Lycopus Virginicus lycps.

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

HEART. Circulation. Left side.

Worse

Excitement. Exertion. Heat. After sleep. Lying on (R) side. Abuse of heart remedies. Suppressions. Thinking of it.

General

Irritable weakness. Heart, with many side-symptoms. Symptoms vary with heart action or associated with a RAPID TUMULTUOUS HEART BEAT. Cardio - hæmorrhagic cases. HÆMORRHAGE, from nose, piles, lungs, etc. Shifting pains.

Particulars

Nervous, hurried and tremulous. Slow comprehension. Protruding eyes. Tawny, expressionless, bloated face. Polyuria. Choking on lying down. Heart cough. HEART; violent, excessively rapid (Pho.), stormy action; heavy beat, at night; oppression at; pains, sore, aching constriction. Pulse, large, full, soft; don't synchronize with heart. Hot ache beneath (r) scapula. Coldness.

Related

Related: Cact. Collin. Cratæ.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Bugle-weed

General

Lower the blood pressure, reduces the rate of the heart and increases the length of systole to a great degree. Passive hæmorrhages (Adrenaline 6x).

A heart remedy, and of use in exophthalmic goitre and hæmorrhoidal bleeding. Indicated in diseases with tumultuous action of the heart and more or less pain. Hæmoptysis due to valvular heart disease. Beneficial in toxic goitre used in the pre-operative stage dose, 5 drops of tincture (Beebe).

Head

Frontal headache; worse, frontal eminences; often succeeded by labored heart. Nosebleed.

Eyes

Protrusion, pressing, outward, with tumultuous action of heart. Supraorbital pain, with aching in testicles.

Mouth

Toothache in lower molars.

Heart

Rapid heart action of smokers. Præcordial pain; constriction, tenderness, pulse, weak, irregular, intermittent, tremulous, rapid. Cyanosis. Heart's action tumultuous and forcible. Palpitation from nervous irritation, with oppression around heart. Rheumatoid, flying pains, associated with heart disease. Cardiac asthma (Sumbul).

Respiratory

Wheezing. Cough, with hæmoptysis, bleeding small but frequent.

Urine

Profuse flow of limpid, watery urine, especially when the heart is most irritable; also scanty urine. Bladder feels distended when empty. Diabetes. Pain in testicles.

Rectum

Bleeding from rectum. Hæmorrhoids.

Sleep

Wakefulness and morbid vigilance with inordinately active, but weak circulation.

Relationship

Compare: Ephedra-Teamsters Tea--(in exophthalmic goitre; eyes feel pushed out with tumultuous action of heart); Fucus; Spartein; Cratægus. Adrenaline 6x.

Dose

First to thirtieth potency.

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

Lycopus Virginicus. Bugle-weed. Virginia horehound. (Shady and wet places in U.S.) N. O. Labiatæ. Tincture of fresh plant in flower.

Clinical

Aneurism. Bites of reptiles. Bright's disease. Cough. Diabetes. Exophthalmos. Hæmoptysis. Headache. Heart, diseases of. Pericarditis. Phthisis. Snake-bites. Tarentula bites. Typho-malarial fever.

