Natrum Carbonicum nat-c.

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

DIGESTION. Nerves. Skin. Hands (Dorsæ). Heels.

Worse

HEAT: Sun. Weather. (Head). Sultry air. Gas-light. Periodically; Winter (Body), 5. A.M. Music. Mental exertion. Onanism. Dietetic errors. Milk. Drafts. Thunder-storms.

Better

Motion. Rubbing. Eating. Sweating.

General

Irritable weakness. Puffy, relaxed, easily exhausted. Easy dislocation. Oversensitive; to open air, music, noise, dietetic errors, etc. Pains cause tremor, cold sweat, anxiety, etc.

Particulars

Cross and irritable. Gloomy. Lively, yet fearful; < thunder-storms. Averse to company. Vertigo, from wine. Hot weather headache. Head bent backward; pains out through eyes. Dazzling flashes or stars before vision. Swelled or peeling nose. Coryza, < least draft; < alternate days. Violent sneezing. Post-nasal discharge. Pale, wilted face. Mouth open. Must drink to swallow solids. Acidity, flatulence and rheumatism. Weak digestion. Averse to milk. Greedy, always nibbling. Gastric pain, > eating. Abdomen pouts here and there. Diarrhœa, from starches. Stools like orange pulp. Pollutions. Cough; loose; hollow; 9-11 A.M.; < entering warm room. Purulent, salty sputum. Cough from continuous tickle in throat, < going from a cold into a warm room. Boring at tip of l. scapula. Painful popliteæ. Heavy legs. Weak ankles. Cramps from ankles into toes. Sleepy after meals. Blisters on small joints; tips of toes or fingers. Milky, watery or dry, rough skin; pustular eruptions. Cold between scapulæ. Burning wrists and ankles. Sweats easily.

Related

Complementary: Sep. Related: Lyc. Nat-m.

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

Constitutions with aversion to open air and dislike to exercise, mental or physical; imbecility. Great debility: caused by heat of summer (Ant. c.); exhaustion from least effort, mental or physical; ready to drop after a walk; chronic effects of sunstroke. Chronic effects of sunstroke; now, with the return of hot weather, suffers from headaches. Emaciation with pale face and blue rings around the eyes, dilated pupils; dark urine; anaemic; milky, watery skin and great debility. Inability to think or perform any mental labor, causes headache; feels stupefied if he tries to exert himself; comprehension slow, difficult. Intolerable melancholy and apprehension; is wholly occupied with sad thoughts. Attacks of anxiety and restlessness during a thunder storm (Phos.); < from music (Sab.). Headache: from slightest mental exertion; form sun or working under gaslight (Glon., Lach.); with tension in nape or occiput before menses; head feels too large, as it it would burst. Face pale, with blue rings around eyes; eyelids swollen; catarrh; mucus in throat and posterior nares; constantly hawking to clear throat; dropping into the throat from posterior nares. Catarrh: extends to posterior nares and throat; hawking much thick mucus from throat; profuse discharge during day, stopped at night (Nux). Thick, yellow, green, offensive, musty, hard discharge from nose; often ceasing after a meal. Aversion to milk; diarrhoea from it. Bearing down as if everything would come out (Agar., Lil., Mur., Sep.); heaviness, < sitting, > by moving. Discharge of mucus from vagina after an embrace, causing sterility. Easy dislocation and spraining of ankle (Led.); so weak that it give way; foot bends under (Carbo an., Nat m.).

Relations

Compare: Nat s., for yeast-like vomiting; Cal., Sep. Follows well: after, Sep., in bearing down.

Aggravation

From music; in the sun; excessive summer heat; mental exertion; a thunder storm.

Key-Notes to the Materia Medica

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

Mental

Marked degree of gaiety; difficulty of comprehension, which is unnatural to him when in health; imbecility, or weakness of the intellect.

Nose

All troubles of the external nose, which may attain a morbid size; may have pimples on it, etc.; puffiness of nose. Bad smell of nasal secretion.

Sleep

Waking too early in the morning. Dreams many; pleasant; amorous.

Stool

Diarrhœa which is marked by a sudden and obligatory call to stool, which escapes with great haste, noise and rushing, often producing considerable commotion in the abdomen; yellow fluid; discharge almost involuntary; often a yellow substance like the pulp of an orange in the discharge, which may sometimes be observed in women at change of life.

Generalities

Toothache in the lower jaw. Mucus in the urine. Nocturnal erections; nocturnal pollutions. Bad smell of the expectoration. Troubles appearing in the back part of head; also heel. Aversion to the open air; Cutting pain in the outer parts. Hysterics. Old sprains; one who is easily sprained, i.e., a disposition to be sprained by any exertion. Exanthema purulent, or filled with pus. Falling out of the hair. Inclination to perspire, which may be caused by any exertion.

Worse

In the forenoon; before eating; from spraining the parts; from music; in the sun; from talking.

Better

From boring with the fingers into the nose or ears (differing from Cina in this respect, that under Natr. carb., relief is afforded); after eating; pressure from without; rubbing; scratching; wiping with the hand.

Remedies following

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

Antidote

Camphor.

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

Headache, vertigo, melancholia, etc., occurring during hot weather in persons who have had a previous, sunstroke. Acid dyspepsia, especially after a vegetable diet, starchy food, with hypochondiasis and palpitation of the heart.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Carbonate of Sodium (NATRUM CARBONICUM)

General

All the Natrums stimulate cellular activity and increase oxidation and metabolish. Great debility caused by summer heat; chronic effects of sunstroke; exhaustion; anæmic; milky, watery skin; very weak ankles, are all peculiar Natrum carbonicum conditions.

Mind

Unable to think; difficult, slow comprehension. Mental weakness and depression; worries; very sensitive to noise; colds, change of weather. Anxious and restless during thunderstorm; worse from music (Ambra). Marked gayety. Sensitive to presence of certain individuals.

Head

Aches from slightest mental exertion, worse from sun or working under gas-light (Glon) Feels too large. Oversensitive of hearing. Head aches with return of hot weather. Vertigo from exposure to sun.

Nose

All troubles of external nose which may attain a morbid size-pimples and puffiness. Constant coryza; obstruction of nose. Catarrh; bad smell of nasal secretion. Many troubles of external nose (Caust). Posterior nasal catarrh. Hawking much mucus from throat; worse, slightest draught.

Face

Freckles, yellow spots, pimples. Swelling of upper lip. Pale, with blue rings around eyes and swollen lids.

Stomach

Feels swollen and sensitive. Ill effects of drinking cold water when overheated. Water-brash. Hungry at 5 am. Very weak digestion, caused by slightest error of diet. Averse to milk. Depressed after eating. Bitter taste. Old dyspeptics, always belching, have sour stomach and rheumatism. Dyspepsia relieved by soda biscuits.

Bowels

Sudden call to stool. Escapes with haste and noise. Yellow substance like pulp of orange in discharge. Diarrhœa from milk.

Female

Induration of cervix. Pudenda sore. Bearing-down sensation (Sep; Murex). Heaviness; worse, sitting; better by moving. Menses late, scanty like meat-washings (Nitric ac). Leucorrhœal discharge, offensive, irritating preceded by colic.

Respiratory

Dry cough, when coming into warm room from out of doors. Cough with coldness of left side of breast.

Sleep

Wakes too early in morning. Amorous dreams. Drowsy during day.

Extremities

Old sprains. Great weakness of limbs, especially in morning. Easy dislocation and spraining of ankles. Foot bends under (Caust). Soreness between toes and fingers. Heel and tendo-Achilles affected. Capped hands. The hollow of the knee is painful on motion. Icy cold up to knees.

Skin

Inclination to perspire easily, or dry, rough, cracked skin. Eruption on finger-tips, knuckles and toes. Vesicular eruption in patches and circles. Veins full. Soles of feet raw and sore.

Modalities

Worse, sitting, from music, summer heat, mental exertion, thunderstorm. Least draught, changes of weather, sun. Better, by moving, by boring in ears and nose.

Relationship

Compare: Sodii bicarbonas (in vomiting of pregnancy with acetonuria, 30 grains in water spread over twenty-four hours); Nat sulph; Caust; Natr cacodyl (Foul breath and mouth with bad odor. Dry dermatitis of the skin of abdomen. Malignant growths. In phthisis, 5 centigrammes hypodermically, daily. Increase number of red blood corpuscles to double. Also in malignant disease). Arsynal--(Disodium methylarsenate). Introduced by M. A. Gautier, for phthisis in the second stage 4 to 6 centigrammes per day for one week followed by a week's intermission. But much smaller doses, i.e, 1x to 3x are followed by improvement, lessened fever, night sweat and hæmoptysis ceasing.

Antidote: Ars. Camph.

Dose

Sixth potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

One of the most frequently corroborated symptoms of this remedy is the modality -aggravated by mental exertion. The patient is unable to think or perform any mental labor without headache (Argentum, nit., Sabadilla) vertigo or a sense of stupefaction. This symptom alone makes it an invaluable remedy, as we often come across that kind of patient. At least I have, and have frequently gained great credit by relieving them. I generally use the 30th potency here. Again this kind of headache is apt to be worse on exposure to the sun's rays or under gaslight. Persons suffering from over-heating from the sun may find relief from Natrum carb., Glonoine, Lachesis or Lyssin. Like the other Natrums, the carbonate is greatly depressed in spirits, wholly occupied with sad thoughts. It is one of our best remedies for chronic catarrh of the nose, which extends to the posterior nares and throat. There is violent hawking and splitting of thick mucus that constantly collects again, (Corallium). Although never produced in the proving, clinical use has proved it a great remedy for "bearing down" pains. Here the concomitant symptoms of mind, sadness, over-sensitiveness to noise, especially music, etc., will confirm its choice. Weakness of the ankles from childhood finds a good remedy in Natrum carb. I cured a very bad case in a young man who was very fleshy and walked on the inside of his ankles, feet bending outward, from such weakness, his ankles refusing to support him, especially when a little over-fatigued. Those are the only uses of Natrum Carb. that I know from personal experience or observation.

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

Restlessness, with attacks of anxiety, especially during a thunder-storm. Aversion to man and society. Hypochondriacal mood, tired of life. Mind much agitated, every event (music) causes trembling. Out of humor, peevish, irritable, angry.

