Menyanthes meny.

Circulation. Motor nerves. Vertex.

Walking. Rest. Malaria. Ascending. Quinine.

Hard pressure. Twilight. Laying on hands.

Icy coldness of prominent, single or affected parts; nose (Ap. Med.), ears, fingers, knees, abdomen, etc.; at night (Pho.). Visible jerks or twitches. Vertex; heavy pressure on; pains, < stooping; or as of a weight in nape. Bursting headache. Pain ascends from nape. Misty vision. Frequent, scant urine. Boring at l. scapula. Cramp in posterior thighs, < sitting, or from ankles to calves (r). Skin feels tight. Vivid dreams. Shivering, with yawning. Quartan malaria.

Related: Ver-a.

Complaints from abuse of Cinchona and Quinine. Fevers, in which the cold stage predominates; coldness felt most acutely in abdomen and legs. Headache: pressing in vertex from above downwards, > during hard pressure with hand (Ver.); as of a heavy weight pressing on the head at every step (Cac., Glon., Lach.); < ascending (Cal.); often with icy coldness of hands and feet (Cal., Sep.). Anxiety about the heart as if some evil was impending. Tension: in root of nose; in arms, hands, fingers; in skin, as if several sizes too small and was crowded into it by force.

Compare: Cac., Cal., Gels., Sep., Mag. m., Paris. Follow well: Caps., Lach., Lyc., Puls., Rhus, Ver.

During rest; lying down.

Pressure on affected part.

No thirst at any time. Jerking pain in outer parts, also pinching pain in outer parts.

In the evening; while chewing: lying down.

From pressure from without.

Capsic., Lycop., Pulsat., Rhus tox.

Buck-bean (MENYANTHES)

A remedy for certain headaches, intermittent fever. Coldness of abdomen. Twitchings. Sensation of tension and compression. Fidgets and urinary difficulties in women. Diabetes.

Pressing in vertex; better, hard pressure with hand. Pressing-together pain. Weight pressing on brain with every step on ascending. Pain from nape over whole brain; better, stooping, sitting; worse, going upstairs. Cracking in jaw and twitching of facial muscles.

No thirst at any time. Revenous hunger; passing away after eating a little. Desire for meat. Sensation of coldness extending up to œsophagus.

Distended and full; increased by smoking tobacco. Coldness of abdomen.

Icy coldness of hands and feet. Cramp-like pain. As soon as patient lies down, legs jerk and twitch.

Coldness predominates; felt most acutely in abdomen and legs and tip of nose.

Worse, during rest, ascending better, pressure on affected part, stooping, motion.

Compare: Caps; Puls; Calc; Phos ac; Sang.

Antidote: Camph.

Third to thirtieth potency.

Icy coldness of hands and feet with warmth of the rest of the body (intermittents).

Sad, weeping mood. Taciturn and self reflecting. Anxiety about the heart, as if something evil were going to happen.

Continuous heaviness of the head. Pressing or compressing headache, with the sensation when ascending as if a heavy weight pressed on the head, relieved by pressing the head with the hands. Pressing, pain from both sides of the head. Dull headache in the room, with difficult flow of ideas ; better in the open air. External gnawing on the vertex. Burning pain on the forehead.

The eyelids feel stiff as from tonic spasms. Pressing in the eyes. While reading, every thing becomes black before the eyes.

Stitches in the ears. Cracking in the ears when masticating. Feeling of coldness in the ear. Running of the ears, especially after exanthemata.

Tension in the root of the nose. Nauseating smell before the nose as from rotten eggs.

Painless, visible twitching of the muscles of the face and of the eyelids. Heat and redness of the face while sleeping. Heat in the face with cold feet. Pain and cracking in the articulation of the jaw when masticating.

Great dryness of the throat without thirst. When yawning and coughing, paralytic feeling on the left side of the throat. Dryness and roughness in the throat preventing deglutition. Dryness of the palate, causing a stinging when swallowing.

Taste in the mouth bitter-sweet. Frequent empty eructations. After eating, painful dulness of the head. Increased strong appetite preceded by heat in the stomach. Constriction in the stomach. Continuous rumbling in the stomach as from emptiness. Sensation of coldness in the abdomen, especially when pressing with the hand on it, or in the morning when rising. Sensation of soreness of the abdominal walls. The abdomen is distended by flatulence.

Constipation hard stool with pinching pain in the abdomen. Bleeding, hæmorrhoidal tumors.

Frequent desire to urinate, with scanty discharges.

Men. Increased sexual desire without amorous fancies erections. Both testicles are drawn up, the right more than the left. The spermatic cord is painful to the touch.

Rough, hoarse voice, the ears feel obstructed as if something had been stretched across. Stitch in the anterior regions of the larynx, impeding deglutition. Spasmodic contraction of the larynx ; when an effort to inspire is made it causes a cough. Constriction and stitches in both sides of the chest. The stitches in the (right side of the) chest are worse during motion, and when breathing. Stitches in the region of the heart.

Bruised pain in the small of the back, more on sitting quiet and when stooping. Dull, boring stitch on the left shoulder-blade. Feeling of heaviness and stiffness in the muscles of the neck and throat.

Upper. Tension and paralytic tearing in the, arms, hands and fingers. Spasmodic stiffness of the arms, the fingers are involuntarily clenched. Painful jactitation of the muscles of the (right), upper arm and little finger. Cramp-like pains in the muscles of the (left) lower arm, extending as far as the palm of the hand. Lower. Bruised feeling of the thighs. The (right) thigh and leg are spasmodically jerked upward, when sitting, relieved, when standing or when drawing up the leg.

Painless twitching of the muscles in different parts (face, thigh), principally when at rest. Great debility, especially when walking, often with chilliness. Stinging, pinching pain (in the limbs : arthritic affections).

Pulse. Slow during the cold stage and accelerated during the fever. Chill predominates, icy coldness of the hands and feet and coldness in the abdomen. Chill, which is relieved by the heat of the stove and only remains in the back. Sensation of chilliness oil the hands and lower legs. Heat in the evening, mostly on the head, with cold feet. Perspiration in the evening as soon as he lies down, continuing all night. Intermittent fevers, with sensation of coldness in the abdomen.