Characteristics

According to Hale Lycopus is mentioned by Rafinesque as "partaking of the properties of Digitalis, Sanguinaria, Cimicifuga , and Spigelia ," and as being "one of the mildest and best narcotics in existence." He commends it specially as a substitute for Dig ., as having the advantage over it of being non-poisonous; as useful in hæmoptysis and "wherever it is required to quell inordinate motions of the blood." This gives a very good picture of the Lcps . place and action, which homœopathy has made good use of and developed. The association of Lcps . with Dig., Act. r ., and Spi . particularly shows a very clear insight into the action of the remedy, which an experience of mine seems to confirm. Miss S., 25, came to me in October, 1899. About three years previously she had manifested the first symptoms of exophthalmos, which was ascribed by her mother to a prescription of Macrotyn , in low potency, taken for pains in the eyes and continued for a long period. The first symptoms were sore throat with ulcerations, then the goître appeared, and the heart became painful, its action intermittent, with breathlessness and inability to take exertion. After a course of Thyroidin , and later of Thuja 30 (she had been much vaccinated), Lcps . 12 was given, and this tool, away all the heart pains. Attacks of influenza complicated the case later on, and other remedies had to be given. Now the patient is doing very well under Spig . 30, as far as the heart is concerned, though no impression has been made on the goître, which is small. The heart sounds are normal. Stammers Morrisson made an extensive proving of Lcps ., and developed unmistakable heart symptoms. Two cases by Proell ( H. W ., xxiv. 546) bring out a very important feature of the action of this drug, namely, on the consequences of suppressions , in his cases, of suppression of hæmorrhoidal flux. The patients were each 60 years of age, a man and a woman, both fair with light eyes, tall, very irritable, with weak innervation of the heart without decided organic disease. Both had had, years before, hæmorrhoidal flux which stopped suddenly. Both were hypochondriacal and had noise in left ear. This last symptom was the chief thing the man complained of, along with throbbing in the head preventing sleep. Neither Cact., Kalm ., nor Gels . helped radically (though Cact . had once given prompt help when he had had blood-spitting). The night after taking Lcps . he was a little better, and in the forenoon came a bleeding from the rectum (about three tablespoonfuls, after defecation), with great general relief. The lady had glycosuria, cataract of left eye, and every third night was restless. Lcps . 1x (same dilution as in the other case), one drop in evening. The following night was excellent, and in the morning came an abundant bleeding from the rectum with great relief. In a case cured with Lcps . by Morrison (of U.S.)., quoted by Hale, the sufferings were associated with the menstrual period, which was exactly regular but intermittent in flow. The first symptom appeared within three or four hours of the onset of the flow, and was a deep-seated pain with heat in occiput. Then followed a train of symptoms, among them nausea, and when the nausea came on the occipital pain was better. This is quite a feature of Lcps .: the symptoms shift about . In Proell's cases there was a shift from rectum to heart and head. Pains also shift from heart to eyes, from head to heart, from heart to left wrist and right calf, and back to wrist and heart. The characteristic heart is a feeble heart, with distress and weak pulse. Cardiac irritability with depressed force. This may be found with organic disease as well as without. When this condition exists and has other symptoms associated with it ─ in the head, throat, eyes, and elsewhere ─ Lcps . will most likely be needed. If in addition there is a history of suppressed discharge the indications will be all the stronger. Lcps . is a remedy of accompaniments . The heart condition has many associated symptoms not directly referable to the heart. When pulmonary complaints are associated with loose stools Lcps . will very likely be the remedy. There is a characteristic cough with hæmoptysis associated with feeble heart action, deep, violent in evening and night without waking, expectoration sweetish, renewed by change to cold weather and cold winds. Stanley Wilde ( H. W ., xxv. 108) cured a desperate case of pericarditis associated with bronchitis with Lcps . Ø; also a case of palpitation with darting pain in heart in a young woman, following an attack of acute rheumatism two years before. Briggs of Fort Lovell ( St. Louis Periscope , ix. 329), relates the cure of a patient of Tarentula bite by application of a liquid made of Lycopus . He says the Cherokee Indians allow themselves to be bitten by rattlesnakes, centipedes, and tarentulas, chewing as an antidote large quantities of Lycopus and swallowing the juice. H. W. Felter, an eclectic, is quoted ( H. R ., xv. 430) as commending Lcps . in: passive lung hæmorrhages; wild, tumultuous beating of heart (which often precedes lung hæmorrhage); cough of phthisis. It does not disorder the stomach, he says, but acts as a tonic and appetiser. Motion, exercise, walking, ascending, all < . At the same time lying down = cardiac depression; and lying on right side < constriction of thorax. There is restlessness, must change position in spite of weakness. By friction. < In morning; (aching down spine, > after rising). < Towards sunset and in evening. At night, violent cough. The muscular pains are > in warm room and in bed; but not > by direct warmth. Open air = faintness and slight nausea; change to cold weather and cold winds = renewed cough. Cold air < rheumatoid pains. Pains shift generally r. to l.

Relations

Antidote to: Act. r. (?). Compare: Lamium (botan.; piles); Ocim. can. (botan); Iber., Kalm., Spi., Cratæg., Cact., Dig., Hydr. ac., Lauro., Pru. spi. (heart); Sang.

Causation

Suppressed hæmorrhoidal flow.

Mind

Increased mental and physical activity in evening. ─ Stupid, with lack of expression, during menstrual flow. ─ Mind wanders from one thing to another. ─ General wakefulness and morbid vigilance. ─ Slight obtusion of intellect, with dull aching through sinciput; increased power of concentration.

