Muriaticum Acidum mur-ac.

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

BLOOD. MUSCLES: HEART. ANUS. MUCOUS MEMBRANES: Digestive tract. MOUTH. TONGUE. Brain.

Worse

Touch. Wet weather. Walking. Cold drinks; bathing. Sitting. Human voice.

Better

Motion. Warmth. Lying on L. side.

General

Sore, RESTLESS AND ERETHISTIC, but soon grows weak and very debilitated; wants to lie down; slides down in bed, eyes fall shut; lower jaw drops, etc. Muscle exhaustion. Bluish parts; tongue, piles, ulcers, etc. Tearing in limbs. BURNINGS. Dry, bleeding, cracked or deeply ulcerated parts. Thin, acrid, foul discharges. Decomposition. Violent hæmorrhage. Bloody mucous membranes. Typhoid or scorbutic states.

Particulars

Introverted. Sad and taciturn. Irritable. Muttering. Persistent, loud moaning. Vertigo if lies on r. side. Brain feels bruised. Periodical pain over l. eye. Occipital pains; leaden heaviness. Cutting from mastoid to nape, < touch. Deafness. Nosebleed. Dark or glowing red face; with cold hands, but no thirst. Lips, sore, cracked and scabby. Dry, mouth and throat. Tongue heavy, stiff, shrunken or burnt looking (Ars.). Aphthæ. Teeth, < acids or sweets. Sordes. Averse to meat. Ascites. Profuse, involuntary stool or prolapsing bowel, on urinating, or passing flatus. Very sore piles, > heat. Atony of bladder; must press until rectum comes down. Can't urinate without also stooling. Red, swelled, burning fingers and toes. Weak thighs. Scurfy eruption on dorsæ of hands. Ulcers throb on walking. Pulsations in single parts. Sparse scarlatina, mixed with petechiæ. Large, full and soft pulse. Pulse drops every third beat. Cold in bed, in early morning. Intense, burning heat, with aversion to covers. Adynamic fevers; typhoid, septic, etc.

Related

Related: Bap. Bry.

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

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

Keynote

Adapted to persons with black hair, dark eyes, dark complexion. Irritable, peevish, disposed to anger and chagrin (Nux); restlessness and vertigo. Diseases of an asthenic type, with moaning, unconsciouness, fretfulness. Ulceration with fungus-like growths and pseudo-like membranous deposits of intestinal tract. Great debility: as soon as he sits down his eyes close; lower jaw hangs down; slides down in bed. Mouth and anus are chiefly affected; the tongue and sphincter ani are paralyzed. Malignant affections of mouth; studded with ulcers, deep, perforating; have a black or dark base; offensive, foul breath; intense prostration; diphtheria, scarlatina, cancer. Cannot bear the thought or sight of meat (Nit. ac.). If the anus be very sensitive either with or without haemorrhoids; anus sore during menses. Haemorrhoids: swollen, blue, sensitive and painful to touch; appear suddenly in children; too sore to bear least touch, even the sheet is uncomfortable. Prolapse while urinating. Diarrhoea: stool involuntary while urinating; on passing wind (Aloe); cannot urinate without having the bowels move at the same time. Urine passes slowly; bladder weak, must wait a long time; has to press so that the anus protrudes. Cannot bear least touch, not even of sheet on genitals (Murex). Typhoid or typhus; deep stupid sleep; unconscious while awake; loud moaning or muttering; tongue coated at edges, shrunken, dry, leather- like, paralyzed; involuntary fetid stools while passing urine; sliding down in bed; pulse intermits every third beat. Palpitation of heart is felt in the face. Freckles; eczema solaris.

Relations

Follows well: after, Bry., Mer., Rhus. Cures the muscular weakness following excessive use of opium and tobacco.

Key-Notes to the Materia Medica

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

General

This remedy is often called for in cases where the patient cannot urinate without having the bowels moved at the same time; in typhus or low grades of fever where we find this symptom with great prostration. Patient may think he is going to pass a little wind, when urine will come away also. Hæmorrhoids very tender to the touch, so much so, that he can scarcely bear to use paper after an evacuation; after confinement, hæmorrhoids protrude so that the pressure of a sheet can scarcely be borne. In low types of fever the patient often slips down toward the foot of the bed, and must be lifted up every little while. Cannot bear the sight or thought of meat, it is so distasteful. Urine too copious, both night and day.

Generalities

Affections in general, of any kind, appearing in the tendo achillis; the soles of the feet; scurvy, particularly if the parts affected are very sore and tender to the touch, Itching of the skin relieved by scratching. Putrid ulcers.

Remedies following

Calc. carb., Kali carb., Pulsat., Nux vom., Silic., Sepia, Sulphur.

Antidote

Bryon.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Hemorrhoids protruding like a bunch of grapes, swollen and blue, with burning and soreness. Ulcers on the genitals with putrid discharges, much sensitiveness and general weakness. In typhus fever, great debility; the lower jaw hangs down, patient slides down in bed.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Muriatic Acid

General

This acid has an elective affinity for the blood, producing a septic condition similar to that found in low fevers with high temperature and great prostration. Patient becomes so weak she slides down the bed. Decomposition of fluids. Involuntary stools while passing urine. Hæmorrhages. Mouth and anus chiefly effected.

Mind

Irritable and peevish; fretful Loud moaning. Great restlessness. Sad, taciturn; suffers in silence.

Head

Vertigo; worse lying on right side; occiput heavy as if filled with lead. Sound of voice is intolerable. Pain as if brain were crushed.

Nose

Hæmorrhage; much sneezing.

Face

Lower jaw fallen; pimples and freckles; lips raw, dry, cracked.

Mouth

Tongue, pale, swollen, dry, leathery, paralyzed. Deep ulcers on tongue. Hard lumps in tongue. Epithelioma; edges bluish-red (Carbol ac). Aphthous mouth. Gums and glands swollen. Fetid Breath. Sordes on teeth.

Throat

Uvula swollen. Ulcers and false membrane. Œdematous, dark, raw. Attempted swallowing produces spasm and choking.

Stomach

Cannot bear sight or thought of meat. At times, ravenous appetite and constant desire to drink. Achlorhydria and fermentation of food.

Rectum

Tendency to involuntary evacuations while urinating. Hæmorrhoids most sensitive to all touch; even sheet of toilet paper is painful. Anal itching and prolapsus ani while urinating. Hæmorrhoids during pregnancy; bluish, hot with violent stitches.

Heart

Pulse rapid, feeble, and small. Intermits every third beat.

Urine

Cannot urinate without having bowels move at same time.

Female

Menses appear too soon. Leucorrhœa. During menses, soreness of anus. Ulcer in genitals.

Extremities

Heavy, painful, and weak. Tottering gait. Pain in tendo-Achilles.

Skin

Papular and vesicular eruptions, with great itching (Rhus). Carbuncles; foul-smelling ulcers on lower extremities. Scarlet fever, livid, with petechiæ; scanty eruption. Eczema on back of hands.

Fever

Cold extremities. Heat without thirst. Typhoid types, stupid. Hæmorrhages. Restlessness. Involuntary discharges. Bed-sores. Pulse rapid and feeble. Excessive prostration.

Modalities

Worse, in damp weather, before midnight. Better, lying on left side.

Relationship

Compare: Phos ac; Ars; Bapt. Follows well after Bry and Rhus.

Antidote; Bryonia.

Dose

First to third potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Moaning or sliding down in bed from excessive weakness. (Typhoid).

Tongue dry, leathery and shrunken; one-third its natural size. (Typhoid).

Hæmorrhoids: Swollen and blue, and so sensitive to touch that they cannot bear the contact of the sheet.

Great debility; as soon as he sits down his eyes close; lower jaw hangs down; slides down in bed.

Malignant affections of mouth; Ulcers, deep, dark, base bluish, offensive, foul breath.

Diarrhœa: Stool involuntary while urinating. Cannot urinate without having bowels move at the same time.

This remedy, also one of our best remedies in typhoids, is found useful in cases of lower grade than in the Phosphoric acid case. It comes nearer to Carbo vegetabilis than any other remedy.

