Nitricum Acidum nit-ac.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

MARGINS OF OUTLETS: Throat. Anus. Mouth. GLANDS: Liver. Prostate. Salivary. Tubular organs. Blood. Skin. Bones. Joints. Right side.

Worse

Slight CAUSES: TOUCH. JARRING. Noise. Rattling. Motion. Mercury. Milk. After eating. COLD; air; dampness. Night. Evening. Changing weather. Heat of bed. Mental exertion, or shock.

Better

Gliding motions. Riding. Mild weather. Steady pressure.

General

Exhausted, shivery, sensitive and sore. STICKINGS LIKE A SPLINTER, or ulcerative gnawing. DISCHARGES ACRID; thin, dirty or brown; cause redness or destroy hair. FOUL; ozœna, foot, or night sweats, etc. Malignancy. Phagedena. HÆMORRHAGE; easy; bright; of bloody water. Red, swelled or cracked orifices. Hard, gristly exudates. Dark, smooth mucous membranes. As of a band about or a weight hanging to part. Sore or stiff, during pains. Cracking; joints. Yellow brunettes, of spare habit.

Particulars

Hateful. Profane. So angry, he trembles. Quarrelsome delirium; talks to spirits, in other tongues. Confusion. Thoughts vanish. Crushing head pains, < pressure of hat. Sore in skull. Puffs on scalp. Warm flowing over eyes. Conjunctiva pouts in spots. Spots on cornea. Deafness, > noise. Nose; red, scurfy tip; dark lumpy epistaxis; dripping, diphtheria of; cutting pains; caries of bones. Coryza, with shortness of breath. Yellow, sickly face. Peeling lips; raw, cracked or scabby in angles. Loose teeth. Gums flabby; sore; bleeding inner. Moist, fissured or mapped tongue (Flu-ac. Psor.). Salivation. Sore palate. As of a stick in throat. Craves fats. Stools tear anus, even if soft; then prolonged pain. Painful piles. Itching, eczematous anus, or oozes moisture. URINE, strong as horse's; cold; alternately profuse and scanty. Cramp from kidney to bladder. As of a hot wire in urethra. Infective nephritis. Itching, burning fore-skin. Phagedenic chancre. Œdematous prepuce. Bloody water from vagina. Weak, irregular menses. Shattering cough; from a spot in larynx; with lumbar stitch, > cold. Expectoration smeary, pussy, etc. Cavernous phthisis. Cutting in larynx. Orgasms to chest; with palpitation and fear. Swelled finger joints. Warts; on back of hands. Weak ankles. Skin, dry; eroded; cracks in every angle; coppery spots, on shin bones; itches on undressing. Crusts form and fall. Ulcers; rapid; raw; ragged; with proud flesh or plugs of pus. Stubborn suppuration. Burrowing pus. Fistulæ. Cancer. Syphilis. Painful, broken chilblains. Painfully sore bones, < tibiæ; caries. Pulse drops each 4th. beat. Jagged or soft warts (Stap. Thu.). Condylomata. Icy coldness; soles. SWEAT; easy, then takes cold; exhausting (urinous), mornings; in axillæ; on feet.

Related

Complementary: Calc-c. Thu. Follows: Kali-c. Related: Ars. Kali-c. Kre. Merc.

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

Especially suited to thin persons of rigid fibre, dark complexions, black hair and eyes - the brunette rather than the blonde - nervous temperament. Persons suffering with chronic diseases who take cold easily; are easily disposed to diarrhoea; rarely to those who suffer with constipation. Old people with great weakness and diarrhoea. Excessive physical irritability. Pains: sticking, pricking as from splinters; suddenly appearing and disappearing; on change of temperature or weather; during sleep; gnawing here and there as from ulcers forming. Sensation: of a band around head, around the bones (Carb. ac., Sulph.); of a splinter in affected parts, ulcers, piles, throat, ingrowning toe nail, < on slightest contact. Ailments: which depend on some virulent poison; from mercury, syphilis, scrofula; in broken-down cachetic constitutions. After continual loss of sleep, long-lasting anxiety, over-exertion of mind and body from nursing the sick (Coc.); anguish from the loss of his dearest friend; indifference; tired of life; sadness before menses. Great anxiety about his disease; constantly thinking about his past troubles; morbid fear of cholera (Ars.); depressed and anxious in the evening. Irritable, headstrong; hateful and vindictive; inveterate, ill-willed, unmoved by apologies. Hardness of hearing > by riding in carriage or train (Graph.). Very sensitive to rattle of wagon over paved streets; headache from pressure of hat (Cal. p., Carbo., Nat.). Ozaena: green casts from the nose every morning. Diarrhoea: great straining but little passes, as if faeces remained and cannot be expelled (Alum.); pain as if rectum or anus were torn or fissured (Nat. m.). violent cutting pains after stool, lasting for hours (Rat., Sulph. - during and after, Mer.). Fissures in rectum; tearing, spasmodic pains during stools; lancinating, even after soft stools (Alumen., Nat., Rat.). Urine: scanty, dark-brown, strong-smelling, "like horse's urine;" cold when it passes; turbid, looks like remains of a cider barrel. Ulcers: easily bleeding; in corners of mouth (Nat.); splinter-like pains, especially on contact (Hep.); zig-zag, irregular edges; base looks like raw flesh; exuberant granulations; after mercury or syphillis or both, engrafted on a scrofulous base. Discharges; thin, offensive, acrid; of a brown or dirty yellowish green color; rarely laudable pus. Haemorrhage: from bowels in typhoid or typhus (Crot., Mur. ac.); after miscarriage or post-partum; from over-exertion of body; bright, profuse, or dark. Cracking: in ears, on masticating; of the joints, on motion (Coc., Graph.). Warts, condylomata: sycotic or syphilitic; large, jagged, pedunculated; bleeding readily on washing; moist, oozing, sticking pain (Staph., Thuja). Affects especially the mucous membrane join; mouth, nose, rectum, anus, urethra, vagina (Mur. ac.).

Relations

Complementary: Ars., and Calad. Inimical: to, Lachesis. Resembles: Ars. in morbid fear of cholera. Often difficult to distinguish from Mer.; but is adapted to black-haired people, while Mer. is more useful in light-haired persons. Relieve ailments resulting from abuse of mercury, especially, if there be erethism; bad effects of repeated doses of Digitalis. Follows well: Calc., Hep., Mer., Nat. c., Puls. or Thuja; but is most effective after Kali c.

Aggravation

Evening and at night; after midnight; contact; change of temperature or weather; during sweat; on waking; while walking.

Amelioration

While riding in carriage (reverse of Coc.).

Key-Notes to the Materia Medica

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

General

This remedy so closely resembles Mercur. in many points, that it is often very difficult to distinguish between the two; Nitr. ac. usually is applicable in dark haired people, and Mercur. in light-haired people.

Ears

Hardness of hearing, especially when relieved by riding in a carriage or in the cars--i.e., hear better (like Graphit.).

Skin

Pimples, or exanthema, in general; sitting exanthema; brown sphacelus; red, brownish spots scattered over the body, especially if in dark-haired people; tightness of the skin; warts. Ulcers; with ichorous pus; having a pricking or sticking sensation, as if a sharp stick or fish bone were present; sensation as if a sharp splinter were being run into the ulcer at the slightest touch,--even of the sheet.

Sensations

As though a sharp splinter were being stuck into the affected part on the slightest contact with anything; same in the throat on swallowing (Hepar. Sulph.); as if a band were around the affected part or parts; as though a band were around the bones; jerking pain in inner parts.

Generalities

Affections in general, of any kind, appearing in the right eye (e.g., as if a grain of sand was there); right side of the neck; nape of the neck; left hypochondriac region; left chest; inguinal glands; left lower extremity; bones of the head. Bleeding of the nose; bleeding from inner parts. Obstructed flatus. Urine reddish; usually offensive. Male genital organs in general; glans penis; erections. Much discharge of blood after stool. Chlorosis. Disposition to catch cold. Contraction of the joints; cracking of the joints; frozen limbs; swelling of the glands. In-growing of the toe nails; where toe nail seems to have grown into the flesh, but in reality has not--very sore, with more or less ulceration, and a feeling as if a sharp splinter were being stuck into the affected part on any contact. Complaints concomitant to waking; too much perspiration, which smells badly.

Worse

In the evening; in the night; particularly afterpart of the night; on wakening; while eating; from punctured wounds; from milk; abuse of Mercury.

Better

While riding in a carriage.

Remedies following

Cal. carb., Carb. veg., Phosphor., Pulsat., Sepia, Sulphur, Mercur.

Antidote

Hepar.

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

Blisters and ulcers on the tongue and mucous membranes of the mouth and throat, with pricking, burning pain on being touched, especially after the abuse of mercury. Superficial ulcers like chancres, on glans and prepuce, looking clean, but exuding an offensive moisture. Sycotic excresences on the glans, bleeding when touched. Stitches and sticking pains as from splinters,. especially on touch, in all parts of the body. Ulcers with stinging and pricking pains, edges. irregular; exuberant granulations, after mercury or in secondary syphilis. Cracking in maxilliary articulation when chewing. Sticking pains in rectum, and spasmodic constriction. in anus during stool; fissures. Pain as if the rectum would be torn asunder during stool.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Nitric Acid

General

Selects for its special seat of action the outlets of the body where the mucous membrane and skin meet; these pain as from splinters. Sticking pains. Marked improvement of all symptoms while riding in a carriage. Acts best on the dark complexioned and past middle life. Syphilis, after abuse of Mercury. Pains appear and disappear quickly (Bell). Hydrogenoid constitution. Sycotic remedy.

Blisters and ulcers in mouth, tongue, genitals; bleed easily. Fissures, with pain during stool, as if rectum were torn. All discharges very offensive, especially urine, feces, and perspiration. Persons who have chronic diseases, and take cold easily and disposed to diarrhœa. Excessive physical irritability. Cachexia, due to syphilis, scrofula, intermittent fever with liver involvement and anæmia, etc. Gravel; arthritis. Capillary bleeding after curettage.

Mind

Irritable, hateful, vindictive, headstrong. Hopeless despair. Sensitive to noise, pain, touch, jar. Fear of death.

Head

Sensation of a band around head. Headache from pressure of hat; full feeling; worse from street noises. Hair falls out. Scalp sensitive.

Ears

Difficult hearing; better by riding in carriage or train. Very sensitive to noise, as the rattle of wagons over pavements (Coff; Nux). Cracking in ears when chewing.

Eyes

Double vision; sharp, sticking pains. Ulceration of cornea. Gonorrhœal ophthalmia, photophobia, constant lachrymation. Syphilitic iritis.

Nose

Ozæna. Green casts from nose every morning. Coryza, with sore and bleeding nostrils. Tip red. Stitches, as of a splinter in nose. Caries of mastoid. Nosebleed, with chest affections. Chronic nasal catarrh, with yellow, offensive, corrosive discharge. Nasal diphtheria, with watery and exceedingly excoriating discharge.

Mouth

Putrid breath. Salivation. Bleeding of gums. Painful pimples on the sides of the tongue. Tongue clean, red and wet with center furrow. Teeth become loose; gums soft and spongy. Ulcers in soft palate, with sharp, splinter-like pains. Salivation and fetor oris. Bloody saliva.

Throat

Dry. Pain into ears. Hawks mucus constantly. White patches and sharp points, as from splinters, on swallowing.

Stomach

Great hunger, with sweetish taste. Longing for indigestible things-chalk, earth, etc. Pain in cardiac orifice. Dyspepsia with excess of oxalic acid, uric acid and phosphates in urine and great mental depression. Loves fat and salt (Sulph).

Abdomen

Great straining, but little passes, Rectum feels torn. Bowels constipated, with fissures in rectum. Tearing pains during stools. Violent cutting pains after stools, lasting for hours (Ratanh). Hæmorrhages from bowels, profuse, bright. Prolapsus ani. Hæmorrhoids bleed easily. Diarrhœa, slimy and offensive. After stools, irritable and exhausted. Colic relieved from tightening clothes. Jaundice, aching in liver.

Urine

Scanty, dark, offensive. Smells like horse's urine. Cold on passing. Burning and stinging. Urine bloody and albuminous. Alternation of cloudy, phosphatic urine with profuse urinary secretion in old prostatic cases.

Male

Soreness and burning in glans and beneath prepuce. Ulcers; burn and sting; exude, offensive matter.

Female

External parts sore, with ulcers (Hep.: Merc; Thuja). Leucorrhœa brown, flesh-colored, watery, or stringy, offensive. Hair on genitals falls out (Natr m, Zinc). Uterine hæmorrhages. Menses early, profuse, like muddy water, with pain in back, hips and thighs. Stitches through vagina. Metrorrhagia after parturition.

Respiratory

Hoarseness. Aphonia, with dry hacking cough, from tickling in larynx and pit of stomach. Soreness at lower end of sternum. Short breath on going upstairs (Ars; Calc). Cough during sleep (Cham).

Extremities

Fetid foot-sweat, causing soreness of toes, with sticking pain; chilblains on toes. Sweating of palms, hands; cold, blue nails. Offensive sweat in axillæ at night.

Skin

Warts, large jagged; bleed on washing. Ulcers bleed easily, sensitive; splinter-like pains; zigzag, irregular edges; base looks like raw flesh. Exuberant granulations. Black pores on face, papules worse on forehead.

Modalities

Worse, evening and night, cold climate, and also hot weather. Better, while riding in carriage (Reverse: Cocculus).

Relationship

Complementary: Ars; Calad; Lac can; Sepia.

Inimical: Lach.

Compare: Merc; Kali; Thuja; Hepar; Calc.

Dose

Sixth potency. As the nitric acid patient begins to improve skin symptoms may appear for a time, a favorable indication.

Leaders in Homoeopathic Therapeutics

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

Leaders

Has a particular affinity for mucous outlets, where skin and membranes join; cracks; rhagades fissures.

Pricking pains as of a splinter in the parts.

Urine strong smelling; like horse urine.

Hæmorrhages from all outlets of the body; blood bright red.

Pricking ulcers; excrescences; condylomata; figwarts (sycosis).

Nervous, irritable, dark complexioned persons.

Nitric acid is one of our most effective antidotes to the effects of allopathic dosing with mercury in syphilis. For the other bad effects of the abuse of mercury other remedies are better, notably, Hepar sulphur. calc., Nitric acid have a particular affinity for the outlets of mucous surfaces, where the skin and membrane join, such as the mouth (corners), nose and anus. In the mouth we find the corners cracked, ulcerated and scabby, also aphthæ, stomatitis with ptyalism, swelling of the gums, fœtor oris, etc.

If Mercurius has already been used without avail Nitric acid follows well and will often cure.

This ulcerated, swollen and spongy condition of the gums will extend into the throat, and if it is the result of combined syphilis and mercurialization of the old school Nitric acid is the first remedy. The action of this remedy is just as positive upon the other outlet of the alimentary canal.

The anus is cracked and fissured similarly (Ratanhia), and hæmorrhoids protrude, crack, bleed and are very sore. No remedy has more decided action upon the anus, and one very characteristic symptom is, "great pain after passage of stool, even soft stool." He walks the floor in agony of pain for an hour or two after a stool (Ratanhia). In dysentery this symptom distinguishes this remedy from Nux vomica, which is relieved after stool and Mercurius, which has tenesmus all the time, or before, during and after stool.

Another very strong characteristic of this remedy in all these affection is, "Pricking pain as of a splinter in the part." Nitric acid has hæmorrhages from all outlets of the body, and the blood is generally bright red. It is especially so in typhoid and hæmorrhoids. Nitric acid is one of our best remedies in chronic diarrhœa. It is one of the celebrated trio viz.,: Thuja, Staphisagria. and Nitric acid for condylomata. It is one of three remedies having very offensive odor to the urine, viz.:

Benzoic acid, Nitric acid and Sepia.

Benzoic acid, urine is very dark with very intense urinous odor.

Nitric acid, dark, smelling like horse urine.

Sepia, offensive and sourish.

Modalities

Modalities: > riding in carriage.

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

Sadness despondency. Anxiety about his disease, with fear of death. Excessive nervousness, great excitability, especially after the abuse of mercury. Taciturn, disinclined to communicate any thing. Irritable disposition. Vexed at trifles. Attacks of rage, despair, with cursing and maledictions.

Head

Vertigo, especially in the morning, obliging one to lie down. Great weakness of memory, with aversion to mental exertion. Headache in the morning on awaking. Headache, with nausea and vomiting. Stitches in the head, compelling one to lie down big disturbing the sleep. Congestion of blood to the head, with much heat in it. Pressing headache from wit out to within, with tension extending to the eyes, with nausea ; aggravated by noise, relieved on lying down or when riding in a carriage. Great sensitiveness of the head to the rattling of wagons, especially over the paved streets, and against stepping hard. Humid, stinging-itching eruption on the vertex and on the temples, extending down to the whiskers, bleeding very easily on scratching it, and feeling very sore when lying on it. Inflammatory swellings on the scalp, suppurating or becoming carious ; most painful from external pressure or when lying on them. Great sensitiveness of the head to touch and pressure, even to the pressure of the bat ; worse in the, evening and on the places on which one lies. The hair falls off, with humid eruptions, paining as if splinters were thrust in it, or when touched ; also on the genitals, after the abuse of mercury ; with nervous headaches, great debility and emaciation. Pain in the bones of the skull, with the sensation as if they were constricted by a tape ; worse in the evening and at night ; better from cold air and while riding in a carriage.

Eyes

Eyes dull and sunken. Pressure and stinging in the eyes. Inflammation of the eyes, especially after suppressed syphilis or after the abuse of mercury. Spots on the cornea. Paralysis of the upper eyelids. Black spots flying before the eyes. Double vision ; short-sightedness. Fistula lachrymalis.

Ears

Stitches in the (right) ear. Suppuration of the ears ; discharge of pus from the ears. Hardness of hearing, especially from induration and swelling of the tonsils (after the abuse of mercury). Cracking in the ears when masticating. Beating and humming in the ears. Echo in the ears of one's own speech. Caries of the mastoid process. Steatoma at the lobe.

Nose

Stitch in the nose, as from splinters, when touching it. The tip of the nose is red and covered with scurfy vesicles. Itching herpes on the wings of the nose. Bleeding of the face ; when weeping ; in the morning the blood is black, clotted. Disagreeable smell in the nose on inhaling air. Fetid, yellow discharge from the nose ; fetid smell from the nose. Condylomatous excrescences on the nose. Soreness, burning and scurf in the nose. Unsuccessful attempt to sneeze. The nose is dry and stuffed up ; complete obstruction of the nose ; water is dropping out. Dry coryza, with dryness of the throat and nose ; the wings of the nose are inflamed and swollen. Fluent coryza, with obstruction of the nose ; the mucus is only discharged through the posterior nares. Coryza, with dry cough, headache, hoarseness and stitches in the throat.

