Lithium Carbonicum lith.

Heart. Small joints. Lungs. Urine.

Night. Menses; after; suppressed.

Eating. Urinating. Motion.

SORE and heavy. Acidity. Outward pressure or as of a dull point. Gout. Rheumatism.

Headache, > eating. Eyes dry from using them. Vertical hemiopia (r). Red nose. Lumps of mucus drop into throat. Gnawing in stomach, with pain in left temple (Ars.), > eating. Urine scanty, with much thirst; with red-brown sediment. Heart pains; sore; with eye symptoms; going to head; < bending over, > urinating; from mammæ to arms. Soreness of fingers, > grasping. Dry, harsh skin. Eczema.

Related: Lyc. Nat-p. Sul-ac.

Carbonate of Lithium

Chronic rheumatism connected with heart lesions and asthenopia offer a field for this remedy. Rheumatic nodes. Uric acid diathesis Whole body is sore. Gout and tophi.

Tension, as if bound; better, sitting and going out. Externally sensitive. Headache ceases while eating. Trembling and throbbing. Pain in heart; extends to head. Dizzy states with ringing in ears. Both cheeks covered with dry, bran-like scales.

Half vision; invisible right half. Photophobia. Pain over eyes. Dry lids. Eyes pain after reading.

Acidity, nausea, gnawing, relieved by eating (Anacard). Cannot endure slightest pressure of clothes (Laches).

Tenesmus. Turbid urine, with mucus and red deposit. Pain in region of right kidney. Free and colorless. While urinating, pressure in heart. Cystitis, subacute and chronic.

Constriction of chest. Violent cough when lying down. Air feels cold when inspired. Pain in mammary glands, which extend into the arms and fingers.

Rheumatic soreness in cardiac region. Sudden shock in heart. Throbbing, dull stitch in cardiac region. Pains in heart before menses, and associated with pains in bladder, and before urinating; better, after. Trembling and fluttering in heart, extending to back.

Soreness of bladder; pain in right kidney and ureter. Turbid urine with mucus, scanty and dark, acrid; sandy deposit.

Paralytic stiffness all over. Itching about joints. Rheumatic pains throughout shoulder-joint, arm, and fingers and small joints generally. Pain in hollow of foot, extending to knee. Swelling and tenderness of finger and toe joints; better, hot water. Nodular swellings in joints. Ankles pain when walking.

Scabby, tettery eruption on hands, head, and cheeks, preceded by red, raw skin. Dull stitch, ending in itching. Barber's itch (use high). Rough rash all over body, much loose epithelium, tough, dry, itchy skin.

Worse, in morning, right side. Better, rising and moving about.

Compare: Lyc; Ammon phos; Benz ac; Calc; Lithium chlor (symptoms of cinchonism, viz.: Dizzy head, full, bluring of vision Ringing in ears; marked tremors; general weakness; marked muscular and general prostration; no gastro-intestinal effects. Nose sore, heartburn, pain in teeth). Lithium lacticum (rheumatism of shoulder, and small joints relieved by moving about; worse, resting). Lithium benzoicum (deep-seated pains in loins; in small of back; uneasiness in bladder. Cystic irritation. Gallstones. Frequent desire. Diminishing uric acid deposit). Lithium bromatum (cerebral congestion, threatened apoplexy, insomnia and epilepsy).

First to third trituration.

Chronic rheumatism connected with valvular heart troubles should call our attention to this remedy, for it has done good service in such cases. Symptoms: "Rheumatic soreness in the cardiac region." "Violent pains in the heart when bending over." "Pains in heart when urinating or at menstrual period." "Flattering of the heart with mental agitation," are all valuable guides to its selection. Then if we have the rheumatic symptoms, swelling and redness with great tenderness of the small joints, the indications are very positive for its use.

There are often heavy deposits in the urine of mucus, uric acid or pus. I have done some excellent work with it in such cases.

Pain over the eyes and tension, as if bound in the temples ; diminished while eating, but returning soon after eating, and remains as a pressure in the temples until in the night, and only goes away after falling asleep. Pains in a small spot in the right temple. Pressure in the temples from without inwards, with a pressing pain in the middle of the chest. Tension as if bound in the temples, with half vision. Early on awaking, violent headache in vertex and temples (after sudden cessation of the menses), with nausea. Heavy weight upon the vertex with pressure upon the left temple. Headache worse when lying down ; it pains everywhere ; better when sitting ; relieved by going out. Looking at any thing makes the headache worse ; can hardly keep the eyes open ; they pain as if sore from morning till noon. Trembling and throbbing in the head, the pains in the heart extend to the head. Head seems too large. Head externally sensitive.

Stitches in the right eye. Eyes pain as if sore. Sensation of dryness and pain in the eyes after reading. Sensation as if sand were in the eyes. Pain over the eyes, with half vision. The sunlight blinds him. Uncertainty of vision and an entire invisibility of the right half of whatever she looked at (during second day of menstruation).

Earache, left side, from the throat, with prosopalgia. Pain behind the left ear, in the bone, extending towards the neck.