Head

Vertigo from drinking wine and from mental exertion. Inability to think and to perform any mental labor ; the head feels stupefied if he tries to exert himself. Difficulty in comprehending what one hears or reads and in connecting ideas. Dulness of the head, when at rest or when in the sun. Headache from the sun or when turning the head rapidly. Tension and obstruction in the head, as if the forehead would burst. Stupefying, pressing headache in the forehead, with nausea, eructations and dimness of sight, in the evening ; worse in the room. Stitches in the head and out of the eyes. Pulsating headache in the vertex every morning. Congestion of blood to the head, with heat in it. Tearing pain in the forehead, returning at certain hours of the day.

Eyes

Heaviness of the upper eyelids. Stitches in the eyes from within outwards. Inflammatory swelling of the eyelids (right upper lid). Aversion to light. Ulcers on the cornea. Cannot read small print. Black spots (before the eyes when writing) or dazzling flashes before the eyes. Sensation as of feathers before the eyes. Dim eyes ; has to wipe them constantly.

Ears

Otalgia, with sharp-piercing stitches in the ears. Hard bearing, as if the ears were closed up. Over-sensitiveness of bearing, sensitiveness to noise.

Nose

Red nose with white pimples on it. Peeling off of the dorsum and tip of the nose ; painful when touched. Ulcerated nostrils, high up in the nose. Coryza with cough, from the least current of air, only going off by sweat. Obstruction of the nose ; hard, fetid clots come out of one nostril. Thick, yellow or green discharge from the nose. Coryza on alternate days.

Face

Bloated face. Burning heat and redness of the face. Swelling of the cheeks, with redness. Pale face with blue rings around the eyes, swollen eyelids. Freckles in the face. Yellow blotches on the forehead and upper lip. Humid, herpetic eruptions and ulcers on the nose, around the mouth, on the lips. Swelling of the upper lip. Burning rhagades in the lower lip.

Mouth and Throat

Flat ulcers and blisters inside of the mouth, burning and painful when touched. Digging, boring toothache, especially during or after eating sweatmeats or fruit. Great sensitiveness of the lower teeth. Nightly pressing toothache, with swelling of the lower lips and of the gums. Stuttering on account of heaviness of the tongue. Burning about the tip of the tongue, as if it were cracked. Throat and œsophagus feel rough, scraped and dry. Accumulation of mucus in the throat. Much nasal mucus passes through the posterior nares.

Stomach and Abdomen

Incessant thirst : great desire for cold water a few hours after dinner. Increased and ravenous hunger in the forenoon, from sensation of emptiness in the stomach. Empty eructations (after eating). Aversion to milk, and diarrhœa from it. Very weak digestion ; after eating, hypochondriacal humor. The food tastes bitter. After every meal pressure in the stomach. Sensitiveness of the pit of the stomach to the touch, and when talking. Continuous qualmishness and nausea. Colic, with constriction around the stomach. Stitches in the left hypochondrium ; also after drinking very cold water. Stitches in the region of the liver and spleen (chronic inflammation of the liver). Hard, bloated, swollen abdomen. Tumors on the abdomen, as if the intestines were distended by wind here and there. Colic, with contraction of the navel and hardness of the integuments of the abdomen. Accumulation of flatulence, incarcerated flatulence, and loud rumbling of the flatulence. Passes much flatus, smelling sour or fetid.

Stool and Anus

Frequent ineffectual urging to stool, or too scanty, inefficient evacuations. Soft or watery discharges, with violent sudden pressure tenesmus. Diarrhœa ; stools yellow, or with colic, after taking cold. The stool is watery and is discharged in a gush. Stools bloody. Burning and cutting in the anus and rectum during and after stool. Itching and creeping at the anus. With the stools discharge of tape-worm.

Urinary Organs

Frequent strong desire to urinate, with profuse discharge. Involuntary micturition at night (wetting the bed). Urine dark-yellow, smelling fetid or sour, depositing a mucous sediment. Burning in the urethra during and after micturition.

Sexual Organs

Men. Increased sexual desire. (Priapism). Continuous painful erections. Inflammation, swelling, and easy excoriation of the prepuce and glans penis. Heaviness and drawing in the testicles. The testicles feel bruised. Discharge of prostatic fluid after micturition and after a difficult stool.

Respiratory Organs

Dyspnœa and shortness of breathing, occasioned by tension of the chest. When breathing, tension in the chest. Stitches in the chest. Hoarseness, with roughness of the chest, coryza, chilliness, and scraping painful cough. Violent dry cough, when entering a warm room, while coming from the cold air. Cough, with expectoration of salty, purulent, greenish pus. Short cough, with rattling in the chest. Chilliness in one (left) side of the thorax. Violent, anxious palpitation of the heart, when ascending, and at night when lying on the left side. Painful cracking in the region of the heart.

Back

Stitches in the small of the back, when sitting. Tingling (formication) in the back. Stiffness of the neck. Cracking in the cervical vertebra when moving the head. Swelling of the glands of the neck. Goitre ; pain, pressing.

Extremities

Upper. Rheumatic pain of the shoulder, arms and elbows, with weakness of the arms. Twitches and twitching sensation in the arms and fingers on taking hold of any thing. Cutting pain in the hands. Trembling of the hands (morning). Burning-itching and burning blisters on the fingers. Contraction of the fingers. The skin of the hands is dry cracked and chapped. Warts or herpes on the hands. Swelling of the hands (in the afternoon). Lower. Heaviness of the legs and feet, with tension in them when sitting or walking. Tension in the bend of the knee ; the muscles are shortened. Cramps and tension in the calves, as if too short. Blotches (as in lepra) on the legs. The lower legs are swollen, inflamed, red and covered with ulcers. Cutting pain and cramps in the feet. Swelling of the feet and soles of the feet, with stinging in them when walking or stepping on them. Easy dislocation and spraining of the ankle ; the ankle is so weak that it gives way ; the foot bends under when stepping on it. Cold feet. Black, ulcerated pustule on the heel. Ulcer on the heel, arising from spreading blisters. Smarting and soreness between the toes. Swelling, tearing and soreness in the (big) toes, preventing sleep. Blisters on the points of the toes, as if scalded. Boring, drawing and stinging in the corns.

Generalities

Involuntary twitching in the muscles and limbs. Tingling, stinging in the muscles. Contractions of the muscles (hands, bend of the knee, neck). The whole body is relaxed and limber. Great emaciation, with pale face, dilated pupils and dark urine. Great liability to take cold ; aversion to the open air. Great debility ; a short walk fatigues much ; playing on the piano causes trembling.

Sleep

Irresistible sleepiness during the day ; difficulty of going to sleep late in the night and difficulty of waking in the morning. Unrefreshing sleep, disturbed by vivid, voluptuous, disconnected dreams, violent erections and seminal emissions. During the night, great restlessness, ebullitions, palpitation of the heart and nightmare. During sleep, starts and twitches.

Fever

Pulse accelerated mostly at night, with ebullitions. Coldness and chilliness the whole day, more so in the forenoon, with cold hands and feet with hot head, or the reverse, hot hands and feet with cold cheeks. Heat with great debility and sleep. Heat with perspiration over the whole body. Violent, anxious perspiration from every slight exertion. Burning hot perspiration on the forehead when the bat presses him. Night-sweats, with alternate dryness of the skin. Perspiration while eating. Cold, anxious perspiration, with trembling from the pains.

Skin

Swelling and induration of the glands. Herpes, in yellow rings, or suppurating. Ulcers, with swelling and inflammatory redness of the affected parts. Formication under the skin. Skin, dry, rough and chapped. Red, hard blotches. Warts painful to the touch. Cutting pain, burning and stinging in wounded parts.

Conditions

Most symptoms appear while sitting, and go off on motion, pressing and rubbing. Aggravation; in the forenoon ; during a thunder-storm ; after the slightest exertion ; in the rays of the sun (headache) ; before eating ; from talking.

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

Sodium carbonate. (The common "Soda" of the shops, purified; not the Bicarbonate of Soda, NaHCO 3 ). Na 2 CO 3 1O H 2 O. Trituration. Solution.

Clinical

Albuminuria. Anidrosis . Ankles, weak. Burns. Cornea, ulcers on. Corns. Coryza. Deafness. Dysmenia. Dyspepsia. Goître. Hands, chapped . Headache. Heels, blisters on. Herpes: iris; circinatus. Hypochondriasis. Hysteria. Ichthyosis . Lisping. Moles. Nose, swollen; eruptions on; red. Ozæna. Post-nasal catarrh. Presbyopia. Priapism. Rheumatism. School-headache. Scrofula. Stammering. Sterility. Sunstroke, chronic effects of. Throat, mucus in . Toothache. Warts.