Chronic complaints from the abuse of cinchona and quinine. Aggravation in the evening and daring rest, while lying down, amelioration from motion, from pressing on the affected part.

Menyanthes trifoliata. Buck-bean. Bitterklee. N. O. Gentianaceæ. Tincture of whole plant.

Amaurosis. Chest, affections of. Cramps. Fidgets. Headache, pressive. Heart, pains in. Intermittent fever. Jerkings. Paralysis.

The Buck-bean (or "Bog-bean," as it is also called in Ireland and in Lincolnshire) is a water plant, and abounds in the fen districts, where it is in great local repute as a remedy for ague. Hahnemann proved it and well defined its sphere of action. Teste, who also proved it, found it very similar to Drosera . Both these drugs caused in him, as one of the first symptoms, obscuration of sight, a sort of white mist, or vibrations, < in open air or during a walk. This was so intense that he did not dare to cross a street. The pains of Dros . and Meny . were the same in character, but those of Dros . were more intense. This analogy has not proved as close in other respects as Teste imagined it would. The main features of Meny . are ( 1 ) chill; ( 2 ) sensations and pains of tension and compression; and ( 3 ) spasmodic jerkings and visible twitchings; these are < during rest, and may be associated with neuralgia. As soon as the patient lies down the legs jerk and twitch so that he cannot rest. "When sitting, the outstretched thigh and leg are four times spasmodically jerked up, but when standing or in drawing up the knees towards him, this is not perceptible." Meny . has cured many cases of fidgets. "jumps," "fidgets," and "urinary difficulties in women" are Burnett's leading indications for Meny . The twitching may appear in any part. Stitches, numbness, tension, and especially cramp-like and paralysing pains are very distinctive. The pressure is severely felt in the head — Headache: pressing in vertex from above downwards, > during hard pressure with the hand; when ascending stairs, as of a heavy weight pressing on the head and brain at every step. With the headache there is often associated icy coldness of hands and feet. The tension culminates in a sensation as if the skin were several sizes too small and he was being crowded into it. R. Farley ( Med. Adv ., xxi. 240) reports this case: Miss D. W., long a sufferer from spinal irritation, had terrible attacks of bursting headache, a terrible tension in membranes of brain in paroxysms, which caused her to scream. Began in right side of nape, ascended to forehead, and then spread over whole brain. Terrible sensation of loneliness with the pain; begged her mother to stay with her. < From light, noise, jar, even if one walked lightly across the room. > From sitting bent, and by hard pressure on nape and vertex. Meny . 30 every ten minutes relieved immediately, and removed completely in two hours.

Antidoted by: Camph. It antidotes: Effects of Quinine and China. Compatible after: Cupr., Lach., Lyc., Pul., Rhs., Ver., Compare: < Ascending, Calc. Headache > hard pressure, Ver. Weight on vertex at every step, Cact., Glon., Lach. Intermittent fever, with cold extremities, Lach. (but Lach. has livid skin, great prostration, and filiform pulse). Icy cold feet and legs, Calc., Gels., Carb. v. Bursting headache pushing skull open, Sil. (Sil. > warmth, Meny. > pressure). Pressive headache, Puls., Paris, Mag. m. Fidgets, Pso., Caust., Zinc. Compare also, the Gentians.

Injuries to nerves (tooth broken in). Quinine.

Anxiety and apprehension. — Anxiety about the heart, as if something evil were going to happen. — Indifference to everything. — Tearful sadness. — Taciturn and self-reflecting. — Buffoonery and excessive gaiety.

Constant heaviness of head. — Compressive, or pressive headache, with a sensation when going upstairs as if a very heavy load were resting on forehead, > by pressing the hand on head. — Pressive pain from both sides of head. — Head bewildered and confused in a room, with slowness of conception, > in open air. — Tensive headache. — Burning pains on skin of forehead. — Drawing pain in r. lobe of cerebrum from below upward, ending in occiput. — Single stitches in l. side of brain up to crown. — When sitting, drawing in occiput. — After eating, emptiness of head. — External gnawing at vertex.

Cloudiness of eyes, when reading (everything becomes black before eyes). — Frequent spasmodic stiffness of eyelids. — Pressing in eyes. — Mist and flickerings before eyes.

Tinkling in ears. — Cracking in ear, when chewing. — Discharge from ears (esp. after exanthemata). — Shootings in ears. — Feeling of coldness in ear. — Tinnitus when chewing.

Nauseous smell before nose, like that of rotten eggs. — Tension in root of nose.

Redness and heat of face during sleep. — Heat in face, with. coldness of feet. — Visible (painless) twitching in muscles of face and eyelids. — Pain and cracking in the articulation of jaw when masticating.

8, 9. Mouth and Throat. — Sensation of paralysis on l. side of palate, when yawning and coughing. — Great dryness of throat without thirst. — Dryness of palate, causing a stinging when swallowing. — Dryness and roughness in throat, which impede deglutition of saliva.

Desire for meat, and dislike to bread and butter. — Sweetish bitterness in mouth. — Frequent empty risings. — Troublesome confusion in head, after a meal. — Bulimy, sometimes, after eating.

Contractive cramps in stomach. — Continual rumbling in stomach, as if it were empty. — Heat in stomach, followed by excessive hunger. — Sensation of coldness extending up œsophagus, with great nausea, following pressure in stomach.

Sensation of coldness in abdomen, esp. when pressing upon it with the hand, or in the morning when rising. — Pain, as from excoriation, in abdominal integuments. — Distension and fulness of abdomen, as if overloaded by food, with undiminished appetite, together with a sensation as of incarcerated flatulence, and frequent ineffectual efforts to emit flatus; fulness much < by smoking tobacco. — Distension of abdomen by abundant flatus. — Pinchings in abdomen.

Constipation. — Hard fæces, with pinchings in abdomen. — Bleeding, hæmorrhoidal tumours.

Frequent want to make water, with scanty emission.

Increase of sexual desire, without excitement of the imagination, or erection. — Both testicles drawn up, r. more than l. — Spermatic cord painful to touch.

When speaking hoarse and rough voice, with obstruction of ears, as if something had been introduced into them. — Stitch in anterior regions of larynx, impeding deglutition. — Dyspnœa. — Spasmodic contraction of larynx, with excitation to cough, when drawing breath.

