Natrum Muriaticum nat-m.

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

NUTRITION: Digestive tract. BRAIN. BLOOD. MUSCLES. MIND. HEART. GLANDS: MUCUS. Spleen. Liver. Skin.

Worse

PERIODICALLY: 9-11 A.M. With the sun. After menses. Alternate days (Ars. Chin.). HEAT: Sun. Summer. Dampness. Exertion; eyes, mental. Violent emotions. Sympathy. Puberty. Quinine. Old malaria. Silver salts.

Better

Open air. Cool bathing. Sweating. Rest. Before breakfast. Deep breathing.

General

Thin, thirsty, hopeless and poorly nourished. Emaciation; descending; < neck or abdomen. Anæmia. DRYNESS; skin, mouth, throat, rectum, vagina, etc. Numbness; of one side; parts lain on; fingers. Tremulous. Easy exhaustion. Parts seem short, hamstrings, nape, etc. Not very sensitive to pain. Takes cold. Nervous erethism. Thick white or clear acrid discharges. Exact periodicity. Malarial cachexia.

Particulars

Hateful; detests consolation or a fuss. Inconsolable. Easily angered; < if consoled. Sad, reserved; company distresses. Hypochondria. Weeps bitterly. Boisterous grief. Scattered thoughts, or an idea clings, prevents sleep, inspires revenge, etc. Anxiety. Apprehension. Fears or dreams of robbers. Vertigo; as if falling, on closing eyes. Nodding motions. HEADACHES; hammering; heavy; bursting; maddening; over eyes; on vertex, on awaking; with partial numbness or disturbed vision; < reading; < motion, even of eyes; > pressure on eyes. Migraine. Falling hair. Eyes feel drawn together. Lachrymation on affected side (Spi.); on sneezing, coughing, etc. Ptosis, on lying down. Vision blurred, wavering. Letters run together. Hemiopia, then headache. Can't read by artificial light. Nose stopped, high up; sneezing early in A.M.; alternate fluent and dry coryza; gushes of fluid; little ulcers in. Face; pale, muddy or greasy. HERPES ABOUT LIPS; or at edge of hair; pearly. Throbbing in lower jaw, < biting, < heat and cold. Exophthalmic goitre. Hawks much mucus; bitter. TONGUE MAPPED; beaded or striped along edge. Blunted taste and smell. Uvula hangs to one side. Throat; a spot is dry, sore, tickles, causes cough, etc.; glistens. Thirst; drinks large quantities. Hunger great, yet emaciates; without appetite. CRAVES SALT. Averse to bread. Burning eructations; after eating. Waterbrash. Epigastric pulsation. Anxiety in stomach, rises to head. Tense abdomen; < groins. Dry, hard, crumbling stool, tears anus or causes burning; coated with glassy mucus; on alternate days. Chronic diarrhœa. Constricted rectum. Herpes ani. Red urinary sediment. Coition; painful; averse to; then backache, weak legs, depression, etc. Suppressed gonorrhœa. Debilitating leucorrhœa, replaces menses. Cough; from tickling in epigastrium; with asthma or palpitation; < winter. Respiratory catarrhs, after suppressed sweats. Heart; palpitation, shaking body or alternates with beating in head; fluttering; weak; sore; < emotions, lying on (l) side, or motion. Sore neck muscles. Bruised backache, early in A.M.; < coughing, > lying on back, or pressure. Cracked finger-tips. Catch in knees. Hamstrings seem short or drawing in. Sobs during sleep. Awakes feeling weak. Skin, oily; dry, harsh, dirty, unhealthy or yellow; chaps or herpetic eruptions, < flexures or about knuckles. Coldness of many parts; hands, feet; heart. Morning chill, with thirst. Chilly, but < in sun. Sweat, cold, scanty; at edge of hair; on nose, on face, while eating (Cham.).

Related

Complementary: Ign. Sep. Related: Pul.

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

For the anaemic and cachetic; whether from loss of vital fluids - profuse menses, seminal losses - or mental affections. Great emaciation; loosing flesh while living well (Abrot., Iod.); throat and neck of child emaciate rapidly during summer complaint (Sanic.). Great liability to take cold (Cal., Kali c.). Irritability: child cross when spoken to; crying from slightest cause; gets into a passion about trifles, especially when consoled with. Awkward, hasty, drops things from nervous weakness (Apis, Bov.). Marked disposition to weep; sad weeping mood without cause (Puls.), but consolation from others < her troubles. Headache: anaemic, of school girls (Cal. p.); from sunrise to sunset; left sided clavus; as if bursting; with red face, nausea and vomiting before, during and after menses; as though a thousand little hammers were knocking in the brain during fever; > by perspiration. Headache; beginning with blindness (Iris, Kali bi.); with zig-zag dazzling, like lightening in eyes, ushering in a throbbing headache; from eye strain. Lachrymation; tears stream down the face whenever he coughs (Euphr.). Hay fever: squirming sensation in the nostril, as of a small worm; brought on by exposure to hot sun or intense summer heat. Sensation as of a hair on the tongue (Sil.). Tongue: mapped, with red insular patches; like ringworm on sides (Ars., Lach., Mer., Nit. ac., tarax.); heavy, difficult speech, children slow in learning to walk. Constipation: sensation of contraction of anus; torn, bleeding, smarting afterwards; stool, dry, hard, difficult, crumbling (Am. c., Mag. m.); stitches in rectum (Nit. ac.); involuntary, knows not whether flatus or faeces escape (Aloe, Iod., Mur. ac., Olean., Pod.). Urine: involuntary when walking, coughing, laughing (Caust., Puls., Scilla); has to wait a long while or urine to pass, if others are present (Hep., Mur. ac.); cutting in urethra after (Sars.). Seminal emission: soon after coition, with increased desire; weakness of organs with retarted emission during an embrace; impotence, spinal irritation, paralysis, after sexual excesses. Pressing, pushing towards genitals every morning; must sit down to prevent prolapsus (Lil., Mur., Sep.). Fluttering of the heart; with a weak, faint feeling < lying down (Lach.). The heart's pulsations shake the body (Spig.). The hair falls out when touched, in nursing women (Sep.); face oily, shiny, as if greased (Plb., Thuja). For the bad effects: of anger (caused by offence); acid food, bread, quinine, excessive use of salt; of cauterization of all kinds with the silver nitrate; to grief, fright, vexation, mortification or reserved displeasure (Staph.). Hangnails: skin around the nails dry and cracked (Graph., Pet.); herpes about anus and on borders of hair at nape of neck (in bend of knees, Hep., Graph.). Warts on palms of hands (sore to touch, Nat. c.). Dreams: of robbers in the house, and on waking, will not believe to the contrary until search is made (Psor.); of burning thirst. Fever blisters, like pearls about the lips; lips dry, sore and cracked, ulcerated (Nit. ac.). Painful contractions of the hamstrings (Am. m., Caust., Guaiac.). Craving for salt (Cal., Caust.); great aversion to bread. Eczema; raw, red, inflamed, especially in edges of hair; < from eating too much salt, at sea shore, or from ocean voyage. Urticaria, acute or chronic; over whole body; especially after violent exercise (Apis, Cal., Hep., Sanic., Urt.). Intermittents: paroxysm at 10 or 11 a. m.; old, chronic, badly treated cased, especially after suppression by quinine; headache, with unconsciousness during chill and heat; sweat > pains.

Relations

Complementary: to, Apis, acts well before and after it. Natrum mur. is the chronic of Ignatia, which is its vegetable analogue. Is followed by Sepia and Thuja. Cannot often be repeated in chronic cases without an intercurrent, called for by the symptoms. Should never be given during fever paroxysm. If vertigo and headache be very persistent, or prostration be prolonged after Natrum, Nux will relieve.

Aggravation

At 10 or 11 a. m.; at the seashore or form sea air; heat of sun or stove; mental exertion, taling, writing, reading; lying down.

Amelioration

In the open air (Apis, Puls.); cold bathing; going without regular meals; lying on right side (on painful side, Bry., Ign., Puls.).

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

Great sadness.

Head and Face

Affections of the inner head; headache as though a thousand little hammers were knocking upon the brain; this pain may be felt in the forehead also; headache on awakening in the morning, whether it be early or late, lasting for two or three hours. Falling off of the hair; losing hair from the temples. Left side of the nose. Exanthema on the mouth; lips; in intermittent fever where there are large exanthematous spots, looking like large peas, on the lips (sore spots); lips look puffy. Affections of the right eye; angles of the eyes; momentary loss of sight; dimness of vision where the letters appear to run together.

Sleep

Anxious dreams; of thieves in the house, making so strong an impression that the patient wakes up and cannot get to sleep again, until the room or house has been searched; fantastic dreams.

Fever

The most characteristic and reliable symptoms are: intermittent fever with the mentioned sores on the lips, the approach of the fever being heralded by an excessive thirst before the chill and during the chill, no thirst during the fever; during the fever, or at its close, the above hammering headache begins, which lasts for a long time after the fever and perspiration have passed away; the attack comes on in the forepart of the day; after it passes off, the patient wishes to retain a recumbent position, does not "feel able" to get up, or go about anything. Pulse intermitting, or irregular. Chilliness with thirst.

Gastric

Cannot bear to eat or even think of bread; hunger without appetite, as may be very hungry, but no appetite to eat; frequent eructations.

Sexual

Female: Menstruation too late, particularly if accompanied with great sadness; lasts too long. Concomitant complaints to leucorrhœa.

Heart

Affections of the heart and region of the heart; palpitation of; enlargement of, etc., pulsations of heart intermittent.

Joints

Joints of the leg in general; poplieteal space or hollow of the knee; ankle; contraction of the joints; tension, tightness, or stiffness of the joints.

Generalities

Obstruction from inactivity of the bowels; insufficient feces. Affections of the pit of the stomach; rectum; external belly. Reddish urine; complaints after making water. Convulsions with jerkings. Jerking pain in outer parts; pain as if sprained, especially in outer parts. Muscles being shortened. Old sprains; fungus hæmatodes; polypus; hang-nails. Where the muscles or tendons are shortened, and the legs or arms are drawn up.

Worse

In the morning; periodically from mortification caused by offence; after eating; from working with the hands--which may cause pain in the chest, etc., from spraining the parts; from looking fixedly at an object; from abuse of Peruvian bark; from reading; from talking; after urinating; having leucorrhœa; from writing.

Better

While fasting before breakfast; after lying down.

Remedies following

Bryon., Calc. carb., Pulsat., Rhus tox., 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 as if bursting, beating and stitches through the neck and chest, with beat in head, red face, nausea and vomiting before, during and after menses, or during the fever stage. decreasing gradually after the .sweats. Lips dry, cracked, upper lip swollen, breaks out around the mouth. Blisters like pearls upon the lips, especially in intermittent fever. Great complaints about the dryness of the tongue, which is not very dry. Great aversion to bread of which she was once very fond. When the throat and neck of children emaciate rapidly during summer complaints. Constipation, with sensation of constriction of the anus; difficult expulsion of a stool fissuring the anus, with flow of blood, leaving a sensation of much soreness. Irregular intermission of the beating of the heart and pulse, especially when lying on the left side. Intermittent fever, especially, inveterate or badly treated cases, after quinine, in damp regions or newly turned ground, chill at 10 or 11 a.m.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Chloride of Sodium (NATRUM MURIATICUM)

General

The prolonged taking of excessive salt causes profound nutritive changes to take place in the system, and there arise not only the symptoms of salt retention as evidenced by dropsies and œdemas, but also an alteration in the blood causing a condition of anæmia and leucocytosis. There seems also to be a retention in the tissues of effecte materials giving rise to symptoms loosely described as gouty or rheumatic gout. The provings are full of such symptoms (Dr. Stonham) A great remedy for certain forms of intermittent fever, anæmia, chlorosis, many disturbances of the alimentary tract and skin. Great debility; most weakness felt in the morning in bed. Coldness. Emaciation most notable in neck. Great liability to take cold. Dry mucous membranes. Constrictive sensation throughout the body. Great weakness and weariness. Oversensitive to all sorts of influences. Hyperthyroidism. Goitre. Addison's disease. Diabetes.

Mind

Psychic causes of disease; ill effects of grief, fright, anger, etc. Depressed, particularly in chronic diseases. Consolation aggravates. Irritable; gets into a passion about trifles. Awkward, hasty. Wants to be alone to cry. Tears with laughter.

Head

Throbs. Blinding headache. Aches as if a thousand little hammers were knocking on the brain, in the morning on awakening, after menstruation, from sunrise to sunset. Feels too large; cold. Anæmic headache of school-girls; nervous, discouraged, broken down. Chronic headache, semi-lateral, congestive, from sunrise to sunset, with pale face, nausea, vomiting; periodical; from eyestrain; menstrual. Before attack, numbness and tingling in lips, tongue and nose, relieved by sleep. Frontal sinus inflammation.

Eyes

Feels bruised, with headache in school children. Eyelids heavy. Muscles weak and stiff. Letters run together. Sees sparks. Fiery, zigzag appearance around all objects. Burning in eyes. Give out on reading or writing. Stricture of lachrymal duct with suppuration. Escape of muco-pus when pressing upon sac. Lachrymation, burning and acrid. Lids swollen. Eyes appear wet with tears. Tears stream down face on coughing (Euph). Asthenopia due to insufficiency of internal recti muscles (Gels and Cup acet, when due to external muscles). Pain in eyes when looking down. Cataract incipient (Secale).

Ears

Noises; roaring and ringing.

Nose

Violent, fluent coryza, lasting from one to three days, then changing into stoppage of nose, making breathing difficult. Discharge thin and watery, like raw white of egg. Violent sneezing coryza. Infallible for stopping a cold commencing with sneezing. Use thirtieth potency. Loss of smell and taste. Internal soreness of nose. Dryness.

Face

Oily, shiny, as if greased. Earthy complexion. Fevers-blisters.

Mouth

Frothy coating on tongue, with bubbles on side. Sense of dryness. Scorbutic gums. Numbness, tingling of tongue, lips, and nose. Vesicles and burning on tongue, as if there was a hair on it. Eruptions around mouth and vesicles like pearls on lips. Lips and corners of mouth dry, ulcerated, and cracked. Deep crack in middle of lower lip. Tongue mapped (Ars; Rhus; Tarax). Loss of taste. Large vesicle on lower lip, which is swollen and burns. Immoderate thirst.

Stomach

Hungry, yet loose flesh (Iod). Heartburn, with palpitation. Unquenchable thirst. Sweats while eating. Craving for salt. Aversion to bread, to anything slimy, like oysters, fats. Throbbing in pit. Sticking sensation in cardiac orifice.

Abdomen

Cutting pain in abdomen. Distended. Pain in abdominal ring on coughing.

Rectum

Burning pains and stitching after stool. Anus contracted, torn, bleeding. Constipation; stool dry, crumbling (Am m; Mag m). Painless and copious diarrhœa, preceded by pinching pain in abdomen.

Urine

Pain just after urinating (Sars). Increased, involuntary when walking, coughing, etc. Has to wait a long time for it to pass if others are present (Hep; Mur ac).

Male

Emission, even after coitus. Impotence with retarded emission.

Female

Menses irregular; usually profuse. Vagina dry. Leucorrhœa acrid, watery. Bearing-down pains; worse in morning (Sep). Prolapsus uteri, with cutting in urethra. Ineffectual labor-pains. Suppressed menses (Follow with Kali carb). Hot during menses.

Respiratory

Cough from a tickling in the pit of stomach, accompanied by stitches in liver and spurting of urine (Caust; Squilla). Stitches all over chest. Cough, with bursting pain in head. Shortness of breath, especially on going upstairs (Calc). Whooping-cough with flow of tears with cough.

Heart

Tachycardia. Sensation of coldness of heart. Heart and chest feel constricted. Fluttering, palpitating; intermittent pulse. Heart's pulsations shake body. Intermits on lying down.

Extremities

Pain in back, with desire for some firm support (Rhus; Sep). Every movement accelerates the circulation. Palms hot and perspiring. Arms and legs, but especially knees, feel weak. Hangnails. Dryness and cracking about finger-nails. Numbness and tingling in fingers and lower extremities. Ankles weak and turn easily. Painful contraction of hamstrings (Caust). Cracking in joints on motion. Coldness of legs with congestion to head, chest, and stomach.

Sleep

Sleepy in forenoon. Nervous jerking during sleep. Dreams of robbers. Sleepless from grief.

Skin

Greasy, oily, especially on hairy parts. Dry eruptions, especially on margin of hairy scalp and bends of joints. Fever blisters. Urticaria; itch and burn. Crusty eruptions in bends of limbs, margin of scalp, behind ears (Caust). Warts on palms of hands. Eczema; raw, red, and inflamed; worse, eating salt, at seashore. Affects hair follicles. Alopecia. Hives, itching after exertion. Greasy skin.

Fever

Chill between 9 and 11 am. Heat; violent thirst, increases with fever. Fever-blisters. Coldness of the body, and continued chilliness very marked. Hydræmia in chronic malarial states with weakness, constipation, loss of appetite, etc. Sweats on every exertion.

Modalities

Worse, noise, music, warm room, lying down about 10 a m;, at seashore, mental exertion, consolation, heat, talking. Better, open air, cold bathing, going without regular meals, lying on right side; pressure against back, tight clothing.

Relationship

Complementary to Apis; Sepia; Ign.

Compare: Aqua marina-Isotonic plasma. Marine plasma is a sea water taken some miles from shore and some depth below surface, filtered and diluted with twice as much pure fresh water. It acts primarily on the blood, as in intoxications, scrofulous conditions, enteritis. It disintoxicates in cancer (administered subcutaneously in the treatment of diseases of skin, kidneys and intestines, gastro-enteritis, and tuberculosis). Scrofulous affection of children. Lymphadenitis. Lupus, eczema, varicose ulcers. A great "blood purifier and vitalizer. " Potentized sea-water in weakness, lack of reaction; symptoms worse seaside (Goitre). Sal marinum sea salt, (indicated in chronic enlargements of glands, especially cervical. Suppurating glands. It appears likely to become a most useful remedy as an auxiliary, if not as a principal, in the treatment of diseases in patients of a strumous diathesis. Also useful in constipation). Natrum selenicum (laryngeal phthisis with expectoration of small lumps of bloody mucus and slight hoarseness). Natrum silicum (hæmophilia; scrofulous bone affections; given intravenously every 3 days for senile pruritus); (Dolichos. Fagopyr). Ignat; Sep; Thuja; Graph; Alum.

Antidote: Ars; Phos; Spir nit dulc.

Dose

Twelfth to thirtieth and higher. The very highest potencies often yield most brilliant results. And in infrequent dosage.

Leaders in Homoeopathic Therapeutics

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

Leaders

Melancholy, depressed, sad and weeping; Consolation aggravates.

Great emaciation, even while living well, shows most in the neck.

Anæmia with bursting headaches, especially at the menses, also school girls' headache.

Great dryness of mucous membranes from lips to anus; lips dry and cracked, especially in the middle; anus dry, cracked, fissured; constipation.

Heart palpitates, flutters, intermits, pulsates violently, shaking the whole body; < lying on left side.

Itching eruptions, dry or moist; < at the margins of the hair.

Tongue; mapped with red insular patches.

For bad effects; of anger, nitrate of silver; too much salt; craves salt and salty things.

Hang nails; skin around the nails dry and cracked; herpes about the anus, in border of hair.

Warts on palms of hands (sore to touch, Nat.).

Now that we have introduced the Natrums, we will continue them. Common salt. A gentleman once said to me when I prescribed a dose of Sulphur 30th, "Pshaw, I get more sulphur than that in every egg I eat. How can that do me any good?" My answer was, wait and see. And he was cured of both doubts and disease. There is no remedy in the Materia Medica, I think, that so disgusts the advocates of the low potency, and, low only, as this one. The unquestionable cure of the most obstinate cases of intermittent fever with the 200th and higher potencies demoralizes them. That people eating salt in appreciable quantities right along and can't live without it, don't get well on it, and do get well on the same thing potentized, does not hold to reason, the microscope, molecular theory; spectrum analysis, or anything else scientific (so called) not being able to discover any material in the dose. But there stand the cures, like the blind man whom Jesus healed. It is a hard thing to be confronted by such facts against our prejudices. "Oh, well," said one of these doubters, "people sometimes get well without medicine." so they do with, I replied. Isn't it curious how some physicians will hoot at a potency and fly like a frightened crow from a bacillus varying in size from 0.004 millimeters to 0.006 m.m. They can hardly eat, drink or sleep for fear a little microbe of the fifteenth culture will light on them somewhere, but there is nothing in a potency above the 12th. Oh, consistency! When prejudice gives way to honest, earnest investigation for truth, the world may be better for it. Natrum mur. is one of our best remedies for anæmia. It does not seem to make much difference whether the anæmia is caused by loss of fluids (China, Kali carb.), menstrual irregularities (Puls.), loss of semen (Phos. acid, China), grief or other mental diseases. In these cases of anæmia, to which Natrum is adapted, we may, in addition to the general paleness, have emaciation, notwithstanding the patient eats well. Severe attacks of throbbing headache; shortness of breath, especially on going upstairs, or other physical exertion; scanty menstruation; more or less constipation and generally great depression of spirits. In fact, depression of spirits is characteristic of this drug; the patient weeps much, like Pulsatilla, the difference being that the Pulsatilla patient is soothed and comforted by consolation, while the Natrum mur. patient is aggravated.

There is almost always in these anæmic cases a great deal of fluttering, palpitation, and even intermittent action of the heart. I have helped many such cases with this remedy high, in single doses, only repeating when improvement lagged. I have seen a patient who had lost 40 pounds of flesh (weight, 160 lbs.), though eating well all of the time, under one dose of Natrum mur., tip the scales at 200 lbs. within three months from the time of taking. He was very hypochondriac at the time of the beginning of treatment. I cannot speak too highly of Natrum mur. in these affections. Natrum mur. is one of our best remedies for chronic headaches. They come in paroxysms and would, by their intense throbbing nature, cause one to think of Belladonna, only that they occur mostly in the anæmic, and the face is pale, or at least slightly flushed. If the face is red and burning, eyes injected, and pain of beating or throbbing nature, we would immediately think of such remedies as Melilotus, Belladonna, or Nux vom., and then look for concomitant symptoms to decide between them. The headaches of Natrum mur. are very apt to occur after the menstrual period, as if caused by loss of blood, and you know that China also has throbbing headache in such cases. With Natrum the throbbing headache occurs whether the menses be scanty or profuse. Natrum mur. also cures the headaches of school girls, and here it may be difficult to choose between it and Calcarea phos., both remedies also being particularly adapted to anæmic states. Indeed, I have sometimes missed and had to give Calcarea phos. when Natrum failed and vice versa, because I could not make the choice. These headaches are often brought on by eye-strain, as in long-continued study, close sewing, etc. Then we have asthenopia with the headache, and must study also Argentum nit. and Ruta graveolens. In actual practice such cases do sometimes occur, where the case in hand is not far enough developed in symptomatic indications to enable one to choose between two about equally indicated remedies. If a man hits it well without ever having to try but twice I can forgive him for failing the first time, and am willing to be forgiven myself. In these cases, however, let the physician be blamed, and not Homœopathy, for that never fails. So-called sick headaches often find their simillimum in Natrum mur. For want of space we cannot give all of the symptoms which might indicate it. Natrum mur. acts upon the whole alimentary tract, from mouth to anus, and has very characteristic symptoms guiding to its administration. The lips and corners of the mouth are dry, ulcerated, or cracked (Condurango). In this it resembles Nitric acid, as it also does at the other end of the alimentary canal; for with both remedies the anus is fissured, sore, painful and sometimes bleeding. Antimonium crudum and Graphites are also to be remembered in this connection; but while Graphites has the affection of both mouth and anus, it is more of an eczematous or eruptive character than either of the other remedies. Natrum has great sense of dryness in the mouth without actual dryness. Now Mercury has thirst with moist mouth, but there is with this remedy swollen tongue, or flabby tongue, with indentations or prints of the teeth upon it, and very offensive breath, all of which is not markedly so of Natrum mur., so there is no danger of confounding the two. You will remember that although alike or similar in their mind symptoms Pulsatilla has the exact opposite as regards this symptom, viz., dry mouth with no thirst, furnishing a very marked contrast where a choice is necessary. Natrum has another similarity to Pulsatilla, in that it has bitter taste, and loss of taste. Again Natrum has a sensation upon the tongue similar to Silicea, viz., sensation of a hair upon the tongue (also Kali bich.). Deep painful fissure in middle upper lip is given in Guiding Symptoms, but I have found it in the lower lip and believe it to be just as characteristic. I made a splendid cure, being led to examination of the remedy by this symptom.

Blisters like pearls around the mouth are found in Natrum mur., especially in intermittents. If the upper lip is much thickened or swollen, not of an erysipelatous character, we would think of three remedies, all of which have it, Belladonna Calcarea ost., Natrum mur. Alone, of course, this symptom would not amount to much but is strongly corroborative if found in connection with other symptoms of any of these remedies. The symptoms of the gums may be summer up in one word, scorbutic. Now study also Mercurius, Carbo veg., Muriatic acid, etc.

There is another curious symptom in which I was helped by the elder Lippe to prescribe Natrum mur. with success in a case that had baffled me for a long time, viz., numbness and tingling of tongue, lips and nose. This came in connection with a chronic soreness of the liver, derangement of digestion, such as is often found in a condition which is popularly termed biliousness. This condition Natrum mur., given very high (said Lippe) c. m., clears up the case in a very short time. Map tongue is found under Natrum mur., Arsenicum alb., Lachesis, Nitric acid, and Taraxacum. I have used Natrum with success oftener than the others. I have not found Natrum mur. a great throat remedy, except in follicular pharyngitis, which had been abused with local applications of Nitrate of Silver. In post-diphtheritic paralysis of the muscles of deglutition Lachesis or Causticum have served me much better. Salivation profuse, watery and salty, is the reactionary or secondary action of Natrum and may find its remedy here. but this is not so often found as the other condition of dryness. Natrum mur has some strong characteristics under the head of appetite, thirst, desires and aversions. No remedy is more hungry, yet he loses flesh while eating well. (Acetic acid, Abrotanum, Iodine, Sanicula and Tuberculinum). Iodine has this canine hunger with emaciation; but after eating the Natrum patient feels weary and sleepy, while the Iodine one feels better. The Natrum patient after eating feels dull, with heavy aching and sense of fullness and discomfort in the region of the stomach and liver, which is relieved as digestion advances (see China); but the Iodine patient wishes to eat all of the time and feels comfortable only when the stomach is full or being filled. There are several remedies which are either hungry or relieved by eating, notably Anacardium, Chelidonium and Petroleum, as well as Natrum mur. and Iodine. One might add also as hungry remedies China and Lycopodium. The Anacardium has pain in the stomach which extends to the spine, and an all gone sensation which must be relieved by eating; and after two hours returns and he must eat again. Chelidonium hunger is accompanied with the characteristic liver symptoms. (See Chelidonium). In China, Natrum mur. and Lycopodium hunger, patient fills up quickly and fullness, flatulence and distress follow until the process of digestion is well advanced, when they are relieved. Again, Natrum mur. is a very useful remedy for an abnormal craving for salt. Patient salts everything he eats. A dose of the c. m. corrects this craving and often cures other symptoms accompanying. Causticum also has this symptom, and if the other symptoms indicate must take the preference. Of course the intense thirst of salt is well known, and keep pace with the hunger. Now this is the case with diabetes, for which Natrum is a curative if otherwise indicated. In all of these cases, of course, it must be used high, for we get the low in our food.

