Nux Vomica nux-v.

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

Cerebro-spinal axis. NERVES. DIGESTIVE ORGANS: STOMACH. LIVER. Bowels. RESPIRATORY ORGANS. Male brunettes.

Worse

EARLY MORNING. COLD: OPEN AIR (Dry). Drafts. Seats. Wind. UNCOVERING. HIGH LIVING: COFFEE. Condiments. Liquor. Drugs. Debauchery. Purgatives. Sedentary habits. Overeating. Mental: Exertion. Fatigue. Vexation. Disturbed sleep. SLIGHT CAUSES: Anger. Noise. Odors. Light. Touch. PRESSURE: of clothes, < waist.

Better

FREE DISCHARGES. Naps (Kali-bi.). Wrapping head. Resting. Hot drinks. Milk. Moist air.

General

VIOLENT ACTION; often irregularly fitful or inefficient. Increased reflexes. Irritable and hypersensitive, mentally and physically. Firm fibred brunette. Twistings. Jerks. Spasms; with consciousness. Tense, contracted feeling. Lightning-like pains. Neuralgia; prodromal. Sensation as of a rough body internally. Bruised soreness; OF ABDOMEN, brain, etc. INTERNAL scrapy RAWNESS; throat, larynx, etc. Takes colds. Biliousness. Faintings after vomiting, after stool, after labor pains, etc.

Particulars

Sensitive and critical. Active, ANGRY AND IMPATIENT; can't stand pain; so mad, he cries. Zealous, nervous and excitable. Nagging. Spiteful. Irritable hypochondriasis. Sullen. Fears poverty. Violent, ugly (suicidal) impulses. Vertigo; on an empty stomach; with blank spells. Sensitive scalp. Swelled forehead.Lachrymation; on affected side. Migraine. Blood-shot eyes. Sore nostrils. Nose stopped, but runs water; on one side. Sneezing; violent; abortive; from intense crawling in (l) nostril. Coryza; fluent by day and in open air, dry at night. Epistaxis on coughing. Acute smell. Red, turgid or yelowish face, < about nose and mouth. Left angle of mouth droops. Jaws snap shut; stiff. Teeth chatter. Fetor oris. TASTE, biter -sour; bad in A.M. Itching palate; Eustachian tube. Rough, scratchy throat; putrid taste in, on coughing. Craves piquant foods or stimulants. HICCOUGH. Violent retching, < hawking. Eructations; sour. Heart-burn. Water - brash. Nausea; > if he can only vomit. VIOLENT VOMITING; bilious-sour. Food lies like a heavy knot in stomach. Gastric pains, into back; chest; > vomiting, etc. As of a band about waist; clothes oppress it. Indigestion. Liver sore; sticking; enlarged. Gall-stone colic. Bowels gripe here and there. SORE BOWELS, < COUGHING OR STEPPING. Hernia; infantile. Flatulent colic. UNEASY, fitful and FRUITLESS URGING FOR BOWELS TO ACT, > STOOL. Strains hard at stool. Inactive peristalsis. In rectum; retained flatus; as if more stool remained; spasm of. Obstipation. PILES; itching; > cool bathing. Sexual erethism. Onanism. Premature ejaculation. Menses profuse, early and prolonged or intermittent; of dark, lumpy blood. Dysmenorrhœal cramps; spread over whole body. Cough violent, throwing the patient down; paroxysmal; whooping. Painfully stiff neck; pains down (r) shoulder. Lumbar ache, as if breaking; must raise up to turn over. Acute lumbago. Crawling along spine. Shooting from toes to thighs, < after stool. Tense cramps in calves and soles. Feet feel clubby and raw. Goose-skin. Jaundice. Yawning. Sleepy in evening or sleepless from rush of ideas. Awakes too early; can't sleep again. Finally sleeps, but on waking feels miserable. Night-mare. Chill with thirst and heat without thirst. EASILY CHILLED; CAN'T UNCOVER, < motion; < drinking even during the heat. Sour sweat.

Related

Complementary: Kali-c. Pho. Sul. Related: Ign. Lyc.

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

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

Keynote

Adapted to thin, irritable, careful, zealous persons with dark hair and bilious or sanguine temperament. Disposed to be quarrelsome, spiteful, malacious; nervous and melancholic. Debauchers of a thin, irritable, nervous disposition; prone to indigestion and haemorrhoids (persons with light hair, blue eyes, Lob.). "Nux is chiefly successful with persons of an ardent character; of an irritable, impatient temperament, disposed to anger, spite or deception." - Hahnemann. Anxiety with irritability and inclination to commit suicide, but is afraid to die. Hypochondriac: literary, studious persons, who are too much at home, suffer from want of exercise, with gastric, abdominal complaints and costiveness; especially in drunkards. Oversensitive; to external impressions; to noise, odors, light or music (Nux m.); trifling ailments are unbearable (Cham.); every harmless word offends (Ign.). Persons who are very particular, careful, but inclined to become easily excited or angered; irascible and tenacious. Bad effects of: coffee, tabacco, alcoholic stimulants; highly spiced or seasoned food; over-eating (Ant. c.); long continued mental over- exertion; sedentary habits; loss of sleep (Coc., Colch., Nit. ac.); aromatic or patent medicines; sitting on cold stones; specially in warm weather. One of the best remedies with which to commence treatment of cases that have been drugged by mixtures, bitters, vegetable pills, nostrums or quack remedies, especially aromatic or "hot medicines." but only if symptoms correspond. Convulsions, with consciousness (Strych.); < anger, emotion, touch, moving. Pains are ingling, sticking, hard, aching, worse from motion and contact. Tendency to faint (Nux m., Sulph.); from odors; in morning; after eating; after every labor pain. Cannot keep from falling asleep in the evening while sitting or reading hours before bedtime, and wakes at 3 or 4 a. m.; falls into a dreamy sleep at daybreak from which he is hard to arouse, and then feels tired and weak (reverse of, Puls.). Catarrh: snuffles of infants (Am. c., Samb.); coryza, dry at night, fluent by day; < in warm room, > in cold air; from sitting in cold places, on stone steps. Eructations: sour, bitter, nausea and vomiting every morning with depression of spirits; after eating. Nausea: constant; after eating; in morning; from smoking; and feels "If I could only vomit I would be so much better.". Stomach: pressure an hour or two after eating as from a stone (immediately after, Kali bi., Nux m.); pyrosis, tightness, must loosen clothing; cannot use the mind for two or three hours after a meal; sleepy after dinner; from anxiety, worry, brandy, coffee, drugs, night watching, high living, etc. Constipation; with frequent unsuccessful desire, passing small quantities of faeces (in upper abdomen, Ign., Ver.); sensation as if not finished. Frequent desire fro stool; anxious, ineffectual, > for a time after stool; in morning after rising; after mental exertion (inactive, no desire, Bry., Op., Sulph.). Alternate constipation and diarrhoea (Sulph., Ver.), in persons who have taken purgatives all their lives. Menses: too early, profuse, lasts too long; or keeping on several days longer, with complaints at onset and remaining after; every two weeks; irregular, never at right time; stopping and starting again (Sulph.); during and after, < of old symptoms. Labor pains: violent, spasmodic; cause urging to stool or urinate; < in back; prefers a warm room. Strangulated hernia, especially umbilical. Backache: must sit up to turn over in bed; lumbago; from sexual weakness, from masturbation. Repugnance to cold or to cold air; chilly, on least movement; from being uncovered; must be covered in every stage of fever - chill, heat or sweat. Fever: great heat, whole body burning hot (Acon.), face red and hot (Bell.), yet patient cannot move or uncover without being chilly.

Relations

Complemenatary: Sulphur in nearly all diseases. Inimical: to, Zinc.; must not be used before or after. Follows well: after, Ars., Ipec., Phos., Sep., Sulph. Is followed well: by, Bry., Puls., Sulph. Nux should be given on retiring or, what is better, several hours before going to bed; it acts best during repose of mind and body.

Aggravation

Morning: waking at 4 a. m.; mental exertion; after eating or over-eating; touch, noise, anger, spices, narcotics, dry weather; in cold air.

Amelioration

In evening, while at rest; lying down, and in damp, wet weather (Caust.).

Key-Notes to the Materia Medica

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

Mental

Irritability of a sullen cast; no desire to hold communication with any one; gives surly answers; does not wish to be touched; disinclination to do or say anything; wants to be alone, is quiet and sullen; will scold severely, and abuse when talked to; malicious. Dizziness of the mind, i.e., an unsteady, wavering condition.

Nose

Troublesome dry catarrh of the nose, which usually comes on very early in the morning. Epistaxis with dark blood; smelling too sensitive.

Stomach and Abdomen

No hunger; sour taste; belching of wind, which is difficult--they want to belch, but a kind of œsophageal constriction seems to prevent it; hiccoughing; heartburn. Nausea, particularly where the patient feels very sick at the stomach, feels "If I could only vomit, I would be so much better." Vomiting in general; of bile; of food; of sour matter. Flatus in general; flatulent colic; rumbling and rolling in the bowels; pressing as of a heavy load in the stomach or abdomen, sometime after eating. Affections in the inner belly generally; also upper belly, inner part; sense of stricture or tightness around the hypochondriac region.

Stool and Anus

Obstructed evacuation from inactivity of the bowels, i.e., constipation; constant urging sensation in the rectum for a stool, which never comes; or a small portion of fecal matter may be passed with this urging, leaving the sensation as though a little lump were left behind in the rectum which was yet to come away; stool bloody; mucous stool, having little lumps of feces with the mucus; in dysentery, particularly where there is blood and slime with little lumps of feces in the slime; insufficient feces, particularly where there is a sensation as if more feces were yet to come; complaints after stool; tenesmus without stool.

Sexual

Male: Genital organs in general; any affections, particularly of the prepuce; erections; complaints from involuntary seminal emissions. Female: Genital organs in general; sexual desire too strong; metrorrhagia; menses too early; lasting too long; profuse; blood too dark; complaints after menstruation. Fainting away after every labor pain; in labor where, with every pain, there is a sensation as though the bowels ought to be moved; in threatened abortion, or retained placenta, after abortion or parturition, with a constant feeling of uneasiness in the rectum, as though the bowels ought to be moved; hæmorrhage from the uterus with the same symptom.

Cough

Tight, dry, hacking cough; with bloody expectoration; blood dark; sour taste of expectoration.

Sleep

Yawning in general; yawning with stretching of the limbs; awaking too early, between three and four A.M., feels pretty well at that time, lies awake two or three hours, falls asleep again, and on re-awakening, feels miserable, bad taste in the mouth, etc.; stupor-like sleep in the morning; sleepy in the daytime; sleepiness in the morning at usual hour of rising; sleepiness in the afternoon; also in the evening; sleeplessness after midnight. Dreams anxious, "pursued by cats and dogs," etc.; anxious dreams about fatal accidents, of quarreling, etc.; about exerting the mind; amorous.

Fever

Chilliness, external or internal; chill with thirst; heat in general; heat with anxiety, with restlessness; aversion to undress or uncover; external heat with internal chilliness; compound fevers in general; perspiration in general; on one side only; when perspiring, wants to throw off the covers.

Sensations

Red colored face, and patient feeling as though he was sitting before a hot fire. Sensation of anxiousness in the body; biting or pungent pain; pain as if bruised in the outer parts, especially where the patient is cross about it, doesn't wish to see any one, or talk about it, etc.; feels uneasy and encumbered by the clothes; dragging pain in the liver, abdomen, etc., as though something were being dragged down; sensation of heaviness in the outer or inner parts; jerking pain in outer parts; "feels unwell," is a little cross, inclined to taciturnity, etc.; itching or tickling in inner parts; there may be a tickling sensation in the throat, for example, with a desire to scratch; sensation of roughness in the inner parts; of tightness or tension in inner parts.

Generalities

Dark hair. Affections in general of the knee-joint; anus; rectum; larynx; trachea; nape of the neck; right ear; gums; inner mouth; palate; gullet; right side of the face; forehead; angles of the eyes; right hypochondrium; right abdominal ring; right side of the sexual organs; right side generally; left side of the chest. Right abdominal ring where there is a protruding inguinal hernia. Humming in the ears; reddish-yellow face. Increase of saliva; aversion to coffee; obstructed flatus; complaints before making water; affections of the bladder in general. Respiration oppressed, particularly if from a tightness around the hypochondria. Complaints in the back; small of the back; lumbago, rheumatism etc., where the patient cannot turn over--to do so he must rise, up, then turn over; something seeming to be in the back which prevents turning over; strong aversion to the open air, can't turn over if air is let in under the bedclothes, also makes him chilly. Bleeding from inner parts, especially if the blood be dark; disposition to catch cold, emaciation in general, Fainting fits; may faint after every labor pain; or patient may have vomiting spells, and faint away after each attack; in diarrhœa may faint after every stool. Jaundice; yellow skin; inflammation of the mucous membranes; inclination to lie down and be alone; increased secretions of mucus; nervous debility; scurvy; spasms in the inner parts; staggering when walking; strictures after inflammation.

Worse

Waking at 4 A.M., with an aggravation; in the morning; after midnight; from mental affections; from anger; anger with anxiety; with vehemence; in the open air; before breakfast; suppressed catarrh; in cold air; dry weather; while coughing (sometimes shocks are felt in the pit of the stomach with every cough); from drinking; in drunkards; after eating (too much); from exertion of the mind; from shaking the head; also from uncovering it; after intoxication; lying on the back; after menstruation; from narcotic medicine; from noise: brandy; coffee; cold food; cold water; wine; involuntary pollutions; pressure of the clothes; derangement of the stomach; after stool; before urinating; while walking in the open air; in clear fine weather; in the wind; when yawning. On waking in the night.

Better

Head symptoms better from having the head wrapped up or covered; lying down; lying on side; from loosening the garments; in the room; from warmth in general or hot things; on getting warm, and getting warm in bed; in damp and wet weather; after discharging wind; while lying in bed.

Remedies following

Act. spic., Arsen., Bellad., Bryon., Lycop., Pulsat., Rhus tox., Sepia, Sulphur.

Antidotes

Coffea, Ignat.

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

Careful, jealous persons, inclined to get excited and, angry or of a spiteful malicious disposition. Hypochondric mood, worse after eating, especially in those of sedentary habits, or in those who dissipate, with abdominal sufferings, constipation and hemorrhoids. Coryza; fluent during the day, and stopped up at night. Constipation, with frequent and ineffectual desire for stool, and sensation of constriction of rectum After stool, sensation as if more remainend but could not be evacuated. Menses a few days before the time, copious, or keeping on for several days, with complaints at the onset and remaining after. Dry, fatiguing cough in the evening after lying .down, or very early in the morning, also with roughness, rawness, and scraping in the chest. Awakes at 3 a.m., lies awake for hours with a rush of thoughts, falls into a dreamy sleep at day-break from which he is hard to arouse, and then feels tired and weak, and averse to rising. Sleepy in the early evening and sleepless at night. Ailments from continued mental labour. After aromatics in food, or as medicine, especially ginger pepper, etc., and after most any kind of so-called hot medicines. Fools worse in the morning, soon after waking, also worse after mental exertion and after eating.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Poison-nut

General

Is the greatest of polychrests, because the bulk of its symptoms correspond in similarity with those of the commonest and most frequent of diseases. It is frequently the first remedy, indicated after much dosing, establishing a sort of equilibrium of forces and counteracting chronic effects.

Nux is pre-eminently the remedy for many of the conditions incident to modern life. The typical Nux patient is rather thin, spare, quick, active, nervous, and irritable. He does a good deal of mental work; has mental strains and leads a sedentary life, found in prolonged office work, overstudy, and close application to business, with its cares and anxieties. This indoor life and mental strain seeks stimulants, coffee, wine, possibly in excess; or, again, he hopes to quiet his excitement, by indulging in the sedative effects of tobacco, if not really a victim, to the seductive drugs, like opium, etc. These things are associated with other indulgences; at table, he takes preferably rich and stimulating food; wine and women play their part to make him forget the close application of the day. Late hours are a consequence; a thick head, dyspepsia, and irritable temper are the next day's inheritance. Now he takes some cathartic, liver pills, or mineral water, and soon gets into the habit of taking these things, which still further complicate matters. Since these frailties are more yielded to by men than women. Nux is pre-eminently a male remedy. These conditions, produce an irritable, nervous system, hypersensitive and over-impressionable, which Nux will do much to soothe and calm. Especially adapted to digestive disturbances, portal congestion, and hypochondrical states depending thereon. Convulsions, with consciousness; worse, touch, moving. Zealous fiery temperament. Nux patients are easily chilled, avoid open air, etc. Nux always seems to be out of tune; inharmonious spasmodic action.

Mind

Very irritable: sensitive to all impressions. Ugly, malicious. Cannot bear noises, odors, light, etc. Does not want to be touched. Time passes too slowly. Even the least ailment affects her greatly. Disposed to reproach others. Sullen, fault-finding.

Head

Headache in occiput or over eyes, with vertigo; brain feels turning in a circle. Oversensitiveness. Vertigo, with momentary loss of consciousness. Intoxicated feeling; worse, morning, mental exertion, tobacco, alcohol, coffee, open air. Pressing pain on vertex, as if a nail driven in. Vertigo in morning and after dinner. Scalp sensitive. Frontal headache, with desire to press the head against something. Congestive headache, associated with hæmorrhoids. Headache in the sunshine (Glon; Nat carb). Feels distended and sore within, after a debauch.

Eyes

Photophobia; much worse in morning. Smarting dry sensation in inner canthi. Infra-orbital neuralgia, with watering of eyes. Optic nerve atrophy, from habitual use of intoxicants. Paresis of ocular muscles; worse, tobacco and stimulants. Orbital twitching radiating towards the occiput, Optic neuritis.

Ears

Itching in ear through Eustachian tube. Auditory canal dry and sensitive. Otalgia; worse in bed. Hyperæsthesia of auditory nerves; loud sounds are painful, and anger him.

Nose

Stuffed up, at night especially. Stuffy colds, snuffles, after exposure to dry, cold atmosphere; worse, in warm room. Odors tend to produce fainting. Coryza: fluent in daytime; stuffed up at night and outdoors; or alternates between nostrils. Bleeding in morning (Bry). Acrid discharge, but with stuffed up feeling.

Mouth

Jaws, contracted. Small aphthous ulcers, with bloody saliva. First half of tongue clean; posterior covered with deep fur; white, yellow, cracked edges. Teeth ache; worse, cold things. Gums swollen, white, and bleeding.

Throat

Rough, scraped feeling. Tickling after waking in morning. Sensation of roughness, tightness, and tension. Pharynx constricted. Uvula swollen. Stitches into ear.

Stomach

Sour taste, and nausea in the morning, after eating. Weight and pain in stomach; worse, eating, some time after. Flatulence and pyrosis. Sour, bitter eructations. Nausea and vomiting, with much retching. Ravenous hunger, especially about a day before an attack of dyspepsia. Region of stomach very sensitive to pressure (Bry; Ars). Epigastrium bloated, with pressure s of a stone, several hours after eating. Desire for stimulants. Loves fats and tolerates them well (Puls opposite). Dyspepsia from drinking strong coffee. Difficult belching of gas. Wants to vomit, but cannot.

Abdomen

Bruised soreness of abdominal walls (Apis; Sulph). Flatulent distension, with spasmodic colic. Colic from uncovering. Liver engorged, with stitches and soreness. Colic, with upward pressure, causing short breath, and desire for stool. Weakness of abdominal ring region. Strangulated hernia (Op). Forcing in lower abdomen towards genitals. Umbilical hernia of infants.

Stool

Constipation, with frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part remained unexpelled. Constriction of rectum. Irregular, peristaltic action; hence frequent ineffectual desire, or passing but small quantities at each attempt. Absence of all desire for defecation is a contra-indication. Alternate constipation and diarrhœa-after abuse of purgatives. Urging to stool felt throughout abdomen. Itching, blind hæmorrhoids, with ineffectual urging to stool; very painful; after drastic drugs. Diarrhœa after a debauch; worse, morning. Frequent small evacuations. Scanty stool, with much urging. Dysentery; stools relieve pains for a time. Constant uneasiness in rectum. Diarrhœa, with jaundice (Dig).

Urine

Irritable bladder; from spasmodic sphincter. Frequent calls; little and often. Hæmaturia (Ipec; Tereb). Ineffectual urging, spasmodic and strangury. Renal colic extending to genitals, with dribbling urine. While urinating, itching in urethra and pain in neck of bladder.

Male

Easily excited desire. Emissions from high living. Bad effects of sexual excesses. Constrictive pain in testicles. Orchitis (Hama; Puls). Spermatorrhœa, with dreams, backache, burning in spine, weakness and irritability.

Female

Menses too early, lasts too long; always irregular, blood black (Cycl; Lach; Puls) with faint spells. Prolapsus uteri. Dysmenorrhœa, with pain in sacrum, and constant urging to stool. Inefficient labor-pains; extend to rectum, with desire for stool and frequent urination (Lil). Desire too strong. Metrorrhagia, with sensation as if bowels wanted to move.

Respiratory

Catarrhal hoarseness, with scraping in throat. Spasmodic constriction. Asthma, with fullness in stomach, morning or after eating. Cough, with sensation as if something were torn loose in chest. Shallow respiration. Oppressed breathing. Tight, dry hacking cough; at times with bloody expectoration. Cough brings on bursting headache and bruised pain in epigastric region.

Back

Backache in lumbar region. Burning in spine; worse, 3 to 4 am. Cervico-brachial neuralgia; worse, touch. Must situp in order to turn in bed. Bruised pain below scapulæ. Sitting is painful.

Extremities

Arms and hands go to sleep. Paresis of arms, with shocks. Legs numb; feel paralyzed; cramps in calves and soles. Partial paralysis, from overexertion or getting soaked (Rhus). Cracking in knee-joints during motion. Drags his feet when walking. Sensation of sudden loss of power of arms and legs in the morning.

Sleep

Cannot sleep after 3 am until towards morning; awakes feeling wretchedly. Drowsy after meals, and in early evening. Dreams full of bustle and hurry. Better after a short sleep, unless aroused.

Skin

Body burning hot, especially face; yet cannot move or uncover without feeling chilly. Urticaria, with gastric derangement. Acne; skin red and blotchy.

Fever

Cold stage predominates. Paroxysms anticipate in morning. Excessive rigor, with blueness of finger-nails. Aching in limbs and back, and gastric symptoms. Chilly; must be covered in every stage of fever. Perspiration sour; only one side of body. Chilliness on being uncovered, yet he does not allow being covered. Dry heat of the body.

Modalities

Worse, morning, mental exertion, after eating, touch, spices, stimulants, narcotics, dry weather, cold. Better, from a nap, if allowed to finish it; in evening, while at rest, in damp, wet weather (Caust), strong pressure.

Relationship

Nux seeds contain copper, notice the cramp-causing proclivites of both. Complementary; Sulphur; Sepia.

Inimical: Zinc.

Compare: Strychnia.

Compare: Kali carb; Hydr; Bry; Lyc; Graph.

Antidotes: Coff; Ignat; Cocc.

Dose

First to thirtieth potency and higher. Nut is said to act best given in the evening.

Leaders in Homoeopathic Therapeutics

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

Leaders

For very particular, careful, zealous persons, inclined to get excited or angry, spiteful, malicious disposition, mental workers or those having sedentary occupations.

Over-sensitiveness, easily offended; very little noise frightens, cannot bear the least even suitable medicine; faints easily from odors, etc.

Twitchings, spasms, convulsion, < slightest touch.

Chilliness, even during high fever; least uncovering brings on chilliness. Very red face.

Persons addicted to stimulants, narcotics, patent medicines, nostrums, debauchees, etc.

Frequent and ineffectual desire for stool or passes little at a time, > after stool.

Spasm (from simple twitchings to the clonic form); sensitiveness, nervous and chilliness are three general characteristics of this remedy.

Anxiety with irritability and inclination to commit suicide, but is afraid to die.

Sleepy in the evening, hours before bedtime; lies aware for an hour or two, at 3 or 4 A. M., then wants to sleep late in morning.

Awakens tired and weak and generally worse, with many complaints.

Stomach: Pressure an hour or two after eating as from a stone (immediately after, Kali bi., Nux m.).

Convulsions with consciousness (Strych.); < anger, emotion, touch, moving, alternate constipation and diarrhea (Ant. crud.).

Menses: Too early, profuse and lasting too long, with aggravation of all other complaints during their continuance.

Nux vomica acts better when gived at night, during repose of mind and body; Sulph. in the morning.

Among the symptoms called characteristic, as given by Constantine Hering, are these:

"After aromatics in food or as medicine, particularly ginger, pepper, etc., and after almost any kind of so-called 'hot' medicines (Goullon)." Also, "will also benefit persons who have been drugged by mixtures, bitters, herbs and so-called vegetable pills, etc. -(B.)"

This is putting it in too wholesale a fashion. It would be true if said that Nux vomica will often benefit such cases. The fact is that it will benefit those cases in which the use of such drugs, aromatics, pills, etc. has brought about a condition that simulates the symptoms produced in the provings of Nux vomica, or in cases to which it is homoeopathic and no others. Another fact is that things often do produce such a condition, and that is one reason why so many physicians are invariably prescribing Nux vomica the first thing, in cases coming from allopathic hands, without even examining the case, but it is unscientific. We have a law of cure and there are cases in which the Nux vomica condition is not present but another more similar remedy must be given. It does not alter the case to say, "Well, I did not know what had been given," for Nux vomica will neither antidote the effects of the drug poison nor cure the disease condition unless it is homoeopathically indicated, especially given in the dynamic form.

Here are two more of Hering's card symptoms, in which are given the temperaments that are most susceptible to the action of Nux:

"Oversensitiveness, every harmless word offends, every little noise frightens, anxious and beside themselves, they cannot bear the least even suitable medicines - (B)." And, "For very particular, careful, zealous persons, inclined to get excited and angry, or of a spiteful, malicious disposition."

This is a graphic picture of what is called the "Nervous temperament," and practice corroborates the truth of the value of these temparametic indications for this remedy; but there are a number of remedies that have as markedly this so called nervous temperament, such as Chamomilla, Ignatia, Staphysagria, and others.

So no physician would be justified in prescribing Nux vomica on temperament alone, be the indication ever so clear. The whole case must come in. There seems to be another kind of condition belonging to this nervous group of Nux vomica that has not so much of excitability in it. "Hypochondriasis, with studious men, sitting too much at home, with abdominal complaints and costiveness."

Now if you take a second look at these cases, you will find that a very little irritation will arouse their kind of their hypohondriac gloom and make them angry or irritable similar to the first condition, so that on the whole the first proves to be the predominant one.

If the gloomy or hypochondriac condition of mind persist, we will more likely have to look to such remedies as Aurum, Nat. mur., etc., to find the true similimum. These nervous symptoms of mind and body are wonderful leaders to the selection of the right remedy.

"Frequent and ineffectual desire to defecate or passing but small quantities of fæces at each attempt."

This symptom is pure gold. There are a few other remedies that have it, but none so positively and persistently.

It is the guiding symptom in the constipation to which Nux vomica is homœopathic, and in my experience will then, and then only, cure. Carroll Dunham wrote over twenty-five years ago on this symptom. He said, in effect -while Nux vomica or Bryonia are equal remedies for constipation there was never any reason for confounding them, or alternating them, as they were so different. The Nux vomica constipation was caused by irregular peristaltic action of the intestines, hence the frequent ineffectual desire; but the Bryonia constipation was caused by lack of secretion in the intestines. There was with Bryonia absolutely no desire, and the stools were dry and hard as if burnt.

And the above symptom is found not in constipation alone. It is always present in dysentry. The stools, though very frequently consisting of slimy mucus and blood, are very small and unsatisfactory. Dr.P.P. Wells pointed out the very reliable additional symptom for Nux vomica in dysentry -that the pains were very greatly relieved for a short time after every stool. This is not so with Mercury, but the pain and tenesmus continue after the stool, as it is sometimes well expressed as "a never-get-done" feeling. But it makes little difference whether the patient is afflicted with constipation, dysentry, diarrhoea or other diseases, if we have this frequent ineffectual desire for stool present we always think of Nux vomica first, and give it unless other symptoms contra-indicate it.

"Catamenia a few days before time, and rather too copious, or keeping on several days longer with complaints at the onset, which remain until after it is over."

This is also an oft verified symptom of Nux vomica. Of course there are many other remedies for too early or too copious menstruation. Calcarea Ostrearum is not at all like Nux vomica. I have found that patients that required Nux vomica., for this condition could hardly ever take Pulsatilla for anything. For instance, if the patients had green, bland, thick discharge and you gave them Pulsatilla it would often bring down too early and profuse menses. In such cases I had to give Sepia which would act like a charm on the catarrh and not aggravate the menses.

These cases calling for Nux vomica. often occur in young girls or women at the climacteric. We often have the characteristic rectal troubles also present (Lilium tig.). The pains are pressing down and extend to the rectum and sometimes also to the neck of bladder. Inefficient labour pains, extending to the rectum, with desire for stool or frequent urination, are quickly relieved, and become efficient, after the administration of a dose of Nux vomica 200.

If, in addition, your menorrhagic patient is costive, has gastric troubles, and especially if generally < in the morning, we have an almost sure remedy in Nux vomica.

"Feels worse in the morning soon after awaking (Lach. and Nat. mur.), also after mental exertion (Nat carb., vertigo; Calc. ost., Sil., occipital); after eating (Anac. card., reverse) and in cold air (Puls., reverse)" If Bœnninghausen had never done anything but given us his incomparable chapter on aggravations and ameliorations, this alone would have immortalised him.

It seems to me, after profiting them in a practice of over thirty years, it is impossible to over estimate them. But some one will say perhaps -there are twenty-eight remedies in Allen's Bœnninghausen., in large caps, that are worse in the morning. That does not seem like coming very close to the choice of the remedy.

But when we look at those that are worse in the evening, we find thirty-eight remedies, and only eight of them occurring under both morning and evening, and these eight are worse not generally, but rather in some especial symptoms. For instance, in Rhus the loose cough is worse in the morning, the tight dry one in the evening.

So you see we are quite on the way to making a choice after all. But now take all the aggravations of Nux vomica as regards time, mind, gastric (symptoms), temperature etc., where can you find the combination so prominently under any remedy? Of course those physicians who are not able to appreciate anything but pathological symptoms have not much use for these modalities. But one thing is certain, they cannot do as good homœopathic work without as with them.

"Great heat, whole body burning hot, especially face red and hot, yet the patient cannot move or uncover in the least without feeling chilly." This condition of feverishness is of common occurrence and yields to Nux vomica with a promptness that would delight the heart of a Lippe. It makes no difference what the name of the fever, whether inflammatory, remittent or fever accompanying sore throat, rheumatism, or any other local trouble, if we have these indications, we may confidently give this remedy and will not be often disappointed with the result. It took me years to learn the value of this symptom, because I was a routinist and thought that Aconite, Belladonna, or both in alteration, must be given in all cases where high fever was present. So I have some sympathy for young physicians now, who from false teachings have been led to the same error. But let me say here, for the benefit of all such, that there is a much better way: namely -to closely individualize, which is not always difficult; give the single remedy in the potentised form, giving it time to act, and wait for reaction before repeating.

Of course low potencies will often cure, and that in spite of alternation, over dosing and frequent repetition. But they will often fail, and in the great majority of cases will not accomplish anything like the satisfactory results of the true similimum, the single remedy and the single dose.

"After eating: (Kali bich., Nux moschata) sour taste pressure in the stomach an hour or two afterward, with hypochondriacal mood, pyrosis tightness about the waist; must loosen clothing (Lachesis, Calcarea, and Lycopodium), confused cannot use mind two or three hours after meal, epigastrium bloated, with pressure as from a stone in the stomach."

This is a group of symptoms as given in "Guiding Symptoms." There are so many symptoms given under the digestive organs that it shows that Nux vomica has really very wide range of action in gastric troubles. And there are no really characteristic and peculiar symptoms to mention, unless it be the peculiar aggravation of the stomach symptoms "an hour or two after eating," instead of immediately after as is the case with Nux moschata and Kali bichromicum. The pressure as from a stone occurs also in Bryonia and Pulsatilla.

More stress may be placed upon the cause of the stomach, liver and abdominal complaints for which Nux vomica is the remedy. For instance, coffee, alcoholic drinks, debauchery, abuse of drugs, business anxiety, sedentary habits, broken rest from long night watching (Cocc., Cup. met., Nit. ac.), too high living etc. So we find that Nux vomica is adapted to complaints arising from these causes, which is abundantly verified in practice.

One thing is very apt to be present in these cases: namely -the very characteristic rectal symptoms already noticed.

We ought not to leave Nux vomica without speaking of its great efficiency in headaches and backaches.

The headache often occurs in conjunction with gastric, hepatic, abdominal and hæmorrhoidal affections. Here also the modalities, more than the character of the pain, decide the choice. The aggravations are: from mental exertion, chagrin or anger; in open air (opposite Pulsatilla), on waking in the morning, after eating, from abuse of coffee or spirits, sour stomach, in the sunshine, on stooping, from light and noise, when moving or opening the eyes (Bryonia), from coughing high living or highly seasoned food, in stormy weather, after drugging, from masturbation, from constipation or haemmorhoids.

These headaches may or may not localize in any part of the head.

The patient is just as apt to say in one part of the head as another, and will often say, in no particular part, "it feels badly and aches all over."

The pains in the back are more peculiar. The patient is apt to have backache in bed, and must sit up to turn over; as turning or twisting the body, aggravates when standing (Sulphur) (worse when sitting, Kobalt, Pulsatilla, Rhus toxicod., Zincum) or sitting is especially painful. The pain is mostly located in the lumbar region, though it may be in the dorsa, and is often in connection (like Æsculus hipp.) with hæmmorhoids. Æsculus is especially < from walking or stooping. Backache caused by masturbation (Kobalt, < sitting; Staphysagria, lying at night) finds one of its best remedies in Nux vomica. We might here launch out into a description of the general action of Nux vomica upon the spinal cord, including the motor and sensory centers, etc. but that can all be found in other works. So now we will leave Nux, except as we refer to it in comparison while writing of other remedies. In reviewing of what we have written, we are impressed that some may be led to think that we have narrowed down the sphere of this truly great remedy too much. Let us say here, that it is not our aim in this work to write exhaustively upon any remedy, but to point out a few of the chief virtues and the characteristic symptoms, around which all the rest revolve.

To write exhaustively would be to write a complete materia medica.

In actual practice there are two kinds of cases that come to every physician. One is the case that may be prescribed for with great certainty of success on the symptoms that are styled characteristic and peculiar (Organon § 153.) The other is where in all the case there are no such symptoms appearing; then there is only one way, viz, to hunt for the remedy that, in its pathogenesis, contains what is called the "tout ensemble " of the case. The majority of the cases, however, do have, standing out like beacon lights. Some characteristic or key note symptoms which guide to the study of the remedy that has the whole case in its pathogenesis.

Modalities

Modalities: < uncovering, mental work, after eating, cold air, dry weather, stimulants, 9 A. M.; > wet weather, warm room, on covering, after stool.

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

Anger, with habitual malicious, spiteful disposition. Fiery, excited temperament. Inclined to find fault and scold ; morose ; stubborn. Over-sensitiveness to external impressions, noise, smells ; light and music are unbearable and affect him much ; anxiety and restlessness in the evening. Anxiety with irritability and inclination to commit suicide ; but is afraid to die. Hypochondriac humor of persons of sedentary habits, and of those who dissipate at night, with abdominal sufferings and constipation. Delirium tremens with over-sensitiveness, nervous excitability and malicious vehemence. The time passes too slow. After anger, chilliness alternating with heat, vomiting of bile and thirst. Great laziness and aversion to occupy oneself.