Nose obstructed, above and in the forehead, in the morning and forenoon. Blows his nose very much in the remains behind in the choana. Dropping from the nose in the open air. Nose swollen, red, especially on the right side, sore internally-shining crusts form in it ; it is dry and as if inflamed (at the same time frequent urinating at night, disturbing the sleep).

Pain in the right side of the face (afternoon) from the root of the tooth that has been sawn off, extending to the temple, followed next day by the same pain in the left side, passing from the throat to the left ear, causing earache and moderate brief pain in the left temple.

Sore throat extending into the ear. Expectoration of mucus from the choana and out of the fauces in solid lumps, especially morning and forenoon.

Gnawing in the stomach worse before a meal, it goes away while he eats. Nausea and gnawing in the stomach. Nausea, with fulness in the temples ; with headache. Acidity in the stomach. Fulness in the pit of the stomach, cannot endure any pressure of the clothes. Pressure in the hepatic region.

Diarrhœa after fruit. Very offensive stools (daring the night). Very stinking discharge of the flatus. Violent, painful, dull stitch in the perineum near the anus, from above downwards, from within outwards.

Sensitive pain, sharp pressure, in the vesical regions, more on the right side, after urinating. Tenesmus vesicæ and micturition (evening while walking). Flashes of pain in the region of the bladder, inferiorly, more towards the right before passing water ; pain extends into the spermatic cord after urinating. Quick strong tenesmus. Frequent and copious micturition (disturbing the sleep). Turbid urine with mucous deposit. Urine scanty and dark very acrid. Dark, reddish-brown deposit. On rising to urinate, a pressing in the region of the heart, which did not cease till after urination (morning).

Men. Erection after urination at night. Burning in the urethra. Women. Menses too late and too scanty.

On inspiration the air feels so cold that it seems to be felt unpleasantly even in the lungs. Pressure in the middle of the chest. Constriction of the chest when walking (after breakfast), followed by expectoration of mucus. Violent cough in the evening, while lying down, compelling to rise, without expectoration ; the irritation to cough is in a little spot, posteriorly and inferiorly in the throat. Rheumatic soreness in the region of the heart. Sudden shock in the heart. Throbbing ; like a dull stitch in the region of the heart. Pains in the heart after pains in the bladder. Pains in the heart before and at the time of the commencement of the menses. Trembling and fluttering of the heart (after mental agitation of a vexatious character).

Stitch in the sacrum. Pain in the sacrum, when standing, with confusion of the head.

Upper. Burning stitch in the ball of the hand, in the left thumb. Itching-throbbing, very sensitive pain in all the fingers, as if it were in and upon the bones, extending from the hands to the ends of the fingers, only during repose ; it ceases upon pressure, when grasping, and during motion. Soreness at the margin of the nail, with pain and redness. Lower. Pain in the right hip, later in the left. Rheumatic pains in the lower extremities. Pain of the knees, above the knees, especially when going up stairs. Prostrated feelings in the knee-joints, weakness of the knew, on going up stairs. Rheumatic pains in the right foot on awaking at night, they pass away on rising. Painfulness of the feet, ankles, metatarsus, all the toes, especially of the border of the foot and the sole, as if it were gouty. Pain and weakness of the feet. Burning in the great toe, especially around the corns. Great soreness of the corns. Itching of the sole of the (left) foot on the inner margin. Pain in the little toes.

Paralytic stiffness in all the limbs of the whole body as if beaten ; stiff and sore over the whole body, in all the bones, joints and muscles. Pressing, as if with a dull point, here and there, internally, as if it were wear the bone, most in the left side. Burning stitch which goes from within outwards, and ends in an itching. Contracting sensation, with shudder.

Sleepiness early in the evening ; late in the morning. Sleep at night disturbed by urination. Voluptuous dreams, tenesmus vesicæ, and erections, which subside after urination.

Shudder starting from the thorax. Very copious perspiration. Perspiration on the back of the hands.

Itching, at the anus, in the middle finger around the margin of the nail, on the side of the thigh, in the sole of the foot, in the palm of the hand.

Carbonate of Lithia. Lithic Carbonate. Li 2 CO 3 . Trituration.

Albuminuria. Aneurism. Angina Pectoris . Barber's itch. Bubo. Dyspepsia. Eyes, affections of. Gall-stones. Gastralgia. Glands, swelling of. Gout. Headaches. Heart, affections of Hemiopia . Hernia. Menstruation, disorders of . Nose, affections of. Obesity. Ossification of arteries. Prostatitis. Retina, anæmia of. Rheumatism. Spleen, affections of. Syphilis. Urethritis. Urinary disorders.