Face

Pale face with sunken eyes. Yellow complexion or yellowness around the eyes, with red cheeks. Dark yellow, almost brown, complexion. Bloatedness around the eyes on waking early. Swelling of the cheeks. Pimples on the face, forehead and temples. Black pores in the face. Scurfy pustules on the face with large red areola. Swelling of the lips. Lips cracked. Ulceration of the corners of the mouth and of the lips. Ulcers in the red part of the lips. Blood-boils on the chin. Painful swelling of the sub-maxillary glands.

Mouth and Throat

Pulsating or stinging pain in the teeth, mostly in the evening, in bed, or during the night. The teeth become yellow or loose. Pain in hollow teeth. The teeth feel elongated. Gums white, swollen, bleeding. Stomacace. Ulcers in the mouth and fauces, with pricking pains. Putrid, cadaverous smell from the mouth. Great dryness in the mouth, with thirst. Ptyalism ; also with ulcers on the fauces, or in attacks of fever. Mercurial and syphilitic ulcers in the mouth and fauces, with pricking pain. Inflammation of the throat ; with pricking pains also after the abuse of mercury, or with burning and soreness. Painful soreness of the soft palate, the tongue and inside gums, with stinging pain and ulceration of the corners of the mouth. Great dryness and heat in the throat. The tongue is very sensitive ; even mild food causes a smarting sensation. White, dry tongue, in the morning. The tongue is coated green (with ptyalism).

Stomach and Abdomen

Violent thirst : in suppuration of the lungs, in the morning violent thirst. Bitter taste after eating. Sour taste, with burning in the throat. Longing for fat, herring, chalk, lime, earth. Aversion to meat, to bread, and when eating it, sour taste and vomiting. During and after eating, perspiration. Milk is not digested. After eating, fulness in the stomach, debility, and, from the least exertion, heat, perspiration and palpitation of the heart. Bitter and sour vomiting, with much eructation. Pain in the cardiac orifice on swallowing food. Stitches in the pit of the stomach. Colic from cold. Cutting and pinching in the abdomen, especially in the morning in bed. On touching the abdomen, stinging pain, soreness. Incarcerated flatulency in the upper part of the abdomen, and especially morning and evening. Inguinal hernia also of children. Swelling and suppuration of the inguinal glands.

Stool and Anus

Constipation ; stool dry, difficult, irregular. Diarrhœa ; discharges putrid or of mucus, fetid and undigested. Dysenteric, bloody stools, with tenesmus. Before the stool colic ; after the stool nervousness and debility. Itching and burning or stinging at the anus and rectum. Humid moisture at the anus. Varices of the anus, swollen, burning and bleeding after every evacuation.

Urinary Organs

Incontinence of urine. Frequent desire to urinate, with a scanty discharge of dark-brown, bad-smelling urine. The urine is cold when it passes. The urine has an intolerably offensive, strong smell, or smells like horse urine. While urinating, smarting and burning in the urethra. Discharges from the urethra of mucus, or of bloody mucus, or of pus. Ulcers in the urethra.

Sexual Organs

Men. Itching at the genitals. Swelling, inflammation and phymosis of the prepuce. Chancre-like ulcers on the prepuce and on the corona glandis, with pricking stinging pains. Sycotic condylomata. Red, scurfy spots on the corona glandis. Deep ulcer on the glans, with elevated, lead-colored, extremely sensitive edges. Inflammatory swelling of the testicles, with painful drawing in the spermatic cords, extending into the abdomen. Small, itching vesicles on the prepuce, bursting soon and forming a scurf. Painful spasmodic erections at night, or entire want of sexual desire and erections. Great falling off of the hair of the genital organs. Women. Soreness in the genitals. Ulcers in the vagina, burning and itching. Menses too early, or suppressed menstruation. During the menses colic and pressing and bearing down on the genitals. Leucorrhœa ; acrid, offensive, like brown water.

Respiratory Organs

Scratching and stinging in the larynx, with hoarseness, especially when talking for a long time. Hoarseness, with coryza, cough, and stinging, pain in the throat. Bronchitis. Violent, shaking, barking cough, caused by tickling in the larynx and pit of the stomach, with expectoration during the day of blood mixed with clots, or of yellow, acrid pus, tasting bitter, sour or salt, and of offensive smell. Dry barking cough in the evening, after lying down. Phthisis pulmonalis (after Kali carb.). When coughing, stitches in the small of the back. Shortness of breath ; panting breathing during work. Dyspnœa, palpitation of the heart and anguish when going up stairs. Cramp-like contractive pain in the chest. Stitches in the chest ; right side and scapula. Soreness in the chest when breathing and coughing. Congestion to the chest, with anxiety, heat and palpitation of the heart. Nodosities in the mammæ, or atrophy of the mammæ.

Back and Neck

Stitches in and between the shoulder-blades, with stiffness of the neck. Pain in the back and small of the back from cold. Swelling of the glands on the neck and of the axilla.

Extremities

Upper. Rheumatic pains in the arms, especially in the forearms and fingers. Weakness and trembling of the forearms and fingers. Cold hands. Chilblains on the hands and fingers. Herpes between the fingers. Swelling of the fingers, especially the joints, with stinging pain. White spots on the finger-nails. Lower. Sensation as if the hip were sprained with limping. Rheumatic pains in the legs and feet. Restlessness in the limbs in the evening. Pain in the patella, impeding walking ; stillness and stitches in the knee. Violent cramp in the calf at night and when walking after sitting. Foot-sweat very offensive, or suppressed. Chilblains on the toes.

Generalities

Pricking pains as from splinters especially from contact. Rheumatic pains in the limbs (from taking cold). Cracking in the joints. Hysteria. Epileptic attacks. Great debility, with heaviness and trembling of the limbs, especially in the morning. Syphilis (secondary). Sycotic condylomata ; and sycosis.

Sleep

Sleepiness during the day from debility, with vertigo. During the sleep, pain and starts. Difficulty of going to sleep in the evening ; and in the morning one wakens too early or too late, and with great difficulty.

Fever

Pulse very irregular : one normal beat is often followed by two small rapid beats, -the fourth entirely intermits ; alternate hard, rapid and small beats. Chilliness mostly in the afternoon and evening, and after lying down. Chilliness, with internal heat at the same time. Chilliness in the morning in bed, after previous heat. Continuous chilliness. Heat, especially on the hands and face. Flushes of heat with perspiration on the hands. At night, internal, dry heat, with inclination to uncover oneself. Heat, with perspiration and debility after eating. Perspiration every night, or on alternate nights ; the most profuse on the side on which one lies. Perspiration smelling offensive or sour, or like horse urine. Intermittent fever. Chilliness in the afternoon (an hour and a half, while in the open air), followed by dry heat when in bed, accompanied by all sorts of fancies while in a state of half waking, without sleep ; sleep and perspiration only come on towards morning. Chilliness in the afternoon, for an hour ; then heat over the whole body, for a quarter of an hour ; afterwards profuse perspiration for two hours over the whole body ; there is no thirst either in the cold or the hot stage.

Skin

Dryness of the skin. Itching nettle-rash, in the open air, even in the face. Black pores. Brown-red spots and dark freckles on the skin. Painful chilblains and corns. Frost-bitten, inflamed, itching limbs, from a slight degree of cold, with cracked skin. Large blood-boils. Violently bleeding ulcers or wounds, with stinging pain, as from splinters, or with burning, especially when they are touched. Ulcers, with bloody, ichorous matter. Mercurial ulcers. Carious ulcers. Cicatrices pain on the change of weather. Inflammation swelling and suppuration of the glands. Painfulness and inflammation of the bones. -Caries.

Conditions

Especially suitable, after alkalies, for lean persons with dark complexion, black hair and eyes. Pains on change of temperature and of the weather. Great inclination to take cold. The pains are felt during sleep. Aggravation in the evening and at night, on waking, on rising from a seat ; from touching the parts. Amelioration from eructations ; while riding in a carriage.

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

Nitric acid. Aqua fortis. HNO 3 . Solution.

Clinical

Actinomycosis. Anus, fissure of. Axilla, offensive perspiration of. Bladder, chronic catarrh of. Breath, offensive . Bright's disease. Bronchitis. Bubo. Chancre. Cheloid . Chilblains. Choking, easy. Climacteric. Cold, easily taken. Condylomata. Constipation. Corns. Cough. Dysentery. Dyspepsia. Ear, affections of . Epilepsy. Eyes, affections of. Feet, perspiring . Fistula; lachrymal. Freckles . Frost-bites. Glandular swellings . Gleet. Gums, sore . Hæmaturia. Hæmorrhages. Herpes . Herpes preputialis. Ingrowing toe-nail. Iritis, syphilitic. Irritation . Jaw-joint, cracking in. Menstruation , excessive. Metrorrhagia. Mouth, sore. Mucous patches. Muscæ volitantes . Myopia. Nails, affections of. Ozæna . Paralysis (l. side). Perspiration, abnormal . Phimosis. Polypus. Proctitis. Prostate, suppuration of . Ranula. Rectum, affections of . Rickets. Salivation . Spine, injury to. Syphilis. Taste, disordered. Tongue, ulceration of. Ulcers. Warts . Wens. Whooping-cough .

Characteristics

When strong Nitric acid comes in contact with the skin it destroys the upper layers and turns them yellow, but as it coagulates their albumen it to a certain extent forms a barrier against its own further action, its action therein differing from that of Sulphuric acid . When swallowed it acts as an irritant poison; when its fumes are inhaled it may destroy life by suffocative spasm of the glottis or by intense bronchitis. It is used in old-school practice as an escharotic for warts and warty tumours; for phagedænic ulcers, chancres, poisoned bites. The dilute acid is used internally in fevers to quench thirst; in bronchitis and phthisis to diminish the excessive secretions; in some cases of syphilis; in phosphaturia. It has even been injected into the bladder in a dilute form to dissolve calculi (Brunton). In the light of provings and poisonings all these uses are seen to have more or less specific relationship. "Phthisis," "syphilis," and "warty growths" represent Hahnemann's three miasms, Psora, Syphilis, and Sycosis; and Nit. ac . belongs almost equally to all three. But in addition to its miasm relationship, Nit. ac . has drug relationships of great importance. It is one of the chief antidotes of Merc ., and it is in cases of syphilis that have been overdosed with Merc . that its action is most brilliant. I have known it do equally well when used after over-dosing with Kali iod ., whether in syphilitic or non-syphilitic cases. In phthisical cases it follows the action of Kali c . in homœopathic practice. In sycotic cases Thuj . follows it well. The localities in which the action of Nit. ac . is very strongly marked are ─ ( 1 ) the muco-cutaneous orifices and adjoining parts. Burnett made a brilliant cure of actinomycosis with Nit. ac . 3x in a patient who had been the round of the London consultants, and had doubtless taken much Kali iod . The localities in which the disease manifested itself, the region of the mouth and anus, gave Burnett his indication. The mouth (especially its angles) and anus are prominent seats of syphilitic action, and also of the action of the other miasms, the condylomata and fissures of sycosis; the fissures, fistulæ, hæmorrhoids, and sore mouth of psora. The right eye, the male genitals, and the bones are other localities for which Nit. ac . has a very strong affinity. In his directions about this remedy Hahnemann makes the remark that it is rarely required by patients who suffer from constipation. In my experience this is absolutely wrong. Constipation, as the symptoms of the Schema would indicate, is a prominent indication for Nit. ac ., and I have cured almost as many cases with this as with any other single remedy. I have generally found, when I have had an opportunity of testing them, that Hahnemann's positive directions are thoroughly trustworthy; but his negative directions are quite as likely to be wrong as right. The characteristic discharges of Nit. ac . are offensive, thin, excoriating; if purulent they are a dirty yellowish green, not laudable pus. Ulcers have profuse exuberant granulations, and bleed easily. The dressing causes bleeding, and every touch causes "sticking pain as if from splinters." This is a grand keynote of Nit. ac ., and will serve to indicate it wherever it is found. It requires a touch or movement to elicit it. When it occurs in the throat it requires the act of swallowing to set it up; in the anus, the passage of the stool; in ulcers, the touch of a dressing. It may occur from touch in any part of the body; in abdomen; in Ingrowing toe-nails. In the phthisical cases calling for Nit. ac . the chest walls are extremely sore to touch; there is sudden rush of blood to chest; hectic; frequent hæmorrhages, bright red, profuse; sharp stitches through right chest to scapula. Great dyspnœa, cannot talk for getting out of breath; morning hoarseness; cough tickling, seems to annoy all night; at times loose and rattling; loud râles through chest; sputa offensive, bloody, purulent, dirty green; exhausting diarrhœa; exhausting sweats towards morning, chilly; heat in flashes or only on hands and feet. The suffocating effect of Nit. ac . fumes is an indication of its affinity for the respiratory organs. Here is an example ( H. W ., xxiv. 537): A two-gallon bottle of Nitric acid in the store of Mr. Harold Woolley, of Manchester, had become fractured. Water was thrown upon the bottle, and whiting placed about it to neutralise the fumes which issued from the fracture. Mr. Woolley superintended the process, and was in contact with the fumes for two hours. This happened in the afternoon. Next day Mr. Woolley complained of being unwell, and although medical aid was promptly summoned he died at five o'clock in the afternoon, death being attributed to "rapid congestion and inflammation of the lungs, in consequence of inhaling the fumes." ─ Nit. ac . is indicated in typhus when pneumonia supervenes; and when hæmorrhage from the bowels occurs. The stools are green, slimy, offensive, may be purulent; the hæmorrhages are profuse and bright red. With diarrhœa there is rawness and soreness of anus; the stool is putrid; in children may contain lumps of casein. Slimy stools, from excess of mucus passed with much straining. Or they may be (especially in scrofulous children) pale, pasty, sour, offensive. A keynote of Nit. ac . stools, whether loose or constipated, is pain after stool . There is pain during stool as if anus and rectum were torn and pierced, and violent pains after stool, lasting for hours. All the other orifices of the body are affected by Nit. ac .: Chancres and herpes about penis and prepuce; growths about vagina and cervix; leucorrhœa, immediately after menses; flesh-coloured, stringy, offensive. The nose, ears, and eyes are also influenced, and Nit. ac . is one of the first remedies in syphilitic eye affections, as iritis. Among the hæmorrhages of Nit. ac . is hæmaturia. Goullon published a case in Archiv ., ii. 36. (New Series), translated by Mossa, Rev. H. Française , ix. 136. A painter's apprentice, 15, after gilding an object, was seized with vertigo, with coldness, and soon with violent pain in bladder region. Next day he passed pure blood, bright red, with frequent strangury; the urine separated itself distinctly from the blood. During short intervals the blood did not flow. Tongue white, swollen. Nit. ac . 3 one drop was given, and in twenty-four hours the boy was cured. The urine of Nit. ac . affords one of the most important of all its keynotes: Urine of a strong odour, like horses' ; or extremely offensive. Whenever this occurs as a concomitant in any case it is likely that other symptoms will point to Nit. ac . Fetid sweats on feet, hands, or in axilla no less point to Nit. ac . Among the hæmorrhages of Nit. ac . are those occurring in cachectic women after confinement or abortion. H. N. Coons ( Amer. Hom .) records the case of an anæmic woman, four weeks after miscarriage, had constant pelvic hæmorrhage, at times coming with a gush; constant heavy feeling, much < standing or walking. Nit. ac . 2x, 20 drops in three ounces of water, a teaspoonful every two hours, quickly arrested bleeding and cured. As showing the value of peculiar symptoms, D. C. Perkins relates ( Amer. Hom ., xxii. 12) the case of a woman who said she was very ill, but could only describe her illness by saying that she" felt like a pulp-mill." Nit. ac . has "borborygmus as if a boiler was working in the bowels," and Nit. ac . proved to be the remedy. The sensitiveness to touch runs through the entire symptomatology, including the symptoms of the mind. The mind is weak, no ideas; if she exerts her mind thoughts vanish. Mind easily affected, inclined to weep. Hopeless despair. On the other hand, there is nervous excitability (especially after Merc . ─ -it is the excitable form of mercurialism that Nit. ac . best meets); peevishness; irritable, quarrelsome; fits of rage and cursing; inveterate ill-will unmoved by apologies. The head is sensitive to the slightest jar; to the rattle of waggons in the street, or even to the step of one walking across the floor. The head is very sensitive, even to pressure of hat; sensitive to combing, and on part lain on. Eruptions and ulcers bleed easily when touched. Eyes are sensitive to light. The ears present an exception, for deafness is > riding in a train or carriage. Sensitiveness of the head while out driving and stopping suddenly. The tongue is sensitive even to soft food. Nit. ac . is suited to: Persons of dark, swarthy complexion, with black hair and eyes; lean persons of rigid fibre; brunette rather than blonde nervous temperament. Persons suffering from chronic diseases who take cold easily and are disposed to diarrhœa. Old people with great weakness. Hydrogenoid constitutions. Peculiar sensations are: As if head in a vice from ear to ear over vertex. As if some one were forcibly pressing head; head tightly bound; constricted by tape; contused. As of a gathering in left temple. Pain as from splinters in eruption. As if warm water were flowing from and over eyes (first right, then left). As if teeth soft and spongy. As if abdomen would burst. As if a boiler working in bowels. As if a band round bones. As if dogs were gnawing flesh and bones, and as if sinews were being pulled up. As if ball of great toe had been frozen. As if splinters in great toe; in carbuncles, &c. Cramp-like pains, stinging, shooting, burning, pressure, and soreness. Excessive physical irritability, hysteria. Pains, even slight ones, affect him violently. Prostration, sick feeling, faints from least motion. Epilepsy > riding in carriage. Left-sided paralysis. Twitchings in various parts; frequent starts in upper part of body. Easily takes cold. Emaciated. Tedious suppuration. A characteristic accompaniment of Nit. ac . is "Profuse sweat breaks out on hands and feet." When this occurs in spinal injuries Nit. ac . is the remedy (B. Simmons, H. P ., ix. 327). W. M. James ( Med. Cent ., vi. 325) cured this remarkable case: A girl had frequent attacks of petit mal , sometimes as many as fifty a day between the periods. At the beginning of the menses she had spasms so violent that they dislocated both humeri. Nit. ac . 200 given persistently put an end to the attacks, gradually. The first few times after commencing Nit. ac . there were spasms but no dislocation. Mohr ( H. R ., xiii. 210) gave Nit. ac . 3x to a man who suffered from cancer of the liver with bloody diarrhœa, followed by constipation; violent pains in stomach and liver; unable to sleep; or unable to take any food without much pain, mostly vomiting. Nit. ac . removed the pain and relieved the constipation entirely, and the patient died without an hour's suffering from the time he received Nit. ac . J. H. Fulton cured with one dose of Nit. ac . 200 R. M., 28, who had had bleeding piles for eighteen months. He had frequent bloody and slimy stools; but always bright red blood after stools , from a dessertspoonful to half a teacupful. When the stools were hard there was much pain in passing them. Burning in anus after stools ( Med. Adv ., xxxiii. 268). The symptoms are < by touch; pressure (of hat); > riding in carriage. < Eating (during and after eating, sweat). < Milk and fat food. < Exercise, exertion, effort, raising. arm, walking, standing. < Exerting mind. Lying down > headache. Night-sweat on parts lain on. Many symptoms come on towards morning. Cannot sleep after 2 a.m. Cough < on rising, during day, and at bedtime. Many symptoms, including bone-pains, come on in night. Warmth and cold both < . Warm weather < hæmorrhoids; covering up = night-sweats. Least exposure = chills. Cold or warm things = tearing and shooting in teeth. Washing = warts to bleed. Cold weather < chilblains. Cold water > warm water feeling in eyes. Winter < chronic cough; hiccough; chilblains.

