Lilium Tigrinum lil-t.

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

VENOUS CIRCULATION: FEMALE ORGANS. Uterus. Ovaries. HEART (R). Rectum. Bladder. Left side. Nerves.

Worse

WARMTH; of room. Motion. Miscarriages. Walking. Standing. Consolation.

Better

Cool, fresh air. When busy. Lying on left side. Sunset (Coca. Med. Sele.). Pressure. Crossing legs.

General

FULL, HEAVY or forced out feeling; uterus; heart; eyelids; ovary (l). Utero - ovarian sagging. Marked nervo-hysterical reflexes (Con.), especially mental or cardiac. Nervous tremor; in hypogastrium, in spine, knees, etc. Pulsation, ebullition, gurglings and burnings. Backward pains; about eyes; to occiput; from nipples through chest; from heart to l. scapula. Venous congestion. Acrid discharges.

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Particulars

Hurried, nervous, snappish and erotic or depressed. Fruitless activity. Wild, crazy feeling. Dread; of insanity; being incurable, etc. Desires finery. Burning headache, < before and after menses; ache over (l), eye; with vertigo and visual effects. Eyes, feel sprained; bite and burn, < reading. Yellowish, patchy tongue. Sweet taste -back of mouth. Craves meat. Hunger, as if from spine. Stiff, tense abdomen. Can't bear weight of covers. Sharp pains, < doubling up. Early, morning diarrhœa; frequent, small stools; with tenesmus; < after rising. Heavy dragging or outward urging in pelvis; must hold parts (Sanic.); with dysuria. Ovarian pain, (l); into limb; with pain below (l) breast. Menses free, while moving only. Thin, brown, leucorrhœa; acrid. Oppressive load on chest; air hunger; takes long breaths. As of a rivet or ball under (l) mamma. HEART, feels clutched, overful, cold, weak, hangs by a thread, etc.; pains into (l) arm; < stooping; < lying on (r) side; nervous. Palpitation. Neckache, < tire. Broken feeling between scapulæ. Pain from hip to hip. Can't walk on uneven ground. Chilly, > open air. Burning palms and soles.

Related

Related: Alo. Plat. Pul. Spi.

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

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

Keynote

Affects principally the left side of the body (Lach., Thuja). Tormented about her salvation (Lyc., Sulph., Ver.), with ovarian or uterine complaints; consolation <. Wild, crazy feeling on vertex; confused ideas. Profound depression of spirits; can hardly avoid weeping; is very timid, fearful and weeps much; indifferent about what is being done for her. Anxious: about the disease; fears the symptoms indicate an organic affection; marked in both sexes. Disposed to curse, strike, to think obscene things (Anac., Lac c.); alternates with uterine irritation. Listless, yet cannot sit still; restless, yet does not want to walk; must keep busy to repress sexual desire. Desire to do something, hurried manner, yet has no ambition; aimless, hurried motion (Arg. n.). Fears: being alone, insanity, heart disease; fears she is incurable; some impending calamity or disease. Headaches and mental ailments depending on uterine irritation or displacement. Menstrual irregularities and irritable heart. Cannot walk on uneven ground; Pains in small spots; constantly shifting (Kali bi.). Frequent urging to urinate; if desire is not attended to, sensation of congestion in chest. Bearing-down sensation; in abdomen and pelvis, as though all organs would escape (Lac. c., Murex, Sep.); < supporting vulval with hand; with palpitation. Menses: early, scanty, dark, offensive; flow only when moving about; cease to flow when she ceases to walk (Caust. - on lying down, Kreos., Mag. c.). Sensation as if heart was grasped in a vise (Cac.); as if blood had all gone to the heart; feels full to bursting; inability to walk erect. Pulsations over whole body, and full, distented feeling as if blood would burst through the vessel (Aesc.). Palpitation, fluttering; faint, hurried, anxious sensation about apex; sharp pain in left chest awakens at night; irregular pulse; extremities cold and covered with cold sweat; < after eating, lying on either side (on left side, Lach.). Rapid heart-beat, 150 to 170 per minute. Constant desire to defecate and urinate (with prolapsus), from pressure in rectum. Weak and atonic condition of ovaries, uterus and pelvic tissues, resulting in anteversion, retroversion, sub-involution (Helon., Sep.); slow recovery after labor; nearly always with constipation, from inactivity.

Relations

Compare: Act., Agar., Cac., Helon.,

Key-Notes to the Materia Medica

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

Mental

Does not wish to be alone, prefers society; very low-spirited; weeping with feeling of dread. Crazy feeling on top of head.

Sexual

Female:--Anteversion; retroversion; prolapsus. Menses continue only when moving about, and cease when sitting or lying down. Neuralgic pains in the uterus; pains in the ovaries, extending down into the inside of the thighs. Amenorrhœa, accompanied with cardiac distress, or with ovarian pains of a burning or stinging character; if complicated with prolapsed or anteverted uterus; partial, the menses returning occasionally, to again remain absent for some time. Leucorrhœa thin, acrid; excoriating; staining the linen brown; after the menses. Bearing down in lower part of abdomen as though everything were coming into the world through the vagina; sensation of dragging down from the shoulders and chest, feeling as if she wants to be held up; abdomen feels as if it must be supported; as if it must be held up with both hands.

Stool

Constant pressure on rectum, causing desire as if must go to stool immediately. Morning diarrhœa in cases with prolapsus of uterus.

Urine

Constant pressure on the bladder, producing desire to urinate all the time; scanty flow, followed by much smarting and tenesmus.

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

Constant hurried feeling as of imperative duties, and utter inability to perform them. Bearing down, with a sensation of a heavy weight and pressure in uterine region, as if the whole contents would press out through the vagina; relieved by pressure of hand against vulva. Dull, pressive pain in region of heart, or sharp, quick pain with fluttering of the heart. Heart feels as if squeezed in a vice, or alternately grasped and relaxed. Nervous affections of the heart dependent upon, uterine and ovarian diseases.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Tiger-lily

General

Manifests powerful influence over the pelvic organs, and is adapted to many reflex states dependent on some pathological condition of uterus and ovaries. More often indicated in unmarried women. The action of the heart is very marked. Pain in small spots (Oxal ac). Rheumatic arthritis.

Mind

Tormented about her salvation. Consolation aggravates. Profound depression of spirits. Constant inclination to weep. Anxious; fears some organic and incurable disease. Disposed to curse, strike, think obscene things. Aimless, hurried manner; must keep busy.

Head

Hot, dull, heavy. Faint in warm room. Wild feeling in head.

Eyes

Hyperæsthesia of retina. Pain, extending back into head; lachrymation; and impaired vision. Myopic astigmia. Useful in restoring power to the weakened ciliary muscle (Arg nit).

Stomach

Flatulent; nausea, with sensation of lump in stomach. Hungry; longs for meat. Thirsty, drinks often and much, and before severe symptoms.

Abdomen

Abdomen sore, distended; trembling sensation in abdomen. Pressure downwards and backwards against rectum and anus; worse, standing; better, walking in open air. Bearing down in lower part of abdomen.

Urinary

Frequent urging. Urine milky, scanty, hot.

Stool

Constant desire to defecate, from pressure in rectum, worse standing. Pressure down the anus. Early-morning urgent stool. Dysentery; mucus and blood, with tenesmus, especially in plethoric and nervous women at change of life.

Heart

Sensation as if heart were grasped in a vise (Cact). Feels full to bursting. Pulsations over whole body. Palpitation; irregular pulse; very rapid. Pain in cardiac region, with feeling of a load on chest. Cold feeling about heart. Suffocating feeling in a crowded and warm room. Angina pectoris with pain in right arm.

Female

Menses early, scanty, dark, clotted, offensive; flow only when moving about. Bearing down sensation with urgent desire for stool, as though all organs would escape. Ceases when resting (Sep; Lac c; Bell). Congestion of uterus, prolapse, and anteversion. Constant desire to support parts externally. Pain in ovaries and down thighs. Acrid, brown leucorrhœa; smarting in labia. Sexual instinct awakened. Bloated feeling in uterine region. Sub-involution. Pruritus pudendi.

Extremities

Cannot walk on uneven ground. Pain in back and spine, with trembling, but oftener in front of a pressing-down character. Pricking in fingers. Pain in right arm and hip. Legs ache; cannot keep them still. Pain in ankle joint. Burning palms and soles.

Sleep

Unrefreshing, with disagreeable dreams. Unable to sleep, with wild feeling in head.

Fever

Great heat and lassitude in afternoon, with throbbing throughout body.

Modalities

Worse consolation, warm room. Better, fresh air.

Relationship

Compare: Cact; Helon; Murex; Sep; Plat; Pallad.

Antidote: Helon.

Dose

The middle and higher potencies seem to have done best. Its curative action sometimes is slow in developing itself.

Leaders in Homoeopathic Therapeutics

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

Leaders

Great bearing down, as if pelvic contents would press out through the vagina; > by pressing up with the hand or sitting down (Sepia crosses the legs.)