Head

Reeling vertigo in the morning and after dinner ; with vanishing of sight and loss of hearing. Cloudiness as from intoxication in the head. Intoxication from the drunkenness on the previous day, with vanishing of sight and bearing ; worse after dinner and in the sun. Congestion of blood to the head, with burning in it and with heat and redness of the bloated face ; worse in the morning, on moving the head and when walking in the open air. Burning in the forehead in the morning on waking and after eating ; worse from mental exertion and when exercising in the open air ; better when at rest and in the warm room. Stunning headache in the morning, after eating, and in the sunshine. Pressing headache in the forehead, with sour vomiting ; worse in the morning in bed, better when leaning the head against something or when lying on the back. Pressing pain on the vertex, as if a nail were driven into it. Pressing headache, as if the skull were pressed asunder. Sensation as from a bruise in the back part of the head. Rheumatic headache with nausea and acid vomiting. Tension in the forehead as if it were pressed in at night and in the morning, worse on exposing the head to the cold air. Bruised sensation of the brain, generally one (right) sided, better when lying on the painless side. The brain seems to shake when walking or running in the open air ; better when wrapping the head up in the warm room and when at rest. Pressing in the head, as if something heavy were sinking down in the forehead or head. Periodical headache in the forehead, sore as from ulceration, with constipation. Semi-lateral headaches from excessive use of coffee. The scalp is sensitively painful, on the least touch, to the wind, and is relieved by warmly covering the head. Fetid perspiration of one half of the head and face, which is cold to the touch, relieving the pain, and with anxiety and dread from uncovering the head. Liability to take cold on the head mostly from dry wind, draft of air. The head symptoms are worse in the morning, in the open air, and from mental exertion and from motion and better after rising in the morning and during the day, in the warm room, and from sitting quiet or when lying down.

Eyes

Inflammation of the sclerotica, with stitches and aversion to the light of the sun. Painless, circumscribed red spots, like extravasation of blood, in the white of the eye. Exudation of blood from the eyes. Yellowness of (especially of the lower part of) the eyeball. In the morning the light of day is insupportable. Streaks like lightning before the eyes. Burning and smarting in the eyes as from salt. Twitching of the eyelids. Anxious staring look.

Ears

Otalgia with tearing-stinging pains. Tension in the ears when he raises his face. Painful sharp shocks and stitches in the ears, especially in the morning in bed. Pain in the ear on swallowing, as if it were pressed outward. Strong reverberation of sounds in the ear. The pains in the ear are worse after entering the room and in bed.

Nose

Sensitiveness and inflammatory redness of the internal nose. Bleeding from the nose in the morning. Smell before the nose like old cheese or brimstone. Coryza ; fluent during the day, worse in the warm room, better in the cold air ; dry coryza during the evening and night. Dry coryza with stoppage of the nose (in infants). Acrid discharge from the obstructed nose.

Face

Pale, yellowish and earthy color of the face. Yellowness around the mouth and nose, or around the eyes. Swelling of one cheek, with faceache, and pain in the cheekbone. Red, swollen face ; burning redness of the face with heat. Twitching of the muscles of the face, in the evening when lying down. Painful pealing off of the lips. Crusts on the lips. Trismus. Corroding ulcers in the corners of the mouth. Periodical prosopalgia nervosa, worse at night. Pimples in the face from the excessive use of spirituous liquors. Swelling of the sub-maxillary glands ; with stinging on swallowing.

Mouth and Throat

Tearing in the teeth extending to the head through the bones of the face, renewed from cold drink, relieved by warmth. Stinging in decayed teeth ; burning-stinging in one whole row of teeth. Looseness of the teeth. The gums swollen, white, putrid, bleeding. Toothache from taking cold. The toothache is caused or aggravated by wine, coffee, cold air and mental exertion, and is relieved by heat. Bad odor from the mouth. Stomacace. Aphthæ (of children). Inflammatory swelling of the roof of the mouth, throat and gums, with difficulty of deglutition. Sensation as of a plug in the throat. Sensation of soreness in the throat on inhaling cold air. When swallowing, stitches in the throat and sensation as if it were too narrow or constricted. Inflammatory swelling and stitches in the palate. Heavy white coating on the tongue. The tongue is black and dark-red and cracked on the edges. Heaviness of the tongue with difficulty of speech. Fetid ulcers in the mouth and throat.

Stomach and Abdomen

Hunger with aversion to food, especially to bread, coffee and tobacco. Ravenous hunger after drinking beer. Thirst, in the morning, with aversion to water and beer. Longing for brandy and chalk. Tastelessness of all food. Sour taste, especially in the morning or after eating and drinking. Putrid taste (in the morning). After dinner (some hours after) pressure in the stomach, dulness of the head and hypochondriacal mood. Bitter, sour eructations. Violent hiccough. Nausea, especially in the morning and after dinner. Empty vomiturition ; straining to vomit (in drunkards). Periodical attacks of vomiting ; of food, of sour-smelling mucus, of dark, clotted blood ; and during, pregnancy. Bloatedness, and pressure in the stomach and pit of the stomach, as from a stone, especially after eating. Colic and pressure in the stomach, extending to the shoulders, in the morning, fasting and after eating. Constrictive colic generally, with water-brash. Colic of brandy and coffee drinkers. Pressure and tension in the pit of the stomach, with tension opposite, between the shoulder-blades. Cannot bear his clothes tight around the hypochondria. Pressure and stinging in the region of the liver. Inflammation and induration of the liver. Labor-like spasms in the abdomen and in the uterus, extending into the legs. Pressing in the abdomen towards the genitals. Painful soreness of the abdominal muscles when moving, pressing on them, coughing or laughing. Periodical (colic) pains in the abdomen, especially after eating and drinking. Disordered stomach after over-eating. Hernia incarcerated hernia.

Stool and Anus

Constipation ; stool insufficient, black, bard, often streaked with blood, as from inactivity of the intestines ; ineffectual efforts to go to stool (in infants). Stools like pitch, with blood. Dysenteric stools, with cutting at the navel, pressing and rectum and discharge of bloody mucus with feces. Frequent small mucous discharges, with pressing and straining. Painful, spasmodically closed anus. Painful blind hæmorrhoidal tumors.

Urinary Organs

Strangury ; painful, ineffectual urging to urinate. Pressure to urinate, at night, with discharge of a few drops of red, bloody, burning urine. Hæmatorrhœa. During and after micturition, discharge of viscid, purulent mucus from the bladder.

Genital Organs

Men. Increased secretion of smegma behind the corona glandis. Inflammation and swelling of the testicles, with singing and spasmodic contraction, extending to the spermatic cords, the testicles being hard and drawn up. Easily excited, strong sexual desire, with painful eructions. Hydrocele. Women. Menses to early and too profuse, with dark, black blood. During and after menstruation, appearance of new and aggravation of old ailments. Congestion to and bearing, down of the uterus. Inflammation of the uterus and the external parts. Prolapsus uteri. False and inefficient labor-pains, with frequent pressure to urinate and to pass stool. After-pains too violent and of too long duration.

Respiratory Organs

Suffocative attacks after midnight from spasmodic constriction of the larynx. Dyspnœa ; asthma from spasmodic constriction of the lower part of the thorax. Catarrhal hoarseness, from scraping in the throat, with viscous mucus in the larynx and on the chest. Itching in the larynx. Acute bronchitis. Cough from exertion, -reading or mental exertion,- or thereby aggravated. Dry cough, with pain in the head, as if it would burst or with great soreness in the upper part of the abdomen. Dry cough ; worse at night or early in the morning. The cough is dry in the evening and at night ; expectoration during the day. Hooping-cough, caused by a tickling in the throat and larynx, with expectoration, during the day of yellow, gray, cold mucus, mostly tasting sour or sweet, and last of bright-red blood. The cough is aggravated after midnight and in the morning, from exertion, from cold air, when lying on the back from eating and drinking from smoking tobacco, from becoming cold, from acids. Heavy, pressing pain in the chest, as from a heavy, load. Sensation as if something were torn loose in the chest. Congestion to the chest, with heat and burning in it. Anxious palpitation of the heart.

Back and Neck

Tension between the shoulder-blades. Burning, pressing, and stitches between the shoulder-blades. Pain, as if bruised in the small of the back and back, so violent that he cannot move. Sensation in the small of the back as if lame (also after difficult parturition). Heaviness and stiffness in the neck.

Extremities

Upper. Paralysis of the arm, with violent jerks in it, as if the blood would start out of the veins. Soreness in the shoulder-joint. Drawing in the arms, extending from the shoulder to the fingers, with sensation as if the arm were asleep ; loss of motion of the arm, especially at night. The hands go to sleep and feel dead. Cold, sweaty hands, with cold nose. The veins on the hands and arms are prominent, enlarged. Lower. Numbness, stiffness and tension ill the legs. Sensation of paralysis of the legs, with the sensation of a painful stripe down on the inside of the thigh ; numbness and paralysis of the legs. Staggering walk and weakness of the legs. Painful swelling of the knee-joint. Numbness and deadness of the lower legs. When he walks he drags the feet ; he cannot lift them up. Dryness and cracking in the knee-joint when walking. Cramp in the calves at night.

Generalities

Great debility of the nervous system, with over-sensitiveness of all the senses. Periodical attacks of indisposition. Sensation of heaviness of the body, alternating with sensation of lightness. Stitches in jerks through the whole body. Feeling of soreness all over the body in the morning, in bed. Great inclination to lie down or to sit, with aversion to move about and to the open air. Rheumatic pains, especially during windy (stormy) weather. Disposition to take cold and great sensitiveness to draft of air, and aversion to the open air. Paralysis, with coldness of the paralyzed parts. Convulsions and spasms ; epileptic attacks. Attacks of fainting (in the morning ; after eating). Gastric and bilious complaints, especially of pregnant women. Inflammation of internal organs : congestion. Very suitable for thin, slender persons.

Sleep

Goes to sleep late from crowding of thoughts on him. Goes to sleep late ; wakens at 3 A.M. and lies awake till break of day, when he falls into a dull sleep full of dreams, from which he is hard to rouse and wakens late, feeling tired. The morning sleep aggravates all the complaints. Great drowsiness during the day and after eating.

Fever

Pulse full, hard, accelerated, especially during the heat. Pulse small and rapid ; every fourth or fifth beat intermits. Chilliness and coldness, which cannot be relieved by external heat. Chilliness with shuddering, in the evening and during the night in bed till morning ; aggravated from every movement and from drinking. Chilliness with hot face. Chilliness and heat alternating. Chilliness and shuddering during exercise in the open cold air. After the chill he sleeps till the hot stage sets in. General internal, burning heat. Heat during the night, without thirst. Heat, with aversion to be uncovered, and from it at once chilliness. Heat, which is aggravated from the least exertion or motion, even in the open air. Heat precedes the chill. Heat of single parts while others are chilly. Heat is ascending from the throat. Perspiration after midnight and during the morning. Perspiration smells sour or offensive. Perspiration only on one (right) side of the body, or only on the upper part of the body. Cold, clammy perspiration in the face. Perspiration which relieves the pain in the limbs. Intermittent fever. Chill in the evening ; then one hour's sleep, which is followed by heat, with headache, tingling in the ears and nausea. Violent chill with shaking, increased by drinking ; afterwards heat, which is followed by perspiration. Chilliness after the perspiration, and then perspiration again. Anticipating morning fever ; first moderate chilliness, with blue nails without thirst, -then thirst and long-lasting violent fever and heat, with stitches in the temples, followed by light perspiration. Chill without thirst, followed by violent heat with thirst, headache, vertigo, redness of the face, vomiting, red urine, pain in the chest, followed by partial perspiration. Intermittent fevers, with the prevalence of gastric and bilious symptoms or with constipation. Congestive intermittent fevers, with vertigo, anguish, chills, delirium, accompanied by vivid visions and distention of the stomach ; with stitches in the sides and abdomen. Intermittent fever, characterized by a sense of paralysis and want of strength in the limbs in the beginning of the fever.

Conditions

Every mental exertion causes or aggravates the symptoms. Bad effects from coffee, tobacco, and spirituous liquors ; from over-exertion of the mind, sedentary habits and loss of sleep ; over-heating. Aggravation from motion and slight touch, but strong pressure relieves. Most symptoms are most severe on waking in the morning and after eating. The ailments which appear in the open air and from motion are relieved in the room and when at rest ; but the reverse also takes place occasionally. Is an antidote to almost all narcotic, drastic and vegetable remedies, especially against citrate of magnesia, and often suitable to begin the treatment of cases after drugging.

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

Strychnos nux vomica. Poison nut. N. O. Loganiaceæ. Tincture and Trituration of imported seeds.

Clinical

Acne rosacea. Alcoholism. Amaurosis. Amblyopia. Anger, effects of. Apoplexy. Asthma. Bilious attack. Biliousness. Bladder, affections of. Bone, nodes on. Bra in, affections of. Breath, sour . Carriage-sickness. Catarrh. Clavus. Cold. Colic. Constipation. Convulsions. Cough. Cramp. Delirium. Diarrhœa. Dysentery. Dyspepsia. Emissions . Epilepsy. Erotomania. Eyes, affections of; gouty inflammation of . Gall-stones. Gastrodynia. Gout. Hæmorrhoids. Headache. Heart, affections of. Hernia . Hydrocele. Hypochondriasis. Impotence. Intermittent fever . Lisping. Liver disorders. Locomotor ataxy. Lumbago . Masturbation. Muscæ volitantes. Myelitis . Night-blindness. Nightmare. Nose, affections of . Nymphomania. Paralysis; spastic . Paraphimosis. Pregnancy, affections of ; spurious. Pylorus, disease of . Renal calculi. Sea-sickness. Sexual perversion. Sleep, abnormal. Speech, disordered. Spermatorrhœa . Strabismus. Taste, disordered. Tea, effects of. Tenesmus. Tobacco habit. Tongue, affections of. Trachea, affections of. Urethra, spasm of. Urine, frequent passing of . Uterus, prolapse of. Vagina, prolapse of. Vertigo. Waterbrash . Worms. Yawning .

Characteristics

Strychnos nux vomica is a moderate-sized tree native of the Coromandel Coast and Cochin China. The fruit is very like an orange in appearance and contains numerous seeds of flattened circular outline, about the size of a halfpenny, ash-grey in colour, covered with fine silky hairs. The seeds are intensely bitter, owing to the presence of Strychnia and Brucia which exist in the seeds together with certain peculiar acids; but the pulp is innocuous and is said to be eaten by birds. If nitric acid be added to the seeds a deep orange-yellow colour is produced. The wood of the tree is very bitter. It is used in India in cases of intermittent fever and snake-bites. A decoction of the leaves is used externally in rheumatism (abridged from Treas . of Bot .). Under Brucea antidysenterica I have told how the bark of the tree was imported into Europe in mistake for Angustura . The tree from which the Ignatia " beans" are obtained is unknown, but it is not doubted to be a Strychnos ; the seeds actually contain a larger proportion of Strychnia than those of Nux vomica . The difference in the character of the two remedies proves the wisdom of Hahnemann's method of studying medicines. If there was nothing more than the chemistry of the drugs to go by Ignatia and Nux vomica might be used indifferently; with the knowledge Hahnemann has given us of their characteristic features they are seldom even thought of in connection with the same case. ─ In the cases of poisoning with Nux , the most marked feature is the spasms and convulsions which cause death by arresting respiratory movements. "Convulsions with consciousness." "Spasms with tetanic rigidity of nearly all the muscles of the body, with interruption of a few minutes, during which the muscles were relaxed; the pulse became soft and the patient recovered consciousness and speech; the spasm was renewed by the slightest touch , though at times it would immediately cease when the patient was tightly grasped , or the elbow was straightened up." "During the spasms evident relief was afforded by forcible extension of the body." In the case of two persons, a man and wife, who both took the poison, the reporter says: "As the convulsions came on the heads were drawn back, there was spasmodic clenching of teeth, heels fixed to the ground, eyes as if protruding from their sockets, and both, curiously enough, kept exclaiming, 'Hold me! Hold me!' although there was a person on either side of each." One of the patients afterwards said that if a fire had been lit under him he could not have moved, although at the same time he kept crying, "Hold me!" "Convulsions came on beginning with slight twitchings in muscles of lower extremities." "Convulsions with red face and closed eyes." The general effect of the spasms was to cause opisthotonos and throwing back of the head, though in some the body was spasmodically drawn sideways. The tetanus of Nux differs from traumatic or idiopathic tetanus in that the spasms of the former are less continuous, do not invariably begin with the muscles of the jaws, but preferably in the lower extremities, and are not accompanied by rise of temperature. " Spasm " is the first keynote of Nux and the second is " exaggerated sensitiveness ." Both are brought to the front in the poisoning cases, and the provings bring out their developments in almost all regions of the body. The spasms affect all the voluntary muscles of the body and the involuntary muscles as well ─ œsophagus, stomach, intestines, uterus, bladder, rectum, and the spasms and irritability go through the pathogenesis. There is irritability of bladder and rectum at the same time; constant urging and desire and very little passed; prolapse of rectum with constipation; or there may be incontinence of both urine and fæces. Uterine bearing down and prolapse; cramps at menstrual periods and pressure on bladder and rectum. The irritability and excessive sensitiveness of Nux depicted in the tetanic seizures and drawn facial expression applies to mind as well as body. Nux is especially suited to: ( 1 ) Very particular, zealous persons, inclined to get angry and excited, or of a spiteful, malicious disposition. ( 2 ) Ardent persons; or, disposed to anger, spite, or deception; always irritable or impatient. ( 3 ) Nervous, melancholic people, troubled with indigestion; venous constitution with tendency to hæmorrhoids. ( 4 ) Thin, irritable, choleric persons with dark hair, who make great mental exertion or lead a sedentary life. ( 5 ) Vigorous persons of dry habit, tense fibre, ardent and irascible temperament and tenacious disposition. ( 6 ) Bilious temperament. ( 7 ) Persons addicted to wine, coffee, or pepper and condiments, who live a sedentary life with much mental exertion. ( 8 ) Debauchees, thin, irritable, venous. ( 9 ) Drugged subjects. Throughout all these classes moral, mental, nervous, and muscular tension or spasms may be traced (but ennui , loss of energy may also be indications for Nux : they are alternating states). There are few drugs which produce a greater degree of irritability than Nux , running, as it does, to the verge of homicidal and suicidal impulse. Intestinal spasm is exemplified in the spasms which follow eating unripe fruit and other digestive irregularities; and sometimes they take the form of incipient hernia. Hernia, inguinal and umbilical, has been cured with Nux , and I have seen a case of strangulated hernia resolved by Nux whilst preparations for operation were in progress. ─ Although there are many pains in connection with the rectum, constipation or spasm is the leading feature: "Constrictive sensation at times as if he would be obliged to go to stool." "After a stool it seemed as if some remained behind and could not be evacuated, with a sensation of constriction in rectum, not in anus." "Discharge of bright blood with the fæces, with sensation of constriction and contraction in rectum during stool." "Stool daily though always with a colicky sensation in abdomen, and with the stool, it always seems as if it was not enough." "Frequent, ineffectual desire for stool; after the usual evacuation." Nux is very far from being a panacea for constipation and hæmorrhoids, but its indications are perfectly clear and when they are present it will not disappoint the prescriber. The diarrhœa of Nux is sudden and drives patient out of bed; or is involuntary; or comes on after a meal. Alternate constipation and diarrhœa. In the dysentery of Nux the straining ceases as soon as the motion passes. This distinguishes Nux from some other remedies. There is tendency to faint after diarrhrœic stools; and also after vomiting. This tendency to fainting is another example of the Nux sensitiveness. It occurs from odours; in a warm room; after eating; after every labour pain. Nux has proved curative in epilepsy when the fit occurred during stool. Nux is hæmorrhagic. There is metrorrhagia (in high livers), and also menorrhagia. Menses too early and profuse, flow dark; faints easily; irregular, cease flowing at night-time. The pains are cramping and cause nausea and fainting; twisting, moving about in abdomen; soreness across pubes; cramps in bladder. During pregnancy: hiccough; morning sickness; varicose veins; hæmorrhoids; false pains. Labour pains are violent and = fainting. Lochia scanty, offensive; nipples sore, white spot in centre; tensive pains when nursing. Desire is excited in both sexes, and here again the sensitiveness of Nux is observed ─ the slightest provocation suffices to excite the sexual passion. Spasm is the chief note of Nux in the respiratory sphere, where it produces a variety of asthmatic states, a dry, persistent fatiguing cough which = headache as if the skull would split. The general conditions of Nux are the best guides in such cases. But it must not be supposed that Nux cannot cure cases which are not purely spasmodic. I have cured with Nux many cases of bronchitis with copious moist râles and expectoration. In addition to spasms, Nux causes languor; great nervous debility (as from sexual or other excesses); trembling; excitement with trembling; paralysis. Paralysis after apoplexy, parts cold, numb, emaciated. Hemiplegia. Locomotor ataxy has been relieved by it. Nux is a drowsy medicine and it also produces sleeplessness. Wakes 3 a.m. and lies awake for hours, falls asleep when it is time to rise and feels heavy and unrefreshed. It is curative in cases where sleep is unattainable except from a stimulant. The symptoms of Nux are > after undisturbed sleep; < when sleep is disturbed. The third keynote of Nux is Chilliness . Nux is one of Grauvogl's chief hydrogenoids, and, like so many other "bitters," it is a great remedy in intermittents ─ intermittent fevers, periodic neuralgias. Chilliness: Cannot get warm in bed at night. Coldness of whole body with blue hands; with blue skin. Cold, moist hands with cold tip of nose. Repugnance to cold or cold air; chilly on least movement; from being uncovered; must be covered in every stage of fever, chill, heat, or sweat. In the fever there is great heat, whole body burning hot, face red and hot, yet patient cannot move or uncover without being chilly (H. C. Allen). But Nux may have "Intolerance of covering during sweat with heat." Nux has hunger with aversion to food; loss of appetite; and sudden satiety. A patient to whom I gave Nux 30 said that immediately after each dose she felt as if she had had nothing to eat for a week. Another patient from the same medicine developed: "Hot feeling up in throat. Biliousness. General heat and scarlet redness of face. Headache." The red face of Nux is a characteristic feature. Nash gives a characteristic of the menses of Nux : "Catamenia a few days before the time, and rather too copious, or keeping on several days longer, with complaints at the onset which remain until it is over." Nash remarks that Calc . has the same, but the temperaments differ, and he adds this useful note: He found that patients that required Nux for this condition could hardly ever take Puls . for anything. For instance, if they had a green, bland, thick discharge, and Puls . were given, it would often bring on too early and profuse menstruation. Sep ., on the other hand, would cure the catarrh and not interfere with the menses. Nash deservedly italicises Bœninghausen's keynote: "Feels < in morning, soon after waking; also after mental exertion; after eating and in cold air." Sour breath I have noticed to be a very leading indication for Nux . Hering gives the gastric disorder of Nux thus: "After eating; sour taste, pressure in stomach an hour or two afterwards, with hypochondriacal mood, tightness about waist; must loosen clothing, confused, cannot use mind two or three hours after a meal, epigastrium bloated, with pressure as from a stone in stomach." The pressure two or three hours after eating distinguishes Nux from Nux m . and K. bi ., which have it immediately after. ─ Nux has many eye-symptoms. Sircar cured cases of night-blindness with Nux 6. He connected the disorder with the liver ( Calcutta J. of Med ., xiv. 454). F. A. Griffith ( H. P ., ix. 211) gives an interesting example of the use of Nux in cases which have been much drugged. Living in a part where there are no other homœopaths he had mostly heavily-drugged patients to deal with. His plan was to give Nux 30 four times daily for four days and then see the patient again and take a new picture. A man, 45, had had sciatica for six months and had taken a great deal of strong medicine internally. After four days of Nux 30 Griffith was surprised to find his patient almost well; the trouble having "got well from above downward"; at last localising in the heel. One dose of Sep . c.m. completed the cure. ─ O. W. Smith ( H. P ., ix. 210) reports this symptom as having been caused by Nux : "Sensation under middle of sternum like a lump of hot lead as large as two fists." Among the peculiar sensations are: As if something heavy fell into head. As if his head were immensely larger than his body. As if pressing a nail into brain; into vertex. As if brain beaten or cleft with an axe. As if skull pressed asunder. As if hot water in eye. As if eyes would be pressed out. As if he had received a bruise over eye. As if a hot plate of iron were nearly in contact with face. Face feels as if he were sitting before a hot fire. As if a ball or plug in throat. As if skin scratched off throat with a sharp instrument. As if throat too narrow. As if a stone in abdomen. As if abdomen raw and sore. As if bowels, bladder, and rectum were pressed with a sharp instrument. As if hernia would occur. As if everything in region of umbilicus were being shattered and torn. Navel as if drawn in. Chest as if drawn together. As if room had been exhausted of air. As if something torn loose in chest. As if blood would be jerked out of veins. As of a band above knees; round body. Stiffness. Numbness. Burning. Stitches. Symptoms are < in morning; in open air; by motion; by mental exertion. Each of these is a characteristic; a combination of two or three of them may be considered a keynote. < In morning is the greatly predominating feature of Nux . [The best time to give Nux is in the evening at bedtime, that is, well away from the time of its chief aggravations.] Cough and some other symptoms are < in night; < after midnight; < 3 or 4 a.m. During day, drowsiness. Menses return at full moon. Although Nux is sensitive to chill, draught, and air, most symptoms being < by cold, cold water, and by getting wet; still the symptoms generally are < in dry weather, > in wet weather. But wet weather < facial neuralgia; and wet, warm weather = gastric and bilious fever. Warm room and warm covering > headache. But warm room = fainting. Summer heat is insupportable; sunshine < headache. Open air > flatulence and asthma and < all other symptoms. < In wind. Rest > . > Lying down; on side. Motion < . Exertion, physical or mental, < . < From shaking head. Eating < . Milk sours on stomach. When eating: heat in head. < From coffee; cold food; cold water; wine. Alcoholic drinks both < and > . Touch < . Pressure > ; but cannot bear tight clothing. Rubbing > . Riding in carriage = sickness. Coughing < ; shocks are felt in pit of stomach with every cough. < From pollutions. < From stomach derangement. < After stool; before urinating; when yawning; < during and after menses (old symptoms are renewed and new ones occur). < On waking at night. When it "all medicines disagree" Nux will often cure the morbid sensitiveness and other troubles with it. < From music. There is very great > for a short time after a stool.

Relations

Antidoted by: Wine, Coffee, Aco., Bell., Camph., Cham., Coccul., Op., Pal., Plat., Stram., Thuj. (ineffectual desire to pass water). ─ It antidotes: Narcotic, drastic, and vegetable remedies. Bad effects of anomalies in foods, e.g ., Ginger, Nutmeg, Pepper, and so-called "hot" medicines; Mag. cit., Alcohol, Merc. (tremors), Mez. (neuralgia), Ether, Thuj. (urination). Compatible after: Ars., Ipec., Mg. mur., Pho., Sep., Sul. Compatible before: Bry., Pul., Sul. Complementary: Sul. (Calc.). Incompatible: Zinc. [Nux and Puls. have many symptoms in common, but are opposite in temperament and conditions. For all that they may be required by the same patient when temperaments and conditions are mixed. In clearly Nux cases Sep. follows better than Puls.] Compare: In tetanus, Picrotox, Veratrin., Thebain. Cic., Hcy. ac., Bell., Aco., Physo., Phyto., Cura., Camph. Cerebro-spinal affections, Pic. ac. Fainting in nervous women, Ign., Nx. m., Mosch. Gastric troubles, Bism., Ars., Kre., Lyc., Pul., Carb. v. (Carb. v. often follows Nux well in ill effects of debauchery). Asthma, Zingib., Carb. v., Lyc., Nat. s. Paralysis of sphincters, Sep., Bell., Sul. (Nux at any time; Sep. in first sleep; Sul. and Bell. in deep sleep). Bad temper before and during menses, Cham. (Cham. does not know it, Nux does), Mag. m. (Lyc., before menses). Wakes 3 a.m. and cannot get to sleep, K. ca., Ars., Calc., Sep. Night-watching effects, sensitiveness, effects of noise, travelling by land or sea, umbilical hernia, Coccul. Fear of losing senses, Calc., Lyc., Sul. Desire to kill those there is most reason to love, Hep., Ars. Fainting or faints after every evacuation, Dig., Nx. m. Piles, Æsc. Leucorrhœa staining yellow, Agn. c., Carb. an., Chel., Kre. (Nit. ac.), Sep., Pru. sp., Thuj. Bloody sweat, Nx. m., Lyc., Calc. Impotence from abuse, Calc., Sul. Stricture of rectum, Nat. m., Op. > In wet weather, Alm. Renal colic, Ocim., Tabac. Bad effects of masturbation, Chi., Nat. m., Calc., Sul., Con., Lyc., Cobalt. Sensitiveness, Amb., Asar., Castor., Nux m. Scraped feeling in throat, Apis. "Stopped-up" nose., Cham. (Cham. feels stopped, but discharges hot water; Nux no secretion whatever). Pain with stool, > after Coloc. (Merc. pain and tenesmus continue after stool).

Causation

Anger. Coffee. Alcohol. Debauchery. Masturbation. Sexual excess. Injury.

Mind

Hypochondriacal, peevish, morose (stubborn), thoughtful and sorrowful humour, sometimes with inclination to weep, without being able to do so. ─ Hypochondriac humour of persons of sedentary habits, and of those who dissipate at night, with abdominal sufferings. ─ Inclined to find fault and scold; morose; stubborn; an insane desire when alone with her husband, whom she adores, to kill him. ─ Melancholy, with great uneasiness respecting the health, eagerness to speak of the disease, despair of a cure, and fear of approaching death. ─ Desire for solitude, repose, and tranquillity, with repugnance to conversation. ─ Anguish, anxiety, and excessive uneasiness, often with agitation which allows no rest whatever, as from consciousness of having committed a crime, and which urges even to suicide; but is afraid to die. ─ The fits of anguish take place mostly on lying down in evening, or after midnight, towards morning, and are sometimes accompanied by palpitation of heart, heat and sweat, nausea, and vomiting, dilation of pupils, and oppression of heart. ─ After anger, chilliness alternating with heat, vomiting of bile and thirst. ─ Moral exaltation and excitability, with extreme susceptibility of all organs, great sensitiveness to least pain, to least smell, noise or movement, extraordinary readiness to take fright, and sensibility so great that music even causes tears to flow. ─ Light and music unbearable. ─ Anxiety and restlessness in the evening. ─ Does not wish to be touched; wants to be alone. ─ Dizziness of the mind, i.e ., an unsteady, wavering condition. ─ Incontrollable irritability, and lamentations, complaints and cries (during the sufferings), sometimes with heat, and redness of cheeks. ─ Timidity, mistrust, and suspicion, with wavering and indecision. ─ Frightfully apprehensive about getting married, girl lies on a sofa and throws her arms and legs about and refuses to see a doctor (cured with high potency, Skinner). ─ Inclination to weep, with great susceptibility and irritability, disposition to be angry (habitual), to yield readily to passion, to criticise, and to utter reproaches. ─ Spiteful, malicious. ─ Delirium tremens, with over-sensitiveness, nervous excitability, and malicious vehemence. ─ Every harmless word offends; every little noise frightens; cannot bear the least, even suitable medicine. ─ Humour peevish and malevolent; quarrels, insults, and invectives, with immodest expressions and excessive jealousy, mingled with tears and cries. ─ Fiery, excited temperament. ─ Ill-humour, vexation, and anger, breaking out in acts of violence. ─ Awkwardness and drowsiness. ─ The time passes too slowly. ─ Ennui (great laziness), with dislike to and unfitness for bodily and mental labour. ─ Incapacity for meditation; tendency to misapply words when speaking; difficulty in finding suitable expressions; mistaking weights and measures; frequent confusion when writing, with omission of syllables, or entire words. ─ Extravagant and frantic actions, frightful visions, loss of consciousness and delirium, sometimes with murmuring.

Head

Head bewildered, and confused, with cloudiness, as after a debauch, principally in open air, and in sun. ─ Intoxication, stupor, and dizziness. ─ Intoxication from the drunkenness of the previous day, with vanishing of sight and hearing; < after dinner and in sun. ─ Vertigo with sensation of revolving and of wavering of the brain, principally during or after a meal, as well as when walking and exercising in open air ( > when wrapping head up in warm room and when at rest), on sneezing, on coughing, on stooping or on rising up again, in morning or in evening in bed, when lying on back, and often with cloudiness of eyes, danger of falling, staggering, fainting, buzzing in ears, and loss of consciousness. ─ Heaviness and pressure in head after dinner, esp. on moving eyes. ─ Congestion of blood to head (with burning in it and with heat and redness of the bloated face; < in morning, on moving head and when walking in open air), with humming in ears. ─ Loss of consciousness, with coma somnolentum, and paralysis of lower jaw, of organs of deglutition, and extremities. ─ Pressing headache in forehead, with sour vomiting; < in morning in bed, > when leaning head against something or when lying on back. ─ Pressing in head as if something heavy were sinking down in forehead or head. ─ Tension in forehead as if it were pressed in at night and in morning, < on exposing head to cold air. ─ Periodical headache in forehead, sore as from ulceration, with constipation. ─ Stunning headache in the morning, after eating, and in sunshine. ─ Pressing headache as if skull pressed asunder. ─ Heaviness, pressure, and sensation of expansion in head, as if forehead were bursting, principally above eyes. ─ Burning in forehead in morning on waking and after eating; < from mental exertion and when exercising in open air; > when at rest and in the warm room. ─ Bruised sensation of brain; generally one- (r.) sided, > when lying on painless side. ─ Sensation as from a bruise in the back part of the head. ─ Tearing, drawing or jerking pains in head, or shootings, or blows or pulsative pains, or digging, and sensation as if a nail were driven into brain, or tension and squeezing, or pain as of ulceration. ─ Violent jerking or dull stitches in l. side of brain, from orbit to parietal bone or occiput. ─ Pain in occiput and cervical spine with pressure as of a stone in stomach, with vomiting of food and sour mucus, followed by languor and weariness (cured with 30th, R. T. C.). ─ Pressing in vertex. ─ Shocks and sounds in brain at every step. ─ Semi-lateral headaches from excessive use of coffee. ─ The headaches are often deeply seated in brain, or in occiput, or on one side only, or in forehead, as far as eyes, and at root of nose; they appear principally in morning after waking, or rising, or after a meal, or in open air, or recurring at same hour every day, and they are < , or renewed, by intellectual labour and meditation, by wine, coffee, rough and hot weather, by walking, stooping, or moving head. ─ Rheumatic headache with nausea and acid vomiting. ─ Headache with unfitness for meditation, or with loss of consciousness and delirium, or with nausea, eructations, and vomiting, or with heat and redness of the cheeks, and shiverings in rest of body, or with fatigue, lassitude, and great need to lie down. ─ Head is turned backwards, during convulsions. ─ Small, painful swelling (nodes) on forehead. ─ Soreness of scalp, and roots of hair, with great sensitiveness to touch. ─ Pain, like excoriation, in scalp, from a rough wind ( > warmly covering head). ─ Liability to take cold on head mostly from dry wind, draught of air. ─ Small painful tumours on forehead. ─ Clammy sweat on forehead, when walking in open air. ─ Semi-lateral, fetid sweat on head during the semi-lateral pains (head cold to touch; the pain with anxiety and dread < from uncovering).

Eyes

Eyes surrounded by a livid circle, and full of tears. ─ Pressive and tensive pains in eyes, < on opening them, and looking into the air. ─ Tearing pains in eyes by night, or burning pain, smarting, sensation of dryness, itching and tickling, as from salt, < in canthi (itching > from rubbing). ─ Smarting, dry sensation in inner canthi, in morning in bed. ─ Bruise-like pain in eye. ─ Eyes inflamed, with redness and swelling of sclerotica, or of conjunctiva. ─ Inflammation of sclerotica, with stitches and aversion to light of sun. ─ Yellow colour of sclerotica, principally in lower part of eyeballs. ─ Ecchymosis of the sclerotica, and sanguineous discharge from eyes. ─ Painless, circumscribed red spots, like extravasation of blood, in white of eye. ─ Canthi red, and full of humour, with nocturnal agglutination. ─ Pupils dilated, or contracted. ─ Burning itching, or sharp drawing pains, or sensation of excoriation in lids and in margins, < in morning on being touched. ─ Twitching of lids. ─ Swelling and redness of the lids. ─ Movement of lids difficult on account of stiffness of muscles. ─ Contraction of lids as from heaviness. ─ Eyes fixed and brilliant. ─ Anxious staring look. ─ Excessive sensitiveness of the eyes to light of day, < in morning. ─ Sparks, or black and greyish spots before eyes. ─ Presbyopia. ─ Amaurotic cloudiness of eyes. ─ Sensation, as if all objects were brighter than they really are. ─ Sparks (or streaks), like lightning before eyes. ─ (Night-blindness.)