Relations

Antidoted by: Calc., Hep., Merc., Mez., Sul. It antidotes: Calc., Dig., Merc. Compatible before: Calc., Puls., Sul.; Arn. (collapse in dysentery); Kre. (diphtheritic dysentery); Sec. (gangrene of mucous membrane); Sul. (scrofulous ophthalmia). Compatible after: Calc., Nat. c., Puls., Sul., Thuj. (Nupia); Carb . an. (bubo); K. ca. (phthisis, &c.); Aur. (abuse of Merc.); Mez. (secondary syphilis); Hep. (throat, &c.). Complementary: Calad., Ars. Resembles: Ars. (morbid fear of cholera). Incompatible: Lach. Compare: Medorrh., Syph., Pso., Mur. ac., Nit. mur. ac. Merc. (Merc. suited to light-haired people; Nit. ac. to dark). Dark-haired people, Iod. > Riding in carriage, Graph. (Graph. is not sensitive; Nit. ac. is). Spinal injuries, Arn., Rhus, Hyper., Calc. Punctured wounds, Led. < On awaking, Lach., Nat. m., Sul. < Hat on, Carb. v., Calc. p., Nat. c. Ingrowing toe-nail, Mgt. aust. Stringy leucorrhœa, K. bi. Pains appear and disappear suddenly, Lyc., Bell. Pains affect violently, Aco., Cham., Hep. Sensitiveness, Hep. Choking easily, K. ca. < Warmth or cold, Merc. Dyspepsia from effects of salt, Nit. s. d. Shooting from below upward in vagina, Sul., Sep., Pul., Pho., Alum. Piles < walking, Æsc. h. Phimosis, Can. s., Merc., Sul., Thuj. Strong odour of urine, Benz. ac. Brownish scattered spots in dark-haired people, Petr. Splinter pains, Arg. n., Hep., Sul. Ulcers, Merc. (Merc. more superficial, Nit. ac. deeper, granulating, bleeding easily). Sore, excoriated anus, Merc., Sul., Cham., Ars., Pul., Syph., Chi. Straining at stool, Merc., Nux (with Merc. there is straining before, during, and after stool; with Nux there is complete > after stool; with Nit. ac. there is excoriating, cutting pain going on for hours after stool). Ulcers threatening to perforate cornea, Sil., Calc. (Nit. ac. follows Calc.). Condylomata, enlarged tonsils (syphilitic or sycotic), fissures, balanorrhœa, greenish leucorrhœa, Thuj. (Nit. ac. has more aching in bones, especially bones without muscular coverings, as shin bones). Disposition to swear, Anac. Diphtheria, sore mouth, scarlatina, Ar. t. Constriction at anus, Lach.

Mind

Sadness, despondency. ─ Excessive melancholy and fits of anguish, esp. in evening, or at night. ─ Uneasiness respecting health, with fear of death. ─ Excessive nervousness, great excitability, esp. after the abuse of Mercury. ─ Easily startled and frightened. ─ Unfitness for labour. ─ Concentration in self. ─ Taciturn, disinclined to communicate anything. ─ Vexed at trifles. ─ Attacks of rage, despair, with cursing and maledictions. ─ Irritability and obstinacy. ─ Passion. ─ Prolonged rancour. ─ Fits of rage and despair, with oaths and imprecations. ─ Inclination to weep. ─ Nostalgia. ─ Timid and apprehensive disposition. ─ Weakness of intellectual faculties, with unfitness for intellectual labour. ─ Excessive weakness of memory. ─ Comes over with feeling as if would go out of her mind, with burning feeling on vertex (Agg. from 3x, R. T. C.). ─ Woman, 20, intemperate, syphilitic, poor physical condition, restless, destructive of clothing, talking incoherently and continuously sleepless, excited at any one's approach, using profane and vulgar language (cured with 2x. G. S. Adams, Westb. As. Rep ., 1889).

Head

Vertigo when walking and when seated. ─ Vertigo, which compels lying down, esp. in morning and evening. ─ Vertigo, with weakness, nausea, or headache. ─ Pressing headache from without to within, with nausea; < by noise; > on lying down or when riding in a carriage. ─ Headache, on waking in morning. ─ Great sensitiveness of head to noise of carriages, or to a heavy tread. ─ Attacks of headache, with nausea and vomiting. ─ Sensation of fulness and heaviness in head, with tension and pressure extending into eyes. ─ Tearing in forehead, vertex, and occiput. ─ Lancinations in almost all parts of head, which sometimes compel patient to lie down, and disturb sleep at night. ─ Pulsative headache. ─ Congestion of blood to head, with internal heat. ─ Flushing and great heat of head, with tendency to perspiration of head and general wave of heat (produced in man, 60, when taking 30th ─ R. T. C.). ─ Drawing and pressive pains in bones of head, with sensation as if they were constricted by a tape, < in evening and at night; > from cold air and while riding in a carriage. ─ Painful sensitiveness of scalp; a head-dress is oppressive. ─ Tension in scalp. ─ Itching of scalp. ─ Humid eruption on head. ─ Humid, stinging-itching eruption on vertex and on temples, extending down to whiskers, bleeding very easily on scratching it, and feeling very sore when lying on it. ─ Inflammatory swellings on the scalp, suppurating or becoming carious; most painful from external pressure or when lying on them. ─ Wens. ─ Falling off of hair, with humid eruptions, paining as if splinters were thrust in, or when touched; also on the genitals, after abuse of Mercury; with nervous headaches, great debility and emaciation. ─ Ulcerated, running, and burning places on head.

Eyes

Eyes dull and sunken. ─ Aching and shootings in eyes. ─ Pressure and stinging in eyes. ─ Inflammation of eyes, esp. after suppressed syphilis or after the abuse of Mercury. ─ Ulceration of eyes. ─ Fistula lachrymalis. ─ Specks on cornea. ─ Swelling of lids. ─ Frequent lachrymation, esp. when reading, with painful sensitiveness of eyes. ─ Difficulty to open eyes in morning (they are surrounded by a yellow circle). ─ Paralysis of upper lids. ─ The pupils contract with difficulty. ─ Myopia. ─ Diplopia. ─ Mist, spots, nets, sparks, and black spots dancing before eyes. ─ Sight confused, eyes clouded. ─ Eyes dazzled by daylight. ─ Double vision of horizontal objects. ─ Obscuration of sight while reading; short-sighted. ─ Iritis, which continually relapses; also old cases spoiled by Mercury. ─ (Smarting of eyes after iritis. ─ Constantly recurring pustular ophthalmia. ─ Proliferation of cornea, result of scrofulous inflammation).

Ears

Shootings in ears. ─ Stitches in the (r.) ear. ─ Dryness in interior of ear. ─ Ulceration of mastoid apophysis. ─ Discharge from ears. ─ Excoriation behind ears, with itching and suppuration. ─ Obstruction of ears. ─ Hardness of hearing, esp. when relieved by riding in a carriage or in the cars, i.e ., hears better (like Graphit .). ─ Hardness of hearing, principally from elongation, induration and swelling of tonsils (after the abuse of Mercury). ─ Clapping, throbbing, and rumbling in ears. ─ Beating and humming in ears. ─ Echo in ears of one's own speech. ─ Cracking in ears during mastication. ─ Swelling of parotids. ─ Swelling of glands beneath and behind l. ear with stitches and tearing extending through the ear. ─ Wen on the lobe of the ear. ─ [ Nit. ac . has a special but very ill-defined power in deafness and tinnitus. ─ Woman, 55, deaf fifteen years with tinnitus in both ears, constant in l., intermittent in r., not > in noise; Nit ac . 200 caused great < of noises for two days, then gradual cessation with complete relief of tinnitus in three days. ─ In another lady Nit ac . 6 always = noises. ─ In young man Nit ac . always = heavy, dull deafness with fulness of head as from a cold, a regular eustachian blockage. ─ Deafness after measles, hiccough and clear expectoration (cured). ─ R. T. C.]

Nose

Redness of point of nose, which is covered with scabby vesicles. ─ Itching tetters on alæ nasi. ─ Shooting prickings in nose (as from splinters) when touched. ─ Pain, as of excoriation, and burning, with scabs in nose. ─ Bleeding of nose, excited by weeping, or in morning; the blood that is emitted is black. ─ A fetid odour is perceived when breathing through nose. ─ Fetid odour from nose. ─ Condylomatous excrescence, like a sycosis in nose. ─ Abortive sneezing. ─ Dryness and obstruction of nose. ─ Violent fluent coryza, with headache, cough, swelling and ulceration of nose (the mucus is only discharged through the posterior nares). ─ Dry coryza, with dryness of throat and nose. ─ Coryza, with dry cough, headache, hoarseness, and stitches in throat. ─ Wings of nose inflamed and swollen. ─ Discharge of thick and corrosive mucus from nose. ─ Fetid and yellowish mucus in nose. ─ Large soft protuberances on alæ covered with crusts; syphilis. ─ (Ozæna with clear discharge.)

Face

Paleness of face, with eyes deep-sunk. ─ Yellow colour of face, and esp. round eyes, with redness of cheeks. ─ Dark yellow, almost brown complexion. ─ Dark freckles on face. ─ Cramp-like pain and tearing in cheeks and zygomatic process. ─ Swelling of cheeks. ─ Bloatedness around eyes on waking early. ─ Eruption of pimples on face, forehead, and temples. ─ Scurfy pustules on face, with margins, large, red, and covered with scabs; syphilis. ─ Erysipelatous swelling of cheek, with shooting pain, nausea, and fever. ─ Furfuraceous skin over whole face. ─ Itching eruption and tetters in whiskers. ─ Black pores in face. ─ Swelling (and itching) of lips. ─ Lips cracked. ─ Ulceration of lips, commissures. ─ Ulcers on red of lips. ─ Furunculi on chin. ─ Painful swelling of the submaxillary glands. ─ Cracking of jaws when chewing and eating.

Teeth

Odontalgia, with jerking, shooting, drawing, or pulsative pain, principally at night, or in bed, in evening. ─ Pain in carious teeth. ─ The teeth feel elongated. ─ Pain on chewing. ─ Stitching or boring pains in teeth when touched by anything cold or warm. ─ Teeth become yellow and loose. ─ Gums bleed, and are white and swollen. ─ Stomacace.

Mouth

Offensive and putrid (cadaverous) smell from mouth. ─ Excoriation of tongue, palate, and internal surface of gums, with acute shooting pains. ─ Ulcers (mercurial and syphilitic) in mouth and fauces, with pricking pains. ─ Ulcerated spots on inner surface of cheeks, with sticking pains as from a splinter. ─ Corners of mouth ulcerated; with stitches. ─ Tongue is very sensitive; even mild food causes a smarting sensation. ─ White, dry tongue, in morning. ─ Tongue: coated green (with ptyalism); coated yellow, sometimes white in mornings. ─ Blisters and ulcers on tongue; and margins, with burning pain when touched. ─ Bites tongue when chewing; and cheeks. ─ Tongue sensitive, even to soft food, which causes smarting. ─ Profuse flow of saliva. ─ Saliva bloody in morning. ─ Saliva has foul odour. ─ Sour taste in mouth. ─ Mucous membrane of mouth swollen and ulcerated; with pricking pains; after abuse of Mercury. ─ Ranula. ─ Salivation (also with ulcers on the fauces), sometimes from febrile attacks. ─ Great dryness of the mouth, with burning thirst.

Throat

Ulcer, with shooting pain in the mouth and throat. ─ Inflammation of the throat; with shooting pains; also after the abuse of Mercury, or with burning and soreness, esp. on swallowing liquids. ─ Tonsils (uvula and fauces) red and swollen. ─ Great dryness and heat in the throat. ─ Much mucus in the throat posteriorly. ─ Sore throat on swallowing, as if swollen; raw and ulcerated. ─ Burning sensation, and pain as of excoriation, in throat. ─ Swallowing very difficult, as from constriction of the pharynx. ─ Diphtheritic patches on tonsils and fauces, extending to mouth, lips, nose.

Appetite

Loss of appetite. ─ Milk is not digested. ─ Bitter taste in mouth, esp. after eating. ─ Complaints < while eating; from abuse of Mercury. ─ Sour taste., with burning in throat. ─ Sweetish taste in mouth. ─ Violent thirst even in morning, on rising. ─ Dislike to meat, and things sweetened with sugar. ─ Repugnance to bread, which leaves a sour taste, and causes vomiting. ─ Craving for earth, chalk, lime, or fat food, and herring. ─ Sharp hunger, with disgust to life. ─ Difficulty in digesting milk. ─ Nausea from fat food. ─ Sweat, during and after a meal. ─ After drinking, during a meal, pain, as from excoriation in throat, œsophagus, and stomach, or else colic.

Stomach

After a meal, fulness in stomach, lassitude with heat, sweat, and palpitation of heart from least movement, or nausea, risings, flatulency, headache with vomiting, sleep, anguish, &c. ─ Nausea after eating with heaviness and dulness of head. ─ Sour risings. ─ Inclination to vomit. ─ Pyrosis. ─ Water-brash, after drinking quickly. ─ Hiccough. ─ Frequent nausea, and inclination to vomit, often attended by anguish, trembling, and shivering. ─ Bitter and sour vomitings, with frequent risings (after a meal). ─ Stomach and abdomen tense after a moderate meal, clothes seem too tight. ─ Aching of stomach. ─ Burning, or sensation of coldness in stomach. ─ Pain in cardia, on passing of food into stomach. ─ Cramp in stomach. ─ Lancinations in epigastrium.

Abdomen

Stitches in hepatic region, < from motion. ─ Tensive pressure and shootings in the l. hypochondrium. ─ Pains in the abdomen, like those which follow a chill. ─ Excessive inflation of abdomen, also in morning. ─ Frequent pinchings and incisive pains in abdomen (esp. in morning in bed). ─ Pain, as from ulceration, in the lower part of the abdomen. ─ Shootings in abdomen, esp. when touched. ─ Inguinal hernia, even in children. ─ Swelling and suppuration of inguinal glands. ─ Tendency to suffer from a chill in abdomen (colic from cold). ─ Accumulation of flatus in abdomen. ─ Borborygmus as if a boiler was working in abdomen. ─ (Sensation in abdomen like machinery working.). ─ Rumbling and borborygmi in abdomen. ─ Incarceration of flatus (in upper abdomen), esp. morning and evening.

Stool and Anus

Difficult and irregular evacuations. ─ Before stool: colic; cutting constant pressing in rectum; constant but fruitless desire. ─ During stool nausea; tenesmus; spasm of anus; cutting in anus and rectum; acute pain in abdomen; sensation as if fæces remained and could not be expelled; splinter-like pains in rectum (with ineffectual urging); burning; tearing; palpitation of heart. ─ After stool-continued urging; exhaustion; irritation, anxiety, general uneasiness; anus sore, raw; cutting, straining, shooting in rectum, continuing for hours; prolapse with sensation of constriction in anus; stitching pains; hæmorrhage; discharge of prostatic fluid. ─ Constipation. ─ Inability to evacuate fæces. ─ Constant ineffectual desire, not > by stool. ─ Fæces hard and dry. ─ Constipation with fissure symptoms: bleeding, pain, distending stool. ─ Evacuations too frequent. ─ Urgent desire to evacuate. ─ Loose evacuations, sometimes mucous, or of a putrid smell. ─ Offensive and undigested evacuations. ─ Much discharge of blood after stool. ─ Sanguineous, dysenteric evacuations, with tenesmus. ─ Black, offensive blood; mucous pseudo-membranes, with straining and burning in rectum. ─ Colic, before stools. ─ After stools, excitability and dejection. ─ Burning pain, and itching in anus and rectum; with prolapse. ─ Sticking in rectum, and spasmodic contraction in anus during stool; fissures. ─ Oozing excoriation at anus. ─ Hæmorrhoids, protruding, painless or burning. ─ Pain as if rectum would be torn asunder during a stool. ─ Swelling of hæmorrhoidal tumours in anus, which bleed at every evacuation. ─ Moisture on anus.

Urinary Organs

Frequent want to urinate, with scanty emission of a fetid urine, deep-coloured or brownish. ─ Incontinence of urine. ─ Painful emission of urine. ─ Micturition in a thin stream, as from a stricture. ─ Urine cold when it passes. ─ Fetid urine, having an intolerably offensive, strong smell, or smells like horse's urine. ─ Urine reddish; usually offensive. ─ Red sediment and sand in urine. ─ Smarting and burning in urethra when urinating. ─ Discharge of mucus, which is sometimes sanguineous, or of pus from urethra. ─ Swelling (dark red) of orifice of urethra. ─ Needle-like stitches in orifice of urethra. ─ Ulcers in urethra. ─ Discharge of prostatic fluid after a difficult stool.