Shooting compression on both sides of chest. — The stitches in (r.) chest are < during motion, and when breathing. — Aching in chest after dinner.

Stitches in region of heart. — Anxiety about heart as if some evil impending. — Drawing pain in præcordia, < after eating.

Rigidity and heaviness in muscles of neck (throat) and of nape. — Troublesome contusive pain in loins, when seated, and when stooping. — Dull and boring shootings in l. shoulder-blade, extending across spine. — Extremely painful tearing between scapulæ, extending downwards, esp. on deep breathing; disappearing when sitting; immediately returning on walking; during rest there remains a sensation of soreness.

Cramp-like pains in all limbs.

Paralytic tearing and spasmodic drawings in arms, hands, and fingers. — Spasmodic stiffness of arms, with involuntary retraction of fingers. — Cramp-like pains in muscles of (l.) lower arm, extending as far as palm of hand (almost like paralysis). — Painful starting in (r. upper) arm and little finger.

Contusive pain in thighs. — Shocks and convulsive movements in thighs. — The (r.) thigh and leg are spasmodically jerked upward, when sitting with the leg outstretched, > when standing or when drawing up leg.

Jerking (painless) of muscles in different parts (face, thigh), principally during repose. — No thirst at any time. — Jerking pain in outer parts, also pinching pain in outer parts. — Tension: in root of nose; in arms, hands, fingers; in skin, as if it was several sizes too small and he was crowded into it. — Shooting pains, and pinching in limbs and joints (arthritic affections). — Great general debility, esp. on walking, often accompanied by shivering. — Majority of sufferings < during repose, and towards evening > by movement, or by pressing the hand on part affected.

Agitated sleep, with vivid, unremembered dreams.

Pulse slow during cold stage and accelerated during fever. — Predominance of cold. — Icy coldness of hands and feet. — Chill, which is > by heat of stove and only remains in back. — Shuddering over the upper part of body (with yawning), or in legs, with uprising of hair, as after a long walk, or after listening to some frightful tale. — Sensation of coldness, esp. in fingers. — Intermittent fever, with coldness in abdomen. — Heat in evening, mostly on head, with cold feet. — Perspiration in evening as soon as he lies down, continuing all night.

Buck Bean ; Bitterklee. Gentianaceæ.
A perennial which grows in boggy places, indigenous to America, Europe and Northern Asia. It blossoms in May and June ; flowers rose colored or whitish. The tincture is made from the fresh plant just coming into bloom.
Introduced by Hahnemann and proved by himself and his provers (Materia Medica Pura, vol. 5, p. 15).
CLINICAL AUTHORITIES.
- Headache , Dunham, Raue's Rec., 1870, p. 287 ; Amaurosis , Teste, Hughes' Pharmacod., p. 517 ; Pain in chest with nausea , Hering, MSS. ; Affection of chest , Wells, Trans. World's Hom. Con., 1876, p. 554 ; Jerking of legs , Rück. Kl. Erf., vol. 4, p. 581 ; Sciatica , Lilienthal, Times Retros., vol. 1, p. 121 ; Cramps in legs , Org., vol. 3, p. 269 ; Intermittent fever , Chargé, Trans. World's Hom. Con., 1876, p. 418 ; Wells, Trans. World's Hom. Con, 1876, p. 554 ; Dunham, Raue's Rec., 1870, p. 314 ; Quartan ague , Fisher, Allen's Int. Fever, p. 171 ; Ague , Douglas, Allen's Int. Fever, p. 172.

Taciturn, reflective ; sad, weeping ; likes to be alone.
Anxiety about heart, as if some evil was going to happen.
Indifference alternating with too great joy.
Ill humored, cross.

Constant heaviness of head.
Painful dulness of head after eating.
Pressure in head from above downward, > better during hard pressure with hand.
Pressive, stupefying headache, mostly involving forehead, during rest and motion.
Dull headache in room, with difficult flow of ideas ; > in open air.
Compressive headache in vertex from both sides, on ascending steps, sensation as if a weight pressed upon brain with every step.
Stitches in left side of brain extending toward vertex.
Stitchlike tearing in right side of forehead near temporal region.
Burning pain in forehead.
Pain in forehead, more severe in left side, eye and ear, extending through occiput ; much > by pressure with hands.
Headache < lying down, by sleep and application of cold water.
Cold feeling of head, as if cold wind was blowing on it.

External gnawing on vertex.

When reading everything becomes black before eyes.
Amaurosis.
Pressing in eyes.
Eyelids feel stiff as from tonic spasms.

Stitches in ears.
Feeling of coldness in ears.
Cracking in ear when masticating.
Otorrhœa, especially after exanthemata.

Tension in root of nose.
Subjective nauseating smell, as from rotten eggs.

Visible, though not painful twitching of facial muscles, especially of right side, < during rest than when walking.
Heat and redness of face when sleeping.
Heat in face with cold feet.
Pain and cracking in articulation of jaw when masticating.
Pimples on face.

Taste in mouth, bitter sweet.

Dryness of palate causing a stinging when swallowing.

Great dryness of throat without thirst.
Paralytic feeling on left side of throat when yawning and coughing.
Dryness and roughness in throat preventing deglutition.
Sensation of coldness extending up œsophagus, with great nausea, following pressure in stomach.

Empty eructations.

Throbbing in epigastrium like a pulse.
Continuous rumbling in stomach as from emptiness.
Constriction in stomach.
Weak stomach, with pressing in head and hard stools.

Sensation of coldness in abdomen, especially when pressing with hand on it, in morning when rising.
Sensation of soreness of abdominal walls.
Distension and fulness of abdomen, as if overloaded by food, all day, with undiminished appetite, together with a sensation as of incarcerated flatus and frequent ineffectual efforts to emit it ; in evening fulness much < by smoking.

Constipation hard stool, with pinching pain in abdomen.
Bleeding hemorrhoidal tumors.

Frequent desire to urinate, with scanty discharge.

Increased sexual desire, without amorous fancies or erections.
Both testicles are drawn up, right more than left.
Spermatic cord painful to touch.

