is an indication for Lach .: with pain at heart; with nausea; with vertigo and pale face. Catalepsy. Awkward gait; left side weak. Gressus gallinaceus. Disturbances of sight and hearing are numerous. I have frequently cured with it noises in the ears when < after sleep. In hay fever it is the remedy when there is headache extending into nose < on suppression of the discharge, which may occur in sleep; or when the paroxysms are < after sleep. Sore nostrils and lips. Pus and blood from nose. Red nose of drunkards. Dark red eruptions; purplish swellings; black and blue spots are characteristic of Lach . Ulcer sensitive to least touch. Small ulcers surrounding larger. The throat is in an especial degree the seat of the Lach . action. Sore throats of almost all descriptions come within its range, provided some of the characteristics are present: < after sleep; by touch; symptoms < left side or proceeding from left to right; cannot bear any pressure about neck ; empty swallowing is agonising, liquids are swallowed with less pain and solids with least pain. Diphtheria, mercurial and syphilitic sore throat. Fetid breath. The prostration is out of all proportion to the appearance of the throat. ─ Lach . has sinking at the stomach, and cannot go long without food. Unquenchable thirst. Desires: oysters, wine, coffee (coffee agrees). Symptoms are > after eating, especially after fruit. The throat symptoms are < by hot drinks. Nausea always after drinking. Everything sours; heartburn. Alcoholic drinks < (except the immediate effects of the bite). Although Lach . is a left-side medicine, it has a powerful action on the liver as well as the spleen. "Acute pain in liver extending towards stomach," though contrary to the general "left to right" direction, is characteristic, as I can testify. Lach . is also one of the most prominent remedies in appendicitis. The general characteristics will guide here. Bubos. Lach . and Naja have had the greatest success of all homœopathic remedies in the recent epidemics of Plague in India. The bladder and rectum are most painfully affected. There is a very characteristic symptom in the bladder: Sensation as if a ball were rolling loose in the bladder or abdomen on turning over. The urine is almost black; frequent; foaming; dark. ("The patient always has to urinate after lying down, day or night, especially after sleep; more frequent in the night. Urine has little black spots or flakes like soot floating in it." ─ H. N. Martin.) Stitches in kidneys. The ball sensation occurs elsewhere: as if a ball, or lump, or button in throat; as if two balls threatened to close the throat; as if a ball rose from abdomen to throat; as if a plug were in anus. Many severe and characteristic symptoms appear in rectum and anus. Diarrhœa of fetid, cadaverous kind and also constipation. Atony of rectum. Painful hæmorrhoids. Visible spasmodic tenesmus in paroxysms, from two to five minutes, extorting cries; passes blood and mucus. Painful constriction of anus followed by collapse. Hæmorrhoids with scanty menses. Burning in rectum. Stitch in rectum (upwards) when coughing or sneezing. Full feeling in rectum, and sensation as of little hammers beating. Tugging upward sensation as from a mouse. Both ovaries are affected, but principally the left; swelling, induration, tumours. Menses regular but scanty; pains > when flow is established. In a case of mine, Lach . 12 postponed menses for a week. Many symptoms occur in connection with menses. The breasts are affected. I have seen most obstinate and distressing eruptions appear on the nipples and areolæ of a middle-aged woman after a dose of Lach . in high potency. Cancer of the breast when assuming a bluish appearance will be helped by Lach . Lochia are thin, ichorous, insufficient. Milk thin, blue, nipples extremely sensitive to touch. In the respiratory sphere the sensitiveness of the parts to touch, constriction, and < by anything tight round neck, are the ruling conditions. Tickling, irritating cough. The least thing coming near mouth or nose interferes with breathing. Sleeps into an attack of asthma. Threatened paralysis of lungs. The heart feels too large ─ cramp-like pain in precordia. Constriction. Palpitation with numbness down arm. Cyanosis. Varicosis. Peculiar sensations of Lach . (in addition to those already mentioned) are: As if frightened by visions behind him; as if knives were being thrust into brow; as if tongue bound or tied up; as if a part of right-side of head cut away; as if a thread was drawn from behind to eye; stitches as from knives in eyes; eyes as if they had been taken out, squeezed and put back; ears as if closed from within; as if stuffed up as if insects whizzing in ears; as if he had a moustache of ice as if a small crumb lodged in throat; as if he had had a blow on neck; as if a stricture in rectum. As if heart hanging by a thread and every beat would tear it off; as though heart turned over and ceased beating for a moment; as if heart hadn't room to beat. As if neck constricted with a cord. ( Lach . is one of the remedies for "gridle pain") as if burnt or scalded in different parts (tongue, tibia, hypogastrium). Burning sensation and pains are a leading feature throughout this remedy. Lach . is called for in many kinds of fever, particularly intermittents after abuse of Quinine . The symptoms of Lach . are < in spring or summer; from extremes of temperature; from sun's rays; change of weather, especially in a warm spell. Must have open air, which > ; but draughts of air < External warmth > (wants head closely wrapped up); hot drinks < thirst; = toothache and bleeding of gums. Cold weather, cold washing < . Most symptoms appear or are < at night and in early morning after sleep. Lying down > pain in head; < vertigo, throat, cough, breathing. Lying right side > earache in right ear; palpitation. Lying left side = pain in heart. > Sitting bent. < Standing or stooping. < Motion generally. < Contact. < Constriction. Swallowing = stitches into ears. > By discharges.

Relations

Antidote: Radiate heat outwardly, Alcohol inwardly, Salt,-effects of bite. Antidotes to dilutions: Alum., Bell., Coccul., Coff., Hep., Merc., Nit. ac., Nux, Pho. ac.; to the visible spasmodic tenesmus of rectum, Sep. According to Teste the chief antidote is Cedron. It antidotes: Bufo, Crotal., Rhus. Compatible: Aco., Ars., Bell., Bro., Carb. v., Chi., Hep., Hyo., Kali bi., Lac. can., Lyc., Merc., Nit. ac., Nux, Olean., Pho., Pul., Sil., Sul. (pneumonia), Tarent., (Plat. follows well when Hep. and Lach. fail to evacuate pus from ovarian abscess). Incompatible: Acet. ac. (Am. c.). Complementary Hep., Lyc., Nit. ac. [Lyc. is the chief complement; it is the opposite of Lach. in many respects (right to left, right upper, left lower; > warm drinks); Iod. and Kali iod., which are complementary to Lyc., are probably complementary to Lach. K. iod. has the diffused sensitiveness of Lach.] Compare: Crotal., Naja, Bothrops., Helod., Apis, Sul. and Lyc. (aphasia); Therid. and Mosch. (vertigo < closing eyes and sun-headache); Ars., Hydr. ac., Lauroc., Dig. and Ver. (fainting from cardiac weakness); K. carb. (heart hanging by a thread); Glon., Bell., Camph., Nat. c., Therid. ( < from heat of sun); Stram., Agar., Mephit., Act. r., and Paris. (loquacity); Op., Hyo., Arn., Alum., Lyc., and Rhus (typhoid); Merc., Chi., Pul., Bry. and Gels. (catarrhal and rheumatic headaches); Sil. ( > wrapping up head; aversion to touch); Crot., Pho., and Arn. (retinal apoplexy); Crotal. and Elaps. (otorrhœa); Apis, Ars. and K. ca. (œdema of face); Cic. (dyspnœa from spasm); Grind. (stops breathing on falling asleep); Apis, Rhus and Euphorb. (erysipelas, herpes, &c.); Phyt. (sore throat); Chi., Carb. v., Hep., Kre., K. bi., Nux and Lyc. (dyspepsias and abdominal diseases); Colch. and Elaps. (cold feeling in stomach); Bell., Caust., Nat. m., Nit. ac., Ign., K. bi., Op., Pb., Mez. and Coccul. (constriction of anus, anal tenesmus, and dysentery); Anac. (sensation of plug in rectum); Hep., Asaf., Lyc., Mur. ac., Silic., Sulph. ac., and Ars. (ulceration); Apis, Arg. m., Plat., Murex, Pall., Lyc. and Graph. (ovarian and uterine diseases); Crotal., Helleb., Dig., Tereb., Apis and Colch. (vesical and rectal affections, with hæmaturia); Calc. (gall-stones); Pho. and Thu. (fungus hæmatodes); Nat. m. and Led. (effects of bee-stings) Lact. ac. (fulness of throat and constriction); Lac. can. (diphtheria changing sides; sees snakes); Tarent. cub. (carbuncles); Colch. and Carb. ac. (black urine); Sel., Nat. c. and Nat. m. ( < in warm, relaxing weather); Carb. v. (craves coffee ─ it > Lach. but not Carb. v.); Ant. t. (threatened paralysis of lungs); Merc. (Lach. occasionally antidotes Merc., when pus degenerates and becomes dark, thin, offensive); Chi. sul. (intermittents after abuse of Quinine, when chills return in spring); Am. c. (blueness, somnolence, engorgement of neck; but Am. c. right-sided and without sensitiveness); Hep. (any kind of food = indigestion); Nat. m. (opp. Lach., has > from tight clothing); Apis (jealousy); Ar. t. (diphtheria); Anac. (has two wills; thinks he is under control of superhuman power); Arn. (sensitiveness of chest ─ Lach., of peripheral nerves; Arn., soreness of over-full blood-vessels); Bry. (headache from suppressed coryza); Act. r. (puerperal mania); Bapt. (offensive discharges; typhoid); Bell. (head symptoms; throat; scarlatina); Hyo. (talks of things of daily life, jumps from one subject to another); Spi. (larynx sensitive; Lach., hyperæsthesia; Spi., inflammation of cartilages, turning head = suffocative spell): Sul. (left side; inflammation of liver, going on to abscess; < after sleep ─ also Nat. m.; Pho. > after sleep); Staph. (on swallowing pain runs externally along parotid gland to ears; perspiration impossible); Pho. (sensation as if anus open; Lach., as if uterus); Sil., Caul., Sul., Ustil. and Vib. o. (left ovarian and left inframammary pain). Nux m. (cough of pregnancy; Lach., cough at menstrual period when it is going off. Patient must swallow what loosens); Puls. (menstrual cough; menses scanty; but pain < as flow increases); Con., Graph. (scanty menses); Anthracin. (carbuncles; boils); Tereb., K. bi. (tongue glazed; ─ and shining, Apis, Lach.); Pul., Pho., Sul. and Mur. ac. (piles during menses) Solania, Bell. and Dulc. (paralysis of lungs); Iris t. (appendicitis) Pho. ac. (disappointed love); Hydrophobin.; Sabad. (throat affected left to right ─ Sabad., more chronic).

Causation

Injuries. Punctured wounds. Poisoned wounds. Grief. Vexation. Anger. Fright. Jealousy. Disappointed love. Alcohol. Masturbation. Sprain (bluish swelling of joints). Sun. Warm weather. Draught of air.

Mind

Great anguish, insupportable anxiety, and uneasiness, from which patient seeks relief in open air. ─ Fear, and presentiment of death. ─ Discouragement; distrust; easily affected to tears. ─ Mental dejection and melancholy, with apprehension, uneasiness about one's malady, great tendency to give way to sorrow, to look upon the dark side of everything, and to think oneself persecuted, hated and despised by acquaintances. ─ Dread of death; fears to go to bed; fear of being poisoned. ─ Thinks she is some one else; in the hands of a stronger power; that she is dead and preparations are being made for her funeral; that she is nearly dead and wishes some one would help her off. ─ Sadness when awaking in the morning or night (particularly in the morning); no desire at all to mix with the world. ─ Restless and uneasy; does not wish to attend to business, but wants to be off somewhere all the time. ─ Sadness, and disgust to life. ─ Mistrust, suspicion, and a strong tendency to take everything amiss, to contradict and to criticise. ─ Frantic jealousy. ─ Indolence, with dislike and unfitness for any labour whatever, either mental or bodily. ─ Timidity of character, with variableness and indecision. ─ Great apathy and extraordinary weakness of memory, everything that is heard is, as it were, effaced, even orthography is no longer remembered, and there is forgetfulness even of things on the point of utterance. ─ Confusion as to time. ─ Mistakes are made in speaking and writing, as well as in the hours of the day and the days of the week. ─ Imbecility and loss of every mental faculty. ─ Over-excitement and excessive nervous irritability, with a tendency to be frightened. ─ Perfect happiness and cheerfulness followed by gradual fading of spirituality, want of self-control and lasciviousness; felt as if she was somebody else and in the hands of a stronger power. ─ Amativeness. ─ Affections of the intellect in general. ─ State of ecstasy and exaltation which even induces tears, desire to meditate, and to compose intellectual works, with a sort of pride. ─ Frantic loquacity with elevated language, nicely chosen words, and rapid and continual change of subject-matter. ─ Loquaciousness, with mocking jealousy, with frightful images, great tendency to mock, satire and ridiculous ideas. ─ Nocturnal delirium with much talking, or with murmuring. ─ Dementia and loss of consciousness.

Head

Head fatigued from intellectual labour. ─ Momentary vertigo on closing eyes. ─ Giddiness after resting. ─ Vertigo chiefly on waking in morning, as well as after lying down in evening, on going into open air, on raising arms, and often with fainting, paleness of face, nausea, vomitings, congestion in head, bleeding of nose, and lassitude of limbs. ─ Intoxication, stupor, and loss of consciousness. ─ Apoplectic fits, with blue face, convulsive, movements of limbs, and extravasation of blood in brain. ─ Softening of brain and its membranes. ─ Violent pain in head, with yellow face and flushed cheeks. ─ Headache, with congestion of blood, sparkling before the eyes, drowsiness, shiverings and inclination to lie down, or with nausea and vomiting. ─ Headache preceding coryza. ─ Cephalalgia from heat of sun. ─ Pains deeply seated in brain; or in the sockets of the eyes; or above the eyes; or in occiput; with stiffness in nape of neck. ─ Pain as from a bruise in crown of head, or sensation of boring, with jerks and throbbings on moving the head. ─ Heaviness and pressure in head, as if it were going to burst, or tension, as from threads drawn from occiput towards the eyes, or shootings, as from knives, in different parts of the head, and as far as the eyes. ─ Pressing headache in temples as if the brain were pressing out, in the morning after rising, from motion, from stooping; < from pressure and while ascending; > from lying down after eating. ─ Cutting headache as if a part of the r. side of the head were cut off, < after rising or ascending; > from heat and after belching up wind. ─ Pains which spread from the interior of head to ears, nose, and neck. ─ Headache extending into root of nose. ─ Headache with flickering before the eyes. ─ Headache every morning on awaking, or after dinner; or else on every change of weather. ─ Pulsating, beating headache with heat in head, esp. on vertex, or on r. side, or over eyes, preceding a cold in the head, with stiffness of neck. ─ Swelling of head, muscular throbbings in temples, tension in occiput extending to nape of the neck, painful sensibility of scalp, with troublesome itching, excessive desquamation, and falling off of the hair. ─ Falling off of the hair, esp. during pregnancy, with great aversion to rays of sun. ─ Sensitiveness of scalp in l. vertex down, and l. side of face on touch or moving muscles, a sensation as if sunburnt. ─ Cannot bear to have hair touched.

Eyes

Yellow colour of the white of eyes. ─ Eyes yellow or turbid, dull and dejected, or bright and convulsed, with fixed look. ─ Pupils strongly dilated. ─ Ecchymosis and hæmorrhage of the eyes. ─ Hæmorrhages into interior chamber. ─ Dryness of eyes, as if full of dust; or lachrymation with tears, which sometimes seem to be cold. ─ Photophobia. ─ Over-sensitive to light. ─ Itching and burning of the eyes. ─ Itching, and shootings as from knives, in eyes, or violent aching, as if the ball were going to start from the socket, < by moving eyes. ─ Eyes red and inflamed, with redness of conjunctiva and sclerotica, burning heat and lachrymation. ─ Eyes water with headache from a cold. ─ Sensation as if the eyes were too large or the sockets too small. ─ Feels when throat is pressed as if eyes were forced out. ─ Swelling and inflammation of the eyelids or of the edges. ─ Convulsions, heaviness, and paralysis of eyelids. ─ Weakness of sight and presbyopia. ─ When reading the letters appear to be confused. ─ Clouded vision as when looking through a veil. ─ Obscuration and loss of sight. ─ Dimness of vision; black flickering before the eyes; often makes reading difficult. ─ Bright blue rings, filled with fiery rays, about the light; zigzag figures. ─ Flames and sparks appear before the eyes, or a blue veil or blue circles round the candle. ─ Eyes appear small and inexpressive. ─ Fistula lachrymalis accompanied by long-standing eruption on face.

Ears

Ears cold, sensitive to the wind. ─ Painful swelling of interior of ear. ─ Dryness of ears. ─ Cerumen scanty, too hard and too pale, or like pap, and white, with diminution of the power of hearing. ─ Very disagreeable throbbing, tinkling, roaring, cracking, buzzing and rolling, or a resounding noise, as if a drum were beaten, in ears. ─ Whizzing, as from insects in ear. ─ Ears as if stopped. ─ Excessive sensibility, or hardness of hearing. ─ Hæmorrhage from the ears. ─ Pain in ears with sore throat. ─ Tearing extending from zygoma into ear. ─ Swelling of parotids. ─ Excoriation and scabs behind ears.

Nose

Nocturnal pains at bridge of nose. ─ Stoppage of nose, as from an internal swelling, principally in morning, or with coryza. ─ Swelling, redness and excoriation of edges of nose, with scabs in nostrils. ─ The nose bleeds when it is blown (blood dark), and blowing of blood from the nose, esp. in the morning. ─ Nose-bleed in amenorrhœa, typhus, &c. ─ Copious bleeding from nose, of a bright-red, or thick and black. ─ Flow of (blood and) pus from the nose. ─ Paroxysms of sneezing in hay fever. ─ Dry, chronic coryza, with stoppage of nose, or fluent coryza, with abundant discharge of serous mucus, lachrymation, frequent sneezing, and inflammation and excoriation of nostrils. ─ Imperfect coryza, with many sufferings of head and mind, all of which disappear as soon as the catarrhal flux commences. ─ Red, chronic pimples on nose. ─ Redness of the point of the nose. ─ Many symptoms end with catarrh.

Face

Face pale, wan, wasted, and cadaverous; leaden, or earthy, discoloured, yellowish complexion. ─ Red spot on cheeks with yellowness of rest of face. ─ Dark bluish-red patch on l. side of nose and cheek, coming on when flushed, generally at noon or after wine; never in evening or night (Cooper). ─ Blue circle round eyes. ─ Small red veins in cheeks. ─ Bloatedness, sometimes to a frightful extent, tension and red swelling of face. ─ Heat and redness of the otherwise pale face. ─ L. side of face and lower jaw swollen and sensitive to touch. ─ Tri-facial neuralgia, l. side, orbital; heat running up into the head. ─ Heat and redness of face (during delirium). ─ Erysipelas in face, sometimes with itching, pimples or vesicles, cracks and corrosive oozing, burning pains and swelling. ─ Miliary eruption and pimples on face. ─ Tetter with thick scabs in region of whiskers. ─ Tensive and crawling pains in face, pains in bones of face, prosopalgia, with vomiting of food. ─ Feeling of stiffness of the malar bone coming from the cervical glands. ─ Lips dry and swollen, pimples on lips, trembling of the lips. ─ Weakness and paralysis of lower jaw, with distortion of features. ─ Trismus, with clenching and grinding of the teeth; chattering of the teeth.

Teeth

Boring pains in the teeth which are carious, principally after dinner, and sometimes with swelling of the cheeks, and a sensation as if the teeth were too long. ─ Toothache every morning after waking, or after dinner every day, with tearing, drawing, and shooting pains in roots of teeth (of lower jaw); from warm and cold drinks. ─ Toothache with pains in head, shiverings, heat and heaviness of the legs. ─ The toothache affects the ears. ─ Brittleness and looseness of the teeth; the carious teeth become soft, and pieces of them are broken off. ─ Swelling and painful sensibility of the gums. ─ Gums bleeding; swollen, spongy. ─ Hot and cold drinks renew the pains.

Mouth

Inflammatory swelling of the buccal cavity. ─ The mouth and palate are excoriated and very painful. ─ Dryness of the mouth and tongue, or accumulation of water in the mouth and salivation. ─ Tongue shining, dry, red and cracked; or inflamed, swollen (covered with blisters), brownish or blackish. ─ Stiffness, immovableness, and paralysis of the tongue. ─ Aphonia, or confused, indistinct speech, nasal tone of voice, difficulty in pronouncing certain letters or particular words; the speech is louder and more precipitate than the speaker wishes. ─ Tongue heavy; cannot open mouth. ─ Tongue trembles when protruded, or catches behind the teeth. ─ Stammering.

Throat

Constant tickling in throat, as if a crumb of bread, or something similar, were stopping in it. ─ Partial or general dryness of throat, often extending to ears, nose, and chest. ─ Burning and pain as of excoriation in throat, principally on swallowing. ─ Painful excoriation and inflammatory swelling of throat, with redness of parts affected, as if they were coloured with vermilion. ─ Swelling of the tonsils (mostly l.). ─ Large and small tumours in throat, which impede deglutition. ─ Cannot swallow the food after masticating it, because it rests on the back part of the tongue, and produces a thrilling pain there. ─ Constant desire to swallow, and a sensation on swallowing as if there were a tumour, or a piece of something, or a plug in the throat. ─ Sensation of contraction, of strangulation, and of constriction in throat. ─ The throat as it were stiff and paralysed. ─ Convulsions and spasms in throat. ─ Impeded deglutition, with dread of drinks, which often pass through nostrils. ─ Hydrophobia. ─ Much slimy saliva, esp. in back of mouth. ─ The pains in the throat are < by slightest contact, and by least pressure on neck, as well as after sleeping, and while swallowing the saliva; the pains are > by eating. ─ When swallowing the pain extends to the l. ear. ─ Sore throat, which affects only a small part, or which, on the contrary, affects the ears, larynx, tongue, and gums; frequently with dyspnœa and danger of suffocation, salivation and hawking up of mucus. ─ Much hawking up of mucus, which is exceedingly painful. ─ Empty swallowing < the pain in throat more than swallowing food; or fluids are swallowed with less pain than solids. ─ Copious accumulation of tenacious mucus in throat. ─ In old chronic sore throats: throat may not be very sore, but a great quantity of mucus will stick there, and occasions much hawking and spitting to no purpose; the mucus will stick and can't be forced up or down. ─ Sore throat alternately with stoppage of nose, or with sufferings, while speaking. ─ Ulcers on palate, on back, of mouth (on the inflamed tonsils), and in throat, with fetid odour, abundant suppuration, and sharp pains on swallowing food. ─ The inflammation and ulceration of throat begin on l. side and extend later to r. side. ─ The external throat is very sensitive to touch (not painful, but an uneasy sensation); on lying down, with suffocative sensation; even to touch of linen.

Appetite

Disagreeable, or saccharine, acid, rough, astringent, or metallic taste. ─ Want of appetite; complete indifference to food and drink. ─ Repugnance to bread, which it is impossible to swallow. ─ Irregular appetite, at one time anorexia, at another bulimy. ─ Sickly craving, with nausea, convulsive yawnings and fainting fits, if food is not eaten instantly, or with gnawing and aching in stomach, which is renewed shortly after eating. ─ Insatiable thirst. ─ Thirst, with dry tongue and skin. ─ Desire for wine or for milk, both of which, however, disagree; desire for oysters. ─ After a meal: pressure on stomach, risings, vertigo, flatulency, inclination to vomit, or vomiting of food, weakness in knees, indolence, and heaviness of body, mental fatigue, uneasiness, regurgitation, diarrhœa, difficult respiration, pain in head and teeth, and aggravation of all the sufferings.

Stomach

Hiccough after having drunk; or after smoking tobacco. ─ Violent empty risings, with danger of suffocation. ─ Risings, which > the sufferings. ─ Acid risings, with taste of the food. ─ Pyrosis from the throat, as if the whole of the œsophagus were filled with rancid substances. ─ Nausea and inclination to vomit, principally in morning, or after a meal; as well as in consequence of many other sufferings. ─ Violent and convulsive vomiting of everything taken, or of bilious, bitter, greenish matter. ─ Vomiting of pure blood, or of bloody mucus. ─ Vomiting, with diarrhœa, obscuration of sight, pains in stomach, and diuresis. ─ Excessive sensibility of precordial region to slightest touch; tight garments are insupportable, and the least pressure is very painful. ─ Great weakness of stomach; it can bear neither food nor drink. ─ Stitches extending into the chest. ─ Gnawing in stomach; > after eating, but returns when stomach gets empty. ─ Painless gnawing. ─ Pressure in stomach; after eating; with weakness in knees. ─ Sensation as if something encumbered the cardia and impeded deglutition. ─ Aching in stomach, extending to chest, and a sensation as if a worm were moving about in it and gnawing it. ─ (Every evening) cramps and violent pains in stomach, with risings, retching, and vomiting of slimy matter.

Abdomen

Burning, drawing, or cutting pains in liver. ─ Acute pain in liver, extending towards stomach. ─ Inflammation and softening of liver. ─ Hepatic abscess. ─ Gall-stones. ─ Pains and stitches in region of spleen, sometimes on riding in a carriage or walking. ─ Enlargement of abdomen in young girls. ─ Painful distension, flatulence; can bear no pressure, surface nerves sensitive. ─ Sensation of emptiness in abdomen. ─ Pains in abdomen, in consequence of a strain in the loins. ─ Pains, generally pressive, in umbilical region, sometimes with difficult respiration, < an hour after a meal, and > by eructations. ─ Tearing and cutting pains in r. side of abdomen. ─ Cutting pains, so violent as to drive patient distracted; or acute pullings, with contraction of abdomen. ─ Burning in abdomen, with pressure on bladder. ─ Abdomen hot, sensitive; painfully stiff from loins down thighs; peritonitis; pus formed. ─ Inflammation of intestines. ─ Extravasation of blood in peritoneum. ─ Swelling in cæcal region; must lie on back, with limbs drawn up (typhilitis). ─ Abdomen hard and distended, with flatulent colic, pain in back, vomiting, diarrhœa, and diuresis. ─ Frequent emission of flatus; the flatus sometimes penetrates into inguinal ring. ─ Pain, as if a hernia were going to protrude.

Stool and Anus

Slow evacuation. ─ Obstinate constipation with hard and difficult evacuation. ─ Constipation, anus feels tight as if nothing could go through. ─ Fæces small, scanty, and tenacious. ─ Constipation alternately with diarrhœa. ─ Diarrhœa, with violent colic, nausea, vomiting, anguish, pains in rectum during passage of fæces, tenesmus and excoriation of anus. ─ Stool lies close to anus without passing and without urging. ─ Loose evacuations, principally at night, or after a meal, or in warm (and damp) weather, or from having taken fruits and acids. ─ Diarrhœa after food, with occasional pain across navel, loins, and back. ─ Involuntary and unperceived evacuations. ─ Stools excessively offensive. ─ Evacuation of fetid matter, or of soft fæces, of the consistence of pap, or liquid, or slimy, like pitch, or sanguineous and purulent, or of undigested substances, or of pure blood, or of sanguineous mucus. ─ Stools watery, offensive, dark; watery, frequent, sudden, about midnight, offensive, ammoniacal; soft, bright yellow; pasty, putrid. ─ During the evacuations: pain, tenesmus, and burning in anus. ─ After the stool: congestion of blood to head, vertigo, debility, pains and throbbings in anus. ─ Painful constriction of anus and rectum. ─ Anus feels closed: sensation of a plug. ─ Prolapsus recti during evacuation. ─ Discharge of mucus and blood from rectum, sometimes with violent colic. ─ Hæmorrhoids with colic, or with burning and cuttings in rectum, or with congestion of blood in anus, and diarrhœa. ─ Stitch in rectum when laughing or sneezing. ─ Sensation in anus as of several little hammers beating there. ─ Piles irritable, with painful drawing upward like a mouse tugging at one side and drawing it up. ─ Bleeding hæmorrhoids. ─ Hæmorrhoidal tumours protrude after stool, with constriction of sphincter. ─ Large hæmorrhoidal tumours (in persons addicted to spirituous drinks). ─ Hæmorrhoidal tumours protruding with stitches at each cough or sneeze.

Urinary Organs

Pressure on bladder, with urgency to urinate, or with cuttings and burnings in abdomen. ─ Frequent want to urinate, with copious emission even in night. ─ Violent pain, as if a ball were rolling about in bladder, and thence into urethra. ─ Violent tenesmus, with scanty emission of urine. ─ Paralysis of bladder. ─ Continual incisive shootings in urethra. ─ Small tumour in urethra, with retention of urine. ─ Urine turbid and brown, or red, or deep yellow, and sometimes with frequent but scanty emission, or with brown and sandy or red or brick-coloured sediment. ─ Frothy urine. ─ Urine frequent, foaming, black. ─ Involuntary and unnoticed emission of urine. ─ Pains in back and loins during the want to make water. ─ Sensation of burning in urethra on making water, and many other sufferings, all of which are renewed by motion of a carriage, and return after drinking wine. ─ Pain, as from excoriation, in urethra and in glans. ─ Flow of urine after evacuating and after urinating.

Male Sexual Organs

Pressure in testes, as if a hernia were going to protrude, when making an effort to urinate. ─ Pimples on the hairy parts. ─ Strong sexual desire without physical power, and with flaccidity of the penis. ─ Erections without sexual desire. ─ Pollutions night and day, sometimes with debility and sweat. ─ Flow of prostatic fluid when urinating, or after having urinated. ─ Semen of a pungent smell. ─ During coition the emission is tardy or does not occur at all. ─ Abundant secretion behind the glans. ─ Spots and red pimples on the glans and on the corona. ─ Mercurio-syphilitic ulcers. ─ Attenuation of scrotum and hardness of testes. ─ Thickening of prepuce.

Female Sexual Organs

In females who never get well from the change of life -"have never felt well since that time"; may have unnatural unwell periods. ─ During change of life, where she has flashes of heat all day, and cold flashes on retiring at night. ─ Sensation in the abdomen as if a ball were ascending from thence to chest, as in hysteria. ─ Pains from ovaries to uterus, with discharge of pus while at stool. ─ The uterus feels as if os were constantly open. ─ Redness and swelling of external parts (with discharge of mucus). ─ Swelling of the parts, with itching and sexual desire. ─ Catamenia feeble, tardy, and of too short duration, often accompanied by hæmorrhoidal and, other sufferings. ─ Menstruation suppressed. ─ Menstruation too scanty (blood black). ─ Abdominal spasms during catamenia. ─ Before menses: pains and throbbing in the head, vertigo, epistaxis, aching in stomach, risings, cuttings in hypogastrium, flow of mucus from urethra, and cramps in chest. ─ Before and after menses, diarrhœa with violent colic. ─ Menstrual colic, beginning in l. ovary. ─ Swelling, induration, pain and other anomalies of l. ovary. ─ On the appearance of the catamenia, sacral pains, with pain as of a fracture in hips and chest. ─ During the catamenia, pains in the loins like those of labour, throbbings in the head, and cuttings. ─ Miscarriage. ─ (The milk of females bitten by the serpent becomes venomous and curdles.). ─ Mammæ swollen. ─ Intolerably itching tetters on and around nipples. ─ Nipples swollen, erect, painful to the touch. ─ Sexual desire excited: nymphomania.

Respiratory Organs

Catarrh, with cough, coryza, shooting pains in head, stiffness of nape of neck, and affection of chest. ─ Continual hoarseness, with a sensation as if there were something in the throat which impeded speech, and which cannot be detached. ─ Oppressed breathing, < when talking and eating. ─ Contraction and constriction of the larynx, with a sensation of swelling and of tension. ─ Painful sensitiveness of larynx and neck to touch, and on slightest pressure, with danger of suffocation on feeling the gullet, and on holding back the head. ─ Sensation of pulsation and of choking between larynx and chest. ─ Dryness, burning, and pain as of excoriation in larynx. ─ Sensation as if there were a ball in the larynx. ─ Voice weak, hollow, nasal. ─ Cough, often fatiguing, and by which nothing is detached, excited mostly by a tickling in larynx, chest, and pit of stomach, or by pressure on the gullet, as well as by conversation, walking, and everything which increases the dryness of the throat. ─ Cough caused by pressure on the larynx, or by any covering of the throat; by a tickling in pit of throat and sternum; when falling asleep; from ulcers in the throat. ─ Constant irritating cough, with or without expectoration. ─ Very chronic coughs. ─ Cough with rawness of chest, difficult expectoration and pains in throat, head, and eyes. ─ Frequent attacks of short cough from tickling in pit of stomach, dry during the night; difficult, sometimes watery, salty mucus, which has to be swallowed again, is raised. ─ The cough is < during the day; after sleeping; from changes in the temperature; from alcoholic drinks; from acids and sour drinks. ─ Cough with hoarseness. ─ Diphtheria. ─ Cough always after sleeping, or at night, when sleeping, or in evening after lying down, as well as on rising from a recumbent posture. ─ Dry, short, suffocating and croaking cough, sometimes with vomiting. ─ Spittle mucous, tenacious, or acid, and of a disagreeable taste, or sanguineous. ─ Hæmoptysis. ─ On coughing, accumulation of water in the mouth, sharp pains in pit of stomach, shocks in head, and tension of eyes.

Chest

Respiration short, frequent, or convulsive or rattling, stertorous, and croaking, or wheezing, moaning, and deep. ─ Frequent want to draw a long breath. ─ Dyspnœa and oppression of the chest, with effort to breathe. ─ Shortness of breath, principally after a meal, on walking, after making an effort with the arms, and sometimes with sadness, or with an asthmatic cough. ─ Attacks of asthma, and difficulty of respiration, principally after eating, or in the evening on lying down, or at night, during sleep, and sometimes with anguish, thirst, nausea, vomiting, fainting, and cold sweat. ─ Fits of suffocation, esp. on lying down in evening or in bed at night, and principally when anything is placed before nose or mouth. ─ Paralytic orthopnœa. ─ Offensive breath. ─ Pressure on chest, as from a weight, or as if it were filled with wind, and principally at night. ─ Contraction of the chest wakens him after midnight, with slow, heavy, wheezing breathing, compelling him to sit up with his chest bent forward. ─ Violent pains with great anguish and constant movements in the chest. ─ Burning and pain of excoriation in chest, as if it were raw, principally after a meal. ─ Oppressive pain in the chest as if full of wind, > by eructations. ─ Stitches in side and in chest, < by breathing, and sometimes with cough and sanguineous-expectoration. ─ Stitches in (l. side of) chest, with difficult breathing. ─ Extravasation of blood in lungs. ─ Pneumonia (hepatisation of the inflamed lungs). ─ Gangrene of lungs. ─ Swelling and bloatedness of integuments of chest. ─ Itching, red places, and miliary eruption on chest.