Ears

Otalgia with tearing-stinging pains. ─ Tension in the ears when he raises his face. ─ Squeezing in ear, < when chewing, and clenching teeth. ─ Tingling and itching in ears, esp. at night. ─ Itching in the ear and through the Eustachian tube, which compels frequent swallowing. ─ Deafness from blockage of r. Eustachian tube with hard mucus. ─ The pains in the ear are < after entering the room and in bed. ─ Acute and painful blows (tearing) and shootings in ears, which extort cries, < in bed, in morning. ─ Stitches in ear when swallowing. ─ Pain in ear on swallowing, as if it were pressed from outside. ─ (Pain shoots from one ear to the other when swallowing). ─ Ringing, roaring and hissing in ears. ─ Humming in ears. ─ Sighing, whistling, buzzing, and tinkling in ears, or cracking when masticating. ─ Words sound loudly in the ears of the speaker. ─ Swelling of parotids.

Nose

Insupportable itching in nose. ─ Sensitiveness and inflammatory redness of the internal nose. ─ Pain, as of excoriation, or ulceration, in nostrils also margins. ─ Obstruction of nose, sometimes on one side only, and often with itching in nostrils, and discharge of mucus. ─ Troublesome, dry catarrh of nose, which usually comes on very early in morning. ─ (Dry sneezings, chronic coryza; much mucus after getting up as if cold air caught her nose, and which lasted an hour, R. T. C.). ─ Obstruction in head, < in morning, or at night, and dry coryza with heat and heaviness in forehead, and stoppage of nostrils (in infants). ─ Fluent coryza by day, or in morning, with dryness and nocturnal stoppage of nose. ─ Tip of nose cold. ─ Scraping (crawling) in nose and throat, heat in nostrils (with headache, heat in face, chilliness) and frequent sneezing during coryza (which is fluent during day, < in warm room, > in the cold air; dry coryza during evening and night). ─ Acrid discharge from the obstructed nose. ─ Sanguineous mucus in nose. ─ Bleeding in nose, and discharge of clots of (dark) blood from nostrils. ─ Fetid exhalation from nose. ─ Great acuteness of smell. ─ Odour before nose, like burning sulphur, decayed cheese, or snuff of a candle.

Face

Sickly aspect, with livid circles round eyes, and sharpened nose. ─ Face pale, yellowish (esp. round nose and mouth) and earthy. ─ Yellowness around mouth and nose, or around eyes. ─ Reddish-yellow face. ─ Heat (swelling) and redness of face or (of one) of the cheeks, sometimes alternating with paleness. ─ Patient feels as though sitting before a hot fire. ─ Cold sweat on face. ─ Muscular palpitations in bed, in evening, or tingling itching in face. ─ Drawing in masseter muscles, with stiffness. ─ Tearing and drawing pains in face, sometimes only on one side, extending into ear, with swelling of cheek (and pain in cheek-bone). ─ Tension round mouth, nose, and eyes, with swelling of the parts. ─ Swelling of face, sometimes only on one side, swelling of a pale colour. ─ Pimples in face from the excessive use of spirituous liquors. ─ Intermittent neuralgia; < in infra-orbital branch of trifacial; always < in morning; > sometimes when lying in bed, esp. after abuse of coffee or liquors. ─ Small, purulent pimples on cheeks and head. ─ Painful dryness, fissure and desquamation of lips. ─ Scabs and (corroding) ulceration on the red part of lips, and corners of the mouth. ─ Small, purulent pimples round lips and chin. ─ Sensation of excoriation, and small ulcers, on internal surface of lips (painful to touch). ─ Tettery eruption on chin. ─ Distortion of mouth. ─ Side-to-side movement of jaws. ─ Spasmodic clenching of jaws. ─ Periodical prosopalgia nervosa, < at night. ─ Shooting (swelling) in sub-maxillary glands, when swallowing.

Teeth

Pains, as of excoriation, or ulceration, or drawing, jerking pains, with shootings, or searching and boring in teeth, and jaws, or only in carious teeth, < at night, or in morning on Waking, or after dinner, or when walking in open air, or when breathing fresh air, or in evening, or from meditation and any intellectual effort; often extending into head, ears, and zygomatic process, or with painful engorgement of sub-maxillary glands, swelling and soreness of gums, red and hot spots on cheek and neck, plaintive disposition, and dejection. ─ Tearing in the teeth extending to head through bones of face, renewed from cold drink, > by warmth. ─ Stinging in decayed teeth; burning-stinging in one whole row of teeth. ─ Toothache often semilateral; sometimes < by heat of room, and > in open air. ─ Toothache from taking cold; caused or < by mental exertion; > heat. ─ Drinks and hot soups, as well as cold water, wine, and coffee, equally renew or < the toothache. ─ Loosening and loss of teeth. ─ Grinding teeth. ─ Stomacace. ─ Putrid and painful (white) swelling of gums, sometimes with pulsation, as in an abscess, burning, pulling, and ready bleeding. ─ Ulcer in gums.

Mouth

Aphthæ (of children). ─ Small aphthous ulcers in mouth and throat, with putrid smell; bloody saliva runs out at night; gums scorbutic; spits coagulated blood. ─ Fetid, putrid, and cadaverous smell from mouth: principally after a meal, and when fasting in morning. ─ Great dryness, principally of fore part of mouth and tongue, esp. after midnight. ─ Pain in mouth, tongue, and palate as if the whole were raw and excoriated. ─ Accumulation of yellowish white mucus in mouth. ─ Ulcers of a fetid smell, pimples and painful blisters in mouth, tongue, palate, and throat. ─ Inflammatory swelling of palate, throat, and gums, with difficult deglutition. ─ Inflammatory swelling and stitches in palate. ─ Accumulation of water in mouth; nocturnal salivation; bloody saliva; hæmoptysis. ─ Tongue covered with a (heavy) white, thick, or yellowish coating; or tongue dry, cracked (on edges), brownish or blackish, with bright red margins. ─ Great heaviness of tongue, with difficulty of speech, and sensation when speaking, as if tongue had become thicker. ─ Stuttering. ─ Lisping. ─ Sour taste in mouth, sour odour of breath.

Throat

Scraping (as after heartburn) and pain as from excoriation, in throat, < when swallowing, and when breathing fresh (cold) air. ─ Sensation of swelling in palate, and pain during empty deglutition, as if there were a tumour, or a plug in throat, or as if pharynx were contracted. ─ Lancinations in throat, < when swallowing, and sometimes extending as far as ears. ─ Swelling of uvula, and tonsils, with pressive and shooting pains. ─ Relaxed uvula with its attendant cough (many cases cured, R. T. C.). ─ Choking, or spasmodic contraction in throat. ─ Pain from pharynx to pit of stomach in morning. ─ Tickling sensation in throat, with a desire to scratch. ─ Burning in throat, < at night, and sometimes extending to mouth and œsophagus.

Appetite

Salt, sulphurous, sweetish, metallic, herbaceous, or mucous taste in mouth. ─ Acid taste in mouth, < in morning, or after eating (and drinking). ─ Acid taste of food, esp. of bread (of rye or of wheat) and of milk. ─ Putrid taste, < in the morning. ─ Bitter taste in mouth, of sputa, of food, and esp. of bread. ─ Insipidity of food (hunger with aversion to food), esp. of milk, bread, meat, coffee, and tobacco. ─ Want of appetite, and dislike to food, esp. rye-bread, tobacco, and coffee, and sometimes with constant thirst. ─ No hunger. ─ Thirst, sometimes with dislike to all drinks, principally water, milk, and beer, or with desire for beer or milk. ─ Ravenous hunger after drinking beer. ─ Craving for brandy or for chalk. ─ Hunger, sometimes with dislike to food, or prompt satiety. ─ Tastelessness for all food. ─ Periodical bulimy in afternoon. ─ During a meal, heat in head, sweat on forehead, nausea, and fainting. ─ After a meal, risings and regurgitations, nausea, inclination to vomit, and vomiting of food, pressure and cramp-like pains in stomach, pressive inflation in epigastrium, colic, pyrosis, head bewildered and painful, uneasiness and hypochondriacal humour, anxiety, vertigo, and syncope, coldness and shivering, with heat in head and face, redness of cheeks, fatigue, and drowsiness. ─ Drinks oppress the stomach, and often cause nausea, with inclination to vomit. ─ Rye-bread and acids equally occasion sufferings, but fattest food is sometimes taken with impunity. ─ Animal food < .

Stomach

Abortive risings, with painful feeling of spasmodic contraction in œsophagus. ─ Frequent, and often bitter and acid risings and regurgitations. ─ Frequent and violent hiccough. ─ They want to belch, but a kind of œsophageal constriction seems to prevent it. ─ Belching of wind, which is difficult. ─ Pyrosis, < after taking acids, or fat food. ─ Continual nausea, and inclination to vomit, < in morning, or during a meal, or after eating or drinking. ─ Constant sick feelings affecting body here and there. ─ Heartburn. ─ Scraped sensation in pit of stomach. ─ Nausea, particularly where patient feels very sick at the stomach, feels "If I only could vomit, I would be so much better.". ─ Waterbrash. ─ Empty vomiturition; straining to vomit (in drunkards). ─ Periodical attacks of vomiting; of food, of sour-smelling mucus, of dark, clotted blood; and during pregnancy. ─ Retching, and violent vomiting of mucus and sour matter, or of food, or insipid matter, or bile, < after having drunk or eaten, or in morning, or else at night, and often with headache, cramps in legs and feet, anxiety, and trembling of limbs. ─ Regurgitation and vomiting of blood, mixed with clots and black substances, with cuttings, ebullition in the chest, and flow of black blood, with hard fæces. ─ After dinner (some hours after), pressure in stomach, dulness of head and hypochondriacal mood. ─ Colic and pressure in stomach extending to shoulders in morning, fasting, and after eating. ─ Pressure and tension in pit of stomach, with tension opposite, between shoulder-blades. ─ Constrictive colic generally, with waterbrash. ─ Colic of coffee and brandy drinkers. ─ Pressure on stomach and epigastrium, as by a stone, or cramp-like, contractive, and gnawing pains; < after drinking or eating, or in morning, or when walking in open air, or after partaking of coffee, or at night, and often with tension and inflation of the epigastrium, oppression and constriction of chest, eructations, retching, and vomiting. ─ Sinking in pit of chest with craving appetite follows an overdose. ─ Disordered stomach from over-eating; from debauchery; from high living; from drugs; from sedentary habits. ─ Pain, as from a bruise, pulsation, burning pain, sensation of excoriation and distressing pains in stomach. ─ Painful sensitiveness in pit of stomach to least pressure; tight clothes are insupportable. ─ Great uneasiness in præcordial region, as if heart would burst. ─ Sensation in cardia as if the food were stopped there and returned into œsophagus.

Abdomen

Sensation as if everything in abdomen would fall down, obliging him to walk carefully. ─ Affections in the inner belly generally; also upper belly, inner part; sense of stricture or tightness around hypochondriac region. ─ Contractive pain in the hypochondria. ─ Cannot bear his clothes tight around hypochondria. ─ Stitches in region of liver; < from contact or motion. ─ Throbbing pain as from hepatic abscesses. ─ Jaundice; gall-stones. ─ Painful sensitiveness of hepatic region to the slightest touch, and to every movement, with pulsative, shooting, pressive, and tensive pains. ─ Pressure and stinging in region of liver. ─ Swelling (inflammation) and induration of the hepatic region. ─ Aching, tension, fulness, and distension of abdomen, and esp. of epigastrium, < after a meal. ─ Periodical (colic) pains in abdomen, esp. after eating and drinking. ─ Colic, with cramp-like, contractive, and compressive pains, or cuttings and shootings, or sharp and drawing pains in the umbilical region, in sides, and in hypogastrium, < after a meal, or after having partaken of coffee, in morning, and often with inclination to vomit, eructations, heat of face, lassitude, and drowsiness. ─ Pain in abdomen in open air, as from a chill, with sensation as of an approaching attack of diarrhœa. ─ Sensation of heaviness, and swelling in abdomen. ─ Heat and burning, or sensation of excoriation, as if parts were raw, or pain, as from a bruise in abdomen. ─ Congestion of blood and ebullition in abdomen. ─ Movements in abdomen as from something alive, and commotion of intestines when walking. ─ Labour-like spasms in abdomen and uterus, extending into legs. ─ Flatulent colic, sometimes in morning, but principally after eating or drinking, and often with pressive pains, as if caused by stones: great flatulency, which is incarcerated in hypochondria, or mounts towards chest, frequent borborygmi, and grumbling in abdomen, pressure on anus, perinæum, and urinary organs (towards the genitals), sacral pains, distension of abdomen, anxiety, fatigue, and necessity to lie down. ─ Pain, as from a bruise in integuments of abdomen, < when moving, pressing on them, coughing, laughing, &c., with painful sensitiveness to touch. ─ Jerking and twitching in abdominal muscles. ─ Palpitation of abdominal muscles, with sensation as if something were running about in them. ─ Sensation of weakness in inguinal ring, as if a hernia were about to protrude. ─ Hernia; incarcerated hernia. ─ Swelling of inguinal glands. ─ Excoriation in angle of groin.

Stool and Anus

Frequent but ineffectual and anxious effort to evacuate (in infants) or sensation as if anus were contracted or closed. ─ A constipated feeling, whatever the state of the bowels. ─ Constant urging sensation in rectum for a stool which never comes, or a small portion of fæcal matter may be passed with this urging, leaving the sensation as though a little lump were left behind the rectum which was yet to come away. ─ Obstinate constipation, often as from inactivity or obstruction of intestines, with hard and difficult fæces (often streaked with blood) of too large a size. ─ Stools like pitch, with blood. ─ Incomplete evacuations, with colic, and sensation of constriction in rectum. ─ Constipation and loose evacuations, alternately. ─ Fæces, partly soft or liquid, partly hard, with much flatus. ─ Small, loose, aqueous evacuations, or mucous and sanguineous, with colic and cuttings, pains in loins and tenesmus, pain as from excoriation in rectum, and burning pain in anus. ─ Whitish or greenish, deep-coloured mucous evacuations. ─ Dysenteric stools, with cutting at navel, pressing and straining on rectum, and discharge of bloody mucus with fæces. ─ Discharge of slimy matter and of bloody mucus, or of pure blood, also with loose evacuations. ─ Contractive pain in rectum during evacuations, and at other times. ─ Discharge of bright-red blood with fæces with constriction and spasmodic contraction of rectum. ─ Painful, spasmodically closed anus. ─ Swelling and closing of anus. ─ Painful blind hæmorrhoidal tumours. ─ Blind hæmorrhoids; with sticking beating or pressive pain in rectum and anus; after a stool and after a meal. ─ Hæmorrhoids, with pain as from excoriation, shooting, burning pain, and pressure in anus and rectum, < during meditation and intellectual labour. ─ Bloodless piles in hysterical women (R. T. C.). ─ Discharge of blood from anus. ─ Jerking in anus when not at stool. ─ Itching, tickling, and tingling in anus and rectum, as from ascarides. ─ Discharge of ascarides. ─ Aching and itching in perinæum.

Urinary Organs

Strangury; complaints before making water. ─ Abortive inclination to urinate, with pressure on urinary organs, troublesome pains in neck of bladder, and painful emission of urine, drop by drop. ─ Spasmodic contraction of urethra. ─ Painful emission of thick urine. ─ Frequent emission of watery and pate urine, sometimes with discharge of thick mucus or purulent matter from urethra (during and after micturition). ─ Tenacious mucus passes with urine, without pain. ─ Urine: reddish with sediment of the colour of brick-dust; turbid, with dirty yellow sediment in morning and when thinking. ─ Urine sometimes scanty, sometimes copious, flatus passes with urination (cured, R. T. C.). ─ Pressure to urinate at night, with discharge of a few drops of red, bloody, burning urine. ─ Hæmaturia. ─ Pains in renal region, as if a foreign body were there, with inability to lie on side affected, scanty emission of some drops of a saturated urine, and discharge of blood from urethra. ─ Burning pain in neck of bladder and in anterior part of urethra when making water. ─ Constriction in fore part of urethra extending backward. ─ Itching, and pains as of excoriation, in urethra, before, during, and after emission of urine.

Male Sexual Organs

Tickling and itching in glans, and biting itching in inner surface of prepuce. ─ Excoriation and retraction of prepuce. ─ Prepuce sore on margin. ─ Copious (increased) secretion of smegma behind glans. ─ Itching, shootings, and constrictive pain in testes. ─ Easily excited, strong sexual desire, with painful erections (esp. in the morning; after mid-day nap). ─ Increased sexual desire, with frequent erections and pollutions, < in morning. ─ Hydrocele. ─ Itching of scrotum. ─ Pollutions, with flaccidity of penis, sometimes followed by coldness and weakness in lower extremities. ─ Complaints from involuntary seminal emissions. ─ Masturbation and its consequences. ─ Sexual perversion. ─ Nightly emissions, with lascivious dreams; from high living, &c.; bad effects of sexual excesses. ─ Dry heat of body and dryness of mouth after coition. ─ Inflammatory swelling of testes, with painful sensitiveness to touch, hardness and retraction of testes (with stinging and spasmodic contraction extending to spermatic cords). ─ Cramp-like pain and sensation of contraction in spermatic cord. ─ Flaccidity of penis during coition.

Female Sexual Organs

Swelling of uterus, with great sensitiveness to touch. ─ Prolapsus vaginæ, or prolapsus uteri. ─ Cramp-like and contractive pains in uterus and hypogastrium, extending to thighs, with painful pressure towards the parts (and discharge of mucus). ─ Congestion to and bearing down of uterus. ─ Bearing-down with dysuria, cannot sit down without pain. ─ Inflammation of the uterus and external parts. ─ Burning in pudenda. ─ Burning heat in the parts, with sexual desire. ─ Extasis erotica on slightest excitation, < in bed in morning. ─ Catamenia: premature and too scanty; too early and too profuse, with dark, black blood. ─ Metrorrhagia. ─ Return of catamenia at the period of full moon. ─ Menses excessive, with much vaginal irritation (agg., R. T. C.). ─ During the catamenia, spasmodic colic, nausea and vomiting in morning, great fatigue (attacks of faintness), cephalalgia, with shiverings and rheumatic pains in limbs. ─ During and after menstruation, appearance of new and < of old ailments. ─ False and inefficient labour pains, with frequent pressure to urinate and to pass stool. ─ After-pains too violent and of too long duration. ─ Fainting away after every labour pain; in labour where, with every pain there is a sensation as though the bowels ought to be moved; in threatened abortion, or retained placenta, after abortion or parturition, with a constant feeling of uneasiness in rectum, as though bowels ought to be moved; hæmorrhage from uterus with the same symptom. ─ Discharge of a yellowish and fetid mucus from vagina. ─ Internal swelling of the vagina, with burning pain, < on touch. ─ Pains as from excoriation in mammæ.

Respiratory Organs

Catarrhal hoarseness and painful roughness of larynx and chest, < in morning or in bed, in evening, with scraping in throat, accumulation of tenacious mucus, which it is impossible to detach, headache, heat and redness of face, shiverings and constipation. ─ Sensation of contraction in gullet, with danger of suffocation. ─ Inability to speak in a loud voice. ─ Dry, and sometimes continued, fatiguing, and also spasmodic cough, excited most frequently by a sensation of tickling and itching, or of roughness and scraping, in throat, appearing principally in morning or in bed in evening or at night, esp. after midnight or after dinner, or periodically every second day, < from exertion, from cold air, from eating and drinking, from smoking tobacco, from becoming cold, from acids. ─ Dry cough, with pain, in the head, as if it would burst, or with great soreness in the upper part of the abdomen. ─ The cough is dry in the evening and at night; expectoration during the day. ─ Whooping-cough caused by a tickling in the throat and larynx, with expectoration during the day of yellow, grey, cold mucus, mostly tasting sour or sweet, and last of bright red blood. ─ Renewal or provocation of the cough by movement, meditation, or reading, and lying on back. ─ Suffocative attacks after midnight from spasmodic contraction of the larynx. ─ When coughing, shooting and pains as of excoriation in larynx; headache, as if the cranium were about to burst, and pain as from a bruise in epigastrium, and sometimes also vomiting, danger of suffocation, and bleeding from nose and mouth. ─ Itching in larynx. ─ Acute bronchitis. ─ The dry cough becomes moist, and expectoration is established, when walking in open air. ─ Expectoration of coagulated blood with cough. ─ Tight, dry, hacking cough; with bloody expectoration; blood dark; sour taste of expectoration.

Chest

Difficult respiration, shortness of breath, asthmatic constriction and oppression of chest, < at night or in morning, or in bed in evening, when lying down as well as when going up an ascent, or when walking or after dinner, and often with choking, anxiety, pressure in epigastrium, humming in ears, quick pulse and sweat. ─ (The wind catches her on going out into open air and takes away her breath. ─ Hay asthma. R. T. C.). ─ During the attacks of asthma all tight clothing round the hypochondria is insupportable. ─ Slow and wheezing respiration, sometimes alternately with quick breathing. ─ Breath fetid or of an acid smell. ─ Want to take a full inspiration. ─ Pain as from constriction, and cramp-like contraction in chest. ─ Heavy, pressing pain in chest, as from a heavy load. ─ Tensive pressure in chest, as from a weight, < at night and in open, air, and often with difficult respiration. ─ Dyspnœa; asthma from spasmodic constriction of lower thorax. ─ Shootings in chest and in sides, < by breathing and by movement in thorax. ─ Sensation as if something were torn loose in chest. ─ Heat and burning in chest (with congestion to it), sometimes, at night, with agitation, anxiety, and sleeplessness. ─ Pain, as of a bruise, in chest, often with shortness of breath, and principally in the sternum and sides. ─ Intercostal neuralgia, > when lying on well side. ─ Pulsation in chest and sides.

Heart

Shootings, blows in region of heart. ─ Anxious palpitation of the heart. ─ Palpitation < eating; from coffee; from protracted study; when lying down or in morning, sometimes with nausea, inclination to vomit, and sensation of heaviness in chest.

Neck and Back

Pulling pain as from a bruise, rigidity, and sensation of heaviness in nape of neck. ─ Swelling of muscles of neck, with pain as if they were too short. ─ Cervico-brachial neuralgia, neck stiff, < in the morning or after eating, and from touch. ─ Pains, like those of a bruise, in back and loins, with sensation of weakness in those parts, as after childbirth (also after difficult parturition). ─ Pain as if bruised in the small of the back and back so violent that he cannot move. ─ (Lumbago, esp. with constipation and vesical weakness, stiffness across loins. ─ Cannot turn in bed, R. T. C.). ─ Dreads to stoop for fear of back catching her. ─ Sacral pains at night, which do not permit turning in bed. ─ Wrenching pain (or tension between the shoulder-blades), or pain like that caused by a strain, in back and shoulder-blades. ─ Back spasmodically curved like an arch. ─ Jerks like electric shocks up spinal column, which raised up body; respiration checked. ─ Rheumatic, drawing, and burning pains in back, sometimes in evening. ─ Convulsions in back, with throwing back of head. ─ Burning, pressing, and stitches between the shoulder-blades. ─ Shootings and constrictive, pains between shoulder-blades.

Limbs

Bruised pain in limbs and joints, < in morning in bed; > on rising. ─ Spasmodic pain in joints after yawning and stretching, with chilliness and internal beating. ─ Trembling of limbs and jerking of heart. ─ Great weariness and relaxation in all limbs after taking open air. ─ Chilliness of back and limbs in morning, with pain of skin as from freezing cold, and falling asleep of limbs. ─ Sensation of sudden loss of power in extremities in morning. ─ Falling asleep of arms, hands, and soles of feet.

Upper Limbs

Rheumatic pains, with sensation of weakness in shoulders and arms. ─ Soreness in shoulder-joint. ─ Drawing in the arms, extending from the shoulder to the fingers, with sensation as if the arm were asleep; loss of motion of the arm, esp. at night. ─ Sluggishness, heaviness, weariness, and feebleness of arms. ─ Paralysis of arm, with insensibility, and sensation as of ebullition of blood (as if the blood would start out of the veins). ─ Pulling in arms, with sensation of torpor and immobility, < at night. ─ Itching miliary eruption on arms. ─ Swelling of muscles of forearms, with pain as if they had been burned. ─ Numbness and torpor of forearms in morning. ─ Wrenching pain in wrists. ─ Paralytic weakness of hand. ─ Tendency of hands and fingers to be benumbed. ─ Cold, sweaty hands, with cold nose. ─ Hands cold and chilly. ─ Profuse, and sometimes cold, sweat on palms. ─ Heat in palms. ─ Swelling of veins in arms and hands. ─ Pale swelling of hands and fingers. ─ Cramp-like contraction of hands and fingers, with pain, as if tendons were too short, principally during the shiverings, or after midnight. ─ Hot and painful swelling of thumb, which becomes an abscess at the joint. ─ Redness and burning itching in fingers, as with chilblains.

Lower Limbs

Pimples, with gnawing itching on buttocks. ─ Shootings, wrenching pain, and jerking in coxo-femoral joint. ─ Sharp and shooting pains in thighs, with torpor and paralytic weakness, < by movement and touch. ─ Pain in thighs as if broken. ─ Miliaria, with burning itching, and furunculi on thighs and knees. ─ Coldness or sweating of thighs at night. ─ Great heaviness, tottering, weakness, and tottering of legs, with yielding of knees, and inability to walk or stand alone. ─ A child falls easily when walking. ─ Rigidity and tension in hams, as if tendons too short, principally on rising from a seat. ─ Sensation of dryness in knee-joint, with cracking on moving it. ─ Painful swelling of knee, with gouty nodosities. ─ Tendency of (lower) legs to become numb and dead. ─ Paralysis, coldness, and insensibility of legs. ─ Tensive pain and cramps in calves, < at night, or in evening, or after midnight, or in morning in bed. ─ Sensation of paralysis of legs, with sensation of a painful stripe down on inside of thigh. ─ Cramps in feet and toes. ─ Red swelling of leg, with black, painful spots. ─ Facility of dislocation of instep. ─ Swelling in back of feet. ─ Feet readily become numb (dead). ─ When he walks he drags the feet; he cannot lift them up. ─ Contraction of toes. ─ Burning itching in toes, as from chilblains.

Generalities

Shooting, shaking pains, or jerking, tearing, and drawing pains, with sensation of torpor and of paralytic weakness in parts affected. ─ Complaints in back small of back; lumbago, rheumatism, &c., where patient cannot turn over something seeming to be in the back which prevents turning over; strong aversion to open air, can't turn over if air is let in under bedclothes, also makes him chilly. ─ Pains which are felt to be so insupportable that patient would prefer death to the suffering. ─ Affections in general of knee-joint. ─ Pains in limbs and joints as if they had been bruised, chiefly while in bed in morning, and during or after movement. ─ Tension and rigidity, numbness and torpor, heaviness, lassitude, and paralysis of limbs. ─ Trembling of the limbs. ─ Palpitation of muscles, or sensation as if something were moving in them. ─ Immobility of joints. ─ Cramp-like contractions of several parts. ─ Spasms which the patient compares to electric shocks. ─ Feeling of electric shocks after each dose. ─ Affections in general of anus and rectum. ─ Attacks of convulsions, cramps, tetanus, and other spasms, sometimes with cries, throwing back of head, trembling of limbs, involuntary evacuation of fæces and emission of urine, vomiting, profuse sweat, thirst, and rattling respiration. ─ Affections of bladder in general. ─ Every distressing emotion brings a recurrence of the epileptic fits. ─ The attacks of chorea are followed by sensation of torpor and numbness in parts affected. ─ Attacks of uneasiness, principally after dinner, in evening, or at night, and sometimes with nausea, which ascends from pit of stomach, anxiety, weakness, and trembling of limbs, transient heat and paleness of face, tinkling in ears, pains in pit of stomach, tingling in feet and hands, and necessity to lie down. ─ Affections in general of r. hypochondrium; r. abdominal ring; r. side of sexual organs; r. side generally, left side of chest. ─ R. abdominal ring where there is a protruding hernia. ─ Fainting fits after least exertion, principally after walking in open air, and sometimes with vertigo, stunning, sparkling, blackness before eyes and ebullition of blood. ─ Bleeding in inner parts, esp. if the blood be dark. ─ Great lassitude and fatigue, even in morning on waking, or after getting up, and great exhaustion after shortest walk in open air. ─ Rapid and general prostration of strength, and great weakness of muscles, with staggering gait and prostration. ─ Excitability of whole nervous system, with too great sensitiveness of all the organs, principally those of sight and hearing. ─ Affections in general of larynx, trachea, gums, inner mouth, palate, gullet, r. side of face, forehead. ─ Excessive sensitiveness and repugnance to the open air, and to a current of air, with great tendency to take cold. ─ Heaviness of body, indolence and dread of every movement, with great desire to remain lying down or sitting, positions in which almost all the pains are > . ─ The sufferings which have appeared during repose in a room are > by walking in the open air, and vice versâ . ─ Coffee, wine, tobacco-smoke, meditation and watching, as well as windy weather, also provoke or < many of the sufferings. ─ Patient generally feels < on rising in morning or towards 8 or 9 p.m., as well as after dinner, and many sufferings recur regularly at one or other of these periods. ─ Fainting fits; may faint after every labour pain; or patient may have vomiting spells, and faint away after each attack; in diarrhœa may faint after every stool. ─ Emaciation of body. ─ < : Waking at 4 a.m.; after midnight; from mental affections; from anger; anger with anxiety; with vehemence; in open air; before breakfast; suppressed catarrh; in cold air; dry weather; while coughing (sometimes shocks are felt in pit of the stomach with every cough); from drinking; in drunkards; after eating (too much); from exertion of mind; from shaking head; also from uncovering it; after intoxication; lying on back; after menstruation; from narcotic medicine; from noise; brandy; coffee; cold food; cold water; wine; involuntary pollutions; pressure of clothes, derangement of the stomach, after stool; before urinating; while walking in open air; in clear, fine weather; in wind; when yawning. ─ On waking in night. ─ > : Head symptoms better from having head wrapped up or covered; lying down; lying on side; from loosening garments; in room; from warmth in general or hot things; on getting warm, and on getting warm in bed; in damp and wet weather; after discharging wind; while lying in bed.

Skin

Pale or yellowish colour of skin. ─ Yellowness, with dislike to food, and syncope. ─ Jaundice; inflammation of mucous membranes; increased secretions of mucus; scurvy. ─ Cold and bluish skin during shiverings. ─ Pricking and burning itching, in morning or evening, when undressing, and also at night. ─ Sensitiveness and pain as of excoriation over the whole skin, with sensation of numbness in any place that is touched. ─ Eruptions with burning itching. ─ Chilblains, with burning itching, bleeding fissures, and swelling of a pale redness. ─ Furunculi. ─ Bluish spots, like bruises. ─ Ulcers with elevated margins of a pale red colour. ─ Miliary and pimpled eruptions, with burning itching.

Sleep

Goes to sleep late from crowding of thoughts on him. ─ Goes to sleep late; wakens at 3 a.m. and lies awake till break of day, when he falls into a dull sleep full of dreams, from which it is hard to rouse, and wakens late, feeling tired. ─ Great disposition to sleep, principally when rising in morning, or after dinner, or early in evening, and often with sleeplessness at night. ─ Gentle and prolonged sleep in morning, with difficult waking. ─ Sleep too short, with difficulty in going to sleep again before midnight, and inability to remain in bed after three o'clock in morning (feels pretty well at that time, lies awake two or three hours, feels miserably, bad taste in the mouth, &c. ─ Great flow of ideas in bed in evening, which often drive away sleep till morning. ─ The morning sleep < all complaints. ─ Much yawning and sleepiness during day. ─ Yawning in general; yawning with stretching of limbs. ─ Sleeps mostly lying on the back. ─ Loud snoring respiration during sleep. ─ Comatose state, with heavy and profound sleep during day. ─ Light nocturnal sleep, with frequent waking, or like a kind of coma vigil, with reveries full of troubles and agitation, and a sort of weariness as if the night were too long. ─ Sleeplessness from flatus. ─ During sleep: frequent starts with fright, groans, lamentations, much talking, weeping; delirium, with an impulsive desire to run away from the bed, stertorous or whistling respiration, the patient lying on his back, with the arms raised over the head. ─ Continual, fantastic, terrible, and anxious or voluptuous dreams, full of cruelties and horror, or of meditation and cares; dreams of vermin, mutilated bodies, teeth falling out, of the occupations of the day, and of urgent business. ─ Uneasiness in thighs, anxiety and restlessness, heat and ebullition of blood at night. ─ On waking in morning pain in limbs, as if they were bruised, great lassitude, with necessity to remain lying down, fits of stretching and of convulsive yawning. ─ Nightmare.

Fever

Shivering, shuddering, and coldness, principally at night, or in evening after lying down, or in morning, or in open air, or on least movement, even during hot weather, also after drinking, after being angry, and on throwing off bedclothes. ─ Chilliness and coldness, which cannot be relieved by external heat. ─ After chill sleeps till hot stage sets in. ─ General internal heat. ─ Heat precedes chill. ─ Heat of single parts while others are chilly. ─ Heat ascending from throat. ─ Intermittent fever. ─ Chill in evening; then one hour's sleep, which is followed by heat, with headache, tingling in ears and nausea. ─ Coldness, shiverings, and partial shudderings, principally in the back and extremities. ─ Congestive intermittent fevers, with vertigo, anguish, chills, delirium, accompanied by vivid visions and distension of stomach; with stitches in sides and abdomen. ─ Intermittent fever characterised by a sense of paralysis at beginning of fever. ─ During shiverings, skin, hands and feet, face and nails, are cold and bluish; or pain, congestion of blood, and heat in head, with redness and heat of face, or (of one) of the cheeks; thirst for beer; cramp-like contraction of feet and toes; or shootings in side and abdomen, pains in back and loins, pulling in limbs, stretchings, spasmodic yawning, and want to lie down. ─ Anticipating morning fever; first moderate chilliness, with blue nails without thirst, then thirst and long-lasting violent fever and heat, with stitches in temples followed by light perspiration. ─ Heat, principally at night or towards morning, or when walking in open air, and sometimes only in head or face, with redness of cheeks, or in feet and hands, with partial coldness or shudderings and shiverings in rest of body. ─ Heat with aversion to be uncovered, and from it at owe chilliness. ─ Heat which is < from the least exertion or motion, even in open", air. ─ During heat, vertigo, headache, shivering on making least movement or becoming in slightest degree uncovered, thirst or repugnance to drink, with dryness of mouth, nausea, vomiting, buzzing in ears, redness of urine, and pains in chest. ─ Heat during night, without thirst. ─ Febrile attacks, esp. morning or evening, or at night, and composed for the most part of shivering, with partial heat (followed by sweat), or of heat, preceded or followed by or mixed with shivering, or heat alternately with shivering, with continued thirst for beer sometimes, however, before the shivering, and after the heat; type, quotidian or tertian. ─ Compound fevers in general. ─ Febrile attacks, with congestion and pains in head and gastrico-mucous or bilious sufferings (or with constipation), or with loss of consciousness, great weakness and prostration, even at very commencement of attack. ─ Pulse full, hard, and frequent, or small, quick, feeble, or intermittent (every fourth or fifth beat intermits). ─ Profuse sweat, sometimes fetid or acid, or of a mouldy smell; cold and clammy sweat; partial or semi-lateral sweat, principally in head and upper parts of body; nocturnal sweat, principally after midnight or towards the morning; sweat during movement in open air; sweat alternately with shivering or followed by heat and thirst for beer. ─ Perspiration only on one (r.) side of body, or only on upper part of body. ─ Cold, clammy perspiration in face. ─ During the sweats there is sometimes a remission of the pains or soreness of the parts which press the bed in lying down, shuddering or colic when in the least uncovered, inclination to vomit, heat in face and hands, dryness of lips and anterior portion of mouth.