Hering introduced and made the first provings of Li. c . It affects the entire organism, but notably head and eyes, urinary organs, heart, and joints. In arthritic complaints accompanied with heart or eye symptoms it is very likely to be needed. Recurring attacks of acute inflammation of the small joints. The skin of the Lith . patient is dry and harsh like a nutmeg-grater. According to Allen, the Lactate of Lithia has been found valuable for subacute rheumatism of the shoulder-joint. "Soreness" is a note of Li. c .: Bruised spots from falls or blows. Bones, joints, muscles, whole body sore as if beaten. Rheumatic soreness in heart region. Eyes pain as if sore. "Pressing from within outward" is another common symptom: in head; abdominal ring; perineum; chest. There are two grand characteristics about the heart symptoms: < bending forward; and > after urinating, though < on rising to urinate. This > after urinating may be compared with < on cessation of menses: "Menses cease suddenly and headache comes on." A pain in heart occurs before and at time of menses. The heaviness is > whilst eating, and < after. A good deal of confusion in the head. The nose is red and inflamed; there is dropping of solid lumps down the back of the nose. Acidity of the stomach. Sensations are: Temples as if bound. Head too large. Eyes dry. As if veil before eyes. Lancination as from red-hot needles in bubo. Arm as if paralysed. Border of foot and soles as if gouty; itching. Prostration of whole body, especially knee-joints and sacrum. Paralytic stiffness of whole body. Most symptoms are < at night or early morning. Hot water < itching. Open air = dropping from nose and constriction of chest. Inspired air feels cold even into lungs. Going out > headache. In general, rest > and motion < ; but lying down < headache and cough. Many symptoms of Lith. c . have Concomitants in other parts.

Compare: Alumina (asthenopia, dry eyes, eyes pain when reading); Eug. j., Lipp. ( > after urinating); Bism. (gastralgia); K. bi., Coral. (inspired air feels cold); K. bi., Sep., Teuc. (catarrh with discharge of solid chunks from posterior nares); Led., Kalm. and Benz. ac. (valvular deposits. — Benz. ac. offensive urine); Zn., Con., and Aur. (sudden jerks or shocks about heart); Kalm. and Calc. (gout and rheumatism); Calc., Benz. ac., Lyc. and Am. ph. (nodular swellings); Dig., Cyc., Sel., Berb., Caust., Lyc., Cop. and Apis (prostatitis and urethritis); Gettys. (scrofulous joints).

Bruises. Falls.

Difficulty in remembering names. — Disposed to weep about his lonesome condition. — Anxiety, hopeless all night.

Confusion of head: with pain in sacrum; with out-pressing pain in l. abdominal ring. — Pain and heaviness over eyes < towards evening. — Pain in l. temple, extending into orbit, with gnawing in stomach; began an hour before dinner; > while eating, but returning soon after; and remaining as a pressure in temples until night, and only goes away after falling asleep. — Pains in small spot in r. temple. — Pressure in temples from without inwards, with a pressing pain in middle of chest. — Tension as if bound in temples, with half-vision. — Early on awaking violent headache in vertex and temples (after sudden cessation of menses), with nausea. — Heavy weight on vertex with pressure on l. temple. — Headache like a stitch, superiorly in vertex, on r. side sensitive when touched. — Headache < when lying down; it pains everywhere; > when sitting up; > by going out. — Confusion of head. — Looking at anything < headache; can hardly keep eyes open; they pain as if sore from morning till noon. — Trembling and throbbing in head, pains in heart extend to head. — Head seems too large. — Head externally sensitive. — (Milk-crust.)

Stitches in r. eye. — Eyes pain as if sore. — Sensation of dryness and pain in eyes after reading. — Sensation as if sand in eyes. — Pain over eyes with half-vision. — Sunlight blinds him. — Black motes before eyes, eyes sensitive after using them by candle-light; asthenopia. — Uncertainty of vision and an entire invisibility of r. half of whatever she looked at (during second day of menstruation); if two short words occur in succession, that on r. hand is invisible. — Scrofulous inflammation of eyes with hardening of meibomian glands. — Ophthalmia, red sclerotica, muco-purulent discharge; sticking pains in eyes, photophobia, sensation as of a veil before them.

Earache, l. side, from throat, with prosopalgia. — Pain behind l. ear, in bone, extending towards neck.

Nose obstructed above, < morning and forenoon. — Blows nose very much, evening, much mucus remains behind in choanæ. — Coryza; dropping from nose in open air. — Nose swollen, red, esp. r. side, sore internally, shining crusts form in it; dry as if inflamed (at same time frequent urinating at night, disturbing sleep).

Pain in r. side of face (afternoon) from root of the tooth that has been sawn off, extending to temple, followed next day by same pain in l. side, passing from throat to l. ear, causing earache and moderate, brief pain in l. temple. — Glandular swellings l. side of face, some hard, some suppurating.

Teeth feel numb, dull and loose, cannot bite on them. — Toothache r. side.

Sore throat extending into ear. — Expectoration of mucus from choanæ and out of fauces in solid lumps, esp. morning and forenoon.

Gnawing in stomach < before a meal, > while eating. — Nausea and gnawing in stomach. — Nausea, with fulness in temples; with headache. — Acidity in stomach. — Fulness in pit of stomach, cannot endure pressure of clothes. — Sticking burning extending upwards in epigastrium.