Under the head of stool and rectum few remedies have stronger symptoms. I quote verbatim from "Guiding Symptoms:" -"Constipation; obstinate retention of stool; stools irregular, hard, unsatisfactory; during menses; stools in large masses; stools like sheep dung; from inactivity of rectum; anus contracted, or torn, bleeding, smarting, or burning afterwards; stitches in the rectum causing hypochondriasis or ill humor; great torpor without pain; from want of moisture, dryness of mucous linings, with watery secretions in other parts; difficult expulsion, fissuring anus with flow of blood, leaving sensation of much soreness; with uterine displacements; hæmorrhoidal; in Addison's Disease." Now to read this rightly we must entirely separate these symptoms, here separated by the semi-colon, and put the word constipation before each one. That saves the error of supposing that all the symptoms here quoted must be present in a single case of constipation to make Natrum muriaticum the proper remedy.

One of the best possible exercises for a student of Materia Medica is to compare these different symptoms, as follows: Stools dry, crumbling, is also found under Ammonium muriaticum and Magnesia muriatica. Constipation from inactivity of the rectum, Alumina, Veratrum album, Silicea, etc. Anus contracted, torn, bleeding, smarting and pain after stool, Nitric acid. From want of moisture, dryness of mucous linings, Bryonia and Opium. Leaving sensation of much soreness, Ignatia, Nitric acid, Alumen. Then again Natrum mur. may become the only curative for cholera infantum, chronic diarrhœa, and other conditions were loose stools predominate. I will not wait to specify all the symptoms. Emaciation, hunger and thirst are present, especially in cholera infantum, emaciation being most noticeable in the neck. (Abrotanum in the legs, also Ammon. mur. and Argent. nit.) Emaciation, Natrum, Sarsaparilla and Iodine. On the urinary organs I will only call attention to the increased secretion already spoken of, and the involuntary escape of urine, which is also found under Causticum, Pulsatilla, Zincum and others, and a burning and cutting in the urethra after urination. Sarsaparilla has the nearest to this last symptom, and we remember here the resemblance of these two remedies as to emaciation in cholera infantum. This cutting in the urethra may be found in chronic cases of gleet, and in these cases the discharge is almost always, as it is under Natrum mur. in all mucous membranes, clear and watery. This remedy is one of the best for bearing-down pains in women, which are worse in the morning. The patient feels as if she must sit down to prevent prolapsus. This is like the pains of the Sepia patient, who feels as if she must cross her legs for the same purpose. Now if we had the stool and anal symptoms of Natrum present, and especially the hypochondriasis, we would have almost a sure thing in Natrum. These uterine symptoms of Natrum are often accompanied by back pains, which are relieved by lying upon back, like Rhus. I have already spoken of the headaches accompanying, and especially following the menses. They are throbbing and accompanied by great soreness of the eyes, especially on turning them. I have a patient now who has these headaches occasionally. She is inclined to anæmia. Was, when young, very anæmic. She is always relieved by this remedy in the 250m. potency, and under it is regaining her color and general health.

Natrum mur. has strong action upon the heart and circulation, as the following marked symptoms indicate: "Fluttering of the heart with weak faint feeling, worse, lying down. Irregular intermission of beats of heart and pulse, worse on lying on left side. Violent pulsations of the heart which shake the body." (Spigelia). All these symptoms are more markedly present in anæmic subjects, with constitution generally weakened by grief, sexual excess, loss of blood and other debilitating causes. It is especially efficacious in subjects suffering from abuse of Quinine. In fevers it is among Hahnemannians too well known to need much space here. In intermittents it is especially useful in cases suppressed, not cured, by Quinine, and its leading characteristic is in the time of the appearance of the chill.

Natrum appears characteristically at 10 to 11 A. M.

Eupatorium perfoliatum at 7 A. M.

Apis mellifica at 3 P. M.

Lycopodium at 4 P. M.

Arsenicum alb. at 1 to 2 P. M. or A. M.

Without fixing the time just to the hour, there are many remedies which have chills in the morning or in the evening, etc. Now in regard to the time of aggravation in fevers, they occur quite as characteristically in other than intermittents. For instance the Natrum at 10 A. M., the Arsenic at 1 P. M. or A. M., etc.

The fever, headache and all other symptoms of Natrum are relieved by sweating, as are those of Arsenicum also. There are some strong symptoms found in the extremities. "Hang nails." The Natrum subject is always having them. Again, numbness and tingling in fingers and toes, like that also found in the lips and tongue, should make one think of Natrum. The ankles are weak and turn easily, especially in children who are late in learning to walk. Painful tension in the bends of the limbs, as if the cords were too short. This may amount to actual deformity, like Causticum, Guaiacum and Cimex. Then the spine very irritable, sensitive to touch, yet relieved by hard pressure, with weakness of the limbs, fluttering of the heart, even half paralyzed extremities. As far as this spinal weakness is concerned, it may take on a form of general debility, for which there is no better remedy than Natrum mur. The mental and physical powers seem greatly relaxed, and physical and mental labor equally prostrating. This condition may gradually progress to paralysis, and may be the result of badly treated intermittents, sexual excesses, diphtheria, depressing emotions or other causes of nervous exhaustion. The action of Natrum upon the skin must not be overlooked. First and foremost is its eczema, which is raw, inflamed, and especially worse at the edges of the hair. Next for tetters at the bends of the joints. They crack and crust over and ooze an acrid fluid. Finally in urticaria it ranks with Apis, Hepar sulphur. and Calcarea ost. I have used more space for this remedy, as I did for Lachesis and Causticum, than for most other remedies, for the following reasons: First, they are all remedies more efficient in high potencies. Second, they are not appreciated by the general profession. Third, I hope to induce those who do not use them to investigate them. I have found that those who highly value these three remedies are generally good Homœopathic prescribers.

Modalities

Modalities: < 10 to 11 A. M. (many complaints), especially malarial affections; lying down, especially on left side; heat of sun or heat in general; abuse of Quinine, relieved by sweat.

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

Melancholy, dejected, sad, weeping, aggravated by consolations from others, with palpitation of the heart. Apprehension for the future. Hypochondriacal, tired of life. Joyless, indifferent, taciturn. Great tendency to start. Hurriedness. Passionate vehemence ; gets angry at trifles. Difficulty of thinking ; absence of mind, weak memory.

Head

Vertigo, when rising in bed in the morning, or when rising from bed and walking. Emptiness of the head, with anguish. Weariness in the head. Vertigo, periodically appearing with nausea, eructations, colic and trembling of the limbs. Pressing headache, from both sides, as if the head were in a vice, in the morning ; better when lying down. Beating and pulsation in the head, mostly in the forehead, with nausea and vomiting ; worse in the morning and when moving, better when lying with the head high ; relieved by perspiration. Rheumatic (tearing) pain in the head, from the root of the nose extending to the forehead, with nausea, vomiting, vanishing of sight ; worse in the morning when waking from sleep, from mental exertion and motion ; better when sitting still or when lying down. Heaviness in the back part of the head ; it draws the eyes together ; worse in the morning ; from warmth and motion ; better when sitting, lying, or perspiring. Violent headache, as if the head would burst. Sensation of congestion of blood to the head ; the head feels heavy. Stitches through the head, extending to the neck and chest. Heat in the head, with redness of the face, nausea and vomiting. Periodical headaches during, after or before the menses. Falling off of the hair as soon as it is touched, more on the forepart of the head, the temple, the whiskers, and on the genitals, especially during child-bed ; with great sensitiveness of the scalp ; with greasy, shining face, frequent headaches in the morning and from cold air. Liability to take cold in the head. Great sensitiveness of the scalp to the touch, especially on the temple, forehead and the borders of the hair ; worse in the warm room, better in the open air. Sensation as if the scalp were constricted ; worse from talking and in the open air, better when sitting or lying. The headache ceases on one side of the head ; it continues more violent on the other side. Burning on the vertex.

Eyes

Itching in the eyes. Stinging-smarting and burning of the eyes. Spasmodic contraction of the eyelids (evening). Red, ulcerating eyelids. Inflammation of the eyes, with ulcerated eyelids and glutinous mucus in the (external) canthi. Acrid tears in the eyes (morning). Obscuration of sight when stooping and walking, when reading and writing. The letters run one into another when reading. Double vision. One half of the object is visible, the other half is dark. Black points or streaks of light before the eyes. Fiery, zigzag appearance around all things.

Ears

Stitches in the ears. Pulsation and beating in the ear. Swelling, burning and heat of the ears. Hardness of hearing. Discharge of pus from the ears. Humming, ringing and singing in the ears. Painful cracking in the ear when masticating. Itching behind the ears.

Nose

One-sided (left side) inflammation and swelling, and swelling of the nose with painfulness to the touch. The nose feels numb on one side. Soreness in the nose, with swelling of the interior wings. Scabs and scurf in the nose. Loss of smell (and taste). Bleeding of the nose (when coughing at night), (when stooping).

Face

Face shining, as from grease. Complexion yellowish, pale, livid. Redness of one (the left) cheek (afternoon, night). Heat in the face. Swollen face. Itching and eruptions on the face crusta lactea). Pain in the cheek-bones, as if bruised when masticating. Lips dry, cracked, with rhagades, or sore and ulcerated, with burning-smarting eruptions and scabs, easily bleeding. Fever-blisters on the lips. Herpetic eruption around the mouth. Swelling of the upper lip. Ulcer on the (left) cheek. Blood-blisters on the inside of the upper lip. Eruptions and ulcers on the chin. Tingling and numbness of the lips. Swelling of the submaxillary glands.

Mouth and Throat

Teeth very sensitive to the air and contact. Pain (drawing, tearing) in the teeth, extending to the ears and throat, after eating and at night, with swelling of the cheek. Decayed teeth feel lose, burn, sting and pulsate. Fistula dentalis. Gums very sensitive to warm and cold things, swollen, inflamed, putrid, easily bleeding. In the mouth and on the tongue blisters and ulcers, with smarting-burning pain when touched by the food. Hæmoptysis. Heaviness of the tongue with difficulty of speech. Numbness and stiffness of one side of the tongue. Sensation as of a hair on the tongue. Dryness of the mouth, lips, and especially of the tongue. Ptyalism. Burning at the tip of the tongue. Swelling ; sensation of constriction and stitches in the throat. Long-continued sore throat, with the sensation as if she had to swallow over a lump. Hawking up of mucus in the morning.

Stomach and Abdomen

Loss of taste (and smell). The water tastes putrid. Putrid or sour taste while fasting. Bitter taste in the mouth. Continuous thirst (with nausea). Excessive appetite. Longing for bitter food and drink. During meals perspiration in the face. After eating, empty eructations nausea, acidity in the mouth, sleepiness, heartburn, palpitation of the heart. Soreness, as if bruised in the pit of the stomach, when pressing on it, with swelling. In the region of the liver, stitches and tension (chronic inflammation of the liver). In the region of the spleen, stitches and pressure. Swelling of the abdomen. Colic with nausea, relieved by discharge of flatulence. Red spots on the pit of the stomach. Burning in the intestines. Nausea in the morning vomiting, first of food, later of bile. Rumbling in the abdomen.

Stool and Anus

Constipation ; stools difficult to discharge, hard, dry, crumbling, like sheep's dung. Evacuations difficult, with stitches in the rectum. Diarrhœa like water, with colic. Involuntary stools. Passes blood with the stool. Alternate constipation and papescent stools. During and after stool, burning in the anus and rectum. Smarting and pulsations in the rectum. Hæmorrhoidal tumors with stinging pain. Soreness at the anus and around it when walking. Tetter at the anus.

Urinary Organs

Frequent and strong desire to urinate (day and night), with profuse discharge. Involuntary micturition, when coughing, walking and laughing. Pale urine with brick-dust sediment. Discharge of mucus from the urethra. During micturition stitches in the bladder, smarting, burning in the urethra ; smarting and soreness in the vulva. After micturition spasmodic contraction in the abdomen ; burning, drawing and cutting in the urethra, and a discharge of thin, glutinous substance. Urine dark, like coffee, or black.

Sexual Organs

Men. Excessive irritability of the sexual instinct or importance. After an embrace, seminal emissions. Itching soreness and herpes between the scrotum and the thighs. Itching and stinging on the glans penis and on the scrotum. Women. Pressing and bearing down in the genitals. Menstruation too early and too profuse, or too late and too scanty. Suppressed menstruation : difficulty in the appearance of the first menses. During the menstruation, melancholy, colic. Before, during and after the menstruation, headache. Itching on the genitals. Aversion to an embrace. Sterility, with too early and too profuse menstruation. Fluor albus, acrid, greenish ; increased discharge when walking ; with yellow complexion.

Respiratory Organs

Hoarseness, with dryness in the larynx. Accumulation of mucus in the larynx (in the morning). Dry cough, from tickling in the throat or in the pit of the stomach, day and night, especially when walking and drawing a long breath. Morning cough. Hooping-cough, caused by tickling in the throat or pit of the stomach, with expectoration (only in the morning) of yellow or blood-streaked mucus, with violent pain in the head, as if the forehead would burst, or with shocks ; beating and hammering in the head ; involuntary micturition ; stitches in the liver. The cough is worse in the evening after lying down. Dry cough with rattling in the chest. Cough, with expectoration of bloody mucus. Shortness of breathing on walking fast ; relieved when exercising the arms and in the open air. Sensation and pain in the chest, as from tension. Stitches in the chest and sides, with shortness of breathing, especially when taking a long inspiration. Violent palpitation of the heart from every exertion, and especially when lying on the left side. Fluttering motion of the heart. Irregular, intermitting beats of the heart.

Back and Neck

In the small of the back pain, as if bruised, as if lame ; stitches, cutting, pulsation. Tension and drawing in the back. Over-sensitiveness of the spine. Stitches in the neck and back part of the head. Painful stiffness of the neck. Scabs in the axilla ; painful soreness of the cervical glands when coughing. The pain in the back is relieved by lying on something hard.

Extremities

Upper. Sensation of lameness and of a sprain in the shoulder-joint. Cramp in the arms, hands, finger and thumb. Weakness and paralytic heaviness of the arms. Stitches in the muscles and joints of the hands and fingers. Involuntary movement of the hands. Tingling in the hands (and feet), especially on the joints and tips of the fingers (and toes). Brown spots on the hands. The finger-joints move with difficulty. Dry, cracked skin of the hands, especially around the nails. Warts in the palms of the hands. Perspiration of the hands. Trembling of the hands when writing. Swelling of the right hand. Hang-nails. Pain in the hip, as if sprained, with stitches. Restlessness in the legs, compelling one to move them constantly. Sensation as if the legs were paralyzed, especially the ankles. Twitching of the muscles of the thighs. Tension in the bends of the limbs, and sensation as if the tendons were shortened ; painful contraction of the hamstrings. Pain as if the knees and ankles were sprained. Weakness in the knees and calves. Cramps in the lower legs and calves. Great heaviness of the legs and feet. Burning of the feet. Swelling of the feet. Cold feet. Sensation in the tarsal joint as if bruised when walking and when touching it. Suppressed perspiration of the feet. Redness of the big toe, with tearing and stinging on walking or standing. Sensation as if the limb bad gone to sleep (feet, fingers). Corns, with boring, stinging pains.

Generalities

Great weakness and relaxation of all bodily and physical powers from the least exertion. Disinclination to move and walk after rising, with great heaviness and indolence in the morning. The limbs feel weak and as if they were bruised, especially in the morning after rising. Hysterical debility ; the debility is greatest in the morning in bed. Great emaciation. Stiffness of the joints ; they crack on moving them. Shortening, contraction of the muscles. Twitching in the muscles and limbs. Pulsations in the whole body from the least exertion. Restlessness in the limbs ; they have to be moved constantly. Paralysis.

Sleep

Sleepiness during the day with sleeplessness at night ; is unable to go to sleep. In the morning he feels unrefreshed. Sleep with vivid, frightful dreams ; dreams of burning thirst ; starts and talks in the sleep and tosses about. Wakens with fright, violent headache and perspiration ; with erethism of the blood ; violent throbbing in the arteries.

Fever

Pulse very irregular, frequently intermitting, especially when lying on the left side. Pulse at one time rapid and weak, at another full and slow. The pulsations shake the whole body. Chill predominates ; chilliness internally, as from as want of natural heat, with icy coldness of the hands and feet (evening). Continuous chilliness from morning till noon. Flushes of heat with violent headache, chilliness over the back and perspiration in the axilla and soles of the feet. Continuous heat in the afternoon, with violent headache and unconsciousness ; they are gradually relieved during the perspiration which follows. During the heat generally violent thirst. Violent perspiration, relieving the painful symptoms present during the fever. Much perspiration during the day, and inclination to perspire from the least exertion. Debilitating, somewhat sour-smelling perspiration. Night and morning sweat. Intermittent fever. Chilliness with great thirst ; afterwards great heat with violent thirst and excessive headache ; at last profuse perspiration. Chilliness, with increasing headache in the forehead every day at 9 A.M. until noon ; afterwards heat with gradually appearing perspiration and thirst, the headache decreasing afterwards gradually. In the forenoon chilliness for three hours, with blue nails and chattering of teeth ; this is followed by heat, lasting as long, accompanied by obscuration of sight, stitches in the head, much thirst, pains in the back, followed by perspiration. Chilliness at 10 A.M., commencing at the feet, followed by heat with headache and, later, perspiration. Anticipating chilliness in the morning, with external coldness, great thirst, violent headache, stupefaction ; afterwards slight heat, with some perspiration, faintishness, and weakness of the eyes. Intermittent fevers after the abuse of Chininum sulph., or with yellow complexion, great debility, drawing pain in the limbs, headache (worse during the hot stage), pressure in the stomach, loss of appetite, excessive thirst, fever-blisters on the lips.

Skin

Nettle-rash after violent exercise (itching). Itching and pricking in the skin. Large red blotches, itching violently. Rash over the whole body, with stinging sensation in the skin. Pain and redness of an old cicatrix. Varices. Blood-boils. Herpes (in the bend of the knee). Warts in the palms of the hands.

Conditions

Bad effects from anger (mortification caused by offence). Bad effects from acid food and bread. The nightly pains cause dyspnœa and a one-sided paralysis. Most of the complaints appear or are renewed while lying down, especially at night, or in the morning, and are relieved when sitting up. Aggravation at 10 A.M. ; every exertion increases the circulation ; on looking fixedly at an object ; from talking (the weakness), when writing or reading. Amelioration while fasting, while lying on the back or on the right side, after lying down. Natrum mur. is an antidote to Argentum nitricum (especially if it has been applied locally), and to Chininum sulph. It follows well and is well preceded by Apis mel.; to which it also stands in an antidotal relation.

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 chloride. Common Salt. NaCl. Trituration. Solution.

Clinical

Addison's disease. Anæmia. Aphthæ. Atrophy . Brain-fag. Catarrh . Chorea. Constipation. Cough. Cracks in the skin. Debility. Depression . Diabetes. Disparunia. Dropsy. Dyspepsia . Epilepsy. Erysipelas. Eyes, affections of . Eye-strain. Face, complexion unhealthy . Gleet. Glossopharyngeal paralysis. Goître . Gonorrhœa. Gout. Headache. Heart, affections of . Hemiopia. Hernia. Herpes. Herpes circinatis. Hiccough. Hodgkin's disease . Hydroa. Hypochondriasis . Intermittent fever. Leucocythæmia. Leucorrhœa. Lips, eruption on . Lungs, œdema of. Menstruation, disorders of. Mouth, inflammation of. Nettlerash. Pediculosis . Ranula. Seborrhœa. Self-abuse . Somnambulism. Speech, embarrassed. Spermatorrhœa . Spinal irritation. Spleen, enlarged. Sterility . Stomatitis. Sunstroke. Taste, lost; disordered. Tongue, blistered; white coated; heavy . Trifacial-nerve paralysis. Ulcers. Varices. Vaginismus. Vertigo. Warts . Whooping-cough. Worms. Yawning .

