Ledum Palustre led.

Fibrous tissue: JOINTS (small). Tendons. Eyes. Heels. Ankles. Capillary circulation: SKIN. Lungs. Periosteum. Blood. Nerves. Left side.

Warm: Covers. Stove. Air. Injury. Motion. Night. Eggs. Wine.

Cool: Bathing. Air.

Purple, puffy and chilly, yet averse to external warmth. Ascending effects; from feet. Shifting, tearing pain. Painful, cold, œdematous joints. Parts become weak, numb, cold and wither. Torpidity. Gouty-rheumatic-hæmorrhagic persons. Tipsters. Dropsy. Rushes of blood. Hæmorrhage; bright, frothy. Petechiæ.

Raging, pulsating headache; < covers. Scalp, < dampness. Blood - shot or bruised eyes. Persistent nose-bleed. Mottled or red (pimply) face. Sub-mental gland swelled. Much uric acid sand in urine. Bleeding fibroids. Cough; tormenting; from tickling in larynx; with epistaxis; then sobbing respiration; < receding eruptions. Double inspirations. Hæmoptysis: alternating with rheumatism. Stiff, crampy back; < rising from sitting. Lumbago. Hip - joint; cramps over. Swelled, blotchy, ecchymotic legs and feet. Larval gout. Sprained ankles. Feet (dorsæ) itch by night and are stiff in A.M. Sore heels. Tender soles. Wounds, punctured; twitches in; from nails, stings, etc.; foul pus. Coldness of part, < limbs; with the pain; during fever; as if in cold water. Foul sweat. Profuse night-sweat.

Related: Arn. Bry. Rhus-t. Sec-c.

Adapted to the rheumatic, gouty diathesis; constitutions abused by alcohol (Colch.). Haemorrhage into anterior chamber after iridectomy. Contusions of eye and lids, especially if much extravasation of blood; ecchymosis of lids and conjunctiva. Rheumatism or gout; begins in lower limbs and ascends (descends, Kal.); especially if brought to a low asthenic condition by abuse of Colchicum; joints become the seat of nodosities and "gout stones." which are painful; acute and chronic arthiritis. Affects left shoulder and right hip-joint (Agar., Ant. t., Stram.). Emaciation of affected parts (Graph.). Pains are sticking, tearing, throbbing; rheumatic pains are < by motion; < at night, by warmth of bed and bed-covering (Mer.); > only when holding feet in ice-water (Sec.). Complaints of people who are cold all the time; always feel cold and chilly; lack of animal or vital heat (Sep., Sil.); the wounded parts especially are cold to touch. Parts cold to touch, but not cold subjectively to patient. In some affections, warmth of bed intolerable on account of heat and burning of limbs. Swelling: of feet, up to knees; of ankle with unbearable pain when walking, as from a sprain or false step; ball of great toe swollen, painful; in heels as if bruised. Intense itching of feet and ankles; < from scratching and warmth of bed (Puls., Rhus). Easy spraining of ankles and feet (Carbo an.). Punctured wounds by sharp pointed instruments, as awls, nails (Hyper.); rat bites, stings of insects, especially mosquitoes. Red pimples or tubercules on forehead and cheeks, as in brandy drinkers, stinging when touched. Long-remaining discoloration after injuries: "black and blue" places become green.

Compare: Arn., Crot. t., Ham., Bellis, Ruta, in traumatism; Con., in long-lasting effects of injuries.

We are led to think of this remedy particularly for punctured wounds, produced by sharp pointed instruments, as awls, rat-bites, nails, etc.; particularly if the wounded parts are cold; or e.g., "Ten years ago I stepped on a nail and ever since then, have had a pain running up to the thigh." Bad effects in general from recent or chronic injuries, especially from punctured wounds.

Affections of, in general; of the leg in general; knee-joint; hip-joint; toe-joints; gouty pain in; when striking the toes, there is a coldness in the parts, and a gouty pain shoots all through the foot limb; cracking of the joints, i.e., on moving them.

Large, rough exanthema on the face, Stinging, biting of the skin; dryness of; dry exanthema; boils; whitlows or felons on fingers of a seamstress are often caused by needle pricks; itching worse by scratching.

Sufferings are worse, or come on, after getting warm in bed, compelling the patient to get out of bed, which affords them relief. Leucorrhœa. For complaints of people who are cold all the time,--in bed, in the house etc.; they always feel cold and chilly. Pale, delicate persons. Affections of external forehead; heel; under part of heel; ball under the toes. Stupid sleep, i.e., heavy.

From moving; on moving, particularly the joints; while walking; on getting warm in bed.

While reposing.

Acon., Bellad., Bryon., Nux vom., Pulsat., Rhus tox., Sulphur.

Camphor.

In rheumatic affections the heat of the bed is intolerable, wants to uncover. Eruptions which burn and sting, like the bites or stings of Insects. Especially useful in insect bites, particularly mosquitoes.

Marsh-Tea (LEDUM)

Affects especially the rheumatic diathesis, going through all the changes, from functional pain to altered secretions and deposits of solid, earthy matter in the tissues. The Ledum rheumatism begins in feet, and travels upward. It affects also the skin, producing an eruption like Poison-oak, and is antidotal thereto, as well as to stings of insects. There is a general lack of animal heat, and yet heat of bed is intolerable. For punctured wounds, produced by sharp-pointed instruments or bites particularly if the wounded parts are cold, this is the remedy. Tetanus with twitching of muscles near wound.

Vertigo when walking, with tendency to fall to one side. Distress when head is covered. Nosebleed (Mellilot; Bry).

Aching in eyes. Extravasation of blood in lids, conjunctiva, aqueous or vitreous. Contused wounds. Cataract with gout.

Red pimples on forehead and cheeks; stinging when touched. Crusty eruption around nose and mouth.

Dry, retching with eructation. Musty taste with catarrhal affection.

Burning in nose. Cough, with bloody expectoration. Dyspnœa; chest feels constricted. Suffocative arrest of breathing. Pain along trachea. Bronchitis with emphysema of aged. Oppressive constriction of chest. Tickling in larynx; spasmodic cough. Hæmoptysis, alternating with rheumatism. Chest hurts when touched. Whooping-cough; spasmodic, double inspiration with sobbing.

Anal fissures. Hæmorrhoidal pain.

Gouty pains shoot all through the foot and limb, and in joints, but especially small joints. Swollen, hot, pale. Throbbing in right shoulder. Pressure in shoulder, worse motion. Cracking in joints; worse, warmth of bed. Gouty nodosities. Ball of great to swollen (Bothrops). Rheumatism begins in lower limbs and ascends (Kalmia opposite). Ankles swollen. Soles painful, can hardly step on them (Ant c; Lyc). Easy spraining of ankle.

Coldness, want of animal heat. Sensation as of cold water over parts; general coldness with heat of face.

Acne on forehead, sticking pain therein. Eczema (facial). Itching of feet and ankles; worse, scratching and warmth of bed. Ecchymosis. Long discoloration after injuries. Carbuncles (Anthracin. Tarant cuben). Antidote to Rhus poisoning (Grindel; Cyprip; Anac).

Better, from cold, putting feet in cold water. Worse, at night, and from heat of bed.

Compare: Ledum antidotes spider poisons. Ruta; Ham; Bellis; Arnica.

Third to thirtieth potency.

Rheumatism begins in feet and travels upward (Kalmia opposite).

The swellings are pale, sometimes œdematous, and < at night, in the heat of the bed; uncovering or cold water relieves.