Its indications are given in "Hering's Guiding Symptoms" as well as anywhere. There is decomposition of fluids; the stools are involuntary while passing urine; stools dark, thin, or hæmorrhage of dark liquid blood. Mouth full of dark-bluish ulcers; unconscious. Moaning and sliding down in the bed from excessive weakness; lower jaw fallen, tongue dry, leathery and shrunken to a third of its natural size, and paralyzed; pulse weak and intermittent. It is hardly possible to draw a picture of a more desperate case of typhoid than this. It is not necessary to resort to quinine, brandy or any other fashionable so-called stimulants. Broth, milk or oatmeal gruel for nourishment, and Muriatic acid will do all that can be done for the saying of the life of such a patient, and will do it quicker and with less liability to relapse than any other course of treatment. Of course the friends are anxious, even desperate, and a show of work must be made. If much pressure is brought to bear in the way of suggestions or demands for counsel, all sorts of wonderful prescriptions that cured a great many cases like this, let Sac. lac. be given every five minutes. It is a wonderfully quieting medicine (to friends and meddlers) and should never be omitted. Send the most rampant howler off on horseback miles away, if you can, for something, no matter what. That is indispensable to the patient's recovery. The greatest danger to the patient is, that the physician losing his presence of mind, will suffer himself to be led or driven away from the only true helpful course. This advice is given only to those who need it. Many a patient has died because his physician "lost his head" under this kind of pressure.

Muriatic acid is very useful in hæmorrhoids, swollen and blue, and so sensitive to touch that they cannot bear the contact of the sheet.

Rectum prolapses easily (Ignatia, Ruta), cannot urinate without it coming down. Also when wind is passed or bowels move.

Bladder weak, urine passes slowly, or must press until rectum protrudes.

Cannot bear the least touch, not even sheet on genitals (Murex).

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Sad, taciturn, with anxious apprehension. Sadness, peevishness. Irritable, disposed to anger and chagrin.

Head

Vertigo, with tottering gait. Headache, as if the brain were torn or demolished. Feeling as if the brain were loose. Tearing and stitches in the head, coming on in periodical shocks. Heaviness in the back part of the head, with obscure sight, aggravated by the effort to see. Headache from walking in the open air, especially in the cold wind. Headache, aggravated from rising up in bed, and from moving the eyes, ameliorated by moving the body.

Eyes

Itching, smarting in the corners of the eye. Itching in the eyes. Stitches out of the eyes. Swelling and redness of the eyelids. Perpendicular half-sightedness.

Ears

Otalgia, with pressing pain. Beating in the ear. Hardness of hearing deafness. Very sensitive to noise and over acuteness of hearing. Tingling, humming and whizzing in the ear.

Nose

Continuous bleeding from the nose. Sore nostrils with stinging pain. Obstruction of the nose. Coryza with thick yellow or watery, corrosive discharge.

Face

Heat in the face, and growing redness of the cheeks when walking in the open air, without thirst. Pimples forming scabs on the face, forehead and temples. Bloated lower lip, it feels heavy and burns. Burning of the lips. Pimples around the lips forming a scurf. Freckles.

Mouth and Throat

Toothache (pulsating), aggravated from cold drinks, better from heat. Tingling in the teeth. Scorbutic gums, swollen, easily bleeding and ulcerating. Great dryness in the mouth. The tongue feels heavy as if it were lead, which prevents him from talking ; feels as if paralyzed. Deep ulcers (with black base) and vesicles on the tongue. Sensation in the mouth as if it were glued up with insipid mucus ; much saliva in the mouth. The tongue becomes sore and bluish. The tongue dwindles (shrinks) (atrophy of the tongue). Rawness and smarting of the feces. Dry throat with burning in the chest. Every thing tastes sweet. Acrid and putrid taste in the mouth, like rotten eggs, with ptyalism.

Stomach and Abdomen

Excessive hunger and thirst. Aversion to meat. Hiccough (before and after dinner). Bitter, or putrid eructations. Vomiting of the ingesta. Sensation of emptiness in the stomach. Pressing and tension in the hypochondria. Fulness and distension of the abdomen, from small quantities of food.

Stool and Anus

Stool is discharged with difficulty, as from inactivity of the intestines. Diarrhœa, with smarting and burning in the rectum and anus. Involuntary discharge of thin, watery stool while urinating. Discharge of blood with the stool. Prolapsus ani, while urinating. Hæmorrhoidal tumors, swollen, blue, with burning soreness.

Urinary Organs

Frequent micturition with profuse discharge. Profuse discharge of watery urine. Slow emission of urine ; weakness of the bladder. Involuntary discharge of urine.

Genital Organs

Men. Feeling of weakness in the genital organs, penis relaxed (impotence). Soreness in the margin of the prepuce. Itching of the scrotum, not relieved by scratching. Women. Menses too early and too profuse. Pressing on the genitals as if the menses would appear. During the menses sad and taciturn.

Respiratory Organs

Breathing deep and groaning ; moaning. Oppression across the chest (evening). Stitches in the chest, and on the heart, when taking a long breath and on violent motion. Tension and pain on the sternum. Hoarseness, with sore feeling in the chest. Violent palpitation of the heart, which is felt in the face (at night).

Back

Pressing pain in the back, as from a sprain, or as if he had stooped long.

Extremities

Upper. Heaviness of the arms, especially the forearms. Scabby eruption on the back of the hands and fingers. Numbness, coldness and deadness of the fingers at night. Swelling and burning of the tips of the fingers. Lower. Wavering gait from weakness of the thighs. Swelling, redness and burning of the tips of the toes. Putrid ulcers on the lower extremities.

Generalities

Rheumatic pains in the extremities during rest, better from motion. Great debility as soon as he sits down, his eyes close ; the lower-jaw hangs down, he slides down in the bed. Great sensitiveness to damp weather.

Sleep

Great sleepiness during the day, going off as soon as one moves about. Sleeplessness before midnight, tossing about and delirium, he slides down in the bed. Wakens early in the morning with a chill.

Fever

Pulse weak and slow, frequently intermitting every third beat. Chilliness predominates. Chill in the evening, with coldness in the back, with external warmth and burning in the face. Shuddering over the whole body, with hot cheeks and cold hands. Chill and heat without thirst. Internal heat with desire to uncover oneself, and restlessness in the body. Burning heat, especially in the palms of the hands and soles of the feet. Perspiration during the first sleep, till midnight, especially on the head and back. Night and morning sweat. In the evening, in the bed, the perspiration is first cold on the feet. Typhus fever, the lower jaw hangs down, atrophy of the tongue involuntary watery stools when passing urine, great debility, with sliding down in the bed, loud moaning.

Skin

Scurf eruptions, itching when getting warm in bed. Blood-boils, pricking on being touched. Painful putrid ulcers (lower legs), with burning at their circumference. Fetid odor of the ulcers ; also, they are covered with a scurf. Black pocks. Dropsical swellings. Painfulness and drawing in the periosteum, as in intermittent fever.

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

Hydrochloric acid. HCl. First dilutions with distilled water.

Clinical

Anus, prolapse of . Chilblains. Chorea. Deafness (cerebral). Diphtheria. Enteric fever . Ephelis. Feet, soles, pains in . Gastric disorders. Hæmorrhoids. Hemiopia . Impotence. Measles. Mercurial ulceration. Mouth, aphthæ; psoriasis of tongue; ulcers. Scarlatina . Scurvy. Tendo Achillis, affections of. Tongue, affections of ; psoriasis of. Typhus. Varices. Whooping-cough.

