Phosphorus phos.

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

CAVITIES: Head. LUNGS. Heart. CIRCULATION: Blood. BLOOD-VESSELS. Arteries. MUCOUS MEMBRANES: STOMACH. BOWELS. Lungs (lower). NERVES: Brain. Cord. Bones: Jaw; upper. Shin. Spine. Liver.

Worse

LYING ON: LEFT or painful side. BACK. SLIGHT CAUSES: EMOTIONS. Talking. Touch. Odors. Light. COLD: HANDS (in water). Open air. WARM INGESTA. Salt. Puberty. Sexual excesses. Weather: Sudden changes. Windy. Cold. Thunder-storms. Morning and evening. Mental fatigue.

Better

Eating. Sleep. Cold: Food. Water; to face. Rubbing (Magnetic). Sitting up.

General

Active metabolism. Rapid growth. Insidious onset, gradually increasing debility, ending in severe or rapid disease (Tarn.). Recurring effects, colds, croup, bleedings, etc. HÆMORRHAGE; vicarious; blood-streaked discharges of ulcers, etc. Decomposition. Polypi. Symptoms due to heart and lung affections. Tall, gracile, nervous and delicate. Phthisical habit. Acidosis. Weak spells; in joints; < exertion. Emptiness; in chest, stomach, etc. Acute senses. Erethistic exhaustion. TIGHTNESS; chest (l), cough, etc. Spots; pains or soreness in. Internal paralysis; throat, rectum, etc. Internal itching, tickling. Throbbings, here and there. Numbness. Jerkings, localised; subsultus. Joints stiff, with little pain. Human barometer.

Copyright © Médi-T 1999

Particulars

Amative, but excitable and easily irritated. Anxious; fears being alone, twilight, ghosts, thunder - storms, etc. Quickly prostrated by unpleasant impressions. Timid and irresolute. VERTIGO; accompanies many symptoms; floating; on waking; whirling; > stool. Head, heavy, aches over one eye; with hunger; < children; < lying on r. side; > cold. Burning in temple. Cold occiput. Vertex throbs. Dandruff. Bald spots. Lachrymation, in wind. Vision; flashes; halos; red; green; black; > shade; narrow fields of; colored, then migraine. Choroiditis. Retinitis albuminurica. Glaucoma. Ears; echoes or reverberations in; deaf to human voice. Otitis; media. Mastoiditis. Nose; nervous motion of alæ; coryza, flows and stops; on alternate sides; swelled; caries; ulcer, etc. Epistaxis; of youths; then pneumonia; with cough, etc. Sneezing; < odors, smoke, etc. with dyspnœa. Descending nose colds. Sensitive smell. Pale about nose and mouth. Changing, sickly face; hollow eyes, with blue rings. Numb teeth. Gum sore behind central incisors. Palate itches. Abscess of hard palate. Sour taste and eructations. As of cotton or something hanging in throat. CRAVES COLD DRINKS WHICH >, but are VOMITED IN A LITTLE WHILE; after chloroform. Regurgitates ingesta. Waterbrash. Ravenous hunger; nightly; precedes attacks. Craves salt; what is refused when offered. Burning in gullet and stomach, < eating. Pressure above epigastrium. Stomach; EMPTY, HOLLOW FEELING IN; as if hanging down; < emotions; tremor, flutter or rolling over in. Sore spot in epigastrium. Rubs abdomen for >. Stool, like cooked sago; granular; slender; tough; diarrhœic, gray, bluish, watery, pouring out, painless, nervous, involuntary, exhausting. Anus open; prolapsed. Dysentery. Urinates, then weak. Pellicle on urine. Periodical albuminuria. Sexually erethistic, but impotent. Prolonged menses; replaced by smarting leucorrhœa. Oppressed for breath; < least motion. Tight, suffocating breathing, < cough. Larynx, raw, sore, furry; pains on speaking. Voice, low, hoarse, < evening; croupy, then bronchitis. Cough; hard, wheezing; dry; violent; painful; tickling; hacking; exhausting; with retching, burning in air-passages or trembling; < change of temperature, before strangers, laughing, exertion or singing. Expectoration; easy, bluish, rusty, salty, foamy or cold. Pneumonia; l. lower lung; secondary, with sopor. Chest full, heavy; stitches (l. upper); pains into throat or r. arm or alternating sides; rattling, < cold drinks. Dry, burnt feeling in chest with cough, at first dry then loose. Heart, pains into r. arm; violent palpitation from least thing; during goitre, etc.; weak; fatty; orgasms to. Left infra-mammary pain. Mammary abscess. Between scapulæ; cramp; burning. Spinal irritation, < heat. Pain forward from l. scapula. Tearing in l. shoulder at night. Burning spot in lumbar region. Numb fingers and toes. Palms burn. Paralyzing stitches in hips; then up back. Pain in tibiæ; periostitis. Ankles, as if to break. Suppressed foot-sweat. Tottery; stumbles easily. Icy cold feet. Toes cramp. Blood red spots. Thin, foul, bloody pus. Pyæmia. Yellow spots on abdomen. Jaundice; as a concomitant. Skin burns on shaving. Fatty cysts. Sleepless; eyes won't stay shut; from internal heat. Sleepy by day, sleepless before midnight. Sleeps in cat naps. Dreams, of fire; lewd. Somnambulism. Congestion to head, lungs, etc. Soft pulse. Coldness in cerebellum; of knees, in bed. Chilly in a warm room; down back. Craves ices, during the chill. Burning heat; local; up back. Hectic. Sweaty; early morning; sticky; without relief. Painless fevers.

Related

Complementary: Lyc. Sang. Sep. Antidotes: Coff. Nux-v. Related: Caus. Con. Sil.

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

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

Keynote

Adapted to tall slender persons of sanguine temperament, fair skin, delicate eyelashes, find blond, or red hair, quick perceptions, and very sensitive nature. Young people, who grow too rapidly, are inclined to stoop (to walk stooped, Sulph.); who are chlorotic or anaemic; old people, with morning diarrhoea. Nervous, weak; desires to be magnetized (Sil.). Oversensitiveness of all the senses to external impressions, light, noise, odors, touch. Restless, fidgety; moves continually, cannot sit or stand still a moment (restless, fidgety feet, Zinc.). Burning: in spots along the spine; between the scapulae (as of a piece of ice, Lachn.); or intense heat running up the back; of palms of hands (Lach.); in chest and lungs; of every organ or tissue of the body (Ars., Sulph.); generally in diseases of nervous system. Haemorrhagic diathesis; small wounds bleed profusely (Kreos., Lach.); from every mucous outlet. Great weakness and prostration; with nervous debility and trembling; of whole body; weakness and weariness from loss of vital fluids (Cinch., Phos. ac.). Pain: acute, especially in the chest, < from pressure, even slight, in intercostal spaces, and lying on left side; excited by slightest chill; open air intolerable. A Weak, empty, all-gone sensation in head, chest, stomach and entire abdomen. Apathetic; unwilling to talk; answers slowly; moves sluggishly (Phos. ac.). Weary of life, full of gloomy forebodings. Dandruff, falls out in clouds (Lyc.); hair falls out in bunches, baldness of single spots. Eyes: hollow, surrounded by blue rings; lids, puffy, swollen, oedematous (upper lids, Kali c.; lower, Apis). Longs for: cold food and drink; juicy, refreshing things; ice cream > gastric pains. As soon as water becomes warm in stomach it is thrown up. Regurgitation of ingesta in mouthfuls (Alum.). Nausea from placing hands in warm water; sneezing and coryza from putting hands in water (Lac d.). Constipation: faeces slender, long, dry, tough, and hard (Stap.); voided with great straining and difficulty (Caust.). Diarrhoea: as soon as anything enters the rectum; profuse, pouring away as from a hydrant; watery, with sago-like particles; sensation, as if the anus remained open (Apis), involuntary; during cholera time (which precedes cholera, Phos. ac.); morning, of old people. Haemorrhage: frequent and profuse, pouring out freely and then ceasing for a time; metrorrhagia, in cancer; haemoptysis, vicarious, from nose, stomach, anus, urethra, in amenorrhoea. Heaviness of chest, as if weight were lying on it. During pregnancy; unable to drink water; sight of it causes vomiting; must close her eyes while bathing (Lys.). Cannot talk, the larynx is so painful; is dry, raw, rough, sore. Cough: going from warm to cold air (rev. of Bry.); < from laughing, talking, reading, drinking, eating, lying on the left side (Dros., Stan.). Perspiration has the odor of sulphur. Necrosis of the (left) lower jaw.

Relations

Complementary: Arsenic, with which itis isomorphic; Cepa, its vegetable analogue. Incompatible: with Causticum, must not be used before or after. Phos. removes the bad effects of Iodine and excessive use of table salt. Follows well: after, Calc. or Cinch. Hahnemann says: "Acts most beneficial when patient suffers form chronic loose stool or diarrhoea.".

Aggravation

Evening, before midnight (Puls., Rhus); lying on left or painful side; during a thunderstorm; weather changes, either hot or cold. Cold air relieves the head and face symptoms but aggravates those of chest, throat and neck.

Amelioration

In the dark; lying on right side; from being rubbed or mesmerized; from cold food, cold water, until it gets warm.

Key-Notes to the Materia Medica

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

General

This remedy is particularly adapted for complaints existing in tall, thin persons, having dark hair, especially in women.

Mental

Affections of the mind in general; amativeness; indifference; dizziness of the mind. Nymphomania.

Eyes

Colors appear black before the eyes; weak-eyed people who see a halo around the lamp light; shortsightedness; dimsightedness when things appear of a dim gray; momentary loss of sight. One sees variegated colors when there may be only one color.

Nose

Blood comes every time the nose is blown; smelling too sensitive; foul imaginary smells.

Stool

A very characteristic symptom is found in the stool, which is long, slim, hard and dry, and is evacuated with a great deal of difficulty; it may be compared to a dog's stool in appearance and in manner of evacuation, is often accompanied with the same straining, trembling of the limbs, etc. Diarrhœa, which pours out in great quantity, like water from a hydrant, and is very exhausting to the patient (often accompanied with a very weak, empty or gone feeling in the abdomen); painless; stools large; involuntary; mucous. Affections of the anus; rectum; dartings and shooting in the rectum. (This may occur in children, causing them to cry out, is usually worse in the evening or night; they appear to have worms; they will put their hands to the seat, and show by various signs where and what the matter is.)

Stomach and Abdomen

A very WEAK, EMPTY, or GONE SENSATION, felt in the whole abdominal cavity; this is an indicative point whether found existing among a complication of troubles or occurring alone, and especially when accompanied by a sensation of heat in the back between the shoulder-blades. Vomiting as soon as any substance taken (whether it be food or drink) becomes warm in the stomach; vomiting of blood; of sour matter. Sharp pains through the abdomen; belching of large quantities of wind, also of sour substances; rumbling and rolling in the bowels. Flatus in general.

Chest

Hard, tight, dry cough which racks the patient and is very exhausting, usually aggravated by going into the open air; with or without expectoration; saltish expectoration; with expectoration in the morning, without any in the evening; of a bloody, purulent matter; of yellow matter; of sour taste. Growing hoarse toward evening; complete aphonia; voice very hoarse. Respiration oppressed; anxious; complaints attending respiration as e.g. stitches, etc. Palpitation of the heart with anguish.

Sexual

Female: Sexual desire too strong. Nymphomania. Menstruation too early; discharge of blood before the proper time; acrid leucorrhœa. Mammary glands, especially when there are stitching pains in them and are threatened with abscess.

Skin

Exanthema which comes out in pustules; is scaly. Ulcers in general. Summer freckles; hard swellings here and there on the body; wounds that bleed very much, even if very small; wounds which appear to have healed, break out again and bleed; wounds that continually heal and break out again.

Sleep

Falling asleep late; complaints preventing sleep; general sleepiness in the daytime; overpowering sleep coming on after dinner, if only a moderate dinner has been eaten; sleeplessness before midnight; sleeplessness with drowsiness. Dreams anxious, vivid.

Fever

Pulse changed in general; very quick. Internal or external heat of single parts; flushes of heat; perspiration viscid.

Sensations

Of emptiness in the abdominal cavity; of heat or burning in the bock, between the shoulder-blades. Neuralgia of the head, when it must be kept warmly wrapped up night and day. Burning pain of external parts, or of internal parts; inner parts with sensation of dryness; of fulness, of itching or tickling; of knocking, beating, or throbbing; of darting; darting pain; of roughness--all occurring in inner parts. Stitching pains.

Generalities

Affections of the inner chest; of the shin-bones; of the bones of the legs; of the right upper or right lower extremity; right upper or right lower side. Profuse secretion of mucus. Affections of the axillary glands; inflammation of the glands in general; glands painful, particularly stitching pains; hot swelling of the glands. Bleeding from the inner parts; threatened phthisis pulmonalis.

Worse

In the morning; in the evening; before falling asleep; on waking; before breakfast; after taking cold; while coughing; before or after eating; from violent bleeding; from spraining parts; while lying on the bock; lying on left side; from laughing (often producing cough); from light in general; light of the lamp; warm food. Very thirsty; takes water, likes it, feels better, water gets warm in the stomach and is vomited. Reading aloud; from strong smells; after stool (exhausted, etc.); while swallowing drink; in the wind; when singing; when the weather changes either way.

Better

In the dark; lying on right side; from being mesmerized; from rubbing; from scratching; after sleep; from cold things; cold food; cold water (till it gets warm).

Remedies following

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

Antidote

Nux vom.

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

Pulsations, sticking and burning in the brain. As soon as water becomes warm in the stomach, it is thrown up. Chronic painless diarrhoea of undigested food, with much thirst during the night. Frequent diarrhoea during cholera time; cholerina. Constipation; feces slender, long, dry, tough and hard, like a dog's; voided with difficulty. Cannot talk on account of pain in larynx. Pains in chest with coughing, relieved by external pressure. Dry tickling cough in the evening, with tightness across the chest. Trembling of the whole body while coughing. Can lie only on right side. Small wounds bleed much. Cough worse in evening and night, from change from warm to cold air. Most symptoms aggravated before midnight, and during a thunder storm.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Phosphorus

General

Phosphorus irritates, inflames and degenerates mucous membranes, irritates and inflames serous membranes, inflames spinal cord and nerves, causing paralysis, destroys bone, especially the lower jaw and tibia; disorganizes the blood, causing fatty degeneration of blood vessels and every tissue and organ of the body and thus gives rise to hæmorrhages, and hæmatogenous jaundice.

Produces a picture of destructive metabolism. Causes yellow atrophy of the liver and sub-acute hepatitis. Tall, slender persons, narrow chested, with thin, transparent skin, weakened by loss of animal fluids, with great nervous debility, emaciation, amative tendencies, seem to be under the special influence of Phosphorus. Great susceptibility to external impressions, to light, sound, odors, touch, electrical changes, thunder-storms. Suddenness of symptoms, sudden prostration, faints, sweats, shooting pains, etc. Polycythemia. Blood extravasations; fatty degenerations, cirrhosis, caries, are pathological states often calling for Phosphorus. Muscular pseudo-hypertrophy, neuritis. Inflammation of the respiratory tract. Paralytic symptoms. Ill effects of iodine and excessive use of salt; worse, lying on left side. Tertiary syphilis, skin lesions, and nervous debility. Scurvy. Pseudo-hypertrophic paralysis. Ataxia and adynamia. Osteo myelitis. Bone fragility.

Mind

Great lowness of spirits. Easily vexed. Fearfulness, as if something were creeping out of every corner. Clairvoyant state. Great tendency to start. Over-sensitive to external impressions. Loss of memory. Memory. Paralysis of the insane. Ecstasy. Dread of death when alone. Brain feels tired. Insanity, with an exaggerated idea of one's own importance. Excitable, produces heat all over. Restless, fidgety. Hypo-sensitive, indifferent.

Head

Vertigo of the aged, after rising (Bry). Heat comes from spine. Neuralgia; parts must be kept warm. Burning pains. Chronic congestion of head. Brain-fag, with coldness of occiput. Vertigo, with faintness. Skin of forehead feels too tight. Itching of scalp, dandruff, falling out of hair in large bunches.

Eyes

Cataract. Sensation as if everything were covered with a mist or veil, or dust, or something pulled tightly over eyes. Black points seem to float before the eyes. Patient sees better by shading eyes with hand. Fatigue of eyes and head even without much use of eyes. Green halo about the candlelight (Osmium). Letters appear red. Atrophy of optic nerve. Œdema of lids and about e eyes. Pearly white conjunctiva and long curved lashes. Partial loss of vision from abuse of tobacco (Nux) Pain in orbital bones. Paresis of extrinsic muscles. Diplopia, due to deviation of the visual axis. Amaurosis from sexual excess. Glaucoma. Thrombosis of retinal vessels and degenerative changes in retinal cells. Degenerative changes where soreness and curved lines are seen in old people. Retinal trouble with lights and hallucination of vision.

Ears

Hearing difficult, especially to human voice. Re-echoing of sounds (Caust). Dullness of hearing after typhoid.

Nose

Fan-like motion of nostrils (Lyc). Bleeding; epistaxis instead of menses. Over-sensitive smell, (Carbol ac; Nux). Periostitis of nasal bones. Foul imaginary odors (Aur). Chronic catarrh, with small hæmorrhages; handkerchief is always bloody. Polypi; bleeding easily (Calc; Sang).

Face

Pale, sickly complexion; blue rings under eyes. Hippocratic countenance. Tearing pain in facial bones; circumscribed redness in one or both cheeks. Swelling and necrosis of lower jaw (Amphisbæna; Hecla lava).

Mouth

Swelled and easily bleeding gums, ulcerated. Toothache after washing clothes. Tongue dry, smooth, red or white, not thickly coated. Persistent bleeding after tooth extraction. Nursing sore mouth. Burning in œsophagus. Dryness in pharynx and fauces. Thirst for very cold water. Stricture of œsophagus.

Stomach

Hunger soon after eating. Sour taste and sour eructations after every meal. Belching large quantities of wind, after eating. Throws up ingesta by the mouthfuls. Vomiting; water is thrown up as soon as it gets warm in the stomach. Post-operative vomiting. Cardiac opening seems contracted, too narrow; the food scarcely swallowed, comes up again (Bry; Alum). Pain in stomach; relieved by cold food, ices. Region of stomach painful to touch, or on walking. Inflammation of stomach, with burning extending to throat and bowels. Bad effects of eating too much salt.

Abdomen

Feels cold (Caps). Sharp, cutting pains. A very weak, empty, gone sensation felt in whole abdominal cavity. Liver congested. Acute hepatitis. Fatty degeneration (Carbon tetrachloride; Ars. Chlorof). Jaundice. Pancreatic disease. Large, yellow spots on abdomen.

Stool

Very fetid stools and flatus. Long, narrow, hard, like a dog's. Difficult to expel. Desire for stool on lying on, left side. Painless, copious debilitating diarrhœa. Green mucus with grains like sago. Involuntary; seems as if anus remained open. Great weakness after stool. Discharge of blood from rectum, during stool. White, hard stools. Bleeding hæmorrhoids.

Urine

Hæmaturia, especially in acute Bright's disease (Canth). Turbid, brown, with red sediment.

Male

Lack of power. Irresistible desire; involuntary emissions, with lascivious dreams.

Female

Metritis. Chlorosis. Phlebitis. Fistulous tracks after mammary abscess. Slight hæmorrhage from uterus between periods. Menses too early and scanty-not profuse, but last too long. Weeps before menses. Stitching pain in mammæ. Leucorrhœa profuse, smarting, corrosive, instead of menses. Amenorrhœa, with vicarious menstruation (Bry). Suppuration of mammæ, burning, watery, offensive discharge. Nymphomania. Uterine polyps.

Respiratory

Hoarseness; worse evenings. Larynx very painful. Clergyman's sore throat; violent tickling in larynx while speaking. Aphonia, worse evenings, with rawness. Cannot talk on account of pain in larynx. Cough from tickling in throat; worse, cold air, reading, laughing, talking, from going from warm room into cold air. Sweetish taste while coughing. Hard, dry, tight, racking cough. Congestion of lungs. Burning pains, heat and oppression of chest. Tightness across chest; great weight on chest. Sharp stitches in chest; respiration quickened, oppressed. Much heat in chest. Pneumonia, with oppression; worse, lying on left side. Whole body trembles, with cough. Sputa rusty, blood-colored, or purulent. Tuberculosis in tall, rapidly-growing young people. Do not give it too low or too frequently here, it may but hasten the destructive degeneration of tubercular masses. Repeated hæmoptysis (Acal). Pain in throat on coughing. Nervous coughs provoked by strong odors, entrance of a stranger; worse in the presence of strangers; worse lying upon left side; in cold room.

Heart

Violent palpitation with anxiety, while lying on left side. Pulse rapid, small, and soft. Heart dilated, especially right. Feeling of warmth in heart.

Back

Burning in back; pain as if broken. Heat between the shoulder-blades. Weak spine.

Extremities

Ascending sensory and motor paralysis from ends of fingers and toes. Stitches in elbow and shoulder joints. Burning of feet. Weakness and trembling, from every exertion. Can scarcely hold anything with his hands. Tibia inflamed and becomes necrosed. Arms and hands become numb. Can lie only on right side. Post-diphtheritic paralysis, with formication of hands and feet. Joints suddenly give way.

Sleep

Great drowsiness, especially after meals. Coma vigil. Sleeplessness in old people. Vivid dreams of fire; of hæmorrhage. Lascivious dreams. Goes to sleep late and awakens weak. Short naps and frequent wakings.

Fever

Chilly every evening. Cold knees at night. Adynamic with lack of thirst, but unnatural hunger. Hectic, with small, quick pulse; viscid night-sweats. Stupid delirium. Profuse perspiration.

Skin

Wounds bleed very much, even if small; they heal and break out again. Jaundice. Little ulcer outside of large ones. Petechiæ. Ecchymosis. Purpura hæmorrhagia. Scurvy. Fungous hematodes and excrescences.

Modalities

Worse, touch; physical or mental exertion; twilight; warm food or drink; change of weather, from getting wet in hot weather; evening; lying on left or painful side; during a thunder-storm; ascending stairs. Better, in dark, lying on right side, cold food; cold; open air; washing with col water; sleep.

Relationship

Complementary: Ars; Cepa; Lyc; Silica. Sanguisuya 30-Leech--(Persistent hæmorrhages; effects of use of leeches). Phosph pentachloride (great soreness of mucous membrane of eyes and nose, throat and chest sore).

Incompatible: Caust.

Compare: Tuberculinum follows Phosphor well and complements its action. Phosphorus hydrogenatus (crumbling teeth; hyperæsthesia; locomotor ataxia); Amphisbæna (right jaw swollen and painful). Thymol (Typical sexual neurasthenia; irritable stomach; aching throughout lumbar region; worse, mental and physical exertion); Calc; Chin; Antim; Sep; Lyc; Sulph. In Pneumonia, Pneumococin 200 and Pneumotoxin (Cahis) taken from the Diplococcus lanceolatus of Fraenkel. Pneumonia and paralytic phenomena; pleuritic pain and pain in ilio-cecal region (Cartier).

Antidote: Antidote to Phosph. Poisoning: Turpentine with which it forms an insoluble mass. Also Potass permang. Nux. Phos antidotes the nausea and vomiting of chloroform and ether.

Dose

Third to thirtieth potency. Should not be given too low or in too continuous doses. Especially in tuberculous cases. It may act as Euthanasia here.

Leaders in Homoeopathic Therapeutics

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

Leaders

Tall, slender, narrow-chested, phthisical patients, delicate eyelashes, soft hair or nervous, weak persons who like to be magnetized. Waxy, half anæmic, jaundiced persons.

Anxious, universal restlessness, cant stand or sit still. < in dark or when left alone, before a thunder storm.

Burnings prominent in every place, as in mouth, stomach, small intestines, anus, between scapulæ, intense, running up spine, palms of hands, heat begins in hands, spreads to face.

Craving for cold things, ice cream, which agrees, or cold water, which is thrown up as it gets warm in the stomach. Must eat often or he faints. Must get up at night to eat.

Sinking, faint, empty feeling in head, chest, stomach and whole abdominal cavity.

Cough, < twilight till midnight, < lying on left side, > on right side. Right lower lobe most affected.

Diarrhœa, profuse, pouring out as from a hydrant; watery with sagolike particles or dysenteric, with wide open anus.

Apathetic, unwilling to talk, answers slowly, moves sluggishly.

Constipation: fæces slender, long, dry, tough and hard like a dog's; voided with difficulty.

Hæmorrhagic diathesis; slight wounds bleed profusely, hæmoptysis; metrorrhagia worse; vicarious, from nose, stomach, anus, urethra in amenorrhœa.

Cannot talk; the larynx is so painful; cough, going from warm to cold air, laughing, talking, reading, eating lying on left side (Dros., Stan.).

As a general characteristic, Burning is almost as strong under this remedy as under Arsenicum and Sulphur. There is no organ or tissue in which it may not be found, from the outer skin to the innermost surface of every tract or parenchyma. It may be subjective only without actual rise of temperature, or it may attend organic changes in malignant diseases, with great rise of temperature. The sensation of burning in an intense degree should always place Phosphorus in the front rank for consideration. Again, there is perhaps no remedy having stronger action on The Nervous System. It attacks it in its very citadel of strength, the brain and spinal cord, producing softening or atrophy with all its attendant symptoms in their order, as prostration, trembling, numbness, and complete paralysis. It does this in both acute and chronic form of disease.

It will be found in acute typhoids as well as in that slowly progressive disease, locomotor ataxia. Its causes may be sudden, like pneumonia, typhus, exanthematic diseases, croup, bronchitis, when vitality reaches its lowest ebb, or may arise in a condition undermined by grief, care, or excessive mental exertion; excess in venery or onanism.

Its action at the first may be characterized by a burning heat in various parts, and especially in the skin, with restless moving and anxiety, especially at twilight. Over-sensitiveness of all senses, such as external impressions; light, odors, noises, touch, etc., and later when organic changes have taken place the other extreme, of loss of motion, sensation, and sensitiveness obtains.

In the former state there is one very characteristic symptom, the patient moves continually, can't sit or stand still a moment. Instead of fidgety feet, like Zincum, he is fidgety all over. Phosphorus affects every tissue. The blood becomes broken down or impoverished. Chlorosis and pernicious anæmia obtain. Apis and Kali carb. also each have anæmia or a pale waxy or what is called bloodless appearance of the patient. They all have œdema or bloating, and there is one peculiar difference in the face between them. In Kali carb. the upper lids bloat and hang down like a bag of water. In Apis it is more in the lower lids, while in Phosphorus they bloat all around the eyes; and the whole face bloats. Under Phosphorus the blood becomes so broken down that it will not clot any more, and we have purpura hæmorrhagica. Even in apparently healthy tissues we have this strong characteristic discovered by Hahnemann, viz.: "Slight wounds bleed much." This is what is called the hæmorrhagic diathesis, and much to be feared, as many persons having it may bleed to death from any slight abrasion; and this same tendency to bleed extends to fungoid growths like fibroids, fungoids, cancers, etc., and are very dangerous and troublesome.

Then again Phosphorus attacks the bones in the form of necrosis. It is so especially of the lower jaw, but is also true of other parts, as the vertebræ; and I once cured a very extensive and long standing case of caries of the tibia with it.

Fatty degeneration of heart, liver and kidneys, with the characteristic anæmic condition, should call attention to this remedy. General emaciation, rapid or slowly progressing like atrophy in children, also comes under its tissue destroying power.

And so we find it to be a remedy of wide range and great power. But it is never enough for the homœopathist to know simply the action in general upon any organ or set of organs. He must know how it acts differently from other remedies when acting upon the same tissue or organs. Now while Phosphorus acts upon the mind, to cause, "great anxiety and restlessness" as in other remedies, Aconite, Arsenicum, etc, it must be remembered that it is the anxiety and restlessness that precedes another state.

It belongs to a stage of irritation in the brain and nervous system which if not checked will go on to organic changes, which will be attended with a very different set of symptoms such as come for instance from actual brain softening in which appears apathy, sluggishness; talks slowly, is indifferent or won't talk at all. There is one particular symptom worthy of note: the patient fears to be left alone; is afraid: afraid of the dark, in a thunder storm, etc. This is more during the irritable stage of which we have spoken. Phosphorus is a great remedy in typhoids, especially with lung complications, and here we often get stupor and low muttering delirium like Lachesis, but while Lachesis is worse after sleep, Phosphorus is generally better, if he can get to sleep. In the late stage of brain or nervous troubles, calling for this remedy, we find the patient losing all ambition to do anything; either mental or physical labor is shunned. There is great indifference. He cannot think with his usual clearness; cannot apply himself to study or mental operations, ideas come slowly or not at all. Again the patient is sometimes amative, or like Hyoscyamus shamelessly exposes himself.

There is no remedy that covers a greater variety of mind symptoms arising from brain trouble than Phosphorus. No remedy produces greater vertigo, with a longer list of various connections. I have found it one of the best and oftenest indicated for vertigo of the aged. Chronic congestion to the head is characteristic, and the sense of burning in the brain is prominent; the heat and congestion seems to come up from the spine.

Heat running up the back is more characteristic of this than any other remedy. Deafness is prominent, and is peculiar, in that it is especially deafness to the human voice, a common symptom in the aged. The most frequent use I have made of the remedy in nose affections is in a chronic catarrh, in which the patient frequently blows small quantities of blood from the nose; the handkerchief is always bloody.

As I said when writing upon the tissues, the face of Phosphorus is characteristically pale and bloated around the eyes, but in pneumonia we often find circumscribed redness of the cheek upon the side of the lung inflamed. This is also true with Sanguinaria. About the mouth and tongue I do not know anything particularly characteristic. It has a peculiar symptom of the throat. The food swallowed comes up immediately as if it had never reached the stomach. This is supposed to be due to spasmodic stricture of the œsophagus.

Under appetite and thirst we have some very valuable indications for this remedy.

Hunger is one, must eat often or he faints; right after or soon after a meal, is hungry; hungry in the night; must eat. He is relieved by eating, but is soon hungry again. This calls to mind Iodine, Chelidonium, Petroleum, Anacardium, etc.

The thirst is also peculiar. He wants cold things, like Pulsatilla, but as soon as they get warm in the stomach they are vomited.

Some people have an abnormal craving for salt, or salt food, and eat too much of it. Phosphorus is a good remedy to counteract the bad effects. (Nat. mur.).

We have many kinds of vomiting under Phosphorus, but nothing characteristic except the one already mentioned.

We have already spoken of the hungry, faint feeling in the stomach. Sometimes this is described as an empty, gone feeling, and here again we think of such remedies as Ignatia, Hydrastis, Sepia and others; but Phosphorus does not stop here with this sensation, but extends through the whole abdomen. No remedy has this feeling in the abdomen so strong as Phosphorus. Under stool and rectum occur some very characteristic symptoms also, for instance: Stools profuse, watery, pouring away as from a hydrant, with lumps of white mucus, like grains of tallow. Stools bloody, with small white particles like opaque frog-spawn. Stools involuntarily oozing from a constantly open anus, or dysenteric stools with wide-open anus and great tenesmus. Constipation; fæces slender, long, dry, tough like dog stools. No remedy has a richer array of stool symptoms, and as we see by the above few select ones, some of them are very unique and have often been verified. It will repay any physician to carefully and frequently look them over.

This remedy powerfully excites the sexual appetite in both sexes. It is almost irresistible, and leads the patient into a mania in which he will expose himself. This is succeeded by the opposite extreme of impotence, though the desire remains after the ability to perform is gone. Of course, these sexual symptoms are accompanied with concomitant symptoms of the drug.

Upon the female sexual organs Phosphorus is true to its general hæmorrhagic tendencies; if the menses do not appear, there is often vicarious bleeding from the nose or lungs instead. Phosphorus is bound to bleed. It is so with cancer of the womb or breasts also. They bleed easily. Upon the respiratory organs also this is one of our greatest remedies. Beginning with the voice and larynx, it causes and cures great hoarseness. Patient can hardly make a loud noise, and is apt to be worse in the evening or fore-part of the night. There is pain in the larynx, worse by talking, or can't talk at all on account of it. In croup, it sometimes comes in after Aconitum and Spongia have failed. The disease has progressed downward until it involves the bronchi and parenchyma of the lungs. It is of indispensable value here, and, also when, after the violence of the affection seems to have abated, the patient hoarses up every evening and seems to be inclined to relapse.

In bronchitis the cough is tight, worse from evening to midnight, also from speaking, laughing, reading aloud (Argentum met.), cold, and lying on left side. The patient suppresses the cough with a moan just as long as he can, because it hurts him so. The whole body trembles with the cough.

It has great oppression of breathing in both acute and chronic affections of the lungs. There is heaviness, as of a weight on the chest. In pneumonia, for which Phosphorus is one of our best remedies, it attacks by preference the lower half of the right lung. It is apt to be indicated by the symptoms, either at the beginning of the stage of hepatization, when it puts a stop to the further progress of the disease, but its more frequent application comes in where the stage of hepatization is past and we want to break it up and promote absorption or resolution. Here it has no equal, as I am fully convinced by abundant experience.

Now, do not misunderstand and give the remedy blindly on a pathological indication only. If you do you will sometimes fail, and ought to. But I repeat, this remedy will oftener be found the indicated one here than any other. After the hepatization begins to break up, other remedies like Tartar emetic, Sulphur and Lycopodium will come in.

In pleuritis you will find stitches in the left side increased by lying upon the left side. Remember in both affections Phosphorus is characteristically increased by lying upon the left side.

In tuberculosis, it is oftenest indicated in the incipient stage with symptom of cough, oppression and general weakness already mentioned; but I have often found it indicated in the later stages, and if given very high and in the single dose and not repeated have seen it greatly benefit even incurable cases. If given too low and repeated it will fearfully aggravate.

One of the most characteristic symptoms of this remedy is, "feeling of intense heat running up the back." Again the burning may be in spots along the spine. Also it has intense heat burning between the scapula (See also Lycopodium.) These, like the rest of the burning of Phosphorus, often occur in diseases of the spine and nervous system, but not necessarily so. Like Zinc, these burnings may be purely subjective, but are none the less valuable as therapeutic indications.

Another very characteristic symptom of Phosphorus is burning of the hands. It is as strong as the burning feet of Sulphur, and is found both in acute and chronic diseases; cannot bear to have the hands covered. The flashes of heat all over (which Phosphorus has) begin in the hands and spread from there even to the face. It now remains to call attention to the Constitution of Phosphorus.

1. "Tall, slender persons of sanguine temperament, fair skin, blonde or red hair, quick, lively perception and sensitive nature."

2. "Tall, slender phthisical patients, delicate eyelashes, soft hair."

3. "Tall, slender women disposed to stoop."

4. "Young people who grow too rapidly and are inclined to stoop."

5. "Nervous, weak persons who like to be magnetized."

Now, in number four there is not the tendency to grow fat, like Calcarea carbonica, but tall, and you will notice that the Phosphorus element in Calcarea phosphorica takes away the fat producing property of the Calcarea element.

Now, in closing, we desire to say we have only touched upon the wonderful virtues of this drug, which must be studied in its entirety. Enough, however, we trust to convince of its great value.

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

Great excitability ; becomes easily vexed and angry, which makes him exceedingly vehement, from which he suffers afterwards. Great anxiety and restlessness, especially when alone, or during a thunder-storm. Zoomagnetic condition ; clairvoyance. Ecstasy. Melancholy depression, sometimes with shedding of tears or with attacks of involuntary laughter.