Ecchymosis; "black eye" from a blow or contusion; better than Arnica.

Rheumatism and rheumatic gout; joints become the seat of nodosities and "gout stones," which are painful.

Complaints of people who are cold all the time; lack of animal or vital heat; parts cold to touch, but not cold subjectively to patient.

Punctured wounds by sharp-pointed instruments, rat bites, stings of insects, especially mosquitoes.

Ledum is a very valuable remedy for rheumatism. This complaint is confessedly a very difficult disease to cure by old school treatment. Seldom is a case of the inflammatory form completely cured by them. The great majority of their cases run from the acute into the chronic form, and last for life. They are often drawn all out of shape (their patients), or left with incurable valvular heart trouble. This is not the case under homœopathic treatment. On the contrary the patients treated homœopathically are generally cured, and very seldom left with any heart trouble, even if the disease commenced there, as it sometimes does. Oftener, of course, it begins in the back, extremities or joints generally, and then if treated allopathically with local applications it is driven to the heart, which cannot be reached with local applications, hence stays there until exudations occur and hardened deposits from upon the valves. Any homœopathic physician guilty of treating a case this way, with such results, ought to lose his practice and his diploma.

I do not say this inadvisedly, for I have lived and practiced for thirty years past in a decidedly rheumatic district and know whereof I affirm. When we homœopaths of the East condemn those of the West for the Quinine (in material doses) treatment of intermittents, we are reminded that we do not live in miasmatic districts so we are not authority and we can only reply that we know many physicians who do live there who cure their patients without the abuse of Quinine. But in this verdict of mine on rheumatism I cannot be turned off that way. Rheumatism is one of those diseases that presents plenty of symptoms and modalities to guide to the choice from a long list of remedies of the one appropriate to the case in hand. There is such a great difference in the results of applying the remedy according to symptomatic indications, and those arising from simply pathological prescribing, that one does not need long to experiment to be convinced. Indeed the pathological condition in this complaint does not figure largely in the account, for purposes of prescribing. But sensations and modalities do.

The Ledum rheumatism begins in the feet and travels upward. This is the opposite of Kalmia, which goes the other way. Ledum may be indicated in both acute and chronic forms of this complaint. In the acute form the joints are swollen and hot, but not red. The swellings are pale and the pains are worse at night and from the heat of the bed, wants them uncovered. This is like Mercurius, but with Mercury the profuse sweat without relief, and especially the characteristic mouth and tongue symptoms will decide. I have seen wonderful benefit from Ledum in such cases.

In the chronic form of the disease this remedy is equally efficacious. Here also we have the joints swollen and painful, especially in the heat of the bed, and painful, hard nodes and concretions form in the joints of feet first, then hands. The periosteum of the phalanges is painful on pressure. The ankles are swollen and the soles are painful and sensitive, can hardly step on them. This painful and sensitive soles of feet is also found under Antimonium crud., Lycopodium and Silicea, and I have relieved it, other symptoms agreeing, with each and every one of these remedies. In these case of rheumatic troubles the Ledum patient is unnaturally cold. "Lacks vital or animal heat," in this, again, resembling Silicea; but although the Silicea patient has chronic rheumatism of the feet, ankles and soles similar to Ledum, aggravated also at night, the warmth of the bed does not aggravate, but on the contrary he wants to be covered warmly. Under Ledum the relief from cold is so prominent that sometimes the only amelioration is from putting the feet into cold water. It is well to think of Ledum in all cases of rheumatism of the feet and study it up.

We must not leave this remedy without calling attention to its virtues as a remedy for injuries. We are apt to think of Arnica first, for bruises and the results therefrom, and, on account of its well deserved reputation, to forget that there are sometimes other remedies equally valuable. Ledum sometimes comes in to finish up a work that Arnica began well, but could not complete, even when Arnica was best at first, for it often removes the ecchymosis and discoloration more rapidly and perfectly. For black and blue spots from blows or bruises there is no better remedy than Ledum.

Then, again, we have Sulphuric acid, which is very useful in ecchymosis from the same cause, especially if occurring in cachectic or weakened constitutions, with tendency to purpura, or breaking down of the blood. This pathological condition would be attended with the characteristic symptoms of the drug. We often have ecchymosis into the conjunctiva or sclerotica, for which Nux vomica is specific, but for "black eye" from a blow of the fist no remedy equals Ledum in the 2c potency. Ledum is a good remedy for punctured wounds, such as the sticking of a nail into the foot, or an awl into the hand, etc.; also for stings of insects, especially mosquitoes, but this also needs modification. It makes some difference what kind of tissue is wounded by this kind of wound If a nerve, for instance, Hypericum would be preferable; if the periosteum, Ru t a; if the bone, Calcarea phos., or Symphytum to promote re-union or repair. We must not forget to mention in connection with what has been said of Ledum in injuries of the eye that if there is great pain in the eyeball itself from the blow, Symphytum may have to be used. For all these affections I believe the 200th potency better than the lower preparations.

Inclines to be out of humor and angry. Vehement, angry mood ; vehemence. Dissatisfied ; hates his fellow-beings. Desire for solitude.

Vertigo, as from intoxication, especially when walking in the open air. Vertigo, the head inclines backward. Stupefying headache. Raging, pulsating headache. Pressing headache with distress when the head is covered. A misstep causes the sensation of concussion of the brain. Pimples and boils on the forehead (as in drunkards). Blood-boils on the forehead. The least covering is intolerable to the head.

Nightly agglutination of the eyes without inflammation or pain. Violent suppuration on the eyes with discharge of fetid pus. Lachrymation : the tears are acrid, and make the lower lids and cheeks sore. Pupils dilated.

Roaring in the ears as from wind. Ringing and whizzing in the ears. Hardness of hearing (right ear) as if the ear were obstructed by cotton.

Burning (as from hot coals) in the nose. Bleeding from the nose. The blood is pale.

Alternate paleness and redness of the face. Bloated face. Scaly, dry herpes in the face burning in the open air. Red tubercles also on the forehead, stinging when touched (as in drunkards). Glandular swelling under the chin.

Stinging on the forepart of the tongue. Offensive breath. Sore throat with fine stinging pain, worse when not swallowing. Sensation as from a lump in the throat, when swallowing the pain is stinging.

Bitter taste in the mouth. Nausea and qualmishness when spitting. Pressure in the stomach after eating a small quantity. Sensation of fulness in the upper part of the abdomen. Colic every evening. Colic as if diarrhœa would set in, from the umbilicus to the anus (with cold feet). Ascites.

Constipation ; the stool is mixed with blood. Diarrhœa, stool mixed with mucus and blood.

Frequent discharges of small quantities of urine. Frequent micturition of large quantities of urine. Burning in the urethra, after urinating. The stream of urine frequently stops during its flow. Enuresis.

Men. Inflammatory swelling of the penis ; the urethra is almost closed. Increased sexual desire. Women. Menstruation too early and too profuse ; the blood is bright red.

Spasmodic, double inspiration with sobbing, as one who had cried after having become angry. Oppressed quick breathing ; oppressed painful breathing. Spasmodic constriction of the chest when walking and ascending. Suffocative arrest of breathing and opisthotonos previous to coughing. Violent, hollow, racking, spasmodic cough caused by tickling in the larynx, and suffocative oppression of breathing, with expectoration after midnight and in the morning, of fetid purulent matter, frequently of bright red, foaming blood. Fetid breath. Tingling in the trachea (bronchitis). Burning soreness in the chest ; soreness under the sternum. Stitches in the chest. Suppuration of the lungs. An eruption like varicella on the chest (and upper arms).

