Phosphoricum Acidum ph-ac.

Boger's Synoptic Key — Materia Medica

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

Region

MIND. Nerves. Metabolism. Sexual system. Spine: sensory nerves. Muscles. Bones.

Worse

DEBILITY from: LOSS OF FLUIDS. Sexual excesses. Fatigue. Fevers. Convalescence. EMOTIONS (chronic): Grief. Chagrin. Mental shock. Unhappy love. Homesickness. Drafts. Cold. Music. Talking.

Better

Warmth. Short sleep. Stooling.

General

WEAK OR DEBILITATED, with free secretions. Slowness. Pains go to part lain on. Bruised soreness; like growing pains. Sense of pressure. Formication; at roots of hair; along spine, limbs, etc. Loose joints. Grows too fast.

Particulars

Quiet. Indifferent, APATHETIC, obtuse or torpid; with tendency to diarrhœa or sweatiness. Slow grasp. Can't collect his ideas; hunts for words. Poor memory. Dull despair. Averse to talking. Brain-fag. Mild delirium; easily aroused. Crushing weight on vertex. Early grayness. Falling hair. Dull, sunken eyes with blue circles; they feel pressed out. Eye-balls feel large. Pale, sickly face; white of egg seems dried on it. Bleeding gums. Slimy tongue. Craves juices. Sour stomach. PROFUSE, PAINLESS, DIRTY WHITE, WATERY or LIENTERIC STOOL; BUT LITTLE DEBILITY. THICK, MILKY URINE. Polyuria. Diabetes. Weak, relaxed genitals; suddenly during coitus. Pollutions. Takes colds; < draft on chest. Shaking cough. Twisting under xiphoid. Paralytic weakness along spine. Heavy fore-arms. Scraping bone-pains, at night. Clammy wrinkled skin. SLEEPY BY DAY; but wakeful at night. Cold parts; one side of face, abdomen, etc. Burning along spine; below waist; kidney region. Heat with sweat. Profuse sweats; < night; as a sequel. Sluggish, painless fevers.

Related

Complementary: Chin. Related: Gel.

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

Best suited to persons of originally strong constitutions, who have become debilitated by loss of vital fluids, sexual excesses (Cinch.); violent acute diseases; chagrin, or a long succession of moral emotions, as grief, care, disappointed affection. Ailments: from care, chagrin, grief, sorrow, homesickness (Ign.); sleepy, disposed to weep; night-sweats towards morning. Pale sickly complexion, eyes sunken and surrounded by blue margins. Mild yielding disposition (Puls.). Is listless, apathetic; indifferent to the affairs of life; prostrated and stupefied with grief; to those things that used to be of most interest, especially if there be debility and emaciation. Delirium: muttering, unintelligible; lies in a stupor, or a stupid sleep, unconscious of all that is going on around him; when aroused is fully conscious, answers slowly and correctly and relapses into stupor. In children and young people who grow too rapidly (Cal., Cal. p.); pains in back and limbs as if beaten. Headache: crushing weight on vertex, from long lasting grief or exhausted nerves; in occiput and nape; usually from behind forward, < by least motion, noise, especially music, > lying (Bry., Gels., Sil.). Headache of school girls from eye-strain or overuse of eyes (Cal. p., Nat. m.); of students who are growing too fast. Patient trembles, legs weak, stumbles easily or makes missteps; weak and indifferent to the affairs of life. Interstitial inflammation of bones, scrofulous, sycotic, syphilitic, mercurial; periossteum inflamed, pains burning, tearing, as if scraped with a knife (Rhus); caries, rachitis, but not necrosis; growing pains. Boring, drawing, digging pains in nerves of extremities; neurosis is stump after amputations (Cepa.). Diarrhoea: painless; not debilitating; white or yellow; watery; from acids; involuntary, with the flatus (Aloe, Nat. m.); choleric, from fear. Urine: looks like milk mixed with jelly-like, bloody pieces; decomposes rapidly; profuse urination at night of clear, watery urine, which forms a white cloud at once (phosphates in excess, nerve waste). Onanism; when patient is greatly distressed by the culpability of the act (compare Dios., Staph.). Emissions: frequent, profuse, debilitating; after coitus; most desire, after; several in one night; abashed, sad, despair of cure (with irresistible tendency to masturbate, Ust.). Chest; weak from talking or coughing (Stan.); in phthisis; nervous from loss of vital fluids, too rapid growth, depressing mental emotions. Cerebral typhoid or typhus; complete apathy and stupor; takes no notice, "lies like a log," utterly regardless of surrounding; intestinal haemorrhage, blood dark.

Relations

Compare: Phos., Puls., Pic. ac., Sil.; Mur. ac. in typhoid; Nit. sp. d. in apathetic stupor and delirium. Phos. ac. acts well before or after Cinch. in colliquative sweats, diarrhoea, debility; after Nux in fainting after a meal.

Aggravation

From mental affections; loss of vital fluids, especially seminal; self abuse; sexual excesses; talking causes weakness in chest (Stan.).

Key-Notes to the Materia Medica

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

General

Mental A most marked characteristic is found in the mental condition, which is a complete indifference to everything: it is not a soporous, delirious, or irritable condition, but simply an indifferent state of the mind to all things; patient does not want anything, nor to speak, shows no interest in the outside world, etc. This indifference may occur in any disease, in fevers of very low type, etc. Difficulty of comprehension--patient will think a little while about a question, perhaps answer it, then forget all about it; dizziness of the mind.

Stool

Diarrhœa, particularly painless diarrhœa, which may be very fetid; diarrhœa lasting a long time, apparently without any weakening effect; involuntary stools.

Urine

Milk-colored or very pale urine; with sediment; bloody; complaints while passing water; becoming turbid. When children pass a great deal of water in the bed at night; persons getting up in the night to urinate and passing a great deal.

Generalities

Affections of any kind in the inner navel region; lower part of the chest, buttocks, thighs, external side. On left hip-joint and left thigh, a neuralgic or rheumatic pain, from gluteal muscles or hip-joint running down the leg to the knee, and often to the calf of the leg or ankle which gets a little easier after walking, but is still very bad. Very pale face; nausea in the throat. Spermatorrhœa, especially where the patient is much affected by the flow, feels so weak and exhausted after it. Squeezing or contracting pain; lassitude of the body; feeling very weak; painfulness in general in the bones or periosteum; swelling of the bones or periosteum; burning sphacelus. Ulcers with stinking pus; painless. Pulse irregular, with irregular beating of the heart; pulse intermitting.

Worse

From mental affections; after suppression of cutaneous eruptions, i.e., any bad result that ensues from such suppression; from loss of fluids, particularly seminal; sunlight; masturbation; after perspiration; sexual excesses; talking, especially when it causes a weakness in the chest; while urinating.

Remedies following

Arsen., Bellad., Caustic., China, Lycop., Nux vom., Pulsat., Sepia, Sulphur.

Antidotes

Coffea.

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

Perfect indifference, difficult comprehension; imbecility. Bones of the skull feel as if someone had scraped the swollen and tender periosteum with, a knife. Hair turns gray early, or flaxen, falls off especially after grief or sorrow. Yellow spots on the whites of the eyes. Red streak in middle of tongue, widens in front. Diarrhoea, not debilitating, though of long continuance. Pain in the liver during menstruation. Ailments from growing too fast. Bad effects from onanism, sexual excess, grief, sorrow, homesickness or unfortunate love.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Phosphoric Acid

General

The common acid "debility" is very marked in this remedy, producing a nervous exhaustion. Mental debility first; later physical. A congenial soil for the action of Phos acid is found in young people who grow rapidly, and who are overtaxed, mentally or physically. Whenever the system has been exposed to the ravages of acute disease, excesses, grief, loss of vital fluids, we obtain conditions calling for it. Pyrosis, flatulence, diarrhœa, diabetes, rhachitis and periosteal inflammation. Neurosis in stump, after amputation. Hæmorrhages in typhoid. Useful in relieving pain of cancer.

Mind

Listless. Impaired memory (Anac). Apathetic, indifferent. Cannot collect his thoughts or find the right word. Difficult comprehension. Effects of grief and mental shock. Delirium, with great stupefaction. Settled despair.

Head

Heavy; confused. Pain as if temples were crushed together. Worse, shaking or noise. Crushing headache. Pressure on top. Hair gray early in life; falls out. Dull headache after coition; from eye-strain (Nat m). Vertigo toward evening, when standing or walking. Hair thins out, turns gray early.

Eyes

Blue rings around. Lids inflamed and cold. Pupils dilated. Glassy appearance. Averse to sunlight; sees colors as if a rainbow. Feel too large. Amblyopia in masturbators. Optic nerves seem torpid. Pain as if eyeballs were forcibly pressed together and into head.

Ears

Roaring, with difficult hearing. Intolerant of noise.

Nose

Bleeding. Bores fingers into nose. Itching.

Mouth

Lips dry, cracked. Bleeding gums; retract from teeth. Tongue swollen, dry, with viscid, frothy mucus. Teeth feel cold. At night, bites tongue in voluntarily.

Face

Pale, earthy; feeling of tension as from dried albumen. Sensation of coldness of one side of face.

Stomach

Craves juicy things. Sour risings. Nausea. Symptoms following sour food and drink. Pressure as from a weight, with sleepiness after eating (Fel tauri). Thirst for cold milk.

Abdomen

Distention and fermentation in bowels. Enlarged spleen (Ceanoth). Aching in umbilical region. Loud rumbling.

Stool

Diarrhœa, white, watery, involuntary, painless, with much flatus; not specially exhausting. Diarrhœa in weakly, delicate rachitic children.

Urine

Frequent, profuse, watery, milky. Diabetes. Micturition, preceded by anxiety and followed by burning. Frequent urination at night. Phosphaturia.

Male

Emissions at night and at stool. Seminal vesiculitis (Oxal acid). Sexual power deficient; testicles tender and swollen. Parts relax during embrace (Nux). Prostatorrhœa, even when passing a soft stool. Eczema of scrotum. Œdema of prepuce, and swollen glans-penis. Herpes preputialis. Sycotic excrescences (Thuja).

Female

Menses too early and profuse, with pain in liver. Itching; yellow leucorrhœa after menses. Milk scanty; health deteriorated from nursing.

Respiratory

Chest troubles develop after brain-fag. Hoarseness. Dry cough from tickling in chest. Salty expectoration. Difficult respiration. Weak feeling in chest from talking (Stann). Pressure behind the sternum, rendering breathing difficult.

Heart

Palpitation in children who grow too fast; after grief, self-abuse. Pulse irregular, intermittent.

Back

Boring pain between scapulæ. Pain in back and limbs, as if beaten.

Extremities

Weak. Tearing pains in joints, bones, and periosteum. Cramps in upper arms and wrists. Great debility. Pains at night, as if bones were scraped. Stumbles easily and makes missteps. Itching, between fingers or in folds of joints.

Skin

Pimples, acne, blood-boils. Ulcers, with very offensive pus. Burning red rash. Formication in various parts. Falling out of the hair (Nat mur; Selen). Tendency to abscess after fevers.

Sleep

Somnolency. Lascivious dreams with emissions.

Fever

Chilliness. Profuse sweat during night and morning. Low types of fever, with dull comprehension ans stupor.

Modalities

Better, from keeping warm. Worse, exertion, from being talked to; loss of vital fluids; sexual excesses. Everything impeding circulation causes aggravation of symptoms.

Relationship

Compare: Œnothera biennis-Evening primrose--(Effortless diarrhœa with nervous exhaustion. Incipient hydrocephaloid. Whooping-cough and spasmodic asthma). Nectranda amare (Watery diarrhœa, dry tongue, colic, bluish ring around sunken eyes, restless sleep). China; Nux. Pic ac; Lactic ac; Phos.

Antidotes: Coffea.

Dose

First potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Drowsy, apathetic; unconscious of all surroundings but can be aroused to full consciousness.

Chronic effects of grief; hair turns gray; hopeless, haggard look.

Grows too fast and too tall; young persons with growing pains in bones.

Great physical and mental weakness from ovarian or sexual excesses.

Diarrhœa WHITE, watery, painless, with rumbling; meteorism; but not so much weakness as would be expected.

Very profuse, watery, or milky urine.

Headache of school girls from eye strain, or overuse of eyes, occipital. Chest, weak from talking or coughing; cough, purulent, offensive expectoration, and pains in chest. Salty expectoration in proving.

The leading characteristic of this remedy lies in its effects upon the sensorium. "He lies in a stupor or in a stupid sleep, unconscious of all that is going on around him, but when aroused is fully conscious." This is Phosphoric acid in its intensest degree, as found in typhoid fever, in which it is one of our best remedies. But it is not alone here that the sensorial depression appears. It may he found in a lesser degree, in the results of depressing emotions, like grief at the loss of a friend, lover, property or position, and the effect seems to be even deeper rooted than in those cases which call for Ignatia. (See also Lachesis.) The subject seems stupefied with grief. There is not, the nervous twitching of Ignatia, but a settled despair, general weakness or prostration. The hair turns gray, and a weary, worn and haggard, hopeless look obtains. I have succeeded in curing such a case when Ignatia failed. In such a case the patient sometimes complains of a pain like a crushing weight on the vertex, or, again, of pain in the occiput or nape of the neck, and with both they appear physically weak, or exhausted, want to lie down, don't want company, or to be noticed or spoken to. We often find this sensorial depression in connection with the effects of onanism or excessive coition. The patient is disturbed by the culpability of his indulgence, grieves over it, is inclined to sink into despair. This is true of both sexes, and the depression is much worse if the patient is growing too fast, or is overtaxed mentally or physically. With Calcarea carb. they grow too fat, with Phosphoric acid too fast and tall. We have in Phosphoric acid a remedy for the headache of students, especially of those who are growing, too fast. It is a sin to keep such young people bowing down to hard study, and while it is true that youth is the time to get an education it is also true that it is the time when too great a strain in that direction may utterly wreck and forever incapacitate a mind which might, with more time and care, have been a blessing to the world.

Now Phosphoric acid, properly exhibited, may be of incalculable benefit in such cases. It will sometimes be a choice between Phosphoric acid and Natrum muriaticum or Calcarea phos., the other symptoms must decide.

In regard to the use of Phosphoric acid in typhoids, there are no other remedies exactly like it in its depressing effect on the sensorium. Arnica has its apathy or indifference; but the Arnica depression is more profound, as is also that of Baptisia, for they both go to sleep while answering a question, showing how overpowering is the stupor. Then with the former we have petechiæ or ecchymosis, which is not found under Phosphoric acid, and under the, latter the tendency to, decomposition of the fluids as found in the terribly offensive stools and urine.

Opium surpasses them all in its stupefying powers, and the face, breathing and general appearance, is not at all, like Phosphoric acid.