Head

Vertigo, tends to stagger to r. ─ Pressure in forehead, < l. portion. ─ Aching in frontal eminences, l. to r., < l. ─ Pain in forehead and temples, > by nausea. ─ Noise and throbbing in head preventing sleep, after suppressed hæmorrhoids, Lycopus relieved the head and then restored the flow. ─ Headaches: frontal then occipital; over eyes and frontal eminences; pains, aching, pressive, pressing out, congestive; often succeeded by laboured heart and cardiac depression; accompanied by intellectual obtuseness.

Eyes

Eyes feel weak, as if system was fatigued. ─ Eyes feel full and heavy; pressing outward with pressure in front of head. ─ Dull pain in l. supraorbital region. ─ Neuralgic pain in r. supraorbital region and l. testicle. ─ Protrusion of eyes with tumultuous action of heart (exophthalmic goître).

Ears

Burning in r. ear.

Nose

Sneezing and slight nasal catarrh.

Teeth

Toothache in r. lower molars, then subacute pain, first in l. then r. frontal eminence, in r. molar, then r. temple, then l. molar, then l. temple, again to r. molar, then to loins with frontal oppression.

Throat

Rawness at back of r. palate extending to l. ─ Burning in spot on soft palate, following headache.

Stomach

Nausea from back of fauces, > by eructations that taste of tea and the drug; succeeded by persistent giddiness while sitting, and staggering while walking. ─ Nausea and faintness. ─ Circumscribed pain and compression in region of stomach. ─ Indigestion with pain and distress in gastric region. ─ Gastritis; enteritis; diarrhœa; dysentery.

Abdomen

Tugging pain in spleen. ─ Tenderness in l. hypochondrium. ─ Flatulence and rumbling. ─ Aching in inguinal canal, < walking, > from upward pressure; with pain in testicles; bearing down as from hernia.

Stool and Anus

Severe colic followed by profuse forcible diarrhœa; stools shining, dark brown, offensive; tenesmus with first part of semi-solid movement. ─ Increased action of bowels, diarrhœic symptoms, could have a passage at any time, but sphincter is under perfect control. ─ Diarrhœa in jaundice from weakened heart. ─ Diarrhœa with griping and rumbling. ─ Constipation lasting six or seven days, stools dry and clay-like. ─ (Restores hæmorrhoidal flow after suppression and relieves other symptoms.)

Urinary Organs

Drinks large quantities of water; passes nine to eleven quarts of urine a day; fearful thirst, nothing but coldest water would satisfy; very irritable unless spoken to very softly; disinclined to talk, even to her own family (diabetes). ─ Diabetes mellitus, great thirst, and emaciation. ─ Tenderness in bladder. ─ Bladder feels distended when empty; dull pain in l. lumbar region. ─ Profuse flow of limpid watery urine, esp. when heart is most irritable. ─ Urine: scanty, thick, muddy, œdema of feet; cloudy; acid; containing mucus, epithelia) cells and minute crystals, oxalate of lime, spermatozoa.

Male Sexual Organs

Neuralgic pain in testicle with supraorbital pain. ─ Acute aching in testicles while sitting, 1 p.m., or with occasional darting pains, changing to r. then l. after rising; from r. to l. then both, with aching in inguinal canal. ─ Sharp darting through l. testicle. ─ (Lcps. relieved the pain in testicle in a case of orchitis, but had no influence on the inflammation.)

Female Sexual Organs

Menorrhagia and metrorrhagia. ─ Menses: intermit for ten or twelve days; last from half an hour to six hours. ─ Vagina very hot, os uteri engorged and swollen. ─ Puffing of parts on and around pubes and vulva, dilated condition of vagina. ─ (When heart's action was tumultuous œdema of pubes was < .)

Respiratory Organs

Constriction of larynx, 7 p.m. ─ Breathing: oppressed, with sighing breathing 7 p.m.; wheezing; dyspnœa as from bronchial cold, < during exercise, esp. going up stairs. ─ Cough: with hemiplegia and feeble heart action; deep, violent in evening and night without waking; renewed by change to cold weather, and by cold winds. ─ Expectoration pale, sweetish, unpleasant tasting, at times difficult. ─ Cough and irritation of lungs; with hæmoptysis, feeble, quick, irregular action of heart.

Chest

Constriction across lower half of thorax, impeding respiration, with subacute pain; < lying on r. side. ─ Febrile action, quick, weak pulse, occasional hæmoptysis, l. apex affected (incipient phthisis). ─ Pulmonary disease associated with looseness of bowels.