Sensation of constriction in heart with uterine troubles.

Frequent desire for stool and urine with uterine displacements, tenesmus.

Tormented about her salvation.

Listless, yet does not want to sit still; restless, yet does not want to walk; hurried manner, desire to do something, yet no ambition; imperative duties, inability to perform them.

Depression of spirits: disposition to weep; aversion to food; indifferent about anything being done for her.

Lilium tigrinum is one of the remedies that closely resembles Sepia in its action on the uterine organs. This symptom, for instance, "weight, with feeling as if the pelvic contents would pass out through the vagina if not prevented by pressure with the hand (pressing up against the vulva, Lilium tig.), or by sitting down." There is no remedy that is more efficacious for uterine displacement than Lilium. The persistent bearing-down feeling in the uterine region of Lilium is attended with a feeling as if the pelvic viscera, indeed the whole abdominal contents, were being dragged downward, even from the chest and shoulders, towards the vagina.

The choice between Lilium and Sepia might not always be easy. The Sepia case is more likely to be a chronic one. On the other hand, the Lilium case is more intense, painful and distressing. The Sepia cachexia, of course, would decide easily in its favour, if it is markedly present. There is more urinary irritation, or frequent desire to urinate, with Lilium; indeed this is sometimes so severe as to make one think of Cantharis. Again, rectal irritation and distress in often found in conjunction with the urinary, in this respect reminding one of Merc. cor., Capsicum or Nux vomica.

With the uterine we often have quite an array of very severe heart symptoms. There are sharp quick pains, and much fluttering of the heart. This remedy also has in a marked degree the great characteristic symptom of Cactus grandiflorus, "sensation as if the heart were constricted or held by an iron band." This symptom, associated with the many other heart symptoms, has sometimes led to a prescription of Cactus, when Lilium was the remedy and vice versa. The uterine symptoms are sometimes masked so as to be over-looked for the time by the violence of the heart symptoms. All these heart, urinary, and rectal symptoms seem to be mainly reflex, while the real trouble is centered in the uterus and its appendages.

The mind is also very markedly affected under Lilium. Here it may resemble Pulsatilla for tearfulness; doubts her salvation, like Veratrum album, Sulphur and Lycopodium and a constant hurried feeling, as of imperative duties with utter inability to perform them. (See Argentum nitricum.)

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

Tiger Lily. N. O. Liliaceæ. Tincture of fresh stalk, leaves, and flowers. (Some of the provings were made with tincture of the pollen alone.)

Clinical

Angina pectoris . Asthenopia. Astigmatism. Dementia. Diarrhœa. Dysentery. Eyes, affections of . Fibroma. Heart, affections of; Palpitation of . Hysteria. Ovaries, affections of ; dropsy of. Pruritus vulvæ. Spinal irritation. Urination, too frequent. Uterus, affections of; displacements of; subinvolution of .

Characteristics

The Tiger Lily, which was introduced into the West from China and Japan, was first suggested as a remedy by W. E. Payne. Carroll Dunham urged Payne to have it well proved. This Payne did, and Dunham himself assisted by having it proved on a woman under his own supervision. The account of this case of Lilium tigrinum disease, with others, is given in Dunham's lucid style in his Science of Therapeutics. Lil. t . was given in the 30th and 3rd attenuations, which were taken during ten days. The symptoms began early but were somewhat slow in developing, and, after recovery, recurred with other symptoms. The third series recurred in the ninth week after taking the drug, and this was the most severe of all. So intense were the sufferings mental and bodily that Dunham felt bound to antidote them with Plat . 200, which was speedily effective. The symptoms developed in this order: ( 1 ) Increased activity; things went more easily. ( 2 ) Increased sexual instinct. ( 3 ) Sweetish nausea without inclination to vomit. Abnormal fulness < after eating ever so little. ( 4 ) Ill-humour; drowsiness; sleep but with unpleasant dreams. ( 5 ) Bloating more pronounced and chiefly across hips in uterine region; darting pains in head and lower abdomen from ovaries down thighs; pressure in vagina; pain at top of sacrum extending to hips. ( 6 ) Crazy feeling with thoughts of suicide; head grows wild after being quiet for a short time; increased depressing weight over parting; < evening. Knees ache. From this point, ten days after the first dose, no more medicine was taken, but the Lil. tig . disease continued to develop and increase in intensity for eight weeks longer, when it was so bad that it had to be put an end to by an antidote. Of these symptoms the most prominent were a "downward dragging" from shoulders, from thorax, from left breast, from epigastrium down to pelvis, and out at the vagina as if everything would be forced through. (In some other provers who were examined actual displacement was found, especially anteversion.) Late in the proving a thin brown leucorrhœa appeared, leaving a brown stain. This was intermittent. The downward pressure involved the rectum and bladder, and loins. There was consciousness of the ovaries as distinct painful and burning spots with pains radiating from them down the thighs. Menses came at regular times but flowed only as long as she kept moving. Much hurried and driven , she knows not why. Heart symptoms came on at this time, about a month after commencing the proving: Sudden fluttering sensation, less felt if she can busy herself very much . Faintness accompanied the fluttering, as though she could make no exertion but must sit still. Sharp pain in apex of heart. After a cessation of symptoms for about a week there was a recurrence of the same, including leucorrhœa, burning pain from groin to groin, with new mental symptoms, including obscene thoughts and disposition to strike and swear. Menses recurred after only two weeks' interval, leucorrhœa having ceased two days before. After another brief interval the second recurrence occurred, which was put an end to by Platinum . In male provers there was a good deal of pelvic distress, affecting bladder, rectum, and back, and a very decided increase in sexual instinct, but nothing approaching the intensity of the action on the female organs. The heart, in the males, appears to have borne the chief impact of the drug's action. The outward forcing in which the down-dragging symptoms of the female provers culminated was manifested in other symptoms. One man had this: The heart's action was intermittent, every intermission followed by a violent throb, causing an involuntary catching of the breath; at the same time the blood rushed up through the carotids to the head, producing great heat and a crowded feeling of head and face . Another prover, woman, 53, who had ceased to menstruate, took a drop of 30th. She had: A feeling of exhaustion as if the blood were pushed outward ; and later a blinding headache "as if all the blood were pressing outward through every aperture." S Lilienthal had among his symptoms: "A sensation as if a rubber band were stretched tightly from temple to temple"; "as if a skullcap were crushing the head"; "as if the brain was being pushed through eyes and ears." "Outward forcing" is plainly a keynote of this remedy; and the contractive pains at the heart as if grasped with a hand are all of a piece with this. The characteristic feature in the heart-grip is an intermittent pressure ─ there is alternate spasm and relaxation as if a hand squeezed the heart and then let go and squeezed again. Another leading indication is when there is pain and numbness in the right arm along with the heart pain; and again when there is alternation between heart pains and uterine or ovarian pains. The pains of Lil. tig . are wandering, flying, shooting, squeezing and relaxing, opening and shutting, burning and radiating. They radiate from ovary to heart to left breast, down legs (especially left), across to opposite ovary; through left breast to back; from ilium to ilium; across sacrum. In contradistinction to the down-dragging is a "pulling-up" sensation from the tip of the coccyx. A patient to whom I gave Lil. tig . 30 said it caused a sensation in the abdomen as if the contents were "tied up in knots." C. Sigmund Rage has observed ( H. R ., xi. 482) excellent results from Lil. t . 3x and 30 in cases of uterine fibroid presenting the characteristic symptoms of the remedy. The 2x and 3x caused severe aggravations ─ backache; fever and sweat during the night; fear of dying. Among other peculiar sensations are: With nausea, a lump in centre of chest which could be moved down by empty swallowing. As if an electric current in fingers and hands. As if cool wind blowing on lower extremities. The eyes were the seat of many marked symptoms, and one prover who was astigmatic, after much suffering in the eyes during the proving, found her astigmatism gone when the proving was over. ─ The left side was most markedly affected. Intense restlessness, nervous system irritable, weak, trembling; aimless hurry; walks to and fro. Convulsive contractions of almost all muscles of body, and feeling as if she would be crazy if she did not hold tightly upon herself. Feeling as if she must scream. "Cannot walk on uneven ground" (H. C. Allen). Burning palms and soles accompany other complaints. The symptoms are > lying on left side, when lying down at all is tolerated. Rest in general < . (Berridge cured a lady, 50, of heart pain, as if grasped with hand, with cold feeling from apex of heart to under left scapula; excited by worry; < lying on right side; > lying on left side and when busy at work.) Hasty, busy movement > . Pressure and support > : Must cross legs to relieve bearing down; must put hands to vulva to prevent contents escaping. Movement < uterine symptoms: unable to move for fear her womb would drop from her. Stooping < heart pain. Standing < downward dragging. < Afternoon and night from 5 p.m. to 8 a.m. Diarrhœa < early morning. > In open air. < In warm room; is faint. Touch < (on epigastrium = desire to vomit); < hæmorrhoids. Pressure of bedclothes is intolerable on abdomen and uterine region. Rubbing and pressure > heart spasm. Jarring < . ─ I never obtained good results from Lil. tig. until I gave it in the 30th attenuation. I have tried higher, but the aggravations from these were so severe that I have kept to the 30th.