Characteristics

If Nat. carb . is the typical salt of the Natrum group (as Kali carb . is of the Kalis), Nat. m . is the most important. In power and range it stands in the first rank of homœopathic remedies, but it has an additional significance, in that it exemplifies the power of attenuation in a remarkable way. The problems involved in Nat. m . may be regarded in a sense as the pons asinorum of homœopathy. Those who are able to grasp in a practical way the homœopathic uses of this remedy are not likely to meet with any insuperable difficulties elsewhere. Those who can see nothing but "common salt" in Nat. m . may conclude that they have not "the root of the matter" in them. It may be inconceivable to some that the attenuations of Nat. m . should act independently, as curative or pathogenetic, at the same time that crude salt is being ingested in quantities; and it may seem that an infinitesimal amount of a substance which is a necessary constituent of our tissues cannot possibly have any action at all; but this problem is constantly before the homœopathist, and if he cannot master it in respect to Nat. m . he need not trouble his brains to try elsewhere. Nat. m . has been extensively proved, both in the lower triturations and in the 30th and higher attenuations, and the latter produced the most marked effects. I have mentioned in the Preface an experience of my own, which I will give here in more detail. For a common cold which had proved troublesome I took eight globules of Nat. m . 200. The next day the cold was not better, but I felt ill, and presently a copious, gushing, watery, light-coloured diarrhœa set in, and persisted for some days, draining all my tissues and reducing my weight by half a stone before I could think of the cause. Then the dose of Nat. m . flashed on my mind, and I at once began to smell at a bottle of Sweet Nitre, the antidote. The diarrhœa and all other symptoms vanished in a way I have never forgotten; and the lesson was well worth all the suffering I had undergone. My weight came back as rapidly as it had disappeared. In Nat. m . is illustrated the antidotal action of a substance of high attenuation over the effect of a lower. A large number of people are steadily poisoning themselves by taking excessive quantities of salt with their food; and it is generally useful to ask patients if they are fond of salt. Without restricting the amount of salt taken, Nat. m . 30 will antidote most of the effects of the crude, and enable the patient to cut down the quantity taken afterwards. But the effect of a high potency can also be antidoted by a higher. A patient to whom I gave Nat. m . 1m developed this new symptom: Aching pain deep in left shoulder and down the arm; < lying on right side; no tenderness. A single dose of Nat. m . c.m. quickly removed it. Nat. m . is one of the remedies adopted by Schüssler from homœopathy. Though arrived at by a different route, his indications are for the most part identical with Hahnemann's, and a recital of them will serve to emphasise some points; and there is no need to accept Schüssler's semi-material theories as an all-sufficient explanation of the remedy's action, for they do not anything like cover the field. Says Schüssler: "The water which is introduced into the digestive canal in drinking or with the food enters into the blood through the epithelial cells of the mucous membrane by means of the common salt contained in these cells and in the blood, for salt has the well-known property of attracting water. Water is intended to moisten all the tissues, i.e ., cells. Every cell contains soda. The nascent chlorine which is split off from the Nat. m . of the intercellular fluid combines with this soda. The Nat. m . arising by this combination attracts water. By this means the cell is enlarged and divides up. Only in this way can cells divide so as to form additional cells. If there is no common salt formed in the cells, then the water intended to moisten them remains in the intercellular fluids, and hydræmia results. Such patients have a watery, bloated face; they are tired and sleepy and inclined to weep. They are chilly, suffer from cold extremities, and have a sensation of cold along the spine. At the same time they have a strong desire for common salt. (The cells deficient in salt cry for salt.) The common salt, of which they consume comparatively large quantities, does not heal their disease, because the cells can only receive the common salt in very attenuated solutions. The redundant common salt present in the intercellular fluid may in such cases cause the patients to have a salty taste in their mouth, and the pathological secretions of the mucous membranes, as also of excoriations of the skin, may be corrosive (salt-rheum)." Disturbances in the distribution of salt in the cells cause: Lachrymation; salivation; toothache with salivation; watery diarrhœa; mucous diarrhœa; lack of mucus; catarrh of stomach with vomiting of mucus; water-brash; vesicles clear as water on skin or conjunctiva; constipation. ─ Thus far Schüssler. But whilst using his theory as a useful means of stringing many characteristics of Nat. m . together, it is necessary to free oneself from them entirely in order to see the remedy in all its range of action. A complete view of the symptom picture can alone give that. In old-school practice Nat. m . is used chiefly in solution as a douche or spray in nasal and other catarrhs, and in the mixture of "Brandy and Salt," in which large quantities of salt are given for pulmonary hæmorrhages. The relation to catarrh, which Schüssler brings out, is specific. Excessively fluent coryza, with much sneezing; sore nose, especially the left wing; cold sores on lips and nose; loss of smell and taste, are indications which I have verified repeatedly in acute colds and the tendency to them. With the coryza there is copious lachrymation; and whether or not Schüssler is right on the chemistry of the process, Nat. m . is indicated by tears . ("Flow of tears with cough" is Burnett's keynote of Nat. m . in whooping-cough, H. W ., xviii. 179.) The characteristic of the tearful Nat. m . patient is that she (or he) wants to be alone; any attempt to console irritates beyond endurance. "Wants to be alone to cry." "Very much inclined to weep and be excited." There are even tears with laughter. For in addition to the sadness there is hysterical laughter; laughs till she weeps at things not at all ludicrous. The excitement of Nat. m . is always followed by melancholy. The hypochondriasis and hysteria of Nat. m . generally go pari passu in the degree of constipation; and Nat. m . is one of the most commonly needed remedies in that complaint. The most characteristic symptom in this connection is a sensation of "contraction of the rectum during stool; hard fæces at first evacuated with the greatest exertion, which causes tearing in anus, bleeding and soreness; afterwards thin stools also passed; constipated every other day." There is also retention of stool; and a feeling after stool as if there were more to pass. Nat. m . answers equally well to constipation and diarrhœa when the collateral symptoms correspond. The constipation is often found associated with anæmia; with chilliness, cold feet and chills down the back; with indigestion such as is met with in victims of masturbation: Nat. m . is one of the most helpful of remedies in such cases. The unclean complexion of earthy line, "dirty face" in spite of any amount of washing, is a still further indication. The skin is greasy from excess of sebaceous secretion. Nat. m . corresponds to affections due to loss of fluids. This recalls China , with which it has a very important antidotal relation. Both correspond to the effects of masturbation, hæmorrhages, and loss of fluids; both are remedies for intermittent fever, and Nat. m . is the chief antidote to the effects of over-dosing with China and Quinine . Another important antidotal relation of Nat. m . is to Arg. n . And here another interesting fact appears-namely, the parallel between chemical and the dynamic action. Salt is the best antidote to poisoning with nitrate of silver, as it changes the soluble nitrate of silver into the insoluble harmless chloride. Nat. m . in the attenuations is also the best remedy for the ill effects of Arg. n . whether used as a cautery or administered as a medicine. Whenever there is a history of cauterisation and Arg. n . has been used, Nat. m . will do great good. Scrofulous ophthalmia which has been treated locally in vain with Arg. n .; sore throats that have been cauterised; the effects local and remote of uterine injections of Arg. n ., or cauterisings of the os uteri. W. J. Guernsey ( H. P ., vii. 127) relates a striking instance of the last. Mrs. P., 32, complained of "lump" in the throat which could not be swallowed, and yet required constant efforts to do so. < On empty swallowing; yet on swallowing food it seemed to pass over a sore spot. Bar. c., Lach., Bell . were given in succession in vain. Remembering the injunction of the Organon , § 207, to inquire as to what allopathic treatment a patient has been subjected to in order to discover if there is anything to correct, Guernsey discovered that the patient had had a severe ulceration of the womb which had been "burnt out" several times and was "now well." She had had a very profuse discharge, but that had stopped, and on the same day she had commenced to "choke" with the throat trouble. Nat. m . 295m (F.) was given. In a few days the throat was better and the discharge had returned, much to the patient's horror. Without further treatment throat and vaginal discharge were both cured. Lambert has recorded ( L. H. H. Rep ., vii. 144) several cases of headache associated with errors of refraction and consequent eye-strain cured with Nat. m . 30. The headaches were noticed on waking. In one case it was like a cloud over brain with intense depression and had lasted ten years. It disappeared before the vision was corrected. The effect of living too exclusively on salt food in producing scurvy gives a key to the use of Nat. m . in many conditions of blood degeneration, hæmorrhage, and skin disorder and ulceration. In aphthous and ulcerative conditions of the mouth it is a leading remedy. The characteristic tongue of Nat. m . is either a mapped tongue, with red islands; or a clean shining tongue with froth along each side. There are many characteristic symptoms in connection with the tongue: hair sensation; numbness and stiffness of one side; heavy, embarrassing speech. Nat. m . corresponds to children who are late in talking. The tongue is blistered; sticks to roof of mouth. Dryness of mouth and throat. Unquenchable thirst. Nausea. Vomiting. The drying-up property of Nat. m . is general. One very characteristic effect is dryness of vagina, with painful coitus; aversion to coitus (in the female); aversion to men. Menses may be early and profuse; or scanty and delayed. Nat. m . corresponds to many cases of anæmia, and especially to delay in the first appearance of the menses. Much bearing down and much leucorrhœa. Backache generally accompanies these, and the backache has this peculiarity, that it is > by pressure; by lying down with the back on something hard. There is also sensitiveness of the back and spinal irritation. With the menses there is generally headache, both before, during, or after. The headaches of Nat. m . are intermitting. They come on in the morning on first waking up and last throughout the day; or else they come on at 10 or 11 a.m. They are < from mental exertion. Nat. m . is one of the first remedies for headaches of schoolgirls. Headache with partial blindness. Headache much < by coughing. Throbbing; beating as with little hammers; pain as if the head would burst. The throbbing headache has its analogue in palpitation of the heart. Nat. m . is a great heart remedy. Fluttering palpitation with faint feeling, < lying down. In one case of huge hypertrophy with degeneration of most of the valves, the patient told me nothing gave her so much relief as Nat. m . (which I had given for some incidental condition). Very characteristic is sense of coldness at heart or precordia with trembling of heart. Constrictive sensations run throughout this remedy: in heart; chest scalp; throat; rectum; of anus (sensation as if anus were closed) cramps in uterus; vaginismus; contraction of hamstrings. Paralytic symptoms with numbness are the counterpart of these. Nat. m . has the sinking sensation of the antipsorics. Great hunger, with no appetite. Eats heartily but emaciates. Heartburn after eating. Emaciates whilst living well. Ravenous appetite but grows thin, especially about neck. There are some very characteristic desires and aversions: Desires : bitter things; beer; farinaceous foot; sour things; salt; oysters; fish; milk. Aversion to: bread; meat; coffee; tobacco. While eating, sweat on face. Is > when stomach is empty. After eating: empty eructations; nausea; acidity; sleepiness; heartburn; palpitation; epigastric pressure and heat radiating up to chest. Violent hiccough. The nausea and vomiting of Nat. m . have been turned to account in the morning sickness of pregnancy. One patient, who said she could "eat the brine out of a mackerel kit," was cured with a single dose of Nat. m . ( Amer. Hom ., xxiii. 385). Nat. m . is a great periodic remedy. It not only antidotes Quinine , but it causes intermittents on its own account. Chilliness predominates. Chill 10 to 11 a.m. with thirst, drinks after a meal; fever blisters round mouth. Fever with violent headache; great thirst; nausea; vomiting; blueness; faint; averse to uncover. Fever may come on without chill 10 to 11 a.m. Sweat > headache and other symptoms though it weakens; averse to uncover. There are many eruptions, herpes, hydroa, eczema. Eczema on hair margins, especially at back of head. Warts on palms of hands. Corns. Painful scars. Nat. m . is suited to: Cachectic persons; old people; teething children; anæmic, chlorotic people with catarrhal troubles; tuberculous; scrofulous; dropsical; emaciated persons. Among Peculiar Sensations are: As if head too heavy and would fall forward; as if some displacement in head had taken place; as if cold wind blowing through head; as though forehead would burst on coughing; as if head in a vice; pain like a rope round head drawing tighter and tighter; as if nail driven in left side of head. As if eyeballs too large; as if foreign body in eyes; as if eye being torn open. As if a small worm squirming in nose. Of hair on tongue. Splinter in throat. Plug in throat. As if one had to swallow over a lump. Difficulty of talking, as if organs of speech weak. As if foreign body sticking in cardiac orifice behind sternum. When walking, as if abdominal viscera loose, dragging. As if rough, hard, foreign substance in rectum. As if there was a string between uterus and sacrum in hind part of fornix. Back as if beaten; broken. Nat. m . corresponds to effects of going to seaside; and if patients say they are always < at seaside or cannot stay by the sea, Nat. m . will probably be the remedy. Constipation at seaside. But > at seaside may also indicate it. There is great desire for open air and washing in cold water. < Heat of stove; of room; of sun. < In summer. Warm food < toothache. Drawing in air < toothache; cold drink < toothache. Likes to be covered but it does not > . Lying down > vertigo, headache, constriction of scalp; < cough; fluttering of heart. Lying on left side < . Moving, least exertion < . Exercising arms > breathing. Walking < . In back troubles, can stoop readily but it hurts to straighten. < Mental exertion; talking; writing; reading. < After sleep. Coitus < . Most symptoms are < in morning; < after sleep. < 10 to 11 a.m. < During full moon. < By eating. < From bread, acid food, fat, wine. < After breakfast. > Going without regular meals. < Touch and pressure. Full sensation is > by tight clothes. Back > lying on something hard. > Rubbing.

Relations

Antidoted by: Smelling Nit sp. dulc.; Phos. (especially abuse of salt in food); Ars, (bad effects of sea-bathing). Nux will relieve headache if persistent, or prostration if prolonged after Nat. m. Antidote to: Arg. n. (abuse of, as cautery); Quinine (when diseases continue intermittent and patients suffer from headache, constipation, disturbed sleep); Apis (bee-stings). Nat. m. should not be given during the paroxysm of fever. Complementary: Apis, Sep., Caps. Nat. m. is the Chronic of: Ign. (its vegetable analogue); also of Apis and Caps. Compatible: Before ─ Sep., Thuja; after ─ Kali m., Kali p., Kali s., Nat. sul., Calc. ph., Fer. p. Compare: Borax, Nat. c., Nat. hyp., K. chl. In mapped tongue, Ars., Rhus, K. bi., Tarax., Ran. s. (acidity). Hypochondriasis with indigestion, Nat. s. (Nat. m. melancholy keeps step with the constipation; Nat. s. melancholy with degree of indigestion). Lachrymose, Puls. ( > consolation), Sep., Ign. Schoolgirls' headache, Calc., Calc. p. Headache coming and going with sun, Spi., Gels., Glo., Sang. Headache with partial blindness, K. bi., Ir. v. Half sight, Aur., Lith. c., Lyc., Titan. Headache with cough, Caps., Bry., Sul. (Sul. occiput, Nat. m. forehead). Spurting of urine with cough, Fer., Scill., Caust., Pul. Ravenous yet wastes, Iod. (Nat. m., especially neck). Distended stomach > tight clothing, Fl. ac. (opp. Lach., Hep.). Hydroa labialis, Hep., Rhus, Ars., Camph. Herpes circinatus, Sep., Bar. c., Tell. Chill 10 a.m., Stn. (Stn. hectic, Nat. m. intermittent). Paralysed by emotion, Gels., Staph. Amenorrhœa, K. ca. (acts when Nat. m. fails). Backache, spinal irritation, K. ca. Cold feeling about heart, Petrol. Spinal irritation, Act. r. (Nat. m. > lying flat, Act. r. < from touch). Oily sweat on face, Bry. Intermittents, chill beginning in small of back, Eup. pf.; Rhus (chill begins in one leg, or thigh, or between shoulders), Gels. (runs up spine). Prolapsus uteri, Sep., Lil. t. Sensation of foreign body in anus, Sep. (ball). Constriction in anus, Lach., Bell., Caust., Nit. ac., Ign., Op., Pho. Sadness during menses, Lyc., Nit. ac., Sep. (Nat. m. < or > 10 a.m.). Stitches in heart, Spi., Ars., K. ca., Carb. v. < After sleep, Lach., Sul. Ripping-up sensation of anus after stool, Sep. Stomatitis, Caps., Sul. ac. Dreams persist after waking, Chi. Chilblains on feet only, Lyc. Sinking 11 a.m., Sul. Breasts painful before menses, Calc., Con. Umbilical hernia with absence of urging, Bry., Ver. (with urging, Nux, Cocc.). Laughs at serious things, Anac., Pho., Lyc., Plat. Weeps if looked at, Kissingen. Hair sensation on tongue, Sil. Head and face > uncovering, Nat. c., Lyc. Headache from eye-strain, Onos. (Teste includes Nat. m. in his Lycopod. group, with Viol. t. and Ant. c.)

Causation

Disappointment. Fright. Fit of passion. Loss of fluids. Masturbation. Injury to head. Quinine. Lunar caustic. Bread. Fat. Wine. Acid food. Salt.

Mind

Melancholy sadness, which induces a constant recurrence to unpleasant recollections, and much weeping; all attempts at consolation < . ─ Obliged to weep. ─ Hypochondriacal, tired of life. ─ Joyless, taciturn. ─ Great tendency to start. ─ Hurriedness, with anxiety and fluttering of heart. ─ Prefers to be alone. ─ Anthropophobia. ─ Anxiety respecting the future. ─ Anguish, sometimes during a storm, but esp. at night. ─ Indifference, laconic speech, moroseness, and unfitness for labour. ─ Impatient precipitation and irritability. ─ Timidity. ─ Hatred to persons who have formerly given offence. ─ Irascibility and rage, easily provoked. ─ Inclination to laugh. ─ Laughs so immoderately at something not ludicrous that tears come into her eyes and she looks as if she had been weeping. ─ Alternate gaiety and ill-humour. ─ Laughs immoderately and cannot be quieted. ─ Difficulty of thinking; absence of mind. ─ Weakness of memory and excessive forgetfulness. ─ Heedlessness and distraction. ─ Tendency to make mistakes in speaking and writing. ─ Brain-fag, with sleeplessness, gloomy forebodings. ─ Exhaustion after talking, embarrassment of brain. ─ Incapacity for reflection, and fatigue from intellectual labour. ─ Distraction; does not know what he ought to say. ─ Awkwardness.

Head

Painful confusion in head. ─ Emptiness of head with anguish. ─ Weariness in head. ─ Vertigo, during which everything seems to turn round before eyes, with tendency to fall forwards, esp. on walking and getting out of bed. ─ Vertigo: in forenoon; pressing head down when sitting; on rising from bed and on waking; on stooping; on turning round (on turning in bed from r. side to l.); everything seems to turn in circle; with flickering before eyes and dulness of head; and nausea woke her 5 a.m., > lying with head high; on crossing a stone bridge the stones seemed to sink under feet; > lying down; keeping quiet; by cold applications. ─ Intermittent reeling like vertigo; < moving head, like a thrust from vertex to forehead, for the moment depriving him of his senses. ─ Burning on the vertex. ─ Vertigo, with shocks in head and dizziness. ─ Violent headache, as if the head would burst. ─ Sensation of congestion of blood to head; head feels heavy. ─ Stitches through head, extending to neck and chest. ─ Heat in head, with redness of face, nausea and vomiting. ─ Periodical headaches during, after, or before menses. ─ Headache in morning, on waking; on turning, and while moving body or head; when running; or in cold air; or after being thwarted. ─ Heaviness of head, every day, esp. in occiput, forcing eyes to close; < in the morning; from warmth and motion; > when sitting, lying, or perspiring. ─ Headache, as if head were about to split; or as if it were tight and compressed, esp. when writing. ─ Fits of headache, with nausea and vomiting (eructations, colic, and trembling of limbs). ─ Aching and compression in head, esp. in temples and above eyes, < by frowning. ─ Acute pullings and shootings in head, esp. above eyes, with want to lie down, and clouded sight. ─ Lancinating shocks across head. ─ Throbbing, pulsation, and hammering in head, esp. during movement, > when lying with head high; > by perspiration. ─ Rheumatic (tearing) pain in head, from root of nose extending to forehead, with nausea, vomiting, vanishing of sight; < in morning when waking from sleep, from mental exertion and motion; > sitting still or lying down. ─ Throbbing and drawing pains in forehead. ─ Sensation on moving head as if brain wavered. ─ Painful sensitiveness of scalp, as if excoriated. ─ Contraction and mobility of scalp. ─ Tendency of head to become easily chilled. ─ Sweat on head, esp. in morning and at night. ─ Scurf on scalp. ─ Great sensitiveness of scalp; with greasy, shining face; sensitiveness of forehead and the borders of hair; < in warm room, > in open air. ─ Itching eruption of margins of hair at nape of neck. ─ Abundant falling off of hair (as soon as it is touched, more on forepart of head and temple), even of whiskers; and on the genitals, esp. during child-bed.

Eyes

Itching in eyes. ─ Shootings, smarting, and burning in eyes. ─ Inflammation of eyes. ─ Corrosive lachrymation (morning). ─ Frequent lachrymation. ─ Secretion of humour in external canthi. ─ Nocturnal agglutination of eyes. ─ Eyelids continually red and ulcerated. ─ Inflammation of eyes with ulcerated lids and glutinous mucus in (external) canthi. ─ Spasmodic closing of lids, esp. in morning, in the evening (during twilight) and at night. ─ Eyes give out on using them. ─ (Headache associated with eye-strain; esp. headache on waking.). ─ Feeling as if balls were too large and compressed. ─ Pressure in eyes on looking intently at anything. ─ Sensation of sand in eyes, mornings. ─ Cloudiness of sight when stooping and walking, as well as on reading and writing. ─ Sight confused, as from down before eyes, or looking through a veil. ─ Letters appear confused, when reading. ─ Diplopia. ─ Hemiopia (perpendicular). ─ Presbyopia. ─ Weakness of sight, as from incipient amaurosis. ─ Black specks, luminous marks, and sparks before eyes. ─ Fiery, zigzag appearance around all things. ─ Affections of r. eye; angles of eyes; momentary loss of sight. ─ Myopia.

Ears

Shootings in ears. ─ Pulsations and beatings in ears. ─ Swelling and heat of ears. ─ Discharge (of pus) from ears. ─ Hardness of hearing. ─ Tinkling, ringing, rumbling, and humming in ears. ─ Painful cracking in ear when masticating. ─ Itching behind ears.

Nose

Numbness and insensibility of one side of nose. ─ Inflammation and swelling of nose, on one side (l.) only, with pain when touched. ─ Boring in bones of nose. Excoriation of interior of nose, with swelling of interior wings. ─ Scabs and scurf in nose. ─ Scurf on the nose. ─ Loss of smell and taste. ─ Abortive sneezing. ─ Obstruction and dryness of nose. ─ Dry coryza, sometimes in morning only. ─ Violent coryza, fluent or dry, with loss of smell and taste, and sneezing. ─ Bleeding of nose (when coughing at night) when stooping. ─ Blood clotted. ─ Painful burning pustules below septum of nose, afterwards confluent and covered with a scab.

Face

Face yellowish, pale, livid, earthy. ─ Face shining, as if greasy. ─ Swelling of face. ─ Itching and eruption of pimples on face and forehead. ─ Heat in face. ─ Pains in zygomatic process, during mastication, like those of ulceration. ─ Lips dry, chapped, cracked, or excoriated and ulcerated, with scabs, and burning and smarting eruption. ─ Fever blisters on the lips. ─ Ulcer on (l.) cheek. ─ Tingling and numbness of lips. ─ Tettery eruption round mouth. ─ Swelling of lips. ─ Sanguineous vesicles in internal surface of upper lip, with burning pain when touched. ─ Granulated and ulcerated eruption on chin. ─ Frequent swelling of submaxillary glands.

Teeth

Teeth very sensitive to air and touch. ─ Drawing, like extraction, in teeth, extending into ear and throat, after a meal, and at night, with swelling of cheek. ─ Lancinations, boring, and pulsation in carious teeth. ─ Looseness and caries of teeth. ─ Fistula in gums. ─ Gums swollen, easily bleeding, and very sensitive to cold or hot things. ─ Putrid inflammation of gums. ─ Ulcers in gums.

Mouth

Ulcers and vesicles on tongue and in mouth, with burning smarting, and pain from contact with food and drink. ─ Blisters like pearls about the mouth; esp. in intermittent fever. ─ Hæmoptysis. ─ Speech embarrassed in consequence of heaviness of tongue. ─ One half of tongue numb and stiff. ─ Tongue stiff and, with hard palate, unusually dry. ─ Prolonged sensation, as of a hair on tongue. ─ Dryness of mouth, lips, and esp. of tongue. ─ Burning at tip of tongue. ─ Mapped tongue; red insular patches; ringworm on r. side. ─ Tongue: clean, shiny, bubbles of frothy saliva along sides; clean in front, dirty at back; broad, pallid, puffy, with pasty coat. ─ Swelling under tongue, with stinging pain; ranula. ─ Numbness on lips and one side of tongue (trifacial and glosso-pharyngeal paralysis.). ─ Copious salivation; saliva salty.

Throat

A sensation during deglutition as of a plug in throat. ─ Spasms in the throat. ─ Swelling; sensation of constriction and stitches in throat. ─ Long-continued sore throat, with sensation as if she had to swallow over a lump. ─ Inflammation of throat, with shooting pain and ulceration. ─ Expectoration of mucus, on hawking, esp. in morning. ─ Frequent hawking of salty-tasting mucus. ─ Swelling of cervical glands.

Appetite

Loss of taste (and smell). ─ Bitter taste in mouth. ─ Putrid or acid taste, as when fasting. ─ Putrid taste of water. ─ After-taste of food, esp. of acids. ─ Continual thirst, often with nausea, distension of abdomen, and other unpleasant symptoms after drinking. ─ Loss of appetite, esp. for bread, and repugnance to tobacco smoke. ─ (Vomiting of pregnancy with aversion to bread.). ─ Dislike to food, esp. when fat. ─ Sufferings from acid food, from bread, fat, and wine. ─ Immoderate appetite in afternoon and evening. ─ Bulimy, without appetite, with fulness and satiety, however little may have been eaten. ─ Desire for acids. ─ Longing for bitter food and drink. ─ Sweat on face during a meal. ─ After a meal, empty risings, nausea, fulness and inflation of the abdomen and stomach, somnolence, head confused, acidity in the mouth, and pyrosis, palpitation, and intermittent or accelerated pulse. ─ Disagreeable risings after fat food or milk.

Stomach

Risings, with taste of food. ─ Violent hiccough. ─ Sensation as if a foreign body were sticking in the cardiac orifice and behind sternum. ─ Acid and acrid risings, sometimes with taste of food. ─ Pyrosis, which ascends from stomach. ─ Nausea, esp. in morning. ─ Waterbrash, with revolving sensation in stomach, sometimes followed by a sour vomiting of food. ─ Vomiting of food and bile. ─ Aching of stomach in morning, or during the day, with nausea, and sudden sinking. ─ Pressure at epigastrium, as if there were a hard body in stomach. ─ Epigastrium swollen and painful, when touched and pressed, as if it were ulcerated. ─ Contractive cramps in stomach, sometimes with nausea. ─ Shocks and clawing in pit of stomach. ─ Pulsation in epigastrium. ─ Red spots on pit of stomach.

Abdomen

Drawing, tension, pressure, pinching, and shootings in hepatic region (chronic inflammation of liver). ─ Pain, shootings, and pressure in splenic region. ─ (Reduces size of enlarged spleen.). ─ Cramp in diaphragm on stooping. ─ Inflammation of abdomen. ─ Swelling of abdomen. ─ Tensive, pressive, and hypochondriacal uneasiness in abdomen. ─ Pressive pain in abdomen. ─ Drawing and contractive pains in abdomen, like labour pains. ─ Daily cuttings and pinchings in abdomen, sometimes in morning, and at night. ─ Rigidity in l. side of abdomen. ─ Incarceration of flatus, sometimes at night. ─ Colic with nausea > by discharge of flatulence. ─ Loud grumbling and borborygmi in abdomen. ─ Burning in intestines. ─ Pain in ring when coughing, extending into testicles, as if spermatic cords would be torn to pieces. ─ Protrusion of hernia.

Stool and Anus

Constipation, sometimes prolonged, or every second day. ─ Frequent, urging, and ineffectual effort to evacuate, or scanty evacuation. ─ Stools difficult to discharge, hard, dry, crumbling, like sheep's dung. ─ Hard and broken evacuations. ─ Difficult evacuation of fæces, often with tearing and shooting in rectum and anus. ─ Evacuations too frequent. ─ Prolonged relaxation of abdomen. ─ Diarrhœa like water, with colic. ─ Alternate constipation and diarrhœa, irregular unsatisfactory stools. ─ Diarrhœa, with colic, and evacuation of mucous matter. ─ Painless watery diarrhœa. ─ Involuntary evacuations. ─ Discharge of blood during evacuations. ─ Burning in anus and rectum, during and after stools. ─ Shootings, excoriation, and pulsation in rectum. ─ Cramp-like constriction, and feeling of contraction in rectum. ─ Prolapsus recti, and burning pain in anus, with oozing of sanguineous and sanious matter. ─ Painful and shooting hæmorrhoidal tumours in anus. ─ Excoriation in anus, and between the buttocks, esp. when walking. ─ Tetters in anus. ─ Lumbrici.

Urinary Organs

Frequent and urgent want to urinate, day and night, sometimes every hour, with copious emission. ─ Involuntary emission of urine, sometimes on coughing, walking, laughing, or sneezing. ─ Nocturnal emission of urine. ─ Clear urine, with red sediment, resembling brick-dust. ─ Discharge of mucus from urethra, after the emission of urine. ─ Discharge of mucus from urethra during and after urination, causing itching and biting. ─ Discharge of mucus from urethra, which is sometimes yellowish, as in gonorrhœa. ─ After micturition spasmodic contraction in abdomen; burning, drawing, and cutting in urethra. ─ During micturition stitches in bladder, smarting, burning in urethra; smarting and soreness in vulva. ─ Urine dark, like coffee, or black.

Male Sexual Organs

Itching, tetters, and excoriation between scrotum and thighs. ─ Itching and stinging on glans and scrotum. ─ Secretion behind glans, like gonorrhœa balani. ─ Phimosis. ─ Excessive excitement of genital organs, and of the amative feelings; or dulness of sexual desire. ─ Want of energy during coition. ─ Impotence. ─ Pollutions after coition. ─ Strong fetid odour from genital organs. ─ Hydrocele. ─ Loss of hair from pubes.

Female Sexual Organs

Pressure and general bearing down towards genital organs every morning; has to sit down to prevent prolapsus. ─ Prolapsus uteri with aching in loins, > lying on back; cutting in urethra after micturition. ─ Catamenia premature and profuse; or retarded and scanty. ─ Sterility, with too early and too profuse menstruation. ─ Prolonged catamenia. ─ Suppression of catamenia. ─ Difficulty in appearance of first menses. ─ Headache before, during, and after catamenia. ─ Before catamenia, moroseness and irritability. ─ At commencement of catamenia, sadness. ─ During catamenia, cramps in abdomen. ─ Spitting blood at menstrual nisus; bloody saliva. ─ Itching in genital organs. ─ Repugnance to coition. ─ Coition: painful from dryness of vagina; burning smarting during; in anæmic women with dry mouth and dry skin. ─ Leucorrhœa, with headache, disposition to diarrhœa, colic, and mucous evacuations. ─ Acrid (greenish) leucorrhœa (increased discharge when walking), with yellow colour of face. ─ Abundant discharge of transparent, whitish, and thick mucus from vagina. ─ Vulvitis with falling off of hair. ─ Itching of external parts with falling off of hair. ─ Pimples on mons veneris. ─ Nausea and vomiting during pregnancy; morning sickness with vomiting of frothy, watery phlegm. ─ During pregnancy: dysuria; albuminuria; craves salt; congestion to chest; palpitation; hæmorrhoids; cough; escape of urine. ─ Labour slow, pains feeble, apparently from sad feelings and forebodings. ─ Loss of hair in children or during lactation. ─ Child refuses breast; nursing sore mouth. ─ Lancinating pains in breasts. ─ Stitches beneath nipples. ─ Dull stitch beneath r. nipple, also in abdomen. ─ Breasts sensitive to slightest touch.