Heart

Constrictive sensation in cardiac region, tenderness; pulse quick and irregular in force. ─ Acute darting pains in heart, with intermissions of heart-beat. ─ Throbbing pain in cardia, pressure in forehead "And eyes. ─ Oppressed feeling in brain followed by pain an inch below and to outer side of l. nipple. ─ Rheumatoid aching in precordial region and at apex, followed by pains in l. wrist, inner side r. calf, and subclavicular region, and again in l. wrist and region of apex. ─ Cardiac erethism; debility of heart, marked by the influences of some smouldering inflammation, generally in lungs. ─ Cardiac irritability, profuse flow of watery limpid urine. ─ Palpitation in cardiac hypertrophy with dilatation. ─ Palpitation and cardiac distress, < morning and evening and when thinking of it. ─ Action of heart tumultuous and forcible, could be heard several feet from bed. ─ (It renders heart-beat slower, fuller, and more regular.). ─ On lying down, cardiac depression with dull, heavy beating. ─ Palpitation from nervous irritation with plethora. ─ Excessive flatulence which < the palpitations. ─ Can only walk a few steps without having to stop and get breath; l. arm, head, leg, and foot œdematous; occasionally a sharp, shooting pain from sternum to l. scapula. ─ Menses appear regularly, begin with deep pain and heat in occiput, and, later, pain in forehead and temples; faintness and nausea follow and occipital pain is > ; aversion to smell of food; exophthalmos; menses intermittent; during menses, stupid; pubes swollen, vagina hot, > by ice locally; constipation, stools dry, clay-like, with exophthalmos, heart tumultuous and swelling of parts < ; when heart quiet œdema of pubes > ; urine scanty, thick, muddy; all symptoms > after menses (Lcps. cured). ─ Aneurism of large vessels near heart. ─ Pulse: many symptoms are < and > according to weakness or strength of heart's action.

Neck and Back

Acute pain at 7th cervical vertebra. ─ Slight rheumatoid pain in l. supra-scapular muscle. ─ Congestive pain in nape, with severe continuous dorsal and lumbar pain, < lower l. side. ─ Rheumatoid pains: scapular muscle; lower dorsal region; sent from apex of heart by friction to l. subscapular region, then to mid-dorsal and later to apex. ─ Severe continuous aching in lumbar region. ─ Sharp pains first in lumbar region, then in l. leg, extending up thigh, then in r.; feels weak as if over-fatigued. ─ Severe aching down spine, < from friction, passing off after rising, morning.

Limbs

Muscular rheumatoid pains, affecting articulations and tendons, < by motion and cold air, not > by friction, or cold affusion, or direct warmth, but > in warm room or in bed; rheumatic pains around heart; irregular and intermittent pulse; < towards sunset.

Upper Limbs

Rheumatoid pains in forearm and wrists, with trembling of hands. ─ Hands unsteady, writing difficult.

Lower Limbs

Rheumatoid pains in knees, legs, thighs, wandering to back, slight lameness, unsteady gait. ─ L. leg feels shorter than r. and so sounds when walking. ─ Unsteady feeling when walking.

Skin

Prickings as if bitten by insects. ─ Troublesome urticaria, esp. on l. forearm and r. leg, before retiring.

Sleep

Sleep restless, full of troublesome dreams. ─ Wakeful on retiring, though fatigued.

Fever

Stupid, will not answer questions; is waxy, cold; pulse very low yet full and large, soft and compressive; hæmorrhage from bowels; tawny expressionless face; veins full and face bloated; eyes expressionless and seem to project from their sockets; fever not high; chokes and swallows. (typhoid malaria).

The Guiding Symptoms of Our Materia Medica

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

General

Bugle Weed. Labiatæ.
This plant, sometimes called Virginia Hoarhound, grows in shady and wet places throughout the United States. The tincture is prepared from the fresh plant in flower.
Provings by Chandler (Hale's New Rem.), tincture and first dilution, Morison (Mon. Hom. Rev., vol. 16, p. 737), tincture and 200th dilution, three provings ; produced considerable action upon the heart ; took sphygmographic tracings (Mon. Hom. Rev., vol. 18, p. 620).
CLINICAL AUTHORITIES.
- Diabetes , Gerald, N. A. J. H., vol. 27, p. 239 ; Ray, Hale's Therap., p. 406, Incipient phthisis , Hale, Hale's Therap., p. 402 ; Palpitation of heart , Chamberlain, Times Retros., vol. 3, p. 31 ; Heart disease , Cummings, B. J. H., vol. 34, p. 388 ; Exophthalmus , Morrison, Hale's Therap., p. 404 ; Cardiac irritability , Hale, Hale's Therap., pp. 403-4 ; Typho-malarial fever , Kent, Hom. Phys., vol. 4, p. 257 ; Verification of symptom 179 in Allen's Encyclopædia , Reed, Trans. Hom. Med. Soc. Pa., 1883, p. 306.