Characteristics

Nat. carb . is the typical salt of the Natrum group. It was proved by Hahnemann, and is one of the antipsoric remedies of the Chronic Diseases . In old-school practice its chief uses are as an external application in solution to burns and eczema, as a douche in nasal or vaginal catarrh. Nat. c . forms the alkaline basis in most soaps, and most persons know by experience the effect of using soap with an excess of alkali. It almost burns off the superficial layers of the epidermis, and leaves the skin dry and cracked. The provings, whilst developing in Nat. c . a remedy of polychrest importance, confirms its irritating action, and show Nat. c . to be a true remedy for chapped hands and faces, rough, dry skins, eczema, herpes, warts and scrofulous conditions of skin. On the mucous membranes the effects are no less irritating. The whole alimentary tract from mouth to anus is irritated ─ vesicles, ulcers, catarrh. In the eyes the irritation goes on to keratitis and ulceration of cornea. The nose is swollen and ulcerated, with a thick yellow or green offensive discharge. Thick, yellow, putrid leucorrhœa. The predominant mental condition of Nat. c . is one of profound sadness, depression, and melancholy; constantly occupied with sad thoughts; though there is also the opposite, great gaiety and talkativeness. The hypochondriacal mood is often an accompaniment of the condition of the digestive mucous membrane. The depression and irritability is < after a meal, the aggravation diminishing as digestion advances, "as the food passes through the duodenum ." Such patients, says Farrington, are decidedly averse to society, even that of their own family. The indigestion is < from vegetables and starchy foods. < From milk. The tongue has some characteristic symptoms, notably affection of the under surface and frænum, and it is so heavy and unwieldy that the patient has difficulty in speaking. The common practice of taking Bicarbonate of Soda for indigestion and heartburn is founded on a true relationship (though Nat. c . is the Carbonate and not the Bi -carbonate), but the indiscriminate and excessive use of it only intensifies the trouble. The nearest analogue of Nat. c . in this and in the female sexual sphere is Sepia . The nervous system is strongly affected, and symptoms of hysteria appear. A leading note is < from exertion, mental or bodily. Great debility from any exertion; unsteady walk, any little obstruction on pavement = falling; or he falls without any apparent cause. There are contractions of muscles and tendons, and also relaxation of tissues. Ankle-joints are weak and burn. Twitching in muscles and limbs. I have cured with Nat. c . "jerking of hands on going to sleep." Among the Peculiar Sensations are: As if head too large. As if forehead would burst. As if head would be drawn back. As if ears were closed up. As of a bubble bursting in ear. As if tip of tongue were cracked. Dryness of mouth as if caused by heat of breath. As if veins of right leg were bruised. Motion as from a fœtus in uterus. Blisters on points of toes as if scalded. Emaciation, anæmia, bloating are prominent effects of Nat. c .; as also is swelling and induration of glands. Nat. c . is suited to: Light-haired people; persons of leuco-phlegmatic constitution with aversion to open air, and to exercise, mental or physical. Stitches go from within out. Right upper and left lower are particularly affected. A peculiar symptom of Nat. c . is "discharge of mucus after an embrace" in the woman; and sterility as a result. In Med. Adv ., xviii. 248 and 370, are two cases in point, one cured by J. C. Guernsey and the other by W. Jefferson Guernsey. In both cases the woman complained that she "could not retain the semen" after the embrace. Some of the grand keynotes of the remedy are to be found in its modalities. Prominent among these are < from sun; heat; gaslight. < From mental exertion; from physical exertion or strain; from least effort. < From music. Nat. c . has great debility from heat of summer; from chronic effects of sunstroke, every spell of warm weather = headache. Headache from sun or working under gaslight. At the same time there is great aversion to cold air, < from draught of air, change of clothing, getting wet, drinking cold water, < damp weather, change of weather. < From storms. Nat. c . has extreme sensitiveness to electric changes. There is great thirst for cold water, but < on drinking it (stitches in spleen). < By rest; < lying on left side (palpitation; stitch in back to anus); < sitting. Moving > . Moving head = cracking in cervical vertebræ. Moving = profuse sweat. Most symptoms come on or are < in morning. "Sinking" 10 to 11 a.m. < On alternate days. < During full moon. Eating > sinking, < dyspepsia and hypochondriasis. < From milk; from vegetable diet; from cold drink when over-heated. > By pressure, rubbing, scratching, wiping with hand. > Boring into ears and nose with fingers.

Relations

Antidoted by: Camph., Sp. nit. dul. It antidotes: Chi. Complementary: Sep., (Kali salts). Compatible: Calc., Nux, Pul., Sep., Sul. Compare: Nat. sul. (Nat. sul. is preferable for yeast-like vomiting, with pallid, dirty, livid tongue). Nat. m. (hypochondriasis ─ that of Nat. c. keeps pace with indigestion, that of Nat. m. with degree of constipation; head and face > uncovering; leucorrhœa). Sep. (indifferent to family; melancholy, apprehensive; < by music; backache < by sitting; bearing down; boring through from tip of left scapula; ─ Sep. has more empty feeling, and it does not "fill up" till after supper; Nat. c. sinking < 10 to 11 a.m., > eating, which = distension). Pic. ac. (priapism towards morning, emission and no desire). Nux (hypochondriasis; morning retching ─ Nux, of pregnancy or after debauch). Pho., Rho., Sil., Pet., < from thunderstorm. Sul. ac., Sul., Caust. (falls easily). Lyc. ( > uncovering; ulcer on heel ─ Lyc. on instep; right upper, left lower). Am. c., Am. m., Cep. (sore heels). Bry. (cough in warm room). Sep. (eruption on back of hands; Sep. ulcers about joints of hands). Calc. (coldness in abdomen; ─ icy coldness in stomach, Calc., Colch., Ars., Ambr.; ─ burning heat in stomach, Ars., Apis). Sil. (intolerance of draught; cough from draught of air; ─ < open air, Calc.; < change of temperature, Lach.). Agar., Naj. (ulcer on frænum linguæ). Aco., Calc., Glo. (headache from sun's rays). Zn., Sul., Indm. (weakness and goneness at stomach 11 a.m.). Calc. (chapped hands). K. ca., chapped face. Debility from heat of summer, Ant. c. Headache from sun or gaslight, Glo., Lach. < From music, Sabi. Catarrh, profuse discharge by day, stopped at night, Nux. Bearing down as if everything would come out, Agar., Lil. t., Murex. Easily sprained ankles, Led. Foot bends under, Carb. an., Nat. m. Boring fingers into nose, &c., Cina (the boring of Nat. c. > ; that of Cina does not).

Causation

Cold drink when over-heated. Milk. Sun's rays (chronic effects). Gaslight. Heat. Change of temperature. Storms. Electric states. Over-study. Strains. Sweat, suppression of.

Mind

Marked degree of gaiety. ─ Joyous talkativeness. ─ Inclination to sing. ─ Sadness and discouragement, with tears, and inquietude respecting the future. ─ Inquietude, with fits of anguish, esp. during a storm, and while engaged in intellectual labour. ─ Mind much agitated, every event (music) causes trembling. ─ Timidity. ─ Estrangement from individuals and from society. ─ Hypochondriacal humour and disgust of life. ─ Dejection. ─ Disposition to take alarm. ─ Irritable. ─ Spite and malevolence. ─ Disposition to be angry, and violent fits of passion. ─ Difficulty in conceiving and combining ideas when reading or listening. ─ Makes mistakes in writing. ─ Difficulty of comprehension, which is unnatural to him when in health; imbecility, or weakness of intellect. ─ Unfitness for intellectual labour and meditation, which fatigue the head. ─ Infirmity of purpose.

Head

Dulness and confusion of the head. ─ Confusion of head, esp. in a room, and during repose. ─ Vertigo, esp. after drinking wine, and after intellectual labour. ─ Headache, in the sun, or on turning head quickly. ─ Sensation of pressive fulness in head, as if forehead were going to burst. ─ Pressive headache, with nausea, risings, and cloudiness of eyes. ─ Eructations and dimness of sight, in evening; < in room. ─ Cramp-like tearing in forehead, extending to eyes and point of nose. ─ Headache, with shootings, sometimes across eyes (and stitches out of eyes). ─ Shocks across head. ─ Pulsative headache in vertex, every morning. ─ Congestion and heat in head. ─ Tearing in exterior of sinciput, every day at a certain hour. ─ Drawing and tension in r. side of occiput as if head would be drawn back. ─ Profuse falling out of hair. ─ Boil on occiput. ─ Both occipital protuberances sore to touch.

Eyes

Burning in eyes, esp. when reading and writing. ─ Stitches in eyes, from within outwards. ─ Lancinations across eyes. ─ Inflammation of eyes and lids, with photophobia. ─ Heaviness of upper lids. ─ Inflammatory swelling of r. upper lid. ─ Swelling of lids. ─ Dim eyes; has to wipe them constantly. ─ Ulcers on cornea. ─ Abscess in lachrymal gland. ─ Frequent closing of lids, and difficulty in opening them. ─ Confused sight, with black dancing specks, or bright sparkling before eyes. ─ Dazzling flashing before eyes on awaking. ─ Inability to read small print, as in presbyopia. ─ Down before eyes. ─ Pupils dilated.

Ears

Shootings in ears. ─ Otalgia, with sharp, piercing stitches in ears. ─ Great sensibility to noise. ─ Sensation of deafness, as from stoppage of ears. ─ Hardness of hearing. ─ Tinkling, music, buzzing, bursting of a bubble, roaring, and throbbing in ears. ─ Dryness and heat. ─ [Old Otorrhœa and deafness that has come from typhoid fever. ─ Deafness with ozæna, thick feeling in throat and amenorrhœa in light-haired girls. ─ Deafness with acne punctata. ─ Deafness with recurring earache ─ (cases cured by Cooper).]

Nose

Red nose with white pimples on it. ─ Great sensitiveness of nose. ─ Desquamation of bridge and point of nose; painful when touched. ─ Ulceration in bottom of nostrils. ─ Obstruction of nose, sometimes with discharge of hard and fetid pieces of mucus. ─ Hard, fetid pieces from one nostril. ─ Coryza every second day. ─ Coryza, fluent; violent sneezing. ─ Intermittent coryza, with burning in eyes. ─ Much nasal mucus passes through mouth. ─ Continued coryza and cough, excited by a chill and the least current of air, disappearing only after perspiration. ─ Thick green, or yellow, mucus in nose. ─ Bleeding of nose. ─ Troubles of external nose, may attain a morbid size; puffiness of nose.

Face

Heat of face. ─ Bloatedness of face. ─ Cheeks red and swollen. ─ Redness and burning heat, or great paleness in face, with livid circle under eyes, swollen eyelids. ─ Face alternately pale and red. ─ Ephelis in face. ─ Itching and humid eruption in nose and mouth. ─ Yellow spots on forehead and upper lip. ─ Yellowish colour of face. ─ Swelling of lips. ─ Swelling of upper lip. ─ Burning rhagades in lower lip. ─ Eruptions, tetters, and ulcers round mouth and lips. ─ Engorgement of submaxillary glands.

Teeth

Toothache, with digging, boring pain, esp. after and during a meal, and particularly after eating things sweetened with sugar or fruits. ─ Pressive toothache at night, with swelling of lower lip and gums. ─ Excessive sensitiveness of lower teeth.

Mouth

Constant dryness of mouth and lips. ─ Vesicles and smooth ulcers, with burning, in the mouth. ─ Burning about tip of tongue, as if it were cracked. ─ Pimples on tip of tongue. ─ Tensive blisters on r. margin of tongue. ─ Papular eruption beneath tongue, painful to touch. ─ Pustule near frænum. ─ Ulcer on frænum. ─ Tongue not facile, speech difficult. ─ Lisping. ─ Stammering, from (dry tongue and) heaviness of tongue.