Painful stiffness of the back and loins when rising from a seat. Pain in the loins after sitting. Sticking in the shoulder when lifting the arms.

Upper. Sticking in the shoulder-joint on lifting the arm. Pressing pain in the shoulder and elbow-joints, worse on motion. Rheumatic pain in the joints of the arms. Tremor of the hands when seizing anything and when moving the hands. Fine stinging in the hands. Itching rash on the wrist joint. Gouty nodosities on the hand and finger-joints. Perspiration in the palms of the hands. Panaritium. Lower. Laming, rheumatic pain in the hip-joint. Pressure in the region of the right hip-joint, more violent during motion. Rheumatic pains in the hip, knee and foot-joints. Swelling, tension and stitches in the knee. Swelling of the feet and up to the knee. Tremor of the knees (and hands) when sitting or walking. Hot swelling of the legs, with stinging, drawing pain. Pain of the soles of the feet when walking, as if bruised. The ball of the big toe feels soft, thick and painful when stepping. Fine tearing in the toes of the (left) foot ; podagra.

Gouty, rheumatic pains in the joints, aggravated by the heat of the bed and in the evening till midnight. Tense, hard swelling of the affected joints. Emaciation of the affected parts. Painful (gouty) nodosities on the joints.

During the day sleepiness, as from intoxication. Sleeplessness at night, with restlessness and phantastic illusions as soon as one closes the eyes. Sleeplessness, with restlessness and tossing about.

Pulse full and rapid. Chilliness, with thirst and sensation as if cold water were poured over the parts. Coldness and want of natural heat. Morning and forenoon predominating chilliness with thirst. General coldness with heat and redness of the face. Heat without thirst more towards evening. Burning in the hands and feet in the evening. Heat and perspiration in alternation. Perspiration all night, with inclination to uncover oneself. Night-sweat, of putrid or sour smell. Perspiration from the least exertion, principally on the forehead. Perspiration causes itching. Intermittent fever. Chilliness without subsequent heat, accompanied by thirst, especially a desire for cold water. Heat all over without thirst, on waking up the body is covered with perspiration, accompanied by itching of the whole body. Intermittent fevers with malignant rheumatic pains.

Purple (bluish) spots over the body like petechiæ. Dry, violent itching herpes, burning in the open air. Blood-boils. Œdematous swellings, also of the skin of the whole body. Hot, tensive, hard swellings, with tearing pains. Dryness of the skin and want of perspiration.

Can not bear the heat of the bed, on account of the burning and heat of the limbs. Heat aggravates. Motion aggravates only the pains in the joints. The rheumatic pains in the lower limbs and ascend. Bad effects from alcoholic drinks.

Ledum palustre. Wild Rosemary. Marsh Cistus. Marsh Tea. Labrador Tea. N. O. Ericaceæ. Tincture of dried small twigs and leaves collected after flowering begins. Tincture of whole fresh plant.

Ascites. Asthma. Bites. Black-eye. Boils. Bruises. Deafness. Ear, inflammation of. Eczema. Erythema nodosum. Face, pimples on. Feet, pains in ; tender. Gout . Hæmoptysis. Hands, pains in . Intoxication. Joints, affections of , cracking in. Ménière's disease. Pediculosis. Priapism. Prickly heat. Punctured wounds. Rheumatism . Skin, eruptions on. Stings . Tetanus. Tinnitus. Tuberculosis. Varicella. Whitlow. Wounds .

In the preface to his proving of Ledum Hahnemann says it "is suitable for the most part only for chronic maladies in which there is a predominance of coldness and deficiency of animal heat." Teste, who is one of the chief clinical authorities on Ledum , mentions that it is native to damp regions of the North of Europe, and that no animal except the goat eats it, on account of the strong resinous smell of its leaves, which "keeps off lice and prevents flour from getting mouldy." In Sweden a decoction of Ledum is used for freeing, oxen and pigs from lice. Linnæus says that this same decoction, if taken internally, has cured "violent headaches and a species of angina." The leaves of Ledum are also used in Sweden in beer to increase its intoxicating power; and also in tanning. Led . is an example of a common article of diet being at the same time a very powerful medicine. Mérat and de Lens say Led. cures itch and scald-head, which Teste explains by its parasiticide action. This anti-parasitic action led Teste to think of Led . as a remedy for bites and punctured wounds, especially as certain symptoms of the proving seemed to agree with it. The success which has attended this use of Led . in mosquito-bites, stings of bees and wasps, rat-bites, needle-pricks resulting in whitlows, confirms the observation. "Redness, swelling and throbbing in point of index finger, from prick of a needle:" Led . aborted a felon in a few days (W. P. Wesselhœft). Teste relates a case of punctured wound: A young lady fell with an embroidery needle in her hand, and the hand was pierced through and through. The wound was serious. There was no hæmorrhage, but Teste noticed the intense cold which accompanies and characterises Ledum fever. Within a week Led . cured the patient. Yingling records ( H. P ., x. 400) a parallel case: A. J. M., 38, drove a rusty spike through his left foot near the arch of the instep, glancing to the inside of the foot without passing through the bone. This was at 5 p.m. At 8 p.m. this report was brought to Yingling: A few moments after accident the patient felt stiffening pains in the foot, running up the leg, and rapidly increasing in severity. Great chilliness with chattering of teeth followed. Lower jaw became somewhat stiff; general shivering; neck felt stiff; "can't endure it much longer." Led . 3x was sent, and rapid improvement took place from the first dose. A compress of Calend . 3x was also applied, an attack of tetanus being evidently aborted. Led . occupies the second place in Teste's Arn . group, in which are also Crot. t., Fer. magn., Rhus, Spig . The sphere of Led . is frequently identical with that of Arn ., according to Teste; but Led . has a special action on the capillary system in parts where cellular tissue is wanting, and where a dry, resisting texture is present, as in the fingers and toes. "It is, perhaps for this reason that it acts better on the small than on the large joints;" hence its appropriateness in gout. The characteristic skin affection of Led . is thus described by Teste: Not so much a boil, as with Arn ., as a sort of bluish or violet-coloured tuberosities, especially on the forehead, and an eczematous eruption, with a tingling itching, that spreads over the whole body, penetrating into the mouth, probably also into the air-passages, and occasions a spasmodic cough, which is sometimes very violent and might be mistaken for whooping-cough . The same phenomenon takes place with Rhus and Croton . "In a gouty subject I have seen cough precede by two days the breaking out of vesicles on the skin, which could not fail to suggest the use of Ledum . These vesicles, which had probably existed on the bronchial membrane, before showing themselves in the face, on the shoulders, &c., became quite apparent on the tongue, where they might be traced to its root." The Led . eczema is frequently concentrated on one leg, less frequently on both at once. [Ingalls ( Amer. Hom ., xxv. 210) commends a light paste of Ledum (equal parts of Led Ø., alcohol, and water) as an application for carbuncles, giving Led . 1x internally at the same time.] Dr. R. Hilbert, a German physician, has obtained very satisfactory results from the use of an infusion of the leaves of Ledum palustre as an expectorant in bronchitis. He states that the feeling of pain along the trachea, which is characteristic of the early stages of acute bronchitis, disappears after a few doses of the remedy. The fever rapidly subsides, especially in the case of children. In chronic bronchitis the infusion facilitates expectoration and lessens cough. It is particularly useful in bronchitis with emphysema of the aged, because of its action in rendering the bronchial secretion less viscid; in these cases, moreover, it lessens dyspnœa, stimulates the circulation, and lessens cyanosis (Cooper). Guernsey points out that Led . is appropriate to the remote no less than the immediate effects of punctured wounds: e.g ., as when a patient says: "Ten years ago I stepped on a nail, and ever since then have had a pain running up to the thigh." The pains of Led . shoot upward (of Kalm . downward). A, very notable condition of Led . is < from warmth. This is at times so great that the patient can only get relief to his rheumatism by sitting with his feet and legs in cold water. Warmth of the bed is intolerable; he must get up and walk about. An octogenarian had rheumatism of left arm, chiefly elbow and wrist, coming on in the night or early morning. There was no more sleep for him unless he rose and took a cold bath , after which he could sleep. I cured him with Led . 30. As with Merc . the symptoms are < at night; but with Merc . there is "sweat without > ," and the characteristic tongue and offensive mouth. The eye-symptoms of Led . are marked, and Nash says Led . 200 is unequalled as a remedy for "black-eye" from a blow; if there is pain in the eyeball itself Symphyt . will be necessary. Ecchymoses of conjunctiva. Slight injuries cause ecchymoses. Inflammation of ear, with deafness from getting cold (as having hair cut). The hæmorrhages of Led . are bright red and gushing; uterine; respiratory. Hæmoptysis alternating with attacks of rheumatism. (Raue puts it "coxalgia alternating with hæmoptysis." Stens cured a young man who had violent stitch pain in right hip, followed by hæmoptysis, this in turn followed by rheumatism of hands, with Led . 200 when the case was apparently on the point of sinking into rapid phthisis.) Suffering parts waste. Discolouration remains long in contused parts. Many cases of whooping-cough have been cured with Led . Lembke (quoted by Hoyne, H. W ., xiv. 66) gives these indications: Before the paroxysms: Arrest of breathing. During : Epistaxis, shattered feeling in head and chest, rapid respiration. After : Staggering; spasmodic contraction of diaphragm; sobbing respiration. < Evening. The pains are sticking, tearing, throbbing. Pricking, biting sensations. Sensation of torpor of integuments, especially after suppressed discharge from ears, eyes, and nose. Sensation as if something was gnawing in temples, occiput, and ears. As if eyeball would be forced out. As if sand in eyes. Noises in ear as from ringing of bell, or from a wind-storm; as if ear was obstructed by cotton. Itching as from lice on chest; as of lump in throat. As of boiling in hip-joint. As if muscles of thigh in wrong position. As if knee beaten. Pain in ankle as from sprain; limbs as if beaten and bruised. Hot, tense, hard swellings. " Ledum has often been given to horses when they go lame and draw up their legs. The pains move upward" (Hering). E. Carleton ( Med. Adv ., xxv. 293) completed the cure of a case of primary syphilis, in which Aur . had done good, where these symptoms appeared: Feet held to the earth as by a magnet when attempting to move; when moving felt as if pricked with needles, the pain rising gradually from feet to head; every joint and muscle of body and limbs stiff and sore; sour night-sweats; great emaciation with loss of appetite. Led . 200, in water, cured completely and speedily. Suited to: Pale delicate persons. Complaints of persons who always feel cold and chilly. Rheumatic, gouty diathesis; constitutions abused by alcohol. Sanguine temperament (Teste). There is < from moving, especially moving joints; while walking; when stepping, > from rest. Symptoms are < evening and night, and before midnight. < From taking wine. < By covering; > by application of ice-water. < By warmth; ("the limb is cold, can't get warm; and gets < when it does become warm in bed").