Heart

Palpitation of heart, with (fainting and) anxiety, sometimes excited by cramp-like pains, with cough, and fit of suffocation. ─ Palpitation of heart and choking from slightest anxiety. ─ Feels as if heart hanging by a thread and every beat would tear it off. ─ Irregularity of beats. ─ Constrictive sensation in region of heart. ─ Spasms in heart (with aneurism of r. carotid) and disagreeable pulsation in ears. ─ As if heart too large for containing cavity. ─ Stitches in region of heart, with shortness of breath, fainting fits and cold sweat. ─ Faint feeling about heart, with heats up spine and flushings of face. ─ Faintings, giddiness, and palpitation constantly recurring.

Neck and Back

Nape of neck and neck excessively sensitive to least pressure. ─ Rheumatic stiffness of nape of neck and neck. ─ Stitches in back and between shoulders. ─ A small tumour is formed near the spine. ─ Burning in back. ─ Spasms in muscles of back. ─ Painful stiffness from loins to hip, as if muscles were too short. ─ Insupportable nocturnal pains in back, in loins, hip and knee. ─ Pain in the small of back, with constipation, intermittent fever, palpitation of the heart or dyspnœa. ─ Pain in the os coccygis, when sitting down one feels as if sitting on something sharp. ─ Want of strength in back and knees, which forces patient to stoop when walking. ─ Pain, as from dislocation, in loins, as after great exertion. ─ Papulæ, vesicles, tetters, pimples, and scarlet spots on back and shoulder-blades.

Upper Limbs

Lameness in l. shoulder. ─ Pain in r. shoulder-joint with headache. ─ Perspiration in axillæ of strong smell (like garlic). ─ Rheumatic and arthritic pains, and aching pains in bones of arms, in hands, fingers, and wrists. ─ Malignant ulcer on upper part of arm. ─ Tension, as from contraction of tendons, from the elbow to fingers. ─ Erysipelatous inflammation in elbow. ─ Pimples on arms after scratching. ─ Sensation of fatigue or of paralysis, and pain, as from dislocation, in arms. ─ Paralysis of hands. ─ Trembling of hands (in drunkards). ─ The hands are dry and burning. ─ Extremities of the fingers numbed and painful. ─ Tingling and pricking in l. hand. ─ Prickings in extremities of fingers. ─ Numbness in tips of fingers (morning). ─ Itching, psoric eruptions, red spots with vesicles, furunculi, excrescences, and warts on hands and fingers. ─ Hard and cold swelling of a bluish black colour, on the back of hand and fingers. ─ The hands are cold, as if dead. ─ Hard swelling from hand to elbow, with excessive pain. ─ Panaris.

Lower Limbs

Sensation of contraction, and contractions of the tendons of the ham. ─ Nocturnal pains in hip and thigh. ─ Caries of the tibia. ─ Burning spots on tibia. ─ Agonising pains in tibia (with throat affections). ─ Sharp and drawing pains in legs, when there is change of weather, and in windy weather. ─ Furunculi on thighs. ─ Sensation of heaviness, paralysis, of numbness and trembling in thighs and knees. ─ The knees are, as it were, dislocated, stiff and weak. ─ Stinging in knees. ─ Sensation as if hot air were going through knee-joints, which were shaky. ─ The l. knee feels as if sprained. ─ Swelling of knees. ─ Swelling of feet, < after walking (during pregnancy). ─ Flat ulcers on lower extremities, with blue or purple surroundings. ─ Gangrenous ulcers on legs (toes). ─ Cramps and pains in calves of legs. ─ Red pimples on the thighs and on the legs, after scratching. ─ Excoriated places, and superficial ulcers with foul bases, on the legs. ─ Red or bluish, and painful swelling of feet and legs. ─ Heaviness, numbness, icy coldness, sweating of the feet. ─ Itching, psoric eruptions, papulæ and spots as from a burn, in feet and legs. ─ Cracks and rhagades between the toes. ─ Abscess in the heels.

Generalities

Sensation of pain accompanied by voluptuous feelings; dreadful or strongly pressive pains in various parts of body. ─ Sensation of dislocation and of paralysis in the joints. ─ Stiffness and tension of the muscles, as if they were too short. ─ Pains in the bones. ─ Sharp and drawing rheumatic pains in the limbs (first in l. side then in r.), or gnawing pains, with sensations as if bruised on moving. ─ Nocturnal pains, which appear insupportable, and which do not permit patient to remain in bed. ─ The pains affect the sides of the body alternately, or at one time the limbs, at another the body, and often manifest themselves transversely. ─ Intermittent and periodical pains; sufferings, accompanied by danger of suffocation; and sufferings, with want to lie down, and aversion to move. ─ Aggravation or renewal of the sufferings after sleep or at night, and principally before midnight, or some hours after a meal, or during damp hot weather, as well as when there is a change of wind and weather (excessively cold and excessively warm weather cause great debility); many of the symptoms are > in open air. ─ Mental emotions, such as disappointment, fear, fright, &c., frequently renew all the sufferings. ─ Slight touch intolerable. ─ Obliged to wear clothes loose; cannot bear the contact. ─ Paralysis, with heaviness and stiffness of the limbs; semi-lateral paralysis. ─ The l. side is principally or first affected (throat, ovaries). ─ Affections in general of r. chest; r. lower extremity; r. abdominal ring; symptoms generally appear on l. side; symptoms beginning on l. side with great tendency to spread to the r. side. ─ Extreme feebleness of body and mind; exhaustion, like that caused by loss of blood; rapid failure of strength; relaxation of muscular force. ─ Weakness of whole body in morning on rising. ─ Nervous hyperæsthesia, with external flushings. ─ Fainting fits, with dyspnœa, nausea, cold sweat, vertigo, pallid face, vomiting, dizziness, obscuration of the eyes, pains and prickings in region of heart, convulsions and epistaxis. ─ Tearing, pricking, and pulsating pains. ─ Attacks of asphyxia and of syncope, with loss of sense and motion, insensibility like death, clenching of teeth, stiffness and swelling of body, pulse tremulous or imperceptible. ─ Trembling of limbs, muscular palpitations, and jerking in several parts of body. ─ Contractions of the muscles. ─ Convulsive and epileptic fits, with screaming, movements of the limbs, falling down without consciousness, eyes convulsed, foaming at mouth, fists clenched; before the attack, cold feet, eructations, paleness of the face, vertigo, head heavy and painful, palpitation of heart, inflation of abdomen; after the attack, sleep. ─ Attacks of tetanus, with distortion of limbs. ─ Hæmorrhage and extravasation of blood in different organs. ─ Affected parts look bluish (cyanosis).

Skin

Ecchymosis; wounds and ulcers bleed readily and copiously (small wounds bleed a good deal; ulcers bleed readily; cicatrices bleed readily; pain in old cicatrices), wounds bleeding a great while; skin very hard to heal, masses of blood pass through the pores. ─ Varicose swellings. ─ Dropsical swelling over whole body. ─ Hard and pale tumefaction. ─ Skin yellow, green, lead-coloured, or bluish-red or blackish, chiefly round the wounds and ulcers. ─ Yellow, red, copper-coloured spots. ─ Pale, livid spots, with fainting fits. ─ Dry, miliary itch, with eruption of large vesicles of a yellow or of a bluish-black colour, with swelling of parts affected, and pains which drive to despair. ─ Miliary eruption, which subsequently resembles nettle-rash, scarlatina, or morbilli. ─ Erysipelas and vesicular eruptions with a red crown. ─ Excoriated places, on touching which a burning pain is felt. ─ Rupia and other skin affections, with angioleucitis (Cooper). ─ Ulcers, surrounded by pimples, vesicles, and other small ulcers (on a purple skin). ─ Ulcers with great sensitiveness to touch, uneven bottom, ichorous, offensive discharge when touched, esp. around the lower extremities. ─ Gangrenous ulcers. ─ Gangrenous blisters. ─ Superficial ulcers, foul at bottom, with a red crown. ─ Cancerous ulceration (of wounds), or putrefaction of the flesh, which becomes detached from the bones, and falls off piecemeal. ─ Gangrenous wounds, with inflammatory fever, weak, quick, and intermittent pulse, fainting nausea, spasmodic and bilious vomiting, convulsions, and cold sweats. ─ Papulæ, warts, hard swellings. ─ Panaris. ─ Red and itching lumps and tuberosities. ─ Carbuncles, with copper-coloured surroundings and many smaller boils around them. ─ Flat exanthemata which do not fill up; pustulous exanthemata; spongy excrescences.

Sleep

Great drowsiness by day, and principally after a meal. ─ Sleeplessness, chiefly before midnight, with excessive nervous excitement. ─ Lively and wide awake in evening. ─ The patient sleeps into an aggravation, as (e.g.) in croup; is very well while awake, but as soon as goes to sleep the croup symptoms appear in great violence; child almost suffocates, and the mother or nurse is consequently really afraid to let him go to sleep. ─ Also in convulsions; patient has none while he is awake, but as soon as he is asleep they appear. ─ Drowsiness and sleeplessness alternately every two days. ─ When falling asleep he is awakened by a tickling cough. ─ Restless sleep, with many dreams. ─ Sleeplessness in the evening with talkativeness. ─ Light sleep, with frequent and easy waking, agitation and tossing, groans and sighs, starts and fright. ─ Dreams connected and frequent, poetical and meditative or voluptuous; dreams of quarrels, of horrible things, of spectres, and of death. ─ At night, heat, agitation, burning in palms and soles, pains in the bones or rheumatic pains, diarrhœa, emission of urine, mental excitement, and many other sufferings. ─ After sleep, sensation of stiffness, and pain as from fatigue in the limbs, erections with sexual desire, pains in the back and loins, congestion of blood, heaviness and pain in head, pressure in stomach, sore throat, nervous yawnings, and aggravation of all the sufferings.

Fever

Icy coldness of the skin or of the limbs, or only of the feet, with great desire to be near a fire, and sometimes with loss of sensation, clammy sweat, weakness and great quickness of the pulse. ─ Shiverings, sometimes only partial, often with pains in the limbs, sacral pains, agitation and tossing, colic, trismus and convulsive movements of the limbs, pain in chest, thirst, chattering of teeth. ─ Chill ascending the back, often on alternate days. ─ Shuddering while the heat continues, and principally on lifting the bed-clothes. ─ Shivering, chiefly after a meal, or in afternoon. ─ Dry heat, principally at night, or in evening, and esp. in feet and hands, often accompanied by agitation and tossing, headache, delirium, insatiable thirst, eructations, bilious vomitings, cries, groans, dryness of mouth and throat, and frequent stools. ─ Heat, alternately with cold (alternating and changing localities), shivering of shuddering. ─ Fever at night or in evening, quotidian, tertian, or quartan, and often accompanied by headache, rapid prostration of strength, and debility which obliges the patient to lie down; want of appetite, hiccough, vomiting, sensibility of the neck to the touch, palpitation of the heart, anguish, yellow urine, diarrhœa, pains in the limbs, back, and loins, nervous and spasmodic yawnings, stretchings, swelling of the body, spots and ulcers. ─ Internal sensation of heat, with cold feet. ─ Chronic fevers; slow fevers; typhoid fevers. ─ The fevers are renewed by acid food. ─ Dry, burning skin. ─ Sweat > . ─ Perspiration colouring linen yellow red. ─ Febrile sweat, principally after hot stage, towards morning; copious sweat; fetid sweat; cold sweat; sanguineous sweat. ─ Pulse intermittent, or feeble and quick (but accelerated), or irregular, or scarcely perceptible, or tremulous, or alternately full and small. ─ Intermittent fever, the paroxysms come on every spring, or after suppression of the fever in the previous fall by quinine; face red; feet cold; during hot stage continuous talking; face yellow or ashy. ─ Typhus fever, esp. when the tongue is red or black, dry or in fissures, esp. at the tip, or when tongue trembles when put out, or if while endeavouring to put it out, the tip remains under the lower teeth or lip and cannot be put out.

The Guiding Symptoms of Our Materia Medica

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

General

Lachesis. (Lachesis Mutus.)

Mind

Loss of consciousness.
Weakness of memory ; makes mistakes in writing ; confusion as to time.
Great dulness of mind with bodily weakness. θ Typhus.
Mind confused and wandering. θ Diphtheria.
Quick comprehension ; mental activity, with almost prophetical perception ; ecstasy ; a kind of trance.
No sooner does one idea occur to him, than a number of others follow in quick succession while he is writing.
Visions and delirious talk as soon as he shuts eyes ; < noon till midnight.
Thinks : she is somebody else and in the hands of a stronger power ; she is dead, and preparations are made for funeral, or that she is nearly dead and wishes some one would help her off ; herself pursued by enemies, or fears medicine is poison ; there are robbers in
house and wants to jump out of window ; herself under super-human control ; visions real ; he will die.
Imagines he is followed by enemies who are trying to harm him ; attempts to leave room as if frightened by visions behind him. θ Fistula.
Delirium at night, muttering, drowsy, red face ; slow, difficult speech and dropped jaw.
Violent delirium especially after sleeping. θ Typhoid.
Delirium ; fears she will be damned.
Constant delirium which changes rapidly from one subject to another. θ Diphtheria.
Delirium from overwatching, overfatigue ; loss of fluids ; excessive study.
Delirium tremens, attacks come most in afternoon, or after sleep ; loquacious, jumps from subject to subject, cannot bear shirt or neckband to touch throat.
Most extraordinary loquacity, making speeches in very select phrases, but jumping off to most heterogeneous subjects ; at same time proud, full of mistrust. θ Mania.
Religious monomania, fear of being damned.
One word often leads into midst of another story.
Insane jealousy.
His mind is disturbed before the attack. θ Epilepsy.
After operation for fistula in ano, complained of his head, particularly pain in left temple and occiput ; aching pain in lumbar region ; came home from work dizzy, faint and nauseated ; talked incoherently, talked as it were in a strange language ; since then quite
without mind ; will frequently cry and whine, then laugh in silliest manner ; does not sleep at night ; sleeps only a minute or two at a time during day ; is often violent, only with difficulty can be kept in bed ; endeavors to climb up bedpost ; has an idiotic
expression ; articulation imperfect ; tongue lolling about in mouth ; eyes rolling vacantly ; frequently rises, with great effort and awkwardness ; body when standing bends toward left, must be supported ; drags his feet in walking, direction of steps toward
left ; entirely unable to feed himself ; seems indifferent to food ; imagines he is followed by enemies who are trying to harm him ; attempts to leave room as if frightened by visions behind him. θ Mental
disorder.
She is tempted to commit suicide. θ Mania.
Loquacity ; much rapid talking ; wants to talk all the time. θ Fevers.
Inclination to be communicative ; vivid imagination ; extremely impatient at tedious and dry things.
Is morbidly talkative and gives a rambling account of her ailments.
Jealousy, with frightful images, great tendency to mock, to satire and ridiculous ideas.
Exceptional loquacity with rapid change of subject ; jumps abruptly from one idea to another.
Talks, sings or whistles constantly ; makes odd motions with arm. θ Diphtheria.
Violent laughing for one hour ; dyspnœa.
Undertakes many things, perseveres in nothing.
Disinclined to his own proper work ; complains of trifles.
Aversion of woman to marry.
(In sick :) Perfect happiness and cheerfulness, followed by gradual fading of spirituality ; want of self control ; lascivious ; felt as if she was clear animal right through, whilst all mental power was dormant ; sensation as if in hands of stronger
power, as if charmed, and as if she could not break the spell.
Quiet, sorrowful, lowness of spirits, > by sighing ; repugnance to society and dislike to talk ; solicitude about future, with disgust for life ; inclination to doubt everything ; mistrusts and misconstrues ; indolence ; aversion
to every kind of labor and motion. θ Melancholia.
Feels extremely sad, unhappy and distressed in mind on waking in morning.
Sad ; loathing of life ; suspicious and peevish ; moaning and complaining ; skin shriveled and livid ; nose, ears and forehead cold ; as soon as he shuts his eyes he is delirious. θ Traumatic
delirium.
Fainting fits with great and almost unconquerable sadness and gloom ; dreads society ; persistent constipation with sensation as though anus was closed.
Great sadness and anxiety, < in morning on awaking.
Weak and unhappy, particularly in morning, when she feels, on awaking, friendless and forsaken ; same symptoms if she awakens at night ; appetite poor ; constipated ; feeling of constriction of anus ; urine scanty and dark
colored ; has had domestic troubles. θ Melancholia.
Hopelessness.
Dread of death, fears to go to bed ; fears of being poisoned.
Discouraged, loathing life. θ Melancholy after confinement.
Weary of life, looks at everything from dark side ; < morning, > through day ; least noise disturbs sleep.
Satiety of life with longing for death.
She is tormented by idea that her better principles might be overcome by irresistible desire to suicide. θ Mania.
Voluptuous, irritated state, fights it. θ Epilepsy.
Amorousness ; amativeness.
Great sensitiveness and anxiety. θ Liver complaint.
Irritability ; ill humor ; sensitive disposition.
Peevish, disposed to be morose or quarrelsome.
Proud ; jealous, suspicious ; developing into mania.
Malice ; thinks only of mischief.
Sensitiveness, or general aggravation after mental exertion.
A girl, after excessive study, uses exalted language ; exceedingly particular about language she uses, often correcting herself after using a word, and substituting another of very similar meaning ; talks about being under influence of a superior power. θ Mania.
Nightly attacks of anxiety ; afraid of cholera, gets cramps in calves from fear ; nausea, heavy feeling in abdomen, rolling in umbilical region.
Chronic complaints after long lasting grief or sorrow.
After domestic calamity ; sleepless, or, when overcome by exhaustion, short naps disturbed by frightful dreams ; springing up in bed with terror, and suffocation of chest and palpitation ; irritability alternating with loquacious
delirium ; nightly hallucinations causing mental suffering ; conscious of her state. θ Mental disturbance.
Mental derangement after vexation.
Ailments from fright, disappointed love or jealousy.
After a jealous quarrel, she put both hands to her chest and cried out "Oh! my heart!" then fell down and was in an asphyctic state for nearly twenty-four hours ; no pulse could be felt, breathing hardly perceptible ; lay on her back.

Sensorium

Left sided apoplexy, especially after mental emotions, or abuse of alcohol ; blowing expiration, cannot bear neck touched.
Stupefaction or loss of consciousness, blue face and convulsive movements, tremor of extremities. θ Apoplexy.
Stupid state ; complaining of pain and weight in head at school, on being brought home he generally lies dozing or waking for three or four hours ; frequent waking at night ; vomiting on alternate nights ; face heavy, pupils slightly dilated, forehead hot, pulse
90 ; tongue clean ; head pains through day. θ Irritation of brain.
Vanishing of thought, with blackness before eyes, in paroxysms.
So giddy he could not stand ; could not see letters, fell against wall ; severe pains all over head.
Rush of blood to head ; with heat in head ; after alcohol ; suppressed or irregular menses ; climacteric period.
Vertigo with heaviness of head, dulness like lead in occiput. θ Typhoid.
Dulness of cerebral function. θ Diphtheria. θ Scarlatina.
Vertigo : early in morning ; on waking ; in evening ; on looking up ; on looking at any object closely ; from walking in open air (at climaxis) ; from suppressed erysipelas ; with pale face ; migraine ;
momentary on closing eyes ; with falling to left side ; before menses ; on stooping ; after lying down ; on reaching up ; with nausea, vomiting, headache ; stupefying ; as before apoplexy.

Inner head

Frontal headache ; faint on rising.
In forehead : aching ; with stitches ; dull pain (angina faucium) ; pressing from without inward ; violent headache when nasal discharge suddenly dries up.
Violent darting, stabbing pains, from upper part of forehead down to centre of head, as if knives were being thrust into brow ; < least motion ; violent pressure from above downwards. θ Headache.
Heavy pain in forehead extending to back and sometimes all over head, coming on at any time of day ; pain in back part of hip and left side, region of spleen, occasionally on right side ; abdomen sore, cannot bear least touch ; costive ; dull pain in legs.
Headache over eyes and in occiput, morning on rising.
Dull pain over and in eyes ; nausea ; pain top of head ; giddiness on rising.
Pain over eyes, mostly left, with nausea. θ Sick headache.
Headache extending into nose.
Heat in forehead between attacks. θ Epilepsy.
Throbbing pain in temple with heat in head. θ Migraine.
Violent throbbing pain in left temple, particularly before menses.
Temporal nerves on one side painful, with throbbing in temples ; heat in head ; vertigo with paleness of face ; pain in left ovarian region ; bloatedness of stomach.
Headache frightfully severe, brain feels as if it would burst skull, especially at temples ; generally begins on rising in morning, seldom in afternoon ; lying down > pain, but as soon as she raises head, pain is equally severe whether she sits or walks.
Pressing or bursting pains in temples, < from motion, pressure, stooping or lying down.
Severe, oppressive pain in one or the other temple, < on r. side ; nausea ; mouth clammy ; cannot swallow the saliva ; pain comes on at night and lasts till end of next day ; usually > after vomiting ; after eating, food
rises in mouthfuls ; frequent risings of frothy phlegm.
Drawing pain in left temple with redness ; soreness to least touch ; fever ; pulse full and quick.
Headache : pain from superciliary ridge to occipital protuberance, intolerable ; could not sleep ; slightly delirious ; pupils dilated ; pain intense ; cold water externally > somewhat ; at midnight, partly insensible ; tongue stiff and
protruding ; speech incoherent, or saying same thing over and over ; talks like a lunatic ; idiotic look ; does not comprehend what is said to him ; whenever he rises staggers backwards ; walks backwards until he comes in contact with wall, bed or table ;
takes hold of some furniture, and with greatest difficulty pulls himself forward ; afraid of everybody, thinks everybody conspires to kill him ; afraid of medicine, won't take any ; partial paralysis on right side.
Headache in left frontal eminence, deep internally.
Left sided orbital neuralgia ; lachrymation ; previous to paroxysm rising of heat to head ; during intervals a weak, nauseous feeling in abdomen.
Semilateral headache on right side, creeping gradually towards left, until it goes around head ; twitching in eyes when they are fixed upon an object ; menses irregular, one week ahead of time ; tardy digestion ; constipation ; frequent nausea ; pain deep in
orbit and over eyes, which are red and injected. θ Cephalalgia.
Every three or four days intense headache ; pain throbbing and oppressive, chiefly in right half of head, extending down same side of neck, which generally feels stiff and sore ; pain < at catamenial period, which is attended with much aching across loins ; menses dark
and profuse, lasting eight to nine days.
One sided tensive headache, drawing from neck over head to eyes ; vomiting ; stiffness of neck ; tenderness of scalp.
Headache on right side, extending to neck and shoulders, with tension in muscles.
Tearing pain in whole left side of head, from temple to collar bone ; tears flow continually ; pain without intermission ; some nightly aggravations ; > from warm applications ; paralytic state of tongue ; it inclined to affected side ; could hardly
speak ; painful weariness of face, head and neck ; tongue feels as if bound or tied up. θ Neuralgia.
Cutting headache as if a part of right side of head was cut off, < after rising or ascending ; > from heat and after belching.
Hemicrania with giddiness, paleness of face, general sensation of stiffness and pain in left side of abdomen.
Tearing on top of head from within outward ; dizzy, face pale ; faint, numb ; face sunken, or bloated and red.
Pressure on top of head with hot throbbing of temples ; constipation ; any excitement causes headache ; no catamenia for two months. θ Climaxis.
Boring pain on vertex, nausea and vomiting. θ Itch.
Beating headache with heat, < on vertex and right side, or over eyes ; preceding a cold in head, with stiff neck.
Headache which had lasted six weeks ; pain at first began in vertex, then extended over right side of head and over face, with pricking as from needles in limbs of same side ; < in afternoon.
Violent pressing, burning pain in top of head, from within outwards.
Burning vertex headache during menopause.
Boring and sticking on vertex.
Dull aching in sinciput.
Beating throbbing in vertex ; with every movement.
Weight and pressure on vertex.
Congestion to head with other complaints.
Throbbing in head from least movement ; red face.
Headache, with rush of blood to head.
Pressive headache, with nausea.
Dizzy, pressive headache ; < on stooping.
Violent headache, with flickering before eyes.
Headache in sun, glimmering sight.
Headache preceding coryza.
Headache : catarrhal ; congestive ; from sunstroke ; hysterical ; rheumatic ; menstrual ; epileptic.
Terrible headache ; nightly pain in limbs. θ Syphilis.
Pain as if swollen in angle in front of styloid process, < from pressure.
Heaviness like lead in occiput ; can scarcely raise it from pillow, in morning after waking, with vertigo.
Boring pain behind left ear, with nausea and vomiting.
Feeling in back of head as if pressed asunder.
Numbness in occiput, with pain in forehead ; on touching throat, darting from throat to occiput ; chest feels dry.
Headache from occiput to eyes.
Headache every eight or ten days ; toward evening pain in back of head, at first dull and gradually concentrating, acute boring behind left ear, apparently at juncture of temporal, parietal and occipital bones ; when boring pain reaches its height, generally towards morning,
vomiting of food and slime ; stitches in chest.
Soreness at vertex, gradually spread over right side of head and face ; same sensation, with pricking pains like pins and needles, in upper and lower extremities of same side ; mouth very sore ; cannot masticate food without great pain ; after desire to micturate
cannot retain urine ; coughing produces flow of urine ; < in afternoon, when soreness frequently changes to a sudden, darting pain in arm ; drops things ; slight vertigo.
Inflammatory conditions of brain ; great vascular and nervous erethism.

Outer head

Numbness and crawling on left side of head, as in whole left side.
Painful sensitiveness in left temple from vertex down, and in left half of face, when touched, or on moving muscles ; sensation as if skin had been burnt by heat of sun.
Wants head closely wrapped up.
Tumors which perforate skull.
Sudden backward throwing of head. θ Epilepsy.
Bettered by shaking head.
Purplish swelling ; delirious talk when closing eyes. θ Erysipelas of scalp.
Hair falls off, < during pregnancy ; averse to sun.
Does not like hair touched ; itching of scalp.

Sight and eyes

Oversensitive to light.
Flickering before eyes, as from threads, or rays of sun.
Flickering and jerking in right eye, with congestion to head.
Flickering in peculiar angular zigzag figures, with headache.
Bright blue ring about light, filled with fiery rays.
Fog before eyes ; in evening a bluish grey ring, about six inches in diameter, around light.
Dimness of vision : much black flickering before eyes, that seems very near ; on waking.
Defective sight, after diphtheria.
Shortsightedness.
Unsteady look, eyes roll vacantly.
Eyes weak and dull, or distorted. θ Typhus.
Variety of pains and sensations in and around eyes, especially, l. ; very nervous ; < thinking of eyes, using them, and waking in morning. θ Asthenopia.
Amblyopia, with lung or heart affections.
Hemorrhages into interior chamber, vitreous, retina and choroid.
Pupils at first contracted, then dilated. θ Fever.
Retinitis apoplectica ; absorbs hemorrhage, controls inflammatory symptoms and diminishes tendency to retinal extravasation.
Phlyctenular keratitis, especially chronic recurrent ; moderate redness of eye ; photophobia.
Scrofulous keratitis with eruption on face, considerable photophobia and pains in eye and head, < in morning and after sleeping.
Ulcers on cornea ; haziness.
Sharp, shooting pains from eyes to temples, top of head and occiput.
Stitches as from knives in eyes, coming from head.
Sticking drawing pain in right eye, extending to vertex.
As if a thread was drawn from behind eye to eye.
Eyes feel as though they had been taken out and squeezed, and then put back again ; pains < after sleep ; wakens patient from sleep. θ Supraorbital neuralgia.
Pressure in orbits, with sensation of drawing from eyes to occiput.
Feels when throat is pressed, as if the eyes were forced out.
Stitching, burning and pressing pains in eyes.
Itching and burning of eyes.
Severe pains in and above eyes.
Intense and constant pain in left eye, pain sharp and sticking, and sometimes extending to brow ; uncertain, numb feeling on left side of head ; marked dimness of vision ; terrific headache over eyes ; wide awake in evening and very talkative ; could not get to
sleep until late, and when she did, would dream all the time ; alternately dreaming and awakening ; < after sleep, anxiously inquires why it is so ; great prostration ; seems exhausted mentally and physically ; constantly laying aside bedclothes to get relief,
they seemed to oppress her ; seems as if she would die of exhaustion in morning ; > in evening ; intense pain in thigh, coming on after sleeping, and when gone, leaving a paralyzed feeling ; confused feeling in head with vertigo.
Whites of eyes yellow. θ Jaundice.
Orbital cellulitis, following operation for strabismus ; eye protruded ; conjunctiva chemosed ; purulent discharge ; retina hazy and congested ; point of tenotomy sloughing and a black spot in centre ; < at night.
Pterygium.
Redness of eyes. θ Mania. θ Angina faucium. θ Fevers.
Inflammation of eyes and lids, with pain in them.
Painful inflammation of left eye, frequently recurring, characterized by a bundle of congested vessels extending from inner canthus toward cornea.
Eyes watery. θ Catarrhal headache. θ Neuralgia.
Fistula lachrymalis, accompanied by long standing eruption on face.
Lachesis. (Lachesis Mutus.)

Hearing and ears

Sensitive to sounds ; rushing and thundering in ears.
Painful beating, cracking, whizzing, drumming, with reverberation.
Whizzing as from insects in ears.
Ears feel as if closed from within. θ Angina syphilitica.
Ears as if stuffed up.
Hardness of hearing, with dryness in ears, want of was ; numbness about ear and cheek.
After otorrhœa ear remained dry and obstructed, with almost entire deafness.
Diminished hearing.
Partial deafness, with dry wax in left ear ; noise in ear like tea kettle ; sensation of numbness about ear and down left cheek ; sense of hunger every day at eleven.
Stoppage or stricture of Eustachian tube.
In evening, pain deep in left ear ; < from motion of temporal or masseter muscles ; left in a few minutes and appeared just above left external malleolus, < on stepping.
In night earache in right ear, > by external warmth and lying on right side.
Annoying pulsations in ear. θ Carotid aneurism.
Tearing extending from zygoma into ear.
Pains in ears with sore throat.
Earwax too hard, pale and insufficient ; whitish, like chewed paper.
Polypus of ears.
Soreness and crusts around ears.
Threatened abscess of parotid gland. θ Typhoid.
Ears excessively sensitive to wind.

Smell and nose

Nosebleed : dark ; with amenorrhœa ; before menses ; typhus ; blowing of blood, mostly in morning ; trickling on blowing ; from both nostrils ; on swallowing, sensation as if tonsils were sore, like a wound, with
stinging through ears.
Nasal, indistinct speech. θ Typhoid.
Coryza preceded by headache ; discharge watery, with red nostrils, herpes on lips.
Coryza preceded one or two days by a feeling of soreness, rawness and scraping in throat.
Scabs in nose ; redness of point of nose.
Catarrh with sticking headache ; stiffness of neck.
Swollen nasal mucous membrane ; discharge of blood and pus. θ Coryza.
Feeling of lump in throat ; on swallowing, lump descends but immediately returns. θ Coryza.
Mucous membrane of nose thickened, much sneezing ; dry, stuffed feeling through front of head ; gradually passes to fauces and chest ; constant cough short and dry, with wheezing, face red and puffed, while eyes seemed almost pressed out. θ Hay
asthma.
Many symptoms end with nasal catarrh.
Obstruction of nose, with buzzing in ears ; headache ; ill humor and inability to drink.
Complaints after suppressed coryza.
Undeveloped coryza with headache and mental worry.
Thick, yellow discharge in morning, sometimes streaked with blood, offensive ; hawking ; falling of mucus from posterior nares ; left side only ; discharge of hard plug of mucus. θ Chronic
nasal catarrh.
Pus and blood from nose.
Discharges offensive, sanious, corroding nostrils and lips.
Sudden discharge of pus and blood from nose, as from a bursting abscess, seems to come from frontal cavities. θ Ozæna syphilitica.
Soreness of nostrils and lips.
Internal soreness of nose, and nose filled with scabs. θ Mercurio-syphilitic cases. θ Drunkards.
Inflammation of nose with pimples and blisters.
Nose pointed, reddish, as if sore, and always some fluent coryza. θ Angina syphilitica.
Red nose of drunkards.
Vesicular eruption about nose.