The Guiding Symptoms of Our Materia Medica

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

Mind

Defective memory ; manner shy and awkward.
Becomes dizzy and faint in a crowd, or where many gaslights are burning. θ Agoraphobia.
Slow train of ideas ; chooses expressions which are not suitable.
Cannot read or calculate, for she loses the connection of ideas ; thinks she will lose her reason.
Very easily bewildered ; everything goes wrong.
Ennui ; the time seems intolerably long, passes slowly.
Loss of energy.
Suits very particular, careful, zealous persons, inclined to get angry or excited, or of a spiteful, malicious disposition.
Irritable, morose, sullen ; quarrelsome if disturbed.
Oversensitiveness to impressions upon the senses ; noise, smell, light and music, and the most trifling symptoms are unbearable ; every harmless word offends, every little noise frightens, anxious and beside themselves, cannot bear even the least suitable medicine.
Cannot bear reading of conversation ; irritable and wishes to be alone.
Inclined to find fault and scold ; morose ; stubborn ; an insane desire when alone with her husband, whom she adores, to kill him.
Irritable, angry disposition, anxious concern about little things. θ Chlorosis.
Fiery, excited temperament ; violent ; sensational.
Very much inclined to violently reproach others for their faults.
Ill-humored, resists obstinately the wishes of others.
He quarrels, reproaches, scolds, insults, from jealousy, mingled with unchaste expressions ; soon afterwards howls and weeps aloud.
Is put out of patience when spoken to ; gets angry and violent without any provocation ; headstrong and self-willed. θ Menorrhagia.
Delirium tremens : with oversensitiveness, nervous excitability and malicious vehemence ; indescribable anxiety ; finds no rest in any place ; sees different images ; trembling of limbs ; cannot bring glass to lips without
spilling contents ; terrifying illusions while awake ; terrible dreams causing him to start from sleep in fright ; sleeplessness ; imagines himself surrounded by persons who carry on all sorts of pranks, or ply him with questions which he thinks he is compelled to
answer ; violent, seeks to escape ; answers questions rationally and is conscious of his condition ; on third day of attack fell to floor, stiff, cold and unconscious ; shaking of knees, can hardly keep erect without support ; stuttering, thick speech ; cannot
keep any of his limbs quiet ; frequently answers questions incorrectly ; appears to be haunted by a great fear.
Desire to talk about one's condition, with anxious reflections about it.
Anxiety with irritability and inclination to commit suicide, but is afraid to die.
Despondent and buoyant alternately.
Great anxiety of mind without particular cause ; thinks she will not be able to get along in life ; caducity ; chilliness ; sleeplessness ; stool infrequent, hard, although appetite is good ; frequent and quick urination,
at times involuntary.
Gets frightened easily and is almost beside herself from least thing that may happen ; shuns the fresh air. θ Menorrhagia.
Hypochondriasis : with studious men sitting too much at home, with abdominal complaints and costiveness ; after all kinds of quack medicines, for dyspepsia ; irritable temper ; arising from liver or gastric troubles, especially in
drunkards ; < after eating, with sensitiveness.
Melancholic in consequence of losing his position, morose, capricious, irritable, hasty ; the least contradiction puts him out entirely ; remains for hours without wishing to take part in conversation.
Melancholia after extraction of carious tooth ; speaks of nothing but his tooth ; retires to his room and unlocks door only after much entreaty ; on entrance of physician withdraws timidly to farthest corner of room, with his eyes cast down ; of many questions answers
but few and speaks of nothing but his tooth ; intolerance to slightest noise and great aversion to labor ; sits idly about whole day, crying, and complaining of his anxiety.
Disinclination to work and great lassitude or weakness in morning.
He has no patience for work.
Ailments after continued mental exertion ; indisposition to it, particularly to that form which involves elaboration and connection of subjective ideas independently of external objects.
Easily errs in speaking and writing ; manual clumsiness.
After anger : chilliness alternating with heat ; vomiting of bile and thirst ; great laziness and aversion to occupy oneself.
Mental disturbance, patient tortured with a fixed idea.
Lies awake in bed in a stupid state, sometimes with a friendly expression, sometimes staring right before him ; cannot speak a word, yawns, groans and sighs occasionally ; often puts hand to forehead and frowns. θ Effects
of wounded honor.
From disappointed ambition, bewildered, talks incoherently ; does everything he attempts to do wrong ; heaviness of head, pain in stomach and small of back ; feels weak, cannot sit up ; face now pale, with sharp, pointed nose, then red, with irritated pulse.
Is sullen and obstinate ; would not eat nor speak ; eyes large, congested ; urine high colored, with mealy sediment. θ Mania.
For hours together sits still and absorbed (generally in forenoon), betraying great moral and physical languor, looking before him with disturbed mien, and dull, sunken eyes, as if he felt no interest in anything, and answering questions, if at all, incoherently ; sometimes falling
into a restless slumber for ten or fifteen minutes, out of which he returns to full consciousness with difficulty and gradually ; in afternoon and especially in evening is much excited, becomes talkative and even chatty, but jumps from subject to subject ; eyes then have a peculiar
brilliancy, face wears an expression of deep earnest ; launches into high-flying, fantastic plans, fancies himself rich and wants to make presents of thousands, and makes large useless purchases ; does not consider himself ill ; has not slept for nearly a fortnight, brooding
all night long over a lawsuit, by which he may gain or lose a million ; head hot, skin dry, complexion yellowish, pupils contracted, tongue coated, pulse hard and small, slightly accelerated ; constipation ; replies reluctantly and slowly to physician's questions, and takes it
in bad part if not allowed to read indictment for said lawsuit, a confused, irrational piece of work, on which he has been working all night. θ Insanity.
Three months ago mental shock, since then fears to be alone, and menses, formerly regular, have not appeared ; in morning as if stupefied ; starting in sleep, nocturnal sweats ; pain in pit of stomach when touched or pressed ; frequent risings in throat and feeling as
if she would choke ; roaring in ears ; shooting headache from crown to poll, with rigor ; inclination to sleep ; fear of knives and the like, lest she should kill herself or others ; attacks commence with palpitation, the fever rises to brain and she is a prey to
anxiety ; thoughts distracted ; heat breaks out and yawning closes attack.
Mania puerperalis from excitement, sleeplessness and prostration ; had menorrhagia, and for the subsequent weakness drank much whisky and strong coffee ; cachectic appearance ; large, dim, languid eyes ; lies in bed half uncovered,
sits up and then lies down again ; constantly complaining, criticizing or explaining, at times words are well chosen, at others uses high-sounding phrases ; as soon as she recognized physician she spoke of the imperfection of medical knowledge and declared it an error that one
could not live without a heart, inasmuch as she felt very well without one, it having come away with the afterbirth to which it had grown fast, the nurse having separated the two before her eyes ; complains of her husband, says he wishes to convince her she is sick, although she is able
to dance and sing ; makes grotesque motions and wild leaps, but soon sinks down breathless ; nymphomania ; often enraged ; frequently sips at a bowl of warm sugar-water, declaring it will form her a new heart ; bloating of abdomen ; epigastric, hepatic and
uterine regions sensitive to pressure ; stool absent five to six days ; very frequent and profuse discharge of pale, watery urine ; white mucous discharge from vagina.
Dementia paralytica.

Sensorium

Fainting sort of giddiness.
Intoxicated confusion in head.
Intoxication or drunkenness of previous day, with vanishing of sight and hearing, < after dinner and in sun ; heaviness of head in morning.
A stupid feeling in head if he holds it erect ; if he bends it down a sensation in forehead as if something heavy fell into it.
Stupefaction, confusion as from nightly reveling ; dulness of head.
Sensation as if his head were immensely larger than his body, as large as a church.
Vertigo : on rising from seat, or bed, or on raising head ; with vanishing of sight or loss of hearing preceded by tensive headache, with heat in forehead ; comes suddenly like an electric shock ; at night awaking him from sleep ; < from tea or coffee, after
stooping or when looking up, she must clutch something to keep from falling ; objects seem to move around him ; from abdominal complaints, with digestive disturbances, flatulency, constipation, portal stasis ; in hemorrhoidal subjects ; after suppressed hemorrhoidal
flow ; with inability to think ; loss of consciousness ; falls forward ; as if he would fall to one side or backward ; when stooping ; as if brain were turning in a circle ; as if room were whirling ; reeling, in morning and after dinner ; with
pains in forehead, heat and redness of face ; with obscuration of vision and staggering ; while eating and immediately after eating ; when walking and even when lying down in bed ; from sedentary habits, alcoholic drinks, smoking, coffee, opium, smell of flowers, gas,
etheric oils, etc. ; with nausea ; after typhoid ; from night watching and mental overexertion.
Syncope : in morning, at night, or soon after dinner ; in open air ; congestion to head and chest ; in pregnancy ; in persons worn out by mental labor or addicted to excessive use of spirits ; nausea, pale face, scintillations
before eyes, or obscurations of sight, pains in stomach, anguish, trembling.
Apoplexy : falls to floor unconscious ; tendency to fall backward ; face pale ; head hot ; pulse quick, hard ; automatic motions of right hand towards mouth ; whole l. side completely paralyzed and motionless ; mouth
distorted ; loss of speech ; stertorous breathing ; dropping of jaw, paralysis ; attack preceded by vertigo, buzzing in ears, nausea and urging to vomit ; legs cold and without sensation ; after a hearty dinner, or abuse of liquor or coffee ; of high
livers, leading an easy life ; with ptyalism ; paralysis, particularly of lower limbs ; when spoken to opens eyes, stutters and sinks again into sleep ; eyes muddy, lustreless, with purulent matter in canthi ; organs of deglutition and lower limbs completely
paralyzed ; maxilla on right side relaxed ; pulse full, sluggish ; grasps at head with left hand.

Inner head

In forehead : tensive headache ; as if it were pressed in, at night and in morning, < on exposing head to cold air ; pressive pain as if he had not slept enough ; sensation as if eyes would be pressed out ; lacerating pains ;
> when leaning head against something or when lying on back ; burning on awaking and after eating ; heat, with morning headache ; headache, with large, difficult stools ; periodical headache, sore as from ulceration, with constipation ; pain, above eyes, with
fainting spells ; pain, extending through base of brain to occiput.
Pressive headache over left eye, and pain in bones as if he received a bruise ; could not open eye.
Drawing pain, first in temples, then in forehead, then in occiput.
Semilateral headache : as if from pressing a nail into brain ; from excessive use of coffee.
Violent jerking or dull stitches in left hemisphere of brain, extending from orbit towards parietal bone and occiput, soon after eating.
Stitches and pressing on one side of head, commencing early in morning and increasing in severity until patient becomes unconscious or half delirious.
Bruised sensation of brain, generally one (r.) sided ; > lying on painless side.
Tearing headache after eating, with a feeling of heat in cheeks and a chilly sensation over body, at least in hands.
Drawing-tearing, jerking or burning pain in head in morning.
Pressing headache, as if skull were pressed asunder.
Head feels as if it would split and scalp is sore to touch, pressure on head with hands > pain. θ Pregnancy.
Stunning or stupefying headache in morning, after eating, and in sunshine.
Brain : as if beaten or cleft with an axe ; as if a pin were sticking in it ; contusive pain ; feels shattered when walking ; seems bruised and beaten ; excessive sensitiveness to motion and walking ; as if dashed to
pieces ; seems to shake when walking or running in open air ; as if revolving rapidly on an axis.
Headache in morning, a constant picking (dull sticking, throbbing) ; < on stooping, when it seems as if a piece of forehead would fall out.
Throbbing pain in head. θ Hematemesis.
Pinching headache.
Pressive, boring pains in head, beginning in morning, > by evening ; dim sight, sour vomiting and palpitation ; < from mental exertion, light, noise, coffee and after eating.
Pressing as if something heavy were sinking down into head.
Headache, in morning, as if he had not slept at night ; heaviness in head.
Whizzing in head, with vertigo, or with shocks when walking.
Headache with loss of consciousness.
Headache in middle of brain, on waking in morning ; felt even before opening eyes.
Congestion to head : with burning ; heat and redness of bloated face ; violent pains in forehead, vertigo ; nosebleed ; during stool ; from portal obstruction.
Rheumatic headache, with nausea and acid vomiting.
Headache accompanied by a feeling of suffusion or fulness in eyes. θ Intermittent.
Liability to take cold on head mostly from dry wind or draft of air.
In vertex : pressive and throbbing headache, from fixed attention of mind ; as if a nail were driven into it ; as if skull were pressed asunder.
In occiput : pressive headache in morning, immediately after rising ; pressed outward from both sides as if skull were forced asunder, with heat in brain, momentarily > by pressure of hands ; intense headache with dizziness, pains in eyes
ans deranged stomach ; headache at time of menses as from an ulcer in brain, as if suppurating, < lying down ; bruised aching ; tearing, extending into nape of neck, with anxious sweat ; drawing, as if chilly ; pains, with bilious attacks.
Periodic cephalalgia of an aching, drawing character, and on one side of head, which seems bruised or jarred.
Headache of hysterical women, appearing as a boring clavus, or as a fearful pressure in region of temple, compelling them to lie down, accompanied by vomiting.
Headaches of men of sedentary habits accustomed to great mental exertion ; pressure in frontal region and temples ; appearing early in morning on awaking ; noises in ears when sitting up, synchronous with beats of heart ; impaired digestion ; constipation ;
despondency ; sympathetic, from disturbances in ganglionic nervous system.
Headaches of strong, plethoric adults, with congestion, giddiness, flushed face, constipation.
Headaches in young people of both sexes who have become debilitated by masturbation ; suddenly when looking at an object they see only that part on which the eye is fixed, everything else seeming to swim around this point ; when looking at hand see only one finger or see but
one leg of a chair ; printed matter is spelled out with difficulty, cannot take in the whole word at a glance ; flashes from external canthi towards pupils, like a circle of fire ; lachrymation ; then a severe headache comes on, gradually growing worse, with vomiting.
Aggravation : from mental exertion, chagrin or anger ; in open air ; on awaking ; after eating ; from abuse of coffee or spirits ; from sour stomach ; in sunshine ; on stooping ; from light and noise ; when moving or opening
eyes ; from leading an inactive life ; on coughing ; from high living or highly seasoned food ; in stormy weather ; after drugging ; from masturbation ; from constipation or hemorrhoids.
Amelioration : in a warm room ; when leaning head against something or when lying on back (frontal headache) ; when at rest ; when lying on painless side ; when wrapping head up ; after rising in morning (excepting sick-headaches).
Brain fag particularly in early stages ; irritable or hypochondriacal state of mind.
Child constantly passes its hand over its face as if trying to brush something off ; spasms, which are renewed when feet are touched. θ Brain
disease.
Cerebro-spinal meningitis ; "explosive form ;" shocks starting suddenly from one portion of body to brain ; attended by numbness and paralytic drawing in limbs ; fear of sleeping ; frightful dreams ; irritable
humor and hypochondriasis.
Threatened cerebral softening when sedentary habits and mental effort, as well as intemperance, have operated to produce the disease ; especially, too, in persons who have been living too high ; memory fickle ; headache comes with every attempt to exert mind ; vertigo
on awaking in morning ; vacillating gait.

Outer head

Head inclined towards left shoulder at an angle of forty-five degrees ; contraction could not be overcome voluntarily or involuntarily ; without pain, > in morning, < towards evening.
Scalp sensitive to touch or to wind ; > from being warmly covered.
Integuments intensely sore, as if bruised.
Hair on occiput (scalp) seems painful.
Liable to take cold on head, mostly from dry wind, or from a draft.
Fetid sweat on one-half of head and face which is cold, with anxiety and dread of uncovering head ; sweat > pain.

Sight and eyes

Atrophy of optic nerve.
Hyperesthesia of retina ; pains on top of head ; sleepless ; awakens irritable in morning ; intolerance of light, < in morning ; least attempt to use eyes followed by intense pains and spasmodic motion of different ocular muscles ; excoriating
lachrymation.
Vision extremely sensitive.
Photophobia : in morning ; with obscuration of vision.
Streaks like lightning before eyes.
Glittering appearance just outside of distinct field of vision ; also black and grey points floating before eyes.
Double vision for one week, followed by drooping of left upper lid and complete paralysis of all filaments of third pair of nerves for three days.
Diplopia from muscular asthenopia, from paralytic strabismus.
Awakens at 4 A. M. with mental anguish ; eyeballs aching, vision impaired, despondent ; fears she will lose her sight.
Dimness and glimmering of sight ; severe pains through temples ; can see better on cloudy day ; when it begins to grow dark can see nearly as well as ever ; if he sees a team ; away off, coming towards him, it looks like two ; after eating belching of
wind ; tongue cracked ; trembling of hands ; tremor all over ; pulse thin, weak, 70 ; face of dirty hue ; has taken many drugs. θ Tobacco poisoning.
One morning while reading noticed a blur before vision and on covering right eye found he could not see with left ; vision nearly returned in afternoon, but was again lost next morning and did not again return ; right v. 20/20
difficulty ; l. v., fingers at six feet ; no improvement with glasses ; ophthalmoscope showed no change in refraction, media or fundus, only some sensitiveness to reflected light, which caused a stinging pain in ball. θ Tobacco
amaurosis.
Impaired vision in consequence of habitual use of intoxicating drinks.
Blurring of sight caused by overheating.
Weakened power of accommodation from overexerting eyes.
Chorio-retinitis, with throbbing pain, especially in left eye, < in morning, ball sore to touch, upper part of sclera bright red, burning pain in eye not > by bathing, symptoms < on lying down.
Choroiditis disseminata in persons addicted to use of stimulants.
Iritis syphilitica with moderate ciliary injection, some photophobia, hot lachrymation, < in morning, sensitiveness to air.
Dilatation of pupils from spinal irritation.
Ulcers and pustules on cornea, with excessive photophobia ; morning aggravation, much lachrymation ; sharp darting pain in eye and over it, in some cases extending to top of head and always < in morning ; burning pain in eyes and lids ; tearing pain in eye at
night, awakening from sleep ; eye fells pressed out whenever she combs her hair ; sensation of hot water in eye ; pain in lower lid as if something were cutting it ; sometimes relief from pain by bathing eyes in cold water.
Large central ulcers of cornea, which have been cauterized ; excessive photophobia in morning, no bloodvessels running into it ; sharp darting pains.
Neuroparalytic keratitis.
Inflammation of sclerotica, with stitches and aversion to light of sun.
Ecchymosis of sclerotic ; effusion of blood beneath conjunctiva, often following debauchery or sitting up late at night to study, in persons subject to dyspepsia.
Painless circumscribed red spots, like extravasations of blood in white of eyes.
Exudation of blood from eyes.
Trachoma and follicular conjunctivitis occurring only in Summer and < in morning.
Old cases of trachoma, if complicated with pannus, that have much treatment.
Painless injection of whites of eyes.
Swelling of eyes with red streaks in whites, and pressive-tensive pain.
The eyes run water, as in a moist inflammation of eyes or as if a stopped coryza.
Smarting, itching in lids, canthi filled with purulent mucus ; eyes inflamed ; inability to bear daylight, especially in morning ; tearing pains in eyes awaking him at night ; hard, tardy stools ; hemorrhoids. θ Ophthalmia.
Tearing pains in eyes ; edges of lids red and very sensitive to touch ; on opening eyes in morning cannot tolerate light ; profuse lachrymation ; bruised pain in small of back ; stiff fingers ; old gouty subjects. θ Arthritic
ophthalmia.
Ophthalmia neonatorum, lids much swollen, bleed easily and child is troubled with vomiting, constipation and flatulent colic.
Rheumatic ophthalmia, at commencement.
Severe scrofulous ophthalmia, lies upon face with a bandage tied over eyes ; eyes could not be examined on account of excessive sensitiveness.
Ophthalmia ; inner canthi more inflamed than other parts ; bloody exudation ; smarting like salt ; all < in morning.
Severe pain in eyes during night, with conjunctival injection, brought on by overuse, especially by artificial light.
Conjunctivitis ; < in morning, agglutination of lids and photophobia.
Conjunctivitis vernalis.
Indolent redness of ball of eye remaining after primary disease has been cured.
Eyes stand full of water, with lachrymation while yawning in morning.
Margin of lid painful, as if rubbed sore, especially on touch and in morning.
Pressure in upper lids, especially in morning.
Canthi painful, as if sore ; purulent.
Smarting, dry sensation in inner canthi, in morning, in bed.
Lids burn and itch, especially their margins ; < in morning.
Biting in eyes, especially in external canthi, as from salt, with lachrymation.
Ciliary blepharitis, with smarting and dryness of lids, especially in morning.
Heaviness and frequent closing of eyelids.
Blepharospasmus ; twitching of lids ; blinking.
Supraorbital left sided neuralgia ; eyes injected.
Violent pressure in eyes after using them ever so little.
Burning pain when looking at a light, darting upward above eyes, with pain in region of eyebrows on going to bed.
Itching in eyes, > from rubbing.
Eyes injected, yellow and watery, dark rings around eyes. θ Yellow fever.
Yellowness of eyes and face. θ Jaundice.
Eyeballs (lower part) yellow.
Paresis of ocular muscles, < from stimulants or tobacco.
Strabismus, periodic in character, especially < from mental excitement or when caused by an injury.
Nervous diseases of eye, with much irritability and morning aggravation.
Eye affections associated with liver disease ; symptoms < in morning and some of them > by cold bathing.

Hearing and ears

Hyperesthesia of auditory nerve ; every sound affects painfully.
Hardness of hearing : with roaring, singing and other noises ; with ringing in ears, which went off when at rest but reappeared when she moved.
Sounds in ear : strong reverberation, humming ; ringing ; hissing ; roaring ; whistling ; a whirring and noise like that of a mill.
Tearing, stitching pains in ears, extending to forehead and temples ; < mornings, evening in bed, and on entering a warm room.
Stitches, pressure and shocks in ear, often violent. θ Otalgia.
Feeling of tension in ears when raising face ; on swallowing, pain in ears as if pressed outward.
Otalgic pains extending to forehead and temples or into middle ears.
Itching within ear, through eustachian tube, which compels frequent swallowing and disturbs rest at night.
Meatus and auditory canal dry and sensitive.

Smell and nose

Oversensitive to strong odors, they cause even fainting.
Smell before nose like old cheese, brimstone or tinder.
Food and drink have a putrid smell to her ; cannot bear the odor of tobacco.
Frequent sneezing ; in morning, in bed ; after rising sudden fluent coryza.
Internal nose inflamed and painfully sensitive.
Scraping in nose and throat.
Constant head in nose ; frequent premonition of coryza.
Coryza : acrid discharge from nose, which feels obstructed ; dry, < at night, nose completely filled up, particularly out-doors, but fluent in-doors ; with stoppage of nose, in infants at breast or in measles ; fluent during day,
and stopped at night ; fluent in morning ; after dinner ; with scraping in throat, crawling and creeping in nose and sneezing ; stuffy, with dry cough ; with heaviness in forehead and impatient mood ; with great heat of head and face ; initial stages, if
caused by dry, cold weather, or by sitting in cold places, especially from sitting on cold steps ; with lachrymation ; < in warm room, > in open air ; hot, feverish and chilly on moving.
Great sneezing ; ulcers in throat and watery discharge from nose, sore patches on mouth and tongue.
Catarrh, with headache, heat in face, chilliness and much mucus in throat.
After catching cold during an attack of coryza, inflammatory pains in right frontal sinus driving him almost frantic ; severe tearing and stitching pain in right side of forehead, as if in bones ; redness of eyelids ; complete dryness
and obstruction of nose ; pain < in morning, near fire ; pulse hard, full, frequent ; constipation.
Distressing paroxysms of sneezing, prolonged until a state of depression ensues, and preceded by excessive irritation of Schneiderian membrane, conjunctiva and face, latter being heated at time of paroxysm and during intervals, as if a hot plate of iron were near it. θ Hay
fever.
Snuffles or fluent coryza of children.
Bloody mucus in nose.
Nosebleed : blood dark ; in morning ; from suppressed hemorrhoidal flow ; during sleep, preceded by headache and red cheeks ; on stooping ; caused by simple congestion to head.
Soreness, as if ulcerated, of margins of nostrils, on moving nose, in evening.
Anterior angles of nostrils painful as if ulcerated and as if one were cutting into a wound.
Intolerable itching in nose.
Snoring. θ Apoplexy.
Picking at nose ; pain in abdomen. θ Worms.
Nose looks sharper and more pointed than usual. θ Labor.

Upper face

Face : pale, earthy, sickly, sallow ; pale and distressed (hematemesis) ; shrunken ; blue margins around eyes (labor) ; chlorotic ; intensely red ; scarlet, extending to entire body ; red, feeling as though he was sitting before a hot
fire ; red, swollen, bloated ; blue or yellow around eyes ; yellow, with a red flush ; yellow around mouth and nose, or around eyes ; jaundiced.
Swelling of one cheek, with faceache and pain in cheekbone.
Daily attacks of sharp, twisting, boring, excruciating pains in both supraorbital regions, frequently shooting through whole forehead and occasionally into temples, extorting groans of agony ; no external applications and neither heat nor cold affect it ; pain generally >
after sundown ; severest spells usually in forenoon and afternoon ; sometimes attacks are semilateral ; exceeding restlessness with the pain ; > walking and moving and in open air ; < in wet weather and when overworked ; thinks attacks were brought on by
mental application and long hours of sedentary occupation ; uses cathartics ; prolapsus ani at every stool, often difficult to reduce. θ Facial neuralgia.
Every morning at 8 o'clock, pressing, tearing, boring and stitching pains along course of left supraorbital nerve, pain affects whole left side of forehead, and when at its height (about 11 o'clock) extends to left eye, which then seems to be pulled deep into orbital cavity ;
lachrymation from left eye ; attack ceases 2 P. M. ; face earthy ; despondent, easily angered ; yellowish coating on tongue ; slimy taste ; appetite impaired ; nausea and vomiting during height of attack ; epigastrium sensitive to pressure ; stool
every three or four days.
Tearing pain in the infraorbital and middle branch of trigeminus ; clear water from eye and nostril of affected side ; face numb ; after abuse of coffee, liquors or quinine.
Intermittent neuralgia, < in infraorbital branch of trifacial, always markedly < in morning ; > sometimes when lying in bed.
Intermittent neuralgia (in a man who used liquor to some extent) coming on every Spring ; attack appeared at 9 A. M. ; and ceased at 2 P. M. ; pain over right eye and in right temple.
Neuralgia of trigeminus, early in morning, < from standing and motion.
Twitching of muscles of face ; in evening on lying down ; spasmodic distortion.
Drawing and stiffness in masseter muscles.
Flow of tears from left eye ; pupil enlarged ; flickering before eye, sees indistinctly, and frequently wipes eye as if to remove obstruction ; ringing and roaring in left ear ; face distorted, left side appears longer than right ; when speaking or talking,
corner of mouth is drawn far towards right side, so that face appears slanting ; speaking and especially chewing difficult ; while eating, food and drink escape from left corner of mouth ; numbness and loss of sensation of left side of tongue and of affected side of
face ; tongue goes to right side when protruded ; at times left arm is weak and appears to be asleep ; vertiginous heaviness of head ; weakness of memory and difficult thinking.
Small papules, some of which even contain pus, on forehead, cheeks and scalp, a kind of acne.
Pimples on face from dissipation.
Dry scurf, very itchy, on face.
Frequently occurring attacks of erysipelas always affecting but one side of face, preceded for several days by severe cramps in stomach.

Lower face

Drawing tearing pain in jaws.
Closure of jaws with complete consciousness. θ Tetanus.
Paralysis of lower jaw. θ Apoplexy.
Dry lips.
Painful peeling of lips, after excesses ; crusts, or ulcers that burn and stick.
Corroding ulcers in corners of mouth.
Eruption of itching pimples on chin, the larger of which are surrounded by redness.
Submaxillary glands swollen, with stinging on swallowing.

Teeth and gums

Toothache : drawing, with stitches in an indefinite tooth, or in one row of teeth, especially on drawing in air or just after eating, at night or in evening ; drawing, tearing < from cold and mental exertion ; drawing, boring and stinging,
in decayed teeth ; lacerating, renewed by cold water ; tearing, extending to head and through bones of face ; constant sore pain ; burrowing ; in a hollow tooth extending to head, if air enters mouth ; healthy tooth painful and feels loose, or teeth seem too
long, with jerking, shooting pains in lower jaw ; drawing and burning in nerves of tooth, as if it were wrenched out, accompanied by violent stitches which affect whole body, particularly on inspiration ; boring, gnawing, tearing pain on one side ; jerking, or rheumatic pains
attended with pricking ; < when reading or thinking ; > from external warmth ; < after eating, drinking wine or coffee, and from exercise ; glands beneath lower jaw painful ; with swollen face.
For six weeks dull toothache in left upper molar ; < two hours after dinner (2 P. M.), and at night by lying on painful side, and by cold drinks ; > while eating and from warm drinks.
Looseness of teeth.
Swelling of gums, which seems about to burst ; gumboils.
Gums : swollen ; bleeding ; white. θ Scurvy.

Taste, speech, tongue

Taste : bad, in morning ; putrid, low down in throat, on hawking ; sour in morning or after eating or drinking ; bitter ; coffee, milk, beer, water, do not taste right ; bread tastes bitter ; food is tasteless.
Tongue : heavy, noticed in talking ; speech difficult, lisping ; unable to articulate ; dry ; heavily coated white or yellow ; white or brownish ; black and dark red, cracked on edges ; first half of tongue clean,
sometimes red and shining, posterior covered with deep fur ; red, sore and yellow at base ; painful blisters.
Glossitis with paralysis ; one-sided inflammation ; in persons of intemperate habits.
Pain in edges of tongue as if constantly pierced by needles, < after eating and from washing face in cold water ; muscles about mouth spasmodically drawn.

Inner mouth

Breath : offensive, particularly in morning and after dinner ; from indigestion ; sour-smelling ; putrid.
Dryness of mouth : in morning, without thirst, as if he had taken alcoholic stimulants ; as if tongue stuck to palate, though with much accumulation of saliva in fauces.
Frequent accumulation of saliva in mouth.
Roof of mouth, throat, gums inflamed and swollen.
Elongation and swelling of uvula ; tip of uvula œdematous, touches root of tongue.
Mucous membrane of uvula very red and swollen, with sensation of ball in throat and constant desire to swallow.
Small aphthous ulcers in mouth and throat, with putrid smell ; bloody saliva runs out at night ; gums scorbutic ; coagulated blood is spit out ; voice altered, as if speaking with a full mouth ; stomacace of gastric origin.

Palate and throat

Scraped feeling in throat as after heartburn ; as if skin was scratched off with a sharp instrument, not noticed on swallowing.
Throat : rough from catarrh ; painful as if raw and sore, at palate ; provokes coughing or hawking.
A sore rawness in fauces only noticed in drawing in cold air, not on swallowing.
Sore throat, with sensation of swelling, or as if a plug were in throat.
Swelling of uvula, stinging pains.
Swelling of tonsils.
Stitches into ear, when swallowing ; small fetid ulcers in throat ; cases of a "nervous" character.
Throat < while eating and still more afterwards.
Swallowing : impeded ; stitches in throat and sensation as if it was too narrow or constricted.
Pain as if pharynx was constricted, or as if a plug were sticking in throat, during empty swallowing.
Stricture of œsophagus ; aroused at night with a feeling of impending suffocation.
Drawing pain in muscles of throat, with a desire to scratch.
Accumulation of tenacious mucus in throat, difficult to detach. θ Chronic bronchitis.
Allays irritation caused by topical applications, especially rawness and scraping.
Angina : after catching cold, at onset, slight painful throbbing ; with liver affection.
Diphtheria commencing on right side of throat, and extending over both tonsils ; strong diphtheritic odor ; complete prostration ; acute pains in back and limbs ; roughness, rawness and scraping in throat ; deglutition almost
impossible on account of severe scraping pain on attempting to swallow ; chilliness on least motion ; < at 4 A. M. and 4 P. M.
Dark grey patches on right tonsil ; fauces purplish ; stitches through ears during deglutition ; very much concerned about himself ; chilly when uncovering ; perspiration smells like horse urine ; < 4 P. M. θ Diphtheria.
Diphtheria ; great exhaustion and prostration ; inclination to sleep, awaking from short spells of sleep, and saying, "Oh, I am so much better !"
Diphtheria, during convalescence, partial paralysis of lower extremities ; obscuration of sight ; swelling of uvula and constriction of pharynx.

Appetite, thirst. desires, aversions

Sudden feeling of repletion after swallowing a small quantity of food.
No appetite, with complete loss of energy. θ Dyspepsia.
Want of appetite and constant nausea ; food disgusts.
Hunger : yet aversion to food ; with fear of eating (gastralgia) ; excessive, with aversion to bread, or periodic bulimia in afternoons ; readily satisfied (tuberculosis mesenterica) ; twenty-four hours or so before a spell of dyspepsia ; ravenous after
drinking beer.
Thirst : drinking is soon followed by qualmishness ; burning, with burning in throat ; with aversion to water ; for beer during chill ; for milk ; in morning, with aversion to water and beer.
Longing : for brandy, beer, fat food which disagrees, or chalk.
Aversion : to meat ; usual food and drink, and customary tobacco and coffee ; to water ; to ale ; to food just eaten.

Eating and drinking

After eating : sour taste ; pressure in stomach an hour or two after a meal, with hypochondriacal mood ; pyrosis ; tightness about waist, must loosen clothing ; confused, cannot use mind ; two or three hours after a meal,
epigastrium bloated, with pressure as from a stone in stomach.
Milk sours on stomach.
Feeling badly after eating bread or sour things. θ Chlorosis.
Heat in head when eating.
After aromatics in food or as medicine, particularly ginger, pepper, etc., and after almost any kind of so-called "hot" medicines.
Bad effects of coffee ; alcoholic drinks ; debauchery.

Hiccough, belching, nausea and vomiting

Hiccough : frequent, violent ; after hot or cold drinks ; from overeating.
Belching : difficult ; wants to belch, but a kind of œsophageal constriction seems to prevent it.
Eructations : sour or bitter ; putrid in morning ; of water in mouth after eating ; regurgitation of food.
Heartburn : with waterbrash ; < before breakfast ; with drunkards.
Qualmishness : immediately after eating ; about heart, with nausea and accumulation of saliva ; in epigastrium and abdomen ; during morning sweat.
A kind of faint feeling, with nausea and flushes of h going off when lying down.
Nausea : constant ; in morning ; affecting body here and there, as if everything was fermenting ; after dinner ; after anxiety ; from smoking ; with fainting.
Vomiting : food ; drink ; bile ; oily, greasy or black substances ; slime ; sour mucus ; blood, after suppressed hemorrhoidal flow ; before breakfast ; of food that was taken a day or two before (contraction of
pylorus) ; fecal ; of pregnant women ; of greenish matter or undigested food ; in periodical attacks.
Sickness from riding in cars or seasickness, deathly paleness with ineffectual attempts to vomit.
Feels very sick at stomach and feels "If I could only vomit, I would be so much better."
Empty vomiturition ; straining to vomit (in drunkards).
Retching, as if to vomit, while hawking mucus from fauces.
Green vomiting and gastric disorder remaining after a severe case of cholera and the proper cholera evacuations had ceased.