Throat

Roughness, scraping, and dryness of throat and palate. ─ Throat and œsophagus feel rough, scraped, and dry. ─ Spasmodic contraction of œsophagus and stomach. ─ Accumulation of mucus in throat. ─ Violent hawking up of thick mucus which constantly collects again. ─ Much nasal mucus passes through the posterior nares. ─ Swelling of submaxillary glands.

Appetite

Bitter taste in mouth. ─ The food tastes bitter. ─ Acid taste in mouth, while tongue is loaded with a thick coating. ─ Incessant thirst; great desire for cold water a few hours after dinner. ─ Violent thirst, and uneasiness after drinking anything cold. ─ Extreme, voracious hunger, esp. in morning, arising out of a sensation of faintness and emptiness. ─ Empty eructations (after eating). ─ Gluttony. ─ Repugnance to milk and diarrhœa after partaking of it. ─ Great weakness of digestion, with peevishness and hypochondriacal humour, after a meal, or the least departure from regimen. ─ Distension, heaviness, and aching in stomach and epigastrium after a meal.

Stomach

Stomach weak, easily disordered. ─ Frequent risings during and after a meal. ─ Waterbrash. ─ Heartburn after fat food. ─ Violent retching in morning, without actual vomiting. ─ Painful eructations. ─ Sensation of qualmishness in stomach, and continued nausea. ─ Frequent hiccough, esp. after a meal. ─ Pyrosis and scraping in throat, esp. after partaking of fat food. ─ Pressure in stomach, esp. after a meal. ─ Painful sensibility of region of stomach and epigastrium, on being touched and while speaking. ─ Drawing, pressive, and incisive pains in stomach. ─ Contractive cramps in stomach. ─ Colic, with constriction around stomach. ─ Sensation of emptiness in stomach, with nausea. ─ Gnawing and pressure with gone feeling 10 or 11 a.m., > from eating. ─ Distension of stomach and epigastrium.

Abdomen

Pains in hypochondria. ─ Very weak digestion; after eating, hypochondriacal humour. ─ Lancinations in the l. hypochondrium, sometimes after drinking anything cold. ─ Lancinations in hepatic region (chronic inflammation of liver). ─ Violent stitches in hepatic and splenic regions. ─ Pain in abdomen, after waking in morning. ─ Abdomen (hard) enlarged and distended. ─ Nocturnal pains in abdomen, with tension in upper part of abdomen, and diarrhœa. ─ Colic, with retraction of navel, and hardness of integuments of abdomen. ─ Swellings on abdomen, as if intestines distended by wind here and there. ─ Shootings and diggings in abdomen. ─ Shootings and drawings in sides of abdomen. ─ Accumulation, incarceration, and painful movements of flatus in abdomen. ─ Abundant expulsion of flatus of a sour or fetid smell. ─ Swelling of glands of groin and axilla; generally painful.

Stool and Anus

Urgent want to evacuate, without result, or followed by a scanty and insufficient evacuation. ─ Hard and difficult evacuation. ─ Soft or liquid fæces, with strong and very urgent want to go to stool, and tenesmus ani. ─ Loose, yellow evacuations. ─ Diarrhœa which is marked by a sudden and obligatory call to stool, which escapes with great haste, noise, and rushing, often producing considerable commotion in abdomen; discharge almost involuntary; often a yellow substance like the pulp of an orange in the discharge, which may sometimes be observed in women at change of life. ─ Diarrhœa, with cuttings, after a chill, or after partaking of milk. ─ The stool is watery and is discharged in a gush. ─ Sanguineous evacuations. ─ Stool spotted with blood. ─ Stool like sheep's dung, with great straining; balls of mucus like peas. ─ Discharge of tænia during evacuation. ─ Burning and incisive pains in anus and rectum during and after stool. ─ Itching and tingling in anus. ─ Lancinations in perinæum.

Urinary Organs

Frequent and urgent want to urinate, day and night, with scanty, or excessive, discharge. ─ Involuntary micturition at night. ─ Wetting the bed. ─ Urine of a bright (or dark) yellow colour, of a sourish smell, or fetid and turbid, with mucous sediment. ─ Mucus in urine. ─ Urine smells like horse urine. ─ Burning in urethra during and after emission of urine. ─ Jerks, acute pullings, and smarting in urethra. ─ Deep-coloured urine.

Male Sexual Organs

Pain, as from a bruise, in testes. ─ Heaviness and pressive drawings in testes. ─ Excoriation of scrotum. ─ Soreness between scrotum and thighs. ─ Secretion behind glans, as in gonorrhœa balani. ─ Inflammation, swelling, and tendency to excoriation, of glans and prepuce. ─ Increased sexual desire, almost like priapism, with continued and painful pollutions and erections. ─ Incomplete coition. ─ Emissions without erections. ─ Glans penis easily becomes sore. ─ Discharge of prostatic fluid when urinating, and during a difficult evacuation. ─ Great tendency to perspire after coition.

Female Sexual Organs

Pressure in hypogastrium as if everything were bearing down towards genital parts, and were about to protrude (and menses would come on). ─ Catamenia too early, with headache, sacral and abdominal pains. ─ Deficient menstruation in adults. ─ Metrorrhagia. ─ Deformity of cervix uteri. ─ Excoriation at vulva, between thighs. ─ Discharge of mucus from vagina, after coition (causing sterility). ─ Profuse, thick, and yellowish, or fetid leucorrhœa, sometimes preceded by cuttings (ceasing after urination). ─ Motion as from fœtus in uterus. ─ (Conception appears to be promoted by the action of Nat c .). ─ Expels moles, prevents false conception. ─ Labour pains weak or accompanied by anguish and sweat, with desire to be rubbed.

Respiratory Organs

Short cough, with rattling in chest. ─ Hoarseness and roughness in chest, with coryza, febrile shivering, and scraping and painful cough. ─ Continual catarrh, with coryza and cough, excited by least current of air or slightest chill, and disappearing only when perspiration supervenes. ─ Cough excited by tickling in throat. ─ Violent and dry cough on passing from cold to hot temperature. ─ Cough, with expectoration which has a salt taste, or which consists of greenish and fetid pus. ─ Expectoration of small substances, with rattling of mucus in chest. ─ Cough, with expectoration of blood.

Chest

Shortness of breath, sometimes with difficult respiration. ─ Dyspnœa. ─ Dyspnœa and shortness of breathing, occasioned by tension of chest. ─ Tension in chest during inspiration. ─ Pressure on chest. ─ Shootings in chest and sides of chest. ─ Continual coldness in l. side.

Heart

Violent and anxious palpitation of heart, esp. on going upstairs, or at night, when lying on the l. side. ─ Painful cracking in region of heart.

Neck and Back

Rigidity of the nape. ─ Cracking of the cervical vertebræ when moving head. ─ Swelling in glands of neck. ─ Hard swelling of thyroid gland. ─ Goître; pain, pressing. ─ (Goître decreased in size.). ─ Boring pain in tip of l. scapula; extends to point of ensiform cartilage. ─ Pain, as from excoriation, in sacrum. ─ Lancinations in sacrum when seated. ─ Backache; violent pain in small of back after walking. ─ Drawings and cramp-like tension in back and nape of neck. ─ Tingling in back.

Upper Limbs

Aching in shoulders. ─ Drawing and tearing (rheumatic) in shoulders, arms, and elbows, with lassitude in those parts. ─ Heaviness, rigidity, and pains in arms, which take away the power to lift them. ─ The r. arm and r. hand become numb and painful to move from pain in muscles. ─ Jerking and thrilling sensation in arms, hands, and fingers, esp. on grasping an object. ─ Drawing tension in forearms and hands. ─ Warts on arms. ─ Incisive pains in hands. ─ Tearing and boring in metacarpal bones, esp. in evening and morning in bed. ─ Burning in joints of hands in evening. ─ Swelling of hands (in afternoon). ─ Trembling of hands (morning). ─ (Hands become numb, painful, and prone to ulcerate ─ R. T. C.). ─ Skin of hands dry, rough, and cracked. ─ Warts (or herpes) on the back of hands. ─ Red spots and tetters on hands. ─ Jerking in joints of fingers. ─ Distortion (contraction) of fingers. ─ Burning, itching, and burning blisters on fingers, as if stung by nettles.

Lower Limbs

Tension in bend of knee; the muscles are shortened. ─ Hollow of knees painful on motion. ─ Great heaviness in legs and feet, with stiffness when seated and when walking. ─ Jerking in thighs. ─ Tettery eruption on the buttocks. ─ Contraction of tendons of ham. ─ Tetters on ham. ─ Pressive and cramp-like drawing in legs. ─ Cramp and pulling in calves of legs, as if too short. ─ Legs swollen, red, inflamed, and covered with ulcers. ─ Blotches (as in lepra) on legs. ─ Incisive pains and cramps in feet. ─ Burning in joints of foot in evening. ─ Swelling of feet, or soles of the feet, with shootings, when planting foot on the ground. ─ Tendency to dislocate and sprain joint of foot. ─ The ankle is so weak that it gives way; the foot bends under when stepping on it. ─ Coldness of feet. ─ Chronic ulcers in heel, proceeding from gnawing vesicles. ─ Black, ulcerated pustule on heel. ─ Throbbing and crawling in both heels. ─ Cracks and excoriation between toes. ─ Swelling of (big) toes, with tearing, and pain as from excoriation, which banishes sleep. ─ Blisters on extremity of the toes, as from a burn. ─ Boring, drawing, and shooting in corns.