Head

Vertigo when rising from the bed in the morning ; when rising from a seat, with fainting and falling to the floor ; worse in the morning and after meals. Stupefying headache in the morning when moving, and worse on stooping ; ceasing for a short time after eating ; better when lying, down and in the cold air. Congestion to the head, with burning, singing and pulsations in the head, red face, puffiness under the eyes ; worse in the morning when sitting, and in the evening in bed. Burning in the forehead, with pulsations in the morning and in, the afternoon ; after eating worse in the warm room, better when walking in the open air. Sensation of emptiness in the head, with vertigo. Sensation of coldness in the cerebellum, with sensation of stiffness of the brain. Pulsation in the head, with singing and burning in it, mostly in the forehead, with nausea and vomiting from morning till noon ; worse from music, while masticating and in the warm room. Inflammation of the brain, with pulsations and singing in the head ; the heat enters the head from the spine, and from it extends to the feet ; worse in the warm room, better when moving about in the cold air. Headache over the left eye. Tension in the skin of the forehead and in the face, as if the skin was not large enough, frequently only on one side ; worse from change of temperature and while eating ; better after eating, with anxiety. Itching on the scalp, worse from scratching, with dandruff. Dry, painful heat of the scalp, compelling one to uncover the head, the temperature of the body not increased ; better when lying down. Clammy perspiration on the head only, and in the palms of the hands, with discharge of much turbid urine. Falling off of the hair in large bundles on the forepart of the head, and on the sides above the ears. The headache is aggravated from music, laughing, and in the warm room.

Eyes

Burning in the eyes, with profuse lachrymation in the wind. Agglutination in the eyes in the morning, with lachrymation in the open air ; worse in the wind. Inflammation of the eyes, with pressing and burning pains. Pain in the bones of the orbit of the eye. Aversion to light. Pupils contracted. Mistiness of sight ; dim-sightedness (gauze before the eyes). Halo around the candle. Black motes floating before the eyes (muscæ volitantes). Momentary loss of sight, as from fainting. Cataracta viridis.

Ears

Roaring before the ears. Hardness of hearing, especially of the human voice.

Nose

Bleeding from the nose, during stool ; blowing of blood from the nose. Swelling and redness of the nose. Painful dryness of the nose. Bad smell from the nose ; foul smell. Over-sensitiveness of smell. Polypus of the nose (bleeding easily). Profuse discharge of green (or yellow) mucus from the nose, without coryza. Freckles on the nose.

Face

Pale, hippocratic countenance. The color of the face is very changeable. Bloated face ; puffiness under the eyes ; eyes sunken, a blue ring under them. Circumscribed red spot on the cheeks. Tearing and stinging in the facial bones. Ulcerated corners of the mouth. Bluish lips.

Mouth and Throat

Pricking-stinging in the teeth ; worse in the open air, and from warm food. Necrosis of the (left) lower jaw ; swelling of the jaw bones. Swelled and easily bleeding gums ; inflamed gums, with ulcers on them. Toothache after washing clothes. Tongue dry, white, coated with white mucus. Stinging in the tip of the tongue. Burning in the œsophagus. Dryness of the throat day and night. Spasmodic constriction of the œsophagus. Tonsils and uvula are much swollen. Saliva increased, saltish, sweetish ; soreness of the mouth. Spitting of blood. Hawking of mucus in the morning.

Stomach and Abdomen

Want of appetite, caused by a fulness in the throat. Hunger soon alter eating. Immoderate hunger, especially at night (during an attack of gout), with great weakness, so great that he faints if the hunger is not soon allayed. Thirst, with longing for something refreshing. Taste saltish, sour, sweetish ; bitter after eating. After eating sleepiness. Frequent empty and sour eructations. Rising up of sour ingesta. Throwing up of the ingesta by mouthfuls. Vomiting of bile ; of what has been drunk as soon as it becomes warm in the stomach ; of blood ; sour. Painfulness of the stomach to the touch and when walking. Load rumbling and rolling in the intestines. Great pressure in the stomach after eating. Burning in the stomach ; inflammation of the stomach. Spasms of the stomach. The cardiac opening of the stomach seems contracted (too narrow), the food scarcely swallowed comes up again. The pains in the stomach are relieved by cold food (ice-cream, ice). Soreness of the abdomen to the touch when walking. Sensation of coldness in the abdomen. Flaccidity of the abdomen. Large yellow spots on the abdomen.

Stool and Anus

Constipation ; the small-shaped, hard stool is expelled with great difficulty. Stools very soft, pap-like. Painless, debilitating diarrhœa (worse in the morning). Stools black or green ; watery, with flakes of mucus ; bloody ; involuntary ; indigested. Discharge of blood from the rectum, also during stool. Spasms in the rectum. Paralysis of the lower intestines ; of the sphincter ani. Discharge of mucus out of the wide open anus. Stinging or itching at the anus. Hæmorrhoidal tumors easily bleeding.

Urinary Organs

Increased secretion of watery, pale urine. Frequent micturition, but a small quantity each time. Hæmaturia. Urine whitish, like curdled milk, soon becoming turbid with brick-dust sediment, with a variegated cuticle on the surface. Twitching and burning in the urethra, with frequent desire to urinate. Involuntary discharge of urine.

Sexual Organs

Men. Sexual desire increased, with irresistible desire coition. Impotence. Frequent involuntary seminal emissions. Women. Menstruation too early and too profuse, and of too long duration, or too early and too scanty (and watery). Stitches upward in the vagina into the pelvis. During menstruation pains in the small of the back ; palpitation of the heart. Sterility on account of excessive voluptuousness, or if the menstruation comes on too late and is too profuse. Leucorrhœa acrid, drawing blisters and excoriating. Inflammation (erysipelatous), even after the formation of pus. Ulceration of the mammæ, with hardness ; bluish color ; fistulous openings, with burning and stinging.

Respiratory Organs

Hoarseness ; loss of voice. Great painfulness of the larynx, preventing talking. Stitches, soreness, roughness and dryness in the larynx. Croup ; bronchitis. Cough, with stitches over one eye ; splitting headache ; dryness and burning in the throat, hoarseness, aphonia, soreness, roughness and dryness in the larynx. Cough, dry, from tickling in the throat and chest ; from cold air ; from reading aloud or from talking ; from laughing, from eating and drinking ; from a change in the weather, and from strong odors ; from lying on the left side or on the back. Cough, with expectoration in the morning, without expectoration in the evening ; expectoration bloody, frothy, pale-red, rust-colored, streaked with blood, purulent, white and tough ; cold mucus, tasting sour, salt or sweet. Hollow, hacking, spasmodic tickling cough, especially if caused by tickling in the chest. Cough worse in the evening and at night. Respiration oppressed, quick, anxious. Difficult inspiration ; heaviness, fulness and tension on the chest. Congestions to the chest ; anxiety in the chest. Constrictive spasms in the chest. Inflammation of the lungs (left side), with stitches in the sides of the chest. Pneumonia nervosa (lungs hepatized). Tuberculosis (phthisis mucosa). Palpitation of the heart from every mental emotion. Yellow spots on the chest.

Back and neck

Pain in the back as if it were broken, impeding all motion. Stiffness of the neck. Stitches in the shoulder-blades. Pain in the small of the back when rising from a stooping position. Burning in the back or small of the back. Tabes dorsalis.

Extremities

Trembling of the limbs from every exertion. Upper. Rheumatic pains in the arm, especially in the joints. Trembling of the hands, if holding any thing. Burning in the palms of the hands ; clammy perspiration in the palms of the hands (and on the head). Numbness and insensibility of the fingers. Lower. Rheumatic stiffness of the knee. Rheumatic pain extending from the knee to the feet. Swelling of the feet, with stinging. Pains in the soles of the feet, as if bruised. Nightly tearing pain in the feet of pregnant women. Swelling of the tibia. Numbness of the toes. Corns and chilblains on the toes.

Generalities

Great emaciation. Great nervous debility ; trembling in all the limbs from the least exertion. Over-sensitiveness of all the senses. Burning in the body and limbs internally and externally. Sensation of dryness or of festering in internal parts. Increased secretion of mucus. Hæmorrhages from internal organs. Inflammation and stinging pain of inner parts. Ebullitions and congestions. Itching of inner arts. Sprains, easy dislocations sleep. Sleepiness in day-time. Sleeplessness before midnight ; goes to sleep late. Wakes frequently in the night. Sleepiness with drowsiness (coma vigil). Anxious, vivid dreams. Frequent waking from feeling too hot without perspiration. Somnambulism.

Fever

Pulse generally accelerated, full and hard ; occasionally small and weak. Chill, generally only in the evening, without thirst, with aversion to being uncovered and with swollen veins on the hands. Internal chilliness and chill not relieved by the heat of the stove. Chilliness and heat alternately during the night. Chilliness in the evening till midnight, with great weakness, and sleep. Chill at night with diarrhœa. Chill running down the back. Flushes of heat over the whole body, beginning in the hands. Heat with anxiety and burning in the hands and face, in the afternoon and evening. Heat at night disturbing the sleep. Heat running up the back. Heat with desire to sleep. Perspiration most profuse on the head, hands and feet, with increased secretion of urine. Perspiration only on the forepart of the body. Profuse perspiration after midnight and in the morning-hours, followed by great debility. Clammy perspiration. The perspiration frequently smells of sulphur. Intermittent fever. Heat and perspiration at night, with faintness and ravenous hunger, which could not be satisfied by eating ; afterwards chilliness, with chattering of teeth and external coldness ; the chilliness was succeeded by internal heat, especially in the hands, while the external coldness continued. Chilliness in the afternoon, followed by heat and thirst with internal chilliness ; heat and perspiration followed, lasting all night. Fevers with soporous condition, dry black lips and tongue and open mouth. Typhus fever. Hectic fever.

Skin

Blood-boils. Fungus hæmatodes ; small wounds bleed much. Polypus. Petechiæ. Red spots. Dry herpes. Burning in the skin. Pustulous and scaly exanthema. Yellow spots (chest and abdomen). Freckles (nose). Swelling of the bones (left lower jaw, tibia). Glandular diseases especially after contusions. Chilblains (fingers, toes). Corns.

Conditions

Liability to take cold, and from it stinging and tearing in the limbs. Sensitiveness to cool weather and to the open air. The head and face symptoms are relieved by the cold air, but the chest symptoms are aggravated by it. Aggravation; in the evening, at night, especially before midnight ; after breakfast ; when alone ; after eating (something warm), when lying on the back or on the left side ; when rising from a seat ; from light ; during a thunder storm ; from a change of weather ; from singing, laughing, strong smells (cough). Amelioration; in the dark ; while lying on the right side ; from rubbing ; after sleeping ; from eating something cold. Especially suitable for lean, slender persons. In a condition of great debility the person is much easier beneficially affected by Phosphor., being mesmerized before taking the remedy. Phosphor, is an antidote to over-doses of Camphor.

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

The Element. P. (A. W. 30.96). Saturated solution in absolute alcohol. Trituration of Red amorphous Phosphorus.

Clinical

Alopecia areata. Amaurosis. Amblyopia. Anæmia, acute pernicious . Anus, fissure of. Antrum, disease of. Arteries, disease of . Asthma. Bone, diseases of. Brain, affections of ; softening of. Brain-fag. Breast, abscess of; fistulæ of. Bronchitis ; membranous. Cancer; of bone. Cataract . Catarrh; intestinal; nasal. Chilblains. Chlorosis. Chorea. Ciliary neuralgia. Coccygodynia. Cold. Constipation. Consumption. Corpulency. Cough . Croup. Dandruff. Diarrhœa. Dropsy. Ecchymosis. Enteric fever . Ephelis. Epilepsy. Erotomania . Exophthalmos. Exostosis. Eyes, affections of . Fainting. Fatty degeneration . Fistula. Flatulence. Fungus hæmatoides. Gastritis . Glaucoma. Gleet. Gums, ulceration of. Hæmoglobinuria. Hæmorrhagic diathesis . Headache. Heart, degeneration of ; murmurs of. Hydrocele. Hydrocephalus . Hysteria. Impotence. Intussusception. Jaundice ; malignant; of pregnancy; of anæmia. Jaw, disease of. Joints, affections of . Keratitis. Lactation, disorders of. Laryngitis . Levitation. Lightning, effects of. Lienteria. Liver, diseases of; acute yellow atrophy of. Locomotor ataxy. Lumps, hæmorrhage from ; œdema of; paralysis of. Marasmus. Menorrhagia. Menstruation, symptoms before. Mollities ossium. Morphœa. Muscæ volitantes. Nævus. Nails, ulcers round. Neuralgia . Nightmare. Nipples, sore. Nose, bleeding from. Numbness . Nymphomania. Odour of body, changed. Œsophagus, pain in . Ozæna. Pancreas, disorders of. Paralysis; pseudo-hypertrophic; general of insane . Periostitis. Perspiration, abnormal . Petit mal. Plague. Pneumonia. Polypus . Pregnancy, vomiting of. Proctalgia. Proctitis. Progressive muscular atrophy . Pruritus ani. Psoriasis. Puerperal convulsions. Purpura. Pylorus, thickening of . Retinitis. Rheumatism; paralytic. Rickets. Screaming . Scurvy. Shiverings. Sleep, disordered . Somnambulism. Spine, curvature of . Spleen, enlargement of. Sprains. Stammering. Sterility. Syphilis. Syringo-myclia. Throat, mucus in. Tobacco habit. Trachea, tickling in . Tuberculosis. Tumours; erectile; polypoid; cancerous. Typhus fever. Ulcers. Urethra, stricture of . Vaccinia. Variola. Voice, loss of. Whitlow . Wounds. Yellow fever.

Characteristics

Phosphorus (Light-bearer, Morning Star) "was discovered in 1673 by Brandt, an alchymist of Hamburgh, and shortly afterwards by Kunkel, in Saxony." Teste, from whom I quote, says that attempts were made to use Phos . in medicine immediately after discovery. Kunkel made it into his "luminous pills," and Kramer claimed to have cured with it diarrhœa, epilepsy, and malignant fevers. Teste gives a list of old-school cures, which include: Continuous, bilious, and intermittent fevers; general œdema; measles; two cases of pneumonia of left lung, with ataxic symptoms; chronic rheumatism of the legs; apoplexy; hydrocephalus; periodic headaches (in one case with menstrual irregularity); catalepsy; epilepsy; gutta serena; asthenia facilis; chronic lead poisoning, ─ a list which shows a very good idea of the range of action of Phos . Hahnemann's proving brought out the fine indications, without which the generals are of little service, and to Hahnemann's symptoms have been added those of later provings and of numerous cases of poisoning, and the effects on workers in match factories, especially necrosis of the lower jaw. The vapour given off by unignited Phos . is Phosphorus oxide . The jaw affection, called "Phossy-jaw" by the workpeople themselves, is accompanied by profound adynamia, and not unfrequently ends in death. The form of the disease differs according to whether the upper or lower jaw is attacked. In the, former case it pursues generally a chronic and mild course, ending in exfoliation, cicatrisation, and cure. In the latter the necrosis may be either acute or chronic., but is always severe, and the patients usually die of "consumptive fever" ( C. D. P .). Here is a typical case quoted in C. D. P . from B. J. H ., iv. 287: J. D., 21, had been four years in a match factory. For two and a half years he had only laryngeal irritation from the local action of the fumes. He then began to cough very much and expectorate thick white mucus. Then most violent toothache set in, with swelling on right side of face. A molar was extracted but without relief, and one tooth after another dropped out. He became too weak to walk. A swelling as big as an egg formed below right orbit, burst in a fortnight, and discharged a large quantity of white pus. He grew worse all the teeth fell out; gums of lower jaw were retracted. Examination found right cheek swollen. At right angle of lower jaw an opening discharging laudable pus, through which a probe can be passed two inches along bare bone, and two inches anterior to this another aperture leads to the same. On opening mouth the whole lower jaw as far as ascending rami and down to reflection of mucous membrane is denuded and of leaden greyish colour. On right upper jaw probe can be passed over bare bone. Pareira ( C. D. P .) has observed in phosphorus workers "a peculiar sallow, bloated complexion, with dull expression of eye and gastric derangement," when there was no affection of the jaws. [Wagner found Phos . symptoms long before local disease appeared, e.g ., cardialgia, anorexia, eructation of gas smelling of Phos .; also dizziness, faintness, and cachectic appearance. The first symptoms in the jaws are tearing pains, the teeth being sound, swelling and suppuration of the gums, and loosening of the teeth follow, and the bone becomes denuded. Langenbeck objects to the term "necrosis," stating that it is a periostitis in which bony deposit occurs, enclosing the jaws more or less as in a sheath. There is no exfoliation. This osteo-periostitis may arise from rheumatism. ─ - Klin. Woch , Jan. 2, 1872.] In cases of acute poisoning the most remarkable effect noted is acute fatty degeneration of the liver and engorgement of the lungs. At first there is tenderness of the liver, but as it shrinks this passes away. The right lung is more affected than the left. The symptoms of acute Phos . poisoning are exceedingly painful if consciousness is retained; violent tearing pains in œsophagus, chest, stomach; vomiting and diarrhœa; rectal, vesical, uterine tenesmus; bloating of abdomen; sensitiveness to touch; hæmorrhages from all orifices. Death may take place in a few hours, or it may be delayed for months. In the case of a child of 2 1/2 who had sucked the heads of matches, two days afterwards there was some feverish excitement, later violent convulsions, lasting three hours, and ending in death. There were found after death no fewer than ten invaginations of the small intestines, which, however, were empty, and there was no sign of strangulation ( C. D. P .). In a woman, 45, who swallowed the Phos . from 120 matches, Ozanam found a typhoid febrile state, profound prostration; inability to raise herself; dry tongue; much thirst; stomach sensitive; vomiting of black, sooty matter. Death took place on the second day ( C. D. P ). A man, 48, inhaled vapour of burning Phos . Among his symptoms were: A sensation as if something twitched under skin or was creeping between skin and flesh. Twitching of single bundles of fibres at different times like playing on a piano. Tongue when speaking often refuses to move, so that he stammers ( C. D. P .). A case reported by J. O. Müller and translated in C. D. P . brings out some very characteristic symptoms of Phos . A strong woman, 30, took about three grains of Phos . from matches. Among her symptoms were: After eight hours violent and noisy, vomitings. Prostrated, cold, pallid, as if moribund and unconscious. Cold, clammy sweat, general; skin here and there waxy yellow; complexion leaden grey; dark blue rings round eyes; pulse small, hard, slow, unrhythmic, intermitting. Abdomen distended, very sensitive all over, the slightest touch causing violent pains; could not bear weight of nightdress. Senses and mind in unconscious apathy; could only be roused by loud calling into her ear. Aco . 1 every ten minutes revived her. She complained of very violent burning pain in lower chest (œsophagus?), stomach, and whole abdomen < by every touch or change of posture. Vomiting and diarrhœa had ceased, but she still had retching and ineffectual straining at stool with burning like fire in large intestine and anus . She passed with difficulty small quantities of dark yellow urine, smelling strongly of garlic, after micturition very severe burning . Boring, burning pains in bones, especially of skull, palate, nose, jaws, and teeth, < taking cold or warm things into mouth or chewing, only tepid liquid nutriment could be borne. At times numb pain in teeth; they felt loose as if they would fall out. Apathy alternating with angry words and actions. After menses, burning leucorrhœa that made the parts sore. Soft parts of joints swollen. Considerable rigidity of joints. The skin, which had been pale, put on a yellow tint, bloated swellings appeared in places on eyelids and face, pitting on pressure. On nape, back, and other parts the skin could be raised by the fingers in large folds, which slowly smoothed down again. Finally a peculiar exanthema appeared on the skin about the joints like eczema; vesicles in groups turned rapidly into scabs and frequently recurred. Sulph . was given and gradual recovery occurred. In a youth poisoned by Phos . there was nausea and sour taste; milk tasted burnt; every smell (tobacco, wine, beer) < the nausea. One of the provers had: Loathing of butcher's meat and bad appetite. Phosphorus burns are among the most painful of all burns, and the burning sensations of the poisonings are prominent also in the provings: "Glowing sensation throughout epigastrium and chest." "A flame seemed passing through me." "Warming sensation right side of heart and below left clavicle. This heat spread to apex of left scapula and to acromion, when it left the heart." "From 11 a.m. till 4 p.m. remarkable numb feeling in left leg from knee to toes, sometimes sensation as if hot blood flowed into it." Other symptoms from the provings are: "Drawing forcing towards pelvis and rectum as if menses coming on." Intense sexual excitement in men with erections, emissions; later impotence. Dr. Sorge, 34, had this symptom: "Weight in occiput and nape, down whole spine a dull feeling as if over-filled with blood, and in sacrum a peculiar paralytic feeling like what one feels in the limbs when exposed to unavoidable danger; heaviness of feet, which were not placed on ground with usual energy. Walk less strong, often stumbled on a smooth road. Diminished sexual appetite, and feeling as if the penis would not become erect when excitement was present. Mental indifference (quite unusual)." E. R. Heath had some decidedly "phosphorescent" symptoms: Darting, cutting pains, causing much distress, starting from different points and flashing over whole abdomen; imagined an aurora borealis and seemed to hear distinctly voices shouting "Beautiful, oh! was not that splendid?" as the pains became more severe and lasting. He sprang from bed and tried to collect his thoughts; had numbness all over with sensation of myriads of needles slightly pricking him. Throat dry and parched; a flame seemed to pass through him. Feet seemed glued to the floor. With great difficulty he reached the vessel, and as soon as the bowels began to act the pains changed to cramps. Stools were like scrapings of intestines, almost constant, with tenesmus, for over two hours, after which he lay down in bed, weak, sore, almost helpless. The same prover had: Intolerable thirst; drink did not quench it, but caused cold, clammy sweat to exude the moment the water entered the stomach. Later: Involuntary passages, periodic; rectum insensible; sphincter paralysed; slight prolapse after each stool. Stools inodorous save for a slight mouldy smell. H. Noah Martin proved Red amorphous Phosphorus . The symptoms do not differ from those of transparent Phos ., and are included in the Schema. ─ Such are the materials out of which the picture of the great remedy known in homœopathy by the name Phosphorus has been drawn, the characteristic features being pointed up with the added light and shade of clinical experience. The types of constitution in which Phos . has been found particularly suitable are strongly marked: ( 1 ) Tall, slender persons, of sanguine temperament, fair skin, blonde or red hair, quick, lively perceptions and sensitive nature. ( 2 ) Young people who grow too rapidly and are inclined to stoop; chlorotic; anæmic. [In experiments on young animals Phos . has produced rickets. Kessel ( H. W ., xxxi. 394) gave Phos . to young dogs, in whom it caused fatal disturbance of digestion and fatty liver, and "marked atrophic process where bone was being deposited."] ( 3 ) Persons of waxy, translucent skin; half anæmic, half jaundiced. ( 4 ) Tall, slender, narrow-chested, phthisical patients; delicate eyelashes, soft hair. ( 5 ) Tall, slim, dark-haired persons, especially women, disposed to stoop. ( 6 ) Nervous, weak persons who like to be magnetised. ( 7 ) Hæmorrhagic patients; slight wounds bleed profusely. Phos . profoundly affects the nutrition and function of every tissue, notably the hardest (bone) and the softest (nerve and blood). It causes irritation, erethism, exaltation of all the senses, and later a typhoid state and fatty degeneration. In fevers of typhoid type and in pneumonia Phos . has an important place. It is indicated especially when the morbid action becomes localised in the right lung, particularly the lower lobe. In the year 1876, in the course of a severe attack of typhus fever during my residence in Liverpool, my state, as I am told (for I was in delirium), suddenly became very critical through pneumonic consolidation of the right lung. Phos . was the remedy selected by Drs. Drysdale, Hayward, and Hawkes, who attended me, and under its action I made a rapid recovery. ─ Hard, dry cough, rusty sputa; < at twilight and till midnight ; < lying on left side ; > lying on right side ; abdomen distended, sore, very sensitive to touch ; stools offensive, bloody, involuntary; the anus appearing to remain open . Each one of the symptoms I have italicised is a keynote of Phos . When any of them are present (with or without the pneumonia) Phos . is likely to be the remedy. The delirium is low, muttering, stupid; or violent; or there may be a state of ecstasy; or odd ideas, that his bones are in fragments and he cannot fit the pieces together. As a leading constituent of nervous matter Phos . has a deep action on the organ of mind and sensation. It produces an excitable condition, exaltation of mental faculties, and the condition which follows over-exertion. The mind, like the special senses, is too excitable and impressionable. Easily angered and becomes vehement; actually gets beside himself with anger and suffers physically in consequence. At other times anxious and restless, especially in the dark and at twilight (the restlessness of Phos . is universal; patient cannot sit or stand still a moment; it belongs to the stage of irritation, and is succeeded by apathy if the condition is not arrested). Imagines he sees faces grinning at him from the corners of the room. Such conditions are found in cases resulting from losses of fluids; over-work of brain; sexual excesses and abuse, and take shape in general paralysis of the insane with mania of grandeur; and in apoplexy and its sequelæ; in Duchenne's pseudo-hypertrophic paralysis, in locomotor ataxy and other paralyses. A very characteristic condition of Phos . in nervous cases is fibrillary twitching of individual bundles of fibres in muscles. Numbness and formication in paralysed limbs indicate it in hemiplegia and paraplegia. Spasms on paralysed side. In other cases the burning pains of Phos . are prominent: burning between the scapulæ; burning in spots along the spine; feeling of intense heat running up the back (no other remedy has exactly this symptom). The uncertain gait, neuralgic pain, and fuzzy feeling of the feet, give the correspondence with locomotor ataxy, when the conditions correspond. Epilepsy from masturbation. Petit mal: epilepsy with consciousness. Man of Itzehoe ( H. R ., xv. 268) cured this case of sciatica: An elderly lady had for eight weeks a continual burning pain running along back of left thigh and leg, compelling her to spend most of the day in bed. Entire limb so weak that she could hardly walk. < Lying on left side. > Lying on right side or on back. < By movement. < By cold air. > Being warmly-covered. < In evening. Phos . 6x, every two hours, caused aggravation for the first three days, and after that gave relief, but did not cure. Phos . 30, one powder every evening, completed the cure in a week. But the action of Phos . is not confined to the brain and spinal cord, it also affects the cranial bones and spinal column. I cured mainly with Phos . 1m a case of spinal caries with paralytic symptoms in a lady aged 67. That is, I cured the caries and removed the paralysis, though the curvature remained. There was a history of a strained back thirty-five years before, and of lumbago and sciatica five years before I saw her. She had many pains in the scapula and chest, and could not walk unless supported about the waist. Incidentally Phos . set up a symptom of its own: Dryness of mouth, lips, and throat. Phos . has burning thirst for cold water; cold water relieves, but as soon as it becomes warm in the stomach it is vomited . This is one of the keynotes of Phos ., and distinguishes it from all other remedies in cases of vomiting. Desire for cold foods and preference for cold meat is very characteristic of Phos ., and the cold food, like the cold drink, may be vomited as soon as it becomes warm inside. Ice cream > the gastric pains. There is nausea on putting hands into warm water; sneezing and coryza from putting hands in water. Regurgitation of ingesta in mouthfuls. During pregnancy the sight of water = vomiting. The appetite of Phos . is remarkable: Must eat often or he faints . Hungry soon after a meal; hungry in the night, must eat. Craving for salt ( Phos . remedies the effects of excessive salt-eating). The sinking, faint feeling of Phos. is felt in the whole abdominal cavity ; also in head, chest, and stomach. The stools of Phos . are peculiar, whether constipated or diarrhœic: Long, tough, hard fæces (like a dog's); voided with great difficulty and straining. Diarrhœa as soon as anything enters the rectum; profuse pouring away as from a hydrant; watery with sago-like particles; with sensation as if the anus stood open involuntary; during cholera-time painless; morning of old people bloody stool; blood-streaked stool; stool like shreddy membranes. With the stool there is burning in the anus and tenesmus. There are also pains of all descriptions in the anus, notably stitches shooting up rectum. A man suffering from pneumonia, to whom I gave Phos . 3, after a few days developed attacks of violent pain in rectum and anus, with distension of abdomen and desire for stool; stool light, lumpy, constipated, only passed by aid of glycerine enema; after stool, complete relief of pain; sometimes the attack waked him from sleep. With Phos . 200 I cured a very severe proctalgia coming on at every menstrual period. During urination, and also when not urinating, there is burning in the urethra. Another very characteristic burning of Phos . is burning palms , cannot bear to have the hands covered. Flashes of heat beginning in hands and spreading to face. The fever is more of the yellow fever, typhus, or typhoid, nervous or hectic, type. In intermittents when there is heat at night beginning in stomach; faint and hungry in night; heat of hands. There is also chilliness towards evening; icy coldness of hands, knees, and feet, even in bed. Sweat is anxious, profuse, exhausting on slightest exertion; profuse at night; cold and clammy, smelling of sulphur or of garlic. Phos . corresponds to yellow fever in many particulars; disorganisation of the liver and blood with jaundice; hæmorrhages. It has caused acute fatty degeneration of the liver; and corresponds also to fatty degeneration of pancreas with gastric symptoms and oily stools, and fatty and amyloid degeneration of the kidneys. Phos . stands at the head of hæmorrhagics, and corresponds to the hæmorrhagic diathesis. The blood loses its coagulability. Very small wounds bleed profusely. Blood-streaked discharges are very characteristic when from lungs, nose, bowels, or other orifices. Hæmorrhoids. Menses are more profuse and longer-lasting than usual. There may be vicarious menstruation in the form of hæmoptysis, epistaxis, or hæmaturia. Left ovarian pain. Leucorrhœa which causes blisters. Sexual excitement is great in both sexes, going to the extent of satyriasis and nymphomania. Frequent erections in men, and sexual thoughts entirely beyond the patient's control. Erections in spite of efforts to control passion in young men. Impotence from over-indulgence or from celibacy. The female breasts are the seat of many burning, shooting, cramping pains, and Phos . has proved a leading remedy in mammary abscess and fistulæ. The characteristics are: Erysipelatous appearance; red streaks starting from opening; thin, ichorous discharge. The hæmorrhagic action of Phos . is seen in many forms of pulmonary hæmorrhage and congestion: blood-streaked or rusty sputa; tasting salty; when patients with delicate chests bring up phlegm tinged with blood whenever they take cold Phos . will generally clear up the case. Phthisis florida may also need Phos . It has also a "stomach-" or "liver-" cough; cough comes on after eating, and starts from a tickling in pit of stomach. Cough < when strangers enter the room. Cough < from strong odours (part of the general sensitiveness of the drug). Bronchial catarrh > in all grades may require it. Cough = tearing pain under sternum as if something was being torn loose. Suffocative pains in upper part of chest with constriction of larynx and engorgement of lungs; mucous râles; panting and laboured breathing, even emphysema. After the cough an asthmatic attack. The Conditions of Phos . will generally decide when it should be given. T. D. Stow ( J. of Homœopathics , August, 1890) reports the case of H. B., 52, farmer, who had for six months a sharp pain with soreness in third intercostal space, three inches to left of sternum, limiting inspirations. Dyspnœa on exercise; dry cough during the day till 10 p.m. Thick, yellow, sweetish sputa from 6 a.m. to 10 a.m. Cough < lying on left side; when talking; when eating and just after eating; on going into cold air; by change of weather. > In fairly warm room; lying on right side. Prefers cold food. Has become alarmed by the persistence of the attack and loss of flesh. Three doses of Phos . 500 (Dunham), taken on three successive days, cured. This case was translated in Hahn. Month , September, 1890, from Alg. H. Zeit .: Whilst walking rapidly against the west wind three months before, X. felt a pain under middle of sternum with sensitiveness of the part to pressure. Pulse rapid. Phos . 6 removed the symptoms for two weeks, when pain and sensitiveness returned, and with the pain a sensation as though gas would rise from epigastrium. Phos . 3 cured. W. A. Nicholas ( H. W ., xxv., 495) reports the case of T. B., 51, whom he saw after a four months illness, which began with congestion of the brain on the sudden death of his wife, and was followed by bronchitis. During all this time he was heavily drugged. A rather long walk brought on a severe attack of angina pectoris. Bell . 1x gave much relief. Nicholas noticed the patient at times put his hand to the back of his neck. Phos . 1 relieved entirely. Phos . corresponds to headache and other sufferings from grief. Hot vertex after grief. It has shocks in occiput; coldness in cerebellum; congestion of brain seeming to rise from spine into head. Phos . has "splitting headache caused by cough." Neuralgic pains of many kinds, and impending paralysis. The attacks are induced by mental exertion; worry; washing clothes ; and are < by music; noises; strong odours. Gale, of Quebec, discovered in Phos . a remedy for "washerwoman's headache" ( Organon , iii. 30). His patient had these symptoms: Whenever she washes clothes or walks fast she has ─ rush of blood to head, red face and eyes, heat on head, scalp sensitive to touch, sudden shooting pains, especially in vertex. Phos . cm cured. I cured a somewhat similar case ( H. W ., xxiv. 455) with Phos . 30 every four hours; only in my case the headaches always appeared the morning after washing: violent shooting pains left side of vertex, > wrapping head in flannel. I had given several medicines previously which had improved the general health, but had done very little for the headaches. Phos . affects all parts of the eye ─ retina, choroid, vitreous and crystalline lenses, cornea, and conjunctivæ. It has arrested cataract and glaucoma, and cured retinitis albuminuria from suppressed menses. The leading symptoms are: Colours appear black before the eyes. Always sees green. Halo round candle. Letters appear red whilst reading. As if a grey veil over everything. Blindness after typhoid; sexual excess; loss of fluids; lightning. Twitching of lids. Pustule on cornea. Burning pains. The characteristic skin of Phos . is waxy , and either clear and pale or yellow. Under a " Phosphorus treatment" which was in vogue a generation ago, patients had a peculiarly waxy, fine, clear complexion; and in one case which came under my observation there was also very marked enlargement of the liver. In a case of rheumatism in an old lady who had waxy pallor , Cooper gave Phos . and set free all the joints. All kinds of eruptions May be set up. Exanthema with pustules (like small-pox), ulcers, psoriasis, lichen, eczema, blood boils, purpura. Hansen cured a case of purpura in a girl of ten ( H. W ., xxxv. 105). The disease began with loss of appetite and pains in the stomach, but as soon as the purpura spots appeared the pains ceased and the appetite returned. The inner aspects of the thighs were affected. Phos . 2 cured. The ulcers of Phos . bleed easily at the slightest touch, and open cancers or fungus hæmatodes with this characteristic have been cured with Phos . "Large ulcers surrounded by smaller ones." Ulcers affecting the nails. Inflammation and eruptions about joints. Fistulæ with callous edges from glands. The joints most affected by Phos . are the hip and knee. The left side of the lower jaw is more affected than the right. Caries and exostoses of spine and other parts have been cured with Phos . De Noë Walker cured with Phos . 6 a large exostosis of the femur which had been pronounced osteo-sarcoma by old-school authorities. There are some forms of rheumatism which only Phos . can cure. These are characterised by great stiffness of the joints, more stiffness than pain. A drawing, tearing, tight feeling in parts. Stiffness of old people. Paralytic rheumatism from exposure to rain. The tight sensation appears in the girdle pain of spinal affections; tightness of skin of face and forehead. (Also stiffness in brain; in eyes.) Allied to the rheumatic symptoms of Phos . is its sensitiveness to effects of storms, especially thunderstorms. Phos . has cured more cases of headache always coming on when thunderstorms are about than any other remedy in my experience. It has also cured blindness from lightning stroke. The headaches from inhaling the steam of a washtub perhaps come in the same category as effects of vapour-laden air when storms are about. Mills (quoted H. W ., xxxi. 33) relates a typical case of thunderstorm effect: Mrs. R, tall, thin, dark, of mild and gentle disposition, was seen by the doctor during a thunderstorm. He found her sitting on the stairs, trembling and cold and bathed in cold, clammy sweat, full of nervous dread, and almost beside herself. One dose of Phos . cm cured. Some weeks later she witnessed a worse storm with complete unconcern. The power of Phos . over septic conditions is illustrated in a case of Howard Crutcher's (quoted H. W ., xxxiii. 405). A girl, 16, had perforating appendicitis, operation having been delayed too long in consequence of opposition of friends. Although he deemed it useless he was persuaded to operate, and found a large abscess behind the colon, freely communicating with the peritoneal cavity. Up to the fourth day the patient progressed favourably. Then there was a collapse: pulse 130, mind wandering, urine and fæces passed without restraint. The patient was rapidly sinking; Arsen . gave no help. The doctor sent word to the students who were nursing the patient that they might try a hot saline enema. On attempting to give it the rectum was found to be open , no resistance being offered by the sphincter. Greyish-while fæcal discharges, watery and offensive, passed constantly . "The students, recognising the indication for Phos ., gave a dose of that remedy, and instead of dying the girl got well." Peculiar sensations are: As if about to die. As if immersed in hot water. Anxiety as if below left breast. As if he had been lying at night with head too low. As if everything had stopped in head. As if chair were rising. As if eyes would be pressed out; or pressed down by weight about them. As if painful nodes under scalp. As if pulled by hair. As if head would burst. As if something exploded in head. As if skin of face too tight. As if something were pulled tight over ears. As if dust in right eye; sand in left eye; eyeballs large. As if something lay before ears; foreign body in ears. As if nose stuck together. As if nails driven into jaws. As if food did not digest properly. As if heavy Weight in stomach. Stomach as if freezing. As if something cooking in stomach. Anus as if open. Larynx as if lined with fur. As if skin on larynx. As if a piece of skin hanging loose in larynx. As if something in middle of sternum torn loose. As if heart had grown fast. As if chest eviscerated. As if a narrow band encircled body and lay upon heart. As if great weight lying on middle of sternum. Back as if broken. As if quicksilver moved up and down spinal cord. Coccyx as if ulcerated. Soles as if he had walked too much. Feet as if asleep. Ankles as if sprained. Suddenness is a feature of Phos .: Sudden prostration such as may occur in diphtheria, measles, scarlatina, or any disease in which the system has sustained a profound shock. The left side is somewhat more affected than the right, the venous more than the arterial system. The symptoms of Phos . are < from touch (cannot bear touch of nightdress); from pressure (but pressure > feeling as if something before ears and pains in chest). Rubbing > . Mesmerism > . Rest < pain in arms and shoulders. Lying down = intense pains in eyes; < colic and tearing in jaws; > heat of scalp and incarcerated flatus. Weakness after stool and after urinating, compelling lying down. Lying on back < diarrhœa; asthma; > pneumonia; pain in arm. Lying on left side < ; on right side > . Sitting < . Motion; exertion; walking, especially fast walking, < . Exertion physical or mental < . Laughing < (cough). Coughing = headache. Talking < pain in larynx. < From spraining parts. < Lifting arms. < Before sleep, > after. (Some symptoms are < on waking, but this is less characteristic.) < Morning; evening (especially twilight ); before midnight. Heat < boring in teeth; back pains; itching spots of skin. Warm food and drink < (but hot drinks > flatulent colic). Warm water, putting hands in = toothache. Warm wraps > neuralgia of head and heat of scalp. Weather changes (either way) < . Open air > pain in forehead; hemicrania; stuffed feeling in nose; < vertigo; toothache cough tearing in labia taking cold easily. Wind < . Thunderstorm < . Washing with cold water > . Washing clothes; wet weather < . < Light noise music; piano playing. > In the dark.