Mind

Increased mental and physical activity in evening.
Stupid, with lack of expression during menstrual flow.
Mind wanders from one thing to another.
General wakefulness and morbid vigilance.
Slight obtusion of intellect, with dull aching through sinciput ; increased power of concentration.

Sensorium

Vertigo ; tends to stagger to right.

Inner head

Pressure in forehead, < in left portion.
Dull aching in sinciput, slight obtusion of intellect.
Aching in frontal eminences, left to right, < left.
Pain in forehead and temple, > by nausea.
Headaches : frontal then occipital ; over eyes and frontal eminences : pains aching, pressive, pressing out, congestive ; often succeeded by labored heart and cardiac depression ; accompanied by intellectual obtuseness.

Sight and eyes

Eyes feel weak, as if system was overfatigued.
Eyes feel full and heavy ; pressing outward, with pressure in front of head.
Dull pain in left supraorbital region.
Neuralgic pain in right supraorbital region and left testicle.
Protrusion of eyes, with tumultuous action of heart ; exophthalmic goitre. θ Morbus Basedowii.

Teeth and gums

Toothache in right lower molars, then subacute pain, first in left then in right frontal eminence, in right molar, then right temple, then left molar, then left temple, again to right molar, then to loins, with frontal oppression.

Palate and throat

Rawness at back of palate, right side, extending to left.
Burning in spot in soft palate, following headache.

Hiccough, belching, nausea and vomiting

Nausea from back of fauces, > by eructations that taste of tea and drug ; succeeded by persistent giddiness while sitting, and staggering while walking.
Nausea and faintness.

Scrobiculum and stomach

Circumscribed pain and compression in region of stomach.
Indigestion, with pain and distress in epigastric region.
Gastritis ; enteritis ; diarrhœa ; dysentery.

Hypochondria

Lugging pain in spleen.
Tenderness in left hypochondrium.

Abdomen and loins

Flatulence and rumbling.
Aching in inguinal canal, < walking, > from upward pressure ; with pain in testicles ; bearing down as from hernia.

Stools and rectum

Severe colic, followed by profuse forcible diarrhœa ; stools shining, dark brown, offensive ; tenesmus with first part of semi solid movements.
Increased action of bowels, aggravated by diarrheic symptoms ; could have a passage at any time, but sphincter is under perfect control.
Diarrhœa in jaundice, from weakened heart.
Diarrhœa with griping and rumbling. θ Phthisis.
Constipation lasting six or seven days, stools dry and clog-like.

Urinary organs

Protrusion of eyeballs, cardiac depression and palpitations, < ascending, from excitement, deep inspiration, or thinking of them ; irregular and intermittent pulse, not corresponding to beat of heart ; frontal and fronto-occipital headache, > by strong pressure ; sense of constriction in larynx ; cough with slight, pale expectoration, wheezing and hot aching beneath right scapula ; oppressed respiration, with sighing ; tremulous feeling in hands ; erratic rheumatoid pains, < toward sunset and during evening. θ Morbus Brightii.
Drinks large quantities of water ; passes nine to eleven quarts of urine a day ; fearful thirst, nothing but coldest water would satisfy ; very irritable unless spoken to very softly ; was not inclined to talk even to her own family. θ Diabetes.
Diabetes mellitus ; gallon or more daily of clear urine, of great density, containing sugar ; great thirst and emaciation.
Tenderness in bladder.
Bladder feels distended when empty ; dull pain in left lumbar region.
Profuse flow of limpid, watery urine, especially when heart is most irritable.
Urine scanty, thick, muddy, œdema of feet.
Urine : 1012 to 1021 ; cloudy ; acid ; contains mucus, epithelial cells and minute crystals, oxalate of lime, spermatozoa.

Male sexual organs

Neuralgic pain in testicle, with supraorbital pain.
Acute aching in testicle while sitting, 1 P. M., or with occasional darting pains, changing to right then to left, after rising.
Acute pain in testes, from right to left, then both, recurring and lasting whole evening, with aching in inguinal canal.
Sharp darting through left testicle.
Relieved pain in testicle, but had no influence on orchitis.