Rhus tox, and Hyoscyamus are very stupid also, but in other respects are very different. The description of these remedies is found under each, as we have written of their use in typhoids. Nux moschata ought also to be mentioned in this connection.

We must not forget the action of Phosphoric acid upon the bowels. It does not exhibit any peculiar characteristic action upon the stomach, but does in the abdominal region, as the following well-verified symptoms show: "Meteoristic distention of the abdomen; rumbling and gurgling and noise as from watery, painless stools." "Diarrhœa white , or yellow, watery, chronic or acute, without pain or any marked debility or exhaustion." Now, it seems very singular that, after so much talk about the general depression or weakness of this remedy, we should be obliged to record that the profuse and sometimes long-continued diarrhœa should not debilitate, as a characteristic symptom. Well, there are a good many unaccountable things, in both disease and therapeutics, and this is one of them, but the fact remains and we act upon it. Let us remember that the profound weakness and depression of Phosphoric acid is upon the sensorium and nervous system, and will be there whether diarrhœa is present or not. It is markedly so in typhoids, as I can fully attest from abundant observation. China debilitates by its diarrhœa or loss of fluids generally. Phosphoric acid attacks the nervous system primarily, even in onanism, and its results or effects are not so much the loss of semen as a vital fluid, as under China, the nervous system suffering very much, even though the emissions be neither very frequent nor profuse.

Young boys even suffer from the effects of the orgasm of onanism before there is much or any semen secreted. This is well to remember in a choice between these two remedies. There is a condition in which I have found this remedy very valuable, especially in men. The leading symptom is a "weak feeling in the chest from talking." You remember Stannum has this symptom very strongly (also Sulphur) and may lead us into a wrong prescription if only the one symptom were considered. If the patient is a young man, married or single; if, again, he seems weak in mind, listless, apathetic, reticent; if he is growing fast; all these things would indicate Phosphoric acid, and the proper use of it might save him from consumption, for many go into it in this way. If he has cough with expectoration, under Phosphoric acid, it will be copious, purulent, offensive; under Stannum, thick, heavy and of sweetish taste. All this condition of things may, when Phosphoric acid is the remedy, find its cause in one or both of two things: Onanism or sexual excess, and too rapid growth. Phosphoric acid has two very marked peculiarities in the urine, viz.,: very profuse and clear, watery, or milky urine.

The first is found with general nervous depression, and if there is headache it is like Gelsemium relieved by the flow of urine. The other is from excess of phosphates in the urine, indicating nerve waste. We must distinguish between the profuse urine of Ignatia and Phosphoric acid, for the first is hysterical, the latter not at all so.

Modalities

Modalities: < bad news, depressing emotions; masturbation or sexual excess, draft; wind; snowy air; > after short sleep.

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

Perfect indifference. Silent sadness. Indifference, thoughtlessness, stupidity. Disinclination to talk, even to answer a question. Home-sickness with inclination to weep. Low-spirited and anxiety about the future or about one's health. Bad effects from grief, sorrow, unfortunate love, with great emaciation, sleepiness and morning sweat. Quiet delirium with great stupefaction and dulness of the head (in typhus fever).

Head

Stupefaction in the forehead, with somnolency without snoring, the eyes being closed. Sensation as if intoxicated, in the evening in the warm room, with humming in the head, which feels as if it would burst when coughing. Pressing tensive headache, especially on the side on which one lies. Great heaviness of the head. Stitches over one (the right) eye. Morning headache. The headache compels one to lie down, and is insupportably aggravated from the least shaking or noise. The hair becomes gray early or flaxen and very greasy, falls off ; also the hair of the beard, especially after grief and sorrow. Pain in the bones of the skull ; it feels as if somebody scraped the swollen and tender periosteum with a knife ; worse at rest, better from motion. Caries of the skull with burning pain.

Eyes

The eyes look glassy, but without lustre. Pressing in the eyes as if the eyeball were too large. Coldness of the internal surface of the eyelids. Burning of the eyelids and the corners of the eyes, especially in the evening by candle-light. Inflammation of the eyelids. The eyes are dazzled on looking at bright objects. Yellow spot in the white of the eye.

Ears

Stitches in the ears, with drawing pains in the cheeks and teeth ; aggravated only from musical sounds. Every sound re-echoes loudly in the ears. Intolerance of all sounds, especially music. Shrill sound in the ears on blowing the nose. Hardness of hearing at a distance.

Nose

Discharge of bloody pus from the nose. Swelling of the dorsum of the nose with red spots ; scurfs on the dorsum of the nose. Inclination to bore with the fingers in the nose. Fetid smell from the nose.

Face

Heat of that side of the lace on which he is not lying. Pale, sickly complexion, with lustreless, sunken eyes surrounded by blue margins, and pointed nose. Hot tension on the skin of the face, as if the white of an egg had dried on it. Lips dry, scurfy, suppurating. Yellow-brown, crust-like eruptions with pus on the lower lip towards the corner of the mouth. Pimples and scurfs on the vermilion borders of the lips.

Mouth and Throat

Burning in the front teeth, especially at night, aggravated by the heat of the bed as well as from hot and cold things. Violent aching in a hollow tooth when particles of food get into it, going off after they have been removed. The teeth become yellow. The gums are swollen, stand off from the teeth, and bleed easily. Painful tubercle on the gum. Ulceration of the soft velum, with burning pain. Tough, clammy mucus in the mouth and on the tongue. Swelling of the tongue, with pain on talking. Nasal voice. Dryness of the throat (palate) without thirst. Bites himself involuntarily in the tongue at night. Sore throat, with soreness, scraping and stinging, worse on swallowing food. Hawking up of tough mucus.

Stomach and Abdomen

Violent thirst from a sensation of dryness of the whole body. Longing for something refreshing and juicy ; bread is too dry. Bad effects from sour food and drink. Bitter eructations after eating sour things. Continuous nausea in the throat ; vomiting of food. Pressing in the stomach as from a heavy load, with sleepiness, after every meal and when touching the pit of the stomach. Rumbling in the intestines and noise as from water. The flatulency is much augmented by sour food. The uterus is bloated as if filled with wind.

Stool and Anus

Diarrhœa not debilitating. Diarrhœic stools of mucus ; undigested, greenish-white. Difficult discharge of even the soft stool.

Urinary Organs

Sudden, irresistible urging to urinate. Frequent profuse emission of watery urine, which forms a white cloud at once. Urine like milk, with bloody, jelly-like lumps. Diabetes melitus. Urging to urinate, with pale face, heat and thirst. Burning in the urethra while urinating. Painful constriction in the bladder (without urging). Involuntary secretion of urine.

Sexual Organs

Men. Pricking pain in the glans penis. Tingling and humid secretions at the frenulum. Sycotic excrescences with heat and burning. Swelling of the testicles, with swelling and tension in the spermatic cords. The testicles are very tender to the touch ; gnawing pain in the testicles. Inflammatory swelling of the scrotum. Sexual desire suppressed. Bad effects from onanism. Frequent involuntary, very debilitating emissions. Women. Meteoristic distention of the uterus.

Respiratory Organs

Shortness of breath and inability to speak long on account of great weakness of the chest. Constriction in the throat-pit. Hoarseness and roughness in the throat. Cough from tickling in the pit of the stomach and throat, with expectoration only in the morning. Cough with headache, nausea and vomiting of food, or with involuntary emission of urine. Cough with purulent, very offensive expectoration. Spasmodic tickling cough, caused by a sensation as from dust in the larynx and chest down to the pit of the stomach in the morning ; expectoration of dark blood or of tough white mucus, tasting acid, herbaceous. The cough is worse morning and evening ; during rest if one sits or lies long in the same position ; after sleeping ; from cold air ; from loss of fluids. Burning and pressure in the chest.

Back and Neck

Formication in the back and small of the back.

Extremities

Upper. Shrivelled dry skin of the hands and lingers. Wen on the hand (between the metacarpal bones). Stitches in the finger joints. Trembling of the hands (when writing). Sharply marked deadness of one half of the fingers. Lower. Blood-boil on the nates. Painful spasm in the hip-joint. Weakness of the legs ; he falls easily from a misstep, or on tripping. Burning in the tibia and soles of the feet at night. Ulcers on the lower extremities, with itching. Swelling and burning, beating pains in the joint of the big toe. Blisters on the balls of the toes. Feet swollen ; sweaty.

Generalities

Sensation as if the body and the limbs were bruised, as from growing, especially in the morning. Formication in different parts of the body. Burning through the lower half of the body from the small of the back and pit of the stomach downwards while the extremities are cold to the touch. Weakness from loss of fluids without any other pain than burning. Great drowsiness.

Sleep

Deep and heavy sleep ; can scarcely be roused in the morning. Anxious dreams.

Fever

Pulse irregular, sometimes intermitting one or two beats, generally small, weak or frequent, at times full and strong. Violent ebullitions with great restlessness. Swollen veins. Chills with shuddering and shaking, always in the evening. Chill and heat frequently alternating. Sensation of coldness on one side of the face. During the chill, a peculiarly strong sensation of coldness in the tips of the fingers and in the abdomen. Internal dry heat without heat and without any complaint, at any time of the day. General heat with loss of consciousness and somnolence. Heat in the head, with cold feet. Perspiration mostly on the back part of the head and in the neck, with sleepiness during the day. Profuse perspirations during the night and in the morning, with anxiety. Great inclination to perspire during clay and night. Clammy perspirations. Intermittent fevers. -Shaking chills over the whole body ; the fingers being as cold as ice, without any thirst, followed by heat without thirst, or by excessive heat, depriving one almost of consciousness.

Skin

Swelling of the glands. Pain as if the periosteum of all the long bones were so with a knife. Inflammation of the bones with burning at night. Swelling of the bones. Caries with smarting pains. Formication on the skin. Scarlet-like exanthems. Erysipelatous inflammations. Blood-boils. Chilblains, wens, sycotic excrescences. Corns with stinging and burning. Ulcers, flat, itching. Smarting in the wounds, even in those of the bones.

Conditions

Bad effects from sexual excesses (loss of fluids). Bad consequences from grief, sorrow or unfortunate love. Most of the pains are only felt during rest and are much ameliorated by motion. Aggravation from suppression of cutaneous eruptions ; from loss of animal fluids ; from warm food ; from talking. Amelioration from motion and the nightly pains from pressure.

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

Phosphoric acid. H 3 PO 4 . Dilution. (The dilute acid of B. P. forms the homœopathic 1x. In U.S. the first solution is made of glacial Phosphoric Acid.)

Clinical

Amblyopia . Asthma. Boils. Brain-fag . Bronchitis; capillary. Chancre. Chilblains. Cholera. Climacteric flushes and vertigo. Coccygodynia. Condylomata. Corns. Cough. Coxalgia. Debility. Diabetes. Diarrhœa . Dyspepsia. Emissions. Enteric fever . Enuresis. Feet, sore . Flatulence. Ganglion. Gout. Gravel. Hair, falling off. Headache ; of school children. Hectic. Herpes. Hip-joint disease. Home-sickness. Impotence. Joints, scrofulous . Lactation defective. Levitation. Lienteria. Locomotor ataxy. Love, disappointed. Masturbation. Mental weakness . Mercurial syphilis. Navel, pains in. Neurasthenia. Nymphomania. Osteo-myelitis. Perspiration, profuse . Phosphaturia. Physometra . Pimples. Pregnancy, diarrhœa of ; nausea of. Prepuce, warts on. Psoas abscess. Puerperal eclampsia. Purpura . Rheumatism. Sciatica. Scurvy. Self-abuse. Spermatorrhœa . Spinal caries. Sycosis Hahnemanni. Syphilis. Tetters. Typhus fever. Ulcers. Urine, phosphatic . Uterus, prolapse of. Varices. Vertigo. Warts. Wens. Worms.