Pressure in hepatic region. — Violent pain in hepatic region, between ilium and ribs. — Sticking pain in l. hypochondrium (spleen). — Feels swollen as if distended with wind. — Violent pain across upper abdomen. — Out-pressing in left abdominal ring. — Violent pain horizontally in hypogastrium, in upper region of bladder. — Buboes; l. groin.

Diarrhœa after fruit (or chocolate). — Very offensive stools (during night). — Diarrhœa; stools light yellow. — Very stinking discharge of flatus. — Itching in anus, sharp, sudden, short. — Violent, painful, dull stitch in perineum near anus, from above downward, and from within outward, when walking.

Sensitive pain, sharp pressure, in region of bladder, < r. side after urinating. — Tenesmus vesicæ and micturition (evening while walking). — Soreness of bladder and sharp, sticking pains in neck of bladder, on r. side, with soreness; frequent urination; pains in r. kidney. — Pain in r. ureter, and through spermatic cord into testicle. — Fugitive, sensitive pains in lower region of bladder, somewhat towards r. before urinating; pains extending into spermatic cord, more towards l., after urinating. — Tenesmus of bladder for a while, then discharge of clear, frothy urine, thirteen ounces, more than he could retain in health. — Quick, strong tenesmus. — Frequent and copious micturition (disturbing sleep). — Turbid urine with mucous deposit. — Less urine though he drinks as much as usual. — Burning in urethra. — Urine scanty and dark, very acrid. — Dark, reddish-brown deposit. — On rising to urinate a pressing in region of heart, which did not cease till after urination (morning).

Erection after urination at night. — Greenish-yellow discharge from urethra, thick, profuse, alternating with hæmaturia. — Pain: in ureter, spermatic cord, and testicle; in testes when sitting, stitches in penis. — Burning in urethra.

Menses: late, scanty; cease suddenly and headache comes on.

On inspiration air feels cold even into lungs. — Violent cough in evening, while lying down, compelling to rise, without expectoration; the irritation to cough is in a little spot, posteriorly and inferiorly in throat.

Pressure in middle of chest. — Constriction of chest when walking (after breakfast), followed by expectoration of much mucus, seemingly from middle of sternum.

Rheumatic soreness in region of heart. — Violent pain in region of heart as she bent over bed, morning on rising. — Sudden shock in heart. — Throbbing; like a dull stitch in region of heart. — Pains in heart after pains in bladder. — Pains in heart before and at time of commencement of menses. — Trembling and fluttering of heart (after mental agitation of a vexatious character). — Pains in heart before and at time of urinating. — Pressure in region of heart on rising to urinate, > after urination.

Sore feeling r. side near spine, below loins, on small spot; < from pressure; morning on rising. — Stitch in sacrum. — Pain in sacrum, when standing, with confusion of head. — Feeling of prostration in sacrum at night. — Pressure as with a dull point, here and there, internally, as if near sacral bone, in evening; most on l. side.

Occasional rheumatic pains in limbs.

Pain in r. shoulder-joint near insertion of pectoralis major, at margin of muscle. — Itching-throbbing very sensitive in all the fingers, as if it were in and upon the bones, extending from hands to ends of fingers, only during repose; > by pressure, when grasping, and during motion. — Soreness at margin of nail, with pain and redness. — Burning stitch in ball of l. thumb.

Pain in r. hip, later in l. — Rheumatic pains in lower extremities. — Pain in and above knees, esp. when going upstairs. — Prostrated feelings in knee-joints, on going upstairs. — Rheumatic pains in r. foot on awaking at night, > on rising. — Painfulness of feet, ankles, metatarsus, all the toes, esp. of border of foot and sole, as if gouty. — Pain and weakness of feet. — Burning in great toe, esp. around the corns. — Great soreness of corns. — Itching of sole of (l.) foot on inner margin. — Pain in little toes.

Paralytic stiffness in all limbs as if beaten; stiff and sore over whole body, in all the bones, joints., and muscles. — Swelling, tenderness, sometimes redness of last joint of fingers, with general puffiness of body and limbs; increase of bulk and weight; clumsiness in walking at night, and weariness in standing; sometimes intense itching of sides of feet and hands at night from no apparent cause, > by very hot water. — Pressing, as if with a dull point, here and there, internally, as if it were near the bone, most in l. side. — Burning stitch which goes from within outwards, and ends in an itching. — Before menses, symptoms < l. side; after menses < r. side. — All symptoms < r. side.

Itching: at anus; in middle finger around margin of nail; in side of thigh; in sole; in palm.

Sleepiness early in evening; late in morning. — Sleep at night disturbed by urination. — Voluptuous dreams, tenesmus vesicæ, and erections, which subside after urination.

Shudder starting from thorax. — Very copious sweat. — General feeling of heat; sweat on back of hands.

Difficulty in remembering names.
Disposed to weep about his lonesome condition.
Anxiety, hopeless all night.