Rough, hoarse voice, ears feel obstructed, as if something had been stretched across.
Stitch in anterior region of larynx, impeding deglutition.
Spasmodic contraction of larynx ; effort to inspire causes cough.

Sharp pain through middle of upper right chest to lower part of shoulder, causing nausea and faint feeling ; can scarcely move.
Pressure on both sides of chest, with sharp stitches, < on inspiration.
Constriction and stitches on both sides of chest.
Stitches in (r. side) of chest < during motion and when breathing.
A man about fifty years of age consulted me for a trouble in his chest ; great oppression of breathing, with violent and irregular action of heart, < from slight exertion ; feet and legs below knees habitually cold, < about 8 A. M., for an hour or two, during which time chest symptoms < θ Affection of chest.

Anxiety about heart, as if some evil was going to happen.
Stitches in region of heart.
Pulse slow during chill, accelerated during heat.

Heaviness and stiffness in muscles of neck and throat.
Dull, boring stitch on left shoulder blade.
Dull boring sticking in left scapula, extending across spine.
Extremely painful tearing between scapulæ, extending downward, especially on deep breathing.
Bruised pain in small of back, < when stooping, also when walking.
Pain in back, when sitting still, disappearing on touching ; pressure as from a thumb, and tingling in it, which increases pain, < on stooping, drawing upward.

Muscular twitches in right upper arm.
Cramplike pain in muscles of left forearm, extending to palm of hand, almost like paralysis.
(In sick :) Tingling from elbows into hands and fingers, at 11 A. M., on walking in open air.
Tension and paralytic tearing in arms, hands and fingers.
Spasmodic stiffness of arms, fingers involuntarily clenched.
Painful jactitation of muscles of right upper arm and little finger.

Stitching, contractive pain in region of hip joint ; cramplike drawing in of anterior portion of thigh when sitting ; when sitting, thighs and legs are spasmodically jerked upward ; pain > by motion and pressure, < evening, during rest and when lying down ; after abuse of quinine. θ Sciatica.
Bruised feeling of thighs.
Right thigh and leg are spasmodically jerked upward while sitting, not when standing.
Legs constantly jerked up with cramps, preventing sleep.
Cramplike pain in muscles of right leg, extending from below upward, like a paralytic pain.
Painful spasmodic jerking of lower extremities in gouty persons, with calcareous deposits in joints.

Stinging, pinching pain in limbs. θ Arthritic affection.

Rest : pressive, stupefying headache ; twitching of facial muscles < ; pain in thigh <.
Lying down : headache < ; pain in thighs < ; sweat in bed.
Sitting still : pain in back ; cramplike drawing in thigh ; thigh and leg jerked upward.
Stooping : pain in small of back <.
Slight exertion : irregular action of heart <.
Swallowing : stinging in palate.
Masticating : cracking in ear ; pain and cracking in articulation of jaw.
Motion : pressive, stupefying headache ; almost impossible, sharp pains through chest ; stitches in chest < ; pain in thighs >.
Ascending steps : compressive headache.
Walking : twitching of facial muscles > ; pain in small of back < ; tingling from elbows into hands and fingers ; great debility.

Great debility, especially when walking, often with chilliness.
Painless twitching of muscles in different parts (face and thigh), principally when at rest.
Injuries to nerves (teeth broken when pulled, etc.).

Vivid unremembered dreams.

Morning when rising : coldness in abdomen.
At 8 A. M., for an hour or two : coldness of feet and legs <.
At 11 A. M. : tingling from elbows into hands and fingers.
All day : distension and fulness of abdomen.
Evening : fulness in abdomen < by smoking ; pain in thighs < ; general heat ; sweat in bed.
All night : sweat lasting.

Warm stove : chill passes off.
Open air : dull headache > ; tingling from elbows to fingers.
In room : dull headache.
Cold water : headache <.

Shivering on upper part of body, with yawning.
Shuddering without chill (like from hearing horrible tales), only on upper body.
Coldness of abdomen, especially on pressure with hand.
Chilly sensation in abdomen. θ Intermittent.
Coldness of dorsal spine, with shaking.
General chill, which passes off near warm stove, remaining only on back.
Feet cold as far up as knees, as if they were in cold water.
Icy coldness of hands and feet, with warmth of rest of body.
Veins of lower arms and hands distended, while feet are icy cold.
Chilliness, especially of fingers and toes.
Heat without thirst.
Hot face, with cold hands and feet.
General heat in evening, most severe on head, attended with cold feet.
Sensation of heat, particularly in back, with intermingling coldness, particularly in abdomen.
Sweat in evening in bed immediately after lying down, frequently lasting whole night.
Intermittent fever, with chilliness in abdomen, lasting six days, when a disagreeable feeling of heat comes on, alternating or intermingling with chilliness, with cold feet and legs and slow pulse.
Paroxysm of fever daily at 9 A. M. ; heat, thirst, restlessness and redness of face and eyes lasted till 3 P. M.
Irregular intermittent paroxysm consists chiefly of a cold stage which is incompletely developed, hands or ends of fingers, and toes or feet, and end of nose alone becoming very cold.

Alternate : heat and chilliness.
Daily at 9 A. M. : fever.
Lasting from 9 to 3 P. M. : heat, thirst, restlessness and redness of face and eyes.
Lasting six days : intermittent fever, with chilliness.

Right : stitch-like tearing in side of forehead ; twitching of facial muscles ; testicle drawn up ; sharp pain through upper side of chest ; stitches in chest ; muscular twitches in upper arm ; thigh and leg jerked upward ; cramplike pain in muscles of leg.
Left : stitches in side of brain ; pain in side of forehead ; paralytic feeling on side of throat ; dull boring stitch in shoulder blade ; dull boring sticking in scapula ; cramplike pain in muscles of forearm.
From above downward : pressure in head.