Respiratory Organs

Hoarseness, and sensation of dryness in larynx. ─ Dry cough with rattling in chest. ─ Accumulation of mucus in larynx in morning. ─ Chest embarrassed with catarrh and cough. ─ Cough excited by a tickling in throat, or in epigastrium, day and night, esp. on walking or taking a deep inspiration. ─ Cough in morning. ─ Choking, spasmodic cough in bed, in evening. ─ Short, chronic cough, with expectoration of mucus and swelling in chest. ─ Cough, with expectoration of bloody mucus. ─ Cough, with sanguineous expectoration, retching and vomiting. ─ Pains in head, on coughing, as if forehead were about to burst. ─ Whooping-cough caused by tickling in throat or pit of stomach, with expectoration (only in morning) of yellow or blood-streaked mucus, with violent pain in head, or with shocks; beating and hammering in head; involuntary micturition; stitches in liver. ─ Tears stream down his face whenever he coughs (whooping-cough). Breath: hot; offensive. ─ Shortness of breath, esp. when walking quickly. ─ Obstructed respiration, esp. during manual labour, > when exercising arms and in the open air. ─ Wheezing respiration in bed, in evening.

Chest

Pains in chest (dyspnœa on ascending stairs and shortness of breathing), as if caused by internal tension. ─ Stitches in the chest and sides with shortness of breathing, esp. when taking a long inspiration. ─ Breath short and chest tight, and as if a dry stick of wood were down the throat, with cough. ─ Lancinating pains in chest and sides of chest, with impeded respiration, sometimes when taking a full inspiration, and when coughing.

Heart

Anxious and violent palpitation of heart at every movement of body, but principally when lying on l. side. ─ After eating, breath impeded, with violent palpitation. ─ Jerking and shooting pain in region of heart. ─ Fluttering motion of heart. ─ Irregular and intermittent palpitation of heart. ─ Jerking movement of heart. ─ Enlargement of heart.

Neck and Back

Aching, rigidity, and tension in nape. ─ Stitches in neck and back of head. ─ Painful stiffness of the neck. ─ Throat and neck emaciate rapidly, esp. during summer complaint. ─ Goître of a large size. ─ Scurf under axillæ. ─ Scabs in axilla; painful soreness of cervical glands when coughing. ─ Engorgement of axillary glands. ─ Contusive pain and feeling of paralysis in sacrum, esp. in morning. ─ Paralytic weakness nearly all day, > from lying, < from eating. ─ Shootings, incisive pains, and violent pulsation in sacral region. ─ Tearing across loins and hips. ─ Nocturnal pains in back. ─ Over-sensitiveness of spine. ─ Pain in back > by lying on something hard. ─ Lassitude, pressive tension, and pulling in back.

Upper Limbs

Wrenching pains in joints of shoulders and fingers. ─ Lassitude and paralytic heaviness of arms. ─ Contusive pain in arms and hands, but esp. in shoulder-joints (sensation of lameness and of a sprain), which prevents arms from being elevated or moved. ─ Digging in arms. ─ Shocks in elbow. ─ Lancinations in muscles and joints of hands and fingers. ─ Brownish spots on back of hand. ─ Warts on palms. ─ Skin of hands dry and cracked, esp. round the nails. ─ Coldness of hands. ─ Cramp in arms, hands, finger and thumb. ─ Sweat on hands. ─ Difficulty in bending the joints of the fingers. ─ Numbness and tingling in the fingers. ─ Tingling in the hands (and feet), esp. on joints and tips of fingers and toes. ─ Trembling of hands when writing. ─ Swelling of r. hand. ─ Numerous flaws in the nails. ─ Hang-nails. ─ Whitish hives on arms and hands. ─ Panaritium.

Lower Limbs

Wrenching pain in hips, with shootings. ─ Drawing pains in thighs, knees, and legs. ─ Restlessness and jerking in limbs (in legs, compelling one to move them constantly). ─ Paralytic weakness of legs, and esp. of joint of foot. ─ Pain as if knees and ankles were sprained. ─ Weakness and trembling of lower extremities, on rising from a seat, > from continued walking. ─ Jerking of muscles of thighs. ─ Tension in bends of limbs and sensation as if the tendons were shortened; painful contraction of tendons of ham. ─ Wrenching pain in joints of knee and foot. ─ Lassitude in knees and calves. ─ Cramps in lower legs and calves. ─ Tetters in hams. ─ Tension in legs and calves. ─ Great heaviness in legs and feet. ─ Burning in feet. ─ Swelling of feet. ─ Coldness of feet. ─ Pain as from ulceration in malleoli, when putting down foot, and on touching the parts. ─ Sensation as if limb had gone to sleep (feet, fingers). ─ Suppression of perspiration of feet. ─ Redness of great toe, with acute pullings and shootings, when walking, and after standing a long time. ─ Tetters on malleoli. ─ Corns on feet, with shooting and boring pains.

Generalities

Pressive drawing in limbs. ─ Rigidity of all joints, which crack when moved. ─ Contraction of tendons (muscles shortened). ─ Jerking in the muscles and limbs. ─ Jerking of r. side and head. ─ Tendency to dislocation, and to strain back. ─ Old sprains. ─ Paralysis. ─ Swelling of glands. ─ Fungus hæmatodes; polypus; hang-nails. ─ Fits of uneasiness, esp. in morning or evening, with nausea, weakness, deadly paleness in face, headache, numbness of limbs, want to lie down, &c. ─ Bad effects of a disappointment. ─ After fright, chorea. ─ After fit of passion, paralysis. The symptoms manifest themselves, are renewed, or < , generally when lying down, and esp. at night, or in morning; and are > by rising up in bed. ─ The nocturnal pains suspend respiration, and occasion a sort of semi-lateral paralysis. ─ General ebullition of blood, with pulsation over whole body, on slightest movement. ─ Trembling of whole body, caused by tobacco smoking. ─ Congestion in head, chest, and stomach, with coldness of legs. ─ Obstruction from inactivity of the bowels. ─ Affections of the pit of the stomach; rectum; external belly. ─ Reddish urine; complaints after making water. ─ Uneasiness and inconvenience after prolonged speaking. ─ Great relaxation of all physical and moral powers, after fatigue. ─ Heaviness and indolence, esp. after having risen in morning, with repugnance to movement and walking. ─ Excessive soreness and lassitude in limbs, esp. in morning, and when seated. ─ Hysterical debility; in morning in bed. ─ Great weakness. ─ Alternate weakness and agility in limbs. ─ Great emaciation (more of body than face). ─ Tendency to take cold. ─ Inquietude in body, with shivering.

Skin

Miliary eruption, with shooting pain. ─ Itching and pricking in skin. ─ Rash over whole body, with stinging sensation in skin. ─ Red tetter in hollow of knees. ─ Pain and redness of an old cicatrix. ─ Skin of hands, esp. about nails, dry, cracked; hang-nails. ─ Whitish hives on arms and hands. ─ Itching tubercles. ─ Nettle-rash after violent exercise (itching). ─ Tetters. ─ Furunculi. ─ Exanthema on mouth; lips; in intermittent fever where there are large exanthematous spots looking like large peas, on lips (cold sores); lips look puffy. ─ Warts; on palms of hands. ─ Panaritium. ─ Varices. ─ Corns.

Sleep

Great drowsiness during day, with frequent yawning. ─ Retarded sleep, and sleeplessness at night, with ineffectual efforts to go to sleep. ─ Difficulty in falling asleep again, at night, after awaking. ─ Difficulty in waking, and excessively drowsy lassitude early in morning. ─ Agitated sleep, full of vivid and lascivious dreams, with prolonged erections and pollutions. ─ Anxious, distressing dreams, with tears and talking during sleep. ─ Frightful dreams of quarrels, murders, fire, thieves, &c. ─ Dreams of thieves in the house, making so strong an impression that patient wakes up and cannot go to sleep again until the house has been searched; fantastic dreams. ─ Dreams of burning thirst; starts and talks in sleep and tosses about. ─ Dreams which still keep possession of the mind after waking, and which are believed to be realities. ─ Ebullition of blood at night, with anxious heat (perspiration, violent throbbing of the arteries) and palpitation of heart. ─ Nightmare. ─ Somnambulism. ─ At night, pains in back, quivering, apparently of the nerves, frequent emission of urine, headache, colic, asthmatic sufferings, and great anguish of body.

Fever

Frequent, internal, shudderings. ─ Continued shivering and want of vital heat. ─ Chill predominates; chilliness internally, as from want of vital heat, with icy coldness of hands and feet (evening). ─ Continued chilliness from morning till noon. ─ Shivering, with and without thirst. ─ Shivering and shuddering, with drowsiness, followed by slight perspiration. ─ Flushes of heat and shivering alternately, with headache; chilliness over back and perspiration in axilla and on soles of feet. ─ Continuous heat in afternoon, with violent headache and unconsciousness; they are gradually > during the perspiration which follows. ─ Violent perspiration > the painful symptoms present during fever. ─ Debilitating, somewhat sour-smelling perspiration. ─ Chilliness with increasing headache in forehead every day at 9 a.m. until noon; afterwards heat with gradually increasing perspiration and thirst, the headache decreasing afterwards gradually. ─ Heat with burning thirst. ─ Dejection before fever. ─ Before shivering, headache; during shivering, short breathing, yawning, and desire to sleep. ─ During heat, violent headache, dizziness, cloudiness of eyes, vertigo, and redness of face. ─ Fever, with pains in bones, pains in back, yellowish complexion, headache, weakness, bitter taste in mouth, ulceration at commissures of lips, want of appetite, pressure at pit of stomach, with great sensitiveness of that part to touch; quotidian or tertian fever, generally commencing in morning by shiverings, followed by heat and thirst. ─ In forenoon chilliness for three hours, with blue nails and chattering of teeth; this is followed by heat, lasting as long, accompanied by obscuration of sight, stitches in head much thirst, pains in back, followed by perspiration. ─ [Ague, fever at noon, generally 9 to 11 hard chill, great thirst for large quantities of water, longing for salt food, headache during the heat, profuse sweat and complete apyrexia leaving languor and debility. ─ Spleen and liver enlargement and obstinate constipation. ─ Pernicious fever and fever with anæmia often benefited by Nat. m . (Majumdar)]. ─ Typhus fever, with debility, dryness of tongue, and violent thirst. ─ Pulse irregular and often intermittent (esp. when lying on l. side). ─ Pulse at one time rapid and weak, at another full and slow. ─ The pulsations shake whole body. ─ Intermittent fever: chilliness with great thirst; afterwards great heat with violent thirst and excessive headache; at last profuse perspiration. ─ Intermittent fevers after the abuse of Chininum sulph . ( < during hot stage). ─ During apyrexia: stitches about the liver; languor; emaciation; fever blisters on lips. ─ Sweat in morning. ─ Profuse sweat, too easily excited by movement. ─ After the fever passes off the patient wishes to retain a recumbent position, does not "feel able" to get up or go about anything.

The Guiding Symptoms of Our Materia Medica

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

General

ain

Mind

Weakness or loss of memory ; remembers nothing of yesterday.
Absent minded or distracted while talking ; does not know what he ought to say ; awkward in talking ; easily makes mistakes.
Awkward ; hasty ; drops things from nervous weakness.
Dulness ; difficulty of thinking.
Haunted with thoughts that something unpleasant will happen.
Tries to recollect past disagreeable occurrences for the purpose of thinking on them and indulging the grief which it causes.
He concluded from the look of everyone, that he was pitied on account of his misfortune, and he wept.
Delirium, with starting of body, picking at bedclothes, wandering and muttering.
Delirium tremens.
Mania, especially when accompanied by paralytic debility.
After becoming thoroughly wet, severe headache with maniacal paroxysms, during which he uttered the most atrocious blasphemies, swore against God and the elements, and after raging for awhile became exhausted, and had to keep his bed from great
debility ; dryness of tongue ; unquenchable thirst ; pulse irregular and intermittent.
No desire to work, mental or physical.
Taciturnity ; offended at every word ; avoids company ; hates persons because they have offended him ; spleen.
Likes to be alone.
Whenever alone she wished to cry, she did not know why.
Very much inclined to weep and to be excited.
Laughed so immoderately at something not ludicrous that she could not be quieted, and tears came into her eyes, so that she looked as though she had been weeping.
Hurriedness, with anxiety and fluttering at heart.
Hastiness and impatience. θ Chlorosis.
Attacks of great cheerfulness and merry disposition, with great inclination to laugh, sing and dance.
Gloomy thoughts, recalls insults long since suffered ; likes to dwell upon past unpleasant occurrences.
Depression of spirits.
Prevailing depression of mind, with spells of irritableness and crossness. θ Addison's disease.
Lachrymose depression, < from being spoken to ; concern about the future.
Sad and weeping mood without cause.
Sad and weeping ; consolation aggravates, a fluttering of heart follows ; intermittent pulse.
Very sad, gloomy and foreboding. θ Dysmenorrhœa.
Excessive sadness during menses, with palpitation and morning headache.
Alternately sad and excessively merry ; hysteria.
Melancholic depression and sad apprehension, disheartened all day without definite cause ; palpitation.
Hypochondriacal mood, with constipation.
Apprehension, feels as if something was going to happen.
Brain fag, with sleeplessness, gloomy forebodings, exhaustion after talking, embarrassment of brain.
A pregnant woman saw a man who had a disfiguring nasal cancer ; this haunted her, and she was sure her child would be marked ; she was melancholy, avoided society, wept continually.
Fear of loss of reason.
Despairing, hopeless feeling about the future.
Hypochondriacal ; tired of life.
Joyless, indifferent, taciturn.
Weak will.
Great irritability ; child irritable and cross when spoken to ; crying from slightest cause.
Very ill humored in morning.
Quarrelsome fretfulness, gets into a passion about trifles ; passionate vehemence.
Hateful and vindictive natures.
When trying to comfort him he gets into a violent rage.
Anthropophobia.
Fearfulness ; very easily startled.
Bad effects from anger.
Consequences of fright, anger, vexation, mortification, or reserved displeasure.
After a fright, chorea.
After violent fits of passion, paralysis.

Sensorium

Weariness in head.
Empty feeling in head, with anguish.
Weak, faint feeling in head and chest walking in sun.
Dulness : of head, as if too heavy ; in morning or forenoon ; after thinking.
Feeling of heaviness in head, as if it would fall forward, increasing with headache across forehead.
Vertigo : great dulness of head, with flickering before eyes ; objects turn around, tendency to fall forward ; after shooting in head, as if she would fall to left ; when rising from bed in morning ; periodical, with nausea,
eructations, colic and trembling limbs ; nausea and headache ; as if a cold wind was blowing through head ; with feeling of fainting ; when rising, > lying down awhile ; congestive, from suppressed hemorrhoidal flow ; in pregnancy ; from spirituous
liquors, tea, coffee, tobacco, opium ; from straining eyes or close study ; on walking ; when standing near a window.

Inner head

Pressure : in frontal region ; dragging.
Weight in forehead, pressing in, < bending head down, > from pressure.
Dull pressure in forehead with confusion.
Pressive pain in forehead and eyeballs so violent that lids can only be raised with exertion and pain, he could no longer read.
When coughing it seems as though forehead would burst.
Headache : in forehead ; during and after sneezing ; as from a blow, < from laughing ; on waking in morning, throbbing and weight ; face flushed ; every other day, from 10 A. M. to about 3 P. M.
Pressive, throbbing headache, especially in left frontal region, all day.
Throbbing and tension in forehead.
Beating and pulsation in head, mostly in forehead, with nausea and vomiting, < in morning and when moving ; > lying with head high ; > by perspiration.
Pains in and over right eye, going off with sun ; cannot bear light of any kind.
Rheumatic tearing from root of nose to forehead ; nausea, vomiting ; vanishing of sight.
Tearing, stitching headache, compelling one to lie down.
Stitches over eyes ; in head ; fine, through head ; extending to neck and chest.
Headache as if head would burst.
Beating and throbbing in head on motion of body.
Throbbing as from little hammers ; awakens with headache every morning ; < from reading or talking.
Rush of blood to head ; head feels heavy.
Heat in head, with redness of face, nausea and vomiting.
Violent jerks and shocks in head.
Pressing headache from both sides, as if in a vice.
Headache immediately after waking in morning, lasting till towards noon.
Headache from sunrise till sunset, < at midday ; right eye congested ; < from light.
Dull headache, almost constantly.
Dull, heavy headache, with profusion of tears, drowsiness and unrefreshing sleep.
Headaches with constipation, from torpor and dryness of a portion of intestinal mucous tract, when tongue is clean or covered with bubbles of frothy saliva.
Headache, with red face, nausea and vomiting, before, during and after catamenia.
Headache of schoolgirls ; during menses with burning on vertex.
Pain like a nail driven into left side of head. θ Intermittent.
Hemicrania : with sour vomiting and eructations ; sudden bloating of and rumbling in abdomen, nausea, loss of consciousness and twitching of limbs.
Sick headache from morning till noon.
Right sided headache, comes on at 10 A. M., with dizziness and dull heavy pains, glimmering before eyes, fainting and sinking at epigastrium, slight fever and thirst ; > in open air and while perspiring ; sore nostrils.
Headache, with vomiting of transparent phlegm or water.
Headache ceases on one side of head ; continues more violent on other.
Left sided clavus.
Headache beginning with a blinding of eyes.
Pain like a rope around head, drawing tighter and tighter ; after walking awhile feels as if stepping on air.
Sick headache whenever she eats rich food ; attacks commence in morning, with zig-zag dazzling in eyes, like lightning, lasting half an hour and ushering in throbbing headache in forehead and vertex, with nausea ; can hardly hold her eyes open ; cold feet ; creeping
chilliness all over ; sometimes vomits sour water or bile ; somewhat > going to bed in a dark room ; attacks usually last twenty-four hours.
Severe headache, maniacal paroxysms, blasphemous ; weak ; tongue dry ; very thirsty ; intermittent pulse ; caused by getting wet.
Burning on vertex.
Heaviness in back part of head ; draws eyes together.
Heat and throbbing in occiput.
Stitches as with knives in occiput.
Headache coming on in early morning or at 10 A. M., after suppressed ague.
Headache < in morning on waking, moving head or eyes, mental exertion, warmth ; > from sitting still or lying down and from sweat.
Chronic effects after injury to head.
Sunstroke.
Increased quantity of water in brain in acute diseases (typhus, scarlet fever, smallpox), manifested by sopor, convulsions, etc.

Outer head

Head involuntarily nods forward ; weakness.
Cold sensation on vertex ; scalp sensitive ; spasm of eyelids.
Scalp feels constricted ; < talking and in open air ; > sitting or lying.
Liability to take cold in head.
Violent itching on head and nape of neck.
Hair falls out if touched ; mostly on forepart of head, temples and beard ; scalp very sensitive ; face oily, shiny, as if greasy.
Itching eruption, impetigo, < on boundaries of hairy scalp, especially about nape of neck and behind ears ; eruption glutinous, thin, gummy scabs ; skin sore and red.
Light crusts form on back of head and neck, along border of hair, which are irregular and resemble peach gum.
Scabs on head and in axillæ ; eczema raw, oozing a corroding fluid destroying hair.
Humid eruption, gluey discharge, matting hair.
White scurf on scalp ; dandruff ; alternating with catarrh and loss of smell.
Chronic eruption over whole head had eaten off hair, surface raw as if scalped.
From a blow on forehead bone was exposed and a small piece exfoliated ; three months after wakes each morning with headache, which lasts till 10 A. M., when scalp begins to sweat and headache passes away ; when he lies down at night head begins to ache ; hears a ringing
and roaring noise till he falls asleep, starts from sleep frightened, having dreamed of robbers, fire, murder or other horrible things.
After blow upon left parietal bone there remained a sensitive spot over seat of injury, least touch upon this spot caused trembling over whole body ; pains day and night, with twitching of limbs.
Jerking of head, in chorea.

Sight and eyes

Fiery, zigzag appearance around all objects ; black spots and streaks of light ; sudden darkness, everything turns black.
Vision double, or sees only one half (perpendicular) of an object.
Unsteadiness of vision ; objects become confused.
Dim sight, as if looking through gauze or feathers ; objects seem covered with a thin veil.
Frequent obscuration of sight, especially when stooping, walking, reading, writing.
Amaurosis, from debilitating nervous losses.
Eyes give out in reading or writing.
Amblyopia and amaurosis ; pupils contracted, dependent on menstrual disorders in chlorosis.
Asthenopia, particularly muscular ; drawing, stiff sensation in muscles of eyes when moving them ; letters and stitches in sewing run together ; aching in eyes when looking intently ; often caused by general muscular weakness, spinal
irritation and overuse of eyes, or reflex irritation from uterus.
Retinal images are retained too long.
Hyperesthesia of retina, lachrymation and burning in morning ; conjunctival injection ; on looking at a bright light, great photophobia, severe sticking in temples, on reading, objects seem to swim before sight ; chlorosis.
Iritis ; pupil contracted ; iris discolored ; violent stitches in temples on looking into light or when light is changed.
Ulcerations of cornea, after cauterizing with nitrate of silver, with dread of light, so that child lies with head buried in pillow ; lids swollen, bleed on opening, much lachrymation and eruption on face and lips ; sharp, piercing pain above right eye on looking down, with
throbbing headache, < in evening.
Blepharitis, ulcers on cornea when there is smarting, burning ; feeling of sand in eyes, mornings ; acrid, excoriating tears ; photophobia marked, with spasmodic closure of lids.
Keratitis pustulosa, with granular lids.
Scrofulous ulcers on cornea, with photophobia.
Blisters on cornea, white spots ; acts especially on corpus vitreum.
Ciliary neuralgia ; pain in and above eye (especially right), coming on and going off with sun ; eye congested, sore and painful when moved ; can bear neither natural nor artificial light ; pain from lamplight ; could not hurt more if eye was pulled from
socket ; discouraged ; craves salt.
Sharp pain over right eye on looking down, with throbbing headache ; < in evening.
Neuralgic pains in eyes, periodical, with flow of tears and reddened conjunctiva.
Eyes itch and burn like chilblains ; must wipe them often and pull at lashes.
Divergent strabismus since childhood in a patient, æt. 20 ; following inflammatory rheumatism ; after Rhus tox. eyes parallel for one day, then squint, came on from fatigue ; more marked in hot weather and < in winter.
Weakness of internal recti muscles.
Redness of whites of eyes, with lachrymation.
Redness and inflammation of white of eye, with a feeling as if balls were too large and compressed.
Inflammation of eyes, lachrymation in every slight wind.
Lids were very much swollen, dark, purplish, canthi cracked ; conjunctiva swollen, chemosed, protruding, small points on upper part of cornea and profuse, mucopurulent discharge.
Scrofulous ophthalmia, after abuse of nitrate of silver.
Follicular conjunctivitis ; follicular formations chronic and chiefly confined to oculo-palpebral folds ; also when case is complicated with some trachoma.
Conjunctivitis, with white mucous secretions and acrid lachrymation.
Sensitiveness of eyes ; after using they smart, itch and burn.
Sticking in right eye.
Sensation as if sand was in eyes, in morning.
Pain as from a foreign body in eyes.
Burning in eyes, with increased secretion of mucus ; lids agglutinated in morning ; great sensitiveness to lamplight.
Violent burning in eyes in evening.
Pressure in eyes on looking intently at anything.
Dark veil passes before eyes from right to left every morning at 10 A. M.
Eyes too large.
Dermoid swellings of conjunctiva.
Lachrymation : in open air ; biting, in morning ; appearing daily at a regular time ; acrid, making canthi red and sore ; with eruption of small vesicles causing scalding ; skin of face about eye glossy and shining ; tears stream down face whenever he
coughs ; with obstruction of tear duct, < after use of nitrate of silver.
Irritability of margins of lids and their conjunctiva.
Catarrhal affection of margins of lids ; lids red, with burning, especially in evening while reading, they secreted mucus and were agglutinated in morning on waking and covered with thick scabs.
Borders and corners of eyelids raw and ulcerated.
Excessively sore, red, disgusting eyelids ; lids look like raw beef.
Inflammation of lids after measles ; lids thick and red ; thick discharge ; < in evening ; chill at 11 A. M., followed by fever and great thirst.
Old cases of granular lids, with or without pannus, especially if they have been treated with caustics.
Lids heavy when using them.
Spasmodic closing of eyelids.
Eyes close with headache.
Entropion from caustic treatment of granular lids.
Dermoid tumor on edge of lid.
Stricture of lachrymal duct, fistula and blenorrhœa of lachrymal sac.
Catarrhal stenosis of lachrymal duct in a baby ; eye constantly watering.
Fissure in external canthi, first left, then right, with dragging pains, craving salt ; subsequently fissure in left external canthus, with pain as if it was being torn open.
Stye in corner of eye ; stye on right side.
Glutinous substance collects in external canthi.
Itching in eyes and canthi.
Itching eruption in eyebrows.
Morbus Basedowii, palpitation ; short breath on least exertion.
ain

Hearing and ears

Buzzing, humming, roaring or ringing in ears.
Hardness of hearing.
Deafness from swelling of tympanitic cavity, with watery conditions of tongue.
Catarrh of tympanitic cavity and Eustachian tube ; nonsuppurating.
Drawing and stitching pains from ear down to neck and shoulder, or from teeth up to ear.
Throbbing and beating in ears ; ears red from congestion ; otorrhœa.
Painful cracking in ear when masticating.
Pulsation and beating ; or stitches in ear.
Discharge of pus from ear.
Swelling, burning and heat of ears.
Chronic catarrhal otitis, with acrid discharges.
Itching behind ears.

Smell and nose

Loss of smell and taste, especially with catarrh.
Feeling of dryness in nose ; stoppage.
Dry coryza or dry nasal catarrh.
Easily takes cold in head ; is constantly obliged to wrap it up ; if he allows it to be uncovered during day has stoppage of nose at night.
Coryza fluent, alternately with stoppage ; posterior nares dry, with hawking in morning ; spasms of sneezing each morning, or ineffectual attempts.
Great swelling of mucous membrane in upper portion of nose, with difficulty of breathing through nose, and speaking through nose ; loss of smell. θ Coryza.
Excessive fluent coryza, with loss of smell and taste.
Catarrh, secretion clear mucus, transparent like white of egg.
Severe coryza, consisting of clear white discharge so profuse that it was necessary to lay a towel under nose ; awoke every morning with a headache, and after rising discharge from nose continued with violent and frequent sneezing ; loss of taste
and smell ; troublesome cough from tickling in throat pit.
Squirming in nostril as of a small worm. θ Hay asthma.
Hay fever ; watery discharge from eyes and nose.
Colds causing vesicular eruptions with watery contents, which burst and leave thin scurfs or crusts ; scurf and scabs in nose.
Cold in head ; lips and alæ nasi thickly set with fever blisters.
Influenza, watery running at nose, great sleepiness.
Thick mucus, with loss of smell and taste ; membrane thickened. θ Catarrh.
Burning pains in nasal bones, especially at roof of nose and in malar region.
Redness, heat and swelling of left side of nose, with sore pain, especially on blowing nose.
Burning in nose, internal soreness ; nasal wings full of pimples.
Loss of sensibility, feeling of deadness on inner part of nose.
Many small, burning pimples under septum, with sensation as if acrid water flowed from nose.
Chronic naso-pharyngeal catarrh.
Continual lachrymation from obstruction of nasal duct ; roaring and buzzing in ears and head, with inability to work, read or think ; loss of smell and taste. θ Ozæna.
Chronic catarrh of anemic patients.
Nasal catarrh accompanied by excessive use of salt.
Nosebleed when stooping, or when coughing at night.
In place of chill profuse nose bleeding. θ Intermittent.
Much clotted blood is blown from nose.
Nose sore, interior of wings swollen ; scabs in nose.
Left sided inflammation and swelling of nose ; painful to touch.
Exfoliation of skin on dorsum of nose ; redness of nose with pimples, vesicles and painful nodules.
Nose on one side feels numb.