Generalities

Mucus in urine. ─ Nocturnal erections; nocturnal pollutions. ─ Bad smell of the expectoration. ─ Troubles appearing in the back part of head; also heel. ─ Cutting pain in the outer parts. ─ Hysterics. ─ Old sprains; one who is easily sprained, i.e ., a disposition to be sprained by any exertion. ─ Exanthema purulent, or filled with pus. ─ Falling out of the hair. ─ Inclination to perspire, which may be caused by any exertion. ─ Cramp-like tearing, principally in arms and legs. ─ Paralytic drawings and tearings in joints, esp. in evening and at night. ─ Contractions of muscles (hands, bend of the knee, neck). ─ Contraction of tendons. ─ Jerkings in limbs, joints, and muscles. ─ Tingling, stinging in muscles. ─ Strong tendency to dislocations, and to strain back. ─ Swelling and induration of glands. ─ Symptoms < during a storm. ─ Most symptoms manifest themselves when seated, and are > by movement, pressure, or rubbing. ─ Anguish, trembling, and sweat, during pains. ─ Great agitation of whole body in evening. ─ Excessive morbid sensibility; with trembling, also when playing the piano. ─ Relaxation and want of stability in whole body (in morning). ─ Unsteady gait. ─ Heaviness and indolence, esp. in morning, with fear of movement. ─ It hurts to lie on the l. side. ─ Paralytic, contusive pain in morning, and great lassitude in limbs. ─ Lassitude, so great as to cause sinking down, after a moderate walk. ─ Prolonged weakness. ─ Emaciation, with pale complexion, dilated pupils, and deep-coloured urine. ─ Repugnance to open air. ─ Great tendency to chill, followed by coryza, or colic with diarrhœa.

Skin

Ulcers, with swelling and inflammatory redness of affected parts. ─ Skin dry, rough, and chapped. ─ Red, hard blotches. ─ Dryness of skin, with profuse sweat from least exercise or slightest labour. ─ Itching over whole body, as from fleas. ─ Tingling under the skin. ─ Scabies. ─ Tettery eruption. ─ Herpes: iris; circinatus. ─ The tetters spread and suppurate. ─ Yellow rings, like remains of tettery spots. ─ Leprous tubercles. ─ Warts; painful to touch. ─ Shootings, incisive pains, and burning in injured parts. ─ Itch-like eruption in lower part of abdomen.

Sleep

Irresistible disposition to sleep, with much yawning, by day, with deferred sleep in evening, and difficulty to wake in morning. ─ Uneasy sleep, full of vivid dreams, sometimes confused and lascivious, with violent erections and pollutions. ─ Dreams; pleasant; amorous. ─ Anxious dreams, which, after waking, seem to be true. ─ Frightful dreams of deaths, floods, quarrels, robbers, devils, thieves, &c. ─ Dreams about travelling. ─ At night, great uneasiness in body, ebullition of blood, palpitation of heart, and nightmare, toothache, colic, and vertigo with anguish. ─ Jerking and shocks during sleep. ─ Waking too early.

Fever

Pulse accelerated mostly at night, with ebullitions. ─ Febrile shuddering, with cold hands and hot cheeks, or vice versâ , but always without thirst. ─ (Shivering fits between 3 and 4 a.m. induced by overfatigue and anxiety ─ R. T. C.). ─ Coldness of hands and feet. ─ Coldness and chilliness the whole day, more so in forenoon, with cold hands and feet with hot head; or the reverse, hot hands and feet with cold cheeks. ─ Heat with great debility and sleep. ─ Heat with perspiration over whole body. ─ Burning hot perspiration on forehead when the hat presses him. ─ Perspiration while eating. ─ Burning in feet, esp. soles, on walking. ─ Sweats in morning. ─ Nocturnal sweat, often alternating with dryness of skin. ─ Cold and constant sweat, as from anguish, with trembling from the pains. ─ Profuse sweat from the least physical exertion.

The Guiding Symptoms of Our Materia Medica

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

Mind

Inability to think or to perform any mental labor ; head feels stupefied if he tries to exert himself.
Memory gradually failing ; inaptitude for meditation or hard work ; difficulty of conception or combining ideas when listening or reading ; figures and diagrams were void of expression to him and seemed enveloped in mist. θ Effects
of overstudy.
Difficulty in grasping and connecting thoughts when reading or listening.
Aversion to mankind and society ; estrangement from individuals and society, even from her husband and family.
Sadness ; depression of spirits ; hypochondriacal mood.
Intolerable melancholy and apprehension ; she is wholly occupied with sad thoughts.
Irritable, excitable mood.
Avarice ; maliciousness.
Restlessness, with attacks of anxiety, especially during a thunderstorm ; < from music.
Anxiety ; trembling and sweat during pains.
In evening restlessness of body, unless he exerts himself mentally.
Affected by playing on piano a short time, with painful anxiety of chest, trembling of body and weariness ; must lie down.
Constant fear and forebodings.
Great timidity.
Indifference.

Sensorium

Vertigo : from mental exertion ; when working in sun ; < from rest, > on exercise in open air ; from exposure to sun ; from drinking wine.
Dulness of head when at rest or when in sun.
Dulness in occiput, as from pressure, in morning.

Inner head

Head feels too large.
Tension in head, as if forehead would burst.
Frontal headache when suddenly turning head.
Shooting pain in left frontal eminence to left lower occiput.
Stitches in head and out of eyes.
Pulsating headache in vertex every morning.
Tearing pain in forehead, at certain hours of day.
Stupefying, pressing headache in forehead, nausea, eructations and dimness of sight in evening ; < in room.
Stitching, tearing, throbbing in forehead, temples and vertex, with vertigo, melancholy and great physical prostration.
Pain in left frontal eminence to left lower occiput.
Headache from slightest mental exertion.
Painful sense of emptiness in occiput, with weakness and hoarseness of voice.
Pain from occiput to vertex.
Drawing and tension in right side of occiput as if head would be drawn back.
Long continued pressure in right side of occiput.
Dull pressure from occiput to nape, with drawing pain, at last extending to forehead.
Headache at noon, < low down in occiput.
Headache and tension in nape before menses.
Headache : from sun ; from working under gaslight.

Outer head

Pains in head at certain hours of day.
Falling out of hair.
An almost painless boil on occiput.

Sight and eyes

Dim eyes ; has to wipe them constantly.
Black spots floating before vision while writing.
Sensation as of feathers before eyes.
Dazzling flashes before eyes on awaking.
Flashes and streaks of light before closed eyes at night.
Cannot read small print.
Ulceration of cornea.
Small corneal ulcers or phlyctenules, with great photophobia and stinging pains, particularly in scrofulous children.
Needle-like stitches in both eyes after dinner.
Stitches in eyes from within outward.
Dermoid swelling of conjunctiva.
Inflammation of eyelids, with photophobia.
Dry eyes.
Heaviness of upper lids ; could hardly open them ; they close involuntarily.
Agglutination of eyes in morning ; lachrymation during forenoon.

Hearing and ears

Oversensitiveness of hearing ; sensitive to noise.
Hard hearing, as if ears were closed up.
Loss of hearing of right ear for seven or eight months ; sounds seem to come from left side when they really come from right ; at times singing in right ear, or a noise like a bubble bursting in ear ; fulness in right ear when eating ; on swallowing feeling as if
something moved in ear.
Hardness of hearing and roaring in left ear, with caries of l. molar teeth ; pain in left side of face ; stiffness of neck and left shoulder ; pain in small of back and left leg, < from motion, > in rest ; menses irregular and scanty ; all < before
menses. θ Chronic otitis media.
Otalgia with sharp piercing stitches in ears.

Smell and nose

Loss of smell and taste, with coryza.
Violent sneezing, with rush of blood to head.
Coryza with discharge of thin mucus and frequent sneezing.
Coryza : fluent ; violent sneezing ; very profuse ; < at night, when nose is obstructed ; < from least draft of air or change of clothing ; on alternate days ; > after sweat.
Troublesome stoppage of nose every night. θ Chronic catarrh.
Stoppage of nose with hard, offensive pieces from one nostril.
Much nasal mucus passes through mouth.
Yellow offensive discharge from nose.
Thick green mucus blown from nose.
Thick yellow greenish, musty smelling discharge, ceasing to flow frequently after a meal, with stoppage of nose. θ Coryza.
Hard fetid clots from one nostril.
Coryza with discharge of copious, thick, mucous masses during day, and obstruction of nose at night ; speech has a disagreeable nasal twang ; resistent swelling of middle lobe of thyroid gland ; pale face and dark streaks under eyes ; menses scanty and postponing.
After getting a thorough wetting, skin which formerly perspired easily became dry ; also suffered from a coryza, with profuse discharge and a disagreeable influence on her voice.
Ozæna ; bad smell of nasal secretion.
Nostrils ulcerated high up.
Bleeding of nose.
Humid, herpetic eruptions and ulcers on nose, around mouth and on lips.
Peeling off of dorsum and tip of nose, painful when touched.
Red nose with white pimples on it.
Squeaking sensation at root of nose.
Inflammation of external nose.

Upper face

Pale face with blue rings around eyes, swollen eyelids.
Face puffy. θ Albuminuria.
Burning heat and redness of face, cheeks swollen.
Pains in bones of face. θ Chronic naso-pharyngeal catarrh.
Much eruption on nose and mouth.
Yellow blotches on forehead and upper lip.
Freckles on face.
White pimples on red nose.

Lower face

Swelling of upper lip.
Lips swollen and tettery ; burning rhagades on lower lip.
Humid eruption or ulcers around nose and mouth.
Pimples on face and lips.
Swelling of submaxillary glands.

Teeth and gums

Digging, boring toothache, especially during or after eating sweetmeats or fruit.
Sensitiveness of teeth, especially lower.
Nightly pressing toothache, with swelling of lower lips and of gums.
Toothache : in lower jaw ; < when eating ; < from sweet things ; > by smoking.

Taste, speech, tongue

Taste : bitter or metallic ; sour, thickly coated tongue ; of blood ; of pus in throat.
Dry tongue and dislike to talk.
Tongue not facile ; speech difficult.
Stuttering on account of heaviness of tongue.
Burning about tip of tongue, as if it was cracked.
Pimples on tip of tongue.

Inner mouth

Saliva generally increased.
Constant dryness of mouth and lips, which she was constantly obliged to lick, as if caused by heat of breath.
Dry mouth and throat, with inclination to drink.
Slight redness of mucous membrane of mouth and fauces, with rawness and scraping ; desire to hawk and hem ; mucus collects at night and is hawked up in morning.
Redness and soreness of mouth, with flat, painful blisters ; increased appetite ; great thirst for cold water, but < after drinking it ; yellow stools discharged with a gush ; frequent urination of dark, sour smelling urine. θ Stomatitis.
Flat ulcers and blisters inside of mouth, burning and painful when touched.