As if some evil was going to happen ; as if a weight pressed upon brain ; as if cold wind was blowing on head ; abdomen as if overloaded by food ; as of incarcerated flatus ; as if something had been stretched across ears ; as if a thumb pressed on back ; as if feet were in cold water.
Pain : in forehead ; in articulation of jaw ; in back.
Sharp pain : through middle of upper right chest.
Jerking and pinching pain : in outer parts.
Stitchlike tearing : in right side of forehead.
Paralytic tearing : in arms, hands and fingers.
External painful tearing : between scapulæ.
Stitching contractive pain : in region of hip joint.
Stitches : in left side of brain ; in ears ; in anterior region of larynx ; in chest ; in both sides ; in region of heart.
Stinging, pinching pain : in limbs.
Stinging : in palate.
Burning pain : in forehead.
Pinching pain : in abdomen.
Cramplike pain : in muscles of left forearm ; in muscles of r. leg.
Cramplike drawing : in anterior portion of thigh.
Dull boring, sticking : in left scapula.
Bruised pain : in small of back ; in thighs.
External gnawing : on vertex.
Painful spasmodic jerking : of lower extremities.
Painful jactitation : of muscles of arm and little finger.
Muscular twitches : in right upper arm.
Throbbing : in epigastrium.
Anxiety : about heart.
Compressive pain : in vertex.
Pressive, stupefying headache.
Dull pain : in head.
Tingling : in back ; from elbows into hands and fingers.
Soreness : of abdominal walls.
Heat : of face ; in head ; in back.
Paralytic feeling : in left side of throat.
Spasmodic stiffness : of arms ; fingers.
Stiff feeling : in eyelids ; in muscles of neck and throat.
Dryness : of palate ; of throat.
Tension : in root of nose ; in arms, hands and fingers.
Constriction : in stomach ; in both sides of chest.
Pressure : in head ; in eyes ; in stomach ; in both sides of chest ; in back.
Heaviness : of head ; in muscles of neck and throat.
Fulness : of abdomen.
Coldness : of abdomen ; of dorsal spine ; of hands and feet ; of end of nose.
Cold feeling : of head ; in ears ; extending up œsophagus ; in abdomen ; in feet and legs.
Chilly sensation : in abdomen ; of fingers and toes.
Shivering : on upper part of body.

Touch : spermatic cord painful ; on back, makes pain disappear.
Pressure : pain in forehead > ; coldness of abdomen > ; pain in thighs >.
Hard pressure : > pressure in head.
Injuries to nerves.

Child, æt. 22 months ; intermittent fever.
Man, æt. 78 ; cramps in legs.
Man, æt. about 50 ; respiratory and heart trouble.

Antidote : Camphor .
It antidotes chronic effects of Cinchon . and Quinia .
Compatible : Capsic., Lycop., Pulsat., Rhus tox ., which follow well.
Compare : Mag. mur., Paris quad . and Pulsat . in headaches ; Carbo veg . and Lycop . in gastric symptoms ; Laches . in chills and fever ; Calc. ostr . and Gelsem . in icy cold feet and legs.

Adapted to complaints from abuse of Cinchona and Quinine.

Fevers in which the cold stage predominates; coldness felt most acutely in abdomen and extremities (Ver.).

Anxiety about the heart, as if something evil were going to happen, precedes or attends many attacks.

Headache: pressing in vertex from above downwards, > during hard pressure with hand (Ver.); as of a heavy weight pressing upon the head at every step (Cac., Glon., Lach.); < ascending (Cal.); often with icy coldness of hands and feet (Cal., Sep.).

Tension: in root of nose; in arms, hands, fingers; in skin, as if several sizes too small and was crowded into it by force.

Evening; during rest; lying down.

Motion; pressing on the affected part.

Quartan. Irregular.

Irregular time.

Without thirst. Chilliness, especially of the fingers and toes. Chill over whole body, most severe in back, relieved by heat of stove; or chilliness, disappearing by warmth of stove and returning soon as he leaves the stove or remaining in the back only (not relieved by external warmth, Ver.—increased by external heat, Ipec.). Chilliness and cold creepings externally, without internal chilliness. Horripilation over the back, as if the parts had long been exposed to cold air, without chilliness. Coldness in the abdomen (Cal.), especially on pressure with the hand; on rising from bed in the morning, creeping coldness over abdomen, back and sides. Coldness of the spine, with shaking. Feet cold as far up as the knees, as if they were in cold water (coldness as far up as the ankles, Mag., Sep.). Icy coldness of the hands and feet, with warmth of the rest of the body.

Coldness of the dorsal spine, with shaking (see Quinia). Coldness of the feet lasting till night, could not get them warm in bed.

Shivering over the upper part of the body, with yawning, imme- diately. Febrile shivering over the whole back as if he had been uncovered for a long time in the open air. Veins of lower arms and hands distended, while the feet are icy cold (Puls.—of hands,

Led.).

Chill the predominant stage.

Without thirst; especially in the face, followed by chilly feeling. Great heat over the whole body, without sweat or thirst, with cold feet. Flushes of heat on trunk and back, with redness of face, mingled with sensation of coldness. Flushes of heat, with hot ears and cheeks. Increase of heat, with delirium.

From evening till morning. Sweat at night imme- diately after lying down, continuing all night.

Bitter-sweetish taste in the mouth. Ravenous hunger; great desire for meat (great aversion to meat, Arn.).

Slow during the cold stage (Dig.); only slightly accelerated during heat.

"It is a very efficient remedy in irregular intermittent fever, when paroxysm consists chiefly of cold stage, which is incom- pletely developed, the hands or ends of fingers, and the toes or feet, and the end of the nose, becoming very cold."—DUNHAM.

"Quartan Intermittents were the pest of my life until I struck

Menyanthes. The symptoms in 'Lippe' (No. 60 to 66, inclusive) and the excessive coldness of legs (not thighs) have been the lead- ing symptoms.—A. L. FISHER.

"Intermittent fever, with chilliness in the abdomen, lasting six hours, then a disagreeable feeling of heat comes on, alternating or intermingled with chilliness, with cold feet and legs, and slow pulse."—J. S. DOUGLAS.

Quartan fever; icy coldness of extremities, of legs especially, rest of body warm; coldness in the abdomen, and end of nose; slow pulse. Craving for meat.

A tincture is made of the fresh plant, Menyanthes trifoliata, L.

Nat. m., Cact., Aranea.