Relations

Antidoted by: Nux, Coff., Tereb.; Kali permang. well diluted and given freely (Dr. Antal). It antidotes: Tereb., Rhus ven., Camph., Iod., Nat. m. (excessive use of salt), Petrol. Complementary: Ars., Cepa (all three have alliaceous odours), Carb. v., Ipec. Incompatible: Caust. Compatible: Ars., Bapt., Bell., Bry., Calc., Cart). v., Chi., K. ca., Lyc., Nux, Pul., Rhus, Sep., Sil., Sul. Compare: Ars., Merc., Petr., Sul. Asthma after cough, Ars. (Ars. before and after). Fancies himself in pieces, Bapt. Stitches up vagina, Sul., Sep., Pul., Nit. ac., Alum., Berb., Am. c. Weakening night-sweats, Chi., Calc., Lyc. Sweats towards morning, Calc., Lyc. (Phos. on awaking). Tongue glazed, Lach. (Lach. red; Phos. dry, cracked, black). Lienteria, Chi. Cough < entering cold air from warm room (Bry. opposite). Fear of darkness, Am. m., Calc., Stro., Val., Stram. Fear of ghosts, Pul. Sense of insecurity in bowels, Alo. Piles during menses, Collins., Ign., Lach., Pul. Effect of raising arms high to lift things, Rhus. Chilblains; general paralysis, Agar. Headache with increased intellectual powers (Phyt. with increased hearing). Hunger at night, Chi. s., Pso., Pul., Ign., Lyc. (Pho. unappeasable hunger with febrile heat). Left ovarian pain, Coloc., Thuj., Lach., Bry. Somnambulism, Can. i., Sul., Luna. Sensation of anus open, Phos. ac., Apis (Lach. as if vagina Open). < Walking fast, Pul. Regurgitation of food, Sul. Nocturnal salivation, Cham., Nux, Rhus. Difficult swallowing of liquids, Bell., Caust., Can., Hyo., Ign., Lach., Lyc. Blood from bowel, Merc., Nit. ac., Sul., Caps., Merc. c. Menorrhagia, Calc. Laughs at serious things, Anac., Lyc., Nux m., Plat. Hæmorrhage, blood does not coagulate, Sanguisuga. Fatty changes in blood, kidneys, spinal cord; brain-fag; crawling and tingling sensations; sexual excitement with erethism; backache as if it would break Pic. ac. (Phos. has more irritability and over-sensitiveness to external impressions with the weakness; the senses are too acute, or if failing, accompanied by photopsies; Pic. ac. has more intense erections and less lasciviousness than Phos.). In general features; taciturn and distrustful; inclined to be angry and scold; sensation of tension; nervous weakness and restlessness, Caust. (Phos. has great soreness of larynx, fears to cough or talk; Caust, has cough > by cold drink, Hoarseness of Phos. is < evening, of Caust. < morning). Scrofula, tuberculosis, swelling of glands, indolent ulceration, difficult learning to talk and walk (Phos. has delicate, refined skin, features sharp and rather handsome; Calc. large, swollen lips). Small ulcers surrounding large ones (Hep. pimples round sore eyes). Phthisis florida, Fer. (Fer. has apparent plethora with great oppression of chest from least exertion). Weakness and goneness in stomach at 11 a.m.; softening of brain; enervation accompanied by trembling; restlessness, Zn. (Zn. has ptosis; < from wine; restlessness of feet, Phos. of entire body). Functional paralysis from fatigue or emotion, Stan., Coccul., Ign., Nat. mur., Collins. Hoarseness, < evening, weak chest, cough, copious expectoration, hectic, Stan. (Phos. has more blood-streaked sputa; tightness across chest). Bone disease, abscess, especially of breast, with fistulous openings; over-excitability of nervous system; cough excited by speaking, Sil. Phthisis; rapidly growing young people, Iod. (Phos. is nearest Iod. in phthisis). Aphonia with rawness of larynx, Carb. v. Heat at vertex; imperfect growth of tissue; morning diarrhœa, Sul. (Sul. has hunger at 11 a.m. with the heat at vertex, Phos. has not; Phos. has green painless stools, Sul. stools changing colour, and raw sore anus). Irritation of respiratory tract, sore larynx (Phos. has irritation lower down; sore larynx, < from talking or pressure, Bell. only from pressure). Capillary bronchitis, Ipec. (Phos. more inflammatory). Prostration, Chi. (Phos. sudden, Chi. not). Vicarious menstruation, Bry., Puls., Senec. Typhoid, Rhus; and erotic mania, Hyo. Cold; cerebral softening, Nux (Phos. follows Nux in both; if cold goes to chest in spite of Nux). Cough from reflex nervous influence, Ambra (Amb. < when strangers in room). Irritability; intolerance of mental strain, Nux. Vomiting: after drinking cold water, Ars. (Ars. immediately; Pho. as soon as warm in stomach), Bism. (immediately after eating, with burning cardalgia), Kre. (of undigested food hours after eating). Diarrhœa as soon as he eats, Ars. Weakness after stool, Con., Nux. Sensitive to storms and electricity, Rhod., Merc., Morph. Polypi. Teuc., Calc., Sang., Pso., Lemn. > From cold drinks and food (Lyc. opposite). Hysteria, Ign. Deafness, especially to human voice (Ign. opposite). Small wounds bleed much, Lach. < Putting hands in water, Lac. d. Apathy; weakness and prostration from loss of fluids, Pho. ac. (Phos. has more dryness of tongue and sensorial excitement). Diarrhœa blood-streaked and looking like flesh water, Canth., Rhus. Shreddy, membranous diarrhœa, Ars., Caust. < Twilight, Puls. Hepatisation of lungs, Ant. t., Sul., Lyc. (these correspond to the later breaking-up stage). Can only lie right side (Merc. can only lie left). Levitation, Phos. ac., Stict. pul. Desire for acids, Phell. Affections of skin about joints, Sep. Tongue as if burnt, Sang. Deafness after typhoid, Ars., Petrol. Nymphomania, Calc. ph., Orig. Tuberculosis, Bacil., Tuberc. Explosion in head, Alo. Jerks in head during stool, Indm. Numb, stiff feeling in brain, Graph. Duchenne's paralysis, Curar. Growing ends of bones, Conch. Effects of hair-cutting, Bell. Teste puts Phos. in three of his groups, of which Puls., Ipec., and Fer. are the types.

Causation

Anger. Fear. Grief. Worry. Mental exertion. Strong emotions. Music. Strong odours. Gas. Flowers (fainting). Thunderstorms. Lightning (blindness). Sexual excesses. Loss of fluids. Sprains. Lifting. Wounds. Exposure to drenching rains. Tobacco (amblyopia). Washing clothes. Having hair cut.

Mind

Affections of the mind in general; amativeness; dizziness of the mind. ─ Nymphomania. ─ Melancholy sadness and melancholy, sometimes with violent weeping, or interrupted by fits of involuntary laughter. ─ Laughs at serious things. ─ Stupor, low, muttering delirium; loquacious. ─ Thinks he is several pieces, and cannot adjust the fragments. ─ Stupor from which he could be aroused for a moment only to lapse back into a muttering lethargy; and forgetfulness. ─ Great apathy; very sluggish; dislike to talk; answers slowly or not at all. ─ Anguish and uneasiness, esp. when alone, or in stormy weather, principally in evening, with timorousness and fright. ─ Anguish respecting the future; or respecting the issue of the disease. ─ Susceptibility to fright. ─ Fear: in evening; of darkness; of spectres; of things creeping out of corners. ─ Hypochondriacal sadness. ─ Disgust to life. ─ Apathy alternating with angry words and acts. ─ Becomes easily vexed and angry, which makes him exceedingly vehement, from which he suffers afterwards. ─ Any lively impression = heat, as if dipped in hot water. ─ Great irascibility, anger, passion, and violence. ─ Involuntary and spasmodic weeping and laughter. ─ Misanthropy. ─ Repugnance to labour. ─ Shamelessness, approaching insanity. ─ Great indifference to everything, and even to patient's own family. ─ Great forgetfulness, esp. in morning. ─ Great flow of ill-assorted ideas. ─ Zoomagnetic condition; state of clairvoyance. ─ Ecstasy.

Head

Cloudiness and dizziness, esp. in morning. ─ Vertigo when rising from bed in morning; when rising from a seat, with faintness and falling to the floor; < morning and after meals. ─ Dulness of head > washing face with cold water. ─ Frequent attacks of vertigo at different times, and at different hours in the day, esp. in morning, in middle of day, and in bed in evening. ─ Vertigo when seated; with hypochondriasis, during which chair appears to rise. ─ Vertigo with nausea and pressive pains in head. ─ Obstinate vertigo; falls back whenever he attempts to rise from bed. ─ Vertigo very pronounced; up and down vertigo; things move up and down, or else patient feels sinking through the floor (R. T. C.). ─ Apoplectic unchanging vertigo (R. T. C.). ─ Vertigo with loss of ideas. ─ Stupefying headache, morning, when moving, and < on stooping; ceasing for a short time after eating; > when lying down and in cold air. ─ Attacks of headache, with nausea and vomiting, and throbbing, jerking pains. ─ Nocturnal headache, preceded by nausea in evening. ─ Headache caused by vexation. ─ Headache in morning. ─ Headache with increased mental power. ─ Weakness of head, which is fatigued by music, laughter, a heavy step, a warm room, &c. ─ Pain in brain as if it had been bruised. ─ Stunning headache, sometimes with violent ebullition of blood, and paleness of face. ─ Congestion to head, with burning, singing, and pulsations in head, red face, puffiness under eyes, < morning when sitting and in evening in bed. ─ Sensation of emptiness in head with vertigo. ─ Headache as if too full of blood from intense study. ─ Headache above l. eye with floating spots before vision. ─ Numb, dizzy sensation in brain, inability to work. ─ Feeling as if everything had stopped in brain. ─ Jerks in head, esp. during stool. ─ Sensation as if brain stiffened on remaining in open air. ─ Sensation of heaviness, of fulness, and pressure in head. ─ Tearing in head, and esp. in temples, or semilateral. ─ Lancinations in different parts of head, esp. in evening. ─ (Incessant shooting pains through brain with sensation as if eyes being pulled out, beginning in forehead, lasting day and night, with vomiting, > by either warmth or cold. ─ R. T. C.). ─ Shocks in occiput, loud snaps; shocks in whole head, with shattered sensation as if something had exploded; brought on by over-work or worry. ─ Washerwoman's headache. ─ Burning in forehead, with pulsations, morning and afternoon, after eating < in warm room, > in open air. ─ Pulsation in head, with singing and burning in it, mostly in forehead, with nausea and vomiting from morning till noon; < from music, while masticating, and in warm room. ─ Congestion in head, with beating, buzzing, heat, and burning sensation, esp. in forehead. ─ Splitting headache from cough. ─ Sensation of coldness in head. ─ The headaches are > by open air. ─ Neuralgia of head, when it must be kept warmly wrapped up night and day. ─ External shootings in side of head. ─ Distressing sensation, as if skin of forehead were too tight, and tension in face, as if the skin were not large enough, frequently only on one side; < from change of temperature and while eating; > after eating, with anxiety. ─ Tendency to suffer from a chill in head, with a sensation in open air as if brain were congealed. ─ (Sensation of coldness in cerebellum, with sensation of stiffness in brain.). ─ Inflammation of brain with pulsations and singing in head; the heat enters head from the spine, and from it extends to feet; < in warm room, > when moving about in cold air. ─ Headache over l. eye. ─ Headache extending to eyes; to root of nose. ─ Itching in scalp, < from scratching, with dandruff. ─ Falling off of hair (in large bunches on forepart of head, and) esp. above ears (alopecia areata). ─ Dry scabs and great scaliness of scalp. ─ Dry, painful heat of scalp, compelling one to uncover head; temperature of body not increased; > when lying down. ─ Clammy perspiration on head only, and in palms of hands, with discharge of much turbid urine. ─ Sensation as if pulled by the hair. ─ Exostosis on cranium.

Eyes

Pains in eyes, as if in orbital bones. ─ Pressure in eyes as from a grain of sand. ─ Frequent itching in eyes. ─ Pressure as if eyes would be pressed out. ─ Shootings, smarting, heat, and burning sensation in eyes, esp. in external canthi. ─ (Eyeballs feel sore, with tendency to cold sweat and giddiness. ─ R. T. C.). ─ Eyes sore to touch and feel full (cured. Qy. glaucoma?-R. T. C.). ─ Congestion of blood in eyes. ─ Redness of sclerotica and of conjunctiva. ─ Yellowish colour of sclerotica. ─ (Episcleritis shifting from one eye to the other. ─ R. T. C.). ─ Inflammation of eyes of various kinds (with pressing and burning pains). ─ Lachrymation, esp. in open air, and when facing the wind. ─ Agglutination of eyes, morning, with lachrymation in open air, < in wind. ─ Sees better in morning, in twilight, or by shading eyes with hand. ─ Small burning spots on eyeballs. ─ Balls seem large, difficult to get lids over them. ─ Stiffness in eyes. ─ Nocturnal agglutination of eyes. ─ Hordeolum. ─ (Styes constantly appearing; suppurate. ─ R. T. C.). ─ Quivering of eyelids and of their angles. ─ Difficulty in opening eyelids. ─ Swelling of eyelids. ─ Pupils contracted. ─ Œdema of the lids and about the eyes. ─ Amblyopia. ─ Weakness of sight on waking in morning. ─ Eyes give out while reading. ─ Myopia. ─ Diurnal blindness, which is sometimes instantaneous (as from fainting); everything seems to be covered with a grey veil. ─ As if a black veil were before the eyes. ─ Clouded sight by candle-light. ─ Weak-eyed people who see a halo around the lamplight. ─ Shortsightedness; momentary loss of sight. ─ One sees variegated colours when there may be, only one colour. ─ Black reflections or sparks, and black spots before sight. ─ Sensibility of eyes to both daylight and candle-light (aversion to light). ─ Greenish (or red) halo round candle. ─ Cataracta viridis.

Ears

Otalgia. ─ Acute tearings and shootings in ears and head. ─ Beating and pulsation in ears. ─ Congestion of blood in ears. ─ Sensation of dryness in ears. ─ Yellow discharge from ears, alternating with deafness. ─ Acuteness of hearing. ─ Strong echoing of sounds, esp. of human voice, in ears, with vibration in head. ─ Deafness, esp. to human voice. ─ Feeling as if something were in front of the ears. ─ (Deafness after typhoid, &c.). ─ Deafness, l. side, and throbbing headache (produced. ─ R. T. C.). ─ Deafness from cold in head. ─ (Deafness with decayed teeth. ─ R. T. C.). ─ Murmuring before ears. ─ Buzzing in ears. ─ Roaring, ringing in the ears. ─ Aching; tickling; itching in ears. ─ Frequent tinnitus sometimes changing into beautiful tunes. ─ (Never-ceasing tinnitus like steam; seems to cause vertigo and feeling of falling through floor. ─ R. T. C.).

Nose

Nose red, swollen, and painful to touch. ─ Dry and hard scabs in nose. ─ Polypus in nose (bleeding easily). ─ Excoriation at angles of nose. ─ Ulcerated nostrils. ─ Numerous freckles on nose. ─ Fetid exhalation from nose. ─ Blowing of blood from nose (every time it is blown). ─ Profuse nose-bleed; slow bleeding. ─ Epistaxis, sometimes during a stool or in evening. ─ Acute sense of smelling, esp. during the headaches. ─ Foul imaginary smells. ─ Loss of smell. ─ Uncomfortable (painful) dryness of nose. ─ Constant (profuse) discharge of yellow, greenish, bloody, purulent mucus from nose; without coryza. ─ Coryza; with inflammation (soreness) of throat and dulness (confusion) of head; fluent and dry alternating. ─ Frequent sneezing. ─ Obstruction of nose, esp. in morning.

Face

Face pale, wan, sallow, earth-coloured, with hollow eyes, surrounded by a blue circle. ─ The colour of the face is very changeable. ─ Paleness, alternately with redness of face, and transient heat. ─ Redness and burning heat of cheeks. ─ Circumscribed red spots on cheeks. ─ Ashy, anæmic; blue lips; waxy. ─ Bloatedness of face, esp. round eyes. ─ Jerking of muscles of face. ─ Tension of skin of face and forehead, sometimes on one side only. ─ Desquamation of skin of face. ─ Painful sensibility of one side of face on opening mouth. ─ Painful, drawing, and tearing shootings in bones of face, esp. in evening, or at night in bed, or after the slightest chill. ─ The pains in face are renewed by speaking or by slightest touch. ─ Eruption of pimples and of scabs on face. ─ Lips bluish. ─ Lips dry and parched, swollen, covered with brownish scabs. ─ Cracked lips; crack in middle of lower lip. ─ Tetters and pimples round the mouth. ─ Ulceration of corners of mouth. ─ Cramp in jaw. ─ Necrosis of lower jaw, more rarely of upper. ─ Necrosis of l. lower jaw; swelling of jawbones. ─ Engorgement of submaxillary glands.

Teeth

Drawing or tearing (pricking, stinging) toothache, or else gnawing, boring, pulsative, jerking, and shooting, esp. in open air, or in evening and morning, sometimes at night only, esp. in heat of bed, or else from contact with hot food. ─ Toothache after washing clothes; from having the hands in cold water. ─ Toothache with salivation, after slightest chill. ─ Pains as of ulceration in teeth during a morning meal. ─ Caries in teeth. ─ Teeth become very loose. ─ Bleeding of teeth. ─ Grinding of teeth. ─ Painful sensibility, inflammation, unfixing, ulceration, swelling and ready bleeding of gums. ─ Gums separated from teeth, and bleed easily, esp. from touch.

Mouth

Excoriation of mouth. ─ Bitter taste in mouth; sour after milk; bloody erosions on inner surface of cheeks. ─ Accumulation of saliva, which is watery, saltish, sweetish; or excessive dryness of mouth. ─ Soreness of mouth. ─ Spitting of blood. ─ Viscid mucus in throat. ─ Hæmoptysis. ─ Purulent vesicles in palate. ─ Skin of palate shrivelled, as if about to be detached. ─ Tongue swollen, dry, loaded with a blackish brown coating. ─ The tongue swells (agg. ─ R. T. C.). ─ Stinging in tip of tongue. ─ Tongue: chalky white; dry and white; dry and red; dry and brown in centre; coated yellow. ─ Difficult articulation; speech slow; tongue refuses to move so that he stammers.

Throat

Dryness of throat day and night. ─ Aching in throat. ─ Smarting, scraping, and burning pain in throat. ─ Burning in œsophagus. ─ (Spasmodic) stricture of œsophagus. ─ Tonsils and uvula are much swollen. ─ Hawking up of mucus in morning. ─ Pain as from excoriation in throat.

Appetite

Clammy or cheese-like taste. ─ Bitterness in mouth and throat after eating, with roughness. ─ Taste saltish, sour, or sweetish in mouth, esp. after a meal. ─ Loss of taste. ─ Want of appetite from a sensation of fulness in gullet and violent thirst. ─ Excessive craving for cooling things. ─ Longing for acids and spicy things. ─ Hunger after a meal. ─ Bulimy, even at night (during an attack of gout), with great weakness, so great that he faints if the hunger is not soon allayed. ─ Thirst, with longing for something refreshing. ─ Sensation of faintness and softness in abdomen after breakfast. ─ After a meal drowsiness and indolence, heat and anxiety, burning sensation in hands, acidity increased, pressure and fulness in stomach, chest, and abdomen, accompanied by obstructed respiration, vomiting of food, inflation of abdomen, or headache, risings of sour ingesta, hiccough, debility, colic, and many other sufferings. ─ Throwing up of ingesta by mouthfuls.

Stomach

Risings, with pain in stomach, as if something were being torn out of it. ─ Tobacco smoke produces nausea and palpitation of heart. ─ Frequent risings, generally empty, esp. after a meal and after drinking; sometimes also abortive, or spasmodic, or else sour, or with taste of the food. ─ Sour regurgitation of food. ─ Pyrosis. ─ Hiccough. ─ Nausea of various kinds, esp. in morning or in evening, or else after a meal. ─ Nausea with violent hunger or thirst, which disappears on eating or drinking water. ─ As soon as the water (or food) becomes warm in the stomach it is thrown up. ─ Waterbrash, esp. after eating acid things. ─ Vomiting with violent pains in stomach and great weakness. ─ Greenish or blackish vomiting. ─ Vomiting of acid matter. ─ Vomiting of food, esp. in evening. ─ Vomiting of bile or of mucus at night, sometimes with coldness and numbness of hands and feet. ─ Vomiting of blood. ─ Vomiting with diarrhœa. ─ Pain in stomach, esp. when it is touched and when walking. ─ Violent pains in stomach, > by a cold drink. ─ Sensation of contraction in cardia; the food, scarcely digested, returns into throat. ─ Fulness in stomach. ─ Shootings and pressure in stomach, esp. after a meal, with vomiting of food. ─ Pain in scrobiculus when it is touched, also in morning. ─ Sensation of coldness, or heat and burning sensation in stomach and scrobiculus. ─ Inflammation of stomach. ─ Ulceration of stomach in anæmic girls (R. T. C.). ─ Spasmodic pain, sensation of clawing and contraction in stomach, sometimes with choking. ─ The pains in the stomach are > by cold food (ice-cream, ice). ─ General uneasiness, but which is felt more particularly in stomach. ─ The pains in stomach manifest themselves chiefly after a meal, as well as in evening and at night. ─ Oppression and burning in epigastrium. ─ Drawing pain in pit of stomach, extending to chest.

Abdomen

A very weak, empty, or gone sensation, felt in whole abdominal cavity (this is an indicative point whether found existing among a complication of troubles or occurring alone, and esp. when accompanied by sensation of heat in the back between shoulder-blades. ─ H. N. G.). ─ Sharp pains through abdomen. ─ Shootings in hepatic region. ─ Distension of abdomen, esp. after a meal. ─ Abdomen hard and distended. ─ (Distended abdomen with bilious tendency. ─ R. T. C.). ─ Acute yellow atrophy of the liver. ─ Enlargement and induration of liver, with pain. ─ Pain in hepatic region on pressure. ─ Enlargement of spleen. ─ Sensitiveness in hepatic region, < when lying on r. side, with pain on touch. ─ Painful pulsation in r. hypochondrium. ─ Contractive pain in abdomen. ─ Spasmodic colic. ─ Pinchings, cuttings, and tearings in abdomen, esp. in morning, in bed at night, and in evening, and often with urgent want to evacuate and diarrhœa. ─ Shooting pains in abdomen, sometimes with pallid face, shiverings, and headache. ─ Sensation of coldness, with heat and burning sensation in abdomen. ─ Inflammation of intestines. ─ Intussusception. ─ Uneasiness in abdomen after breakfast. ─ Pressure outwards against sides of abdomen. ─ Soreness of abdomen to touch when walking. ─ Flaccidity of the abdomen. ─ Obliged to lie down from weakness across abdomen. ─ Inguinal hernia. ─ Large yellow spots in abdomen. ─ Swelling and suppuration of inguinal glands. ─ Incarcerated flatus. ─ Flatulent colic, deeply seated in abdomen; < when lying down, with grumbling (rumbling and rolling in bowels) and borborygmi. ─ Flatus in general.

Stool and Anus

A very characteristic symptom is found in the stool, which is long, slim, hard, and dry, and is evacuated with a great deal of difficulty; it may be compared to a dog's stool in appearance and in manner of evacuation, is often accompanied with the same straining, trembling of the limbs, &c. ─ Diarrhœa: in great quantity, like water from a hydrant, and is very exhausting to the patient (often accompanied with a very weak, empty, or gone feeling in abdomen); painless; stools large; involuntary; mucous. ─ (Emaciating diarrhœa, skin dry and hard. ─ E. A. Small). ─ Constipation. ─ Fæces hard, small, slow, interrupted, difficult to evacuate, and much too dry (like a dog's). ─ Urgent and distressing want to evacuate. ─ Prolonged looseness of bowels. ─ Fæces of the consistence of pap. ─ Serous diarrhœa. ─ Diarrhœa with diminished strength ( < in morning). ─ Mucous diarrhœa. ─ Bloody diarrhœa. ─ Undigested fæces. ─ Greenish, grey (or whitish-grey), or black fæces (with flakes of mucus). ─ Stools watery, with whitish-yellow and cheesy masses; lumps of white mucus. ─ Stools odourless save for a slight mouldy smell. ─ Stools like scraping of intestines. ─ Involuntary evacuations. ─ Discharge of mucus from anus, which remains continually open. ─ Tenia, or ascarides from rectum, during stool. ─ Discharge of blood during the evacuation. ─ After stool: pressure, burning pain, and tenesmus in anus and rectum, with great exhaustion. ─ Dartings and shakings in rectum and anus (this may occur in children, causing them to cry out, is usually < in evening or night; they appear to have worms; they will put their hands to the seat, and show by various signs where and what the matter is). ─ Nettle-like stitches in rectum when not at stool. ─ Stitches in anus. ─ Biting and itching in anus. ─ Tearing in rectum; and genitals, even to sinking down. ─ Pain in anus so violent it seemed as though the body would be torn asunder, with cutting and movements in whole abdomen, constant ineffectual desire for stool, heat in hands and anxiety; > only by application of warm cloths. ─ Shaking and clawing l. side of anus. ─ Crawling stitches. ─ Pruritus ani. ─ After stool, frightful tenesmus for some time. ─ Paralysis of lower intestines; of sphincter ani. ─ Anus wide open. ─ Sensation of rectum paralysed. ─ Cramps and contraction of rectum. ─ Protrusion and ready bleeding of hæmorrhoidal tumours in rectum and anus, with pain as from excoriation, when sitting or lying down. ─ Fissure of anus.

Urinary Organs

Increased secretion of watery urine. ─ Frequent emission of a scanty stream of urine (only a small quantity each time). ─ Urine with white, serous, sandy and red, or else yellow sediment. ─ Turbid urine, with sediment like brick-dust. ─ Pale, aqueous, or whitish urine. ─ Variegated pellicle on surface of urine. ─ Hæmaturia (with acute pain in region of kidneys and liver, and jaundice). ─ Smarting and burning sensation when urinating. ─ Tension and jerking, or burning pain in urethra when not urinating (with frequent desire to urinate).

Male Sexual Organs

Very strong sexual desire, with constant wish for coition. ─ Impotence after excessive excitement and onanism. ─ Erections which are too energetic in evening or morning. ─ Frequent (involuntary) pollutions. ─ Feeble erections or none at all. ─ Feeble and too speedy emission during coition. ─ Pains in testes and swelling of spermatic cord. ─ Hydrocele.

Female Sexual Organs

Nymphomania. ─ Aversion to coitus. ─ Tearing in genital organs, and stitches upward from vagina into uterus. ─ (Small pustulation of vulva with great irritation. ─ R. T. C.). ─ Œdema of labia ( < l.), later gangrene. ─ Catamenia too early and too profuse (and of too long duration), or too early and too scanty and serous. ─ [ Phos . patients generally menstruate regularly but profusely, and not uncommon symptoms are, vertigo on rising in morning, with weakness of legs, so that for a few moments after getting out of bed, they cannot stand. ─ H. N. Martin.]. ─ Discharge of blood from uterus during pregnancy. ─ Catamenia of too long duration, with toothache and colic. ─ Before menses: abundant bleeding of ulcers; leucorrhœa; want to urinate; and weeping. ─ Frequent and profuse metrorrhagia. ─ On appearance of menses incisive, griping pains in the back and vomiting. ─ After menses: weakness, blue circles round eyes, and anxiety. ─ Menses: of too short continuance retarded. ─ During menses shooting headaches; fermentation in abdomen; expectoration of blood pains in (small of) back; soreness of limbs; great lassitude and fever; or palpitation of heart; shiverings; swelling of gums and cheeks, and many other sufferings. ─ Sterility on account of excessive voluptuousness, or if the menstruation comes on too late and is too profuse. ─ Smarting, corrosive leucorrhœa (drawing blisters). ─ Hard and painful nodosities in breasts. ─ Inflammation (erysipelatous) of breasts, even after formation of pus. ─ Erysipelatous inflammation of mammæ, with swelling, burning pains, and shootings. ─ Anxious feeling beneath l. breast, with bitter eructations. ─ Burning, pinching in r. breast, heat mounting to head. ─ Cramp pain in breast, high tip, under sternum, with eructations. ─ At 3.30 p.m. pain from l. nipple to r. nipple, thence to r. shoulder and r. little finger. ─ Pain below nipple shooting like electricity. ─ Nipples hot and sore. ─ Papular eruption on breasts. ─ Abscess in mammæ, also with fistulous ulcers; bluish colour.

Respiratory Organs

Hoarseness and scraping in throat, sometimes prolonged. ─ Aphonia, so as to be unable to speak except in a whisper. ─ Catarrh with cough, fever, and fear of death. ─ Very painful sensibility of larynx, which prevents speaking. ─ Stitches, soreness, roughness, and dryness in the larynx. ─ Croup; bronchitis. ─ Great sensibility of larynx with burning pain. ─ Dryness in trachea and chest. ─ Expectoration of mucus from larynx. ─ Cough excited by a tickling and itching in chest, or with hoarseness and sensation as if chest were raw. ─ Hollow, hacking, spasmodic, tickling cough, esp. if caused by tickling in chest; at night, preventing sleep. ─ Cough with shootings in throat, chest, and scrobiculus, sometimes only at night. ─ Dry cough every day, which continues several hours, with pains in stomach and abdomen. ─ Cough with stitches over one eye. ─ Cough from a change in the weather and from strong odours; from lying on l. side or on back. ─ Cough from going from warm into cold room (H. N. Martin). ─ Dry, shaking cough, with sensation as if head were going to burst, excited by cold air, by drinking, or by reading aloud. ─ Cough with vomiting. ─ Cough excited by laughing. ─ Dry cough, as if caused by tubercles, or chronic pneumonia. ─ Cough in paroxysms, brings up a viscid, muco-purulent expectoration, branched like the bronchial tubes. ─ Cough with purulent and saltish expectoration, esp. morning and evening. ─ Cough with expectoration in morning, without expectoration in evening; expectoration frothy, pale red, rust-coloured, streaked with blood; white and tough; cold mucus, tasting sour or sweet; transparent mucus in morning after rising. ─ Greenish expectoration from cough. ─ Cough with expectoration of slimy mucus or of blood, with smarting in chest.

Chest

Noisy and panting respiration. ─ Difficult respiration, esp. in evening, with anguish in chest, < by sitting down. ─ Respiration oppressed, quick, anxious. ─ Difficult inspiration; heaviness, fulness, and tension on chest. ─ Obstructed respiration and oppression of chest of various kinds, esp. in morning or evening, as also during movement. ─ Spasmodic asthma. ─ Constrictive spasms in chest. ─ After a cough, asthma. ─ Fits of suffocation at night. ─ Pressure at chest. ─ Heaviness, fulness, and tension in chest. ─ Contractive spasms in chest. ─ Tearing in chest. ─ Lancinations in chest, and esp. in l. side, sometimes prolonged, or else when the parts are touched. ─ Burning pain as from excoriation in chest. ─ Inflammation of lungs (l. side). ─ Pneumonia nervosa (lungs hepatised). ─ Tuberculosis (phthisis mucosa). ─ Sensation of fatigue in chest. ─ Anguish in chest. ─ Congestion in chest, with sensation of heat which ascends to throat. ─ Pain under l. breast, when lying upon it. ─ Yellow spots on chest.

Heart and Pulse

Anxiety about heart with nausea and a peculiar hunger, somewhat > by eating, distressing even in bed. ─ Sensation of warmth about r. side of heart. ─ Pressure; heaviness; aching in heart. ─ Rush of blood to heart and palpitation, that becomes very violent after eating. ─ Palpitation of heart of different kinds, esp. after a meal, morning and evening, as also when seated, and after all kinds of mental excitement. ─ Palpitation of heart with obstructed respiration; palpitation from every mental emotion. ─ Violent palpitation with anxiety, evenings and mornings in bed; on slight motion. ─ Blowing sounds in heart. ─ Pressure in middle of sternum and about heart. ─ Pulse rapid, full, and hard; small, weak, easily compressed.

Neck and Back

Rigidity of nape of neck. ─ Pressure on shoulders. ─ Swelling of neck. ─ Engorgement of axillary glands and of those of nape of neck and of neck. ─ Itching and shooting under axillæ. ─ Fetid sweat under axillæ. ─ Paralysed sensation in upper sacrum and lower lumbar vertebræ. ─ Contusive pain in loins and back (as if back were broken), esp. after having been seated a long time, hindering walking, rising up, or making the least movement. ─ Pain in small of the back when rising from a stooping position. ─ Burning in back or small of back (esp. with delayed menses). ─ Tabes dorsalis. ─ Burning pains in loins. ─ Sensitiveness of spinous processes of dorsal vertebræ to pressure. ─ Softening of spine. ─ Heat or burning in back, between scapulæ. ─ Tearings and stitches in and beneath both scapulæ. ─ Pain in coccyx impeding easy motion, can find no comfortable position; followed by painful stiffness of nape. ─ Coccyx painful to touch as from an ulcer. ─ Transient pain from coccyx through spine to vertex that drew head back during the stool. ─ Backache and palpitations prevail (R. T. C.).