Relations

Antidoted by: Platina; Helon. (anteversion); Nux (colic); Puls. Compare: Sep. (very like in most respects, but Lil. > by diverting mind and busying about; Sep. > by violent exertion; leucorrhœa of Lil. is more excoriating); Lil. < afternoon; Sep. > afternoon; Lil. pressure in anus, Sep. weight like a heavy ball); Puls. ( < in warm room; venous stasis with taste of blood in mouth ─ also Ham.; weeping mood ─ Puls. quiet weeping, Lil. spasmodic, flashing; Puls. has not the tendency to prolapse; is not > by support); Nat. m. (heart; uterus; coldness about heart); Helon. (profound melancholy with consciousness of womb; Lil. hurry with incapacity and distress based on apprehension of serious malady); Alo. (fulness in rectum; like a plug wedged between pubes and coccyx); Cact. (heart constricted by iron band; constriction continuous, Lil. intermittent; uterine and ovarian pains); Anac. and Ver. (profanity); Bell. ( < by jar; bearing down; Bell. < by motion, Lil. > ); Sul. (early morning diarrhœa, burning palms and soles); Zinc. (heart symptoms > by lying on left side; ─ Pho., Pul., Arn. < lying on left side); Murex, Vib. tin., Vib. o., Nux m., Gossyp. (bearing-down pains); Lach., Sul., Act. r. and Ustil. (left ovary and left inframammary pain); Calc. (ovarian pain extending down thigh; Calc., right; Lil., left; Pallad. and Plat. (irritability, "things don't go right"; Pall. over-sensitive, Plat., hauteur); Aur. (prolapse; Aur. from weight of organ, Lil. from relaxation of ligaments); Latr. mact. and Spig. (heart), Act. r. (heart and uterus); Pod. (early morning diarrhœa); Cact., Nat. ph., Tarent., Rhus (pain and numbness of left arm with heart disease; Lil. more characteristic, right); K. bi. (radiating pains; alternating conditions).

Mind

Depression of spirits; inclination to weep, timidity, apprehensiveness; of some terrible internal disease. ─ Tormented about tier salvation (with uterine complaints). ─ Constant hurried feeling, as of imperative duties and utter inability to perform them (during sexual excitement). ─ Disposed to curse, to strike, to think of obscene things; as these mental states came, uterine irritation abated. ─ Does not wish to be alone, prefers society; very low-spirited; weeping with feeling of dread. ─ Crazy, wild feeling on top of head; thoughts of suicide. ─ Mistakes in speaking; uses wrong words; forgetful. ─ Desire for fine things; dissatisfied with tier own, envious of others.

Head

Headache, esp. if depending on uterine disorders. ─ Dull pain in forehead (and fulness) over the eyes. ─ Hot pain; blinding pain, in forehead and temples. ─ Pressure outward. ─ Headache: on waking; < in open air, > at sunset, with heaviness as if too full of blood, blowing blood from nose, desire to support head with hands. ─ Neuralgia over l. eye to vertex. ─ Neuralgia in temples, alternately l. and r. ─ Pressure and crazy feeling in vertex. ─ Pain in occiput and over eyes.

Eyes

Wild look. ─ Hypermetropia; presbyopia. ─ Vision dim; and confused, with disposition to cover eyes and press upon them. ─ Pains extending back into head. ─ Burning after reading and writing, with weak feeling. ─ Cured astigmatism in a prover. ─ Blurred vision with heat in eyes and lids. ─ Muscæ volitantes.

Ears

Neuralgia in r. ear. ─ Rushing sounds in ears after going to bed.

Nose

Rubbed her nose violently. ─ Discharge: thin, clear; yellow mucus. ─ Nose stopped.

Face

Face (l.) flushed, with heat. ─ Pain in r. cheek-bone, with stoppage of r. nostril. ─ Pain in l. cheek extending into ear and temple. ─ Pain in r. jaw with feeling of elongation in teeth.

Mouth

Darting pain from (l.) teeth to ear. ─ Tongue coated yellowish white in patches. ─ Mouth and throat feel coated on waking in the night. ─ Saliva abundant. ─ Taste: bloody, afternoon; peculiar; foul > eating.

Throat

Enlargement cif r. tonsil, with exudation. ─ Soreness and dryness. ─ Feeling of lump, with pulsations when lying.

Appetite

Appetite: great, esp. for meat; great as if in back, extending to occiput and over vertex. ─ Desire for sour or sweet dainties, alternating with disgust for food. ─ Appetite lost. ─ Aversion to coffee; to bread. ─ Thirst; then stupidity, then the severe symptoms.

Stomach

Eructations. ─ Hiccough. ─ Nausea: < from tobacco; with inability to vomit; with pain in back; with fulness in abdomen. ─ Nausea, with hawking of mucus. ─ Sensation of a lump in centre of chest; moved up and down by empty swallowing. ─ Sensation of a hard body rolling around in stomach, > at night. ─ Vomiting of chyme and thin yellow mucus; finally bloody. ─ Hollow, empty sensation in stomach and bowels. ─ Faintness at epigastrium with tasteless eructations.

Abdomen

Distension of abdomen. ─ Rumbling; emission of flatus. ─ Dragging down of whole abdominal contents, extending even to organs of chest; must support the abdomen. ─ Bubbling in r. hypochondrium. ─ Lancinations from l. hypochondrium to crest of ilium. ─ Dragging downward and backward. ─ Sensation as if diarrhœa would come on; also passing off by urinating. ─ Trembling sensation in pelvis, extending down thighs. ─ Feeling as if menses coming on. ─ Grasping pains across hypogastrium > gentle rubbing with warm hand.

Stool and Anus

Pressure on rectum (and bladder) with almost constant desire to go to stool (immediately). ─ Morning diarrhœa in cases with prolapsus of uterus. ─ Morning diarrhœa; stools loose, bilious; dark, offensive, very urgent, can't wait a moment; stool preceded by griping pains or great urging, with pressure in the rectum; followed by smarting, burning of anus and rectum. ─ Pressure on perinæum. ─ Constipation: hard and dark stools, then heat in rectum and anus and pain in abdomen.

Urinary Organs

Frequent urination during day, with smarting in urethra. ─ Continuous pressure in bladder. ─ Constant desire to urinate, with scanty discharge; burning (tenesmus) and smarting in urethra after. ─ Urine: milky in morning; clear and white; like boiling oil; strong-smelling; phosphatic; copious; sediment white or red.

Male Sexual Organs

Testes: swollen and tender to touch; sore in morning, and heavy; neuralgia in l. ─ Desire increased. ─ Prostration from coitus, with irritability from suppression of desire. ─ Emission towards morning.

Female Sexual Organs

Bearing down, with sensation of heavy weight and pressure in uterine region, as if whole contents would press out through vagina; > by pressure of hand against the vulva. ─ Sharp pains in ovarian region. ─ Grasping pain in l. ovarian region and groin, with pain in right hip, extending into thigh. ─ Pains in ovaries extending into inside of thighs. ─ Pains in r. ovary and back. ─ Ovaries sore on pressure, < r. side. ─ Aching and burning pain in ovaries; feeling like live coals; afterwards pain in r. increased till it seemed as if a knife inserted in ovary and ripped down groin and front of thigh; extending over loins to r. hypochondrium, > by pressure on ovary. ─ Gnawing dragging in r. ovary < walking. ─ Severe neuralgic pain in uterus; could not bear touch; not even the weight of bedclothes or slightest jar; anteversion; retroversion; prolapsus. ─ Fundus of uterus low down, tilted against bladder, the os pressing upon rectum. ─ Bearing down in uterus, with pains in l. ovary and mamma. ─ Voluptuous itching in vagina, with feeling of fulness of parts; stinging in l. ovarian region. ─ Sexual desire increased; ending in orgasm; with hurried feeling; > during physical effort; disposition to use obscene language. ─ Leucorrhœa; bright yellow, acrid, excoriating; leaving a brown stain; after menses. ─ Menses continue only when moving about, and cease when sitting or lying down. ─ Amenorrhœa: accompanied with cardiac distress, or with ovarian pains of a burning or stinging character; if complicated with prolapsed or anteverted uterus; partial, the menses returning occasionally, or again remain absent for some time. ─ Menses freer than usual, relieving headache. ─ Sensation of dragging down from the shoulders and chest, feeling as if she wants to be held up; abdomen feels as if it must be supported; as if it must be held up with both hands.