Palate and throat

Throat and œsophagus feel rough, scraped, dry.
Accumulation of mucus in throat and posterior nares.
Violent hawking up of thick mucus that constantly collects.
Throat painful when swallowing and gaping.
Glandular swellings in throat.

Appetite, thirst. desires, aversions

Incessant hunger.
Increased and ravenous hunger in forenoon, from sensation of emptiness in stomach.
Thirst : in afternoon ; incessant ; great desire for cold water a few hours after dinner.
Aversion to milk and diarrhœa from it.

Eating and drinking

After eating : hypochondriacal ; weak digestion ; pressure in stomach ; eructations ; distress and tenderness, with palpitation (may also follow abuse of soda crackers).
Indigestion especially marked after vegetable diet, particularly starchy foods.
Bad effects of a cold drink while overheated.
After milk, diarrhœa.

Hiccough, belching, nausea and vomiting

Frequent hiccough.
Eructations frequent ; empty ; sour ; in afternoon.
Waterbrash.
Violent retching in morning, without actual vomiting.
Nausea and retching, with pain and soreness in stomach ; < from touch ; > from eating.
Continuous qualmishness and nausea.
Vomiting of bile, bitter.

Scrobiculum and stomach

Gnawing and pressure in stomach, with distension and "gone", weak feeling about 10 or 11 A. M., > from eating.
Stomach weak and easily disordered.
Heaviness and pressure in stomach ; nausea ; frequent hiccough.
Violent pressure in stomach after dinner and breakfast.
Pit of stomach sensitive to touch and when talking.
Cramp in stomach, pressing, drawing, cutting pain.
Depressed and exceedingly irritable, particularly after dinner ; hypochondriasis ; > as food passes out of stomach into duodenum and down into bowels ; averse to society, even to his own family ; indigestion, < after vegetable diet, particularly starchy
foods ; sour eructations ; waterbrash ; retching in morning ; spasmodic contraction of œsophagus and stomach, with little or nothing coming to mouth ; copious salivation ; abdomen hard and swollen, especially after eating ; accumulation of flatus, fetid
when passed ; griping colic just after a meal ; stool difficult to expel, though not hard. θ Indigestion.

Hypochondria

Violent, sharp stitches in right hypochondriac region, followed by griping in lower abdomen.
Stitches in left hypochondrium ; < after drinking very cold water.
Stitches in hepatic and splenic regions. θ Chronic hepatitis.
Violent stitches in region of spleen.

Abdomen and loins

Colic with constriction around stomach ; contraction of navel, hardness of integuments of abdomen.
Hard, bloated, swollen abdomen.
Accumulation of flatus ; loud rumbling ; swellings here and there as from incarcerated wind.
Flatus changing place and causing pain.
Distension of abdomen, especially after eating.
Griping in abdomen like colic, immediately after eating.
Pressure in lower abdomen, extending to genitals, as if everything in abdomen would fall out and menses come.
Itch-like eruption on lower part of abdomen.
Swelling (generally painful) of glands of groin and axilla.

Stools and rectum

Passes much sour smelling or fetid flatus ; feces escape.
Stools : yellow ; soft or watery, with violent, sudden urging and tenesmus ; watery, yellow, discharged with gush ; < from milk or after eating and from taking cold ; spotted with blood ; sour smelling ; yellow, with burning and tenesmus ;
frequent, ineffectual urging, alternately with liquid stools ; soft, preceded by colic.
Discharge of blood during stool.
Yellow substance, like pulp of an orange, in stool ; climacteric period.
Difficult evacuation of stool that was not hard ; was obliged to make great effort before it could be discharged.
Insufficient stool, with tenesmus, followed by burning in eyes and urethra ; great sexual excitement. θ Constipation.
Constipation, alternating with soft and liquid stools.
Before stool : cutting ; strong urging ; severe colic with rumbling in abdomen.
During stool : tenesmus ; burning and cutting in anus and rectum ; sexual excitement.
After stool ; pain in rectum.
Itching in anus.
Tapeworm with stool ; itching creeping in anus.

Urinary organs

Pressure in region of bladder.
Frequent desire to urinate, discharge scanty or copious.
Nocturnal, involuntary micturition.
Urine : dark yellow, fetid, sour, or like horse's urine ; deposits a mucous sediment like well water, when she must go often, pain mostly in right leg as if veins were bruised.
Burning in urethra during and after micturition.

Male sexual organs

Increased sexual desire ; priapism.
Nocturnal erections and pollutions, or emissions without erections.
Incomplete coition, short erection, speedy emission.
Chronic hypertrophy of prostate, small and painless, only detected by physical examination suggested by discharge of prostatic fluid at stool and when urinating.
Straining and tenesmus, with a voluptuous sensation in genitals.
Prostatorrhœa after urinating and after difficult stool.
Inflammation, swelling and easy excoriation of prepuce and glans penis.
Soreness between scrotum and thighs.
Heaviness and drawing in testicles ; testicles feel bruised.

Female sexual organs

Pressure in hypogastrium as if everything would come out ; indurated cervix and ill shaped os.
Bearing down as if everything would come out ; melancholy ; oversensitive to music ; backache ; heaviness, < sitting, > moving ; bruised pain over back at night, tension, boring from tip of left scapula through ; skin dry, rough.
Passive congestion of uterus, causing pulsation there during and after coitus, due to extra influx of blood caused by sexual erethism.
Pressure as if uterus would protrude.
Motion as from fetus in uterus.
Moles in uterus.
Menses : too early and long lasting ; preceded by drawing in nape of neck and headache ; with tearing headache, distended abdomen in morning, > by diarrhœa ; nervous, cannot bear music ; < in a thunderstorm.
Metrorrhagia.
Deficient menstruation in adult females.
Dysmenorrhœa ; sterility.
Congenital defective growth of anterior vaginal wall, with ill shaped os.
Discharge of mucus from vagina after an embrace, causing sterility.
Profuse leucorrhœa, after frequent attacks of colic, with writhing about umbilicus.
Leucorrhœa, with frequent copious urination.
Leucorrhœa thick, yellow, putrid, ceasing after urinating.

Pregnancy. parturition. lactation

Expels moles, prevents false conception.
Labor pains weak or accompanied by anguish and sweat, with desire to be rubbed.

Voice and larynx. trachea and bronchia

Hoarseness, with roughness of chest, coryza, chilliness and scraping, painful cough.

Respiration

Dyspnœa and shortness of breath from tension of chest.

Cough

Cough : dry, with stopped catarrh ; violent, dry, < when entering a warm room ; short, with rattling in chest ; with rumbling, incarcerated flatus ; with salty, purulent, greenish sputa.

Inner chest and lungs

Pressing stitches in chest.
Burning soreness in right mid chest ; loose cough, no sputum ; coldness between scapulæ, seems unable to give any exact voluntary statement ; pain in right rhomboid muscle when sewing or exercising, and in damp weather ; moves to
opposite side sometimes.

Heart, pulse and circulation

Painful cracking in region of heart.
Violent, anxious palpitation of heart when ascending and at night when lying on left side.
Burning and distress along spine, with palpitation ; thinks he has heart disease.
Palpitation : woke her at night, while lying on left side ; on going up stairs ; prevents lying on side.
Pulse excited at night, with ebullitions.

Outer chest

Chilliness in one (left) side of thorax.

Neck and back

Cervical glands swollen.
Goitre pressing pain ; round, hard swelling on upper r. part of gland.
Stiffness of neck.
Cracking of cervical vertebræ on moving head.
Rigidity and drawing between scapulæ in open air, or in back, extending as far as anus, in paroxysms and terminating in a stitch when sitting or lying.
Stitch in back, sometimes as far as left side of chest, evening and night.
Backache ; violent after walking.
Stitches in small of back while sitting.
Tingling (formication) in back.
Pustules on small of back.

Upper limbs

Rheumatic pain of shoulder, arms and elbows, with weakness of arms.
Pressing pain on shoulders.
Has to stretch arms, with anxiety.
Twitches and twitching sensation in arms and fingers on taking hold of anything.
Drawing pain in elbow.
Warts on arms and backs of hands ; painful to touch.
Cutting pain in hands.
Trembling of hands, morning.
Contraction of fingers.
Swelling of hands in afternoon.
Eczema, skin of dorsa of hands rough, dry and chapped.
Jerking sensation in finger joints.
White bulla, with red areola on index finger.
Panaritium.

Lower limbs

Tearing and bruised pain in right hip. θ Dysmenorrhœa.
Jerkings in lower extremities and in parts of lower body.
Unsteadiness while walking, stumbling, slipping.
Lower extremities feel very heavy and bruised.
Heaviness of legs and feet, with tension in them while sitting or walking.
Creeping, stinging in muscles of thighs and beneath epigastrium.
Blotches (as in lepra) on legs.
Hollow of knee painful on motion.
Tension in bend of knee ; muscles shortened.
Cramp of calves.
When walking in open air sensation as if a knife pierced calf of leg and as though blood trickled down it.
Lower legs swollen, inflamed, red and covered with ulcers.
Easy dislocation and spraining of ankle ; ankle is so weak that it gives way ; foot bends under.
Cutting pain and cramps in feet.
Very cold feet.
Burning in feet, especially soles, while walking.
Swelling of feet and soles of feet, with stinging in them when walking or stepping on them.
Soreness of feet, particularly of soles.
Stitches as with needles in sole of right foot ; sole swollen.
Throbbing and crawling in heels.
Ulcer on heel from spreading blisters.
Black, ulcerated pustules on heel.
Blisters on points of toes, as if scalded.
Smarting and soreness between toes ; excoriation.
Swelling, tearing and soreness in (big) toes, no sleep.
Red spot on big toe, as if contused.
Violent stitches in a corn.
Boring, drawing and stinging in corns.
Cold feet.
Pressing pain in dorsa of feet.

Limbs in general

Great weakness of lower extremities and heaviness of arms.
Cutting pains in hands and feet.
Vesicular places of tips of all fingers and toes, as if scalded, extending around nails as if they would come off.