Limbs

Weakness in all the limbs as if paralysed; esp. in joints, trembling from every exertion. ─ Swelling of hands and feet. ─ Bruised pain in limbs. ─ Extremities, esp. hands and feet, heavy as lead. ─ Numbness and falling asleep of limbs. ─ Exanthema on skin about joints. ─ Swelling of soft tissues of joints. ─ Joints stiff.

Upper Limbs

Stiffness in morning on washing, with pressure. ─ Rheumatic tearing (and lancinating pains) in shoulders, arms, and hands (particularly in joints), esp. at night. ─ Burning pain in palms of hands and arms; clammy perspiration in palms and on head. ─ Burning pain in hands and arms. ─ Numbness of arms and hands. ─ Lassitude and trembling in arms and hands, and esp. when holding anything. ─ Furfuraceous tetters on arms. ─ Congestion of blood in hands, with swelling and redness of veins, esp. when allowing arms to hang down. ─ Wrenching pain in joints of hands and fingers, with tension. ─ Swelling of hands, even at night. ─ Heat in hands. ─ Coldness of hands at night. ─ Contraction and jerking of fingers. ─ Deadness of fingers. ─ Paralysis of fingers. ─ Numbness of finger-tips. ─ Skin cracked at joints of fingers. ─ Chilblains on fingers.

Lower Limbs

Uneasiness, weakness, < on ascending steps, with heaviness. ─ Pain as from ulceration (suppurative) in buttocks when seated. ─ Pain in r. hip-joint. ─ (Exostosis of femur.). ─ Wrenching pain in coxo-femoral joints, and those of knees and feet, with external heat. ─ Swelling of tibia. ─ Bruised pain in periosteum of tibia. ─ Gangrenous periosteum of tibia, with fever; the periosteum peeled off as far as knee, leaving the bone rough. ─ Painful fatigue and heaviness of legs. ─ Heaviness in hollow of knees. ─ Burning sensation in legs and feet. ─ Tension and cramps in legs, esp. in knees. ─ Rheumatic stiffness of the knee. ─ Shocks in legs before going to sleep, (lay and night. ─ Drawing and tearing (rheumatic pain) in knees, extending into feet. ─ Paralytic weakness in legs, and arthritic rigidity of knees. ─ Tetters on knee. ─ Spots like petechiæ on legs. ─ Ulcers on legs, with surrounding small pustules. ─ Exostosis on tibia. ─ Jerking, and cramp in calves. ─ Tearings and shootings in feet, esp. at night (in feet of a pregnant woman). ─ Swelling of feet, or only of the malleoli, esp. in evening or after a walk, sometimes with shooting pain. ─ Sprained pain in ankles on walking. ─ Easy dislocation of foot. ─ Coldness of feet, esp. at night. ─ Paralytic feeling in feet. ─ Pain (as if bruised) as from ulceration in soles when walking. ─ Shocks in feet day and night before going to sleep. ─ Numbness of tips of toes. ─ Inflammation and redness of ball of great toe with lancinations. ─ Chilblains and corns on toes.

Generalities

Affections of inner chest; shinbones; bones of legs; of r. upper or r. lower extremity; r. upper or r. lower side. ─ Profuse secretion of mucus. ─ Affections of axillary glands; inflammation of glands in general; glands painful, particularly stitching pains; hot swelling of glands. ─ Glandular diseases, esp. after contusion. ─ Bleeding from inner parts; threatened phthisis pulmonalis. ─ The pains of Phos . are continuous, or, at least, irregular as to time. ─ Arthritic and rheumatic tearings and stitching pains, principally in limbs, sometimes after a slight chill, esp. in bed at night. ─ Burning pain in limbs. ─ Tension, cramp, jerking, and distortion of some of the limbs. ─ Sprains, easy dislocations. ─ Ataxia and adynamia. ─ Convulsions. ─ Rigidity of some parts. ─ Fits of paleness and numbness in some of the limbs, which then appear dead. ─ Mucous membrane pale. ─ Trembling of limbs from least exertion, but chiefly during labour. ─ Tendency to strain the back. ─ Ebullition and congestion of blood, sometimes with pulsation throughout body. ─ Sensations: of fulness; of itching or tickling; of knocking, beating, or throbbing; of darting; darting pain; of roughness-all occurring in inner parts. ─ Sensation of dryness or of festering in internal parts. ─ Bleeding from various (internal) organs. ─ Inflammation and stinging pain of inner parts. ─ Itching of inner parts. ─ Small wounds bleed much. ─ Blood fluid non-coagulable. ─ Bleeding from all cavities; also from soft cancer. ─ Weakness and soreness in joints, esp. knees. ─ Great weakness and paralytic lassitude, which sometimes come on suddenly, esp. in bed in morning, or after a very short walk. ─ Can only lie on the r. side. ─ Lying on the l. side at night causes anxiety. ─ Spasms of the paralysed side. ─ Paralysis, formication, and tearing in limbs; anæsthesia; increased heat. ─ Exostosis, esp. of skull. ─ Hip-joint disease, oozing a watery pus. ─ Epilepsy with consciousness. ─ Fainting fits; from strong odours. ─ Excessive sensibility of all the organs. ─ Hysterical lassitude. ─ General dejection and nervous debility. ─ Heaviness of limbs and sluggishness. ─ Paralysis with tingling in the parts affected. ─ Emaciation and consumption. ─ Inability to remain in open air, esp. when cold. ─ Strong tendency to take cold, which is often followed by headache and toothache, coryza, with fever, shivering, &c. ─ Effects of hair-cutting and chill to head. ─ Pains in limbs on change of weather. ─ The majority of symptoms manifest themselves morning and evening, in bed, as well as after dinner, while several others appear at the beginning of a meal and disappear after it. ─ < : In morning; evening; before falling asleep; on waking; before breakfast; after taking cold; while coughing; before or after eating; from violent bleeding; from spraining parts; while lying on back; lying on l. side; from laughing (often producing cough); from light in general; light of the lamp; warm food ("very thirsty, takes water, likes it, feels better, gets warm in stomach and is vomited"); reading aloud; from strong smells; after stool (exhausted, &c.); while Swallowing drink; in the wind; when singing; when the weather changes either way. ─ > : In the dark; lying on r. side; from being mesmerised; from rubbing; from scratching; after sleep; from cold things; cold food; cold water (till it gets warm).

Skin

Exanthema which comes out in pustules; is scaly. ─ Ulcers in general. ─ Summer freckles. ─ Hard swellings here and there on body. ─ Wounds which appear to have healed break out again and bleed; wounds that continually heal and break out again. ─ Desquamation of skin. ─ Burning in the skin. ─ Excoriated spots on skin, with cracks and shootings. ─ Round, tettery spots over whole body. ─ Freckles (nose). ─ Dry, furfuraceous tetters. ─ Yellow or brown spots on skin (esp. chest and abdomen). ─ Copper-coloured or bluish spots, like petechiæ. ─ Red spots. ─ Jaundice. ─ Pale skin. ─ Ecchymosis. ─ Furunculi. ─ Lymphatic abscess with fistulous ulcers (which have callous margins, secreting a fetid and colourless pus) and hectic fever. ─ Large ulcers surrounded by small ones. ─ Ulcers bleed on appearance of menses. ─ Fungus hæmatodes. ─ Copious bleeding even from very small wounds. ─ Polypus. ─ Chilblains (fingers and toes) and corns on feet, sometimes very painful. ─ Tingling in skin. ─ Nettle-rash.

Sleep

Falling asleep late. ─ Complaints preventing sleep. ─ Over-powering sleep coming on after dinner, if only a moderate dinner has been eaten. ─ Sleeplessness before midnight. ─ Sleepy at 7 p.m.; wakeful at night (produced. ─ R. T. C.). ─ Strong tendency to sleep by day, as from lethargy. ─ Stupefying sleep. ─ Sleep retarded in evening, and sleeplessness at night, or frequent waking, with difficulty in going to sleep again, caused by restlessness, with anguish, tossing, heat, vertigo, and ebullition of blood. ─ Inability to remain lying on back or on side. ─ Coma vigil. ─ Sleep unrefreshing; sensation in morning as after insufficient sleep. ─ At night vertigo with nausea, painful sensibility of limbs, pains in stomach and abdomen, suffocating and spasmodic asthma, &c. ─ Frequent waking from feeling too hot, without perspiration. ─ Frequent waking, with starts and fright. ─ During sleep, jerks in limbs, cries, talking, tears, complaints, lamentations, and moans. ─ Dreams: anxious, distressing; lascivious; frightful and horrible; or vivid and uneasy; of animals which bite; of robbers fire; the business of the day (which he could not finish); bloodshed; death quarrels; creeping things, &c. ─ Nightmare. ─ Somnambulism.

Fever

Shuddering and shivering, esp. in bed, in evening (without thirst, with aversion to being uncovered and with swollen veins on hands), sometimes with yawning, followed by heat or otherwise. ─ Coldness of limbs. ─ Internal chilliness and chill not > by heat of stove. ─ Chilliness in evening till midnight, with great weakness and sleep. ─ Chill running down back. ─ Shiverings, followed by heat, with thirst and sweat, esp. at night, and in afternoon. ─ (Chronic feverishness with recurring albuminuria. ─ R. T. C.). ─ Internal or external heat of single parts. ─ Flushes of heat running up back. ─ Burning in back, between shoulder-blades. ─ Burning pain of external parts or of internal parts. ─ Transient or anxious heat. ─ Nocturnal heat (disturbing sleep). ─ Flushes of heat over whole body, beginning in hands. ─ Perspiration most profuse on head, hands, and feet, with increased secretion of urine. ─ Perspiration on fore part of body. ─ Perspiration frequently smells of sulphur or of garlic. ─ Intermittent fever: heat and perspiration at night, with faintness and ravenous hunger, which could not be satisfied with eating; afterwards chilliness with chattering of teeth and external coldness; the chilliness was succeeded by internal heat, esp. in hands, while the external coldness continued. ─ Fevers with soporous condition, dry, black lips and tongue and open mouth. ─ Typhus fever (often with pneumonia and bronchitis, that developed into consumption). ─ Hectic fever, with dry heat towards the evening, esp. in palms of hands, sweat, and colliquative diarrhœa, circumscribed redness of cheeks (l. more than r.), &c. ─ Pulse changed; quick, full, and hard; occasionally small and weak. ─ Nocturnal and viscid sweat. ─ Sweat in morning. ─ Cold, clammy sweat.

The Guiding Symptoms of Our Materia Medica

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

Mind

Excited imagination ; zoomagnetic condition ; ecstasy ; clairvoyance.
Mind is overactive ; great flow of thoughts difficult to arrange.
Memory generally quick.
Irritability of mind and body ; prostrated from least unpleasant impression.
Any lively impression is followed by heat, as if immersed in hot water.
Excitable, easily angered, vehement, from which he afterwards suffers.
Anxious : filled with gloomy forebodings ; as if about to die ; about termination of her illness ; and restless ; at twilight ; when alone ; about the future ; during a thunderstorm ; with palpitation ;
as if below her left breast, so painful that her whole body trembled, at times with bitter eructations and palpitation ; and restless with much sweat on forehead and heat of head ; oppression.
Fear and dread : in evening ; of death ; as if something were creeping out of every corner ; late in evening as if a horrible face were looking out of every corner.
Mental depression and a most uncommon fearfulness or timidity with great sense of fatigue.
Great indisposition to mental or physical exertion.
No capacity for mental work, absence of thought, as if he could not grasp any thought ; disinclination to study or converse ; slow flow of ideas, absence of mind.
Unable to collect his senses, in morning on rising ; head dizzy, heavy, painful, as if he had been lying at night with bead too low.
While reflecting : headache and dyspnœa ; feeling of apprehension at pit of stomach ; weak feeling in head.
Apathy : indifferent even to his own children ; answers no questions, or replies wrongly ; took no notice of things about him, but his responses were always correct ; answers slowly, moves sluggishly.
Seemed dumb and dazed for many days.
Stupor, delirium, grasping at flocks.
Sadness and anxiety, regularly recurring at twilight ; from nervous exhaustion.
Does not like to be alone.
Weary of life ; full of gloomy forebodings.
Gloomy, taciturn, sad and reflective.
Dejection ; thought he would die.
Hypochondriasis ; sadness alternating with mirth and laughter ; uneasy about one's health ; paroxysms of anguish, when alone or in stormy weather, with timorous disposition ; told those about him repeatedly that he could not possibly recover, and gave some disjointed
directions about his business affairs.
Melancholy, sheds tears ; or with attacks of involuntary laughter.
Hysterical alternation of laughter and weeping.
Amativeness ; erotic melancholia.
Shamelessness ; uncovers herself and wishes to go naked, as if insane.
Destroys what comes into her hands ; talks in a vehement, commanding tone ; spits at nurse, lifts up her clothes and kisses hotly all who come near her ; does things wrongly and talks disconnectedly ; tongue whitish ;
sleeplessness ; menses scanty, pale and watery.
Delirium : loquacious ; violent, at first alternating with intervals of consciousness, afterwards interrupted ; erotic with indications of great excitement of sexual system ; violent, forgot to pass water ; repiration very difficult, pulse very small, skin
dry, tongue brown ; fancied he was in several pieces and could not get the fragments properly adjusted.
Crazy deliria in a young woman who was strictly moral and unhappy in her love ; accused herself of the most obscene actions, of which she never was guilty ; simultaneous hysterical laughing and crying spells.
Delirium tremens : increasing prostration ; pulse frequent, soft, tremulous, intermittent ; skin cool, clammy, moist ; respiration rapid, rattling, blowing ; breath cool ; stupor with muttering ; twitching of muscles ; jerkings ;
singultus ; trembling of tongue ; difficult deglutition ; rattling sound when swallowing ; great nervous irritability ; salacity.
Chronic alcoholism : great mental and physical exhaustion ; trembling of limbs when trying to use them ; jerking of single muscles ; arms powerless ; legs paralyzed ; vertigo with loss of consciousness ; indifference even towards dearest
friends ; forgetful and stupid, he does something else than he intended ; monomania de grandeur et de la richesse ; idiocy ; inclined to diarrhœa, stools and flatulency ; dry scaly skin.
Maniacal attacks, coming on during sleep ; fury and extreme violence, so that no one dare approach him ; destroys everything in the room ; eyes remain closed ; after two or three hours lies down and sleeps a few minutes, recollects nothing on waking.
Dementia paralytica ; brain weak, exhausted ; silliness ; idiocy.
Mental symptoms come on after excitement at theatre and she becomes sleepless ; then full of fear, especially at piano ; constantly on lookout for something to happen ; hears voices ; hot head and face ; sexual dreams and violent sexual excitement.
Brain fag from mental overwork and constant strain of eyes.

Sensorium

Suddenly fell to ground unconscious, life apparently extinct ; pulse and respiration lost ; face red and like rest of body cool to touch ; irresponsive to loud calls ; friction brought about no reaction and only when a needle was
plunged deeply into sole of foot there occurred a slight twitching ; after grief from disappointed love. θ Apoplexy.
Apoplexy, grasps at head ; mouth drawn to left.
Vertigo : several times a day ; staggers while walking so that people might think her intoxicated ; in forenoon while walking everything turned around with her ; as if chair were rising ; as if all the blood rushed to head ; with
roaring in ears, on rising ; in morning constantly increasing, like a heavy pressing downward of forepart of head ; with headache ; as soon as he makes any effort to rise ; on rising from a seat ; on looking up or down ; on moving head as if he would fall ;
in morning, after rising from bed ; nervous, from abuse of narcotics, coffee ; with fainting ; < after meals and in morning ; in evening in bed ; with congestion of blood to head, nausea and oppressive headache ; on rising in morning with weakness in legs, so
that for a few moments after getting out of bed they cannot stand ; must lie down a few minutes before they can go about ; < towards evening and in open air ; pain in right side of head after attack, cannot lie on left side because of palpitation ; from overexertion of
eyes, with muscæ volitantes ; from smell of flowers, gas, ethereal oils, turpentine, with fainting ; from loss of vital fluids ; followed by nausea and an oppressive pain in centre of brain ; with stupefaction and a sensation as if he would fall forward ; as if
chair on which he was sitting were rising and as if he were looking down ; with sensation of emptiness in head.
Great heaviness, confusion and dulness in head.
Great weakness of head so that she could not endure sound of piano.
Sense of exhaustion and bewilderment in brain, with vertigo and disposition to fall down ; > in cool air.

Inner head

In forehead : dull pain, to root of nose and to upper lids, with vertigo, < turning head or any violent motion ; > in open air ; pressure extending into eyes, as if they would be pressed out ; pressive headache above eyes, aching
weight with stuffed feeling in nose, > in open air ; headache as if a weight pressed down into eyes ; weight and throbbing on waking, > by cold washing, < on stooping, sometimes lasting all day ; burning headache ; drawing and boring on one side extending into
bones of face and parietal bone ; headache on walking with heat in head, disinclination to rise or move about ; numbness and aching, with weakness in sacral region ; headache over left eye.
In temples : throbbing pain ; pulsation in left.
Cold crampy pain on whole left side of head.
Cephalalgia, of five years standing ; came on at irregular intervals, but generally from stooping ; pain shoots from one temple to other and at times flies through to occiput, < in front of head ; paroxysms preceded by dimness of
sight and accompanied by a feeling of sickness ; bowels relaxed for a day or so, and then constipated for a week ; it appears to him as if food did not digest properly ; appetite very indifferent ; does not relish anything.
Intense pain in whole head and in eyes, < in left eye, in forenoon or from stooping ; > while eating, lying down and after sleeping.
Severe pains in head like a kind of stupefaction, with rush of blood and pulsation.
Terrible attacks of headache from mental work, with weakness and strained feeling of eyes.
For an hour roaring in head and right ear ; < lying on left side ; > lying on right, with headache.
Headache many years ; < in left side, through eye into back of head, with nausea ; sensation of faintness at stomach ; always very hungry during headaches ; attacks once a week, lasting from one to three days ; < at noon ; increasing from
morning till noon, decreasing from noon till evening.
Sick-headache : with pulsations and burning mostly in forehead ; with nausea and vomiting from morning until noon ; < from music, while masticating, and in warm room.
Hemicrania : face congested ; forehead or occiput swollen ; touching swollen part causes most excruciating pain ; unilateral, pulsating, pressing, boring and burning pains in one or the other temple, radiating to forehead, eyes and vertex, with sensation as if there
were painful nodes under scalp, painful to touch ; a sensation as if patient were pulled by hair, or as if head would burst in consequence of pressure and fulness of brain ; pain appears mostly in evening and morning, with frequent yawning and turgescent face, and watery
urine ; < by speaking, eating, in warm room ; > in fresh air, by rest and sleep ; after attack lassitude prevails, and patient is liable to fresh colds ; after every attack, which came nearly every week and lasted twenty-four hours, looked pale and haggard ;
felt very tired when walking or standing, and had to rest during every exertion ; extremities felt cold for many hours after an attack and got warm after being in bed some time ; is unable to answer promptly any question addressed to her.
Neuralgia : head must be warmly wrapped up night and day ; from anemia from loss of blood and severe exhausting diseases ; from scrofulous or tuberculous (nonsyphilitic) exostoses.
Dull stupefying headache.
Compression and weight of head with pressure on upper lids, > by washing face in cold water and in open air.
Headache : every other day ; sets in while reflecting ; with increased sensitiveness to odors ; congestive, nervous, hysterical, from grief, anger, chagrin or abuse of spirits, or excessive study.
Hot vertex after grief.
Sensation of coldness in cerebellum, with stiffness in brain.
Pains darting about different parts of body, < morning and evening, and often severely affect head in children.
Congestion to head : seeming to come up spine and thence into head ; burning, stinging pains and pulsations, commencing in occiput ; red face, puffy under eyes ; whenever she washes clothes or walks fast ; chronic, with
stinging in occiput and pulsations there and in whole head ; < from mental work, brain fag, etc.
Shocks in occiput or all parts of head. θ Epilepsy.
Shocks in head always following a day of overwork, either mental or physical, and always occurred after retiring when just losing herself in sleep ; they consisted of a loud snap in occiput, and would rouse her to full consciousness, with a shattered sensation in head as if
something had really exploded there ; head felt jarred for a few moments ; fatigue and especially worry excited them.
Noises in back part of head, appearing and disappearing suddenly ; sometimes injected eyes.
Heat on top of head, dizziness, buzzing and throbbing in head ; swelling under eyes ; palpitation from mental emotions ; emphysema. θ Hypeæmia of brain.
Apoplexia nervosa in an old woman who was greatly weakened by previous bleeding and venesection.
Impending paralysis of brain and collapse ; burning pain in brain.
Hydrocephalus acutus ; child dull and inclined to sleep all the time ; vomits drinks as soon as they become warm in stomach ; profuse greenish diarrhœa ; great prostration.
Hydrocephaloid symptoms from great exhaustion. θ Summer complaint.
Cerebral œdema ; takes no interest in anything ; can only be brought to consciousness for a few minutes ; does not answer any questions or does it wrongly ; suffers from dilatation of right heart, caused by atheroma of pulmonary
arteries and from fatty liver ; urine shows a moderate quantity of albumen and nephritic elements, no ammonia.
Chronic meningitis.
Softening of brain, with constant wearied, tired feeling, persistent headache, slow at answering questions, vertigo, feet drag, formication, numbness in limbs.
Incipient hemiplegia.
Acute atrophy of brain and medulla oblongata, with uræmia.
Tendency to atrophy of brain in old age.

Outer head

Tension in face and skin of forehead as if too tight : frequently only on one side ; < from change of temperature and while eating ; > after eating ; with anxiety.
Dry, painful heat of scalp, compelling one to uncover head ; temperature of body not increased ; > when lying down.
Clammy perspiration on head only, and in palms of hands, with discharge of much turbid urine.
Violent itching on scalp.
Unnatural accumulation of dandruff.
Dandruff copious, falls out in clouds ; roots of hair turn grey and dry, and hair comes out in bunches ; itching < from scratching, > at the time, but < after scratching.
Denuded part of scalp clear, white and smooth. θ Tinea decalvans. θ Favus.
Scaly, bald spots on head.
Itching pimples on scalp.
Soft, elastic tumor, as large as a hen's egg, on parietal bone ; visible pulsations in tumor, around which a sharp, rough, indented opening could be felt in underlying bone ; entire surface of tumor denuded of hair ; no inflammation.
Exostoses on frontal, left parietal and occipital bones, varying in size from bean to hazelnut, looking like tophi.
Periostitis of skull.
Head affected : from taking cold ; from remaining in hot rooms ; after having hair cut.
A sensation as if pulled by the hair.

Sight and eyes

Appearance before eyes : sparks in the dark ; luminous, especially red ; various flashing lights ; muscæ volitantes ; flashes of light ; halo around light ; various flashes of light and color ; green halo around
candle ; misty, with attacks of vanishing of sight ; blackness or black points or sparks ; flickering, with roaring in head.
Eyes very sensitive to light or dazzled by bright lights.
Aversion to light.
On reading, letters look red, outline undefined ; objects tremble.
Objects look green or grey.
Color appear black before eyes.
All objects appear to be covered with a grey veil.
Eyes give out while reading ; after reading, dull pain deep in eyes.
Obliged to hold objects near to see distinctly ; at a distance everything seems enveloped in a smoke or mist.
Sees more distinctly in morning in twilight than during day, or by shading eyes with hand.
Eyes very weak, seem large, and difficult to get lids over them.
Shortsightedness.
Dimness of sight, photophobia ; unable to read by candlelight. θ Excessive use of tobacco.
Distant objects appear to be covered with a mist.
It seems as if a black veil were before right eye.
Momentary blindness, as from fainting.
Paroxysm of nyctalopia ; or of a sensation as if things were covered with a grey veil.
Amaurosis and amblyopia.
Amaurosis of right eye of seven years' duration ; consequent upon sexual excesses, especially if associated with fatty liver.
Gradually or rapidly increasing myopia ; incipient amaurosis, particularly of left eye ; could hardly see large type when held close to eyes during daylight, much less other objects.
Amblyopia from loss of fluids ; also in morbus Brightii.
A woman, æt. 21, had been troubled some time with a blurring of vision which came on suddenly after reading ; since then has had a dull pain in eye after reading a short time, compelling her to desist ; at times her sight is very dim and
black spots pass before eyes ; is always < from looking at any bright shining object and in lamplight, but is > in twilight ; lids feel heavy in morning. θ Asthenopia.
Blindness after lightning-stroke.
Upon falling asleep at night, frequent deceptions of vision, sparks before eyes, shooting pains through eyes, appearance of flashes of lightning ; very great weight of head, throbbing, beating and pressure < in left temple, almost intolerable ;
by day flickering before eyes ; in evening in darkness flashes before eyes, violent burning and transient shooting in them, sometimes even when eyes were closed, seemed to be looking into a sea of fire or into a vessel full of glaring, red, molten iron ; finally deceptions of light
occurred also by day ; eyes extremely sensitive to light ; deathly paleness of face ; if room was darkened appearances of light became more pronounced and they increased with the pains towards evening until far into night to such a degree of severity that he feared he would go
mad ; slight pale-reddish color of the sclerotic, especially in external canthi. θ Glaucoma.
Glaucoma after iridectomy, pulling as if something were pulled tight over eyes, with spangles (white) around gas and a boring in eye extending into head.
Glaucoma ; useful in improving vision and removing subjective symptoms after an iridectomy ; halo around light ; vision hazy ; objects appear red.
Ciliary neuralgia accompanying glaucoma.
Rapidly progressing chorio-retinitis, in a man who had been writing in a cellar by poor light for several months and using tobacco to excess ; atrophied spots in choroid very marked, surrounded by areola of active inflammation ; retina hazy, blurred ; optic disk
red, somewhat swollen, with an undefined margin ; vitreous, slightly turbid, with floating opacities ; complained of a mist and of pinkish globules before vision, especially after a bright light ; outlines of objects seemed uneven, wavering, trembling, on reading letters
looked red, especially by gaslight and flashing of lights before vision ; patient weak and perspired easily.
Retinitis nyctalopia, albuminurica or apoplectica.
Congestion of retina, balls sore on motion, no photophobia, pains extending from eyes to top of head.
Cherry-red color before vision in optic neuritis and other diseases of fundus.
Disease of fundus and disturbance of function of optic nerve.
Choroid hyperemia and muscæ volitantes.
Arthritic ophthalmia with leucomatous opacity of cornea, which upon clearing up showed lens to have the color similar to a beginning cataracta glaumatosa.
An old lady with incipient, progressive, hard cataract ; hard, white, convergent striæ in lens with diffuse haziness ; on reading letters seemed as if printed in red ink, although paper looked white and natural ; vision 3/50, under Phosphor. the haziness disappeared, no
more striæ appeared, and in six months vision improved to 13/70.
Cataracta viridis.
White pustule on outer segment of left cornea.
Maculæ corneæ.
Paralytic affection of sixth pair of nerves in right eye ; nocturnal emissions.
Paralysis of muscles ; spermatorrhœa, sexual abuse, hemorrhoids, etc.
Total paralysis of third pair of nerves, ptosis, eye turned outward ; mydriasis in a woman.
Weakness of internal recti muscles, asthenopia muscularis, pain and stiffness on moving them and at times a feeling of heat in eyes as after looking at a fire.
Pupils contracted ; dilated ; dilated, sluggish.
Inflammation of eyes, with pressing burning pains.
Photophobia with great pain. θ Ophthalmia.
For six days, from being in a hot, close, crowded room, r. eye has been red, waters, with feeling of dust in it under lower lid ; < in evening when it also feels hot ; swelling of right eyelid, with adhesion ; right eye looks small.
Subacute conjunctivitis, lachrymation ; swelling and suppuration of lids and Meibomian glands, with itching and burning pains.
Inveterate catarrhal ophthalmia ; both eyes and lids inflamed ; edges of lids as if corroded ; constant lachrymation causing smarting and burning ; copious secretion of thin, muco-purulent matter ; itching and burning in eyes ; agglutination of lids
in morning ; indistinct vision.
Burning in eyes, with profuse lachrymation in wind.
Small burning spots on eyeballs.
Feeling of sand in left eye, > by rubbing.
Aching in eyes, forehead and orbits.
Stiffness in eyes.
Pain in bones of orbit of eye.
Balls pain as if compressed, < on looking ; aching and heaviness in eyes, like sleepiness.
Balls seem large and difficult to get lids over them.
Sensation as if eye were swollen and pushed out of orbit. θ Morbus Basedowii.
Yellow, jaundiced conjunctiva, in fatty liver.
Watering of eyes.
Eyelids tremble and quiver ; eyes fill with water.
Twitching of lids and external canthus of left eye.
Itching in lids ; stye on lower lid.
Œdema of lids and about eyes.
Blue rings ; puffiness and swelling about eyes ; eyes sunken.
Fungus oculi.

Hearing and ears

Hearing too acute.
Words and sounds reverberate in ears, music especially ; resounding of own voice ; ringing with palpitation ; constant buzzing.
Noises in ears : roaring from rush of blood ; constant buzzing ; ringing, with palpitation ; reverberation.
Hearing difficult.
Difficult hearing, especially of human voice ; also after typhus ; with cold extremities.
Rapid diminution of hearing ; at times sensation as if something lay before ears, particularly right ; momentary relief by external pressure ; humming in ears ; sensation of gauze over ear ; loud reverberation of words in ears
whether he or others speak.
For many years hardness of hearing and ringing in ears ; ticking of watch only heard when held close to right ear, left an inch and a half ; auditory canals dry ; right tympanum whiter than left.
Hardness of hearing due to congestion to ears after typhoid fever in blonde subjects and intellectual men with large heads and prominent mastoid processes.
Dysecoia ; dry condition of tympanum.
Something seems lying constantly in front of ears.
Sensation as if foreign body were lodged in ears ; stopped-up feeling.
Violent itching or tickling in ear.
Congestion to ears, with throbbing ; earache.
Shooting through ears especially at night ; ear discharges.
Dragging pain in ears.
A painful and inflamed gathering in right ear, first in left ; matter and blood are discharged ; shooting pain through ear, especially at night, preventing sleep ; rather deaf in left ear, if ear gets well has styes on eyelids or eruptions at root of nose, under septum and
a stye on left lower eyelid ; no appetite, especially dislikes meat ; constipation. θ Otorrhœa.
Polypi in ears.

Smell and nose

Imaginary foul smells, sense of smell very acute ; faints from smell of flowers ; with headache.
Sneezing : frequent ; causes pain in throat.
Stoppage of nose : with frequent sneezing, > in open air ; with dulness of head as if coryza would develop.
Sensation of fulness in nose, especially high up in left nostril, with loose mucus.
Sensation of dryness in nose, with a sensation as if it would be stuck together.
Painful dryness of nose.
Sore pain in both nostrils, even when touched ; ulcerated nostrils.
Soreness of Schneiderian and mucous membranes, with bloody scabs on margins of nostrils.
Internal inflammation of nose, with sensation of dryness and slow bleeding of nose.
Coryza : frequent alternations of fluent and stopped coryza ; with sore throat and great dulness of head ; feverish, dry ; secretion dries to crusts which adhere tightly ; complicated with hoarseness and bronchial
catarrh ; obstruction often in morning ; discharge from one and stoppage of other nostril ; sneezing causes pain in throat or head ; smell and taste gone ; with sleepiness, especially during day and after meals ; blowing blood from nose ; profuse discharge
flowing down into fauces.
Ominous coryza in scarlatina ; great discharge from nose ; on lying down it flows into fauces, where it rattles from breathing ; neck greatly swollen and eyes staring in consequence of stagnation of blood by this swelling ; great
weakness and great frequency of pulse ; < at night ; hands icy-cold and bluish.
Nostrils filled with green mucus.
Nasal discharge : profuse, greenish, yellow ; blood-streaked mucus ; < in morning.
Chronic inflammation of nasal membrane with suppressed or oversensitive smell.
Bad smell from nose ; foul smell.
Frequent blowing of blood from nose.
Epistaxis : several times a day, often quite profuse ; later attacks accompanied by profuse sweat ; while straining at stool ; early in morning ; in tall, slim girls approaching puberty ; in diphtheria following detachment of
membrane from nose.
Swelling of nose : red, shining ; painful to touch ; with coryza ; of nasal bones.
Necrosis ; periosteum raised, forms a new stratum of bone.
Swelling and dark-redness of one ala nasi ; pimples and pustules on nose ; scrofulous inflammation of nose with plugs in nose.
Nasal polypi ; they bleed easily.
Point of nose red and shining.
Fanlike motion of alæ nasi.
Freckles on nose.

Upper face

Face : expression of general weakness ; pale, sickly ; sunken, earthy ; eyes deep-seated, hollow, surrounded by blue rings ; pale, almost waxen ; ashy ; sickly-yellow ; livid ; bloated ; lips blue ;
hippocratic ; icteric ; red ; circumscribed red spots on cheeks ; flushes from least emotion ; color very changeable ; swollen, œdematous, puffy ; puffy under eyes ; lips and eyelids œdematous.
Sensation as if skin were too tight.
Pain : tearing ; shooting from left eye to vertex ; from forehead into eyes (right) and from temples and vertex down to zygoma ; tearing about lower margin of right orbit, extending under right ear, involving bones of face, as if everything were torn out ;
drawing and tearing in jaws, root of nose, eyes and temples, from taking cold over washtub ; twitching, tearing, darting and tension in cheek bones and jaw, with threatening caries.
Jerking, tearing pain in teeth and cheek of left side, extending to forehead and right temple, < taking anything cold into mouth or in cold, wet weather, > from warmth ; as if nails were driven into jaws ; darting in different parts beginning in uncertain places, attacks
brought on by speaking, eating or slightest touch.
For ten years tearing-shooting pain in right cheek up into head ; < speaking, eating, swallowing ; tendency to sweat ; weariness ; vertigo, could hardly walk without falling.
Prosopalgia < by opening mouth, especially if there be congestion of blood to head.
Facial neuralgia, especially involving jaw ; pains go to root of nose, temples ; hot, bloated face, < talking, eating ; caries of lower jaw.
Neuralgia of head, it has to be wrapped up night and day ; < in windy weather and in morning.
Small pimples on face and head, which, when touched, give rise to excruciating pain.
Scabby herpes on face.

Lower face

Lips : parched ; dry with sooty coating ; bluish, black (measles) ; deep crack in middle of lower.
Nose, lips, mouth and throat dry ; no relief from water.
Tough, viscous expectoration, hangs on lips and tongue, in typhoid conditions.
In centre of lower lip tumor size of walnut, surrounded at its base by a bluish areola of veins and covered by a black crust, which broke into fissures at least touch, discharging pus and blood ; tumor felt elastic, swelling up when touched, but
root felt hard and was as large as a bean ; lacerating pains in interior of tumor, with burning and itching outside of it ; has inguinal hernia and an indurated testicle ; mind constantly occupied with his disease and is afraid his days are numbered.
Ulcerated corners of mouth.
Tearing in jaw bones, evening < lying down, > moving jaw.
Deep rodent ulcer on lower jaw ; smaller one on right zygoma ; larger ulcer is surrounded by smaller ones.
Necrosis of lower jaw, rarely of upper.
Disfiguring eczematous condition of chin.
Parotitis, when suppuration sets in.

Teeth and gums

Pain in teeth : pricking-stinging < in open air and from warm food ; boring sometimes passing into numbness, < by cold, heat and chewing, combined with soreness and swelling of gums ; throbbing, much < when cold air strikes carious
tooth ; jerking or twitching, periosteum of tooth inflamed and tender to pressure ; of washerwomen ; washing always increases or provokes it ; in decayed teeth, accompanied by gumboils ; from having hands in cold or warm water ; tearing, shooting, extending from
carious tooth all over bones of face and head.
Rapid decay of teeth, inflammation of gums and gumboils in lower jaw ; ill and irregular formation of teeth of lower jaw of scrofulous children with mesenteric disease.
Gums : stand off from teeth and bleed easily ; inflamed, ulcerated, with loose teeth ; gumboils.
Irritation of carious tooth, causing frequent gumboils and incipient disease of maxilla, and where for some reason the tooth cannot be extracted.
Obstinate, profuse bleeding of gums ; pulse scarcely perceptible ; ecchymoses around mouth and eyes ; petechiæ on chest and legs ; urine and stool contain blood.
Profuse obstinate hemorrhage from gums after extraction of teeth so severe as to threaten speedy death.
After extraction of several teeth marked painful swelling of left lower jaw and formation of an external fistulous opening ; profuse expectoration of saliva ; jerking stitching pains in cavities with bleeding ; skin over left jaw red and tense.
Necrosis of left lower jaw ; swelling of jaw bones.