Continue in Clarke 28 more passages →

Desire for solitude.
After nightmare, fears to go to sleep, lest she die.
Inclined to be out of humor and angry ; vehement.
Discontented ; morose ; hates his fellow beings.

Vertigo : as from intoxication, especially when walking in open air ; feels dull after eating ; head inclined to fall backward.

Headache : raging, pulsating ; causing dulness, or stupefaction ; pressing, with distress, when head is covered ; as if something was gnawing in her temples, occiput and ears, with red, bloated looking face and eyes ; dull, in morning, during sleep.
A misstep causes a sensation of concussion in brain.
Head affected after getting wet.

Least covering of head intolerable.
Pimples and boils on forehead. θ Drunkards.
Itching eruption scattered thickly over scalp ; enlarged cervical glands.

Pupils dilated.
Asthenopia, with dull pain behind eyeball, as if it would be forced out.
Hemorrhage into anterior chamber after iridectomy.
Left eye first affected ; excessive photophobia, with severe pain upon attempting to open lids, pressing pain in head and eye, as if it at first was pressed asunder, then out of orbit, with great lachrymation and nocturnal aggravation ; severe burning on border of lids and
sticking in eyes, as from sand ; tearing, drawing pains in neck to insertion of deltoid muscle ; heat and chills. θ Rheumatic ophthalmia.
Complete ptosis, right eye, from injury ; ecchymosis of lids and conjunctiva.
Contusions or wounds of eye and lids, especially if accompanied by extravasation of blood.
Ecchymoses of conjunctiva, traumatic or spontaneous.
Profuse suppuration with discharge of fetid pus.
Nightly agglutination without inflammation or pain.
Burning on border of lids and feeling of sand in eyes.
Lachrymation : acrid, making lower lids and cheeks sore.

Noises in ear as from ringing of a bell, or from a storm of wind ; ringing and whizzing.
Hardness of hearing : (r. ear) as if ear was obstructed by cotton ; after cutting hair ; after chilling head ; after suppression of coryza or otorrhœa.
Rheumatic otitis.

Long lasting nosebleed ; afterward sore in upper part of nose, with violent burning ; blood pale.
Small pimples on root of nose.

Eruption of pimples on forehead, as in brandy drinkers, with biting itching on chest, as from lice ; red blotches and nettlerash.
Red tubercles on forehead, stinging when touched ; pimples and blood boils.
Face : alternately pale and red ; bloated.
Scaly, dry herpes in face, burning in open air.
Large, rough exanthema on face.
Erysipelas of face and eyes from bites of insects.
Tetter-like, crusty eruption around nose and mouth, with itching, smarting and burning.
Red, pimply eruption on face. θ Drunkards.

Glandular swelling under chin.

Stinging on forepart of tongue.
Bitter taste in mouth.

Offensive breath.
Sudden running of water-like saliva from mouth, with colic ; waterbrash.

Sore throat, with fine, stinging pain, < when not swallowing ; sensation as from a lump in throat.
Malignant sore throat.
Great heat in throat when moving in open air.

Continue in Hering 32 more passages →

This remedy comes up well after the study of Lachesis, for we find in the pathogenesis many features similar to those in Lachesis.

It has the mottled aspect and the same puffed and bloated appearance of the face. It is antidotal to Lachesis, to the poison of insects, to the poison of Apis and to animal poisons.

Ledum is a remedy for the surgeon, and is closely associated in traumatism with Arnica and Hypericum. The symptoms very much resemble such as follow certain kinds of injury, for instance an injury from stepping on tacks, from puncturing with needles, wounds that bleed scantily but are followed by pain, puffiness and coldness of the part.

Stepping on a nail and it pierces the sole of the foot or the heel, or he receives such a wound in the palm of the hand from a splinter, or he runs a splinter under the nail.

If, after such punctured wounds, the part becomes cold and then pale, paralyzed and mottled think of Ledum. The horse sometimes steps on a nail. If that nail goes through and strikes the margin of the coffin bone, tetanus will follow. It is known to be almost sure death. Put Ledum on the tongue of that horse and there will not be any trouble, for it prevents such conditions.