Upper face

Expression : of pain, with sopor ; idiotic ; epileptic ; distorted ; haggard.
Features distorted, face dark and much swollen, appeared almost in an apoplectic fit ; had removed everything from his neck, saying he could bear nothing to touch it ; could hardly breathe. θ Bee
sting.
Haggard, face of unnatural color, cheeks yellow, with traces of red vessels visible and spots of circumscribed red ; nose pointed and red, as if raw from a sore ; nose always stuffed up.
Face pale : fainting ; headache ; before epileptic attack.
Blue circles around eyes.
Countenance deeply sallow. θ Scarlatina.
Yellow complexion, vermilion redness of cheeks, or small red bloodvessels shining through skin. θ Syphilis.
Earthy, livid, cachectic complexion. θ Abdominal troubles.
Bluish, purplish appearance of face, inability to bear anything around neck ; cerebral symptoms. θ Scarlatina.
Face not red, but very livid and bluish. θ Puerperal fever.
Blue face and lips. θ Emphysema.
Livid face. θ Metritis.
Face puffed. Mania.
Red face, as in apoplexy ; bloated, red, with headache, pains in limbs, stomach, etc.
Flushes of heat. θ Drunkards. θ Climacteric period. θ Constipation.
θ Suppressed menstruation.
One cheek flushed, the other pale.
Severe pain commencing in right inner canthus, and extending upwards and outwards in a semicircle, just above superciliary ridge ; dull, heavy, and prevents him working ; commences 9 A. M. and goes off in afternoon ; skin extremely sensitive to touch. θ Neuralgia.
Neuralgia, left side, orbital ; rising of heat to face before, and weak feeling in abdomen after attack.
Neuralgia of trigeminus ; horrible ; heat running up in head previous to attack ; weak, nervous feeling in abdomen during intervals.
Tearing pain in whole left side of head, from temple down as far as collar bone, so severe as to cause tears to flow continually ; < at night ; articulation almost impossible ; when tongue is put out it inclines to affected side ; painful weariness of head, neck
and face ; tongue feels as if bound or tied up. θ Neuralgia.
Sensation of warmth rising into head, followed by tearing pain beginning in forehead, but particularly affecting l. malar bone and parts under left eye, and occasionally extending into eye, causing lachrymation ; attack lasts several hours, then disappears for a day or two, and then
returns without any cause ; weak sensation in abdomen during free days.
Feeling of stiffness in malar bone from cervical glands.
Left side of face and lower jaw swollen, sensitive to touch.
Cheeks swollen, skin tense, hot and crisp, as if it would crack. θ Peritonitis.
Enormously swollen upper lip and nose ; surface not changed from natural color ; appearance that of puffiness, but hard to feel, much like swelling from a bee sting, or from a blow ; vermilion border of lip a trifle more blue than natural ; no pain or heat ;
menstruating.
Erysipelatous eruption beneath left eye, which first itches at night ; she was awakened with fright about trifles ; in morning skin began to redden and swell, and became < after midday nap ; next morning very thick and red, with incessant itching scarcely to be
endured ; whole lower lid swollen, red and itching.
Erysipelatous swelling of face ; right eye almost closed.
Erysipelas began close to left side of nose, in a red, sore spot, then it became redder and extended up and down l. side of face ; extends up as far as left eye and is dusky ; she feels languid.
Facial erysipelas, in a child a year old ; inflammation partly involving scalp ; on second or third day threatened metastasis to meninges ; convulsive stiffening of child's penis.
Face swollen, bluish red or leaden hue ; tongue dry, glossy, tremulous ; < from noon until midnight. θ Erysipelas from a dissecting wound.
Erysipelas of face, with burning and itching, < after siesta ; hammering headache.
Eruption in face followed by bluish spots.
Burning, swelling, redness and violent itching in face at night ; later tetter-like cracks with oozing.
Facial herpes.
Itching in face.

Lower face

Drawing, tearing, throbbing, boring pain in jawbones.
On opening mouth, cracking in submaxillary joints and sensitive as if swollen.
Great difficulty in opening jaws. θ Angina faucium.
Lower jaw hangs down. θ Coma. θ Typhus.
Frothing at the mouth. θ Epilepsy.
Lips dry, black, cracked, bleeding. θ Diphtheria. θ Fevers.
Enormous swelling of lips.
Furuncular formation on lips, pain and erysipelatous areola ; rapid and excessive loss of strength, patient being reduced from vigor to absolute prostration in twenty-four to thirty-six hours. θ Malignant
pustule.
Mumps, particularly on left side ; enormously swollen, sensitive to least touch ; least possible pressure causing severe pain ; shrinks always when approached ; can scarcely swallow ; excessively peevish ; throat sore internally ; face red
swollen ; eyes glassy and wild.
Threatened abscess of submaxillary gland. θ Typhoid.
Submaxillary and cervical glands swollen. θ Diphtheria.
Red suppurating blotches under jaw.

Teeth and gums

Teeth feel too long when biting them.
Racing, jerking, tearing, dull sticking in roots of lower teeth, through upper jaw to ear ; periodic, after waking from sleep ; soon after eating ; from warm and cold drinks.
Boring, jerking, twitching, drawing, tearing, cutting, piercing, beating, pulsating pains in teeth.
Toothache : from eating ; biting ; something warm ; drinking warm things or cold ; during menstruation ; when awaking ; from getting wet ; in the Spring ; in Summer ; > from external warmth ; from
cleaning teeth ; with chilliness, heat, thirst ; in persons who have taken too much mercury ; with headache ; with swelling of cheek ; teeth too long, blunt.
Hollow teeth feel too long.
Pain in all decayed teeth during rush of blood to head.
Crumbling of teeth.
Gums swollen and spongy ; easily bleeding.
Protruding gums, dark purple. θ Dentition.
Gums bluish, swollen, bleeding ; aching < from warm drinks. θ Yellow fever.
Hemorrhage from gums.
Lachesis. (Lachesis Mutus.)

Taste, speech, tongue

Sour taste ; everything turns sour.
Slow, difficult speech, tongue heavy cannot open mouth wide ; cannot pronounce some words.
Worse from speaking.
Stammering : letters s, b, t, and w.
Stammering in a child, æt. 4 ; in talking draws face awry ; closes right or both eyes, opens mouth wide or closes it.
Stammering comes with second or third word or not in a whole period ; it seems p, v and a had the most influence.
Puts tongue out with difficulty ; tongue trembles.
Difficulty of moving tongue, with impossibility of opening mouth wide.
Tongue : lolling about in mouth ; swollen, coated white ; papillæ enlarged ; dry, red, cracked at tip ; red tip and brown centre ; mapped ; sensation as if it was going to peel ; dry, black and stiff ; tip cracked and bleeding ; a deep
red color ; a dry stripe in middle ; anterior half red, smooth and shining ; black and bloody ; sore on left side, with sticking here and there ; tickling at root, exciting cough ; blistered about tip.
Blisters on inflamed tongue, change into ulcers, threatening suffocation ; gangrene of tongue, on both edges.
Canker sores on tip of tongue ; aphthæ.
Glossitis with titillation inducing cough.
Cancer of tongue.

Inner mouth

Bad odor, stench, from mouth. θ Stomatitis.
Sensation on roof of mouth as if mucous membrane was peeling off.
A bagging just in front of uvula, very soft, as if containing pus. θ After diphtheria.
Burning pain in mouth with swelling of lips and gums.
Dryness in mouth with thirst.
Dryness of mouth and throat, accompanied by continued sensation in velum palati as if desquamation was about to take place. θ Hysteria.
Much slime in mouth, with flakes of blood of disgusting taste and smell.
Saliva abundant and tenacious. θ Scarlatina.
Constant salivation, which often interferes with speaking ; cough ; expectoration ; if the latter occurs after dinner she frequently vomits her food.
Salivation with hawking and coughing. θ Syphilitic ulcers in throat.
Much slimy saliva, especially in back part of mouth.
Aphthous and denuded spots in skin and flesh of mouth, preceded by burning pain and rawness.
Mouth very sore, parched and dry, and tongue somewhat swollen and covered with blisters on each side.
Cannot swallow food after masticating it, because it rests on back part of tongue and produces a thrilling pain there. θ Cancrum oris.
Nursing sore mouth ; swelling of tongue and lips, particularly lower lip ; redness and burning sensation of tongue and lips ; redness and swelling of gums ; at times, dry, shining appearance of inflamed surface, at others the parts were moist with increased secretion
of saliva on lower lip, small white spots soon coalescing, and forming a continuous white patch ; ulcers on sides of tongue ; finally nausea and vomiting, followed by loose stools ; loss of appetite ; inability to take food from extreme sensitiveness of mouth and tongue,
and distress at stomach after food had been taken ; emaciation ; debility ; at times profuse perspiration ; pale, sunken face.
Sore mouth in last stage of phthisis.
Syphilitic ulceration of mouth and throat.

Palate and throat

Throat and neck sensitive to slightest touch or external pressure ; everything about throat distresses, even the weight of the bedcovers.
If in evening on lying down anything touches throat or larynx, it seems as though he would suffocate and pain is much <.
Can endure nothing tight on throat ; nausea is at times caused thereby.
Pain in throat on taking hold of it, extending even to nape of neck, with sticking always on swallowing, and scraping on swallowing bread, as if everything was raw ; dryness of throat, without actual dryness of tongue.
Uvula elongated ; fauces purplish, swollen, ulcerated.
Uvula elongated, constant inclination to hawk and scrape ; hacking cough ; purplish hue of fauces ; tonsils but slightly enlarged ; emaciation ; face pale and haggard ; sleep interrupted ; appetite and strength
impaired ; feeling as if parts were swollen ; some soreness on swallowing and a frequent sensation as if a small crumb was lodged in throat. θ Chronic irritability of fauces.
Soft palate, roof of mouth and tonsils much swollen and bright red. θ Angina faucium.
Constant feeling as of something in throat to swallow.
Feeling of lump in throat ; suffocative sensation ; on swallowing, lump descends, but returns at once.
Sensation as of a lump in throat ; awakes from sleep distressed and unhappy, as if from loss of breath ; θ Hysteria.
Feeling of a ball in throat, or as if a button was stuck fast in pit of throat ; not perceptible on swallowing food, but on attempting deglutition, and during this it seems to rise and sink, as if it was turned around ; it always feels as if she could bring it up, but it will
not come ; must have whole neck bare.
Pain as if something lodged in right side, stinging ; lump moves towards stomach.
Spasmodic contraction of œsophagus.
Constant tickling in throat.
Something sticks in throat, causes a hemming, but will not loosen.
A great deal of phlegm in fauces, on opening mouth it forms big bubbles.
Much hawking up of mucus, which is excessively painful.
Fulness and soreness in throat. θ Tonsillitis.
Sensation of a painful contraction, as if tied, on attempting to eat. θ Angina faucium.
Feeling as if a crumb of bread remained sticking in throat, obliging her to swallow, somewhat > by hawking.
Sensation in throat as if a morsel had remained sticking on swallowing.
Feeling of a ridge in both sides of throat ; constant desire to swallow saliva ; sides of throat externally tender.
Feeling like a snake in throat, soreness in left side of throat, with choking like a ball ; dryness < after eating ; tickling and regurgitation of food ; eructations of wind ; stitch in right side when walking ; throat < by draught of air.
Spasmodic stricture on swallowing solids, causes a struggling "goes the wrong way", gagging follows.
Throat feels ulcerated on swallowing.
Constant pain swallowing empty, not swallowing food.
Difficulty of swallowing saliva, not food.
Liquids cause more difficulty in swallowing than solids, they escape through nose.
Cannot swallow sweet or acrid things. θ Syphilis.
Sensation of dryness in throat, with inclination to swallow.
Constant desire to swallow. θ Tonsillitis.
Much inclination to swallow, although it is very painful, with spasmodic contraction of throat ; < on left side and after sleep ; cannot bear any pressure about neck.
Pain in throat, extending to ears ; desire to swallow ; < on deglutition ; pharynx swollen, dark red.
Dryness in throat : without thirst, at night on waking ; sticking as with a thousand needles that threatens to suffocate her ; impedes swallowing.
Pain in small spot in throat at one side of larynx, somewhat posteriorly.
Throat and larynx painful on bending head backward.
On lying down, pain in top of throat.
Pain in left side of throat, extending to tongue, jaw and into ear.
Pains in throat, in connection with those in ears.
Sensitiveness of throat as if sore, as after taking cold, with pain in left side, < in evening.
Hawking of mucus, with rawness in throat, after a nap in daytime.
Much phlegm in fauces, with painful hawking.
Everything seems raw in throat.
Burning sensation of swelling ; dryness in throat.
Constriction, dryness, stinging and great rawness of throat, especially of pharynx and larynx, with chills and rigors. θ Pharyngitis.
Mouth and throat get so dry that the act of trying to moisten them, after sleeping, with make patient scowl and cause tears to start. θ Typhoid.
Sudden feeling as if a fishbone had struck in throat, and some days after felt with increasing discomfort as if a sponge was hanging in throat ; seemed to impede breathing, felt as if he could hawk it up, but attempt gave pain and did no good ; felt as if there was a small, dry
spot from which pain extended to ear ; continual inclination to swallow, no pain on swallowing food but during empty deglutition and on applying external pressure ; when he presses throat feels as if eyes would spring out of head, and externally as if he had got a blow on
neck ; between sternum and glottis a throbbing, choking sensation ; throat > in morning, begins two or three hours after rising and continues till evening.
Feeling of obstruction in throat on swallowing, every other day, first on right side ; heat and smarting in left throat, with hoarse voice, every day about 11 P. M. ; < on waking in morning, goes off about 11 A. M.
Sore throat, with hoarseness, sensation like a lump in throat, inflammation very deep red ; slight cough.
Right tonsil first affected, then left.
Pain, especially in right side of throat, < by pressure, as if a thick substance was there, it feels very dry, no difficulty in swallowing solid food, but cannot easily swallow liquids, which get forced into nose on swallowing ; pains < when she
washes in morning and after sleeping in daytime ; pain > in afternoon, at this time throat trouble becomes so prominent, without being painful, as to prevent speech.
Rawness and difficulty in swallowing, with sensation of spasmodic stricture about throat. θ Epidemic pharyngitis and laryngitis.
Swallowing increases pain in ears or it sends pain into ears. θ Tonsillitis.
On attempting to swallow fluids pass through nose. θ Angina faucium. θ Tonsillitis.
θ Syphilis.
Chills and nausea, followed by hot flushes and terrible choking, as though some one was pressing his windpipe between thumb and fingers. θ Pharyngitis.
Pain in head, < by light, noise and heat ; eyes red and painful ; great pain in back and limbs, did not permit her to lie, stand or sit quiet, must change position frequently ; fever, with dry mouth ; sore throat on right side, with redness and swelling of right
tonsil, finally passing to l. side ; pain in limbs.
Soreness of throat, commencing on right side and passing to l., where it becomes fixed.
Boy, æt. 8 ; very sore throat, horrid pains all over head, back and front, so giddy could not stand, had to be carried from school, could not see letters in his look, fell against wall.
Pain in throat extends to ears, which feel stuffed.
Inflamed swelling left side of throat, extending over ear, threatening sphacelus.
Phlegmonous inflammation of throat.
Angina crouposa or nervosa with children or climacteric women.
Chronic angina with periodic exacerbations.
Children spit much saliva with sore throat.
Empty swallowing is agonizing. θ Angina.
Sore throat and mouth following scarlet fever ; almost total inability to swallow ; fluids swallowed easier than solids.
Feeling of large lump at back of throat ; sometimes feels as if some one grasped him by throat, causing feeling of suffocation ; nausea, retches as if to vomit up lump ; slight soreness of back of throat on swallowing saliva ; r. side of neck tender to touch ;
swallows saliva frequently, which makes lump seem to increase and rise higher ; feeling of pressure in middle of throat ; must clear throat before he can talk ; all symptoms < on waking in morning. θ Angina.
Inability to swallow, liquids being returned through nose ; fauces bright red, tonsils much swollen ; face pale ; small, hard and very frequent pulse ; complete aphonia, incessant effort to cry being heard only as a gasping sound ; great exhaustion,
head hanging loosely backward, could hardly move a limb ; mucous membrane of throat extremely pale and covered with white shreds of exudation ; dysphagia, apparently paralytic.
After catching cold, inflammation and swelling of tonsils ; velum palati and root of tongue inflamed ; salivation and fetor oris ; swallowing almost impossible, everything escaping through nose ; can hardly speak ; sensation as if throat
was filled with a lump threatening suffocation ; recumbent posture impossible ; no sleep.
Angina, sudden in onset, appearing every year, causing great pain and ending with suppuration of tonsils ; velum palati, uvula and posterior wall of pharynx red, swollen and inflamed, protruding from both sides ; constant desire to swallow, which is difficult.
Sensation of fulness and rawness in throat ; frequent desire to swallow, which causes pain, extending deep into ear ; fluids ejected through nose, with great fear of suffocation ; gums, tonsils and uvula dark red and swollen, latter looking as if squeezed and crowded
back ; large collection of mucus in mouth, which forms large bubbles when mouth is opened. θ Tonsillitis.
Fauces inflamed ; right tonsil swollen ; left tonsil first attacked. θ Tonsillitis.
Tonsils swollen, left < with a tendency to right ; inability to swallow, threatening suffocation ; or, on swallowing, pain shoots into left ear ; cannot bear anything to touch neck.
Swollen, congested tonsils, with yellow, small patches on each ; great difficulty to swallow, with pain on left side, shifting to right and upwards to ear ; heat and chills, alternating ; commencing to get < at 4 P. M. θ Tonsillitis.
Left side ; choking when drinking, fluids are driven out through nose ; < in P. M., after sleep, from slightest touch ; cannot bear bedclothes near neck. θ Quinsy. (Obs In
quinsy there is no remedy so often effective in breaking up the attack at its inception, nor in promoting resolution in its later stages. --C. Hering.)
Chronic enlargement of tonsils.
Sloughing ulcer in fauces, from an abscess in left tonsil.
Numerous white spots on pale red surface in left throat ; ulcers on mucous membranes ; both parotids much swollen, without much pain ; pulse frequent and hard.
Right tonsil swollen ; uvula elongated and clinging to right tonsil ; between the two a yellowish white, part liquid exudation, with no especial tendency to formation of membrane ; fauces red ; headache ; fever ; thirst ; painful deglutition ;
enlarged submaxillary glands ; distressing thirst. θ Diphtheritis.
Pale, distressed face, blue rings around eyes ; extreme prostration ; speech and deglutition difficult ; fauces pale red ; white shreds of exudation on fauces and roof of mouth ; also ulcers with white edges distinct from exudation patches. θ Diphtheritis.
Roof of mouth, tonsils and buccal cavity pale red ; tough, yellow white membrane on left tonsil.
Pain and soreness begin on left side of throat. θ Tonsillitis. θ Diphtheria.
Excessive tenderness of throat to external pressure. θ Tonsillitis. θ Diphtheria.
Aggravation by hot drinks ; liquids pain more than solids while swallowing. θ Tonsillitis. θ Diphtheria.
Face sickly, pale ; dark rings around eyes ; swallowing exceedingly painful ; speaking difficult ; weakness extraordinary ; fauces pale red ; white exudate on tonsils and velum, looks like ulcers of mucous membrane with white
edges ; mind depressed. θ Diphtheria.
Severe pain in forehead, changing to beating pain in vertex on assuming upright position ; dizziness on fixing eyes on any spot on wall ; severe pain in limbs, < about knees and elbows ; flesh sore, < moving limbs ; lassitude ; nearly faints on
rising ; tenderness and pain in epigastrium ; nausea, anorexia, tongue coated with yellow, dirty fur ; unpleasant taste ; tonsils swollen ; patches of diphtheritic membrane half an inch wide, dirty grey color, on tonsils and extending down out of sight ; began
on left side, which is most painful, < after sleeping or talking ; skin at times hot and dry, at other times moist ; pulse 90. θ Diphtheria.
Constant delirium, changes rapidly from one subject to another ; talks, sings, or whistles constantly ; makes odd motions with right arm, as if reaching for something ; throat filled with membrane of dark color, which developed from left to right ; no sleep for
seventy-two hours, but during last twelve hours has occasionally fallen into a light sleep, which was followed by aggravation of all symptoms ; badly smelling stools ; urine high colored and of strong smell ; body covered with bluish red eruption, round and elevated. θ Diphtheria.
Inflammation and membrane beginning on left side ; external swelling of throat ; unbearable fetor ; besotted expression ; temperature 104 to 105 degrees ; pulse 140 ; epistaxis, several times a day, of venous blood ; diarrhœa of blackish feces ;
could drink nothing hot ; constant muttering delirium ; discharge of yellowish mucus from nose, left nostril first. θ Diphtheria.
Sore throat, hurts to swallow, with difficulty in swallowing ; fluid ; fluid runs out through nose ; dislike to have throat touched or examined ; flushed face ; quick pulse ; breathing oppressed ; membrane commences on left tonsil and pharynx, extending
to uvula and right side. θ Diphtheria.
Violent pain in throat, swollen tonsils, fever, heat ; considerable exudate in choanæ ; in sneezing a tough, skinny substance is blown out of nose. θ Diphtheria.
Diphtheritic deposits first show themselves on left tonsil, from there extending to right side and then spreading further ; neck is stiff, or external throat sore and quite tender to touch ; patient coughs and feels < when awaking from sleep ; expectoration very
difficult and scanty ; great loquacity, is only kept in check by hoarseness. θ Diphtheria.
Throat greatly swollen internally and externally ; discharge from nose and mouth of intensely fetid and excoriating fluid ; fauces covered with diphtheritic membrane ; pulse 110, small ; extremities mottled and livid ; swallowing almost impossible. θ Diphtheria.
Purplish appearance of mucous membrane of lips, buccal cavity and throat ; diphtheritic spot as large as a pin head on left tonsil ; tongue pointed and purplish ; pulse weak, 132 ; skin hot ; urine scanty, dirty colored and containing albumen ; bowels
constipated ; four days later submaxillary glands on both sides much swollen ; running of acrid secretion from nose and mouth ; diphtheritic stench ; throat and even lips covered with thick, grey membranes. θ Diphtheria.
Diphtheria ; membrane covering tonsils and posterior portion of throat ; considerable pain on swallowing ; pain < turning head, touching neck and on awaking from sleep ; sleep disturbed by dryness of mouth and a feeling as if he would suffocate.
Tumefaction of throat slight and redness of mucous membrane hardly noticeable ; diphtheritic deposits of two or three little patches hardly larger than a pin's head ; prostration of strength quite alarming ; pulse slow, feeble and compressed ; a cold, clammy sweat
frequently covered forehead and extremities ; breath fetid ; appetite gone ; patient passed with alarming rapidity into a completely asthenic condition-sometimes prostration quite considerable before local evidence of disease could be detected. θ Epidemic
diphtheria.
Diphtheritic patches in throat, spreading from left to right ; fetid breath ; < after sleep ; great debility, feeble pulse ; clammy sweat ; headache and faintness.
Purple livid color of affected parts, with dull, dry appearance and little swelling, also pain out of all proportion to amount of inflammation. θ Diphtheria.
Throat rapidly sloughed and presented a bluish hue.
Girl, æt. 8, throat greatly swollen internally and externally ; discharge from nose and mouth of an intensely fetid and excoriating fluid ; fauces covered with diphtheritic membrane ; pulse 110, very quick and small ; extremities mottled and livid ; swallowing
nearly impossible ; fetor almost overpowering. θ Diphtheria.
On left side of throat several white exudate spots ; mucous membrane pale red ; parotids swollen ; pulse frequent, hard ; great apathy ; somnolency, drooping eyelids.
Very difficult swallowing ; complete aphonia ; wheezing, hissing sound, in place of natural crying ; excessive weakness ; lets head hang ; scarcely lifts limbs ; fauces pale, covered with white exudate. θ Diphtheria.
Velum, tonsils and posterior wall of fauces pale red ; on l. tonsil tough, yellowish white exudate. θ Diphtheria.
Peculiar hard ache all over, in head, back and legs ; could not lie still, but constantly changed position. θ Diphtheria.
Membranous deposit in choanæ ; discharge of a skinny substance from nose when sneezing. θ Diphtheria.
A greyish ulcerative crust appeared first on tonsils, spread over arch of Amigdala into posterior nares, sometimes downward into larynx, causing strangulation. θ Diphtheria.
Tonsils swollen so that they almost meet, and covered with a tough, cheesy looking substance ; feverish and very low. θ Diphtheria.
Left tonsil one complete black slough, disease passing to r. side. θ Diphtheria.
Pulse 130 ; skin hot and dry ; face very red ; drowsy ; muttering delirium ; greyish membrane developed from l. to right θ Diphtheria.
Subjective symptoms much more prominent than objective ; complaints, especially swallowing, much more violent than one would suppose from extent of disease ; sensation as of foreign body in throat, with stinging extending into ear ; urging to swallow and desire to hawk up
something, with attacks of choking ; voice weak and hoarse ; cough, causing pain in throat, was restrained, therefore it sounded short and suppressed. θ Diphtheria.
Constitutional symptoms out of all proportion to local manifestations, prostration considerable even before any local evidences of disease could be detected. θ Diphtheria.
Diphtheritic inflammation of throat ; ulcers on tongue ; suppuration of glands of neck ; pleuritic, pericarditic and general dropsy in delayed desquamation, with great oppression ; urine almost black ; stools badly smelling ; fever < in afternoon. θ Scarlatina.
Sensibility of affected parts increased and their motility essentially diminished. θ Diphtheria.
After diphtheria speech disturbed, some words she could not articulate, because after a few minutes conversation a curtain seemed to fall down in front of her pharynx ; teeth feel as if wedged ; tongue feels scalded, cannot yawn because of sharp pain about root of tongue ;
if eating fast food stays in her throat ; pain over eyes and sore feeling in eyeballs.
Ulcers in throat : < in wet weather ; after mercury ; from syphilis ; extend into posterior nares ; throat dry, awakens choking ; soft palate full of cicatrices, with greenish yellow ulcers between ; pains shooting ; fetid breath.
Mercurial syphilis, with ulcerated sore throat, causing a constant provocation to cough, with retching ; painful deglutition ; regurgitation of drink through nose ; earthy, yellowish appearance of face, with small red bloodvessels shining through skin ; coryza, nose
sore ; terrible headache ; nightly pains in limbs. θ Syphilis.
Syphilitic phagedena of soft palate and fauces.
Gangrenous sore throat.
Secondary ulceration of throat, extending into posterior nares ; obstruction of nose ; offensive smell from mouth ; stinging and shooting pains in ulcers ; excessive dryness of throat, in spots ; throat feels entirely "parched
up" on waking ; touching throat produces sensation of suffocation ; sensitive to slightest movement of neck ; symptoms somewhat > after eating. θ Syphilis.

Appetite, thirst. desires, aversions

Hunger, cannot wait for food.
At one time good appetite, at another none at all.
Constant thirst, with dry tongue and skin.
Great longing for drinks, but afraid to drink, as it brings on a discharge. θ Diarrhœa.
Thirst insatiable, with disgust for drink.
At 10 o'clock every night, with urgent and unquenchable thirst, dryness in throat and mouth, can scarcely breathe for thirst, must continually moisten mouth ; drinking does no good and she dreads it ; fever begins with rigor on going to bed, and the heat continues till about 4
A. M., with intervals of shivering ; sweat toward morning ; tearing pain in temples during hot stage, with burning heat in epigastrium ; very sleepy day and night, but cannot sleep, except a little towards morning.
Desire : for oysters ; for wine and spirituous liquors ; for coffee, which agrees (dysmenorrhœa).

Eating and drinking

Generally improved when eating.
After eating : gnawing in stomach >, but returns in a few hours. θ Cancer of stomach.
After eating : vertigo, languor, drowsiness ; gagging and suffocating ; dyspnœa ; pressing, like a load in stomach ; stomach puffed ; eructations ; diarrhœa ; flashes of heat.
Craving hunger ; > after eating ; < after acid drinks ; constipation ; abdomen sensitive to weight of clothes ; flushes of heat ; flushes after eating, after mental or physical effort.
Better from eating fruit.
Fluids go down, but solids, even well chewed, cause a sensation of choking.
Complaints from wine or tobacco.
Worse from alcoholic drinks (except the snake bite).
Lachesis. (Lachesis Mutus.)

Hiccough, belching, nausea and vomiting

Eructations : affording relief ; amounting to vomiting ; before epilepsy ; at every menstrual effort.
Everything sours ; heartburn.
Always thirsty, but nausea after drinking. θ Itch.
Nausea after drinking.
Nausea : want of appetite in forenoon ; in attacks, weakness, even to syncope ; dyspnœa, palpitation, cold sweat ; nosebleed (typhus) ; with great flow of saliva (cholera).
(In sick :) Sick stomach, with terrible retching, but no vomiting ; great fulness in head, with a confused, half conscious feeling ; flashing before eyes ; numb feeling about head ; thinks she is going to die.
Vomiting : of bile or mucus ; of food ; in organic affections, with hardening of abdominal viscera ; of greenish matter ; renewed by slightest motion (cholera) ; of blood and pus.

Scrobiculum and stomach

Pit of stomach sore to touch.
Pressure in pit of stomach causes dull, stinging pain.
Tickling in pit of stomach causes tormenting cough.
Bloatedness of stomach, with belching of masses of wind.
Stomach bloated ; no appetite ; costiveness.
Violent pressure in stomach after eating, with feeling of weakness in knees.
Stitching extending from stomach to chest.
Feeling as though something was gnawing in stomach, though without pain ; followed by gnawing in both sides, extending across under ribs deep in abdomen.
Gnawing pressure > after eating, but returning as soon as stomach is empty. θ Cancer of stomach.
Cardialgia ; body stiffened from pain, came on slowly and passed off slowly ; brought on by overwork.
At every menstrual effort cardialgia.
Appetite at one time good, at another poor, sometimes such a gnawing that he can hardly wait for his meal ; after eating, vertigo, heaviness, lassitude, shortness of breath and heaviness in stomach ; smothered feeling in chest, stomach full of wind, must belch much, with
relief ; regurgitation of food ; when he cannot belch becomes deathly sick ; severe and annoying pressure in a small spot between epigastrium and navel, which takes away his breath, > by belching ; during day several attacks of nausea with shortness of breath, weakness
almost to loss of consciousness, palpitation of heart and cold sweat ; at night when in bed if least thing touches mouth or nose respiration seems interfered with and suffocation threatening ; sleep disturbed by dreams, frequent waking ; in morning heaviness and
dejection ; constipation ; pale and emaciated ; face grey, pale yellow ; after sitting, pain in thighs and stiffness of knees. θ Dyspepsia.
Dyspepsia, < as soon as he eats ; costive ; after mercury.
Cancer of stomach : gnawing pressure > after eating, returns in a few hours ; sensitiveness to contact, especially of clothes, with drunkards.

Hypochondria

Acute pain in liver, extending towards stomach.
Inflammation and chronic obstruction of liver, sensitive to pressure or touch.
Catarrhal affection of liver.
Abscesses in liver ; pain when coughing, as if ulcerated ; excessively offensive stools, whether formed or not.
Liver complaints : at climaxis ; after ague ; pain as if something had lodged in right side, with stinging.
Gallstones. (After Calcarea.)
Nutmeg liver ; cannot bear tight clothing, loosens jacket, arms molest ; contractive tightness in region of liver.
Cannot bear any pressure about hypochondria.
Contractive feeling in region of liver.
Ulcerative pain about liver.
Pain as if from suppuration under ribs.
Fulness and heaviness in region of liver, and at same time pain in left hypochondrium ; coppery taste in mouth ; hard morning cough.
Liver swollen and painful in anterior and superior aspect.
Sensation of coldness over whole body ; fainting spells ; pale, dirty yellow color of face ; appearance of suffering ; thick, yellow coating on tongue ; dryness of mouth ; great thirst ; bitter taste ; nausea ; diarrhœa ; great
debility ; nervous and despondent ; great aversion to talking ; climaxis. θ Bilious attacks.
Shooting pain in region of spleen, particularly on exercise by walking ; skin brown near region of stomach ; brown spots on hand ; constipation.

Abdomen and loins

Painful distension, flatulence ; can bear no pressure, the surface nerves are sensitive.
Abdomen distended and hard.
Is obliged to wear clothes, especially about stomach, very loose, they cause uneasiness ; even in bed obliged to loosen and pull up nightdress to avoid pressure ; dare not lay arm across abdomen on account of pressure.
Great sensitiveness to contact, especially to that of clothes. θ Cancer of stomach. θ Typhlitis.
θ Metritis.
Sensitive over lower abdomen, can scarcely allow her clothes to touch her. θ Melancholy after confinement.
Distension of abdomen, with gurgling and rumbling in bowels before diarrhœa. θ Typhoid fever.
Abdomen distended, much annoyance from flatulence.
Bloated abdomen. θ Mania. θ Megrim. θ Epilepsy.
θ Fevers.
Sensation of incarcerated flatus.
Feeling of emptiness in abdomen.
Pain as if something was lodging in right side ; stinging sensation ; sensation as if a ball was rolling from that side towards stomach.
Squeamishness in abdomen, alternating with facial neuralgia.
At a small spot between navel and epigastrium a sense of unpleasant pressure, taking away breath, > by eructations, an hour after a meal.
Three months after weaning a six months old child menses had not returned ; severe aching in small of back ; every two or three days acute colicky pains low in abdomen, resembling labor pains, coming at various times of day ; hard aching pain in uterus ; sinking,
fluttering feeling in epigastrium ; stools loose ; great sleepiness, constant desire to lie down, sleep in daytime < abdominal pains ; milk very thin before weaning.
Tearing pain in abdomen. θ Dysmenorrhœa.
Cutting pain in right side of abdomen throwing her into fainting fits ; painful distension of abdomen ; urging to urinate, but inability to do so except at long intervals.
Cramplike pains in abdomen, which feels hot. θ Dysentery.
Spasmodic colic, > by bending forward.
At times pains as if knife was thrust through abdomen.
Colic : stomach distended ; incarceration of wind, belching relieves ; pains change locality ; sensitive to light pressure ; with restlessness and fever.
Excessive griping, as though about to have diarrhœa.
Burning like fire in hypogastric and lumbar regions.
Coldness ; thirst ; abdomen very hot. θ Dysentery.
Abdomen hot and sensitive to touch ; painful stiffness from loins down into thighs ; scanty, turbid urine with reddish sediment ; strangury ; constipation ; must lie on back with drawn up knees ; especially in complications with typhilitis. θ Peritonitis.
Acute cutting, stinging pains, radiating from navel over upper portion of abdomen, excruciating from slightest touch as well as by motion, with tympanitic distension. θ Peritonitis.
Lies on back with knees drawn up ; tenderness, pain and swelling in region of cecum ; pain extending from right lumbar region through sacrum, through inguinal region and forepart of thigh, more especially when swelling is examined ; urine scanty, high colored ;
strangury ; bowels costive. θ Inflammation of cecum.
Strangulated umbilical hernia ; sloughing.
Tenderness in left iliac region, intolerance of pressure.
Ileo-cecal region very sensitive to touch ; after great straining discharges a mass of croupous exudation. θ Chronic intestinal catarrh.
Threatened gangrene in strangulated hernia ; skin covering hernial tumor mottled and dark ; pain across abdomen ; contractive sensation in abdomen ; cutting, lacerating, burning pains ; hernia exceedingly sensitive, will not admit handling.
For years violent pains over right groin, drawing from ovary to uterus ; pus passing with stool.
Violent pain of long standing in right groin, extending either towards genital organs or upwards towards liver or chest.
Extreme nervous debility ; great fear of death ; hopeless of recovery ; despair of salivation ; desire to pick her fingers raw, or arms, or face, or pick threads from shawl, clothing, etc. ; menses delayed, with general aggravation of symptoms ; always <
every four weeks for four or five days ; fibrous tumors, size of orange, in left groin.
Contraction of psoas muscle, drawing knee towards abdomen ; hectic fever. θ Bubo.
Large hard swelling, with fistulous openings in inguinal region, extending towards abdomen ; hectic fever. θ Bubo.
Long lasting, suppurating buboes of mercurio-syphilitic origin.