Male Sexual Organs

Affections of male genital organs in general; glans penis; erections. ─ Violent itching in genital organs. ─ Falling off of hair from parts. ─ Excoriation between scrotum and thighs. ─ Red spots covered with scabs on prepuce. ─ Small, itching vesicles on prepuce, bursting soon and forming a scurf. ─ Secretion behind glans, as in gonorrhœa balani. ─ Swelling, inflammation of prepuce, and phimosis. ─ Paraphimosis. ─ Ulcers, like chancres (after Mercury; esp. with exuberant granulations), on prepuce and glans (with pricking, stinging pains). ─ Deep, fistulous, irregular, ragged ulcers on the glans, with elevated, lead-coloured, extremely sensitive edges. ─ Syphilis; secondary syphilis. ─ Excrescences, like sycosis, on prepuce and glans, with smarting pain and bleeding when touched, with oozing of a fetid and sweetish pus. ─ Red, scurfy spots on the corona glandis. ─ Relaxation of testes. ─ Inflammatory swelling of testes, with painful drawing of the spermatic cord, as far as side of abdomen. ─ Absence of sexual desire and of erections. ─ Great lasciviousness, with copious discharge of prostatic fluid. ─ Painful, and almost spasmodic, nocturnal erections. ─ Frequent pollutions.

Female Sexual Organs

Itching, burning pain, and sensation of dryness in vulva. ─ Great failing off of hair of genitals. ─ Stitches up vagina, or from without inward, when walking in open air. ─ Violent stitches in vagina. ─ Excoriations in vulva between thighs. ─ Ulcer, with burning itching in vagina. ─ Excrescences on vaginal portion of uterus as large as lentils; great voluptuousness of mucous membrane in genitals after coitus. ─ Uterine hæmorrhages from overexertion of body. ─ Metrorrhagia, a principal remedy (R. T. C.). ─ Coffee-ground, offensive discharge from uterus at climaxis, or after labour. ─ Before menses: throbbing in nape of neck and small of back. ─ Menses: too early and too profuse, blood very dark and thick; irregular, scanty, and like muddy water. ─ During menses: eructations, cramp-like pail, in abdomen as if it would burst; very offensive urine; bruised pain in limbs; down thighs; labour-like pains in abdomen and back; palpitation of heart, anxiety, trembling; heaviness; burning in eyes; toothache and swelling of gums. ─ After menses: violent pains through abdomen and a sudden gush of "muddy water"; brown or thick leucorrhœa, finally a thin, watery, flesh-coloured, offensive discharge, sometimes acrid; greenish, mucous leucorrhœa. ─ White glairy leucorrhœa, followed by backache (cured, R. T. C.). ─ Menses reappear: a few days after cessation, and are pale red; fourteen days after cessation, not profusely. ─ Stringy mucous leucorrhœa, flesh-coloured. ─ (Leucorrhœa staining, yellow. ─ Leucorrhœa leaving spots with black borders on linen.). ─ Catamenia too early; or suppressed. ─ Cramps in the hypogastrium, and bearing down towards the genital organs, during catamenia. ─ Fetid, mucous, corrosive leucorrhœa. ─ Fetid discharge of a reddish brown colour (like brown water) from vagina. ─ Hard nodosities on breast. ─ Atrophy of breasts.

Respiratory Organs

Hoarseness, with coryza, cough, and shooting pains in throat. ─ Roughness in bronchia. ─ Bronchitis. ─ Scratching and stinging in larynx, with hoarseness; esp. when talking for a long time. ─ Whistling inspiration with râles. ─ Scraping and shootings in the trachea, esp. after reading aloud, or after a long conversation. ─ Cough, with shootings and pain in throat and chest, as if parts excoriated. ─ Cough only in day. ─ Dry, barking cough, esp. in evening, on lying down. ─ Violent, shaking, barking cough, caused by tickling in larynx and pit of stomach, with expectoration during day of blood, mixed with clots, or of yellow, acrid pus, tasting bitter, sour, or salt, and of offensive smell. ─ Cough, with vomiting. ─ Cough causing anxiety and vomiting of mucus and food. ─ Rough, dry cough before midnight. ─ Shaking cough at night, with obstructed respiration, almost as in whooping-cough. ─ When coughing, lancinations in loins, or pain in head, stomach, and hypochondria, or pain, as from excoriation, and shootings in chest. ─ Empyema with considerable muco-purulent sputum. ─ Purulent, yellowish expectoration with cough. ─ Short cough, with expectoration of black, coagulated blood. ─ Phthisis pulmonalis (after Kali carb .).

Chest

Wheezing respiration, esp. during manual labour. ─ Obstructed respiration. ─ Shortness of breath. ─ [Panting breathing, esp. when reading or stooping over a desk, in schoolboys (cured). ─ Dyspnœa and vertigo in children (cured). R. T. C.]. ─ Loss of breath and palpitation of heart on walking and going up stairs. ─ Contractive cramps in chest. ─ Shooting and stitches in chest and sides (r. side and scapula). ─ Pain, as from excoriation, in chest, on breathing and coughing. ─ Rapid congestion and inflammation of the lungs.

Heart

Dyspnœa, palpitation of the heart and anguish when going up stairs. ─ Congestion in chest, with anguish, heat, and palpitation of heart. ─ Nervous palpitation caused by slightest mental excitement. ─ Pulse very irregular; one normal beat is often followed by two small rapid beats ─ the fourth entirely intermits; alternate hard, rapid, and small beats.

Neck and Back

Neck stiff and sore from least cold. ─ Rigidity of the nape of the neck. ─ Swelling of the glands of the neck and axillæ. ─ Offensive sweat in axillæ. ─ Suppuration of the axillary glands. ─ Pain in the back and loins after a chill. ─ Drawing in lumbar region, as if stiff. ─ Pain between the scapulæ. ─ Neuralgic pains up back, esp. l. side. ─ Pain in back and down thighs. ─ Itching on back. ─ Stitches in sacral region. ─ Shootings in and between shoulder-blades, with stiffness of the neck.

Limbs

Tearing or pulling in limbs, esp. after a chill. ─ Cracking joints. ─ Frozen limbs. ─ Epileptic fits, preceded by pulling in limbs, and followed by rigidity of body and stertorous breathing.

Upper Limbs

Pressive pain in shoulder-joint. ─ Drawing in arms. ─ Jerking in muscles of arms. ─ Contusive pain in arms, which hinders them from being lifted up. ─ Drawing (rheumatic) and tearing in forearms and hands. ─ Weakness and trembling of the forearms and hands. ─ Warts on arms. ─ Cracks and rhagades in hands. ─ Coppery spots on hands. ─ Coldness of hands. ─ Roughness of skin of hands. ─ Tensive pain in joints of fingers. ─ Swelling of fingers, esp. at joints, with shooting pain. ─ Falling asleep of hands. ─ Fingers dead and benumbed in cold air. ─ Chilblains on fingers and hands. ─ Tetters between fingers. ─ White spots on nails.

Lower Limbs

Wrenching pain in hip, which causes lameness. ─ Tensive pain in r. hip-joint. ─ Digging, gnawing pains in flesh and bones. ─ Bruised pain as from excessive fatigue. ─ Lassitude, heaviness, and coldness in legs and feet. ─ Constant coldness of feet. ─ Drawing tearings (rheumatic) in legs and feet. ─ Restlessness in legs in evening. ─ Itching in thighs. ─ Pains in thighs, on rising from a seat. ─ Pain in ham, which prevents resting on foot. ─ Rigidity and shooting in knee. ─ Failing of joints of knee and foot. ─ Pain in patella, impeding walking. ─ Weakness of knee. ─ Legs ( < l.) very sore in front along shin from ankle to knee; bound flannel on them to see if it would > . ─ Violent cramp in calf of leg, esp. at night and towards morning, as well as on walking, after having been seated. ─ Jerking in calves of legs. ─ Shootings in heel, when resting on it. ─ Sweat on feet, sometimes fetid, with excoriation between toes. ─ Chilblains on toes. ─ Ingrowing of toe-nails; where nail seems to have grown into flesh, but in reality has not ─ very sore, with more or less ulceration, and a feeling as if a sharp splinter were being stuck into affected part on any contact.

Generalities

Shooting pains, as if caused by splinters stuck into affected part on slightest contact with anything; same in throat on swallowing. ─ Sensation as if a band were around affected part or parts; as though a band around bones; jerking pain in inner parts. ─ Rickets. ─ Inflammation, swelling, and suppuration of glands. ─ Pains on change of weather. ─ Pains which are perceptible during sleep. ─ Aggravation of the symptoms in the evening and at night. ─ Riding in a carriage > most symptoms. ─ Great weakness and general lassitude, with trembling, heaviness of legs, and desire to remain lying down, esp. in evening or morning. ─ Hysteria. ─ Epileptic attacks. ─ Syphilis (secondary). ─ Sycotic condylomata; and sycosis. ─ Jaundice, with constipation. ─ Pains in bones. ─ Frequent drawing pains in almost all parts of body, suddenly appearing and disappearing. ─ Epileptic attacks after midnight, beginning like a mouse moving up and down l. side, then loss of consciousness. ─ Excessive emaciation. ─ Tendency to take cold. ─ Affections in general, of any kind, appearing in r. eye ( e.g ., as if a grain of sand was there); r. side of neck; nape of neck; l. hypochondriac region; l. chest; inguinal glands; l. lower extremity; bones of head.

Skin

Dryness of the skin. ─ Itching nettle-rash, also on face, and esp. in open air. ─ Blackness of pores. ─ Brown sphacelus. ─ Reddish-brown spots (scattered over body, esp. if in dark-haired people) and deep-coloured ephelis on skin. ─ Copper or violet-coloured spots. ─ Itching tetters. ─ Pimples, or exanthema in general; stinging exanthema. ─ Pain from chilblains and corns on feet. ─ In a moderately cold temperature limbs become as if frozen, inflamed, and itching, and skin cracks. ─ Large furunculi. ─ Mercurial ulcers. ─ Carious ulcers. ─ Complaints < from punctured wounds. ─ Wounds and ulcers, with lancinations as by splinters, or with burning pains (esp. when they are touched), and which bleed easily. ─ Inflammation and painful sensitiveness of the bones. ─ Caries. ─ Inflammation, swelling, and suppuration of the glands. ─ Ulceration of the bones. ─ Rachitis. ─ Ulcers with sanious, sanguineous, and corrosive suppuration. ─ Pains in old scars on a change of weather. ─ Condylomata moist, like cauliflower, hard, rhagadic, or in thin pedicles. ─ Tightness of skin. ─ Swelling of glands. ─ Warts. ─ Wens.

Sleep

Inclination to sleep during day, from weakness, with vertigo. ─ Sleep retarded in evening, and early, difficult (or too late) awakening in morning. ─ Sleeplessness, as from over-excitement. ─ Complaints concomitant to waking; too much perspiration, which smells badly. ─ Complaints < in evening; in night; on awakening. ─ Incomplete and agitated sleep, and frequent awaking with pain and a start. ─ Sleep unrefreshing. ─ At night, bleeding at nose, headache, toothache, thirst, gastralgia, colic, pains in limbs, nightmare, anguish, palpitation of heart, nausea, vomiting, and many other sufferings. ─ Anxious sleep, with throbbing. ─ Many fantastical, voluptuous, anxious, frightful dreams, often with cries, plaintive groans, talking, and starts with fright. ─ Dreams of death, of spectres, of business of day, of crimes, of festivities, &c. ─ Shocks in body and jerks in limbs during sleep.

Fever

Chilliness mostly in the afternoon and evening, and after lying down. ─ Chilliness, with internal heat at same time. ─ Chilliness in morning in bed, after previous heat. ─ Heat esp. on hands and face. ─ Flushes of heat with perspiration on hands. ─ General coldness of skin. ─ Continued (chilliness or) coldness. ─ Fever in afternoon; shivering and heat. ─ Internal heat, without thirst, continued, or by fits. ─ At night internal, dry heat, with inclination to uncover oneself. ─ Heat with perspiration and debility after eating. ─ Perspiration every night, or on alternate nights; the most profuse on the side on which one lies. ─ Dry heat at night, with violent thirst. ─ Nocturnal sweat, fetid or acid. ─ Acid sweat, like horse's urine, by day. ─ Intermittent fever. ─ Chilliness in afternoon (an hour and a half, while in open air), followed by dry heat when in bed, accompanied by all sorts of fancies while in a state of half-waking, without sleep; sleep and perspiration only come on towards morning. ─ Chilliness in the afternoon, for an hour; afterwards profuse perspiration for two hours over whole body; there is no thirst either in the cold or hot stage.

The Guiding Symptoms of Our Materia Medica

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

Mind

Unconsciousness.
Great weakness of memory, with aversion to mental exertion.
Has no ideas ; comprehends nothing, does not understand what people tell her.
If she exerts herself to reflect upon important things, her thoughts vanish.
Fancies she will die soon, yet is not physically ill.
Raving, as if delirious, with coldness of body and inclination to fall.
Feels as though he had partly lost his will-power.
Taciturn, disinclined to communicate anything ; moody in morning.
Very easily affected ; inclined to weep.
Sadness, great fear of death, sensation of extreme weakness, even to trembling.
Indifference ; tired of life ; joyless ; sadness before menses.
Depressed and very anxious in evening.
Hopeless despair.
Often anxious about his illness ; constantly thinks about his past troubles ; mind weak and wandering.
Anxiety as if he was engaged in a lawsuit or dispute, causing uneasiness.
Anxiety about his disease, with fear of death ; morbid fear of cholera.
After continued loss of sleep, long-lasting anxiety, overexertions of mind and body from nursing the sick, great anguish of mind from loss of his dearest friend.
Satiety of life with fear of death.
Irritable disposition ; headstrong ; trembling while quarreling ; fits of rage with curses and maledictions ; inveterate ill-will, unmoved by apologies.
Nervous, excitable, especially after abuse of mercury.
Peevish, irritable, sad and obstinate ; vexed at trifles.
Discontent with himself induces violent weeping.
Easily startled and frightened ; starts up from fright on falling asleep.

Sensorium

Dizzy, dull, stupid and heavy.
Vertigo : in morning, must lie or sit down ; with obscuration of sight ; with nausea followed by eructations ; with pulsation in head and pressure in middle of brain, in evening ; when raising head after stooping ; when walking or sitting, obliging him to
lie down ; in evening, after lying down, during climaxis (syphilitic).
When collecting his thoughts to reply to questions, drops what he is holding.

Inner head

Head sensitive to rattling of wagons over paved streets or stepping hard.
Congestion to head with heat ; painful sensation of fulness.
Pressure in forepart of head and upon eyes.
As if head was in a vise from ear to ear over vertex ; as if someone was forcibly pressing head ; as if head was tightly bound up.
Painful tension within head extending to eyes, with nausea.
Stitches in head : compel one to lie down ; disturb sleep.
In temples : drawing pain in right ; stitches in left or both ; piercing.
Violent throbbing, hammering on left side of head, coming on gradually towards morning and going off about breakfast time.
Throbbing headache.
Headache : in morning on waking, > after rising ; < by motion and succussion ; < from noise ; > on lying down or from riding in a carriage ; with nausea and vomiting ; arthritic, mercurial or syphilitic.
Headache began near vertex, descended to region of left ear, then went gradually over vertex to right side of head, but still < on left, not > by warmth of flannel.
Violent sticking pain in occiput.

Outer head

Pain in skull, with sensation as if constricted by a tape.
Head very sensitive even to pressure of hat ; < in evening and on part lain on ; sensitive as if contused, either all over or in certain spots ; whole right side of skull painful.
Pain like a gathering at left temple.
Head feels hot.
Profuse falling out of hair : particularly on top of head ; from congestion of blood to scalp ; from syphilis ; nervous headaches, debility, emaciation.
On anterior boundaries of hair, and partly on temples, numerous intensely red and brownish pimples. θ Syphilis.
Scabby, moist, itching, offensive eruption ; paining as from splinters or when touched.
Humid, stinging eruption on vertex and temples, also in whiskers ; bleeding easily when scratched and feeling very sore when lain on. Single, burning, moist sores on scalp. θ Syphilis.
Inflammatory swellings on scalp, suppurating or becoming carious ; < from pressure, or when lying thereon.
Caries of bones of skull.

Sight and eyes

Eyes dim, sunken, pale face ; sight obscured while reading ; black spots before eyes ; objects appear dark.
Photophobia.
Great sensitiveness to daylight, a kind of nyctalopia. θ Scrofulous ophthalmia.
Double vision ; shortsightedness.
Pupils dilated and dim.
On lying down or even inclining head from upright position, feeling as if warm water was flowing over and from eyes, first right then left, > by cold water. θ Syphilitic iritis.
Iritis : pressing stinging as if an ulcer was being pressed ; pains < in change of temperature, at night and on touching parts ; acrid lachrymation ; continual relapses ; old cases spoiled by mercury ; posterior synechia.
Cornea : spots ; dark spots ; dim and ulcerated (after Calc. or Puls.) ; superficial ulcers ; phlyctenula which become flat ulcers ; keratitis, to prevent staphyloma ; pannus ; herpetic pannus ; proliferation of corneal lamellæ.
Conjunctiva inflamed.
Scrofulous ophthalmia ; lids much inflamed and swollen, intense photophobia, excessive lachrymation ; great redness ; complicated with shallow ulcers on cornea.
Ophthalmia : neonatorum ; scrofulous ; gonorrhœal ; syphilitic ; from abuse of potash and mercury.
Burning in eyes ; aching ; pressure like sand ; biting ; stinging ; stitches.
Burning in lids in morning.
Region of eyes painful, sore to touch.
Flow of irritating tears ; also after injury to eye.
Lachrymation and agglutination of lids.
Fistula lachrymalis.
Difficulty in opening eyes and raising lids in morning.
Paralysis of upper lids.
Eyelids swollen, hard, livid, smart and burn.
Syphilitic inflammation and swelling of lids, with copious lachrymation. θ Ectropium.
Small wart on upper lid.
On right lower lid a large condyloma, suppurating and bleeding easily when touched ; it seemed to arise from a lens-shaped body on inner surface of lower lid ; ectropion ; eye and vicinity much inflamed with burning, sticking pain, profuse, hot lachrymation and
agglutination mornings.
Eyelashes of right side all point stiffly towards nose.
Dermoid swelling on eyes.

Hearing and ears

One's speech echoes in ears ; roaring ; buzzing ; beating ; humming ; cracking when chewing ; stoppage with detonations.
Deafness : > when riding in a carriage or train ; from induration and swelling of tonsils ; after abuse of mercury ; syphilitic.
Eustachian tubes obstructed.
Throbbing in ears.
Otorrhœa : fetid, ichorous ; purulent ; post-scarlatinal.
Auditory canal nearly closed.
Swelling of glands behind and beneath left ear.
Redness, suppuration and violent itching behind ears.
Caries of mastoid process.
Auditory derangements depending on swelling of tonsils.
Cystic tumors in lobes of ears.