Characteristics

Phos. ac . is less poisonous than Phos . Our chief knowledge of it is derived from Hahnemann's provings in M. M. P . These show a marked action on the emotional and sensorial faculties, a drowsy, depressed, apathetic state being produced, such as is not unfrequently met with in typhoid fevers. The keynote of the Phos. ac . stupor is that the patient is easily aroused and then is fully conscious. Indifference; prostrated and stupefied with grief; effects of disappointed love. Home-sick. The mind is confused; thoughts cannot be connected; thinking makes him dizzy. The legs tremble in walking and the limbs are as difficult to control as the thoughts. Many symptoms of vertigo are produced, and one is peculiar. Phos . has a sensation as if the chair he was sitting on was rising; Phos. ac . has this: Sensation as if the feet were rising until he stood on his head. This very symptom occurred in a patient of Skinner's suffering from small-pox. The disease had been cut short by Variol ., when the patient, a lady, complained that her feet were rising to the ceiling, and begged her nurses to keep them down. Phos. ac . speedily put her straight. Phos. ac . causes illusions of the senses as well as of the sensorium, bells are heard, ciphers, sparks, &c., are seen. At the same time there is exalted sensitiveness to light, sound, and odours; "odours take away his breath." A remarkable effect was noted by Becher, one of Hahnemann's provers (the same who experienced the topsy-turvy symptom just mentioned), namely, that the right pupil became widely dilate while the left remained normal: the more he strained the eye the wider the pupil became until the iris almost disappeared. Franz had this symptom "Sees things lying near him (outside the sphere of vision) moving." Meyer had a somewhat analogous mental symptom: "When reading a thousand other thoughts came into his head, and he could not rightly comprehend anything; what he read became as if dark in his head, and he immediately forgot all; what he had long known he could only recall with difficulty." Such states of mind and the senses are frequently observed in those under the influence of grief and other depressing emotions; from over-study; and in the subjects of venereal excesses and seminal loss. But whilst these losses produce extreme weakness of mind and body, and an abashed, sad state of mind with despair of cure, there is one drain which does not debilitate ─ a diarrhœa. "Persistent, painless, watery diarrhœa, often containing undigested particles of food, and which does not debilitate," is a keynote of Phos. ac . Another characteristic in connection with the debility of Phos. ac . is that though the weakness is very great the patient is rested by a short sleep . ( Phos . also has > by sleep, but not so markedly by a short sleep.) The copious discharges of Phos. ac . appear in the sweat and urine. The keynote of the enuresis of Phos. ac . is that the child passes a great quantity of urine. The polyuria and dry mouth and throat give leading correspondences for Phos. ac . in diabetes; and when there is in addition a history of sexual excess, or of severe mental or emotional over-strain, the indications will be very clear. White, milky urine; and also white stools, are very characteristic of Phos. ac . The urine may be passed clear but turns milky at once, and is very offensive. If flatulence is to be regarded as an excretion that is another instance of the excess of Phos. ac . There is meteoristic distension and passing of flatus in large quantities; sometimes with odour of garlic. "Meteoristic distension; rumbling or gurgling and noise as if there were water in abdomen, < when touched and when the body is bent backward and forward." A case quoted from H. Maandblad . illustrates the action of Phos. ac . in gastric affections. A married woman, 36, mother of eight children, had for some time been so melancholy and depressed as to be unable to fulfil her household duties. There was no discoverable mental cause, though her condition had been made < by a sudden death in the family. The beginning of the illness was apparently a weakness of the stomach: small appetite; always pain and distension after eating; the food seemed to lie long in the stomach undigested. Phos. ac . 6x, ten drops three times a day, soon restored the patient. In connection with the flatulence of Phos. ac . there is even bloating of the uterus with gas. The menses are excessive and premature; and there are many symptoms connected with the pregnant and puerperal state, including debility from lactation, Phos. ac . has many respiratory symptoms, and this is a keynote: "Weak feeling in chest from talking, coughing, or sitting too long; > by walking." Hoarseness and nasal voice; dyspnœa; capillary bronchitis. The cough seems to be caused by tickling of a feather from middle of chest to larynx, low down in chest, about ensiform cartilage, pit of stomach; is < evening after lying down; expectoration muco-purulent; salty; bloody; offensive. Every draught of air = fresh cold. Cough = headache; nausea and vomiting of food; spurting of urine. A very prominent sensation running through the proving is that of pressure; pressure as from a crushing weight in vertex, forehead, sternum. Pressure in eyes; in navel; in left breast. Squeezing above the knee; in the sole. The hæmorrhages of Phos. ac . are dark, profuse, with passive hæmorrhages. A case of land scurvy (quoted Amer. Hom ., xxii. 421) Contracted in mining camps presented the usual condition of the gums, and also purpureal spots covering the whole body. Patient was able to be about, and had little pain, but was despondent. Pulse weak, very slow. Had been months ill under old-school treatment. Merc. sol . was given but did not relieve. Phos. ac . given strong enough to taste acid speedily cured. A peculiar symptom of Phos. ac . is involuntary biting of tongue in sleep. The sphincters are weakened, and there is involuntary escape of fæces and urine, the latter especially on coughing or movement. Peculiar sensations are: As if intoxicated. As if head would burst. As if feet going up. As if weight in head. As if brain crushed. Bones as if scraped with a knife. As if eyeballs too large. As if white of egg had dried on face. As if lower jaw were going to break. Nausea as if in soft palate; in throat. As if stomach being balanced up and down. Heavy load in stomach. Ants crawling over body. Uterus as if filled with wind. Tickling in chest as with a feather; as with down in larynx. Red-hot coal on arm and shoulder, Phos. ac . is suited to: ( 1 ) Persons of originally strong constitution weakened by loss of fluids; excesses; violent, acute diseases; chagrin or a long succession of moral emotions. ( 2 ) Persons of mild disposition. ( 3 ) Children and young people who have grown too rapidly, tall, slender, and slim; with pains in back and limbs as if beaten; growing pains. Lutze ( Hahn. Adv ., 1900, 664) cured with Phos. ac . a German woman, 66, of chronic, early morning, painless diarrhœa after the failure of Pod . and partial success of Gels . The patient had been ill two years, dating from the time she came to Brooklyn from Germany to be near her daughters. One of the latter gave Lutze the keynote of the case by telling him that her mother was home-sick, and wanted to return to Germany, though she had not a single relative there . ─ The symptoms are: < By music (every note = stitch in ears; violent pains in head). Slight shock or noise = pressure in head to be extremely violent. Odours = vomiting. Bad news; depressing emotions = cough, diarrhœa, &c. Touch < . Movement of child = escape of stool. Many symptoms are < evening and night. > After short sleep. Many symptoms are > walking. Sitting < . Standing < . < Lying on left side. < Side on which he lies. < Talking. < From mental affections; suppressed eruptions; loss of fluids, especially seminal; masturbation; perspiration; urination. There is desire for warm food; which > pressive pain in stomach. Warm room < . Warmth of bed > pains in bowels. Aversion to uncover in heat. < By draught; wind; snowy air. Cannot bear draught on chest. Every draught fresh cold. Catching cold in summer = diarrhœa. Least cold arthritic pains. Coldness of part < pains. Fresh air = invigoration.

Relations

Antidoted by: Camph., Coff., Staph. Compatible: Chi., before or after, in colliquative sweats, diarrhœa, and debility; after Nux in fainting after a meal; after Rhus in typhoid. Followed well by: Ars., Bell., Caust., Lyc., Nux, Puls., Sep., Sul., Calc. p., Fer. p., K. ph., Nat. p. Compare: Effects of grief, &c., Ign. (Phos. ac. deeper, more settled despair, hair turns grey, crushing weight on vertex). Growing too fast, Calc. (Calc. fast and fat; Phos ac. fast and tall). School headaches, Nat. m., Calc. ph. Typhoid and typhus, Rhus (both have nose-bleed at beginning of typhus, with Rhus it > ; with Phos. ac. not: Phos. ac. follows Rhus; both have > by movement). Cina (bores fingers in nose). Pho. (Pho. has more dryness of tongue, more sensorial excitement and intolerance of noises or odours; if diarrhœa is present it is blood-streaked and looks like flesh water). Nit. s. d. (sensorial apathy); Arn. (more developed stupor); Op. (stertor; countenance deeper red, almost brownish red; Phos. ac. sunken hippocratic). Home-sickness, Caps. (Caps. has red cheeks). Lienteric diarrhœa, Chi. (Chi. exhausts rapidly; Phos. ac. not). Loss of seminal fluids, Chi. (Chi. acute; Phos. ac. chronic effects). Tuberculosis, Pho. (Phos. ac. better than Pho. when there is cough from tickling at ensiform cartilage, < evening and lying down at night; weakness causing dyspnœa; < from draught on chest). Diabetes, Lact. ac. Growing pains, Guaiac. Bad news, effects of, Coloc., Gels. As if white of egg had dried on face, Alm., Bar. acet. Affections of palate, Mang. Aversion to bread; effects of masturbation, Nat. m. Effects of music, Ambra, Pho. Over-lifting, Calc. Nausea at sight of food, especially during pregnancy, Eu. perf.; at sight of food, Colch., Lyc., Mosch., Phos. ac., Saba., Spi.; at smell of food, Colch., Eu. perf. Inquietude about health and life, Calc., Pho. Apathy, K. ca. (Phos. ac. sensorial; K. ca. from exhaustion ─ puerperal mania, puerperal fever). Cerebro-spinal exhaustion from overwork, Pic. ac. Apathy with indifference (Mur. ac. taciturnity with indifference; Sul. listless; Hell. n. not easily roused). Mild, yielding disposition, Puls. Headache > by lying down, Bry., Gels., Sil. Neurosis in stump-after amputation, Cepa. Masturbation when patient distressed by culpability of act, Dros., Staph. Sycosis, Thuj., Sabi. Escape of urine during cough, Caust., Nat. m., Puls. Nausea in throat, Cupr., Cycl., Pul., Stan. Feet as if in air, Passif.

Causation

Bad news. Grief. Chagrin. Disappointed love. Separation from home. Loss of fluids. Sexual excesses. Injuries. Operations. Over-lifting. Over-study. Shock.

Mind

Disposition to weep, as from nostalgia. ─ Bad effects from grief, sorrow, unfortunate love, with great emaciation, sleepiness, and morning sweat. ─ Sadness and uneasiness respecting the future. ─ Anxious inquiries respecting the disease under treatment. ─ Restlessness and precipitation. ─ Silent (sadness) peevishness and aversion to conversation. ─ Great indifference. ─ A complete indifference to everything; not a soporous, delirious, or irritable condition, but simply an indifferent state of mind to all things; patient does not want anything, nor to speak, shows no interest in the outside world (may occur in any disease in fevers of very low type). ─ Difficulty of comprehension, patient will think a little while about a question, perhaps answers it, then forgets all about it; dizziness of the mind. ─ When reading, a thousand other thoughts came into his head, could not rightly comprehend anything; what he read became as if dark in his head and he immediately forgot all; what he had long known he could only recall with difficulty. ─ Inability to endure noise or conversation. ─ Dulness and indolence of mind, with want of imagination. ─ Weakness of memory. ─ Imbecility. ─ Cannot connect his thoughts. ─ Paucity of ideas and unfitness for intellectual labour. ─ Illusions of the senses; hears a bell pealing; sees only ciphers before his eyes.

Head

Vertigo: head sinks forward or backward; on closing eyes; at climaxis with flushes and sweat; in typhus; when lying in bed, as if fee; were going up and he was standing on his head; after reflection. ─ Stupefaction in forehead, with somnolency without snoring, eyes closed. ─ Head bewildered, as after intoxication or immoderate pollutions. ─ Sensation as if intoxicated, evening, in warm room, with humming in head, which feels as if it would burst when coughing. ─ Stunning vertigo when standing and walking, esp. in evening. ─ Pressure as from a weight in head, or as if vertex had been beaten. ─ Headache in morning. ─ Aching with tingling in head. ─ Headache usually from behind forward. ─ Constant headache, which compels to lie down, < to an insupportable degree by the slightest commotion or by noise. ─ Heaviness of head, as if full of water. ─ Violent pressure in forehead in morning on waking. ─ As if temples and sides of head were squeezed together by forceps. ─ Cramp-like and hard pressure in head, < by pressing on head and by turning it I also by meditation and by going up stairs, but esp. after midnight, in the part which presses pillow. ─ Compression in brain. ─ Tearing headache. ─ Lancinations in temples or above eyes. ─ Stitches over one (the r.) eye. ─ Jerks or shocks, blows and hammering in head. ─ Drawing pains in bones of occiput. ─ Grey, lank hair, like tow. ─ The hair becomes grey early or flaxen, and very greasy, falls off; also hair of beard, esp. after grief and sorrow. ─ Pain in bones of skull; it feels as if somebody scraped the swollen and tender periosteum with a knife, < at rest, > from motion; caries of skull with burning pain. ─ Itching of scalp.

Eyes

Eyes dull, glassy (but without lustre), downcast. ─ Pressure in eyes, with sensation as if eyeballs too large; as if eyeballs were forcibly pressed together and into head. ─ Coldness in internal surface of lids. ─ Eyes dazzled on looking at bright objects. ─ Burning pain in lids and their angles, esp. by candle-light in evening. ─ Inflammation in eyes, with congestion of veins in internal angles. ─ Agglutination, mornings. ─ Inflammation of lids. ─ Hordeolum. ─ Yellow spot in sclerotica. ─ Lachrymation. ─ Pupils dilated. ─ R. pupil much dilated, l. pupil constantly normal. ─ Fixed look. ─ Sight confused as if directed through a mist. ─ Myopia. ─ Black band before eyes; ciphers; sees objects lying near him (outside sphere of vision) moving. ─ A dull, shooting, burning pain forced r. eyeball to its outer canthus; could then see nothing with this eye but a limitless white expanse with fiery points falling on it; later, expanse became fiery and the falling points dazzling white.

Ears

Shootings in ears, sometimes with drawing in cheeks, jaws, and teeth, < only by sound of music. ─ At every stroke of a bell or musical note stitches in ears like earache, also on singing himself; non-musical sounds had no effect. ─ Cramp-like drawings in ears. ─ Inability to endure music, noise, and conversation. ─ Every sound re-echoes loudly in the ears. ─ Nervous deafness, shrill sounds most painful and most distressing (R. T. C.). ─ Deafness for distant sounds. ─ Squeaking in ear on blowing nose. ─ Roaring in ears with difficult hearing.

Nose

Swelling on bridge of nose with red spots. ─ (Redness of tip of nose with dyspepsia. ─ R. T. C.). ─ Each dose (3x) goes to his nose as effervescing waters do, and < the redness (agg. ─ R. T. C.). ─ Scabs on nose. ─ Disposition to put fingers into nose. ─ Itching on point of nose; must scratch there. ─ Fetid exhalation from nose. ─ Discharge of (bloody) pus from nose. ─ Epistaxis (dark blood). ─ Violent coryza, with redness of margins of nostrils. ─ Fluent coryza, with cough and burning pain in chest and throat.

Face

Face pale, wan, with (lustreless) hollow eyes surrounded by a blue circle, and pointed nose. ─ Drawings in cheeks and jaws. ─ Irregular features. ─ Heat of side of face on which he is not lying. ─ Heat in face, with tension of skin of face, as if the white of an egg had dried upon it. ─ Large pimples on face. ─ Burning pain in cheeks. ─ Humid and scabious tetters on cheeks, lips, and commissures. ─ Lips dry, scurfy, covered with suppurating cracks, with pains as from excoriation. ─ Yellow-brown, crust-like eruptions, with pus on lower lip towards corner of mouth. ─ Pimples and scabs on red part of lips. ─ Violent burning pain in r. lower lip, persisting when moving it. ─ Pimples on chin. ─ Swelling of sub-maxillary glands. ─ Pain in lower jaw as if dislocated.

Teeth

Toothache with tearing pain (burning in the front teeth), < by heat of bed and by cold or hot things. ─ Violent pains in incisors at night. ─ Violent aching in a hollow tooth when particles of food get into it, going off when they have been removed. ─ The teeth are yellow. ─ Gums bleeding easily, swollen, stand off from teeth. ─ Painful nodosities in the gums.

Mouth

Dryness of mouth and palate without thirst. ─ Viscid, tenacious phlegm in mouth and on tongue. ─ Shootings and burning sensation on tongue. ─ Involuntary biting of tongue at night. ─ Swelling of tongue, with pain when speaking. ─ Red streak in middle of tongue, widens in front. ─ Nasal tone of voice. ─ Smarting in mouth during mastication of solid food. ─ Excoriation and ulceration of velum palati, with burning pain.

Throat

Pain as from excoriation in throat, with smarting, scraping, and shooting, esp. during passage of food. ─ Contractive pain in pit of throat. ─ Hawking up of tough mucous phlegm.

Appetite

Loss of appetite. ─ Putrid, acid, herbaceous taste. ─ Prolonged after-taste of food, and esp. of bread. ─ Repugnance to bread, which seems bitter. ─ Aversion to coffee. ─ Violent thirst for cold milk or for beer, as well as in general for cool and juicy things; bread appears too dry. ─ Insatiable thirst, excited by a sensation of dryness in whole body. ─ Acids excite bitter risings and other inconveniences. ─ Ate heartily, much oppressed after with flatulence. ─ After a meal pressure, or a sensation of wavering in stomach, with confusion of head, uneasiness, fulness, and disposition to sleep, or dejection, as if about to faint.

Stomach

Sour, incomplete, or burning risings. ─ Constant nausea in throat. ─ Nausea which compels lying down. ─ Nausea at sight of food. ─ Vomiting of food. ─ Sour vomiting. ─ Pressive pain in stomach, as from a weight, when fasting, and after any food whatever (with sleepiness), as also on touching pit of stomach. ─ Sensation of coldness or of burning in stomach. ─ Feeling in stomach as if everything had stuck fast and was dry.