Respiratory Organs

Voice could not be controlled. ─ Dry, hacking cough, evening, > in open air. ─ Oppression. ─ Desire to take a long breath; frequent sighing; seems to come from lower part of abdomen. ─ Inhales forcibly in order to pull up thorax and clear the pelvis.

Chest

Tightness of chest. ─ Hot, congested feeling. ─ Ebullition, must go into open air. ─ Constriction: a hand-breadth below l. breast; extending to r. side, > change of position, with sharp pain running to throat, clavicle, and axilla. ─ Sharp pains through r. lung < in open air. ─ Fine pains in r. chest, sometimes gnawing, with lameness and soreness of muscles and desire to stretch the parts; the lameness extending through to r. scapula. ─ Pain under sternum towards middle lobe of r. lung. ─ Feeling of congestion of chest if desire to urinate is not attended to. ─ Pains sharp, sticking, cramping in or below l. breast, extending to scapula and side, < lying down and on l. side.

Heart

Dull, pressive pain in region of heart. ─ Pain in heart < when lying down at night. ─ Constant feeling of a load or weight in l. chest. ─ Sharp and quick pain in l. side of chest, with fluttering of heart. ─ Heart feels as if squeezed in a vice; or alternately grasped and relaxed. ─ Fluttering or palpitation of heart; > rubbing and pressure. ─ Intermittent; after every intermission, violent throbbing, causing involuntary catching of breath and a rush of blood to head and crowded feeling in face. ─ Pain in heart is < by exercise; stooping; lying down at night; > in morning. ─ Sharp pain at apex of heart > by rest. ─ Pulse: rapid; small and weak; irregular, < by slight motion; compressible.

Neck and Back

Pain in nape with constriction. ─ Soreness in cervical and occipital muscles, < by thirst. ─ Pain: between scapulæ; sore in region of scapula; in lower dorsal vertebræ as if back would break. ─ Spine sore, with stiffness < in loins. ─ Shooting across loins. ─ Pain in sacrum, < standing, with pressure downward in hypogastrium; between hips, not much > lying, with pressure downward at anus. ─ Dull pain in sacrum. ─ Sensation of pulling upward from tip of coccyx.

Limbs

Limbs cold, clammy; more when excited or nervous. ─ Burning in palms and soles all night, constant desire to find a cool place for them. ─ Out-pressing sensation in hands, arms, feet, and legs in early part of night.

Upper Limbs

Tearing from l. shoulder to hand. ─ Cramping pain in l. shoulder and mamma. ─ Trembling of l. arm with weakness. ─ Pain in r. arm and wrist (with heart complaints). ─ Hand and arms, stiff, hot; painful. ─ Trembling of hands. ─ Paralytic pricking in fingers and hands. ─ Cramp in fingers. ─ Stiffness of fingers almost like paralysis; difficult to guide pencil; pricking in (tips of) fingers and hands; sensation of electric current, first in fingers of l. hand then of r.; running up arms. ─ Cold hands; cold perspiration on back of hands.

Lower Limbs

Staggering gait; extreme difficulty in walking straight. ─ Stitching pains from ilium to ilium or from pubes to sacrum. ─ Pain in r. hip extending down thigh. ─ Sensation as though cool wind blowing on lower limbs. ─ Trembling of knees, abdomen, back, and hands. ─ Legs ache, cannot keep them still. ─ Joints seem to lack synovial fluid. ─ Cramps in both legs and feet after stool in morning. ─ Cramp in toes. ─ Burning beginning in soles and palms, thence over body; < in bed, constant desire to find a cool place. ─ Pains severe, fleeting, quick, sharp, or circumscribed; coldness or cold perspiration; l. leg more affected.

Generalities

Weak, trembling, nervous. ─ Faintness, < in a warm room, or after being on feet a long time. ─ < Walking, yet pains so much worse after ceasing to walk that he must walk again. ─ Pains in small spots; shifting pains. ─ Throbbing pulsations, as though the blood would burst through the veins. ─ Restlessness. ─ Hysteria.

Skin

Irritation of upper chest and arms and a fine rash about forehead and around borders of the hair, with much itching. ─ Skin of abdomen feels stiff and stretched. ─ Tingling, formication, burning itching of various parts.

Sleep

Yawning, stretching, drowsy. ─ Slept soundly, but suddenly waked by desire to evacuate bladder. ─ Inability to sleep, < before midnight. ─ Restless sleep; wild feeling in head; everything seems too hot; dull headache, palpitation, mammary pain. ─ Dreams: frightful and laboured; unpleasant; voluptuous; half-awaking; intervals seem very long (of dead people).

Fever

Chills run downwards; violent beating of heart; congestion to chest and burning heat all over; constriction about heart. ─ Chills from face downwards; chilly when in cool open air, yet otherwise > . ─ Great heat and lassitude in afternoon. ─ Throbbing all over.

The Guiding Symptoms of Our Materia Medica

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

Mind

Obtuseness of intellect with inability to find right words in expressing thoughts ; forgets what he is about to say.
Ideas not clear, they become more so if he exerts his will, makes mistakes in writing and speaking ; cannot apply mind steadily.
Depression, dulness of intellect and thirst precede severe symptoms.
Believes her disease to be incurable ; that she has some organic disease that nobody understands.
Tormented about her salvation. θ Uterine complaints.
Crazy feeling on top of head ; wild feeling in head, with confusion of ideas.
Dementia produced by business discouragements and sexual excesses.
Disposition to weep, with pain in back ; has to keep very busy to repress sexual desire.
Disposed to curse, to strike, to think of obscene things ; as these mental states came, uterine irritation abated.
Aversion to being alone, and yet no dread felt.
Loss of appetite, headache, with distress of head and indisposition to labor ; dread of business ; indisposition to any exertion of mind or body.
Listless, inert, yet does not want to sit still ; restless, yet does not want to walk ; hurried manner, desire to do something, yet feels no ambition ; feeling as of imperative duties and utter inability to perform them ; sexual excitement.
Depression of spirits ; profound ; can hardly keep from crying ; disposition to weep, with nausea and pain in back ; aversion to food ; weeps much and is very timid ; indifferent about anything being done for her.
Anxiety ; fearful that the symptoms indicate an internal organic disease ; very marked in both male and female.
Apprehensive, as from impending disease or calamity ; fears insanity ; fears heart disease ; fears she is incurable ; often with moderate or subacute uterine or ovarian inflammation.
Doubts her salvation ; thinks she is doomed to expiate her sins and those of her family ; tears her hair ; walks floor night and day ; seeks to escape ; consolation aggravates. θ Uterine
dementia.

Sensorium

Vertigo, especially when walking ; feeling as if intoxicated ; staggering forward ; forgetful ; head confused and heavy.
Faint feeling ; fear of falling, < in close warm room, > in fresh air, though he is then chilly.
Faint in a warm room and when standing, with cold sweat on hands and feet. θ Prolapsus uteri.

Inner head

Dull frontal headache ; < over left eye, or alternating from side to side.
Pain in forehead. θ Photophobia. θ Blepharitis. θ Astigmatism.
Blinding pain in forehead, < in evening ; extending into back of head and down neck, with strange muddled feeling in head, general weakness and desire to lie down ; stinging burning pain in forehead, with sensation as of rubber band stretched over it, with
confusion of mind ; > by effort of will ; pains in forehead and temples, with vertigo, depression of spirits, bearing down pain in region of womb and anus, strangury and ineffectual urging to stool ; shooting in right temple passing to left, with a dull heavy sensation in
whole front of head ; dim sight ; pains in eyes extending to head ; dull pressive aching from left temple to occiput ; paroxysmal.
Drawing hot pain through head and eyes, > by frequent sneezing.
Fulness of head, with pressure outward as if contents would be forced through every aperture ; feeling as if blood would issue through nose when blowing it ; > by supporting head with hands, and at sunset ; < when walking in open air.
Heavy feeling in head, with morning diarrhœa.
Peculiar pressive headache with tremulousness and increased micturition.
Heavy feeling in head, at times slightly confused, then almost crazed feeling in head, rushing, like some fluid, through head, generally from right to left.
Wild feeling in head as though she would be crazy, with pain in right iliac region.
Terrible tearing, crazing headache ; feels as if she would lose her reason ; crazy feeling seems to run up back of head and feels as if whole head would be torn to pieces, with great fulness pressing out, with confused feeling ; pain utterly unbearable, makes her wish for
death ; pain about heart, running through to left scapula ; pains and weakness in limbs ; feels she has heart disease and cannot recover, or that she will lose her soul. θ Headache.