Characteristics

The popular name of Mur. ac ., "Spirit of Salt," describes at once its nature and origin. It is a colourless gas, with a pungent, suffocating odour, and acid taste, and it is manufactured from Salt ( Nat. m .) by the action of sulphuric acid. It is freely soluble in water, and the saturated solution contains 43 per cent. of the gas. Teste, who did much to define the powers of Mur. ac ., groups with it Agn. cast . and Hyos ., and he considers its action corresponds perfectly to a typical case of typhus. Among the common features of the group he gives; Stupefying headache. Obscuration of sight and optical illusions. Whizzing noises in the ears and hardness of hearing. Nose-bleed and loss of smell. Rough, cracked lips, and foul breath. Scurvy of mouth. Paralysis of tongue. Loss of taste. Distended, sensitive abdomen, pricking, bruised pain in abdominal walls. Serous, fetid diarrhœa, not very painful. Involuntary stool. Throat pains. Paralysis of bladder. Excited sexual desire. Impotence. Hoarseness, spasmodic cough. Stitches about heart. Fever with stinging heat, frequent, small, intermittent pulse, earthy or livid skin. Like Nit. ac., Mur. ac . is a powerful antidote to Merc ., and it meets conditions caused by Mercury , and also similar conditions otherwise arising. Like other disinfectants, it causes as well as remedies rapid decomposition of tissue, and dynamically cures low putrid conditions met with in disease. The distinctive features of Mur. ac . are: Muscular prostration from blood-poisoning going on to paralysis, finally of brain or heart. Burning is a great feature in its symptomatology, as its escharotic powers might suggest ─ ulcers (especially their margins), eruptions, piles, varices, stomach, and abdomen. It sours the excretions and makes them acrid. Offensive secretions, offensive breath and body-smell; and it is indicated in fevers of all kinds, exanthematous, typhoid, puerperal as well as diphtheria, when these symptoms with the mental and paretic state are present. The mucous membranes are dry, bleeding, cracked, and ulcerated. Sordes on teeth. Burning, and burning eruptions on lips. Piles like a bunch of grapes which look purple and burn when touched. Prolapse of rectum, whilst straining to pass water. Urination involuntary or difficult; there is straining and dribbling, and the straining causes the rectum to prolapse; it may also cause involuntary stool. This may be due to local conditions, or it may be a consequence of a low state of health. Mur. ac . not only corresponds to low febrile states it also meets many of their sequelæ. Deafness, otitis, and glandular swellings about the ears often require Mur. ac . Among the peculiar sensations of the remedy are: Hair, as if drawn upwards; as if standing on end. Brain: as if loose; beaten or tom to pieces; brain clasped by a hand, and bruised and tom. Occiput as if filled with lead. Mouth as if glued up with insipid mucus. As if some obstruction must be pulled out of throat. Burning as if under skin of coccyx. As if place was jammed in in tendo-Achillis. Deadness and numbness in forehead, in fingers. The tongue is shrunken; and paralysed. The parched, shrunken tongue is an indication in typhoid or other fevers. [ Mur. ac . has a marked action on the tongue. Cooper cured with it these cases: ( 1 ) Man, 52, whose sister had died of cancer, had a hard, deep, warty ulcer, size of a small bean on under surface of tongue, l. side, with much surrounding hardness and little discharge. ( 2 ) Tongue swollen, makes him talk thick, much ulcerated, especially r. side, is hard, with swelling followed by lupoid ulcer, on corresponding side of nose; had been going on ten months.] Tendency "to slide down to the foot of the bed" was noted by Hahnemann and has been amply confirmed. It indicates an extremely low vital condition. Mur. ac . is suited to persons of black hair and dark eyes. The skin is much affected, and is sensitive to the sun's rays ─ eczema solare and freckles. Black pocks. Blind boils frothy when touched. The symptoms are: < By touch. The itching of anus and scrotum is not > by scratching. Warmth > ; cold washing, cold drinks < . Cold wind and open air > headache. > Uncovering (during fever). < Evening and night. Rest < most symptoms. Lying on r. side < vertigo. Motion < vertigo; > tearing pains. < After sleep. < After eating (diarrhœa). > After drinking.

Relations

Antidoted by: Carbonates of alkalies and earths (poisoning cases); to small doses: Camph., Bry. (Teste says the surest antidote is Ipec.). It antidotes: Merc., Opium. It "cures the muscular weakness following the excessive use of Opium" (Hering). It follows well: Bry., Merc., Rhus. Compare: In typhoid states, Bry. (Bry. has < motion), Rhus (restlessness, > by motion; Rhus has less debility), Phos. ac. (Phos. ac. has less prostration, is apathetic, indifferent, Mur. ac. taciturn), Apis (Apis has blisters on tongue, and it catches teeth when attempt is made to protrude it), Ars. (Ars. has scanty evacuations), Bapt. (Bapt., has besotted look, tongue red on edges), Bell. (Bell. more active, hyperæmia), K. permang. (throat symptoms, œdematous uvula), Sul. ac. (Sul. ac. has not > uncovering), Gels. (with Gels. the muscular prostration is expressed , with Mur. ac. it is unconscious), Nit. ac. (thin, excoriating discharge from nose, intermittent pulse and loss of appetite), Arum tri. Piles during menses, Amm. c., Collins., Graph., Pho., Pul., Sul. Piles sensitive, Bell., Caust. Early morning hunger, Ant. c., Calc., Saba., Lyc. Cannot bear the thought or sight of meat, Nit. ac. Irritable, disposed to anger and chagrin, Nux. Cracked lips; sore mouth; < after sleep, Nat. m.; coryza, Chlorum. Tendo-Achillis, affection of, Val. Mur. ac. is a constituent of the gastric juice, and must therefore be considered as allied to the Sarcodes and proximate principle of the tissues, e.g ., Cholesterin.

Causation

Sun.

Mind

Sadness. ─ Taciturnity and reserve, anxiety, apprehension and peevishness. ─ Indecision and inquietude. ─ Ideas respecting recent events crowd upon the mind during labour. ─ Disposition to be angry and to give way to passion. ─ Unconsciousness.

Head

Turning vertigo; < moving eyes; with staggering gait. ─ Headache provoked by walking in open air, and esp. by a sharp wind. ─ Headache, < by rising up in bed, and by moving the eyes > by moving the body), disappearing on taking exercise. ─ Heaviness, esp. in occiput, with cloudiness of eyes, greatly < by looking intently at an object. ─ Jerking, beating, tearing from l. half of occiput to forehead; soon same on r. ─ (Pressure on vertex, dimness of sight, faint feeling coming irregularly; sickish after meals, bad taste and fatigue on waking; thinks some one is walking behind, and cannot stir out alone.). ─ Heavy feeling in occiput, with drawing stitches, < r. side close to nape, with swollen gland tender to touch; intoxicated feeling at same time. ─ Headache as if brain were bruised, torn, or demolished. ─ Feeling as if brain were loose. ─ Tearing and stitches in head, coming on in periodical shocks. ─ Feeling of failing asleep and deadness. ─ Tearing in r. parietal bone. ─ Shocks, tearings, or shootings in head.

Eyes

Itching smarting in canthi. ─ Itching in eyes. ─ Stitches out of eyes. ─ Shootings across eyes. ─ Swelling and redness of eyelids. ─ Vertical hemiopia. ─ (Neuralgia over l. eye, hemiopia and double vision, which is always followed by headache, numbness down r. arm and aphasia. ─ R. T. C.)

Ears

Otalgia (with pressive pain), like spasmodic and acute pullings. ─ Pulsation in ears. ─ Insensibility of auditory tube. ─ Scabious eruptions in ears. ─ Hardness of hearing and deafness. ─ Acuteness of hearing, with sensibility to noise. ─ Ticking of watch is heard better than the voice (cerebral deafness). ─ Tinkling, buzzing, and whistling before the ears.

Nose

Ulceration of nostrils. ─ Sore nostrils with stinging pain. ─ Obstruction of nose. ─ Coryza, with thick yellow, or serous and corrosive mucus. ─ Continuous bleeding from nose. ─ Coryza, with itching, tickling, and sneezing.

Face

Heat in face, with burning redness of cheeks, when walking in open air, without thirst. ─ Ephelis. ─ Eruption of scabious pimples on face, forehead, and temples; whole face red; every summer. ─ Furuncules on temple. ─ Burning in lips. ─ Puffiness of lower lip, it feels heavy and burns. ─ Eruptions on lips, sometimes covered with scabs.

Teeth

Odontalgia, with pulsative pain, < by cold drinks, > by heat. ─ Toothache, with sensation of pressing asunder. ─ Tingling in teeth. ─ Scorbutic gums, swollen, easily bleeding and ulcerating.

Mouth

Dryness of mouth, with paralysis of tongue. ─ Profuse accumulation of saliva. ─ Heaviness of tongue, when speaking, as if it were made of lead, which prevents him from talking. ─ Deep-seated ulcers (with black base), vesicles, or pustules on tongue. ─ Small tumours r. side of tongue. ─ The tongue becomes sore and bluish. ─ The tongue dwindles (atrophy of tongue). ─ (Psoriasis of tongue.). ─ Mucous lining of the lips, and mouth inflamed, red, raw, painful, dotted with whitish points; fetid breath; stomatitis. ─ Parched tongue.