Stools and rectum

Tormenting urging, but not to stool.
Wants to pass stool, but pain is so increased thereby, he must desist.
Fetid flatus.
Very offensive stools, whether formed or not.
Sensation as if feces ascended to chest. θ Puerperal fever.
Stools : fetid ; cadaverous smelling ; frequent ; corrosive ; purulent ; thin ; pasty ; bloody, watery ; watery, light yellow, fecal ; dark, chocolate colored ; of decomposed blood, looking like charred straw ; mixed blood and
slime ; < at night, after acids ; during warm weather ; thin, offensive ; thin, slippery lumps ; involuntary.
Sudden diarrhœa, with great urging, about midnight, thin, pasty, excessively offensive, ammoniacal.
Diarrhœa every evening for a week, preceded by transient pain in rectum, followed by throbbing as with little hammers, in anus.
Watery stools, with burning in anus, in evening.
Painless, brownish yellow diarrhœa, smelling like carrion ; fluid mixed with small fragments of feces, like millet seeds ; diarrhœa brought on by least quantity of food ; had eighteen to twenty stools during night ; tongue red and dry ; longs for drinks, but is
afraid of aggravation it causes of the diarrhœa ; sleep restless and full of dreams ; hands shriveled and cold ; slight twitching of hands ; despondent ; speech affected (sermo abdominalis) ; great emaciation and prostration, cannot sit up in bed without
assistance.
Great inclination for acids ; discharges black and frothy ; sometimes vomiting of bile in morning.
Chronic diarrhœa, with gnawing and pressure in pit of stomach. θ Syphilis.
Diarrhœa : of mixed blood and slime in warm weather, < by acid fruits ; < at night and after sleep ; with frothy urine ; a few days before or after catamenia, with colic ; during climaxis ; of drunkards, with languor and
exhaustion, very excessive in hot weather and with large hemorrhoidal tumors, which protrude after each pappy, offensive stool, with constriction of sphincter and continued desire to evacuate.
Stool and urine involuntary. θ Fevers.
Hemorrhage from bowels ; decomposed blood. θ Typhus.
Flakes of decomposed blood, having form and appearance of perfectly charred wheat straw, in longer or shorter flat pieces, portions more or less ground up.
Discharges have a penetrating, fetid smell and assume a purulent character ; great heat of abdomen. θ Summer complaint.
Discharges chocolate colored, of a cadaverous smell ; during evacuation burning in anus ; cramplike pain in abdomen ; coldness ; thirst ; abdomen very hot ; tongue red and cracked at its point, or black and bloody. θ Dysentery.
Could not protrude tongue, which caught on teeth ; during a nap, restlessness, dyspnœa, distress and then stinking stool. θ Dysentery.
Dysentery ; shivering without coldness.
Vomiting renewed by slightest motion, and nausea attended by great flow of saliva. θ Cholera.
Painful straining, with discharge of croupous exudate.
Pressive pains in umbilical region ; violent gripes, with contracted abdomen, or abdomen hard and tympanitic ; fetid stools. θ Enteritis.
Chronic intestinal catarrh.
Soft stools of bright yellow color.
Alternate diarrhœa and constipation.
Costive, ineffectual urging ; anus feels closed ; stools offensive.
Long lasting constipation with pressure in stomach and unsatisfactory belching.
Stools : scanty, greyish, like potter's clay ; hard like sheep dung ; hard and difficult ; frequent and hard ; hard, scanty and insufficient.
Constipation with black tongue and lips. θ Scarlatina.
Constipation without other symptoms.
Feeling of unhappiness on awaking ; sensation of constriction of anus. θ Constipation.
Absence of stool in persons suffering from hydrothorax.
Weight, fulness and pressure in bowels, with much flatulence. θ Chronic constipation.
Constipation, with ineffectual effort to evacuate.
Costiveness, with very hard stools, between catamenia ; stool omitted twenty days. θ Angina syphilitica.
Stools in pieces, frequent, yellow, orange, sometimes tinged with blood. θ Gastric nervous fever.
Long lasting costiveness, with pressure in stomach and unsuccessful eructations.
Chronic constipation in a young lady, of ten years' standing, was obliged daily to use warm injections ; weight, fulness and pressure in bowels, accompanied with a good deal of flatulency.
Fecal obstructions ; intusussception threatening sloughing.
No stool nor urine. θ Metritis. θ Puerperal fever.
Before stool : rumbling ; ineffectual urging ; constant and very painful pressure in rectum, without stool ; constriction in rectum or sensation of plug in anus.
During stool : cramplike pain in abdomen ; burning in anus ; tenesmus ; pain as if sphincter was torn with effort ; tearing pains in rectum from below upward and backward, to point of producing eructations ; feces remain at anus ; aggravation of pains,
so that it is necessary to cease all efforts.
After stool : burning at anus ; tenesmus ; protrusion of large hemorrhoidal tumors, with constriction of anus and continued desire for stool.
Child always awakens in distress. θ Diarrhœa.
Stool lies in rectum, without urging.
Full feeling in rectum, and a sensation of little hammers beating. θ Fistula in ano. θ Climaxis.
Rectum prolapsed and tumefied.
Burning, cutting pains in rectum, < while standing morning till afternoon.
Constant and painful pressure in rectum, without stools.
Beating sensation in rectum ; throbbing. θ Stricture of rectum.
Stitch in rectum or hemorrhoids when coughing or sneezing.
Uneven or tuberculated and indurated mass, surrounding and protruding from anus, through centre of this mass was an irregular, ragged and ulcerated fissure (the outlet from rectum), from which issued a sanious mucous discharge ; stool almost impossible on account of obstruction and
pain ; soft and yielding tumors (hemorrhoidal) nearly filling rectum, as far as touch extended ; constant throbbing with itching, shooting and burning in affected region ; all symptoms < after sleep ; had been diagnosticated as scirrhus of anus and rectum. θ Affection
of anus and rectum.
Piles for four years, came on first month of pregnancy ; discharge of mucus, excoriating passage ; sore, burning pain after every evacuation ; very irritable nervous system ; craving for pickles ; acrid waterbrash.
Piles protruding or strangulated, or, with stitches upward at each cough or sneeze. θ Climaxis. θ Drunkards.
Hot, bleeding hemorrhoidal tumors.
Hemorrhoids : with scanty menses ; in climacteric years.
Drawing pains from anus to umbilicus.
Spasmodic pains in anus internally, short time before and after stool.
Visible spasmodic tenesmus in paroxysms, from two to five minutes, extorting cries, passes blood and mucus.
Itching at anus, < after sleep.
Anus feels closed ; sensation of a plug.
Painful constriction of anus, following prolapsus of rectum.
Fistulous abscess opened near anus. θ Scarlatina.
Lachesis. (Lachesis Mutus.)

Urinary organs

Stitches in kidneys, extending downward and apparently through ureters. θ Cystitis.
Pressure upon bladder ; dull pain.
Feeling as of a ball rolling about in bladder or abdomen, when turning over. θ Uterine displacement. θ Cystitis.
Discharge of offensive mucus during micturition. θ Catarrh of bladder.
Ineffectual urging to urinate ; burning when it does pass.
Urgent desire to urinate, with passage of much urine.
Frequent micturition, urine scanty, dark brown, turbid.
Violent burning when passing urine. θ Angina syphilitica.
Painful pressing and burning when making water.
Dribbling after urinating.
Constant sticking and cutting in forepart of urethra.
Urine of strong ammoniacal odor, involuntary ; lying on back. θ Gastric nervous fever.
High colored urine of strong smell. θ Diphtheria. θ Scarlatina.
Urine dark, with a brown, gravely sediment, passing with a sharp, cutting pain.
Urine : almost black ; frequent, foamy, dark.
Urine like coffee grounds. θ Scarlatina.
Urine dark or scanty, as in typhus. θ Diphtheria.
Black, scanty urine, with œdema, after scarlatina.
Urine red and hot. θ Angina faucium.
Scanty urine with red sediment. θ Typhlitis.
Urine heavily loaded with albumen.
Albuminuria with hydrothorax and dropsical enlargement of left side and leg.
Strangury. θ Typhlitis.
No urine, no stool.
Urine almost suppressed. θ Scarlatina.

Male sexual organs

Great excitement of sexual desire.
Epilepsy after suffering by lewdness, or morbid excitement of sexual organs, onanism, frequent emissions of semen, or jealousy.
Impotence.
Nocturnal emissions, with thrill of delight.
Excessive sexual desire, constant erections at night ; emissions, with profuse night sweats ; cheerful disposition and feeling of ease on awaking, succeeded by increased mental concentration ; semen has a pungent smell.
Sore pain in urethra, in forepart of penis.
Indurated foreskin, after chancres.
Mercurial syphilitic ulcers on penis.
Scrotum swollen to enormous size. θ Scarlatinal dropsy.
Sycotic ulcers, with bluish areola.
Paraphimosis when constriction causes gangrene, or threatened gangrene, eruption on glans and mons veneris.
Gangrene of glans.
Phagedenic chancres.
Buboes : with sore throat and headache ; indurated or with fistulous openings and hectic ; after mercury ; suppurating a long time.

Female sexual organs

Sexual desire excited to the highest pitch ; perfectly insatiable ; luxurious convulsive thrills run all through her.
Tickling and jerking extending from thighs to genital organs. θ Nymphomania.
Ovarian neuralgia, particularly left side ; tensive, pressing, burning or stitching pains.
Frequent, troublesome, drawing pain in right ovarian region, from near hip bone down to os pubis, sometimes burning. θ Swelling of right ovary.
Pain in right ovarian region increasing more and more until relieved by a discharge of blood. θ Climaxis.
Terrible pain in right ovarian region, with swelling.
Induration and suppuration of ovaries.
Right ovary size of a fist ; 1 1/2 inches thick, painful when pressed, attached to uterus by a string as thick as a finger.
Sharp, shooting pain in left ovary ; constipation ; feels < in morning and after sleep. θ Ovaritis.
Tensive, pressing pains and stitches ; inability to lie on r. side, on account of sensation as if something was rolling over to that side ; swelling of ovary ; suppuration ; l. side. θ Ovaritis.
Painful, oblong swelling and induration in right ovarian region, < by moral emotions, rapid movements, prolonged walks and overexertion. θ Uterine displacement.
Ovarian tumors ; left ovary first affected, tending to right.
Swelling, induration, tumors, neuralgia, suppuration, etc., of left ovary.
Menses irregular, dark, dirty looking and offensive ; looks like a pregnant woman at ninth month ; abdomen hard, some parts more so than others ; in left ovarian region and directly under navel, extending up to stomach, very hard, as though
fibrous, all other sections tense and more or less painful ; at times dyspnœa and wheezing almost approaching suffocation ; tongue red and glazed ; appetite fickle ; great thirst ; scanty, high colored urine, with hematin and ten per cent. of albumen ;
constipation, with occasional discharge like horse dung in size, causing pain and weakness from which she would not recover for half a day or more ; constant malaise. θ Sacculated ovarian
disease.
Uterine and ovarian tumors, with profuse and prolonged menses ; great sensitiveness of lower abdomen ; severe, aching pain, anteriorly, in thighs, in branches of anterior crural nerve.
Uterine region feels swollen, with bear no contact, not even of clothing ; bearing down pains.
Pains like a knife thrust into abdomen.
Uterus feels as if os was open.
(In sick :) Genital parts much distended, swollen and red, everything seemed to be rolled out and mouth of womb open ; nymphomania.
Labor-like pains as if everything would issue from vulva, followed by a slight discharge of blood.
Menstrual colic beginning in left ovary.
Sensation as if pains from uterus and abdomen ascended towards chest.
Pain in uterine region as if swollen ; displacement.
Violent, labor-like pressing from loins downwards during menses, which are scanty. θ Displacement.
Pains in uterine region, increase at times more and more till relieved by a flow of blood from vagina ; after a few hours or days the same again, and so on.
Uterus does not bear contact and has to be relieved of all pressure ; frequently lifts clothes, they cause an uneasiness in abdomen, no tenderness.
Womb enlarged, retroverted, hot and sensitive to touch ; os open and sensitive ; menses irregular ; fundus found to be larger posteriorly.
Chronic metritis : with hypertrophy ; menses too scanty and difficult : soreness about pelvic region. (Complemented by Nitr. ac.)
Congestion of womb with prolapsus.
Displacement in connection with or in consequence of change of life.
Prolapsus during climaxis, with flashes of heat, hot vertex ; metrorrhagia and fainting ; pain in left hypogastric and ovarian region.
Chronic uterine catarrh, staining linen, rendering it stiff, accompanied by a severe pain in lumbar region. θ Sterility.
Uterine cancer, developing at climaxis, or as a consequence of change of life ; pains increase rapidly, until relieved by profuse discharge of blood ; violent pains, as if a knife was thrust through abdomen, which has to be relieved of all pressure.
Uterine hemorrhages of the menopause.
Menses : suppressed at regular time, but too short and feeble ; scanty, with labor-like pressure from loins downwards ; irregular ; scanty, blood black ; late, scanty and difficult ; every two or three months, then profuse ; reappearing during
climaxis ; blood lumpy, black or acrid.
Tenacious and acrid menstrual flow, with labor-like pains. θ Cancer of uterus.
Menorrhagia with chills at night, flashes of heat by day.
Amenorrhœa : the smaller the discharge the greater the pain ; with vertigo, headache and bleeding from nose ; with pain in stomach, chest and eructations at every menstrual time ; swelling in region of left ovary.
Persistent congestions at menopause.
Nosebleed and cardialgia instead of menses.
Strangulation of prolapsed vagina, parts deep purple.
Erectile tumors ; hemorrhage vicarious ; pain < until > by flow of blood ; if bleeding returns ; pain returns.
Fistula vagina ; gangrene.
Before menses : desire for open air ; vertigo ; nosebleed ; labor-like pains, < in left ovarian region ; bruised feeling in hips ; > when flow begins ; sudden attacks of cardialgia ; oppression or spasms of chest ; eructations ;
diarrhœa, with violent straining ; colic, with sense of malaise ; nervous distress ; mucous sediment in urine ; leucorrhœa three days before, discharge copious, smarting and slimy, stiffening linen and leaving a greenish stain ; pain in back, with abdominal cramps
and throbbing headache.
The day before catamenia irresistible desire to go in open air and run about. θ Dysmenorrhœa.
Menstrual colic on first day of catamenia.
Labor-like pains with catamenia.
During menses beating in head and burning in vertex ; labor-like pains, as if everything was being pressed out, followed by a slight show ; uterus feels as if os was open ; violent pains first day in small of back and abdomen ; tearing
pain in abdomen ; bruised feeling in hips ; > as flow becomes free ; violent cramps in bowels as if cut with knives ; pressing pains from loins to privates ; uterine pains running up ; colic beginning in left ovary ; toothache < in proportion to
diminution of flow ; fainting in nervous women ; cardialgia, oppression of chest and eructations ; ovarian pain ; discharge of blood or mucus from anus ; epilepsy <.
Jealous disposition ; craves coffee and feels > after drinking it ; ulcers on legs with a purplish circumference. θ Dysmenorrhœa.
With menses a throbbing in rectum and violent pains ; greatly troubled with wind ; slime passes, sometimes blood as from an ulcer ; pressure ; feels as if a stricture was there.
Catamenia flow but one hour every day, on stopping, violent pains follow in region of left ovary, alternating with gagging and vomituritio. θ Dysmenorrhœa.
Dysmenorrhœa of eighteen years' standing.
After menses : diarrhœa ; common, acrid leucorrhœa ; palpitation, with pain, as if heart was hanging by a thread, and every beat would tear it off.
Leucorrhœa : from three to eight days before menses ; green or thick yellow ; copious, smarting, stiffening linen, staining it greenish, milky.
Redness and swelling of parts, with mucous discharge.
Fungus hematodes on right mamma as large as a peony ; blood poured out all over it as from a sponge.
For last four years stitching and cutting pains in left breast, more or less severe, but always < before, during and after menses ; at first pain limited to affected part, but finally extended to left axilla, and thence down arm to hand ; peculiar painful sensation of
weakness and lameness in left shoulder and arm, < using arm ; occasionally l. mamma and arm become so painful that use of latter becomes impossible, and she is compelled to lie down ; on examination no visible swelling, but upon pressure with finger a three-lobed tumor, each
lobe about as large as a pigeon's egg, can be detected lying about two inches above and somewhat to left side of nipple ; tumor movable and painful to pressure ; examination causes pain which extends to shoulder and down arm, lasting 5-6 hours ; shoulder and arm sensitive to
pressure, the pain extending back into mamma ; pale and emaciated ; menses regular, lasting 3-4 days, with much pain on first day and day previous to their appearance ; chronic fluor albus.
Breast has a bluish or purplish appearance ; chills at night and flushes of heat by day.
Cancer having bluish or dark base, interspersed with black streaks of coagulated or decomposed blood.
Cancer of breast, with lancinating pains.
Scarlet, shining, herpetic, eruption, under mamma, < from scratching ; odor offensive.
At menopause ; flashes, hot vertex ; metrorrhagia ; fainting ; uterine displacement ; cancer ; capillary circulation affected.
Suitable at beginning and close of menstruation.

Pregnancy. parturition. lactation

Persistent vomiting in pregnancy, occurring late in afternoon and evening.
Convulsions commenced on left side, in face, and continued longer, and were more severe about neck and throat than elsewhere ; sixty-five distinct convulsions. θ Puerperal convulsions.
Violent convulsions in lower limbs, with coldness of feet, stretching backward of body, and screaming ; puerperal.
From sunstroke two years previous to confinement had been ever since in bed ; two hours after delivery convulsions ; after twelve hours comatose, great heat in occipital and cervical regions ; mouth dry ; pulseless.
Face turgid ; mouth filled with foam and blood ; jaws convulsively set, tongue shockingly lacerated ; pulse full and hard ; respiration irregular ; complete coma interrupted by frightful convulsions ; sudden and forcible protrusion of tongue. θ Puerperal
convulsions.
Face livid, bluish ; abdomen swollen ; urinary and fecal evacuations suppressed ; lochial discharge thin and fetid ; unconsciousness with violent chills daily. θ Puerperal
peritonitis.
Lochial discharge thin, ichorous ; tympanitis. θ Metritis.
Phlegmasia alba dolens.
Pains in ovaries after confinement.
Sore mouth of nursing women, edges of tongue red and cracked, with smarting and aching pains.
Lancinating pains in mamma ; pains down arm ; breast bluish, with blackish streaks. θ Mastitis.
Breast has a bluish or purplish appearance ; chills at night and flushes of heat by day.
Thin, blue milk discharging involuntarily ; child does not want to nurse ; after child has sucked awhile milk becomes natural in color.
Milk thin, blue ; she awakens sad, despairing.
Mamma swollen ; nipples swollen, erect ; painful to touch.
Extreme sensitiveness of nipples.

Voice and larynx. trachea and bronchia

Loss of voice caused by paralysis or œdema of vocal cords.
Paralysis of vocal cords, particularly the left.
Unable to utter a loud word for a week ; a spot tender to touch on anterior portion of neck. θ Menstrual irregularities.
Aphonia in phthisis ; sputum tough and green.
Something hinders speech ; hoarse ; hawks constantly.
Hoarseness and cough ; heart beat accelerated by quick motion or after drinking beer.
Hoarseness ; rough, dry cough caused by scratching in larynx and trachea. θ Heart disease.
Increased hoarseness while speaking ; voice will not come because something in larynx prevents it, which cannot be hawked loose, though mucus is brought up.
Hoarseness, rawness, dryness ; larynx sensitive to touch.
Sensation as from a skin in larynx.
Feeling as of talons sticking into larynx, < by coughing.
Larynx sensitive to least touch, which causes suffocation ; feeling of a lump in throat.
Larynx and whole throat painful to touch.
Great sensitiveness of larynx ; hoarseness ; a thick lump is felt in throat, as from accumulated mucus. θ Chronic bronchitis.
Feeling of a small lump in pit of throat, like a button ; feels as if it might loosen, but does not.
Larynx and throat painful on bending head backward.
Pain in pit of throat extending to root of tongue and to hyoid bone, and to left tragus, behind which it shoots out ; painful to touch.
Feeling as if something was swollen in pit of throat and would suffocate him ; it cannot be swallowed ; soreness in throat.
Constriction, dryness, stinging and great rawness of throat, especially of pharynx and larynx, with chills and rigors. θ Epidemic pharyngitis.
Larynx swollen, sore, raw, scraping, somewhat also on pressing upon it ; at same time is obliged to swallow.
Catarrh, with little secretion and much sensitiveness ; dry cough, coming from sense of tickling in larynx, provoked by deep inspiration, speaking and pressure ; sense of fulness in trachea and painful aching in os hyoides. θ Laryngitis.
Chronic affections of larynx, where parts, without being actually inflamed, are very sensitive ; hoarseness ; sensation as if a large mass of mucus had accumulated in throat.
Impending croup during diphtheria ; awakens suffocating, grasps throat ; fears he is dying.
Croup < after sleep ; seemingly sleeps into croupy spell.
Child seems as if it would choke while sleeping ; breathes > after waking. θ Croup.
Awakened from sleep, apparently in a dying condition. θ Membranous croup.
Croup in children subject to inflammatory rheumatism.
Child arouses with a paroxysm of choking, almost loses its breath, and sometimes goes into convulsions. θ Croup.
Membranous croup, last stage ; membrane coughed up in pieces like a glove finger ; very sore throat.
Membranous croup with diphtheritic sore throat, or malignant scarlet fever ; breath very offensive ; glands of neck swollen ; soreness of neck to touch.
Suddenly something runs from neck to larynx, stopping breathing, it awakens him at night. θ Spasmus glottidis.
Constriction of larynx, attended with dryness of whole throat and mouth, invariably after sleeping.
Nightly attacks of spasm of glottis after first sleep ; suffocation and livid face ; during day sensation of foreign body in throat, with difficulty in swallowing.
Paroxysms recur as often as child gets into a sound sleep. θ Laryngismus stridulus.
(In sick :) Frightful gasping or grasping at larynx, almost suffocated at night in an attack ; she thought she was dying from inability to breathe ; rolling from side to side in bed.
Sensation as if something was in trachea which might be raised, comes partly up and then goes back again.
After attack of influenza dry, harassing, concussive cough ; < after sleep. θ Bronchial catarrh.
Mucous membrane of nose thickened ; much sneezing ; dry, stuffed feeling through whole front part of head ; gradually passing to fauces and chest ; constant dry, short cough, night and day, sitting, lying or walking ; wheezing breathing ; face red and
puffed ; eyes seem almost pressed out. θ Bronchial catarrh.
Cough excited by even light pressure on larynx, or as soon as he falls asleep, often with choking, as if suffocation was inevitable ; after a long, dry and wheezing paroxysm of cough there is suddenly a profuse expectoration of frothy, tenacious mucus, which gives great relief. θ Chronic
bronchitis.
Continued fever, < at night ; pulse 150 ; respirations 70 per minute ; red spot on one cheek, frequently changing sides ; left lung impervious to air ; constant cough, < at night ; later right lung affected ; uneasy and restless ; throws
itself in all positions in efforts to breathe ; face dark ; constant spasmodic cough with labored breathing ; on falling asleep for a few moments throat became so dry that a condition like croup came on, and all suffering increased. θ Bronchial
catarrh.
Can only breathe in upright position, and that with great labor ; thickening of mucous membrane seems to fill lung completely ; constant cough from titillations behind sternum, seemingly at bifurcation of trachea ; no expectoration, yet chest seems full of fluid when
coughing. θ Bronchial catarrh.
Dry cough, squeaking rale and aphonia ; external throat sensitive to touch ; soreness, tenderness, sensation of weight in left ovarian region ; < after sleep ; pale, scanty menses, with loss of sexual instinct. θ Bronchitis.
Bronchial attacks in subjects of cyanosis and cardiac disease.
Lachesis. (Lachesis Mutus.)

Respiration

Constantly obliged to take a deep breath.
Desperate fits of suffocation, must sit up in bed ; cutting pain in abdomen.
Obliged to sit up and lean right side against a pillowed rocking chair that pain in left chest with dyspnœa, night be > ; frequent small pulse ; diminished strength of heart's action ; could not bear neck and waistbands fastened.
Difficulty of breathing > when sitting bent forward ; < when talking and after eating.
Oppression and want of breath : < when walking and after spirituous liquors ; heart disease ; at every menstrual effort.
Shortness of breath and suffocative attacks caused by touching larynx and < on moving arms.
The least thing coming near mouth or nose interferes with breathing ; lying in bed at night slightest covering over mouth or nose produces suffocating dyspnœa.
In morning when sitting up quickly, breathing slow, difficult, whistling. θ Asthma.
Oppression of chest during sleep.
Lays hand upon upper third of sternum and declares she cannot get her breath below there.
Chest stuffed as it were ; cannot lie down from a sense of suffocation and must open doors and windows to obtain air ; a suffocating short cough, with scanty and difficult expectoration ; head must always be high, and she generally rests in on her hand.
Great dyspnœa, < in afternoon and after sleep ; left side ; badly smelling stools even it formed. θ Pneumonia.
Chest feels constricted.
Suddenly something runs from neck to larynx and interrupts breathing completely ; it wakens at night. θ Spasmus glottidis.
Cannot sleep, as soon as he falls asleep breathing is immediately interrupted. θ Acute rheumatism.
Suffocating fits, waking from sleep with throwing arms about ; cyanotic symptoms ; swelling of liver ; black urine. θ Hydrothorax.
Awakes with fear of suffocation in middle of night.
During heat as of orgasm of blood he is obliged to loosen clothes about neck ; sensation as though they hindered circulation of blood, with a kind of suffocative feeling.
Asthma : < from covering mouth or nose, touching throat, moving arms, on awaking, after eating or talking ; > sitting bent forward.
Sharp pain through lungs, great dyspnœa ; < sitting erect, or lying down, > bending forward and throwing head back ; feeling of intense constriction in all parts of chest, as if lungs were being pressed up into throat, causing extreme agony,
so that she despaired of life ; feeling as though heart a cord was tightly tied around neck ; must loosen clothes at neck and epigastrium ; at times sensation as though heart turned over and ceased beating for a moment, then commenced again with increased force ; lung
seems full of mucus, yet none can be raised ; face almost purple during paroxysms.
Œdema pulmonum ; emphysema.
Threatening paralysis of lungs, greatest difficulty in breathing with long lasting attacks of suffocation.
Hay asthma.
Itching disappears, she is very short of breath and full of anxiety. θ Itch.

Cough

Constant dry, hacking cough. θ Ovaritis.
Dry, hacking cough, caused by touching throat or in morning after sleep.
Every contact with open air causes a violent tickling cough, accompanied by expectoration of mucus.
Fluttering, nervous, slight cough, apparently excited by a tickling in larynx.
Cough caused by pressure on larynx or by any covering on throat ; by a tickling in pit of throat and sternum ; when falling asleep ; from ulcers in throat.
Cough, with rawness of chest, difficult expectoration and pains in throat, head and larynx.
Constant titillation in throat inducing cough ; constant hawking going on to empty retching, without nausea ; seldom any expectoration, but when there is it is brought up with extreme difficulty and at risk of suffocation.
Crawling in ulcers, irritation to cough. θ Angina syphilitica.
Short, gagging, very fatiguing cough from tickling in pit of throat, cannot get anything loose.
Frequent attacks of short cough from tickling in pit of stomach, dry during night ; difficult, sometimes watery, salty mucus, which has to be swallowed again.
Cough : < during day ; after sleeping ; changes in temperature ; alcoholic drinks ; acids and sour drinks.
Short, superficial, tickling cough, very exhausting, sometimes causing vomiting ; difficult expectoration of thin, tough mucus, or thick, roundish lumps ; often coughs, hawks, spits, without bringing up anything ; coughs only during day ; cough in open air and after
speaking, which seems to make everything dry ; in damp weather and after eating fish ; cough seems to originate in epigastrium, where it produces a tickling sensation and severe pain.
(In sick :) Superficial, nervous cough from tickling in larynx, at 9 P. M. until going to bed.
Cough after rising from a lying position.
Cough during sleep, without being conscious of it.
Bronchial cough, < after sleeping.
Cough after sleep ; breath fetid ; complete loss of appetite.
Dry cough, squeaking rale and aphonia ; throat sensitive to touch ; soreness, tenderness, sensation of weight in left ovarian region ; < after sleep ; pale, scanty menses, with loss of sexual instinct. θ Bronchitis.
After influenza, dry, harassing, concussive cough ; < after sleeping, lasting all Winter and following Spring.
After occasional attacks of hæmoptysis, dry, sore cough, < at night and in early morning, and also by reclining. θ Phthisis pulmonalis.
Cough as if some fluid had gone into wrong passage.
With every cough feeling as of an ulcer in stomach.
Gagging, persistent cough, from tickling in throat, under sternum, or in stomach ; < on falling asleep or during day, from change of temperature and alcoholic drinks.
Hard, racking cough and profuse expectoration. θ Hepatitis.
Child coughs in evening on lying down, afterwards during sleep, sometimes awakened thereby ; faint and weak.
Cough most during day.
Cough excited by increased secretion of fluid in larynx.
Feels pretty well when she gets up ; thinks she will be able to do a good day's work, until 11 A. M., when she becomes weak and faint ; tongue sore across middle from side to side, and beats ; throat seems to swell and beat ; fits of coughing, expectoration of
tenacious mucus ; > after two o'clock ; perspires at night, starts up suddenly with choking ; cannot bear bonnet strings tied tight ; no appetite ; flatulence ; to be costive ; > out of doors and when moving about.
Coughing or sneezing causes stitching pains in affected parts. θ Cancer of uterus.
Sympathetic cough of cardiac affections.
During cough : tension in head ; pains in epigastrium, abdomen and anus ; burning in chest ; ulcerative pain above and along ribs ; stitches in chest ; running of water from the mouth ; vomiting ; discharge of
urine ; pain in hemorrhoidal tumors.
Constant provocation to cough, with retching and gagging.
With every single cough a stitch in hemorrhoidal tumor.
Pain in anus when coughing or sneezing.
Cough with hoarseness.
Paroxysms of suffocating, spasmodic cough, with tickling in larynx.
Dyspnœa and cough, with slimy, blood streaked, very copious sputa. θ Gastric nervous fever.
Sharp pain through lungs with great dyspnœa ; < sitting erect or lying down ; > bending body forward and throwing head back ; feeling of intense constriction in all parts of chest, as if lungs were pressed up into throat ;
constriction in throat as if cord was tied around, necessitating loosening of covering ; sensation as if heart turned over and ceased beating for a while, after which pulsations increased in force. θ Spasmodic
asthma.
Must cough hard and long before he can raise.
After a long, wheezing cough, suddenly spits up profuse, frothy, tenacious mucus.
Spitting large quantities of ropy mucus. θ Diphtheria.
Expectoration : scanty, difficult, watery, saltish ; must be swallowed again ; straining and vomiting.

Inner chest and lungs

Oppressive pain in chest, as if full of wind, > by eructation.
Full feeling of chest and a pushing pressing from within outward. θ Heart disease.
Contraction of chest waking him after midnight, with slow, heavy, wheezing breathing, compelling him to sit up bent forward.
Pain in chest as from soreness ; burning in chest.
Stitches in left side of chest, with difficult breathing.
Stitching pain through right side of chest. θ Hepatitis.
Chest feels as if stuffed ; cannot lie down, from sense of suffocation ; must open doors and windows to obtain air ; suffocating, short cough, scanty and difficult expectoration ; fever at 10 P. M., unquenchable thirst, dryness in throat and mouth, can scarcely
breathe for thirst, must continually moisten mouth, drinking does no good, and she dreads it ; fever begins with rigor on going to bed, heat continues till 4 A. M., with intervals of shivering ; sweat towards morning ; tearing pain in temples during hot stage, burning heat in
epigastrium ; sleepy, day and night, but cannot sleep, except a little towards morning ; frequent micturition, urine scanty, dark brown and turbid ; abdomen distended, flatulence ; cannot bear anything upon abdomen ; little appetite ; frequent coryza ;
feeling of ball in throat, as if a button was fast stuck in pit of throat ; not perceptible on swallowing food, but on attempting deglutition, and during this it seems to rise and sink, as if it was turned around, feels as if she could bring it up but it will not come ; must have
whole neck bare, cannot endure bedclothes, nor even tie cap strings. θ Chest affection.
Burning, stinging, like coals of fire from chest through to shoulders.
Hepatization, particularly of left lung ; great dyspnœa on awaking. θ Pneumonia.
Pulse very quick, wiry, excited and strong ; frequent chills and fever ; no appetite ; constipation ; sputa as if mixed with brick-dust ; discouraged, homesick and despairing ; covers his head with bedclothes, and sighs and laughs by turns, and always thinks
there is something wrong. θ Pneumonia.
Threatened paralysis of lungs with great dyspnœa and long lasting suffocative paroxysms. θ Pneumonia.
Dropsy of chest ; awakens suffocating ; liver swollen ; scanty, dark urine ; palpitation. θ After scarlatina.
Sibilant rales.
Chronic pleuro pneumonia ; hepatization ; difficulty of breathing ; dyspnœa particularly on right side.
Measles, followed by whooping cough, inflammation of lungs, bloody expectoration, high fever and terrible coughing spells ; intense capillary bronchitis ; pulse 135 ; dry crepitation over both lungs, somewhat veiled by co-existing coarse bronchial rales ; finally
suppuration of both lungs supervened, with following symptoms ; great emaciation, cadaverous appearance, eyes sunken and glassy, rattling in bronchi, expectoration of cream colored pus, hectic flush, pulse rapid, cannot be counted correctly, picking and boring left nostril, until it is
raw and bleeding ; lips parched and dry, tongue dry, dark brown coating at root, tip red ; trembling of tongue when attempting to protrude it ; cannot put out tongue, it sticks to front teeth ; sordes on teeth ; great prostration ; can bear nothing about
throat ; plaintive moaning ; after every coughing spell such exhaustion it seems she will die.
Useful when tubercles follow pneumonia.
Woman, æt. 26, tall and slender, tuberculous tendency of family ; cough for more than two months ; frequent dry, short and sharp, or harsh sound ; loss of appetite and strength ; emaciation ; prominent clavicles ; no respiratory murmur in posterior superior
half of left lung.
Afternoon fever, chills and flushes alternating ; pulse 112 ; copious night sweat wakes him from first sleep, violent titillating cough, sensitiveness of larynx ; difficult expectoration, in hard lumps, of offensive taste, sometimes salty ; burning deep in chest,
pleuritic pains, < from coughing ; morning cough, vomiting ; dulness in left infra-clavicular region, sensitiveness to touch ; shortness of breathing, a sense of constriction of chest. θ Tuberculosis.
Difficult expectoration of offensive, purulent sputa, with straining even to vomiting. θ Tuberculosis.