Smell and nose

Smell : disagreeable on inhaling air ; unpleasant evenings on lying down.
Nosebleed : mornings ; at night ; black, clotted ; when weeping ; blood acid.
Sneezing : frequent ; without coryza ; during sleep ; unsuccessful attempts.
Coryza : nose dry and stuffed ; with obstruction ; dry, with dryness of throat ; water drops out in open air ; wings of nose inflamed, swollen, burning ; nasal mucus discharged only from mouth through choanæ ; awakens frequently all stopped up with
mucus, has to blow nose and expectorate ; with difficult breathing even through mouth ; stitches in throat when swallowing ; with sore throat and cough.
Nasal catarrh : acrid, watery at night ; yellow, offensive ; corroding ; with swelling of upper lip ; with night cough ; with scarlatina or diphtheria ; syphilitic.
In nose : violent itching, burning, soreness ; bleeding, scabbiness ; stitches as from a splinter on touch ; stitches in root which is distended, especially on sneezing and coughing.
Ozæna : green casts every morning ; with ulcers ; syphilitic, involving upper lip which is swollen and honeycombed with ulcers ; offensive yellow mucus and pus ; frequent epistaxis ; dry coryza ; throat dry ; fetid.
Ulceration : of nostrils, scurfy ; of inner nose, frequent bleeding ; bloody matter blown from nose.
Hard plugs form in nares, hard to detach and leaving a raw sore.
Condyloma : on nose ; on and in nostrils, bleeding on slight touch ; lipoma-like.
Tip of nose : red ; scurfy ; vesicles.
Alæ : itching herpes ; feeling of soreness ; large, soft protuberances, covered with crusts (syphilis).

Upper face

Face : yellow ; pale, eyes sunken ; dark yellow about eyes, red cheeks ; bloated around eyes on waking ; scaly ; rash ; pimples ; black pores ; freckles or brown spots ; small, elevated, pigmented warty spots upon forehead,
rough to touch ; erysipelas.
Right parotid greatly enlarged. θ Ulcer on tongue.
Pricking ; tearing in malar bones ; bones painful.
Tension in skin of forehead.
Suppurating pustules, with broad red circumference, forming crusts. θ Syphilis.

Lower face

Cracking in maxillary articulation when chewing and eating.
Lips : swollen and itching ; ulcerated and blistered ; under lip dry and cracked, sore, peeling off ; stitches as from splinters in upper lip when touched.
Corners of mouth ulcerated and scabby.
Blood-boils on chin.
Painful swelling of submaxillary glands.

Teeth and gums

Tearing in teeth ; boring or shooting when touched by anything cold or warm ; pain in hollow teeth.
Pulsating, stinging in evening in bed and all night, after abuse of mercury.
Teeth feel elongated ; sensation of coldness in teeth.
Caries of teeth after abuse of mercury ; teeth painful, loose ; sensation as if teeth would fall out.
The teeth, previously very white, became yellow.
Sensation as if teeth were soft and spongy ; did not dare to bite them together for fear they would fall out ; on slightest sucking of teeth blood exuded from gum.
Gums : red and enlarged between teeth ; white, swollen ; bleeding ; scorbutic ; itching ; tumor size of walnut.

Taste, speech, tongue

Taste : bitter after eating ; sour, with burning in throat ; sweet.
Tongue : sensitive, even to soft food ; bites it when chewing ; sore pain ; red like a beet ; yellow ; white, dry, mornings ; green, with ptyalism ; dry and fissured ; white with sore spots ; blistered, with
burning pain ; small painful pimples on sides ; ulceration with tough, ropy mucus ; deep, irregular-shaped ulcers on edge (syphilis).
Glossitis, mercurial cases.

Inner mouth

Foul, cadaverous smell from mouth.
Dry mouth, no thirst, swollen, hot lips.
Sore mouth : intense stinging pain and burning, surface swollen, bright red ; blisters and vesicles on and around lips.
Ulcers : sticking pains as from a splinter ; within cheeks ; on edges of tongue ; deep eating ; at first lardaceous, later discolored, dark, dirty ; putrid ; destructive ; syphilitic.
Aphthæ or stomatitis : mucous membrane swollen, ulcerated ; profuse salivation, acrid, causing ulceration of lips, chin and cheeks ; fetor from mouth as if mercurial ; gums tender, could not chew solid food ; syphilitic dyscrasia.
Mucous membrane : gets between teeth, easily bitten ; swollen, ulcerated ; with pricking pains, especially after abuse of mercury ; aphthous ; covered with white or thin, yellowish-grey membrane.
Saliva : profuse ; fetid, acrid, makes lips sore ; bloody.
Ptyalism : swelling of gums ; fetor oris ; teeth black, carious ; with ulcers ; scorbutic ; mercurial ; syphilitic.
Ranula.
Swelling of parotid and submaxillary glands, with loose teeth and bleeding gums, after abuse of mercury.
Tumor in mouth with a streak down neck.

Palate and throat

While eating, small pieces of food are forced into choanæ, producing a sickening sensation, they are afterwards drawn out covered with mucus.
A morsel sticks in pharynx while eating, as if pharynx was constricted.
Pressure in throat on swallowing food, as if it would not go down.
Swallowing : very difficult ; distorts face and draws head down ; cannot swallow even a teaspoonful of fluid ; causes violent pain extending to ear.
Sensations : acrid, burning after eating ; sore pain in pharynx ; scraped feeling ; pressure as if swollen ; sticking ; stitches ; stitches in tonsils and burning in fauces, behind uvula ; pricking as from a splinter,
< when swallowing.
Much mucus in throat posteriorly ; hawking.
Mucus only discharged through posterior nares. θ Coryza.
Dry throat, heat ; gums sore.
Arch of palate and tonsils swollen, painful, with injected vessels.
Painful soreness of soft palate, tongue and inside gums, stinging pain.
Uvula and tonsils œdematous.
Fauces and posterior pharynx red, swallowing difficult.
Tonsils : swollen, red, uneven, with small ulcers ; yellow streak ; white patches.
Diphtheria : chilliness alternating with heat ; pricking as from a splinter or piece of glass ; acrid fluid from nose, with hoarseness ; difficult, painful deglutition ; salivation ; fetor oris ; great uneasiness ;
violent fever ; excessive prostration ; tonsils and uvula covered with exudate surrounded by a red areola ; coating white at margin, yellowish in thicker portions and turning black at some points ; exudate had disappeared, there remained symptoms of adynamia of a marked
character, local surfaces, late seat of exudate, dark hue, verging on mahogany ; membrane on tonsils and fauces extending to nose ; intermittent pulse ; swollen parotid and submaxillary glands ; vomiting of ropy, greenish-yellow mucus ; great prostration ;
profuse discharge from nostrils ; frightful fits of coughing.
Ulcerated sore throat ; three large, deep ulcers, having bluish margins, with red centres, near root of tongue ; tonsils nearly sloughed off ; great pain on taking least nourishment ; fetor oris ; syphilitic history.
Suddenly appearing, or slowly creeping ulcers on fauces and soft palate, after abuse of mercury ; they destroy rapidly the bony wall of palate or whole soft palate.
Superficial ulcers on left palatine arch.
Flat, white, or greyish ulcers on tonsils ; syphilitic ulcers in pharynx, flat, covered with pus ; difficult deglutition ; ptyalism ; metallic taste in mouth ; fetor oris.
Hypertrophy of tonsils, after angina.
Œsophagitis (when Rhus tox. is insufficient.)

Appetite, thirst. desires, aversions

Excessive hunger : with languor, sweetish taste in mouth ; weariness of life.
Appetite : variable or absent.
Thirst violent in morning. θ Tuberculosis.
Longing for : fat ; herring ; chalk ; lime ; earth.
Averse to meat and bread.

Eating and drinking

Chokes while eating.
During eating and after : sweat.
After eating : bitter taste ; fulness in stomach, debility after least exertion, heat, palpitation ; heavy weight in stomach ; sweat.
Food causes acidity ; fat food nausea and acidity.
Milk disagrees.

Hiccough, belching, nausea and vomiting

Hiccough, especially in winter.
Eructations : before and after eating ; sour, with nausea ; empty.
Nausea : after eating ; with heat in stomach, extending to throat ; > from moving about or riding in carriage ; vomiting of mucus and food, caused by cough.
Much nausea, cannot take food ; vomits occasionally.
Vomiting : bitter and sour, with much eructation ; yellow mucus ; constant, tenacious, purulent and bloody mucus.

Scrobiculum and stomach

Stitches in pit of stomach.
Pain in cardiac orifice on swallowing food.
In stomach : pressing, gnawing, pulsating ; burning ; burning distress ; pressure.
Sensation of a heavy weight in stomach after eating ; strong-smelling urine ; easy sweat. θ Dyspepsia.
Dyspepsia from abuse of salt.
Vascular and organic cardialgia ; erosions and ulcers of stomach.

Hypochondria

Stitches in hepatic region.
Jaundice ; pain in region of liver ; urine scanty and strong-smelling ; very restless after midnight.
Chronic affection of liver ; hepatic cough ; icterus.
Liver enormously enlarged ; clay-colored stools.
Chronic hepatitis and the "liver-cake" of ague.
Spleen large after yellow fever.

Abdomen and loins

In abdomen : uneasiness ; fulness and tightness shortly after eating ; pressure in left side ; drawing pain with shuddering ; pinching and rumbling ; violent cramplike pains as if abdomen would burst, with constant
eructations ; pain when walking, must bend over ; pain settles in ileo-cecal region, dull, sore, tender.
Awakened at midnight, with crampy pains in small intestines ; chilly ; pain < if he moved.
Colic : cutting, < in morning in bed ; before stool ; griping at night ; from cold.
Borborygmus, as if a boiler was working within bowels ; mucous or watery stools, great prostration.
Gurgling in left side of abdomen, cold feet ; fetor oris.
Abdomen distended with flatus, very tender.
Incarcerated flatus in upper part of abdomen, < morning and evening.
Chronic intestinal catarrh ; acute pain in abdomen during stool ; < in morning ; discharge brown and slimy.
Intestinal dyspepsia with constipation.
Burning over whole abdomen as from a hot, dry cloth ; 2 to 3 P. M., several afternoons.
Stinging soreness of abdomen when touched.
Suppurating swelling in inguinal glands. θ Syphilis.
Inflamed buboes after coitus, without any other indications of venereal infection ; buboes after frequent and violent connection.
Inguinal hernia ; also of children.

Stools and rectum

Stools : bloody, with tenesmus ; of mucus ; putrid, mucous ; undigested ; loose, much flatulence, rumbling ; of yellow-white fluid, loose, mornings ; green, slimy, acrid ; pale from deficiency of bile ; pasty and
sour ; green, curdled, mixed with mucus ; green or bloody mucus ; contain lumps of caseine or flakes of false membrane ; putrid ; acrid ; sour-smelling ; bloody, brown and slimy, with great exhaustion ; of black, offensive blood.
Diarrhœa : great straining, but little passes ; as if stayed in rectum and could not be expelled ; with soreness and rawness of anus ; during typhoid ; in children of syphilitic parents ; in children, with putrid smell from
mouth ; copious flow of saliva ; ulcers in mouth and on tongue ; chronic, with soreness of intestines, discharge of serous liquid and symptoms of intestinal phthisis.
Dysentery : constant pressing in rectum without any stool, or patient evacuates mere mucus, after which tenesmus continues, followed by headache, dryness of throat, violent thirst, intermittent pulse ; diphtheritic.
Disorders of bowels : after sharp northwest winds, sudden manifestation of symptoms after midnight or in morning hours ; discharges from bowels from the first very offensive, dark green, watery, with pieces from an inch to an inch and a half long floating in them, resembling
scrapings of intestines ; lower part of abdomen distended, hard and painful to touch ; tongue clean ; appetite not impaired ; head hot but without pain ; pulse variable ; soreness in extremities and general debility ; cheerful mood.
Burning in rectum towards perineum, with ineffectual urging ; straining without stool. θ Diphtheritic dysentery.
Sero-croupous discharge, with much straining. θ Dysentery.
Hemorrhage bright red, not clotted, or black and offensive ; faint from least motion ; ulcers in ileo-cecal region.
Ineffectual urging to stool, with sharp, splinter-like cutting pains in rectum during stool.
Desire for stool, but little passes ; feels as if it stayed in rectum and could not be expelled.
Ineffectual urging to stool ; colic.
Constipation : painful, hard, difficult, scanty, dry, irregular stool ; stool in hard masses ; with every stool protrusion of hemorrhoidal tumors with profuse bleeding, latter also occurring at other times ; stools hard, preceded by great
pressure, followed by mucous discharges ; stool like sheep dung, accompanied by a mucous secretion ; stools alternately firm and liquid ; in patients of a bilious habit, suffering from tedious hepatic derangement, syphilitic affections, or suffering from effects of
mercury ; during convalescence from a protracted and severe fit of sickness ; great pain during and after passage, as though there were fissures of anus, child fears to have a passage ; and piles, with bearing down on standing ; bread disagrees.
Discharge of prostatic fluid after difficult stool.
Before stool : colic ; drawing pains ; cutting ; constant pressing in rectum ; continual but fruitless desire.
During stool : nausea ; colic ; tenesmus ; spasmodic contraction of anus ; cutting in anus and rectum ; acute pain in abdomen ; prolonged straining (even with soft stool) ; sensation as if part of feces remained in rectum and could not be
expelled ; sharp, splinter-like pains in rectum (with ineffectual urging) ; burning in rectum towards perineum ; tearing, spasmodic pains (fissures in anus) ; pressure upon rectum with desire for stool, but only a little passes.
After stool : continued urging ; exhaustion ; irritation, anxiety and general uneasiness ; soreness and rawness of anus ; violent drawing and cutting pains in rectum, continuing for hours ; burning
and shooting in rectum ; painful prolapsus of rectum, and sensation of constriction of anus ; colic and great prostration ; painful hemorrhoids with hemorrhage ; pain as though anus was fissured ; nervousness and debility ; sharp, stitching pains ;
scratching and stinging in anus and rectum ; succus prostaticus.
Aggravation : on alternate days ; during typhoid fever ; after dinner ; after milk ; after abuse of mercury ; in morning.
Amelioration : from riding (general condition).
Constant weight and pressure in rectum.
Burning in rectum : after micturition ; extending to perineum ; on waking at night and in morning ; like coals of fire on attempting introduction of enemata.
Itching in rectum and anus ; moisture.
For several years severe pain in small of back and periodical hemorrhage from rectum ; pain in back so severe and continuous that he cannot assume erect posture but walks about bent ; loss of appetite ; two or three pappy stools a day ;
burning in anus ; itching about genitals ; many red pimples and spots in face.
Secondary hemorrhages from rectum, after removal of hemorrhoids.
Fissures in rectum : tearing, spasmodic pains during stools ; lancinating, even after soft stools.
Painful prolapsus of bowels, and sensation of constriction of anus.
Fistula ; fissures ; polypi ; cancer of rectum.
Hemorrhoids : constant pressing out ; painful or painless, prolapsing with every stool, with loss of blood ; swelling, burning, pricking ; sharp, stitching pains after every evacuation ; constant weight and pressure, < from
exercise ; dark complexion ; brownish-red ; bleeding at night in bed ; pain and nausea during stool, which is very difficult, although not hard ; great sensitiveness of anus ; with chronic catarrh of rectum, diarrhœa, and erythema around anus ; old and
pendulous hemorrhoids cease to bleed, but become painful to touch, especially in warm weather ; old tumors, secreting much slime and bleeding profusely after stool ; associated with fissures.
Constriction of anus almost daily.
Feeling as if sharp sticks were being pressed into anus, on slightest touch.
Constant weight and pressure in anus, < from exercise. θ Hemorrhoids.
Moist soreness in anus and between nates, when walking.
Fetid discharge from anus.
Eczema ani.

Urinary organs

Contracted kidney.
Albuminuria : excessive prostration ; nausea ; sour taste ; bilious diarrhœa or constipation ; dry skin ; fever ; headache ; dull systolic sound of heart ; pressure in kidneys ; turbid, fetid urine ; œdema
of feet ; < at night ; especially in those who have had syphilis and have taken much mercury.
Diabetes mellitus.
Hæmaturia, urging after and shuddering along spine during urination ; blood flows actively, bright red, not clotted ; faint from least motion.
Cramplike contractive pain from kidneys towards bladder.
Painless retention of urine.
Incontinence of urine.
Frequent urging to urinate, with scanty discharge, particularly at night, with cutting in abdomen.
Difficult urination, must stand and press a long while before urine appears, when flow is established it passes in an uninterrupted stream.
Spasms of urethra ; rectal fissure.
Burning in urethra and desire to urinate, with hope of relieving burning which, however, is increased.
Cutting in urethra ; needle-like stitches in orifice.
Violent burning in urethra after urination ; renewed desire ; discharge of mucus.
Ulcers in urethra ; bloody mucous or purulent discharge.
Very thin stream, as if from contraction of urethra.
Urine : extremely offensive ; like horse urine ; stains linen brown ; orange-colored, containing bile ; greenish ; filled with mucus, pus and blood ; cold when it passes ; turbid, looks like remains in a cider barrel.