Rest. position. motion

Rest : vertigo < ; dulness of head.
Lying : on left side, palpitation ; stitch in back to anus.
Must lie down : weariness.
Sitting : backache, heaviness < ; stitch in back to anus.
Sewing : pain in right rhomboid muscle.
Most symptoms appear while sitting and go off on motion, pressing and rubbing.
Moving : backache and heaviness > ; of head, cracking of cervical vertebræ ; hollow of knee painful ; causes profuse sweat.
Suddenly turning head : frontal headache.
On taking hold of anything : twitches in arms and fingers.
Has to stretch arms : with anxiety.
When ascending : anxious palpitation.
On stepping : foot bends.
Walking : violent backache ; unsteadiness ; heaviness of legs and feet with tension ; as if knife pierced calf of leg ; burning in feet ; swelling of feet with stinging.
Exercising : pain in right rhomboid muscle ; causes great debility.

Nerves

Great debility from any exertion ; unsteady walk, any little obstruction on pavement causes him to fall, or falls without apparent cause.
Is ready to drop after a short walk.
Exhaustion from mental effort.
Great prostration and heaviness of whole body.
Great lassitude and vertigo from effects of exposure to sun.
Uneasiness.
Twitching in muscles and limbs.
Contractions of muscles, hands, bends of knees, neck, etc.
Hysteria.

Sleep

Sleepiness : during day, with yawning.
Falls asleep late at night.
Awakes too early in morning.
During sleep : starts, twitches ; vivid dreams, violent erections and sexual excitement ; restless, with ebullitions, palpitation and nightmare.
Dreams : anxious ; confused ; pleasant ; amorous.

Time

Morning : dulness in occiput ; agglutination of eyes ; mucus hawked up ; violent retching ; distended abdomen ; trembling of hands ; sleepiness ; awakes too early ; shivering for one hour ; sudden chilliness not followed by
heat ; bloating of whole body.
About 10 or 11 A. M. : weak feeling in stomach.
During forenoon : lachrymation ; ravenous hunger ; chilliness <.
During day : coryza ; sleepiness ; feeling of coldness in lower extremities ; cold and chilly.
Noon : headache.
Afternoon : thirst ; frequent eructations ; swelling of hands ; bloating of whole body <.
After dinner : needle-like stitches in both eyes.
Evening : restlessness of body ; headache in forehead with nausea, eructations and dimness of sight ; stitch in back.
Night : flashes and streaks of light before closed eyes ; coryza < ; mucus collects in throat ; bruised pain over back ; palpitation ; pulse excited ; stitch in back ; falls asleep late.

Temperature and weather

Sequela of exposure to heat of sun ; inability to think ; head feels stupefied and aches when in sun ; dazzling flashes or black spots before eyes ; dimness of sight ; palpitation ; trembling of hands ; debility from least exertion ;
restless, unrefreshing sleep ; profuse sweat from least exertion.
Great debility caused by heat of summer.
Chronic effects of sunstroke ; may have been overcome by heat years ago, and now, with return of hot weather, suffers from headaches.
Open air : exercise, vertigo > ; rigidity and drawing between scapulæ ; when walking, as if knife pierced calf of leg.
In room : headache < ; cough <.
In sun : vertigo ; dulness in head ; exposure to, causes vertigo and great lassitude.
Draft of air : coryza <.
Averse to uncovering.
Damp weather : pain in right rhomboid muscle.
Change of clothing : coryza <.
After getting a thorough wetting : skin perfectly dry, formerly perspired easily, and chronic coryza.
Cold water : great thirst for it, but < after drinking it ; stitches in left hypochondrium.
Bad effects of a cold drink while overheated.

Fever

Chilliness and shivering for one hour in morning.
Sudden chilliness, not followed by heat in morning.
Feeling of coldness in lower extremities even during day.
Continued chill in left side.
Cold hands and feet, with hot head.
Cold and chilly all day, < in forenoon ; hands and feet cold, head hot, or hands and feet hot, with cold cheeks.
Evening chilliness, dulness of head ; then heat and sleep.
Heat, with general sweat.
Flushes of heat from (nose) down back ; irritability ; averse to uncovering.
Heat of face.
Sweat profuse from every exertion ; anxiety.
Burning sweat on forehead where hat presses.
Night sweat, alternating with dry skin.
Morning sweat.
Cold, anxious sweat.

Attacks, periodicity

At certain hours of day : tearing pain in forehead returns.
Alternately : ineffectual urgings and liquid stools ; constipation and liquid stools ; night sweat and dry skin.
Alternate days : coryza <.
Worse during full moon.
Every morning : pulsating headache in vertex.
Every night : troublesome stoppage of nose ; pressing toothache ; involuntary micturition.
Before menses : chronic otitis media.
For seven or eight months : loss of hearing in right ear.

Locality and direction

Right : drawing and tension in right side of occiput ; long continued pressure in side of occiput ; loss of hearing ; singing in ear ; fulness in ear ; as if something moved in ear ; violent sharp stitches in hypochondriac region ; pain
in leg ; burning soreness in chest ; pain in rhomboid muscle ; hard swelling on upper part of gland ; tearing and bruised pain in hip.
Left : shooting pain in frontal eminence to lower occiput ; sounds seem to come from left side when they really come from right ; roaring in ear ; caries of molar teeth ; pain in side of face ; stiffness of shoulder ; stitches in hypochondrium ;
boring from tip of scapula ; chilliness in side of thorax ; stitch in back as far as side ; stitches in sole of foot ; chill in side.
Particularly upper right, lower left side.
From within outward : stitches in eyes.

Sensations

Head as if too large ; as if forehead would burst ; as if head would be drawn back ; as of feathers before eyes ; as if ears were closed up ; as of a bubble bursting in ear ; on swallowing, feeling as if something moved in right ear ; as if
tip of tongue was cracked ; dryness of mouth as if caused by heat of breath ; swellings as if from incarcerated wind ; as if veins of right leg were bruised ; pressure in hypogastrium as if everything would come out ; as if uterus would protrude ; motion as from
a fetus in uterus ; as if a knife pierced calf of leg and as though blood trickled down it ; stitches as of needles in sole of right foot ; blisters on points of toes, as if scalded ; red spot on big toe as if contused ; as if nails would come off ; itching as
from fleas.
Pain : in forehead ; in left frontal eminence to lower occiput ; from occiput to vertex ; in left side of face ; in small of back and left leg ; in bones of face ; in stomach ; in rectum ; in right rhomboid muscle ; in back.
Stupefying pain : in forehead.
Stitching, tearing, throbbing : in forehead, temples, vertex.
Tearing pain : in forehead ; in right hip ; in big toes.
Shooting pain : in left frontal eminence to left lower occiput ; in vesicles.
Violent sharp stitches : in right hypochondriac region ; in region of spleen ; in a corn.
Sharp piercing stitches : in ears.
Needle-like stitches : in both eyes.
Pressing stitches : in chest.
Stitches : in head and out of eyes ; in left hypochondrium ; in hepatic and splenic region ; in back ; in small of back ; in sole of right foot.
Cutting : in stomach ; in anus ; in rectum ; in hands ; in feet.
Pulsating pain : in vertex.
Digging, boring : toothache.
Boring : from tip of left scapula.
Boring, drawing stinging : in corns.
Stinging : in eye.
Pressing, drawing, cutting : in stomach.
Griping : in stomach ; in lower abdomen.
Writhing : about umbilicus.
Cramp : in stomach ; of calves ; in feet.
Rheumatic pain : of shoulder, arms and elbows.
Pressing pain : in forehead ; in teeth ; in goitre ; in stomach ; on shoulders ; in dorsa of feet.
Drawing pain : from occiput to nape ; in stomach ; in elbow.
Bruised pain : over back ; in right hip.
Smarting : between toes.
Burning soreness : in right mid chest.
Burning : about tip of tongue ; of blisters in mouth ; of eyes and urethra ; in anus ; in rectum ; along spine ; in feet.
Soreness : of mouth ; in stomach ; between scrotum and thighs ; of feet, < soles ; between toes ; in big toes.
Stinging : in feet.
Creeping, stinging : in muscles of thighs and beneath epigastrium.
Throbbing and crawling : in heels.
Tingling : in back.
Painful cracking : in region of heart.
Painful sense of emptiness : in occiput.
Burning heat : of face.
Bruised, heavy feeling : in lower extremities.
Drawing : in right side of occiput ; in testicles ; in nape of neck.
Violent pressure : in stomach.
Long continued pressure : in right side of occiput.
Dull pressure : from occiput to nape ; in stomach ; in region of bladder ; in hypogastrium.
Tension : in head ; in right side of occiput ; in nape ; in legs and feet ; in bend of knees.
Heaviness : of upper lids ; of tongue ; in stomach ; in testicles ; of legs and feet ; of arms ; of whole body.
Fulness : in right ear.
Constriction : around stomach.
Stiffness : of neck and left shoulder.
Obstruction : in head.
Dryness : of mouth and lips ; of throat.
Squeaking sensation : at root of nose.
Voluptuous sensation : in genitals.
Gone, weak feeling : in stomach.
Twitching sensation : in arms and fingers.
Jerking : in finger joints ; in lower extremities and in parts of lower body.
Itching : in anus ; over whole body ; in vesicles.

Tissues

Emaciation, with pale face, dilated pupils ; dark urine.
Bloating of whole body mornings, > in afternoon.
Pallid anemia, with great debility, with watery or milky whiteness of skin, when disease is due to an original inertia and phlegmatic state.
Putrid leucorrhœa, uterine troubles ; vitality below par.
Subacute, inflammatory irritation of whole alimentary mucous membrane, from mouth to anus.
Swelling and induration of glands ; scrofulosis.

Touch. passive motion. injuries

Generally > from touch, pressing or rubbing parts gently.
Cutting pain, burning and stinging in wounded parts.
Touch : peeling off of dorsum and tip of nose painful ; ulcers and blisters painful ; soreness in stomach < ; pit of stomach sensitive ; warts on arms and backs of hands.
Desire to be rubbed : during labor pains.
Where hat presses : burning sweat on forehead.
Easily sprained ; disposition to be sprained by any exertion ; old sprains.