Heaviness in sinciput, especially in frontal eminence.
Pain and heaviness over brows, < towards evening.
Headache like a stitch, superiorly on vertex.
Early on awaking, headache in vertex and temples, with nausea after sudden cessation of menses.
Pains in a small spot in right temple ; pain in left temple.
Heavy weight upon vertex, with pressure upon left temple.
Pressure in temples from without inward, with a pressing pain in middle of chest.
Tension as if bound in temples, with half vision.
Tearing, sticking headache on right side, < on assuming erect position and on motion, > during repose.
Headache ceases while eating, but returns and remains until food is again taken.
Throbbing headache.
Pressure in right side of forehead.
Headache : < when lying down ; it pains everywhere ; > when sitting ; > by going out.
Looking at anything makes headache < ; can hardly keep eyes open ; pain as if sore from morning till noon.
Trembling and throbbing in head, pains in heart extend to head.
Head seems too large.
Confusion of head.

Head externally sensitive.
Milk crust.

Asthenopia, with black motes before eyes and sensitiveness of eyes after using them by candlelight.
Entire vanishing of right half of whatever she looked at ; or if two short words occurred in succession, that on right hand was invisible ; second day of menses ; pain over eyes.
After excessive use of eyes, with insufficient light, loss of use of left eye ; vision with right eye incomplete ; could only see left half of an object until he looked a second time and more intently ; a similar perversion had preceded loss of
vision in left eye.
Sunlight blinds him.
Eyes pain : during and after reading ; as if dry ; as if little grains were in them ; as if sore.
Throbbing and drawing deep in right eye and around it.
Stitches in right eye.
Scrofulous inflammation of eyes with hardening of Meibomean glands.
Ophthalmia, with redness of sclerotica, muco-purulent discharge, sticking pains in eyes, photophobia and sensation as of a veil before them.

Earache left side, from throat, with prosopalgia.
Pain behind left ear, in bone, extending toward neck.

Nose, especially on right side, somewhat swollen, red, sore, internally, shining crusts form in it ; dry as if inflamed ; frequent urinating at night.
Nose obstructed above, < in morning and forenoon.
Blows nose very much in evening, much mucus remains behind in choanæ.
Dropping from nose, in open air.
Soreness of end of nose.

Pain right side from root of tooth that has been sawn off, extending to temple ; next day same on left side from throat to ear. θ Prosopalgia.

Glandular swellings on left side of face, throat and neck, nearly all size of a hen's egg, some hard, some suppurating.

Teeth feel numb, dull and loose, cannot bite on them.

Sore throat in evening, right side.
Sore throat, extending into ear.
Solid lumps from choanæ and fauces, < morning and forenoon.

Continue in Hering 31 more passages →

Difficulty in remembering name.
Disposed to weep about his lonesome condition.
Anxiety, hopeless, all night.

Early on waking, headache in vertex and temples after sudden cessation of menses.
Heaviness in sinciput, worse in frontal eminence.
Pain and heaviness over the brows, worse toward evening.
Headache ceases while eating, but returns and remains until food is again taken.
Pain in left temple.
Throbbing headache.
Confusion of the head.
Pressure in right side of forehead.

Black motes before eyes; eyes sensitive after using them by candle-light.
Vision uncertain; right half of objects invisible; second day of menses; pain over eyes.
Sunlight blinds him.
Eyes: pain as if sore; pain as from grains of sand; feel dry, and pain after reading.
Throbbing and drawing deep in right eye and around it.
Stitches in right eye.

Earache, left side from the throat.
Pain behind left ear, in bone, extending toward the neck.

Swollen, red, worse right side; internally sore and dry; shining crusts form.
Nose obstructed above, worse in morning and forenoon.
Mucous discharge in evening.
Dropping from nose in open air.

Pain right side from root of tooth that has been sawn off, extending to temple; next day same on left side from throat to ear.

Teeth feel numb, dull and loose, cannot bite on them.

Sore throat in evening, right side.
Sore throat, pain into ear.
Solid lumps from choanæ and fauces, worse morning and forenoon.

After fruit: diarrhœa.

Acidity of stomach.
Nausea with gnawing in stomach, fulness in temples, headache.

Gnawing in stomach.
Fulness in pit of stomach; cannot endure slightest pressure of clothes.

Pressure in hepatic region.
Violent pain in hepatic region, between ilium and ribs.
Sticking pain in left hypochondrium.

Feels swollen, as if distended with wind.
Violent pain across upper part of abdomen.
Pain in left abdominal ring, like a pressing from within outward.

Stools soft, light, yellow, in the morning; offensive at night; stinking flatus in evening.
Worse after fruit or chocolate.

Flashes of pain in region of bladder, more toward the right, before passing water; pain extends into spermatic cord after urinating.
Tenesmus vesicæ with micturition; in the evening, while walking.
Quick, strong tenesmus, with sensitive pain in middle of urethra.
On rising to urinate, a pressing in cardiac region, not ceasing until after urination; morning.
Urine: strong, scanty, dark, acrid; pain when passed, emission difficult; with dark, reddish-brown deposit; turbid, with mucous deposit; profuse, with uric acid deposit.
Frequent, copious urination disturbing sleep.