▶ Twitching of small portions of muscles in various parts (Nat. m.); T. in various parts at the same time, not exactly painful, agg. rest. ▶ Sticking pinching here and there. ▶ Increase of vitality, hastiness in all movements. ▶ Weakness; when walking, with general chilliness; of whole body, with pain above sacrum when standing; (with heat and headache).

Joyous. ▶ Keeps aloof from amusements, afterwards inclines to joke. ▶ Prefers to be alone, though not ill-humored, because he would rather be quiet than talk. ▶ Weeping mood. ▶ Despondent, inclined to think of past sad, disagreeable subjects. ▶ Apprehensive about heart, as of impending evil and as if he had to endure some calamity. ▶ Fretful and gloomy; F., discontented with himself and his circumstances, and anxiety driving him from place to place. ▶ Disinclined to work.

Aching on leaning head to one side; A. agg. open air; agg. eating; agg. ascending steps, when it seemed as if there were a weight upon brain and pressing outward at forehead; amel. laying head upon one side, with heaviness and intermittent stitches in left frontal eminence; stupefying, agg. forehead; like a pressure from both sides, with stitches in occiput. ▶ Pressure from above downward, amel. hard pressure of hand, but returning. ▶ Confusion; in the house, thought difficult though he could readily remember. ▶ Heaviness. ▶ Emptiness after eating. ▶ (Vertigo on stooping and rising again.).

Stitches extending towards vertex; burning S., less on scalp, with heat in face. ▶ Stitchlike tearing near right temple. ▶ Pain on right side, amel. applying palm. ▶ Drawing pain; in right side; above root of nose; internally along left bone. ▶ Pressure outward; in forepart.

Pressure in left, with stitches. ▶ Compression, amel. pressure, but returning. ▶ Sore feeling in skin of left when touched.

▶ Compression from sides, with sensation on ascending steps as if at every step a weight pressed upon brain (Compare Cact.). ▶ Tensive pain. ▶ Gnawing pain externally. ▶ Jerking pain, agg. stooping.

▶ Stitches in left side of brain extending towards vertex. ▶ Pain in right side. ▶ Drawing in occiput when sitting; pinching D. on side of O. ▶ Drawing upward pain in right half of cerebrum, ending in occiput. ▶ Hair stands on end without chilliness.

Violent neuralgic headache beginning in right side of nape and extending over whole brain to forehead, amel. sitting, stooping or pressure (Sil.). ▶ Neuralgic headache pressing from above downward, amel. pressure of hand, agg. going up and down-stairs, with feeling of a heavy weight on the brain pressing it outward at the forehead.

Sciatica of left side. ▶ Sciatica, especially with spasmodic jerking of thighs and legs, the pain generally amel. motion.

In intermittent fever its chief characteristic is the extreme coldness of the tip of nose (Apis), tips of fingers and toes and icy coldness of feet and legs to knees; the chill always predominates and forms a pronounced part of the paroxysm (Aranea).

Pressure on a spot, as if in lens, when sitting, with sensation like vertigo or vanishing of sight or of squinting, but without obscuration of vision. ▶ Lachrymation. ▶ Pupils dilated; contracted. ▶ Stitches in balls. ▶ Twitching of lids, amel. eating, with pressure in balls. ▶ Stiffness in one or other lid like a tonic cramp. ▶ Tearing stitches in inner canthi, with lachrymation. ▶ Sensation internally on left lower lid as if a not very hard body were lying under it. ▶ On holding lids still sensation in them as if swollen or as in a stye. ▶ Burning tension above left upper lid, amel. touch. ▶ Vision dim in open air; V. vanishes on reflecting when reading; V. flickering.

Stitches in right, then left ; in left inner; extending into head, and in muscles below eye of same side. ▶ Sticking tearing posteriorly in cartilage and in mastoid process. ▶ Pinching. ▶ Itching within right. ▶ Coldness internally as if water were in it. ▶ Ringing in right; amel. rubbing ear internally, but returning. ▶ Chirping as from crickets in front of ears. ▶ Roaring in left on blowing nose, as if air rushed out through it.

Tension in root. ▶ Sneezing without coryza. ▶ Involuntary running. ▶ Fluent coryza, with stopped sensation, though he could draw air through it as usual. ▶ Blowing out of blood in morning. ▶ Odor like bad eggs, causing nausea.

▶ Twitching of muscles, agg. right, agg. rest. ▶ Painful cramp in muscles of right cheek during rest. ▶ Stitchlike tearing in left upper jaw. ▶ Tension in jaws. ▶ Lips dry and cracked.

Grumbling in upper teeth. ▶ Stitches on under surface of tongue, amel. moving it. ▶ Pressure in upper part of palate. ▶ Dryness of palate causing sticking when swallowing, without thirst and with ordinary saliva. ▶ Paralyzed feeling in left side of palate of yawning and coughing. ▶ Salivation; with nausea. ▶ Bitter-sweetish taste. ▶ No taste to bread and butter, he has appetite and relish for meat only.

Sticking in right side. ▶ Dryness; with roughness of œsophagus, so that swallowing of saliva was difficult; of œsophagus.

Sudden ravenous hunger, amel. eating a little. ▶ Although not hungry, he relishes food as usual and eats more than usual. ▶ Empty eructations. ▶ Hiccough. ▶ Nausea; with painful retching and constriction in stomach. ▶ Rumbling in epigastric region. ▶ Pinching in region slowly descending towards rectum, amel. emission of flatus, but returning, amel. stool. ▶ Pressure, then nausea, with coldness extending up œsophagus. ▶ Constriction. ▶ Sudden heat, then excessive hunger.

Distention, then emission of flatus; D. as if overloaded with food, with undiminished appetite, sensation of incarcerated flatus and ineffectual efforts to emit flatus, in evening the D. agg. smoking tobacco. ▶ Rumbling after eating. ▶ Flatus moves about making him qualmish. ▶ Griping, then hard stool. ▶ Tension in a part, with pressure. ▶ Coldness, agg. pressure of hand; C. in morning on rising, with creeping coldness over back and sides, like a shivering when listening to a horrible tale.

Parietes sore to touch and to rubbing of clothes, as if covered with pimples. ▶ Painful soreness of skin of upper A. when lying and on moving about, agg. stooping. ▶ Sticking beneath short ribs when sitting, transiently amel. pressure. ▶ Cutting in hypochondria. ▶ Gurgling in right side, with heat over whole abdomen and sensation as before diarrhœa. ▶ Griping in umbilical region, sinking like a weight towards hypogastrium, amel. emission of flatus.