Taste, speech, tongue

Speech : difficult and weak ; slow ; answers questions with difficulty ; stuttered when endeavoring to articulate.
Taste : bitter ; sour after taking milk ; saltish ; sour ; sweetish ; better after eating ; slimy ; of rotten eggs in morning.
Tongue : coated like fur ; coated with dirty thick mucus (measles) ; slimy ; dry, white ; chalky white ; uniformly white ; yellow, grey, dry in middle ; red and dry ; red in middle ; red, dry, streak down middle ; brown and dry in
middle ; dry and black ; swollen dry and blackish, along median line ; dry, immovable, covered with black crusts ; cracked, parched, or glossy ; dry, coated white, with stinging in tip ; coated only in middle.
Burning on tongue extending to palate.
Tip of tongue somewhat swollen, with enlargement of its papillæ and feeling as if it had been burnt.

Inner mouth

Dryness in mouth ; dry and sore feeling, with increased thirst.
Soreness of mouth, easily bleeding.
Aphthous patches on roof of mouth and tongue.
Bloody erosions here and there in inner surface of cheek.
Painless ulcer on inner surface of lower lip ; edges hard, serrated ; base lardaceous ; after suppression of a brown herpetic eruption on face.
Soft palate dark, bluish-red ; ulcer above uvula about 1 1/2 inches in length, causing soft palate to appear as if torn, uvula hanging far into pharynx ; deglutition extremely difficult ; part of food regurgitates through nose ; general prostration ; no history
of syphilis.
Nursing sore mouth, especially if breasts are sore.
Much watery saliva in mouth.
Saliva increased, tasting saltish or sweetish.

Palate and throat

Dryness of throat day and night ; it fairly glistens.
Roughness, rawness and scraping in pharynx, < towards evening ; hawking in morning.
Sensation as of cotton in throat.
Tonsils and uvula much swollen ; uvula elongated ; with dry and burning sensation.
Great swelling of tonsils.
For eighteen months swelling of right tonsil ; mucus in throat removed with difficulty, is quite cold when it comes into mouth, white, nearly transparent, in lumps.
Muscular angina, with fatty degeneration.
Diphtheritis, especially where the adynamic character shows itself early, strength fails rapidly and paralysis of heart threatens.
Burning in œsophagus.
Inability of swallowing nourishment. θ Œsophagitis.
Spasmodic stricture of œsophagus.
Great weakness and emaciation, owing to inability of taking nourishment ; weak and empty feeling across abdomen, occasional shooting pain in same region ; sensation of heat extending up back ; great nervous irritability. θ Stricture
of œsophagus.

Appetite, thirst. desires, aversions

Hunger : soon after eating ; must eat during chill, before he can get up ; ravenous at night, feels faint ; with nausea and anxiety about heart recurring several successive evenings, > by eating but afterwards tormenting him for hours
in bed.
Want of appetite : caused by a fulness in throat ; with weariness alternating with bulimia ; burning, cutting, pressing in stomach, nausea and vomiting.
Wants to eat, but as soon as food is offered does not want it.
Thirst : with desire for very cold drinks ; for refreshing drinks, > thereby until they become warm, when they are vomited ; excessive ; unquenchable.
Wants cold food and drink, ice-cream, refreshing and spicy things.
Desire for wine.
Cures the longing of inebriates for alcohol, by removing the irritation of stomach, which causes morbid appetite.
Aversion : to sweets : to meat ; to boiled milk ; to salt fish ; to beer ; to puddings ; to coffee and tea.
Cannot smoke much though tobacco is relished.

Eating and drinking

Pains always commence when eating and last as long as he continues to eat.
After eating : sick, and fulness of abdomen ; sleepiness ; belches much even after a little food.
Bad effects from excessive use of salt.

Hiccough, belching, nausea and vomiting

Hiccough : painful in epigastrium ; frequent during day, even before eating.
Eructations : frequent, empty ; of vast quantities of wind, after eating ; tasting of food ; even several hours after eating ; sour ; ineffectual with pressure in chest ; spasmodic.
Excessive heartburn and sour eructations ; waterbrash.
Uprising of food : without nausea ; in mouthfuls ; undigested, very soon after swallowing it, urticaria, hands, arms and body covered with itching blotches, conscious and annoying pulsations of heart ; scarcely swallowed comes up again ; spasms of œsophagus at
cardiac end ; with qualmishness at night.
Nausea : constant, with confusion of head, tightness in precordial region and weariness ; disappearing on drinking water.
Is not able to drink water, even sight of it causes nausea and vomiting, must close her eyes when bathing.
As soon as water becomes warm in stomach it is thrown up.
Vomiting of food : violent ; of sour matter ; of acid liquid ; of white or yellow bitter mucus ; of bile ; of blood, pure or brown ; > for a time by ice or very cold food or drink ; in chronic dyspepsia when there seems to be simple exhaustion
of stomach ; sourish, offensive fluid in large quantity, looking like water, ink and coffeegrounds ; after food, or even a swallow of water ; of dark, filamentous substances, consisting of blood mixed with bile and mucus ; of dark acid matter always mixed with some
blood ; of black substances ; of matter black as soot.

Scrobiculum and stomach

Epigastric region : very sensitive ; greatly distended and painful to pressure ; sinking feeling ; oppression ; griping ; pressure ; sharp pressure with every cough.
Contractive pain in pit of stomach extending to left hypochondrium, later to head and left shoulder, > from warmth.
Sensation of weakness and emptiness in stomach and abdomen.
Empty feeling about 11 A. M.
Goneness in region of stomach as if stomach had been removed.
Fulness and painfulness in stomach ; sometimes a gurgling and stitching in pit of stomach.
Distension with aching in stomach.
Aching in gastric region as from a blow, followed by pressure, retching, eructation and rising of food.
Sensation as if something were pressing heavily upon stomach.
Pressure at cardiac orifice of stomach, especially on swallowing bread, which remains there.
Pressure as from hard substance above pit of stomach, with coldness.
Pressure in stomach after eating as if a heavy weight were in it.
Oppression and burning in stomach ; loss of appetite, unquenchable thirst, < after eating or drinking.
Painfulness of stomach : in morning ; to touch and when walking.
Sensitiveness to pressure in region of pylorus.
Burning or drawing pain in stomach often extending into chest.
Coldness as if freezing in stomach.
Dyspeptic pain in stomach with pain in back opposite stomach, > by eating a few mouthfuls of food, about 11 A. M.
Paroxysms of excruciating, knifelike pain in stomach.
Violent pain in stomach, gradually spreading over whole abdomen, with vomiting at first of green, afterwards of blackish substances.
Pains in stomach, > by cold food, ice-cream, ice, etc.
Very feeble, could not walk more than a square or two, for want of breath ; palpitation of heart and oppression of chest, which seemed to come from stomach and was < after eating ; belching of large quantities of wind after eating and great drowsiness ; variable
appetite ; sensation of great weakness in abdomen, particularly across and below umbilicus ; stools scanty, dry and difficult to evacuate.
One or two hours after eating slightest quantity of food sudden severe constricting pain in epigastrium, soon extending thence to left hypochondrium, then to region of heart and left shoulder ; attacks last one-half and threequarters of an hour and end in violent tasteless belching,
pain in epigastrium meanwhile growing less, but constriction appearing in chest under sternum ; > from heat of bed.
Constant stitching, burning and pressure in stomach, < several hours after eating ; he is afraid to eat heartily ; < evening and at night ; burning sensation frequently extended into throat ; when pains are very severe a cold shudder extends over body and there
is a sensation as of something cooking in stomach ; at times sour belching and vomiting of water ; stool irregular, hard, difficult ; burning in rectum ; loss of strength. θ Cardialgia.
Severe, frequent, griping pains in stomach, going through to back and into shoulders ; cold, easily chilled if not well covered ; lassitude ; no appetite, no thirst ; slow pulse ; tongue pale ; belching and water-brash ; stool dark, evacuated with much
pressure ; small hemorrhoids ; urine frequent, copious ; < after eating. θ Cardialgia.
Severe pains in stomach in paroxysms, lasting for three days ; in a few hours after leaving stomach same kind of pains appeared in left temple, extending to eye, teeth and side of head, like a knife.
Cardialgia due to perforating ulcer in stomach ; occasional appearance of blood in ejected matter ; painless intervals but brief ; emaciation and anemia.
Twisting constricting pains in epigastrium, with vomiting of clear sour fluid, towards evening and at times at night, with sour belching. θ Cardialgia.
Cardialgia : with gnawing ; > by eating ; < from motion ; with a sensation of distension ; excessive formation of acidity ; with violent palpitation of heart, especially after dinner.
Cramps in stomach, radiating to liver, simulating hepatic colic ; bilious color of skin ; vomiting of all food or glairy, burning water, without any odor or bitterness ; retained more than half of pickled herrings, sardines, salads, etc., whereas all animal food or milk
was rejected ; agitated sleep ; dry, hard, beaded stool, every three or four days ; copious colorless urine ; genital hyperexcitation. θ Gastric neurosis.
Cardiac opening of stomach seems contracted ; food scarcely swallowed comes up again.
Spasms of stomach, especially at cardiac extremity.
Hemorrhage from stomach : > from drinking cold water ; after dancing.
Dyspepsia with excessive flatulency, frequent palpitation of heart, intermittent pulse and much despondency ; sour risings, heat at epigastrium, flatulence and canine hunger ; great weakness, earthy color of face, tongue dry, dotted ; dryness of throat ; sour taste in
mouth ; after eating swelling at epigastrium ; regurgitation of food soon after eating ; burning in stomach, > by cold water, but is soon thrown up again as it becomes warm in stomach ; tympanitis, especially in cecum and transverse colon ; loud borborygmi, tiring
one out by their noise ; momentary relief by passage of wind ; soft, watery stools, without pain ; slight hyperemia of liver ; beating of heart ; heat and congestion of head ; hectic fever ; night sweats.
Gastritis : severe pains, cannot tolerate least pressure, even of bedclothes ; delirium ; weak, rapid pulse ; thick, white coating on tongue ; respiration rapid ; face sunken, deathly pale ; with heartburn, ending in an unconquerable scratching in
throat ; cutting-burning pains in stomach.
Perforating ulcer in stomach ; pain ; vomiting of food as soon as swallowed ; vomited matter contains a dark, grumous, semisolid substance, looking like coffee-grounds.
Cancer of stomach, especially when it is about to pass into a state of ulceration.

Hypochondria

Jaundice : with confusion of consciousness, with pneumonia or brain disease ; during pregnancy ; from nervous excitement ; dry cough < from least motion, with headache, involuntary urination, chilliness and thirst ; from acute
atrophy of liver ; chronic, supervening on an acute attack, conjunctivæ, face, trunk and extremities brownish-yellow, every morning copious evacuations, characteristic of those of jaundice, urine blackish-brown and thick, pulse slow, chilliness even in a warm room, dejected, thought he
would die and was incapable of exertion ; complete aphonia and troublesome cough.
Aching in hepatic region.
Hepatic when suppuration ensues, with hectic fever, night sweats, enlargement in right hypochondrium and marked soreness over liver.
Hepatic congestion, quantities of bright, sometimes dark blood discharged with stool.
Hyperemia and enlargement of liver ; jaundice ; stools greyish-white ; abdomen tympanitic ; pulse weak and threadlike.
Beginning atrophy of liver ; ascites ; varicose veins all over abdomen ; urine albuminous.
Diffuse hepatitis ; liver hard, large ; subsequent atrophy.
Acute yellow atrophy of liver ; malignant jaundice.
Fatty degeneration of liver : large petechial spots, size of a five shilling piece on arms and other parts of body ; with malignant jaundice and a weak, gone sensation in abdomen, with stitches in liver ; great debility ; as a sequel of heart disease.
Waxy liver, dependent upon long-lasting bone disease, as caries of vertebræ or of hip joint.
Alcoholic cirrhosis of liver.
Disordered livers in men invalided from tropical climates ; bilious complexion ; irregular bowels.
Spleen enlarged ; fatty degeneration.
Fatty degeneration of pancreas ; gastric disturbances ; oily stool ; sometimes stool looks like frog's spawn or like cooked sago.

Abdomen and loins

Very sensitive abdomen, painful to touch ; rolling and rumbling in abdomen during and after drinking.
Emptiness and feeling of weakness in abdomen.
Painful feeling of weakness across whole abdomen, < in hypogastric region after short walk ; must lie down.
Weak, gone feeling in abdomen, with burning between shoulders.
Relaxed feeling in abdomen.
Sensation of coldness in abdomen.
Abdomen very full, tense, tympanitic.
Distension of abdomen though much flatus has been passed.
Incarceration of flatus beneath the ribs, with oppression of chest.
Loud rumbling and rolling in intestines ; fermenting in bowels with empty eructations.
Feeling of incarcerated flatus moving in abdomen, catching breath and causing cough ; paroxysmal, < from excitement or sitting ; > lying down, straightening up or by eructations ; pressure on abdomen < suffocative feeling.
Tympanitis, mostly about cecum and transverse colon.
Flatulency of old people ; painful constipation.
Flatulent colic, < when lying down.
Abdomen flaccid, with chronic loose bowels.
Cutting in bowels with ineffectual urging to stool.
Frequent pinching in bowels as if diarrhœa were-about to come on.
Shooting in abdomen with empty feeling.
Neuralgia of coeliac plexus.
Inflammation of superior vena cava.
Peritonitis with tympanitis ; abdomen excessively sensitive to touch ; burning and pressure ; sharp cutting pains ; paralysis of intestines.
Yellow or brownish spots on abdomen.
Boils on abdomen.
Inguinal hernia with relaxed abdomen ; protrudes even with soft stool ; sensitive.

Stools and rectum

Emission of much flatus.
Fetid stools and flatus ; the fetor is like that given off by lime used at gasworks to purify gas of sulphur and other impurities.
Stools : soft, paplike ; scanty, semifluid ; green ; whitish-grey ; grey ; green mucous ; white mucous ; white watery ; green watery ; yellow watery ; bilious ; watery, with lumps of white mucus, or
little grains like tallow ; undigested ; bloody ; brown fluid ; bloody and purulent ; involuntary, oozing from constantly open anus (green and bloody) ; bloody water, like
washings of meat ; profuse ; alternating with constipation ; hot ; involuntary (on least motion) ; when coughing ; passing out with force ; fetid ; sour-smelling ; corrosive ; black or green ; watery, with flakes of mucus ;
involuntary ; undigested ; profuse, watery, pouring away as from a hydrant, > after sleeping ; copious, light-colored ; greenish, bloody ; bloody, with small white particles, like opaque frog's spawn ;
painless, blood-streaked, like flesh-colored water ; discharge of pure blood.
Before stool : rumbling ; colic ; heat or chilliness ; sudden urging.
During stool : smarting in rectum ; protrusion of hemorrhoids and sharp, stitching pains from coccyx to inter-scapular region and even to vertex ; great efforts, although stool is not hard ; cutting pains in anus, with hard stool ; constriction of rectum.
After stool : painful cramps in rectum ; burning at anus ; tenesmus ; empty feeling in abdomen ; weakness, obliging one to lie down ; exhaustion ; fainting.
Diarrhœa : profuse passages ; pours out in great quantity, like water from a hydrant ; very exhausting ; watery, with abdominal burning ; watery, in morning ; in warm weather ; in cholera time ; painless, debilitating,
< in mornings ; as soon as anything enters rectum ; while coughing ; < from warm or hot, > from cold drinks or food ; > after beer ; advancing debility, rapid loss of flesh ; constant irritation of throat ; during pregnancy or confinement ;
colliquative of consumptives ; during typhoid fever ; involuntary, during low fevers.
After a great fright, two years previously, involuntary passages of stool and urine, especially at night, so that he was always wet and dirty ; pain in stomach and bowels ; frequent eruption of pimples on scalp.
When threatened with a whipping would immediately soil himself from fright.
Chronic painless diarrhœa of undigested food, with much thirst for water during night.
Chronic diarrhœa of eight years' standing, never had a day free from it ; two to fifteen stools a day ; < in warm weather ; stool light yellow and painless ; appetite good ; health not much impaired.
Chronic diarrhœa, with soft, thin stools, especially in nervous subjects and delicate children.
Cholera infantum : with cough and golden-yellow stools ; chronic cases, painless discharges and gradual loss of strength.
Dysentery : desire for stool immediately on turning over in bed upon left side ; painless discharges of blood and mucus ; bilious variety with sensation of great weakness in abdomen, particularly across and below umbilicus ; last stages,
painless discharge of bloody mucus, with paralysis of sphincter ani, anus remaining wide open, so as to expose the dry, black, sloughing mucous membrane to full view for two or three inches ; stool escapes as if from a metallic tube, with little or no effort ; chronic, stools
bloody, small, white particles like opaque frog-spawn mixed with brownish, bloody fluid, very frequent, twenty-five to fifty in 24 hours ; before stool, which he cannot retain, violent urging ; after stool relief, < from lying on left side, warm food and drinks, lying on
back ; > from lying on right side, after sleeping, cold food and drinks, tongue dry, red and cracked, burning and distress in stomach, with hot eructations, occasional vomiting of food or mucus, anorexia, intense thirst for very cold food or drinks ; sleeplessness, great
debility.
Gaping of anus, in diarrhœa and dysentery.
Cholerine : face emaciated ; voice hoarse ; tongue clean ; great thirst, but least amount of drink is followed by rumbling and gurgling in abdomen and watery diarrhœa ; skin dry ; spasmodic tension in lower limbs ; prostration ; confusion of
head ; discharges of watery, greenish or black fluid which comes in gushes as from a hydrant, at times involuntary, at others with urging ; increased frequency of pulse ; heat ; thirst ; stools yellowish or like rice-water, containing epithelial flakes ; dryness
of mouth and great thirst.
Cholera : great thirst ; had to drink large quantities of cold water and felt > afterwards, till water became warm in stomach, in from 15 to 20 minutes, when he had to vomit it up again ; to be relieved of this exhausting painful vomiting and thirst, had to drink
another large quantity of water ; great exhaustion ; asphyctic variety, dyspnœa ; pain in left side, in region of lower ribs, posteriorly ; drain of brownish fluid from bowels after the other symptoms had been removed.
Hiccough after eating, making pit of stomach sore and aching ; diarrhœa with violent thirst, rumbling in abdomen and debility. θ Sequel of cholera.
No stool ; bowels sluggish ; difficult evacuation.
Constipation : feces slender, long, narrow, dry, tough, and hard, like a dog's ; voided with difficulty ; pipestem stools.
Alternate diarrhœa and constipation of old people.
In rectum : burning ; needlelike stitches ; smarting during evacuation of stool that was not hard.
Spasms in rectum.
Incipient stricture in rectum, feces flattened, concomitant mucous discharge ; had acute proctitis nine months previously.
Paralysis of rectum ; stool occurred only after an injection and then he would sit for hours on a vessel ; could make no efforts at expulsion and was not aware when feces escaped, so that he often soiled himself ; feces when passed seemed old ; after an injection
evacuations occurred for six or eight days.
Paralysis of bowels, particularly when lower portions (colon and rectum) are affected ; anus seems to stand wide open and exudes moisture.
Chronic diseases of rectum ; discharge of blood and pus, with tenesmus, for eighteen months.
Hemorrhage from bowels.
With stool, discharge of dark, coagulated blood, with comfortable feeling in abdomen but no pain ; stools mucous.
Polypi recti with proctitis.
Severe burning pain in epigastrium extending up into throat, again into abdomen with prostration and fainting ; soreness in mouth and pharynx, with slimy offensive taste and heavily coated tongue ; facial expression disturbed ;
emaciation ; tendency to diarrhœa ; after Phosphor. frequent passages of segmenta of tapeworm and masses of mucus.
Hemorrhoids : bleeding, protrude very easily, coming down evenduring emission of flatus ; relaxation of sphincter ani ; discharge of mucus from varices ; sensation of weakness or sinking in abdomen ; very painful, burn like
fire, from inflammation, and bleed profusely ; in consumptives ; bleeding, with severe lancinating ; blood flows in a small stream with each stool ; with a chronic relaxed condition of abdominal organs.
In anus : stitches ; biting and itching ; stinging.
Fissure of anus.
Anus feels as if it were open.

Urinary organs

Nervous exhaustion ; sensation of weakness and emptiness in stomach ; painless watery diarrhœa ; dimness of sight. θ Bright's disease.
Albumen and exudation cells in urine ; morbus Brightii.
Diabetes mellitus and Bright's disease preceded or accompanied by disease of pancreas.
Glycosuria ; gouty diathesis ; disease of brain ; cerebral symptoms ; cheesy degeneration of lungs ; phthisis.
Fatty or amyloid degeneration of kidneys, especially if associated with a similar pathological condition of liver and of right heart ; venous stagnation and hyperemia in different organs ; œdema of lungs and pulmonary engorgement ; urine contains epithelial, fatty or waxy
casts.
Hydrops accompanied by diarrhœa. θ Nephritis.
Uræmia where there is acute atrophy of brain and of medulla oblongata.
Languor, thirst, excessive secretion of urine, swollen feet ; boring pain in region of navel, < from touch and being covered, great sensitiveness over sacrum and kidneys ; pains burning ; could not lie on back ; pain in navel
> by passing large quantities of water, < when flow was scanty and dark-colored ; urination caused cutting pains and afterward violent tenesmus ; constipation ; complete sleeplessness ; menses suppressed ; neither albumen nor sugar in urine ; stitching
pain in region of liver ; boring, pressing pain in forehead and root of nose, which caused momentary numbness. θ Affection of sympathethic nervous system.
Renal calculi, congestive and inflammatory symptoms, with purulent, chalky or sandy sediment.
Dull pain in renal region.
Tension over region of bladder.
Bladder is full but urine does not flow because of absence of urging ; in great debility, as after typhus.
Urine impeded by pain in hypogastrium (fundus vesicæ).
Urine : profuse, pale, watery ; frequent and scanty ; scanty and completely suppressed ; turbid, whitish like curdled milk, with brickdust sediment and variegated cuticle on surface ; with red sediment ; sediment of white flocculi ; deposits a
white cloudy sediment ; contains quantities of grey sand ; thick, turbid and scanty ; turbid and high-colored ; brown, with red sandy sediment ; much vesical and renal epithelium and mucous sediment ; acrid, offensive smelling ; albuminous ; bloody,
largely albuminous.
Sudden call to make water without pain when it is passing.
Involuntary urination : during typhus ; at night, in children of Phosphor. build ; children who grow too rapidly.
Hæmaturia, from debility after sexual excesses ; blood deficient in fibrin ; general dissolution of blood.
Burning in urethra : with desire to urinate ; when urinating and at other times.
Twitching and burning in urethra.

Male sexual organs

Satyriasis ; lascivious, strips himself, sexual mania ; extreme irresistible desire for coition ; frequent erections and emissions ; strong desire with feeble erections ; all erectile power gone.
Erections : frequent and painful ; day and night ; ineffectual during coition ; absent with inward sexual desire.
Seminal emissions : at night ; with or without lascivious dreams ; caused by exuberance of strength and nervous excitement, followed by impotence ; nearly every night with great prostration and burning, aching distress in lumbar region ; paralysis ; soon
after coition ; too rapid during coition ; patient is anxious or irritable, emaciated, easily alarmed, with difficult breathing and sticking pains in chest, has lost his memory, has occipital and frontal headaches, painless, watery diarrhœa, blotches on his face and no appetite.
Sexual debility from inordinate use of table salt.
Impotence : after excessive excitement and onanism ; from or preceded by overexcitement of sexual organs, as in young men who, trying to restrain their natural passion, have this local erethism by reason of celibacy or sexual excesses.
Frequent discharge, day and night, of thin, slimy, colorless fluid from urethra, without and erection ; paralytic or spasmodic symptoms in extremities.
Sexual abuse producing dorsal consumption, trembling, imbecility, mania, epileptic fits and indigestion.
Discharge of prostatic juice during hard stool.
Chronic urethral discharge due to hypertrophy of prostate.
Gleet : discharge very scanty ; small drops of watery fluid at orifice of urethra in morning, at times gluing it together, but leaving scarcely any stain on clothing ; no pain or any difficulty in urination ; discharge caused by atony of mucous membrane.
Ulcers on prepuce.
Testes sore ; cord swollen, painful.
Hydrocele : after gonorrhœal orchitis, with sexual weakness ; after seminal losses.

Female sexual organs

Nymphomania.
Sterility from excessive voluptuousness or with late or profuse menses.
Unusual irritation of genitals.
Aversion to coition.
Pain in ovaries (l.) extending down inner side of thigh ; during menses ; ovaritis.
Metritis : after frequent pregnancies ; with pyæmia and phlebitis ; in fair, graceful women.
Prolapsus with weak, sinking feeling in abdomen.
Hemorrhages from genital organs ; hyperemia ; parietes of vessels lowered in power of resistance by fatty metamorphosis, hemorrhages become so severe that general anemia follows ; chronic indigestion.
Frequent and profuse metrorrhagia pouring out feely and then ceasing for a short time. θ Cancer uteri.
Before menses : weeping ; bearing down ; relaxation ; weakness felt in abdomen ; cramps in calves ; nymphomania.
Menses : too early, bright-red ; too frequent and too profuse with discharge of blood between periods ; profuse, too early and lasting too long ; too late but very copious ; profuse with sexual excitement, great heat running up back ; profuse, bright ;
early, scanty and pale ; vicarious through urethra or from lungs ; too late or not appearing, tight feeling in chest, with dry, tight cough ; spitting of blood ; tardy and intermittent, alternating with bronchial trouble.
During menses : cold feet and hands ; nausea ; severe pain in back, as if broken ; cutting pain, even into chest ; palpitation ; milky, excoriating leucorrhœa ; very sleepy, can hardly keep awake ; cutting pains in left ovarian region.
After menses : great weakness ; blue rings around eyes ; losing of flesh and great fearfulness.
Menorrhagia : blood pale or bright ; in nursing women.
Amenorrhœa : with blood-spitting ; bleeding from anus, or hæmaturia ; stitches in mamma, eyelids puffed ; milk in breasts ; with chlorosis.
Effects of excessive masturbation ; great debility, especially ready fatigue from walking ; trembling of legs.
Leucorrhœa : profuse with sense of great weakness in abdomen ; during or instead of menses ; of white, watery mucus ; acrid and excoriating ; milky early in morning, when walking ; slimy, reddish, in an old woman ; precedes menses ; in consequence
of chlorosis ; acrid, causing blisters or soreness.
Smarting leucorrhœa, causing blisters ; burning after menses.
Stitches upward from vagina into pelvis.
Vaginal anesthesia during coitus.
Condyloma, in immense numbers, of large size, rough and dry, filling vagina.
Dull tearing in labia, during or after walking in open air.
Great œdema of labia.
Erectile tumors on external genitals.
Fungus hæmatodes ; cauliflower cancers bleeding profusely.
Hard, extremely painful nodosities as large as goose-eggs in breasts ; no inflammation.
Fibroid tumors of breast.

Pregnancy. parturition. lactation

Nymphomania with spasms during seventh month of pregnancy ; weak empty feeling in abdomen, cutting pains ; narrow, dry, long and difficult stool, like a dog's stool.
Vomiting of pregnancy : nausea to faintness, < fasting, drinking at night, assuming an erect posture, cold extremities, flow of water from mouth, vertigo, vomiting of sour and bilious matters ; unable to drink water, sight of it causes
vomiting, must close her eyes when bathing.
During pregnancy : pale, bluish, puffed face, blue lips and nails, undulation of jugular veins ; cramps.
Labor pains : distressing but of little use ; cutting pains, through abdomen.
Puerperal eclampsia : convulsions preceded by sensation of heat rushing up spine to head ; urine frequent and scanty ; containing albumen and exudation cells ; labor pains light and unavailing, but causing great distress ; supersensitive to light, noises, touch,
etc. ; frequent syncope ; may retain consciousness during spasms.
Pains in sacrum after labor.
Increased secretion of milk, great debility ; deterioration of health from nursing ; cramps in stomach.
Stitching pains in mammary glands, threatened abscess.
Mastitis, ulceration of mamma, erysipelas even after pus has formed ; abscesses and indurations.
Left breast swollen three times natural size, hard, livid and extremely sensitive to touch ; scanty watery discharge from nipple beneath which a fluctuating point could be felt ; very irritable ; lachrymose ; emaciation ; fever towards evening.
Breast swollen, inflamed ; fistulous ulcers, with callous edges and continuous suppuration ; hard nodules in breast ; dry cough with occasional expectoration of blood ; respiration oppressed ; face pale with circumscribed redness of cheeks ; anorexia ;
chilliness in evening followed by dry heat, particularly in palms of hands ; clammy night sweats.
Excruciating pains extending even into chest ; gnawing burning with shortness of breath and dry cough ; hectic fever with colliquative sweats and diarrhœa ; whole breast hard, dark, swollen, dark-red ; stitching, burning pains on slightest touch ; seven
fistulous ulcers in breast, partly covered with proud flesh, from which an offensive, ill-looking, profuse, purulent discharge had escaped.
Two fistulous passages in one breast, and three in other, some of them extending deep into gland, and others more superficial but diverging at right angles, all discharging a thin, serous fluid so acrid as to corrode adjacent parts ; hectic fever ; emaciation ; violent
cough ; tongue dry and livid ; night sweats ; tender and painful stomach ; irritable bowels ; great nervous restlessness.
Fistulous passage in left breast, extending three inches into gland ; thin, acrid, serous discharge ; general debility.
Mastitis ; preternatural enlargement of mammary gland.
Cancer mamma, with sharp lancinating pains, or bleeding easily ; inflamed indurations very painful, < by exposure to air.
Nipples hot and sore.
Papular eruption ; very painful inflammation and swelling followed by pus formation. θ Sore nipples.

Voice and larynx. trachea and bronchia

Hoarseness in morning ; voice husky, rough ; with cough and rawness in larynx and bronchia ; < in evening ; larynx seems coated ; is unable to speak a loud word ; could hardly speak above a whisper ; voice lost or altered
from catarrh or laryngeal pain ; after prolonged speaking ; of clergymen ; after diphtheria ; after typhus ; in evening, amounting to complete aphonia ; chronic ; in phthisis.
Irritable weakness of vocal organs ; violent tickling in larynx while speaking ; dry, spasmodic cough, with constriction of throat.
Lining of vocal cords highly injected, with ulceration ; suppressed voice. θ Phthisis.
Aphonia : with rawness in larynx, < in evening ; with sensitiveness and dryness of larynx, with a feeling as if it were lined with fur ; inability to utter a word, every effort to do so being painful ; nervous exhaustion, suspected atrophy of nerve tissue ;
from prolonged loud talking ; catarrhal or nervous ; larynx sensitive to touch ; painless, < towards evening ; sudden, cannot utter a loud word and can with difficulty be understood when ear is placed close to her mouth ; in tuberculous patients.
Hysterical paralysis of vocal cords coming at times ; for eight weeks complete loss of voice ; both vocal cords broad and relaxed ; feels tired, is pale ; chest oppressed ; menses every ten days.
Cannot talk on account of pain in larynx.
Sensation as from a skin in larynx.
Stitches, soreness, roughness and dryness in larynx.
Rawness in larynx and trachea, with frequent hacking cough and hawking.
After waking at night a feeling of contraction in larynx and trachea as if he must suffocate.
Irritability of lower portion of trachea, with suffocative pressure in upper part of chest.
Croup : hoarseness, raw pain and soreness in chest, as if excoriated ; continual irritation in larynx and trachea, low down, with oppression of chest ; pain, roughness and burning in larynx ; velvety look about fauces ; sensation as if a piece of flesh or skin
were hanging loose in larynx ; burning and dryness in throat ; swollen tonsils ; hoarse, trembling, hissing or croupous deep voice ; aphonia ; dry, tickling, not very harsh-sounding cough ; dry, hacking or loose cough ; hollow, hacking, shrill, spasmodic
cough ; cough from tickling in chest ; < at night ; shortness of breath ; hollow cough, with expectoration of mucus ; respiration hurried ; constant expectoration in morning and during day ; great oppression of breathing, < during inspiration ;
useful for sequela when improvement seems to stop ; child starts from sleep affrighted and clings closely to mother or any object that is near, and appears unable to get breath ; cough becoming so severe as to threaten suffocation ; starts suddenly from a restless sleep,
clings to bed or any one near and gasps for air, attack lasting several minutes ; constant rattling of mucus ; small, quick pulse ; burning fever.
Laryngeal croup : aphonia ; rapid sinking ; cold sweat ; dropped jaw ; sunken face ; rattling breathing ; tendency to frequent relapses.
Membranous croup : tracheotomy expected as only means of saving life ; death imminent ; to remove hoarseness and catarrhal cough, prevent paralysis and narcosis from carbonized blood ; with suffocation, cold clammy sweat, small pulse.
Croupous cough preceding or accompanying eruption of measles.
Croup in combination with bronchitis ; great weakness ; aggravation evening up to midnight ; lying on back provokes cough.
Epidemic influenza : rawness and scraping in pharynx, < towards evening ; hawking of mucus in morning ; fluent coryza with great dulness of head and sleepiness ; more during day and after meals ; blowing of blood from nose ; profuse hemorrhages from nose
and mouth ; much sneezing ; frequent alternation of dry and fluent coryza ; sensitiveness in region of liver, with stitches there ; hoarseness, rawness in larynx and trachea ; cough excited by tickling in chest, generally dry evening and night, with mucous
expectoration in morning and during day, < talking, laughing, crying (children), lying on back or left side ; much fever and thirst ; lassitude and prostration out of proportion to duration of disease ; much heat and great pain in larynx or chest, with dry cough and
tendency to diarrhœa.
Larynx feels sore and dry ; passage of inspired air gives to parts a sensation of rawness ; cough hoarse, expectoration scanty ; constant tickling in suprasternal fossa ; dryness of throat night and day ; hawking of mucus in morning ; hoarseness, loss of
voice.
Voice a husky whisper ; feeling of weight and strangulation at larynx, which provokes incessant coughing, hawking and spitting ; sputum is a fine, white, tasteless froth, expectorated every half minute ; extreme dryness of throat and
back part of mouth, < at night, when she is obliged to rise every half hour to moisten throat ; looks pale and haggard from loss of sleep.
Bronchitis : tight cough, < from evening until midnight ; tightness across chest ; pain in head, larynx and chest when coughing ; cough < from speaking, laughing, eating, motion and on going into cold air ; useful after onion syrup ; severe and
exhausting cough, which child dreads and avoids as long as possible ; < in evening and continues so during night ; fever high, pulse rapid ; lies upon back breathing very fast, respiratory movements chiefly abdominal ; every inspiration very short, half suppressed and
accompanied by a sort of groan ; child's attention could only with difficulty be called to anything ; much general heat ; short cough ; sibilant rales in lungs ; hollow, dry, deep cough, without irritation ; in tall, slender persons of tuberculous habit ;
capillary ; subacute attacks in emaciated, cachectic or young overgrown invalids ; broncho-pulmonary catarrhs from dilatation or fatty degeneration of heart ; cough abrupt, rough, sharp, dry ; between each coughing spell a short interval ; dry tickling cough in
evening, with tightness across chest and expectoration in morning ; pain in chest when coughing, > from external pressure ; trembling of whole body while coughing ; cough < when other people enter room ; tingling soreness and rawness in air passages, dry cough with
expectoration of viscid or bloody mucus ; dilatation of bronchi.
Chronic bronchitis ; profuse expectoration of white or yellowish mucus, auscultation showing bronchial tubes to be filled with secretion ; prostration < by night-sweats ; emaciation.
Chronic bronchial catarrh ; cough dry, or expectoration of abundant tough mucus, especially in morning ; at times expectoration is cool ; tremor when coughing.
Chronic bronchitis, when an exacerbation occurs and expectoration is streaked with blood.