Erection after urination at night.
Gonorrhœa, with alternate hemorrhage and discharge.
Burning in urethra.
Pain in testes, and when sitting, stitches in penis.

Menses: late, scanty; cease suddenly, and headache comes on.

On inspiring the air feels cold even into lungs.
Constriction of chest when walking in open air after breakfast, then expectoration of much mucus, by hawking, seemingly from middle of sternum.

Violent, in quick shocks, evening while lying; must rise; no sputa; irritation to cough, starts at a small spot posteriorly and inferiorly in throat.

Pressure in middle of chest from within outward towards both sides.

Violent pain in region of heart, as she bent over the bed; morning after rising.
Valvular deficiencies, worse from mental agitation, which cause a fluttering and trembling of heart.
Sudden shocks in cardiac region.
Rheumatic soreness in cardiac region.
Pains in heart before and at time of urinating; also before and at time of menses.

Sore feeling right side near the spine, on a small spot; worse from pressure; morning on rising.
Prostrate feeling in sacrum at night.
Stitch in sacrum.

Pain near point of right pectoralis major on margin of right shoulder.
Burning stitch in ball of hand in the left thumb.
Itching, throbbing, sensitive pains, in all fingers, worse second and third of left hand, as if in the bones; it extends from hands to finger-ends, only during repose; better on pressure, when grasping and during motion.
Left middle finger painful through and through.
Soreness at margin of nail, with redness and pain.

Itching-burning pain in small spot on right hip, then on thigh, then on little toe; all on external aspect of limb; also, internally on left thigh and knee.
Occasional rheumatic pains.
Knees weak, with pain, worse going up stairs.
Feet, ankles, metatarsus, toes, especially at border of foot and sole, as if gouty.
Ankle-joints pain when walking.

Going up stairs: 33. Motion: 32. Walking: 21, 33; in open air: 26. Sitting: 22. Lying: 27. After rising: 29, 31. Stooping: 29. During repose: 32.

Prostration of whole body, especially knee-joints and sacrum.
Paralytic stiffness in all the limbs and in whole body.

Anxious, restless at night.
Sleep disturbed by pains in sacrum and feet.
Awakened by offensive diarrhœa, tenesmus vesicæ, erections, which subside on urinating.

Morning: 3, 7, 13, 20, 21, 29, 31. Forenoon: 7, 13. Evening: 3, 7, 13, 20, 21, 27. Night: 1, 20, 22, 31, 37.

Open air: 7. Cool air inspired: 26.

Cold feet, soles worse; then sudden heat beginning in soles and extending over whole body.
General feeling of heat in the body; sweat on back of hands.
Copious sweat.

Right: 3, 5, 7, 8, 13, 18, 21, 32, 33. Left: 3, 6, 8, 18, 19, 32, 33. Within outward: 28. Below upward: 40.

Bones, joints, muscles, whole body sore as if beaten.
Arthritis.

Pressure: 17, 31, 32. Grasping with the hand: 32.

Itching and burning.
Skin rough as a grater, harsh, dry; barber's itch.
Ringworm, dry, itching.
Rough rash over body. θ Secondary syphilis.
Milk crust.

Pure Carbonate of Lithium is triturated for use.

In a general way its action is similar to that of the other alkalies, but it is a more powerful diuretic.

The alkaline earths in general (especially Magnesia), Lyc.

▶ Sticking outward in a small spot, agg. left side, ending in burning itching. ▶ Feeling as if beaten, stiff and sore in all bones, joints and muscles. ▶ Pains here and there, agg. a spot in right temple; (P. agg. left side). ▶ Lax feeling in whole body, agg. knees and sacral region. ▶ Paralytic stiffness of whole body. ▶ Aggravation on left side before menses, on right after menses.

It is generally indicated in a gouty diathesis, with recurring attacks of acute inflammation of the small joints or of the heart. ▶ The skin of the Lith. patient is very rough and dry. ▶ The lactate of Lith. has been found very valuable for subacute rheumatism of the shoulder-joint.

Asthenopia. ▶ Retinal anæmia, entire vanishing of right half of an object, for example, of a word, with pain over the eyes. ▶ Retinal anæmia or threatening blindness; in one case this symptom occurred previous to the loss of sight in one eye, subsequently he experienced the same symptom in the other eye and was cured by Lith.

Inflammation of the prostate, with pink sediment in the urine. ▶ It has proved curative in some cases of albuminuria, with dysuria at times, very acid dyspepsia, almost constant desire to urinate and great debility, the acidity of the stomach being the most marked indication (Mag. c.).

It has been found valuable in chronic rheumatic endocarditis, with soreness in region of heart, especially agg. stooping; this chronic rheumatic inflammation of the heart is generally associated with chronic inflammation of the finger-joints.

Disposed to weep over his lonesome condition, so that he sobbed, his nose being full of water. ▶ Memory for names less retentive.