Upper face

Face : very pale ; wan ; pasty ; livid ; swollen ; sallow ; leaden ; shines as if greasy ; yellow ; earthy ; yellowish, with leucorrhœa ; pale or bloated, in diphtheria ; blue, œdema of lungs.
Earthy, yellow color of face ; brown spots on back of hands. θ Addison's disease.
Redness of left cheek ; heat in face.
Cheek bones pain as if bruised, when chewing.
Prosopalgia : recurring periodically, especially after checked ague ; with constipation ; tongue showing a clear, mucous slime and little frothy bubbles at edge ; with vomiting of clear phlegm or water ; after quinine ; pains
produce paralytic symptoms.
Neuralgia of ophthalmic branch of trigeminus on left side ; blepharospasm, photophobia, contracted pupil, red conjunctiva, increased lachrymation, restless sleep ; regularly at 7 A. M., increasing till noon, and then decreasing, never leaving
entirely.
Facial supraorbital neuralgia, going from right to left, with bronchitis from eating salt.
Pain in malar bones, < when chewing ; falling off of whiskers.
On each side of upper forehead below hair, a round, slightly scabby patch, with red areola, with itching.
Pustular eruption on forehead.
Itching eruption on face. θ Crusta lactea. θ Barber's itch.
Pimples on face. θ Acne faciei.
Ulcer on left cheek.
Sweating while eating.
Mumps with profuse flow of saliva.
Suppuration of parotid after typhus.

Lower face

Small vesicles about mouth, forming a kind of tetter ; hydroa, "cold sores."
Blisters like pearls around mouth. θ Intermittent.
Lips and corners of mouth ulcerated and cracked.
Lips dry and cracked, with rhagades or bleeding scabs ; humid sores in commissures.
Upper lip swollen.
Eruption with smarting pain on red of lips.
Lips tingle and feel numb.
Small vesicles on upper lip, below septum of nose, which burn, become confluent and covered with a scab, which falls off after several days and leaves a red spot lasting two weeks.
Deep, painful fissure in middle of upper lip.
Swelling of lower lip and tip of tongue, with violent burning on it ; wakes him at night.
Great swelling and some burning of lower lip, followed by appearance of a large vesicle, which next day formed a scab and desquamated.
Crack in middle of lower lip.
Severe drawing pain in lower jaw, painful to touch.
Eruptions and ulcers on chin.
Itching, humid eruption on chin ; angry looking.
Hair of beard falls out profusely. θ Barber's itch.
Sycosis ; whiskers fall out with much itching, vesicles with watery contents.
Submaxillary glands swollen.

Teeth and gums

Teeth sensitive to air or touch ; molars pain when chewing.
Pain, drawing, tearing from teeth to ears and throat, after eating and at night ; cheek swollen.
Toothache : pressure ; teeth too long, loose, dull ; swollen cheek ; burning, boring, beating ; at night, before and after midnight ; every other day ; Spring and Summer ; < from drawing in air, from cold drinking, in cold, from warm food, after
chewing, after eating, beginning of catamenia, from touch and pressure.
Pain in malar bones, < when chewing.
Toothache with involuntary flow of tears or salivation.
Decayed teeth feel loose, burn, sting and pulsate.
Teething, with dribbling of saliva.
Loose teeth.
Gums : sensitive to warm and cold things ; swollen, bleed easily ; aphthæ ; putrid ; burning, smarting when eating ; inflamed, with swelling of cheek ; scorbutis.
Difficulty of talking, as if organs of speech were weak.
Ulcer on gum ; painful day and night.
A bluish red swelling of a spongy nature on gums between lower incisors, commencing on left side, extending to right, bled often, blood had a saltish taste.
Epulis.
Fistula dentalis.
ain

Taste, speech, tongue

Taste : bad, in morning ; bitter ; all food tastes bitter ; bitter, with clean tongue in old women ; sour ; salty on lips ; salty, dry tongue, loss of appetite, thirstlessness ; water tastes putrid ; putrid or
sour, while fasting.
Loss of taste. θ Catarrh.
Food and drink have no taste.
Tongue heavy, difficult speech ; children are slow in learning to talk.
One side of tongue numb and stiff.
Dryness of tongue : in diphtheria ; in fever ; with constant thirst or without any.
Complains much of dryness of tongue, which is not very dry.
Sensation of a hair on tongue.
Burning at tip of tongue.
Dry, white tongue in apyrexia. θ Intermittent.
Tongue coated, with red insular patches.
Mapped tongue : with diphtheria ; with amenorrhœa ; looks like ringworm on sides.
Ringworm on right side of tongue.
Tongue has a clean, shiny appearance, or bubbles of frothy saliva along its sides.
Tongue moist and clean anteriorly, back part coated with light colored mucus.
Tongue broad, pallid, puffy, with a pasty coat.
Blisters on tongue ; vesicles on tip.
Herpes on tongue, from sea bathing.
Sore, ulcerated tongue ; superficial ulcers.
Swelling under tongue with a stinging pain ; ranula.
Numbness of lips from paralysis of trifacial nerves and numbness of one side of tongue from paralysis of glosso-pharyngeal nerve.

Inner mouth

Mouth, lips and tongue dry.
Mouth feels dry, but is not.
Blood blisters on inside of upper lip.
Sore places in mouth very sensitive, even to liquids.
Vesicles and ulcers in mouth and on tongue, smarting and burning when touched by food, stomacace.
Aphthæ on tongue, gums and cheeks, with great burning and impeded speech.
Saliva : profuse, watery ; salty ; bloody ; constant spitting.
Salivation : with thrush, mumps or toothache ; after use of mercury ; in smallpox ; obstinate.
Ranula ; chronic inflammation of salivary glands.

Palate and throat

Throat feels very dry, yet constantly hawks transparent mucus.
Hawking of salty tasting mucus.
Sensation of splinter sticking in throat.
Feeling as of a plug in throat, with chronic sore throat.
Sensation as of a plug in throat, also when not swallowing, with rawness and burning pain and an anxious sensation as if throat would be closed.
Sensation of swelling or lump in throat which could not be swallowed, yet required constant effort to do so ; empty deglutition troubled her more than swallowing either food or drink, yet food seemed to lodge in throat and then felt as if passing over a sore spot ; prostration
from loss of sleep ; lips covered with hydroa ; above condition brought about by application of nitrate of silver for ulceration of womb, with profuse discharge, latter complaint returning after Natr. mur.
Uvula elongated ; muscles so weak "food goes down wrong way ;" post-diphtheritic paralysis.
Great difficulty in swallowing, only fluids can be taken ; solids reach a certain point and then are violently ejected with fearful gagging and suffocation ; frequent hawking of mucus in morning ; obstinate constipation, stool every five or six days. θ Stenosis.
Swelling, with sensation of constriction and stitches in throat.
Mucous membrane looks glazed, but is not granulated.
Hypertrophy of tonsils.
Sore throat, with transparent mucus covering tonsils.
Irritation to cough seated in epigastrium, < mornings ; severe paroxysms on going to bed, with nausea and vomiting ; tired sensation in hypochondria. θ Pharyngitis.
Follicular inflammation of pharynx ; after swabbing with nitrate of silver.
Chronic inflammatory condition of throat in tobacco smokers, particularly in those smoking many cigars ; mucous membrane of mouth and pharynx pale, dark red, connective tissue infiltrated, small burning ulcers.
Putrid ulcerated patches in throat and on gums ; scorbutus.
Face puffy and pale ; heavy drowsiness ; watery stools ; flow of saliva, or vomiting of watery fluid ; dryness of tongue ; stertorous breathing ; swelling of submaxillary glands and lymphatics ; map tongue ; burning in throat, after application of
caustics, especially nitrate of silver. θ Diphtheria.
Post-diphtheritic paralysis, food goes down wrong way ; only liquids can be swallowed.

Appetite, thirst. desires, aversions

Excessive hunger, with fulness and satiety after small amount of food.
Excessive hunger ; canine hunger, especially for supper, with weak body and depressed mind.
Great desire to eat, almost amounting to ravenous hunger towards noon ; after eating, great weariness and sleepiness.
Loss of appetite, aversion to eating.
Thirst : constant, without desire to drink ; great in evening ; fever and apyrexia ; violent, with dry, sticky mouth ; < in evening ; copious drinking ; violent, unquenchable.
Great longing : for bitter things, beer ; for farinaceous food ; for sour things ; for salt, oysters, fish, milk.
Aversion : to meat ; to bread ; to coffee.
Complete loss of desire for smoking, to which he was accustomed.

Eating and drinking

Feels better on an empty stomach ; < after breakfast ; feverish.
While eating, sweat on face.
After eating : empty eructations, nausea, acidity in mouth, sleepiness, heartburn, palpitation ; epigastric pressure and heat radiating upward to chest.
Bad effects from acid food, bread, fat and wine.
ain

Hiccough, belching, nausea and vomiting

Violent hiccough.
Singultus of ten years' standing, brought on by abuse of quinine and renewed after every dose.
Eructations : incomplete ; empty after eating ; sour ; several hours after eating ; offensive after fatty foods and milk ; during pregnancy.
Acid eructations and malaise after eating.
Heartburn : after eating ; with palpitation in pregnancy.
Sweet rising from stomach at menstrual nisus.
Waterbrash : water coming up into throat, not acid ; like limpid mucus, profuse, constant in pregnancy.
Gulping up of sour water, with headache.
Nausea : in morning ; after eating ; continuous, with thirst and profuse waterbrash ; immediately after eating, with heaviness of head and bitter eructations ; after drinking ; felt in stomach ; in pregnancy.
Belching and vomiting of food. θ Ague.
Vomiting : food ; first food, later bile, oppression of stomach ; watery, stringy, transparent mucus ; acid, sour fluids, not food ; watery fluids, in diphtheria ; with headache ; bitter, bilious, like that of pregnant women ; bile, between chill
and heat ; curdled masses and acid fluids, clayey substances ; dark substances like coffee grounds.
After grief, severe pains in abdomen ; nausea ; anxiety ; trembling of whole body ; severe cramps, with vomiting of much dark, coagulated blood ; discharge of black blood from anus ; pale, yellow color of skin ;
emaciation. θ Hematemesis.
A merchant, who had crossed the ocean seventeen times, seasick each time, had his throat maltreated with nitrate of silver, for which he received Natr. mur. with benefit, and crossed the ocean next voyage without being seasick.

Scrobiculum and stomach

In epigastrium : faintness and sinking ; goneness ; clawing ; jerks ; throbbing after eating ; pressure, sensitive to touch ; burning in paroxysms ; bruised feeling when pressed, with swelling ; swollen, ulcerative
pain to touch.
Red spots on pit of stomach.
In stomach : great weakness by spells ; pressure and distension ; pressure early in morning ; pressure, with nausea and rapid sinking of strength ; heaviness and fulness ; sensation as if a foreign body was sticking in cardiac orifice and behind
sternum ; burning extending upward ; sensation of coldness ; constricting, stitching, burning pains one or two hours after eating ; cramps.
Stomachache, with great accumulation of saliva in mouth.
Slight pressure of clothing is painful.
Cramp, > from tightening clothes.
Indigestion, with vomiting of clear, frothy water and stringy saliva, or with pain and salivation.

Hypochondria

Dull, heavy aching and distension about liver after eating, lessening as digestion advances.
In hepatic region : violent pressive pain ; stitches ; tension.
Liver inflamed, swollen ; skin yellow, earthy.
Severe pain in right side for several years, could give no idea of character of pain, "but must have relief" ; aversion to bread. θ Pain in liver.
Bending to left causes stiffness in liver.
Jaundice, with drowsiness.
Liver disease causes dropsy.
Distension in right hypochondrium, with dull, heavy aching pain in same region, coming on two or three hours after eating and partly relieved as digestion is completed. θ Dyspepsia.
Much pain and soreness in left hypochondrium, going through to lower border of right scapula, < lying on left side.
Pain in hypochondria and abdomen. θ Addison's disease.
Stitches and pressure in region of spleen ; spleen swollen.
Liver and spleen swollen, skin earthy, sallow, infiltrated. θ Intermittent.

Abdomen and loins

Abdomen swollen ; rumbling and incarceration of flatus ; fermentation ; loud gurgling.
Pressure in upper abdomen.
Cutting, griping, with rumbling in abdomen.
After a stool griping colic, as in diarrhœa, without result.
Pinching pain in right side of abdomen.
Pressive pain : running from navel to pelvis ; in left side of abdomen.
Cramping pains in lower abdomen during menses.
Colic, with nausea, > by emission of flatus.
Bilious colic presenting belching of Carbo veg. and pains of Diosc. and Coloc.
Flatulent or labor-like colic.
Burning in intestines.
When walking abdominal viscera feel as if loose, dragging.
Continuous severe pain in abdomen, frequently with affection of ovaries, especially of right one ; pale face ; difficult digestion.
Sensation of pressure from navel downwards, with leaden heaviness across bladder and pelvis ; constipation.
Sensation as of a weight hanging across pelvis and bladder, < during motion and compelling patient to bend forward when seated.
When coughing, pain in abdominal ring, extending into testicles, as if spermatic cords would be torn to pieces.
Tightness of skin across abdomen from hip to hip, must loosen clothes.
Abdomen sunken.
Discharge from naval yellowish, of peculiar odor, after suppressed gonorrhœa.
Gastro-duodenal catarrh causing jaundice.

Stools and rectum

Wants to pass wind, but does not know whether flatus or feces will escape.
Stool : frequent ; watery, discharged with a gush ; involuntary ; excoriating ; frothy ; black, watery ; greenish, watery ; greyish ; transparent, glassy, slimy, like white of an egg, without feces ; bloody ; profuse ;
gushing ; corrosive ; involuntary ; alternating with constipation.
Watery diarrhœa, with colic ; incessant thirst, with nausea ; emaciation beginning at or principally on neck ; abdomen bloated. θ Cholera infantum.
Vomiting and diarrhœa < during day ; great thirst ; general emaciation, most conspicuous around neck, which appears thin and shrunken. θ Summer complaint.
Diarrhœa : chronic, watery ; with fever, dry mouth, thirst ; involuntary ; painless ; < as soon as he moves about ; much fetid flatus ; tendency to hangnails ; excoriating ; green, bloody, watery or brownish,
mostly during day ; with infarcted scybala ; < after farinaceous food ; < morning till afternoon.
Chronic intestinal catarrh ; greenish, bloody, watery.
Chronic diarrhœa < in morning after getting up and moving about and after farinaceous food ; profuse emission of flatus, mostly fetid ; patient suffers much from inflammation and suppuration around nails.
Digestive disturbances and tendency to diarrhœa after abuse of opium.
Chronic diarrhœa of children.
Sporadic cholera, stools white, watery, like whey, with a dry tongue ; no thirst ; vomiting and cramps.
Cholera in drunkards (a teaspoonful of salt in a glass of water).
Alternate constipation and papescent stool.
Irregular stools, sometimes two or three a day, then constipation.
Hard, difficult and painful stool, followed by liquid stool, pain lasting a long time afterwards. θ Pregnancy.
Chronic soft stools.
Frequent ineffectual desire for stool.
Constipation : obstinate retention of stool ; stools irregular, hard, unsatisfactory ; on alternate days ; stool hard, dry, crumbling ; during menses ; stool in large masses ; stool like sheep's dung ; from inactivity
of rectum ; anus contracted or torn, bleeding, smarting, burning afterwards ; stitches in rectum, causing hypochondriasis or ill humor ; great torpor without pain ; from want of moisture, dryness of mucous linings, with watery secretions in other parts ; difficult
expulsion, fissuring anus, with flow of blood, leaving a sensation of much soreness ; with uterine displacement ; hemorrhoidal ; in Addison's disease.
Before stool : rumbling in abdomen ; frequent desire without result ; inactivity of rectum and no desire ; burning in rectum ; pressure upon bladder and rectum ; contraction in urethra and rectum ; cutting abdominal
pain ; soreness in hypogastrium.
During stool : pulsation, contraction and lancinating pain at anus as from ulceration ; tenesmus ; hemorrhage from rectum ; scratching and burning in rectum ; labor-like abdominal pains, > by pressure ; succus prostaticus.
After stool : burning, tearing, itching about anus ; pinching abdominal pain and ineffectual straining ; stupefaction, nausea, vertigo ; burning and smarting in anus and rectum ; ripping up sensation in anus ; tenesmus ; fissures with bleeding and
smarting, burning pains ; hemorrhoids with stinging pains and soreness at anus ; prolapsus ani ; weakness.
Sensation as if a foreign substance, or very rough hard feces were lying in rectum ; with constant looseness of bowels.
Dryness and smarting of rectum and anus.
Smarting and pulsation in rectum ; stitches.
Itching stitches in rectum, in evening in bed.
Protrusion of rectum ; prolapsus ani.
Hemorrhoids : with protruding rectum and much smarting ; with stinging pains ; moisture oozes from anus ; herpetic eruption about anus.
Soreness at anus and around it when walking.
Seat worms.
Lessens disposition to have worms.
Herpes around anus.
ain

Urinary organs

Tension and heat in renal region. θ Addison's disease. θ Morbus
Brightii. θ Diabetes.
Stitches in bladder ; burning during urination.
Increased desire to urinate, light watery urine.
Violent desire to urinate, and inability to retain urine.
Urination every hour at night.
Polyuria, especially if accompanied with waterbrash and emaciation ; also in diabetes.
Involuntary escape of urine while walking, coughing or sneezing.
Incontinence of urine : whenever he sat down urine came away, day and night, necessitating very frequent change of clothing and bedclothes ; continual craving for salt.
Has to wait long for urine to pass, especially if others are near by.
Urine : pale, clear ; turbid and dark ; dark, like coffee ; brick-dust sediment ; alkaline, with red sediment ; containing mucus ; bloody.
Hæmaturia from scurvy ; cutting and burning after urination.
Excessively painful urination ; morbid appetite for salt.
Before urination : contraction in urethra and rectum.
During urination : stitches in bladder, smarting, burning and cutting in urethra ; pressing in hypogastrium ; smarting and soreness in vulva.
After urination : burning and cutting in urethra ; spasmodic contraction in abdomen ; discharge of thin, glutinous substance.
Excessive irritability of sexual organs and fancy with physical weakness.

Male sexual organs

Sexual desire, with frequent erections and pollutions.
Seminal emissions : every night ; soon after coition ; followed by chilliness and lassitude, with increased sexual desire.
Embrace weakens ; coldness of joints.
Genital organs smell badly and strongly.
Feeling of weakness in sexual organs ; sexual instinct dormant, with retarded emission during an embrace.
After sexual excesses, physical weakness, even paralysis ; emission of prostatic fluid without erection when thinking of sexual things.
Erection in morning without sexual excitement.
Impotence ; spermatorrhœa ; poor digestion ; spinal irritation.
Discharge of prostatic fluid.
Urethra painfully sore to pressure.
A thin liquid is discharged from urethra ; causes itching and burning.
Yellow, purulent discharge from urethra makes spots on linen like gonorrhœa ; no pain when urinating ; some tension in inguinal glands, which are not swollen.
Gonorrhœa resulting from acrid leucorrhœa or menstrual discharge ; yellow, black discharge.
Gonorrhœa, especially when chronic ; discharge usually clear ; sometimes yellowish ; cutting in urethra after urination.
Gleet-like discharge of clear mucus ; transparent, watery slime ; after injection of nitrate of silver.
Itching and crawling sensation at corona glandis.
Itching and stinging on glans penis and on scrotum.
Prepuce retracted behind glans.
Aching in testicles ; orchitis ; after suppression of gonorrhœa or mumps.
Scrotum relaxed, flabby ; buttocks emaciated in infants.
Most violent itching on scrotum, disturbing sleep at night.
Itching, soreness and moist herpes between scrotum and thighs.
Pus-like smegma on glans.
Scrotal œdema ; hydrocele.
Loss of hair from pubes.

Female sexual organs

Diminished sexual desire.
Averse to coitus ; painful, from dryness of vagina ; burning, smarting during coitus ; anemic women with dry mouth and dry skin.
After embrace feels easy and light hearted at first, later ill humored.
Sterility ; menses too early and too profuse, or too late and scanty.
Every morning pressing and pushing towards genitals, must sit down to prevent prolapsus.
Prolapsus uteri, with aching in lumbar region, > lying on back ; cutting in urethra after micturition.
Uterine cramps, with burning and cutting in groins.
Pain in uterus or right ovarian region, extending down thighs, from reading or writing.
Uterus painful, collum uteri thickened, swollen, with ulcers on os.
Glassy phlegm from uterus, obstinate constipation ; a string felt between uterus and sacrum in hind part of fornix, exceedingly sensitive to touch.
Menses : too early ; seven days too soon ; too profuse ; of too long duration ; too late and too long ; delaying ; too late and scanty ; more at night ; scanty a day or two, then copious ; thin, watery,
pale ; scanty and delaying, with anemia and chilliness.
Delayed menses cause bloody saliva, heat in face, heavy abdomen.
Delaying catamenia in young girls.
Scanty catamenia with endocarditis.
Suppressed menstruation from putting feet in cold water, followed by general debility, headache, backache, etc.
Chlorosis of long standing, nervous palpitation in cachectic persons.
Dysmenorrhœa, with convulsions (salt sitz bath).
Before menses : anxious, sad ; irritable, qualmish ; nausea, sweetish eructations in morning ; headache ; eyes heavy ; palpitation ; disposition to faint ; expectoration of bloody saliva ; burning, cutting tearing ; sore burning in
vagina ; leucorrhœa ; contraction in hypogastrium ; stitches from loins into uterus ; lassitude and trembling ; twitching of eyelids ; pressing headache ; scraping faceache ; toothache.
During menses : sadness ; headache ; colic ; palpitation.
After menses : headache ; congestion of head ; itching vulva ; dryness of vagina and aversion to coition ; leucorrhœa ; milky urine ; colic ; diarrhœa ; difficult respiration, palpitation, accelerated pulse, dulness, stinging and cutting in
head, paleness ; twitching before falling asleep.
Leucorrhœa : very profuse ; with excessive debility ; acrid, greenish ; in morning, transparent, watery ; with yellow complexion ; greenish, particularly after walking ; with headache ; preceded by colic and bearing down ; producing itching
of pudendum ; at night ; with smarting pain ; glassy, with constipation ; lasting only a few hours ; yellow, before catamenia ; excoriating, tetter-like ; scalding, irritating, causing itching and falling off of hair on pubes ; corroding, transparent
mucus.
Gleet : with clear discharge ; green, intensely itching.
Dryness, or coolness and paleness of vagina.
Burning and soreness of vagina after urinating.
Vulvitis, with falling off of hair.
Itching of external parts, with falling off of hair.
Pimples on mons veneris.

Pregnancy. parturition. lactation

Nausea and vomiting during pregnancy ; morning sickness, with vomiting of frothy, watery phlegm.
Frequent and severe attacks of vomiting, first of food, then mucus, and finally blood ; < in morning ; during latter half of pregnancy.
During pregnancy : dysuria ; albuminuria, faint, gone feeling at pit of stomach ; hunger without appetite ; fond of salt and salted food ; congestion to chest, palpitation ; hemorrhoids ; cough ; escape of urine.
Labor progresses slowly, pains feeble, seemingly from sad feelings and forebodings.
Puerperal convulsions.
Losing hair in childbed or during period of lactation.
Child : refuses breast, has flabby scrotum, chills ; constant fever, nursing sore mouth.

Voice and larynx. trachea and bronchia

Faint, weak voice, exhausting from talking ; like a weakness of organs of speech coming from hypochondria.
Child is slow in learning to talk, on account of imperfect development of muscles of tongue and larynx.
Hoarseness : in morning, with much mucus in throat ; throat sore, dryness in larynx ; unable to talk or sing ; feels as if one had to swallow over a lump ; throat has been pencilled with nitrate of silver ; pain on both sides of
larynx ; mostly right side.
Ill effects of long speaking.
Scraping in larynx, with rough voice ; violent hoarseness, < early in morning ; rough, short, hacking cough, making child breathless ; soreness in larynx and trachea when coughing ; oppression of chest, with burning in hands. θ Croup.
Dry catarrh of larynx and trachea ; cough dry, tickling, or with yellow or bloody sputa ; voice hoarse ; breathing anxious, oppressed.
Soreness and feeling of dryness in larynx and trachea.
Accumulation of transparent mucus in larynx in morning.
Acute or chronic inflammation of windpipe, with clear, watery, frothy phlegm, loose and rattling, sometimes raised with difficulty.
Chronic bronchial catarrh of anemic persons.
ain

Respiration

Breathing : anxious, oppressed, wheezing ; short, on walking fast ; > in open air and when exercising arms ; difficult, on ascending steps ; oppressed and anxious, with chlorosis.
Dyspnœa from manual labor ; emphysema.
Attacks of suffocation.
Pains generally take away breath and almost paralyze.
Asthma, with profuse, frothy, or watery mucus.
Breath hot.
Offensive breath.

Cough

Cough : excited by empty deglutition ; caused by tickling in throat or pit of stomach ; with hawking of mucus, especially in morning ; sequel to intermittent ; tickling, while walking and on deep inspiration ; vomiting of
food ; sputum in morning of yellow or blood-streaked mucus, with bursting pain in forehead and shocks or beating as of hammers ; with involuntary urination ; with stitches in liver ; tears stream down cheeks ; hacking ; short, obstinate ; dry, with rattling
in chest ; with long uvula, < lying ; with loss of breath day and night ; with vomiting of food ; cutting, tearing in chest ; bursting pain in head ; spasmodic with escape of urine ; with palpitation ; every morning, with phlegm tinged with
blood ; in evening after lying down ; spasmodic, suffocative at night in bed ; when sitting erect.
Spasmodic cough, with serous, frothy expectoration. θ Œdema of lungs.
Cough < : from rapid motion ; exertion or manual labor ; deep inspiration ; evening in bed ; on becoming warm in bed ; empty swallowing, drinking ; from sour food ; air of the room.
During cough : pain in head, throat, trachea, chest, testicle, spermatic cord ; cutting and stinging in chest ; catching of breath ; retching, vomiting of food ; shocks in hypogastrium ; shocks and bursting pain in head ; discharge of leucorrhœa.
Whooping cough, excited by tickling in throat and in epigastrium ; in evening without, in morning with expectoration of yellow mucus, often streaked with blood, generally with a flat taste, sometimes sourish, more rarely saltish.
Whooping cough, with watering from eyes ; tears stream down face whenever he coughs.
Whooping cough at seasons of intermittent fever.
Moist rales are heard and patient cannot cough up mucus.
Chronic cough of tuberculous subjects.
Catarrh, with clear, transparent mucus.
Expectoration : of bloody mucus ; white, salty mucus ; in clots most in morning ; flat or sourish ; early in morning.