Male sexual organs

Sexual desire too strong ; constantly excited ; painful spasmodic erections at night ; erections with burning or stitches in urethra ; chordee.
Sexual desire wanting ; want of erections.
Gonorrhœa : discharge yellowish or bloody ; bloody mucus ; greenish ; severe pain on urination ; chancre on glans ; bubo ; fever ; horrible pain, much swelling and tenderness in testicles ; chronic or
suppressed ; condylomata about genitals and anus.
Discharge of prostatic fluid after a difficult stool.
Prostatitis due to suppressed gonorrhœa ; moisture of anus ; pricking pains.
Bad cases of gleet.
Stricture resulting from gonorrhœa or syphilis.
Ulcers in urethra, with purulent or bloody mucous discharge.
Chronic itching of urethra after gonorrhœa.
Small itching vesicles on prepuce, open after a few days and become covered with small dry scabs or brown scurf.
Small blisters on orifice of urethra and inner surface of prepuce, forming chancrelike ulcers. θ Gonorrhœa.
Pimples on glans penis and perineum.
Inflammation and swelling of prepuce, with burning pain ; on inner surface soreness and small ulcers secreting very offensive ichor, stains linen like bloody matter.
Ulcer near right side of glans perforating frenum ; similar ulcer on left side ; erections at night with severe bleeding from region of frenum.
Great swelling of prepuce with phimosis, without much redness ; suppurating ulcers with flat edges, with inflammation of inner surface of prepuce and its margins, also of orifice of urethra, looking like chancres, with violent sticking, tearing, especially < towards evening,
lasting through night and preventing sleep, still < by violent erections towards morning.
Ulcers : flat, with elevated, zigzag edges ; painless ; clean, looking like raw meat ; spongy ; discharge thin, copious, mixed with blood ; generally appear upon prepuce, several usually appearing at same time ; deep,
fistulous, irregular, ragged ; edges often raised, lead-colored ; superficial on corona glandis, looking clean but exuding an offensive moisture ; bleed easily when touched ; exuberant, but pale and flabby granulations ; on corona glandis, about frenum ; on
prepuce, or on scrotum, with sensation, on slightest touch, as if sticks were jagging them, hurting exceedingly.
Sloughing of entire integument of penis, leaving that organ perfectly denuded ; at one inch posterior to corona glandis, on left side of corpus spongiosum, a fistulous ulcer extending into urethra, so that in micturition a portion of urine escaped through this orifice ;
integuments covering pubic region sloughed away, leaving muscular structure bare, and ulceration was extending upward under pubis ; entire diseased surface in a very unhealthy or phagedenic ulcerated condition ; urine emitted na intolerably strong odor on being voided, and caused
much smarting and burning ; sleep disturbed at night ; appetite poor ; considerable emaciation ; frequent painful erections during latter part of night ; chancre on glans, and buboes still in an ulcerated condition. θ Syphilis.
Chancre : increasing very fast and bleeding easily ; raised edges ; inclined to spread in circumference, with tendency to fungous growths ; pains as of splinters ; corrosive discharge ; buboes threaten to suppurate ; old cases for which large doses of
mercury have been given, or when homeopathic doses of mercury have proved ineffectual ; soft, in weakly, scrofulous subjects.
Brown spots upon glans penis, disappear after exfoliation of skin ; along raphe of scrotum, from penis to anus, brown, hard nodules, which become painless ulcers and discharge much pus.
Brown and red spots on glans penis, becoming covered with scabs.
Phimosis ; paraphimosis ; sharp stitches in prepuce.
Itching of prepuce and moisture around glans.
Burning of testicles ; inflammatory swelling with painful drawing.
Inflammation and swelling of testicles, pain extending up spermatic cords.
Violent itching on scrotum.
Hard, brown nodules on scrotum, suppurating. θ Syphilis.
Condylomata : fetid ; bleeding when touched ; moist, resembling cauliflower ; on thin pedicles ; oozing ; after abuse of mercury.
Itching mercurial herpes preputialis.
Falling off of hair from genitals.
Secondary syphilis.

Female sexual organs

Excrescences on vaginal portion of uterus, as large as lentils ; great voluptuousness of mucous membrane in genitals after coitus.
Uterine hemorrhages from overexertion of body.
Coffee-ground offensive discharge from uterus at climacteric period or after labor.
Before menses : throbbing in nape of neck and small of back.
Menses : too early and too profuse, blood very dark colored and thick ; irregular, scanty and like muddy water.
Pressing down in hypogastrium and small of back, as though everything would protrude ; pain down thighs ; abdomen feels swollen. θ Uterine displacement.
During menses : eructations, cramplike pain in abdomen, as if it would burst ; very offensive urine ; bruised pain in limbs ; pain down thighs ; labor-like pains in abdomen and back ; eructation ; palpitation, heat, anxiety and trembling ;
tiredness ; burning in eyes ; toothache and swelling of gums.
After menses : violent pains through abdomen and a sudden gush of "muddy water ;" brown or thick leucorrhœa, finally a thin, watery, flesh-colored, offensive discharge, sometimes acrid ; greenish mucous leucorrhœa.
Profuse, brown, offensive discharge between irregular periods. θ Cancer uteri.
Leucorrhœa : of ropy mucus ; of green mucus ; flesh-colored ; acrid, brown, offensive ; flows like water, clear and acrid, down legs ; chronic, vaginal ; in cachectic subjects ; after mercurialization, gonorrhœa or
chancre ; with suppurating bubo.
Stitches up vagina, or from without inward, when walking in open air.
Vaginal fistula ; granular vegetations.
Vaginitis with cracks and ulcers on labia minora.
Itching, swelling and burning of vulva and vagina.
Tumors of vulva ; syphilitic taint ; itching of parts when walking or otherwise irritated.
Erectile tumors ; much itching sticking pain.
Cold aggravates pruritus and leucorrhœa.
Hard knots in mamma ; atrophy ; soreness of nipples ; cancer.

Pregnancy. parturition. lactation

Uterine hemorrhage in first half of pregnancy, after overexertion of body and mental depression.
Metrorrhagia after abortion or confinement.

Voice and larynx. trachea and bronchia

Hoarseness : with coryza ; from long talking ; of singers or actors ; scratching and stinging in throat.
Indistinct speech.
Croup : with violent coryza, hoarseness and cough ; stitches in throat ; shooting pains in region of larynx ; sharp, scratching roughness in throat, like a file, not felt on swallowing, but on breathing, with oppression of chest and coryza ; dry, barking
evening cough ; rough, dry cough before midnight, giving no rest, shaking whole body ; stitches through chest ; fever ; shortness of breath ; oppression ; cough < at night, and troublesome during day, when reclining or slumbering.
Ulcers in larynx ; toneless voice ; previous mercurial abuse.
Large broad condylomata in larynx, which nearly closed glottis ; great dyspnœa and complete aphonia.
Syphilitic laryngitis.
Laryngeal phthisis ; bronchitis.

Respiration

Loss of breath and palpitation and anxiety on ascending steps.
Sudden loss of breath and palpitation, when walking slowly.
Loses her breath and speech, she is so weak. θ Uterine displacement.
Oppression of breathing caused by cough.
Awakens often stopped up with mucus, must expectorate before he can breathe easily.
Shortness of breath, wheezing and panting, even asthma ; panting during work.
Catching respiration.
Intermittent breathing. θ Scarlatina.

Cough

Cough : dry, barking, from tickling in larynx and pit of stomach ; < at night, also in day when lying down ; rough, dry ; before midnight ; dry, during sleep, before midnight ; with general physical depression, loss of flesh,
sleeplessness, fever, thirst, night sweats, dry paroxysmal retching ; excessively hard, dry racking, with complete ptosis of both eyes, resulting from hard coughing ; chronic dry laryngeal, with stinging, smarting, as if small ulcers were in larynx, generally felt on one
side ; dry, sputum raised with difficulty ; in morning, followed by greenish-white casts as if from air cells (secondary syphilis) ; shattering, barking, spasmodic, excited by tickling in larynx and epigastrium, with expectoration in daytime of dark blood mixed with coagula,
or of yellow, acrid pus of an offensive odor (whooping cough) ; in morning, with pain low down in lungs as though something was tearing away, followed by expectoration of greenish-dirty mucus causing gagging ; loose, < in warmth, at bedtime and on rising in morning ; with
tendency for small ulcers to form in back part of throat ; and symptoms of sluggish liver with tendency to diarrhœa ; with thirst in morning (bronchitis) ; chronic, in winter, awakens stopped up with mucus, short breath, panting during work ; chronic, accompanied by
gastric irritation and general cachexia ; liver cough.
Sputa : can hardly be dislodged, seem to stick like glue ; dirty yellowish-green ; in morning after raising large lumps of mucus, greenish-white casts as if from air cells, sometimes hanging together and spreading out in vessel ; yellow,
acrid, bitter ; sour ; salt ; offensive ; of blood mixed with clots during day ; brownish, bloody, with irregular pulse (typhus).

Inner chest and lungs

In chest : uneasiness ; oppression ; tightness ; fulness ; cramplike pains ; sticking in right side ; violent stitch in upper part of and within right ribs, through abdomen and back ; stitches in right side ;
soreness when coughing or breathing ; congestion, with anxiety, heat and palpitation ; whistling and rales on inspiration.
Soreness at lower end of sternum.
Rush of blood to upper part of chest.
Pain suddenly abates, yet pulse becomes smaller and weaker ; pneumonia and pleurisy of old and cachectic people ; protracted cases.
Lungs attacked, rattling breathing, loose cough ; threatened paralysis ; sputum brown, bloody ; pulse irregular θ Typhoid.
Tuberculosis with colliquative night sweats.
Empyema, with considerable muco-purulent sputum.
Hæmoptysis.

Heart, pulse and circulation

Nervous palpitation of heart, caused by slightest mental excitement.
Palpitation and anguish on going up-stairs.
Pulse : irregular ; one normal, followed by two small rapid beats ; fourth beat intermits ; alternate hard, rapid and small beats.

Neck and back

Swelling of cervical and axillary glands.
Neck stiff and sore from least cold.
Small warts on neck and sternum.
Stitches in and between scapulæ ; neck stiff.
Pain in small of back : drawing ; as if stiff ; from cold ; burning, in a small spot.
Pain in back at night, allowing to lie only on abdomen ; pulsations in it ; agg. coughing.
Neuralgic pains up back, particularly left side.
Lightning-like pains of a sticking character. θ Tabes dorsalis.
Cramplike stiffness of back and whole body.
Pain in back and down thighs.
Violent itching on back.
Stitches in sacral region.

Upper limbs

Aching in right shoulder and arm ; arm feels bruised, at times she cannot raise it.
Painful swelling and inflammation of axillary glands.
Drawing pains in arms and hands.
Upper arm painful as if beaten.
Numbness, trembling, tingling of right forearm.
Rheumatic pains mostly in forearms and fingers.
Syphilitic rheumatism of arms and fingers ; joints much swollen.
Copper-colored spots on arms ; wens.
Aching, powerless feeling in left hand, like rheumatism.
Falling asleep of hands, particularly in morning.
Chilblains on hands and fingers.
Cold, sweaty hands.
Numerous large warts on back of hands.
Large blue tubercles and spots on hands.
Eczema on inner side of left hand.
Numbness and swelling of fingers.
Swelling of finger joints, stinging pains.
Herpes between fingers.
Suppurating, spreading vesicles at tip of thumb.
Whitlow : intense pain < at night, great sensitiveness to touch and pressure ; intense redness and swelling on one or both sides of nail ; yellow stripe on edge of nail, threatening suppuration, extensive and violent inflammation, tendons, veins and cellular tissues
affected, irritation extending up arm, all the way to axilla ; fever ; quick, tense, contracted pulse ; skin burning hot ; total want of appetite ; violent thirst.
Hand is carried wrapped up, but finger exposed, from a sensation as if a splinter or piece of glass was in part, which friction of the wrappings aggravates. θ Paronychia.
Paronychia (applied in its incipiency).
White spots and flaws on nails ; misshapen, crumbling and discolored or yellow curved finger nails.

Lower limbs

Pain across buttocks.
Hip as if sprained, with limping.
Pressive tensive pain in right hip joint.
Rheumatic and arthritic pains in hip joint from mercurial abuses ; diseases of periosteum and necrosis of bones of joint ; caries, putrid decomposition.
Bruised pain in legs, as from excessive fatigue.
Deep-seated feeling as if dogs were gnawing flesh and bones and as if sinews were being pulled up.
Tearing in bones of lower extremities, especially at night.
Sticking pains as from splinters, especially on touch.
Dry herpes on outer side of thigh.
Paralytic pain in leg, with excessive heaviness and lassitude.
Rheumatic pains in legs and feet.
Painful stiffness in knees, feeling as if bends of knees were swollen.
Pain in patella, impeding walking ; stiffness and stitches in knees.
Soreness along periosteum of tibia.
Itching of shins, bleeding when scratched ; small scabs form.
Syphilitic nodes upon shin bones, with severe nightly pains.
Violent cramp in calf, at night and when walking after sitting.
Cramps in calves and soles of feet at night.
Cracking in ankle while walking.
Spreading vesicles on feet.
Chilblains with itching, swelling and pain, especially in very cold weather ; they inflame from a slight degree of cold ; skin cracked.
Chilblains in irritable subjects with delicate skin ; great redness of parts affected by the cold (locally, several drops in water).
Redness and heat of great toe and its ball, with sticking in it, as if it had been frozen.
Ingrowing toe nail ; nail seems to have grown into flesh, but in reality has not, very sore, with more or less ulceration and feeling as if a sharp splinter was being stuck into part on contact.
Phagedenic blisters on toes.
Offensive, profuse sweat on feet, causing soreness, with sticking pains as if walking on pins.
Foul-smelling sweat on feet, in both sexes, when there is an impoverished state of blood, with weak vital powers.

Limbs in general

Limbs restless in evening.
Dull pain as from weakness in extremities.
Drawing in all the limbs.
Rheumatic pains in limbs from taking cold.
Emaciation, especially of upper arms and thighs.
Feet and hands go to sleep.
Itching, especially in bends of extremities.
Contraction of joints ; cracking in joints.
Hands and feet swollen.
From not very severe cold, frozen, inflamed, itching limbs ; painful chilblains.
Crippled nails on fingers and toes.

Rest. position. motion

Lying down : headache > ; feeling as of warm water flowing over and from eyes ; evenings, unpleasant smell ; chill.
When reclining : cough troublesome.
Lying on parts : night sweats.
Sitting : vertigo, must lie down.
Standing : piles, with bearing down.
Must lie down : stitches in head.
Can only lie on abdomen : from pain in back.
Cannot assume erect position : pain in back.
Raising head after stooping : vertigo.
Rising : headache >.
Cannot raise arm : pain in it.
Chewing : causes cracking in ears.
When ascending steps : loss of breath, palpitation and anxiety.
Least exertion : debility ; faintness.
Motion : headache < ; nausea > ; < pain in abdomen ; chill.
Walking : vertigo, must lie down ; pain in abdomen ; moist soreness in anus and between nates ; stitches in vagina ; itching of tumor of vulva ; slowly, sudden loss of breath ; after sitting, violent cramp in calf.
Exercise : hemorrhoids < ; pressure in anus <.
During work : panting.

Nerves

Excessive physical irritability ; hysteria.
Twitchings in various parts ; frequent starts in upper part of body.
Pains, even slight ones, affect him violently.
Easily takes cold.
A sick feeling over whole body ; faint from least motion.
So weak, almost constantly obliged to lie down ; loses breath and speech.
Great weakness ; trembling ; shocks on going to sleep ; depressed in spirits.
Great debility, heaviness and trembling of limbs, especially in morning.
Excessive prostration, with diarrhœa, especially in old people and those who sleep badly.
Epilepsy ; fits relieved by riding in a carriage.
Syphilitic epilepsy and melancholia.
Left-sided paralysis.

Sleep

Drowsy all day, from debility, with vertigo.
Difficulty of going to sleep ; shocks on dropping off to sleep ; starting up as if from fright.
Pains felt during sleep.
Sleep : anxious, with sobbing ; restless, unrefreshing ; frightful dreams ; nightmare ; very restless after 12 ; cannot sleep after 2 A. M.
On awaking feels as if he had not slept enough.

Time

Morning : moody ; vertigo ; towards, headache going off a breakfast time ; on waking, headache ; burning in lids ; difficulty in raising lids ; nosebleed ; tongue dry, white ; violent thirst ; in bed, colic ; incarcerated
flatus in abdomen < ; acute pain in abdomen during stool < ; sudden manifestations of symptoms ; stools loose ; aggravations during typhoid ; burning in rectum ; cough followed by greenish-white casts ; cough with pain low down in lungs ; cough < on
rising ; thirst ; falling asleep of hands ; heaviness and trembling of limbs ; chill ; perspiration.
After 2 A. M. : cannot sleep.
Afternoon : chill.
On bedtime : cough <.
During day : cough troublesome ; cough with expectoration of dark blood mixed with coagula ; sputa of blood mixed with clots ; drowsy.
Evening : depressed and very anxious ; vertigo ; head < ; unpleasant smell ; pulsating in teeth ; incarcerated flatus < ; tearing in ulcers on prepuce ; barking cough ; limbs restless ; chill ; sweat.
Night : iritis < ; nosebleed ; cough ; pulsating in teeth ; griping ; burning in rectum ; hemorrhoids bleed ; urging to urinate < ; erections with severe bleeding from region of frenum ; sleep disturbed ; painful erections ; cough
< ; pain in back ; whitlow < ; tearing in bones of lower extremities < ; cramps in calves and soles ; dry, internal heat ; blood seems hot.
Before midnight : rough, dry cough.
Midnight : awakes with crampy pain in small intestine < ; chill.
After midnight : very restless ; sudden manifestations of symptoms.

Temperature and weather

Warmth : of flannel does not > headache ; cough <.
Warm weather : hemorrhoids painful to touch.
On covering up : night sweats.
Least exposure, in room or at fire : chills.
Open air : water drops from nose ; stitches in vagina when walking ; itching nettlerash.
Cold or warm : causes tearing and shooting in teeth.
Change of temperature : iritis < ; cicatrices pain.
Washing : causes warts to bleed.
Slight degree of cold : chilblains swell.
After sharp northwest winds : disorders of bowels.
Cold weather : chilblains <.
Cold water : > feeling of warm water flowing from eyes.

Fever

Chill : afternoon and evening ; after lying down ; from least exposure ; in room or at fire, in waves up each side of spine and over chest ; with aversion to heat ; continuous ; awakens at midnight ; < from uncovering or moving ;
followed by heat and pricking as if from needles ; morning in bed after previous heat : with internal heat.
Hands very cold.
Icy coldness of soles of feet.
Heat : on hands and face ; flushes of single parts, or over entire body ; with moisture of hands ; with dryness of throat ; dry, at night ; dry, internal at night, wants to uncover ; blood seems hot at night especially in hands, could not sleep ;
with sweat and debility after eating.
No thirst during hot or cold stage.
Sweat : with cold hands and blue nails ; in axillæ, offensive, of a strong odor ; sour, offensive, like horse's urine ; all over, after eating ; most on upper part of body ; of feet ; on soles of feet, makes them
sore ; in morning ; offensive for several nights.
Night sweat : every night, or profuse every other night ; on covering up in bed ; only on parts on which he has been lying ; mostly on feet ; copious (maltreated buboes) ; colliquative, with much emaciation (tuberculosis).
Long-lasting chronic cases of intermittent, where liver is involved and blood is anemic, with general cachexia.
Typhoid : hemorrhages ; great sensitiveness of abdomen ; green, slimy, acrid diarrhœa ; tenesmus ; white-coated tongue with sore spots ; inflammatory affection of lungs, with rattling cough and breathing ; brownish, bloody
expectoration and irregular pulse ; after Calomel.
Hemorrhages of bright red blood, not clotted ; tongue presents a deep red appearance, with a sort of velvety look ; soreness of bowels with persistent diarrhœa streaked with blood ; fetid urine ; burning, pungent skin ; ulcers in
ileo-cecal region, with gurgling in abdomen ; raving delirium, getting out of bed ; inflammatory affection of lungs, with rattling cough and breathing ; brownish, bloody expectoration and irregular pulse, or quick, hard pulse, with suffocative respiration ; prostration,
listlessness ; stupidity, with startling, wild looks, deafness, great weakness and trembling ; faint from least motion ; cold feet. θ Typhus.