Throat

Sore throat, with pain as from excoriation, rawness, and smarting in throat and palate. ─ Dry throat with burning in chest. ─ Mucous lining of throat and fauces deep dark red, swollen and burning; covered with greyish-white diphtheritic-like deposits. ─ Swelling of uvula; of tonsils. ─ Much saliva that must be swallowed. ─ Attempting to swallow produces violent spasms and choking.

Appetite

Taste of rancid grease in throat. ─ Acrid and putrid taste (like rotten eggs, with ptyalism) in throat. ─ All food has a sweetish taste, and esp. beer, which is disliked. ─ Bulimy and excessive thirst. ─ Dislike to meat. ─ Appetite lost.

Stomach

Risings, putrid or bitter. ─ Hiccough (before and after dinner). ─ Vomiting of food. ─ Vomiting of bile, at night, with nausea and eructations. ─ Uneasiness in stomach, as indicating serious illness. ─ Sensation of emptiness in the stomach and œsophagus, not > by eating. ─ Contractive pain in stomach, with sensation as if it were retracted. ─ Pressive tension and cramp-like pain in hypochondria.

Abdomen

Uneasiness in abdomen, as in serious illness. ─ Fulness and inflation of the abdomen; from small quantities of food. ─ Cramp-like pains in abdomen, with cuttings and pinchings, extending from umbilical region into sides, accompanied by borborygmi. ─ Sensation of emptiness in abdomen. ─ Lancination in groins.

Stool and Anus

Difficult evacuations of fæces, as from inactivity of rectum. ─ Fæces of too small a size. ─ Diarrhœa, with smarting and burning in rectum and anus. ─ Stercoral diarrhœa. ─ Involuntary evacuation of liquid and serous fæces when urinating. ─ Discharge of blood during stools. ─ Prolapsus recti, when urinating. ─ Itching in anus. ─ Hæmorrhoids protruding like a bunch of grapes. ─ Swollen and bluish hæmorrhoidal excrescences, with burning pain as from excoriation; < by touch. ─ Bleeding hæmorrhoids.

Urinary Organs

Tenesmus of bladder. ─ Frequent want to urinate, with abundant emission. ─ Immoderate emission of aqueous urine. ─ Slow emission of urine. ─ Weakness of bladder. ─ Involuntary discharge of urine. ─ Relaxation of bladder, and of neck of bladder.

Male Sexual Organs

Excoriation of prepuce. ─ Soreness in the margin of prepuce. ─ Itching of scrotum not > by scratching. ─ Suppression of sexual desire. ─ Feeling of weakness in genital organs, penis relaxed. ─ Impotence.

Female Sexual Organs

Sensation of a bearing down towards genital organs, as if preparatory to catamenia. ─ During menses sad and taciturn. ─ Ulcers in genitals, with putrid discharge, much sensitiveness and general weakness. ─ Cannot bear the least touch even of sheets on genitals. ─ Too early catamenia, and too profuse.

Respiratory Organs

Hoarseness, with sore feeling in chest. ─ Chronic hoarseness. ─ Violent and sobbing cough, followed by a gurgling in bottom of chest. ─ Breathing deep and groaning; moaning.

Chest

Deep respiration with groans. ─ Lancinating pains in chest, during a violent movement, and during inspiration. ─ Tensive pain in sternum. ─ Incisive shocks in chest, with dull pressure on posterior part of chest, and with oppression. ─ Oppression across chest (evening).

Heart and Pulse

Stitches in chest, and on heart, when taking a long breath and on violent motion. ─ Pulse rapid and very feeble; and small. ─ Shootings in region of heart. ─ Shock in heart at night, so violent that it is felt in face.

Back

Aching pain in back, as from having been bent double for a long time, or from a strain. ─ Shootings in shoulder-blades. ─ Furunculi in back.

Upper Limbs

Paralytic weakness, and wrenching pain in shoulder. ─ Heaviness of arms, esp. the forearms. ─ Tearing, aching, and pulling in arms. ─ Drawing tension in elbow-joint. ─ Cramp-like drawings and heaviness in forearm. ─ Incisive tearing in forearm, hands, and fingers. ─ Voluptuous itching and tickling, and lancinating, in palms. ─ Scabby eruption on back of hand, and upper part of fingers. ─ Cramp-like pain in fleshy part of thumb when writing. ─ Swelling of extremity of fingers, with burning. ─ Nocturnal torpor and paleness of fingers, which are as if dead.

Lower Limbs

Tearing and cramp-like pulling in thighs. ─ Wavering gait from weakness of the thighs. ─ Itching, tettery spots on thighs. ─ Swelling of knees. ─ Drawing tension in calf of leg, and in tendo-Achillis, when walking. ─ Lancinations in tendo-Achillis, day and night, which hinder walking and sleeping. ─ Putrid, painful ulcers in legs, with burning in their circumference. ─ Coldness of feet. ─ Swelling and redness of extremity of toes, with burning.

Generalities

[This remedy is often called for in cases where the patient cannot urinate without having the bowels moved at the same time; in typhus or low grades of fever where we find this symptom with great prostration; patient may think he is going to pass a little wind, when urine will come away also. ─ Hæmorrhoids very tender to the touch, so much so that he can scarcely bear to use paper after an evacuation; after confinement, hæmorrhoids protrude so that the pressure of a sheet can scarcely be borne. ─ In low types of fever the patient often slips down toward the foot of the bed, and must be lifted up every little while. ─ Cannot bear the sight or thought of meat, it is so distasteful. ─ Urine too copious, both night and day. ─ Affections in general, of any kind, appearing in the tendo-Achillis; the soles of the feet. ─ Scurvy, particularly if the parts affected are very sore and tender to the touch. ─ Itching of the skin > by scratching. ─ Putrid ulcers. ─ H. N. G.]. ─ Tearing and incisive (rheumatic) pains in limbs, during repose, > during movement. ─ Restlessness; frequent changing of position. ─ Contusive pains in all joints. ─ Painful sensibility of periosteum of bones, as in intermittent fever. ─ Coldness of extremities. ─ Dropsical swellings. ─ Indolence and dread of movement, with inclination to remain seated. ─ Excessive depression; on sitting down, the eyelids close; the lower jaw hangs down, he slides down in bed. ─ Tottering gait, from weakness of thighs and knees. ─ Great sensitiveness to damp weather. ─ Paralysis of tongue and sphincter ani.

Skin

Itching, voluptuous and lancinating tickling, with want to scratch. ─ Scabious eruptions, which itch in heat of bed. ─ Furunculi, with shooting pain when they are touched. ─ Putrid and painful ulcers, with burning at margins. ─ Fetid odour of ulcers; also they are covered with a scurf. ─ Black pustules.

Sleep

Great drowsiness during day, which disappears on taking exercise. ─ Sleeplessness before midnight. ─ Before midnight, continued snoring, groaning, tossing, talking, and tendency to slide downwards in bed. ─ Frequent and early waking, caused by a coldness that is felt in bed. ─ Anxious dreams.

Fever

Predominant sensation of cold. ─ Shivering, with yawning and stretching, without thirst, and not followed by heat. ─ Chill in the evening, with coldness in back, with external warmth and burning in face. ─ Shuddering over whole body, with hot cheeks and cold hands. ─ Burning heat, esp. in palms and soles. ─ Night and morning sweat. ─ In evening, the perspiration is first cold on the feet. ─ Typhus fever, lower jaw hangs down, atrophy of tongue, involuntary watery stools when passing urine, great debility, with sliding down in bed, loud moaning. ─ Heat without thirst, with agitation, and desire to throw off clothes at night. ─ Pulse weak and slow. ─ Intermittent pulse, every third beat. ─ Nocturnal sweat, on going to sleep in evening, or before midnight, esp. on head and back.

The Guiding Symptoms of Our Materia Medica

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

Mind

Unconsciousness ; moaning. θ Typhus.
Taciturn, introverted and quiet ; anxious care about future.
Irritable, disposed to anger and chagrin ; peevishness.
Restlessness, frequent changing of position.

Sensorium

Vertigo : < moving eyes ; slightly < walking, though this > headache ; with tottering gait ; with tearing in vertex and feeling as if hair was drawn upwards, objects go around with her in open air ; with nausea, 1 A. M., <
lying on right side or back.