When tetanus comes on from punctured wounds in the palms or soles, or in other parts, think of Hypericum, or when you have a punctured wound to treat, give Ledum at once and you will prevent tetanus.

When the finger nails have been torn, or the nerves in sentient parts like the ends of the fingers have been torn and lacerated, Hypericum becomes the remedy.

For bruising of various parts, and when the patient feels as if braised all over, no matter how extensively he is bruised, Arnica is generally the remedy.

It may be said, for punctured wounds study Ledum; for lacerated wounds of sentient nerves, study Hypericum; for bruises, study Arnica; for open lacerations and cuts, study Calendula.

The conditions that come from the external, ought to be remedied to a great extent by external means. A solution of Calendula is excellent in conditions that come from the external, and it should be applied externally. When you have lacerated wounds and cuts with knives or other sharp instruments, apply Calendula, because the injury is external without internal effects.

The symptoms that arise from internal cause, treat with internal remedies, and symptoms that arise from external cause, when all that there is of the case is external, treat locally; in other words, for local causes use local means, and for internal or dynamic causes, use internal means.

Let internal wrongs be treated by the homoeopathic remedy and external or local conditions be treated by such soothing dressings as are most comfortable. Always protect surfaces that are exposed, and raw, and bleeding with something of a bland and superficial character.

Wounds must be dressed with as simple a means as possible, and there is no simpler dressing than Calendula, one part to four or six of water. The tincture will smart too much. Your open wounds will granulate most beautifully under Calendula, and you will have no constitutional effects. When the constitutional state is orderly and there is an open injury let the constitution alone, but put on some soothing application externally. In doing this there is no law to govern the action of the physician.

Air is an irritant to a raw part and will keep up an unnecessary discharge of pus, even from a perfectly healthy sore.

Calendula will keep it protected. The sides of a cut must be drawn together, and if it is perfectly tight it will heal itself by first intention. If it does not, then you may know there is a constitutional condition that you must ferret out and find the remedy for. Local treatment must then be suspended.

These remedies that I have mentioned, to a great extent, cover the management of wounds, and it is simple. Anyone has sense enough to draw together and close up a yawning wound, and to properly dress it. The muscles that naturally draw a wound open have to be overcome by stitches or by strappings. They do not belong to prescribing, they belong to the surgeon.

The Ledum patient is very often subject to what may be called constitutional coldness, coldness to touch, coldness in the lady and coldness in the extremities with hot head, and again we see the other extreme, where the whole body is overheated, and the head also is in a state of great heat. There is throbbing and pulsating all over the body; the skin is purple or is too highly colored; he wants the covers all off at night. It is not uncommon to hear a patient, who has a Ledum headache, say that she wants the head out in the cold air, wants to put it out of the window, does not want any covering upon the head; delights to bathe it with very cold water.

Ledum has a bloated condition of the hands, face, and feet; bloated and purple from the knees down in certain dropsical conditions. With this purple, mottled, bloated condition from the knees to the feet the swelling as big as the skin will allow, and the pain excruciating.

The only relief that patient gets is by sitting, with the feet in a tub of ice cold water. I remember the first time I ever saw this in a patient. He was an old syphilitic, whose nasal bones had been eaten cut by syphilis, and his nose was a flabby piece of skin; it had no stiffening in it. He was a drunkard, and was extremely abusive to his family when drunk.

He had been for several years unwilling to work, having lost his ambition, and he would sit in the house and allow his wife to wait upon him. He had practically become a tramp, only he could not tramp, for this dropsical condition had come on and his feet were so badly swollen and sensitive that he sat in the house day after day. When I first saw him he had before him a good-sized old-fashioned wash-tub, and there he sat with the ice water two-thirds up to his knees and pieces of ice floating around on the top of the water, which he liked to have coming in contact with the skin.

When that ice was out he would put in more. The wife described his sufferings by saying he "suffered agonies something; dreadful."

Ledum took his feet out of the ice water so that he never used it afterwards. It caused the purpleness to disappear, the bloating went out of his feet, and he quit drinking. Ledum cured him of his syphilitic trouble, and he never had a return of that original state.

Pulsatilla and Ledum are the two principal remedies that want the feet in very cold water. But Ledum suited that man.

Bleeding: Where there are inflamed surfaces the tendency in Ledum is to bleed, and the blood is black. Ledum patients are full-blooded and plethoric, of a robust character. Such plethoric patients bleed easily, have red faces; they are fleshy, strong and of robust constitution. Hemorrhages sometimes occur in the chamber of the eye, hemorrhage of the nose, hemorrhage in cavities, bloody urine. Old painful ulcers that spread, that are mottled round about, in a constitution that always wants to be cold. The ulcers are relieved by cold,

This remedy is of a rheumatic nature, rheumatic and gouty. It is a gouty medicine, having complaints in persons who suffer from gout, and have chalk stones in their joints, deposits in the wrists, fingers and toes.

The deposits go from below upwards. The gouty joints become suddenly inflamed and are relieved by cold. Ledum especially singles out the knee; it is suitable in old prolonged cases of inflammation of the kneejoint, of rheumatic knee-joint. You will find such patients sitting with the joint exposed to the cold, fanning the joint, or putting evaporating lotions upon the joint, such as chloroform, or ether, which give relief to the joints while evaporating to dryness.

Rheumatic and gouty extremities with pain and swelling; pain worse from motion, worse at night and from warmth of bed; better from cold applications with copious pale urine. The pains and swelling go upwards and the heart becomes affected.

The face I have already described as puffy or bloated like the Lache sis face. It is a besotted face and looks very much like the face of an old drunkard. Ledum counteracts the effect of whiskey, and takes away the appetite for whiskey. Ledum is to whiskey what Caladium is to the smoking habit. You can break patients from the habit of smoking so that they go to the other extreme, and have an aversion to it.

It has erysipelas, as you might expect. It has a blue, mottled and puffed and sometimes oedematous appearance. It takes on an acute character and becomes burning. Phlegmonous erysipelas of any part of the body, but particularly of the face, or the injured part.

Urines: You might naturally suppose that a medicine that has such a gouty nature in it would have more or less kidney symptoms.

"Urination frequent, quantity diminished or increased, stream often stops during the flow."

"Burning in the urethra after urinating."

"Itching redness and discharge of pus."

It has red sand in the urine as marked as Lycopodium. It has great quantities of sandy deposit of various colors. When the patient is feeling at his best, there are great quantities of sandy deposits passing away. When there is little deposit in the urine, the gouty deposits in the joints become marked, and he does not feel so well.

It has another symptom that was verified by Lippe:

Copious clear, colorless urine, light in specific gravity and from its being light or deficient of salts in the urine we have an aggravation of the gouty manifestations.

Remember that the rheumatic tendency spreads upwards from the lower extremities, from the circumference to the centre.

"Menstruation too early, too profuse, bright red; absence of vital heat."

Great coldness of the body at this time, yet the patient wants the cold air. Copious menstrual flow. Old gouty subjects, with mottled face with the puffiness that is not oedema, simply a venous stasis, with copious menstrual flow, with great pain during menstruation.

The uterus is extremely sensitive to touch, and the pelvic organs are. so sensitive that any deep touch becomes painful to the patient. Dysmenorrhoea in gouty subjects. It turns the constitution into order and prevents the after formation of gout. When such cases are very deep-seated, the uterine troubles will be cured in middle life, and the gouty appearance will come separately. The better the internal is, in an incurable disease, the worse the external becomes, and, when this is so the external trouble is essential to health, and so long as the external manifestations are in the extremities, and the joints are being increasingly affected, so long the internal is in a state of order.