Abdomen

Spasmodic aching, with (pressure and) anguish in hypochondria, and esp. in liver. ─ Sensation as if liver were too heavy. ─ Shootings in regions of liver and spleen. ─ General tympanites with enlarged spleen. ─ In navel periodical aching, squeezing. ─ Contractions in abdomen on both sides of umbilical region. ─ Spasmodic pains in abdomen, esp. in umbilical region. ─ Shootings and cuttings in abdomen. ─ Sensitiveness in lower cæcal region. ─ Burning sensation in hypogastrium. ─ Meteoristic distension of and frequent grumbling and borborygmi in abdomen, as if from water in it; esp. when it is touched, and when the body is bent backwards and forwards. ─ Production and expulsion of much flatus, esp. after eating acid things. ─ Swelling of inguinal glands.

Stool and Anus

Hard fæces in small portions, difficult to evacuate. ─ Frequent evacuations. ─ Diarrhœa, particularly painless, which may be very fetid. ─ Diarrhœa lasting a long time, apparently without any weakening effect. ─ Stools: loose, slimy, whitish-grey; undigested, greenish-white. ─ Yellowish and very offensive. ─ Escape of stool when child is moved or turned. ─ Involuntary stools of the consistence of pap (bright yellow), with sensation as if flatus were expelled. ─ Choleraic diarrhœa as if rectum remained open. ─ (Chronic diarrhœa, thin and greenish, almost involuntary with gastric irritability. ─ A. E. Small.). ─ In evening great discharge of garlic-smelling flatus; great yawning. ─ Protrusion of hæmorrhoidal tumours from rectum during stool. ─ Intolerable pain in hæmorrhoids when sitting. ─ After stool tenesmus; sickening pain about navel. ─ Tearing, smarting, and itching in anus and rectum. ─ Itching prick on outer circumference of anus.

Urinary Organs

Urgent want to urinate, with scanty emission of urine, paleness of face, heat, and thirst. ─ Frequent and profuse emission of aqueous urine, which immediately deposits a thick and white cloud. ─ Urine like milk, with sanguineous and gelatinous coagulum. ─ Fetid urine. ─ Flow of urine with spasmodic pains in loins. ─ Urgent and irresistible desire to urinate. ─ Urine like that which passes in diabetes mellitus. ─ Anguish and uneasiness before urinating. ─ Nocturnal enuresis. ─ Children pass a great deal of water in bed at night; persons get up in the night to urinate and pass a great deal. ─ Burning pain in urethra during and after emission of urine; cutting before. ─ Creeping in urethra when not urinating. ─ Spasmodic (painful) constriction of bladder (without urging). ─ Incisive pains in urethra when making water.

Male Sexual Organs

Lancinating pains in glans. ─ Fine pricking at point of penis. ─ Burning cutting in glans with an out-pressing pain in both groins. ─ A feeling of heaviness in glans, esp. when urinating. ─ Tingling and oozing vesicles round frænum. ─ Sycotic excrescences with heat and burning. ─ Crop of warts on prepuce. ─ A crop of pedunculated warts come round corolla glandis after taking Pho. ac . in summer drinks (agg. ─ R. T. C.). ─ Condylomata. ─ Eruption on penis and scrotum. ─ Inflammatory swelling of scrotum. ─ Pain in testes when touched. ─ Gnawing pain in testes. ─ Swelling of testes (l.). while spermatic cord is enlarged, hard, and tightened. ─ Absence of sexual desire. ─ Frequent erections (in morning in bed; in morning when standing), without desire for coition. ─ Weakness of sexual organs, with onanism, and little sexual desire. ─ Exhaustion after coition. ─ Frequent and very debilitating pollutions, esp. where the patient is much affected by the flow. ─ Onanism; esp. when patient is much distressed by the culpability of the act. ─ Discharge of semen when straining during an evacuation.

Female Sexual Organs

Oophoritis, metritis, or prolapsus from debilitating or emotional influences; amenorrhœa. ─ Very irritable uterus. ─ Uterine ulcer, with copious, putrid, bloody discharge, itching or corroding pain, or no pain. ─ Hepatic pains during menses. ─ Menses too early and too long; too copious; too late; dark clotted; preceded by leucorrhœa, and for one or two days by griping and rumbling in abdomen. ─ Yellowish, itching leucorrhœa after menses. ─ Distension of uterus as by gas. ─ Itching pricking like flea-bites between mammæ, obliging her to rise at night. ─ Dysuria during pregnancy; cutting pains. ─ Vomiting at sight of food during pregnancy. ─ Puerperal convulsions; albuminuria; hæmorrhage. ─ Scanty milk with debility and great apathy. ─ Deterioration of health during nursing. ─ Constant vomiting of milk in a suckling; waxy face; blue rings round eyes; child does not cry; mother has little milk. ─ Sharp pressure on l. breast; and nipple.

Respiratory Organs

Voice nasal. ─ Great hoarseness and roughness in throat. ─ Pain in pit of throat, which contracts throat. ─ Cough excited by a tickling and a scraping in larynx; or above epigastrium, which is dry in evening, and with a yellowish-white expectoration in morning. ─ The cough is < morning and evening; during rest if one sits or lies long in the same position; after sleeping; from cold air; from loss of fluids. ─ (Cough after food of any kind.). ─ Cough with (nausea) vomiting of food and headache; involuntary emission of urine. ─ During cough expectoration (of dark blood, or of tough white mucus, lasting acid), having an herbaceous smell and taste. ─ Cough with purulent (very offensive) expectoration and pains in chest. ─ Salty expectoration in morning.

Chest

Shortness of breath and inability to speak long, from weakness of chest. ─ Capillary bronchitis, < evenings, with fever, pain under sternum, then violent sneezing, thirst and coryza, profuse, purulent secretion. ─ Spasmodic and contractive oppression of chest, as if tightened. ─ Weakness in chest after speaking. ─ Pressure at chest often spasmodic or incisive. ─ Pressive pain in middle of chest, < when expiring; felt as if sternum would be pressed out; < by pressure with hand, stooping, coughing, &c. ─ Pressure behind sternum rendering inspiration difficult. ─ Lancinations in sides of chest. ─ Burning and pressure in chest.

Heart and Pulse

Stitches through heart. ─ Palpitation: in young persons growing too fast; after onanism. ─ Pulse irregular, with irregular beating of heart; pulse intermitting. ─ Swollen veins.

Neck and Back

Tension and cramp-like drawing in muscles of neck, esp. on moving head. ─ Miliaria on neck. ─ Boils under axillæ; on nates. ─ Boring pain between scapulæ. ─ Spondylitis of cervical vertebræ. ─ Eruption, painful to touch, on back, shoulder-blades, neck, and chest. ─ Burning pain in a spot above small of back. ─ Itching stitch in coccyx; fine stitches in coccyx and sternum. ─ Crawling (formication) tingling in back and loins.

Limbs

Bruised feeling in hips, thighs, arms, nape, like growing pains; at same time repeated single tearing stitches in all these parts at once; the stitches occur on commencing to walk, esp. to go up stairs; bruised pain continues all the time. ─ Bruised pain in all joints in morning, and in arms and legs. ─ Burning, gnawing, tearing pains in bones of extremities. ─ Weakness of extremities after loss of fluids.

Upper Limbs

Boring, digging, drawing pain in l. shoulder-joint, intermittent, < lying on l. side, > moving arms. ─ Cramp-like pressure in arms, hands, and fingers. ─ Drawings and jerking tearings in arms and fingers. ─ Eruption of pimples on arms. ─ Drawing, incisive pains in joints of elbows, hands, and fingers. ─ Sharp, shooting, boring pains under l. forearm near elbow, < at rest. ─ Numbness in course of r. radial nerve. ─ Weakness and trembling of arms. ─ Trembling of hands (when writing). ─ Ganglion on back of hand. ─ Skin of hands and fingers dry, shrivelled, parched. ─ Fingers dead, sometimes on one side only, and within well-defined limits. ─ Lancinations (stitches) in fingers and joints of fingers.

Lower Limbs

Swelling and furunculi on buttocks. ─ Contusive pains in hips and thighs, esp. when walking or rising from a seat. ─ On l. hip-joint and l. thigh, a neuralgic or rheumatic pain, from gluteal muscles or hip-joint, running down leg to knee, and often to calf or ankle; gets a little > after walking, but is still very bad. ─ Cramp in coxo-femoral joint, with tearing throughout the limb, insupportable when seated, and during repose. ─ Aching, cramp-like pains in thighs, legs, feet, and toes. ─ Tearing throughout leg, with heaviness in joints. ─ Weakness of legs, so that a false step (or tripping) occasions falling. ─ Burning tearing in tibia at night. ─ Pimples on knees and legs, which become confluent, and are transformed into easily bleeding ulcers. ─ Itching ulcers on legs. ─ Burning sensation in feet and soles, with excoriation between toes. ─ Swelling of feet. ─ Feet swollen and sore on putting on walking shoes. ─ In evening spasmodic drawing in feet, < r. sole and ball of great toe, preventing sleep till midnight. ─ Sweating of feet. ─ Corns on feet. ─ Blisters on balls of toes. ─ Chilblains on toes. ─ Swelling of joint of great toe, with burning, throbbing, and incisive, dull pains on being touched.

Generalities

Affections of any kind in inner navel; lower part of chest, buttocks, thighs, external side. ─ Squeezing or contracting pain; lassitude of the body; feeling very weak. ─ Drawings and jerking tearings in limbs. ─ Cramp-like, pressive pains. ─ Painfulness in general in bones or periosteum. ─ Sensation as if the periosteum were scraped with a knife; after contusions. ─ Aching, burning, tearing pains at night. ─ Swelling (and sponginess) of the bones or periosteum; burning sphacelus. ─ Caries with smarting pains. ─ Neurosis of stump after amputation. ─ Ulcers with stinking pus; painless. ─ Burning through lower half of body from small of back and pit of stomach downwards, while extremities are cold to touch. ─ Weakness from loss of fluids without any other pain than burning. ─ Swellings of glands. ─ Contusive pain in limbs and joints, as from paralysis, or like growing pains, esp. morning and evening. ─ Numbness and weakness of limbs. ─ Heaviness in limbs and joints, with great indolence. ─ Great fatigue after walking. ─ Great general weakness, physical or nervous, with strong tendency to perspire, during day (esp. in morning), or with burning sensation in body. ─ Very pale face; nausea in throat. ─ Emaciation, with sickly complexion, and eyes surrounded by a livid circle. ─ Sensation as if body and limbs were bruised, as from growing, esp. in morning. ─ Formication in different parts. ─ Agreeable feeling of buoyancy and lightness. ─ Violent ebullition of blood, with great agitation. ─ The pains are < during repose, and > by movement, and those which manifest themselves at night are > by pressure. ─ Symptoms < from mental affections; after suppression of cutaneous eruptions, i.e., any bad result that ensues from such suppression; from loss of fluids, particularly seminal; sunlight; masturbation; after perspiration; sexual excesses, talking, esp. when it causes a weakness in the chest; while urinating.

Skin

Insensibility of skin. ─ Crawling tingling under skin. ─ Formication of skin. ─ Red and burning spots on limbs. ─ Eruption like scarlatina. ─ Erysipelatous inflammations. ─ Eruption of small pimples, and of miliary pimples collected in clusters and red. ─ Eruption of pimples with burning pain, or pain as from excoriation. ─ Scabious vesicles. ─ Humid and dry tetters, squamous; variola. ─ Corns with shootings and burning pain. ─ Chilblains. ─ Wens. ─ Warts: large, jagged, often pedunculated, exuding moisture and bleeding readily; indented. ─ Condylomata. ─ Furunculi. ─ Flat, indolent ulcers, with secretion of a dirty-looking pus, and having a serrated bottom. ─ Itching ulcers.

Sleep

Great tendency to go to sleep during day, early in evening, and in morning, with difficulty in waking. ─ Coma. ─ Retarded sleep and sleeplessness at night, caused by agitation and dry heat. ─ Arithmetical figures appear before eyes on falling asleep. ─ Profound sleep; can scarcely be roused in morning. ─ Jerking and involuntary movements of hands, moaning, talking, and singing, or an aspect during sleep at one time of laughing, at another of weeping, with eyes half-opened and convulsed. ─ Anxious dreams of death, with fear on waking. ─ Lascivious dreams, with emissions. ─ Awakened by: canine hunger; dry heat; sensation of falling; sad thoughts. ─ Patient though quite weak is rested by a very short sleep.

Fever

Pulse irregular, sometimes intermitting one or two beats, generally small, weak, or frequent, at times full and strong. ─ Violent ebullitions with great restlessness. ─ Swollen veins. ─ Shuddering and shivering, sometimes with shaking, or with coldness in hands and fingers, generally in evening, and without thirst (followed by heat without thirst, or by excessive heat, depriving one almost of consciousness). ─ Sensation of coldness on one side of the face. ─ Sensation of coldness, with shiverings and coldness in abdomen. ─ Internal dry heat without being hot to touch; and without any complaint at any time of the day. ─ General heat with loss of consciousness and somnolence. ─ Heat in head with cold feet. ─ Febrile heat in evening, without thirst, with anguish, and great activity of the circulation. ─ Shivering alternately with heat. ─ Malignant (typhus) fever with great weakness (quiet delirium with dulness of head), apathy, stupidity, aversion to conversation, diarrhœa, &c. ─ Tertian ague with profuse perspiration, anxiety of look, thirst and vomiting. ─ Night-sweat. ─ Sweat in morning. ─ Perspiration mostly on back part of head and in neck, with sleepiness during the day. ─ Profuse perspirations during night and in morning, with anxiety. ─ Great inclination to perspire during day and night; clammy perspirations.

The Guiding Symptoms of Our Materia Medica

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

Mind

Unconsciousness, no complaints ; even pinching is not noticed.
Weak memory ; loss of ideas and weakness of mind ; on thinking he becomes dizzy ; cannot collect his thoughts in proper order. θ Brain fag.
Incapacity for thought in morning.
Hypochondriasis from sexual abuse.
Quiet, indifferent, unwilling to speak, or hasty speech.
Listless, apathetic ; remarkable indifference to everything in life ; especially if there be emaciation and debility.
Cannot find the right word when talking ; answers either reluctantly and slowly or short and incorrectly.
Homesickness, with inclination to weep.
Hysteria, in women of dark complexion ; change of life.
Sadness, grief and disposition to weep.
Ailments from care, grief, sorrow, chagrin, homesickness or disappointed love ; particularly with drowsiness ; night sweats towards morning ; emaciation.
Anxiety and doubt concerning his recovery ; insomnia and prostration.
Hectic fever, sweat and flushing of face, especially in afternoon, evening or towards night ; of crushing weight on vertex. θ Effects of grief.
Chronic effects of fright.
Delirium, quiet, not violent, with stupefaction and dulness of head.
Depression of sensorium, and muttering, unintelligible speech ; lies in a stupor, or in a stupid sleep, unconscious of all that is going on around him ; when aroused is fully conscious.
Disinclined to work.
Dread of the future ; brooding over one's condition.