Inner head

Headache in spells regularly every day, from 9 A. M. until 1 P. M. ; begins with soreness over left eye, then in eyeball and left half of nose, forehead and temple, to back of head.
Feeling as if brain was loose.
Tearing and stitches in head, in periodical shocks.
Headache as if brain was torn or beaten to pieces ; < moving eyes or sitting up in bed ; > from moderate exercise.
Headache as if brain was clasped by a hand and was being twisted and torn.
Tearing in right parietal bone.
Heaviness in back part of head, with obscure sight, < by effort to see ; swollen glands.
Steady, sharp pain in back part of head, with a heavy feeling, as if occiput was filled with lead.
Headache < on rising up in bed and from moving eyes ; > by moving body ; from walking in open air, especially in cold wind.
Distant talking causes headache.

Outer head

Feeling of deadness and numbness of forehead.
Stiff and sore feeling in occiput, < when touched, and on left side of head and down spine, < in lying.
Tearing in right parietal bone.
Heat in top of head.
Feeling as if hair was standing on end.

Sight and eyes

Perpendicular half sight.
Obscured sight ; pain in occiput.
Pupils contracted.
Sharp, burning pain, extending from left to right eye, in morning > by washing. θ Muscular asthenopia.
Stitches out of eyes.
Itching in eyes ; itching and smarting in canthi.
Lids red, swollen.
Worse from light, > from dark.

Hearing and ears

Overacuteness of hearing ; sensitive to noise
Hardness of hearing ; loud, cracking sounds during night ; no cerumen, or dry, peeling off in scales, also dry, hard and of a brown red color or dark, with buzzing, < right ear.
Distant sounds (talking) cause headache ; sound of voice unbearable.
Want of feeling in internal meatus.
Tingling, humming, whizzing in ear ; beating or knocking.
Otalgia, with pressing pain.
Tingling, creeping, cold pain running from ears up to top of head, sharp boring in temporal regions.

Smell and nose

Nosebleed. θ Whooping cough.
Sore nostrils, with stinging pain ; obstruction of nose.
Frequent sneezing.
Coryza : thin, acrid, making parts sore ; thick, yellow discharge.
Discharge of thin pus from nose, excoriating parts.
Nose stopped up.

Upper face

Heat in face, glowing red cheeks when walking in open air ; no thirst.
Sudden red face with coma. θ Scarlatina.
Face suddenly flushing or pale and sunken.
Red, itching pimples on forehead, cheeks and around mouth, whole face red ; every Summer. θ Eczema solaris.
Scabs on face, forehead, temples ; pimples ; freckles.

Lower face

Lower jaw hangs down. θ Typhus.
Pimples around mouth form a scurf.
Margin of lips raw, skin dry and cracked.
Burning on lips.
Bloated lower lip ; feels heavy, burns.
Pain below left half of lower lip, from 4 P. M. till midnight.

Teeth and gums

Toothache : (pulsating) from cold drinks ; with earache ; tingling, > from warm applications.
Gums swollen, bleeding, ulcerating. θ Scoroutis.
Teeth rise from their sockets.
Long lasting, severe inflammation of gums. θ Scarlatina.

Taste, speech, tongue

Everything tastes sweet ; beer tastes like honey.
Taste : acrid and putrid, like rotten eggs, with ptyalism ; in throat like rancid grease.
Tongue : heavy as lead, hinders talking ; feels lame, sore ; dwindles, atrophy ; sore, bluish ; deep ulcers, with black bases and vesicles ; thick, dark, almost whole mouth and fauces covered with a greyish white membrane ; painful blisters with
burning.
Edges of ulcer and surrounding parts of a blue color. θ Cancer of tongue.
Tongue sore and bluish ; deep ulcer with black base and inverted edges ; atrophy of tongue making him speak in a thick, hoarse voice ; hard lump on side of tongue, growing into a hard, deep, warty ulcer, about size of a bean, presenting a slightly fissured appearance from
above downwards and from before backwards, rather towards under surface of left side of tongue ; no apparent discharge from it ; but tongue is hard all around it, so much so that speaking and expectoration is very difficult. θ Cancer
of tongue.

Inner mouth

Great dryness in mouth.
Redness of inside of cheeks and of arch of palate.
Mucous lining of lips inflamed, red and painful, stripped of epithelium to a considerable extent and dotted with whitish points. θ Stomatitis.
Stomacace of nursing children ; patch on right side of tongue large and irregular, but very deep ; fetid breath.
Stomatitis, with extreme dryness, swollen gums, great adynamia.
Foul breath. θ Scarlatina.
Mouth as if glued up with insipid mucus ; much saliva.
Salivary glands tender, swollen.
Mouth studded with ulcers having a black or dark base and dipping deep in, tending to perforate ; intermittent pulse ; involuntary stool and urine ; intense prostration. θ Malignant
scarlatina or diphtheria.

Palate and throat

Rawness and smarting of fauces ; burning.
Dry throat, with burning in chest.
Mucous lining of throat red and swollen.
Diffused deep redness of velum palati and throat.
Œdema of uvula ; tonsils swollen.
Fauces swollen, unable to swallow, attempt producing violent spasm and choking.
All the time pushing finger down throat, or keeps clawing mouth, as if some obstruction must be pulled out of throat.
Greyish white deposits on mucous membrane of throat, succeeded by ulcers.
Well defined dead white patches, varying in size, over velum and pillars of palate, tonsils and posterior portion of pharynx, similar to false membrane in diphtheritic angina.
Thin, excoriating discharge from nose, intermittent pulse and loss of appetite. θ Diphtheria.
Gangrenous angina ; internal parts bluish red, dark ; aphthous ulcers ; epithelium of tongue comes off in large brown pieces ; fetor oris. θ Scarlet fever.
During attack of scarlatina, on third day, tonsils and fauces covered with exudate ; submaxillary glands swollen as large as pigeon's eggs ; can only hold head bent forward ; continual desire to hawk, with difficult expectoration of tough mucus ; swallowing almost
impossible. θ Diphtheritis.
Hawks out continually tough, fetid phlegm ; voice hoarse, nasal ; rattling of mucus ; submaxillary glands swollen as large as hen's eggs ; head bent forward, because, when holding it erect or when lying down, phlegm in fauces causes difficult breathing and
choking ; entire back part a gangrenous ulcer, covered with tough mucus, which draws out in strings ; fetor oris ; swallowing of water very difficult, producing cough ; pulse small, very fast ; pale, anxious face. θ Diphtheria.
Bleeding from nose, blood dark and putrid ; sordes on teeth ; sore and scabby condition of lips ; putrid smell from mouth ; great general prostration ; typhoid condition. θ Diphtheria.
Diphtheria with not much fever, but great prostration.

Appetite, thirst. desires, aversions

Excessive hunger and thirst, or no appetite.
Aversion to meat.
Morbid longing for alcoholic drinks.

Eating and drinking

After eating : is worse ; diarrhœa.
Better and after drinking.

Hiccough, belching, nausea and vomiting

Hiccough (before and after dinner).
Eructations : bitter, putrid.
Vomiting, with belching, coughing ; involuntary swallowing ; gulping up of contents of stomach into œsophagus, sometimes going down again.

Scrobiculum and stomach

Feeling of emptiness in epigastric region, especially in œsophagus, not > by eating.
Empty sensation in stomach extending through whole abdomen, no hunger ; weak feeling in stomach from 10 A. M. until evening.
Stomach will neither tolerate nor digest food ; gastric weakness < from about 10 to 11 A. M.
Acute gastric irritability often accompanied by biliary disturbances ; great thirst, particularly after sour articles ; bitter, oftener sour taste in mouth ; biliary fever ; bilious diarrhœa.
Habitual difficult digestion ; tongue slightly coated white ; much belching and flatulence ; eructations, offensive ; thirst ; transient attacks of faintness ; tendency to constipation ; confusion of head ; drowsiness, particularly after
dinner ; tendency to herpes furfuraceus ; in children tendency to aphthæ and diarrhœa, evacuations when first passed presenting white, later greenish spots, causing excoriation of anus.

Hypochondria

Pressing and tension in hypochondria.
Cirrhosis of liver ; drowsiness ; emaciation ; mouth dry or aphthous ; stools often watery and involuntary ; stomach so weak and irritable that no food can be retained ; dropsy.

Abdomen and loins

Fulness and distension of abdomen from small quantities of food.
Rumbling and feeling of emptiness.
Colicky griping in abdomen ; cramps.
Hernia.