Inner chest and lungs

Oppression of chest ; as if constricted, or lungs were too tight, burning hands ; while at work.
Sensation and pain in chest as from tension.
Sore pain or bruised feeling in chest.
Severe pain in right side for several years.
Lungs feel raw and sore from continual coughing.
Pain like a cutting cramp through left chest to scapula.
Tearing, stitching pain from left upper region of chest to shoulder joint ; after suppressed facial neuralgia.
Stitches in chest and sides, especially on deep inspiration and when coughing.
Stitches under left ribs.
Single stitches along sternum.
Pinching in diaphragm on stooping.
Pains in chest in upper middle part, going through to r. shoulder after eating, < from talking.
Rattling in chest.
Inflammation of lungs, with much rattling ; phlegm clear, serous and frothy, coughed up with difficulty.
Pleurisy when serous exudation has taken place.
Acute œdema of lungs, wants air ; spasmodic cough ; face blue.

Heart, pulse and circulation

Sensation of violent constriction in heart, with intermitting pulse and feeling of oppression in lower portion of chest, as if lungs had no room to expand.
Severe pressure below heart in evening in bed.
Stitches in region of heart, after reading aloud.
Cold feeling about heart, especially when exerting mind.
Fluttering of heart : with a weak faint feeling, < lying down ; long standing chlorosis ; torpid skin and suppressed menses.
Irregular intermission of beating of heart and of pulse ; < lying on left side.
Irregular beat of heart, at one time slow, then again quick, especially from slightest motion.
Palpitation : with anxiety and sadness ; in anemic conditions ; from slightest movement ; while standing ; without anxious thoughts, even for hours ; on going up stairs ; with hysteria ; on falling asleep and on getting awake ; lying on left
side ; with morning headache ; when moving or exerting one's self.
Increased impulse of heart, the beats strong, but clear.
The heart's pulsations shake the body ; aching as if a pressure came from abdomen and compressed heart.
Beating of pulse in whole body, even during rest ; often felt in epigastrium.
Pulse : at one time rapid and weak, at another full and slow ; rapid and intermittent ; irregular and intermittent ; intermits every third beat.
Frequent palpitations during movement ; flickering before eyes ; crawling sensation all over body, beginning at feet and gradually ascending ; sensation as from pressure upon a nerve (getting asleep) ; severe pressure below heart in evening in
bed ; sensation of weakness, exhaustion and heaviness. θ Affection of heart.
Valvular disease ; chronic forms, with weak, faint feeling, must lie down ; fluttering heart, < lying on left side ; cold feeling about heart from mental exertion ; < from least motion.
Eccentric dilatation of heart with systolic bellows' sound ; difficulty of breathing, even when keeping quiet, on standing, walking, with trembling of hands and feet. θ Morbus Brightii.
Hypertrophy of heart.
Overworked heart, but primary organ affected is spleen.
Heart disease causing dropsy.
Every motion excites the circulation.
ain

Neck and back

Stitches in neck and back of head.
Painful stiffness of neck.
Throat and neck emaciate rapidly. θ Summer complaint. θ Atrophy.
Cervical glands enlarged, sore when coughing ; scabs in axillæ.
Goitre with chronic sore throat.
Impetigo on boundaries of hair, on nape of neck ; itching tetter.
Spine oversensitive to touch or pressure ; tension and drawing ; pains > lying on something hard ; weak, nervous ; fluttering of heart.
Sensation of weight in back and shoulders, with dyspnœa.
Pain in back, after prolonged stooping, as if bruised, mostly while straightening.
Beaten, bruised, lame feeling in back, with stitches ; cutting, pulsating feeling.
Sharp drawing in back and through hips.
Pains in back at night.
Severe backache, > from pressure and lying on back.
Tiredness in back.
Feeling of coldness in back.
Weakness early, on rising, like paralysis, in small of back, sometimes also near abdomen.
Paralytic pain in small of back, as if beaten ; in morning on rising.
Pain in small of back, as if broken.
Sharp stitches transversely through small of back, close above hips.
Pain in region of kidneys in apyrexia. θ Intermittent.
Feeling in sacral region as if beaten.
Pain in back is > by lying on something hard.
Spinal irritation ; sensitiveness between vertebræ ; partial paralysis from weakness of spine ; especially from grief, anger, sexual excesses, etc. ; > lying flat on back with firm pressure.

Upper limbs

Sensation of lameness and of a sprain in shoulder joint.
Weakness, heaviness and sinking down of arms.
Arm almost lost its power after a fit of anger.
Bruised or burrowing pain in upper arm.
Cramp in arms, hands, fingers and thumb.
Round herpetic spots on arms.
Small red vesicles on arms.
Whitish itching hives on arms and hands, becoming red after rubbing, with violent itching.
Involuntary movements of hands.
Trembling of hands when writing.
Numbness of arms and hands > from rubbing.
Stitches in wrist joint.
Stitches in muscles and joints of hands and fingers.
Swelling of right hand.
Hands burn or are sweaty.
Skin of hands, especially about nails, dry, cracked ; hangnails.
Warts in palms of hands.
Brown spots on hands.
Finger joints move with difficulty.
Blistering festers on fingers, containing watery fluids (often caused by arsenical wall paper).
Panaritium starts from a hangnail.

Lower limbs

Pain in hip as if sprained, with stitches.
Stitches in right hip joint.
Coxalgia, first stage, emaciation not great, but thighs and neck particularly atrophied.
Sciatica, chronic cases, with painful contraction of hamstrings ; intermittent ; abuse of quinine.
Drawing pain in right thigh, extending to knee.
Sensation as if limb had gone to sleep.
Twitching of muscles of thighs.
Trembling of lower extremities from weakness, on rising from sitting, > on continued walking.
Involuntary jerkings of legs, fidgets or jerks in sleep.
Paresis of lower limbs after sexual excesses or onanism ; after grief or violent outbursts of passion.
Painful tension in bends of limbs.
Drawing pain in knees while sitting.
Pain as if knees and ankles were sprained.
Stitches in left knee.
Gnawing pain in knee, < at night ; tightness, cannot move it.
Weakness in knees and calves.
Chronic swelling of knee, particularly if scrofulous.
Housemaid's knee, enlargement of bursa.
Herpes in bend of knee.
Restless in legs, must move them constantly.
Great heaviness of legs and feet.
Legs feel as if paralyzed, especially the ankles.
Legs hurt after least exertion ; tarsal joints feel bruised.
Drawing pain in lower limbs.
Cramps in lower legs and calves ; tension while walking.
Swelling of lower extremities, from middle of leg downward, with a feeling as though feet were filled with lead, in evening.
Varicose ulcer of leg, of six years' standing, covering nearly entire surface of anterior and inner leg, and extending on to foot ; borders not raised ; ulcer not deep nor callous ; bottom of ulcer of a dirty greenish yellow color, covered more or less with yellow
serum ; much itching at night in bed ; heaviness and stiffness in both legs ; symptoms < in wet weather (salt bath).
Children do not learn to walk.
Ankles weak and turn easily.
Lame feeling of ankle joint, while sitting or walking.
Urticaria about joints, particularly about ankles.
Uneasiness of feet, so that she was constantly obliged to move them ; < while walking.
Great heaviness of feet.
Sensation in tarsal joint as if bruised, when walking and when touching it.
Cramplike stitching pain in feet.
Swelling of feet.
Burning of feet or great coldness.
Suppressed foot sweat.
Veins of feet distended.
Feet emaciated.
Herpes on ankles.
Big toe red, with tearing and stinging on walking or standing.
Soreness of toes or between toes.
Cracks between toes, with violent itching.
Corns : stitching, boring, stinging pains.
Periodical attacks of gout.

Limbs in general

Restlessness in limbs ; they have to be moved constantly.
Weakness of arms, heaviness ; also of knees and feet.
Pressing, drawing in limbs.
On motion all muscles are painful, especially those of thighs and upper arms, as if flesh was loose.
Limbs feel weak and as if bruised, < in morning after rising.
Sensation as if limbs had gone to sleep.
Tingling in limbs, especially in tips of fingers and toes.
Cramps in arms, hands and calves.
Sensation of coldness in joints, a feeling as if water was trickling over them in open air.
Stiffness, rigidity of a paralytic nature.
Shortening contraction of muscles.
Stiffness and arthritic swellings.
Rheumatism ; chronic, of joints.
Cracking of joints on moving them ; stiffness ; arthritic swellings.
Swelling of right hand ; also of feet.
Coldness of hands and feet.
Eruption in bends of knees and elbows.

Rest. position. motion

During rest : beating of pulse through whole body ; eccentric dilatation of heart ; weak.
Position in bed : showed intense debility.
Lying down : vertigo > ; headache > ; constriction of scalp > ; at night head begins to ache ; cough < ; fluttering of heart <.
Lying with head high : beating in head >.
Lying with head buried in pillow : ulceration of cornea.
Lying on left side : pain from left hypochondrium to right scapula ; irregular beating of heart and pulse <.
Cannot lie on right side : pain under ribs.
Lying on back : aching in lumbar region > ; backache >.
Must lie down : weak, faint feeling, with valvular diseases.
Compelling one to lie down : tearing headache.
Bending head down : weight in forehead <.
Sitting still : headache > ; constriction of scalp > ; erect, cough ; pinching in diaphragm.
When he sat down : urine came away.
Must sit down : to prevent prolapsus.
Must bend forward when seated : weight across pelvis.
When standing : palpitation ; eccentric dilatation of heart ; tearing and stinging in big toe ; weariness.
When standing near a window : vertigo.
Stooping : frequent obscuration of sight ; nosebleed ; prolonged, causes bruised pains in back.
Disinclination to move and walk : lassitude.
Moving : beating in head < ; causes beating and throbbing of head ; eyes, feeling of stiffness in muscles ; eye sore and painful ; sensation of weight across pelvis < ; diarrhœa < ; rapidly, cough < ; slight, irregular heart beat ; slightly,
palpitation finger joints with difficulty ; all muscles painful ; joints crack ; leg causes great pain ; head, twitching headache.
Least exertion : short breath ; cough < ; palpitation ; great weakness ; tendency to sweating.
Every motion : excites circulation.
After violent exercise : nettlerash.
Exercising arms : breathing >.
Rising : vertigo <.
Walking : vertigo ; after a while as though stepping on air ; frequent obscuration of sight ; soreness about anus ; involuntary escape of urine ; leucorrhœa < ; breathing <, cough, tickling ; eccentric dilatation of heart ; tearing and
stinging in big toe ; tendency to sweating.
Going up stairs : palpitations ; twitching ; headache.
Cannot stretch left leg, must walk with a hitch.
Must move limbs constantly : restlessness.
Manual labor : dyspnœa ; cough <.
While at work : oppression of chest.
When writing : trembling of hands.
Laughing : headache <.
Chewing : pain in malar bones.
ain

Nerves

Restlessness with chilliness ; limbs have to be moved constantly.
Twitching in muscles and limbs ; frequent starts of upper part of body.
Muscles of back and extremities stretched, whilst wrists and joints of feet are flexed, every morning at 8 o'clock, lasting until 11 ; loss of appetite ; palpitation of heart and loss of breath from least exertion ; hydremic constitution. θ Intermitting
tonic spasms.
Hysterical spasms which in course of time developed into severe convulsions and finally into cataleptic attacks, which often lasted for hours ; attacks begin with headache and painful tension in spine, followed by loss of consciousness ; usually once a week.
Spasms : with full consciousness ; chronic and hysterical ; come on at full moon ; from water on brain ; in feverish diseases.
Lethargic state, jerking or starting of limbs, excessive drowsiness, stupor, eyes half open.
During attacks almost inconceivable motions of arms, head and legs, often distorting whole body, and jumping about room regardless of furniture, so that he often injures himself ; often jumps as high as a foot and a half from floor ; all these movements are extremely rapid, and
are accompanied by most curious distortions of face ; attacks last from four to fifteen minutes and are followed by prostration and sleep ; occur from four to six times a day, and at times are absent for several days ; < during full moon and when vexed. θ Chorea.
Chorea for two years, caused by fright ; pale, delicate, anemic ; drinks much water ; feverish ; white tongue ; sore mouth.
Jerkings of right side and head.
Epileptic attacks between 9 and 10 A. M. for three years ; usually preceded for a few days by twitching of arms and legs ; aversion to bread.
Epilepsy with consciousness.
Trembling : of whole body ; in nerves at night.
Tobacco smoking causes sweat and trembling.
Pains make tears come into eyes.
Neuralgic pains recurring at certain times, with flow of saliva or tears.
Easily fatigued ; lassitude after rising ; disinclination to move and walk, with great heaviness and indolence ; limbs feel weak and as if bruised.
Weakness of whole body ; feet heavy, weary while standing ; painful sensitiveness of skin to slightest touch, mostly on loins.
Awkward ; hasty ; drops things from nervous weakness.
Great prostration from carrying of heavy child and losing sleep.
Great debility ; excessive thirst ; great inclination to weep. θ Hysteria.
Feels so weak that he declines to move, feels weak when at rest (Arsen., feels weak on attempting to move).
Great weakness and relaxation of all physical and mental powers, from exertion or after long talking.
Prostration, knows that he is weak and does not want to move.
Hysterical debility ; weakest in morning in bed.
Debility resulting from loss of fluids, particularly after onanism.
Sensation of numbness in suffering parts.
Paralysis : from intermittents ; from sexual excesses or other nervous exhaustion ; from diphtheria ; from anger or emotions ; from pains ; of flexors.
Threatened collapse with intermitting pulse and great thirst. θ Shock of injury.
Useful for congenital malformation caused by contractions of muscles (externally with friction).
Takes cold easily.

Sleep

Frequent yawning and stretching ; aversion to motion ; sleepy, but cannot sleep.
Sleepy by day, sleepless at night.
Drowsiness with inability to sleep.
Sopor : from water in brain ; in diphtheria ; in acute diseases ; in smallpox.
On falling asleep twitching in limbs and electric shocks through whole body.
Talking in sleep, and restless nights.
Very anxious dreams, with weeping in sleep.
Much too vivid dreams ; visions in sleep.
Wakefulness for hours, or difficult falling asleep after awaking.
Dreams : anxious ; vivid, like a living reality ; frightful ; of robbers in the house and will not believe the contrary until search is made ; about which she is busy for a long time after waking ; of burning thirst ;
during siesta.
Starts and talks in sleep, tosses about.
Somnambulism ; rising and sitting about room.
Sleeplessness : from nervous restlessness, with desire to sleep ; restlessness especially marked in legs ; awakes agitated ; unrefreshed ; with great nervous irritability and coldness in extremities ; coldness is
subjective ; a kind of struggle between sleep and wakefulness ; tormenting ; after gnawing grief ; from depressing events.
Awakens often : with pain causing dyspnœa and one sided paralysis ; with fright, violent headache, sweat, erethism, throbbing of arteries, thirst, desire to urinate.
Unrefreshed in morning.

Time

Morning : headache ; dulness of head ; when rising from bed, vertigo ; beating and pulsating in head < ; headache after waking and lasting till towards noon ; sick headache, lachrymation and burning in eyes ; feeling of sand in eyes ;
biting lachrymation ; agglutination of eyelids ; hawking ; bad taste ; irritation to cough ; nausea ; early pressure in stomach ; chronic diarrhœa < ; erections ; sweetish eructations ; leucorrhœa ; vomiting < ; hoarseness ;
accumulation of transparent mucus in larynx ; sputum of yellow or blood streaked mucus, with burning pain in forehead ; cough with expectoration ; expectoration in clots ; expectoration early ; palpitation with headache ; early on rising weakness in back ;
after rising limbs feel weak ; weakest in bed ; unrefreshed from sleep ; sweat ; profuse epistaxis.
At 10 A. M. : right sided headache.
Forenoon : dulness of head ; horripilations.
Towards noon : ravenous hunger.
Afternoon : heat ; indescribable pain in knees ; chill.
All day : depressed, sad, disheartened ; pressing, throbbing headache.
During day : vomiting and diarrhœa ; brownish diarrhœa ; sweat.
Evening : pain above right eye < ; violent burning in eyes ; catarrhal affection of limbs < ; great thirst > ; in bed itching stitches in rectum ; cough after lying down ; cough without expectoration ; severe pressure below heart ; icy coldness of
feet <.
Day and night : ulcer on gum painful ; incontinence of urine ; cough with loss of breath.
Night : coughing causes nosebleed ; wakened with burning on tip of tongue ; toothache ; itching on scrotum disturbs sleep ; menses more ; leucorrhœa ; in bed suffocative cough ; pains in back ; trembling in nerves ; talking in sleep and
restless ; profuse sweat ; fever nearly all night.
Before and after midnight : toothache.

Temperature and weather

Great inclination for open air and washing in cold water.
Heat of stove unbearable.
Worse in heat of sun (feel exhausted) ; ailments < at seaside ; < in summer.
Open air : right sided headache > ; constriction of scalp < ; lachrymation ; teeth sensitive ; breathing > ; as if water was trickling over joints.
Desire for air : œdema of lungs.
Air of room : cough <.
Sultry air : sensitive, but not to drafts.
Drawing in air : toothache <.
Likes to be covered up, though no relief is experienced from it.
When becoming warm in bed : cough.
From warm food : toothache <.
Warmth : headache < ; gums sensitive.
In hot weather : squint more marked.
In sun : walking, faint, weak feeling in head and chest.
Uncovering head during day causes stoppage of nose at night.
In every slight wind : inflammation of eyes.
Cold water : putting feet in, suppressed menstruation.
Cold drinking : toothache <.
Cold : toothache < ; gums sensitive ; sensitive.
In winter : squint <.
Getting wet : causes severe headache.

Fever

Horripilations, especially in forenoon. θ Amenia.
Constant chilliness and want of animal heat.
Frequent internal chilliness.
Chill predominates, mostly internal ; hands and feet cold.
Coldness in joints ; a feeling as if water was trickling over them.
Chilliness over whole body, with heat in forehead, pressure in region of root of nose and violent thirst.
Chilliness, with frequent yawning.
Chill : with thirst, drinking often and much at a time ; with languor, yawning, severe headache, great dyspnœa ; stupefaction or unconsciousness ; face cyanotic ; from morning until noon ; fever blisters around
mouth ; in nursing children ; 10 to 11 A. M., beginning in feet or small of back ; blue nails ; thirst ; bursting headache ; nausea and vomiting ; debility ; pale face ; tearing pains in bones ; chattering of teeth ; internal as from
want of animal heat ; icy coldness of hands and feet, principally in evening.
Fever : with violent headache ; much heat in face ; great thirst, drinks much and often ; excessive weakness ; with nausea and vomiting ; stitches in head ; unconsciousness ; blindness, blurred sight ; faintishness ; aversion to
uncover ; without chill, 10 to 11 A. M.
Flushes of heat with violent headache ; chilliness over back and sweat in axillæ and soles of feet.
Sweat : with aversion to uncover ; in hands ; in axillæ and soles of feet ; sour, weakening ; relieving headache and other pains, though it weakens ; profuse at night ; in morning ; during day ; from exertion ; while walking.
Tendency to sweating, and sensitiveness to cold or sultry air, not to drafts. θ Amenia.
Violent chill, with thirst, every fourth afternoon ; blueness of lips and nails, spasmodic tightness of breathing ; one hour after, heat, lasting until night ; sweat after midnight ; during apyrexia, pressure in region of liver,
sometimes alternating with pain in spleen ; labor-like drawing in abdomen, in intestinal canal ; sensation of pressure in chest ; weakness and appearance as if worn out. θ Ague.
Chill every other day at 10 A. M., continuing one and a half hours with severe shaking ; heat all afternoon ; profuse and offensive sweat all night ; severe aching in knees and legs, during chills ; during heat much thirst, terrible headache and delirium ;
complete relief during sweat. θ Ague.
Febris intermittens quartana, since two years ; paroxysms violent, with great thirst ; probable cause suppressed itch ; eight days after Natr. mur. [400] a fine vesicular eruption appeared between fingers, which itched very much, and chills and fever disappeared.
Chill begins in hands and feet, with no shaking, becomes general ; likes to be covered up, though no relief is experienced from it ; before chill, dull headache, < during chill ; no thirst ; chill begins generally about 5.30 P. M. and last half an hour ;
paleness ; heat felt first in face ; headache very severe in forehead ; restless ; dry lips ; bitter taste ; belching up of tasteless, inodorous gas ; urine high colored, smarts and burns urethra ; great thirst ; fever lasts nearly all
night ; face flushed ; eyes reddened ; sweat not profuse ; apyrexia ; constant thirst ; anorexia ; painless diarrhœa ; constant dull headache ; hypochondriac mood. θ Tertian
ague.
Quotidian, from 1 to 3 P. M. ; before attack, tearing cough, oppression on chest, numbness of fingers and toes, trembling of limbs ; during chill, nausea, sometimes vomiting, passes much red urine ; during heat, thirst, delirium, at times stupor, pain in head ; during
sweat ; some thirst, pain in head ; delirium during apyrexia, depression, bitter taste, craves fruit. θ Ague.
Complains first of intense itching over entire body, lasting from twelve to fifteen hours, followed by paroxysm ; skin looking like gooseflesh ; chill accompanied by tremendous shuddering ; hydroa on lips. θ Ague.
Hard chill at 11 A. M., lasting until 1 P. M. ; headache during fever ; little sweat ; sallow complexion ; no appetite ; food tastes bitter ; swelling in right hypochondriac region.
In early life suffered severely from ague and had taken much Quinine ; every Spring and Autumn has symptoms of chill and fever ; after exposure to malarial influences suffered first from a diminished appetite, followed by frequently returning watery, but painless diarrhœa ;
several weeks after felt very cold on retiring, and was awakened about 2 A. M. by a very heavy chill which made her teeth chatter ; she had to rise, feeling nausea and a desire to have a stool ; after a very profuse, watery evacuation was overcome by weakness and fell to the
floor ; chattered and shook all over from chill, became stiff and icy cold to touch, and in an unconscious state was carried to bed ; heat was applied ; when consciousness returned was totally blind, not being able to see with the strongest gaslight ; about 4 A. M. fever
set in and she fell into a doze, breathing being very much oppressed ; next morning great prostration, complained that the external and icy coldness was not to be compared with the icy coldness she had felt about the heart ; slight headache and backache ; no perspiration after
slight fever heat ; pulse weak and irregular, small and less than 50 ; dry mouth, but no thirst ; aversion to food ; her position in bed showed intense debility, of which she complained bitterly. θ Ague.
Continual stitches in hepatic region during apyrexia ; urine red and muddy, with sandy deposit. θ Ague.
Pain in right side under ribs ; cannot lie on right side ; calves very painful to touch, hard and stiff ; left leg semi-flexed, cannot stretch it, must walk with a stick, hobbling gait, great pain from motion ; urine muddy and red ; skin tawny ; conjunctiva
yellow. θ Ague suppressed by Cinchona.
After suffering one and a half years with ague, for which much Quinine had been taken, body bent and emaciated, eyes sunken, yellowish, earthy color of face, entire loss of interest in work and life generally, despondent, anxious, wishes himself rid of his miserable existence, slinks
about like a ghost ; attacks at times quotidian, at times quartan, latterly of an anteponing tertian type ; chill lasts two to three hours, accompanied by great thirst ; heat with great thirst and severe tearing in head, lasting about as long as chill and followed by profuse
sweat ; during apyrexia loss of taste, anorexia, thirst.
Obstinate, anteponing, tertian ague ; thirst during chill ; during fever and apyrexia severe twitching headache on moving head or ascending steps ; profuse epistaxis in morning.
Chill and heat in alternation, at various times of day, without sweat. θ Ague.
Headache and vertigo with gauze before eyes and feeling as though some displacement in head had taken place, and he felt moidered and homesick ; face haggard ; chills excessive ; perspired copiously when not in chill.
Very hard chill at 11 A. M., with great thirst which continued through all the stages ; during fever violent headache and sensation as if eyes were filled with sharp salt ; temperature 105-6 ; tongue white, taste bitter when taking food, salty when not ; water tasted
bad ; no appetite. θ Ague.
Chill at 9 or 10 A. M., lasting an hour ; then fever three hours ; intense headache ; a sort of paralysis of limbs, he would lie as if dead ; thirst during chill ; fever subsided with moderate sweat. θ Tertian
ague.
Indescribable pain in knees in afternoon, followed next day by chill, also in afternoon ; pain in head ; > by sweat ; quinine cachexia. θ Ague.
Boy after living in a neighborhood where there were many lots filled with water, became sallow, anemic, suffered from boils and running sores and he seemed not likely to live.
Chronic cases with great enlargement of spleen and liver ; great hydremia and weakness ; constipation and loss of appetite. θ Ague.
Intermittent after abuse of quinine, living in damp regions, or newly turned ground.
Paralysis after intermittent fevers.
Prodroma : patient dreads chill ; languor ; headache ; thirst.
Apyrexia : stitches about liver and spleen ; great languor ; emaciation ; sallow complexion ; urine muddy, with red sandy sediment ; loss of appetite ; fever blisters ; sexual desire diminished or lost ; drawing in limbs, etc.
Scarlet fever, with drowsiness, twitching, vomiting of watery fluids.
Rheumatic fever, with chilliness.
Hay fever, with watery discharges from eyes and nose.
Typhus fever when stupor and chilliness are great ; twitchings ; watery vomiting ; after typhus suppuration of parotis.
Typhus versatilis ; gastric symptoms ; on getting up sinks down to floor ; unquenchable thirst, dry tongue ; water tastes spoiled ; nausea from drinking ; unconsciousness.
ain

Attacks, periodicity

Periodical : vertigo with nausea ; pains in eyes ; prosopalgia ; attacks of gout ; attacks of neuralgic pains.
Alternately : stool and constipation ; pressure in region of liver and pain in spleen ; chill and heat.
Lasting four to fifteen minutes : attacks of chorea.
For half an hour : dazzling like lightning in eyes.
One hour after chill : heat lasting until night.
Lasting an hour : chill.
Every hour at night : urination.
Two to three hours : heat lasts ; chill lasts.
Lasting three hours : fever.
Several hours after eating : eructations ; burning in stomach ; distension in right hypochondrium.
Four or six times a day, or absent for several days : attacks of chorea.
Several times a day : chill and heat.
For hours : palpitation.
At 7 A. M. regularly : neuralgia of ophthalmic branch of trigeminus.
At 9 or 10 A. M. : chill.
Between 9 and 10 A. M., for three years : epileptic attacks.
From 10 to 11 A. M. : chill ; fever without chill.
At 11 A. M. : chill.
At 11 A. M. : hard chill lasting until 1 P. M.
Every night : seminal emissions.
Every morning : awakes with headache ; at 10 A. M. dark veil passes before eyes ; spasms of sneezing ; pressing and pushing towards genitals ; cough with phlegm tinged with blood.
Every morning at 8 o'clock, lasting until 11 : muscles of back and extremities stretched, while wrists and joints of feet are flexed.
After midnight : sweat.
From morning till noon : sick headache ; diarrhœa < ; chill.
From 1 to 3 P. M. : quotidian.
At 2 A. M. : awakened by very heavy chill.
At 4 A. M. : fever set in.
At 5.30 P. M. : chill begins and lasts half an hour.
Daily : at regular time, lachrymation ; two or three stools.
Lasting twenty-four hours : attacks of sick headache.
Going off with sun : pains in and over right eye.
Coming on and going off with sun : neuralgia in right eye.
From sunrise till sunset, < at midday : headache.
From twelve to fifteen hours : intense itching.
Day after pain in knees : chill.
Every other day from 10 A. M. to 3 P. M. : headache ; toothache ; constipation.
Every other day from 10 A. M. for one and a half hours : chill with severe shaking.
For a day or two : menses scanty, then copious.
Every fourth afternoon : violent chill.
Every five or six days : stool.
Seven days too soon : menses.
Once a week : hysterical spasms which last for hours.
During latter half of pregnancy : vomiting.
At full moon : spasms.
Spring and Summer : toothache.
Every Spring and Autumn : has symptoms of chill and fever.
One and a half years : suffered with ague.
For several years : severe pain in right side.
For two years : febris intermittens quartana.
Ten years' standing : singultus.