Scrobiculum and stomach

Spasmodic pressive pain from pharynx to pit of stomach.
Epigastric region : distended ; sensitive to pressure ; pressure as from a stone ; < mornings and after meals ; pressure and tension with tension opposite, between shoulder blades ; fulness with belching which affords relief ; fluttering, sinking
feeling with palpitation ; disagreeable sensation ascending to throat, choking him and stopping his breath ; scraped sensation ; as if something was twisted about ; burning anxiety and pressure ; pain in a small space after a meal ; sinking ; pain and
soreness.
In stomach : pressure, after eating, as from a stone ; pain and sense of weight and heat ; fulness after eating ; tension ; throbbing ; constant pain ; cramp, clawing after midnight, towards morning, as from a purge,
changing to a burning ; griping, lacerating, constrictive, pinching pain ; constrictive colic with waterbrash ; colic and pressure extending to shoulders, in morning, fasting and after eating.
Colic of brandy and coffee drinkers.
Burning in stomach ; at pylorus.
Region of stomach sensitive to pressure ; cannot bear tight clothing.
Loss of appetite ; great thirst ; after eating, sensation as if food remained above stomach, and was being pressed back into mouth, followed by belching of wind and rumbling and gurgling.
Neurotic and congestive gastralgia ; light pressure < pain, but harder pressure > ; bending forward gives immediate relief ; vomiting relieves, so that paroxysm of pain ceases for time being.
Dull, gradually increasing pain in pit of stomach, passing, after reaching its acme, to that part of spinal column corresponding to pit of stomach, and becoming fixed there ; as soon as this pain, which he cannot clearly describe, centres in spine he has to bend double ;
suffers from most excruciating abdominal colic ; abdominal walls spasmodically drawn to spine ; abdomen sinks in and he vomits, even as much as forty times, large quantities of bilious matter.
For many years spasms of stomach ; about 3 o'clock P. M. has a pressure and a pressing together, at same time a trembling of whole body and debility with formication in limbs.
After falling and striking region of stomach two years previously ; severe pains in stomach on taking least particle of food, and in evening ; during attack screams, and rolls upon floor. θ Traumatic
cardialgia.
Clawing, cramping pains in stomach, with pressure and tension between scapulæ ; pains extend to chest or down back to anus, with urging to stool. θ Gastralgia.
Gastralgia < from food, > from hot drinks and from belching ; morning before breakfast.
Extreme gastric irritability ; food comes up as soon as swallowed ; in patients who have been prostrated by disease, in very excitable children, and in men when they have indulged in excessive eating or debauchery.
Chronic dyspepsia ; atonic state of digestive organs ; manifold symptoms of a nervous nature.
Nervous and dyspeptic troubles caused by worry and much mental, with too little bodily exertion, in business men.
Catarrh of stomach with excessive acidity and flatulency, < from starchy foods.
Dyspepsia : after abuse of drugs ; business anxiety ; sedentary habits ; long watching and debauchery, after too high living.
Patient lay as if dead ; hand cold as a corpse, with cold, clammy sweat ; no pulse at wrist ; voice not above a whisper ; tongue raw ; teeth were set ; burning pain in stomach, everything taken, even smallest quantity of
water immediately vomited ; life had been despaired of and she was given up to die. θ Gastritis.
Sudden and without apparent cause loss of consciousness with vomiting of about a pound of black, coagulated blood ; similar masses of stool. θ Hematemesis.
Vomiting, whether she has eaten or not ; swallowing a mouthful of water causes spasmodic contractions of stomach and vomiting ; scrobiculus cordis sensitive to pressure ; vomited matter consists of food and coagulated greyish
mucus ; constipation with painful pressing and urging during an evacuation ; menses scanty. θ Perforating ulcer of stomach.

Hypochondria

Sense of stricture or tightness around hypochondriac region ; constrictive pain.
Region of liver : < from pressure, must loosen clothing ; pressure, shooting, stinging ; fine sticking pain, stitches < from motion or contact ; fulness ; dragging pain ; throbbing as if an ulcer would form (hepatic
abscess).
Liver swollen, indurated, sensitive, with pressure and stinging ; cannot bear tight clothing ; caused by high living, abdominal plethora, debauchery.
Great soreness and tenderness in region of liver with pain in right shoulder ; vomiting at night and diarrhœa. θ Acute congestion of liver.
Bilious attacks : loss of appetite, languor, pain in kidneys, backache, skin yellow, urine high colored.
Hepatic colic, with sudden severe pain in right side ; spasms of abdominal muscles with stitching pains in liver. θ Gall-stones.
Jaundice, aversion to food, fainting turns ; gall-stones ; constipation nearly always.
Jaundice provoked by violent anger, abuse of quinine, or by too high living.
Enlarged liver of drunkards.
Pain in region of spleen.
Face yellowish ; very perceptible enlargement of spleen ; distension of abdomen ; weeping and hypochondriacal mood, drawing pain from sacrum and shoulders into thighs ; vomited slight quantity of sour-smelling water ; sudden eruption over whole body of spots
similar to nettlerash, size of hand, violent itching of eruption.

Abdomen and loins

Pain in abdomen : violent ; griping-tearing ; extending to chest ; as if intestines were beaten, even in loins ; as if everything in abdomen was sore, at every step while walking ; constrictive ; like needle stitches ;
drawing tearing ; griping and pinching about navel, whenever he eats anything ; griping when she wishes to go to stool ; pinching ; cutting ; pressing outward in side, during menses ; cramplike in left side, with qualmishness ; griping drawing extending
into abdominal ring ; dragging ; just below umbilicus as from a stone, takes away breath ; as from incarcerated flatus, low down in lower abdomen, with pain in small of back, in turning ; pressive low down extending towards anus or genitals ; burning ; as if
contents were sore and raw.
Pinching pressing colic and fermenting rumbling in lower abdomen, followed by watery diarrhœa, very early in morning.
Colic : cutting, with qualmishness ; in open air, as from taking cold, and as if diarrhœa would come on ; with pressure upward towards thorax ; pinching, cutting, contractive, griping ; periodical, before breakfast, or after meals.
Constrictive cramp in abdomen and uterus, like griping and clawing (with profuse discharge of clotted blood).
Labor-like spasms in abdomen and in uterus, extending into legs.
Feeling of weakness in abdomen on rising in morning.
Sensation as if everything in abdomen would fall down, which obliged him to walk carefully.
Painful spot in abdomen in region of solar plexus ; pressure on this spot renews attack. θ Epilepsy.
Jerking and twitching in abdominal muscles under skin.
Contraction of abdominal muscles. θ Yellow fever.
Abdominal muscles painful as if bruised, on touch, motion, coughing or laughing.
Soreness in abdomen from lifting.
Loud rumbling and gurgling, in morning.
Flatulent distension : after eating or drinking ; causing pressure and anxiety ; with pressure under short ribs, as from incarcerated flatus, < morning and after meals ; with inability to wear tight clothing over abdomen ;
with pressure towards chest and head ; with pressure in region of spleen ; occasional eructation gives slight relief ; would like to belch, but cannot ; pressing down upon bladder and rectum.
Flatulent colic as if bowels, bladder and rectum were pressed upon with a sharp instrument.
Violent screaming and tossing about, kicks his legs, draws them up towards abdomen ; refuses everything offered to him, and appears in great dread of being touched ; face red, covered with sweat, pulse very rapid but not tense ;
respiration anxious, rapid ; abdomen bloated, tense, particularly in hypochondria ; audible rumbling in abdomen but no discharge of flatus ; during the short remissions lies prostrated with eyes closed. θ Colic.
Colic of infants with constipation caused by stimulating food taken by mother or nurse ; large amount of flatus ; constipation, with apparent frequent desire and effort to evacuate bowels.
Cold hands and cold feet during paroxysms, or even stupefaction to unconsciousness. θ Colic.
Periodical pressing, pinching pains with retraction of abdomen, umbilical region very sensitive, could not touch abdomen ; constipation followed next day by diarrhœa ; loss of appetite ; nausea and vomiting early in morning on rising. θ Lead
colic.
Colic from suppressed hemorrhoidal flow.
Colic from indigestion, with waterbrash ; < after coffee, brandy or overeating.
Gastro-duodenal catarrh.
Belching, vomiting and constant pressure upon rectum, as if urging to stool. θ Peritonitis.
Plethora abdominalis ; congestion of portal system.
Hysterical, abdominal spasms.
Intussusception ; crampy, remittent pain in bowels ; contraction and restriction of bowels ; sour, mucous or bloody vomiting ; quick spasmodic pulse and hot skin.
Sensation of weakness in abdominal ring, as if a hernia would occur.
Pain in abdominal ring in morning, in bed, as if a hernia would become incarcerated.
Incarcerated hernia, before occurrence of inflammation.
Inguinal hernia of left side in a woman ; irreducible by skilful manipulation, vomiting of much fecal matter ; singultus.
Sudden violent pain in hernial region ; drawing and tearing and spasmodic constriction in abdomen, with nausea and vomiting of sour mucus ; constipation with constant ineffectual urging to stool ; slow protrusion in aged persons, with
squeezing pain in hernial region, fulness in abdomen, periodical nausea, gulping up of salt or bitter water, vomiting ; hernial tumor sensitive to touch ; indications of approaching gangrene, with green or yellowish-green spots on tumor.
Strangulated, umbilical hernia.

Stools and rectum

Desire for stool : anxious ; frequent, ineffectual.
Stools : thin, brown, dark watery, small, frequent, offensive ; small, diarrhœa-like, corroding anus ; thin, brownish, mucous ; thin, bloody, mucous ; thin, green, mucous ; dark, thin, fecal ; brown, fluid ;
offensive ; involuntary ; like pitch, with blood.
Diarrhœa : in morning, after rising, or immediately after dinner ; with constant urging, passing small quantities, followed by a feeling that more remains to be passed ; from cold ; after taking diarrhœa mixture ; for six years, hurrying her out of bed in
morning, if she composed three lines in afternoon would wake up next morning with diarrhœa, showing preponderating influence of mental labor ; after a debauch ; stools papescent or watery, scanty or often accompanied by urging ; with retching in morning, vomiting perhaps a
little froth or sour fluid ; craves liquor, but stomach is so irritable that he vomits it as soon as taken ; intolerant of milk ; in patients who catch cold easily, of nervous constitution, easily exhausted ; of infants, where artificial food disagrees and causes vomiting
and purging ; alternating with constipation ; during day ; after abuse of alcoholic spirits ; after drastic medicines or prolonged drugging ; after night watching ; during jaundice ; from indigestion ; after overexertion of mind ; after
anger ; after ginger or brandy.
Before stool : cutting about umbilicus ; tenesmus ; backache as if broken ; constant urging (often ineffectual).
During stool ; cutting ; backache ; violent tenesmus.
After stool : cessation of pains and tenesmus ; burning at anus ; sensation as if not finished.
Discharge of blood with the feces.
Dysenteric diarrhœa, during cholera season ; painful straining and very scanty watery discharge.
Dysentery : frequent urging to stool, urging ceasing as soon as bowels move ; stools bloody, slimy, watery, also scanty ; < in morning ; when resulting from a cold or from suppression of a secretion or sweat ; constant inclination
to stool as soon as patient sits or stands ; small quantities of jelly-like mucus streaked with blood, passages occurring every fifteen minutes, with tenesmus and great pain, causing her to scream out when at stool ; much pain in lumbar region with fever and headache, scanty
passages about every hour, of bloody scrapings, with great tenesmus ; pressing pains in loins and upper part of sacral region, as if broken, great heat and thirst with redness of face ; with cutting at navel ; painful, spasmodically closed anus.
Abdomen enormously swollen, hard and tense ; no fluctuation ; constant severe gnawing pains a little below epigastrium and occasionally stitches along colon ; eight to ten thin, greenish, putrid and bloody evacuations in twenty-four
hours ; tongue dry and white ; skin dry and harsh ; pulse small and weak ; emaciation ; skin pale ; constant desire for food. θ Chronic dysentery.
Cholera : prodromal stage, severe cramps in stomach, nausea, belching, obstinate constipation ; also useful in primary stage with severe urging to stool and very scanty discharges, or discharges are spasmodically retained ; severe cramps
of stomach with vomiting.
Alternate constipation and diarrhœa.
First part of stool soft, last hard.
Constipation : with ineffectual and frequent urging to stool, with a sensation as if anus were contracted ; as from inactivity of bowels ; as from constriction or contraction of intestines ; stool very hard, dry, and for some time after a
sticking pain in rectum as from hemorrhoids ; frequent unsuccessful desire, passing small quantities, and sensation as if not finished ; difficult stool from spasmodic action ; with rush of blood to head ; obstructed portal circulation ; stools in hard masses ;
large, hard stools, frequently streaked with blood ; following diarrhœa which had been checked by brandy ; with headache, drowsiness, low spirits, or as if he had taken cold ; with dyspepsia, flatulence, tenesmus and cardiac palpitation ; with gastric catarrh ;
whole body trembled, but especially hands, when he wrote ; difficult, scybalous stools at long intervals in consequence of spinal weakness ; not due to atony of rectum but to irregular, fitful action ; in those who lead a sedentary life or are suffering from effects of
prolonged night watching, nursing or mental overwork, or those who use in excess spirituous liquors or overload digestive tract with highly-seasoned food, or from abuse of purgatives, or sexual excitement, due to onanism, or when constipation has been preceded by diarrhœa or is the
consequence of its sudden checking ; of pregnant women ; of active, irritable infants and of those who have been prematurely fed on meat, or when trouble arises from excessive use of coffee ; antiperistaltic action of intestinal canal.
Constipated stools : inefficient, black, hard, often streaked with blood ; large, hard ; black, dark or brown in color and hard and knotty in appearance ; consisting of little balls.
Hemorrhoids : blind or flowing ; abdominal plethora ; congestion to head ; < from high living or sedentary habits ; with burning and sticking in rectum ; anus burning, smarting, feels as if cut some hours after stool ;
with itching, keeping awake at night ; has to sit in a tub of cold water for relief ; with shooting shocks in loins ; during pregnancy or after parturition ; inflamed and partly constricted ; burning pains becoming intolerable on least touch ; can lie only on
abdomen ; with copious discharge of bright blood with the urging to stool or after ; discharge of bloody mucus ; after purgative medicines and internal and external allopathic treatment ; in persons addicted to the use of coffee, wine, liquors, spices, etc. ; with
fissures of anus, with great sensitiveness of rectum.
Prolapsus of rectum after a long-continued diarrhœa during childhood ; rectum protrudes four inches ; prolapsed part bluish-red, tumid, easily bleeding, covered with a slimy, purulent matter and has an appearance of degeneration ; at
times severe pains therein, particularly during stool, latter delayed and hard ; no protrusion when lying quietly or when in bed ; appetite poor ; digestive disturbances ; occasionally nausea and pains in stomach.
Prolapsus recti due to constipation ; severe pressing causing rectum to protrude, accompanied by pain and hemorrhage.
Tearing, stinging, burning and itching of anus.
Dragging in anus, when not at stool.
Itching in anus associated with a sore pain as from hemorrhoids.
Itching on margin of anus, becoming a smarting and sore pain, as from blind piles.
Hemorrhage from anus.
Painful spasmodically closed anus.
Prolapsus ani in children suffering from constipation or when occurring with diarrhœa during teething.
Worms, in horses ; the animal seemed much out of health, ate little, was languid and seemed to have no spirit or life (after Nux vom. [200] in a pail of water, an enormous quantity of worms passed).

Urinary organs

Diabetes : from spinal lesions ; irritable temper ; odd sensations in limbs, fidgets ; numbness and paretic condition of lower extremities ; stomach and liver complaints ; voids most urine during night ; in high livers with
sedentary habits.
Very great sensitiveness in region of right kidney, < from touch ; strangury.
Nephritis : from stagnation of portal circulation caused by suppression of an habitual sanguineous discharge ; tension ; bloating of abdomen ; pressure, heat, burning in loins and region of kidneys ; after suppression of hemorrhoidal flow, abuse of liquors or
when caused by a calculus.
Pains in small of back, as if bruised, so violent he cannot move ; lameness in back ; heaviness and stiffness of neck ; cough from exertion ; dyspnœa ; constipation ; bad breath ; deranged stomach ; sour
taste ; sleepless forepart of night, with great drowsiness in morning and during day ; drawing in arms as if they were asleep ; loss of motion of arm. θ Albuminuria.
Renal colic : pain, especially in right kidney, extending into genitals and right leg ; nausea ; vomiting ; constant urging to urinate ; insufficient urging to stool ; inability to lie on right side ; > lying on
back ; < on rising and walking about ; after palliative use of anodynes ; shortly after midnight, writhing, moaning and wringing her hands, pain culminated every little while in distressing retching and vomiting, constant urging to stool and to urinate with the pain ;
severe stitches in region of left kidney, < rising from seat and motion but not from touch, cannot lie any length of time in one position, bathed in sweat, pain accompanied by chilliness, pain in abdomen, vomiting, frequent hæmaturia, finally right renal region also affected pain,
extending to right thigh.
Hæmaturia, after abuse of alcoholic stimulants or drugs ; suppression of hemorrhoidal or menstrual discharges ; full, tensive feeling, pressure and distension in abdomen, loins and region of kidneys ; signs of stagnation in portal circulation.
Cystitis : after suppression of menses or hemorrhoidal flow ; painful urging to urinate, with scant discharge and burning pains ; sensitive drawing pains in testicles and spermatic cords and full feeling in region of bladder ; discharge of urine drop by drop with
burning and tearing ; pale urine followed by thick, whitish, purulent matter with violent burning pain, spasmodic retention of urine after suppressed gonorrhœa ; catarrhal cystitis limited to parts directly around neck of bladder.
Spasm of bladder, especially if caused by sexual excesses or by undue use of stimulants.
Spasmodic retention of urine ; discharged drop by drop.
Difficult urination with pressure and tenseness in region of bladder ; when becoming warm from working, frequent scanty urination, cannot empty bladder ; no pain to speak of ; urine clear and normal ; chronic constipation. θ Paresis
of detrusor vesicæ.
Painful ineffectual urging to urinate ; urine passes in drops, with burning and tearing ; spasmodic strangury.
Strangury after beer.
Nightly urging to urinate.
Pressure to urinate at night with discharge of a few drops of red, bloody, burning urine.
Paralysis of bladder ; urine dribbles.
Enuresis nocturna from infancy in a girl æt. 16 ; sick headache ; gastric derangement ; sour stomach ; sour taste in mouth ; constipation ; vomiting ; languor.
Incontinence of urine after repeated attacks of gonorrhœa ; slimy discharge ; itching sensation during erection ; fossa navicularis sensitive.
Nocturnal and diurnal enuresis, with constant dribbling of urine, so that he could not leave home for a day.
Paralytic incontinence of urine from irritation of lower part of spine.
Involuntary micturition when laughing, coughing or sneezing.
Itching burning in region of neck of bladder in morning in bed.
Irritable bladder of gout or alcoholism.
Vesical calculi.
Pain and spasm during passage of urinary calculi.
Frequent desire to urinate, much at a time, < when lying, preceded by aching pain in bladder.
Urine : seldom and scanty ; generally light-colored, sediment reddish ; tenacious mucus passes with urine ; pale, later thick, whitish, purulent ; reddish with brickdust sediment.
Before urinating : pressure on bladder ; pain in neck of bladder.
While urinating : burning and tearing in neck of bladder ; burning and fine sticking pain in forepart of urethra ; itching and burning in urethra.
After urinating : contractive pain in urethra.
Pressing pain in meatus, between acts of micturition, accompanied by shuddering.
Sharp pressure as with a cutting instrument in forepart of urethra, also in bladder, perineum and anus, with contractive pain between acts of micturition and discharge of mucus.
Spasmodic urethral stricture.

Male sexual organs

Sexual desire on slightest provocation.
Painful erections, especially in morning ; often excitable, but power is weak.
Erections after the midday nap.
During an embrace penis becomes relaxed.
Emissions : during sleep ; after onanism or too high living ; after sexual excesses ; every second or third night, with erections and sensual dreams ; cannot be in female society without having emissions, followed by great
exhaustion ; from plethora ; followed by excessive irritability, despondency and prostration ; in healthy, robust men, not due to onanism.
Sexual impotence with great spinal exhaustion ; complete impotence.
Spasmodic constricting pain in spermatic cord causing testicle to be drawn up ; < standing or walking, at times > sitting ; testicle swollen and indurated.
Urethritis after cessation of regular and copious hemorrhoidal discharge.
Gonorrhœa : after abuse of copaiva and cubebs ; thin discharge, with burning on urinating and frequent urging to stool ; suppressed, with swelling of testicles.
Chronic prostatitis.
Chancroid ; shallow and flat-bottomed ulceration showing disposition to spread irregularly and indefinitely, exuding a thin serous discharge.
Biting itching on inner surface of prepuce, soreness on margin, or on mons veneris.
Increase of smegma.
Heat in testicles.
Inflammation of both testicles with swelling and hardness ; testicles drawn up.
Itching on glans penis ; prepuce retracted ; heat and stitches alternating with constricting pain in testicles ; testicles swollen, very sensitive to touch ; constipation, stool hard ; much thirst ; sleepless at night on account of pain. θ Orchitis.
Left testicle swollen, hard, elastic, as large as goose egg ; scrotum on left side, hot, swollen ; constant constricting, drawing, tearing pain along spermatic cord and extending up to left kidney, < from pressure, motion and at
night ; thirst ; restless sleep. θ Orchitis.
Itching on scrotum.
Hydrocele.

Female sexual organs

Great excitement of sexual organs, with sexual dreams and orgasm, in irritable and headstrong women.
Burning in vulva, with desire for an embrace. θ Nymphomania.
Irritation and inflammation of ovaries occasioned by rich living, highly seasoned food, stimulating drinks, or by a too sedentary life.
Violent aching in hypogastrium, < from pressure and contact ; violent pains in loins ; constipation or hard stools ; retention of urine, dysuria or ischuria ; swelling of os tincæ, with contusive pain and stitches in abdomen ; frequent desire to
urinate, with scalding and burning pain ; < towards morning. θ Metritis.
Severe pain in lumbar region shooting out to thighs ; bearing-down pain in abdomen ; frequent, painful, scanty urine, sometimes bloody ; loss of appetite ; constipation ; low-spirited. θ Chronic
metritis.
Chronic parenchymatous metritis with bearing down into vagina and towards sacrum ; constant urging to urinate ; constipation.
Hardness and swelling of os tincæ.
Pale ; exceeding emaciated ; hair turned quite white and thin ; face bore an expression of extreme anguish, caused by almost incessant agonizing bearing-down pains in womb and rectum ; had miscarried about four months ago, in third month of pregnancy, and much
manipulation was employed in delivery of fetus, and since that time was treated for "inflammation of womb" ; constant bearing down pains of an exceedingly grinding, acute kind, causing her to scream incessantly ; but these symptoms seem to have been developed especially
after the harsh treatment employed to overcome constipation ; she endures the terrible grinding pains until she can bear them no longer, then resorts to castor-oil injections, suffers indescribables agony for several days before she has a passage, which is followed by a little rest,
soon interrupted again by the above agony ; constant violent thirst ; each mouthful of water causes colic and bearing down with screaming ; great pallor ; gums look retracted as after mercury ; nausea and occasional vomiting ; has some appetite and can bear
light food ; perfectly helpless from loss of strength, must be carried ; pulse small, 100 ; occasional febrile paroxysms in night and towards morning, during pain. θ Uterine
neuralgia.
Contractive uterine spasms ; with discharge of coagula.
Sensation of heaviness in region of neck of womb ; rising or sitting down causes a soreness and distress in that region.
Pressure towards genitals in morning ; prolapsus uteri, from straining or lifting, or after miscarriage ; bearing down towards sacrum, with ineffectual urging to urinate.
Burning, heaviness and sticking in uterus.
Pain as if bruised in neck of uterus. θ Metritis.
Uterine fibroid.
Congestion of blood to uterus, pressing weight and heat.
Metrorrhagia at climaxis, from high living.
Uterine hemorrhage of six weeks duration, beginning every morning at three and lasting until eleven.
Menses : too early and profuse ; occur too soon and last too long ; flow dark, oversensitive to nervous impressions ; faints easily, especially in a warm room ; navel feels drawn in ; a few days before the time and rather
too copious, or keeping on for several days longer, with complaints at onset and remaining after it is over ; recur even on fourteenth day ; irregular, never at right time ; sensation of constriction about hypogastrium ; interrupted and beginning again ; with spasms
and headache ; with nausea in morning, chilliness and attacks of faintness.
Cramping pains in uterine region, causing her to double up and cry ; must stay in bed ; pressing painful sensation extending from uterus upward to umbilicus and often to region of stomach, causing great nausea ; attacks of fainting ; chilliness with heat and
redness of face ; menses preceded and accompanied by pressure in forehead and vertex. θ Dysmenorrhœa.
Dysmenorrhœa : twisting pains moving about abdomen, with sickness of stomach ; crampy and stitching pains in pelvic region ; soreness across pubis ; cramps in bladder ; constant unsuccessful urging to defecate ; after all
sorts of drugs and painkillers.
Eight days before menses pain appears in lower abdomen ; stitches, tearing, pressure and tension extending deep into pelvis ; pains < two hours after beginning of menses, when the stitching and tearing extend to knees ; cannot stretch legs which are painfully and
spasmodically flexed ; hypogastrium very sensitive to pressure ; > from warmth of bed. θ Dysmenorrhœa.
During and after menstruation, appearance of new and aggravation of old symptoms.
Menses very scanty, continuing but a day, preceded and followed by copious leucorrhœa ; appetite poor ; obstinate constipation ; difficult, imperfect digestion and defective assimilation. θ Amenorrhœa.
Crampy, stitching pains in pelvis ; soreness across pubes.
Uterine pains running down.
Leucorrhœa : fetid, staining yellow ; painless, yellow mucus.
Internal swelling of vagina, like a prolapsus, with burning pain, which makes external touch intolerable.
Burning in pudenda.
Prolapsed vagina from heavy lifting.
Gnawing, itching eruption on pudendum.
Tingling and itching of vulva, causing onanism.
Corrosive itching eruption on vulva. θ Pruritus vulvæ.

Pregnancy. parturition. lactation

Constant severe hiccough so that she could not eat, drink or sleep ; beginning pain in abdomen ; fourteen days after labor ; primipara.
Morning sickness, nausea and vomiting during pregnancy ; constipation ; excessive irritability.
Gulping up of bitter, sour fluid at night ; nausea early in morning, and after a meal, with vomiting, constant pain and pressure in pit of stomach as from a stone ; cannot bear anything tight around stomach ; constipation. θ Reflex
gastric derangement during pregnancy.
During pregnancy : morning sickness ; jaundice ; colic ; difficult breathing from upward pressure ; frequent urging to urinate ; varicose veins attributable to high living ; hemorrhoids.
Threatened abortion due to varicosed condition of uterus brought about by frequently recurring congestions ; uterus in a relaxed condition.
Threatened abortion, or retained placenta after abortion or parturition, with a constant feeling of uneasiness in rectum as though bowels ought to be moved.
Profuse hemorrhage after abortion at three months ; flow < at 3 A. M.
False pains (seventh month).
Labor pains : excessive, violent ; spasmodic, cause urging to stool or to urinate ; cause fainting ; < in back ; are too violent ; must stand or walk about ; wants back rubbed ; likes to have room warm ; nearly or entirely cease.
Somnolence ; unconscious of what had occurred ; face red, lips dark, dry ; tongue dry, covered with brown fur ; wild expression of eyes ; grating of teeth ; sticks out tongue ; twitching of muscles of face ; mouth filled with reddish
mucus ; respiration nearly suppressed ; skin dry, hot ; pulse scarcely perceptible ; twitching of whole body which was cold and pale. θ Puerperal convulsions.
After-pains violent and protracted ; in irritable women.
Metritis after parturition.
Lochia scant and offensive, with bearing-down pains.
Nipples painful during suckling, with little or no soreness or rawness.
Severe tensive pains in nipples, particularly when nursing ; nipples sore, presenting a white point in centre, but no suppuration.
Caking of milk in right breast after neglecting to nurse child for several days from this breast ; whole breast tense, but doughy and painless.

Voice and larynx. trachea and bronchia

Hoarseness : with roughness and scraping in throat ; catarrhal, with viscid mucus.
Tension and pain in larynx and bronchia ; itching provokes cough.
Dry, painful catarrh in larynx, < early in morning ; hands and feet hot.
Acute catarrhal laryngitis, chilliness, headache and stoppage of nose ; from exposure to drafts, or sitting in a cold room.
Spasmodic constriction of larynx after midnight, suffocating spells.
Tickling itching in trachea in middle of sternum provokes cough.
Adherent mucus high up in trachea provokes cough.
Shortness of breath, sore cough and great sensibility of bronchial tubes ; cough < at night ; expectoration copious, of saltish taste, white. θ Bronchitis.
Chronic bronchitis of old people.

Respiration

Breathing : short, oppressed and hard ; oppressed, from tightness around hypochondria ; tight, with hacking cough.
Dyspnœa : from pressure upward of diaphragm in consequence of accumulation of gas ; at night, on waking from frightful dreams, she could scarcely catch her breath ; in evening and morning ; on slightest exertion, so that he cannot work, patient lives well, drinks
from six to nine cups of coffee daily and uses an enormous quantity of tobacco.
Anxious oppression of chest ; as from a load.
Compression, chest as if drawn together, at night in bed.
Asthma, spasmodic constriction of lower part of thorax.
Asthmatic constriction transversely through chest, when walking and ascending.
On motion or exertion, constriction of chest and dyspnœa, must stand still ; suffocative constriction of chest in evening on attempting to step into bed, must sleep sitting in a chair ; very severe attack after midnight towards morning, cannot sit ; severe dyspnœa,
constriction and oppression of chest as of a heavy load ; attacks last several hours, during which time he supports him-self by leaning with hands upon table ; slow, loud, whistling respiration ; severe dry cough, shocks causing pain in head and abdomen ; anxiety, sense
of suffering throughout body ; suffers from gastric troubles.
Sudden violent attack of asthma while working ; every attempt to work brought on paroxysm ; > when keeping quiet ; appetite good ; tongue clean ; gums pale ; stool solid and brown ; precordia tense.
Awakened every night after being asleep an hour by an intolerable sense of suffocation ; forced to sit up in bed and for half an hour or an hour felt as if room had been exhausted of air ; felt as if he must die ; each successive attack increased in duration and intensity.
θ Nervous asthma.
Spasmodic asthma, caused by anxious dreams ; sensation as if clothing were too tight ; hysterical or hypochondriacal subjects.
Asthma from congestion of blood to chest ; sensation of oppression ; skin warm ; inclination to sweat ; pulse increased, full, hard.
Asthma appearing about 1st of May for several years ; profound nervous debility ; could neither lie down nor sit up with comfort on account of distress of breathing ; > in open air, although scarcely able to stand when supported on either side ; completely
worn out from protracted suffering, from loss of sleep and inability to take food.
Spasmodic asthma from earliest youth, < at beginning of Fall, gradually sudsiding as Spring sets in ; increasing in severity each year.
Asthma with fulness in stomach ; > after belching ; oppression mornings, or after eating ; spasmodic constriction of lower part of chest, < from cold air exercise.
Short, slow, stridulous breathing.
Spasms of chest from vapor of copper or arsenic.

Cough

Cough : causes headache as if skull would burst ; racking, with pain in stomach and abdomen as if bruised ; violent, little or no expectoration ; dry, fatiguing, from tittillation in larynx ; < after midnight and in morning ;
< after eating ; with vomiting or bleeding from nose or mouth ; dry, persistent, fatiguing, about midnight, if she lies upon back, disappearing when lying on side ; dry from midnight till daybreak ; at night, preventing sleep ; from exercise, thinking or
reading ; violent before rising in morning, with expectoration of clotted blood and soreness in chest ; hoarse, dry and hollow ; convulsive, excited by tickling in throat ; scraping cough ; from adherent mucus high up in trachea ; dry with rattling of
mucus ; dry in evening and loose in morning ; of nervous or gastric origin ; stomach cough ; cough of students ; after gaping, or if gaping excites cough ; < from mental effort, ascending, cold, exertion, on awaking, from tobacco, drinking, eating,
beer ; > from warm drinks.
Desire to eat during cough.
Spasmodic cough with retching.
Sputa : yellow ; grey ; cold mucus ; sour or sweetish, bright red blood.
Bad cough ; shortness of breath ; pain in chest ; cheeks sunken and bright red ; bitter taste in mouth ; pain in stomach and bowels ; no appetite.
Rough, dry, deep cough, from dryness in larynx, with tension and pain in bronchi. θ Bronchitis chronic.
Whooping cough : during coughing spell severe pain in region of umbilicus as if everything there was being shattered and torn ; vomiting, gagging, choking spells, with bluish face and pain in abdomen ; < morning and after eating ; constipation ; after cough
mixtures ; < in morning ; splitting headache, child holds its head, face blue ; bleeding from eyes, nose and mouth.

Inner chest and lungs

Pressing in chest as from a heavy load.
Tightness across chest ; during coryza ; during chill.
Roughness and rawness in chest.
Scraping in chest, causing hawking.
Burning on chest.
Sensation as if something were torn loose in chest.
Intercostal neuralgia, > when lying on well side.
Angina pectoris ; loss of appetite and accumulation of gas in bowels.
Congestion to chest, with heat and burning.
Hæmoptysis : from anger ; suppressed hemorrhoidal flow ; debauchery ; in drunkards.
Catarrhal fever, with or without coryza ; chilliness ; creeping chills seem to spread over bones, first in one locality, then in another, appearing on motion and frequently alternating with flushes of heat ; come on in afternoon and
gradually grow in intensity, > near warm stove ; scratching sensation in pharynx ; < mornings, causing hoarseness, hawking and rough cough.
In infantile chest diseases after much medication, when there are present a smouldering fever, severe cough and willfulness.
Shooting pains from centre of sternum around chest, on coughing. θ Pleurisy.
Inflammation of diaphragm ; grasping, rooting pain, with nausea or vomiting ; nervous persons.
Violent pain shooting inward in right side of chest, < breathing deeply, turning in bed, speaking and lying on painful side ; breathing short ; teasing cough, with tenacious, frothy, bloody expectoration, ejected blood being of a brownish color ; with cough
involuntary passage of urine ; tearing in right shoulder, < moving affected part ; aching and tearing in head ; weakness, from disturbed sleep ; frequent chills, with rigor and goose-skin ; sour-smelling perspiration ; great thirst ; rapid pulse ;
no appetite ; furred tongue ; peevish, dejected spirits. θ Pneumonia.
Pneumonia : of the aged, also of children, with catarrhal irritation ; spasmodic dry cough, or cough with difficult expectoration and oppression of chest ; in hypochondriacal subjects, or in those suffering from hemorrhoids ;
gastric and bilious symptoms pronounced ; catarrhal symptoms predominate over inflammatory ; of drunkards ; accompanied by catarrh of bronchia ; in sick people compelled to lie a long time upon back ; with delirium tremens ; after suppression of hemorrhoidal
flow from becoming chilled ; when hepatization occurs, without fever, cough or any marked symptoms indicating a lung affection.
Spasms of chest from vapor of copper or arsenic.

Heart, pulse and circulation

Palpitation : on lying down ; heart feels tired ; frequent belching ; spasmodic, with sense of fluttering at pit of stomach ; on lying down after dinner ; in frequent short paroxysms, with pulsating throbs in direction of
heart ; from mental emotions, or protracted study ; after coffee, wine or liquors ; from indigestion ; with nausea and vomiting ; with orgasm of blood.
Distension, aching pains and anguish in region of heart and hypochondria.
Angina pectoris : < at night ; constricting pains with anguish, patient cries out ; pain affects whole thorax, extends to left arm, anterior part of neck, lower jaw, back and region of kidneys ; pains end with discharge of flatus and profuse clear urine ;
during attacks at night patient lies upon knees, with body bent backward ; attacks caused and aggravated by motion or mental disturbances ; with loss of appetite and accumulation of gas in bowels ; from using coffee, tobacco or alcoholic stimulants to excess.
Dilatation of heart, with nervous palpitation.
Hypertrophy of heart from portal obstruction.
Pulse : hard, full, accelerated ; small, rapid ; intermits every four or five beats.
Portal stasis.