Sensorium

Vertigo : head sinks forward or backward ; in morning ; towards evening, while standing or walking ; on closing eyes ; in hypochondriacs after excess in venery ; at climaxis with flushes of heat and sweat ; in typhus, so
that they fall when sitting up ; lying in bed, as if feet were going up, with head remaining still ; after reflection.
Sensation as if intoxicated, in evening, in warm room, with humming in head, which feels as if it would burst when coughing.
Confusion and painful cloudiness of head, especially on awaking.
Stupefying pain in forehead, with somnolency without snoring, eyes being closed.
Dulness of head ; inability to think ; as after excessive coition.
Great heaviness of head.

Inner head

Severe pressing pain in forehead and temples, every morning ; aversion to food ; nausea before eating, and vomiting after eating ; watery, at times clay-colored diarrhœa ; pale, thin, debilitated and weak ; has grow too rapidly.
Stupefying pain in forehead, with somnolency without snoring, eyes being closed.
Stitches over one (right) eye.
Dull headache, with tingling in head.
Pressure as from a weight in head, from above downward.
Pressing tensive headache, especially on side on which one lies.
Dreadful pain on top of head, as if brain were crushed, after long-continued grief.
Headache forces one to lie down and is insupportable, < from least shaking or noise, especially music.
Headache usually go from behind forward and are > by lying down.
Morning headache.
Schoolgirl's headache ; from overuse of eyes.
Occipital headache and pain in nape of neck from exhausted nerve-power or excessive grief.
Great heaviness of head.
Chronic congestions to head, caused by fright or grief.
Cerebral weakness from brain fag.

Outer head

Periosteal pains : bones ache as if scraped ; > in motion ; when lying pain shifts to side on which he lies.
Hair turns grey early ; flaxen and very greasy ; falls off after grief and sorrow, or after fevers.
Itching on scalp.
Erysipelas, traumatic form, where periosteum is affected.

Sight and eyes

Eyes sensitive to light ; lachrymation.
Aversion to sunlight, sees colors, as of rainbow, or is dazzled on looking at bright objects ; sees variegated colors where there is but one.
Amblyopia : optic nerve appears torpid.
Blindness with frequent desire to wink.
Torpid amaurosis, caused by debilitating losses.
Headaches of school children from overuse of eyes (athenopia).
Pupils dilated.
Eyes look glassy, lustreless or staring.
Pressing in eyes, as if eyeballs were too large.
Burning of eyelids and corners of eyes, especially in evening by candlelight.
Yellow spots in white of eye.
Coldness of inner surface of eyelids.
Margins of lids swollen, red, rounded ; lashes fall out ; particles of pus on lashes and in canthi ; itching and burning, sensitiveness to candlelight ; difficult opening of eyes in morning.
Hordeolum.

Hearing and ears

Intolerance of noise, especially of music. θ Headache.
Every sound re-echoes loudly in ears.
Shrill sound in ears on blowing nose.
Roaring in ear, with difficulty hearing.
Nervous deafness, after typhoid diseases.
Dull hearing : stupefaction ; especially to distant sounds from mental or bodily exhaustion ; after severe acute diseases ; does not hear tick of watch held at moderate distance, when held close to ear hears no tick, only a hissing, hears it more distinctly at a
distance of a foot and a half.
Spasmodic drawing pain in ear.
Earache on blowing nose.
Otalgia : stitches in ears and drawing pains in cheeks and teeth ; from music.

Smell and nose

Sense of smell too acute.
Fetid smell from nose.
Bleeding from nose.
Nosebleed in typhus, giving no relief.
Discharge of bloody pus from nose.
Violent coryza ; ozæna.
Swelling of dorsum of nose, with red patches or pimples on tip of nose, and throbbing sensation therein ; cold swelling of nose, with itching and burning.
Inclination to bore with fingers in nose.

Upper face

Hippocratic face, lips and tongue very pale.
Sickly, pale or earthy complexion ; lustreless, sunken eyes with blue margins.
Skin of face feels tense, as if white of egg had dried on it.
Burning in skin of cheeks.
Heat of side of face on which he is not lying.
Eruptions of large pimples on face.
Pimples on forehead and body of onanists.
Eruptions on face, yellow brown crusts.
Hairs of beard fall out, especially after grief and sorrow.
Sensation of coldness on one side of face.

Lower face

Sensation as if lower jaw were going to break.
Large pimples and herpes on face and chin.
Lips dry, scurfy and suppurating.
Yellow brown crustlike eruptions, with pus on lower lip near corner of mouth.
Pimples and scurfs on vermilion borders of lips.
Scrofulous swelling on nose and lips, with tendency to bleeding.
Periostitis of upper and lower jaw.

Teeth and gums

Sensation of coldness in roots of molars.
Pains from hollow teeth, extending into head.
Hollow teeth ache only when food gets into them.
Caries of teeth in scorbutic subjects.
Teeth become yellow and feel dull.
Bleeding, swollen gums ; tearing pains in teeth, < when warm in bed, and from heat or cold ; burning in front teeth during night.
Scorbutic affection of gums, after abuse of mercury ; gums white, swollen, easily bleeding, standing off from teeth ; teeth yellow and very loose ; fetid, putrid odor from mouth.
Painful tubercle on gums.
Diseases of children during dentition.

Taste, speech, tongue

Taste as from rotten eggs in mouth in morning.
Bread tastes bitter.
Tongue : coated white ; pale and flabby ; and lips pale, in typhus ; clammy, sticky ; gluey, in choleraic diseases ; red streak in middle ; dry ; swollen with pain on talking ; burning ; smarts only at night.
Smarting in mouth when masticating.
Bites side of tongue involuntarily, also at night.
Bites her tongue frequently and has a hard nodule on tip, upon which forms a vesicle resulting in an unclean looking ulcer with a hard edge ; burning pains < at night.

Inner mouth

Dryness of mouth and throat ; grey whitish coating of tongue.
Tenacious mucus in mouth and fauces.
Ulceration of soft velum with burning pain.
Cancrum oris, following measles in syphilitic children.
Mercurial syphilitic ulceration of lips, gums and soft palate, with swelling of bones ; condylomata.

Palate and throat

Dryness of palate and whole mouth, without thirst.
Velum palati feels excoriated with burning.
Sore throat, soreness, scraping, stinging, < swallowing food.
Hawks up tough mucus.
Nasal voice.

Appetite, thirst. desires, aversions

Canine hunger or loss of appetite ; the little food taken comes up with acid eructations ; half an hour after eating crampy pains in stomach, with distress from acid eructations.
Excessive, unquenchable thirst ; a sensation of dryness of whole body.
Inclination for warm food.
Longs for something refreshing and juicy ; bread is too dry.
Desire for beer and milk.
Averse to coffee, wine, beer, or spirituous liquors.
Sour food causes bitter eructations or flatulency.

Eating and drinking

Bad effects from sour food and drink.

Hiccough, belching, nausea and vomiting

Sourish, acid, or bitter eructations.
Nausea : as if in soft palate ; continuous in throat ; vomiting of food.

Scrobiculum and stomach

Sensation as if stomach were being balanced up and down.
Pressing in stomach : as from a heavy load ; after eating, < from touch and motion ; with drowsiness.
Pressing pain in stomach whenever pit of stomach is touched ; cannot button clothes tightly.
Violent pressure in pit of stomach through to back ; < from touch. θ Gastralgia.
Paroxysmal pressing pains in stomach, several times a day, momentarily > from warm food and drink, but < after an hour or two ; constant drawing rheumatic pains in left lower extremity, < when part becomes cold, > from warmth of bed ; tendency to sweat ;
sensitive to draught or wind ; pressure in stomach < after a connection ; hypochondriacal mood and expression of face ; irritable ; cannot tolerate a warm room nor coffee ; awakes between 1 and 3 A. M. ; frequent urination ; much collection of mucus in
mouth, particularly in morning ; flatulence, great rumbling, in abdomen from umbilicus into epigastrium and in both sides of chest.
Acidity of stomach.
Loss of appetite ; the little food taken comes up with acid eructations half an hour after eating ; crampy pains in stomach, with distress from acid eructations. θ Dyspepsia.
Dyspepsia after loss of vital fluids.

Hypochondria

Heaviness, stitches, burning of one spot in region of liver in passage of gall-stones ; jaundice in scrofulous children or from grief.
Pain universally in liver during menses.
Pyæmic symptoms. θ Hepatitis.

Abdomen and loins

Spleen enlarged, extending beyond ribs. θ Typhoid.
Meteoristic distension of abdomen ; rumbling and gurgling and noise as from water ; painless stools.
Flatulency much augmented by sour food.
Pain in umbilical region, audible rumbling and gurgling in abdomen on making pressure.
Griping colic.
Pressure in several places in lower abdomen.
One year ago suffered from gonorrhœa for seven or eight days ; eight days ago, although he had no connection, inguinal glands became swollen and painful ; lame sensation in legs ; heavy sleep ; on waking feels tired and mouth is full of mucus ; pain in forehead,
< motion ; urine turbid, offensive.
Spleen enlarged, extending beyond ribs. θ Typhoid.

Stools and rectum

Frequent desire for stool.
Stools : yellow, watery, with meallike sediment ; whitish watery ; involuntary while passing flatus ; painless ; very offensive ; involuntary, liquid-grey ; yellow, mixed with mucus ; undigested, greenish-white,
painless ; thin, whitish-grey ; watery, with rumbling in bowels ; yellowish and very offensive, child listless, wants nothing and cares for nothing ; undigested, painless.
White or yellow watery diarrhœa, chronic or acute, without pain or any marked debility or exhaustion.
Diarrhœa : not prostrating ; after catching cold during heat of summer ; watery, chronic ; violent bilious or mucous, of twenty months standing, has the appearance of an old man ; from acids in young persons who grow too
rapidly ; after eating ; undigested ; greenish-white ; painless.
Diarrhœa for months, coming usually at night ; pain in bowels before a passage ; much rumbling in abdomen ; great weakness in legs ; almost complete impotence.
Evacuations particularly one hour after dinner and at times at night ; stool preceded by griping in abdomen ; feces white, grey, undigested, often consisting only of mucus ; urine dark, on standing a little while is like buttermilk ; much rumbling in abdomen ;
great prostration. θ Chronic diarrhœa.
Diarrhœa from taking cold on hot Summer days with cool evenings.
Infantile diarrhœa ; Summer complaint.
Diarrhœa caused by fear during cholera season ; restlessness ; constant rumbling in abdomen ; hot hands ; body bathed in anxious sweat ; great thirst ; thin, painless stools.
Diarrhœa remaining after an attack of cholera ; feces greyish-white ; urine becomes milky on standing ; at times pains in abdomen ; morose and irritable ; pains in legs ; emaciation.
Cholerine during cholera epidemic, especially when patient is debilitated and relaxed by heat of Summer ; no pain ; lassitude ; prostration ; general ill-feeling ; abdomen bloated, rumbling therein ; small painless discharges.
Tongue covered with thick tenacious mucus ; fingers adheres to tongue. θ Choleric dysentery.
Cholera infantum ; great exhaustion ; sunken eyes, with blue margins ; stools generally painless.
Diarrhœa which precedes cholera.
Cholera : on fourth day ; roaring in head and ears ; photophobia and redness of eyes ; deafness ; dry mouth and tongue ; alternate heat and coldness of limbs ; trismus ; severe retching and vomiting ; hiccough ; pains in abdomen, with
frequent white, greenish, or black evacuations ; limbs numb and motionless ; dark-red spots and stripes on skin ; prostration ; despondency ; after camphor had checked vomiting, purging, cramps, etc., there remained frequent whitish, watery motions, vomiting about
once in an hour ; tongue white ; pulse quick, face pale, eyes sunken, skin warm ; consecutive fever on fourth or fifth day of disease, restless, tossing about ; semi-stupor ; sunken features ; yellowish diarrhœa ; frequent sighing ; stupor, difficult
speech, deafness, slow pulse, etc.
During stool, profuse emission of flatus.
With emission of wind, stool escapes.
Difficult discharge of even soft stool.
No stool.
Hard, difficult stool.
Stools are hard and in pieces.
Intestinal hemorrhage in typhoid.
Hemorrhoids : bleeding, with intolerable pain in sitting ; with cramps of upper arm ; forearm and wrist.

Urinary organs

Great torpor, melanotic dyscrasia, similar to scurvy and stupid typhoids ; heart relaxed, dilated, with thin walls ; atheroma of the arteries, petechiæ ; insidious appearance of the renal degeneration ; careless and
apathetic ; perfect prostration with low delirium ; neither hunger nor thirst ; nausea and vomiting ; bleeding gums ; urine contains much phosphates ; fibrinous casts and epithelial cells, fatty corpuscles, rarely carbonate of ammonia, and never much
albumen ; costiveness or light-yellowish diarrhœa ; no fever or heat ; cool wrinkled skin, cool breath, cool sweat. θ Morbus Brightii.
Urine thick, like milk (chyluria) or lime water, with whitish curds, with stringy, bloody lumps, or clear, limpid, containing much sugar ; pain in back and kidneys ; dull pressure in bladder ; greatest weakness and emaciation ; furunculosis. θ Diabetes.
Diabetes mellitus ; urine clear as water, three times larger in quantity than fluids taken in twenty-four hours ; constant urging to urinate ; sugar in urine ; sleeplessness ; unquenchable thirst ; particularly at
night ; extreme weakness and emaciation.
Diabetes mellitus ; sugar and albumen in urine ; largely increased secretion and excretion of urine ; skin dry ; progressive emaciation.
Diabetes in a man suffering from myelitis ; after latter disease had been cured former still remained ; constant thirst and great desire for effervescing liquids ; specific gravity of urine 1038, varying in quantity from eight to twelve pints in twenty-four hours,
fermenting with extreme briskness on addition of yeast and precipitating abundantly metallic copper when boiled with the Potash Sulphate of Copper.
Spasmodic constriction of bladder.
Weakness of muscular structure of bladder ; easy and involuntary discharge of urine on motion, coughing or sneezing.
Enuresis when urine is passed in first sleep and fairly floods the bed.
Constant desire to urinate ; sudden irresistible urging ; desire with scanty emission.
Copious and frequent micturition.
Must often rise at night to pass large quantities of colorless urine.
Urine so thick that flow is interrupted ; stops and flows again ; as if mixed with flour, containing stringy, jelly-like masses, or cheesy masses, like curdled milk ; pain in back and kidneys ; at times dull pressure in region of bladder ; emaciation during
pregnancy.
After every emotion urine as if stirred up with chalk.
Milky urine, smelling like raw meat, containing bloody clots.
Urine like whey or milk ; usually shortly before menses.
Urine decomposes rapidly.
Burning in urethra while urinating.
Creeping in urethra between acts of micturition.