Stools and rectum

Stool : difficult as from inactivity of bowels ; too thin, but round ; thin, watery, involuntary, while urinating ; greenish, in typhoid ; thin, watery, passed unnoticed ; watery, dark brown, preceded by uneasy pains in
abdomen ; discharged while urinating ; with discharge of blood.
Diarrhœa : with much wind ; < morning and evening ; intolerable anal itching, not > by scratching, smarting and burning in anus ; < after a meal ; after fruit ; from drinking larger beer ; during typhoid ; < after abuse of opium.
As soon as he begins to move, strong urging, compelling haste ; stools profuse, dark, brownish, green, gelatinous ; followed by dragging, heavy sensation in abdomen.
Difficult speech ; moaning and groaning in sleep ; sliding down in bed. θ Cholera.
Dysentery, blood and slime separated.
Before stool : rumbling, colic.
During stool : smarting and cutting in anus ; burning in anus ; colic ; prolapsus ani.
After stool : burning in anus ; intolerable itching, tenderness and soreness of anus ; protrusion of dark purplish varices, somewhat > by application of warm water, much < from bathing with cold water.
Urging to stool while urinating, compelling him to cease lest a fecal discharge occur.
Prolapsus ani while urinating.
Itching in anus.
Diarrhœa, with protrusion of blue or dark purple hemorrhoids, especially when occurring in feeble children suffering from gastric atony, muscular debility and threatened marasmus.
Every eight to fourteen days, discharge of bright blood from anus, with or without stool, often so profuse as to cause great weakness ; is afraid to bend over ; stitches low down in left side and biting in anus ; menses regular, profuse, last
four days, accompanied by general indisposition ; headache, with congestion to head ; nausea ; coldness of limbs and falling asleep of same when sitting still. θ Hemorrhoids.
Hemorrhoids : swollen, blue ; painful to touch ; appear suddenly in children ; protruding, reddish blue, burning ; too sore to bear least touch, even sheet is uncomfortable.
Anal orifice surrounded by a thick, round swelling, which is separated into three unequal parts, one being as large as a hen's egg, the other two about as large as nutmegs ; swelling bluish red, hard, hot, shining, very sensitive to touch ; sore
pain, itching, severe stitches, paroxysmal, making her cry out ; cannot sit and can turn around only with great difficulty. θ Inflamed hemorrhoids after labor.

Urinary organs

Frequent scanty, or frequent profuse urination.
Passes large quantities of urine, accompanied each time by a small stool.
Slow emission of urine ; bladder weak ; must wait a long time ; has to press so that anus protrudes.
Urine involuntary. θ Typhus.
Urine : red ; violet ; milk-like.
Burning, cutting while urinating ; straining in urethra afterwards.

Male sexual organs

Impotency ; penis relaxed ; desire weak.
Watery, bloody gleet.
Scrotum bluish red.
Itching of scrotum, not relieved by scratching.
Margin of prepuce sore.

Female sexual organs

Pressing on genitals as if menses would appear.
Menses too early and profuse ; dejection of spirits, silent as if she would die ; colic ; sore piles.
Pricking pain in vagina.
Ulcers on genitals, with putrid discharge, much sensitiveness and general weakness.
Cannot bear least touch, not even of sheet on genitals.
Leucorrhœa, with backache ; sore anus from piles or fissures.

Pregnancy. parturition. lactation

Puerperal fever.
Voice and Larynx Trachea and Bronchia.

Voice and larynx. trachea and bronchia

Hoarseness ; with sore feeling in chest ; whooping cough.

Respiration

Breathing deep, groaning ; moaning ; deep sighing.
Breathing seems to come from stomach.
Short breath, with rattling after drinking, talking, coughing.
Dyspnœa and constriction of chest. θ Whooping cough.
Oppression across chest (evening).

Cough

Cough : rough, with rattling in chest, followed by cramp in stomach ; short breath ; with heat in face.
Whooping cough : after attacks, audible rumbling, gurgling down chest ; excited by tickling in chest ; in afternoon and evening without, in morning with a slight dislodgment of a yellow or watery mucus of a fatty taste, which must be swallowed ; with expectoration of
dark blood.

Inner chest and lungs

Stitches in chest and at heart, when taking a long breath and on violent motion ; burning stitches.
Tension and pain on sternum.
Bursting pain in chest ; pain as if beaten.
Pleuritis ; stupor ; playing with the hands ; moaning ; sliding down in bed.

Heart, pulse and circulation

Palpitation of heart felt in face.
Stitches in heart.
Pulse : slow and weak, sometimes intermitting ; slow during day, more frequent at night ; intermits every third beat ; rapid and feeble ; very small and frequent ; very feeble.

Neck and back

Pressing pain in back ; as from a sprain, or as if he had stooped long.
Pressing, drawing, tired pain in lumbar region.
Os coccyx pains.
Drawing, burning along back, beginning at coccyx, as if under skin ; burning stitch in sacrum causing one to start.

Upper limbs

Heaviness of arms, especially forearms.
Scabby eruption on back of hands and fingers.
Numbness, coldness and deadness of fingers at night.
Swelling and burning of tips of fingers.
Itching of palms.
Frequent, drawing tension in elbow joint.

Lower limbs

Wavering gait from weakness of thighs.
Pain in right thigh, with itching in anus.
Œdematous swelling of lower limbs, with shooting pain.
Lower limbs darker colored.
Putrid ulcers on legs, with burning around them.
Swelling on right tendo-achilles, about two inches long, so painful that it hinders walking ; pain as if place was jammed in, with feeling of unusual heat therein ; < when sitting, > when lying.
Cold feet.
Blue feet. θ Scarlatina.
Chilblains (alcohol applied externally).
Swelling and burning of tips of toes.

Limbs in general

Tearing pains in limbs during rest, > from motion.
All joints as if bruised.
Pressive drawing in upper arms and knees.

Rest. position. motion

Rest : tearing pains in limbs <.
Lying : stiff feeling in head and spine < ; pain in tendoachilles >.
Lying on right side or back : vertigo <.
Lies motionless in bed : typhoid fever.
Wants to lie about : prostration.
Frequent changing position.
Erect position : tensive pain in head <.
Is afraid to bend over : discharge of blood from anus.
Can only hold head bent forward : because when holding it erect or when lying down phlegm in fauces causes difficult breathing and choking spells.
Sitting still : falling asleep of limbs ; pain in tendo-achilles.
Sitting up in bed : headache <.
Cannot sit and can turn around only with great difficulty : inflamed hemorrhoids.
As soon as he sits down : his eyes close.
Legs flexed, feet drawn up : typhoid fever.
Sliding down in bed : cholera ; pleuritis ; typhus ; scarlet fever.
Motion : of eyes, vertigo < ; of eyes, headache < ; causes strong urging to stool ; tearing pains > ; drowsiness passes off.
All the time pushing finger down throat or keeps clawing mouth.
Moderate exercise : headache >.
Walking : vertigo < ; pain in tendo-achilles hinders.
Violent motion : stitches in chest.

Nerves

Prostration.
Prostration and drowsiness all day ; she wants to lie about.
Great debility : as soon as he sits down his eyes close ; lower jaw hangs ; slides down in bed.
Muscular debility following use of opium or soothing syrups.
Paralysis generally one sided.
Paralyzed tongue and sphincter ani.

Sleep

Drowsiness during day, going off as soon as one moves about.
Sleepless before 12 P. M., delirious tossing.
Restless after going to bed, groaning, snoring, talking in sleep.
Anxious dreams ; frequent waking ; < on waking.

Time

Morning : burning pain in eye ; diarrhœa < ; whooping cough, with slight dislodgement of mucus ; chill wakens him ; sweat.
Day : pulse slow ; prostration and drowsiness.
Before and after dinner : hiccough.
After dinner : drowsiness.
Afternoon : attacks of whooping cough.
Evening : diarrhœa < ; oppression across chest ; attacks of whooping cough ; chill, with coldness in back ; cold sweat on feet ; wants to be uncovered during scarlet fever.
Night : cracking sounds in ear ; pulse frequent ; numbness, coldness and deadness of fingers ; heat, with palpitation ; sweat.
Before 12 P. M. : sleepless ; sweat.
At 1 A. M. : vertigo, with nausea.