Locality and direction

Right : pains in and over eye ; eye congested ; headache on side ; piercing pain above eye ; sticking in eye ; stye on side ; ringworm on side of tongue ; severe pain in side ; distension in hypogastrium ; pain from left
hypochondrium to scapula ; pinching pain in side of abdomen ; affection of ovary with pain in abdomen ; pain in ovarian region ; pain in throat < side ; pain from middle chest to shoulder ; swelling of hand ; jerking of side and head ; swelling in
hypochondriac region ; cannot lie on side.
Left : as if she would fall towards ; pain in frontal region ; pain like a nail driven into side of head ; clavus on side ; fissure in external canthi ; swelling of side of nose ; redness of cheek ; neuralgia of ophthalmic branch of
trigeminus ; ulcer on cheek ; bending towards side causes stiffness in liver ; pain and soreness in hypochondrium ; lying on side pain goes to right scapula ; pressive pain in side of abdomen ; pain like a cutting cramp through chest ; tearing stitching
pain from upper region of chest to shoulder joint ; stitches under ribs ; leg semi-flexed.
From right to left : dark veil passes before eyes ; facial supraorbital neuralgia.
From left to right : swelling on gums.
First left then right : fissure in external canthi.

Sensations

As if something was going to happen ; head as if too heavy ; head as if it would fall forward ; as if she would fall to left ; as if a cold wind was blowing through head ; when coughing seems as though forehead would burst ; as if head would
burst ; throbbing in head as from little hammers ; head as if in a vice ; as if a nail was driven into left side of head ; pain like a rope around head drawing tighter and tighter ; after walking feels as if stepping on air ; dazzling like lightning before
eyes ; as if knives were in occiput ; face shiny as if greasy ; surface of head raw as if scalded ; as if looking through gauze or feathers ; as of sand in eyes ; as if eyeballs were too large ; as if foreign body was in eyes ; as if it was being torn
open ; as if a small worm was squirming in nostril ; as if acrid matter flowed from nose ; face shines as if greasy ; cheek bones pain as if bruised ; as of a hair on tongue ; as if a splinter was in throat ; as of a plug in throat ; as if everything
in throat would be closed ; as of a swelling or lump in throat, as if passing over a sore spot ; difficulty of talking as if organs of speech were weak ; as if a foreign body was sticking in cardiac orifice and behind sternum ; when walking, abdominal viscera feel as if
loose, dragging ; as of a weight hanging across pelvis and bladder ; pain as if spermatic cord would be torn to pieces ; as of a foreign substance or very rough, hard feces lying in rectum ; as if there was a string between uterus and sacrum in hind part of fornix ;
as if one had to swallow over a lump ; beating as of hammers in head ; chest as if constricted or as if lungs were too tight ; pain in chest as from tension ; as if lungs had not room to expand ; as if a pressure came from abdomen and compressed ; as from
pressure upon a nerve ; back as if bruised ; back as if beaten ; back as if broken ; sacral region as if beaten ; as of a sprain in shoulder joint ; hip as if sprained ; as if limb had gone to sleep ; as if knees and ankles were sprained ; legs as
if paralyzed ; as if feet were filled with lead ; tarsal joints as if bruised ; as if muscles of thighs and arms were loose ; as if water was trickling over joints ; weakness as if worn out ; as if some displacement in head had taken place ; as if eyes were
filled with sharp salt.
Pain : across forehead ; in and over right eye ; on right side of head ; in malar bones ; in stomach ; in liver ; in hypochondria and abdomen ; in abdominal ring to testicles ; after stool ; in uterus ; in right ovarian region ;
on both sides of larynx, mostly right side ; during cough in head, throat, trachea, chest, testicle, spermatic cord ; like a cutting cramp through left chest to scapula ; in back ; in region of kidneys ; in hip ; in knees and ankles ; in spleen ; in
right side under ribs ; in old scars ; muscles as if torn from bones.
Terrible pain : in head.
Violent pain : in head.
Indescribable pain : in knees.
Severe pain : in head ; in abdomen ; in right side ; in back ; in forehead.
Sharp pain : over right eye.
Much pain : in left hypochondrium.
Lancinating pain : at anus.
Severe tearing : in head.
Tearing : about anus ; in chest ; in big toe ; in bones.
Tearing, stitching pain : from left upper region of chest to shoulder joint.
Tearing, stitching pain : in head.
Sharp, piercing pain : above right eye.
Bursting pain : in forehead.
Shooting : in head ; in skin.
Cutting : in head ; in abdomen ; in urethra ; in groins ; in chest.
Cutting, pulsating feeling : in back.
Neuralgic pains : in eyes.
Violent stitches : in temples.
Sharp stitches : transversely through small of back.
Stitches : over eyes ; in head ; to neck and chest ; in occiput ; in ear ; in throat ; in stomach ; in hepatic region ; in region of spleen ; in rectum ; in bladder ; from loin into uterus ; in liver ; in chest and
side under left ribs ; single, along sternum ; in region of heart ; in neck and back part of head ; in back ; in wrist joints ; in muscles and joints of hands and fingers ; in hip ; in right hip joint ; in left knee.
Itching stitches : in rectum.
Stitching, boring, stinging pains : in corns.
Drawing and stitching pains : from ear down to neck and shoulder ; from teeth up to ear.
Severe sticking : in temples.
Sticking : in right eye.
Labor-like abdominal pains : during stool ; in intestinal canal.
Pinching pain : in right side of abdomen ; in diaphragm.
Gnawing pain : in knee.
Clawing : in epigastrium.
Griping : in abdomen.
Severe cramps : in abdomen.
Cramp : in arms, hands, fingers and thumb ; in lower legs and calves.
Cramplike stitching pain : in feet.
Cramping pain : in lower abdomen.
Severe aching : in knees and legs.
Rheumatic tearing : from root of nose to forehead.
Violent pressive pain : in hepatic region.
Pressive, throbbing pain : in forehead.
Pressive pain : in forehead and eyeballs ; on both sides of head ; from navel to pelvis ; in left side of abdomen.
Dull, heavy pain : in head ; about liver ; in right hypochondrium.
Paralytic pain ; in small of back.
Aching : in eyes ; in testicles ; in lumbar region ; in back ; in head ; in teeth.
Drawing pain : in right thigh to knee ; in knees ; in lower limbs.
Severe drawing pain : in lower jaw.
Sharp drawing : in back and through hips.
Pressing, drawing : in limbs.
Dragging : in forehead.
Painful tension : in bends of limbs ; in spine.
Painful contraction : of hamstrings.
Painful stiffness : of neck.
Ripping up sensation : in anus.
Beaten, bruised, lame feeling : in back.
Bruised or burrowing pain : in upper arm.
Bruised feeling : in epigastrium ; in chest ; in tarsal joints.
Scraping pain : in face ; in larynx.
Smarting pain : on red of lips.
Sore pain : on left side of nose.
Burning pains : in nasal bones ; in throat ; in stomach.
Smarting, burning : in eyes ; of gums ; in anus ; during coitus ; on edges of mucous surfaces.
Violent burning : in eyes ; on tip of tongue.
Burning : on vertex ; in eyes ; of ears ; in nose ; of lower lip, in throat ; in epigastrium ; in stomach ; in intestines ; in anus ; in urethra ; in groins ; in vagina ; in hands ; of feet.
Burning, boring, beating : in teeth.
Smarting : in rectum and anus ; in urethra ; in vulva ; of hemorrhoids.
Stinging : in teeth ; in tongue ; in hemorrhoids ; on glans penis and on scrotum ; in head ; in chest ; in big toe ; in skin ; of rash all over.
Biting : in eyes.
Soreness : of nostrils ; of tongue ; in left hypochondrium ; in hypogastrium ; in vulva ; between scrotum and thighs ; of vagina ; in larynx and trachea ; of toes and between toes.
Heat : in head ; in occiput ; in face ; in forehead.
Sensitiveness : between vertebræ.
Tingling : in limbs.
Violent jerks and shocks : in head.
Jerks : in epigastrium.
Jerkings : of right side and head.
Twitching : of muscles and limbs ; of arms and legs.
Beating : in head ; in ears.
Throbbing : in forehead ; in occiput ; in ears ; in epigastrium.
Pulsation : in head ; in ear ; in teeth ; in rectum.
Severe pressure : below heart.
Pressure : in frontal region ; in region of root of nose ; in epigastrium ; in stomach ; in region of spleen ; in upper abdomen ; from navel downwards ; in region of liver ; in chest.
Pressing, pushing : towards genitals.
Violent constriction : in heart.
Contraction : in hypogastrium.
Constricted feeling ; of scalp : in throat ; in stomach.
Drawing, stiff sensation : in muscles ; of eyes.
Drawing : in spine.
Tension : in forehead ; in hepatic region ; in renal region ; in inguinal glands ; in spine ; in lower legs.
Stiffness : in liver ; in legs ; of joints.
Lameness : in shoulder joint.
Lame feeling : of ankle joint.
Weight : in forehead ; in back and shoulders.
Heaviness : in head ; in stomach ; across bladder and pelvis ; of eyes ; of arms ; of legs and feet ; of feet.
Oppression : of stomach ; of chest.
Fulness : at stomach.
Painful cracking : in ear.
Distension : of stomach ; about liver ; in right hypochondrium.
Uneasiness : of feet.
Restlessness : in legs ; in limbs.
Numb feeling : of one side of nose ; of lips ; of one side of tongue ; of arms and hands ; of fingers and toes.
Scratching : in rectum.
Dryness : of nose ; of tongue ; of throat ; in larynx ; of anus ; of vagina ; of mouth ; of skin.
Dulness : in head.
Fluttering : of heart.
Great weakness : in stomach.
Great prostration.
Great debility.
Sinking down : of arms.
Weak, faint feeling : in head and chest ; in heart.
Weakness : in male sexual organs ; of arms ; in knees and calves ; of feet ; of whole body.
Tired sensation : in back.
Weariness : in head.
Empty feeling : in head.
Fainting : at epigastrium.
Sinking : at epigastrium.
Goneness : in epigastrium.
Faint, gone feeling : at pit of stomach.
Intense itching : over whole body.
Violent itching : on head and nape of neck ; on scrotum ; of cracks between toes ; of nettlerash.
Gnawing, itching : of skin.
Itching : eruption on boundaries of heavy scalp ; in eyes ; in canthi ; behind ears ; of herpes ; of eruption on face ; on face ; about anus ; at corona glandis ; on glans penis and on scrotum ; between scrotum and thighs ; of
vulva of pudendum ; on pubes ; of liver ; on arms and hands ; of ulcer on leg ; of eruption between fingers ; of skin.
Crawling : at corona glandis ; all over body.
Tickling : in throat pit ; in throat or pit of stomach ; in epigastrium.
Icy coldness : about heart.
Coldness : of feet ; in joints.
Cold sensation ; on vertex ; in stomach ; about heart ; in back.
Coolness : of vagina.
Chilliness : over whole body ; over back.

Tissues

Loses flesh while living well.
General emaciation, most conspicuous about neck, which is very thin and shrunken.
Emaciation, anemia, weariness and complete prostration of vital forces.
Infantile marasmus from defective nourishment.
Chlorosis with dirty, flaccid, torpid skin.
Anemia, particularly if provoked by loss of fluids ; in women from menstrual disease, in men from loss of semen.
Deterioration of blood, of a scorbutic nature.
Cachexia from ague plus Quinine.
Hemorrhages bright red or dark red, thin and watery, not coagulated.
Tendency to take cold.
Wounds become painful, suppurate ; pain in old scars.
Muscles as if torn from bones.
Rheumatic affections, with shortening of tendons.
Stiffness of joints ; they crack on moving them.
Acts upon cartilage, mucous follicles and glands, salivary and mesenteric glands.
Tendency to dryness or to erosions of mucous membrane ; secretion acrid, scanty ; smarting, burning at edges of mucous surfaces.
Catarrhs of all mucous membranes, with secretions of transparent, watery, coarse, frothy mucus ; white mucus full of bubbles, color of white of egg or like boiled starch.
Watery vomiting, increased aqueousness of any part of body, hydrocephalus ; serous effusions.
Anasarca, accumulation of serum in areolar tissues ; puffiness.
Dropsy : after scarlatina ; caused by heart, liver or kidney complaints.
Collection of serum in joints and in closed sacs ; hydrocele.
Chronic swelling of lymphatic and sebaceous glands.
Chronic inflammation of salivary glands, excess of saliva.
Gonorrhœa last stage ; gleet.
Fistulous, phagedenic ulcers.
Varices.

Touch. passive motion. injuries

Touch : on hair causes it to fall out ; on sensitive spot on left parietal bone, after blow, causes trembling of whole body ; swelling of nose painful to touch ; lower jaw painful ; teeth sensitive ; of food and ulcers in mouth causes smarting and
burning ; toothache < ; epigastrium sensitive ; a string felt between uterus and scrotum, exceedingly sensitive ; spine oversensitive ; sensitiveness of skin ; calves very painful.
Pressure : weight in forehead < ; toothache < ; causes bruised feeling in epigastrium ; slightest of clothing painful, of clothes > cramps ; labor-like abdominal pains > ; urethra painfully sore ; spine oversensitive ; > backache.
Must loosen clothing : tightness of skin across abdomen from hip to hip.
Lying on something hard : > pains in spine.
Rubbing : hives on arms and hands become red ; > numbness of arms and hands.
After injury : to head ; chronic effects ; three months after a blow on head, headache ; after blow on left parietal bone, there remained a sensitive spot over seat of injury.
ain

Skin

Skin : yellowish color, delicate ; dirty looking, dry, withered ; irritable ; itching, pricking, stinging ; gnawing, itching, shooting.
Crawling sensation all over body, beginning at feet and gradually ascending.
Great rawness and soreness of skin ; smarting ; intertrigo.
Vesicles, with watery contents, burst and leave a thin scurf.
Herpes : about mouth and on arms and thighs ; humid on scrotum and thighs ; during fevers ; in bends of elbows and knees ; moist oozing.
Herpes circinatus ; pemphigus, blisters starting up on burning spots, with clear, watery contents ; watery blebs.
Shingles or herpes zoster.
Rupia, blisters, not pustular.
White scales on scalp ; dandruff.
Nettlerash : over whole body ; large red blotches, with violent itching ; after violent exercise ; chronic urticaria.
Red spots as large as head of pin over whole body, preceded by sensation of heat in face.
Miliary eruption all over.
Rash on legs and in groups all over.
Stinging rash over whole body.
Acne punctata.
Comedones.
Eczema, raw and inflamed ; scurfy and discharging a corrosive fluid, which eats hair ; < in edges of hair, on genitals and legs.
Tetter in bends of joints, oozing of an acrid fluid ; crusts with deep cracks, scaly eruptions on flexor surfaces ; scabs on head and in axillæ.
Eczema from eating too much salt.
Suffused redness, but no rash ; tongue resembling burned appearance, produced by continual use of salt. θ Scarlet fever.
Superficial ulcers ; red, angry looking, smarting, surrounded by vesicles, no suppuration.
Dermoid swellings.
Fungus hematodes.
Measles, with excessive secretion of tears or saliva.
Smallpox, with salivary flow, confluence of pustules and drowsiness.
Boils, small ; blood-boils.
Warts in palms of hands.
Corns.
Scars become painful and redden.
Effects of insect bites ; stings of bees, mosquitoes.

Stage of life, constitution

"Salt eaters seldom have male issue. "-Old book.
Adapted to cachectic persons and to those who have lost animal fluids ; quinine cachexia.
Suits old people, teething children, anemic, chlorotic people with catarrhal troubles, and tuberculous subjects of scrofulous habit.
Baby, a few months old ; catarrhal stenosis of lachrymal duct.
Boy, æt. 11 months ; marasmus.
Girl, æt. 3, dark hair and eyes ; incontinence of urine.
Child, æt. 4 ; scarlatinal dropsy.
Girl, æt. 6 ; fear of robbers at night.
Child, æt. 6 ; ague.
Child, æt. 7, suffering two years ; chorea.
Girl, æt. 8, brown hair, blue eyes ; ague.
Girl, æt. 9, after easy recovery from diphtheria and scarlatina ; dropsy.
Boy, æt. 10, weak, small, irritable, after being frightened by dog two years ago ; chorea.
Boy, æt. 10, ill four months ; quartan ague.
Boy, æt. 12, living in paludal district ; ague.
Boy, æt. 13, scrofulous habits, much behind in corporeal and mental development, fat and lazy ; scrofulous ophthalmia.
Boy, æt. 14, suffering two months ; tertian ague.
Girl, æt. 14, scrofulous ; hypertrophy of tonsils.
Girl, æt. 16, small, scrofulous, pale, formerly suffering from eczema, menses not yet appeared ; leucorrhœa.
Boy, æt. 16, suffering ten days ; quotidian ague.
Boy, æt. 16 ; tertian ague.
Girl, æt. 17, suffering three weeks ; hoarseness.
Girl, æt. 18, blonde, suffering three months ; ague.
Girl, æt. 19, suffering eight weeks ; double quartan ague.
Man, æt. 20, after getting thoroughly wet ; mania.
Patient, æt. 20, after an attack of inflammatory rheumatism during childhood ; strabismus.
Young lady, æt. 20, salivated by abuse of calomel while sick during previous summer.
Man, æt. 20, soldier, became sick while on march ; affection of chest.
Girl, æt. 20, suffering ten weeks, attacks at first tertian, now quotidian ; ague.
Man, æt. 20, slender, blonde, troubled with pimples ; ague.
Man, æt. 21, weak, two years ago suffered from cough, with hæmoptysis ; tertian ague.
Girl, æt. 22, sick four weeks ; ague.
Mrs. A., æt. 23 ; chronic headache.
Man, æt. 23, suffering one and a half years, rubbing and electricity without benefit ; weakness of arms.
Woman, æt. 24, slender, short, blonde ; dysmenorrhœa.
Man, æt. 24 ; tertian ague.
Farmer, æt. 24 ; ague.
Man, æt. 24, strong, small, blonde ; ague.
Girl, æt. 24 ; tertian ague.
Woman, æt. 25, suffering five weeks ; quartan ague.
Workman, æt. 25, Italian, dark complexion, previously robust ; ague.
Man, æt. 25, blonde ; tertian ague.
Man, æt. 28, bookkeeper ; asthenopia.
Man, æt. 28, small, slim, dark hair, suffering nine months ; ague.
Two men, æt. 28 ; ague.
Man, æt. 29, suffering several years ; rheumatic, catarrhal inflammation of eyes.
Seaman, æt. 29 ; suppressed ague.
Man, æt. 30, nervo-sanguine, light complexion, blue eyes, auburn hair, previously remarkably robust, after severe and long continued mental application ; brain exhaustion.
Man, æt. 30, suffering from progressive locomotor ataxy ; headache.
Woman, æt. 30, delicate build, sad and melancholic disposition ; headaches.
Woman, æt. 30 ; chronic leucorrhœa.
Two women, æt. 30 ; ague.
Woman, æt. 32, without children, melancholic disposition, irritable temperament ; headache.
Mrs. P., æt. 32, mother of two children, ulceration of womb treated locally by nitrate of silver ; sore throat.
Woman, æt. 32, delicate, irritable, chlorosis ; spasms.
Woman, æt. 34, several years ago had tapeworm removed by heroic treatment, since then suffering headache.
Man, æt. 34, robust, suffering three weeks, chill at first every third day, now daily ; ague.
Man, æt. 34 ; tertian ague.
Woman, æt. 35, well built, during sixth pregnancy ; severe vomiting.
Man, æt. 35, short, shining black hair ; ague.
Man, æt. 35, medical student, strong and well ; ague.
Woman, æt. 36, sick three months ; ague.
Mrs. D., æt. 40, after suppressed ague ; inflammation of eyes.
Mrs. C., æt. 40, perpendicular half sight.
Man, æt. 40, for last three years has had thick itching eruption on upper lip, taken much Quinine ; ague.
Man, æt. 40, seaman ; ague.
Man, æt. 40, sick three weeks ; ague.
Physician, æt. 49 ; coryza and bronchitis, complicated with muscular asthenopia.
Man, æt. 50, corpulent, healthy ; lachrymal fistula.
Man, æt. 50, weak, addicted to drink, suffering a long time with abdominal troubles ; hematemesis.
Mrs. C., æt. 50, in early life suffered severely from ague, and still more from enormous doses of Quinine.
Quinine which had been administered year after year, every Spring and Autumn, has symptoms of chill and fever, after exposure to malarial influences ; ague.
Man, æt. 50, bilious temperament, hard working farmer, living in an aguish locality ; ague.
Mrs. C., æt. 51, suffering for nineteen years ; constipation.
Man, æt. 54, several weeks previously inflammation of œsophagus ; stenosis.
Mrs. W., æt. 60, suffering three months ; sleeplessness.
Man, æt. 60 ; tertian ague.
Woman, æt. 65 ; tertian ague.
Man, æt. 65, six years ago had ague sixteen months in spite of Quinine, now suffering five months ; ague.
Woman, æt. 70, has worn a green shade over eyes for many years ; inflammation of eyes.
Man, æt. 72 ; chronic conjunctivitis.
Girl, hydremic constitution ; intermitting tonic spasms.
Young woman, after labor had necrosis of tibia, suffering thirteen years ; headache.
Man, suffering over three months, treated heroically seven weeks by crude doses of Cinchona ; ague.
Woman, tall, dark hair, eyes and complexion, suffering thirty years ; hemicrania.
Woman, tall, thin, brunette ; vomiting during pregnancy.
Patient suffering from bronchitis cured by Conium ; epilepsy.
Mrs. P., seamstress ; sick headache.
Elderly lady, teacher, after loss of daughter ; excessive grief.
Old woman, from her youth up ; hemicrania.

Relations

Antidoted by : Nitr. spir. dulc ., Phosphor . (especially abuse of salt in food), Arsen . (bad effects of sea bathing).
It antidotes : nitrate of silver, in all cases where this agent has been used for cauterization ; quinine, when diseases continue intermittent and patients suffer from headache, are constipated and have disturbed sleep ; bee stings.
Compatible : Sepia ; after Kali mur . in articular and chronic rheumatism, itch, shingles and other eruptions, exudations, glandular swellings, deafness, aphthæ, gonorrhœa with orchitis ; after Kali
phos . in deafness, suppuration of parotid, œdema of lungs, hemorrhages ; after Kali sulph . in catarrh of chest with rattling ; after Natr. sulph . in bitter taste, gastro-enteric diseases,
eruptions ; after Calc. phos . in glandular swellings, chronic rheumatism of joints, hygroma of patella, catarrhs in scrofulous subjects, hydrocele ; after Ferr. phos . in pertussis, headache of young girls
during menses.
Complementary : Apis. mel .
Compare : Alumina, Graphit . in dryness of mucous membranes ; Ledum in stings of insects ; Ambra gris . in ranula ; Caustic., Phosphor.,
Pulsat., Staphis . in escape of urine when coughing ; Hepar in sensitiveness to cold air.

Lectures on Homoeopathic Materia Medica

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

Generals and aspect

Salt is so common an article of diet that it has been assumed that it could be of no use in medicine.

This is only the opinion of men who, operate entirely on the tissues. There are no constitutional effects from crude salt.

One may find an individual growing thin with all the symptoms of salt; he is taking salt in great quantities, but digesting none of it. Salt will be found in the stool, for it does not enter into the life. There is a Natr. mur. inanition, a starving for salt. The same is true of lime. Children can get plenty of lime from their food and that is better when the salt or the lime is given in such shape that it cannot be resisted by the internal man - aimed not at the house he lives in, but at the individual himself-then the bone, salt inanition, the Natr. mur. inanition, will soon pass away.

We do not with our small dose supply the salt that the system needs, but we cure the internal disease, we turn into order the internal physical man, and then the tissues get salt enough from the food. Drugs must all be administered in suitable form. We may need to go higher and higher until the secret spring is touched.

Natr. mur. is a deep acting, long acting remedy. It takes a wonderful hold of the economy, making changes that are lasting when given in potentized doses.

A great deal is presented that can be seen by looking at the patient, so that we say: this looks like a Natr. mur. patient. Experienced physicians learn to classify patients by appearance. The skin is shiny, pale, waxy, looks as if greased. There is a wonderful prostration of a peculiar kind. Emaciation, weakness, nervous prostration, nervous irritability.

Mind

There is a long chain of mental symptoms; hysterical condition of the mind and body; weeping alternating with laughing; irresistible laughing at unsuitable times; prolonged, spasmodic laughter.

This will be followed by tearfulness, great sadness, joylessness. No matter how cheering the circumstances are she cannot bring herself into the state of being joyful. She is benumbed to impressions, easily takes on grief, grieves over nothing.

Unpleasant occurrences are recalled that she may grieve over them. Consolation aggravated the state of the mind - the melancholy, the tearfulness, sometimes brings on anger. She appears to bid for sympathy and is mad when it is given.