Neck and back

Tearing pain, in paroxysms, in nape of neck, in evening.
Cervico-brachial neuralgia, neck stiff, < in morning and after eating and from touch.
Rheumatism of muscles of neck, with or without tearing, drawing pains ; head generally drawn to one side and moved with great difficulty.
Neck stiff, with heaviness ; from cold.
Torticollis, head drawn to left side ; after fright ; due to spinal disease.
Tension and aching between shoulder blades ; burning, pressing, as from a stone or stitches.
Burning, tearing, drawing, lacerating or bruised pains in back.
Gets out of bed at 4 A. M. on account of pain in back, > from rising and walking about. θ Pregnancy.
Pain in back starts from posterior wall of stomach and spreads under short ribs of left side, obliging patient to bend forward.
Sudden stitches in back when turning, with dull pain while sitting.
Strong aversion to air, cannot turn in bed, if air is let in under bedclothes it makes him chilly.
Backache, must sit up to turn in bed.
Pains in small of back, as if bruised or broken ; < 3 or 4 A. M.
Sensation in small of back as if lame. θ After difficult parturition.
Pain in back after lifting ; begins in lower lumbar vertebræ and extends to hypochondria.
Pain across loins passing to hips.
Rheumatism of back, lumbago.
Spinal irritation ; backache in lumbar region, < in bed ; sudden loss of power in legs in morning ; hands and feet go to sleep easily ; stiffness and tension in hollow of knees ; clothing about waist feels too tight ;
sensation as of a band about waist ; desire to lie down ; numbness and formication along spine and into extremities.
Spine affected by sexual excesses ; complete prostration.
Spinal weakness and general debility, with difficult evacuation of scybalous stools.
Spinal anemia ; subjects who use sewing machines, or are confined to house ; bowels constipated ; ineffectual attempts to defecate or urinate.
Myelitis and early stages of locomotor ataxia, especially when occurring from exposure to cold or from sexual excess.
Multiple sclerosis, especially in beginning, with gastralgic attacks, vertigo, etc.
Progressive locomotor ataxy from alcoholism.
Lateral spinal sclerosis.

Upper limbs

Shoulders pain as if bruised ; paralytic heaviness with weak arms.
Soreness in shoulder joint.
Drawing in arms, extending from shoulder to finger, with sensation as if arm were asleep ; loss of motion of arm, especially at night.
Drawing pain from shoulder to fingers.
Sensation of sudden loss of power of arm in morning.
Paralysis of left arm ; loss of sensation and mobility ; sensation of beating and throbbing as if blood would be jerked out of veins.
Paresis of arms, with shocks as if blood would start out of vessels.
Arms and hands go to sleep ; numb, stiff feeling.
Herpes on inside of right forearm.
Veins on hands and arms prominent.
Hands cold and sweaty, with cold nose.
A peculiar feeling of duplication of touch, and an almost painful sensation in ring and little fingers of right hand after being pressed upon during sleep.
Whitlow in last phalanx of left thumb, gradually increasing ; suppuration in palmar surface of finger not reaching to tip ; throbbing pain, sometimes with burning, < from warmth, warm water, letting hand hang down and in evening after sunset ; > in bed.

Lower limbs

Darting pains from toes to hip, or from trochanter to hollow of knee, < at stool, from motion or lifting, and at night.
Severe pains extending downward from trochanter to popliteal space ; cries out when moving in bed ; pains particularly severe when patient is lifted up or attempts to stand, it seems then as if upper part of thigh was being broken ; <
at night with anxious sweat ; constipation, stool accompanied by severe pains, causing him to cry out, thus spending much time before evacuation is accomplished. θ Ischias.
Drawing, tearing, from below upward ; > from hot water ; limb stiff and contracted ; parts feel paralyzed and cold ; lies best on painless side ; < during stool and in morning ; costive ; sedentary habits ;
addicted to alcoholic stimulants. θ Sciatica.
Pain extends from toes into hip ; constipation ; severe pains drawing into foot during an evacuation. θ Ischias.
Muscles of thighs and knees painful, as if beaten or bruised.
Alternate contraction and relaxation of muscles of legs.
Paralytic drawing in muscles of thighs and calves painful on walking.
Sensation of sudden loss of power in lower extremities, in morning.
When walking, legs tremble ; unsteady gait ; drags feet.
Trembling of lower limbs and stiffness.
Tottering and unsteadiness of lower extremities ; staggering when walking.
Numbness and deadness of legs.
Sensation of paralysis, feeling as of a painful stripe down inside of thigh.
Violent colic (treated with narcotics and purgatives) followed by paresis of lower extremities, so that she could neither walk nor stand ; feeling of weight and stiffness in lower extremities, as if made of wood, with inability to stand or move, though sensibility of affected parts
is not lost ; when lying, can draw up thigh a little, but it is only with difficulty that she can move leg ; crawling and formication in paralyzed parts, with a feeling of heat, extending from feet over legs and knees, most frequently at night. θ Paresis
crurum.
Paralysis of lower limbs : from overexertion, getting wet, sexual excesses or after apoplexy ; limbs cold, bluish, emaciated ; jerks, tension of muscles, formication.
Stiffness of lower extremities remaining after an attack of meningitis spinalis.
Red swelling of leg with dark, painful spots ; bruised, sore sensation low down in abdomen, with frequent desire to urinate and to defecate ; powerless, bruised sensation in legs ; loss of appetite, great depression of spirits. θ Phlegmasia
alba dolens.
Bright red swelling of legs, with black, painful spots.
Frequently recurring boils, mostly on posterior part of thigh.
Sensation in hollows of knees as if tendons were too short, when rising from a seat.
Painful swelling of knee.
Knee joint feels dry, with cracking when moved.
Arthritic inflammation of knees, also nodosities.
Gout of knees after an attack of tertian ague with tophi and sensation of lameness of joints.
Small boils on knees stiffening whole leg ; also on thigh.
Rash on knee.
Pain in right leg and calf of leg, < from coughing and slightest motion ; > from warmth.
Cramps in calves at night, also in soles, must stretch feet.
Falling asleep (deadness) of soles.
Cannot stand without support of cane ; makes a few steps with difficulty, dragging foot after him ; foot paralyzed, cold and without sensation.
Erysipelas of foot or knee in irritable subjects, particularly women ; bright red swelling with severe pain, but no development of vesicles.
Itching, burning in toes as from freezing.
Superficial inflammation, with bright red swelling, with burning itching or when tumefied parts crack and bleed. θ Chilblains.
Violent throbbing in chilblains, in Summer.
Chilblains with bleeding rhagades.
Corns : soreness in corns.

Limbs in general

Aching, drawing or bruised pains in limbs ; < during motion and at night.
Sick feeling through all limbs ; languor, dread of motion.
Great weariness and relaxation of all the limbs, after taking the open air.
Trembling of limbs and jerking of heart.
Sensation of sudden loss of power of arm and lower extremities, in morning.
Incomplete paralysis of upper and lower extremities, affected as if asleep and heavy as lead.
Rheumatism attacking mostly muscles of trunk and large joints ; pale, tensive swelling ; numbness and twitching, < from least jar and from cold.
Miliary eruption on arms and thighs.
Fingers and toes red with burning and itching, as if frozen.

Rest. position. motion

Rest : headache > ; ringing in ears >.
Lying down in bed : syncope ; on painless side, headache > ; headache < ; eye symptoms < ; facial neuralgia > ; twitching of muscles of face ; on painful side, toothache < ; nausea and frantic feeling going off ; no protrusion of rectum ;
desire to urinate < ; asthma with sneezing ; palpitation.
Must lie down : tertian chill ; great relief when doing so.
Lying on back : head > ; pain in kidney > ; cough < ; with head low, hands above head.
Lying on side : cough disappears ; not affected, intercostal neuralgia and sciatica > ; affected, pains in chest <.
Can lie only on abdomen : hemorrhoids.
Lies upon knees with body bent backward : angina pectoris.
Cannot lie on right side : pain in kidney.
Must sit up in bed : sense of suffocation.
Raising head : syncope.
Holding head erect : a stupid feeling.
Bending head down : as if something heavy fell into forehead.
Leaning head against something : head >.
Child holds its head : whooping cough.
Rising from seat or bed : syncope ; pain in right kidney < ; causes soreness in neck of womb.
Sitting : tenesmus ; pain in spermatic cord > ; causes soreness in womb ; dull pain in back.
Must sit up to turn over in bed : backache.
Must sleep sitting in a chair : constriction of chest.
Bending forward : > pain in stomach.
Stooping : syncope ; congestion to head ; headache <.
Supports himself leaning with hands upon table : constriction of chest.
Standing : neuralgia of trigeminus < ; tenesmus ; pain in spermatic cord < ; impossible, paresis of lower limbs.
Slides down in bed : typhoid.
Must double up : uterine pain ; pain in back.
Letting hand hang down : whitlow <.
When attempt is made to stand : seems as if upper part of thigh was being broken.
Attempts to stand up in bed : typhoid.
Must stretch foot : cramps in soles.
Motion : excessive sensitiveness in brain ; ringing in ears returns ; of nose, causes soreness ; facial neuralgia < ; the least, causes chilliness ; region of liver < ; abdominal muscles painful ; pain in left kidney < ; constriction of chest ;
creeping chills ; of shoulder, increases pain ; causes and aggravates attacks of angina pectoris ; pains from toes to hips < ; of knee joint causes cracking ; slightest, pain in right leg < ; aching in limbs < ; brings on spasms ; of right leg causes him to
start and distort face ; bruised pain in limbs < ; chilliness <.
Slightest exertion : dyspnœa ; asthma ; heat <.
When moving in bed : pains from trochanter to popliteal space <.
Turning in bed : pain in small of back, sudden stitches.
Swallowing : pain in ears ; stinging or stitches in throat.
Must stand or walk about : labor pains.
Walking : syncope ; brain feels shattered ; brain seems to shake ; shocks ; facial neuralgia < ; abdomen sore ; pain in right kidney ; constricting pain in spermatic cord < ; asthmatic constriction of chest ; pain in back > ;
staggering ; impossible, paresis of lower limbs ; drags feet.
Ascending : cough <.
Exercise : toothache > ; asthma < ; cough ; of affected part causes spasmodic contraction.

Nerves

Oversensitiveness : to external impressions, odors, light, noise or music, a slight current of air ; to trifling ailments ; every harmless word offends, even suitable medicine aggravates.
Great reflex excitability.
Slightest touch of hand immediately brought on spasms.
Stitches through body in jerks, feels sore all over, < mornings.
Violent, contractive, painful sensation through whole body.
Sensation in muscles of limbs, back, scapulæ, etc., as if something in them were drawn back and forth ; more spasmodic than painful.
Shooting pains in head, face almost purple ; suddenly leaving head it attacks bowels, causing her to scream violently ; at the same time darting pains in arms and legs ; constant urging to urinate, could pass but little light-colored
urine ; skin very dry. θ Neuralgia.
Sudden shocks from some part of body to brain. θ Cerebro-spinal meningitis.
Painful cramps in calves or toes, must stand still while walking, < at night, plethoric, well-nourished old people.
Every evening crawling in hands and feet extending to epigastrium, where there is a pressure, with great anxiety and nausea ; from epigastrium it extends to throat, as if she would choke ; thence it goes into head and she loses
consciousness ; spasmodic motions of hands and feet ; after a short time a general, warm sweat, and consciousness returns. θ Hysteria.
Hysteria : convulsive form ; tetanic spasms ; no loss of consciousness ; spasms brought on by touch, motion or slightest noise ; great anxiety ; outbursts of anger ; great trembling, blueness of hands and nails ;
complete anesthesia ; with profuse menses.
Convulsive twitching of single muscles or of a single limb.
Spasms, with tetanic rigidity of nearly all the muscles of body, with interruptions of a few minutes during which the muscles are relaxed.
Limbs drawn up with a sudden jerk to body and then forcibly thrust out ; whole body would be tossed to right side, then on back again ; face, hands and limbs cold ; pulse almost imperceptible ; after every spasmodic toss of body head would roll to one side,
without any power of cervical muscles to control it ; lips and cheeks flabby ; eyes expressionless ; conscious of the spasms and felt his strength fast ebbing away. θ Spasms
following pneumonia and typhoid fever.
Short, rattling breathing ; spasmodic twitching of body ; head retracted ; bloating of abdomen ; stool hard, delayed ; frequent crying. θ Eclampsia.
Tetanic spasms after getting wet and catching cold ; limbs first affected, then back, latter becoming so stiff that she seemed like one suffering from catalepsy ; at times single twitches occurred, accompanied by outcries ; lips
blue ; respiration very difficult, at times even suspended ; several attacks occurred during night (towards morning), each lasting longer than previous one, last attack of about three hours' duration ; attacks followed by great prostration of limbs.
Muscles of fingers and thumbs firmly and painfully contracted and strongly pressed against palms, so that she was unable to open hands, and any attempt to forcibly open them caused severe pain ; pains in calves. θ Tonic
spasm.
Ten days after cut on right side of forehead, difficulty of swallowing, with stiffness of muscles of neck and jaw ; after three days jaw rigidly closed ; head constantly thrown backward ; at intervals of from half an hour to an hour,
violent painful paroxysms, during which whole body was thrown into a spasm, limbs extended, hands and feet drawn inward (towards thumbs and great toes), head and trunk bent backward like a bow, muscles of chest rigid, impeding respiration to such a degree that face became purple, intellect
clear ; harassing cough between paroxysms closely resembling a sneeze, owing to spasmodic closure of lips coming on with every attempt to cough ; almost any peripheral irritation, swallowing fluids, attempt to pry open mouth, or moving patient, would induce spasmodic action of
muscles of face and upper part of body, and, if long continued, bring on violent contractions involving whole muscular system ; wound had scarcely healed any and was filled with a black slough. θ Traumatic
tetanus.
Tetanus, characterized by opisthotonos ; clonic spasms are particularly severe, and the suffering so great that the patient groans continually.
Severe clonic spasms every five or ten minutes ; lips blue ; eyes protruded ; lower extremities stiff ; with each spasm forced out a piercing cry so loud as to waken neighbors ; foam at mouth ; least motion, moving fingers or
eyes, or touching lips with spoon, brought on spasm. θ Strychnia poisoning.
Convulsions : from emotions, as anger ; from indigestion ; following abuse of alcohol ; preceded by constipation, jaundice, etc. ; begin with an aura from epigastrium ; opisthotonos and emprosthotonos, with consciousness ; limbs rigid and go to
sleep ; choreic, with numbness ; renewed by bright light, sudden jar, noise or least touch ; deep sleep follows ; of extremities ; epileptic, bending head backward ; trismus ; in inner parts ; brought on by pressure over solar plexus.
Chorea, spinal, sensation of numbness in affected muscles ; crawling sensation in parts attacked ; unsteady gait ; feet drag ; movements renewed by least touch, but > by firm, steady pressure ; suddenly
sleepy and falls to floor, sleep lasts one or two minutes, when he rises and goes about his work. θ Epilepsy.
Severe and frequent attacks of epilepsy ; frothing at mouth ; twitching of limbs ; mental disturbance brings on an attack ; despondent, dissatisfied.
Feeling as if bruised all over.
Sensation of anxiousness in body.
Sensation of heaviness of body, alternating with sensation of lightness.
General languor ; inclination to sit or lie down and be alone.
Sudden failing of strength ; great weariness ; greater in morning after rising than in evening on going to bed.
Heat of Summer insupportable ; slightest exercise produces fatigue, with sleepiness and gastric ailments.
Great nervous debility : with oversensitiveness of all senses ; from night watching, cannot walk on account of giving out of lower extremities, knees knock together ; from use of coffee, wine, etc., with heaviness and trembling of limbs,
especially early, or after a walk in open air.
Tremulous sensation over whole body in morning.
Trembling all over, mostly of hands ; in drunkards.
Great excitement, with trembling of bowels and nerves generally.
Tendency to faint : from odors ; in morning ; after eating ; after attacks feels very sick or weak ; after a walk in open air ; after every labor pain ; after vomiting spells or diarrheic stools.
Depression following overstimulation.
Paralysis : parts cold, numb, emaciated ; caused by apoplexy or cerebral softening, with vertigo and weak memory ; after sexual excesses ; after abuse of alcohol ; after spasms ; after poisoning with Arsenic ; after diphtheria ; after fits of
anger ; labio-glosso pharyngea ; multiple sclerosis ; after mental exertion combined with sedentary habits ; from exhaustion of spinal cord, spinal anemia, reflex para and hemiplegia, or white softening, or where paresis of motor nerve centres remains after all signs of
irritation have passed ; incomplete, power of motion not entirely gone, but impeded by painful twitchings and spasmodic contraction whenever affected part is exercised ; of arm with violent jerks in it, as if blood would start out of veins ; staggering walk, when he walks
drags feet, cannot lift them ; numbness and deadness of lower legs ; spasmodic contractions occur whenever the affected parts are exercised.
Hemiplegia, left side, could not raise his arm and could scarcely hobble across room ; attack caused by excessive hard work, loss of sleep and overindulgence in tobacco.
Hemiplegia, left side, after diphtheria.
Paralysis of right arm and leg resulting from poisoning by Morphium aceticum.
Partial paralysis of lower limbs from overexertion and being drenched in rain ; drags limbs in walking ; sensation of lower limbs impaired, feels a pin only when it penetrates deep enough to draw blood ; legs cold, bluish ; constipation ; burning at
anus ; occipital headache ; no painful spot in whole length of spine. θ Locomotor ataxy.
Intense headache in occiput ; dizziness ; pain in eyes ; furred tongue ; bad taste, nausea, vomiting ; great tenderness of abdomen, with spasmodic pains and watery diarrhœa ; all symptoms except tenderness recur every other day ; nightly restlessness,
paroxysms of pain ; constipation. θ Progressive locomotor ataxy.

Sleep

Stupor-like sleep, in morning.
Stupor, lower jaw dropped ; deep sleep.
Yawning, with stretching of limbs ; chilliness.
Drowsy all day, < after meals.
Cannot keep from falling asleep in evening while sitting, hours before bedtime, and wakes at 3 or 4 A. M. ; falls into a dreamy sleep at daybreak, from which he is hard to arouse and then feels tired and weak.
During sleep : blowing, snoring expiration.
Always seeks to lie on back during sleep, with head low, arms above head, so that hands lie on nape of neck.
Violent starting on going to sleep.
Dreams : sad or frightful ; of mutilations ; confused ; anxious ; pursued by cats and dogs, etc. ; about fatal accidents ; of quarreling ; about exerting the mind ; amorous.
Whimpering and moaning in sleep, waking from troubled, busy dreams, frightened, as if some one were in room. θ Mania a potu. θ Typhus.
Weeping and talking during sleep.
Nightmare after a heavy supper or alcoholic beverages ; during sleep blowing, snoring respiration ; dreams full of bustle and hurry ; springs up delirious, has frightful visions ; awakens in fright from least noise.
Goes to sleep late from crowding of thoughts.
Sleeplessness after midnight.
Awakens at 3 A. M. ; ideas crowd upon him ; if he falls asleep again he awakens much fatigued ; morning sleep aggravates all complaints.
Insomnia, after mental strain, abuse of coffee, wine, liquor, opium or tobacco.
Better after a short sleep, unless aroused.

Time

Towards morning : cramps in stomach.
At 3 A. M. : ideas crowd upon him ; restless sleep with nausea and vomiting ; hemorrhage < ; pains in small of back < ; wakes with many complaints ; falls into a heavy sleep.
At 4 A. M. : diphtheria < ; gets out of bed with pain in back ; awakens with mental anguish.
Before breakfast : waterbrash.
Morning : great weakness and lassitude ; as if stupefied ; syncope ; reeling ; heaviness of head ; tensive pain in head ; stitches in head ; burning pain in head ; headache as if he had not slept ; pain in middle of brain ; headache
with bilious, sour vomiting ; pressing headache ; head drawn to shoulder > ; irritable ; intolerance of light < ; photophobia ; vision of left eye lost ; pain in eye < ; hot lachrymation < ; trachoma and follicular conjunctivitis < ; smarting, itching
in lids < ; on opening eyes cannot tolerate light, ophthalmia < ; conjunctivitis < ; margin of eyelid < ; pressure in upper lids < ; smarting, dry sensation in inner canthi ; burning and itching of lids < ; pains in ears < ; frequent sneezing ; coryza
fluent ; pain in forehead < ; nosebleed ; facial neuralgia < ; neuralgia of trigeminus ; taste bad ; taste sour ; breath offensive ; dryness of mouth without thirst ; thirst ; putrid eructations ; during sweat, qualmishness, nausea ;
colic and pressure ; pain in small of back ; watery diarrhœa ; weakness in legs on rising ; pressure under short ribs as from incarcerated flatus ; pains in abdominal ring ; retching ; dysentery < ; great drowsiness ; itching, burning in neck of
bladder ; painful erections ; metritis < ; pressure towards genitals ; dry, painful catarrh < ; dyspnœa ; cough < ; cough violent before rising ; pain around umbilicus ; whooping cough < ; scratching sensation in pharynx ; cervico-brachial
neuralgia < ; sudden loss of power in legs ; sudden loss of power of arms ; early, paresis of arms ; sudden loss of power of legs ; feels sore all over ; failing of strength ; tendency to faint ; stuporlike sleep ; sleep < all complaints ;
chilliness of back and limbs with painfulness of skin ; chill lasts till ; chill with constipation ; sweat.
At 9 A. M. : intermittent neuralgia appears.
At 11 A. M. : chill lasting one hour.
Forenoon : sits still and absorbed ; facial neuralgia.
Day : coryza fluent ; alternate diarrhœa and constipation ; great drowsiness ; enuresis ; after midday nap erections ; drowsy.
At 2 P. M. : attack of pain in face ceases ; intermittent neuralgia ceases.
At 3 P. M. : pressure in stomach.
Afternoon : excited and chatty ; lost vision returned ; facial neuralgia ; creeping chills ; chill.
Evening : excited and chatty ; headache > ; head drawn to one side < ; moving nose, soreness of margin of nostrils ; twitching of muscles of face ; drawing in teeth ; pricking in teeth ; pains in stomach ; dyspnœa ; constriction of
chest ; tearing pain in neck ; whitlow < after sunset ; irresistible drowsiness ; chilliness after lying down ; fever appears ; itching <.
Night : syncope ; tensive pain in head ; photophobia > ; tearing pains in eyes wake him ; itching in ears disturbs rest ; coryza < ; coryza stopped ; drawing in teeth ; bloody saliva runs from mouth ; wakes with a feeling of impending
suffocation ; vomiting and diarrhœa ; itching of hemorrhoids ; voids most urine ; enuresis ; pressure to urinate ; sleepless on account of pain in testicles ; pain in left kidney < ; cough < ; waking from frightful dreams ; chest as if drawn
together ; angina pectoris < ; loss of power of arm ; paresis of arms < ; pains from toes to hip < ; ischias < ; paresis crurum < ; cramps in calves and soles ; aching in limbs < ; several attacks of spasms ; sleeplessness ; bruised pains in limbs.
After midnight : clawing in stomach ; renal colic ; wakes and lies awake for hours ; spasmodic constriction of larynx ; cough < ; till daybreak cough dry ; sleepless ; sweat.

Temperature and weather

Worse in dry, generally > in wet weather.
Bad effects from sitting on cold stones.
Excessive sensitiveness to open air ; liability to take cold.
Likes to have room warm and to be well covered.
Open air : syncope ; headache < ; nose filled up ; lachrymation > ; facial neuralgia ; colic ; aversion to ; flatulence > ; asthma > ; weariness and relaxation of all limbs ; after a walk tendency to faint ; chilliness ;
heat < ; eyes sensitive ; teeth sensitive ; draft, sensitive.
In room : coryza fluent.
If air is let in under bedclothes, chill, cannot turn over.
Aversion to uncovering : heat with red face.
Does not tolerate covering : heat over body during sweat.
Wrapping up : headache >.
Warm room : headache > ; pains in ears < ; lachrymation < ; faints easily ; is desired in labor-pains.
Warmth : toothache > ; pains in abdomen > ; of stove > chills ; whitlow < ; pain in right leg > ; does not > coldness of whole body.
Sunshine : headache <.
Heat of Summer : insupportable.
Hot weather : gastric and bilious fevers.
Hot weather : > pain in leg.
Hot drinks : hiccough ; gastralgia > ; cough >.
Near fire : pains in forehead <.
Getting wet ; tetanic spasms ; partial paralysis of lower limbs ; feet, ague.
Bathing : does not > burning pain in eye.
Wet weather : facial neuralgia < ; wet and warm, gastric and bilious fever.
Stormy weather : headache <.
Dry wind : takes cold in head.
Dry cold weather : coryza.
Cold : head < ; toothache < ; air causes rawness in fauces ; drinks cause hiccough ; rooms caused laryngitis ; air, asthma < ; cough <.
Cold water : toothache < ; pain in tongue <.

Fever

Coldness of whole body, with blue hands ; neither > by warmth of stove nor by covering.
Chilliness : on back and limbs, in morning, with painfulness of skin, as if it had been frozen ; numbness in limbs, like that caused by cold weather ; in back and over arms (not on hands), in evening after lying down ; with shivering, after drinking ; from
slightest contact with open air ; with hot face ; alternating with heat ; from slightest motion.
Chill : begins in back, limbs or whole body, not > by warmth ; evening and night in bed, lasting till morning ; with pain in small of back and sacrum ; with thirst ; as soon as he moves bedclothes ; preceded by intolerable
drawing pain through thighs and legs, obliging him to alternately draw them up and stretch them out ; congestive, with vertigo, headache, etc. ; in afternoon, goes to sleep between chill and heat ; < when moving and from drinking ; alternating with heat ;
mornings, with constipation (in nursing children).
Heat : with internal chilliness ; of single parts while others are chilly ; alternating with chilliness ; with overexcited senses, < from external impressions ; with anxiety and restlessness ; internal burning through whole body ; dry, over whole
body, does not tolerate covering ; with thirst ; violent, long-lasting, with great thirst ; with red face and aversion to uncovering ; of hands and feet which must be covered, because cold causes intolerable pain ; at night, without thirst ; < during least
exertion or in open air ; ascending from throat ; sometimes precedes chill.
During fever a round spot at pit of stomach two inches in diameter, feels hot to patient but feels cold to touch.
Sweat : light ; without thirst ; with chilliness from motion or allowing air to strike him ; alternating with chill ; profuse after severest paroxysms, or attending congestive chill ; only on right side ; sour, cold
and clammy ; relieving pains in limbs ; offensive ; one-sided ; after midnight and in morning ; odor of musty straw ; only on upper part of body ; wants to throw off covers ; during sleep, disappears on waking.
One-sided sweat, after typhoid fever ; day or night, as soon as patient lay down to nap or to sleep, side uppermost commenced to perspire profusely ; sweat warm and not offensive, disappearing on getting up.
Smouldering, lingering, obstinate, irritative fever ; frequent, small, thumping pulse.
Gastric or bilious fevers in plethoric individuals or in those suffering from portal stasis, occurring in hot weather or in warm, wet days.
Slow fevers alternating with constipation and diarrhœa.
Anticipating morning fever ; chill with aching in limbs, gaping ; blue nails, no thirst ; then thirst, long-lasting fever, with stitches in temples ; light sweat.
Chill every morning with neuralgia, commencing in temples and extending down ramus of inferior maxilla and posteriorly to occiput, with epistaxis.
Paroxysm preceded by yawning and stretching ; shaking chill lasting five hours, with thirst and pain in joints ; then heat and sweat ; pain in head as if it would be torn asunder ; yellowness of conjunctiva ; bitter taste ; white-coated tongue ;
constipation ; urine red ; sleeplessness at night on account of sweat. θ Tertian ague.
Two months tertian chill at 7 A. M., lasting twenty minutes ; nails blue ; hot stage lasts ten minutes ; sweat nearly all day ; violent headache ; must lie down.
Severe chill, with excessive vomiting of mucus ; only cold and hot stages present ; cold very severe, lasting about fifteen minutes ; fever high, lasting eight hours.
Chill followed by dumb ague ; partial paralysis of legs.
Ague after feet had become wet and cold ; irritation of cauda equina manifested by appearance of pain when pressure is made upon spinal processes.
Chill at 11 A. M., lasting one hour ; nails blue ; (after Nux vom. an eruption appeared upon and about lips).
Chill in morning, with pain in stomach and left hypochondriac region ; thist begins before chill and lasts during heat ; in apyrexia, dulness in head and loss of appetite ; only cold things taste good.
Chill and heat mixed, one internal, the other external, or alternating ; thirst for beer ; portal congestion ; apyrexia marked by gastric symptoms.
Irregular in paroxysm ; may come on at any hour of day and return at same hour, or earlier or later.
Congestive chills, with vertigo, anguish, delirium, vivid visions, distended abdomen, stitches in sides and abdomen.
Children's intermittents ; shaking chill, with blue-mottled skin, especially on covered parts ; morning chill ; thirst very great during chill and fever ; great tendency to spasms (and even convulsions) as chill went off and sweat came on ; bowels constipated
with ineffectual urging to stool, especially in nursing children ; appetite poor ; urine red and fetid and generally a dry, hacking cough.
Intermittent : every Spring ; anticipating ; congestive ; quotidian ; tertian ; quartan ; monthly ; after menses ; apoplectic.
Nervous manifestations originating in spine and appearing in distant parts of body. θ Ague.
Time : night or early morning ; 6 to 7 A. M. ; 11 A. M.
Rheumatic fever ; vertigo, chilliness alternating with heat, pains in head, back and limbs ; thirst ; dryness of skin ; scanty, dark urine ; delayed stool ; fever appears in evening ; becoming < towards morning, but does not entirely disappear.
Typhoid fever ; early period ; vertigo ; pressing headache, particularly in forehead ; bitter taste ; tongue generally moist and clean ; pressure in epigastrium ; little or no thirst ; prostration in limbs ; constipation ; restless sleep,
disturbed by dreams ; alternate chilliness and heat ; chilliness on slightest movement ; dryness of front of mouth and tip of tongue ; intolerance of impressions on external senses ; great sensitiveness to open air ; thirst, with aversion to water ; strong
desire to lie down and considerable relief on doing so.
Severe shaking chill, heat, headache, and on second day an erysipelatous inflammation of right leg ; lies in bed as if intoxicated ; recognizes on one, turns head from side to side, unintelligible muttering, for a moment regains his senses
when roughly spoken to ; great weakness of whole body, slides down in bed ; at times speaks in a louder voice, but still unintelligibly, and attempts to stand up in bed ; cheeks very red and burning hot, palms of hands hot, normal temperature of rest of body ; pulse quick
and weak ; lips very dry ; tongue black on dorsum, edges red and cracked ; constipation of three days' duration ; towards evening, when moments of intelligence appear ; complains of tearing pains in head ; cutting in abdomen, palpitation of heart, anxiety from
which he cannot free himself, asks frequently for water but only moistens mouth, pushes all food away ; although there is no sweat, an offensive, putrid odor is perceptible ; right leg from knee to ankle swollen, bright red and covered with dark spots, particularly on calf of
leg ; least motion of affected leg causes him to start and distort face. θ Typhoid.
Delirium ; unquenchable thirst ; tongue dry, brown ; face fiery red ; eyes bright, rolling ; throbbing of carotids ; pulse frequent and hard ; skin dry, burning ; respiration short ; frequent slight, dry cough ; abdomen distended and
painful ; burning pains in small of back becoming finally intolerable ; sleep not to be thought of ; throws herself about in bed, lamenting constantly ; stool very infrequent, scanty, hard lumps ; profuse discharge of blood from rectum, with syncope. θ Typhus
abdominalis.
Intense occipital headache, vertigo, pains in eyes, as from deranged stomach ; mouth dry, parched, without much thirst ; aversion to food, fainting turns ; sick feeling through all the limbs ; bruised pains in limbs < during motion and at night ; great
debility, with oversensitiveness of all the senses ; sour, offensive sweat, which relieves pain in limbs. θ Typhus recurrens.
Yellow fever ; after drugging or in persons accustomed to drinking strong liquors ; yellow skin ; pale or yellowish face, especially around mouth and nose.

Attacks, periodicity

Alternately : despondent and buoyant ; chilliness and heat ; diarrhœa and constipation ; creeping chills and flushes of heat ; contraction and relaxation of legs ; feeling of heaviness and lightness of body ; draws up limbs and stretches
them out.
Periodical : pain in head ; strabismus ; bulimia, in afternoon ; vomiting ; pains in stomach ; colic before breakfast ; pressing, pinching pain, with retraction of abdomen ; nausea ; chills.
Every five or ten minutes : severe clonic spasm.
Every fifteen minutes : passages.
For fifteen minutes : very severe cold stage.
Every hour : scanty passages.
An hour or two after a meal : pressure in stomach.
Two hours after dinner : toothache < ; epigastrium bloated.
Two hours after menses : pains <.
For five hours : shaking chill.
Eight hours : fever lasts.
Every morning : pain in left side of forehead from 6 to 12 o'clock ; at 8 o'clock pains along course of left supraorbital nerve ; pains in stomach ; erections ; from 3 to 11 uterine hemorrhage ; chill.
Every evening : crawling in hands and feet.
Every night : emissions ; awakened by sense of suffocation.
Twenty-four hours : before spell of dyspepsia very hungry.
After sundown : pain in forehead >.
Every other day : symptoms of locomotor ataxy recur.
Every second or third night : pollutions.
For three days : paralysis of all filaments of third pair of nerves of eye ; constipation.
Three days after cut in forehead : jaw rigidly closed.
Every three or four days : stool.
Eight days before menses : pain in abdomen.
Ten days after cut in forehead : stiffness of muscles of neck and jaw.
For one week : double vision.
For six weeks : dull toothache ; uterine hemorrhage.
For two months : at 7 A. M. tertian chill, lasting twenty minutes ; hot stage lasts ten minutes.
Summer : trachoma and follicular conjunctivitis ; violent throbbing in chilblains.
Every spring : intermittent neuralgia ; intermittent fever.
For several years on first of May : asthma.
For six years : diarrhœa.
For many years : spasms of stomach.

Locality and direction

Right : automatic motions of hand to mouth ; maxilla on side relaxed ; bruised sensation on side of brain ; inflammatory pains in frontal sinus ; tearing pains in side of forehead ; pain over eye and in temple ; mouth drawn to side ;
tongue goes to side ; diphtheria on side of throat ; patches on tonsil ; pain in shoulder ; severe pain in side ; great sensitiveness in region of kidney ; pain in kidney extending to leg ; colic in renal region extending to thigh ; shooting side of
chest ; tearing in shoulder ; herpes on inside of forearm ; a feeling of duplication of touch in fingers ; pain in leg and calf ; aching in joint ; whole body ; tossed to side ; paralysis of arm and leg ; sweat only on side ; inflammation of
leg ; leg from knee to ankle swollen and covered with spots.
Left : side completely paralyzed ; grasps at head with hand ; pressive pain over eye ; pain in hemisphere of brain ; stitches in temple ; beating pain in side of forehead ; head inclines to shoulder ; drooping of eyelid ; throbbing pain in
eye ; supraorbital neuralgia ; eye seems to be pulled deep into cavity by pain ; lachrymation ; pupil enlarged ; ringing and roaring in ear ; face distorted on side, seemed longer than right ; drink and food escape from corner of mouth ; numbness and
loss of sensation of side of tongue and face ; at times arm weak and as if asleep ; pain in upper molar ; cramplike pain in side of abdomen ; inguinal hernia ; testicle swollen ; side of scrotum swollen, hot ; pain from spermatic cord to kidney ; head
drawn to side ; pain under short ribs ; paralysis of arm ; whitlow in last phalanx of thumb ; hemiplegia ; in hypochondriac region.
From below upward : darting in limb.