Heart, pulse and circulation

Heart feels as if too large for containing cavity.
Feeling of constriction about heart.
Cramplike pain in precordial region, causing palpitation, with anxiety.
Great pain in heart.
Palpitation : with numbness of arm ; choking from slightest exertion ; > by sitting down or lying on right side ; with fainting and anxiety ; chronic with young girls.
Irregularity of beats of heart.
She feels beating of heart, with weakness, to sinking.
Palpitation after exertion or sudden excitement > by lying down ; feels sick and faint ; his face becomes white, but on lying down symptoms pass off in two minutes ; for some time has been unable to lie on left side because it caused pain at heart or dull
oppression ; lying on right side weight of left arm is painful ; fulness at heart, as if pressing against side or had not free play. θ Heart disease.
Wakes from a troubled sleep of a few moments with a violent shock in precordia and a sensation of suffocative constriction of chest ; extreme distress for breath ; face livid and covered with warm sweat ; visible palpitation of heart ; heart seems to stand still and
then start with a tremendous bound, followed by rapid tremor ; pulse irregular, intermissions growing more protracted. θ Functional disturbance of heart.
Restless, trembling ; anxiety about heart ; hasty speech ; suffocation on lying down ; weight on chest ; heart feels constricted. θ Rheumatism of heart.
Restless and trembling ; hasty talking ; great oppression ; anguish about heart in rheumatism ; irregularity in beats of heart. θ Pericarditis.
Tremulous irritability of heart after scarlatina or fevers.
Constant dyspnœa ; sense of suffocation in chest and cardiac region, uninfluenced by position, exercise, etc. ; pulse 160, feeble, small and occasionally intermittent ; heart's action ditto ; a mouthful of food or drink causes distress, burning and pain till
vomited ; believes she will not recover, but without anxiety. θ Heart affection.
Obliged to sit up and lean right side against pillowed chair, that pain in left chest, with dyspnœa, might be > ; frequent small pulse ; could not bear neck and waistbands fastened. θ Heart
disease.
Hypertrophy of left ventricle, with sensation as if heart was too large for its containing space.
Suffocative attacks on touching larynx or moving chest ; fainting and anxiety from slightest motion of child ; purple color of skin ; coldness of extremities. θ Cyanosis.
Pericarditis, or endocarditis, after scarlatina or diphtheria.
Favors resorption of exudate in pericarditis.
Weight in chest with anxiety ; spasmodic pain in heart, palpitation, feels constricted ; sensation as if heart intermitted a single beat, produces slight cough which seems to re-establish circulation ; shortness of breath after every motion, especially of hands ;
great weariness ; inability to lie down on account of a suffocating sense of fulness in chest, necessity of removing all pressure from neck and chest and gasping for breath, when > of this lies on left side with head high ; most adapted to cases where fibrin is deposited on
surface of heart, valves or investing membrane. θ Rheumatism of heart.
Dilatation of right ventricle.
Woman, æt. 50, fleshy ; dilatation of left ventricle, aorta and carotid ; when quiet she could lie down and sleep for an hour or two ; when excited must sit by open window ; bronchia are readily affected by cold ; lungs fill
up ; could only breathe in upright position with great labor ; constant cough from titillation behind sternum, at bifurcation ; no expectoration, yet chest seems full of fluid.
Ebullitions in chest.
Cyanosis neonatorum.
Surface of body mottled ; every effort to lift or move babe would cause it to cry out with pain ; child's breathing after a crying spell so labored as to almost amount to asphyxia ; extremities and feet cold ; face and limbs puffed. θ Cyanosis.
Pulse : small, weak and accelerated ; unequal ; intermittent ; alternately full and small ; weak, slow, small.
Pulse weak and empty. θ Infiltration on back.
Induration of veins and surrounding cellular substance.
Atheromatous condition of arteries in old people.
Capillaries fill quite slowly after pressure on skin. θ Scarlatina.

Outer chest

Blueness of skin.
Sensation of heat like from a hot stove on outer chest.
Burning pain as if in flesh of chest, two or three inches below left nipple.
Swelling from above clavicle down to below pectoralis major, smooth and elastic, not painful, not red.
Lachesis. (Lachesis Mutus.)

Neck and back

Blueness of external throat from distension of veins.
Intolerance of tight neckbands.
Pain in nape of neck to distraction. θ Werlhoff's disease.
Stiff neck, moves jaw with difficulty ; tearing from nape of neck up either side, to top of head.
Nape of neck painful to touch, and stiff.
Stiffness of neck, on right side, sore to touch, giddiness with choking in throat.
Nape of neck sensitive to external pressure.
Stiffness of nape of neck, with catarrh.
Swelling entirely on left side ; smooth, livid appearance ; suffocative sensations produced by touching neck or swelling. θ Bronchocele.
Glands of throat and neck badly swollen. θ Scarlatina.
Swelling on left side of neck from angle of jaw downward to near clavicle, suppurated and abscess was discharged with lancet ; after this patient declined and became much exhausted in strength ; face pale, of dirty, dingy hue, with puffy aspect ; appetite nil ;
restlessness day and night ; constant hot, dry skin ; extremely peevish and whining ; abscess formed a large cavity from which there was sloughing of cellular tissue ; no sign of healthy granulations ; discharge foul and copious ; pulse 140 and small ;
could not eat solid food on account of soreness of neck ; extremely sensitive to all motions of head ; profuse hemorrhage from abscess, at least a pint of blood ; great prostration, refused food, discharges more foul, pulse rapid and feeble ; constant leakage of dark
colored blood from sore. θ After scarlatina.
Abscess near left clavicle, another on left side of neck. θ After scarlatina.
Stitches in upper part of back, or along spine from below upward, or in whole back and in nape of neck, with stinging in right arm and sensation as if it had gone to sleep, with itching on arms, hips and lower limbs.
From cervical vertebræ down to lumbar, whole right side of back ; width of three or four inches, much swollen, elastic, painless to pressure ; dull pains intolerable after exertion, has to lie down in a kind of tetanic state. θ Infiltration
of cellular tissue.
Myelitis.
Pain in back, with great restlessness, with yawning and stretching of arms and legs ; weariness, as from too great exertion, with awkward, tottering gait, with jerks, taking away breath or going into abdomen ; small, painful spot, low down in back.
Intolerable drawing in small of back and down into legs, especially noticed in ischia, frequently in evening ; drawing extending from small of back up back ; drawing extending from back to hips, with urging to urinate.
Pain in small of back : as if lame and weak ; intermittent fever ; palpitation ; dyspnœa ; constipation ; dysmenorrhœa.
Aching pain in lumbar region. θ Fistula.
Stiffness in sacrum, bending or beginning motion, extending to hip joint and thigh as if sinews were too short.
Continual pain in sacrum and coccyx.
Pain in os coccygis, when sitting down, feeling as if sitting on something sharp.
Continual pain in os sacrum and coccyx ; drawing pain, as if sprained, in small of back, preventing motion ; agonizing pain when rising from a seat. θ Coccygodynia.
Tenderness in whole spine, most in neck, below occiput ; headache in occiput and forehead ; on turning or moving head pain in spine of neck into brain ; pressure of finger on spine of neck sends pain to brain ; pressure on dorsal spine sends pain to stomach ;
cannot bear to be raised up, and cannot raise herself in bed because of severe pain ; little sleep. θ Affection of spine.
Girl, æt. 5 years, since two years of age affected with caries of dorsal vertebræ resulting in deformed chest, leaving child feeble ; lost control of both legs ; toes moved sometimes involuntarily ; she coughs some during day, but particularly at night on going to
bed ; much thirst ; pain in spine, lies only on back ; much wheezing and rattling of mucus ; fever and thirst at night ; respiration feeble and difficult, with blueness of face ; each coughing fit produced sweating ; expectoration impossible ; sleep
much interrupted.
Boils half an inch in diameter near spine, with violent burning, throbbing pain.
Carbuncle in back of neck, purple or gangrenous.

Upper limbs

Pain in right shoulder joint with headache.
Lameness in left shoulder.
Soreness of right shoulder, < when lying on it. θ Hepatitis.
Left shoulder and arm weak and lame, < lying on arm.
Painful feeling of weakness and lameness in left shoulder and arm, < by using arm ; shoulder and arm sensitive to touch. θ Tumor in left mamma.
Axillary glands swollen, painless, purplish.
Garlic-like smell of sweat in axillæ.
Left arm nearly double its size, from elastic cellular infiltration.
Arms so weak that she is unable to raise them.
Makes odd motions with right arm as if reaching for some object. θ Diphtheria.
Tetters on arms and hands.
Brown spots on elbow joint.
Wrists very painful and swollen ; could not study by day or sleep at night, for burning pain. θ After bee stings on both wrists.
Left hand and arm numb while pain and redness in foot disappeared ; pain and redness returned to foot, and hand and arm were well. θ Rheumatism complicated with epilepsy.
Pain in wrist joints as if sprained.
Twitching of hands. θ Diarrhœa.
Tingling and pricking in left hand ; hands go to sleep.
Trembling of hands. θ Drunkards.
The hands are cold as if dead.
Swelling of hands.
Phlegmonous inflammation of hand with great swelling and tendency to extend up arm.
Dark blue, blackish, hard swelling of back of hand and fingers, icy cold with a burning feeling, sensitive to touch in attacks every day, come suddenly, disappear slowly ; rubbing upwards hastens disappearance ; after touching ice.
Livid swelling of back of right hand and fingers ; began with severe itching and "creeping ;" hand becomes blue and gradually darker, mottled, very hard ; cold, but seems to him burning hot ; sensitive to pressure ; burning and pricking in finger
ends ; heat of stove > pain, but < creeping sensation ; throbbing pain at outside of wrist ; sharp pain extending to elbow ; spasmodic pain in elbow, when carrying arm in a sling ; pain in one small spot under shoulder, pricking and burning in hand as it slowly
goes away.
A laborer had been working among lumber three days before and thought he must have been poisoned ; hand commenced swelling two days ago until it was three times its size ; very red, pits on pressure, between first and second knuckle, opening as large as a three cent piece,
looking like dirty soft soap ; around this and along first three knuckles skin bluish black and inflated by gas ; skin under black skin looked rotten, separated on opening first and second fingers, showing same soapy appearance, hand burnt (deep in) terribly ; pain in red
streaks that ran up from wrist ; constant thirst ; pulse not rapid, but soft.
Thumbs bend inwards. θ Epilepsy.
Rheumatic swelling of index finger and wrist.
Panaritium, bluish swelling ; stinging, pricking pains intense ; erysipelas ; necrosis, with fistulous openings ; assumes purplish hue, becomes gangrenous.
Finger much swollen, looks bluish, has fistulous openings from which bony splinters have been discharged, three months in this state, during which time woman twice suffered difficulty in swallowing. θ Sore
finger from bite of a drunken man, cauterized.
Pricking in extremities of fingers. θ Panaritium.
Whitlow with necrosis of tendon, and much discoloration.
Right index finger atrophied ; fetid sanious discharge from beneath nail ; integument about root of nail tawny brown, bordering upon purple in parts. θ Onychia.
Warts and excrescences on hands and fingers.
Numbness of finger tips (morning).
Cold, sweaty hands.
Bluish, mottled appearance of hands.
Panaritium, pricking, tingling, more than stinging ; blue far around.
Felons, with proud flesh.

Lower limbs

Painful stiffness from loins down to sacrum and thighs.
Contraction of psoas muscle, after abscess.
Coxalgia, < 3 P. M. and after sleep.
Bruised feeling in hips. θ Dysmenorrhœa.
Sciatica for five days, with intolerable shooting pains, extending from left hip down to foot, followed by sensation of intense heat as from a hot iron in parts affected, and afterwards by perspiration and general prostration ; pains extorted
cries, < after sleeping.
Feet and legs œdematous, right leg < ; pale face ; tongue yellow ; sclerotic yellow ; right sided sciatica at night, awaking him ; pains come suddenly and disappear gradually.
Pain constantly changing locality, now in head, now in teeth, now in sciatic nerve, attended with nervousness, palpitation of heart ; burning like fire in hypogastrium, lumbar region and behind sternum. θ Sciatica.
Pain in thighs, as if swollen, in back part.
Gressus gallinaceus.
Weakness, especially of legs.
Uneasiness in lower limbs.
Feeling of weakness in knees after eating, with pressure in stomach.
Feeling as from a sprain in right knee.
Stinging tearing in knees, with swelling.
Aching in knees on waking in morning.
Sensation as if hot air was going through knee joints, which were shaky.
Left knee feels as if sprained.
Swelling of knees, tension in bend, difficulty in stretching.
Pain in legs and stiffness in knees after sitting.
Near left knee joint a bunch of varicose veins size of a fist ; veins as thick as a thumb and hard as a rope.
Contraction of hamstrings, after popliteal abscess.
Synovial fluid dried up ; pain in knee day and night.
On external side of knee bluish redness. θ Erysipelas of leg.
Much pain of an aching kind, in shin bones only.
A half painful sensation of a sore place immediately below lower edge of patella of left leg, this trifling thing almost driving him wild ; great distress of mind, as if some terrible evil was impending, the evil dreaded being in some way connected with
the pain, but how, he could not tell.
Pains as if burnt in different places on tibia, at first itching, but after rubbing there appeared rather sensitive spots as large as a quarter dollar, with dark blue red margins and dry scurf.
Caries of tibia.
Erysipelas with pustules ; leg swollen bluish red, discharged matter from several holes, presenting appearance of a large carbuncle, with itching.
Erysipelas of leg ; restless, could not sleep, least movement or touch on leg almost throwing child into convulsions ; very angry appearance, dark blue spots on upper part just below knee, rest of limb of a dark, glossy redness.
Ulcer on right leg, with varicose swelling, after a fall.
Leg below knee terribly swollen, black and spotted. θ Rattlesnake bite on toe.
Phlegmasia alba dolens.
Hard red patch, with scabs on calf of left leg ; tender ; thin, yellow fluid discharge from under scabs ; itching, especially in cold weather.
Legs, from knees to end of big toes, covered with scales, circular or elliptic, raised and free on circumference, attached in centre and of horny consistence, resting on a purple bluish colored base ; < every Spring ; itching and burning, especially during warm weather, and
when heated, or when warm in bed. θ Eczema.
Flat ulcers : with thin, offensive discharge and bluish areola ; become erysipelatous from motion.
Ulcers of legs ; bottom of ulcers uneven and dirty ; discharge thin, odor offensive.
After scratching legs at night until raw, rapid suppuration, followed by a large, dirty looking, painful ulcer.
After running nail into foot, for which a salve was given, small ulcer where nail had pierced, soon followed by others, until whole plantar surface was covered ; very little moisture from ulcers, which soon began to dry up, forming a thick, dry scale which covered sole of foot, in
some places being a half inch thick.
Had been using washes of sulphate of copper, sulphate of zinc, sugar of lead, etc., for a year ; ulcer at last dried up and patient was discharged as cured ; on taking cold, a few weeks after, her entire foot and ankle broke out into small ulcers, resembling original
sore ; great pain in ulcers, itching of feet and ankles, almost unbearable ; leg < after sleep and > from warmth.
Chronic indolent ulcers of legs, flat with purple skin ; many small sores around main ulcer, which has an uneven bottom, burning and bleeding, even when lightly touched ; ichorous, offensive discharge.
Virulent phagedenic ulcers.
Black, gangrenous ulcers and wounds on legs.
Chronic ulcers of lower extremities (probably of syphilitic origin) in which discharge ceased ; extremity œdematous and hard, slightly red, swelling extending up along course of principal veins ; great and sudden prostration of strength ; low,
muttering delirium and general typhoid symptoms. θ Phlebitis.
Lacerating, jerking, rheumatic pains in legs as soon as he falls asleep ; irregular action of heart and valvular murmur from rheumatic metastasis ; deadly pallor of face. θ Rheumatism.
Uneasiness in lower limbs.
Trembling of legs.
Convulsions particularly violent in lower limbs, coldness of feet, stretching backward of body and crying out.
Swelling of left leg and foot.
Rose red swelling of ankles. θ Erysipelas.
Injured ankles ; severe contusions and lacerations ; gangrene ; bluish purple vesicles covering a dirty looking ash grey ground.
Woman, æt. 40, who had not menstruated for one year, sprained her foot ; after exercise ankle greatly swollen, erysipelatous to knee ; sticking pain in ankle when walking ; upper part of foot covered with dark lentil shaped pimples.
Pain in second toe of right foot ; by evening livid swelling to knee, more painful when he walked ; pain in both knees ; cannot stretch out foot ; toe painful on pressure.
Foot like marble from varicose swellings.
Swelling of feet, < after walking. θ During pregnancy.
Icy coldness of feet ; cold before epileptic attack.
Tingling in toes.
Gangrenous ulcers on legs and toes ; rhagades of toes.
Proud flesh about ingrown toenails or in old wounds stinging ; purplish appearance.
Inflammation and suppuration of old chilblains.
Rheumatic swelling of index finger and wrist joint ; rheumatic pains in knees, stinging, tearing and sense of swelling ; swelling of knees with tension in bends of knees, difficulty in stretching limb and pain of thigh (posteriorly as if swollen ; bluish red
swellings ; pains < after sleeping ; after profuse sweats left side most affected ; or the affection commences on right and goes over to left ; arthritic contractions of limbs after abuse of mercury and quinine. θ Rheumatism.

Limbs in general

Erysipelas of legs or arms ; surface bluish, swelling glossy, impending gangrene.
Rheumatism, with swelling of wrists and ankles.
Three years ago, after great mental emotion, sudden cessation of menstruation, since then, headache, toothache, pain in joints, sciatica ; for last year erratic pains in joints, particularly in morning on awaking ; nervous irritability, palpitation, burning as from fire in
hypogastrium, loins and behind sternum ; transient flushes of heat in face, without sweat ; loss of appetite ; white coated tongue ; pressure in stomach ; constipation ; several dry, painless varices in anus.
Acute or chronic rheumatism, recurring every year.
Bluish swelling of joints, after sprains.
Dark bluish swelling of cellular tissue, on hands, arms, legs, very sensitive ; impending gangrene.
Boils on thighs and fingers.
Nightly burning in palms and soles.
Limbs stiff, straight or curved, after abuse of mercury.
Arm and leg paretic ; crawling as if asleep. θ Infiltration on back.

Rest. position. motion

Lying down : vertigo ; pain in head > ; pressing or bursting pains in temples ; anything touches throat seems as if he would suffocate, pain much < ; pain in top of throat ; constant coughing ; slightest covering over nose and mouth produce
suffocating dyspnœa ; pain in lungs < ; stiffness in sacrum.
Lying on right side : > earache in right ear ; palpitation > ; weight of left arm on left side is painful ; as if something was rolling to that side of abdomen.
Cannot lie on left side : causes pain at heart.
When lying on right shoulder : pain <.
Lying on left side, with head high : > suffocating.
Lying on left arm : shoulder and arm weak and lame.
Lying on back : involuntary urine ; pain in spine ; mouth open ; must lie on back with knees drawn up, peritonitis, typhlitis.
Constant desire to lie down : acute pain in abdomen.
Must lie down : pain in back intolerable.
Cannot stand, has to lie down : child loses consciousness.
Lying with body and limbs doubled up : during chill.
Recumbent position impossible : from sense of suffocation ; inflammation and swelling of tonsils.
Cannot lie, stand or sit quiet : pain in back and limbs.
Rising from lying position : cough.
Must change position frequently on account of pain in back and limbs.
Head always must be high : generally resting on hand.
Sitting : causes pain in thighs and stiffness at knees ; constant cough ; difficult breathing ; pain in lungs and dyspnœa < ; palpitation > ; pain in coccygis ; pain in legs ; stiffness in knees.
Assuming upright position : pains in head change to beating in vertex.
Can only breathe in upright position.
Could not sit up without assistance.
When sitting bent forward : difficulty of breathing > ; contraction of chest >.
Bending forward : spasmodic colic > ; stiffness in sacrum.
Bending head backward : throat and larynx painful.
Bending and throwing head back : pain in lungs >.
On reaching up : vertigo.
Stooping : vertigo ; pressing, bursting pains in temples ; dizzy ; pressive headache <.
Standing : body bends towards left ; cutting pains in rectum <.
Could not stand : vertigo.
Stretching backwards of body : during convulsions.
Cannot stretch out foot : pain in knee.
Rising : faint ; pain in top of head and giddiness ; staggers backwards ; pulls himself forward with greatest difficulty ; cutting headache <.
Rising from seat : agonizing pain in small of back.
Cannot raise herself up in bed : because of severe pain.
Could scarcely raise head from pillow.
Unable to raise arms : on account of weakness.
Cannot use arm : on account of pain in left mamma ; compelled to lie down.
Using arm : pain < ; shortness of breath and suffocative attacks < ; weakness and lameness in left shoulder and arm.
Raising head : pain in head <.
Turning head : pain in throat < ; pain in spine of neck into groin.
Bettered by shaking head.
Turning over : feeling as of a ball rolling about in bladder or abdomen.
Rolling from side to side in bed : suffocating attacks ; from hour to hour.
Makes odd motions with right arm.
Throws arms about : in suffocating fits.
Throws herself in all positions : to get breath.
Sudden backward throwing of head.
Motion : aversion to every kind ; pain in head < ; pressing or bursting pains in temples ; beating in head ; of temporal and masseter muscles < pain in ear ; of limbs ; flesh sore ; slightest, renews vomiting ; causes excruciating pain in
abdomen ; rapid, pain in right ovary < ; causes heart beat ; symptoms of chest > ; causes suffocative attacks ; stiffness in sacrum.
Every movement : throbbing in head ; causes fainting and anxiety ; of hands, causes shortness of breath ; of leg, almost throws girl into convulsions ; flat ulcers become erysipelatous.
Cannot move : nervous aches all over.
Cannot stand or move legs : except an involuntary drawing up of toes.
Difficulty of moving tongue : with impossibility of opening mouth wide.
Stepping : < pain in ear.
Walking : drags his feet ; vertigo ; backwards ; stitch in right side ; shooting in region of spleen ; constant cough ; oppression and want of breath < ; sticking pain in ankle ; swelling of knee painful ; feels like falling forwards ;
before chill became blind and giddy.
Overexertion : pain in right ovary <.
Lachesis. (Lachesis Mutus.)

Nerves

Nervous irritability ; restlessness ; jerking.
Restless tossing, moaning ; children with sore throat.
Nervous exaltation ; hysteria.
Trembling in whole body, thinks she will faint or sink down from weakness.
Trembling of limbs and internally, with fever and faintness, evenings. θ Typhoid.
Nervous aches all over ; hysterical spells of trembling ; cannot move, work or sleep ; dark forebodings of future ; any news, excitement, or a harsh word makes < ; < after sleep. θ Nervous
affection.
Cramps in chest and abdomen ; with crying and loud complaining ; dryness in mouth and throat ; sensation as if epithelium was peeling off gums. θ Hysteria.
Child now and then loses consciousness and sight for a second, turns and twists eyes like one who fights with sleep ; closing lids, sinking of head all in a moment ; cannot stand, has to lie down.
Crawls upon floor, laughs and is very cross by turns ; attacks last from half an hour to an hour ; child acts strangely, will not play with other children ; exhibits no love for mother ; seems to hate her mother and friends, hides ; runs away from strangers,
looks at them through her fingers ; bites and spits at other children ; six years ago was frightened by a snake.
Spasms of legs.
Convulsions, particularly violent in lower limbs ; coldness of feet ; stretching backwards of body and crying out.
Convulsions and other spasms, with violent shrieks.
Severe pains in back of head ; violent convulsions, requiring several strong persons to prevent her from injuring herself ; attempts to pull hair out of back part of head.
Unconscious ; hands clenched ; left hand, left foot and right eyelids in constant motion ; painless abscess on inside of right wrist, one inch in diameter.
Delirium and convulsions from night watching, overfatigue and solicitude.
Sudden and forcible protrusion and retraction of tongue.
After having ears pierced, chorea ; < left side ; left side of body in continual motion ; cross, irritable ; throws away anything she has in her hands at time ; ears sore and ulcerated where they had been pierced ; finally motion very violent, partial
paralysis of left side ; could hold nothing in hand ; when walking frequent stumbling and dragging of left foot ; unnaturally loquacious ; < after sleep.
Great depression of spirits and apprehension of death ; neck stiff and sensitive to touch ; blue spots or blisters on skin ; epistaxis ; hemorrhage from bowels, of decomposed blood ; great prostration. θ Chorea.
Epilepsy ; from onanism or otherwise connected with sexual function after great lewdness, jealousy, fluor albus, or seminal emissions ; during catamenia ; during climacteric period ; during sleep.
Epileptic convulsions ; eyeballs turned upward ; cries falling down unconsciously, foam at mouth, sudden and forcible protrusion of tongue ; hands clenched ; limbs twitching ; deep sleep.
Creeping sensation beginning at back of neck, moving slowly down spinal column. θ Epilepsy.
Before attack : cold feet ; palpitation of heart ; bloating of abdomen ; belching ; heaviness of head ; vertigo ; headache ; paleness of face. θ Epilepsy.
Headache and congestions of blood to head ; before attack absentminded, confused ; throws head back, froth at mouth, clenches hands, throws arms and legs about ; between attacks, severe vertigo ; constant headache ; sensation of heat in forehead ; trembling
of limbs, < left side ; curious dreams at night. θ Epilepsy.
Striking about with hands and feet. θ Epilepsy.
One week after frostbitten toe which had ulcerated, rigors ; shooting pains in back ; opisthotonos, in twenty-four hours trismus ; remission midnight till noon ; after midnight profuse sweat and agitated sleep ; throat sensitive to contact, swallowing painful. θ Tetanus.
Peculiar tetanic look, half closed eyes and stiffness of neck ; partial lockjaw ; rigidity and pain in muscles of back ; after cutting off two outer phalanges of third right toe, by being run over by a carriage wheel ; soft parts of toe look gangrenous nine days after
accident.
Stitches in cardiac region, in paroxysms, three or four times a day ; hacking cough with blood spitting ; pains take away his breath while they last, but cease suddenly ; cough during day and after lying down, none in the night ; raises blood in morning ;
opisthotonos with loss of consciousness only for a moment ; trismus with constriction of throat, pulls and tears at throat ; several paroxysms in quick succession.
Hydrophobia.
Climaxis ; menses irregular ; blood scanty, dark, fluid, and sometimes lumpy ; for a year past frequent cataleptic attacks, preceded by cold, stiff feeling of upper lip, as if she had a mustache of ice. θ Catalepsy.
Feeling of weariness ; languor ; exhaustion as from warm weather ; inclination to lie down, especially after eating.
Great weakness in back, extending into limbs.
Great physical and mental exhaustion, constantly sinks down from weakness ; < in morning.
Weakness of whole body, in morning on rising, especially in arms and feet.
Weakness in morning in sleep ; on waking general sick feeling, vertigo, feeling of lead in occiput, can scarcely raise head from pillow ; all joints seem sprained.
Feeling as though body was overwhelmed by a disintegrating tendency, with sinking of all forces.
Trembling all over ; exhausted, faint.
Fainting, with pain in heart, nausea, pale face, vertigo.
Muscular prostration. θ Diphtheria. θ Scarlatina.
Heaviness and dulness in head, particularly in occiput ; sensation of heat in head ; hands numb ; heaviness < from motion, > sitting still ; if head is placed ever so high, she thinks it too low ; drowsiness in afternoon every
other day ; starting on falling asleep ; heat in head and arms at night, with weakness in epigastrium ; sleeps little, and fulness and heaviness in head are < in morning ; restlessness, driving from place to place ; symptoms change place ; now more in left
arm, now in foot, which is cold as ice ; every cold gives her a sore throat ; swelling and stiffness, painful when swallowing and to touch ; now and then a sudden stitch in region of heart, which makes her weak ; hemorrhoidal tumors, very painful during stool ;
frequent urging ; menses too late and profuse, with throbbing headache.
No sleep until after midnight ; great despondency and sadness, weakness of memory ; headache in sun, with glimmering of eyes ; swollen and easily bleeding gums ; sore throat, with sensation of fulness, or as of a plug in throat ; tonsils enlarged ; constant
dryness of throat ; frequent entire loss of voice ; burning pain in region of left ovary, menstruation irregular ; corrosive leucorrhœa for ten days after menstruation ; everything sours in stomach, heartburn incessantly ; pressing, burning pain in top of head, from
within outward ; dry, hacking cough ; palpitation ; constipation ; cold limbs below elbows and knees. θ General breakdown after repeated attacks of pneumonia.
Menstruation irregular ; suppressed for eight months ; swelled abdomen ; restless, nervous, morbidly talkative complaining, yet giving a very rambling account ; no sleep for three nights, partly owing to nervous restlessness, partly to what she calls shivering and
shaking fits which come over her ; for some time sleep broken, followed by headache and despondency ; least worry and excitement puts her into heat and fever ; urine scanty, high colored, offensive, passed with much pain ; bowels inclined to be loose ; nervous and
discouraged after eating ; nausea and load at stomach ; dress unfastened and quite loose at upper part of chest, says she cannot bear it tight, nor can she bear things tight around her waist ; faintness and hunger about 11 A. M. θ General
prostration after childbearing.
Suddenly eyesight nearly gone ; speech disturbed, after a few minutes conversation a curtain seemed to fall down in front of pharynx ; teeth feel as if wedged ; tongue feels scalded ; cannot yawn because of sharp pain about root of tongue ; when eating fast, food
stays in throat ; pain over eyes and sore feeling in eyeballs ; has to read and sew with glasses of an octogenarian ; bagging just in front of uvula, which is very soft and feels like pus ; at apex of bag a whitish prominence, as if an abscess was about to discharge. θ Post
diphtheritic affection.
Lying with body and limbs doubled up ; nose, ears and forehead very cold ; giddiness and blindness ; skin shriveled, cold, livid ; pulse thready, dying away ; rapid gaping, incessant sighing ; blue rings around eyes ; increasing stupor. θ Shock
from injuries.
Awkward gait ; left side weak.
Gressus gallinaceus.
Left side of body numb, cold ; abdomen and feet also cold ; sparks before eyes ; on walking feels like falling forward, pain from top of head downwards. θ Incipient
paralysis.
Progressive locomotor ataxy.
Palsies depending on apopletic condition of brain, exhaustion or extremes of temperature.
Body when standing bends towards left, must be supported ; drags feet in walking, direction of steps towards left.
Paralysis : left sided ; after apoplexy, or cerebral exhaustion ; painful.
Child, muttering delirium ; yellowish red, dry, tremulous tongue ; moderate thirst ; pulse 70 ; rational for a little time when awake, then subsides into delirium ; paralysis of motory nerves of left limbs.
After exposure entire paralysis of both legs, cannot stand, or move legs with exception of an occasional involuntary drawing up of toes ; cough < during night and on going to bed ; thirst during meals, drinks much at a time ; pain in spine, lies only on back at
night ; finally cough more severe and accompanied by fever and thirst ; respiration feeble, difficult, with blueness of face ; each coughing turn produced perspiration ; expectoration impossible ; sleep interrupted.

Sleep

Great drowsiness.
Sleepiness without being able to sleep.
As soon as he falls asleep the breathing stops.
When falling asleep is awakened by tickling cough.
Could not sleep on account of strangulation. θ Scarlatina.
Sleepy and weak after dinner.
Persistent sleeplessness.
In evening very wide awake and talkative ; lively as soon as the gas is lit.
Sleepless : from anxiety ; especially before midnight, with talkativeness ; on account of internal restlessness ; abdomen and chest seem swollen ; restless and nervous, burning in soles of feet, stinging all over.
Afraid to go to sleep for fear he will die before he wakes.
Tossing about, moaning, during sleep ; children.
Restless sleep, with dreams and frequent waking.
Awakens at night and cannot sleep again.
Troubles come on during sleep, and patient wakes in distress or pain ; cough, asthma or spasm.
Awoke in a fright about something trifling.
On waking : vertigo ; dry, hacking cough ; all symptoms worse.
Not refreshed after a good sleep. θ Heart disease.
Restless sleep, with many dreams and frequent waking.
Constant dreaming, frequent waking, and again dozing and dreams, in morning is heavy and out of sorts.
Amorous dreams.