Skin

Itching over whole body as from fleas.
Sensation of formication.
Skin of whole body becomes dry, rough and cracked in places.
Red vesicles filled with fluid in bend of elbow, in fold between genitals and thigh and on chin.
Vesicles, with shooting pains and itching.
Spreading and suppurating herpes.
Herpes : iris ; circinatus ; suppurating.
Yellow rings like remains of herpes.
Itch-like eruption on lower part of abdomen.
Light brown spots (freckles) on face.
Warts : ulcerate ; sensitive to touch.
Ulcers, with swelling and inflammatory redness of affected parts ; burning, pricking and pulsating ; pus corroding, acrid, putrid and yellow.
Rose colored blotches in leprous patients.
Spots and tubercles all over face, arms, thighs and legs, which ulcerate ; leprosy.
Elephantiasis græcorum.
Amelioration by gently pressing parts or rubbing.

Stage of life, constitution

Leuco-phlegmatic constitutions, with aversion to open air and dislike to exercise, physical or mental.
Boy, æt. 15 ; goitre.
Girl, æt. 16, lymphatic habit ; coryza.
Man, æt. 27, private secretary ; goitre.
Woman, æt. 40, large, leuco-phlegmatic ; affection of chest.
Woman, music teacher, suffering from chronic coryza, after getting wet ; suppression of sweat.

Relations

Antidoted by : Camphor, Spir. nitr. dul .
It antidotes : Cinchona .
Compatible : Calc. ostr., Nux. vom., Pulsat ., Sepia , Sulphur .
Compare : Natr. sulph ., which is preferable for yeast-like vomiting, with pallid, dirty and broad tongue ; Arsen., Carbo veg., Lycop., Mercur., Natr. mur., Phosphor., Silic .

Lectures on Homoeopathic Materia Medica

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

Lecture

Proved by Hahnemann, Hering and others.

Persons who are in the habit of taking carbonate of soda for sour stomach get a proving of this remedy. I have met some of these people and been able to confirm many Natrum symptoms.

Old dyspeptics who are always belching and have sour stomach and rheumatism; after twenty years they are stoop-shouldered, pale, sensitive to cold, chilly, aggravated by the least draft; require much clothing; unable to resist the cold or the heat; require a medium climate; are worse from the changes of the weather; their digestive, rheumatic, and gouty troubles are all worse from the weather changes.

Mind

A state of trepidation from the slightest noise, the slam of a door; nervous excitement and palpitation with great prostration; nervous weakness with trepidation; weakness from slight exertion of mind or body; internal and external trembling.

The rattling of paper causes palpitation, irritability and melancholy. Estrangement from family and friends. Aversion to mankind and to society; to relatives, to strangers; feels a great division between himself and them; sensitive to, certain persons.

Music causes a tendency to suicide, melancholy, weeping and trepidation; playing the piano is so exhausting that she must lie down; music causes great sadness which increases to religious insanity.

This is true of all the Sodiums, but especially so of Natrum carb.; aggravation from the slam of a door, a pistol shot, which causes headache and complaints in general, aggravated from music.

Nervous exhaustion, physical exhaustion, weakness of mind and body.

Book-keepers lose the ability to add up figures. In reading a page, the one previous to, it soon goes out of the mind. The memory will not hold out from the beginning to the end of a sentence. Forgets what he reads.

Confusion of mind follows and then he is unable, to perform any mental labor. Men become so fatigued from the details of business that a confusion of the mind comes over them, they get brain fag.

Oversensitive to heat, especially after sunstroke, even some years after; has to be well shaded when walking in the sun, must seek a cool or dark place the patient has not had the proper acute remedy during the attack the remedy is aggravated by both cold and heat, but this is a special aggravation from the heat of the sun; head troubles are not worse from cold in Natr. carb.

Old cases of brain fag with weakness and trepidation. The body troubles are aggravated from cold and in the winter; as cold as if he had no blood in the body, extremities cold, and he cannot get them warm; cold as ice to, the knees and elbows.

The body and extremities are worse in winter, the head in summer.

Anxious trembling and sweating during pains.

The senses are all disturbed; oversensitive to light pain in the eyes from a bright light.

Oversensitive hearing; little noises seem enormous, like thunder; the crumpling of paper seems like the crashing of a waterfall.

Taste perverted, too sensitive, so that the tasting of things ordinarily grateful becomes painful; sometimes loss of taste.

Loss of smell. Hay fever, catarrhal fever; where catarrhal conditions are present there is copious, thick, yellow, purulent discharge from the eyes, nose, vagina.

The vesicles are filled with thin, white serum, but the pustule, when it ruptures, throws out a thick, yellow discharge. Leucorrhoea thick, yellow, ropy; gonorrhea of the same character; thick, yellow, ropy, purulent discharge from the bladder which clogs up the urethra when urinating.

Otalgia, with sharp, darting, piercing pains when the mental state, the chilliness and other generals are present. The discharges are commonly offensive.

Coryzas trouble much; always has a cold in the head the watery discharge is of short duration and is soon followed by a thick copious flow of yellow mucus.

Ulceration, thick crusts; sleeps at night with the month open; dry, yellow crusts are blown out with pain and bleeding. The catarrh increases with each fresh cold, until it becomes foetid; the bones of the nose are affected; almost a constant headache over the eyes, in the forehead, at the root of the nose; congestive headaches, worse from change of weather, cold room, damp weather; increased by every storm.

Most foetid ozoena, mucous membranes ulcerated and destroyed.

Pale face with blue ring around the eyes, yellow blotches on the forehead, puffiness. There is puffiness in general; the hands, feet, face pit on pressure; infiltration of the cellular tissue; those states of the heart and kidneys that favor dropsies; old malarial cases, flesh doughy; urine albuminous.

Enlargement of the glands with induration, axillary, inguinal, abdominal, salivary. Especially suitable for enlargement of the prostate in old men. Chronic enlargement of the parotids, slow and of long duration; of the tonsils.

Ulcerations of the mouth; nursing sore month in women; thrush in infants; little white aphthous patches, especially in nervous, withered infants who cannot stand any kind of milk, who have diarrhoea from milk; they thrive better on cereals; when asleep the child jumps, cries, springs up and grasps the mother; a nervous, cold baby, easily startled like the Borax baby.

So are the Natrum babies in general.

Accumulation of mucus in the throat and posterior nares, generally yellow in color, while with Natr. mur. it is white; the latter spits up copious, thick, white mouthfuls.

Natr. carb. is ameliorated by eating; when chilly, he eats and is able to keep warm; the pains are ameliorated after eating; he has an all gone feeling and pain in the stomach which drives him to eat; he gets hungry at 5 A.M. and 11 P.M. 5 A.M. is the favorite time for the Natr. carb. aggravation; he becomes so hungry at this time that he is forced out of bed to eat something, which also ameliorates the pain.

Headache, chilliness, and palpitation better from eating ( Ignat., Sepia, Sulph.).

Nervous hunger in pregnant women, who cannot sleep unless they get up at night and eat crackers, calls for Psorinum.

Locomotor ataxia with its fulgurating pains, amel. by eating; gnawing, all-gone, hungry feeling in the stomach. Soles numb, in males erections and priapism, sensitive thighs, hypersensitive spine; the results of too much excitement.

Emissions; ejaculation of semen premature.

Thirst in the afternoon, incessant; thirst between chill and heat great desire for cold water a few hours after dinner. Extreme aversion to milk.

Flatulency and accumulation of wind in the bowels; diarrhoea; stool yellow, soft with violent tenesmus and urging; a yellow substance like the pulp of an orange in the stool; diarrhoea from milk.

The most troublesome constipation; stool hard, dark, smooth and crumbling. All the Natrums take away the desire to go to stool; no ability to bear down; stool large and hard, great effort to pass it.

Prostatorrhoea after urinating and a difficult stool.

Sterility, a constitutional state in a woman where she is unable to, conceive; she is nervous, cold to the knees and elbows; cold body in winter, hot head in summer; always tired; relaxation of the sphincter vaginae causing the seminal fluid to gush out as soon as ejaculated by the male, thus causing sterility.

There may be a spasm of the sphincter, producing the same effect, or a clot of blood or mucus shoots from the vagina with noisy flatus. Nervous, fidgety, excitable, lean, dyspeptic women, not hysterical. Menses too soon or too late; neuralgias, oversensitive to drafts and dampness, sensitive spine, legs numb; leucorrhea yellowish-green, copious.

Paralytic states; ptosis or spasms of the lids; difficult swallowing, must drink much water to wash the food down on account of paralysis of the pharynx; paralysis of the bowels, cannot bear down at stool; stool like sheep's dung; paralysis of the left lower extremity with tingling.

Palpitation at night when ascending and while lying on left side. Many spinal symptoms. Goitre.

Stiffness of the neck, violent backache after walking. Rheumatic pains in the extremities. Jerking in all the limbs. Stumbling while walking. Weak ankles in children. Heaviness of the legs. Pains in the hollow of the knees on motion. Tension in the bend of the knee. Easy dislocation of the ankle.

The soles burn while walking. Ulceration of the heel from blisters. Icy cold feet. Weakness of the legs. Vesicles on tips of fingers and toes. Spots and tubercles on the skin. Skin dry and cracked. Itching and crawling.

Digestion

The more soda these patients take, the more flatulent do they become; they are stoop-shouldered; digestion is difficult, and finally milk will not digest at all, bringing on a diarrhoea with undigested, lienteric stools; also, starch causes flatulence and looseness of the bowels, Many symptoms from drinking cold water when overheated.

Urine offensive like that of a horse, from a vegetable or milk diet. This is not so marked as in Nitric ac., but resembles it.

Skin

Natrum carb. throws out eruptions upon the knuckles and fingertips; also the toes; vesicular eruptions open up and form ulcers on the joints of finger-tips.

Borax, Sepia, Ars., and Natrum carb. are the remedies most inclined to produce ulceration of the tips and knuckles of the fingers, and also the toes.

Vesicular eruptions on the body in patches and circles; the herpes family is especially, related to Natr. carb.; zona, herpes labialis, herpes preputialis; patches as large as a dollar on the hips, thighs and back. Smaller patches show vesicles containing a white serum, burning, smarting and itching, better from scratching.

The eruption passes away with a crust, but will often ulcerate, it does not heal and an ulcer forms. Circulation feeble; wounds suppurate. Feet and skin burn. Crusty eruptions on the skin that have not been vesicular; but most Natr. carb. and Natr. mur. eruptions are of the vesicular form. Tingling, biting, itching, changing place, now here and now there; cold skin; sweaty body.