Attacks, periodicity

For hours after stool : pains in rectum.
Daily : two or three pappy stools ; constriction of anus.
After dinner : aggravation during typhoid.
Every morning : green casts in nose.
Every night : night sweat.
Nightly : severe pain in nodes.
On alternate days : aggravation during typhoid.
Every other night : night sweat.
Several nights : offensive perspiration.
Several afternoons : burning over abdomen.
For several years : severe pain in small of back and hemorrhage from rectum.
Winter : hiccough < ; chronic cough ; chilblains.

Locality and direction

Right : drawing pain in temple ; side of head painful ; on lower lid a large condyloma ; eyelashes point stiffly towards nose ; ulcer near side of glans ; sticking in side and within ribs ; stitches in side ; aching in shoulder and
arm ; numbness, trembling, tingling of forearm ; pressive-tensive pain in hip joint.
Left : stitches in temple ; throbbing on side of head ; pain like a gathering at temple ; swelling of glands behind and beneath ear ; ulcers on palatine arch ; pressure in side ; gurgling in side ; ulcer on side of glans ; on side of corpus
spongiosum a fistulous ulcer ; neuralgic pains < side of back ; aching, powerless feeling in hand ; eczema on inner side of hand ; paralysis.
First right then left : feeling of warm water flowing over eyes.
From vertex to left ear, thence over vertex to right side of head : headache.

Sensations

As if head were in a vise from ear to ear over vertex ; as if some one were forcibly pressing head ; as if head were tightly bound up ; as if skull were constricted by tape ; head as if contused ; pain as of a gathering at left temple ; pain as
from splinters in eruption ; as if water were flowing over and from eyes ; as if an ulcer were being pressed, in eyes ; as of sand in eyes ; as of a splinter in nose ; teeth as if elongated ; as if teeth would fall out ; as if teeth were soft and
spongy ; as of splinter in ulcers in mouth ; as if pharynx were constricted ; as if food would not go down throat ; throat as if swollen ; as if abdomen would burst ; as if a boiler were working within bowels ; as of a hot, dry cloth on abdomen ; as if
stool were stayed in rectum ; as of splinters in rectum ; as of fissures of anus ; as if sharp sticks were being pressed into anus ; as if urethra were contracted ; as if sticks were jagging ulcers on scrotum ; as if small ulcers were in larynx ; as if
something was tearing away in lungs ; small of back as if stiff ; upper arm as if beaten ; as if splinter or piece of glass were in finger ; hip as if sprained ; pain in legs as from excessive fatigue ; as if dogs were gnawing flesh and bones, and as if sinews
were being pulled up ; as if bends of knees were swollen ; as if great toe and ball had been frozen ; as if sharp splinter were being stuck into great toe ; as if walking on pins ; pricking as if from needles ; as if splinters were running through carbuncles.
Pain : in skull ; in hollow teeth ; in cardiac orifice ; in region of liver ; in ileo-cecal region ; down thighs ; low down in lungs ; in back ; across buttocks ; in patella ; in chilblains ; in bones.
Horrible pain : in testicles.
Intense pain : in whitlow.
Severe pain : in small of back ; in nodes upon shin bones.
Acute pain : in abdomen.
Cutting pain : in abdomen ; in rectum ; in anus ; in urethra.
Lancinating : in rectum.
Tearing : in malar bones ; in teeth ; in anus ; in prepuce ; in bones of lower extremities.
Piercing : in temples.
Shooting : in teeth ; in rectum ; in region of larynx.
Boring : in teeth.
Splinter-like pain : in ulcers in mouth ; in rectum ; in chancre ; in finger ; in great toe ; in eruption.
Stitches : in head ; in left temple ; in throat ; in nose ; in root of nose ; in upper lip ; in tonsils ; in pit of stomach ; in hepatic region ; in urethric orifice ; in prepuce ; up vagina ; in chest ; in right
side ; in and between scapulæ ; in sacral region ; in knees.
Sticking pain : in occiput ; in eyes ; in ulcers ; in throat ; in prepuce ; in erectile tumors ; in right side ; in upper part of chest and within ribs ; through abdomen and back ; in great toe and ball ; in feet ; in warts.
Pricking : in bones of face ; in mouth ; in hemorrhoids ; in vulva ; through carbuncles ; in warts.
Pinching : in abdomen.
Gnawing : in stomach.
Griping pain : in abdomen.
Cramp : violent in calves and soles.
Cramplike pain : in abdomen ; in small intestines ; from kidney towards bladder ; in chest ; stiffness in back and whole body.
Hammering : on left side of head.
Throbbing : on left side of head ; in ears ; in nape of neck ; small of back.
Biting : in eyes.
Stinging soreness : of abdomen.
Stinging : eruption on head ; in eyes ; in teeth ; in mouth ; corners of mouth ; in anus ; in throat ; in finger joints ; through carbuncles.
Sore pain : in tongue ; in pharynx.
Soreness : in nose ; of mouth ; of anus ; of intestines ; of extremities ; moist, in anus and between nates ; of inner surface of prepuce ; of nipples ; of chest ; at lower end of sternum ; along periosteum of tibia ; of
feet ; of tonsils.
Burning distress : in stomach.
Burning : of sores on scalp ; in eyes ; in lids ; of wings of nose ; in nose ; in throat ; of tongue ; in fauces ; in stomach ; over whole abdomen ; in rectum ; in hemorrhoids ; in urethra ; of vulva and vagina ;
pain in small of back.
Smarting : in wart on upper lip.
Rawness : of anus.
Bruised pain : in legs.
Drawing pain : in right temple ; in abdomen ; in rectum ; in small of back ; in arms and hands ; in all limbs.
Neuralgic pain : up back.
Paralytic pain : in leg.
Pressive-tensive pain : in right hip joint.
Rheumatic pains : in forearms and fingers ; in hip joint ; in legs and feet ; in all limbs.
Dull pains : in extremities.
Bruised feeling : in arm.
Scratching : in anus and rectum ; in throat.
Scraped feeling : in throat.
Aching : in eyes ; in right shoulder and arm ; in left hand.
Painfulness : of right side of skull ; of bones of face ; of soft palate, tongue and inside gums.
Pressure : in middle of brain ; in forepart of head and upon eyes ; in throat ; in stomach ; in left side ; in rectum ; in anus ; in kidneys ; down, in hypogastrium and small of back.
Heaviness : in legs.
Heavy weight : in stomach ; in anus.
Stiffness : painful, in knees.
Oppression : on chest.
Constriction : of anus.
Tension : painful within head to eyes ; in skin of forehead.
Fulness : painful in head ; in abdomen ; in chest.
Tightness : in abdomen ; in chest.
Pulsation : in head ; in teeth ; in stomach ; in back.
Tickling : in larynx ; pit of stomach ; in epigastrium.
Tingling : of right forearm.
Heat : in stomach to throat ; of hands and feet.
Lassitude : in legs.
Numbness : of right forearm ; of fingers.
Uneasiness : in abdomen ; in chest.
Dryness : of throat ; of tongue ; of mouth ; of skin.
Icy coldness : of soles of feet.
Cold feeling : in teeth.
Itching eruption : behind ears ; in nose ; in lips ; of gums ; in rectum ; about genitals ; in anus ; of urethra ; of vesicles on prepuce ; of prepuce ; of vulva and vagina ; in erectile tumors ; violent, on back ; of
shins ; of chilblains ; in bends of extremities ; of skin ; of frostbites.

Tissues

Emaciation : gradual ; to great thinness ; especially of upper arms and thighs.
Easily takes cold.
Hemorrhages : bright ; profuse ; dark ; from bowels, in typhoid ; after miscarriage, or post-partum ; from overexertion of body ; uterine ; epistaxis ; hæmoptysis ; from rhagades.
Cracking in joints.
Inflammation of periosteum and of bones ; feeling as if flesh were torn from bones.
Caries of bones, sloughing, phagedena and gangrene.
Bone tumors following mercury or syphilis.
Syphilitic bone-pains.
Acts very powerfully on mucous membranes and has a particular affinity for outlets of mucous surfaces where skin and mucous membrane join.
Pain in old scars on change of weather.
Post-scarlatinal dropsy with fetid breath.
Inflammatory swelling, enlargement or suppuration of inguinal or axillary glands, especially after abuse of mercury or in syphilitic subjects.
Discharges thin, offensive and excoriating, and, if purulent, are of a dirty yellowish-green color and not at all laudable.
Tedious suppurations.
Easily bleeding ulcers, looking like raw flesh, with zigzag edges, and exuberant granulations on base.
Diseases depending upon presence of syphilitic, scrofulous or mercurial poison ; broken down, cachectic constitutions.

Touch. passive motion. injuries

Touch : eruption on head painful ; iritis < ; region of eyes sore ; condylomata bleed ; stitches in upper lip ; tearing, shooting in teeth ; abdomen sore ; abdomen painful ; hemorrhoids painful ; as if sticks were pressed into
anus ; ulcers bleed easily ; pain, as if sticks were jagged into ulcers ; whitlow very sensitive ; pains as from splinters < ; warts painful.
Pressure : of hat, head sensitive ; on swelling on head < ; whitlow very sensitive.
Lain on : head < ; eruption on head very sore ; swellings on scalp <.
Friction of wrappings around hand : < feeling of splinter in part.
Scratching : eruption on head bleeds easily.
Riding in carriage : headache > ; deafness ; nausea > ; amelioration of general condition ; epileptic fits >.
Rattling of wagons over paved streets or stepping hard : head sensitive.
Injury to eye : flow of irritating tears.

Skin

Skin : sallow, yellow ; dirty ; brown-red, copper-colored and violet spots ; blackness of pores ; dark freckles ; tight ; dry ; scaly ; itching ; dry and burning hot.
Scarlatina miliaria with very hot skin ; intermittent breathing ; tonsils swollen and sore, with great difficulty of swallowing ; angina extends up to nares, with thin, purulent discharge ; tongue dry and cracked ; cachectic children.
Scarlatina ; ichorous discharge from nose ; neglected cases.
Itching nettlerash in open air.
Large boils on scapulæ, nape of neck, thighs and legs.
Carbuncles ; prickling stinging as if from splinters running through them.
Eczema around edge of calvarium, in meatus aud. ext. and on genitalia.
Herpes in whiskers, between fingers and on alæ nasi,
Pityriasis versicolor.
Frostbites ; itching, inflamed from slight degree of cold ; skin cracked.
Painful chilblains and corns.
Cicatrices pain on change of weather.
Rhagades, deep, bleeding.
Ulcers : bleed when touched ; stinging pains ; feeling as of a splinter ; edges hard, everted, irregular ; exuberant granulations ; inclined to spread in circumference rather than in depth, tendency to fungous growth ;
carious, mercurial or syphilitic.
Warts : sticking and pricking ; wart on upper lip smarts and bleeds on washing, painful to touch ; soft, with a thin epidermis, and moist ; large, jagged, often pedunculated, exuding moisture and bleeding readily ; syphilitic
condylomata, elevated, exuberant, cauliflower-like.
Syphilitic eruptions of skin, in advanced stage, with superficial ulcers, and pains in bones.
Herpes, condylomata, tubercles, ulcers and syphilitic eruptions, with sore, prickling itching pains ; especially soft chancres.
Fungoid or mucous tubercles. θ Syphilis.

Stage of life, constitution

Suitable especially to lean persons of rigid fibre, dark, swarthy complexion, black hair and eyes ; the brunette rather than blonde-nervous temperament.
Persons suffering from chronic diseases who take cold easily and are disposed to diarrhœa ; very seldom to those who suffer with constipation.
Old people, diarrhœa with great weakness.
Hydrogenoid constitutions.
Child, æt. 1 ; pneumonia.
Girl, æt. 4, during illness of brother suffering with diphtheria ; diphtheria.
Boy, æt. 4 ; swelling of cervical glands.
Boy, æt. 5 ; suffering since two years old ; ptyalism.
Girl, æt. 6, after use of mercurial salve for eczema capitis ; ulcerated mouth and tongue.
Boy, æt. 7 ; scrofulous ophthalmia.
Boy, æt. 7, deaf mute ; otorrhœa.
Boy, æt. 7, weak, suffering from amblyopia ; diphtheria.
Boy, æt. 8 ; dysentery.
Boy, æt. 8 ; diphtheria and scarlatina.
Boy, æt. 7-8, thin, brunette, dark skin, when two years old had an attack of whooping cough which lasted five to six months, since then suffering ; cough.
Girl, æt. 9 ; diphtheria.
Boy, æt. 10, frequent epistaxis ; diphtheria.
Girl, æt. 10, after scarlatina ; dropsy.
Girl, æt. 12, scrofulous, chlorotic ; diphtheria.
Boy, æt. 15 ; hæmaturia.
Girl, æt. 17 ; diphtheria.
Young man, 18, phthisical, suffering one year ; sycosis.
Young man, æt. 19, suffering three days ; gonorrhœal ophthalmia.
Young man, æt. 19 ; diphtheria.
Lady, æt. 20, sick in a family where four had died of diphtheria under allopathic treatment ; diphtheria.
Girl, æt. 20, formerly anemic ; typhoid fever.
G., æt. 20, good constitution, suffering for four years ; warts and rhagades on hands.
Man, æt. 21, assistant in bookstore, small stature, weak constitution ; diphtheria.
Girl, æt. 22 ; gonorrhœa.
Man, æt. 23 ; after frequent and violent coitus ; buboes.
Countryman, æt. 24 ; syphilis.
Woman, æt. 28, lively disposition, small stature ; condyloma on eyelid.
Woman, æt. 30, after a return from India, had an attack of angina ; chronic affection of throat.
Man, æt. 30, mild disposition, blonde, strong ; pleurisy.
Man, æt. 30, blonde, phlegmatic, strong, several years had gonorrhœa which was maltreated ; difficult urination.
Man, æt. 30, joiner, strong, robust, had chancre three months previous, had taken calomel ; syphilis.
Woman, æt. 30, married, dark complexion, jet black hair and eyes, nervous temperament ; two months ago had an abscess in right broad ligament with severe peritonitis, which she thinks was induced by injections to cure leucorrhœa ; ague.
Baroness W., æt. 30 ; whitlow.
Man, æt. 31, ten years ago suffered from itch, three years ago had a chancre, has taken much mercury and copaiva ; gonorrhœa.
Woman, æt. 33 ; diphtheria.
Man, æt. 33, officer, had chancre which was cauterized ; syphilis.
Officer, æt. 34, last eight years has had several attacks of gonorrhœa and chancre ; syphilis.
Man, æt. 34, strong, syphilitic history ; syphilis.
Man, æt. 35, had syphilis four years ago ; sore throat.
Man, æt. 35, had itch during childhood, syphilitic history ; syphilis.
Mrs. S---, æt. 36, bilious temperament ; married ; mother of one child three years old ; suffering for the last five years ; chronic ulceration of bowels.
Man, æt. 38 ; hemorrhoids.
Man, æt. 38, syphilitic history ; ulcer on penis.
Man, æt. 40, former strength greatly reduced ; syphilis.
Man, æt. 44, strong constitution, suffering from chronic hemorrhoids, since nine years syphilis ; rhypia.
Man, æt. 44, robust, intemperate ; chancre.
Weaver, æt. 50 ; hemorrhoids.
Mrs. S., æt. 52, large size ; boils.
Maiden lady, æt. 55, suffering for a year or more ; tumor in mouth.
Woman, æt. 65, unmarried ; verucæ planæ.
Woman, æt. 80 ; chronic diarrhœa.
Young farmer ; whitlow.
Young woman, brunette, badly formed throat and chest, menses profuse, disposed to catarrh and angina ; angina.
Woman, thin, weak, after fourth confinement ; pleuro-pneumonia.
Woman, poor, living in damp house ; pleurisy.

Relations

Antidoted by : Calc. ost., Hepar, Mercur., Mezer., Sulphur .
It antidotes : Calc. ost., Digit., Mercur .
Compatible : is followed in many cases by Calc. ost., Pulsat., Sulphur ; by Arnic . in collapse of dysentery, by Kreos . in diphtheritic dysentery, by Secale
in gangrene of mucous membranes, by Sulphur in scrofulous ophthalmia.
It follows well : Calc. ost., Natr. carb., Pulsat., Sulphur ; Carbo an . in bubo ; Kali carb . in phthisis pulmonalis and other diseases ; Aurum in abuse of
mercury ; Thuja in rupia ; Mercur . in many manifestations of secondary syphilis ; Hepar in throat and other affections.
Resembles Arsen . in morbid fear of cholera.
Incompatible : Laches .
Complementary : Calad., Arsen .
Compare : Mur. ac .

Lectures on Homoeopathic Materia Medica

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

Generalities

Great general weakness; feeble reaction; extreme sensitivity, and nervous trembling, are marked features in this remedy.

Patients greatly broken by long suffering, pain and sickness, physical more than mental suffering, finally anemia and emaciation are marked.

Sensitive to cold; always chilly. Symptoms are aggravated from becoming cold, and in cold air. Always taking cold.

The walls of blood vessels are relaxed and bleed easily; profuse dark blood. Pains as if flesh were torn from the bones and a sensation as though a splinter felt in inflamed parts, in ulcers and in nerves. Inflammation of the periosteum, in bone, and in the nerves. Syphilitic bone pains. Caries of bone, and exostoses.

The margins of orifices bleed and grow warts. Old scars become painful in cold weather and when weather changes to cold; pains like splinters. Inflammation of glands after the abuse of mercury in syphilitic subjects. Prolonged suppuration in glands, with no tendency to repair, when there are sticking pains.

The discharges are thin, bloody, offensive and excoriating; sometimes a dirty yellowish green. Suppuration where there is no tendency to repair. This is often the case when the patient is syphilitic and has been surcharged with mercury. For suppuration and ulceration in cancerous affections with bloody, watery, offensive discharges and sticking pains. It has often been observed that the patient requiring Nitric acid is more subject to diarrhea than constipation.

It has cured many complaints in patients who are never so comfortable as when riding in a carriage. Twitching of muscles in all parts of the body. Many complaints are aggravated from a jar, and from noise. Even his pains are aggravated from noise.

Nitric acid patients are often extremely sensitive to medicines, especially high potencies indeed, they prove every remedy given too high. Fissures form in many places; canthi, corners of the mouth, above the anus; the skin cracks - and all these have the splinter sensation.