Female sexual organs

Menorrhagia and metrorrhagia.
Menses : intermit for ten or twelve days ; last from half hour to six hours.
Vagina very hot, os uteri engorged and swollen.
Puffing of parts on and around pubes and vulva, dilated condition of vagina.
When heart's action was tumultuous, puffing (œdema) of pubis was gone.

Voice and larynx. trachea and bronchia

Constriction in larynx, 7 P. M.

Respiration

Oppressed, with sighing breathing, 7 P. M. ; wheezing ; dyspnœa, as from bronchial cold, accelerated during exercise, especially when going up stairs.

Cough

Cough, with hæmoptysis and feeble, weak heart action ; deep, violent in evening and night, without waking ; renewed by change to cold weather and by cold winds.
Expectoration pale, sweetish, unpleasant tasting, at times difficult, renewed same as cough.
Cough and irritation of lungs.

Inner chest and lungs

Sense of constriction across lower half of thorax, impeding respiration, with subacute pain ; < lying on right side.
Cough, with hæmoptysis, feeble, quick, irregular action of heart. θ Phthisis.
Febrile irritation ; quick, weak pulse ; occasional hæmoptysis ; dyspepsia ; weakness ; deposit of tuberculous matter in apex of left lung ; irritable action of heart, palpitation occurring from least exercise. θ Incipient phthisis.
Pulmonary disease, associated with looseness of bowels.

Heart, pulse and circulation

Constrictive sensation in cardiac region, tenderness ; pulse weak and irregular in force.
Acute darting pains in heart, with intermissions of pulse and heartbeat.
Throbbing pain : in cardia ; pressure in forehead and eyes.
Sensation of pressing outward in cardiac region.
Oppressed feeling in brain, followed by pain an inch below and to outer side of left nipple.
Rheumatoid aching in precordial region and at apex, followed by pains in left wrist, inner side of right calf, and in subclavicular region, and again in left wrist and region of apex.
Cardiac irritability with depressed force ; pulse very frequent, small, compressible, and often irregular and intermittent ; heart's impulse feeble ; patient generally nervous, irritable, and his extremities cold ; slight hemorrhages from lungs ; cannot go up stairs or walk fast without rapid or weak action of heart, or heavy oppressed action.
Cardiac erethism ; debility of heart, marked by the influences of some smouldering inflammation, generally in lungs ; heart's action quick ; pulse quick, hard, wiry, not easily compressible and not generally irregular or intermittent ; local congestion and irritation of lungs ; cough ; hæmoptysis.
Cardiac irritability, profuse flow of watery, limpid urine.
Palpitation in cardiac hypertrophy, with dilatation.
Palpitation and cardiac distress, < morning and evening, and when thinking of it.
Action of heart tumultuous and forcible, could be heard several feet from bed. θ Exophthalmus.
It renders beat of heart slower, fuller and more regular.
On lying down, cardiac depression with dull, heavy beating.
Palpitation from nervous irritation, with plethora.
Excessive flatulence, which aggravates the palpitations.
Labored action of heart ; oppression.
Heartbeats more distinct on right of sternum.
First sound replaced by a blowing sound of mitral regurgitation, heard upwards in clavicular region, and particularly between scapulæ ; second sound pointed, short, sharp.
Heartbeat slow and weak ; diminished blood pressure ; pulse 48, 58, weak, compressible.
Can walk only a few steps without having to stop and rest, as he gets short of breath ; left arm, hand, leg and foot œdematous and painful ; blowing sound over apex of heart ; instead of natural systolic sound, very loud sound over base of heart during diastole ; pulse quick, weak, frequent, about 90 per minute ; feels as though lungs were filled up ; panting respiration ; urine scanty and high colored ; constipation ; little appetite, but quite thirsty for cold water ; no sexual desire whatever ; sleep restless, with frequent starting and jumping ; sometimes can lie down, at other times must sit with head high ; tongue flabby, no marked coating ; occasionally a sharp shooting pain through from sternum to left shoulder blade. θ Heart disease.
Menses appear within three or four hours of same time every month, with a deep seated pain, with heat in occiput ; after a few hours, pain in forehead and temples, faintness and nausea in stomach, sensation of great weakness in lumbar region, general lassitude and debility, especially in limbs, followed by torpor and heaviness ; when nausea set in occipital pain > ; aversion to smell of food ; protrusion of eyes, wild, strange expression ; menses usually appear in morning and flow until noon, then suddenly cease, or they would last from half an hour to six hours, intermitting in this manner for ten or twelve days ; during menses stupid, has lack of expression and a vacuity of ideas ; tympanitis, puffing of parts on and around pubis and vulva, dilated condition of vagina and bearing down sensation in rectum ; on examination vagina very hot, os uteri engorged and swollen ; these conditions and puffiness > by local use of ice ; constipation, stools every six or seven days, dry and clay-like ; when eyes seem protruded, heart seemed to act tumultuously and forcibly, and could be heard several feet from bed ; at these times puffing of pubis < ; when heart's action was feeble and quiet, with quiet pulse, puffing about genitals > ; at times pulse small and quiet and could scarcely be counted ; urine scanty, thick and muddy ; œdema of feet ; dyspepsia ; all, or nearly all, above symptoms > after menses, or at expiration of ten or twelve days. θ Exophthalmus.
Aneurism of large vessels near heart.
Pulse : many symptoms increase and decrease, according to weakness or strength of heart's action.
Pulse 80 (while standing), with intermissions, cardiac oppression.