Male sexual organs

Erections without sexual desire ; morning when standing.
During coition sudden relaxation of penis preventing emission.
Weakness after coition ; also after pollutions.
Emissions : frequent, profuse and debilitating, causing hypochondriasis ; from weakness of parts from onanism ; with very little sexual excitement ; during stool ; with dragging aching in testes.
Onanism when patient is distressed by culpability of his indulgence.
Sexual desire suppressed.
Impotence, especially when sensibility of part is excessive and semen is discharged shortly after an erection, or before an erection.
Remote effects of loss of animal fluids ; long-lasting effects of seminal emission, whether occurring during sleep or when awake, with every effort at stool or urination, or from excessive venery ; whole system seemed weakened.
Nightly pollutions, sometimes several in one night, and even after coitus ; immediately after pollution wakes with an erection ; after an emission has more sexual desire than at any other time ; for desire, as a rule, is reduced to a
minimum ; after a pollution has all day an itching sensation, as if ants were crawling over body, but particularly on genitals ; also constant desire to urinate, quantity passed being larger than usual ; after coitus urine flows in a broken stream ; looks like chalk and
water, or like buttermilk, causing a burning sensation at the orifice of urethra ; appetite good ; emaciation ; sad, depressed, despairing of recovery. θ Spermatorrhœa.
Prostatorrhoea : immediately after every erection discharge of a teaspoonful or more of prostatic fluid.
Chancres : with raised edges ; like an indolent ulcer ; edges thick, rounded and prominent ; granulation pale and flabby or absent ; corroding itching herpes preputialis ; blisters and condylomata on glans.
Few drops of white gleety discharge mornings, and prostatic fluid in evening.
Feeling of heaviness in glans, especially during urination ; also, with tingling oozing vesicles around frenum ; in balanorrhoea.
Pricking pain in glans penis.
Tingling and humid secretions at frænulum.
Herpes preputialis, with tingling.
Swelling of testes, with swelling and tension in spermatic cords ; testes tender to touch ; gnawing pain or excoriated feeling in testes.
Epithelium of scrotum denuded in large spots with soreness.
Inflammatory swelling of scrotum.
Hair of sexual parts falls off.
Sycotic excrescences, chronic, with heat, burning and soreness when sitting or walking.
Fig-warts complicated with chancre.

Female sexual organs

Ovaritis, metritis, or prolapsus from debilitating or emotional influences ; amenorrhœa.
Uterus bloated, as if filled with wind.
Very irritable uterus.
Uterine ulcer, with copious, putrid, bloody discharge ; itching or corroding pain, or no pain.
Dysmenorrhœa, with pain in region of liver.
Menses : too early and too long ; too late ; dark, clotted, appearing every fourteen days, preceded by leucorrhœa and for one or two days by griping and rumbling in abdomen.
Leucorrhœa : yellow, mostly after menses, with itching ; profuse, yellow ; thin, acrid, mucous ; with chlorosis.

Pregnancy. parturition. lactation

Itching, pricking like flea-bites between mamma, obliging her to rise at night.
Dysuria during pregnancy ; cutting pain.
Eclampsia and Bright's disease during childbed ; hemorrhage.
Sharp pressure in left mamma.
Scanty milk with debility and great apathy.
Deterioration of health from nursing.
Constant vomiting of milk in a suckling ; waxy color of face ; blue rings around eyes ; child does not cry ; mother has very little milk.

Voice and larynx. trachea and bronchia

Nasal voice.
Contraction in suprasternal fossa, > when bending neck.
Burning in throat and chest.
Inability to speak long on account of weakness of chest.
Hoarseness and roughness in throat hindering speech.
Tenacious mucus in mouth and fauces causes hawking.
Excessive hoarseness and loose cough, produced by titillation in pit of stomach ; dry cough in evening or morning with expectoration of whitish or yellowish mucus ; pressive pains in chest. θ Laryngotracheitis.
Exceedingly violent bronchitis ; seemed to be capillary, associated with fever, with exacerbation in evening, dyspnœa, pressive pain under sternum, violent sneezing, great thirst, violent coryza ; profuse secretions, purulent, rather than slimy and serous.
Chronic laryngeal and bronchial catarrh with tendency to hemorrhage.

Respiration

Respiration difficult and oppressed.
Dyspnœa : as from weakness of chest ; caused by odors ; by talking or by any effort.
Oppression of chest : with contraction ; with anxiety ; when beginning to walk ; at night.

Cough

Cough : seems to be caused by tickling of a feather, extending from middle of chest to larynx ; dry, caused by tickling low down in chest ; from tickling in pit of stomach and throat, with expectoration only in morning ; constant,
irritable ; spasmodic, tickling, as from down ; evening without, morning with expectoration of dark blood, or of tenacious whitish mucus of sourish, herby taste ; arising from tickling in chest, about ensiform cartilage, < evening after lying down ; expectoration in
morning yellowish or muco-purulent and usually tasting salty ; every draft of air gives him fresh cold ; wraps chest up warmly ; cannot bear draft of air to touch chest ; with hawking of mucus in little balls ; in morning with yellow expectoration ; violent with
copious expectoration ; with headache, nausea and vomiting of food, or with involuntary emission of urine ; with purulent, very offensive expectoration ; in overgrown youths.
For several years cough with expectoration of blood, severe pains in chest and digestive disturbances ; sensation of fulness and great internal restlessness, so that he is filled with anxiety, with tickling cough and expectoration of a quantity of
bright-red frothy blood, often preceded by hawking ; stitches in chest, particularly on inspiration ; drawing pains in small of back ; anorexia ; constipation ; paleness of face.
Expectoration of a salty taste.

Inner chest and lungs

Weak feeling in chest from talking, coughing or sitting too long ; > by walking.
Talking causes a weakness in chest.
Pain in chest as from weakness.
Burning in whole chest, with pressure.
Spasm in chest and diaphragm, sudden and unexpected ; must sit bent.
Loud whistling and rattling in chest, with but little cough.
Tuberculosis ; great weakness of chest, so that patient can hardly talk, and causing dyspnœa.
Hæmoptysis ; phthisis ; typhoid fever with diarrhœa and great rumbling in bowels ; fast-growing youths.
Restless but weak with hæmoptysis.
Useful in pneumonia when disease cannot take normal course, owing to great prostration of patient from loss of vital fluids ; diarrhœa, depressing emotions, etc.
Hypostatic pneumonia. θ Bright's disease.

Heart, pulse and circulation

Stitches through heart.
Palpitation : in children and young persons who grow too fast ; in onanists ; after depressing emotions.
After severe disappointment in her affections, no outward demonstrations of grief, but her color faded, plumpness disappeared ; extremities cold ; dry hacking cough ; breathing shallow ; dyspnœa from slightest expercise ; mind
obtuse, brooding over her sorrow ; heart beats feebly and quick ; pulse almost imperceptible. θ Cardiac weakness.
Pulse : irregular, sometimes intermitting one or two beats ; generally small, weak or frequent, at times full.
Violent ebullitions, with great restlessness.
Swollen veins.

Neck and back

Spondylitis of cervical vertebræ ; frequent formation of abscesses ; three or four fistulous passages, at bottom of which caries vertebræ could be felt with sound ; body of vertebræ considerably enlarged ; painless diarrhœa with
much rumbling in abdomen ; stools white or greyish-white, often undigested ; involuntary ; stool escapes when child is moved or turned ; urine profuse, clear, becoming turbid and milky, of offensive odor, escaping involuntarily, especially on passive motion ; child
morose, will not tolerate brothers or sisters near him ; face pale ; great emaciation ; loss of appetite ; marked sleepiness and yet does not go to sleep ; cannot move head ; cries out at least careless handling.
Gnawing on scapulæ.
Burning and soreness between shoulders. θ Irritable spine.
Violent pain in back on rising, after stooping.
Burning pain in a spot about small of back.
Burning in lower half of body, from small of back to pit of stomach downward ; extremities are cold to touch.
Formication in back and small of back.
Weakness in spine and spinal nerves, giving rise to great fatigue on exertion and frequent desire to urinate, especially in morning.
Burning in anterior half of soles of feet ; cold, uncomfortable feeling in anterior tibial region ; heat of occipital region, with erratic pains ; increased sexual desire from sexual excesses ; spinal irritation.
Heaviness in lumbar region, increases to pain in legs. θ Tabes dorsalis.
Dull pains in loins, going down back of legs to lower part of calves ; pain in loins > from walking, rest or pressure ; is subject to these attacks and they make him ill for several days.
Great debility and profuse night sweats and symptoms of slow hectic fever ; violent smarting or burning pains in lumbar region. θ Spinal abscess.
Psoas abscess.
Itching stitch in coccyx ; fine stitches in coccyx and sternum.
Boils on nates.

Upper limbs

Tearing in shoulder and left hand.
Burning as from a red-hot coal, in different parts of arm and on shoulder.
Hydroadenitis in axillæ.
Boring, drawing, digging pains in nerves, awaken him from sleep.
Stiffness and cramps in joints.
Weakness of arms.
Cramps of upper arm, forearm and wrists.
Shrivelled, dry skin of hands and fingers.
Wens on hand, between metacarpal bones.
Sharply marked deadness of one-half of fingers.
Hands tremble when writing.
Burning of hands and heaviness ; blood rushes into them when they hang down.
Stitches in finger joints.

Lower limbs

Heaviness and paralytic sensation in hip joint, < commencing to walk after sitting ; > after walking a little.
Painful spasm in hip joint.
Coxalgia ; emaciation from excessive suppuration ; general debility ; sensation as if bones were scraped with knife ; disease originating from suppressed or mismanaged scarlatina or other exanthemata.
Osteomyelitis in hip joint ; tongue dry ; great excitation ; much complaining and lamenting ; great fear ; sleeplessness.
On left hip joint and left thigh, neuralgic or rheumatic pain, running from gluteal muscles or hip joint down leg to knee, and often to calf of leg or ankle, slightly > after walking, but still severe.
Burning, in posterior muscles of thigh when standing, > when walking ; in tibiæ and soles at night.
Itch-like pustules on nates and balls of toes.
Weakness of legs ; he falls easily from a misstep or on tripping.
Pains in tibiæ at night.
Necrosis of right tibia ; sequestrum extending over nearly two-fifths of length of bone and about 1/2 cm. in thickness ; enormous discharge of mucus from mouth every morning ; difficult and very annoying ; conjunctivitis of right
eye.
Ulcers on tibia ; periosteum affected, profuse watery offensive discharge.
Ulcers on legs.
Pimples on knees and calves of legs, becoming confluent and forming easily-bleeding ulcers.
Blisters on balls of toes ; feet swollen and sweaty.
Beating, swelling and burning in joint of big toe.

Limbs in general

Drawing and twitching tearing in limbs.
Smarting at night in bones of limbs.
Limbs feel weak from loss of fluids, with no other pain than burning.
Formication in limbs.
Feeling as if periosteum were being scraped with knife, after injuries.
Interstitial distension of bones ; mercurial, syphilitic or srofulous.
Arthritic pains brought on by least cold, with irritable cough ; swallowing excites pains ; fear of touching parts.
Cold hands and warm feet.
Boils in axillæ, on shoulders and nates.
Bruised pain in all joints, in morning, in arms and lower extremities.

Rest. position. motion

Rest : pain in loins >.
Lying in bed : vertigo ; headache > ; tickling in chest <.
Side on which he lies : pressive headache.
Desire to lie down : fainting.
Must lie down : headache.
Sitting : vertigo causes them to fall ; intolerable pain in hemorrhoids ; soreness in sycotic excrescences ; too long, weak feeling in chest.
Must sit bent : spasm in chest.
Bending neck : contraction in suprasternal fossa <.
Rising after stooping : violent pain in back.
Standing : vertigo ; burning in posterior muscles of thigh.
When hands hang down : blood rushes into them.
Motion : pain in bones > ; pressing in stomach < ; pain in forehead < ; involuntary discharge of urine.
Slightest exercise : dyspnœa.
Writing : hands tremble.
Walking : vertigo ; soreness in sycotic excrescences ; when beginning, oppression of chest > ; weak feeling in chest ; pain in loins > ; after sitting, heaviness in hip joint <, then > ; pain in hip joint and thigh > ; burning in muscles of thigh <.

Nerves

Is very weak and indifferent to the affairs of life.
Trembling : legs weak, stumble easily or make missteps.
Weakness : of parts of body ; disinclination for business ; prostrated ; apathetic in morning ; from loss of fluids ; from typhoid fever ; from grief ; from sorrow or unfortunate love ; from suppression of eruptions ; from talking ;
from seminal loss, perspiration, leucorrhœa or excessive grief ; pale face ; paralytic, or semi-paralytic ; with or without sciatic pains.
Child weak, pale, cold ; painless stool ; bones diseased.
Nervous debility, with cold clammy sweats or profuse perspiration.
Fainting : after a meal ; from loss of fluids ; from emotions ; with desire to lie down.
Neurasthenia : cerebro-spinal exhaustion from overwork ; least attempt to study causes heaviness, not only in head, but also in limbs.
Hysteria in a woman of dark hair, eyes, complexion, during change of life.
Hysterical affections of young women with irritable fibre, accompanied with extreme delicacy and sponginess of organic tissue ; vascular orgasm or atonic debility.
Bruised sensation in hips, arms, thighs and nape of neck, as from growing pains.
Formication in different parts of body.
Cramps : spasmodic, in chest and diaphragm, in onanists.
Spasm, painful in hip joint.
Spasmodic jerking of head.
Twitching or quivering of muscles of thigh.
Tosses hands about, restless in evening.

Sleep

Great apathy and drowsiness.
Lies in a deep sleep, but when aroused is fully conscious. θ Typhoid.
Dreams : with erections ; lascivious with emissions ; anxious ; restless sleep ; after midnight.
Awakened by : canine hunger ; dry heat ; sensation of falling ; sad thoughts.
Patient, though quite weak, is rested by a very short sleep.

Time

Morning : incapacity for thought ; towards, night sweats ; vertigo ; headache ; difficult opening of eyes ; much collection of mucus in mouth ; dry cough ; expectoration ; desire to urinate ; bruised pain in arms ;
apathetic ; profuse sweat.
Afternoon : flushing of face and sweat.
Evening : sweat and flushing of face ; vertigo ; as if intoxicated ; burning in eyes ; dry cough ; bronchitis with exacerbation ; cough without expectoration ; tickling in chest < ; restless ; chill ; heat over whole body.
Night : tongue smarts ; bites tongue involuntarily ; burning pains in tongue < ; diarrhœa ; unquenchable thirst ; rises often to urinate ; several pollutions ; must rise with itching between mamma ; oppression of chest ; burning in tibia
and soles ; pains in tibia ; smarting in bones of limbs.
Between 1 and 3 A. M. : awakes.
After midnight : dreams.