Sight and eyes

Blurred vision ; with heat in eyelids and eyes ; after seminal emissions ; with prolapsus uteri ; muscæ volitantes.
Hypermetropia ; presbyopia.
Turns head towards left side when reading, trying thereby to look with left eye out of right glass of spectacles, in order to see whole of letters like b, p, d, of which he otherwise could see only the straight part, but not the curve.
So-called asthenopic symptoms probably dependent upon spasm of accommodation.
Kopyopia hysterical ; burning and smarting of lids, except in bright light ; insufficiency of each internal rectus 2o ; eyes always > in open air ; lachrymation on looking down ; crawling in vertex ; stabbing in occiput.
Eyes full of water ; face flushed and hot, pricking in skin of forehead.
Eyes painful, sensitive to light.
Intense pain in eyes, extending back into head ; dim sight.
Sharp pains over eyes.
Burning feeling in eyes after reading or writing ; eyes feel very weak.
Any attempt to work near causes redness of tarsal edges and hot sandy feeling in conjunctiva.

Hearing and ears

Rushing sound in both ears.

Smell and nose

Frequent sneezing, relieving a severe burning headache and pain in eyes.
Constant desire to pick nose.

Upper face

Pain in right side of face, right nostril stopped.
Heat and bloated feeling of face and head.
Chilly feeling in face in forenoon ; afternoon fever, congestion to chest ; face and forehead flushed and hot ; pricking in forehead.

Taste, speech, tongue

Taste of blood. θ Congestion to chest.

Palate and throat

Hawking of mucus, with constant nausea.

Appetite, thirst. desires, aversions

Loss of appetite.
Aversion : to bread ; to coffee.
Craving for meat ; voracious hunger, seemingly along spine and up to occiput, not appeased by eating.
Thirst : drinks much and often ; recurring before severe symptoms.

Hiccough, belching, nausea and vomiting

Nausea : constant, with sensation of a lump in stomach, moving at every deglutition ; when thinking of coffee ; with morning diarrhœa ; with pressure in vagina and pain at top of sacrum ; from uterine irritation ; retching, but no vomiting ;
feels like vomiting when she touches her epigastrium.
Vomiting from mal-position of uterus ; frequent hawking of mucus from throat.

Scrobiculum and stomach

Fulness, disturbed feeling, upward pressure, after eating.
Stomach distended, with frequent eructations and escape of flatus from anus.
Hollow, empty sensation in stomach and bowels.

Abdomen and loins

Dragging down of whole abdominal contents, extending even to organs of chest ; must support abdomen ; as if whole contents were pushing down into a funnel ; is compelled to cross her legs for fear everything would be pressed out.
Bearing down sensation in pelvis as though everything was coming into world through vagina.
Bloated abdomen after a meal, continuing after a diarrhœa.
Abdomen distended, with moving of flatus, > passing wind up or down.
Unusual distension of abdomen.
Abdomen sensitive to pressure or jarring.
Abdominal walls sore, previous to stool.
Sensation as if diarrhœa would come on, passing off by urinating.
Bloated feeling in region of uterus, extending to hips.
Abdomen distended and sore after menses cease.
Empty feeling of abdomen and stomach.
Weak, tremulous feeling, extending to anus.
Skin of abdomen feels stretched and stiff.
Tenderness in hypogastric region.

Stools and rectum

Morning diarrhœa, stools loose, bilious ; dark, offensive, very urgent, cannot wait a moment ; stool preceded by griping pains or great urging, with pressure on rectum ; followed by smarting, burning of anus.
Diarrhœa, directly after dinner, sudden and peremptory ; discharges copious and bilious, burning of rectum and anus, severe tenesmus, followed by extreme exhaustion.
Stools frequent, bloody, mucous ; always constant urging and much backache ; after stool a feeling as if more would pass ; wakens about 3 A. M. ; mouth dry ; constant thirst for large quantities of water ; longs to keep quiet, slightest motion makes < ;
stools becoming more bloody and occurring every half hour ; restless, hurried feeling, as if she must attend to some important duties, but which she is unable to perform ; tenderness over region of left ovary, with downward pressure, as if everything would come out of vulva, and
feeling as if she must hold herself up in that region when at stool ; frequent desire to urinate ; uterus prolapsed. θ Dysentery.
Stools : dark brown, semi-liquid, fecal ; copious bilious ; very offensive.
Bowels constipated.
With every effort to evacuate bowels, urine only is discharged ; sensation as if hard body was pressing backwards, downwards and against rectum and anus ; < standing, increased desire to go to stool.
Before stool : peremptory urging ; constant bearing down with pressing in rectum.
During stool : tenesmus of bladder and rectum.
After stool : acrid smarting and burning in rectum and anus ; severe tenesmus ; exhaustion.
Pressure in rectum, with almost constant desire to go to stool.
Escape of flatus, with great distension of stomach and frequent eructations.
Hemorrhoids after delivery, sore to touch, itching ; bearing down at stool as if all would protrude through vagina.

Urinary organs

Continuous pressure in region of bladder, constant desire to urinate, with scanty discharge ; smarting in urethra and tenesmus.
Frequent urging, with acrid smarting after every discharge ; urging < toward morning.
Frequent urination through day ; with dull headache moving from sinciput to occiput, finally settling in left temple.
If desire is not attended to, feeling of congestion of chest.
Urine : milky, scanty ; increased and dark ; hot like boiling oil ; high colored and scanty.

Male sexual organs

Sexual desire increased.
Lascivious dreams and emissions, followed by irritability, difficulty in fixing one's mind, selecting wrong words.

Female sexual organs

Sexual desire increased ; obscene.
Sharp pain in ovarian region ; burning, stinging, cutting, grasping pain extends across hypogastrium to groin, down leg ; bearing down when standing ; sensitive to pressure ; ovary swollen to nearly size of child's head.
Dull pain in right and sometimes in left ovary, with offensive leucorrhœa, and great weakness during menstruation.
Pains in left ovary with anteversion ; leucorrhœa like white of egg ; drawing down sensation in left side.
Swelling and pain, with sensation of heaviness, in left ovary.
Bearing down in uterine region, < walking, > holding up abdomen with hands ; tenderness of swollen left ovary ; stinging, burning pains from ovary up into abdomen and down thigh ; shooting pains from left ovary across pubes ; urine causes smarting ;
prolapsed and sensitive uterus. θ Ovarian dropsy.
Bearing down in uterus, with pains in left ovary and left mamma.
Great distension of abdomen ; looks as if about to be confined (since confinement) ; very distressing dull pains in left ovary ; constant aching in sacral region, extending into thighs ; yellow, mouldy, blotchy look of skin,
especially of face and upper chest ; prolapsus and partial procidentia.
Pains in small of back, right and left ovarian region, down outside of thighs ; very severe when menstruation is at its height, obliging patient to keep her bed ; flow bright and clotted, intermitting ; between periods a sense of weakness and dragging, occasioning a
movement as if uterus fell from right to left ; mouth of uterus to left and high up. θ Chronic metritis.
Unable to move, fearing her womb would drop from her ; great pelvic distress on sitting up ; uterus prolapsed, with swelling and tumefaction, os much indurated, hot, tender to touch ; thinks her husband causes prolapsus by rough coition. θ Prolapsus.
Funnel shaped pressure, beginning in throat, and converging upon uterus ; sick headache every few days, much < at menses ; prolapsus uteri of second degree, with general laxity of ligaments.
Os wedged against sacrum, fundus tilted toward pubis ; agonizing distress and pressure in rectum ; constant desire to defecate and to urinate ; urine at times scanty ; feels afraid to move for fear everything will drop through ; headache over eyes and
vertex ; menses irregular, scanty, exceedingly painful ; thinks no one understands her complaint, that it is incurable. θ Prolapsus.
Fundus inclined to left side of pelvis ; hernial sac in left inguinal region of size of walnut ; great tenderness of os ; uterus swollen and tumefied ; difficult, painful urination and stools ; aching, burning, pressing pains ; bowels torpid ; menses
irregular, scanty, painful ; constant leucorrhœa, mild, profuse, straining linen, greenish yellow ; very stooping posture ; had used supporters, etc. θ Anteversion.
Severe neuralgic pains in uterus, could not bear touch, not even weight of bedclothes or slightest jar ; anteversion.
Great bearing down and distress in pelvic region ; pressure upon both rectum and bladder ; wears a T bandage "to hold herself together ;" "felt as though she would drop asunder ;" pale, wretched looking
countenance ; menses almost wanting, except a mere show every two or three months ; very painful ; leucorrhœa, acrid, dirty yellowish brown color ; headache ; appetite poor ; os pushed down on pubis ; fundus against sacrum. θ Retroversion.
Anteversion and retroversion of uterus ; patients nearly all have constipation.
Bearing down pains : particularly in walking ; as though menstruation would come on ; as if to have passage from bowels ; low spirited, weeping, apprehensive ; irritable ; opposite and contradictory mental states ;
anorexia ; faint in close room and when standing ; frequent, scanty, burning urine ; pain in sacrum ; bloated feeling in abdomen ; limbs cold and clammy.
Sensation as if a hard body was pressing backwards and downwards upon rectum and ovaries ; > walking in open air ; heart symptoms.
Bloated feeling in region of uterus ; pelvic organs feel swollen ; aching apparently around, not in, uterus.
Intermittent sharp pain across lower bowels.
Burning from groin to groin, with morning stool.
Aching over pubes, with pain in knees.
Intermittent, labor-like pains in lower part of back, with a thin, acrid excoriating leucorrhœa, leaving a brown stain ; < afternoon until 12 P. M.
Menses : scanty, flow only when moving about ; dark, thick, smelling like lochia ; on second day after time to menstruate, cutting in bowels, limbs clammy, followed by profuse, bright yellow leucorrhœa, excoriating perineum ; accelerated, sometimes recurring in two
weeks, though flow is scanty ; ceased to flow when she ceased to walk.
Dysmenorrhœa : from dislocations ; sensation of constriction from back around hips, ending in pubes.
Amenorrhœa : with cardiac distress or burning stinging ovarian pains ; complicated with prolapsus or anteversion.
Voluptuous itching in vagina, with feeling of fulness of parts ; stinging in left ovarian region.
Leucorrhœa : thin, acrid ; leaving brown stain on linen ; abundant, excoriating ; < afternoon and evening.
Dry, mealy spots, about size of lentils, on mucous surface between labia majora and minora, causing intolerable itching ; awakes at night to find herself scratching these spots, feels like tearing away flesh, itching seems to be so deep in, generally < before menses ; at
times watery discharge from left nostril, coming away drop at a time and looking like clear water ; spot on septum of left nostril similar to eruption on vulva ; partial prolapsus of uterus ; seems as if everything would come out, great desire to place hand on vulva to keep
parts up ; > from pressure of hand. θ Pruritus vulvæ.
Rash-like eruption on genitals ; swelling of parts.
Cutting in left mamma through to scapula ; sighing ; short breath.
Cramplike pain in left mamma, shoulder and fingers.