When the remedy works in that way, do not change it and try to get something that will drive the external away. So long as the patient is improving and the external is growing worse, that is the right direction. Ledum acts in this direction. Its tendency is to make the complaints go away from the centre, for its complaints begin in the circumference and go towards the centre. It is sometimes impossible to manage a gouty patient without giving him some sort of explanation.

Lycopodium also keeps conditions coming to the surface. It will send them back to their own place in the externals when they have a tendency to go in. Lycopodium often causes a return of the red sand in the urine.

"Emaciation of suffering parts."

A nerve is injured by a puncture and a slight infection takes place, so that the wound becomes congested, with a mottled, oedematous appearance, and the part becomes cold, just such a condition as Ledum will cure. The nerve that supplies that part takes on an ascending neuritis, pains shoot along the nerve, the muscles that are supplied by that nerve dwindle and the part withers. We have in Pulsatilla a similar state.

"The diseased limb withers."

Adapted to the rheumatic gouty diathesis; constitutions abused by alcohol (Colch., Crot.).

Hemorrhage into anterior chamber after iridectomy.

Contusions of eye and lids especially if much extravasation of blood; ecchymosis of lids and conjunctiva.

Rheumatism and rheumatic gout; begins in lower limbs and ascends (descends, Kalmia); especially if brought to a low asthenic condition by abuse of Colchicum; joints become the seat of nodosities and “goutstones” which are painful; arthritis.

Affects left shoulder and right hip-joint (Agar., Ant. t., Stram.).

Emaciation of affected parts (Graph.).

Pains: are sticking, tearing, throbbing, and pains in joints are < by motion; < at night, by warmth of bed and bed-covering (Mer.), > only when holding feet in ice water (Sec.).

Complaints of people who are cold all the time; always feel cold and chilly; lack of animal or vital heat (Sep., Sil.); the wounded parts especially are cold to touch.

Parts cold to touch, but not cold subjectively to patient.

In some affections, warmth of bed intolerable on account of heat and burning of limbs.

Swelling : of feet, up to knees ; of ankle with unbearable pain when walking, as from a sprain or false step ; ball of great toe swollen, painful ; in heels as if bruised.

Intense itching of feet and ankles, < from scratching and warmth of bed (Puls., Rhus).

Easy spraining of ankles and feet (Carbo an.).

Punctured wounds by sharp-pointed instruments, rat bites (Hyper.) ; as awls, nails, stings of insects, especially mosquitoes.

Red pimples or tubercles on forehead and cheeks, as in brandy drinkers, stinging when touched.

Long-remaining discoloration after injuries ; “ black and blue ” places become green.

Heat ; cannot bear heat of bed; becomes intolerable by midnight, compelling to throw off the bedclothes (rev. of Sil.). Motion (joints only): misstep; alcohol.

Uncovering, relieves the terrible burning at night in the gouty nodosities of joints.

Double quotidian. Arthritic fever.

9:45 A. M., 2:30 P. M , same day. Generally only a forenoon paroxysm.

Exposure to cold. Diseases arising from cold and debility.

With thirst. Chilliness of single parts, as if cold water were poured over the parts (chill over whole body as if dashed with cold water, Rhus). Chilliness mornings and forenoons; want of natural heat (Mar. v.). Shaking all over, with little chilliness (Eup. purp.), without heat, but with thirst for cold water. Shaking chill over the whole back, with hot cheeks and hot forehead, without redness of face or thirst, hands cold. Shivering and chilliness with goose-flesh, without external coldness. Cold- ness of the back between the shoulders and in lumbar region. (See Caps.—sensation as if a piece of ice were lying on the back between the shoulders, followed by coldness over the whole body with gooseflesh; relieved by hot irons, Lachn.). General coldness with heat and redness of the face. Chill, with colic every evening.

" Violent chills and horripilation with cold limbs."—HAHNEMANN.

All over*, without thirst; on waking the body is covered with perspiration, accompanied by itching of the whole body. The warmth of the bed is intolerable on account of the heat and burning of the limbs (external warmth is unbearable, Puls.). Heat in the hands and feet in the evening*, with much distended veins of hands (veins of face and neck distended, Bell., Cinch.—veins in forearms and hands, Puls.).

Perspires, and cannot bear the bed covers (must be uncovered as soon as sweat begins, Acon.). Slight sweat all over, with itching of the whole body, provoking scratching. Warm sweat on the hands and feet, long continuing. Sour, offensive sweat on the forehead if he perspires when walking.

Hard, full and rapid; often can be felt on one arm only.

"Intermittent fevers with malignant rheumatism or gouty complications."

"The fever consists almost entirely of coldness, shivering, here and there a little heat, of the cheeks or forehead, while the limbs are very cold, and a sour-smelling sweat especially on the forehead; the sweat is often interspersed with shivering."—DUNHAM.

Chill; severe; of single parts as if cold water were poured over them, with colic every evening.

Heat; warmth of bed is intolerable from heat and burning of limbs.

Sweat; sour-smelling on the forehead.

Fever with rheumatic and gouty ailments.

Desire for solitude.
After nightmare, fears to go to sleep, lest she die.
Inclined to be out of humor and angry; vehement.
Dissatisfied; hates his fellow-beings.

Vertigo: as from intoxication, especially when walking in open air; feels dull after eating; head inclined to fall backward.

Stupefying headache, causing dulness.
Raging, pulsating headache.
Pressing headache, with distress, when head is covered.
Headache, as if something was gnawing in her temples, occiput and ears.
Head affected after getting wet.

The least covering to the head is intolerable.

Photophobia, with severe pain on attempting to open lids.
Pupils dilated.
Pressure (or dull pain) behind eyeballs, as if they would be pressed out.
Ecchymoses of the conjunctiva.
Nightly agglutination of eyes, with inflammation or pain.
Burning on border of lids and feeling of stand in eyes.
Lachrymation: the tears are acrid, and make the lower lids and cheeks sore.

Ringing, or roaring in the ears, as from wind.
Hardness of hearing: (right ear) as if the ear were obstructed by cotton; after cutting the hair; after chilling the head.

Long-lasting nosebleed; afterward sore in upper part of nose, with violent burning; blood pale.

Pimples and blood boils on the forehead.
Face: alternately pale and red; bloated.
Scaly, dry herpes in the face, burning in the open air.
Glandular swelling under the chin.
Tetter-like, crusty eruption around nose and mouth with itching, smarting and burning.

Stinging on the forepart of the tongue.
Bitter taste in the mouth.

Offensive breath.

Sore throat, with fine stinging pain, worse when not swallowing.
Sensation as from a lump in the throat; when swallowing the pain is stinging.
Malignant sore throat.
Great heat in throat, when moving in the open air.

After eating: hurriedly, contracting pain in breast-bone; pressure in stomach after a small quantity of food; feels dull.

Sudden running of water from the mouth; water-brash.
Nausea when spitting.

Sensation of fulness in upper part of abdomen.
Colic every evening.
Pain as if diarrhœa would set in, from the umbilicus to the anus, with loss of appetite and cold feet.
Pain in the loins after sitting.
Ascites.

Constipation; the stool is mixed up with blood.
Diarrhœa, stool mixed with mucus and blood; great want of animal heat.
Sore itching, smarting, humid spot between anus and coccyx.