Sticking in left side when walking, then on standing sudden jerklike stitches; sudden jerking S. in left when sitting, causing shuddering; sudden S. in sides when sitting, amel. touch, but returning. ▶ Griping; with urging to stool. ▶ Pressure in glands about rings on bending forward; P. in groin, as if in spermatic cord, with pain on touch.

Itching in rectum. ▶ Twitching in anus. ▶ Constipation. ▶ Stool hard and delayed. ▶ Stool retained; and next day hard, difficult, with drawing griping in hypogastrium.

▶ Frequent desire, with scanty discharge.

Retraction of testicles, agg. right. ▶ Painful jerking in right testicle, agg. rest. ▶ Stitches in left scrotum; burning S. in scrotum and symphysis pubis. ▶ Drawing cutting in right scrotum or feeling as if one side were squeezed. ▶ (Tensive, pressive pain in mons veneris when walking and sitting.). ▶ Great desire without sexual phantasy or erections.

Sticking anteriorly in larynx on swallowing. ▶ Frequent crawling tickling in larynx. ▶ Spasmodic constriction of larynx, with cough from exertion of drawing in air. ▶ Hoarseness. ▶ Voice rough; with stoppage of ears. ▶ Dyspnœa. ▶ Respiration accelerated, even when standing, with increased pulse and redness and heat of face.

Stitches in right; S. on moving; close to left clavicle on inspiration; in sides, agg. inspiration, with pressure on them; in region of heart and in corresponding spot on right side, agg. pressure and making parts tense; in sternum, with pressure; boring in left, when sitting and on moving about, agg. inspiration and expiration; itching in left false ribs during inspiration and expiration. ▶ Grasping from both sides, with stitches. ▶ Aching after dinner. ▶ Drawing pain in right, extending towards axilla. ▶ Soreness as if beaten on sitting bent. ▶ Pressure on left side, as from flatulence; P. upon left, with stitches, alike on inspiration and expiration. ▶ Anxious compression when sitting, walking and standing. ▶ Throbbing in left during inspiration and expiration, only when lying.

Sticking in region of heart, agg. holding breath. ▶ Drawing pain in region after eating. ▶ Pulse slow.

Tearing in nape. ▶ Cramplike pain in right muscles ending in a stitch, amel. touch, but returning. ▶ Pain in muscles as if sprained, paralyzed and tense, as after long bending backward, on walking in open air. ▶ Heaviness of muscles, obliging him to bend neck backward. ▶ Stiff, drawing sensation in nape, with dullness in occiput. ▶ Stiffness of nape; in evening.

Shooting cutting from spine out through abdomen. ▶ Twitching of right dorsal muscles. ▶ Boring sticking in left scapula, extending across spine. ▶ Tearing between scapulæ, extending downward, agg. deep breathing, amel. sitting, but returning, then during rest soreness. ▶ Pinching between scapulæ near spine. ▶ Drawing pain near lower dorsal vertebræ on bending forward when sitting. ▶ Heaviness between scapulæ, amel. bending backward and forward when walking. ▶ Twitching in right lumbar region when sitting.

Pain on stooping; above S. on stooping; extending upward when sitting. ▶ Bruised pain in evening when sitting; B. pain agg. sitting, amel. touch; drawing B. pain in S., left loin, region of kidney and outer side of thigh in evening, when sitting. ▶ Drawing pain on stooping. ▶ Constriction in evening as from pressure of the thumb, and when it became worse a crawling in it.

Weakness. ▶ Shooting into axilla on moving arm; in right axilla, extending towards chest; in deltoid at shoulder-joint. ▶ Burning scraping on top of shoulder. ▶ Painful visible twitching in left arm, agg. rest; T. in right upper arm. ▶ Sudden cramplike tearing in upper arm when sitting.

Stitches below elbow and on wrist. ▶ Cramplike pain in muscles of left, almost like paralysis, extending to palm; C. pressure close to bend of elbow, amel. touch, but returning. ▶ Cramplike drawing in inside of left, then four fingers were involuntarily contracted, with arm spasmodically stiff so that it could not be moved.

Sticking in left wrist. ▶ Paralytic tearing in wrists, agg. motion. ▶ Cramplike pressure in right wrist and metacarpus. ▶ Distention of veins of hands and above them, with coldness of feet. ▶ Cramplike drawing on back of hand, in muscles of thumb. ▶ Drawing pain in hand on writing and on moving it.

Painful jerking in left fourth. ▶ Stitches in proximal joints, amel. motion; S. in right thumb and index, extending outward. ▶ Cramplike pressure in ball of right thumb; in left index, rather externally, amel. motion. ▶ Sticking pinching in outer side of proximal phalanx of thumb.

▶ Jerking stitches in upper margin of left gluteus maximus; sudden S. in right gluteals.

▶ Starting in right T. and leg only when sitting with them outstretched. ▶ Twitching of muscles of left. ▶ Stitches in right hip-joint when walking and standing; burning S. on anterior surface above left knee when sitting. ▶ Sticking constriction in hip-joint about acetabulum when walking. ▶ Intermittent pinching in upper inner part, agg. sitting, with bubbling as from something alive. ▶ Numb, tense, bruised pain when walking and sitting. ▶ Tension in T. and leg near knee, with stitches on anterior surface. ▶ Cramplike drawing on forepart when sitting. ▶ Cramplike drawing, bruised pain in shaft of femur, agg. sitting, with heat in back and over upper part of body.

Stitches outward in patellæ, with heat in knees; itching boring S. on inner side of right knee. ▶ Pain as if dislocated, extending inward. ▶ Drawing in hollow of right, extending through calf, when standing and sitting.

Jerking in left, agg. rest. ▶ Stitches below knee; in middle of tibia during rest, with jerking clutching, as if he had held the foot in a difficult position; burning, above ankles when walking; pulsating, below middle of tibia during rest. ▶ Cramplike paralytic pain extending upward in muscles of right. ▶ Cramplike drawing upward on outer side of left when sitting. ▶ Sharp pressure on tibia. ▶ Sprained pain near inner malleolus, now left, now right. ▶ Corroding biting pain in a spot between right external malleolus and tendo-achillis when sitting and walking. ▶ Tremulous sensation in calves, agg. sitting.