Confusion, with pain in sacrum when standing. ▶ Burning sticking outwardly over right eye. ▶ Pain in left side of forehead, then over eyes, gradually becoming worse in forehead and extending to left side, with nausea. ▶ Heaviness in forehead; in sinciput, agg. frontal eminences. ▶ Pain in temples; and vertex; left ; right during slow driving, then in right brow; in left, with earache; in left before dinner, extending into orbit, with gnawing in stomach, the P. in orbit, amel. eating, returned after eating and was felt in right temple, a fulness remained in temples all the afternoon. ▶ Pressure inward in temples; with pressure outward in middle of chest towards the sides, in region of fourth rib; a confusion, with pressure outward in left abdominal ring. ▶ Tension in temples outwards evening, with heaviness in forehead. ▶ Fulness in temples, with pain in right ear; in afternoon and evening.

Stitching in left vertex in morning; S. superiorly on right, with sensitiveness to touch. ▶ Weight upon vertex and pressing in temple, the whole head seems too large and as if seized, the pain worse in spots, causing nausea, eyes difficult to keep open, they pained as if sore from morning till noon, the headache agg. looking at anything, could not remain lying, head ached everywhere, amel. sitting and going out. ▶ Sticking burning in left side, extending upward. ▶ Pain in left parietal bone; superiorly in right side of head in evening; superiorly in right side, later on left side. ▶ Confusion in sides. ▶ Pain in a spot in occiput.

Pain in left ; P. inwardly above globe, above external canthus; twitching drawing P. around right, agg. above on external side and deep in orbit; as from sand, agg. left, then stitches in right; P. during and after reading as if dry, and lids sore. ▶ Head. ▶ Sore pain in margin of right upper lid, a dry feeling. ▶ Cooling sensation as from salt in right inner canthus. ▶ Pain at outer end of right brow, gradually extending to temples and about ear; intermittent, in right brow. ▶ On entering the house during the second day of menstruation vanishing of the right half of whatever she looked at, or if two short words occurred in succession that on the right was invisible (Compare Lyc.); amel. eating, with pain over eyes and tension in temples as if bound, then pressure in temples, amel. during sleep at night. ▶ Blinded by sunlight in the street, on a dull day.

Pain in bone behind left ear, extending to neck and farther. ▶ Obstruction of upper part of nose and of forehead in morning and forenoon. ▶ Dropping coryza; in open air, later in the room. ▶ Must blow the nose much, more mucus hangs behind (in nares) in evening.

Sticking burning in right malar-bone, extending upward.

Molars, sticking burning extending upward in right; pain in a left lower late in evening; intermittent pain in right. ▶ Pain in root of a tooth (which had been sawn off), extending into right side of face towards temple, next day after breakfast the same pain in left side of face. ▶ Pain extending from throat into left ear. ▶ Throat sore posteriorly on right side, as if sore when swallowing; sensation as if T. would become sore.

▶ Appetite decreased, satisfied on beginning to eat (Lyc.), no desire for wine, beer, coffee or sugar, all desire ceases when eating and drinking. ▶ Slow eructations before dinner, then pain in left parietal bone; E. of water after drinking water. ▶ Nausea, with pain in forehead; easily nauseated when driving before meals.

▶ Sticking burning extending upward in epigastrium. ▶ Gnawing in forenoon, increased almost to vomiturition, agg. about dinner-time, yet she ate without repugnance; G. before meals, agg. before dinner, amel. eating, with pain in left temple extending into orbits. ▶ Fulness in pit before breakfast, she could not endure the pressure of the clothes upon it, pressure with the hand would have made her vomit. ▶ Painless, tensive pressure in a spot towards right of and below and behind epigastrium. ▶ Sensation after supper as if a heavy hard body were in it. ▶ Restlessness towards evening till sleep, with pain and heaviness over brow.

Distention from wind at noon, and from 3 to 10 P.M. frequent discharges of offensive flatus. ▶ Putrid-smelling flatus. ▶ Pain in forenoon; P. waking her, then diarrhœa, which was repeated now and then next day. ▶ Pressure in region of liver.

Sudden itching in A. ▶ Sticking outward and downward in perineal region when walking. ▶ Diarrhœa in morning after chocolate; after fruit; offensive, at night. ▶ A second stool after breakfast. ▶ Stool omitted, next day had at first, then soft and bright yellow (had eaten eggs in bread-soup).

▶ Pain in bladder; flatulent, on right side of B. region; horizontally in upper region; fugitive, in lower part of B. region, towards the right, before urinating, after urinating pain extended into spermatic cords, agg. left. ▶ Tenesmus in morning, then copious, clear, frothy urine; T. and before and after micturition Lithium pains in region of neck of bladder and in other parts of urinary organs, the same pain in region of neck of bladder, on right side; sudden T., urine dark yellowish, more scanty than usually follows such tenesmus with him, afterwards sensitiveness and pain in middle of urethra. ▶ Urine red. ▶ Urine scanty; and dark, acrid, micturition difficult; the two to three ounces in the forenoon are turbid and form a scanty flocculent deposit. ▶ Dark reddish-brown sediment after diarrhœa.