Pregnancy. parturition. lactation

Morning sickness, frequent copious urination ; palpitation.
Slow recovery after confinement ; lochia too long ; must support vulva to prevent everything from escaping ; < from motion ; subinvolution ; lochia profuse, excoriating ; dragging pains ; smarting in urethra after urination ; fears an internal
incurable disease.
Confined four weeks ago ; has been always troubled with severe constipation ; hemorrhoids first week after labor, painful, sore to touch and itching ; profuse, irritating leucorrhœa or continued lochia, with pain in back and hips ; pain and smarting in urethra after
passing urine ; bearing down when at stool, as if internal organs would pass out through vagina and had to be kept back by supporting vulva with hands ; dreads insanity ; fears incurable disease.

Respiration

Breathing oppressed, with oppression in lower part of chest, < 4 A. M. ; sighing ; frequent desire to take a long breath ; feeling of compression and weight.
Chest feels as if too full of blood ; slight relief from sighing ; oppressive heat, must go into open air ; < in close room ; with taste of blood, faint feeling ; weak heartbeat, blurred sight, fear of falling.

Inner chest and lungs

Constant feeling of load or weight in left chest ; smothering sensation.
Dragging, as if all internal organs hung suspended from chest.
Full feeling in chest, with distended abdomen.
Constricted sensation in left side of chest, extending to right, with sharp pains running up to throat, clavicle, left axilla and scapula ; > from changing position.
Sharp and quick pain in left side of chest, with fluttering of heart.

Heart, pulse and circulation

Sensation as if heart was grasped or squeezed in a vice ; as if blood had all gone to heart, producing a feeling as if he must bend double ; inability to walk straight.
Heart as if violently grasped, then suddenly released, alternately.
Constrictive pain about heart, through to scapula.
Sensation as if heart was overloaded with blood and it would afford relief to bring up some.
Frequent sensation as if heart stopped, followed by rush of blood to heart and palpitation.
Pain, dull pressure and fulness, with feeling of coldness about heart, no organic lesion.
Dull, pressing pain in region of heart, nearly constant, but < by eating, no matter how little ; frequent palpitation ; apprehension.
Heaviness in region of heart.
Cardiac irritability, nervous palpitation.
Palpitation, < from lying on either side.
Fluttering : general faint feeling, hurried and forced feeling about apex, > sitting still ; awakens her at night ; cold hands and feet, covered with cold sweat ; sharp, quick pain in left chest ; with irregular pulse.
During attacks, which are brought on by excitement, heart feels as if squeezed, with dyspnœa, groaning from pain, cannot lie down ; after attacks, weakness, numbness of right leg from toes to above knee, cold shivering, with chattering of teeth, dryness of mouth and throat, and
back feels drawn backwards ; also trembling feeling about heart on talking ; coldness from occiput down spine ; feeling as if heart stopped, followed by rush of blood and violent palpitation ; can lie best on left side ; lying on right side brings on palpitation and
weight in left ; fingers numb at times, especially right ; excitement brings on palpitation. θ Functional disturbance of heart.
Conscious pulsations over whole body, and out pressing in hands and arms as if blood would burst through vessels.

Neck and back

Dull pain in nape of neck, with feeling of constriction ; glands on left side of neck swollen and painful ; pain in neck and left scapula, seemingly from left mamma.
Pain in dorsal vertebræ, as if back would break.
Dull, heavy pain and great weakness in small of back. θ Uterine displacement.
Pain in back and hips ; dreads insanity.
Dull pain across loins and sacrum ; cold feeling and chills.
Sensation of pulling upward from tip of coccyx.

Upper limbs

Dull pain in left shoulder.
Drawing pain in left shoulder and neck ; stitching in left mamma.
Right hand and arm stiff and painful during night, > after 8 A. M.
Arms and hands stiff and hot, as if parched.
Cold hands, cold perspiration on back of hands.
Stiffness of fingers almost like paralysis ; difficult to guide pencil ; pricking in fingers and hands ; sensation of electric current, first in fingers of left hand then of right hand.

Lower limbs

Stitching pains from ilium to ilium, or from pubes to sacrum.
Pain in right hip extending down thigh.
Boring, soreness, stitching, or drawing pain in right hip joint.
Sensation as though cool wind was blowing on lower extremities, with smarting of right leg more particularly ; loss of appetite, headache, dulness of head, indisposition to labor ; grasping pain or heavy aching in knees.
Trembling of knees, abdomen, back and hands.
Dull, heavy pain, from knees to toes, moving suddenly from place to place.
Legs ache ; cannot keep them still ; < when giving up control of herself, as when trying to go to sleep.
Burning, beginning in soles and palms, thence over body ; < in bed, constant desire to find a cool place.
Pains severe, fleeting, quick, sharp, or circumscribed ; coldness or cold perspiration ; left leg affected most.

Limbs in general

Burning in palms and soles.
Limbs cold, clammy, more when excited or nervous.
Whole body feels bruised and sore, even pressure of clothing is painful ; hands and feet as if pounded ; soles sore, < when stooping.

Rest. position. motion

Desire to lie down.
Can lie best on left side.
Lying on either side : palpitation <.
Cannot lie down : pain at heart.
Sitting still : faint feeling about apex.
On sitting up : great pelvic distress.
Is compelled to cross her legs : for fear everything would be pressed out.
Standing : faint ; as if hard body was pressing backwards and downwards ; bearing down in ovaries ; must support abdomen.
Supporting head with hands : pain >.
Supporting abdomen with hands : pain >.
Unable to move : fearing her womb would drop from her.
Morning : menses only flow ; < feeling as if everything would escape through vulva.
Changing position : pains in shoulder >.
Inability : to walk, straight from pain at heart.
Walking : vertigo ; bearing down in uterine region < ; flow ceased when she ceased walking.
When stepping : soles sore <.

Nerves

Nervous system irritable ; weak, trembling, nervous.
Aimless hurry and motion ; walks to and fro ; cannot be amused by thinking or reading.
Convulsive contractions of almost all muscles of body, and a feeling as if she would be crazy if she did not hold tightly upon herself.

Sleep

Sleepy before bedtime.
Inability to sleep, < before midnight.
Restless sleep : wild feeling in head ; frightful, laborious dreams ; everything seems too hot ; seminal emissions, dull headache, palpitation ; mammary pain.

Time

Morning : diarrhœa ; heavy feeling in head ; urging to urinate.
At 3 A. M. : awakes.
At 4 A. M. : breathing oppressed.
After 8 A. M. : right hand and arm >.
Forenoon : chilly feeling in face.
Through day : frequent urination.
Afternoon : fever, congestion to chest, till 12 P. M. ; labor-like pains in back < ; leucorrhœa < ; great heat and lassitude.
At sunset : headache >.
Evening : blinding pain in forehead ; leucorrhœa <.
Night : awakes, scratching spots on labia ; arm and hand painful.
Before midnight : inability to sleep.

Temperature and weather

Open air : eyes always > ; oppressed breathing >.
In fresh air : chilly, but vertigo > ; when walking headache >.
In cool, open air : chilly, but >.
Constant desire to find a cool place.
In close room : vertigo < ; oppressed breathing <.
In warm room : faint.