Cutting in external malleoli, amel. motion. ▶ Sprained pain from one left malleolus to the other when walking in open air. ▶ Sticking in right heel; in soles when walking.

Yawning. ▶ Uneasy sleep. ▶ Redness and heat of face during sleep, he woke and cried "There, there," pointed with his finger and fell asleep again. ▶ Vivid, unremembered dreams; and lascivious, without emissions.

▶ Chilliness; agg. fingers; agg. back, not amel. warmth of stove; internal in trunk; then internal heat on trunk, agg. back. ▶ Shivering; creeping, external, agg. legs, without internal chilliness; over upper part of body, with yawning. ▶ Shivering over back; as from listening to a horrible tale, in morning, also when sitting. ▶ Coldness of spine, with shaking. ▶ Cold hands and feet, with warmth of rest of body. ▶ Cold feet as far as knees, as if in cold water (Nat. m.); C. feet, with heat of body, without sweat or thirst.

Heat in evening without thirst; after walking in open air, with sweat. ▶ Burning in scalp above right side of forehead. ▶ B. above left brow. ▶ Especially in face, then chill without thirst; in cheeks in flushes towards evening. ▶ Of ears. ▶ Internal in trunk, agg. back, at times with coldness, without thirst, heat or redness of face, afterwards red cheeks.

Sweat in evening on lying down; from evening till morning.

Convulsive, painless twitchings of muscles in various parts, < during rest.
Symptoms < during rest and towards evening, > motion and pressure of the hand.

Heaviness.
Pressive pain from above downward: > hard pressure of the hand, < after eating and ascending steps.
Pressing-together pain from both sides.
Sense of weight pressing on the brain, at every step on going upstairs.
Stitches in the left side of brain, extending towards the vertex.

Clinical:
Neuralgic headaches, commencing in the right side of the nape of the neck, extending over whole brain, ameliorated by stooping, sitting or pressure; aggravated by going upstairs, with a feeling of heavy weight on the brain.

Twitching of the facial muscles of the right side, < during rest.
Heat and redness of the face, with cold feet.
Cracking and pain in the joints of the jaw when chewing.

Dryness, without thirst.
On yawning and coughing a feeling as if the left side of the palate were paralyzed.

Ravenous hunger, > eating a little; preceded by heat in the stomach.
Rumbling; a feeling of emptiness in the stomach.

Incarcerated flatus, with ineffectual efforts to discharge it.
Soreness of the walls of the abdomen.
A feeling of coldness in the abdomen.

Frequent urging, with scanty discharge.

Sticking in the region of the heart, with anxiety.

Boring sticking in the left scapula, extending across the spine.
Bruised pain in the small of the back on sitting and stooping, > pressure.

Cramp-like pain in the arm, hands and fingers, like paralysis.
Similar pain in the lower extremities.
Thighs feel bruised.
Feet as cold as ice.

Chilliness, with extreme coldness in the hands and feet, while the rest of the body is warm.
It seems as though the feet as far as the knees were like ice.
Shivering without chill and without thirst, especially in the upper part of the body.
Fever in the evening, without thirst.

Clinical:
A valuable remedy in intermittent fever, with characteristic extreme coldness of the fingers and toes and of legs to the knees, and of the tip of the nose; the chill predominates.

Anxiety about heart, as though some evil impeded. Sad weeping mood.

Constant heaviness. Pressive ache, external pressure with hand, after eating and when ascending steps. Headaches pressing together from sides.

Pressure in. Stiff lids, like a tonic spasm. When reading everything turns black.

Stitches in. Discharge from. Cracking in when chewing.

Tension in root of. Odor as of rotten eggs before. Coryza with a stopped feeling.

Redness and heat of, during sleep. Painless twitching of facial muscles. Pain and cracking in maxillary joint when chewing.

Great dryness in throat, without thirst. Sensation when yawning and coughing, as though left side of palate were paralysed.

Grumbling and sensation of emptiness in.

Appetite: Ravenous hunger disappearing after eating. Violent hunger preceded by heat in stomach. Desire for meat and aversion to bread and butter.

Cold feeling in. Painful soreness of external walls.

Hard and constipated.

Frequent urging to urinate, with diminished discharge.

Excessive sexual desire without erections.

Spasmodic narrowing of, efforts to inspire excite cough. rough, hoarse voice with stoppage of ears.

Pressing together from both sides of, with stitches, inspiration greatly, Stitches in cardiac region.

Bruised pain in lumbar region when sitting and stooping.

Neck: Paralytic tension in muscles of. Stiff nape.

Cramp - like pain in arms, hands and fingers. Bloodvessels on hands and fingers. Bloodvessels on hands and forearms are distended.

Cramp - like pain in legs. Bruised sensation in thigh. Extremely cold feet.

Visible but painless muscular twitching in various parts, principally during rest. Cramp - like pains in extremities. Pinching sticking in limbs and joints. Most symptoms are intensified during rest and toward evening, and are better during motion and from the laying on of hands.

Pulse: Slow during the chill, accelerated during the heat. chill: Predominating. With shuddering over back, icy cold hands and feet and cold feeling in abdomen. General, it disappears near a warm stove, except on back, Overrunning shudders without chill, (as if hearing some gruesome tale) on upper part of body only. chilly feeling on fingers and legs. Heat: General in evening, most severe on head, with cold feet. Sense of, especially in back, intermingled with a feeling of coldness, particularly in abdomen. Without thirst. Sweat: In evening in bed, immediately after lying down, often lasting all night.

Allied Remedies: Asaf., Calc-c., Cana., Plat., Sep.

Visible, but painless twitching of the muscles.

Pinching and stinging in the limbs and joints.

Rheumatic pains in the extremities.

Great debility often accompanied by chilliness.

Inclination to shed tears.

Intermittent fever with coldness in the abdomen.

Heat in the face, with cold hands and feet.

Heat without thirst.

Aggravation by rest, towards evening and an amelioration by motion.