Neck and back

Acute pain at seventh cervical vertebra.
Slight rheumatoid pain in left suprascapular muscles.
Congestive pain in nape, with severe continuous dorsal and lumbar pain, < lower left side.
Rheumatoid pains : scapular muscles, lower dorsal region ; from apex of heart by friction to left subscapular region, then to middorsal and later to apex.
Severe continuous aching in lumbar region.
Sharp pains first in lumbar region, then in left leg, extending up thigh, then in right ; feels weak as if overfatigued.
Severe aching down spine, < from friction, passing off after rising, morning.
Flying pains in muscles, with persistent aching in loins and occiput, < on movement.

Upper limbs

Rheumatoid pains, forearms and wrists, with trembling of hands.
Hands unsteady, making writing difficult.

Lower limbs

Rheumatoid pains knees, legs, thighs, wandering to back, slight lameness and unsteady gait.
Left leg feels shorter than right and so sounds when walking.
Unsteady feeling when walking.

Limbs in general

Muscular rheumatoid pains, affecting articulations and tendons, < by motion and cold air, not > by friction, or cold affusion, or direct warmth, but > in a warm room or in bed ; rheumatic pains around heart ; irregular and intermittent pulse ; < towards sunset. θ Rheumatism.

Rest. position. motion

Lying down : cardiac depression.
Lying on right side : constriction of thorax <.
Sitting : giddiness ; acute aching in testicle ; head high, heart disease.
While standing : pulse 80.
Restless, change of position : in spite of weakness.
Motion : rheumatoid pains <.
Exercise : dyspnœa < ; least, causes palpitation ; aching in loins and occiput <.
Walking : staggering ; aching in inguinal canal < ; causes shortness of breath, is obliged to stop and rest ; sounds as if left leg was shorter than right ; unsteady feeling ; slight nausea and faintness.
Cannot go up stairs or walk fast : without rapid or weak action of heart.

Nerves

Weak, yet restless change of position.
Restless activity, notwithstanding nausea, giddiness, etc.
Vital depression, hence mental depression, tremulousness.
Faintness : slight nausea, walking in open air ; with cardiac depression.

Sleep

Sleep restless, full of troubled dreams.
Wakeful on retiring, though fatigued.

Time

Morning : palpitation and cardiac distress < ; menses appear and flow till noon, then suddenly cease ; severe aching down spine, > after rising.
At 1 P. M. : acute aching in testicle.
Towards sunset : erratic rheumatoid pains <.
At 7 P. M. : constriction in larynx ; oppressed, with sighing breathing.
Evening : increased mental and physical activity ; rheumatoid pains < ; acute pain in testes ; cough violent ; palpitation and cardiac distress <.
Night : cough violent.

Temperature and weather

Warmth : direct, does not > muscular rheumatoid pains.
Warm room : > muscular rheumatoid pains.
In bed : muscular rheumatoid pains >.
Open air : faintness and slight nausea.
Change to cold weather : renewed cough.
Cold air : muscular rheumatoid pains <.
Cold winds : renew cough.
Coldest water : alone satisfies thirst.
Ice : local use of, > heat and puffiness of vagina.

Fever

Stupid, will not answer questions ; is waxy, cold ; pulse very low, yet full and large, soft and compressible ; hemorrhage from bowels ; tawny, expressionless face ; veins full and face bloated ; eyes expressionless and seem to project from sockets ; fever not high ; chokes and swallows. θ Typhoid malaria.

Attacks, periodicity

Daily : nine to eleven quarts of urine ; a gallon or more of clear urine.
Every six or seven days : dry, clay-like stools.
For ten or twelve days : menses intermit, last from half hour to six hours.
Every month : menses appear within three or four hours of same time.