Respiration

Inclination to take a deep breath.
Oppression and anxiety in chest, < evening and morning.
Breathing : very much oppressed, short ; impeded by rapid walking ; very short after coughing ; tight after slightest food ; short with violent pressive pain in upper part of sternum ; difficult ; superficial ; anxious,
panting, oppressed ; anxious, short and hurried, with elevation of whole thorax, and especially of left side ; very labored, noisy, panting.
Complained of want of air, though she frequently took a deep breath.
Feeling of suffocation ; also after waking at night.
Dyspnœa, with inability to exert himself ; extreme prostration.
Spasmodic constriction of chest.
Difficult respiration, chest feels full and heavy, with tension.
Stridulous inspiration in evening on falling asleep ; nightly suffocative spells, as if lungs were paralyzed.
Mucous rales easily distinguishable in different portions of both lungs, but more noticeable in lower lobes.
Could breathe only with a loud rattling noise.
Asthma : with fear of suffocation ; due to increased irritability of respiratory organs, as after inflammation, etc., in irritable, lively, blonde subjects ; congestive, < while lying on back, or on falling asleep.
Boy, æt. 10, without apparent cause became dull, indisposed to learn, irritable and cross ; face pale, appetite impaired ; finally complained of sudden cutting, stitching in abdomen which soon extended to chest and developed into an asthmatic attack ; can get no
air ; face deathly pale, eyes sunken and encircled by blue rings ; attacks last several minutes and occur frequently.
Labored breathing, threatened paralysis of lungs.
Fulness in chest as after eating too much.

Cough

Cough : tickling ; constant tickling in throat ; dry, from tickling in throat and chest ; dry, tickling, caused by irritation in larynx and beneath sternum ; < lying on sides, especially left ; frequent, irritable, from
scratching in throat ; frequent, short, dry, hacking ; violent, dry, on reading aloud ; dry, with pain in head as if it would burst ; dry, troublesome, causing soreness in forepart of chest, woke her from sleep ; with great exertion, until expectoration of tenacious
mucus ; dry, tickling in evening, with tightness across chest, expectoration in morning ; hard, tight, dry, racking, exhausting, > on going into open air ; abrupt, rough, short, dry, from ticking in trachea low down ; sensation of tightness across chest, rawness and
soreness in trachea and bronchi ; hollow, mostly in morning in bed, also at night, prevents falling asleep ; hollow, dry, with pressure in pit of stomach ; he could not sleep all night ; dry, short, barking ; excited by tickling in chest and followed by expectoration
of stringy sputa of a salty taste ; chronic, incessant barking, night and day ; deep, thrilling ; no expectoration ; spasmodic, with oppression of chest ; dry, intolerable, with bronchial catarrh ; was obliged to sit up when coughing ; with trembling of
whole body ; with sticking in epigastrium ; must press it with hand ; nervous, when any one enters room ; from strong odors ; before a thunderstorm ; on appearance of strangers ; with stitches over one eye, splitting headache, burning dryness in
throat ; with hoarseness, aphonia ; soreness and roughness in larynx ; < evening and night ; < from talking or laughing ; short, abrupt, with a sensation of concussion ; from spasmodic irritation of vagus ; in morning after rising with expectoration
of transparent mucus and a sensation in middle of sternum as if something were torn loose ; with white expectoration, difficult to loosen ; with expectoration in morning, none in evening ; loose rattling when eating.
Cough of eighteen years duration ; patient appeared past recovery and was given up to die speedily of consumption ; white, tenacious, sweetish, raw expectoration ; extreme shortness of breath, preceding each paroxysm of coughing ;
cough < from motion ; nose stopped up every morning ; much itching in anus ; sauer-kraut causes considerable bloating ; < towards evening.
Troublesome chronic cough, with expectoration of tough, reddish-brown mucus.
Cough caused by a tight feeling in left ovarian region, at same time spasmodic constriction of larynx, with continual hawking of mucus.
During evening cough after lying down ; he can raise better if he turns from left to right side.
On going into cold wind felt something strike icy-cold in centre of lower chest ; since then cough caused by lying on right side, < while eating and sometimes for a short time afterwards ; also < rising from bed in morning ; sputa thick, yellow, tasteless ;
cough causes pain like a smarting at front of throat, about root of tongue ; constant pain in centre of lower chest, as if stopped up ; cannot draw a long breath on account of a feeling of weight in centre of lower chest, > by sighing.
If towards the end of whooping cough disease threatens to take an unfavorable course.
Cough with intolerable pain in larynx.
Cough : causing pain in abdomen, is obliged to hold abdomen.
Involuntary stool while coughing.
Cough with tingling, soreness and rawness in air passages, < from cold air.
Coughs and chest symptoms supervening and complicating typhoid and typhus fever ; expectoration of rusty or greenish, sometimes fetid sputa.
Cough : with tightness across chest ; larynx sensitive ; veins of hands swollen ; sacrum feels as if broken ; trembling all over.
Speaking excites laryngeal and tracheal cough.
Cough : with faintness.
Cough worse : from change from warm to cold air ; from laughing or loud talking ; reading aloud ; change of weather ; eating or drinking ; drinking anything cold or warm ; from exercise ; lying on left side or back ; strong odors.
Cough in tall, slender, tuberculous subjects, with pale complexion, clear scleroticæ, great nervous irritability and sensitiveness to external impressions ; pale, waxy face, sunken eyes ; weak nervous persons.
Expectoration : most in morning, less in evening ; of bloody, purulent matter ; of yellow matter ; of sour taste ; frothy, bloody, rust-colored ; purulent, white and tough ; cold mucus, tasting sour, salt or sweet ; of a dirty appearance,
resembling pus, but thinner, and when falling on a hard surface will break and fly like thin batter ; large quantities of greyish phlegm, as if mixed with dust ; of tenacious mucus ; albuminous and blood-streaked ; difficult to expectorate, with hæmoptoë from the
exertion to detach them and leaving, after cough, severe dyspnœa and short breathing ; containing streaks of blood.
Hæmoptysis.
Vicarious spitting of blood for menses ; tubercular diathesis, dry, tight cough, < from evening until midnight ; bronchitis.

Inner chest and lungs

Anguish and heat in chest ; anxiety, with want of breath.
Heaviness of chest, as if a weight were lying upon it.
Feeling of fulness in chest up to throat, as if from eating too much.
Lungs felt clogged ; troublesome dyspnœa.
Cannot fill lungs as usual.
Weakness of chest.
Oppression of chest : as if clothes were too tight ; in morning ; in bed ; after walking in open air, at night, so that she could not perfectly yawn ; of lower portion, with shortness of breath ; with anxiety, after dinner ; with a constrictive
sensation under sternum.
Distressing anxiety and pressure in chest, amounting to real suffocation, so that deep inspiration was difficult but impossible, with burning and sticking pains behind sternum.
Great pressure on middle of sternum.
Tightness of chest : as from rush of blood ; of upper part of chest ; across upper third of lungs ; as if lungs themselves were constricted ; as if air were forcibly kept out ; with feeling of dryness ; with dyspnœa ; with pain ; as if a band
were about it ; with aching in cardiac region, > by eructation.
Constrictive pinching sensation high up in chest.
Constrictive spasms in chest ; cramp, at night, thinks he will suffocate.
Stitches : in various parts of chest ; frequent through lungs, especially on deep inspiration ; on right side under false ribs ; in left side beneath ribs ; in left side on breathing ; in left chest, > lying on
right side .
Cutting from middle of sternum to right scapula, < during inspiration, > during motion.
Raw feeling of lungs ; soreness, great difficulty in taking a full breath.
Heat : in chest ; in lungs ; intense behind sternum.
Burning, excoriated pain in chest, especially on left side, on which patient cannot lie. θ Bronchitis.
Burning, piercing soreness and tension in chest.
Pain acute, especially in right chest, < from pressure, even slight in intercostal spaces, and lying on left side.
Acute pain in lower part of left lung ; < lying on left side.
Pain in chest when coughing, > external pressure.
Congestion to chest ; oppression ; anxiety ; < from any emotion ; cramp between scapulæ ; palpitation.
Expectoration of bright-red fluid blood, which feels warm in mouth and is accompanied by no pain and but very slight cough ; respiration free ; < at night ; after repeated colds and exposure to rain.
Hæmoptysis : pain in chest, tickling and spitting of blood ; with gurgling and bubbling sounds in air passages ; blood coming from choanæ ; suffering expression of face ; limbs cold ; pulse small, rapid ; with
occasional attacks of profuse hemorrhage ; in women with delayed and scanty menses, congestion of blood to chest ; in those of sanguine temperament ; in young phthisical subjects.
Percussion over lower portion of thorax, dull on right side, with indistinct bronchial respiration and numerous rales, partly dry, partly moist ; on left side vesicular murmurs and some moist bronchial rales.
After laboring under a severe cold for a week or ten days, sudden very violent stitching pains, starting in just beneath skin upon acromial extremity of left clavicle and shooting thence downward through left lung and out at left side of abdomen, just below ribs ; severe
chill ; utter inability to take any but shortest inspirations ; < upon slightest movement of body ; cannot lie on left side.
Bronchitis : involving bronchial tubes high up or extending down into bronchioles ; cough with tearing pain under sternum, as if something were being torn loose ; suffocative pressure in upper part of chest, with constriction of larynx ; lungs engorged with
blood ; mucous rales through lungs ; panting and labored inspiration, even emphysema ; sputum of yellowish mucus, streaked with blood, rust-colored or purulent and of sweetish or salty taste.
Capillary bronchitis : severe, hard, dry, exhausting cough, < in evening ; pulmonary œdema.
Broncho-pulmonary catarrh, with dilatation or fatty degeneration of heart.
Crepitation in lungs, with or without expectoration, and a sensation of heat and sharp pain during inspiration.
After an acute attack of pneumonia, percussion gives a dull sound ; no natural respiratory murmur ; lung is hepatized, cough short, dry and hacking, cannot lie on back or on left side, but rests > on right.
Cold on the lungs : threatening pneumonia, with tightness and oppression ; sore aching pain, chilly and feverish, with anguish and restlessness (after Acon.).
Pneumonia : stupor with burning, hot head, red, hot cheeks, red ears, contracted pupils, closed mouth ; murmuring and gesticulating in delirium ; face expressive of much anxiety ; takes water when offered, greedily, but cannot swallow more than one sip, on account of
shortness of breath ; winglike motion of alæ nasi ; breathing difficult, catching, inspirations being suddenly suppressed when half completed and attended by a halfstifled groan ; lies upon back, head thrown back as far as possible, so as to extend larynx ; short, dry
cough every now and then ; carotids pulsate violently ; heart beats strong ; pulse very quick ; skin dry and hot ; lower portion of posterior right lung hepatized ; great tightness across chest ; diarrhœa ; expectoration when falling upon paper will
break and fly like thin batter ; dryness of air passages ; excoriated feeling in upper chest ; great weight on chest or tightness ; chest sore, bruised ; welldeveloped coexisting bronchitis ; hepatization, especially of lower half of right lung ; threatened
paralysis of right lung ; latter part of period of deposit and early part of that of absorption ; inspiration almost impossible, after every attempt severe cough with scanty expectoration ; lies best upon back, every other position causing pain and stitches in left chest.
Beginning hepatization, face livid, features pointed ; cold sweats, small, quick, hard pulse ; frequent cough, with frothy, brown or gelatinous expectoration. θ Pneumonia.
Typhoid pneumonia, with sensitiveness and gurgling in ileo-cecal region and diarrhœa.
Sudden, sharp, lancinating pain in right side of iliac fossa, < from motion ; after five days this pain ceased and a cough set in ; pulse in evening 150, temperature 106 1/2 ; vomiting of large quantities of pure blood. θ Pneumonia.
Pleuro-pneumonia, violent and extending over a large surface, with dyspnœa and dry cough, and rust-colored sputa.
Pneumonia stage of hepatization ; left chest ; dull, dead percussion sound on left side posteriorly ; in front, less dull ; bronchial breathing through left, mucous rattling of large bubbles in right chest ; livid color of face ; lips and tongue dry,
with a sooty coating ; skin burning hot and brittle ; pulse very frequent, weak and suppressible ; breathing quick and short ; dry, hard cough ; frequent diarrheic stools.
Expectoration of dirty appearance, resembling fur, but thinner, when falling on any hard, smooth surface, will break and fly like thin batter. θ Pneumonia.
Infantile pneumonia : feverish, irritable ; respiration hurried ; cries on taking a deep breath ;`small crepitating rales in bases of lungs posteriorly.
Typhoid pneumonia ; not a genuine inflammation, rather an accumulation of blood in veins and extravasation of fluid blood in lung tissues ; weakness, feeble pulse, occasional sighing, unable to use lungs, not from pain, but merely from weakness and hyperæmic
stagnation ; pulse thready ; cold sweat.
On seventh to ninth day of pneumonia, breath cold ; cold, clammy sweats ; fluttering, scarcely perceptible pulse ; sputa rust-colored, expectorated with difficulty ; great anxiety ; hippocratic face ; both sides of chest dull on percussion.
On sixth day of disease, severe suffocative attack ; respiration very difficult ; voice weak, lisping ; great prostration ; pulse rapid, weak ; hepatization of right lung. θ Pneumonia.
Threatened paralysis of lungs at an early stage of pneumonia in old people who previously were asthmatic or suffered from chronic mucorrhœa.
Respiratory organs become rapidly involved and lungs rapidly suppurate, with formation of cavities and purulent exudation into cavity of thorax, with infiltration of mesenteric glands and tubercular ulcers in intestines ; tubercles of lungs develop, with hectic fever.
Lobular pneumonia, terminating in gangrene of lung and pyohæmia.
Tuberculosis : incipient stage.
Emaciation. easily fatigued ; face pale ; cheeks sunken ; severe cough, copious, yellow expectoration ; chest sore, as if eviscerated ; fever ; night sweats. θ Consumption.
In second and third stage of phthisis ; hoarseness ; aphonia ; hæmoptysis ; salty, purulent expectoration ; soreness in chest ; great irritability of sexual organs.
Phthisis pulm. seu abdom., face pale or cheeks red ; bowels loose ; stools bloody or contain lumps like tallow ; flashes of heat with debility ; weak knees.
Tuberculosis in tall, slender, weak-chested persons growing rapidly ; repeated hæmoptysis ; great debility ; frequent attacks of bronchitis.
Œdema pulmonum.
Pleuritis ; late stages ; heart dilated ; purulent infiltration.
Threatened paralysis of lungs, prostration, viscid sweat ; small pulse ; face sunken ; rattling in windpipe.

Heart, pulse and circulation

Palpitation : violent ; on slight motion ; frequent and violent while lying on l. side, at night ; and anxiety in evening and morning, on waking, in bed ; severe with precordial anguish ; from every emotion ; with rush of
blood to chest, especially in rapidly growing youths ; with cramp between scapulæ ; of nervous origin ; in anemia with tightness across chest ; dyspnœa and nervous weakness.
Violent hammering in chest, aggravated by motion, benumbing all over ; dyspnœa, tightness across chest, great weakness after any little mental excitement.
Anxiety about heart associated with nausea and a peculiar sensation of hunger, somewhat relieved by eating, distressing her even in bed, sometimes for several hours.
Pressive sensation about heart.
Pressing pain < under sternum. θ Angina pectoris.
Great pressure on middle of sternum ; orthopnea ; dyspnœa with inability to exert himself ; palpitation.
Frequent stitching, pinching pains, pressure and anxiety ; sensation as if heart had grown fast ; as of a narrow band encircling body and lying upon heart ; violent throbbing and beating of heart ; extending up into throat and head ; numbness, stiffness
and coldness of left arm and thigh ; great anxiety of mind as if he had committed murder, allowing no rest day or night, preventing him even from lying down ; respiration short, oppressed, wheezing, difficult ; pulse full, hard, frequent ; heaviness of head with vertigo,
roaring in ears and darkness before eyes ; at night chilliness with stretching of back and legs ; when pains in heart cease suffers from stitches in chest with sudden orthopnea or has tearing, cramping pains and retraction of testicles or cramps in calves of legs.
Pressure as of a great weight lying on middle of sternum ; great pressure in upper part of chest ; cough excited by drinking ; excoriation of chest when coughing ; cough wakes him constantly at night and excites great pain in breast ; impossible to lie on
back ; has had two previous attacks ; since first has short breath and cough, inability to exert himself, palpitation, depression arising from belief that he has an incurable disease of heart, which drove him to reckless courses of life ; in third attack had loud friction and
bellows' sounds ; extremely petulant ; least trifle drove him to greatest anger ; scolded violently if opposed in the least. θ Cardiac rheumatism.
Impulse of a whirring character ; first sound of heart at apex is blowing, the second clear ; systolic murmur at orifice of heart.
Bruit de souffle with first sound of heart.
Peculiar blowing sound, synchronous with systole of heart, over arch of aorta.
Marked bellows' murmur with first sound of heart.
Endocarditis or myocarditis during course of acute inflammatory rheumatism or during pneumonia.
Disease of right heart with consequent venous stagnation.
R. heart considerably enlarged ; superior thirds of both lungs, notably left, consolidated ; constant tickling at throat pit, causing desire to cough, which, however, only resulted in a little white, frothy sputa being raised with a hacking which made his chest more
sore ; liver enlarged downward about two inches, but not sensitive to touch ; shortness of breathing upon least exertion, together with tumultuous beating of heart ; sensation of constriction across chest ; soreness to touch of left subclavicular space ; says life
has become a burden as he can get no restful sleep ; sleeps for a short time, during which he constantly tosses about, then awakens feeling sore and tired all over and must get up and sit in a chair a few minutes, then to bed again, and this all night ; food does not seem to agree,
except salt fish, which he does not like ; had an all-gone feeling, becoming < as digestion proceeds and which is somewhat > after a meal.
Retardation of heart's beats owing probably to fatty heart ; pulse gradually fell to 20 and death seemed imminent ; in an old man aged 70.
Hypertrophy of left ventricle with congestion to head and face ; dilatation of right ventricle ; fatty degeneration of heart ; emphysema ; bronchial catarrh.
Dilatation of heart, following endocarditis, or fatty degeneration.
Muscular angina with fatty degeneration.
Fatty degeneration of right heart ; venous stagnation ; puffiness of face, particularly under eyelids.
Pulse : accelerated, full and hard ; sometimes double ; small, weak and frequent ; irregular ; feeble ; small compressible, 80 ; small and soft ; rapid and weak ; rapid, soft ; intermittent, from dyspepsia.
Orgasm of blood, blood excited by sensual impressions.

Outer chest

Swelling of clavicle.
Acute and frequently recurring paroxysms of neuralgia of chest-walls.
Intercostal neuralgia.
Yellow or brownish spots on chest.

Neck and back

Stiffness in nape of neck.
(OBS :) Bronchocele.
Lipoma on neck with hectic fever.
Between scapulæ : heat ; pains ; burning pain ; dull pain ; throbbing pain in small spot ; throbbing burning distress.
Stitches in right scapula ; in shoulder blades.
Spinous processes of dorsal vertebræ between scapulæ became exceedingly sensitive to pressure, also muscles between processes and left scapula were sensitive, much < on left side ; < from unpleasant emotional excitement and by vexation.
Hot spot on spine ; burning in spots along spine.
Feeling of intense heat running up back.
Feeling of weight and dull pressure in whole spine.
Throbbing and pulsating in back.
Pains : in small of back ; as if broken, dragging sensation, cannot laugh because of it ; cannot move ; when rising from stooping ; burning.
Burning in a small spot in small of back, > from rubbing.
Much heat in lower part of back across renal region.
Pain in sacral region after confinement.
Weakness and paralytic feeling at junction of lumbar and sacral vertebræ.
Pain in coccyx as if ulcerated, hindering motion, followed by painful stiff neck. θ Rachitis. θ Coccygodynia.
After unusual exposure, violent neuralgic pains, implicating whole spinal column, continued several years, at times assuming form of rheumatism of joints and muscles, then purely neuralgic ; for months at a time could not dress himself, turn in
bed or raise hands to head ; helpless, with the most excruciating pain, < morning and evening and after eating, but usually appetite was good ; violent craving for fish. θ Rheumatic
neuralgia.
Spinal irritation : palpitation of heart, < from any emotion ; spine exceedingly sensitive to touch ; weakness of spine ; back feels weak, as if it would soon give out ; weakness of limbs, with trembling on beginning to
walk ; stumbles a great deal, catching his toes in every little projection of floor or pavement ; totters and there seems to be imperfect co-ordination ; sleepless from excessive heat ; horribly exciting dreams ; in chest diseases, confinement, reflex uterine
troubles, caries, etc. ; burning pains ; burning in spots, > from rubbing ; throbbing burning neck, thence over head to forehead, with burning on vertex.
Spinal anemia in those given to sexual excesses ; tall, lean people ; night sweats with hectic fever ; early morning diarrhœa.
Pains in back and weakness of legs, gradually increasing until locomotion became extremely difficult and he was compelled to stay in bed ; on endeavoring to walk, very peculiar motion of legs, they are bent and unsteady and are moved forward as if it were an effort for him to
support spinal column ; formication and numbness in lower half of spinal column ; spinous processes very prominent ; trembling of limbs ; torpidity of alimentary canal.
Myelitis ; after sexual excesses or getting wet ; also when in connection with an inflammatory process of vertebræ ; burning pain in spine ; some vertebræ sore to touch ; dyspnœa and cough ; weakness of sight ; transient vertigo ;
constipation, stools narrow, dry ; numbness and insensibility of extremities.
Softening of spine.
Progressive spinal paralysis, with partial contraction of affected muscles, formication and tearing in limbs, anesthesia with increased heat ; periodically returning, insupportable pains in spine, preventing walking ; heaviness and sensation of fatigue, especially when
ascending steps ; pains in soles of feet as if she had walked too much, with sensation as if they were asleep ; great irritability and nervousness.
Locomotor ataxia : burning heat in back ; hands and feet numb, clumsy ; limbs tremble from every exertion ; when walking makes missteps from weakness ; swelling of hands and feet with stinging pains ; paralysis, formication and tearing in limbs ;
anesthesia ; increased heat ; sexual irritation ; nocturnal emissions ; great irritability and nervousness ; from excessive loss of animal fluids and semen.
Multiple sclerosis : weakness of extremities and trembling on making an effort ; legs weak, gait tottering as if he were not sure of himself ; speech embarrassed ; amaurosis with widely dilated pupils ; deafness.
Caries of vertebræ : in scrofulous children ; diarrhœa < in morning, containing undigested food ; tendency to involvement of lungs ; catches cold easily with marked tendency to bronchitis ; when inflammation has extended inward and involved spinal cord
itself ; burning in certain portions of spine ; cannot tolerate any heat near back ; hot sponge on back causes him to wince ; feeling as of a band around body ; difficulty in walking increasing until child cannot walk at all ; partial loss of control over
sphincters.
Spinal diseases from inflammation of vertebræ.
Spondylarthrocace.

Upper limbs

Swelling of axillary glands.
Violent itching in right axilla.
Boils in left armpit.
Tearing in left shoulder, especially at night, in bed.
Paralytic drawing in muscles of shoulder and upper arm.
Great weakness of upper arms.
Arms weak, can hardly move them, they tremble, become numb.
Rheumatic pains in arms, especially in joints.
Severe pains in muscles of right shoulder, extending to elbow ; pain constant, preventing sleep at night and so severe as to cause fainting ; fever with sweat ; numbness and flexion of fingers ; all motion, even passive, is impossible.
Distressing pain in right arm and shoulder ; early in morning, on rising, arm felt paralyzed and weary, sometimes from shoulder to elbow ; > after work, < in evening when at rest ; paralyzed ; < after unusual exertion, and morbid sensitiveness of
upper arm to pressure ; no emaciation of arm ; after Phosphor., spotted, itching, erythematous eruption appeared on lower part of forearms and hands. θ Paralytic rheumatism.
Left arm painful ; numbness of left forefinger ("like pins and needles"), extending up radial side of hand and wrist ; first phalanx of left thumb feels at times as in a vise ; gnawing pain in left forefinger ; when severe extends up
radial side of arm to elbow, where bone feels as if it would come through ; sensation of heat in these parts, < at night ; the gnawing seems in bone ; gnawing and burning lying on back or leaning back ; on letting left arm hang down, feeling of rush of blood to
forefinger and as if nail were being pulled out ; menses scanty, regular ; before menses much flatus rolling in abdomen, causing great pain, > bending double and by hot drinks ; flatulence and pain come on fourteen days before menses and last during period ; after
drinking, especially warm drinks, face and arms are red ; feels as if she could not get her breath after warm drinks ; first and second fingers of left hand swell for three hours every day ; left first finger contracted, cannot straighten it except by aid of other hand ;
pain in hand prevents sleep ; bruised feeling at root of left thumb ; dislocated pain in left knuckles and wrist, extending to elbow.
Drawing, tearing pains in joints of elbow and hands and in fingers, worse at night and when lying on left side. θ Rheumatism.
Tetter on elbow.
Tremor of hands.
Falling asleep of hands, in morning, on waking, sensation of numbness.
Hands and arms cold, with diarrhœa.
Emaciation of hands.
Veins on hands are distended.
Burning palms ; or clammy sweat on head and palms.
Paralysis of fingers.
Periodical contraction of fingers, like cramp.
Numbness and insensibility of fingers ; fingers are all thumbs.
Finger tips feel numb and insensible ; numb, crawling.
Cracked skin of finger joints, as if by cold.
Two months previously appearance of circumscribed redness on extremity of left thumb, extending one-eighth of an inch beneath integument ; after a while there came in it a round opening as if punctured, and finally a dark red globular outgrowth, which bled profusely at slightest
touch, one day about a teacupful ; aching in thumb on attempting to use it.
At root of nail of right little finger, a small bluish vesicle, from which, after eight days, blood began to ooze, flow gradually growing more severe, until at times it could not be checked ; around the swelling was a bright red areola, surrounded by other bright red vesicular
elevations ; the tumor increased in size and a small wound in foot became ulcerated ; sleep disturbed ; pain in stomach and epigastrium after eating ; marked emaciation ; red stitches on nape of neck ; itching wheals on r. arm ; severe itching at
anus ; tumor was smooth and shining. θ Fungus hematodes.

Lower limbs

Nates painful as if suppurating.
Right hip joint painful ; morbus coxarius.
Hectic fever : dry, hacking cough ; chronic diarrhœa ; urine turbid on voiding, precipitating a white sediment on cooling ; thin, watery pus oozing from diseased joint. θ Coxalgia.
Great uneasiness in lower extremities.
Heaviness, weakness and weariness in lower extremities, especially on ascending steps.
Complete insensibility of lower extremities and of body as far up as chest.
Unsteady, stumbling gait.
Paralysis of lower extremities ; unable to move limbs which were of low temperature and sensibility ; back very stiff ; at a certain part of sacrum no sensibility ; frequent tearing and formication from back to legs.
Paralysis after spondylitis ; use of lower extremities suddenly and completely lost ; cannot move a step ; on wishing to change position of legs must use hands, as if legs were made of wood.
An attack of lumbago, three years ago, was followed by pain in right pelvic region ; loss of feeling and motion of limb ; no shrinking of limb ; sensation like creeping of ants in limb.
Acute arthritis with paralytic weakness of thighs and inability to flex knees to any extent.
Drawing, tensive pains, from slightest exposure to cold, with vertigo, oppression and sense of lameness and weakness in lower limbs. θ Muscular rheumatism.
Exceedingly troublesome nightly attacks of fidgets in right leg and hip, soon after retiring, preventing sleep and driving him out of bed many times.
Swelling on upper part of right thigh, near groin, looking like a boil, surrounded by smaller swellings ; each of the largest swellings has a scab upon it, which, when picked off, showed a purple or bluish-red surface beneath ; after squeezing it it opened like a cauliflower,
edges being everted ; it was elliptical, nearly two inches long and more than an inch' wide, and projected about one-fourth of an inch, of dark purple hue ; the dressing when removed was found to be full of blood, no pus ; extremely sensitive to touch, contact of sponge caused
fainting ; fine pricking pain, like that of a needle, < from motion ; around this were several prominences about size of half a small pea, purplish on their tops, and looking as if ready to break out as the first one had. θ Fungus
hematodes.
Tumor on right thigh near trochanter, round in shape, base being about size of fist ; tumor hard, elastic, slightly movable at base, with but little pain or heat ; no pulsations ; at most pendant portion an abscess had formed and opened, from which there was a continuous
discharge of venous blood, which when wiped away allowed the texture of the fungus hæmatodes to be distinctly seen ; blood oozed out in drops and at times trickled away in a stream ; great weakness from loss of blood ; on left thigh in same location a smaller tumor had
formed, which felt like an indurated gland and was less movable ; irritability of mind, with fear and anxiety. θ Fungus hæmatodes.
Fungus hematodes on right thigh of a newly born child.
Lower limbs covered with fetid sweat.
Weak feeling in knees.
Heaviness in hollows of knees.
Rheumatic stiffness of knees ; pains from knees to feet.
White swelling of knee joint.
Ulcer below right knee, over head of tibia, surrounded by smaller ulcers.
Legs feel heavy and weary.
Legs so weak she makes missteps ; face hot.
Blue-red spots, like petechiæ, on legs and feet.
Troublesome itching of both legs.
Cold legs and feet. θ Amenia.
Bruised pain in periosteum of tibia, always sore to touch.
Swelling of tibia.
Extensive gangrenous periostitis of tibia, with severe febrile disturbance ; periosteum peeled off from a large area upward, as far as knee joint ; the bone was rough.
Blotches on edges of tibia.
Small spots, like freckles, on lower part of tibia.
Suddenly formed, red, inflamed tumor between calf of leg and bend of knee.
Tension in tendons of flexor muscles of leg, with weakness.
Cramp in calves.
Pain in ankle as if sprained, on walking.
Sensation as if she had wrenched foot, causing her to be careful not to make a misstep ; could not walk over rough street paving ; when walking over smooth surface, as floor, suffers from acute pain in heel, and on steping out and flexing ankle joint, painful tension in
tendo-achillis, extending to calf ; every step causes pain throughout whole joint and feet, extending forward to toes. θ Rheumatism.
Œdema of ankles and feet from heart disease or fatty degeneration of kidneys ; albuminuria.
Swelling of feet : in evening ; on walking ; with stinging.
Weariness and heaviness of feet ; paralyzed feeling.
Twitching of feet ; nightly tearing during pregnancy.
Feet icy cold.
Pains in soles of feet : as if bruised ; as if she had walked too much, with sensation as if they were asleep ; as after a journey.
Blisters on heels.
Numbness of toes.
Corns and chilblains on toes.

Limbs in general

Great weakness of limbs.
Loss of power over all limbs, especially in joints and as if paralyzed, with good appetite.
Heaviness of hands and feet.
Extremities became as heavy as lead and at last paralyzed, with pains in muscles.
Hands and feet numb, clumsy ; ankles feel swollen and as if skin were tense.
Limbs tremble from every exertion ; also icy coldness of limbs.
When walking makes missteps from weakness.
Feeling of going to sleep in arms, hands, fingers and toes.
Paralysis confined to extremities, upper and lower, and originating from pressure on spinal cord.
Scaly herpes on arms and knees.
Vesicles : around joints ; between fingers and in bends of knees.
Swelling of hands and feet, with stinging pains.
Drawing pains in back and legs ; could only walk with great exertion ; feet felt lifeless ; sensation in spinal cord as if quicksilver moved up and down ; paralytic heaviness in arms, preventing work ; vertigo ; transient ; movements of co-ordination
normal ; some lumbar vertebræ sensitive to touch ; transient weakness of sight ; anemia ; emaciation. θ Paralytic rheumatism.

Rest. position. motion

Rest : pain in arms and shoulders <.
Lying down : intense pain in eyes ; heat of scalp > ; tearing in jaw bones < ; incarcerated flatus > ; flatulent colic <.
Must lie down : painful weakness of abdomen ; after urinating.
Lying on back : diarrhœa < ; impossible, pain in navel ; provokes cough ; congestive asthma < ; > pneumonia ; pain in arm > ; dorsal decubitus.
Lies upon back : head thrown back as far as possible ; pneumonia.
Lying on right side : constantly ; pain in right ear > ; diarrhœa > ; stitches in chest > ; > after pneumonia.
Lying on left side : pain in right ear < ; diarrhœa < ; cough < ; tearing in joints and fingers <.
Cannot lie on left side : because of palpitation ; pain in chest ; pneumonia.
Must sit erect : general anasarca ; dyspnœa.
Must sit up : during cough ; during night feels sore and tired all over.
Sitting : feeling of incarcerated flatus < ; could move feet a little but could not keep them stretched out.
Letting left arm hang down : rush of blood to forefinger.
Leaning back : pain in left arm >.
Bending double : flatulent colic >.
Had to hold abdomen : cough caused pain.
Stooping : throbbing in forehead < ; cephalalgia ; intense pain in eyes <.
Standing : very tired ; knees bend under him ; there is a deep anterior curve of lumbar vertebræ.
Change of position : compelled by burning of skin.
Wishing to change position of legs : must use hands.
Leaning from left to right side : can raise better.
Rising : vertigo with roaring in ears ; weakness in legs ; must lie down again for a few moments ; cough < ; from stooping, pains in small of back.
Opening mouth : prosopalgia >.
Writing : hands tremble.
Desire to stretch limbs.
Could not dress himself, turn in bed, raise hands to head : excruciating pain.
Capacity for movement lost.
Motion : of head, vertigo, as if he would fall ; of head, dull pain in forehead < ; of eyeballs, sore ; of jaw, > tearing in it ; cardialgia < ; cough < ; least, involuntary stools ; cutting from sternum to scapula ; pains in chest < ; pain in
right side of iliac fossa < ; slight causes palpitation ; even passive, impossible, pain in shoulder ; < hammering in chest ; dreaded and difficult from weakness ; slightest causes redness of face ; rumbling in abdomen ; causes epistaxis ; of joints
> pain.
Every exertion : had to rest ; limbs tremble ; unusual, arm and shoulder paralyzed < ; causes trembling and weakness of extremities ; causes sweat, very profuse.
Walking : staggers from vertigo ; everything turned around with her very tired ; fast causes congestion to head ; stomach painful ; difficult for want of breath ; painful weakness across abdomen ; ready fatigue ; leucorrhœa ; during and
after, tearing in labia ; breathing impeded ; trembling ; impossible ; pains in spine ; makes missteps from weakness ; causing very peculiar motion of legs ; pain in ankle ; over rough pavement impossible ; on smooth surface acute pain in
heel ; swelling of feet ; makes missteps from weakness ; causes exhaustion ; in a side to side waddling manner.
Stepping out and flexing ankle joint : painful tension in tendo-achilles.
Ascending steps : heaviness and sensation of fatigue ; weariness, weakness and heaviness in lower extremities ; muscles of lower extremities seem to refuse to act.
Exertion causes nosebleed.
Exercise : cough <.