Frequent or diminished or increased in quantity.
Stream of urine often stops during its flow.
Itching redness, discharge of pus.
Burning in urethra after urinating.

Inflammatory swelling of the penis; the urethra is almost closed.
Increased sexual desire.
Nightly emission bloody.

Menstruation too early and too profuse; the blood is bright red; absence of vital heat.
Profuse leucorrhœa; pale face; copious urination, even at night.

Milk-leg.
During last months of pregnancy an indescribable pain, like a gnawing stiffness, in sacrum and hip-bone, down over the whole thigh, worse when standing.

Tickling in larynx, with hæmoptysis.

Spasmodic, double inspiration, with sobbing, as after hard crying.
Oppressed quick breathing; oppressed painful breathing.
Suffocative arrest of breathing and opisthotonos previous to coughing.
Oppressive constriction of chest, worse from motion and walking.

Hollow, racking, spasmodic, from tickling in larynx; before cough he loses his breath; after cough, dizziness, staggering; double, sobbing inspiration.
Expectoration after 12 P.M. and in the morning, fetid purulent, or bright red, foaming blood.

Congestion to the chest, with hæmoptysis.
Burning soreness in the chest; soreness under the sternum.
Stitches in the chest.
Suppuration of the lungs.
Hæmoptysis alternating with rheumatism.

Pushing or pressure inward at left edges of sternum; palpitation; also in hemorrhage.
Pulse full and quick.

Eruption, like varicella, on the chest and upper arms, with desquamation.
Red spots and rash, with smarting-itching on chest.
Pain on and in the breast-bone, or below it.
The chest hurts when touched.

Painful stiffness of the back and loins when rising from a seat.

Severe stitch in shoulder, when raising arms.
Painful throbbing in the right shoulder.
Painful pressure in left or both shoulder-joints worse from motion.
Rheumatic pain in the joints of the arms.
Tremor of hands when seizing anything and when moving hands.
Itching rash on the wrist-joint.
Gouty nodosities on the hand and finger-joints; drawing pain from hands upward.
Perspiration in the palms of the hands.
Panaritium, from external injuries.

Pressure in right hip-joint, worse from motion.
Rheumatic pains going from below upward, joints pale, swollen, tense, hot; with stinging, drawing pains; worse from warmth of bed and bed-covering, from motion, and in the evening before 12 P.M.
Affected limb cooler than rest of body.
Gout, worse in the feet; gouty nodosities on the joints; fine tearing in the toes.
Synovitis of knee, effusion; constant chilliness.
Swelling of the feet and up to knees.
Tremor of the knees (and hands) when sitting or walking.
Pain of the soles of the feet, as if bruised, when walking.
Intense itching of top of feet and of the ankles, worse after scratching, much worse in warmth of bed.
Pinching, grasping pain in the left hamstrings, worse at night, with night-sweat and frequent urination; drawing pain from upper part of calf to the popliteal space, cannot lie on left side.
Ball of great toe painful, swollen, soles very sensitive; tendons stiff.

Rheumatism begins in the lower limbs and ascends.
Heat of hands and feet, evenings.
Long-lasting warm sweat of the hands and feet.

Motion: 26, 32, 33. Walking: 26, 33; in open air: 2, 13. Sitting: 19, 33. Standing: 24. Lifting the arms: 31, 32. Rising from a seat: 31. Exertion: 40. Cannot lie on left side: 33.

Anxiousness and fainting spells.

Sleepiness as from intoxication, during the day.
Sleeplessness at night: with restlessness and fantastic illusions as soon as closing the eyes; with restless tossing about.
Talking in her sleep; nightmare, throat feels swollen, sense of suffocation.

Morning: 27, 40. Forenoon: 40. Evening: 19, 33, 34, 40. Night: 5, 22, 23, 33, 37. Before midnight: 33. After midnight: 27.

Cannot beat heat of bed or stove; especially on account of burning and pain in the limbs.
Warmth: 33. Covering: 3, 4, 40. Open air: 8, 46. Chilliness: 6. Cutting hair: 6. Getting wet: 3.

Coldness, want of animal heat.
Chilliness, thirst, sensation as of cold water pouring over the parts; chilliness morning and forenoon.
Shivering over the back, with heat of the cheeks, without redness, on thirst, cold hands.
General coldness, with heat and redness of the face.
Parts cold to touch, but not to the patient himself.
Heat no thirst; on awaking covered with sweat, with general itching.
Burning in hands and feet in the evening.
Heat and sweat in alternation.
Night-sweats putrid or sour, with inclination to uncover; itching.
Sweat, mostly on the forehead, from the least exertion.

Right: 6, 32, 33. Left: 29, 32, 33. Below upward: 32, 33, 34.

Numbness and formication of the limbs.

Emaciation of suffering parts.
Œdematous swellings of the whole body.

Touch: 30. Taking hold: 32. Scratching: 33.
Splinters, external injuries cause panaritium. See 32.
A misstep causes the sensation of concussion of the brain.

Purple (bluish) spots over the body, like petechiæ.
Dry, violent itching herpes, burning in the open air.
Blood-boils.
Dry skin, want of perspiration.
Scurfs, on dry, small nodules, often renewed.
Punctured wounds; stings of insects especially of mosquitœs.

Pale, delicate women, who are always cold.

Ailments from abuse of alcoholic drinks.
It is an antidote to bee-stings; and also for the prostration following abuse of Colchic.

A tincture of the fresh herb of Ledum palustre, L., is used.

Pains, gouty, in the joints of feet and hands, shifting from place to place, involving also fibrous tissues in various parts. ▶ The smaller joints become swollen and the pains simulate true gout. ▶ Veins enlarge and venous engorgements result, with hæmorrhages from lungs, in eyes, etc. ▶ Papular eruptions on face and other parts. ▶ It has been found useful for stings of insects and penetrating wounds.

Arnica, Kalmia, Dulcamara, Rhus, Puls., etc.

Pain in knees, left wrist, left side of occiput, after rising in morning; in lower part of left leg, in right knee, in lower part of left upper arm, in first phalanx of right third finger, in wall beneath right nipple, agg. walking; pains changed their location suddenly (Puls.); P. in bones of ankles, in knees, toes, bones of wrist, in evening when sitting, alternately shifting from place to place, alternating with drawing pain in calves, pressure in right or left frontal bone, drawing in toes, left clavicle, muscles of arms, hip-joints, lumbar muscles, sticking in region of spleen and tearing in right tibia.

▶ Bruised pain in whole body (Ars.), (with oppression in all limbs). ▶ Tearing rheumatic pains, agg. motion. ▶ Pressure and tearing pain, agg. 5 P.M., agg. rest, agg. knees, dorsal muscles, elbows, hands temples and finger joints. ▶ Drawing pains, agg. legs, with heaviness in knees and sticking in calf, even when walking; D. pains alternately in left leg, right knee, left hip-bone, left wall of chest, left lower jaw and right wrist. ▶ Pressive and drawing pains, agg. posterior and outer side of left thigh and in muscles of left forearm, when sitting. ▶ Pressive drawing pains in knees, inner side of upper arm, frontal bone, metatarsal bones, shoulder-joints, agg. evening and during rest. ▶ Drawing in left tibia, on posterior margin of right scapula, in right deltoid at its insertion into humerus, in muscles along dorsal vertebræ, in right parietal bone, right toes, in soft parts above left knee.