Sensations

Pain as if bruised in outer parts, especially where patient is cross about it, doesn't wish to see any one, or talk about it.
Feels uneasy and encumbered by clothes.
Itching or tickling, roughness or tension in inner parts.
Heaviness in outer and inner parts.
As if he would fall backward or to one side ; as if room were turning in a circle ; as if room were whirling ; as if something heavy fell into head ; as if head were immensely larger than his body ; as if forehead were pressed in ; as if he had not slept
enough ; as if eyes would be pressed out ; headache, as if ulcerated ; as if he had received a bruise over eye ; as if pressing a nail into brain ; pain as if over surface of brain ; as if skull would burst ; as if skull were pressed asunder ; as if
head would split ; brain as if beaten or cleft with an axe ; as if a pin were sticking in brain ; brain as if dashed to pieces ; as if revolving on an axis ; as if a piece of forehead would fall out ; as if something heavy were sinking down into head ; as
if a nail were driven into vertex ; as of an ulcer in brain, or as if suppurating ; as of a bruise in back part of head ; as if skull would burst ; integuments of head as if bruised ; hair as if painful ; as of hot water in eye ; as if something were
cutting lower lid ; margin of lids sore as if rubbed ; as if pain in ear pressed outward ; as if a hot plate of iron were nearly in contact with face ; margins of nostrils as if ulcerated, as if some one were cutting into a wound in nostrils ; face feels as if he
were sitting before a hot fire ; ears as if pressed outward ; teeth as if too long ; as if tongue were pricked by needles ; as if eyes would burst ; as if tongue stuck to roof of mouth ; as of a ball in throat ; as if skin were scratched off throat with a
sharp instrument ; throat as if raw and sore ; as of a plug in throat ; as if throat were too narrow ; as if everything were fermenting ; as if a stone were in abdomen ; as if something were twisted about stomach ; as if food remained above stomach and were
pressed back into mouth ; as if a hand were grasping inside of stomach ; as if tooth were wrenched out ; as if an ulcer would form in region of liver ; as if intestines were beaten ; as if everything in abdomen were sore ; as of a stone in abdomen ; as if
contents were raw and sore ; as if diarrhœa would come on ; as if everything in abdomen would fall down ; abdominal muscles as if bruised ; pressure as from incarcerated flatus ; as if bowels, bladder and rectum were pressed upon with sharp instrument ;
pressure as if urging to stool ; as if a hernia would occur ; back as if broken ; as if anus were contracted ; anus as if cut ; neck of uterus as if bruised ; navel as if drawn in ; as of a load on chest ; chest as if drawn together ; as if room
had been exhausted of air ; felt as if he must die ; as if clothing were too tight ; abdomen as if bruised ; as if everything in region of umbilicus were being shattered and torn ; as if something were torn loose in chest ; back as if bruised or broken ;
small of back as if lame ; as of a band about knees ; shoulder as if bruised ; as if arm were asleep ; as if blood would be jerked out of veins ; muscles of thighs and knees as if beaten and bruised ; feeling as of a painful stripe down inside of thighs ;
legs as if made of wood ; in hollow of knees as if they were too short ; toes as if frozen ; as if something in muscles were drawn back and forth ; as if she would choke ; as if bruised all over ; as if frozen ; pains in ulcers as if beaten ; skin as
if sore.
Pain : in forehead ; over eyes ; in eyes ; through base of brain to occiput ; in bones over left eye ; on top of head ; in eyebrow ; in frontal sinus ; in abdomen ; in cheekbone ; in edges of tongue ; in pit of throat ;
between shoulder-blades ; constant in stomach ; from stomach to chest, or down back to arms ; radiates from epigastrium in various directions ; in right shoulder ; in kidneys ; in region of spleen ; in small of back ; in abdominal ring ; when at
stool ; in lumbar region ; in kidneys to genitals ; in neck of bladder before urinating ; in uterus running down ; in pit of stomach ; in thighs and legs ; in nipples ; in larynx ; in chest ; in stomach and bowels ; in bronchi, affects
whole thorax, left arm, part of neck, lower jaw, back and region of kidneys ; in back, starts from posterior of stomach and spreads under short ribs of left side ; in back from lower lumbar vertebræ to hypochondria ; across loins to hips ; from toes into hip ; in
right leg ; in calves ; in small of back and sacrum ; in joints ; in left hypochondriac region.
Intolerable pain : in hands and feet from cold.
Excruciating pain : in both supraorbital regions ; in abdomen.
Intense pain : in eyes.
Violent pain : in forehead ; in abdomen ; in hernial region ; in loins ; in small of back.
Severe pain : through temples ; in eyes ; in right side ; in prolapsed rectum ; in lumbar region ; in region of umbilicus ; downward from trochanter to popliteal space.
Anguish : in region of heart.
Acute pains : in back and limbs ; bearing down in womb.
Lacerating pain : in head ; in teeth ; in stomach ; in neck of bladder ; in back.
Cutting pain : in abdomen ; about umbilicus.
Darting pain : in eye and over it ; from toes to hips ; in arms and legs.
Shooting pains : through forehead and temples ; in region of liver ; in loins ; from lumbar region to thighs ; from centre of sternum around chest ; in right side of chest ; in head ; in bowels.
Throbbing pain : in head ; of eye ; in stomach ; in whitlow of left thumb.
Beating pain : in side of forehead to nape of neck, zygomatic arch and teeth.
Jerking pain : in head ; in teeth.
Violent jerking : in left hemisphere of brain.
Pulsating throbs : in direction of heart.
Dragging pains : in region of liver ; in arms.
Grinding : bearing down in womb.
Bearing-down pain : in abdomen ; into vagina and towards sacrum ; in womb, agonizing.
Rooting pain : in diaphragm.
Boring pain : in both supraorbital regions ; in tee ? Splitting pain : in head.
Grasping pain : in diaphragm.
Squeezing pain : in hernial region.
Twisting pain ; in both supraorbital regions ; moving about abdomen.
Griping-tearing : in abdomen.
Griping : in stomach ; about navel.
Pinching pain : in head ; about navel.
Constrictive pinching pain : in stomach.
Clawing : in stomach ; in abdomen and uterus.
Gnawing pain : below epigastrium.
Contractive pain : in urethra.
Constrictive pain : about hypogastrium ; in abdomen ; in spermatic cord ; in testicles.
Drawing pain : in temples ; in forehead and occiput ; in muscles of jaws ; in teeth ; in muscles of throat ; from sacrum and shoulders into thighs ; in abdomen ; in arms ; in testicles ; along spermatic cord ; in thighs ; in
arms from shoulders to fingers ; in limbs.
Drawing-tearing pain : in jaws ; in back ; in lower limb.
Tearing pain : in head ; in occiput to nape of neck ; in eye ; in ears ; in right side of forehead, along course of left supraorbital nerve and middle branch of trigeminus ; in teeth ; in abdomen ; in anus ; in neck of bladder ; along
spermatic cord ; deep into pelvis ; extends into knees ; in right shoulder ; in nape of neck.
Violent contractive painful sensation : through whole body.
Stitches : in left hemisphere of brain ; in temples ; on one side of head ; through body in jerks ; in sclerotica ; in ears to forehead and temples ; in teeth ; in ears ; in throat ; like needles in abdomen ; along colon ; in
region of left kidney ; in testicles ; deep into pelvis ; in back ; through body in jerks ; in sides and abdomen.
Violent stitches : in left temple.
Stitching pains : in right side of forehead ; along course of left supraorbital nerve ; in liver ; in pelvic region.
Sticking pain : in ulcers on lips ; in region of liver ; in rectum ; in uterus.
Stinging pains : in eyeball ; in submaxillary glands ; in uvula ; in region of liver ; in anus ; in skin.
Smarting : in lids ; in anus.
Biting : in eyes ; on inner surface of prepuce.
Burning : in head ; in eye ; in lids ; in ulcers on lips ; in throat ; in stomach ; in abdomen ; at anus ; in hemorrhoids ; in loins and kidneys ; in region of neck of bladder ; in vulva ; in uterus ; in pudenda ;
on chest ; in back ; in toes ; internal through whole body ; in small of back.
Cramps : in stomach ; in abdomen and uterus ; in bladder ; in calves and soles ; in toes.
Cramplike pains : in abdomen ; in uterine region ; in pelvic region.
Stunning or stupefying pain in head.
Rheumatic pain ; in head ; in teeth.
Neuralgic pains : in left supraorbital ; of trigeminus.
Aching : in occiput ; of eyeballs ; in bladder ; in hypogastrium ; in head ; in region of heart ; between shoulders ; in lumbar region ; in limbs.
Fearful pressure : in region of temple.
Pressive pain : in small of back ; in uterine region ; from uterus upward to umbilicus and stomach.
Pressive tensive pain ; in eyes.
Spasmodic pressive pain : from pharynx to pit of stomach.
Pressing : on one side of head ; along course of left supraorbital nerve ; towards anus and genitals ; upward towards thorax ; in region of spleen ; upon bladder and rectum ; in loins ; in region of bladder ; in meatus.
Pressure ; in forehead and vertex ; in frontal region and temples ; in upper lids ; in eyes ; in stomach ; in region of liver ; towards chest and head ; in forepart of urethra, bladder, perineum and anus ; towards genitals ; deep into
pelvis ; in pit of stomach ; in epigastrium, then to throat.
Tensive pain : in head ; in nipples.
Tension : in ear ; between shoulder-blades ; in stomach ; in abdomen ; in region of bladder ; deep into pelvis ; in larynx ; in bronchi ; in hollow of knees ; in ulcers.
Dull pain : in bones of jaws ; in pit of stomach ; in back.
Contusive pain : in abdomen.
Bruised sensation : of brain ; in small of back ; in neck of uterus ; in back ; low down in abdomen ; powerless in legs ; pain in limbs.
Painful sensitiveness : of internal nose.
Sore pain : in anus.
Soreness : all over ; in stomach ; in region of liver ; in abdomen ; on margin of prepuce or on mons veneris ; in neck of womb ; across pubis ; in chest ; in shoulderjoint ; in corns.
Great tenderness : of abdomen.
Sensitiveness : of rectum ; in region of right kidney.
Scraping : in nose and throat ; in chest ; in pharynx.
Sick feeling : through all limbs.
Roughness : in throat ; in chest.
Rawness : in fauces ; in chest.
Tingling : in vulva.
Tickling : in throat ; in trachea ; in middle of sternum.
Paralytic drawing : in limbs.
Constriction : about hypogastrium ; of larynx ; of lower part of thorax.
Tightness : about waist ; around hypochondriac region.
Throbbing : in arms ; in chilblains ; of carotids.
Jerking : of heart ; pain in ulcers.
Shocks : in ear ; from some one part of body to brain.
Distress : in neck of womb.
Anxiousness : in body.
Uneasiness : in rectum.
Trembling : of limbs ; all over ; of bowels ; nerves generally.
Heat : in head ; in forehead ; in cheeks ; in nose ; in stomach ; in loins and kidneys ; in testicles ; in uterus ; in chest ; in paralyzed legs ; in round spot at pit of stomach ; in palms.
Dulness : of head.
Stupid feeling : in head.
Numbness : in limbs ; on left side of tongue and affected side of face ; along spine ; of legs ; in affected muscles ; of lower legs.
Stiffness : of neck ; in hollow of knees ; of lower limbs ; of jaw.
Lameness : of joints of legs.
Deadness : of legs ; of soles.
Lightness : of body.
Heaviness : of head ; of eyelids ; in forehead ; in neck ; in region of neck of womb ; in uterus ; of chest ; of body.
Fulness : in eyes ; in abdomen ; in region of bladder ; in stomach.
Oppression : of chest.
Weight : in stomach ; in uterus ; in lower extremities.
Prostration : in limbs.
Weakness : in abdomen.
Tired feeling : of heart.
Fluttering : at pit of stomach.
Creeping : in nose.
Crawling : in nose ; in paralyzed ; legs ; in hands and feet to epigastrium.
Buzzing : in head.
Dry sensation : in inner canthi ; in auditory canal and meatus ; in larynx.
Dryness of lips : on tongue ; of mouth ; of knee joints ; of skin.
Disagreeable sensation : in throat.
Formication : of limbs.
Itching : of lids ; in eyes ; within ears of nose ; of dry scurf on face ; of eruption over body ; of anus ; during erection ; in region of neck of bladder ; in urethra ; in inner surface of prepuce ; on glans penis ; on
scrotum ; eruption on pudendum ; of vulva ; in trachea ; in middle of sternum ; in toes ; all over body, extending to head ; of skin.
Chilly sensation : over body.
Coldness : of hands and limbs ; of paralyzed parts ; of whole body.

Tissues

Peculiar irritability of tissues, rendering patient oversusceptible, while the functions are performed fitfully, spasmodically or inharmoniously.
Chlorosis, especially where functions of stomach, intestines and liver are principally affected, and in those suffering the consequences of debauchery or of a sedentary life.
Asthenia, connected with slow and imperfect digestion.
Disposition to catch cold.
Emaciation, especially of children.
Atrophy of infants, no appetite or ravenous hunger ; desire to eat, with frequent vomiting ; constipation ; sallow skin ; face bloated.
Gastric and bilious complaints, especially of pregnant women.
Rheumatism : especially of large joints and muscles ; cannot bear least jar ; of trunk or back ; swelling in joints usually rather pale ; symptoms almost always < towards morning ; muscles palpitate and are cramped ; parts feel torpid, paralytic.
Gout in incipient stage in habitual drinkers ; oversensitiveness to pain, constipation ; during hard stool, violent pain in affected part ; scanty, dark urine ; heat mixed with chilliness, especially when moving ; perspiration relieves ; torticollis.
Congestion of blood to head, chest or abdomen.
Bleeding from inner parts, especially if blood is dark ; disposition to hemorrhoids.
Enlargement of veins without much tortuosity ; hard, black cords ; in persons of robust health, and accustomed to standing much on feet, or of sedentary habits. θ Varix.
Inflammation of lymphatic vessels, with heat and shining redness, hardness and pain.
Anasarca, with trembling of limbs, dysuria, dyspepsia and vomiting.
Inflammation of mucous membranes ; increased secretion of mucus.
Stricture after inflammation.
Chronic ulcers surrounded by a bright red swelling, usually caused by affected parts becoming cold ; tearing pain.
Raised ulcers with pale red edges ; pain as if being beaten to pieces, burning pain as if burnt ; jerking pain ; prurient itching ; sensitive sore ulcers, with a feeling of tenseness ; pus greenish and corroding.
Scrofulosis ; scurvy.

Touch. passive motion. injuries

Touch : pain in pit of stomach ; scalp sore ; on feet renews spasms ; scalp sensitive ; eyeballs sore ; edges of lids very sensitive ; stomach sensitive ; region of liver < ; abdominal muscles painful ; abdomen sensitive ;
hernial tumor sensitive ; hemorrhoids very sensitive ; right kidney < ; testicles very sensitive ; vagina intolerable ; cervico-brachial neuralgia < ; of hand brought on spasms ; chorea renewed.
Pressure : with hands > headache ; epigastrium sensitive ; light increases pain, harder > pain ; of clothes epigastrium painful ; scrobiculus cordis sensitive ; region of liver < ; pain in kidney < ; aching in hypogastrium < ; over solar
plexus brought on spasms ; firm, steady > movements in chorea ; on spinal processes renews pain.
Tight clothing : liver cannot bear ; abdomen cannot bear.
Rubbing : itching in eyes > ; on back desired.
Scratching : burning, itching or stinging.
Riding in cars : sickness.
After injury : to stomach, severe pain.
Injury : caused strabismus.

Skin

Excessive itching all over body, extending to head.
Terrible pricking, stinging and itching of skin.
Burning pricking like flea bites.
Burning itching or stinging after scratching.
Burning itching all over ; < in evening ; itching with icterus.
Skin sensitive as if sore, or feels as if asleep.
Single long stitches, with soreness.
Yellow skin (jaundice) ; liver spots ; nevi materni, venous capillaries.
Ecchymosis ; blue spots as if ecchymosed.
White miliary eruption.
Urticaria with gastric derangement.
Acne, < from eating cheese.
Tendency to boils ; especially if several small ones unite.
Abscesses ; it often disperses them.
Eruption on pudendum.

Stage of life, constitution

For very particular, zealous persons, inclined to get angry or excited, or of a spiteful, malicious disposition.
Ardent character ; or a disposition disposed to anger, spite or deception ; always irritable and impatient.
Nervous, melancholic people, troubled with indigestion ; venous constitution, with tendency to hemorrhoids.
Suits thin, irritable, choleric persons with dark hair, who make great mental exertion or lead a sedentary life.
Vigorous persons of dry habit, tense fibre, ardent and irascible temperament and tenacious disposition.
Bilious temperament. θ Hepatic affections.
Patients addicted to use of much wine or coffee and to those of sedentary habits combined with considerable mental exertion.
Debauchees, thin, of an irritable, nervous disposition.
Drugged subjects.
Child, æt. 6 weeks, weak, hectic father, delicate mother, given much coffee for nourishment after mother lost her milk ; ophthalmia.
Boy, æt. several months ; incarcerated scrotal hernia.
Boy, æt. 6 months ; eclampsia.
Child, æt. 1, healthy ; colic.
Girl, æt. 18 months, chills about six weeks, several times suppressed by quinine ; ague.
Child, æt. 2, after swallowing nearly an ounce of laudanum ; opium poisoning.
Boy, æt. 3, robust, after cutting a gash in right side of forehead by falling upon a sharp stone ; tetanus.
Girl, æt. 4, in perfect health with exception of enlarged tonsils and slight symptoms of worms ; one week after great fright, torticollis.
Boy, æt. 4, blonde, after an attack of gastric fever ; cough and dyspnœa.
Boy, æt. 5, suffering five days ; gingivitis.
Boy, æt. 5, every eight to fourteen days ; vomiting.
Girl, æt. 6, scrofulous constitution, lively temperament, after taking cold ; ophthalmia.
Child, æt. 6, irritable, passionate ; hepatic derangement.
Child, æt. 6, suffering three months, Sulph., with but little result ; chronic dysentery.
Girl, æt. 7, blonde, scrofulous, small, suffering four months ; scrofulous ophthalmia.
Boy, æt. 9, precocious, intellect highly cultivated, allowed no associates ; enuresis.
Girl, æt. 10, suffering a long time ; headache.
Boy, æt. 10, strong, light hair, delicate skin, puffed appearance ; headache.
Boy, æt. 10 ; inguinal hernia.
Girl, æt. 11, languid disposition, sallow complexion, almost daily attack for last four years ; headache.
Girl, æt. 11, suffering six months ; headache.
Girl, æt. 11, two years ago fell while exercising and struck region of stomach, since then suffering ; cardialgia.
Boy, æt. 11, sanguine temperament ; congestion of liver.
Girl, æt. 11, suffering eight days ; ague.
Girl, æt. 12, had been suffering four weeks with constipation ; dysentery.
Girl, æt. 12, nervous, after catching cold and getting wet ; spasms.
Boy, æt. 13, when four years old had a fall, since then suffering ; pain in head.
Girl, æt. 13, four years ago caught severe cold by going about in bare feet and had an attack of rheumatism ; lateral sclerosis.
Girl, æt. 13, choreic attacks.
Boy, æt. 15, after disappointed ambition ; mental disturbance.
Miss T., æt. 15, at seashore, sick five weeks, her daily medication has been : Quinine three times a day, a black-looking syrup twice a day, a cathartic pill at night ; ague.
Girl, æt. 15, previously in good health, after attending church in winter seized with severe chill and pain in limbs ; rheumatism.
Girl, æt. 16, slender, healthy, menses not yet appeared, attack without apparent cause ; facial paralysis.
Girl, æt. 16, suffering since infancy ; enuresis nocturna.
Girl, æt. 17, after eating new bread ; disorder of stomach.
Girl, æt. 17 ; tertian ague.
Boy, æt. 17 ; ague.
Boy, æt. 18, after extraction of carious tooth ; melancholia.
W., æt. 18, nervous temperament, smoking excessively from morning till late at night and inhaling the smoke ; tobacco amaurosis.
Girl, æt. 18, weak, irritable, suffering several weeks ; gastric disturbance.
Man, æt. 18, turner, weak, suffering three weeks ; bloating of abdomen.
Girl, æt. 19, scrofulous, menses scanty ; ulcer of stomach.
Girl, æt. 19, weak constitution, phthisical, menstruated but twice ; hematemesis.
Girl, æt. 19, suffering one year ; quartan ague.
Girl, æt. 19 ; whitlow.
Young woman, æt. 20, unmarried, suffering two months ; cardialgia.
Young lady, æt. 20, treated for some time by old school and given up to die ; gastritis.
Girl, æt. 20, well built, scrofulous, suffering since one year old ; prolapsus of rectum.
Four men, æt. 20 ; spermatorrhœa.
Woman, æt. 20, unmarried, four years ago took much saffron, since then menses very profuse and debilitating ; dysmenorrhœa.
Woman, æt. 21, mother of two children ; during second month of pregnancy, gastric disturbance.
Girl, æt. 21, slender, scrofulous, after long-continued diarrhœa during childhood ; prolapsus of rectum.
Miss K. S., æt. 21, thin, choleric looking ; amenorrhœa.
Man, æt. 21, four years ago had an attack of smallpox, since then suffering ; boils on thigh.
XX, æt. 21, suffering eight days ; quartan ague.
Man, æt. 21, suffering four months ; ague, with neuralgia and epistaxis.
Man, æt. 21, suffering four months ; quotidian ague.
Man, æt. 22, had tinea in childhood, a chancre in his youth, occasionally suffered from hemorrhoids, attacks come in Spring and Autumn ; ophthalmia.
Woman, æt. 22, unmarried ; jaundice.
Woman, æt. 22, nervous, sanguine, accustomed to use of spirits, during pregnancy complained of headache, ringing in ears, sensation of dryness and burning in chest, and pain in epigastrium, suffering half an hour ; puerperal convulsions.
Man, æt. 22, locksmith, formerly scrofulous, ill two weeks ; catarrh on chest.
Man, æt. 22, father gouty, leads an active life, uses coffee and tobacco to excess, suffers with hemorrhoids ; angina pectoris.
Woman, æt. 23, suffering eight weeks ; disorder of stomach.
Woman, æt. 23, brunette, black hair, suffering three months ; affection of stomach.
Mrs. C. A. W., æt. 23, primipara, nervo-sanguine temperament, very fleshy, with a very small osseous development ; dystocia.
Man, æt. 23 ; gastric fever.
Man, æt. 23, slight but of strong constitution, had small ulcer on leg ; gastric fever.
Woman, æt. 24, weak, metrorrhagia after labor ; mania.
Man, æt. 24, suffering daily for a long time ; cardialgia.
Man, æt. 24, tailor and musician, plays in evening at public houses ; cough and disorder of stomach.
Man, æt. 24, suffering twenty-four hours ; incarcerated hernia.
Woman, æt. 24, delivered seven weeks ago, suffering since first day ; pain in nipples.
Woman, æt. 24, single, sanguine temperament, weak constitution ; paresis crurum.
Man, æt. 24, robust ; gastric fever.
Man, æt. 25, ill four years ; headache.
Miss H. A., æt. 25 ; chronic headaches.
Mrs. C., æt. 25 ; diphtheria.
Man, æt. 25, beer drinker, father subject to gout, suffering six months ; disordered stomach, enlarged liver, tuberculosis.
Woman, æt. 25 ; inflammation of liver.
Man, æt. 25, sanguine temperament, well built, after catching cold during bath ; colic.
Man, æt. 25, had an old, right-sided femoral hernia ; incarceration.
Man, æt. 26, agricultural laborer, had itch when 17, several years afterwards gastric disturbances, from which he suffered five years, a year later ague ; dysecoia of right ear.
Man, æt. 26 ; hematemesis.
Innkeeper, æt. 26, after retaining urine too long ; paresis detrusor vesicæ.
Woman, æt. 26, unmarried, began to have menstrual disturbances when 15 ; dysmenorrhœa.
Woman, æt. 26, high color, tense fibre, good constitution, suffering three years ; chronic myelitis.
Woman, æt. 27, phlegmatic temperament, eight months pregnant, suffering several weeks ; vertigo.
Woman, æt. 27, sanguine temperament, impetuous, excitable, sensitive ; headache.
Man, æt. 27 ; incarcerated hernia.
Mr. H., æt. 27, dark complexion, suffering three months ; pollutions.
Man, æt. 27, suffering six days ; tertian ague.
Man, æt. 28, previously in good health, working eight years in fumes of lead, suffering for two years ; colic.
Man, æt. 28, strong, sanguine temperament ; suffering six days ; quotidian ague.
Woman, æt. 28, nursing child, suffering eight days ; ague.
Man, æt. 29, well built, dark hair, pale face, suffering two weeks ; cardialgia.
Woman, æt. 29, confined six weeks ago ; constipation.
Man, æt. 29, strong, had itch, sick four days after anger ; hepatic derangement.
Man, æt. 30, lithographer, suffering eight days ; vertigo.
Man, æt. 30, healthy, sensitive nature, of sedentary habits, suffering five years : headache.
Man, æt 30, dark complexion, nervous temperament, of a gentle and yielding disposition, engaged in mercantile business compelling close mental application and long hours of sedentary occupation, suffering three years ; facial neuralgia.
Man, æt. 30, servant, choleric temperament, tense fibre, mother similarly affected, suffering three years ; cardialgia.
Woman, æt. 30, mother of one child, after becoming chilled during a journey on foot ; gastric affection.
A student, æt. 30, delicate, weak, irritable, sensitive disposition ; gastric disturbance.
Woman, æt. 30, strong, suffering several years ; gastric disturbance.
Woman, æt. 30, after sudden cessation of a chronic cough ; gastric disturbance.
Woman, æt. 30, strong constitution, sanguine, choleric temperament ; inflammation of liver.
Man, æt. 30 ; bilious attacks.
Man, æt. 30, suffering three years ; hepatic disorder.
Man, æt. 30, has chronic inguinal hernia ; incarceration.
Woman, æt. 30, had hernia for several years for which she wore no truss, after falling ; incarcerated hernia.
Woman, æt. 30 ; pains in kidneys.
Woman, æt. 30, healthy, suffering four days ; catarrh of larynx.
Farmer, æt. 30, German, lives well, drinks six to nine cups of strong coffee daily, uses enormous quantities of tobacco, smoking and chewing constantly ; dyspnœa.
Man, æt. 30, thin, delicate, suffering from earliest youth ; asthma.
Woman, æt. 30, seven months pregnant ; tonic spasm.
Woman, æt. 30, robust, suffering eight days ; hysteria.
Mrs. B., æt. 30, suffering since childhood, seven months pregnant, miscarried twice after attacks ; epilepsy.
Man, æt. 30, robust, ill eight days ; gastric fever.
Man, æt. 30, strong, well nourished, four years ago ague for several months, suffering ten weeks ; ague.
Man, æt. 30, formerly in good health, year ago had ague for three weeks, suffering for last seven months ; ague.
Woman, æt. 30, suffering three weeks ; tertian ague.
Woman, æt. 30, suffering seven months ; quartan ague.
Woman, æt. 30, suffering two months ; tertian ague.
Man, æt. 30, strong ; ague.
Plato S., æt. 31, railroad official, emaciated and of delicate constitution, suffering eighteen months ; paroxysmal pains in stomach.
Woman, æt. 31, gastric disturbance.
Man, æt. 31, blacksmith, powerful, dull, stupid countenance, formerly drank ale to excess ; dyspepsia.
Pauline S., æt. 31, strong and hearty, four years ago, after lying-in, suffered from metritis ; uterine affection.
Man, æt. 31, weak, poorly nourished, had four paroxysms ; quotidian ague.
Woman, æt. 32, corpulent, lymphatic, suffering many years from a scrofulous, fistulous ulcer on knee ; facial neuralgia.
Woman, æt. 32, thin, pale yellow complexion, disposed to illness ; vomiting.
Man, æt. 32, scholar, strong constitution, quiet temper, suffering several years from hypochondriacism which he sought to relieve by resorting to spirituous drinks ; affection of stomach.
Man, æt. 32, robust, wine and beer drinker, four years ago had an attack of hepatitis ; chronic affection of liver.
Man, æt. 32, very intelligent ; after riding, hernia.
Woman, æt. 32 ; hemorrhoids.
Man, æt. 32, strong ; typhoid fever.
Mrs. A., æt. 32, mother of four children ; ague.
Woman, æt. 33, menses scanty ; hematemesis and pain in stomach.
Cook, æt. 33, single, pubescence premature, addicted to onanism at 25, gave birth to a child, since then has avoided the society of men ; nymphomania.
Mrs. K., æt. 33, mother of four children ; retroversion of uterus.
Man, æt. 34, drinks much beer, suffered from previous attacks ; delirium tremens.
Man, æt. 34, turner ; disorder of stomach.
Woman, æt. 34, several members of family suffering ; typhoid fever.
Man, æt. 35, uses brandy but not to excess, several previous attacks ; delirium tremens.
Woman, æt. 35, choleric, irritable, suffering three years ; headache.
Woman, æt. 35, unmarried, strong, after overexertion four years ago ; cardialgia.
Man, æt. 35, chronic abdominal affection.
Man, æt. 35, suffering two days ; dysentery.
H., æt. 35, suffering three days ; dysentery.
Man, æt. 35, nervous temperament, lean, blonde, somewhat passionate ; constipation.
Woman, æt. 35, troubled with hemorrhoids for years, recently passed through second confinement after a mismanaged labor ; after-pains in rectum.
Colored man, æt. 35, after a fall eight years ago ; pain in back, also gastric disturbances for last two years.
Man, æt. 35, dark, choleric, four years ago suffered several months from ague ; ague.
Man, æt. 36, weak constitution after typhoid fever ; vertigo.
Italian merchant, æt. 36, had chancre, blennorrhœa, fond of drink, lives well and is given to women ; disorder of stomach.
Woman, æt. 36, six years ago fell and received severe blow upon stomach ; disorder of stomach.
Woman, æt. 36, menses profuse ; hematemesis.
Man, æt. 36, sailor, single, phlegmatic temperament, short build, strong, suffering eight days ; colic.
Man, æt. 36 ; inguinal hernia.
Woman, æt. 36, mother of many children, well nourished, brunette, phlegmatic temperament, tendency to abdominal complaints, suffering eight days ; ague.
Woman, æt. 36, formerly debauched and accustomed to drink ; anasarca.
Woman, æt. 37, married, but childless, suffering many years ; spasms of stomach.
Woman, æt. 37, week before parturition ; ague.
Man, æt. 37, suffering eight days ; anteponing tertian ague.
Mrs. B., æt. 38, black, coarse hair, black eyes, swarthy complexion, gloomy appearance ; hypochondriasis.
Man, æt. 38, fruit dealer ; gastric disturbance.
Woman, æt. 38, suffering from periodical pains in liver after much talking or after taking cold ; inflammation of liver.
Man, æt. 38, suffering one year ; pain in abdomen.
Woman, æt. 38, pregnant, ill four days ; pneumonia.
Man, æt. 38, suffering four weeks ; quotidian ague.
Woman, æt. 39, nervous temperament, harassing business, subject to spasmodic attacks, with dyspepsia, from childhood ; gastrodynia.
Woman, æt. 39, robust, choleric temperament, irritable and vehement, accustomed to use of coffee and spirituous liquors, suffering a long time ; affection of stomach.
Man, æt. 39, weaver, suffering from various chest affections, sick three weeks ; ague.
Man, æt. 40, healthy, ten years ago had itch, since then suffers occasionally from itching of skin ; vertigo.
Lively brunette, æt. 40, suffering nine years ; migraine.
Man, æt. 40, strong, hot-headed, angry disposition ; headache.
Woman, æt. 40, gouty, suffering several months ; headache.
Man, æt. 40, thin, weak, light complexion, suffering three weeks ; quinine, morphia, leeches, etc., ineffectual ; facial neuralgia.
Man, æt. 40 ; stomacace.
Man, æt. 40, choleric temperament, emaciated, suffering six years, after any mental disturbance ; cardialgia.
Woman, æt. 40, weak, emaciated, first attack twenty years ago, after vexation, attacks gradually becoming more severe cardialgia.
Woman, æt. 40, always regular, in habit of carrying heavy weights, disorder of stomach.
Man, æt. 40, accustomed to drink ; disorder of stomach.
Man, æt. 40, glove manufacturer, suffering fifteen years, under old school treatment ; gastric disorder.
Butcher, æt. 40, addicted to drinking beer and coffee, suffering one year, during which time he drank forty bottles of Carlsbad water ; affection of stomach.
Woman, æt. 40, large built, delicate skin, dark hair, lively disposition, suffering ten years ; bloating of abdomen.
Woman, æt. 40, incarcerated hernia.
Man, æt. 40 ; hemicrania.
Man, æt. 40, suffering from constipation for which he uses purgatives ; similar attack seven years ago ; cystitis.
Teacher, æt. 40, suffering six years, old school treatment and Carlsbad waters ineffectual ; constantly used purgatives ; constipation.
Mrs. T. P., æt. 4O, fair complexion, brown hair, happy, lively disposition ; strong and inclined to be fleshy, had always been perfectly well except a painful neuralgia of nipples and womb before and after her first confinement, from which she recovered after a miscarriage about
four months ago, during third month of pregnancy ; uterine neuralgia.
Woman, æt. 40, weak, suffering sixteen years from prolapsus uteri, during which time passed through three labors and two abortions, last one occurring four years ago, thereafter wore a pessary ; in seventh month of pregnancy removed pessary ; after hard work prolapsus
uteri ; after Nux vom. reduction became possible, then pains set in and a normal labor was accomplished ; thereafter parts returned to normal position.
Mrs. R., æt 40, suffering several years ; hay asthma.
Woman, æt. 40 ; angina pectoris.
Man, æt. 40, robust, choleric, passionate, suffering one year ; paralysis of foot.
Man, æt. 40, nervo-bilious temperament, slightly dyspeptic, has symptoms indicating vermicular troubles ; epilepsy.
Man, æt. 40, suffering eight days ; tertian ague.
Man, æt. 40, broad shouldered, powerful, six feet high, after inordinate use of tobacco ; tobacco poisoning.
Mrs. G., æt. 41 ; climacteric affection.
Woman, æt. 42, suffering three mos. ; effects of mental shock.
Man, æt. 42, after cough and coryza ; headache.
Woman, æt. 42, married, regular, suffering nine months ; disorder of stomach.
Woman, æt. 43, widow, mother of six children, suffering one year ; gastric disturbances.
Woman, æt. 43, suffering one year ; colic.
Mrs. J. T., æt. 43, medium stature ; menorrhagia.
Preacher, æt. 44, robust, suffering thirteen years ; asthma.
Man, æt. 44 ; pains in back.
McL., æt. 45, single ; mania.
Man, æt. 45, sick two months ; headache.
Woman, æt. 45, unmarried, suffering fifteen years ; cardialgia.
Man, æt. 45, bilious temperament, dark hair and eyes, sallow complexion, captain of whale ship, suffered from dyspepsia several months ; gastralgia.
Robust Irish woman, æt. about 45, had four or five children in rapid succession after she miscarried during eighth month ; prolapsus uteri.
Woman, æt. 45, still menstruating, uterus several times replaced by manipulation ; prolapsus uteri.
Man, æt. 45 ; nervous asthma.
Mrs. M., æt. 46, choleric temperament, very robust, fond of strong coffee, suffered for years ; gastralgia.
Woman, æt. 46, had right inguinal hernia for one year ; incarcerated hernia.
Man, æt. 46, has had gonorrhœa several times, and at one time chancre, suffering three days ; orchitis.
Woman, æt. 47 ; cardialgia.
Woman, æt. 47, blonde, highly nervous, sensitive, passed climacteric a year since ; bronchitis.
Man, æt. 48, secretary to Countess St. --- ; choleric temperament, often troubled with congestion to head and disorders of digestive organs, younger brother died in asylum ; insanity.
Man, æt. 48, weak, suffering twelve years ; headache.
Woman, æt. 48, suffering constantly for seven years ; pain in tongue.
Man, æt. 48, yellow skin, cachectic appearance, small stature, suffering three years ; cardialgia.
Man, æt. 48 ; disorder of stomach.
Woman, æt. 48 ; incarcerated hernia.
Miss ---, æt. 48, nervous temperament, suffering six years, after disappearance of congestive headaches ; morning diarrhœa.
A., æt. 48, suffering four or five days ; dysentery.
Mr. J. S., æt. 48, nervo-sanguine temperament, full habit, strictly temperate, suffering sixteen years ; epilepsy.
Woman, æt. 50, lean appearance, after vexation ; gastralgia.
Man, æt. 50, tall, spare, dark hair, an attack of malarial fever sixteen years ago for which he received severe treatment ; irritable stomach.
Man, nearly 50, thin, yellow complexion, not easily angered but when so very passionate ; digestive disturbance.
Mrs. S., æt. about 50, lymphatic temperament, several years ago had severe attack of ague ; diarrhœa.
Man, æt. 50, had diarrhœa two weeks previously which was checked by Arsen. [200] ; dysentery.
Miner, æt. 50, at one time handled much lead and arsenic, suffering sixteen years, for last six years abdominal complaints ; colic.
Man, æt. 50, suffering three years with rectal fistula after an operation for stone in bladder, suffering eight days ; orchitis.
Healthy looking farmer, æt. 51, slightly asthmatic for years ; asthma.
Man, æt. 52, strong, healthy, suffering ten days ; hemicrania.
Man, æt. 52, thin, choleric temperament, suffering six years ; cardialgia.
Woman, æt. 52, thin, after a fall ; incarcerated hernia.
Woman, æt. 52, suffering four years ; hernia.
Man, æt. 52 ; quartan ague.
Man, æt. 53, had syphilis twenty-three years ago ; paralysis of third pair of nerves.
N., æt. 53, hard drinker, inveterate smoker ; amblyopia potatorum and atrophy of optic nerve.
Man, æt. 53, suffering several years, has taken cathartics, tonics, etc., with no good result ; gastralgia.
Woman, æt. 54, menses absent seven years ; had been bled, as apoplexy was feared ; vertigo.
Man, æt. 54, incarcerated hernia.
Man, æt. 55, born in Holland, night watchman, weight 240 pounds, has always been healthy ; apoplexy.
Man, æt. 55, long time ill, confined to bed for last sixteen weeks ; vertigo.
Man, æt. 55, suffering four years ; cardialgia.
Woman, æt. 55, strong, choleric, hernia on both sides eight years ago, after slipping ; incarcerated hernia.
Woman, æt. 55, slender, suffering two days ; incarcerated hernia.
Man, æt. 55, operated upon for same trouble seven years ago ; hemorrhoids.
Mrs. P., æt. 55 ; neuralgia.
Man, æt. 55, choleric, sanguine temperament, suffering two months ; tertian ague.
Man, æt. 57, formerly had itch which was cured rapidly, thereafter suffering from various complaints ; renal colic.
Mrs. Th., æt. 58, suffering ten years ; dyspepsia.
Woman, æt. 58, ill six months ; disorder of stomach and vaginitis.
Man, æt. 59, drunkard, suffering six years with rheumatic pains, last four weeks confined to bed ; rheumatism.
Miss ---, æt. 60, dark, thin, emaciated, hypochondriacal temperament, suffering since childhood ; headache.
Mr. T., æt. 60, dark complexion, dyspeptic ; smokes but does not drink ; atrophy of optic nerve.
Man, æt. 60, tall, lively, suffering from hemorrhoids, abdominal troubles since an attack of ague, last few weeks noticed dull stitching pains in region of spleen ; hematemesis.
Widow, æt. 60 ; renal colic.
Man, æt. 60, suffering eight days ; inactivity of bladder.
Man, æt. 60, suffering from chronic inguinal hernia, left side ; incarceration.
Woman, æt. 60 ; incarcerated hernia.
Man, æt. 60, suffering from a catarrhal affection to which Nux vom. was applicable ; hernia.
Man, æt. 63, uses much coffee ; apoplexy.
Man, æt. 64, for forty years has had double inguinal hernia ; incarceration right side.
Man, æt. 64, passionate, fond of heating drinks ; paralysis of left arm.
Man, æt. 65, suffering ten years ; incarcerated hernia, right side.
Woman, æt. 65, has an old left-sided inguinal hernia ; incarceration.
Woman, æt. 65, suffering several years ; asthma.
Woman, æt. 70 ; disorder of stomach and liver.
Man, æt. 70, of gigantic stature ; colic.
Woman, over 70 ; impaction of feces.
Man, æt. 70, strong, suffering six years, thinks first attack was caused by overexertion, attacks usually lasting about six weeks ; hæmaturia.
Woman, æt. 71, had a hernia nine years ; incarcerated hernia.
Man, æt. 73 ; incarcerated hernia.
Man, æt. 74 ; tertian ague.
Man, æt. 75 ; sickly, cachectic ; extravasation of blood into conjunctiva.
Man, æt. 77, suffering a long time ; hernia.
Women, æt. 79, widow, after an apoplectic stroke from which she partially recovered ; mental disturbance.
Man, æt. 80, troubled several years ; inguinal hernia.
Man, æt. 80 ; left-sided paralysis.
Young lady, lately and happily married, suffering from slight gastric disturbances ; mania.
Man, had for several days been drinking wine, a habit to which he was accustomed, and thereafter had constantly a sensation as of hair on tongue ; apoplexy.
Man, suffering six months ; vertigo and backache.
Working woman, well educated, formerly in good circumstances, in habit of drinking much strong coffee ; hemicrania.
Man, strong constitution, choleric temperament, suffering many years ; headache.
Young painter, for many years a hard drinker until cured by Calc. and Sulph. ; after administration of Nux vom. was completely blind in healthy eye for twenty-four hours ; amaurosis of right eye.
Man, sanguine temperament, blacksmith ; coryza.
Gardener, with tendencies to neuralgia ; facial neuralgia.
Lady, elderly, spare, suffering six weeks ; ulcer on gums.
Man, suffering two years ; tumor on gum.
Young lady, brunette ; hematemesis.
Woman, small stature, frequently suffering from congestions, flushes of heat and epistaxis, for last fourteen days has had a pressure in scrobiculum ; hematemesis.
Woman, suffering ten years ; cardialgia.
Man, choleric, sick six days ; ill effects from overloading stomach.
Elderly unmarried woman ; disorder of stomach.
Young lady, otherwise in good health ; pain in liver.
Blacksmith, suffering three years ; enteralgia.
Woman, pregnant, suffering twenty years from periodical toothache or colic ; colic.
Woman, suffering three days ; hernia.
Woman, servant, suffering twelve hours ; crural hernia.
Mrs. R. ; inguinal hernia.
Miss E. C., frail constitution, ill in bed two days ; dysentery.
Young woman, chambermaid, strong constitution ; constipation.
Young woman, leading a sedentary life, suffering many months ; constipation.
Woman, delicate, weak, confined eighteen days ago, suffering two weeks ; hemorrhoids.
Man, lawyer, dark hair and eyes, bilious temperament, troubled with indigestion ; hemorrhoids.
Man, corpulent ; inflammation of kidney.
Man, had several attacks of gonorrhœa, but nevertheless continued his intercourse with women ; incontinence of urine.
Man, corpulent, fond of good living and a great gourmand, after catching cold ; urinary difficulty.
Young man, strong, after suppression of hemorrhoidal discharge ; urethritis.
Woman, melancholic, easily angered ; menses irregular.
Man, robust, has short neck, fond of liquor, after overlifting ; pain in back.
Woman, after an attack of pneumonia ; paresis crurum.
Man, drunkard, after severe apoplectic stroke ; paralysis.
Irishman, had suffered many years ; epilepsy.
Woman, suffering many years with gout and profuse leucorrhœa ; epilepsy.
Miss W., on visiting southern part of New York, from a malarial district in Michigan, had taken Quinine without effect ; ague.
Mrs. G., after working in a creamery ; ague.