He finally becomes dropsical, especially in the extremities. Offensiveness is a marked condition of this patient, often putrid odors. The urine smells like that of a horse. Offensive leucorrhoea, offensive catarrh, and breath; foetid foot sweat. Strong odors from the body. Too much weight must not be given to the dark, swarthy complexion so often mentioned as the one most likely to need this remedy. Nitric acid will cure blondes as often as brunettes, if the symptoms agree.

Mind

Prostration of mind.

Any effort to reflect on certain things causes the thoughts to vanish. A general indifference to all matters; tired of life; has no enjoyment in anything; aggravated before menses.

Mental depression in the evening. Anxiety about his failing health, with fear of death. Anxiety after loss of sleep; vexation and sorrow. He is angered over his own mistakes. Anger with trembling. Obstinate and refuses to be comforted about his misfortune. He is weary of life but fears death.

Excitable and weeps. Despair of recovery. Hopelessness. Easily startled, frightened. Starts from fright on falling asleep. Cannot comprehend what is said to him. The whole mental state is better when riding in a carriage.

Head

Suffers much from vertigo in the morning; must lie down.

His headaches are violent, aggravated from noise of wagons on the paved streets, but often ameliorated from riding in a carriage on a smooth, country road.

The noise and jarring increase the pain, Pain as if in a vise from car to car. The biparietal syphilitic pain is often cured by this remedy. Pain as though the head were bound up. Painful drawing in head extending to eyes, with nausea. Stitching pains in the head. Hammering pain in the head. Pain in morning on waking, ameliorated after rising, aggravated by a jar, motion and noise, ameliorated riding in a carriage. Heat often ameliorates the head pains and cold aggravates.

Wrapping up ameliorates. Pain as if constricted by a tape. Extreme sensitivity of the scalp and skull to combing the hair, and to the hat. The hair falls out in profusion, as in syphilis. Eruption on the scalp with sharp sticking pains as from splinters; moist, itching, offensive eruptions. Caries of bones of skull. Exostoses.

Eyes

The eyes have lost their lustre, the pupils are dilated, and there is diplopia.

There is inflammation of the conjunctiva with acrid tears. Ulceration of the cornea with pricking pain. Iritis with stinging, stitching pain, aggravated at night and changing from warm to cold room or in cold air. Spots on the cornea. Intense photophobia, burning, pressure and sensation as though sand in the eyes.

Ptosis. Swollen lids, which are hard and burn. Small warts on upper lids. Warts that bleed easily, with sensation of sticks.

Ears and nose

Deafness, ameliorated when riding in a carriage or train.

Catarrh of the Eustachian tubes. Pulsating in cars. Discharge from ear, foetid, brown, ichorous, purulent-since scarlet fever. The auditory canal nearly closed. Swelling of glands about the ear. Caries of the mastoid.

Subject to coryza every winter; no sooner does be get over one cold than he has another. The nose is obstructed in the night during sleep. Sneezing in cold air, from every draft, must keep the room very warm. Bad smells in the nose, and the catarrh is offensive to others.

Nosebleed mornings and nights. Nasal catarrh, acrid, watery at night, yellow, offensive, excoriating, bloody, brownish, thin - since scarlet fever or in mercurio-sypbilitic patients. The nose feels as if there were splinters in it. Large crusts from high up in nose. Green crusts blown out every morning. Ulceration high up in nose. Warts form in and about the nostrils. Red, scurfy tip of nose. Crusts form on the wings of the nose. Cracked nose.

Face

Deep lines of suffering characterize the Nitric acid face.

The face is pale, yellow, sallow and sunken. The eyes are sunken. Dark rings about the eyes, mouth and nose. The face is bloated. The lids are tumid in the morning. There are brown spots. Pigmented warty' spots on the forehead. The right parotid is large. The skin feels drawn over the face. Crusts and pustules form on the face, Cracking in-jaw when chewing.

Corners of the mouth cracked, ulcerated and scabby. The lips raw and bleeding. Painful swelling of the sub maxillary gland. The expression is anxious, haggard, sickly.

Teeth and mouth

Pain in the teeth, tearing, aggravated from cold or warm things.

Pulsating evening and night, after mercury. Caries of teeth. Teeth become yellow. Gums bleed easily, scorbutic, swollen.

The tongue is excoriated, sore, red, yellow, white and dry, fissured, with sore spots. Ulceration of tongue with viscid mucus in mouth. Inflammation of the tongue.

Ulcers in mouth, on tongue or in throat, white, or dark and dirty, putrid, phagedenic, syphilitic, with sticking pains as from splinters. Sore mouth with stinging, burning pain. Excoriated, red, swollen membrane. Foul cadaveric odor from the mouth. Saliva flows from the mouth so acrid that it excoriates the lips.

Throat

Confusion of the muscular action in throat causes food to stop in throat and choking.

Difficult swallowing. Violent pain in throat, extending to ear on swallowing. Sticking in throat like a splinter ( Hepar, Nat. mur. Alum., Arg. n.) on swallowing.

Viscid mucus in throat. Mucus drawn from posterior nares. Inflammation of throat, tonsils, uvula and soft palate. Uvula and tonsils oedematous (Apis, Rhus t.).

Great swelling of the throat and tonsils. Ulceration of tonsils, uvula and soft palate. Inflammation of the oesophagus.

Stomach and liver

Longing for fats, pungent things, herring, chalk, lime, earth; and aversion to bread and meat.

Generally thirstless.

The stomach is disordered by milk. Food sours, and causes sour eructations and vomiting. Fats disagree. Nausea after eating, ameliorated by moving about or riding in a carriage. Vomiting bitter and sour, contents of stomach. Ulceration of stomach.

Pain in cardiac, opening of stomach on swallowing. Sticking pain in stomach. Catarrh of stomach. Weight after eating. Sensation of rawness in stomach after eating.

Chronic inflammation of liver.

Clay-colored stools. Enormously enlarged liver. Pain in region of liver with jaundice. Stitching pain in liver. Enlarged spleen.

Abdomen

Cramping pain in abdomen.

Violent pain in ilio-coecal region, sore and tender, aggravated from motion. Awakened at midnight with a crampy pain in abdomen; chilly; pain aggravated from motion.

Rumbling in abdomen. Abdomen distended and tender. Great soreness in abdomen. Inflammation and suppuration of inguinal glands.

The relaxed condition in weakly infant boys. that so much disposes to inguinal hernia, is often overcome by Nitric acid and the hernia cured (Lyc., Nux v.).

Broken down subjects who are disposed to suffer from frequent attacks of diarrhea, or from constipation alternating with diarrhea, often need this remedy when the urine smells strong like that of a horse, and he is pale and sickly, losing flesh and strength, subject to excoriation of orifices and excoriating catarrhs and ulcers.

The stool is bloody, putrid, undigested, green, slimy, excoriating, sour, curdled if milk is used as a diet, black putrid blood. In dysentery. Cold changes of the weather bring on diarrhea.

Anus excoriated, burning, fissured, covered with warts. Membrane comes with the stool. Much pure blood with the stool not even clotted, very offensive.

Ineffectual urging to stool. Sensation as if rectum were filled and he cannot expel it. Constipation, painful hard difficult stool. Drawing, cutting and pressing before stool; constant fruitless urging (Nux v.).

During stool there is colic, tenesmus, spasmodic contraction of anus, unsatisfactory straining. Splinters in rectum.

After stool there is still urging ( Merc.), exhaustion; soreness of anus; cutting pain; burning and shooting in rectum; constriction of anus; great nervous excitement; palpitation.

The pain keeps her in bed for hours after every stool. Itching and burning in anus. Constant acrid moisture about the anus. Periodical bleeding of rectum and pain in sacrum. Fissures of anus. Painful prolapsus of rectum. This has been a most useful remedy in fistula. fissures, condylomata, polypi, caruncles, cancer of the rectum and hemorrhoids, when the symptoms agree. It has cured caruncles so sensitive that the patient would cry out when they were touched.

Hemorrhoids that are exquisitely painful to touch and at stool; that bleed, external or internal, with burning and sticking during stool. Piles that ulcerate and discharge copiously of blood and pus.

When piles are so painful that she breaks out in sweat, becomes anxious, and pulsates all over, on the slightest touch or at stool, this remedy has been useful (compare Paonia and Staph .). Foetid moisture at the anus.

Men

The male sexual organs are in a constant state of irritability.

Sexual desire is increased and erections troublesome at night. Painful spasmodic erections at night; stitching pain in the urethra and chordee. It has been a useful remedy in gonorrhea when the discharge is thin and bloody, later when it is greenish or yellow; burning and sticking on urination, and the urethra is swollen and very sore.

It has cured condylomata which have the "splinter" sensation, and bleed easily, and extremely sensitive to touch. Condylomata on genitals and around the anus.

Inflammation of the prostate gland with gonorrhea, especially when the discharge becomes scanty from taking cold or from strong injections. It cures old cases of gleet when the urethra has pain in it like a splinter on touch or when urinating.

Prolonged inflammation of the urethra with infiltration, making the urethra feel hard and nodular like a whip-cord ( Arg. n.). Sore spots in the urethra, ulcers, with bloody pus, and the sensation of splinters. Itching in the urethra after gonorrhea ( Petr.).

Pimples, vesicles, herpes and crusts on the prepuce. Small ulcers on the glans or prepuce. Spreading ulcers.

The ulcers discharge a brown, bloody water, offensive. Phagedenic ulcers (Ars., Aur. m. n., Caust., Merc. c.) . Inflammation of the prepuce.

Ulcers that destroy the froenum. Inflamed and ulcerated parts have the splinter sensation and flow a bloody water. Paraphimosis and phimosis and great swelling. The hair falls off from the pubes.

Women

The female is greatly troubled by the constant itching and burning and sexual desire.

Excoriation of the parts from leucorrhoea and menstrual discharges. Every exertion brings on uterine hemorrhage (Calc.). The menstrual flow is dark and thick. Menses too soon and profuse, like bloody, water.

Uterine prolapsus. Many and extreme nervous sufferings come during the menstrual period; flatulence, bruised pain in limbs, pain down thighs, "splinter" under the finger and toe nails, palpitation, anxiety, trembling, neuralgic pains in any part.

After the menses there comes a muddy, watery flow, lasting many days, and extreme excoriation of the parts. Thin, bloody, excoriating leucorrhoea at all times or at any time.

The vagina is excoriated and condylomata grow upon the genitalia. Erectile tumors. Caruncles at the orifice of urethra, exquisitely sensitive to touch. The itching is aggravated by cold. The parts are fissured and bleed easily.

Many troubles culminate during menses and lactation. Lumps in the mammae. The nipples are fissured and tender, are excoriated and have "splinters."

Tendency to abortion from general weakness and the ease with which a uterine hemorrhage may set in.

Larynx

Hoarseness, and ulceration of the larynx.

Voice lost. Laryngitis in old syphilitic subjects. Oppression of the chest, ameliorated by expectoration. Shortness of breath. Intermittent breathing.

The cough is aggravated in winter, yet aggravated in a warm room and from becoming warm. The cough is dry, barking, aggravated during the night, aggravated lying, aggravated before midnight; comes on during sleep. Cough with hectic fever and night sweats.

Paroxysmal cough with retching, like whooping cough, violent, racking cough. Hard, prolonged coughing spells with difficult expectoration. The irritation to cough is like a tickling in the larynx.

The expectoration is greenish, viscid or thin, dirty, watery, bloody mucus, or dark clotted blood. Loose cough in daytime, dry at night. Rattling in daytime, but no expectoration. Cough in broken-down constitutions, from liver and lung affections, in tubercular subjects.

The sputum tastes bitter, sour or salty. It is offensive, even putrid. He is covered with sweat during efforts to expectorate. Stitching in the chest. In typhoid pneumonia, with rattling in the chest, inability to expectorate, or when he can expectorate the sputum is brown and bloody, and the urine smells like that of a horse. In tuberculosis with night sweats and haemoptysis. Palpitation from excitement, on ascending stairs. The pulse is rapid, irregular, and every fourth beat is missed.

Swelling of glands of neck and axilla. Stiff neck. Stitching pains in back and chest. Burning spots in spine. Pain in back, nights, compelling him to lie on the abdomen. Sharp pains in back and limb in tabes dorsalis. Sharp pains in back on coughing.

Rheumatic pains in limbs. Emaciation of upper arms, and thighs. Weakness of limbs. Dropsy of limbs. Crippled nails. Rheumatic pains in upper limbs. Stitching. Sticking pains in limbs in cold weather. Numbness of arms and hands. Copper colored spots on arms. Chilblains on hands and fingers. Cold, sweaty hands. Numerous large warts on back of bands. Herpes between the fingers. Vesicles on the tip of the thumb that open into ulcers, felons, distorted and discolored nails.

Yellow curved nails, splintered sensation under nails. It is useful in wounds that inflame and have the "splinter" sensation. Tearing in the long bones of the lower limbs at night. The legs are weary and bruised. Pain in hip as if sprained. Sticking pains along the nerves as from splinters. Syphilitic nodes on the tibia with nightly pains. Chilblains on the feet and toes. Phagedenic blisters on the toes (Graph.). Extreme soreness of the tibia. Profuse, offensive sweat of feet.

Shocks on going to sleep (Agar., Arg. n., Ars., Nat. m.). The pain comes during sleep. Starting in sleep. Anxious, unrefreshing sleep, with frightful dreams.

Nitric acid is a very useful remedy in fevers. The thirstlessness during all stages has often called attention to it. Cold hands and feet. Chronic intermittent in cachectic constitutions, copious night sweats. extreme weakness, with the characteristic odor of the urine, and bleeding from some part a dark blood, this remedy will act well.

The Therapeutics of Fevers

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

Characteristic

Suitable especially to lean persons of rigid fibre, dark complexion, black hair and eyes—the brunette rather than blonde—nervous temperament.

Persons suffering with chronic disease who take cold easily; are disposed to diarrhœa; rarely to those who suffer with constipation.

Old people, diarrhœa and great weakness.

Excessive physical irritability.

Pains: sticking, pricking, as from splinters; suddenly appearing and disappearing; on change of temperature or weather; during sleep; gnawing here and there, as from ulcers forming.

Diseases: which depend on some virulent poison—mercury, syphilis, scrofula—in broken-down, cachectic constitutions; hateful and vindictive.

Irritable, headstrong; hateful and vindictive; inveterate, ill-willed, unmoved by apologies.

After continued loss of sleep, long-lasting anxiety; over-exertion of mind and body from nursing the sick (Coc.); anguish from the loss of his dearest friend (Ign.).

Sensation: of a band around head, around the bones (Carb. ac., Sul.); of a splinter in affected parts, ulcer, piles, throat, ingrowing toe nail, < on slightest contact.

Often anxious about his own illness; constantly thinking about his past troubles; mind weakened and wanders; morbid fear of cholera.

Ozena: green casts from the nose every morning.

Diarrhœa: great straining but little passes; as if stayed in rectum and could not be expelled (Alum.); pain as if rectum and anus were torn or fissured (Nat.); violent cutting pain after stool, lasting for hours (Rat., Sul.).

Very sensitive to rattle of wagons over paved streets.

Urine: scanty, dark brown, strong-smelling, like horse's urine; cold when it passes; turbid, looks like remains of a cider barrel.

Warts, condylomata: sycotic or syphilitic; large, jagged, pedunculated; bleeding readily on washing; moist, oozing; sticking pain (Staph., Thuja).

Ulcers: easily bleeding, pricking pains especially on contact (Hep.); zigzag, irregular edges; base looks like raw flesh; exuberant granulations; after mercury or syphilis or both, engrafted on a scrofulous base.

Hemorrhage: from bowels in typhoid or typhus (Crot., Mur. ac.); after miscarriage or post-partum; from over-exertion of body; profuse, bright or dark.

Affects especially the mucous outlets of the body where skin and mucous membrane join—mouth, nose, rectum, anus, urethra, vagina (Mur. ac.).

Relations

Complementary: Arsenicum, Caladium.

Follows well: after Calcarea, Hepar, or Thuja, but is most effective after Kali carbonicum.

Should not be used before or after Lachesis.

Often difficult to distinguish from Mercury; but is adapted to black-haired people, while Mercury is more useful in light-haired persons.

Aggravation

Evening and at night; contact; change of temperature or weather; on waking; while walking; rising from a seat.

Amelioration

While riding in a carriage (the reverse of Coc.); from eructations.

Type

Quotidian; tertian; typhoid; typhus; yellow fever.

Time

Afternoon and evening.

Chill

Continuous chilliness in the evening; before going to bed and after lying down; in bed, worse from uncovering or moving (Nux). Chill in the afternoon while in the open air, for an hour and a half; afterwards dry heat in bed, with delirium and a sort of half-waking, dreamy state; sweat and sleep towards evening. Chilliness in the afternoon, for an hour; then heat over the whole body, for a quarter of an hour; afterwards profuse perspiration over the whole body for two hours; there is no thirst in either cold or hot stages. Cold hands, with extreme ill-humor. Con- stant coldness of the feet as far up as the calves. Icy coldness of soles of feet, preventing sleep at night.

Heat

Dry, internal at night; desire to uncover (Acon.); pricking all over, as from needles. Dry heat of hands and face in flushes, with sweat of hands. Constant paroxysms of flushes of heat, of single parts, or over entire body (Fer., Sep.). The blood seemed hot at night, especially in the hands, preventing sleep. Great heat in the face and hands; or heat in face, with icy cold hands. Dryness of the throat.

Sweat

All over the entire body after eating (Carbo a.). Sweat, with cold hands and blue nails. Sweat sour, offensive, like horse's urine. Night-sweat, on covering up in bed (on being covered sweats profusely all over, Cinch.). Night-sweat, only on the parts on which he is lying (Acon., Bry.—on the part not lain upon, Benz.). Profuse night-sweat, every other night. Offensive auxilliary sweat (Bov.). Profuse sweat on the soles, causing soreness of the toes and balls of the feet, with sticking pain as if he were walking on pins. Perspiration in the morning.

Tongue

Coated white or lemon-color; dry in the morning; saliva profuse, fetid, acrid; corners of mouth sore and ulcerated; cadaverous odor. Taste, bitter after eating (Puls.); aversion to meat and bread; long for fat (reverse of Puls.). Corners of mouth ulcerated. Cracking in the maxillary articulation when chewing or eating.

Pulse

During fever full, hard and tense. In old cases irregular; fourth beat intermits; one normal beat is often followed by two rapid beats.

Analysis

Heat; in flushes, in paroxysms, of single parts or over entire body.

Sweat; with cold hands, blue nails; sour, offensive, like horse's urine; profuse night sweat; profuse on soles causes soreness of toes and balls of feet; sticking pain as if walking on pins.

Chronic cases; a general anæmic, cachectic condition.