Time

Morning : unhappy and distressed in mind ; great sadness ; heaviness and dejection ; vertigo ; on rising, headache over eyes ; heaviness in occiput ; vomiting of food and slime ; epistaxis ; thick, yellow discharge from nose ;
on awakening eyes < ; pains in eye and head < ; as if she would die of exhaustion ; blowing of blood ; skin began to redden and swell ; throat > ; hard cough ; vomiting of bile ; pain in rectum < till afternoon ; ovaritis < ; difficult
breathing ; numbness of finger tips ; aching in knees ; feels bruised.
At 9 A. M. : neuralgia in face begins.
Forenoon : want of appetite.
Noon till midnight : visions and delirious talk < ; swollen face ; erysipelas <.
Day : sleeps a minute or two at a time ; symptoms > ; head pains ; short, dry cough ; after a nap, hawking of mucus and rawness in throat ; after sleeping, pains in throat < ; very sleepy but cannot sleep ; several attacks of nausea, with shortness of
breath ; sleep < pains in abdomen ; flushes of heat ; sensation of foreign body in throat ; constant cough ; cough < ; restlessness ; pain in knee ; talks too much ; itching in paroxysms.
Afternoon : attacks of delirium tremens ; headache < ; soreness of vertex changes to darting ; facial neuralgia goes off ; tonsillitis < ; fever < ; dyspnœa < ; violent chill ; intermittent fever, < 2 P. M.
At 3 P. M. : coxalgia >.
Evening : vertigo ; pain in back of head ; bluish grey ring before eyes ; wide awake and talkative ; feels nearly well ; pain deep in left ear ; if anything touches throat, seems as though he would suffocate ; pain much < ; sensitiveness of
throat < ; watery stools with burning ; cough on lying down ; drawing in back and legs ; trembling of limbs ; violent chill ; heat in hands and feet ; burning in palms and soles.
From 9 P. M. until going to bed : nervous cough.
Night : loquacity ; delirium ; does not sleep ; pain comes on and lasts till end of next day ; short, dry cough ; tearing pain in side of head < ; orbital cellulitis < ; earache in right ear ; eruption beneath eye itches ; itching on
face ; dryness in throat ; comatose ; very sleepy, but cannot sleep till towards morning ; least touch on mouth and nose causes threatened suffocation ; stools bloody and slimy ; eighteen or twenty stools ; constant erections ; menorrhagia with
chills ; something runs from neck to larynx, stops breathing and awakes him ; almost suffocated ; constant cough ; fever < ; awakens with fear of suffocation ; dry cough ; perspires very much ; restlessness ; fever and thirst ; pain in
wrists ; sciatica in right leg ; pain in knee ; constant dreaming ; chills ; burning in palms and soles ; heat as from orgasm of blood ; itching intense ; burning in ulcers.
Before midnight : sleepless.
Midnight : became insensible ; sudden diarrhœa ; wakened by contraction of chest.
After midnight : no sleep.

Temperature and weather

Worse during Spring and Summer, or from extremes of temperature ; < from the sun's rays.
Open air : vertigo, from walking ; desire for, before menses ; causes violent, tickling cough ; symptoms > ; after scarlet fever swelling of whole body ; must open doors and windows ; during suffocating attacks.
Draft of air : throat <.
Must sit by open window : heart disease.
In sun : headache.
Heat : headache ; ulcers >.
Warm weather : diarrhœa < ; legs burn and itch.
Warm room : chill abates.
Warmth of bed : itching of legs < ; cannot keep limbs quiet.
External warmth : desire for ; toothache > ; pains in head > ; earache > ; wants head closely wrapped up.
Hot drinks : throat symptoms < ; cause toothache ; bleeding of gums <.
Heat of stove : pain in hands > ; creeping sensation <.
Change of temperature : cough <.
Damp weather : cough <.
Wet weather : ulcers in throat <.
Getting wet : causes toothache.
Exposed all day to cold, wet weather, at night comatose.
Washing : pains in throat <.
Cold water : headache > ; burning in ulcer >.
Cold or warm drinks : cause toothache.
Cold weather : itching of scabs on calves of legs.
Complaints in damp, warm Spring weather.

Fever

Shivering without coldness. θ Dysentery.
Cold shudders ascending.
Single paroxysms of shivering.
Icy coldness of feet.
Cold feet, with oppression of chest.
Numbing coldness.
Violent chill in evening, chattering of teeth and feeling as in trismus.
Chills in afternoon, pains in limbs, pleuritic stitches, oppression of chest and convulsive movements.
Chill runs from hollow of back upwards over shoulders, nape of neck, back of head as far a vertex, with a sensation as if drawn at base, goose flesh on parts affected.
Chill : commencing in small of back ; runs up back to head ; beginning across back and shoulders ; > in warm room ; desires external warmth.
Shaking chills in several attacks daily, the almost unconscious woman is thrown about in bed. θ Puerperal fever.
Shaking chill for two hours. θ Erysipelas of leg.
Unconscious ; livid face ; shaking chills ; skin hot or cool. θ Metritis.
Rigors, nausea, subsequent fever. θ Epidemic laryngitis.
Wants to be near fire and lie down ; heat makes him feel >, but chill continues.
Child must be held firmly to > pain in head and chest and prevent shaking ; feels > if held or pressed down.
After icy cold calves, shaking chill with warm sweat ; then strumming through limbs, intermingled with flushes of heat.
Chill and heat alternate and change place.
Chills at night, flushes of heat by day. θ Menorrhagia.
Shivering during heat.
Heat, particularly on hands and feet, in evening.
Burning in palms and soles, evening and night.
Heat at night, as from orgasm of blood ; throat sensitive.
Internal sensation of heat, with cold feet.
Dry, burning skin.
Heat : with violent headache ; livid complexion ; oppression of chest ; deep breathing and sleep ; great loquacity.
Great inclination to sweat.
Sweat : profuse, with most complaints ; cold, stains yellow ; brownish yellow ; bloody, staining red ; between paroxysms of fever ; at night ; affords relief.
Sweat about neck after first nap. θ Phthisis.
Strong smelling perspiration in axilla, like garlic.
Intermittent fever ; severe pain and soreness on pressure in region of spleen, shooting to breast or left side of neck.
Intermittent fever recurs every Spring, or after suppression in previous Fall by quinine ; < in afternoon, 2 P. M. ; face red, headache, feet cold ; talking during hot stage ; excessive burning and rending pain during relapse into bilious intermittent after
quinine.
Intermittent fever in Spring or beginning of Summer.
Intermittent fever for eight years, suppressed by large doses of quinine in Summer, to return every Spring ; complexion when fever was present a grey, ash color.
Chills for six months in Summer and Fall, suppressed with blue mass and quinine, returned following May ; convulsions during chill.
Sinking chills annually, in August, for nine years, has always been dosed heavily with morphine, brandy and quinine to prevent "fatal third chill ;" drenched in sweat for many days after each attack, takes months to recuperate ; fever always tertian.
Restlessness ; pain in lumbar region ; constipation ; tongue coated thick, brown, furrowed and tending to dryness ; soreness across bowels ; chill comes on at 2.30 P. M. ; body drawn up in a heap ; tip of nose and ears cold and icy ; forehead
cold ; skin shriveled and livid ; pulse filiform, dying away ; rapid yawning, incessant sighing ; dark areola around eyes, fast becoming darker as she sinks into stupor. θ Tertian
ague.
Intermittent fifth day after confinement ; chills daily, with great violence, for a week (sewer gas in house) ; inflammation of left ovary ; shuddering ; prostration ; at end of fourth week discharge of pus and blood through abdominal wall.
Typhus : delirium ; tongue red or black, dry or in fissures, especially on tip ; trembles when put out, or tip remains under lower teeth or lip.
Stools, with sediment of flakes of decomposed blood, having appearance and form of perfectly charred wheat straw, in longer or shorter flat pieces, together with portions more or less ground up ; violent epistaxis in morning. θ Typhoid.
After prolonged quiet ; loquacious mood ; talks day and night, if not to those in room, to imaginary persons ; jumping from subject to subject ; desire to lie in bed with clothing away from neck. θ Typhoid.
Great prostration daily increasing, until twenty-three days had passed without any crisis ; complete delirium with muttering, and complete prostration ; the only position was upon back ; if placed on side rolled at once upon back ; tongue dry, black and cracked ;
patient evidently sinking. θ Typhoid.
On ninth day, profuse, sour sweat without relief ; delirium ; headache ; eyes strongly injected, gaze unsteady ; loss of consciousness ; constant unintelligible mumbling ; pulse hard, small, 120-140 ; tongue dry, black, cracked and bleeding, can be
protruded only with great difficulty, then trembles ; lips cracked, black, bloody ; unquenchable thirst ; hardness of hearing ; abdomen soft, but in all places painful ; stools (lumpy) crumbling frequent, yellow, orange colored, or tinged with blood ; urine
suppressed ; profuse sweats ; finally, involuntary escape of stool and strongly smelling ammoniacal urine ; will lie only upon back ; dyspnœa and cough with copious expectoration of blood streaked mucus. θ Typhoid.
Case had run into fifth week, became thoroughly dyscrasic, death seemed imminent from asthma. θ Typhoid.
Typhoid fever, third week, with delirium ; tongue dry, black, cracked ; throat dry and cracked ; unable to put tongue out.
Muttering delirium ; yellowish red, dry, tremulous tongue ; moderate thirst ; pulse 70 ; rational for a little time when awake, then subsides into delirium ; paralysis of motory nerves of limbs. θ Typhoid.
Exposed all day to cold, wet weather ; at night comatose ; high fever ; tongue dry, red at tip, soon becoming brown in centre ; pupils contracted, then dilated ; vomiting of greenish water ; restless from colic, requiring three attendants to keep him on
bed ; continually throws off bedcovers ; unconscious of external impressions ; pulse about 120, four beats to one respiration ; involuntary stools and micturition.
Fever < in afternoon, sweat without alleviation ; symptoms < after sleep ; loss of consciousness ; muttering ; stupor ; sunken countenance ; dropping of lower jaw ; dry, red or black tongue, cracked on tip and bleeding ; in attempt to
protrude it, it trembles, or tip remains under lower teeth and does not come out ; dry lips, cracked and bleeding ; stools very offensive, whether formed or loose ; dyspnœa and cough, with slimy, bloody expectoration. θ Typhus.
Yellow fever : delirium at night ; loquacious, disposed to quarrel ; slow, difficult speech ; drowsy ; rush of blood to head ; red face ; yellow conjunctiva ; yellow or purplish tint of skin ; blood dark,
non-coagulable ; small wounds bleed much ; perspiration stains yellow ; lips dry, cracked and bleeding ; tongue heavy, trembling, dry and red, cracked at tip ; tip red, centre brown ; difficult speech ; sour eructations ; heartburn ; nausea after
drinking ; vomiting, with palpitation ; dyspnœa ; anxiety about heart ; cannot lie on left side ; irregular weak pulse ; urine almost black ; persistent sleeplessness ; fainting ; trembling all over ; sudden flushes of heat ;
sensitiveness about neck and pit of stomach against any pressure ; < when waking ; > after nourishment.
Blood dark and does not coagulate. θ Yellow fever.
Cellulitis, particularly of rectum and anus, with burning and blue color of skin. θ Yellow fever.
Lachesis. (Lachesis Mutus.)

Attacks, periodicity

Periodic : raging through upper jaw to ear ; exacerbations with chronic angina.
Attacks : of weakness, even to syncope ; of sensitiveness to touch in hands ; of itching.
After every evacuation : sore, burning pain.
Alternate : heat and chills ; squeamishness and facial neuralgia ; diarrhœa and constipation.
After few minutes conversation : a curtain seems to fall down in front of pharynx.
At long intervals : urination.
For one hour : violent laughing.
For one hour every day : catamenial flow.
For two hours : shaking chill.
A few hours after eating : gnawing in stomach.
Every few hours or days : flow of blood from vagina.
For several hours : tearing pain in head then disappears for a day or two.
For five or six hours : pain in arm and shoulder.
Several times a day : epistaxis of venous blood ; most violent shaking chill.
At 4 A. M. : heat continues from bedtime.
At 10 A. M. : fever.
Until 11 A. M. : feels well, then faint and weak.
Afternoon : delirium tremens ; vomiting ; fever.
Evening : persistent vomiting.
At 2.30 P. M. : chill.
Nightly attacks : of anxiety ; hallucinations ; pain in limbs ; at 10 o'clock dryness of throat and thirst ; of spasm of glottis ; burning in palms and soles ; burning in ulcers.
Towards morning : sweat.
First day of menses and day previous to appearance : pain.
Every day at 11 A. M. : hunger ; throat > ; violent chills.
Every day at 11 A. M. : heat and smarting in left throat.
Alternate nights : vomiting.
Every other day : feeling of obstruction in throat on swallowing ; chill ascending back.
On second or third day : threatened metastasis to meninges.
Every two or three days : acute colicky pains.
For three nights : no sleep.
Three days before menses : leucorrhœa.
Every three or four days : intense headache.
From three to eight days before menses : green, thick yellow leucorrhœa.
For five days : sciatica.
On ninth day : profuse sour sweat without relief.
Every eight or ten days : headache.
For ten days after menstruation : leucorrhœa.
For twenty days : no stool.
Twenty-three days passed without crisis : typhoid.
For many days, after each attack of chill : sweat.
Third week : typhoid fever with delirium.
The day before catamenia : great desire to go in open air.
Every four weeks, for four or five days, nervous debility <.
For several weeks : partial deafness.
Every two or three months : menses late.
For three months : fistulous opening in fingers, during this time she suffered twice with difficulty in swallowing.
At every menstrual effort : eructations amounting to vomiting ; cardialgia ; oppression of chest.
For eight months : no menstruation.
Lasting all Winter and Spring : cough.
In the Spring : toothache ; diarrhœa.
In the Summer : toothache.
Every Spring : lower extremities covered with scales < ; intermittent fever, or after suppression in previous Fall, by quinine ; eruption.
Every Fall : eruption.
Every year : angina ; acute or chronic rheumatism ; in August, for nine years, sinking chills.
For one year : no menstruation.
Sunstroke two years previous to confinement, in bed ever since ; two hours after delivery convulsions.
After twelve hours comatose.
Three years ago : after great mental emotion, sudden cessation of menstruation ; erratic pains in joints.
For four years : piles ; stitching, cutting pains in left breast.
For eight years : intermittent fever.
For ten years : constipation.
Eighteen years' standing : dysmenorrhœa.
For last twenty years : eruption on left forearm and on left lower abdomen.
For years : violent pains over left groin ; succession of carbuncles.

Locality and direction

Right : pain in side ; oppressive pain < on side ; partial paralysis ; semi-lateral headache ; as if part of side of head was cut off ; soreness of vertex to side of head ; pricking pain in limbs ; severe pain commencing in inner
canthus, extending to superciliary ridge ; jerking in eye ; sticking, drawing pain in eye ; pain in ear > lying on side ; pain as if something was lodged in side of throat ; stitch in side ; feeling of obstruction in throat ; pain in side of
throat ; tonsil swollen ; uvula clinging to tonsil ; makes odd motions with arm ; as if something was lodged in side ; as of a ball rolling from side to stomach ; tearing in abdomen ; cutting in side of abdomen ; pain from lumbar region through
sacrum ; violent pain over groin ; swelling of ovary ; pain in ovarian region ; ovary size of a fist ; induration in ovarian region ; fungus hematodes on mamma ; lung affected ; must lean to side to > pain in chest ; stitching pain through side
of chest ; dyspnœa < ; lying on right side weight of left arm is painful ; dilatation of ventricle ; stiffness of neck on side ; stinging in arm ; side of back swollen ; pain in shoulder joint ; soreness of shoulder ; makes odd motions with
arm ; livid swelling of back of hand and fingers ; index finger atrophied ; leg œdematous ; sciatica in leg ; knee as if sprained ; ulcer on leg ; pain in second toe of foot ; stitching pain in side of chest ; thick patches of exanthem on side
from spine to sternum ; immense carbuncle side of spine ; rheumatism commences.
Left : pain in temple ; body bends toward direction of steps ; apoplexy on side ; falling to side from vertigo ; pain in side ; pain over eye ; drawing pain in temple ; headache in frontal eminence ; neuralgia on side ; tearing pain in
whole side of head ; pain behind ear ; numbness and crawling on side of head ; painful sensitiveness in temple and in half of face ; discharge from nose ; pain in eye ; orbital neuralgia ; tearing pain in head ; tongue inclined to side ; tearing
pain in malar bone and parts under eye ; side of face and lower jaw swollen ; uncertain numb feeling in head ; painful inflammation of eye ; dry wax in ear ; sensation of numbness down cheek ; pain deep in ear ; erysipelatous eruption beneath eye ;
erysipelas began close to side of nose extending up and down side of face up as far as eye ; tongue sore on side ; soreness in side of throat ; heat and smarting side of throat ; inflamed swelling side of throat ; tonsil swollen ; pain shoots from tonsil to
ear ; abscess in tonsil ; numerous white spots on pale red surface in throat ; yellow white membrane on tonsil ; pain and soreness begin on side of throat ; inflammation and membrane beginning on side ; diphtheritic spot as large as a pinhead on tonsil ;
side of throat several white exudate spots ; tonsil one complete black slough ; pain in hypochondrium ; pain in side of abdomen ; tenderness in iliac region ; fibrous tumor in groin ; dropsical enlargement of side and leg ; pain in ovarian region ;
ovarian neuralgia ; swelling, induration and other anomalies of ovary ; sharp, shooting pain in ovary ; suppuration in ovary ; enlargement of ovary ; ovarian region hard ; menstrual colic beginning in ovary ; pains in breast ; pain in axilla ;
painful weakness and lameness in shoulder and arm ; convulsions on side of face ; pain in tragus ; lung impervious to air ; soreness, tenderness and sensation of weight in ovarian region ; stitches in side of chest ; dyspnœa ; hepatization of lung ;
constant picking and boring of nostrils ; no respiratory murmur in posterior superior half of lung ; dulness in infraclavicular region ; lying on side causes pain at heart ; weight of arm on side is painful ; hypertrophy of ventricle ; lying on side with head
high > suffocating ; burning pain below nipple ; swelling on neck ; abscess near clavicle ; abscess on side of neck ; lameness in shoulder ; weakness of arm and shoulder ; arm nearly double its size ; tingling and pricking in hand ; shooting
from hip to foot ; knee as if sprained ; near knee joint a bunch of varicose veins ; sore place below lower edge of patella ; hard red patch with scabs on calf of leg ; flat ulcers on leg ; swelling of leg and foot ; rheumatism < side ; side
weak ; side of body numb and cold ; paralysis of motory nerves of limb ; severe pain shooting up side of neck ; veins in whole side of thorax up to throat much dilated ; eruption on forearm and side of abdomen ; index finger quadrupled in size ; hand and
forearm much swollen ; side partially paralyzed ; granular swelling on side of throat ; parotid enormously swollen ; flat open ulcers on leg ; paralysis of leg ; sensation absent in arm ; side of pharynx sore.
First right then left : semilateral headache ; tonsils affected.
From above downwards : violent pressure in head ; stitches in kidneys ; pressure from loins ; pain from top of head.
From below upward : stitches in spine.
From below upward and backward : tearing pain in rectum.
From without inward : pressing in head.
From within outward : tearing on top of head ; violent pressing, burning pain in top of head ; puffing pressure in chest ; cardiac pressure.
From left to right : pain in throat ; diphtheria developed ; discharge from nose ; legs œdematous ; erysipelas spreads ; ulceration in throat ; ovarian tumors ; rheumatic pain.
Changes locality : rheumatic pains ; sciatica.

Sensations

Sensation as if she was somebody else ; as if frightened by visions behind him ; as if knives were being thrust into brow ; as if brain would burst skull ; tongue as if bound or tied up ; as if a part of right side of head was cut off ; as if
swollen in angle in front of styloid process ; back of head as if pressed asunder ; as if skin had been burnt by heat of sun ; flickering before eyes as from threads ; stitches as from knives in eyes ; as if a thread was drawn from behind to eye ; eyes as if
they had been taken out, squeezed, and then put back again ; as if eyes were forced out, when throat is pressed ; whizzing as from insects in ears ; ears as if closed from within ; as if had mustache of ice ; ears as if stuffed up ; as if tonsils were sore like
a wound ; as if sore ; skin as if it would crack ; submaxillary joints as if swollen ; teeth as if too long ; as if tongue was going to peel ; as if mucous membrane was peeling off ; as if desquamation was about to take place in velum palati ; as
though he would suffocate ; as if everything was raw in throat ; as if parts of throat were swollen ; as if a small crumb was lodged in throat ; as of something in throat to swallow ; as if lump, ball or button in throat ; distressed as if from loss of
breath ; as if something was lodged in right side of throat ; throat as if tied ; feeling like a snake in throat ; choking like a ball ; throat as if ulcerated ; sticking as of a thousand needles in throat ; as if two lumps as large as fists came together
in throat ; throat as if sore ; throat as if raw ; as if fishbone had stuck in throat ; as if a sponge was hanging in throat ; as if he could hawk it up ; as if there was a small dry spot from which pain extended to ear ; as if he had had a blow on
neck ; as if a thick substance was in throat ; feeling of large lump at back of throat ; as if some one grasped him by throat ; retches as if to vomit up lump ; uvula looked as if squeezed and crowded back ; as though some one was pressing windpipe between thumb
and fingers ; odd motions with right arm as if reaching for something ; teeth feel as if wedged ; tongue feels as if scalded ; pain in liver as if ulcerated ; as if something had lodged in right side ; as if a ball was rolling from right side to stomach ;
as if a knife was thrust through abdomen ; griping as though about to have diarrhœa ; as if feces ascended to chest ; throbbing as with little hammers in anus ; as if from suppuration under ribs ; arms feel as if closed ; as of plug in anus ; as if
sphincter was torn with effort ; as of a ball rolling about in bladder or abdomen ; uterine region as if swollen ; as if a knife was thrust into abdomen ; uterus feels as if os was open ; as if everything would issue from vulva ; as if pains from uterus and
abdomen ascended toward chest ; as if everything was being pressed out ; as if bowels were cut with knives ; as if a stricture was in rectum ; as if heart was hanging by a thread, and every beat would tear it off ; as of a skin in larynx ; as of talons sticking
into larynx ; as of a small lump in pit of throat, like a button ; as if a large mass of mucus had accumulated in throat ; choking as if suffocation was inevitable ; as if something was in trachea which might be raised ; chest as if stuffed ; as though clothes
hindered circulation ; as if lungs were being pressed into throat ; as though a cord was tightly tied around neck ; as though heart turned over and ceased beating for a moment ; as if some fluid had gone into wrong passage ; as though there was an ulcer in
stomach ; as if lungs were pressed up into throat ; as if chest was full of wind ; chest as if sore ; like coals of fire from chest through to shoulders ; as if heart was too large for cavity ; as if heart was pressing against side or had not free play ; as
if heart intermitted a single beat ; heat as from a hot stove on outer chest ; burning as if in flesh of chest ; as if right arm had gone to sleep ; back as if lame and weak ; as if sinews in sacrum were too short ; as if sitting on something sharp ; small
of back as if sprained ; wrists as if sprained ; hands cold as if dead ; as of a hot iron from hip to foot ; thighs as if swollen ; as of a sprain in right knee ; as if hot air was going through knee joints ; left knee as if sprained ; as if burnt in
different places on tibia ; burning as from fire in hypogastrium, loins and sternum ; crawling as if asleep in arm and leg ; as if epithelium was peeling off gums ; as of a plug in throat ; teeth feel as if wedged ; tongue feels as if scalded ; head as if
drawn at base ; skin around carbuncle as if too short ; as if flesh was being torn from bones.
Pain : in left temple and occiput ; in forehead ; in back part of hip and left side ; region of spleen ; over eyes ; top of head ; in left ovarian region ; from superciliary ridge to occipital protuberance ; deep in orbit of eyes ; in
left side of abdomen ; in back of head ; in eye ; deep in left ear ; in ears ; in limbs ; in stomach ; in throat to nape of neck ; on swallowing ; in small spot in throat at one side of larynx ; in top of throat ; in left side of throat
extending to tongue, jaw and ear ; in epigastrium ; as though something was gnawing in stomach ; in liver ; in left hypochondrium ; in abdomen ; in region of cecum ; from right lumbar region through sacrum and inguinal region and forepart of thigh ; in
rectum ; in right ovarian region ; in uterine region ; in hypogastric region ; in stomach ; from left breast to axilla down arm to hand ; down arms ; in pit of throat to root of tongue and to hyoid bone and to left tragus, behind which it shoots out ;
in left chest ; pain in hemorrhoidal tumors ; in chest ; in heart ; in nape of neck to distraction ; in small of back ; in coccygis ; in os sacrum ; in spine ; in r. shoulder joint ; in wrists ; in wrist joints ; in one small spot
under shoulder ; in red streak that ran up from wrist ; changing locality, now in head, now in teeth, now in sciatic nerve ; in thighs ; in legs ; in knee ; in a sore place below lower edge of patella ; in second toe of right foot ; in joints.
Sensitiveness of internal and external parts.
Intolerable colic.
Tension : from neck to eyelids ; and thread, along arms and legs ; in external parts.
Ulcerative pain : in internal parts.
Burning as from fire : in hypogastric region ; in loins ; behind sternum.
Agonizing pain : in back when rising from seat.
Intense pain : in head ; down neck ; in left eye ; in thigh ; in arm and hand.
Violent pain : in head ; in throat ; over right groin, extending either to genital organs or to liver and chest.
Severe pain : all over head ; in and above eyes ; from inner canthus upward and outward in a semicircle just above superciliary ridge in forehead ; in limbs ; in lumbar region ; in epigastrium.
Terrible pain : in head ; over eyes ; in right ovarian region.
Acute pain : in liver and towards stomach.
Great pains : in back and limbs ; in heart ; in ulcers on foot.
Anguish : about heart.
Horrid pains : all over head.
Sharp pain : at root of tongue ; through lungs ; extending from wrist to elbow.
Raging : in roots of lower teeth.
Violent, darting, stabbing pains : from upper part of forehead down to centre of head.
Lancinating pains : in breasts.
Lacerating pain : in legs.
Cutting, lacerating, burning pains : in abdomen.
Acute cutting, stinging pains : radiating from navel over upper portion of abdomen.
Cutting : in head ; in teeth ; in right side of abdomen ; in rectum ; in abdomen ; in left breast.
Sharp, cutting pains ; when passing water.
Tearing pain : in temples ; in whole left side of head from temple to collar bone ; in top of head ; from zygoma into ear ; in forehead and left malar bone and under left eye ; in jawbones ; in roots of lower teeth ; in temples ; in
abdomen ; in rectum ; from nape of neck up either side to top of head ; in knees.
Sharp, shooting pains : from eyes to temple ; in left ovary.
Shooting pain : into left ear ; in throat ; in region of spleen ; in rectum ; from left hip down to foot.
Piercing pains : in teeth.
Sticking cutting : in forepart of urethra.
Sticking : on vertex ; in head ; in ankle.
Stitching pain : in eyes ; from stomach to chest ; through r. side of chest ; in back.
Stitches : in forehead ; in chest ; in eyes ; in right side ; in rectum ; in kidneys, downward and apparently through ureters ; in ovary ; in hemorrhoidal tumors, with cough ; in left side of chest ; in upper part of back ; in whole
back.
Painful beating : in ears ; in rectum.
Bursting pain : in temples.
Beating pain : in head ; in vertex ; in teeth.
Ulcerative pain : about liver ; above and along ribs.
Boring : on vertex ; behind left ear ; in jawbones ; in teeth.
Pleuritic pains : in chest.
Throbbing pain : in temple ; in vertex ; in head ; in jawbones ; at outside of wrists.
Darting : from throat to occiput ; in arm.
Hammering : in head.
Pulsating pains : in teeth.
Thrilling pain : at root of tongue.
Neuralgia : left side orbital ; horrible of trigeminus ; in face ; ovarian.
Rheumatic pains : in head ; in legs ; in knees.
Aching pain : in lumbar region ; in forehead ; in left frontal eminence ; right side of head gradually going to left ; across loins ; from occiput to eyes ; in right ear ; in small of back ; in thighs anteriorly ; in branches of anterior
crural nerve ; in os hyoides ; in knees ; in shin bones.
Hard aching : all over ; in head ; back and legs ; in uterus.
Dull aching : in sinciput.
Violent labor-like pressing from groins downward.
Acute colicky pains : low in abdomen.
Excessive griping : in abdomen.
Labor-like pains : in uterus.
Bearing down pains : in uterine region.
Gnawing : in stomach ; in sides and deep into abdomen.
Cramps : in abdomen ; in chest.
Cramplike pains : in abdomen ; in precordial region.
Menstrual colic : beginning in left ovary.
Spasmodic colic.
Sensation of incarcerated flatus.
Sticking, drawing pain : in right eye ; in left eye ; in throat.
Dull sticking : in roots of lower teeth.
Stinging, burning pains : in panaritium.
Burning stinging : of skin.
Burning, throbbing pain : in boils on spine.
Burning pain : in top of head ; in vertex ; in eyes ; in mouth ; in rectum ; in left ovary ; in wrists.
Burning heat : in epigastrium ; in hypogastric and lumbar regions ; from hip to foot ; behind sternum.
Stinging : through ears ; in throat ; in right side ; in right arm ; in tips of fingers ; in knees ; all over.
Sore pain : in urethra ; in forepart of penis.
Smarting : in left throat.
Burning : in vertex ; of eyes ; of erysipelas in face ; of face ; of tongue and lips ; of swelling of throat ; in anus ; in rectum ; when urinating ; in chest ; in icy cold hands ; in finger ends ; in hands ; terrible
deep in hand ; of eczema on legs ; in palms and soles.
Pricking pain : in upper and lower extremities.
Dull, stinging pain : in stomach.
Heat : in forehead ; in left throat ; in occipital and cervical regions.
Heavy pain : in forehead to back and all over head.
Dull pain : in forehead ; in legs ; over and in eyes ; in bladder.
Pressing pains : in eyes ; in umbilical region ; in left ovary ; from loins to privates.
Tensive pain : from neck over head to eyes ; in left ovary.
Drawing pain : in left temple ; from eyes to occiput ; in jawbones ; in teeth ; from anus to umbilicus ; in ovarian region ; intolerable in small of back and down into legs ; up back ; from back to hips.
Spasmodic pains : in anus internally ; in heart ; in elbow.
Throbbing : in anus ; in rectum.
Soreness : of neck ; at vertex ; of mouth ; in throat ; of nostrils and lips ; of internal nose ; of internal throat ; in left side of throat ; of external throat ; about pelvic region ; of larynx ; of right shoulder.
Soreness : in region of spleen ; across bowels.
Sore feeling : in eyeballs.
Scraping : in throat.
Rawness : of throat.
Bruised feeling : in hips.
Painful pressure : in rectum ; when making water.
Gnawing pressure : in stomach.
Labor-like pressure : from loins downwards.
Violent pressure : on top of head ; in stomach.
Pressure : in orbits ; in stomach ; severe in a small spot between epigastrium and navel ; in bowels ; upon bladder.
Oppressive pain : in one or other temple ; in chest.
Painful contraction : in throat.
Painful sensitiveness : in left temple, from vertex down and in left side of face.
Great sensitiveness : of lower abdomen.
Tenderness : of scalp ; in left iliac region ; in epigastrium ; in whole spine ; of body.
Peculiar painful sensation of weakness and lameness : in left shoulder and arm.
Distress : at stomach.
Painful weariness : of face, neck and head.
Extraordinary weakness : diphtheria.
Weak feeling : in abdomen ; in knees ; in left shoulder and arm ; in legs.
Sinking, fluttering feeling : in epigastrium.
Uneasiness : in lower limbs.
Contractive tightness : in region of liver ; in abdomen.
Throbbing, choking sensation : in throat.
Choking sensation : in throat.
Suffocative sensation : in throat.
Dry, stuffed feeling : through whole front of head.
Stuffed feeling : in ears.
Feeling of obstruction : in throat.
Smothered feeling : in chest.
Strumming : through limbs.
Twitching : in eyes ; of hands.
Jerking : in right eye ; in lower teeth ; in teeth ; from thighs to genitals ; in legs.
Trembling : in whole body ; of limbs and internally ; of tongue.
Pricking : in left hand ; in finger ends ; in extremities of fingers ; Crawling : on left side.
Titillation : behind sternum.
Tickling : after blowing nose ; at root of tongue ; in throat ; in pit of stomach ; from thighs to genital organs ; in larynx ; in pit of throat and sternum.
Tingling : in left hand ; in toes.
Dryness : of mouth ; of throat.
Weight : in head ; on vertex ; in bowels ; in left ovarian region ; on chest.
Heaviness : of head ; in occiput ; in stomach ; in region of liver.
Confused feeling : in head.
Full feeling : of chest.
Fulness : in throat ; in head ; in region of liver ; in bowels ; in trachea ; at heart.
Dull oppression : in breathing.
Oppression : of chest.
Constriction : of anus ; in rectum ; of throat ; of chest ; about heart.
Dulness : in occiput ; in left infraclavicular region.
Paralyzed feeling : in thigh after pain has gone.
Lameness : in left shoulder.
Numbness : in occiput ; of left side ; about ear and cheek ; of arm.
Numb feeling : on left side of head ; about head.
Stiffness : of neck ; in malar bone ; of knees ; painful from loins down into thighs ; in sacrum ; in knees.
Emptiness : of stomach.
Coldness : over whole body ; of limbs ; of upper lip.
Itching pain : in left ovary.
Itching : of scalp ; of eyes ; of eruption under eyes ; of lower lid ; of facial erysipelas ; of face ; of rectum ; of anus ; on arms, hips and lower limbs ; in hands ; in different places on tibia ; of eczema on legs ; of
feet and ankles ; of pustules in palms of hands ; in internal parts.

Tissues

Emaciation, with muscular relaxation ; skin and muscles lax.
Great tenderness of all flesh ; it is exceedingly difficult to handle the child at all ; the least touch seems to hurt it, and to leave a deeper blueness, like a bruise.
Hemorrhages, blood dark, incoagulable ; typhoid.
Affections produced by blood poisoning ; pyæmia.
Venous stasis with a direct paralytic-like affection of medulla spinalis combined with general anemia.
Bluish color of affected parts ; cyanosis.
Small wounds bleed much.
Purpura. θ Scorbutic purpura.
Inflammation of internal organs with suppuration.
Veins on whole left thorax up to throat much dilated.
Menopause troubles, especially when capillary circulation is affected.
Dropsy ; from liver, spleen and heart disease ; after scarlatina ; urine black, legs œdematous, first left then right
Cellulitis, with burning and blue color of skin.
Ulcers sensitive to touch ; ichorous, offensive discharge ; many small pimples surround them ; areola purple ; > from warmth.
Gangrene, or carbuncles from blood poisoning.
Malignant local inflammations, with secondary blood infection and nervous prostration.
Circumscribed gangrene ; idiopathic and traumatic ; of tongue ; of foot.
Suppuration, particularly in internal parts.
Traumatic gangrene, restores vitality to parts apparently dead and induces renewed circulation without sloughing.
Malignant pustule.
Sphacelus.
Gangrena senilis.
Melanosis, colloid and encephaloid cancer ; violent burning, gangrenous spots.
Ulcers and wounds bleed readily and profusely.