Headache comes on with this melancholy. She walks the floor in rage. She is extremely forgetful; cannot cast up accounts; is unable to meditate; forges what she was going to say; loses the thread of what she is hearing or reading. There is a great prostration of the mind.

Unrequited affection brings on complaints. She is unable to control her affections and falls in love with a married man. She knows that it is foolish, but lies awake with love for him. She falls in love with a coachman. She knows that she is unwise, but cannot help it. In cases of this kind Natr. mur. will turn her mind into order, and she will look back and wonder why she was so silly. This remedy belongs to hysterical girls.

In a mental state where Ign. temporarily benefits the symptoms, but does not cure, its chronic Natr. mur. should be given. It is as well to give Natr. mur. at once if there is an underlying constitutional state too deep for Ign.

Modalities

Aversion to bread, to fats and rich things.

The Natr. mur. patient is greatly disturbed by excitement, is extremely emotional. The whole nervous economy is in a state of fret and irritation, < from noise, the slamming of a door, the ringing of a bell, the firing of a pistol, < music.

The pains are stitching, electric-like shocks, convulsive jerkings of the limbs on falling asleep, twitchings, shooting pains. She is oversensitive to all sorts of influences, is excitable, emotional, intense.

Complaints come on in the warm room, worse in the house, she wants the open air. The mental complaints are > in the open air. She takes cold easily from sweating, but is generally > in the open air, though worse on getting heated; < by sufficient exertion to heat up, but > by moderate exertion in the cold air.

Both Natr. carb. and Natr. mur. have the general nervous tension of Natrum, but one is a chilly patient, the other warm, blooded.

Face

The face is sickly looking, the skin greasy, shiny, sallow, yellow, often chlorotic, covered with vesicular eruptions around the edges of the hair, the ears and back of the neck.

There are scaly and squamous eruptions, with great itching, oozing a watery fluid, or sometimes dry. An exfoliation takes place, a shining surface is left. In the meatus, scales form, and peel off, leaving an oozing surface.

Watery vesicles form about the lips and wings of the nose, about the genitals and anus. Vesicular eruptions, white, oozing a watery fluid, come and go. Great itching of the skin is present,

The skin looks waxy, dropsical. There is great emaciation, the skin looking dry, withered, shrunken. An infant looks like a little old man. There is a down on the face that passes away when improvement sets in. Emaciation takes place from above downward.

The collar-bones become prominent and the neck looks scrawny, but the hips and lower limbs remain plump and round. Lyc. also has emaciation from above downward. The directions of remedies will often enable us to distinguish one from another.

Discharges

The characteristic discharge from the mucous membranes is watery or thick whitish, like the white of an egg.

There is a marked coryza with a watery discharge, but the constitutional state has thick, white discharges. He hawks out a thick, white discharge in the morning. There are gluey oozings from die eyes. From the ears flows a thick, white, gluey discharge. The leucorrhoea is white and thick.

With the gonorrhoea the discharge has existed a long time and become gleety. There is smarting m the urethra only after urination.

Head

The headaches are awful; dreadful pains; bursting, compressing, as if in a vise; the head feels as if the skull would be crushed in. The pains are attended with hammering and throbbing. Pain like little hammers in the head on beginning to move.

Hammering pains in the head on waking in the morning.

The pain comes on in the latter part of sleep. There is great nervousness during the first part of the night; she falls asleep late and awakes with hammering in the head. There are also headaches beginning at 10 to 11 A.M., lasting until 3 P.M. or evening.

The headaches are periodical, every day, or third day, or fourth day. Headaches of those living in malarial districts, > from sleep; the patient must go to bed and be perfectly quiet, > from sweating, headaches associated with intermittent fever.

During the chill it seemed as though the head would burst; he is delirious and drinks large quantities of cold water. There is no relief to the head until after the sweat. Sometimes all the symptoms are relieved by the sweat except the headache.

In another form of headache; the greater the pain the more the sweat; sweating does not relieve; the forehead is cold, covered with a cold sweat. When the head is covered warmly he is > moving about in the open air.

Headache due to disturbance of vision where there is inability to focus rapidly enough. Headache < from noise.

Headache involving the whole back of the head and even going down the spine in troubles following the brain diseases, hydrocephalus.

Spine

In spinal troubles, when there is great sensitiveness to pressure an irritable spine.

The vertebrae are sensitive and there is a great deal of aching along the spine. Coughing aggravates the pain in the spine, also walking makes it worse, but it is > from lying on something hard, or pressing the back up against something hard; they may sit with a pillow or the hand pressed against the back. In menstrual troubles, you find the woman lying with some hard object under the spine.

A general nervous trembling pervades the body. There is jerking of the muscles, trembling of the limbs, inability to keep the limbs still, as in Zincum.

Stomach and liver

The stomach and liver are closely related.

The stomach is distended with flatus. After eating there is a lump in the stomach. It seems to take a long time for food to digest. < from eating. Whitish, slimy mucus is vomited attended with relief.

There is great thirst for cold water, sometimes there is relief from drinking, sometimes the thirst is unquenchable. We find fullness in the region of the liver with stitching, tearing pains.

The bowels are distended with gas. There is slowing down of the action of the bowels, the stool being very difficult, in hard, agglomerated lumps.

Bladder

There is slowing down of the action of the bladder.

Must wait before the urine will start, and then it comes slowly-dribbles; there is not much force in the flow.

After urination there is a sensation as if more urine remained in the bladder. If anyone is present he cannot pass urine, cannot pass it in a public place.

There is also continued urging, he must pass the urine often.

This remedy and Natr. sulph. were used by the homoeopaths to clear up chronic diarrhoea, the old army diarrhoea.

Natr. mur. is useful in the complaints of women, in troublesome menstruation. There is a great variety of menstrual complaints: menses too scanty or too free, too late or too soon. We cannot individualize from the menstrual symptoms, we must do it from the constitutional state.

Examine every possible function to be sure you have all the symptoms. Examine every organ, not by examining it physically, for results of diseases do not lead to the remedy, but examine the symptoms.

Observe the rapidity with which remedies affect the human system there are some that are long acting, deep acting. Natr. mur. is one of these. It operates very slowly, bringing about its results after a long time, as it corresponds to complaints that are slow, that are long in action.

This does not mean that it will not act rapidly; all remedies act rapidly, but not all act slowly; the longest acting may act in acute diseases, but the short acting cannot act long in chronic diseases. Get the pace, the periodicity of remedies.

Some remedies have a continued fever, some a remittent, others an intermittent fever. In Acon., Bell. and Bry. we have three different paces, three different motions, three different forms of velocity; so in Sulph., Graph., Natr. mur., Carbo veg. a different form, a different development.

Some would not hesitate in a continued fever to give Bell., but its complaints come on in great haste, with great violence and have nothing in their nature like a continued fever. This is not like typhoid. Bell. and Acon . have no manifestations of typhoid, even if the symptoms are present.

Be sure that the remedy has not only the group of symptoms, but also the nature of the case. The typhoid case has a likeness in Bry. or Rhus, but not in Bell . We owe no obedience to man, not even to our parents, after we are old enough to think for ourselves. We owe obedience to truth.

Natr. mur. is a long acting remedy; its symptoms continue for years; it conforms to slow-coming, long-lasting, deep-seated symptoms. It requires a long time for a man to be brought under the influence of it, even when moderately sensitive.

The chill comes in the morning at 10-30; every day, every other day, every third or fourth day. The chill begins in the extremities which become blue; there is throbbing pain in the head, the face is flushed; delirium, talking of everything, constant maniacal actions.

They grow worse until a congestive attack comes. During the entire attack there is thirst for cold water. During the coldness he is not > by heat, not > by piling on the clothing, but wants cold drinks.

We would naturally suppose that a person freezing to death would want warm things, but the Natr. mur. patient cannot bear them.

The teeth chatter, he tosses from side to side, the bones ache as if they would break, and there is vomiting as in congestive conditions. In the fever he is so hot that the fingers are almost scorched with the intense heat, and he goes into a congestive sleep or stupor. The sweat relieves him; the aching all over is > by the sweat, and in time the headache passes away.

There is intense chill, fever and sweat. Sometimes the attacks are in robust, strong people, but usually in the anaemic, in emaciated people full of malaria; lingering, chronic cases.

Complaints do not always have this long prodrome. Its most striking use is in cases that have been living a long time in malarial swamps; saturated with the malarial atmosphere; they are anaemic, often dropsical; in old cases that have been mixed with arsenic and quinine, the crude drugs used by the Old School to break the fever as long as the patient is under their sway, but the patient is sick internally even more than before, and when the condition comes back, it is generally in its original form; the crude drug is usually unable to change the type of an intermittent fever.

Remedies only partly related to the case will change the character of the sickness so that no one can cure the case. The homoeopathic remedy will cure intermittent fever every time if you get the right remedy. If there is a failure the case is mixed up so that no one may be able to cure it. First of all a master must realize the case and turn it into order so that it can then be cured. There are few men who never spoil a case of ague, because many cases come from partly developed, marked cases, the symptoms not being all out, especially in cases that have taken homoeopathic remedies. The homeopathic failures are the worst failures on earth.

Natr. mur. is irregular enough in its nature to develop the chills into regularity. When it has come into better order, wait: either the whole case will subside, or another remedy will be clear. There are other remedies that can turn cases into order. Often cases spoiled by homoeopaths can be turned into order by Sep. Marked cases with congestion of the head, aching in the back and nausea are turned into order by Ipecac.

The cure is permanent after homoeopathic prescribing; the chills do not return.

Natr. mur. not only removes the tendency to intermittents, but restores the patient to health, and takes away the tendency to colds, the susceptibility to colds, and to periodicity. It is the susceptibility that is removed. We know that every attack predisposes to another attack.

Each attack of ague is more destructive than the previous one. The drugs used increase the susceptibility; the homeopathic remedy removes$ the susceptibility. Homeopathic treatment tends to simplify the human economy and to make diseases more easily managed.

Unless this susceptibility be eradicated, man goes down lower and lower into emaciation, emaciation from above downwards.

Children born in a malarial region are likely to go into, marasmus. They have a voracious appetite, a wonderful hunger, eating much, but all the time emaciating.

Pregnancy

Conditions of pregnancy.

The mammary glands waste, there is wasting of the upper parts of the body. The uterus is intensely sore.

The leucorrhoea, which is at first white, turns green. Women take cold in every draft of air.

There is pain during sexual congress with dryness of the vagina, a feeling as though sticks pressed into the walls of the vagina; pricking pains.

There is dryness of all mucous membranes; everywhere the membranes are dry. The throat is dry, red, patulous; a sensation of a fishbone jagging into it when swallowing; there is inability to swallow without washing down the food with liquids; there is sticking all the way down the oesophagus.

Throat

Most prescribers give Hep. for every sticking or fishbone sensation in the throat; this is the old keynote, the old routine.

Nitr. ac., Argent. nit., Alum. and Natr. mur. all have it, but all differently.

Hepar sulfur: The tonsils are swollen, full, purple-quinsy.

The patient is sensitive to the slightest draught, there is pain in the throat even on putting the hand out of bed; he sweats in the night with no relief; he is sensitive to every impression; feels everything ten times amplified.

Nitricum Acidum

There are yellow patches in the throat; ragged, jagged ulcers in the throat, or it is inflamed and purple.

The urine smells like horses' urine.

Argentum nitricum

There is much hoarseness, the vocal cords being disturbed.

The throat is swollen, patulous; the patient wants cold things, cold water, cold air. Adapted to those cases that have had ulceration of the os uteri with cauterization.

Natrum Muriaticum

There is extreme dryness of the mucous membranes, as if they would break; chronic dryness without ulceration.

There is much catarrhal discharge like the white of an egg, with dryness of the mucous membranes when not covered by this mucus. The patient is extremely sensitive, sensitive to a change of weather.

Every remedy has its own pace, its order or succession. We must bear in mind the order of succession.

Natr. mur. is useful in old dropsies, especially dropsy of cellular tissues. Sometimes there is dropsy of sacs, dropsy of the brain following acute diseases. In acute spinal meningitis with extreme nervous tension, where there is chronic drawing back of the head, chronic jerking of the head forward.

Acute diseases that result in hydrocephalus, or in irritation of the spine. Sometimes useful in abdominal dropsy, but more often in oedema of the lower extremities. Acute dropsies after scarlet fever; the patient is oversensitive, starts in his sleep, rises up in the night with confusion; there are albumen and casts in the urine,

In dropsy after the malaria, Natr. mur., when it acts curatively, generally brings back the original chill. The only cure known to man is from above down, from within out, and in the reverse order of coming. When it is otherwise, there is only improvement, not cure. When the symptoms return there is hope; that is the road to cure and there is no other.

The skin symptoms are sometimes very striking. In old lingering cases where the skin looks transparent as if the patient would become dropsical, a waxy, greasy, shiny skin; other remedies with greasy, shiny skin are P lumb., Thuja, Selen.

These remedies go deep into the life. Any remedy that can produce such wonderful changes is long-acting.

Useful after labor when the mother does not progress well; she is feeble and excitable; the lochia is prolonged, copious and white; the hair falls out from the head and genitals; the milk passes away, or the child does not thrive on it.

Useful in after pains where there is subinvolutîon of the uterus, the uterus is in a state of prolonged congestion.

She is < noise, music, the slamming of a door. She craves salt and has an aversion to bread, wine and fat things. Sour wines disorder the stomach. Natr. mur. will clear up the case, restore the milk, turn the case into order.

Natr. mur. is needed by those chlorotic girls who have a greasy skin, a greenish, yellowish complexion; who menstruate only once in two or three months.

The menses are copious, or scanty and watery. Where the symptoms agree, this remedy can eradicate this chlorosis and turn the countenance into a picture of health, but not in a short time.

It takes years to establish health in a typical chlorosis; the cut finger bleeds only water; the menstrual flow is only a leucorrhoea; there is pernicious anemia. Natr. mur., goes deep enough into the life to restore the pink complexion.

The Therapeutics of Fevers

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

Characteristic

For the anæmic and cachectic; whether from loss of vital fluids—profuse menses, seminal losses—or mental affections. Great emaciation; losing flesh even while living well (Abrot., Iod.); throat and neck of children emaciate rapidly during summer complaint (Sanic.).

Great liability to take cold (Cal., Kali c.).

Irritability: child cross when spoken to; crying from slightest cause; gets into a passion about trifles, especially when consoled with.

Awkward, hasty, drops things from nervous weakness (Apis, Bov.).

Marked disposition to weep; sad weeping mood, without cause (Puls.), but consolation from others < her troubles.

Headache: of school-girls (Cal. p.); from sunrise to sunset; beginning with blindness (Iris, Kali bi.); from eye strain; with left-sided clavus; as if bursting; with red face, nausea and vomiting before, during, and after catamenia; as if beaten with little hammers in the brain; during fever, better after sweat begins.

Hay fever: squirming sensation of the nostril, as of a small worm; brought on by exposure to hot sun or intense summer heat.

Sensation as of a hair on the tongue (Sil.).

Tongue: mapped, with red insular patches; like ringworm on sides (Ars., Lach., Mer., Nit. ac., Tarax.); heavy, difficult speech, children slow in learning to walk.

Fever blisters, like pearls about the lips; lips dry, sore and cracked, ulcerated (Nit. ac.).

Lachrymation; tears stream down the face whenever he coughs.

Constipation: sensation as of contraction of anus, torn, bleeding, smarting afterwards; stool hard, difficult, crumbling; stitches in rectum (see Nit. ac.); involuntary, knows not whether flatus or fæces escape (Aloe, Mur. ac., Iod., Olean., Pod.).

Urine: involuntary, when walking, coughing, laughing; has to wait a long time if others are present; cutting after (Sars.).

Pressing, pushing torward genitals, every morning, must sit down to prevent prolapsus (Lil., Mur., Sep.).

The hair falls out when touched, in nursing women (Sep.—after fevers, Lyc.); face oily, shiny (Plb. Thuja).

For the bad effects: of anger (caused by offence); acid food; bread; quinine; cauterizations of all kinds with silver nitrate; too much salt.

Hangnails: skin around the nails dry and cracked (Petr.); herpes about the anus, in border of hair (in bend of knees, Graph., Hep.).

Dreams of robbers in the house, and on waking will not believe to the contrary till search is made (of robbers, danger, Psor.); of burning thirst.

The heart's pulsations shake the body (Spig.).

Eczema: raw, red, inflamed, especially in edges of hair; < from eating too much salt, at sea-shore, from ocean voyage.

Warts on palms of hands (sore to touch, Nat. c.).

"Cannot often be repeated, in chronic cases, without an intercurrent."—DUNHAM.

Should not be given during paroxysm.

If vertigo and headache be very persistent or prostration prolonged, Nux vomica will relieve.

Relations

Complementary to Apis: acts well both before and after it.

Natrum mur. is the chronic of Ignatia, which is its vegetable analogue. Is followed by Sepia and Thuja.

Aggravation

At 10 or 11 A. M.; heat of sun or stove; in summer; at sea shore or from sea air; mental exertion; talking, writing, reading; lying down.

Amelioration

In open air (Puls.); cold washing; sitting up; fasting.

Type

Every type of fever belongs to Natrum muriaticum: vernal, midsummer, autumnal, midwinter; quotidian; tertian; quartan. Simple type. Anticipating tertian. Malarial.

Time

3, 4, 5, 6, 7, 8, 9 A. M.—10 to 11 A. M. Like Nux vom. the characteristic paroxysm is in the morning or forenoon; the lesser paroxysm occurs in afternoon or evening. 4 to 7 P. M.; 6 to 7 P. M.; 5:30 to 7:30 P. M. Chilly all day, with fever all night.

Fever without chill, 10 to 11 A. M.

Cause

Exposure to emanations from salt or fresh water; living on, or in the vicinity of water, margins of streams, or ponds; in damp regions or near recently turned up soil, especially freshly plowed fields of virgin soil. When Quinine has perverted and temporarily suppressed the original or regular paroxysm.

Prodrome

Patient dreads the chill. Languor, headache, thirst; knows the paroxysm is coming because of headache and thirst; nausea and vomiting sometimes present; if vomiting, it is water recently drunk; tearing pains in hands, feet, and kidneys.

Chill

With thirst. Paroxysm at 8 A. M.; violent chill till noon; then heat till evening; without perspiration or thirst during the chill or heat; unconscious, with violent headache; sensation as if the head would fly into fragments, is stupefied, knows not where he is. Great chilliness every morning between 3 and 4 o'clock, with languor, headache, great dyspnœa, followed by great heat and thirst, and terminated by profuse perspiration. Long and severe chill from 10 to 11 A. M., beginning in the feet, fingers, and toes, or small of the back (Gels.), with blue lips and nails (Nux). Thirst, drinking often and much at a time (drinking often and large quantities, but it produces vomiting, Eup.—drinks little and often, Ars.). Bursting headache; nausea and vomiting; and sometimes complete unconsciousness. Frequent creeping chills about 5:30 P. M., followed by heat and perspiration that lasted till 7:30. Violent chill, especially in a warm room, from 4:30 to 7 P. M.; relieved in the open air. Chilliness over the whole body between 6 and 7 P. M., with great sleepiness; was able to keep awake only by a great effort. Chill over the whole body in a warm room, between 4 and 7 P. M., with frequent yawning, though warm to the touch, except in the face.

Internal shivering from 4 to 7 P. M.; she is generally chilly; each night suffers excessively from rigors, followed by heat and profuse perspiration; as rigors come on, and during continuance, excessive languor, with headache and dyspnœa "almost indescribable." Chill predominates mostly internal; hands and feet icy cold; could not be warmed. Chilliness, great thirst, tearing in the bones, blue nails, chattering of the teeth, at 10 A. M. Chilliness, with increasing headache in the forehead every day from 9 A. M. till noon; afterwards heat with thirst, and gradual appearance of sweat; the headache decreasing gradually as the sweat increases until 5 o'clock in the evening. Chill of right side (Bry.—left, Caust., Carbo v.).

"Icy coldness about the heart (Arn., Camph., Helod., Kali c., Olean., Petr.), continuing after the paroxysm; blindness and unconsciousness during the chill, with great prostration, worse after chill; slight fever (Ars.)."—LIPPE.

"Chill predominates; chilliness internally, as from want of natural heat, with icy coldness of hands and feet. Continuous chilliness from morning till noon."—LIPPE.

Heat

With increased thirst; intolerable hammering headache (as if beaten with a thousand hammers), with stupefaction and unconsciousness (Bell., Cac., Op.), or obscuration of sight and fainting.

Long severe heat, with excessive weakness, which compels him to lie down (weakness and prostration during chill, Lyc.—great prostration after paroxysm, Ars.) Great thirst for large quantities of water; drinks much and often, which refreshes (Bry.—drinks little and often, but it produces vomiting, Ars.). Nausea and vomiting (Ipec.).

"Fever blisters cover the lips like pearls."—RAUE.

Hydroa, especially on upper lip (Rhus—see Ign., Nux).

"Continuous heat in the afternoon, with violent headache and unconsciousness; they are gradually relieved during the perspiration which follows."—LIPPE.

Sweat

With thirst; profuse, gradually relieving all pains, except headache, which may continue during and after sweating stage (Samb.—headache is increased, Eup.). Profuse sweat breaks out easily during motion, although he is very chilly (Bry., Psor.); over whole body at night and in the morning (over whole body, except legs, Lyc.); sour-smelling sweat.

Tongue

Thin, yellowish-white coating on dry tongue; blisters on the mapped tongue or looks like ringworm (herpes) on the sides (Lach., Tarax.). Taste: water tastes putrid (water tastes bitter, Ars.); bitter, salt, sour; food has no taste at all. Longing for salt or bitter things. Aversion to bread.

Pulse

Irregular intermission when lying on left side; at one time rapid and weak; at another full and slow; every third beat intermits (Mur. ac.). The heart's pulsations shake the body.

Apyrexia

Never clear; emaciation, languor, debility; livid, sallow complexion; stitches about the liver and spleen; urine muddy, with red, sandy sediment (Lyc.); loss of appetite, loss of taste; aversion to bread (aversion to meat, Arn.); hiccup, after suppression by Quinine; hydroa, like beads on the lips (Ign.,

Nux, Rhus); ulceration of labial commissures; sensation of fulness of the stomach after eating ever so little (Bry., Lyc.); sexual desire diminished, or entirely lost, in men.

"Hard chill about 11 A. M., with great thirst, which continues through all stages; the heat is characterized by the most violent headache, relieved by perspiration."—RAUE.

Arsenicum. Natrum mur.

Advancing type. Receding type.

Worse afternoon and night. Worse forenoon and daytime.

Headache beginning with fever, Headache begins in chill, increased and continuing long after sweat. in fever, partially relieved by pro- fuse sweat.

Vomiting of bile with the chill; of Vomiting of bile between chill and water after drinking, in every stage. fever (Eup., Lyc.), or during heat.

Thirst, drinks little and often dur- Thirst in all stages; drinks large ing chill and heat; large quantities quantities and often, which refresh during perspiration. him.

Hungry. Loss of appetite.

Had been at seashore or summer Had been near freshly plowed or watering-resorts during hot weather newly turned grounds, swamps,

(Gels.). canals, or standing water.

Lips pale, dry and cracked. Lips covered with hydroa, like strings of pearls.

"It is taught by every writer, that the chill must come on about 11 A. M., for Natrum muriaticum to be curative. This is all bosh and nonsense. I have cured many, many cases of chronic and acute intermittents where the chill has come on late in the afternoon. If the rest of the symptoms indicate this remedy, it makes no difference when the chill commences. And let me say here, that Natrum will cure more cases of intermittent fever, both acute and chronic, especially the latter, than any known remedy.

With the thirtieth potency, I have cured several hundred cases with this drug alone. It is the best friend a physician has in a malarious district."—BURT.

While it is true that time is but one element in a case, for one symptom, however prominent, never overides the totality, and that we must always obtain the totality or majority of symptoms, it is also true that the morning paroxysm predominates, especially at 11 A. M.

"During my travels in Hungary, in the malarious plains of the

Theiss and Maros, as well as during a prolonged residence among the Guarosi Indians, of South America, I used a cheap remedy which radically cures every case of ague in twenty-four hours by taking one or, at the utmost, two doses of it. I order a good handful of fine, clean kitchen salt to be thoroughly roasted—if possible, in a new pan, or at least, in one thoroughly cleansed— over a slow fire, till it takes on a brown color, similar to that of lightly roasted coffee. From this roasted salt, a grown up man takes a full tablespoonful, rather more than less, dissolved in a glass of hot water, at once, on the morning following the paroxysm, on an empty stomach, and in quotidian fevers a few hours after the paroxysm is over. As the remedy is only sure of its action on an empty stomach, neither food nor drink must be taken. Though great thirst follow, the patient must only sip a little water through straws; and, when the patient becomes hungry, forty-eight hours after taking the salt, he might take a little chicken broth, or a little beef tea. Strict diet and great care not to catch cold are of the utmost importance. I have used this remedy for the last eighteen years, and it has never failed in a single case when rightly applied. Hundreds of cases in Hun- gary were cured by it; and, during my voyage to Buenos Ayres, the mate of the steamer Ibis was cured by a single dose in twenty- four hours from an ague which had troubled him periodically for years, and the cure remained permanent. In the tropics of

America every European immigrant, as soon as he goes inland, is attacked by intermittent fever, which, if neglected, is too fre- quently fatal. Thus, four hundred English people succumbed to it in the most paludal forests of Stape, in spite of the immense doses of Quinine and brandy taken; whereas the equally suffering

German colony in the adjacent department of Haqua and Para- guay took their roasted salt, and no death occurred among them."

Dr. Brooke, in N. A. J., 1878.

There is, probably, no remedy in our Materia Medica (Arsenic alone excepted) so often indicated in severe cases—acute or chronic, even those maltreated by Arsenic and Quinine—as Natrum muri- aticum. It will cure promptly when indicated; and much quicker and more permanently in the attenuations above than below the thirtieth. Like Lyc., Cal., Sep., Sul., and some of the metals, it is comparatively inert in the crude form. Hydroa on the lips is a guiding symptom, although Ign., Nux and Rhus all have it. If hydroa be present in first onset of the fever, although after fre- quent suppression by Quinine it may not be present in old cases,

Natrum muriaticum should be thought of. In nursing children, hydroa on the lips, and later the ulcers which succeed them with forenoon attack, are guiding.

Analysis

The patient dreads the chill.

Chill; 10-11 A. M.; with thirst; long, severe; beginning in fingers, feet, toes, small of back, with blue lips and nails; head- ache, often unconscious; nausea and vomiting; bone pains.

Heat; more thirst; long, severe; headache, with stupefaction and unconsciousness.

Sweat; with thirst, profuse, sour, gradually > all pains except headache; thirst, drinking refreshes.

Hydroa on the lips.

Pulsations shake the body.