Temperature and weather

Warm food : inclination for ; pressing pain in stomach >.
Warm room : as if intoxicated ; cannot tolerate.
Warmth of bed : > pains in limbs.
Averse to uncovering : heat.
Sensitive to draft, wind or snowy air.
Cannot bear draft of air to touch chest.
Every draft of air gives him fresh cold.
After catching cold during heat of Summer : diarrhœa.
Least cold : causes arthritic pains.
Coldness of part : < pains in limbs.

Fever

Chilliness over whole body ; internal shivering.
Chill, with shuddering and shaking, always in evening ; and heat alternate frequently ; peculiar cold sensation in tips of fingers and in abdomen, with weakness in arms and tearing in wrist joints.
Heat : over whole body, in evening ; averse to uncovering ; internal, without being hot to touch ; with loss of consciousness and somnolency ; in head, with cold feet.
Sweat : profuse, in morning ; mostly on occiput and neck, with sleepiness during daytime ; profuse during night and in morning, with anxiety ; clammy.
Thirst only during sweat.
Typhoid : complete apathy and indifference ; takes no notice, even when pinched ; utterly regardless of surroundings ; face pale ; nose pointed ; eyes sunken ; staring, stupid, vacant gaze ; eyes glassy ; desires
nothing, asks for nothing ; grasps about him with hands as if he wished to seize something ; answers questions not at all or unwillingly ; gives short, unintelligible answers, which at times are inappropriate, as of one slumbering ; sopor, falls asleep while
talking ; when awake complains of great and very annoying confusion and cloudiness in head, with great anxiety ; when slumbering sees many visions ; great roaring in ears ; hardness of hearing ; lies with eyes half-closed, indifferent to all around her ;
reflects long, then answers correctly, but slowly ; vertigo ; pointed nose ; dark blue rings around eyes ; rapid sinking of strength ; nose bleeds, which, however, gives no relief to symptoms in early stages ; bores fingers into nose ; itching of nose from
irritation of Peyer's patches ; crusty lips ; sordes on teeth ; fetor oris ; thirst ; abdomen distended and bloated, with much gurgling and rumbling ; left side of abdomen sensitive to touch ; stools watery, sometimes involuntary, and contain undigested
food ; milk passes more or less undigested ; copious escape of flatus with stool ; stool bloody and slimy ; tongue dry, may have dark red streak down centre, but is apt to be pale and clammy and sometimes covered with slimy mucus ; bites tongue involuntarily while
asleep ; urine highly albuminous, milky in appearance, and decomposing rapidly, loaded with earthy phosphates ; petechiæ ; ecchymosis ; decubitus ; enlargement of spleen.
Typhoid fever : loquacity ; delusion of senses ; hallucinations even when awake.
Intermittent fevers ; shaking chills over whole body, fingers being as cold as ice, without thirst, followed by heat, without thirst ; excessive heat, depriving one almost of consciousness ; profuse exhausting sweats.
Tertian ague : stages well-marked ; foul tongue ; thirst ; vomiting ; loss of appetite ; great prostration ; unusual expression of anxiety on face.
Intermittent fever with great apathy and night sweats.
Fever and burning thirst attending caries of lower lumbar vertebræ, with painful fistulous openings discharging pus.

Attacks, periodicity

Alternate heat and coldness of limbs ; chill and heat.
Once an hour : vomiting.
Several times a day : paroxysmal pressing pains in stomach.
Every morning : severe pressing pains in forehead and temples ; enormous discharge of mucus from mouth.
One hour after dinner and at times at night : evacuations.
Every fourteen days : menses.
Twenty month's standing : diarrhœa.
For several years : cough with expectoration of blood.

Locality and direction

Right : stitches over eye ; necrosis of tibia ; conjunctivitis.
Left : rheumatic pains in left lower extremity, sharp pressure in mamma ; tearing in hand ; in hip joint and thigh neuralgic pains ; side of abdomen sensitive to touch.
From above downward : pressure in head.
From behind forward : headache.

Sensations

As if intoxicated ; as if head would burst ; as if feet were going up ; as of a weight in head ; as if brain were crushed ; bones as if scraped with a knife ; as if eyeballs were too large ; as if white of egg had dried of face ; as if
lower jaw were going to break ; nausea as if in soft palate ; as if stomach were being balanced up and down ; as of a heavy load in stomach ; as if ants were crawling over body ; uterus as if filled with wind ; tickling in chest as of a feather ; as of down
in larynx ; as of a red-hot coal on arm and shoulder ; as if periosteum were being scraped with a knife.
Pain : in nape of neck ; from hollow teeth into head ; in tongue ; in liver ; in umbilical region ; in forehead ; in bowels ; in legs ; in back and kidneys ; in tibiæ ; in bones ; in stump of amputated finger.
Intolerable pain : in hemorrhoids.
Dreadful pain : on top of head.
Violent pain : in back.
Severe pains : in chest.
Tearing pain : in teeth ; in shoulders and left hand ; in wrist joints.
Twitching tearing : in limbs.
Stupefying pain : in forehead.
Gnawing pain : in testes ; on scapulæ.
Stitches : over one eye ; in ears ; in region of liver ; in chest ; through heart ; in coccyx and sternum ; in finger joints.
Burning, drawing, digging pains : in nerves.
Severe pressing pain : in forehead and temples.
Pressive pain : in chest ; under sternum.
Pressing tensive pain : in head.
Constant drawing, rheumatic pains : in left lower extremity.
Drawing pain : in cheeks and teeth ; in small of back ; in limbs.
Dragging aching : in testes.
Spasmodic drawing pain : in ear.
Paroxysmal pressing pains : in stomach.
Neuralgia : in hip joint and thigh ; down leg to knee.
Bruised pain : in all joints ; in hips, arms, thighs and nape of neck.
Griping : in abdomen.
Cramps : in joints ; of upper arm, forearm and wrist ; in chest and diaphragm.
Crampy pains : in stomach ; in upper arms, in forearm and wrist.
Spasm : in chest ; in hip joint.
Burning pain : in a spot about small of back.
Burning : of eyelids and corners of eyes ; in nose ; in skin of cheeks ; in front teeth ; in soft velum ; in region of liver ; in urethra ; at orifice of urethra ; in throat and chest ; between shoulders ; in lower half of
body ; from small of back to pit of stomach ; in anterior half of soles ; in different part of arm and shoulder ; of hands ; in posterior muscles of thigh ; in tibia and soles ; in joint of big toe.
Stinging : of throat.
Pricking pain : in glans penis.
Smarting : in mouth ; in lumbar region ; in bones of limbs ; of wounds, even of bones.
Soreness : of throat ; between shoulders.
Scraping : of throat.
Excoriated feeling : in testes.
Heat : of limbs ; of occipital region ; over whole body.
Throbbing : in nose.
Dull pain : in loins, down back of legs to calves.
Paralytic sensation : in hip joint.
Lame sensation : in legs.
Weakness : of chest ; of spine ; of arms ; of legs.
Tension : in spermatic cords.
Pressure : in head ; in eyes ; in stomach ; in pit of stomach through to back ; in several places in abdomen ; dull in bladder ; sharp, in left mamma.
Oppression : of chest.
Heaviness : of head ; in one spot in region of liver ; in glans ; in lumbar region ; in hands ; in hip joint ; in limbs.
Dryness : of mouth and throat ; in whole body.
Tingling : in head ; at frenum ; at frenulum.
Tickling : low down in chest ; in pit of stomach and throat.
Pricking : between mamma.
Formication : in back and small of back ; in limbs ; in different parts of body.
Creeping : in urethra.
Itching : on scalp ; in nose ; between mamma ; stitch in coccyx ; between fingers, or in folds of joints, or on hands.
Coldness : of inner surface of eyelids ; on one side of face ; in roots of molars ; of limbs ; in tibial region ; in tips of fingers ; in abdomen.

Tissues

Nervous system in a state of debility without erethism ; brain or cord, sight or hearing, affected from continued grief, overexertion, sexual excesses, or drain on system, or remaining after typhus of typhoids.
Emaciation ; also of single parts.
Hemorrhages, blood dark.
Purpura and passive hemorrhages.
Phosphatic deposits, depending on excess of phosphoric acid, from waste of nervous tissue, or upon alkalinity of urine from nervous dyspepsia.
Tearing pains in limbs ; swelling of bones of hands and feet ; ulceration of skin, appearing first on furuncles, which burst and leave an unclean ulcer ; scrofulous syphilitic subject ; after impure coitus had another chancre on
penis, round, lardaceous, surrounded by coppery-red areola, edges appear as if eaten away, are violet in color, soft and easily bleeding. θ Syphilis.
Mercurial syphilis ; ulceration of lips, gums and soft palate ; swelling of bones ; pain in bones ; condylomata ; carbuncle-like ulcers of skin, with copper-colored circumference.
Interstitial inflammation of bones ; scrofulous ; syphilitic or mercurial.
Caries (not necrosis).
Periosteal inflammation, with burning, gnawing, tearing pains.
Pains at night, as if bones were being scraped with a knife (after contusions).
Inflammation of bones, with burning at night.
Scrofulous affections of children ; hip disease ; curvature of spine from caries of vertebræ ; rachitis ; feeling as if bones were being scraped with knife (inflammation of periosteum) ; > at night, after abuse of mercury.
Painless swelling of glands ; chronic suppuration.
Growing pains.
Smarting in wounds, even of those of bones.
Pain in stump of amputated finger, > from breathing.
Passive flux from skin and mucous membrane.
External parts become black ; senile gangrene.
Blood-boils ; flat, itching ulcers.

Touch. passive motion. injuries

Touch : pressing in stomach < ; pressure in pit of stomach through to back ; testes tender ; afraid of ; left side of abdomen sensitive.
Pressure : > pains in loins.
Pinching : takes no notice of, in typhoid.
When child is moved or turned : escape of stool.
Careless handling : child cries out.
Shaking : headache <.
After injuries : as if periosteum were being scraped with a knife.
Overlifting.
Formication over whole body.
Itching between fingers, or in folds of joints or on hands.
Vesicles on various parts.
Red pimples on neck, chest, back, scrotum and back of penis.
Herpes, dry or humid, squamous.
Rash all over ; clusters of red fine rash.
Red spots on back of hands and limbs.
Scarlet exanthems ; repercussion of scarlatina.
Exanthemata, suppressed by cold, cause brain symptoms, hardness of hearing, or dropsy.
Erysipelas upon arms ; occiput and nape of neck inflamed and bluish-red in appearance ; colliquative, watery yellowish-brown diarrhœa ; tympanitis.
Variola : in typhoid state ; eruptions do not fill with pus, but degenerate into large blisters which, bursting, leave surface excoriated ; watery diarrhœa ; subsultus tendinum ; fear of death.
Burning sphacelus.
Inveterate or flat ulcers, with dirty, fetid pus or indented bases.
Ulcers : like carbuncles on skin, with a coppery circumference ; with smarting pain ; flat, itching.
No tenderness about ulcer.
Large, jagged, often pedunculated warts, exuding moisture and bleeding readily ; indented warts.
Condylomata : with bone pains ; complicated with chancre ; heat and burning.
Chilblains, wens ; corns with stinging burning.
Parts get black.

Stage of life, constitution

Suited to individuals of originally strong constitution, but who have become weakness by loss of animal fluids, by excesses, violent acute diseases, chagrin or a long succession of moral emotions.
Mild disposition.
Children and young people who have grown too rapidly, tall, slender and slim ; pains in back and limbs as if beaten ; growing pains.
Girl, æt. 6 months, soon after birth had vaginal hemorrhage ; suffering from whooping cough ; erysipelas.
Boy, æt. 1 1/2 years, ill about two months ; spondylitis of cervical vertebræ.
Boy, æt. 2 3/4 years ; chronic diarrhœa.
Boy, æt. 3, suffering ten months, after an attack of cholera ; diarrhœa.
Boy, æt. 3 1/2, always delicate ; loss of appetite ; prostration.
Child, æt. 7, ill five days ; cholera.
Girl, æt. 9, weak, thin, pale, subjected to frequent emotional disturbances ; has grown up rapidly ; headache.
Man, æt. 14, weak constitution ; typhoid fever.
Girl, æt. 15 ; necrosis of tibia.
Girl, æt. 17, menstruating two years ; menstrual disturbance.
Shoemaker, æt. 18, one year ago suffered from gonorrhœa for eight days ; swelling of inguinal glands.
Man, æt. 18 ; variola.
Man, æt. 19, year ago suffered two months with gonorrhœa ; prostration.
Girl, æt. 20, after cholera ; diarrhœa.
Man, æt. 20, suffering several years ; cough and hæmopthysis.
Man, æt. 20, robust ; typhoid fever.
Mrs. H., æt. 22, mother of two children, suffering since birth of last child ; debility.
Man, æt. 26, powerful frame, stout habit ; typhoid fever.
Woman, æt. 30, during childhood suffered from attacks of colic, later eyes affected, ill nine months ; diarrhœa.
Hearty woman, æt 30 ; milky urine.
Man, æt. 30, strong constitution, hitherto in good health ; typhoid fever.
Man, æt. 33, in second stage of disease, camphor had been given with good effect ; cholera.
Man, æt. 36, married, had gonorrhœa several times, and had taken large doses of mercury ; spermatorrhœa.
Man, æt. 36, five years ago had ague ; typhoid fever.
Man, æt. 40 ; diabetes mellitus.
Man, æt. 40, suffering for months ; diarrhœa and impotence.
Mrs. R., æt. 42 ; dyspepsia.
Carpenter, æt. 42, suffering twenty months ; diarrhœa.
Officer, æt. 45, syphilitic and scrofulous, taken much mercury ; syphilis.
Gentleman, æt. 52, stout, well formed, of active habits, had myelitis ; diabetes mellitus.
Mrs. C., æt. 55 ; ague.
Woman, æt. 56, unmarried, weak ; typhoid fever.
Man, æt. 58, short build, strong, dark hair, thirty years ago had gonorrhœa ; pains in stomach.
Two men, both of phlegmatic temperament ; milky urine.
Negro ; milky urine.

Relations

Antidoted by : Camphor., Coffea, Staphis .
Compatible : Cinchon ., before or after in colliquative sweats, diarrhœa and debility ; Ferrum, Rhus tox., Veratr . ; after Nux vom . in syncope after a meal.
Compare : Phosphor., Pulsat., Sepia, Lycop., Sulphur, Silica, Picric ac., Mur. ac . and Fluor. ac .

Lectures on Homoeopathic Materia Medica

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

Mind

"Mental enfeeblement" is the thought that will come into the mind when considering what the Phosphoric acid patient says, does and looks.

The mind seems tired. When questioned he answers slowly or does not speak, but only looks at the questioner. He is too tired to talk or even think. He says:

"Don't talk to me; let me alone."