Touch. passive motion. injuries

Touch : cannot bear shirt or neckband on throat ; can scarcely bear clothes to touch lower abdominal region ; temple sore ; on throat causes darting ; face sensitive ; lower jaw sensitive ; throat swollen and sensitive ; pit of stomach
sore ; liver sensitive ; stomach sensitive ; slightest, causes excruciating pain in abdomen ; ileo-cecal region sensitive ; uterine region sensitive ; womb sensitive ; nipple sore ; a spot on anterior portion of neck tender ; larynx
sensitive ; pit of throat painful ; neck sore ; on larynx causes suffocative attacks ; on throat causes cough ; infraclavicular region sensitive ; nape of neck painful ; shoulder and arm sensitive ; hands sensitive ; ulcers on legs bleed and
burn ; ulcers sensitive ; produces black and bluish spots.
Taking hold of throat causes nausea.
Cannot bear bonnet strings tied tight.
Does not like hair touched.
Hernia will not admit handling.
Pressure : bursting pains in temples ; pain in front of styloid process < ; on throat causes sensation as if eyes were forced out ; on throat causes severe pain ; pain in r. ovary ; tumor in breast painful ; larynx sore ; cough < ; on larynx
causes cough ; capillaries fill quite slowly ; nape of neck sensitive ; of finger on spine of neck sends pain to brain ; on dorsal spine sends pain to stomach ; swelling on hand sensitive ; toe painful.
Cannot bear pressure : about neck, hypochondria, abdomen, stomach and left iliac region.
Abdomen sensitive to weight of clothes.
Uterus does not bear contact and has to be relieved of all pressure ; frequently lifts clothes, they cause uneasiness.
Feels > if held firmly or pressed down.
After scratching at night on calf : an ulcer.
When effort is made to lift or move babe it cries out.
Shock from injuries.
After a fall : ulcer on right leg, with varicose swelling.
After running nail into foot : small ulcer.
Gangrene of hand, ten days after a bullet wound in hand.
Wound in hand from explosion of a pistol ; fifth day gangrene.
Hydrophobia.
From dissecting wound in finger that member very much swollen, hand and forearm much swollen and œdematous ; a hard red line extended from wrist to axilla ; axillary glands swollen ; arm and hand intensely painful ; whole left side partially paralyzed ; extreme
prostration ; low muttering delirium at night ; marked aggravation on waking ; abscesses formed under deep fibrous tissues of finger and hand.
Dog bite (seven cases) ; in two adult males who used alcoholic drinks there were shudderings and flushes of heat at intervals of a few weeks for two years.
After compound fracture of leg six or eight gangrenous spots, as large as a dime, and each point marked by a black blister which broke and revealed circular spots of gangrene ; livid appearance of skin ; delirium on closing eyes ; < after sleep. θ Gangrene.
Compound comminuted leg fracture, terminating in gangrene and threatening speedy destruction of limb.
Gangrene of finger which had been mashed ; on fourth day after injury shooting pains from finger to wrist and up arm ; on fifth day fetid odor and some grey blisters indicated gangrene ; next day line of demarcation formed entirely around
finger ; patient restless, cheerful beyond reason ; by twelfth day all traces of gangrene had disappeared ; no tissue lost by sloughing.
A man a week ago was struck by corner of a heavy box on inner surface of leg and cutting down into calf ; leg much inflamed ; leeches were applied ; severe chill ; since chill nothing has remained on his stomach ; severe pains set in, whole of wound
and two leech bites gangrenous ; very severe headache ; breath very fetid ; sleepless, his shining eyes constantly in motion ; tongue trembling ; pulse 110, small and irregular.
Elderly lady was bitten by a pet cat through ball of thumb ; whole hand and arm swollen and painful ; thumb suppurated and for months resisted all efforts to heal. θ Carbuncle.
Bedsores in typhoid fever ; ulcers red and inflamed, with black edges.
Small wounds bleed much.
Old chronic flat ulcers on lower limbs, with discolored areola.
Lachesis. (Lachesis Mutus.)

Skin

Itching over whole body, burning ; yellow or purplish blisters ; scabies.
Itching intense, almost driving to distraction, mostly at night, but also by paroxysms in daytime ; often changing to a severe, burning stinging sensation. θ Pustular eruption.
Skin dry and burning. θ Diphtheritis. θ Scarlatina.
Jaundice. θ Hepatitis. θ Typhoid.
Red lumps and tubercles.
Rash all over ; small smooth spots size of a needle point.
Yellow, red and copper colored spots.
Ecchymosis ; purple or black spots.
Purpura hemorrhagica.
Bluish black swellings ; dark blue blisters.
Body covered with bluish red eruption, round and elevated. θ Diphtheria.
Child, æt. 1, had gums lanced, bled five days, finally flow arrested, but child became cachectic and dropsical ; black and blue spots appeared all over him ; least touch or pressure produced them ; much < after sleeping ; extreme deathly paleness.
Small reddish spots on face, neck and arms.
Miliary eruption ; rash appears slowly or turns livid or black ; comatose.
High fever ; stitching pain on right side of chest and back ; thick patches of exanthema on right side, from spine to sternum, and from fifth to ninth ribs ; at first eruption vesicular, then pustular ; whole surface of skin occupied by eruption, very red and swollen,
especially intense around margin of each patch ; high fever, adynamic in character, slight morning remission ; on fifth day pains in back unbearable ; several groups of pustules near spine have a hemorrhagic appearance, gradually spread from one group to another until it
reached axillary line ; sufferings of patient almost unendurable ; will take no food except a small quantity of soup and wine ; great prostration from loss of sleep, from pain. θ Herpes
zoster after external application of Rhus tox.
For last twenty years, eruption on left forearm and on left lower abdomen ; eruption begins as a small boil which disappears, leaving a dry, scaly, itching eruption ; then other boils appear successively, all going through same process ; this goes on until most space
between elbow and wrist, and a space as large as palm of hand on lower abdomen is covered with itching dry eruption ; > for a few weeks, when little boil reappears and same process is gone over.
Old reddish herpes, with thick scurf in region of whiskers ; reappearance of suppressed herpes in face.
Pale, chlorotic, emaciated ; blackish or bluish blisters with sanious, fetid contents. θ Herpetic ulcers.
Vesicles large, usually of yellow color first, and then turning dark with much pain ; vesicles break and leave an excoriated surface, which burns when touched ; eruptions every Spring and Fall ; < from acids. θ Herpes.
Vesicular eruption, with a red crown.
Red spots, with vesicles on fingers and thighs.
Eruption of yellow or purplish blisters.
Bulla dark from bloody serum within. θ Pemphigus.
Gangrenous blisters.
New pustules and at same time many of older ulcers and scabs surrounded by blue halo ; veins of legs enlarged from pregnancy, unusually blue and knotty, almost appearance of incipient gangrene ; itching, burning and stinging pains.
Pustules size of pea to five cent piece, on back, legs and particularly about ankles ; isolated pustules, rapidly filled with sero-purulent matter and surrounded by an inflamed halo came in small crops ; these pustules soon dried into hard, dry scabs easily knocked off, leaving
red moist surface sensitive to contact with atmosphere or bedclothes.
Confluent smooth, round, white pustules of size of a mustard seed in palms of hands ; they contained a white fluid and itched intolerably.
Index finger of left hand quadrupled in size ; hand and forearm much swollen and œdematous, a hard red line extending from wrist to axilla ; axillary glands swollen ; arm and hand intensely painful ; whole left side partially paralyzed ; extreme prostration,
causing disease to be at first mistaken for typhus, low muttering delirium at night ; marked aggravation of suffering and prostration on awaking from sleep ; abscesses forming under deep fibrous tissues of finger and hand. θ Septicemia,
result of dissecting wound.
Swelling assumes a purplish hue, and patient commences to be delirious as soon as he closes his eyes ; bloated red face, attended by heat ; coldness of extremities ; tendency to faint, with numbness ; swelling of part is not great, but firm ; suppuration occurs
in spots, does not discharge, but dries up into cheesy mas, which is revealed by skin covering it drying up and peeling off ; sometimes bullæ containing dark colored serum. θ Erysipelas.
Erysipelas contracted while dissecting ; has been sick a week ; face swollen, bluish red, or leaden hue ; tongue dry, glossy, tremulous ; < from weight of clothes, from noon until midnight.
Dark red, very large and thick swelling, soft as dough when touched.
Varicose veins ulcerate.
Bedsores in typhoid fever ; ulcers red and inflamed, with black edges.
Furuncular formation, generally upon lower lip, attended with severe pain and frequently surrounded by erysipelatous areola ; rapid and excessive loss of strength, reduced from vigor to absolute prostration within twenty-four hours. θ Epidemic
malignant pustule.
Bluish color of pustule, and red streaks along lymphatic vessels. θ Malignant pustule.
Immense carbuncle, six inches in diameter, appeared in dorsal region to right of spine, attended with rigors, nocturnal sweat, fever and prostration. θ After bite of a cat.
Dark redness around sore, which discharges dark, bloody pus ; tension of skin around carbuncle, as if too short ; nightly burning in ulcer, obliging one to rise and wash it with cold water. θ Anthrax.
Black and blue spots ; ecchymoses all over body ; least touch or pressure produces them ; tenderness of body ; deathly paleness of face ; < after sleep. θ Anasarca.
After scarlet fever, upon going out into air before desquamation had occurred, swelling up of whole body, scrotum as large as child's head, urine diminished, respiration oppressed ; on left side of throat glandular swelling, extending up behind ear.
Inflammation slow ; skin over dead cellular tissue little disposed to ulcerate, and when finally perforated in three or four places, discharge scanty, thin, sometimes bloody ; great prostration. θ Carbuncle.
Man, had suffered for several years from a succession of carbuncles and indolent boils ; lately four successive carbuncles, none of which ran a complete course ; after each of these carbuncles patient's health deteriorated, until, after last, took to bed, with hectic
fever ; an abscess deep in adductor muscles of thigh being opened, discharged about a quart of pus ; formation and discharge of pus continued profuse ; patient rapidly growing feeble, with severe hectic ; loss of appetite ; great local suffering. θ Carbuncle
(seven weeks afterwards remnants of four carbuncles inflamed, abscesses formed and sloughs were discharged ; abscesses occurring in inverse order of original appearance of carbuncle).
Purplish color of affected part ; erysipelas spreads from l. to right θ Erysipelas neonatorum.
Marked swelling and redness of throat, with difficulty of swallowing, elevated papillæ on tongue, severe pain in head, flushed and turgid appearance of face, great restlessness, eruption of miliary character, or when it fails to come to the surface. θ Scarlet
fever.
Sore throat and great difficulty in swallowing ; fever ; pulse 120, quick and small ; throat sore to touch externally ; as yet no eruption. θ Scarlet fever.
Pleuritic, pericarditic and general dropsy in delayed desquamation, with great prostration. θ Scarlatina.
Scarlet fever and scarlet eruptions, with swelling of cervical glands, black lips and reddish tongue.
Throat symptoms assume a virulent character ; signs of blood poisoning and prostration. θ Scarlatina.
Lies on back with open mouth ; left parotid enormously swollen ; tongue dry and loaded with drying, offensive mucus, extending back upon pharynx, obstructing passage of throat ; nose stopped with bloody mucus, having dried down, thoroughly
impacting both nasal passages, high up ; eyes turned back ; could not be aroused in least from most profound stupor ; pulse compressible and small. θ Malignant scarlatina.
Cankerous ulcers spread from mouth to near chin, with sanious discharges from nostrils and throat ; constantly recurring spasms of almost entire muscular system ; vibratory movements in spasms, short and tremulous. θ Scarlatina.
Scarlatina maligna, advanced stages, typhoid states, threatening gangrene ; destructive decomposition of both fluids and solids.
Boy, æt. 9, had scarlet fever under allopathic treatment, survived swelling on left side of neck followed, which suppurated, abscess opened with lancet, afterwards boy declined in flesh, strength and appetite ; much exhausted ; face pale, dirty,
dingy ; puffy, no appetite ; restless, hot, dry skin ; peevish and whining ; abscess discharging foul and copious pus ; very sensitive to all motions of head ; a large cavity, no appearance of healthy granulations ; pulse 140 and small ; motions of jaw
in masticating solid food could not be borne.
Alternate delirium and stupor ; irrational, slow muttering delirium ; pulse soft, wavy, quick ; calor mordax ; respiration attended by moaning ; rapid, whistling ; occasional single cough ; grasping at throat, as if to tear away clothing from it ;
pupils widely dilated ; urine scanty, constipation ; countenance cadaverous ; breath putrescent. θ Repercussion of measles.
Girl, æt. 9, had, during previous winter, scarlatina very severely ; it left her delicate and deaf ; was exposed to measles ; six days after, rash appeared with a copious discharge from ears ; two days later, discharge suddenly ceased and rash disappeared ;
immediately became feeble and prostrate ; wild, muttering delirium ; great thirst, drinking little at a time ; singularly biting heat of skin next day ; pulse soft, wavy ; hardly to be counted ; calor mordax ; moaning respiration, rapid, whistling ;
occasionally a single cough with a moan after each cough, and a grasping at throat, as if to tear away clothing from it ; pupils widely dilated ; no stool for two days ; urine scanty and seldom passed ; countenance cadaverous ; breath putrescent.
Livid eruption ; countenance almost black ; tongue coated dark brown, sordes on teeth, inability to protrude tongue. θ Measles.
Black measles.
Itching on whole body, hands and feet ; after burning pains there appeared vesicles, with much itching, throbbing, heat, there formed a diffuse, red swelling, some vesicles as large as a nut, at first filled with water, but afterwards containing
pus ; a good deal of inflammation about parts ; some pustules dark blue, with burning, throbbing pain in swelling, as if flesh was being torn from bones ; pains attack head, teeth, breast, back ; severe, burning pain in head, causing sense of sickness and nausea ;
throbbing in head at every movement ; stupefied sleep after attacks ; pains < at night ; constant thirst but drinking makes her sick ; sometimes itching goes off, then she is short of breath and full of anxiety. θ Itch.
After scratching at night on calf, an ulcer size of a dollar, discolored, very painful.
Peculiar bluish red or livid appearance of ulcers.
Malignant ulcers ; bleed readily ; discharge bad smelling ichor ; deep, filthy suppuration ; gangrenous ; indolent, with blue color.
Flat open ulcers on left leg, with erysipelas.
Ulcers, surrounded by pimples, vesicles and smaller ulcers.
Areola of ulcer assumes a bluish color. θ Sycosis.
Ulcer dried up by washes ; on taking cold a few weeks after her entire foot and ankle broke out into small ulcers, resembling original sore ; great pain in ulcers ; itching of feet and ankles, almost unbearable ; leg < after sleep and > from warmth. θ Indolent
ulcer.
Chronic indolent ulcers of legs, flat, with purple skin ; many small sores around main ulcer, which has an uneven bottom, burning and bleeding, even when lightly touched ; ichorous, offensive discharge.
Ulcers small and scattered about upon neck and face.
Skin around ulcers and wounds is yellow, green, lead colored, bluish red or black.
Superficial ulcers, foul at bottom, with red crowns.
Brownish red areola about ulcer became blackish blue.
Flat ulcers with a bluish white base.
Spreading, superficial, shallow ulcer ; paralysis of left leg.
Burning in ulcers at night.
Chronic indolent ulcers, with an uneven bluish bottom and offensive odor.
Painful ulcers, sometimes with proud flesh.
Pain in old cicatrices of ulcers ; old red scars reopen.
Spongeous ulcerations of syphilitic origin.
Cancerous ulceration, putrefaction, flesh falls off piecemeal.
Boy, æt. 10, large sore on centre of forehead, covered with a hard black scab, tissue around hard and inflamed ; puffy swelling extended down on both sides of neck, which was much swollen, as were his lips ; on taking a swallow of water
grasped throat and evinced greatest pain ; face very red but mottled white ; ears burning hot to touch yet pulse but 85 ; irregular and softish ; picked at hair continually ; every few minutes twitching of arms ; throat swollen and red ; next morning
tonsils covered with dirty white membrane ; in evening abundant scarlet rash ; bleeding of dark blood from nose and mouth.
Chronic ulcers of legs (probably of syphilitic origin) ; discharge ceased, extremity œdematous ; a hard, slightly red swelling, extending up course of principal veins ; great and sudden prostration ; low muttering delirium, general typhoid symptoms. θ Secondary
phlebitis.
Carbuncles, with purple surroundings and many small boils around them ; must rise at night and bathe to allay burning ; also when suppuration is tardy and systemic weakness obtains ; cannot bear bandages.
Malignant furuncles, very painful, turn blue and spread.
Sore spots become fungoid, dark red to brownish, with whitish spots ; burning on wiping.
Fungus hematodes.
Spots yellow, green, red, lead and copper colored, pale, livid ; hard and pale swelling ; ulcers surrounded by nodes and vesicles ; muscles fall off in shreds from bone ; loss of sensation ; toes fall off. θ Leprosy.
Sensation absent in left arm ; toes fall off ; left side of pharynx sore, with suppurating ulcers ; menstruation alternately profuse and absent. θ Leprosy.
Bedsores, with black edges.
Scars redden, hurt, break open and bleed.
Warts.

Stage of life, constitution

Affections of meagre, weak, melancholy persons, or of those who are chlorotic, with sickly complexion ; women at climacteric period, with frequent metrorrhagia and hot flushes, burning vertex, headaches, pain in back, or hot flushes by day and cold
flashes by night, insomnia, < in afternoon, evening and after sleep ; throat diseases commence on left side rheumatism on right.
Better adapted to thin and emaciated than to fat persons ; or adapted to those who have been changed both mentally and physically by their illness.
Suits people with a vivid imagination.
Melancholic or choleric temperament, with phlegmatic constitution ; with dark eyes and disposition to lowness of spirits and indolence.
Bilious temperament.
Women of choleric temperament, freckles and red hair.
Dark eyes, disposed to sluggishness and indolence.
Climacteric ailments ; hemorrhoids, hemorrhages, hot flushes, burning vertex headaches ; especially after cessation of flow.
Women who have not recovered from change of life, "have never felt well since that time".
Drunkards ; headaches, hemorrhoids ; prone to erysipelatoid inflammations.
Erysipelas of old people.
After onanism. θ Epilepsy.
People injured by mercurial treatment.
In all syphilitic mercurial diseases. θ Tertiary syphilis.
Infant, æt. 2 months ; cyanosis.
Girl, infant, æt. 6 months ; malignant erysipelas.
Girl, æt. 9 months ; diphtheria.
Child, æt. 9 months, scrofulous ; diphtheria.
Boy, æt. 1, scrofulous, apparently healthy, had incisors lanced, obstinate hemorrhage ensued, which was finally stopped by perchloride of iron ; anasarca.
Child, æt. 21 months, light complexion, blue eyes ; bronchial catarrh.
Boy, æt. 2 ; membranous croup.
Girl, æt. 3, blonde, spare built.
Child, æt. 3 ; typhoid fever.
Girl, æt. 4, light hair, blue eyes, slight build ; suppuration of lungs.
Boy, æt. 4 ; diphtheria.
Boy, æt. 5, attends school, previous good health, suffering six weeks ; brain irritation.
Girl, æt. 5, dark straight hair and blue eyes, when two years old had caries of dorsal vertebræ ; paralysis of legs and chest affection.
Boy, æt. 5, in good health and spirits, has abscess on wrist ; convulsions.
Girl, æt. 6 ; diphtheria.
Boy, æt. 6, epileptic, with thick head, pale, bloated look, delicate constitution, suffering fourteen days ; diphtheria.
Child, after being frostbitten ; tetanus.
Boy ; post-diphtheritic eye affection.
Boy, sick five days ; diphtheria.
Girl, after excessive study ; mental disorder.
Girl, æt. 6 ; ague.
Girl, æt. 6 ; diphtheria.
Boy, æt. 8, suffering five days ; diphtheria.
Boy, æt. 8, cold contracted in wet weather ; bronchial catarrh.
Girl, æt. 8 ; diphtheria.
Boy, æt. 8 ; diphtheria.
Boy, æt. 8 ; affection of throat.
Boy, æt. 8, scrofulous ; scarlatina.
Girl, æt. 8, light red hair, nervous and sensitive, bright and cheerful when well, after having ears pierced ; chorea.
Girl, æt. 9, a few months ago had scarlatina, which left her delicate and deaf, nine days ago exposed to measles, two days ago rash appeared along with copious discharge from ears, now rash and discharge both disappear ; repercussion of measles.
Girl, æt. 9, frightened when three years old by snake ; affection of mind.
Boy, æt. 9, fair skin, dark eyes, short stature, well developed, healthy ; after scarlatina abscess on left side of neck.
Boy, æt. 9, pale, weakly, subject to epileptiform spasms ; diphtheria.
Girl, æt. 9 ; diphtheria.
Girl, æt. 10 ; pharyngitis.
Boy, æt. 10, suffering from scarlatina, upon going out before desquamation ; dropsy.
Boy, æt. 10 ; scarlatina.
Boy, æt. 10, highly nervous temperament, psoric taint ; scarlet fever.
Girl, æt. 10 ; diphtheria.
Boy, æt. 12 ; affection of knee.
Girl, æt. 12, healthy looking, suffering eight days ; affection of throat.
Girl, æt. 13 ; typhoid fever.
Boy, æt. 14, tonsillitis.
Boy, æt. 16, strong and active, red hair, dark eyes, freckled complexion ; peritonitis.
Girl, æt. 16, light complexion ; typhoid.
Girl, æt. 16 ; tonsillitis.
Boy, æt. 17, subject to inflammation of throat ; angina.
Girl, æt. 18, governess, robust constitution, suffering a week without perceptible cause ; neuralgia.
Girl, æt. 18 ; diphtheria.
Girl, æt. 20, blonde, slim, mild disposition ; erysipelas.
Weakly girl, æt. 20 ; diarrhœa.
Girl, æt. 20, bilious temperament, full habit, from sitting on stool and practicing at piano, suffering four years ; affection of spine.
Woman, æt. 20, after giving birth to child which died on fourth day of erysipelas ; peritonitis.
Girl, æt. 20, blonde, thin, mild temperament ; erysipelas on leg and foot.
Woman, æt. 20, strong ; angina.
Young man, tall, active, dark hair and eyes ; diphtheria.
Young man, scrofulous, weak, has had for several years eczema on arms and leg ulcers ; tonsillitis.
Young lady, bilious lymphatic temperament, suffering ten years ; constipation.
Young woman, delicate, nervous temperament ; diphtheria.
Young woman, married, refined sensibilities ; mental disturbance.
Young man, phthisical habit, had been coughing two months ; pulmonary tuberculosis.
Young man, weakened by disease and medicine and further by fracture of clavicle ; affection of right hand.
Strong young man ; affection of second toe of right foot.
Young man, after excessive study ; glossomania.
Young man, phthisical habit, emaciated, six months ago had pneumonia ; lung affection.
Young, robust sea captain, previously suffered from abscess of throat ; affection of throat.
Girl, æt. 20, after taking purgative medicine for some digestive troubles ; diarrhœa.
Man, æt. 21, scrofulous ; angina.
Man, æt. 22 ; pharyngitis.
Man, æt. 22, physician, result of wound incurred during post mortem examination of a case of puerperal peritonitis ; septicemia.
Man, æt. 23 ; pneumonia.
Girl, æt. 23 ; epilepsy.
Woman, æt. 23, slender build, premature labor ; puerperal convulsions.
Woman, æt. 24, multipara, small, fair, nervous, sanguine temperament ; puerperal convulsions.
Man, æt. 24, wears glasses ; asthenopia.
Woman, æt. 24, brunette ; facial neuralgia.
Man, æt. 25, medium height, fair complexion, muscular, and accustomed to outdoor exercise ; chronic irritability of fauces.
Girl, æt. 26 ; diphtheria.
Man, æt. 28, small, brown hair, during childhood frequent convulsions, after being cured of caries ; epilepsy.
Woman, æt. 28, sunstroke two years previous to confinement, from which she had ever since been confined to bed ; puerperal convulsions.
Woman, æt. 28, suffering several weeks ; partial deafness.
Man, æt. 29, suffering since fourteenth year ; epilepsy.
Woman, æt. 30, medium height, dark complexion, black hair, subject to swelling of glands and morbid discharges from mucous membranes, had three abortions, now in eighth month of pregnancy ; pustular eruption.
Woman, æt. 30 ; chronic affection of larynx.
Woman, æt. 30, brunette, nursing 5 months ; thin milk.
Woman, æt. 30, married, weak constitution, tuberculous tendency ; tumor in breast.
Man, æt. 30, another 23 ; fever.
Man, æt. 30, laborer, after injury ; gangrene of leg.
Woman, æt. 30, single ; pharyngitis.
Married woman, æt. 30, tuberculous, weakly constitution, somewhat emaciated and pale, skin dry ; since ten years no child ; tumor in left mamma.
Woman, æt. 31, unmarried, suffering for many years ; headache.
Woman, æt. 32, married, after night watching ; convulsions.
Woman, æt. 32, brunette, choleric temperament ; mania.
Man, æt. 32, sanguine nervous temperament ; ague.
Countess V., æt. 33, after rubbing a mixture of Rhus tox. and alcohol upon abdomen for a strain of uterine ligament ; herpes zoster.
Man, editor ; typhoid fever.
Man, plethoric, tendency to hydrothorax ; periodic asthma.
Man, after mercurial treatment ; syphilis.
Lady, worn out with solicitude and care of a sick friend, had delirium followed by convulsions.
Woman, æt. 40, one year without catamenia ; erysipelas on foot joint.
Woman, slender form, menstrual irregularities ; aphonia.
Woman, married ; effects of domestic troubles ; melancholy.
Woman, weakly, sensitive mind, during climacteric, after grief at death of husband and loss of fortune ; affection of throat.
Woman, after taking charge of child with itch ; itch.
Woman, married many years, but never pregnant ; chronic uterine catarrh. (Afterwards bore a child).
Woman, post diphtheritic affection.
Woman, subject Spring and Fall to acute pneumonia ; had been treated for many years allopathically ; ovaritis.
Woman, wasted, slim, pale ; ulcers on legs.
Woman, æt. 35, sickly and weak, slim, strong bones, bilious constitution, mild temper ; infiltration on the back.
Man, æt. 35, pharyngitis.
Man, æt. 35 ; diphtheria.
Man, æt. 39, dark complexioned, emaciated, eight weeks ago operation for fistula in ano, suffering four weeks ; mental disorder.
Woman, æt. 40, single, large and fleshy, subject to attacks of catarrh for fifteen years ; bronchial catarrh.
Woman, æt. 40, suffering 20 years ; hysteria.
Man, æt. 40 ; gangrene of hand.
Man, æt. 40, after receiving wound on head by falling off horse ; gangrene of wound.
Woman, æt. 40, has not menstruated for one year ; erysipelas.
Woman, æt. 40, tall, slender, pale ; ulcers on legs.
Woman, æt. 40 ; indolent ulcer.
Man, æt. 40, phthisical ; ulcers on legs.
Man, æt. 40 ; bee sting.
Woman, æt. 42, mother of two children, sanguine bilious temperament ; asthma.
Woman, æt. 42, sanguine bilious temperament ; asthma.
Woman, æt. 43, married ; irritation of meninges of brain and spinal cord.
Woman, æt. 43 ; ulcers on leg.
Lady, æt. 43, slim, large, cachectic, scrofulous ; intestinal croup.
Woman, widow, æt. 43 ; catalepsy during climaxis.
Woman, æt. 45, full habit, nervous, light hair, blue eyes, lively disposition, suffering for years ; headache.
Married woman, æt. 45 ; chronic nasal catarrh.
Woman, æt. 48, 18 months after climaxis, catamenia had been copious, very dark, had been subject to congestion towards head and chest ; swelling of right ovary.
Woman, æt. 48, bilious, nervous temperament, has for many years, every Spring and Fall, had acute pneumonia, for which she was salivated, bled, blistered and purged ; general breakdown.
Woman, æt. 49, seamstress, for three years ; cephalalgia.
Woman, climacteric period ; anal fistula.
Man, æt. 45, suffering three weeks ; spasm of glottis.
Man, æt. 45, full habit and bilious temperament ; functional disturbance of heart.
Man, æt. 48, subject to follicular pharyngitis ; pharyngitis.
Man, æt. 49, light complexioned, suffering five days ; sciatica.
Woman, æt. 50, just passed critical period, suffering six months ; affection of anus and rectum.
Woman, æt. 50 ; itch.
Woman, æt. 50 ; chronic affection of larynx.
Woman, æt. 50 ; foreign body in œsophagus.
Woman, æt. 50, phlegmatic, sanguine temperament, small stature, father and brother died of heart disease ; attacks of dyspnœa and palpitation of heart.
Woman, æt. 50, large and fleshy, at critical period, had suffered several years with dilatation of left ventricle, aorta and carotid artery ; bronchial catarrh.
Woman, æt. 51, after sudden suppression of menses by a mental emotion ; rheumatism of vagus.
Woman, æt. 52, married, leuco-phlegmatic, very fat, suffering for twenty years ; eruption on arm and abdomen.
Woman, æt. 52 ; sacculated ovarian disease.
Woman, æt. 53, plethoric, robust, choleric ; ulcer on leg.
Woman, æt. 56, passing through climacteric period ; affection of liver.
Man, æt. 57, nervous bilious temperament, dark hair and skin, suffering thirty-five years ; eczema.
Man, æt. 60, married, subject five years to occasional attacks of severe pains in back of head ; convulsions.
Man, æt. 60, strong, well built, full chest, blue eyes, suffering since he was six years old ; headache.
Elderly woman, thin and cachectic ; phthisis pulmonalis.
Lady, æt. 60, tall, dark, leathery skin, feeble, thin, nervo-bilious, fond of good living ; tertian ague.
Man, æt. 60, strong, well built, blue eyes ; headache.
Woman, æt. 65, stout, fleshy, for many years periodical attacks from hepatic apostema.
Woman, æt. 69 ; ulcers on legs.
Woman, æt. 70, suffering six months ; bronchial catarrh.
Woman, æt. 76, suffering a long time from suffocative cough ; chest affection.
Man, æt. 80 ; vertigo.
Man, æt. 86 ; sciatica.

Relations

Antidoted by : Radiate heat outwardly, alcohol inwardly ; salt. The dilutions are antidoted by : Alum., Arsen., Bellad., Coccul., Coffea, Hepar, Mercur., Nitr. ac., Nux vom., Phos ac ., according to effects.
It antidotes : effects of Bufo, Crotal., Rhus tox .
Compatible : Acon ., Arsen., Bellad., Bromium, Carbo v., Cinchona, Hepar, Hyosc., Kali bich., Lac c., Lycop., Mercur., Nitr. ac., Nux vom., Olnd., Phosphor., Pulsat., Silica, Sulphur, Tarent .
Incompatible : Acet. ac .
Complementary : Hepar, Lycop., Nitr. ac .
Compare : Crotal., Naja trip., Elaps. cor . and Bothrops can ., in their general effects on the blood and nervous system ; Sulphur and Lycop .
in aphasia ; Theridion and Moschus , vertigo < closing eyes, sun headaches ; Arsen., Hydr. ac., Lauroc., Digit . and Veratr ., fainting
from cardiac weakness ; Kali carb , heart hangs by a thread ; Glon, Bellad., Camphor, Natr. carb ., and Therid ., effects from heat of the sun ; Stramon.,
Agaric., Mephitis, Act. rac . and Paris quad ., loquacity ; Opium, Hyosc., Arnica, Alum., Lycop., Rhus tox. , typhoid fever ; Mercur., Cinchona, Pulsat., Bryon., Gelsem .,
catarrhal and rheumatic headache ; Silica , desire to have head wrapped up ; Crotal., Phosphor and Arnica in retinal apoplexy ; Crotal .
and Elaps , otorrhœa ; Apis, Arsen ., and Kali carb ., œdema of face ; Cicut ., dyspnœa from spasm ; Apis,
Rhus tox . and Euphorb ., erysipelas, herpes, etc. ; Phytol ., sore throat, debility, etc. ; Lac can., Crotal . and Naja ,
diphtheria ; Cinchona, Carbo veg., Hepar, Kreos., Kali bich., Nux vom . and Lycop ., dyspepsias and abdominal diseases ; Colchic . and Elaps ,
cold feeling in stomach ; Bellad., Caustic., Natr. mur., Nitr. ac., Ignat., Kali bich., Opium, Plumbum, Mez . and Coccul ., constriction of anus, anal tenesmus and dysentery ; Anacard .,
sensation of plug in rectum ; Hepar, Asaf., Lycop., Mur. ac., Silica, Sulph. ac . and Arsen ., ulcerations ; Apis, Arg. met., Platin., Murex, Pall., Lycop ., and Graphit .,
ovarian and uterine diseases ; Crotal., Helleb., Digit., Tereb., Apis and Colchic ., vesical and renal affections, with hæmaturia ; Calc. ostr ., gall stones ; Phosphor .
and Thuja fungus hematodes ; Natr. mur . and Ledum , effects of bee sting ; Lact. ac ., fulness of throat and constriction ; Tarent.
cubensis ., painful carbuncles.

Lectures on Homoeopathic Materia Medica

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

Lecture

Lachesis is a frequently indicated remedy, and one that you will need to study much in order to know how to use. Lachesis seems to fit the whole human race, for the race is pretty well filled up with snake as to disposition and character and this venom only causes to appear that which is in man.

Generals

We will first give a survey or the general symptoms, those which characterize the remedy and are of greatest importance, and the circumstances under which the symptoms appear, are brought out or are aggravated.

One who is a constitutional Lachesis patient will find himself suffering from an aggravation of his symptoms in the Spring, when he goes out from the cold weather into the milder weather, and especially is that so if it mild and rainy, or cloudy weather. Or if he goes from a cold into a warmer climate the symptoms of Lachesis will come out. The warm south winds excite the Lachesis symptoms.

The symptoms of Lachesis are worse on entering sleep. He may have felt nothing of his symptoms when awake, but when sleep comes on they are aroused, and they gradually increase as the sleep is prolonged, so that a very long sleep will aggravate all the state and condition of a Lachesis patient, and when awakening from sleep he looks back on that sleep with sorrow.

The sleep has been disturbed by attacks of suffocation and by awful dreams, and now, after having slept a long time, he arouses with dreadful headaches, with palpitation, with melancholy, with sorrows from head to foot. His body is full of suffering and his mind sees no brightness in anything.