Fever

Chills run downwards ; violent beating of heart ; congestion to chest and burning heat all over ; constriction about heart.
Chills from face downwards ; chilly when in cool, open air, yet otherwise >.
Great heat and lassitude in afternoon, throbbing all over.

Attacks, periodicity

Every half hour : stools.
On second day after time to menstruate, cutting in bowels.
Every few days : sick headache.
In two weeks : flow recurring.
Every two or three months : mere show of menstrual flow.

Locality and direction

Right : shooting in temple passing to left ; pain in iliac region ; pain in side of face ; nostril stopped up ; dull pain in ovary ; numbness of right leg ; fingers numb.
Left : frontal headache < over eye ; shooting in temple ; dull pain from temple to occiput ; pain from heart to scapula ; turns head to side when reading ; tenderness over region of ovary ; pain in temple ; dull pain in ovary ; drawing down
sensation in side ; sensation of heaviness in ovary ; shooting pain from ovary across pubes ; pain in mamma ; mouth of uterus ; fundus inclined to side of pelvis ; hernial sac in inguinal region, size of walnut ; stinging in ovarian region ; watery
discharge from nostril ; spot on septum of nostril ; cramplike pain in mamma ; feeling of load and weight in chest ; constricted feeling in side of chest ; pain in axilla ; sharp quick pain in side of chest ; glands of neck swollen and painful ; dull
pain in shoulder ; stitching in mamma ; leg cold.
From right to left : crazy feeling in head ; as if uterus fell ; hand and arm stiff and painful ; pain in hip ; soreness and drawing pain in hip joint ; smarting of leg.
From left to right side of chest : like electric current in fingers.

Sensations

As if intoxicated ; as of rubber band stretched over forehead ; as if contents of head would be forced through every aperture ; as if blood would issue through nose when blowing it ; as though she would be crazy with pain in head ; as if whole head
would be torn to pieces ; as of hunger along spine and in occiput ; as of a lump in stomach ; as if contents of abdomen were pushing down into a funnel ; as if everything was coming into world through vagina ; as if diarrhœa would come on ; after stool, feeling
as if more would pass ; as if everything would come out at vulva ; as if she must hold herself up in region of vulva when at stool ; as if hard body was pressing backwards and downwards against rectum and anus ; as if all would protrude through vagina ; as if uterus
fell from right to left ; felt as though she would drop asunder ; as though menstruation would come on ; as if to have a passage from bowels ; as if internal organs would pass out through vagina ; chest as if too full of blood ; as if all internal organs hung
suspended from chest ; as if heart was grasped or squeezed in a vice ; as if blood had all gone to heart ; as if he must bend double ; heart as if violently grasped and then suddenly released ; as if heart was overloaded with blood ; as if heart stopped ;
back as if drawn backwards ; as if blood would burst through vessels of hands and arms ; as if back would break ; as of pulling upward from tip of coccyx ; arms and hands as if parched ; as of electric current in fingers and hand ; as though cool wind was
blowing on lower extremities ; hands and feet as if pounded ; as if she would be crazy if she did not hold tightly upon herself.
Pain : in back ; in forehead ; over eyes and vertex ; in neck ; in temples ; in eyes ; about heart ; running through scapula ; in limbs ; in right side of face ; at top of sacrum ; in l. ovary ; in left mamma ; in
small of back, right and left ovarian region, down outside of thighs ; in sacrum ; in knees ; in urethra ; about heart ; in left scapula ; in dorsal vertebræ ; in hip.
Unbearable pain : in head.
Intense pain : in eyes, extending back into head.
Terrible, tearing, crazy pain : in head.
Crazy feeling : on top of head ; runs up back of head.
Wild feeling : in head.
Agonizing distress and pressure : in rectum.
Distress : in pelvic region.
Blinding pain : in forehead.
Sharp pain : over eyes ; in ovarian region ; running from chest to throat ; in left side of chest.
Stabbing : in occiput.
Cutting : in bowels ; in left mamma, shoulder and fingers.
Stitching : in left mamma ; from ilium to ilium, or from pubes to sacrum.
Boring soreness, stitching, drawing pain : in right hip joint.
Grasping pain : in knees.
Griping pain : in abdomen.
Shooting : in right temple passing to left ; from left ovary across pubes.
Severe neuralgic pains : in uterus.
Dragging pains : in female sexual organs.
Intermittent sharp pain : across lower bowels.
Intermittent labor-like pains : in lower part of back.
Drawing pain : in left shoulder and neck.
Drawing, hot pain : through head and eyes.
Very distressing dull pains : in left ovary.
Dull, pressing aching : from left temple to occiput ; in region of heart.
Constant aching : in sacral region into thighs.
Aching : apparently around uterus ; over pubes.
Dull pain : in forehead ; over left eye ; moving from sinciput to occiput ; settling in left temple ; about heart ; in nape of neck ; across sacrum and loins ; in left shoulder.
Bearing down pains : in region of womb and anus ; in pelvis ; in uterine region ; in uterus ; in pelvic region.
Severe burning pain : in head.
Burning stinging, cutting, grasping pain : across hypogastrium, to groin, down leg.
Stinging, burning pain : in forehead ; from ovary up into abdomen and down thigh.
Stinging : in left ovarian region.
Burning, smarting : of lids ; of anus.
Smarting : in urethra ; of right leg.
Burning : in eyes ; of rectum ; from groin to groin ; beginning in soles and palms, thence over body.
Hot, sandy feeling : in conjunctiva.
Hot pricking : in skin of forehead.
Heat : in eyelids and eyes.
Dull, heavy sensation in whole front of head ; in small of back ; pain from knees to toes, moving suddenly from place to place.
Funnel shaped pressure : beginning at throat and converging upon uterus.
Drawing down : of whole abdominal contents ; in left side Pressure : in vagina ; in rectum ; in region of bladder.
Heavy feeling : in head ; in left ovary.
Heaviness : in region of heart.
Fulness : of head, with pressure outward of stomach ; about Bloated feeling : of face and head ; in region of uterus to hips ; in abdomen.
Stretched, stiff feeling : in skin of abdomen.
Tenesmus : in bladder and rectum.
Tenderness : in hypogastric region ; over region of left ovary.
Sensitiveness : of uterus.
Strange, muddled feeling : in head.
Smothered sensation : in chest.
Constrictive pain : about heart.
Constriction : from back around hips ; in left chest.
Full feeling : in chest ; in heart.
Numbness : of right leg.
Compression and weight : in chest.
Trembling : about heart ; of knees, abdomen, back and hands.
Conscious pulsations : over whole body and out pressing in hands and arms.
Weak, tremulous feeling : extending to anus.
Fluttering : of heart.
Great weakness : in small of back.
Hollow, empty sensation : in bowels and stomach ; of abdomen.
Stiffness : of right hand and arm.
Crawling : in vertex.
Intolerable itching : on mucous surface between labia majora and minora ; of hemorrhoids.
Chilly feeling : in face.
Coldness : from occiput down spine, across sacrum ; cool wind blowing on legs.

Tissues

Headaches depending on uterine troubles, menstrual irregularities and irritable condition of heart.
Subacute and chronic ovaritis and neuralgia of ovaries.
Prolapsus uteri, bearing down sensation, accompanied by palpitation of heart and ovaralgia, uterine inflammation, subacute endo-cervicitis.
Heart feels full to bursting, from congestion ; much fluttering ; reflex heart symptoms.

Touch. passive motion. injuries

Touch : on epigastrium, makes her feel like vomiting ; hemorrhoids sore ; uterus tender.
Weight of bedclothes : unbearable on sensitive uterus.
Pressure : abdomen sensitive ; ovaries sensitive ; > bearing down in uterus.
Jarring : abdomen sensitive.

Stage of life, constitution

Girl, æt. 17 ; asthenopic symptoms.
Woman, æt. 30, single ; chronic metritis.
Woman, æt. 30, has one child, has been much doctored ; prolapsus uteri.
Woman, æt. 31, one child by former husband, six years married, no children ; anteversion of uterus.
Woman, æt. 31, married, light complexion, nervous, easily affected by potentized drugs, suffering twelve years ; pruritus vulvæ.
Woman, æt. 35, ill for ten years ; headache.
Woman, æt. 38, four children, suffering six years ; retroversion.
Man, dentist, æt. 38, temperament nervous, sensation of cold wind blowing upon extremities.
Woman, æt. 40, light hair and eyes, restless, nervous temperament, doubts her salvation ; uterine dementia.
Woman, æt. 45, married ; kopyopia hysterical.
Man, æt. 45, asthenopic symptoms.
Woman, æt. 48 ; teacher, mother of three children, stout, nervous bilious temperament, suffering many years ; palpitation of heart.
Woman, subject to attacks, first coming on after confinement thirteen years ago ; functional disturbance of heart.
Woman, dysentery.

Relations

Antidoted by : Helon . (anteversion) ; Nux vom . (colic) ; Pulsat .
Compare : Act. rac., Agar., Bellad., Cactus, Canthar., Helon., Murex, Natr. phos., Nux vom., Platina, Podoph., Pulsat., Sepia, Spigel., Sulphur, Tarent .