Locality and direction

Right : tends to stagger to right ; neuralgic pain in supraorbital region ; toothache in lower molars ; pain in temple ; rawness at back of palate ; hot aching beneath scapula ; pain inner side of calf ; heartbeats more distinct on side of sternum ; pain in leg ; urticaria on leg.
Left : pressure in forehead < ; aching in frontal eminence < ; dull pain in supraorbital region ; neuralgic pain in testicle ; pain in molars and temple ; tenderness in hypochondrium ; dull pain in lumbar region ; sharp darting through testicle ; deposit of tuberculous matter in apex of lung ; pain near nipple ; pain in wrist ; arm, hand, leg and foot œdematous and painful ; pain from sternum to shoulder blade ; rheumatoid pains in suprascapular muscles ; pain < in side of back ; sharp pain in leg ; left leg feels shorter than right ; urticaria on forearm.
Right to left : rawness of palate ; darting pains in testes.
Left to right : aching in frontal eminence ; pain in molars.
Pains pass from left to right, usually, then they cease or return to left.

Sensations

Eyes feel weak as if system was overfatigued ; prickings, as if bitten by insects ; as if lungs were filling up.
Pain : in forehead and temples ; in epigastric region ; in testicles ; in supraorbital region ; an inch below and to outer side of left nipple ; in left wrist ; inner side of right calf and in subclavicular region.
Severe continuous pain : in dorsal and lumbar region.
Sharp pain : in lumbar region, then in left leg, extending up to thigh, then in right.
Acute pain : in testes ; at seventh cervical vertebra.
Subacute pain : across thorax.
Deep seated pain : in occiput.
Acute, darting pains : in heart.
Darting pain : in testicles.
Flying pains : in muscles.
Sharp, shooting pain : through from sternum to left shoulder blade.
Throbbing pain : in cardia.
Neuralgic pain : in right supraorbital region and left testicle.
Severe colic : in abdomen.
Severe aching : down spine.
Acute aching : in testicle.
Rheumatoid aching : in precordial region and at apex ; in left suprascapular muscles ; lower dorsal region ; from apex of heart to left subscapular region, then to middorsal ; in forearm and wrists ; knees, legs, thighs, then to back.
Hot aching : beneath right scapula.
Aching : in frontal eminences ; in right lower molars, then temples and again molars ; in inguinal canal ; in loins and occiput.
Dull aching : through sinciput.
Rheumatic pains : around heart.
Circumscribed pain : in stomach.
Dull pain : in left supraorbital region ; in left lumbar region.
Lugging pain : in spleen.
Congestive pain : in nape.
Bearing down : as from hernia ; in rectum.
Burning : in spot in soft palate.
Heat : in vagina ; in occiput.
Tenderness : in left hypochondrium ; in bladder ; in cardiac region.
Constriction : in larynx ; across lower half of thorax.
Constrictive sensation : in cardiac region.
Compression : in region of stomach.
Pressing outward : in eyes ; in cardiac region.
Pressure : in forehead ; in eyes.
Full, heavy feeling : in eyes.
Oppressed feeling : in brain.
Distress : in epigastric region.
Trembling feeling : in hands.
Tumultuous action of heart.
Great weakness : in lumbar region.
Lassitude : in limbs.
Rawness : at back of palate.
Prickings : in skin.

Tissues

Rheumatoid pains ; erratic, but returning to original location ; > from warmth ; < from cold air and movement.
Flying pains in various parts.
Lowers temperature.
Lessens tonicity of bloodvessels, with consequent congestions ; heart muscle weakened.

Touch. passive motion. injuries

Pressure : upward, aching in inguinal canal > ; frontal headache >.
Friction : sends pain from apex of heart to left subscapular region ; severe aching down spine < ; does not > muscular rheumatoid pain.

Skin

Prickings as if bitten by insects.
Troublesome urticaria, especially on left forearm and right leg, before retiring.

Stage of life, constitution

Woman, æt. 33, teacher, nervous temperament, cheerful, sprightly, talkative, inclined to hysteria, mother afflicted with cardiac trouble ; exophthalmus.
Woman, mother of two children, suffering about a year ; diabetes.
Man, æt. 43, half breed Indian and Hawaiian, cook on whaling vessel, suffering two or three years ; heart disease.

Relations

Compare : Cactus, Digit., Hydr. ac., Iber., Lauroc., Prun. virg., Sanguin., Spigel .