Twitching stitches passing forward and across pubis hither and thither like lightning, leaving and enduring pain. ▶ Twitching to and fro in seminal cords and vesical region. ▶ Lithium-pains on right side and at root of penis at 8 P.M., throbbing stitches when sitting. ▶ Menses ceased too soon and suddenly; M. late and less in quantity.

Paroxysmal and exhausting cough without expectoration when lying, from irritation in a spot posteriorly and low in throat, compelling him to sit up. ▶ Expectoration of thick masses of mucus from choanæ and fauces, agg. morning and forenoon.

Pressure in middle in afternoon. ▶ Constriction on going out after breakfast, then hawking of much mucus coming from middle of sternum. ▶ Shuddering running over anterior surface of body like a drawing together, afterwards S. starting from other regions.

Sticking twitching. ▶ Sudden jerks. ▶ Pain; in morning on bending forward over bed; in morning on rising to urinate, amel. micturition.

Soreness on right side near spine at night, changing to pain in sacrum, amel. rising; S. in a spot on right side near spine, below loins, from rising in morning till bed-time, with sensitiveness to touch. ▶ Sacrum, sticking outward and downward; pain in region; pressure as with a dull point here and there internally as if near bone, in evening, agg. left side; weakness in afternoon, when writing, standing at a high desk.

Pain externally in left shin, then in left hand. ▶ Pain in right shoulder-joint near insertion of pectoralis major, at margin of muscle. ▶ Pain in metacarpal bone of left little finger in evening. ▶ Burning sticking in ball of left thumb. ▶ Lithium-pains in left middle finger (which was chafed) coming from other parts towards this spot. ▶ Twitching pain as if in or upon bones of right, then left fingers, agg. left second and third fingers, internally from the hand towards the extremities, throbbing twitching, agg. during repose, amel. pressure and motion. ▶ Pain along middle finger towards extremity, then in left metacarpus in an outward direction, with burning stitches as if it would itch, agg. ball of thumb, the burning sticking in jerks outward and ending in itching seems characteristic.

Itching sticking internally on left thigh. ▶ Burning sticking above right knee and inwardly towards patella. ▶ Pain in right thigh; in left hip at night; in a spot in front and towards outside of right thigh, as if it were the seat of insertion of a muscle; itching burning P. in a spot externally on right hip, then on thigh, then on outside of little toe. ▶ Sticking burning extending upward in left knee. ▶ Pains in knees on descending stairs, agg. above knees. ▶ Knees weak in morning on ascending stairs.

Rheumatic sensations now and then in legs. ▶ Pain superiorly in right calf, extending downward. ▶ Pain in ankles when walking, first agg. right, then agg. left. ▶ Pain in feet in afternoon, with weakness in them ; P. through hollow of left foot when walking, extending horizontally to outside of foot, thence to a little below knee; rheumatic pain in right foot on waking at night, amel. rising; twitching P. in right heel, extending towards middle foot. ▶ Soreness of corns, which had not troubled her so for a long time, after walking on a warm day.

Itching on inner margin of left sole; of left middle finger, near nail and around on left side of finger, in evening; on whole inner side of right thigh late in evening, and on spots in adjacent parts.

Sleepiness in evening, restless dreams that night and great sleepiness next morning. ▶ Little sleep without restlessness. ▶ Lustful dreams and frequent waking, with erection, tenesmus vesicæ and lascivious titillation in urethra, on account of the erection he could not pass water, the erection amel. when he succeeded in doing so, with pain in bladder and scanty urine.

General heat. ▶ Copious sweat; on backs of hands in evening while the palms were dry.

Similar to other alkalies, but a more decided diuretic than even Potassium.

Feels sore and beaten, and stiff in the muscles, bones and joints.
Paralytic stiffness of the whole body.
Pains mostly sharp, from within outward, usually in small spots, worse on the left side.

Vanishing of the right half of objects.
Photophobia, blinded by sunlight.

Clinical:
Asthenopia.
Retinal anæmia.
Vanishing of the right half of objects, with pain over eyes.

Appetite diminished; distress on beginning to eat.
Acidity.
Gnawing in the stomach, > while eating.

Soreness in the region of the bladder, with frequent micturition.
Pain in the region of the right kidney.
Urine scanty, dark red, acid.

Pain and soreness in the region of the heart; < in the morning on stooping.

Clinical:
Trembling and fluttering in the region of the heart; sometimes painful, extending to between the shoulders; has been found valuable in organic diseases of the heart; valvular; especially when associated with chronic rheumatism of the joints.

Sticking pain in the region of the sacrum, seeming to be in the bone.
Soreness in the right side, in the region of the kidney, extending to sacrum; < pressure; > rising and moving about.

Pain in the right shoulder joint and arm near the shoulder.
Burning, stinging pains in the finger joints and balls of fingers and thumbs.
Pain in the hollow of the foot, extending up to the knee.
Pains like rheumatism in the foot at night; > rising.
Swelling and tenderness of the joints of the fingers and toes; > hot water.