Lectures on Homoeopathic Materia Medica

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

Lecture

So far as proved Lilium Tigrinum has shown itself adapted to the complaints of women.

It is especially suited to hysterical women, who suffer from uterine troubles, cardiac troubles and various nervous manifestations; suitable to a woman who is extremely irritable, full of fanciful notions, insanity, religious melancholy and imaginations, with cardiac affections and prolapsus.

These conditions often alternate; when the mental symptoms are most marked the physical symptoms are relieved. The "dragging down" that is associated with prolapsus seems to be a dragging down from the region of the stomach, and even sometimes from the throat.

A bearing down, as if all the interior organs were dragging down. With this state of extreme relaxation there is great fidgetiness and most marked of all, palpitation. She can lie only on the back, and is aggravated from lying on either side. From every emotion the heart flutters, and is irregular and excitable. These mental symptoms and heart symptoms and uterine symptoms often rotate or alternate, and constitute the principal features.

Mind

She can hardly speak a decent word to anybody. She will snap even when spoken to kindly. She is so irritable that her friends cannot pacify her. Even consolation aggravates. When spoken to she is irritable. She lies awake nights, and is tormented either by fanatical religious ideas, or a religious melancholy, and seems inclined to dwell upon insane, ideas concerning religion and modes of life unreasonable, illogical and fanciful.

Has wrong ideas concerning everything. Receives wrong impressions and everything is inverted. It is impossible to please her. Now these states are present with a state of irritability of the sexual organs, nymphomania; violent sexual excitement associated with spasms, with palpitation, with sweats, with periods of exhaustion. She sits alone and broods over imaginary troubles, and when spoken to is crabbed.

"Ideas not clear; they become more so if she exercises her will."

"Makes mistakes in writing, in speaking, cannot apply the mind steadily; tormented about her salvation."

The patient tries to describe an indescribable feeling by saying she has a "crazy feeling" in the head, as if the ideas scattered, and the more she attempts to think rationally the more irrational she becomes. The more she attempts to think of something the less likely she is to recall it. When putting the mind upon something else it comes back again. This remedy has all kinds of symptoms from sexual excesses in overwrought and nervous women, from sexual excitement, causing confusion of mind with palpitation.

It says in the text:

"Listless, inert, yet does not want to sit still."

This patient will sit still and brood and think over the past, and when spoken to will jump up and run hastily and excitedly and slam the door without any cause; when spoken to kindly by members of the family, or a friend, it seems that she will go wild. A patient once under an aggravation from this remedy said to me:

"I was spoken to to-day in a street car, and I was so mad I wanted to fling something at his head."

She was thinking over something about herself, and did not want to be disturbed. It is a violent state of temper, a violent state of irritability, a loss of balance. She says:

"It seems as if I must fly when spoken to or disturbed."

When coming in contact with her friends she has these feelings. The contact seems to arouse her out of a state of lassitude and quietness. Strange things occur in this remedy. The sensations described in the text are so vague and so varied that you can see that it is an effort on the part of the provers to describe what they feel. The sensations are numerous and indescribable.

This patient very commonly is a warm-blooded patient.

She is like the Pulsatilla patient; warm-blooded, wants a cool room, likes to walk in the open air, except at times when the prolapsus is aggravated by walking. The head is generally relieved by moving about in the open air, > when walking in the open air. The headache and most of the complaints are relieved from cold, or from a cool room, and aggravated from a warm room. The dyspnoea comes on in a warm room. The patient suffocates in a crowded room, in the theatre, in church, like Apis, Iodine, Kali i., Lyc. and Puls.

Head

A crazy feeling comes up from the back of the head to the top of the head.

What that is only one that feels it can describe. It is described sometimes as a tingling, or an electric sensation. A slight tingling comes up the back of the head and goes to the top, and is associated with vertigo. When you come to sift that thought it really brings nothing to mind. Very often you have to get those things clinically, and think about them to get at the idea.

The pains in the forehead are very marked, and they are associated with great disturbance of vision, a loss of vision, the room looks dark, or the eyes are unable to focus. Nervous disturbance of vision, photophobia, twitching of the lids, jerking about the eyeballs, and inflammation of the mucous membrane of the eyes, of the lids and balls, conjunctivitis. Very often with the complaints of the head the eyes are turned in, a convergent strabismus, or there is threatened syncope, with the pain in the forehead.

By all these things mentioned it may be known what an over-sensitive, extremely nervous, hysterical person the Lilium tig. patient must be. These things are commonly associated with patients who are extremely nervous, who have fluttering of the heart, who have pain down the spine, and more or less prolapsus, with a great sense of dragging down. When one condition is present, the other is commonly absent; they alternate, or they may exist all together.

"Wild feeling in the head, as tho' she would go crazy, with pain in the right iliac region."

These provers seemed to like the expression, "crazy feeling in the head, as if she would go crazy".

That crazy feeling is a confusion of mind, as if the mind were quite unable to concentrate itself. That is what is interpreted by this crazy feeling the patients have. It is sometimes like a vertigo, as if things were going round, or as if she would lose her mind. Then it comes again as a terrible, tearing headache, described as a crazy headache in the forehead. Headache in which there is confusion of the mind, or as if the mind would go crazy.

Abdomen

The abdomen, stool, urinary and sexual organs, furnish us a field for the use of this medicine.

The whole abdominal viscera seem to be dragging down from the stomach. The patient wants to hold up the abdomen, pendulous abdomen. It seems as if the pelvic organs would protrude. The patient must lie down, wants to wear a T bandage. Wants to grasp the abdomen from the sides and lift up for support. It is a sensation of weakness or bearing down in the pelvis as if everything were coming into the world through the vagina.

This remedy has a very urgent diarrhoea, driving out of bed in the morning; he must make great baste. You may get this confused with Sulphur, because Lilium tig. has great heat in the head, emptiness in the stomach, and great burning of the palms and soles. It has also a dysentery that you will hardly be able to distinguish from Merc. cor., so marked is the tenesmus, mucus and blood.

The stool is merely mucus mingled with blood, and the tenesmus is as great and the burning in the anus as marked as in Merc. cor. It is especially suited for those attacks of dysentery that come on as an occasional chronic manifestation in nervous patients such as I have described. Now, do not think that because this patient is nervous that she is weak, or liliputian, or lean; for it is especially suitable for those with full veins; apparently plethoric, full blooded, fleshy, rotund women who are very nervous, and especially at the change of life.

Recurrent dysenteric attacks with every cold in those who suffer from pelvic and abdominal relaxation, mental irritability as described, palpitation and fluttering of the heart, with nervous constitutions. You do not see Merc. cor. in such a picture. If it were a dysentery alone I would not be able to tell which it was.

All of these dysenteric manifestations have been left out of the Guiding Symptoms, yet I have seen them verified over and over. Again, it has a most inveterate and troublesome constipation.

It has also a tenesmus of the bladder and rectum. Teasing to urinate, as well as urging to stool. Sit a long time with much urging, and after long straining no stool.

Frequent urging, with a sensation as if a ball were in the rectum. When the fundus of the uterus is turned back to the rectum it gives a sensation as if the rectum were full of faeces; it brings on urging to stool and the patient will sit and strain, and the tenesmus of the bladder and rectum is unbearable. Constant urging to stool, and no stool in the rectum. You will be astonished to know that the remedy that is indicated with such symptoms will relieve the patient of all distress in a short time.

But you ask, will this remedy put the uterus right again? Well, the patient will get relief of her sufferings and will not feel this uncomfortable state after the administration of the remedy. The bowels become regular, the disturbance of micturition is relieved and the patient gradually returns to health and later the uterus will be found in place.

"Pressure in the rectum, with almost constant desire to go to stool."

Lilium tigrinum has cured the most inveterate protruding hemorrhoids with burning.

"Haemorrhoids after delivery, sore to touch, bearing down after stool as if all would protrude from the vagina."

It does not mean that we shall apply that simply to hemorrhoids that come after delivery, but it has cured hemorrhoids in such a constitution, and not only hemorrhoids, but relaxed uterus and vagina.

A paralytic relaxation is present in all the abdominal tissues. I have mentioned the uterine symptoms incidentally in connection with other parts.

"Menses scanty, flow only when moving about."

This will make you think of Puls., the menses being so scanty, and because the Puls. patient is of similar nervous temperament. Puls. has scanty menstruation and relief in the open air. It has also much dragging down in the pelvis, though not so extreme as a rule as in this medicine. But there is much in this medicine quite different from Puls.

The come the heart symptoms.

"Seems as if the heart were grasped or squeezed in a vise, hard, as if violently grasped."

"Constrictive pain in the heart." "In fresh air, chilly, but vertigo is >."

Pain in the back and down the spine; irritable and sensitive spine with trembling. It competes very closely with Platina.