Relations

Antidoted by : wine, coffee, Acon., Bellad., Camphor., Chamom., Coccul., Opium, Pulsat., Stramon .
It antidotes : narcotic, drastic and vegetable remedies ; bad effects of aromatics in foods, such as ginger, pepper, and of so-called hot medicines ; citrate of magnesia ; alcohol ; tremors of mercury ; neuralgia of Mezereum ; ether.
Compatible : after Arsen., Ipec., Magn. mur., Phosphor., Sepia, Sulphur ; before Bryon., Pulsat., Sulphur .
Incompatible : Zincum .
Complementary : Sulphur .
Compare : Graphit . (gastralgia) ; Laches . (congestion of liver) ; Carbo veg., Caustic . (catarrhal hoarseness) ; Bismuth., Arsen.,
Kreosot., Carbo veg., Pulsat., Bryon . (gastric symptoms) ; Lycop., Carbo veg., Opium, Bryon., Alum ., (constipation) ; Chamom., Bryon., Carduus mar . (jaundice) ; Æsc.
hipp., Collinso., Aloes, Sulphur, Hamam . (hemorrhoids) ; Mercur., Aloes (dysentery) ; Lycop., Coccul . (hernia) ; Ledum, Arnica, Hamam . (ecchymoses of
sclerotic) ; Mercur., Pulsat., Phosphor . (catarrhs) ; Zingiber, Carbo veg., Lycop . (asthma) ; Lycop., Canthar., Berber., Ether (renal colic) ; Sulphur,
Calcar., Lycop., Staphis., Kobalt . (sexual excesses) ; Pulsat . (in labor) ; Physostigma (spinal irritation) ; Bellad . (torticollis) ; Ambra
grisea, Asar. europ., Castor . (temperament, nervousness) ; Phosphor . (cerebral softening).

Lectures on Homoeopathic Materia Medica

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

Antidote

Everywhere in this remedy we observe the striking oversensitiveness of the patient; it is brought out in all the symptoms.

Irritable; oversensitive to noise, to light, to the least current of air, to his surroundings; extremely touchy in regard to his food; many kinds of food disturb, strong foods disturb; he is aggravated by meat; craves stimulants, pungent, bitter, succulent things, something to brace him up.

Oversensitive to medicines. One reason why there are so many Nux patients is because people have been overdrugged by the old school. When a patient comes from the old school and had prescribing, having had stimulants and tonics to brace him up, wine and stimulants of all sorts, it is sometimes impossible to get reliable symptoms, to get the patient settled down, until we give Nux as an antidote.

It is useful in those overdrugged by tea, coffee, wine. Old coffee drinkers become sensitive, oversensitive to noise, their symptoms are flitting; they do not give their symptoms well. Such patients will do well for a few days on Nux; some of their symptoms will drop out and they will settle down.

Mind

The mental state is varied, but they all show oversensitiveness irritable, touchy, sensitive conditions.

They are never contented, never satisfied; disturbed by their surroundings, and the become irritable, so that they want to tear things, to scold. Impulses are strongly marked at times. The woman has impulses to destroy her husband or to throw her child into the fire; the impulse is intermingled with violent temper, cannot be contradicted or opposed; if a chair is in the way he kicks it over; if, while undressing, a part of his clothing should catch on a button he would pull it off because he is so mad at it. (Like Nit. ac.).

An uncontrollable state of irritability; it is a weakness and is accompanied by physical weakness; a lack of balance. For example, a business man has been at his desk until he is tired out, he receives many letters, he has a great many irons in the fire; he is troubled with a thousand little things; his mind is constantly hurried from one thing to another until be is tortured. It is not so much the heavy affairs but the little things. He is compelled to stimulate his memory to attend to all the details; he goes home and thinks about it; be lies awake, at night; his mind is confused with the whirl of business and the affairs of the day crowd upon him; finally brain fag comes on.

When the details come to him be gets angry and wants to get away, tears things up, scolds, goes home and takes it out of his family and children. Sleeps by fits and starts; wakens at 3 A.M., and his business affairs crowd on him so that he cannot sleep again until late in the morning when he falls into a fatiguing sleep and wakens up tired and exhausted. He wants to sleep late in the morning.

Melancholy, sadness, but all the time he feels as if he could fly to pieces, jerks things about, tears things up; wants to force things his own way. Driven by impulses to commit acts that verge upon insanity - the destruction of others. Natr. sul. has a strong impulse to destroy himself. Arg. nitr ., also, particularly by jumping from a height, but he avoids placing himself in such a position.

He is oversensitive to the open air, to a draft of air; always chilly, always taking cold and it settles in the nose and extends to the chest.

Skin oversensitive to touch, to draft. Full of pains and aches. He sweats easily on the slightest provocation. Brain fag, fatigue, neuralgias; on the verge of insanity and this goes on to convulsions. Convulsions of single muscles and those of the whole body; muscular twitchings; weakness, trembling, and paralysis. This paralytic weakness and disordered state of the activity of the muscles and nerves are prominent.

Another state running through Nux is that actions are turned in opposite directions. When the stomach is sick, it will empty its contents with no great effort ordinarily, but in Nux there is retching and straining as if the action were going the wrong way, as if it would force the abdomen open; a reversed action; retches, gags, and strains and after a prolonged effort he finally empties the stomach.

The same condition is found in the bladder. He must strain to urinate. There is tenesmus, urging. The bladder is full and the urine dribbles away, yet when he strains it ceases to dribble. In regard to the bowels, though the patient strains much, he passes but a scanty stool.

In the diarrhea at times when he sits on the commode in a perfectly passive way, there will be a little squirt of stool, and then comes on tenesmus so that he cannot stop straining, and when he does strain there comes on the sensation of forcing back; the stool seems to go back; a kind of anti-peristalsis.

In constipation the more he strains the harder it is to pass a stool. In diarrhea and dysentery there is straining without relief, but as soon as he passes a little stool there is relief. In dysentery, Merc. has the constant urging; Merc. cor. tenesmus with great desire to urinate.

Pains

The reversed action of the various functions shows the spasmodic nature of this remedy. Pains shoot from the rectum up; burning.

Neuralgias about the eyes, face, and head; neuralgic headaches the pains stick, and tear; they cause weeping, fainting; they burn and sting. Pains in the head and face and in the extremities, that sting and tear, but especially draw. Sensation of tension in the muscles. A drawing in the back like a pulling or tension in the muscles.

The pain feels as if drawing, a spasm of the muscles; a drawing pain in the back; drawing pain in the back of the neck, forcing the patient to let the head go back; drawing pain down the spine; lumbago. Backache worse as soon as she lies down (pregnancy) as if it would break ( Bry., Phos - as if broken, Kali c.) must get up and walk.

Neurities with great soreness of skin. Pains in the regions of the kidneys and liver. Pains draw so that he cannot turn over in bed, and the only way he can get over is to lift himself up by his hands and then turn over and lie down. Drawing pains in the sacrum and hips; drawing pains in the sacrum in connection with dysentery. Rending pains in the bowels and every pain causes desire for stool. Such is the characteristic of all the abdominal pains.

Drawing pains in the extremities causing spasms in the calves, feet, and toes. Cramps in the abdomen cause desire for stool; after pains in the form of cramps urge to stool; menstrual colic, with urging to stool; pains in the stomach, after eating, urge to stool. After much straining no stool passes, but after going several times a small stool passes with relief. It is scanty and with reversed peristaltic action.

Oversensitive to stimulants. It ii a routine remedy in men trying to sober up; even in delirium tremens. Old debauchees, broken down with stimulants sexual excesses and the worry and fret of business; they work half an hour and then go out and get a drink, and this goes on until finally they must give up, go home and go to bed. He is on the verge of insanity, irritable, fatigued, sweats much, is aggravated. from the air, sensitive to noise and light; broken down. He must have Nux, rest and no stimulants.

In those drinking too much tea, coffee and stimulants, they stay awake day and night until the end must come; there is tension in all the nerves; he feels as if he must fly, as if he could no longer hold together; his muscles and hands tremble; there is jerking of the limbs on going to sleep and in sleep.

Full of anxiety, despair, and hypochondriasis;

"oversensitive to impressions; "all the senses are in this condition; cannot bear reading or conversation; irritable, and wishes to be alone."

Everybody displeases or does something to annoy him. Everybody that attempts to soothe only angers him. He dreads the business affairs of the day. Finally this state comes on: "he quarrels, reproaches, scolds, insults from jealousy, mingled with unchaste expressions; soon afterwards howls and weeps aloud."

Patient is broken down sexually because he is unusually endowed with sexual desires and he indulges until broken down; sexually exhausted, impotent. Mental erethism but relaxation on intromission. Driven to suicide.

Nux is an old dyspeptic, lean, hungry, withered; bent forward; premature age; always selecting his food and digesting almost none; aversion to meat, it makes him sick; craves pungent, bitter things, tonics. Weak stomach; after meals pain in the stomach, nausea, retching; stomach sinks in; withers and loses flesh.

Nose

Tendency to take cold; gets coryza.

Colds settle in the nose, throat, chest and ears. Takes cold from the least provocation; perspires easily and the least current of air causes headache with coryza. If he is in a heated room and is disturbed in his equilibrium he gets a coryza.

Cepa coryza is also worse in a warm room. Much stuffing up of the nose in the house at night; nose feels completely filled up, particularly out of doors, but fluent in doors; thin, watery discharge during the day. Sensitive to the least draft; sneezing caused by itching in the nose. This itching goes to the throat and trachea.

Cough; burning in the air passages; all the mucous membranes in a state of irritation; nasal tone to voice; loss of voice; sore throat; tickling cough. Dry, teasing cough with great soreness of the chest, like Bry., the head feels as if it would split.

Coryza goes to the chest. Grippe with fever and bone pains; must pile on clothing; the only relief is by keeping unusually hot, yet a warm room aggravates the coryza before the fever comes on; but after the fever comes on he must have heat; aggravated even from the movement of air under the bed clothes; lifting the covers aggravates the pains, cough, etc.

Sharp fever and sweat, or a hot sweat like Opium (but Opium in a hot sweat wants the covers off, while Nux cannot raise the covers). Chills and fever; heat and sweat intermingled. In chills the fingers and hands are cold, and purple; cold from head to foot; the chill begins in the extremities or back, and extends over the whole body and, the patient must be covered up. Shortly there is a reaction and heat and sweat come on, but he must be covered through all the stages. Thirst is not a marked feature; sometimes it is found in the heat.

Tendency to jaundice in all the febrile states. Sclerotics become yellow. Skin becomes very yellow. Old intermittents with yellow skin. Runs close to Bry. in abdominal complaints with jaundice.

Nux suffers from a disordered stomach. A stasis of the portal system is present, portal congestion; stasis in hoemorrhoidal veins with hemorrhoids; constipation; dysentery; paralysis of the rectum.

Stomach symptoms like Puls.; worse in the morning; foul mouth in the morning also like Puls. Bursting sensation in the head as if a stone crushed the vertex after disordered stomach.

Full of paralytic conditions. The bowels are in a state of excitement but this passes away and the time comes when the faeces remain in the rectum with no warning. This extends to the bladder, so that it becomes full of urine which cannot be voided; dribbling of urine in old men with large prostrate, or in gonorrhea.

Paralysis of the extremities; of the face; one arm; one hand; single muscles; facial paralysis not uncommonly cured by Nux. The sticking pains in paralysis are important.

At times false plethora, with flushed face; excitement of face blushing; great weakness and exhaustion, with irritability and the mental condition. When under no exertion with nothing to think of, patient appears to be well, but the thought of doing something exhausts him in a moment.

Headache from sweating; in wine drinkers; in those staying out at night; from night watching. The greatest relief in headaches as from perfect quiet. Headaches as if a stone pressed upon the vertex.

Most symptoms better from heat, but the head is worse from heat. Acne from eating cheese. It has most violent convulsions with opisthotonos; convulsions of all the muscles of the body, with purple face and loss of breath from the movements; conscious or semi-conscious during the whole spasm, aware of the sufferings and contortions which are horrible; worse from the slightest draft of air; tickling of the feet; the merest touch of the throat causes gagging.

It is given as a routine remedy for loss of appetite. It will increase the appetite but do dangerous work to the patient.

"Aversion to meat, usual food and drink, and customary tobacco and coffee, to water, ale, food just eaten."

Abdomen

Pains particularly of the abdomen; pains cutting, causing the patient to bend double, with nausea from overeating; bearing down; spasmodic pains in the abdomen, often extend into the limbs, but more often towards the rectum; colicky pains which urge to stool and urination; renal colic, especially when each pain shoots to the rectum and urges to stool.

Renal colic is caused by a stone in the ureter, which by its irritation causes a spasmodic clutching of the circular fibres of that canal; the proper medicine relaxes these fibres and the pressure from behind forces these calculi out at once.

The same is true of gall stone colic. The remedy that ameliorates, or some of its cognates, will overcome the tendency to form stones. Healthy bile dissolves gall stones in the sac; healthy urine does the same to a stone in the pelvis of the kidney.

Nux runs close to Bry. in abdominal complaints with marked yellowness of the skin. Bry. is worse from motion and not better from heat - Nux is both and is more suited to portal congestion, the neuralgias, etc.; is worse from slightest pressure (Coloc. is better from the slightest pressure, Mag. ph . is better from pressure and heat).

Bry. indicated more in peritonitis, lies with limbs drawn up. Hemorrhoids, portal congestion, cutting pains to rectum causing urging to stool.

Cupr. has cutting pains from front to back as if transfixed.

Abdomen sunken in Nux, while in Calc. and Sepia it is engorged. Inula resembles Nux; has colic with urging to stool and to urinate.

"Milk sours on the stomach."

"Heat in the head when eating."

Bad effects from coffee, alcoholic drinks, debauchery. Sensation of phlegm in the throat; worse from eating. Aloe has diarrhea from leaving off beer. Nux has diarrhea from leaving off alcoholic drinks.

Sensation of a lump in the stomach ( Bry.). In chronic cases Sepia is more apt to be indicated and follows Nux well, but quarrels with Bry.; associate this with the pressure in the vertex and you have the typical Nux condition.

Sensation of stone comes an hour after eating, showing that there has been an attempt at digestion, but in Abies nig. it comes at once. Kreos. pains do not begin until three hours after eating and then the food is vomited.

It is closely related to Sulphur and often antidotes the overaction of Sulphur. It seldom goes to the bottom and antidotes the constitutional action of Sulphur, but it will remove its exaggerated action, its superficial action.

Women

Menses too soon; too long; flow copious; more strikingly prolonged; flows and dribbles just enough to stain the linen, starting up now and again with clots.

One menstrual flow is prolonged into another. This will be accompanied with the mental state; excitable; oversensitive to medicines.

"Menses too early and too profuse; occur too soon and last too long; flow dark."

At times attended with violent pains, cramps in the uterus, extending over the body, ameliorated from heat and pressure; aggravated by the slightest current of air or cold; pains and spasms ameliorated by the hot water bottle, clothing, and heat.

Labor pains with soreness like Arnica, urging, etc. Bearing down as if contents would protrude, with teasing to urinate and urging to stool. The flow may be scant and fitful. Itching of the vulva is prominent.

Full of hysterical manifestations. Europeans develop symptoms more often calling for Nux in their hysterical manifestations, while Americans oftener need Ignatia.

Has troublesome asthma. Useful in persons who say they have asthma from every disordered stomach. They may go free for a year after Nux is given, and then they eat something that disagrees, and they sit up all night with asthma. They need Nux. Asthma associated with cough; rattling in the chest; chest fills up with mucus; cough with gagging, retching; appears as if he had taken a fresh cold.

Coryza every time he disorders his stomach. I have a patient who has a coryza every time she eats sausage; there is no cure for her because she places her coffee, wine, and social matters above her health. She can eat steak; some cannot eat any meat. After a disturbed stomach coryza which goes to the chest and then asthma comes on.

Palpitation and excitement of the heart and circulation. Much throbbing, Worse in the morning - mentally and physically. The coryza and some head symptoms are worse from the warmth of the bed like Merc., yet worse uncovering; worse from eating and from- motion; head is worse from heat.

Pressure and sense of weakness in, the left inguinal ring - hence cures hernia in babies (Lyc., right side). Arn. relieves soreness, etc. Conium also - it competes with Nux in sense of goneness in the groin.

Chills are riot better from any amount of covers; Ign. chills are better uncovering. In intermittents, the chill and heat intermingle, the heat is short and dry, and followed by hot, sweat and intense heat worse in the morning, but the chill comes at any time.

The Therapeutics of Fevers

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

Characteristic

Adapted to thin, irritable, choleric persons, with dark hair and bilious or sanguine temperament, disposed to be quarrelsome, malicious; spiteful, melancholic.

Debauchers of a thin, irritable, nervous disposition (debauchers with light hair, blue eyes, Lob.); prone to indigestion and hemorrhoids.

"Nux vomica is chiefly successful with persons of an ardent character; of an irritable, impatient temperament, disposed to anger, spite, or deception."—HAHNEMANN.

Anxiety with irritability and inclination to commit suicide, but is afraid to die.

Oversensitive: to external impressions; noise; odors; light or music; trifling ailments are unbearable (Cham.); every harmless word offends (Ign.).

Persons who are very particular, careful, zealous, inclined to become easily excited or angry; irascible and tenacious.

Bad effects: of coffee, tobacco, alcoholic stimulants; highly seasoned food; over-eating; long continued over-mental exertion (Arg. n.); sedentary habits; loss of sleep; aromatic or patent medicines; sitting on cold stones.

One of the best remedies with which to commence the treatment of cases that have been drugged by mixtures, bitters, vegetable pills, nostrums and quack remedies, espe- cially aromatic or "hot medicines," but only if symptoms are similar.

Pains are tingling, sticking, hard, aching, worse from motion and contact.

Cannot keep from falling asleep in the evening, while sitting, hours before bedtime, and wakes at 3 or 4 A. M.; falls into a dreamy sleep at daybreak, from which he is hard to arouse, and then feels tired and weak (with many complaints).

Eructations: sour, bitter; nausea and vomiting every morning, with depression of spirits; after eating.

Nausea: constant; after eating; in morning; from smoking. "If I could only vomit I would be so much better."

Stomach: pressure an hour or two after eating as from a stone (immediately after, Kali bi., Nux m.); pyrosis, tightness, must loosen clothing; cannot use the mind for two or three hours after a meal; sleepy after dinner; from anxiety, worry, brandy, coffee, drugs, night watching, high living, etc.

Convulsions, with consciousness (Strych); < anger, emotion, touch, moving.

Constipation: frequent unsuccessful desire, passing small quantities of feces, sensation as if not finished (no desire, Bry., Op., Sul.).

Alternate constipation and diarrhœa (Sul., Ver.) in persons who have taken purgatives all their lives.

Menses: too early, profuse, last too long; or keeping on several days longer, with complaints at onset and remaining after; every two weeks; irregular, never at right time; stopping and starting again (San., Sul.); during and after < of old symptoms.

Labor pains violent, spasmodic; cause urging to stool or to urinate; < in back; prefers a warm room.

Strangulated hernia, especially umbilical.

Backache, must sit up to turn over in bed; lumbago; from sexual weakness, from masturbation.

Relations

Complementary: Sulphur in nearly all cases.

Is often indicated after Ipecacuanha, which it follows well.

Nux should be given on retiring or, what is better, several hours before going to bed; it acts best during repose of mind and body.

Aggravation

Morning; mental exertion; after eating or over-eating; spices; narcotics; contact, noise, anger; dry weather.

Amelioration

Evening; rest; lying down, and in damp, wet weather (Caust.).

Type

Fevers of every type. Simple; quotidian; tertian; quartan; but like Natr. mur. it is more frequently called for in the morning paroxysm and in the tertian type than perhaps in any other. Every Spring (Lac c., Sul.). Anticipating; congestive; monthly; after the menses; apoplectic intermittents; malarial; continued; remittent; pernicious.

Irregular in paroxysm; may come on at any hour of the day, and return at the same hour, or earlier, or later.

Irregular in stage; may consist of heat, then chill, then sweat; or sweat, then chill, then sweat again; or external heat and internal chill or vice versa.

Anticipating, every other day. Every day paroxysm, regular.

Anticipating. Paroxysm and stages usually irregular.

Time

Night or early morning, 6 to 7 A. M., 11 A. M., 12 M., 4, 5, 6 P. M.; 7 to 9 P. M. Evening paroxysm usually lasts all night (Lyc., Polyp., Puls., Rhus).

Fever without chill, at 6 or 7 P. M.

5 to 8 A. M., 10 to 11 A. M., and 4 to 7 P. M.

Fever, without chill, 10 or 11 A. M.

6 to 7 A. M., 11 A. M., or 12

M.; and 5 to 9 P. M., lasting all night.

Fever, without chill, 6 or 7 P. M.

Cause

Typical cases are apt to occur in men of active, "rushing," business habits; nervous, dyspeptic from worry, care, too much mental and too little physical exertion. Irregular, unseasonable, rapid eating; too much coffee, tobacco, stimulants; late suppers, late hours of debauches.

Prodrome

Intolerable drawing pain through the thighs and legs, that obliged him to draw them up and stretch them out. Prostration. Sensation of paralytic weakness; especially in the limbs. Often heat, and sometimes sweat before the chill.

Dreads the chill.

Languor, headache, thirst, nausea and vomiting.

Drawing pain in limbs; weak and paralyzed. Heat and sweat sometimes before the chill.

Chill —Without thirst, shaking, with blue face and hands; pain and numbness of limbs, as if gone to sleep; relieved neither by warmth of stove nor covering in bed.

Chill

Without thirst. Chilliness every morning after rising. Violent, shaking chill, lasting three-quarters of an hour, with bluish cold face and hands, followed by violent heat and moist skin.

Anticipating morning fever; chill with gaping, and aching in the limbs (sore, bruised pain in limbs, as if in periosteum, Arn.); blue nails; no thirst; then long-lasting heat with thirst (Nat.), and stitches in the temples; sensation of chilliness on the back and limbs, followed by light sweat in the morning with painfulness of the skin, as if it had been frozen, and numbness of limbs, as if gone to sleep, as they do in cold weather.

Afternoon paroxysm: Chilliness and coldness with blue nails, for four hours, followed by general heat and burning of the hands, with thirst at first for water, afterwards for beer, without subsequent sweat. Shivering and chilliness after drinking (chill after every drink, Caps., Eup.). Drinking increases and hastens chill, and causes vomiting (Ars., Eup.—drinking relieves the chill, Caust.). Coldness of the whole body, with blue hands and blueness of the skin. Great coldness, relieved neither by warmth of the stove, nor by covering in bed (worse from uncovering, Phos.—worse in a warm room or near the stove, Apis—chill increased by external heat, Ipec.). Shivering and chilliness for an hour from the slightest contact with the open air (excessively sensitive to cold air, Camph.—coldness and chills as soon as she attempted to rise or put one limb out of bed, Canth.). Violent chill, and sleep for an hour in the evening after lying down, followed by heat, with headache and roaring in the ears. Chill evening and night in bed, lasting till morning, worse when moving. Pain in sacrum during chill (pain in dorsal vertebræ, Chin. s.). Congestive chill, with vertigo, headache, anguish, delirium, terrible coldness of body, with blue face, nails and hands, accompanied by vivid visions, distention of the stomach, stitches in the sides and abdomen; worse from the slightest attempt to uncover or move in bed. Sleep after chill (Nux m., Pod.—sleep during heat, Apis.).

With thirst, drinking often and much at a time, with blue lips and nails, and bursting headache; tearing in bones and chattering of teeth.

Heat

With thirst. Violent, long-lasting heat, with great thirst. Flushing redness and heat of the cheeks on the slightest motion or exertion (heat relieved by moving about, Caps.); worse in the open air; averse to uncovering when in bed, day or night; desire to uncover, but chilled when uncovering (Acon.—averse to uncovering, Bell.—cold and chilly on putting hands out from under bedclothes, Bar. c.—cannot move or uncover in the least without feeling chilly, Arn.); heat of hands and feet, which must be covered because cold causes intolerable pain (Stram.). Great heat; whole body burning hot, yet patient must be covered up (must be uncovered, Sec.). Heat and redness of face, cheeks, hands, with stitching headache, especially in the sinciput; anguish, vertigo, and delirium, with redness of the face (Bell.); roaring in the ears; pain in chest, sides, abdomen; feet cold and shivering.

"During the fever a round spot at the pit of the stomach of two inches in diameter, feels hot to the patient, but is cold to the touch. Cured by Nux vom."—C. LIPPE.

With thirst; increased headache, unconsciousness and ex- cessive weakness.

Sweat—With thirst, gradually relieving all pains except headache, which is not so severe. Profuse sweat breaks out easily on motion.

Sour-smelling.

With great thirst, violent and long-lasting. Cannot move or uncover in the least without feeling chilly.

Sweat

Without thirst (with great thirst, Ars., Cinch.). Usually, sweating stage light, with chilliness from motion or allowing the air to strike him. Sweat relieves pains in limbs (Eup., Lyc., Nat.). Sweat alternating with chill (Ant. c.—chill alternating with sweat, always either chilly or in a sweat, Caust.). Sweat one-sided (right), or only on upper part of the body (Acon., Cinch., Nit. ac., Puls.—sweat on trunk, but not on legs, Lyc.); cold on face; sour, clammy, offensive.

Profuse perspiration, after the severest paroxysms, or attending the congestive chill (reverse of Eup., which has light chill and profuse sweat; or hard, shaking chill and light, scanty sweat); only on right side.

Without thirst; with chilliness from motion or allowing the air to touch him. Sweat on one side (right) or upper part of body.

Relieves pains in limbs.

Tongue

Heavily coated, white or yellow. Taste so bitter, sour, putrid; must rinse the mouth (Thuja). Canine hunger; with aversion to bread, water, coffee, tobacco. Longing for brandy, beer, fat food (see Puls.).

Mapped tongue, like herpes, on the side; yellow coat; salt taste.

Nux vomica.

Heavily coated white or yellow; putrid taste; must rinse the mouth.

"Children's intermittents; shaking chill, with blue-mottled skin, especially on covered parts. Morning chill, very severe, with skin blue-mottled; thirst very great during chill and fever; great tendency to spasms (and even convulsions), as the chill went off and sweat came on. Bowels constipated, with ineffectual urging to stool, especially in nursing children; appetite poor, urine red and fetid, and generally a dry, hacking cough (Crotalus, if right side was most mottled)."—DR. HIGGINS, N. A. J., p. 182.

The anticipating chill always denotes increasing severity of the fever, and the remedies which correspond to it are among the most prominent and frequently called for, viz., Arsenic, Bryonia, Cinchona, Chininum s., Natrum mur., and Nux vomica. Ipecacuanha may anticipate. Ignatia anticipates and postpones.

By many professing homeopaths Nux vomica is used in alternation with Ipecacuanha, and they boast of their successs in the treatment of ague. However successful such treatment may be, it is routine practice, and, like the empiricism which leads the other school to the indiscriminate use of Quinine, must often fail. Nux vomica deserves, and will repay, a careful indvidualization.

Pulse

Full, hard, quick; small, quick during fever heat; fourth or fifth beat intermitting.

Apyrexia

Gastric and bilious symptoms are always present.

Legs feel weak and paralytic; head heavy, dull, with vertigo and severe frontal headache, especially in morning; pains are pressive, pulsating, sticking, worse in temples and sinciput; face pale and waxy, as in chlorosis; debility; soreness of liver and spleen, which are sensitive to least pressure; loss of appetite and obstinate constipation, with frequent but ineffectual inclination (rarely canine hunger and diarrhœa); great sensitivenes in and distension of the epigastrium. Vomiting of food or bitter fluids and sour mucus; emaciation; anxiety; and great weakness of the whole body. Chilly on the least movement, repugnance to cold, or cold air. Nightly paroxysm of dry cough. Many of the symptoms, after continuing with greater or less intensity, gradually pass into the succeeding prodrome.

Natrum mur.