Nerves

Oversensitiveness of all senses ; oversensitive to external impressions, light, odors, noises, touch, etc.
Great languor and disinclination to move ; heaviness in whole body ; great weariness ; prostration ; exhausted after a walk ; remarkably weak and depressed, without slightest desire to attend to ordinary business ; weakness so great that patient could hardly
speak ; general nervous exhaustion ; inexpressible heaviness of whole body, so that every motion was difficult and unpleasant ; desired to keep bed and dreaded motion.
Feeling of weakness in back as if crushed, followed by weakness of extremities and trembling after least exertion ; both lower limbs so feeble that he was only able to stagger for a moment or two with a trembling step ; when attempting to stand knees shook and gave way ;
hands and arms trembled when he attempted to use them.
After urinating in morning is so weak he has to lie down.
Exhaustion : especially in chest ; of mind and body, in morning ; sudden attacks ; from loss of vital fluids ; with increased susceptibility to external impressions ; with irritable weakness.
Paralyzed and sick feeling in whole body.
General relaxation of muscular power ; when going upstairs muscles of lower extremities seem to refuse to act, so that she was in danger of falling.
Motions involuntary and uncertain, as one attacked with palsy.
Trembling : especially of hands while writing ; all over body or in single limbs ; with nervous debility.
Nervous debility : from simple weakness to complete paralysis ; often in pneumonia, typhus, exanthematic diseases, croup, bronchitis, vitality reaches its lowest ebb, cerebrospinal system is depressed, surface is cold, pulse like a thread, rattling breathing, trembling of whole
frame ; frequent fainting spells, caused by intemperance ; constitution undermined by grief, care or excessive mental exertion ; excesses in venery, or onanism.
Frequent fainting : pale, cold ; sudden syncope, lying as if lifeless.
Numbness of whole body, accompanied by a pricking sensation.
Gradual loss of strength ; coition causes prostration for several days ; paretic condition of left side of body, particularly of limbs, face and tongue less affected, although speech is impaired ; movements of limbs unsteady ; sensibility not entirely impaired ;
pain in affected limbs at times severe, with frequent involuntary motions of same, they are also stiff, so that flexion is difficult ; frequent attacks of vertigo ; confusion of head ; mental dulness, recollection tardy and incomplete ; answers to questions are slow,
short and unsatisfactory ; appetite impaired, stool delayed and difficult ; sleep restless, disturbed ; feels < after sleep, and formerly when he could leave bed arose very late ; although he has control of his motions they are very unsteady ; hand trembles when
reaching for an object, and when grasping or lifting anything there is no strength ; complete mental and physical weakness and prostration ; veil before eyes ; face pale, becomes red on slightest motion ; easily overheated but quickly becomes cool again, feels chilly and
desires to stretch limbs.
All feeling annihilated in upper extremities as far as elbows and in the lower up to glutei, this taking place, progressively, first in tips of fingers and toes, then in hands and soles of feet, and so on ; complete anesthesia of nerves of sensation ; capacity for
movement lost ; could grasp large objects with fingers, but could not hold them fast ; could sit on bed or chair, but on attempting to stand knees bent under him and he had to be held upright ; walking or stepping out with feet quite impossible, in sitting could move them a
little, but could not keep them stretched out ; muscles of all extremities flaccid, losing all firmness and tone and atrophied ; temperature of limbs same as that of body ; stool seldom, never without aid of injections ; urine acid, passing frequently, sphincter of
bladder having lost its energy ; must satisfy desire to urinate promptly of urine would pass involuntarily, especially at night ; brain unaffected ; mind clear ; no head symptoms ; no pain along whole length of spine, even from strong pressure. θ Paralysis.
Paralysis : formication and tearing in limbs ; traced to cerebral or spinal softening, or atrophy, which were preceded by overexcitement ; progressive muscular atrophy, the intellect remaining clear ; paralysis of spinal origin ;
tingling and formication in limbs > from friction ; heat in paralyzed part ; anesthesia ; caused by onanism, chlorosis, Bright's disease, etc. ; after sexual excesses ; after confinement ; with tingling and tearing from back down into limbs ; gressus
vaccinus ; hemiplegia, facial and aphasic, from thrombosis of left middle cerebral artery, or from pressure on spinal cord.
With great difficulty can walk a few yards, when she does so it is with her shoulders thrown backward, abdomen prominent, legs separated in a waddling side to side manner ; it is with difficulty she can even stand, as her legs feel as if they would give
way except when widely separated ; cannot rise from chair without assistance, numbness and pins-and-needles sensation in lower extremities ; in upper extremities no pain or numbness, but some stiffness ; can grasp an object but cannot retain grasp long ; face pale and
anemic, appetite poor, pain in left side ; bowels act every third or fourth day ; catamenia irregular, occurring every six, seven or eight weeks, very little and pale ; urine normal, no vertigo, headache or defective vision ; tenderness of lower dorsal vertebræ ;
when standing there is a deep anterior curve of lumbar vertebræ, much diminished in a prone position ; glutei muscles firm, hard and somewhat enlarged, also oblique abdominal muscles ; muscles of upper arm enlarged, hard and firm ; right arm across middle of biceps when arm
is extended measures 9 3/4 inches in circumference, and left arm in same place 9 1/2 ; forearms apparently normal ; muscles of thighs and legs re much larger and harder than normal ; circumference of middle of right thigh is 19 3/4 inches, that of left 19 1/2 ; right calf
14 1/2 inches, left 14 1/4. θ Duchenne's pseudo-hypertrophic paralysis.
Progressive locomotor ataxia.
Apparently lifeless state, with occasional convulsive movements, followed by greenish vomiting ; vomits drink as soon as it gets warm in stomach ; copious, easy, gushing vomiting ; cadaverous face ; hemorrhage of bright blood. θ Shock
from injury.
Restless moving because of burning heat ; anxiety at twilight.
Jerking of single muscles.
After severe nervous shock, sleeplessness, followed in a few days by cutting pains in region of heart, with severe chills, increasing to convulsive violence, and ending by his falling to floor apparently dead, rigid and pulseless ; after half an hour would revive and act as if
insane ; after a time paroxysm changed and he would feel from r. ear to top of head as if everything had stopped, and would instantly fall into a sound sleep, from which he would awake completely mesmerized ; during his whole illness had never awakened in morning in his right mind.
θ Convulsions.
Chorea in children who are growing too fast ; very weak, walks as if paralyzed.
Spasms on paralyzed side.
Epilepsy, with consciousness.
Neuralgia, in many parts of body, with great anemia and a broken-down, emaciated constitution.
Pains : tearing, drawing, tensive, excited by slightest chill ; body feels bruised, with sensation of coldness ; open air intolerable.
Takes cold easily in open air.

Sleep

Sleepy, coma vigil.
Sleepy all day, all night restless ; awakened by vivid dreams.
Stupor, burning heat of head ; muttering delirium. θ Pneumonia.
Sopor, dry lips, black tongue, open mouth.
Sleeplessness and uneasiness in evening, in bed.
Sleep restless, full of dreams ; headache in morning, on waking.
After waking, in evening and night, cannot fall asleep again for a long time.
Difficulty of falling asleep on account of excitement, and then uneasy, dreamful sleep.
Starts in sleep, wakens anxious.
Restless, especially before midnight.
Cannot fall asleep before 10 o'clock, on account of restlessness, also cannot get feet warm.
Sleep disturbed by heat of body ; ebullitions, oppression of chest, hunger.
Feels in morning as if he had not slept enough.
Somnambulism.
Dreams vivid : full of restless work and business, which he could not finish ; of fire ; anxious ; of biting animals ; lascivious, with emissions.
Lies only on right side ; lying on left causes anxiety.

Time

Morning : on rising unable to collect his senses ; vertigo constantly increasing after rising from bed ; vertigo ; headache appears ; darting pains in different parts of body < ; sees more distinctly ; agglutination of lids ; obstruction
in nose ; nasal discharge ; early epistaxis ; neuralgia < ; taste of rotten eggs ; hawking ; painfulness of stomach ; watery diarrhœa ; gleet ; discharge of watery fluid ; milky leucorrhœa early ; hoarseness ; constant
expectoration ; cough with expectoration ; hawking ; hawking of mucus ; hollow cough ; expectoration < ; oppression of chest ; palpitation and anxiety ; rheumatic neuralgia < ; diarrhœa ; weakness after urinating ; exhaustion of mind and
body ; pain in arm and shoulder ; falling asleep of hands ; headache ; feels as if he had not slept enough ; sweat in bed ; rheumatic stiffness.
Forenoon : vertigo ; intense pain in eyes.
At 11 A. M. : empty feeling ; dyspeptic pain.
Noon : headache from morning <, > towards evening.
Day : flickering before eyes ; dryness of throat ; frequent hiccough ; erections ; constant expectoration ; coryza, dulness of head and sleepiness ; cough with expectoration ; dryness of throat ; incessant barking cough ; sleep.
Afternoon : heat.
Evening : fear and dread ; as if horrible faces were looking out of every corner ; in bed, vertigo ; vertigo < ; headache appears mostly ; darting pains in body < ; in darkness flashes before eyes ; right eye red and hot, waters < ; tearing in jaw
bones ; scraping in pharynx < ; stitching pain in stomach < ; pains and vomiting towards ; chilliness ; hoarseness < ; aphonia < ; epidemic influenza < ; cough dry ; bronchitis < ; cough < ; oppression and anxiety in chest <.
Stridulous inspiration : dry tickling cough ; cough after lying down ; less expectoration until midnight cough < ; capillary bronchitis < ; palpitation and anxiety ; rheumatic neuralgia < ; pain in arm and shoulder < ; swelling of feet ; sleeplessness
and uneasiness ; after waking cannot fall asleep again ; chilliness with anxiety ; rigors ; heat.
From 3 to 6 P. M. : burning thirst.
Twilight : anxious ; sees more distinctly ; asthenopia <.
From evening until midnight : chill.
Night : falling asleep, frequent deception of vision ; shooting through ears ; coryza < ; dryness of throat ; ravenous hunger ; qualmishness ; stitching pains in stomach < ; pains and vomiting ; involuntary passages of stool and urine ; much
thirst for water ; involuntary urination ; erections ; seminal emissions ; clammy sweats ; croup < ; cough dry ; dryness of throat ; cough < ; suffocative feeling ; incessant barking cough ; oppression of chest ; cramp in chest ;
expectoration of blood < ; chilliness with stretching of back and legs ; restless sleep ; tearing in left shoulder ; pain prevents sleep ; heat in arm < ; tearing pains in joints and fingers < ; involuntary urination ; restless ; after waking cannot
fall asleep again ; cannot fall asleep before 10 o'clock ; chill ; heat without thirst and sweat ; exostosis < ; itching of spots on skin < ; hands very cold and bluish.
Before midnight : restless.
After midnight : sweat lasting till morning.

Temperature and weather

Heat : boring in teeth < ; cannot tolerate near back ; itching of spots of skin <.
Hot drinks : flatulent colic >.
Hot room : head affected ; right eye affected.
Heat of stove : does not > chilliness.
Warmth : tearing in teeth > ; pain in stomach or hypochondrium.
Warm weather : diarrhœa.
In warm room : sick-headache ; chilliness.
Warm food : pain in teeth < ; diarrhœa <.
Warm drinks : cough < ; cause face and arms to become red ; as if she could not get her breath.
Warm water : hands in, cause toothache.
Being covered : < pains in navel.
Must uncover head : painful heat in scalp.
Aversion to uncovering : chilliness.
Warmly wrapped up day and night : neuralgia in head.
When water becomes warm in stomach it is thrown up.
From warm to cold air : cough <.
Air : cancer mamma < by exposure.
Open air : vertigo < ; pain in forehead > ; stuffed feeling in nose > ; hemicrania > ; weight on head and pressure on upper lids ; pricking stinging in teeth < ; walking causes tearing in labia ; cough < ; oppression of chest ; intolerable ;
takes cold easily.
Change of temperature : tension of face < ; cough <.
In wind : profuse lachrymation ; neuralgia of head < ; felt something strike icy cold in centre of lower chest.
During a thunderstorm : anxious ; before, cough.
Tropical climate : disordered livers in men invalided from.
Water : does not relieve dryness in throat and lips ; drinking cold > cholera ; cold > burning thirst.
Getting wet : myelitis.
Washing clothes : causes congestion to head.
Cold wet weather : tearing in teeth and cheek.
Cold : boring in teeth < ; desire for drinks ; food > ; pain in stomach ; exposure, causing drawing tensive pain in limbs ; weather, rheumatism <.
Cool air : > vertigo, exhaustion and bewilderment of brain ; throbbing in teeth much < ; bronchitis <.
Cold water : hands in, cause toothache ; hemorrhage from stomach > ; burning in stomach >.
Taking anything cold into mouth : pain in teeth and cheek <.
Cold washing : throbbing in forehead > ; weight of head and pressure on upper lids > ; always increases or provokes pain in teeth.
Ice or very cold drinks : > vomiting ; diarrhœa > ; cough <.
From taking cold over washtub : tearing in head and face.
From taking cold : head affected.

Fever

Coldness of limbs.
Icy coldness of hands, knees and feet, even in bed.
Chilliness : towards evening ; internal, several afternoons, for half an hour or an hour ; in evening, on falling asleep ; every evening, with shivering, without thirst ; great anxiety in evening ; evenings rigors, diarrhœa and aversion to uncover ;
internal, afternoons, with sensation of hot water in stomach ; not > by heat of stove.
Chill : generally only in evening ; no thirst ; < from uncovering ; veins on hands swollen ; from evening until midnight, with great weakness and sleep ; at night, alternating with heat ; with diarrhœa ; descends, heat ascends back ; right
sided ; > drinking and eating (accompanying debility).
Flushes all over, beginning in hands.
Heat : sensation of ; with anxiety and burning in face and hands, afternoon and evening ; from stomach into chest and throat ; causes frequent waking ; rising into chest ; running up back ; with desire to sleep ; at night, without thirst and sweat,
from which he frequently woke ; of cheeks ; glowing of one or other cheek ; in afternoon ; with thirst ; with desire for drink without thirst.
Sweat : anxious ; profuse over whole body ; very profuse on slight exertion ; all over, every morning exhausting him ; in morning in bed ; during sleep, after midnight, lasting till morning, without thirst ; with feeling of anxiety, towards
morning ; on head and hands, frequently alternating with transient coldness ; mostly on head, hands and feet, with increased urine ; only on forepart of body ; clammy ; cold, clammy ; smells of sulphur.
Profuse night sweat, < during sleep. θ Phthisis.
Intermittent fever : heat at night beginning in stomach ; faint and hungry ; then chilly, followed by internal heat, especially in hands, external cold continuing ; apt to become remittent or typhoid, or a remittent fever takes on after a
time, or after partial or complete suppression, an intermittent type, usually the quotidian.
Typhoid forms of fever ; typhoid and typhus, with impending paralysis ; soporous condition, dry black lips and tongue and open mouth.
Evacuations brown, dark-green, grey, black, like coffeegrounds, like tea, of decomposed blood, watery and streaked with blood ; pressing or throbbing pain in forehead ; early and rapid prostration ; face pale ; sunken ; eyes
dim, lustreless ; tongue white, coated with mucus ; constant thirst ; region of stomach tense, sensitive to pressure ; nausea ; vomiting of mucus and bile ; abdomen bloated ; meteoric distension ; audible rumbling in abdomen on motion ; ileo-cecal
region painful ; urine scanty, turbid, jumentous, depositing a mucous sediment, without getting clear after doing so ; in some cases urine may be clear ; at this stage respiratory organs not much affected ; dry, annoying cough ; expectoration transparent sticky,
tough, adherent ; as meteorism increases, respiratory symptoms become more pronounced ; pulse rapid, weak, 100-110 ; skin hot, frequently covered with sweat, but without relief ; sleeplessness ; aroused from sleep by frightful dreams. θ Typhoid
fever.
Hot, dry skin ; pulse 120, full ; tongue coated ; abdomen sensitive during first stage ; stool frequent, bloody, looking like meat washings ; tongue cracked, bright-red at edges. θ Typhoid
fever.
On fourteenth day of bilious fever great prostration ; singultus ; difficult deglutition ; audible descent of fluids when drinking ; somnolence ; rattling breathing, without sufficient strength to expectorate ; body dry, weak, emaciated ; pulse rapid,
weak ; cold extremities ; cold, clammy sweat on face ; eyes dim, dull, ulcerated ; smooth, red, dry tongue. θ Typhoid.
Typhoid fever : with oppression of chest and difficult respiration ; stitches in pleura ; racking cough with thick, yellow or reddish expectoration ; frequent, painless diarrhœa, with meteorism or rumbling in abdomen ; lips,
tongue and nose dry and brown ; bronchitis.
Typhoid types of fever : great cerebro-spinal exhaustion ; brain and spine particularly affected ; ashy or waxen face ; tongue covered with viscid, thready slime, difficult to expectorate, it seems to collect on teeth, around gums and on tongue ; body hot, head
rather cool and limbs decidedly cold ; congestion of both chest and abdomen ; breath hot ; bronchial catarrh, pneumonia or pneumonic infiltration of lungs ; burning thirst, < from 3 to 6 P. M. ; > drinking cold water, until it becomes warm in stomach, when it
is violently ejected ; liver and spleen sore to touch and usually enlarged ; diarrhœa as soon as he eats ; stools flaky, dark, often bloody ; external weakness after stool ; continually throws off bedclothes ; puts arms out of bed to cool off ; profuse
sweat without relief ; threatened paralysis of lungs ; coma, with hot breath and rattling, as if a large quantity of phlegm were rattling in lungs ; limbs cold and covered with cold sweat ; pulse scarcely perceptible.
Yellow fever : hemorrhagic form with petechial spots and hemorrhages at an early stage.
Hectic fever : loss of appetite ; no desire for work or even amusement ; gradual diminution of strength ; sleep restless, dreamy, unrefreshing ; drowsy during day, difficult to keep awake over her work ; short cough, pain and dryness in
windpipe ; pale face ; distinct but moderate fever ; shooting pains in forehead, tinnitus aurium, general lassitude ; indeterminate pains in legs, dryness in mouth and throat ; mucous membrane of tongue as if polished away, tongue red ; lungs become rapidly
involved, with suppuration ; formation of cavities, and purulent exudation into cavity of thorax, with infiltration and ulceration of intestinal canal, with chronic diarrhœa.

Attacks, periodicity

Alternate : laughing and weeping ; violent delirium and consciousness ; fluent and stopped coryza ; weariness and bulimia ; diarrhœa and constipation ; chill and heat ; sweat with transient coldness.
Periodically returning : insupportable pains in spine.
Every half minute : expectorates.
Every half hour : must rise at night to moisten throat.
For half or three-quarters of an hour : attacks of pain in epigastrium.
For an hour : roaring in head and right ear.
Several hours : after eating, eructations ; sudden constricting pain in epigastrium.
For many hours : cold extremities.
In twenty-four hours : 25 to 50 stools.
Every morning : copious evacuations ; nose stopped up ; exhausting sweat all over.
Every day for three hours : fingers swell.
Several times a day : vertigo ; epistaxis.
A day : two to fifteen stools.
Every evening : chilliness with shivering.
Nightly : attacks of fidgets in right leg and hip ; tearing in feet.
From morning until noon : vomiting with sick-headache.
Nearly every night : seminal emissions.
Several afternoons for half an hour to an hour : chilliness.
Several successive evenings : anxiety about heart.
Every other day : headache.
For three days : severe pains in stomach in paroxysms.
Every three or four days : hard, dry, beaded stool.
For six days : right eye red and waters.
Once a week : attacks of headache, lasting from one to three days ; hemicrania.
Every ten days : menses.
For eighteen months : swelling of right tonsil ; disease of rectum.
For five years : cephalalgia.
For seven years : amaurosis of right eye.
For eight years : chronic diarrhœa.
For ten years : shooting in right cheek.
For twelve years : eczema.
Many years : headache ; hardness of hearing.

Locality and direction

Right : pain in side of head ; roaring in ear ; pain in ear > lying on side ; dilatation of heart ; as of a black veil before eye ; amaurosis ; paralytic affection of sixth pair of nerves of eye ; redness of eye, waters ;
swelling of eyelids ; eye looks small ; inflamed gathering in ear ; tearing about margin of orbit, extending under ear ; shooting in cheek ; ulcer on zygoma ; swelling of tonsil ; enlargement of hypochondrium ; fatty degeneration of heart ; lying
on side excites cough ; stitches under ribs ; cutting from sternum to scapula ; acute pain in chest ; percussion dull over lower portion of thorax ; lower portion of lung hepatized ; threatened paralysis of lung ; pain in side of iliac fossa ; disease
of heart ; heart considerably enlarged ; dilatation of ventricle ; fatty degeneration of heart ; stitches in scapula ; itching in axilla ; severe pain in shoulder ; distressing pain in arm and shoulder, at root of nail of little finger ; itching wheals
on arm ; hip joint painful ; pain in pelvic region ; fidgets in leg and hip ; swelling of upper part of thigh ; tumor on thigh ; fungus hæmatodes on thigh ; ulcer below knee ; from ear to top of head, as if everything had stopped and would fall
asleep ; lies only on side ; chill ; impetigo sparsa, affecting leg.
Left : anxiety below breast ; mouth drawn ; cannot lie on side because of palpitation ; headache over eye ; pulsation in temple ; cold crampy pain on whole side of head ; intense pain in eye ; pain in right ear < lying on side ; headache
< in side through eye into back of head ; exostosis on parietal bone ; incipient amaurosis ; pressure in temple ; white pustule on outer segment of cornea ; feeling of sand in eye ; twitching of lid and external canthus of eye ; rather deaf ; stye
on lower lid ; fulness high up in nostril ; shooting from eye to vertex ; tearing in cheek ; painful swelling of lower jaw ; skin over jaw red and tense ; necrosis of lower jaw ; pain from stomach to hypochondrium and then in shoulder ; pains from
stomach to temple ; turning on side desire for stool ; lying on side diarrhœa < ; pain in region of lower ribs ; pain in ovary ; breast extremely sensitive ; fistulous passage in breast ; side of thorax elevated during breathing ; tight feeling in
ovarian region ; stitches under ribs and in chest ; excoriated pain < side ; pain in lower part of lung < ; lying on side, vesicular murmurs and moist bronchial rales ; stitching in acromial extremity of clavicle, thence downward through lung and out at side of
abdomen : dead percussion sound on side ; numbness, stiffness and coldness of arm and thigh ; upper third of lung consolidated ; subclavicular space sore to touch ; hypertrophy of ventricle ; sensitiveness of muscles of back to pressure ; boils in
armpit ; tearing in shoulder ; arm painful ; numbness and pain of forefinger ; first phalanx of thumb as if in a vise ; letting arm hang feeling of rush of blood to forefinger ; first and second fingers swell ; first finger contracted ; bruised feeling
at root of thumb ; dislocated pain in knuckles and wrist ; redness on extremity of thumb ; tumor in thigh ; paretic condition of side of body ; movement of limbs unsteady ; lying on side causes anxiety.

Sensations

As if about to die ; as if immersed in hot water ; anxiety as if below her left breast ; as if head would burst ; as if he had been lying at night with head too low ; as if everything had stopped in head ; as if chair were rising ; as if he
would fall forward ; as if eyes would be pressed out ; as if a weight pressed down pain into eyes ; as if food did not digest properly ; as if there were painful nodes under scalp ; as if patient were pulled by hair ; as if head would burst ; as if
something had exploded in head ; as if skin of face were too tight ; as if objects were covered with a grey veil ; as if something were pulled tight over eyes ; as of dust in right eye ; as of sand in left eye ; eyeballs as if large ; as if eye were swelled
and pushed out of orbit ; as if something lay before ears ; as of gauze over ears ; as if foreign body were lodged in ears ; as if coryza would develop ; as if nose were stuck together ; as if everything were torn out ; as if nails were driven into
jaws ; as if tongue had been burnt ; as of cotton in throat ; as if stomach had been removed ; as if something were pressing heavily upon stomach ; as if a heavy weight were in stomach ; stomach as if freezing ; as of something cooking in stomach ; as
if anus were open ; back as if broken ; larynx as if it were lined with fur ; as of skin in larynx ; as if a piece of flesh or skin were hanging loose in larynx ; as if something in middle of sternum were torn loose ; chest as if excoriated ; chest as if
stopped up ; as if heavy weight were lying on chest ; fulness in chest and throat, as if from eating too much ; as if air were forcibly kept out ; as if band were about chest ; as if something were being torn loose under sternum ; chest as if eviscerated ;
as if heart had grown fast ; as if narrow band encircled body and lying upon heart ; anxiety as if he had committed murder ; as if a great weight were lying on middle of sternum ; small of back as if broken ; coccyx as if ulcerated ; back as if would soon give
out ; pains in soles as if she had walked too much ; as if soles were asleep ; gait as if he were not sure of himself ; first phalanx of left thumb as if in a vise ; as if bone would come through elbow ; as if nail were being pulled out ; nates as if
suppurating ; as if legs were made of wood ; as of ants creeping in limb ; ankle as if sprained ; as if she had wrenched foot ; feet as if bruised ; as if she had walked too much ; as if feet were asleep ; limb as if paralyzed ; as if skin of
ankles were tense ; as if quicksilver moved up and down spinal cord ; back as if crushed ; as if lifeless ; legs feel as if they would give way ; as if he had not slept enough ; as if a large quantity of phlegm were rattling in lungs ; mucous membrane of
tongue as if polished away.
Pain : in right side of head ; in centre of brain ; from eyes to top of head ; in recti muscles ; in bones of orbit of eye ; in throat ; in teeth ; in back, opposite stomach ; in stomach and bowels ; in left side ; in navel ; in
hypogastrium ; in ovaries ; down inner side of thigh ; in sacrum ; in larynx ; in chest ; in centre of lower chest ; between scapulæ ; small of back ; in sacral region ; in coccyx ; in spine ; pains in soles ; in left
arm ; in hand ; in stomach ; in right pelvic region ; from knees to feet ; in ankles ; through whole joint and feet to toes ; in soles ; in muscles of extremities ; in affected parts ; in windpipe ; in legs.
Intolerable pain : in larynx.
Insupportable pains : in spine.
Excruciating pains : from breast into chest ; in whole spinal column.
Excruciating, knifelike pains : in stomach.
Intense pain : in whole head and in eyes.
Violent pain : in stomach.
Severe pains : in head ; in throat ; in stomach ; in left temple, eye, teeth and side of head ; in back ; in breast ; in muscles of right shoulder extending to elbow.
Acute pain : in right chest ; in lower part of left lung ; in heel.
Distressing pain : in right arm and shoulder.
Anguish : in chest.
Lacerating pain : in tumor on lip.
Tearing : about lower margin of right orbit, extending under r. ear, in cheek bones and jaws ; in teeth ; in labia ; under sternum ; in testicles ; in left shoulder ; from back to legs.
Darting : in cheek bone and jaw ; in different places.
Shooting : from one temple to the other ; through eyes ; through ears ; from left eye to vertex ; from forehead into eyes ; from carious tooth all over bones of face and head ; across abdomen ; from rectum up spine to occiput ; in forehead.
Lancinating : in hemorrhoids ; in cancer ; in right side of iliac fossa.
Cutting : in bowels ; in anus ; into chest ; in left ovarian region ; in abdomen ; from middle of sternum to right scapula ; in region of heart.
Violent hammering : in chest.
Jerking pains : in cavities of teeth.
Throbbing : in forehead ; in temples ; in carious tooth ; of heart extending into throat ; of small spot between scapulæ ; in back ; in neck.
Boring : on one side of head ; in eye to head ; in region of navel ; in forehead and root of nose.
Stitches : in liver ; in anus ; in mamma ; from vagina into pelvis ; in larynx ; over one eye ; in right side under false ribs ; in left side beneath ribs ; in right scapula ; in shoulder blades.
Stitching : in cavities of teeth ; in stomach ; from coccyx to interscapular region ; in region of liver ; in mammary glands ; in abdomen ; through lungs ; upon acromial extremity of left clavicle, thence through left lung out at left side of
abdomen.
Neuralgia : of coeliac plexus.
Gnawing pain : in left forefinger into arm.
Sticking pains : in chest ; in epigastrium ; behind sternum ; in various parts of chest.
Cutting-burning pains : in stomach.
Pinching : in bowels ; high up in chest.
Griping : in epigastric region ; in stomach.
Cramping pain : in testicles.
Cold, crampy pain : on left side of head.
Cramps : in stomach ; in rectum ; in calves ; between scapulæ.
Contractive pain : in pit of stomach, thence to left hypochondrium, to head and shoulder.
Constricting pain : in epigastric region under sternum ; in throat ; high up in chest.
Excoriated pain : in chest.
Bruised pain : in periosteum of tibiæ.
Sore pain : in both nostrils.
Biting : in anus.
Stinging : in occiput ; in tip of tongue ; in anus ; in hands and feet ; of inner parts.
Smarting : in rectum ; in front of throat.
Soreness : of mouth ; over liver ; in pharynx ; of larynx ; in chest ; in trachea and bronchi ; in lungs.
Pricking pain : in right thigh ; over whole body.
Burning : in forehead ; in temples ; pain in brain ; in lids ; in eyes ; in spots in eyeballs ; outside of tumor on lip ; on tongue ; in uvula ; in œsophagus ; in stomach ; in rectum ; between shoulders ; at
anus ; in epigastrium ; of hemorrhoids ; in urethra ; behind sternum ; in chest ; between scapulæ ; in spots along spine ; in small of back ; in small spot in small of back ; in neck ; thence over head to forehead ; in palms ;
in skin.
Heat : in top of head ; in scalp ; in eyes ; extending up back ; at epigastrium ; running up back ; in larynx ; in chest ; between scapulæ ; in spots in spine ; intense, running up back ; in lower part of back across renal
region ; in paralyzed parts ; burning of head ; in face and hands ; from stomach into chest and throat ; of cheeks.
Pricking-stinging : in teeth.
Tingling soreness and rawness : in air passages.
Dislocated pain : in left knuckles and wrist.
Pressive pain : above eyes ; in temples ; in forehead and root of nose ; in upper part of sternum ; about heart ; < under sternum.
Dull pain : from forehead to root of nose ; stupefying, in head ; deep in eyes ; in renal region ; between scapulæ.
Rheumatic pains : in arms.
Drawing : on one side of head ; in jaws ; root of nose, eyes, temples ; in stomach ; paralytic, in shoulder and arm ; in joints of elbows and hands and in fingers ; in back and legs.
Dragging : in small of back.
Aching : in sacral region ; in eyes ; in forehead and orbits ; in stomach ; in gastric region ; in hepatic region ; distress in lumbar region ; in cardiac region ; in thumb.
Sensitiveness : over sacrum and kidneys ; of larynx ; in region of liver.
Painfulness : of stomach ; of cord.
Contraction : in larynx and trachea.
Constrictive sensation : under sternum ; spasm in chest ; in larynx ; across chest.
Pressure : from forehead to eyes ; on upper lids ; in chest ; in epigastric region ; in gastric region ; at cardiac orifice of stomach ; in upper part of chest ; in pit of stomach ; in chest ; in middle of sternum ; upper part of
sternum ; in whole spine.
Tension : in face ; in cheek bones and jaw ; over region of bladder ; in chest ; in tendons of flexor muscles of legs ; in tendo-achillis.
Tightness : in precordial region ; in chest ; in left ovarian region ; of chest ; across upper third of lungs.
Weight : in forehead ; in larynx ; in centre of lower chest ; in whole spine.
Heaviness : in head ; in lids ; in chest ; in spine ; in lower extremities ; in hollows of knee ; of feet ; of hands.
Irritation : in larynx and trachea.
Fulness : in nose ; in stomach ; of chest.
Oppression : in epigastric region ; in stomach ; in chest.
Dulness : in head.
Stuffed feeling : in nose.
Pulsation : in temples ; in occiput ; in tumor on head ; annoying, of heart ; in spine.
Twitching : of feet.
Strained feeling : in eyes.
Scraping : in pharynx.
Scratching : in throat.
Rawness : in pharynx ; in larynx and bronchia ; in chest ; of lungs.
Roughness : in pharynx ; of larynx.
Tickling : in ear ; in larynx ; in throat ; in chest ; at throat pit.
Dryness : in nose ; lips and throat ; mouth of uvula ; of skin of larynx ; burning, in throat ; in air passages ; in windpipe.
Empty feeling : across abdomen ; in abdomen ; in stomach.
Trembling : of legs ; all over ; of limbs.
Relaxed feeling : in abdomen.
Weakness : in head ; in sacral region ; of internal recti muscles ; in stomach and abdomen ; at junction of lumbar and sacral vertebræ ; of back ; of limbs ; of legs ; of upper arm ; in knees.
Weariness : of lower extremities ; of feet.
Fidgets : in right leg and hip.
Paralyzed feeling : in feet ; in whole body.
Going-to-sleep feeling : in arms, hands, fingers and toes.
Stiffness : in brain ; in recti muscles ; in eyes ; of left arm and thigh ; in nape of neck ; of back ; rheumatic, of knees.
Numbness : in sacral region ; in limbs ; of left arm and thigh ; of extremities ; of fingers ; of left forefinger ; in hands ; of toes ; of whole body.
Itching : on scalp ; of pimples on scalp ; in lids ; in ears ; outside of tumor on lip ; in anus ; violent in right axilla ; eruption on lower part of forearm and hands ; wheals on right arm ; of both legs ; over whole body ; of
eczema.
Formication : in limbs ; from back to legs.
Coldness : in cerebellum ; in stomach ; in abdomen ; of hands and feet ; of left arm and thigh ; of hands and arms ; of legs and feet.

Tissues

Emaciation ; extreme, rapid ; is reduced almost to a skeleton.
Atrophy of children ; child overtall, slender, emaciated, big-bellied ; face pale, almost waxen ; delicate eyelashes, soft hair, rapid breathing ; diarrhœa with dry cough ; child often awakens at night, hot and restless, and will
drop off to sleep if fed ; irascible, vehement, susceptible to external impressions and to electrical changes in atmosphere.
Suitable to young people with blonde hair, blue eyes, delicate skin, slender stature, with cachectic cough, diarrhœa, frequent exhausting sweats, great debility, with orgasm of blood ; palpitation of heart or oppression of chest after exercise ; copious stools,
pouring away like water from a hydrant, with great exhaustion ; glandular swellings, suppuration ; appetite good ; craves cold food, ice cream, etc.
Chlorosis, anemia : with too rapid growth ; with excessive muscular debility, but without loss of adipose tissue, in patients with precocious puberty ; deep-seated chronic cases, with tubercular diathesis ; brought on by depressing mental
influences, or by exhausting bodily causes ; puffiness around eyes ; dry, hacking cough ; great weakness in sexual organs, consequent upon previous irritation of these parts ; leucorrhœa of whitish, watery slime, especially profuse during menses, sometimes acrid and
corroding ; total loss of energy in all organic functions of body.
Blood when drawn seemed very pale, and under microscope exhibited only about twice as many red as white corpuscles.
Ebullitions and congestions.
Slight wounds bleed much.
Hemorrhages : profuse ; frequent and profuse, pouring out freely, then ceasing for a time ; from free surface and from tissues ; from various parts of body, hæmoptysis, bleeding of gums, hemorrhoids ; metrorrhagia, etc. ; blood very
fluid and difficult to coagulate ; vicarious, from nose, stomach, anus, urethra ; associated with Bright's disease ; from internal organs.
Purpura hæmorrhagica.
Expectoration of bloody saliva ; small spots of extravasated blood all over body ; least hurt immediately followed by a large black spot of extravasated blood ; any little scratch bled profusely and continuously ; accidental scratch
of pin would bleed so as to saturate cloth after cloth ; little red points on tongue and on whole buccal cavity oozing continuously ; blood settled beneath conjunctiva so that eyes appeared entirely bloodshot ; shot ; breath peculiarly offensive ; discharge from
mouth of bloody saliva filled with shreds of decomposed or disorganized blood ; pulse regular but quick ; even ordinary handling would leave marks on fingers, as if she had been struck violently, and these spots were inclined to extend indefinitely ; slight knock near eye
involved whole eye and surroundings in a black, unsightly spot ; all the secretions were bloody ; nosebleed from exertion and especially from straining at stool ; blows much blood from nose ; swollen and easily bleeding gums ; discharge of blood from rectum with
stool ; great weakness, tottering gait. θ Purpura hæmorrhagica.
Large number of petechia over body, especially about soft parts ; hemorrhagic patches and streaks on tongue and in cavity of mouth ; hemorrhages from nose and mouth without cause ; hawks and coughs up much blood, particularly after
awakening from sleep, which usually is short ; discharge of blood with stool ; feces coated with blood ; debility. θ Purpura hæmorrhagica.
Red spots streaks over whole body, particularly on parts covered with clothing ; face and hands free from petechia ; epistaxis, frequent, without cause, or after a sudden movement ; occasional bleeding of gums. θ Purpura
hæmorrhagica.
Fungus hæmatodes.
Fatty degeneration of liver, heart, kidneys, etc. ; anemia.
Dropsy of face, hands and feet.
Dropsy after scarlet fever ; urine deposits a grey sandy sediment ; scrotum and penis enormously swollen ; general anasarca, which compels him to sit erect ; albuminuria.
Mucous membranes pale ; increased secretion of mucus.
Inflammation with stinging of inner parts.
Lax muscular system ; muscles flabby ; fatty degeneration.
Rheumatic stiffness with morning aggravation.
Rheumatism : drawing, tearing, tight feeling in affected part ; headache, vertigo ; < from cold weather ; affects chest with oppression, cough, dyspnœa, forcing patient to sit up (endocarditis).
Sprains ; joints easily dislocated.
Pains in various joints and muscles, > by moving.
Swelling of bones ; necrosis (lower jaw).
Exostoses, especially of skull ; tearing, boring pains ; < at night.
Hip joint diseased ; oozing a watery pus.
Hydrocephaloid.
Erectile tumors.
Polypus : of nose or ears.
Hard swellings here and there on body.
Scrofulous, glandular swellings.
Glands enlarged, especially after contusions ; glandular affections in weak cachectic individuals suffering from diarrhœa and colliquative sweats.
Lymphatic abscesses, full of fistulæ ; callous feeling ; hectic fever ; pus copious and yellow.
Wounds which appear to have healed break out again and bleed.
Scirrhous tumors.
Open cancers and polypi bleed profusely on slight provocation.
Lipoma : encephaloma ; colloid cancer.
Cancer : medullary ; fungus hæmatodes ; of stomach with coffee-ground vomit.
Syphilis : falling out of hair, leaving exposed ulcers on scalp, implicating cranial bones ; syphilitic psoriasis on palms and soles ; syphilitic roseola ; squamous eruptions ; mercurio-syphilitic ulcers on prepuce ; bone pains and exostoses.