(Weakness after nocturnal emissions); W. when sitting, standing and walking, and after prolonged sitting pain in coccyx; with heaviness; sudden W. in evening, then shivering, with cool skin, general trembling of muscles, heat and heaviness of head, small and rapid pulse, the next night wakeful and restless, with confused dreams, frequent micturition, with cutting, pain in limbs, cranium and walls of chest, next morning early waking, weakness all day, shivering, sensitiveness of limbs and cranium to touch, pain and tearing in bones of legs especially, boring in bones of vertex, flushes of heat in sinciput, redness of face, stitches in throat, swollen, tonsils, small, rapid pulse, ill humor. ▶ Faintness.

Aggravation during the day; towards evening; of pains from 5 P.M. till lying down (amel. night, except on waking); when sitting; during rest; cold, wet weather (Dulc., Rhus t.); of pains by wind and cold air; after two glasses of Malaga at dinner; on left side. ▶ Amelioration of pains at night; A. after camphor.

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Pains, changing location; affecting particularly the small joints, fingers, toes, wrists and ankles, < evening when sitting.
Bruised pain over the whole body.
Emaciation of the limbs.
Pains in the joints, < motion.
Intolerance of the warmth of the bed on account of heat of the limbs, hands and feet, < evening.

Discontentment, misanthropic, morose.

Headache, with intolerance of covering the head.
Brain feels shattered on making a false step.

Clinical:
External ecchymoses, intra-ocular hæmorrhages.

Alternate redness and paleness.
Eruption of dry pimples, with stinging pain as from brandy drinking.

Menstruation early, profuse, bright red.

Dyspnœa, with spasmodic double efforts to breathe, a kind of sobbing.
Cough, which threatens to suffocate.
Tightness of the chest from constriction when walking; cannot go up steps.
Cough violent, with expectoration of bright red blood.
Spasmodic cough, shaking the head and chest.
Asthmatic constriction of the chest.
Sore burning pains in the chest.

Painful stiffness in the shoulders, < motion.
Painful stiffness of the small of the back and loins when rising from seat.

Pains in the small joints, even knees and wrists, < motion.
Paralytic pain in joints on moving at night in bed.
Sticking in the shoulders on raising the arm.
Pain in the elbows, < motion.
Gouty nodes on the finger joints.
Tearing pains in the hip, knee and ankles.
Gouty inflammation of the toes.
General aggravation from warmth of bed.
Pain in the ankles, as if sprained.
Ball of the great toe swollen and painful.

Itching tetter, dry, burning in the open air.
Papular eruption on the face, especially forehead.
Violent itching, < warmth of the bed.
Petechial spots.

Sleep restless, with uneasy dreams.

Predominating coldness of the limbs, even with heat of the face.
Heat in the hands and feet in the evening and at night.
Sweat on the hands and feet.

Led. / (Lead-Leading.) / Lena.

Ledum,- Void of vital heat,
In the small joints takes her seat.
Sprain-like pain is her line,
Tender heels, her telling sign.
Coldness haunts her pains abound,
Pains rheumatic or of gout.
Painful lameness, be it said,
Troubles her when warm in bed.
Boils pimples, bites and stings,
Wounds produced by pointed things,
Such the heritage she brings.

Lena,-Has Coldness with pain.

Lena Helo is vampire of woe.

This Lena,-Who is subject to Tender Heels,-Is in awe of the Mute cycler, Amanda.

Pains Attended with Coldness-Cold Pain: Led., Helo., Verat. a., Mer., Pul., Ars.

Tender Heels: Led., Alu., Mar. a., Cyc., Am. c.

Vehement, angry mood. Dissatisfaction and hatred of mankind. Love for solitude. Great seriousness. Chaotic dullness, with general heat.

As though intoxicated, especially when walking in open air.

Stupefying ache causing mental dullness. Raging, pulsating ache. Pressive ache which renders head coverings intolerable. shattering sensation in brain when making a misstep.

Nightly agglutination of lids without pain or inflammation. Violent suppuration with a foul smelling discharge. Biting tears. dilated pupils.

Roaring or ringing before. Difficult hearing.

Burning in. Nose - bleed of bright red blood.

Alternatively pale and red. Dry herpes on, which burns in open air. Dry pimples like millet seed on forehead. Red nodular eruptions, like those of brandy drinkers, they stick when touched. Boils on forehead. Swelling of glands under chin.

Offensive odor from.

Sore, with fine sticking pain, worse when not swallowing.

Pressure in, after eating a small quantity.

Nausea: And inclination to vomit when spitting.

Sense of fullness in upper. Bellyache like that of dysentery. cutting colic every evening. Ascites.

Constipation. Diarrhoea, feces mixed with blood and mucus.

Frequent urging to urinate, with scanty discharge. Frequent, profuse. Enuresis.

Intensified sexual desire. Inflamed swelling of penis and glans.

Menses: Of bright red blood, too early and too profuse.

Spasmodic, double inspiration and sobbing, as after angry weeping. Obstructed breathing, as though he would suffocate, and opisthotonos precedes the cough. Tight, rapid. Constrictive tightness of chest when walking and ascending steps.

Violent, with expectoration of, bright red blood. Only at night or early in morning, with purulent, offensive expectoration. Spasmodic, like whooping cough, with painful concussion of head and entire chest. Hollow, shattering c., from tickling in larynx, with suffocative arrest of breathing.

Crawling in. Phthisis of.

Sore, burning pain in. Stitches in. Shattered feeling of. Suppuration of lungs. Chicken pox on chest.

Painful stiffness of, and of loins when rising from sitting. Pains in, and in sacred region.

Tearing in joints of. Stitches in shoulder when raising arm. Pressive pain in shoulder and elbow joints, motion. Gouty nodosities on wrist and finger joints. Sweat on palms.

Paralysis of hip joint. Tearing in hip, knee and ankle joints. Swelling, tension and sticking in knee. Obstinate swelling of leg and foot, Podagra.

Painful, gouty nodes about joints. Intolerance of warmth of bed, from a sense of heat in extremities. Heat in hands and feet in evening. Gouty tearing in joints, warmth of bed, and in evening until midnight. Hard, but swelling of painful joints. Suffering parts emaciate. Only the joint pains are intensified by motion. After effects of immoderate use of spirituous liquors.

Dry, want of natural perspiration. General anasarca. Dry herpes which itches violently and burns in open air. Boils. Bluish spots like petechia.

Somnolent as though intoxicated, during day. Sleepless at night, with restlessness and fantastic illusions as soon as he closes his eyes.

Pulse: Full and rapid. Frequently perceptible in one arm, but not in the other. Chill: Chill: With shudder and thirst, continues a long time with a feeling as if some parts were dashed with cold water. Coldness and want of vital heat. Or dominating chill and thirst. Early in morning and forenoon. General coldness with redness and heat of face. Heat: Without thirst, more pronounced toward evening. Burning hands and feet in evening. Alternating with sweat. Sweat: Thro whole night, with inclination to uncover. Foul or sour night sweat. From the slightest motion, more on forehead. Itching sweat.

Allied Remedies: Bry., Dulc., Lyc., Puls.,

Complementary: Chin., Sep.

Painful knots on the joints.

The heat of the bed is insupportable, on account of the heat in the limbs.

In the evening heat in the hands and feet.

Rheumatic tearing from the heat of the bed; mostly in the evening until mid-night.

Hot swelling of the painful joints.

Dropsical swelling of single parts or in internal organs or of the whole skin.

Emaciation of the affected parts.

Bad effects from the abuse of spiritous liquors.

Perspiration in the palms of the hand.

Gout.

The pains in the joints are aggravated by motion.

Boils, especially on the extremities.

Hives.