Temperature and weather

Getting warm in bed : itching of pimples.
Warm applications : tingling in teeth > ; protrusion of varices >.
Open air : objects go around ; walking, headache > ; when walking, heat in face.
Wants to uncover : during exacerbation of fever.
Washing : burning pain in eyes >.
Cold water : varices <.
Cold drinks : toothache.
Cold wind : headache >.

Fever

Chill more than heat ; awakens him in morning ; evening with coldness in back, external warmth ; burning face ; dry mouth ; shivering all over, with hot cheeks and cold hands ; and heat without thirst, rarely there is thirst in cold stage.
Extremities quite cold.
Slow fever.
Internal heat, wants to uncover ; bodily restlessness.
Heat at night, with palpitation of heart.
Burning, mostly in palms and soles.
Sweat : during first sleep, until 12 P. M., < on head and back ; night and morning.
Cold sweat on feet, evening in bed.
Worse when sweating ; taciturn ; wants to uncover.
Intermittent fever, with periosteal pains.
Fever assumes a low type ; great prostration ; sinking down in bed ; evidences of intestinal ulceration. θ Infantile remittent.
Typhus : constant restlessness or stupid sleep ; unconscious ; loud moaning or confused talking ; wishes to uncover ; lower jaw dropped ; aphthous ulcers in mouth, fetid, sour smelling ; tongue coated at edges, shrunken,
dry, like leather, paralyzed ; thin, offensive smelling evacuations ; involuntary stools while passing urine ; rapid, weak, rattling respiration ; sliding down in bed ; urine dark but clear ; bleeding from anus ; hemorrhage of dark liquid blood ; mouth
full of dark bluish ulcers ; pulse intermits every third beat ; legs flexed, feet drawn up ; skin hot and dry. θ Typhoid fever.

Attacks, periodicity

Periodical shocks : tearing and stitches in head.
From 10 to 11 A. M. : gastric weakness <.
From 10 A. M. until evening : weak feeling in stomach.
From 4 P. M. till midnight : pain in lower lip.
Every day : from 9 A. M. till 1 P. M. : headache.
On third day during attack of scarlatina : tonsils and fauces covered with exudate.
Lasting four days : menses.
Every eight to fourteen days : discharge of bright blood from anus.
Every Summer : red itching pimples on face, cheeks and around mouth.

Locality and direction

Right : tearing in parietal bone ; buzzing < in ear ; patch on side of tongue ; pain in thigh ; swelling on tendo-achilles.
Left : soreness over eye and in half of nose ; sore feeling on side of head ; pain below half of lower lip ; ulcer towards side of tongue ; stitches low down in side.
From left to right : pain in eyes.

Sensations

Loss of bodily irritability.
Tearing and stitches through whole body.
As if hair was drawn upwards ; as if brain was loose, was torn or beaten to pieces ; as if brain was clasped by a hand and was being twisted and torn ; as if occiput was filled with lead ; as if hair was standing on end ; mouth as if glued up with insipid
mucus ; as if some obstruction must be pulled out of throat ; as if menses would appear ; as if she would die ; pain in chest as if beaten ; pain in back as from a sprain or as if he had stooped long ; burning as if under skin of coccyx ; as if place was
jammed in in tendo-achilles ; joints as if bruised.
Pain : in occiput ; below left half of lower lip ; in teeth ; in abdomen ; on sternum ; in os coccyx ; in right thigh ; in periosteum.
Steady, sharp pain : in back part of head.
Tearing : in vertex ; in head ; in right parietal bone ; in limbs.
Shooting pains : in lower limbs.
Stitches : in head ; out of eyes ; low down in left side ; in chest ; at heart ; in anus.
Burning stitches : in chest ; in sacrum.
Sharp, burning pain : from left to right eye.
Sharp, boring : in temporal region.
Cutting : in anus.
Stinging pain : in nose.
Bursting pain : in chest.
Pressing pain : in ear ; in back.
Beating or knocking : in ear.
Pulsating pain : in teeth.
Cramp : in stomach.
Pricking pain : in vagina.
Sore pain : in anus.
Pressing, tensive pain : in head.
Painful drawing : in periosteum.
Pressing, drawing, tired pain : in lumbar region ; in upper arms and knees.
Tingling, creeping, cold pain : from ears to top of head.
Biting : in anus.
Burning : on lips ; of blisters on tongue ; of fauces ; in chest ; of anus ; of tips of fingers ; around ulcers on lower extremities ; of tips of toes ; in palms and soles.
Drawing, burning : along back.
Smarting : of fauces ; of anus.
Soreness : over left eye ; in eyeball and left half of nose, temple to back of head ; in a small spot on mucous membrane of palate ; of anus ; in chest.
Heat : in top of head ; in face ; of whole body.
Constriction : of chest.
Tension : in hypochondria ; on sternum ; in elbow joint.
Pressing : in hypochondria ; in genitals.
Feeling of emptiness : in epigastric region ; in œsophagus ; in stomach ; in abdomen.
Dragging, heavy sensation : in abdomen.
Heaviness : in back part of head ; of arms.
Deadness and numbness : in forehead ; in fingers.
Dryness : in mouth.
Tickling : in chest.
Itching, smarting : in canthi.
Itching : in eyes ; in canthi ; of pimples on forehead, cheeks and around mouth ; of anus ; of scrotum ; of palms.

Tissues

Typhoid condition, scorbutis ; hemorrhages.
Carbuncles in scorbutic individuals, with ulcers on gums and profuse emission of clear urine.
Painful drawing in periosteum ; intermittent fever.
Dropsical swellings.

Touch. passive motion. injuries

Touch : sore feeling in occiput < ; hemorrhoids painful ; swelling around anus very sensitive ; unbearable on genitals ; blood-boils pricking.
Scratching : does not > anal itching ; itching of scrotum not >.
Eczema solaris.

Skin

Freckles ; eczema solaris.
Eruption of pimples, forming scurfs on forehead, outer ear, lips, hands, or back of fingers ; itching when getting warm in bed.
Blood-boils, pricking when touched.
Ulcers : painful, deep, putrid ; covered with scurf ; on lower legs, with burning at their circumference.
Black pocks.
Erysipelas ambulans, which remains stationary after Bellad. and Rhus. ; pressing, tensive pain in head, < when being put in erect position.
Scarlatina ; redness intense and rapidly spreading ; eruption scanty, interspersed with petechiæ ; skin purplish.
Scarlet fever ; at, or a few hours before appearance of eruption patient lies in a stupefied condition ; eruption intensely red, rapidly spreading, face, neck and whole body being at once covered ; great difficulty in swallowing (compatible
Bellad.).
Scarlet fever ; sliding down in bed ; burning heat of whole body, with anxiety and constant desire to be uncovered, especially during exacerbation of fever in evening ; constant restlessness of whole body, except feet, great restlessness of arms, must constantly move
them ; pulse regularly intermittent ; dark redness of cheeks ; eyes dull red ; bluish color of skin ; eruption scanty, interspersed with many petechiæ ; considerable angina, with great tendency to ulceration of tonsils and neighboring parts ; groaning,
sobbing respiration ; putrid odor from mouth ; discharge of acrid pus from nose, causing rawness and vesication of surrounding parts.

Stage of life, constitution

Black eyes, dark hair.
Girl, æt. 4, strong, healthy ; erysipelas.
Boy, æt. 14, weak, poorly developed ; typhoid fever.
Boy, æt. 15, Bellad. and Mercur. had been used for five days ; diphtheria.
Young man, æt. 17, during scarlatina ; diphtheritis.
Woman, æt. 30, brunette, suffering a long time ; hemorrhoids.
Woman after sixth labor ; hemorrhoids.
Man, æt. 40, strong ; diphtheria.
Man, æt. 50 ; swelling on tendo-achilles.
Woman, æt. 60, unmarried, cachectic, has an eruption on lower limbs ; typhoid fever.
Man, æt. 65, corpulent, plethoric, indulging in much food and drink, suffering from chronic bronchial catarrh, complicated by slight emphysema which Dulcam. removed ; passage of feces while urinating.

Relations

Antidoted by : Carbonates of soda, potassa, lime, magnesia, and sapo medicinalis in poisoning by large doses ; small doses by Camphor, Bryon .
It antidotes : Opium . Cures the muscular weakness following excessive use of opium.
Compatible : after Bellad., Bryon., Mercur., Rhus tox .