This state is found in both acute and chronic diseases. He is so tired in mind, perfectly exhausted.

In chronic diseases when brought on from long study; prolonged worry in business men; in feeble school girls, when become relaxed from very little effort. In acute diseases he, especially in typhoid fever, is averse to speaking or answering questions. He merely looks. Finally he rouses up and says:

"Don't talk to me, I am so tired."

He cannot think what he wishes to say, cannot frame his answers to questions. Another cause is sexual excesses in young men, or in those guilty of secret vice. Weakness; lack of reaction; state of stupor, with impotency; mental prostration, and as if the spine had given out.

In every case we find the mental symptoms are the first to develop. The remedy runs from the mental to the physical, from the brain to the muscles.

This is so striking that it is contrasted with Muriaticum acid. in the latter remedy the muscular prostration comes first, and the mind seems clear until long after the muscles are prostrated. In Phosphoric acid the muscles seem strong after the mind has given out. The patient seems vigorous physically.

He says he is all right physically, can work, can exercise even violently; but the mind is tired, there is mental apathy, he can not add up a column of figures, can not read the newspaper and carry the trend of thought, can not connect circumstances. He forgets the names of those in his family; a business man forgets the names of his clerks; he is in confusion. Yet he can exercise, can go out and walk; the weakness in the muscles will come later.

Phosphoric acid has also great physical weakness; so tired in the back; so tired in the muscles; so tired all over; a paralytic weakness. Later there is sexual impotence; aversion to coition; loss of sexual desire; no erections; penis becomes relaxed in the midst of an embrace and he cannot finish the act, (Nux v.)

Ailments from business cares; prolonged grief; young women suffering from unrequited affection, or from the loss of a loved one. Some suffer more intensely than others; some seem more philosophical.

"Ailments from care, grief, sorrow, chagrin, homesickness or disappointed love; particularly with drowsiness; night sweats towards morning; emaciation."

The patient pines and emaciates, grows weaker and weaker, withered in the face; night sweats; cold sweat down the back; cold sweats on the arms and hands more than on the feet; cold extremities; feeble circulation, feeble heart; catches cold on the slightest provocation and it settles in the chest; dry, hacking cough; catarrhal conditions of the chest; tuberculosis; pallor with gradually increasing weakness and emaciation.

During this weakness there is vertigo. Vertigo while lying in bed seems like floating while lying in bed. Limbs seem to be lifted up while the head does not seem to move, as if the limbs were floating. Congestive headaches; in school girls from slight exertion of the mind and use of the eyes. Periosteal pains; bones ache as if scraped ameliorated by motion; when lying the pain shifts to side lain on.

Modalities

Most of the complaints are ameliorated from keeping warm, from absolute quiet, from being alone at peace. There is aggravation of the complaints from exertion, mental or physical, from being talked to. Morning headaches. He must lie down with the headaches. Headache aggravated from being talked to. He is sensitive to cold weather. He is sensitive to a warm room.

In the headache the pain often begins in the back of the head and spreads to the top of the load; feels as if a crushing weight were on the top of the head; worse from motion, talking and light.

"Pressure as from a weight in head from above downward."

These headaches are associated with mental weakness, brain-fag; so tired and exhausted. Vertigo with ringing in the ears and glassy eyes.

Its use in low fevers must be studied. The complaints come on slowly, slow decline, slowly increasing prostration. Such appearances as are found in advanced typhoid. It has the prostration, tympanitic abdomen, dry, brown tongue, sordes on the teeth, gradually approaching unconsciousness; little thirst increasing to intense thirst with craving for much water during perspiration; wants to be let alone; looks at the questioner with glassy eyes as if slowly comprehending the question; pupils contracted or dilated; eyes sunken; hippocratic countenance; continued fever; bleeding from the nose, lungs, bowels; hemorrhage from any mucous membrane; sunken about the eyes; discolored lips, covered with sordes, becoming very black; prostration gradually increasing.

From the beginning the mental state been most marked and finally comes the muscular weakness, which increases until the jaw drops and it seems that the patient must die of exhaustion.

Such states of weakness may come on from hemorrhages ( China was the routine remedy among the older homoeopaths).

It checks the hemorrhage and causes a rally, prevents the dropsy. There is a state like anemia; pale lips and tongue; face, hands and feet waxy.

Pains and aches all over the body, ameliorated from motion and 'worse from cold. The pains seem deep-seated, often along the nerves, but especially along the long bones, as if the bones were scraped; as if a rough instrument were dragged over the bones. The pains are commonly worse at night. Severe bone pains.

The stomach refuses to do its work. The food remains in the stomach and sours. Sour vomiting. Old dyspeptics with brain-fag. Complaints from acid drinks, cold drinks and rich foods. Singing sensation in the abdomen after a normal stool.

In most of the complaints of Phosphoric acid a marked feature is milky urine. Sometimes it is milky when passed; milky flakes in the urine. At times the male urethra seems to clog up and examination will show these little milk-like-flakes. The urine becomes milky on standing, like flour, chalk or phosphate deposits stirred up in it.

Diarrhea

In Phosphoric acid there is often an amelioration of complaints by their ending in a diarrhea. Copious, thin, watery stool. From the quantity it would seem that the patient would be exhausted. Child with copious, watery, stool in summer; so copious that the napkin seems of no use; the stool runs all over the mother's dress and on the floor forming great puddles; the stool is almost odorless, thin and watery, and the little one smiles as if nothing were the matter. The mother wonders where it all comes from, and yet the child seems well.

The Phosphoric acid diarrhea often ameliorates many of the symptoms and the patient feels better. Chronic diarrhea, copious, thin and watery, whitish gray, and the patient feels comfortable, free and, happy. If the diarrhea slacks up the patient is worse and on come symptoms of tuberculosis, weakness, prostration, brain-fag.

Some patients say they ate never comfortable unless they have diarrhea. Podophyllum is the very opposite. Take the same child; the stool is very copious and runs all over the floor, the mother wonders where it all comes from, but the stool is offensive, a horrible stench, and the patient looks as if dying; mouth and nose drawn, countenance hippocratic; almost unconscious.

There is painless stool in both, but Phosphoric acid has not the great prostration. In Phosphoric acid the stool is whitish gray, like dirty white paint; in Podophyllum it is yellow. Gratiola has a similar state of prostration, but the fluid is green water; when seen it looks like light shining through a green glass, sometimes thicker, like green-bile.

Abdomen

much bloated, tympanitic; great soreness of the bowels as if in a typhoid state.

"White or yellow, watery diarrhea, chronic or acute, without pain or any marked debility or exhaustion".

It is uncommon for the stool to be yellow when watery. It is yellow when it is mushy; when watery it is light colored, sometimes milky. When yellow it is like corn meal mush, pappy; as in the typhoid state, thin like thin mush.

"Diarrhea; not prostrating; after catching cold during heat of summer; water; chronic; violent, bilious or mucous of twenty months standing; has the appearance of an old man; from acids in young persons who grow too rapidly; after eating, undigested; greenish white; painless."

When we have a diarrhea from adds we sometimes find symptoms running to Phosphoric acid. In the diarrhea from sour wine, such as claret, from acids, vinegar, lemons, be sure to study Antimonium crudum. This is a very striking feature of that remedy. Useful in cholera.

Male sexual organs. Sexual weakness, prolonged exhaustion, impotency; masturbators; nightly pollutions with great exhaustion,

"Prostatorrhoea; immediately after every erection discharge of prostatic fluid."

Even when passing a soft stool the prostatic fluid is discharged.

Falling-out of the hair is a striking feature; falling of the hair from the genitals, whiskers, eyebrows, head. It is closely related to Natrum, mur. and Selenium in falling out of the hair. Selenium has falling out of the hair from the head, eyebrows and lashes, beard and genitals, from all over the body. Natrum mur. causes the hair to become very thin; during confinement the hair falls from the genitals.

Phosphoric acid produces a troublesome leucorrhoea; yellow, mostly after menses, with itching; profuse, yellow; thin, acid mucus; with chlorosis."

It suits the woman who has been nursing her child a long, time, or nursing twins, and who gives much milk. She becomes tired and weakly. Loss of fluids, blood; prolonged nursing, and weakness from such causes.

The tendency of the Phosphoric acid patient at the end of the brain fag and weakness is to run into chest troubles. If a diarrhea comes on then the chest trouble is averted. Most awful results will ensue from the use of astringents, or any remedy that does not correspond to the patient, that will stop that diarrhea. He goes into tuberculosis, difficult respiration; coughs and suffers in the chest, and the trouble culminates in structural changes in the lungs.

The indications for Phosphoric acid are seldom found in the tissue changes, but they will be found in the early states of the patient, the nervous conditions, the milky urine and the diarrhea, which have existed a long time. Chest complaints are acute; typhoid pneumonia; low forms of fever ending in chest troubles; not unlike Phosphorus.

Prolonged pneumonia with the mental symptoms, lack of reaction, infiltration at the end of pneumonia. Haemoptysis.

Prolonged fever ending in feeble heart, with palpitation and the. mental symptoms. Palpitating during sexual excitement. Tendency to abscesses after a prolonged fever.

Limbs and joints become affected. Pain in the hip joint. Pains in the long bones between the joints, better by motion. Old gouty constitution. Tissues become weak. Red spots appear wherever the flesh is thin over the bones, and these spots become inflamed and form open ulcers.

After fever, abscesses in the muscles, and state of molecular weakness about the ankles; over the tibia where the flesh is thin. Phosphoric acid has a special relation to the periosteum. Periostitis.

Pains in the tibia at night. Bone feels as if scraped. Cold hands and hot feet. Ulcers on the legs with watery, offensive discharge.

Boils, abscesses, pustules and other moist eruptions. Suppurating eruptions; tissues become weak.

Nervous state; marked indifference; weak and trembling; fainting; great nervous exhaustion; hysterical affections. Creeping, tingling and crawling all over the body, especially where there is hair, as if in the roots of the hair; formication; especially in those debilitated from sexual excesses.

"Formication over whole body."

Sore spots in the spine; lame back. Backache.

"Itching between the fingers or in the bend of joints or on hands."

Herpes; eczema, erysipelas. Large purple spots form on the skin, an extravasation of blood front the capillary veins; ecchymoses.

Ulcers on the skin; carbuncles; warts; chilblains; wens; corns with stinging and burning, and parts become black; feeble circulation in the skin. Skin withered, old and gray, and the patient emaciates.

The Therapeutics of Fevers

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

Characteristic

Adapted to persons of originally strong constitutions, who have become debilitated by loss of vital fluids; sexual excesses (Chinch.); violent, acute diseases; chagrin or a long succession of moral emotions, as grief, care, disappointed affection.

Mild, yielding disposition (Puls.).

Pale, sickly complexion, eyes sunken and surrounded by blue margins.

Is listless, pathetic; indifferent to the affairs of life; to those things that used to be of most interest; prostrated with grief.

In children and young people who grow too rapidly (Cal., Cal. p.); pains in back and limbs as if beaten.

Delirium: muttering, unintelligible; lies in a stupor or a stupid sleep, unconscious of all that is going on around him; when aroused is fully conscious, answers slowly and correctly and relapses into stupor.

Patient trembles, legs weak, stumbles easily, or makes mis-steps.

Interstitial inflammation of bones; scrofulous, syphilitic, mercurial; periosteum inflamed, pains burning, tearing, as if scraped with a knife (Rhus); caries, rachitis, but not necrosis; growing pains.

Vertigo: head sinks forward and backward; on closing the eyes; in typhus, they fall when sitting up; when lying in bed, as if feet were going up with head remaining still.

Headache: crushing weight on vertex, from long lasting grief or exhausted nerves; in occiput and nape; usually from behind forward, < by motion, noise, especially music, > lying (Bry., Gels., Sil.).

Headache of school girls from eye strain or over use of eyes (Cal. p., Nat.); of students, who are growing too fast.

Diarrhœa: painless; not debilitating; white or yellow; involuntary with flatus (Aloe, Nat.); from acids, choleraic, from fear.

Urine; looks like milk mixed with jelly-like, bloody pieces; decomposes rapidly; profuse urination at night, of clear watery urine which forms a white cloud at once (excess of phosphates, nerve waste).

Onanism; when patient is greatly distressed by the culpability of the act (Dios., Staph.).

Boring, drawing, digging pains in nerves of extremities ; neurosis in stump after amputations (Cepa).

Emissions : frequent, profuse, debilitating; after coitus ; most desire, after ; several in one night ; abashed, sad, despairs of cure (with irresistible tendency to masturbate, Ust.).

Chest : weak from talking or coughing (Stan.) ; in phthisis ; nervous, from loss of vital fluids, too rapid growth, depressing mental emotions.

Aggravation

From mental affections; loss of vital fluids, especially seminal; self abuse; sexual excesses; talking causes weakness in chest (Stan.).

Amelioration

Motion; warmth; wet weather (Caust., Nux).

Type

Periodicity not marked. Apt to become remittent or typhoid, with cerebral symptoms predominant; typhus.

Time

9 to 10 A. M.; 4, 6, 7, 8, 9, 10; afternoon till 10 P. M.

Chill

Without thirst. Shaking chill, with blue nails, coldness in tips of fingers, in abdomen, tearing in wrists, and paralytic weakness of the arms. Chilliness and palpitation (palpitation during sweat, Mer.—see Bar.). Violent shaking chill from afternoon till 10 P. M., followed by such great heat that he almost lost consciousness. Chilliness for an hour towards evening, without subsequent heat (Sul.). Chill 9 P. M. with great prostration which continues all through the paroxysms. Chill and heat, alternate frequently. Shaking chill over whole body, with ice cold fingers (Ced., Sep.). The evening chill predominates.

Shaking over whole body; fingers icy cold.

Heat; excessive, depriving of consciousness.

Sweat; profuse, exhausting. Thirst only in sweat.

Heat

Without thirst; excessive, depriving one almost of consciousness; internal, without being hot to the touch. Fever all night with frequent passing of large quantities of clear watery urine; not much thirst; side on which she lies painful. Hot face, on the side on which he is not lying. Heat, yet cannot be uncovered (Bell.—must be uncovered, Ign., Puls.). Hot head; cold feet.

Sweat

Thirst only during sweat (Cinch.—drinks often and in large quantities, Ars.—thirst after sweating stage, Lyc.). Perspiration, with heavy dreams of dead people and of being pursued. Profuse morning sweat; clammy; exhausting; most on occiput and neck.

Tongue

Red streak in the middle of the tongue. Craves refreshing, juicy food.

Pulse

Weak, small, frequent; irregular; intermitting one or two beats.

Analysis

Cerebral typhoid or typhus; complete apathy and stupor; takes no notice, "lies like a log," utterly regardless of surroundings; intestinal hemorrhage, blood dark; night sweats.