There is a cloudy state, sadness, melancholy, insane notions, whims, jealousy and suspicion. When taking a warm bath, or applying warm water to places that are inflamed, his mental symptoms are aggravated. After a warm bath or after getting warmed up, or, if he becomes chilled from being out on a cold day and then goes into a warm room, the symptoms come on. After going into a warm bath, palpitation comes on; it seems as if his head would burst, his feet become cold, and he is shocked all over, pulsation all over, or feeble heart. Fainting in a warm bath. Girls sometimes faint when going into a warm bath. The patient may be cold and chilly yet the warm room increases or brings out the symptoms.

The general aspect of the patient and the localities will point some times to Lachesis. Upon the face there is an appearance of anxiety, of unrest and distress. The face is spotted or purple and the eyes are engorged. The eyes look suspicious. If there is an inflamed spot, it is purple. If there is an inflamed gland, and Lachesis is full of inflammation of the glands and cellular tissues, there is a purple or mottled appearance.

If there is an ulceration the ulceration bleeds black blood, which soon coagulates and looks like charred straw. From the wounds there is much bleeding. Small wounds bleed much like Phosphorus and Kreosote. A prick of a pin will ooze great drops of blood. Ulcers eat in, have false granulations, are putrid, bleed easily, and the blood is black, and all round the ulceration there is a purple, mottled appearance, looking as if about to become gangrenous.

Often gangrene does come; gangrene of parts that have been injured. Sloughing with great offensiveness. The parts turn black and slough. The veins become varicose. These are found upon the limbs, having the appearance of the varicose veins that come after gestation. Enlargement of the veins is a prominent condition of Lachesis.

From the slightest exertion of the mind or from the slightest emotion the extremities become cold, the heart becomes very feeble, the skin is covered with sweat and the head is hot. Warmth does not seem to relieve the coldness of the feet and hands; they are so cold. They may be wrapped up in flannels and still they remain cold, but suffocation is brought on. He cannot breathe and wants the windows open. It is weakness of the heart; sometimes so weak that it can hardly be heard or felt, and the pulse is feeble and intermittent. At other times there is audible palpitation of the heart.

As we go over the symptoms of the text we will notice something singular about the complaints, that is, their tendency to affect the left side, or to, begin on the left and extend to the right. The paralysis begins by gradually appearing weakness upon the left side. Which extends to the right side. It has a strong affinity for the ovaries, and in this it will be found that the left ovary is affected first. So, in inflammation of the ovaries, the left will be affected first, and later the right.

The inflammation begins on the left side of the throat and gradually goes to the right. The left side of the head is commonly most affected. The left eye becomes painful and the pain extends to the right. The left side of the back of the head, in the occipital headache, will be more affected than the right. This does not always follow, and if the reverse is true it does not contra-indicate Lach., but such is the common feature of it. Left upper and right lower has been observed.

In many symptoms of Lachesis, there is morning aggravation. This is the well-known Lachesis aggravation after sleep; the patient will sleep into the aggravation. In the milder symptoms this aggravation is mild and is not felt until after the patient wakes up from a long sleep, but if the aggravation is one that is of considerable violence, the patient may feel it immediately on going to sleep, and it arouses him; for instance, the heart symptoms. As soon as he goes into a sleep he rouses up with palpitation, with dyspnoea, with suffocation, with exhaustion, with vertigo, with pain in the back of the head, and many other circulatory disturbances.

Mind

The next most important thing to be studied is the mental state. Nothing stands out more boldly than the self-consciousness, the self conceit, the envy, the hatred, the revenge and the cruelty of the man. These things, of course, are matters of self-consciousness, an improper love of self. Confusion of the mind to insanity.

All sorts of impulsive insanity. The mind is tired. The patient puts on an appearance like the maudlin of a drunkard, talks with thick lips and thick tongue, blunders and stumbles, only partly finishing words; the face is purple and the head is hot.

There is choking and the collar is uneasy about the neck; and the more uneasiness about the neck, the more choking, the more confusion of mind and the more appearance of intoxication. You will see if you talk with one who is intoxicated with whiskey symptoms like Lachesis, he stumbles through, hardly realizing what he says, half finishing his sentences and his words, leaving his "g's" off, all the present participles; he stumbles and blunders, he mutters, and tells you first one thing and then another.

These symptoms are increased under the circumstances mentioned in the Spring; in the warm weather following a cold spell; in rainy weather; after a warm bath; after sleep.

The mental state is large. Jealousy without any reason. Unwarranted jealousy and suspicion. Many times this medicine has cured suspicion in girls, when they were simply suspicious of their girl friends. She never sees a whispered conversation going on but they are talking about her, to her detriment.

Suspects that they are contriving to injure her, and she will resort to any scheme to see if they were not talking of her to her detriment. A woman imagines that her friends, husband, and children are trying to damage her; that her friends are going to put her in an insane asylum.

Apprehension of the future. Thinks she is going to have heart disease, and is going insane; and that people are contriving to put her in an insane asylum. Imagine her relatives are trying to poison her and she refuses to eat. She thinks sometimes that it is only a dream and she can hardly say whether she dreamed it or whether she thinks it. She thinks she is dead, or dreams that she is dead, and in the dream preparations are being made to lay her out, or that she is about to die.

Thinks she is somebody else, and in the hands of a stronger power. She thinks she is under superhuman control. She is compelled to do things by spirits. She hears a command, partly in her dream, that she must carry out. Sometimes it takes the form of voices in which she is commanded to steal, to murder, or to confess things she never did, and she has no peace of mind until she makes a confession of something she has never done.

The torture is something violent until she confesses that which she has not done. Imagines she is pursued. Imagines that she has stolen something, or that somebody thinks she has stolen something, and fears the law. She hears voices and warnings, and in the night she dreams about it. The state of torture is something dreadful, and it then goes into a delirium with muttering. The delirium is carried on like one muttering when drunk. This state increases until unconsciousness comes on and the patient enters into a coma from which he cannot be aroused. The patient also goes through periods of violence and violent delirium.

It is full of religious insanity. You will find a dear, sweet old lady who has always lived what would be called an upright and pious life, yet she is not able to apply the promises that are in the Word of God to herself; these things seem to apply to somebody else but not to her. She is full of wickedness and has committed the unpardonable sin. She is compelled to say these things; she is overwhelmed by these things and she is going to die and going to that awful hell that she reads about. The physician must listen to this with attention. The physician might make the mistake in this instance of making light of such feelings. If he does, the patient will not return, and he will be deprived of the chance of benefiting her.

No matter what her whims are, no matter what her religious opinions are, her state of mind must be treated with respect. It must be treated as if it were so.

She must have sympathy and kindness. It is an unfortunate thing for a doctor to get a reputation of being an ungodly man, among pious people, as he will be deprived of doing these people an immense amount of good. He must be candid with all the whims and notions of the people that he visits in the world. He must be everybody’s friend and he can be such without any hypocrisy if he is simply an upright and just man.

The state of religious melancholy, with religious insanity, is not uncommonly attended with much loquacity, with talkativeness, which Lachesis is full of. It is commonly among women, very seldom among men, that we find this religious melancholy. Now, this woman is impelled to tell it; she will annoy her intimate friends, day and night, with this story of the damnation of her soul and her wickedness and all, the awful things she has done. If you ask her what things she has committed she will say everything, but you cannot pin her down to the fact that she has killed anybody. If you allow her to go through with her story she will tell you all the crimes in the calendar that she has committed, although she has been a well-behaved and well-disposed woman.

There is another kind of loquacity belonging to Lachesis. The patient is impelled to talk continuously. It is found in another. state in which the patient is compelled to hurry in everything she does and wants everybody else to hurry, With that state of hurry is brought out the loquacity, and this is something far beyond comprehension, until you have once heard it.

There is no use attempting to describe it, it is so rapid, changing from one subject to another. Sentences are sometimes only half finished; she takes it for granted that you understand the balance and she will hurry an. Day and night she is wide awake, and with such sensitiveness to her surroundings that you, would naturally think, from what things she hears and how she is disturbed, by noise, that she can hear the flies walk upon the walls and the clock striking upon the distant steeple.

You do not get all these things in the text, you have to see them applied. But the things I give you that are brought out clinically are those things that have come from applying the symptoms of the remedy at the bedside to sick folks.

"Most extraordinary loquacity, making speeches in very select phrases but jumping off to most heterogeneous subjects."

"One word often leads into the midst of another story."

These states may come on in acute diseases like typhoid, when it will take the usual typhoid delirium, or they may come on in conditions like diphtheria, or in any of the diseases that are characterized by blood poisoning; they may come on in the puerperal state, or may take the form of insanity. It is a long acting remedy, and if it has been abused its effects will last a life time.

In many cases a close connection between the mental symptoms and the heart symptoms will be noticed, especially in young women and girls who have met with disappointment, who have been lying awake nights because of disturbance of the affections, or from disappointment, or from shattered hopes, or from grief.

Prolonged melancholy, mental depression, hysterical symptoms, weeping, mental prostration and despair, with pain in the heart, with a gone sensation or sensation of weakness in the heart, with difficult breathing. She meditates upon suicide, and finally settles back into an apathetic state, in which there is an aversion to, everything, to work, and even to thinking.

I might impress upon your mind the head symptoms if I related the case of a patient who described her symptoms probably more typically than you can find in the books. She was sitting up in bed and unable to lie down; she was worse from lying down, her face was purple, her eyes were engorged, the face puffed and tumid and the eyelids bloated. She sat there perfectly quiet in bed and described the pain as a surging sensation, which came up the back of the neck and head and then over the head.

That is a typical feature of Lachesis. A surging in waves. Waves of Pain that are not always synchronous with the pulse. They may not relate to the flow of blood at all. The surging is aggravated by motion, not so much in the act of motion, but after moving. It is sometimes felt after walking or changing to another place, and sitting down again; that is, a few seconds after the motion is completed the pain begins, and it comes to its height instantly and then gradually subsides into a very steady surging or a more steady ache.

Head

In the head there is a continuous steady ache, which may be aggravated or aroused into a surging which is so violent that it seems as if it would take the life of the patient.

The headache begins in the morning on waking. The milder Lachesis headaches begin in the morning on awaking and wear off after moving about a while. With the headaches and complaints in general there is a momentary vanishing of thought; all sorts of vertigo. Vertigo, with nausea and vomiting. The vertigo inclines the patient to turn to the left.

Lachesis has bursting pains in the head congestive pains with a feeling as if all the blood in the body must be in the head, because, the extremities are so cold and the head pulsates and hammers. This pulsating headache is part of a general pulsation from head to foot. In all arteries and inflammed parts, there is pulsation. The inflamed ovary pulsates, and it feels at times as if a little hammer were hammering upon the inflammed part with every pulsation of the artery. Lachesis has a number of times cured fistula in ano when associated with this feeling as if a hammer continually hammered the little fistulous pipe.

It has cured fissure of long standing when it felt as if the inflamed part were being hammered. Haemorrhoids have been cured when this sensation of hammering was present. So that we see this pulsation in the head is not a special symptom, but is a general symptom, brought out in relation to the head.

Some symptoms are valuable because of the frequency of their association, and when such is the case their concomitant relation. becomes important. The cardiac symptoms are frequently connected with the headache symptoms in Lachesis. It is seldom that you will see Lachesis headaches without cardiac difficulty. A weak pulse or the pulsation felt all over the body, is more or less associated with violent Lachesis headaches.

In the text we find weight and pressure as a strong feature of the Lachesis head symptoms. With almost any complaint of the body, with typhoids, at the menstrual period, during the congestive chill, it seems that the body becomes cold, the extremities become cold, the knees are cold, the feet are cold, and it is impossible to keep them warm, while the face is purple and mottled, the eyes are protruding and engorged, and this awful pain in the head, with a tendency to become unconscious, incoherent speech, difficulty of articulation, and finally actual unconsciousness.

In relation to the head symptoms and mind symptoms and the sensorium in general, the oversensitiveness that is found in Lachesis ought to be mentioned. His symptoms become very intense. The vision becomes very intense; the hearing becomes intense; the sense of touch especially is overwrought. The touch of the clothing becomes very painful, while hard pressure may be agreeable. The scalp becomes so sensitive to the touch of the hand that it is painful, while the pressure from a bandage is agreeable.

Oversensitive to noise, oversensitive to motion in the room, to conversation and to others walking over the floor. By these circumstances the pains are increased. The patient becomes extremely sensitive throughout all the senses of the body.

The oversensitiveness to touch is probably extensively in the skin, because of the fact that hard pressure often gives relief. In one who is suffering from peritonitis, front inflammation of the ovaries or uterus, or any of the abdominal viscera, the skin is so sensitive to. the clothing that contrivances are sometimes necessary to relieve the suffering from, the touch of the bed clothing. Something in the form of a hoop will be found in the bed, or the patient will have the knees drawn up, or with the hands will hold the clothing from touching the body. The ordinary weight of the hand may bring out the soreness that is in the abdomen, which is an entirely different soreness, whereas the clothing touching the abdomen only brings out the oversensitiveness of the skin. The mere touch of the skin with the finger or hand is unbearable.

Eyes

There are many inflammatory and congestive conditions of the eyes.

The eye symptoms are worse after sleep, and the eyes are oversensitive to touch and light. With the eye symptoms we have headaches, because the brain and eyes are so closely associated. In the sore throats, when the spatula or tongue depressor happens to touch the wall of the throat, the tonsil, or the root of the tongue, there is a feeling as if the eyes would be pressed out. Violent pain in the eyes from touching the throat.

Lachesis is a great jaundice medicine, because it produces much disturbance in the liver. Yellowness of the skin and whites of the eyes, and thickening of tissues about the eyes.

"Fistula lachrymalis," which is accompanied by long standing eruptions about the face.

Oversensitiveness of the meatus auditorus externus. Anything introduced into the canal of the ear will cause violent, spasmodic coughing and tickling in the throat. So sensitive is the mucous membrane of the ear that a violent cough, like whooping cough, will come on from touching the mucous membrane of the ear. This only shows the oversensitiveness of reflexes, and the oversensitiveness in general. With the hearing there is the same oversensitiveness that we have spoken of elsewhere. The Eustachian tube becomes closed with a catarrhal thickening, stricture of the Eustachian tube.

Nose

The catarrhal symptoms of the nose are prominent. Frequent bleeding of the nose and body, watery discharge from the nose. Always taking cold in the nose. Stuffing up of the nose, with disturbance of smell. Oversensitiveness to smell, and oversensitiveness to odors, finally loss of smell.

Lachesis has inflammatory conditions, very chronic in character, with crusty formations in the nose, sneezing, watery discharges from the nose and catarrhal headaches. Sometimes the headache goes off when the catarrhal discharge comes, and when the catarrhal discharge stops the headache comes on. Violent headache with discharge, with sneezing and coryza. Congestive headaches with coryza.

This catarrhal condition has led to the use of Lachesis in syphilis. It is sufficiently similar to cope with the severe forms of nasal syphilis; syphilis where it has affected the nasal mucous membrane, producing crusts and finally affecting the bones. Fetid oezena; very offensive discharges from the nose. Bleeding from the nose need not surprise you, because Lachesis is a hemorrhagic remedy.

The blood from the nose or any part, when it dries or clots, looks like charred straw or becomes black. Parts bleed easily. Copious and prolonged uterine hemorrhage, copious and prolonged menstruation, bleeding front the nose, vomiting of blood, hemorrhage from the bowels in typhoids.

"Great sensitiveness of the nostrils and lips, swelling of the lips, great swelling and tumefaction of the nose in old cases of syphilis."

The nose swells up and becomes purple. The nasal bones are very sore, soreness upon sides of the nose. Lachesis is an especially useful medicine in old drunkards who have red nose, and in heart affections with red nose. A red knob on the end of the nose, a strawberry nose.

Face

The face is purple and mottled, the eyelids are tumid, very much puffed; not bloated as in oedematous subjects, but puffed. There is not the pitting upon pressure that we find in oedema, although Lachesis has that, but there is a puffiness peculiar to Lachesis, the face looks swollen and inflamed, due to a venous stasis, so that the face is purple and mottled.

The nose is tumid, yet it will not remain pitted upon pressure. The lips feel as if inflamed, yet are not inflamed, simply sensitive to pressure. The face has also an oedematous appearance in which there is pitting upon pressure, in cardiac affections, in cases of Bright's disease. On the other hand the face becomes very pale, pale and cold; the skin covered with scaly eruptions.

Eruptions that bleed easily, with crusty eruptions, with vesicular eruptions. Eruptions that fill with blood, bloody vesicles and large blood blisters, such as occur sometimes in burns, with burning. The face becomes jaundiced and very sallow. At times it takes on the appearance also of a chlorosis.

If you have once seen the chlorotic color, it need not be described. It is a condition of anemia, with yellowish pallor, ash colored or grey, intermingled with a sort of greenish color, so that the ancients often referred to it as green sickness. Again the face becomes livid and puffed like the bloated aspect of drunkards, the mottled purple appearance of drunkards who have been drinking for years, until they are bloated and broken down and have a besotted aspect. You see that in Lachesis.

In Lachesis we have a remedy for erysipelas and gangrenous affections, and about the affected part there is the Lachesis appearance, that is the mottled, purplish appearance. Lachesis has become clinically a marked remedy for erysipelas and for gangrene. As provers do not follow up remedies until they produce these things, we have to gather them from the poisonous effects and clinical observation.

Mouth

In Lachesis there is oozing of blood around the teeth, the gums bleed easily. Dry crusts appear upon the teeth in zymotic diseases, often black formations, sordes, and the tongue takes part in the appearance of the mouth and becomes slick. This occurs in typhoid conditions when there is a total loss of assimilation, the appetite is entirely gone, the stomach will not take food, and when food is put into the stomach it is rejected. There is also paresis of the tongue. The tongue seems to be like leather in the mouth, it is moved with great difficulty. And the speech is like that of one half intoxicated; he is unable to articulate.

The tongue swells and is protruded very slowly. It is dry and catches on the teeth and seems to have lost its stiffness. Seems like a rag, or as if the muscles did not act upon it so that it cannot be protruded, or if it is protruded it trembles and quivers and jerks and catches on the teeth. Again it is swollen, it is denuded of its papillae, and smooth, shiny and glassy as if varnished.

In the mouth there is a soapy appearance of the saliva. The saliva runs into the mouth copiously and the patient will often lie with the head over the side of the bed, and the saliva dripping into a pan or commode. The saliva is stringy and can be pulled out of the mouth in strings; white mucus or saliva.

This is not an uncommon feature in diphtheria, in sore throat, in inflammation of the tongue and mouth and gums, and in inflammation of the salivary glands. When this mucus is thick, tough, yellow, stringy and ropy it is like Kali bichromicum. You will often find in severe sore throat that the patient will lie and gag; and cough, and attempt with difficulty to protrude the tongue to expel the saliva from the mouth.

Very often the pain is so severe in the root of the tongue that he cannot expel the saliva by the tongue and he will lie with the open mouth over a commode, or with a cloth over the pillow, to receive the thick, ropy saliva. In such a state with sore throats, especially those that commence on the left side and go to the right, you hardly need to question longer, for it is the aspect of Lachesis.

This state of affairs would lead to Lachesis in ordinary inflammatory conditions of the tongue and in cancerous affections of the tongue. Lach. has in its nature the tendency to formation of malignant scabs and malignant ulcers, such as we find in epithelioma. It has cured a number of cases of epithelioma. It has been a very useful remedy in lupus. It is an important remedy in syphilitic sore throat, in syphilitic ulceration of the throat, tongue and roof of the mouth with this copious, stingy saliva.

Pharynx

The muscles of the pharynx become paralyzed and will not act, and hence the food will collect in the pharynx, that is, the bolus to be swallowed goes to the pharynx and stops, and then a tremendous effort at swallowing, with gagging and coughing and spasmodic action of the chest, takes place in order to carry on respiration, and he will not again attempt it. This state often occurs with diphtheria.

I have a number of times seen it brought about by the physician, who has, instead of giving just enough Lachesis, high enough and similar enough to the disease to cure, given it as low as he could get it, the 8 th or 10 th, dissolved it in water and fed it all through the diphtheritic state.

When you come across cases that have been treated in this way you need not be surprised if a post-diphtheritic paralysis comes on, because Lachesis will produce it. It may cure the diphtheria, but it will leave its poisonous effects which will last that patient a lifetime. Every spring the symptoms of Lachesis will crop out. In all the circumstances of aggravation described the symptoms of Lachesis will crop out if he has once been poisoned by it.

In the sore throat we have a combination of symptoms. Lachesis has produced this state, going from left to right; but with the sore throat there is a sensation of fullness in the neck and throat, difficult breathing, pallor or plethoric appearance of the face, choking when going into sleep, the peculiar kind of saliva and aggravation of the throat symptoms from warm drinks.

There is not always an aggravation of the pain itself from warm drinks, but the patient is often unable to swallow warm fluids. The swallowing of warm fluids often causes choking, and after a swallow of warm tea is taken the patient will clutch at the throat and it seems as if he would suffocate. He says,

"Oh I do not give me any more warm drinks."

Something cold will relieve. The dyspnoea and the distress about the throat is increased by swallowing something warm. Now, in the sore throats of Lycopodium , warmth often benefits, but it is also true in some cases of Lycopodium sore throat, they want cold drinks and cold feels good to the throat.

Very often in the more acute symptoms of Lachesis a warm drink in the stomach is hurtful and causes nausea and suffocation and increases the choking and palpitation and the fullness in the head, whereas in the chronic cases of Lachesis, those that have been poisoned years before, there will be a sensation of nausea and tendency to vomit from taking a drink of cold water and then lying down.

The nausea comes on after lying down, that is, let the patient take a drink of ice cold water and go to bed and nausea will come on. Such a state is peculiar to Lachesis. It has been a later observation of those who have long before proved Lachesis. The symptoms of Lachesis have sometimes to be taken years after.

Lachesis has ulcers in the throat. It has aphthous patches, it has red and grey ulceration, it has deep ulceration. The tendency to ulceration upon the margins of mucous membranes is peculiar to Lachesis.

Also ulceration upon the skin, where the circulation is feeble. It seems that the pain in the throat is particularly marked between the acts of swallowing, and the pressure of the bolus going over the inflamed tonsils relieves the pain.

Always choking when swallowing, choking and gagging in the throat.

The cough is a choking cough and produces a sensation of tickling. This is like the Bell. cough. Bell. antidotes a Lach. cough, it has a cough so much like Lach. that no one can tell them apart.

Again the throat takes on extreme dryness in Lach., and this dryness is without thirst, dryness with aversion to water. Much inclination to swallow; the tendency is to continuously swallow, yet it is painful. Empty swallowing is more painful, than the swallowing of solids. Some Lach. patients suffering from cardiac affections are annoyed with constriction of the throat, choking in the throat when anything warm is swallowed, and sometimes when going into a warm room, choking and palpitation of the heart.

Tendency to chronic sore throat or recurrent sore throat and ulceration with every recurring sore throat. Liquids, of course, you will see, are analogous to empty swallowing, and empty swallowing causes more pain than the bolus which presses upon the sore throat, because it is of the nature of a slight touch. The slight touch increases the soreness and pain in the throat. Slight pressure of the collar increases the pain in the throat.

With the sore throat the muscles and glands about the neck become painful, inflamed and swollen, and very tender to the touch. With the sore throat, very commonly, there is pain in the base of the brain or in the back of the head, and soreness of the muscles of the back of the neck, which is often relieved by lying on the back and aggravated by lying on either side.

If you look into the throat it has a mottled, purplish appearance. Put all these things together, with the copious flow of tenacious saliva, and you will be able to manage cases of diphtheria that commence on the left side and spread to the right, whether the membrane is scanty or copious.

Tonsilitis with suppuration of the tonsils, when the left tonsil becomes inflamed and after a day or two the right one becomes inflamed and swollen, and they both finally go on to suppuration, or when one swells and suppurates and the other swells and suppurates. Diphtheritic appearances of the throat, spreading from left to right. The pharynx is full of thick, white, ropy mucus in the morning; must hawk out a mouthful of mucus in the morning.

Abdomen

The abdomen is distended with flatus. The abdomen is tympanitic in typhoid condition, much rumbling in the distended abdomen. The clothing cannot be tolerated, not even the slightest touch of the clothing, and yet it may require hard pressure to bring out soreness that is deep in the abdomen. This state is as it is in inflammation of bowels, ovaries and uterus, the patient lies on the back with the clothing lifted from the abdomen.

Violent labor-like pains, menstrual colic, present in typhoid, in puerperal fever, in malignant scarlet fever, in the more malignant affections of zymotic forms of the continued fever.

Lach. has a series of liver troubles with jaundice; congestion of the liver, inflammation of the liver, enlarged liver and the nutmeg liver. Cutting like a knife in the region of the liver. Vomiting of bile; vomiting of everything taken into the stomach. Extreme nausea; continuous nausea with jaundice. White stool. It has cured cases with gall stone.

"Cannot endure any pressure about the hypochondria."

In the chronic state the sensitiveness of the skin is so great over the abdomen, and about the waist and hips, that the wearing of the clothing creates pain, great restlessness and uneasiness, the patient grows increasingly nervous and finally goes into hysterics. Sensitiveness over the lower abdomen; can scarcely allow her clothes to touch her.

Female

It seems strange at first reading that Lachesis can be such a common remedy at the menstrual period.

It is also laid down as a remedy for the climacteric period. Now if you will study the cases of many women at the climacteric period you will find that many of them have the flushes of heat and the surgings in the head and the great circulatory disturbances that are found under Lachesis. This is also true of the complaints, the headaches, etc., that come in women at the climacteric period and at the menstrual period.

The Lachesis symptoms are strong in women during menstruation. There is violent headache, boring pain in the vertex, nausea and vomiting during menses.

The discharge in the female, either as a menstrual flow or as a hemorrhage, is black blood. Pain in the left ovarian region, or going from left to right. Induration of one or both ovaries. It has cured suppuration of the ovaries. The uterine region is very sensitive to touch, to the slightest contact of the clothing; in inflammation of the ovaries, pains in the ovaries and uterus going from left to right. Pains in the pelvis going upwards to the chest, sometimes a surging of pain going upwards, grasping the throat. Labor pains surge up, with clutching at the throat, or the labor pains cease suddenly, with clutching at the throat.

The menstrual pains increase violently until relieved by the flow. The menstrual sufferings are before and after the flow, with amelioration during the flow. The menstrual flow intermits one day and then goes on for one day, and during the intermission there is likely to be pain or headache.

Menorrhagia with chills at night and flushes of heat in the daytime. During the menstrual period violent headache, especially at such times as the flow slackens up.

It is a general feature of Lachesis to be relieved by discharges.

Catamenia flow but one hour every day; on stopping, violent pains follow in region of left ovary, alternating with gagging and vomiturition.

It is especially useful at the menopause, because of the flushes of heat. Uterine hemorrhage, fainting spells, suffocation in a warm room; orgasm of blood most violent. Complaints during pregnancy.

Inflammation of the veins of the leg. Varicose veins, blue or purple, extreme sensitiveness along the veins; sensitive to the slightest touch, though relieved by pressure.

The study of Lachesis is only a commentary on some of its important parts.

The Therapeutics of Fevers

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

Characteristic

Persons of a choleric, melancholy temperament, dark eyes and a disposition to low spirits and indolence.

Women of choleric temperament, with freckles and red hair.

Better adapted to thin and emaciated than to fleshy persons; to those who have been changed both mentally and physically by their illness.

Climacteric ailments: hemorrhoids, hemorrhages, hot flushes, hot sweats; burning vertex headaches; especially at or after the menopause (Sang.).

Ailments from long-lasting grief; sorrow, fright, vexation, jealousy or disappointed love (Aur., Ign., Phos. ac.).

Women who have not recovered from the change of life, "have never felt well since that time."

Headache: pressing or bursting pain in temple < from motion, pressure, stooping, lying, after sleep; dreads to go to sleep because she wakens with such a headache.

Rush of blood to head: after alcohol; mental emotions; suppressed or irregular menses; at climaxis; left-sided apoplexy.

Weight and pressure on vertex (Sep.); like lead, in occiput (Petr.).

Drunkards: with congestive headaches or hemorrhoids; prone to erysipelas or apoplexy.

Left side principally affected; diseases begin on the left and go to the right side—ovary, testicle, chest, face, throat.

Great sensitiveness to touch, throat, stomach, abdomen; can bear nothing tight around the neck or waist; cannot bear bed-clothes or night-dress to touch throat or abdomen, not because sore or tender as in Apis or Belladonna, but the clothes cause an uneasiness (Agar.).

Extremes of heat and cold cause great debility.

All symptoms, especially the mental, worse after sleep, or the aggravation wakes him from sleep; sleeps into the aggravation; unhappy, distressed, anxious, sad, < in morning on waking.

Mental excitability: ecstacy, with almost prophetic perceptions; with a vivid imagination; great loquacity (Agar., Stram.); wants to talk all the time; jumps from one idea to another; one word often leads into another story.

Constipation: inactivity, stool lies in rectum, without urging; sensation of constriction of sphincter (Caust., Nit. ac.).

Menses at regular time; too short, scanty, feeble; pains all relieved by the flow; always better during menses (Zinc.).

Piles: with scanty menses; at climaxsis; strangulated; with stitches shooting upward (Nit. ac.).

The least thing coming near mouth or nose interferes with breathing; wants to be fanned, but slowly and at a distance (rapidly, Carbo v.).

As soon as he falls asleep the breathing stops (Am. c., Grind., Lac c., Op.).

Great physical and mental exhaustion; trembling in whole body, would constantly sink from weakness; worse in the morning (Sulph., Tub.).

Epilepsy: comes on during sleep (Bufo); from loss of vital fluids, onanism, jealousy; during menses (Ced.).

Hemorrhagic diathesis; small wounds bleed easily and profusely (Crot., Kreos., Phos.); blood dark, non-coagulable (Crot., Sec.); typhoid, yellow fever, great prostration (Kreos.).

Boils, carbuncles, ulcers with intense pain (Tar.); malignant pustules; decubitus; dark, bluish, purple appearance; tend to malignancy.

Bad effects of poison wounds; post-mortem (Pyr.).

Relations

Complementary: Lycopodium, Nitric acid.

Natrum mur. follows well when type of fever changes.

Aggravation

After sleeping; from acids, alcohol, cinchona, mercury; contact; morning and evening; extremes of temperature; in the sun; spring; summer.

Amelioration

Warmth.

Time

Periodicity strongly marked. 12 M. to 2 P. M. Afternoon or evening chill; fever lasting all night.

Type

Quotidian; tertian; quartan; malarial; typhoid, typhus, septic, yellow fever. Every fourteen days.

Annually returning paroxysm every spring (Carbo v., Ign., Sul.), after suppression by quinine the previous autumn. This is guiding.

Cause

Especially useful when paroxysms of fever are sure to return after taking acids, or in the spring after quinine.

Prodrome

Thirst, then shuddering (shuddering after drinking, Caps.).

Chill

Without thirst; commencing in the small of the back (Eup. purp.), runs up the back to the head (Gels.), less- ened in a warm room. Violent chill in the evening, with chatter-ing of the teeth, soreness of chest, and longing for the fire. Wants to be near the fire and lie down; heat makes him feel better, but his chill continues as long as if he were in bed (heat of stove > the chill. Chill does not amount to much; if he can sit near a hot stove he gets warm, Ign.). Pain in the limbs; pleuritic stitches, oppression of the chest; convulsive movements, and in children, convulsions. Child must be held firm to relieve the pain in head and chest, and prevent shaking (Gels.). If held firm or pressed down, feels relieved. "A lady wanted her daughter to lie with her full weight across her during chill; a boy wanted a sack of flour put on him to keep him from shaking." Chill and heat alternating and changing from place to place. Nausea and vomiting accompany paroxysm when severe, with some thirst. Coldness in one side of the head. Icy cold feet, with oppression of the chest. After icy cold calves, shaking chill with warm sweat; then strumming through the limbs, intermingled with flushes of heat.

Heat

With thirst; violent headache; livid complexion; oppression of the chest; backache, deep breathing and sleep; or great loquacity (Mar. v.—during chill and heat, Pod.). Violent fever every evening, with loss of appetite and headache; internal chill, external heat; in the evening great febrile heat which lasted all night. Heat in the evening, with red spots on the cheeks. Internal sensation of heat with cold feet. Burning in the palms and soles, evening and night, must be uncovered (Acon., Sec.). Heat in ears. face, abdomen, pit of stomach, alternating with coldness, with shivering when lifting the bedclothes (Nux). Flushes of heat as from orgasm of the blood, with great sensitiveness of throat at night.

Sweat

Profuse sweat, which affords relief, or light, warm, transient sweat. Perspiration between the paroxysms of fever; on the back which stains sulphur-yellow. Strong-smelling perspiration in axilla, smelling like garlic (sweat in axilla, like onions, Bov.). Sweat cold; stains yellow; or bloody, staining red.

Tongue

Trembles when protruded; or catches behind the teeth; mapped, coated white, or dry, red tip and brown centre. Sour taste, everything turns sour (everything bitter, Ipec.).

Pulse

Palpitation; can bear no pressure on throat or chest. Pulse weak and small, or full and small alternately, but accelerated; intermittent; unequal. The least movement causes feeling of suffocation around the heart.

Apyrexia

Complete remission of all the symptoms; complexion livid, yellow, or ashy, often with vermillion redness of the cheeks; great weakness of the whole body in the morning on rising, especially of the extremities.

"Intermittent fever: the paroxysms come on every spring, or after the suppression of the fever in the previous fall by Quinine; occur in the afternoon; are accompanied by violent pain in the small of the back and limbs, oppression of the chest, violent headache, with a red face and cold feet; during the hot stage continuous talking; face yellow or ash-colored."—LIPPE.

Analysis

Chill; commencing in the small of the back; longing for the fire, heat >; wants to be held firmly to > chill and prevent shaking.

Heat; headache, face livid, or vermillion red cheeks, oppressed breathing; great loquacity or sleep.

Sweat; profuse which >; cold, stains yellow, bloody.

Fever: Septic, typhoid, typhus, yellow; stupor or muttering delirium, sunken countenance, falling of lower jaw; tongue dry, black, trembles, is protruded with difficulty or catches on the teeth when protruding; conjunctiva yellow or orange color; perspiration cold, stains yellow, bloody (Crot., Lyc.).