Lectures on Homoeopathic Materia Medica

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

Lecture

When treating a low form of continued fever with extreme prostration Arsenicum, Muriatic acid and Phos. acid force themselves upon the mind.

With Arsenicum there has been the anxious restlessness; with Phos. acid there has been the mental prostration, and then the muscular weakness; with Muriatic acid the muscular weakness comes first, and there has been history of restlessness and the mind has been stronger than could be expected.

With this great muscular exhaustion with jaw hanging down and the patient sliding down in bed and soon the involuntary stool and urine, this remedy is forced upon the mind. Paralytic weakness is what it must be called.

Soon the tongue is paralyzed, as well as the sphincters of the bladder and rectum. It seems to be eminently fitted for the lowest forms of zymotic fever when the above symptoms are present, He finally becomes unconscious.

There has been some restlessness, but nothing like Arsenicum and Rhus tox . He refuses to talk because it frets him to do so. Phos. acid is slow answering questions because of exhaustion of mind which makes him unable to think.

The vertigo comes on moving eyes, and on lying on the right side. This vertigo is sometimes associated with liver disease. A stout, full blooded jaundiced man about forty had suffered much from pain in the liver, with great soreness, was comfortable only when lying on left side; when he turned on his back or right side an anxious vertigo would come at once and he would break out in copious sweat, and be forced back to the left side. Muriatic acid made a complete cure of this liver trouble, which had been pronounced serious.

The headache is aggravated moving the eyes and rising up in bed. ameliorated by walking about slowly. Occipital headache with dim vision, aggravated by effort to see. Heaviness in occiput. Numbness in forehead. Soreness in occiput. Feeling as if hair were standing on end. Heat in top of head,

Perpendicular half sight. The eye symptoms ameliorated in the dark. Stitching pain. Burning, extending left to right eye, ameliorated washing. Itching in the eyes.

Hardness of hearing; loud crackling sounds during the night. The sound of voices unbearable. Buzzing in the ears.

The nose is stopped. Nosebleed in whooping cough, in zymotic fevers, in diphtheria and scarlet fever. Dark putrid blood from nose.

The lower jaw hangs down in typhoid fever. Margin of lips dry, sore and cracked. Burning lips.

Mouth and tongue coated white.

Sordes on the teeth. Gums swollen and bleeding. Teeth become loose. Tongue dry, heavy stiff and paralyzed. Mouth dry. Ulceration of mouth and tongue. Red tongue. Blueness of the tongue. Mucous membrane of lips denuded.

Sore mouth of nursing infants. Mouth studded with ulcers. Deep ulcers with black base. Violent inflammation of the throat. Dryness of the throat. Dark red throat with ulcers. Grayish white exudations. White exudations resembling diphtheria. Gangrenous sore throat. Hawks out foetid MUCUS. Diphtheria with extreme prostration.

Great thirst. Thirst during chill and thirstless during the fever. Aversion to meat. Craves stimulants. Eructation bitter and putrid. Spasmodic action of oesophagus. Vomiting sour. Involuntary swallowing. Emptiness in stomach, not ameliorated by eating. Empty sensation in stomach and abdomen without desire for food. Emptiness in stomach from 10 A.M. till evening. Emptiness in abdomen in the morning after the usual normal stool.

Indigestion; faintness constipation; confusion; sleepiness after eating. Pressing in the liver. Soreness, and enlarged liver. Fullness and rumbling in abdomen.

Watery stools, involuntary while urinating. Stools pass unnoticed. Dark brown stools, with blood. Much flatus with stools. Urging aggravated by motion. Dysentery, putrid blood and slime. Haemorrhage from intestines of dark liquid blood. Prolapsus ani while urinating. Urging to stool while urinating, Marked relaxation and itching of anus.

Large, dark, purple hemorrhoids, extremely sensitive to touch. Inflammation of the pile tumors, hot and pulsating; must lie with limbs wide apart. Bleeding piles. Burning and cutting during stool.

Burning after stool, ameliorated by warm applications, aggravated from bathing with cool water. Excoriation of anus. Fissures.

The urine flows in a feeble stream. Must wait a long time for urine to start; must press so that anus protrudes. This is in keeping with the general paralytic muscular weakness in the body. Involuntary flow of urine and stool in low fevers. Burning and cutting in the urethra while urinating, tenesmus follows.

Impotency; desire weak. Bloody, watery discharge from the urethra. Scrotum bluish. Itching of the scrotum not ameliorated by scratching. Margin of prepuce sore.

Pressing in genitals as if menses would appear. Menses too early and profuse. Ulcers on genitalia with putrid discharges. Cannot bear least touch, not even of sheet on genitals.

Leucorrhoea with backache. Puerperal fever with extreme prostration, dropped jaw, sliding down in bed, suppressed lochia. Stool and urine putrid and involuntary.

Short breath with rattling after drinking. Breathing seems to come from stomach. Oppression of chest.

Pulse slow and weak, intermits every third beat.

Pressing pain in back. Pressing, drawing, tired feeling in small of back. Burning in spine.

Heaviness of arms. Numbness and coldness of fingers at night. Lower limbs dusky. Putrid ulcers on legs, with burning margins. Swelling of right tendo Achillis. Feet cold and blue. Burning of palms and soles. Swelling and burning of tips of toes.

Tearing in limbs, ameliorated by motion. Pain in the limbs, during intermittent fever.

Evening fever with chill with or without sweat.

Chill mingled with fever. The image of this remedy is found in typhoid and yellow, fever. Perspiration during first sleep. Symptoms worse when perspiring.

The Therapeutics of Fevers

H. C. Allen · The Therapeutics of Fevers · 1902 Library of Congress printing (Allen d. 1909; public domain)

Characteristic

Adapted to persons with black hair, dark eyes, dark complexion.

Irritable, peevish, disposed to anger and chagrin (Nux); restlessness and vertigo.

Diseases of an asthenic type, with moaning, unconscious- ness, fretfulness.

Ulceration with fungus-like growths and pseudo-like mem- branous deposits of intestinal tract.

Great debility: as soon as he sits down his eyes close; lower jaw hangs down; slides down in bed.

Mouth and anus are chiefly affected; the tongue and sphincter ani are paralyzed.

Malignant affections of mouth: studded with ulcers, deep, perforating; having a black or dark base; offensive, foul breath; intense prostration; diphtheria, scarlatina, cancer.

Cannot bear the thought or sight of meat (Nit. ac.).

If the anus be very sensitive either with or without hemor- rhoids; anus sore during menses.

Hemorrhoids: swollen, blue; sensitive and painful to touch; appear suddenly in children; too sore to bear least touch, even the sheet is uncomfortable. Prolapse while uri- nating (Bar. c.).

Diarrhœa: stool involuntary while urinating; on passing wind (Aloe); cannot urinate without having the bowels move at the same time (Alum.).

Urine passes slowly; bladder weak, must wait a long time; has to press so that anus protrudes.

Cannot bear least touch, not even of sheet on genitals (Mur.,

Plat.).

Palpitation of heart is felt in the face.

Freckles; eczema solaris.

Relations

Follows well: after, Bry., Mer., Rhus.

Cures the muscular weakness following excessive use of opium and tobacco.

Type

Continued, typhoid, typhus, yellow; depraved, scor- butic, hemorrhagic; low forms of intermittent and malarial fevers.

Chill

Awakens in the morning; coldness in back in evening; general shivering with hot cheeks and cold hands; burning face.

Extremities cold; cold sweat on feet; periosteal pains.

Heat

Without thirst; at night with palpitation; internal, wants to uncover. Burning of palms and soles.

Sweat

During first sleep, until 12 P. M., < on head and back; night and morning; < when sweating; taciturn; wants to uncover. Great prostration.

Tongue

Heavy, hinders talking; lame, sore, bluish; deep ulcers with black bases; almost whole mouth covered with a grayish white fur; blisters and vesicles with burning pain. Red, shining, as if glazed. Foul breath.

Pulse

Slow, weak, intermitting; slow during day, rapid at night; intermits every third beat; small, frequent, feeble.

Analysis

Typhoid or typhus; deep stupid sleep; unconscious while awake; loud moaning or muttering; tongue coated at edges, shrunken, dry, leather-like, paralyzed; involuntary fetid stools while passing urine; sliding down in bed; pulse intermits every third beat; hemorrhage of dark liquid blood; mouth full of bluish ulcers; great prostration.