Touch. passive motion. injuries

Touch : on swollen parts of head causes excruciating pain ; nodes under scalp painful ; sore pain in both nostrils ; swelling of nose ; darting in face ; pimples on face cause excruciating pain ; tumor breaks into fissures ; tumor
swelled up ; stomach painful ; abdomen very sensitive ; < boring pain in navel ; supersensitive ; left breast extremely sensitive ; excruciating pains in chest ; larynx sensitive ; left subclavicular space sore ; spine very sensitive ;
swelling on thigh sensitive ; periosteum of tibiæ sore ; some lumbar vertebræ sensitive.
Pressure : > feeling of something before ears ; periosteum of tooth tender ; epigastrium painful ; region of pylorus sensitive ; cannot tolerate least, gastritis ; on abdomen < suffocative feeling ; external > pain in chest ; with both
hands on epigastrium > sticking pains ; intercostal spaces, acute pain in chest < ; pain in chest when coughing > ; dorsal vertebræ between scapulæ sensitive ; muscles between processes and left scapula sensitive ; morbid sensitiveness of arm ; region of
stomach sensitive.
Rubbing : feeling of sand in eye > ; burning in spot in back >.
Friction : > paralysis.
Scratching : itching of scalp < ; causes red streaks.
Contusions : glands enlarged.

Skin

Anesthesia of skin.
Formication and itching in paralyzed parts.
General itching over whole body.
Burning in skin, or burning, itching and stinging ; restless, compelling change of position.
Remarkable paleness of skin and mucous membrane.
Yellow spots on chest and abdomen.
Brown irregular spots on body, small or extending over a large surface, generally on throat, chest, back or inner side of arms, rarely on abdomen or legs ; they are not beneath epidermis, as are true liver spots, but affect epidermis itself ; they are but slightly
raised, are dull in appearance, feel slightly rough to touch, and when finger is passed slowly over them innumerable small wrinkles are formed ; at times itching, particularly at night and from heat ; if patient becomes heated redness of skin appears through them and they lose the
brown appearance ; at times they are slightly scurfy ; appear and disappear very slowly.
Ptyriasis : brown, bluish-red or yellow blotches on abdomen and chest.
Reddish-brown spots on skin.
Brownish and bluish-red blotchlike spots.
Hepatic spots ; freckles.
Jaundice : with anemia, brain disease during pregnancy, or malignant disease of liver.
Red sanguinous spots ; petechia ; purpura ; ecchymosis.
Red streaks after scratching.
Hard blotches here and there.
Distended veins ; hemorrhages.
Dry, scaly skin ; desquamation ; dry, furfuraceous herpes.
Round herpetic spots all over.
Eruptions dry, even if pustular, sometimes burning and itching.
Impetigo sparsa, affecting right leg ; epidermis, particularly of legs, dry and frail, could be scraped off in scales.
Psoriasis on knees, elbows, legs and eyebrows.
Lichen.
Small vesicular eczema in neighborhood of joints, which itched, dried up rapidly and frequently recurred.
Eczema erythematosum on forehead, following confusion of head.
Eczema of twelve years standing.
Pemphigus : painful hard blisters, full to bursting, not itching.
Urticaria, hands, arms and body covered with itching blotches.
Pimples on face, in bend of elbow and in axillæ.
Small boils on nape of neck, chest and thighs.
Furunculosis ; tendency to formation of boils ; prevents formation of styes ; small purulent collections around ulcer ; ulcer after boils on other parts of body.
Blood-boils.
Sore, excoriated spots on skin ; rhagades.
Phlegmonous inflammations ; chronic suppurating openings with hectic ulcers ; often with caries, painless, or with a "festering" sensation ; bleeding.
Fistulous ulcers with callous edges ; gnawing pain ; hectic fever ; pus fetid and badly colored, scanty, and again is easily secreted.
Large ulcer surrounded by smaller ones, some healing, some healed, with accompanying eczema.
Fistulous ulcers with high edges, from exuberant granulations ; purulent discharge, thin and ichorous ; erysipelatous blush, often radiating around ulcer ; burning, stinging pains ; hectic fever, with night sweat, diarrhœa and anxiety towards evening.
Obstinate ulcer about nail that would not heal.
Ulcers bleed on appearance of menses.
Fistulæ in glands and about joints.
Black blood oozes from an old cicatrix.
Open cancers and polypi bleed readily ; fungus hæmatodes.
Chilblains ; corns.
Leprosy, later stages ; brown spots on an even base ; tubercles on trunk and buttocks ; thick patches on face and arms ; discolored borders around white spots ; tension in fingers and dulness towards the ends.
Scarlatina : with suddenly repelled rash ; chest affected ; typhoid symptoms, restless yet apathetic ; threatened cerebral or pulmonary paralysis ; rattling in chest, with sweat on face ; sopor with dry tongue, loss of speech and
hearing ; difficult deglutition ; urine involuntary ; mouth open ; burning in various parts compels change of position ; parotids inflamed and swollen ; slight fluctuation at several points ; submaxillary gland involved ; on third day ominous, coryza,
on fourth day throat swollen and congestion to head, difficult breathing, continuance of copious coryza, alarming weakness and increasing frequency of pulse, during night hands very cold and bluish ; oversensitiveness of all the senses, and yet an apathetic quietness and "don't
care" disposition.
Measles : slow and scanty development of eruption ; on third day it looked pale and as if about to disappear ; violent and very exhausting cough ; dry cough, with desire to vomit or vomiting ; typhoid symptoms, with loss of consciousness ; watery diarrhœa ;
tongue coated with dirty, thick mucus ; black lips ; debility ; typhoid bronchitis ; loud rattling in chest when breathing and coughing, and particularly during sleep ; pneumonia.
Variola with blood in pustules ; hemorrhagic diathesis.
Repercussion of eruptions.

Stage of life, constitution

Tall, slender persons of sanguine temperament, fair skin, blonde or red hair, quick, lively perceptions and sensitive nature.
Young people, who grow too rapidly, are inclined to stoop ; chlorosis ; anemia.
Tall, slender, phthisical patients ; delicate eyelashes, soft hair.
Tall, slender (slim) women ; disposed to stoop.
Nervous, weak ; desires to be magnetized.
Hemorrhagic diathesis ; slight wounds bleed profusely.
Child overtall, slender, emaciated, but big-bellied.
Girl, æt. 3 months ; nephritis.
Boy, æt. 16 months, one month ago vaccinated, since then ill ; diarrhœa.
Boy, æt. 26 months, bronchitis.
Child, æt. 2 ; previously had pneumonia, followed by cerebro-spinal meningitis ; amaurosis.
Child, æt. 2 ; obstinate vomiting.
Boy, æt. 2, suffering two weeks ; diarrhœa.
Child, æt. 2, weak, pale, suffering from worms ; croup.
Boy, æt. 3 ; tubular pneumonia.
Girl, æt. 3, weak ; measles.
Boy, æt. 3 ; scarlatina.
Girl, æt. 8 ; healthy, well nourished ; purpura hæmorrhagica.
Boy, æt. 9, never could distinguish anything but near objects ; amaurosis.
Boy, æt. 9 ; palpitation of heart.
Girl, æt. 10 ; erysipelas of face.
Girl, æt. 10 ; slight build, brown hair, scrofulous, during second week of scarlet fever ; swelling of parotids.
Healthy boy, æt. 10, of poor family, after a great fright, twenty-three months previously ; involuntary stool and urination.
Boy, æt. 10, scrofulous ; asthma.
Girl, æt. 10 ; pneumonia.
Boy, æt. 4 ; paralysis of rectum.
Girl, æt. 5 ; otorrhœa.
Girl, æt. 5 ; croup.
Child, æt. 6 ; coxalgia.
Boy, æt. 6, weak, frequently dark red spots suddenly appear upon body ; fungus hæmatodes.
Boy, æt. 7, troubled with worms ; croup.
Girl, æt. 7, perfectly healthy, never sick since born ; purpura hemorrhagica.
Boy, æt. 8, suffering five years ; involuntary stool and urination.
Boy, æt. 10, strong, well nourished ; purpura hæmorrhagica.
Girl, æt. 11, weak, scrofulous ; typhoid fever.
Boy, æt. 12, good constitution, complaining for some time ; spinal affection.
Girl, æt. 13 ; alopecia.
Girl, æt. 13, two of her family had died of consumption ; pulmonary tuberculosis.
Boy, æt. 14, three years ago suffered from itch, which was suppressed, since then cough and digestive disturbance ; diarrhœa.
Boy, æt. 14, after having received severe nervous shock by burning of house in which he lived ; convulsions.
Boy, æt. 15, suffering eighteen months ; tonsillitis.
Girl, æt. 16, sanguine temperament, gracile build, menses have but recently appeared yet are profuse ; cardialgia.
Boy, æt. 16, gross, suffering eight days ; diarrhœa.
Girl, æt. 16 ; anemia.
Miner, æt. 17, slight, dark, scrofulous history ; incipient tuberculosis.
Girl, æt. 18, light complexion, blue eyes, hectic flush, father and several members of family died of consumption, suffering six months ; cough.
Man, æt. 18, formerly robust, caught cold after dancing, two months ago ; consumption.
Student, æt. 18, after suppression of itch by cold bath ; coxalgia.
Miss ---, æt. 18, gracile build, weak chest, transparent complexion, prominent forehead ; growth on thumb with hemorrhage.
Girl, æt. 18, ill more than a year ; about a year ago noticed purple spots, about size of shilling, on legs, and felt very weak ; next catamenial discharge scanty, pale, lasting but a few hours, after which she continued weak, lost her appetite, had headache and palpitation of
heart ; as a child suffered from violent attacks of epistaxis, frequent lienteric diarrhœa, profuse flow of urine for several days together ; from twelve to fifteen growth was very rapid, causing weakness and fainting ; pseudo-hypertrophic paralysis.
Miss N., æt. 19, paralyzed in infancy, from which she partially recovered ; arm normal, but leg small and weak in joints ; face flushed, body well nourished, short and stout ; has suffered mentally and was placed in asylum many months ; came out heart-broken and
feeble-minded ; mental disturbance.
Young lady, æt. 19, scrofulous diathesis ; diarrhœa.
Boy, æt. 19, father died of phthisis ; pneumonia.
Girl, æt. 19, ill four months ; hectic fever.
Miss W., æt. 20 ; asthenopia.
Woman, æt. 20, married, blue eyes, light hair, small stature, thin, first attack occurred during sixth month of first pregnancy ; pains in stomach and head.
Woman, æt. 20, after labor ; diarrhœa.
Girl, æt. 20, slender build ; amenorrhœa.
Man, æt. 20, blonde complexion, delicate build, small face, flat chest, formerly had fainting spells, after cold and exposure to rain ; hæmoptysis.
Girl, æt. 21, short stature ; apoplexy.
Man, æt. 21, gracile build ; swelling of lower jaw.
Girl, æt. 21 ; nodosities in breasts.
Girl, æt. 22, suffering two weeks ; headache and vertigo.
Lady, æt. 22 ; pale but healthy complexion, pretty fair constitution, suffering eight years ; hemicrania.
Woman, æt. 22, suffering six years ; inflammation of nose.
School teacher, æt. 22 ; sexual debility.
Woman, æt. 22, brunette, nervous disposition, tall, slender, has nursed three children ; mastitis.
Woman, æt. 22 ; chronic cough.
Man, æt. 22 ; pneumonia.
Young lady, æt. 22, delicate, had severe attack of pleurisy four years ago ; about two weeks ago had an attack of bronchitis ; double pneumonia.
Woman, æt. 23, graceful build, lively, three months ago delivered of third child, since then suffering ; mastitis.
Butcher, æt. 23, scrofulous during childhood, tendency to formation of boils and ulceration of skin ; capillary bronchitis.
Girl, æt. 23, well built, not yet menstruated, after dancing, hematemesis.
Girl, æt. 23, well in other respects ; psoriasis.
Man, æt. 24, tall, slim, small boned, pale complexion, of reflective disposition, suffering two years from pains in head ; four years ago had itch rapidly cured by a grey ointment, since then suffering ; glaucoma.
Woman, æt. 24, fine skin, mother of two children, had abscess of breasts while nursing first child ; after fright, anger and exposure ; mastitis.
Man, æt. 24, tall, strong, florid complexion, subject to congestions of head and chest, had pneumonia and an inflammatory affection of heart, since then suffering ; heart disease.
Woman, æt. 25, single, choleric temperament, brunette, twice cured of same affection by blistering, cutaneous irritation ; aphonia.
Man, æt. 26, lithographer ; vertigo.
Woman, æt. 26, thin, spare, suffering six weeks ; facial neuralgia.
Carpenter, æt. 26 ; hoarseness.
Girl, æt. 28 ; ulcer of stomach.
Man, æt. 28, narrow-chested, slender, stoop-shouldered, blonde, suffering several weeks ; cough.
Woman, æt. 28, after exposure to heat and cold ; pneumonia.
Mrs. B., æt. 29, confined ten days, took cold ; cough.
Man, æt. 30, dark eyes and hair, suffering many years ; headache.
Mrs. M., æt. 30, has a permanent hard protuberance on left side of head, also one on metacarpal bone of left hand and one on right foot ; congestion of blood to head.
Man, æt. 30, robust frame, eight years ago got a chill while in army, since then suffering ; prosopalgia.
Man, æt. 30, slight build, health at no time very good ; cardialgia.
Man, æt. 30, hard drinker ; diarrhœa.
Man, æt. 30, dark complexion, suffering several weeks ; bleeding from rectum.
Man, æt. 30, slight build, brunette, since fourteenth year addicted to sexual excesses, frequently had chancre and gonorrhœa ; impotence.
Woman, æt. 30, choleric temperament, mother of four children, after catching cold ; uterine affection.
Woman, æt. 30, suffering six months ; menorrhagia.
Woman, æt. 30 ; dysmenorrhœa.
Woman, æt. 30, servant ; fatty degeneration of heart.
Man, æt. 30, for a long time has had pain in arm ; rheumatism.
Negro, æt. 31 ; glaucoma simplex.
Man, æt. 31, well nourished, brunette, eighteen years ago had typhoid fever, since then suffering ; dysecoia.
Woman, æt. 31, sanguine, choleric temperament ; mastitis.
Woman, æt. 32, mother of seven children, last labor short, but attended by great pain and mental excitement, attacked soon after getting up ; diarrhœa.
Man, æt. 32, thin, suffering half a year ; tapeworm.
Woman, æt. 32, slender, suffering four years ; weakness of womb.
Woman, æt. 32, ill three months ; disease of sympathetic nervous system.
Man, æt. 32, large, plethoric, light hair and eyes, formerly had scrofulous affection, for which he took blue pill and later corrosive sublimate ; fungus hæmatodes.
Woman, æt. 33 ; affection of stomach.
Mrs. V., æt. 33, suffering since second week of confinement, three months ago ; mammary abscess.
Mrs. S., æt. 35, suffering five years ; prosopalgia.
Woman, æt. 35, ill eight years ; ulcer of stomach.
Joiner, æt. 35, phthisical, subject to attacks of pneumonia ; consumption.
Mrs. ---, æt. 35 ; pain in arm.
Gamekeeper, æt. 36, few months ago received severe chill by falling into water and being compelled to remain some time in his wet clothes ; prosopalgia.
Brunette, æt. 36, slender build, irritable, easily angered, menses appeared at nineteen, gave birth to child 14 years ago, menses then disappeared for six years without affecting her health, seven years ago epileptic spasms, after which menses appeared regularly ; two years ago
menses suppressed by cold bath ; this occurred again one month ago ; and five days ago, after catching a fresh cold, menses were again suppressed ; inflammation of superior vena cava.
Man, æt. 36, medium height, brunette, black hair, well nourished, suffering ten weeks ; diarrhœa.
Man, æt. 36, good constitution ; pneumonia.
Man, æt. 36, hunter, several months ago fell into a stream, since then suffering ; rheumatism.
Woman, æt. 36, seized soon after her marriage ; paralysis of legs.
Woman, æt. 37, married, eight months previously caught cold, since then suffering ; aphonia.
Woman, æt. 38 ; mastitis.
Man, æt. 39, always weak after mental worry, suffering a year ; prosopalgia.
Man, æt. 40, usually in good health ; dysecoia.
Woman, æt. 40, suffering several days ; cholerine.
Man, æt. 40, suffering eight days ; cough.
Woman, æt. 40, slender, weak, has had several attacks of pleurisy ; pneumonia.
Man, æt. 40, weak since childhood, married ten years, no children ; paresis.
Man, æt. 40, weak, suffering many months ; impetigo sparsa.
Man, æt. 41, mother died of hæmoptysis, has had previous attacks ; hæmoptysis.
Man, æt. 42, suffering eighteen days ; diarrhœa.
Woman, æt. 42 ; mastitis.
Woman, æt. 43, dark complexion, bilious temperament, accustomed to hard labor, nursing a large baby ; suffering two months ; diarrhœa and vomiting.
Woman, æt. 43, delivered of ten children, suffered for years from periodical headaches ; menorrhagia.
Farmer, æt. 44, accustomed to exposure, two years ago had chill, since then suffering ; neuralgia.
Man, æt. 44, accustomed to exposure, caught cold two years ago, since then suffering ; rheumatism.
Sailor, æt. 44 ; rheumatism.
Beggar, æt. about 45 ; tumor on lip.
Miss L. L., æt. about 45, after going into cold wind, six weeks ago ; cough.
Mr. Pellman, æt. 46, master tiller, strongly built and of good constitution, subject to rheumatic and gastric disturbances ; paralysis.
Man, æt. 48, suffering from hemorrhoids ; cardialgia.
Man, æt. 48, suffering eight years ; diarrhœa.
Lady, æt. 48 ; condyloma of vagina.
Woman, æt. 49, choleraic-sanguine temperament, was placed in an insane asylum nine years ago, suffering four weeks ; mental disturbance.
Man, æt. 49 ; cough.
Man, æt. 50, suffering several years ; prosopalgia.
Man, æt. 50, choleraic temperament, well nourished, a year ago after catching cold was very ill ; cardialgia.
Tailor, æt. 50, sharp-featured, emaciated man, on previous day ate blood-pudding and cucumber-salad ; cholera.
Man, æt. 50, suffering two months ; cough.
Farmer, æt. 50, twenty-three years ago had abscess of lung ; affection of chest.
Man, æt. 50, hard worker mentally and physically, after unusual exposure ; rheumatic neuralgia.
Man, æt. 51, bilious temperament, ill twenty years, thinks it resulted from a blow upon left side of abdomen ; dysentery.
Man, æt. 52, suffering seven years ; amaurosis.
Man, æt. 52, teacher ; after suppression of eruption of face ; ulcer on lower lip.
Man, æt. 52, mason ; pneumonia.
Man, æt. 53, well educated, in good circumstances, sanguine, choleraic temperament, rather weak constitution, suffering several years ; flatulency and diarrhœa.
Woman, æt. 54, had lost three sons, from eighteen to thirty years of age, one after another, with tuberculosis, since that time has suffered from obstinate constipation, several times causing a syphilitic stercoralis ; amblyopia.
Woman, æt. 56, suffering since childhood from contracture of joints, and for last twenty-eight years from intermittent fever, for which much quinine was given ; dysecoia.
Carpenter, æt. 58, German, when young had gonorrhœa, lasting some years, followed by seminal weakness, later in life tuberculosis, of which he seemed cured after a critical diarrhœa ; hydrocele.
Master carpenter, æt. 59, suffering one year ; paralytic rheumatism.
Mrs. A., æt. about 60, bilio-sanguinous temperament, strong constitution, lively and passionate, suffering several years ; gastric neurosis.
Man, æt. 60, hearty, strong, muscular, short stature, formerly healthy and leading a healthy life ; cancer of stomach.
Man, æt. 60, cabinet maker, ill six months ; diarrhœa.
Woman, æt. 60, eight years ago had pneumonia, later suffered from a catarrhal affection of lungs which grew < after an attack of gastric fever ; phthisis.
Farmer, æt. 60, nervous temperament, six feet tall, slender and having a decided stoop, health poor for many years, four months previously had severe attack of what was pronounced by an allopath neuralgia of heart, pain being entirely controlled by injections of Morphine, has not
recovered from this attack entirely since ; affection of heart.
Man, æt. 62, formerly had gout, apparently in articulo mortis ; cerebral œdema.
Man, æt. 62 ; morbus Brightii.
Clergyman, æt. 63 ; chronic jaundice.
Woman, æt. 63, suffering four years ; pain during stool.
Woman, æt. 64, suffering one year ; cardialgia.
Lady, æt. about 70 ; noises in head.
Woman, near 70, no history of syphilis ; inflammation and ulceration of soft palate.
Old gentleman, æt. 70 ; threatened heart failure.
Man, æt. 71 ; typhoid fever.
Woman, æt. 74, suffering ten years ; prosopalgia.
Woman, æt. 75, weakened by previous venesection ; apoplexy.
Young woman ; crazy deliria.
Middle-aged woman, suffering one year ; exostoses on skull.
Young lady, tall, slim ; stricture of œsophagus.
Mrs. ---, suffering two months ; flatulency.
Lady, suffering over a year ; cardialgia.
Man, very stout, plethoric, worker in a brewery, suffering three months ; hepatic congestion.
Woman, slender, irritable, married two years ; dysmenorrhœa.
Man, suffering eighteen years ; cough.
Man, powerful, after suffering from cold a week or ten days ; pain in chest.
Infant at breast, after being exposed to rain ; pneumonia.
Man, suffering for years ; neuralgia of chest walls.
Young woman, gracile build, suffering several years, lately took large doses of nitrate of silver ; nervous debility.
Woman, suffering seven years ; spasmodic irritation of vagus.
Negro, two-and-a-half years ago had a bleeding tumor on knee, which was excised, after which he slowly recovered ; fungus hæmatodes.
Soldier, had been exposed during the war to several drenching rains ; paralytic rheumatism.

Relations

Antidoted by : Nux vom., Coffea, Terebinth .
It antidotes : Terebinth., Rhus ven . ; removes ill effects of camphor, iodine and excessive use of table salt.
Compatible : Arsen ., Bellad., Bryon., Calc. os., Carbo veg., Cinchon., Kali carb., Lycop., Nux vom., Pulsat., Rhus tox., Sepia, Silica, Sulphur .
Incompatible : Caustic .
Complementary : Arsen., Cepa .
Compare : Acalypha in pulmonary hemorrhage.

Lectures on Homoeopathic Materia Medica

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

Lecture

The complaints of Phosphorus are most likely to arise in the feeble constitutions, such as have been born sick, grown up slender, and grown too rapidly.

Its complaints are found in such as are emaciated, and in those who are rapidly emaciating; in children who are going into marasmus, and in persons who have in them the foundation of consumption fairly well laid. Delicate, waxy, anemic and emaciated subjects. In persons who are vehement, irascible.

This expresses the person's disposition somewhat as well as his internal constitutional state. Internally he is in a turmoil. Subject to violent pulsations, complaints from electric changes in the atmosphere; violent palpitations and orgasms. In chlorotic girls who have grown too rapidly and have suddenly taken on weakness, pallor, green sickness, with menstrual difficulties. Ebullitions and congestions. Hemorrhagic constitutions.

Blood

Small wounds bleed much; the prick of the needle will bubble forth much bright red blood.

Hemorrhage from small wounds, from the nose, from the lungs, from the stomach, from the bladder and from the uterus. Bleeding from ulcerations. False granulations that bleed. Purpura hoemorrhagica. Black and blue spots.

Blood settles beneath the conjunctiva, or beneath the skin anywhere.

Bloody saliva; evidences of disorganized blood, or that the blood seems to become fluid. Small bruises take on broad blue spots. Blows much blood out of the nose. Petechiae all over the body, such as are found in typhoid fever, low forms of continued fever with hemorrhages. Fungous growth. Fatty degeneration is a marked feature of Phosphorus, and can be found in the liver, heart or kidneys.

General dropsical condition. Bloating of the hands and feet, especially dropsical conditions after scarlet fever. The mucous membranes are all pale, such as is found after bleeding or in low forms of disease. A marked state of anemia and relaxed condition of the muscles. Muscles flabby. Fatty degeneration of the muscles.

The genitals hang down. In the woman, relaxation of the pelvic organs, prolapsus and other displacements. Stiffness is a marked feature of Phosphorus. Stiffness on beginning to move. Limbs stiff like a foundered horse, especially in the morning. Rheumatic stiffness in all the limbs. Phosphorus has tearing, drawing pains in the limbs. Drawing, tearing pains in affected parts. Phosphorus complaints are worse in cold weather.

The patient himself, generally considered, is sensitive to cold. All his complaints are worse from cold and cold applications, and better from beat and warm applications, except the complaints of the head and stomach, which are ameliorated from cold as will hereafter be described. Phosphorus has been very useful in weak, relaxed conditions of the joints following sprains, when the symptoms agree.

Necrosis is another feature of Phosphorus, especially of the lower jaw, but may be useful in necrosis of any of the bones. Exostoses of the skull with tearing pains. Tearing, boring pains, especially at night. Phosphorus has cured polypi of the nose and cars. Scrofulous and glandular swellings. Glands enlarge, especially after contusions like Bellis.

Glandular affections of weak, pale, sickly individuals, such as suffer from diarrhea, such as suffer from exhaustive conditions, abscesses, fistulous openings, with hectic fever. Abscesses with copious discharge of yellow pus. Malignant growths are greatly restrained by the use of Phosphorus, when the symptoms agree. Burning pains are observed everywhere. Burning in the brain, burning in the skin. Burning in the stomach, in the chest, and in various parts.

The Phosphorus patient is very sensitive to all external impressions slight odors, noises, touch. Slight causes lead to exhaustion of either body or mind. Trembling throughout the body from slight causes, using the bands, from slight exertion, from debility, from coughing. Weakness prevails in a marked degree, finally becoming paralysis or paralytic weakness such as occurs in most forms of typhoid fever, with sliding down in bed, trembling and jerking of the muscles. Paralysis with formication and tearing in the limbs.

Paralysis that comes with apoplexy. Jerking and twitching of the muscles such as has been found in paralysis. Spasms of the paralyzed parts. Tearing, drawing, burning pains throughout the body.

The Phosphorus patient wants to be rubbed. He is generally better after sleep. Always wants to rest. Always tired. The Phosphorus patient undergoes great excitement. Tremulousness. Wild thoughts. Excitability, keeping him awake at night. Violent imaginations.

Mind

Excitability even to ecstasy and clairvoyance.

The mind may be overactive or may be extremely passive with loss of memory. Irritability of mind and body and great prostration of mind after slight mental effort, and of the body afar slight physical exertion.

Anxiety, gloomy forebodings. Fear that something will happen. Anxious at twilight. Anxious when alone. Apprehensiveness. Apprehensive during thunder storms, which brings on many complaints; palpitation, diarrhea and trembling. Trembling of the whole body.

Attacks of indigestion from fear. Fear in the evening, fear of death. Fear of strange old faces looking at him from the corner. Full of strange, insane imaginations. On the border land of insanity. Inability to sustain a mental effort. Fear of apoplexy. Reflecting brings on headache and difficult breathing associated with apprehensiveness or sinking at the pit of the stomach. His fear seems to begin 'at the pit of the stomach.

Apathy or indifference; indifferent to his friends and surroundings. Indifferent to his children. Answers no questions, takes no notice of his family and things about him, answers slowly, thinks sluggishly, seems dazed or in a stupor. Everything looks dark, he is weary of life, gloomy and says nothing.

Dejected; a most marked case of hypochondriasis. Weeping, sad, hysterical; will uncover the body and expose his person. Violent, loquacious; delirium. Delirium of low forms of fever, or delirium of mania a potu.

Maniacal attacks come on during sleep with fury and extreme violence, so that no one dares approach him, and this progresses to imbecility, silliness, weak brain, idiocy. Brain fag from mental overwork and constant strain of eyes. Vertigo is a very common symptom throughout all of the complaints of Phosphorus. Staggering while walking as if intoxicated. Vertigo when in the open air; vertigo after eating; vertigo in the evening. Heaviness and confusion in the head and things go round; great weakness of the head.

All of these mental symptoms are worse in the dark; worse when alone; sometimes worse from music; worse from excitement; worse from playing the piano.

Head

The headaches of Phosphorus are congestive and throbbing.

The blood mounts to the head. The headaches are ameliorated from cold and worse from heat, worse from motion, and better from rest, worse lying down. The patient is often compelled to sit upright, with great pressure upon the head and cold applications. The face is flushed and hot; burning in the brain.

The warm room, warm surroundings, warm food, putting the hands into warm water will increase the headache. The complaints of the head like the complaints of the stomach are worse from heat, warm applications and from warm food, and better from cold things; while the complaints of the body are better from warmth and, worse from cold.

The headaches are most violent and are often attended with hunger or preceded by hunger; headaches with vomiting, red face, and scanty urine; uraemic headaches; violent neuralgic pains darting, tearing, shooting through the head; pressing pains in the head. Periodical headaches, headaches brought on from mental exertion.

Great heat in the head and stiffness in the muscles of the face and jaws. This is sometimes attended with coldness in the back of the head. Shocks through the brain. The headaches are worse from noise, from light; apoplectic congestion of the head. It has cured acute hydrocephalus and hydrocephaloid symptoms.

Chronic inflammation of the meninges of the brain; softening of the brain; imbecility; insanity. Violent head pains; atrophy of the brain; medulla oblongata. The scalp is covered with dandruff; the hair falls out in patches, leaving bald places here and there. Great heat in the scalp; tension in the scalp and face and forehead as if bound by a bandage. Scaly eruptions on the bald places of the head; exostoses on the skull.

The complaints of the head are brought on from becoming overheated. Sensation as if the hair were pulled; great soreness of the scalp; must let the hair hang down during headaches.

Eyes

The eye symptoms are very numerous; burning, redness, congestion, enlargement of the blood-vessels.

Objects look red and often blue in the field of vision, or objects sometimes look green and gray as is observed in incipient cataract. Colors, also, appear black before the eyes. Vision is vague; the eyes give out while reading; sees better in the morning, in the twilight.

The eye symptoms, like Phosphorus in general, have amelioration after rest. Momentary blindness like fainting; seems to suddenly become blind; paralysis of the optic nerve; blindness after electric shocks, or after a stroke of lightning. It has cured glaucoma. It has cured inflammation of the retina in Bright's disease.

It has cured opacity of the vitreous humor. It has cured paralytic weakness of the various muscles of the eyes. It has cured paralysis of the third pair of nerves where there is falling of the lids; sub-acute inflammation of the eyes.

Burning, redness, and smarting ameliorated from cold applications. The eyelids twitch and tremble; swelling of the eyelids; dropsical swelling of the eyelids; great darkness around the eyes; great circles around the eyes. It is a very useful remedy in malignant growths involving the eye, restraining very much the progress of the disease.

The eye symptoms like the head and mind symptoms are such as often come on in brain workers; working under a bright light causing much determination of blood to the head in which the eyes as well as other parts suffer.

Ears

Phosphorus has a peculiar deafness.

One of the most striking features of Phosphorus is inability to understand the articulations of the human voice. Hearing is difficult. He sometimes feels as if there were something over the ears; as if the ears were covered, obstructing the waves of sound.

Violent itching in the ears; congestion of the external ear; itching, tearing, throbbing, burning pains within the ear, It has cured polypi in the ears.

Nose

The nose symptoms are also very numerous; inveterate nasal catarrh.

He takes cold in the nose, but the most common seat of the Phosphorus cold is in the chest, and most of his difficulties begin in the chest, but Phosphorus cures nasal catarrh and coryza.

There is painful dryness in the nose; constant sneezing and running from the nose of bloody water.

Frequent alternations of fluent and stopped-up conditions of the nose; coryza with sore throat; stoppage of the nostrils; much sneezing and stopping of the nose alternating with dryness of the nose in scarlet fever; nostrils filled with green mucus; a copious nasal discharge of greenish-yellow, blood-streaked mucus, worse in the morning; bad odor from the nose; frequent blowing of blood from the nose; copious hemorrhage from the nose of bright red blood; swelling of the nose, redness and shining; very sensitive to touch; necrosis of the bones of the nose.

It has cured polypi of the nose, especially bleeding polypi. Fan-like motion of the nose, like Lycopodium.

Face

The Phosphorus patient presents a sickly face, earthy, sunken and pale, such as we find in consumption and those about to go into consumption those suffering from deep-seated constitutional conditions; haggard, anemic.

The color is changeable; swollen, oedematous face; puffed under the eyes; lips and eyelids swollen. Again, red spots upon the checks, which appear in hectic fever; the hectic blush. Tension of the skin and of the face; tearing, shooting pains all through the face and about the eyes, from the temples and vertex down to the zygoma. Jerking, tearing pains in the teeth.

The pains of the teeth are often ameliorated by warmth, while those of the head are ameliorated by cold. The pains of the teeth are worse when talking and eating, and worse after eating It has violent neuralgias of the face involving the jaw and temples, with hot, bloated face, worse from talking and from eating.

It has caries of the lower jaw, with great heat, burning and fistulous openings. Neuralgia of the face and teeth; has to be wrapped up at night; worse in windy weather.

The countenance is sickly, sunken, declining, as if a serious sickness was coming.

The lips are parched, dry and bleeding. The lips become black, brown and cracked as in low forms of fever, and with necrosis of the lower jaw. Inflammation of the parotid gland, especially when it suppurates or there are fistulous openings. Rapid decay of the teeth. The gums bleed and settle away from the teeth.

Phosphorus is very useful for the bright red hemorrhage after the extraction of teeth. The tongue is swollen and speech is difficult. It is difficult to articulate. The taste in the mouth is bitter or sour, especially sour after taking milk; sometimes salty or sweetish; bitter after eating.

Taste of hydrogen sulphide in the morning. The tongue is coated like fur; sometimes chalky-white, sometimes yellow; dry, cracked and bleeding; sordes on the teeth. Crusts form upon the mucous membranes of the mouth, gums, lips and tongue. The tongue is swollen and the papillae are engorged.

Throat

Dryness of the mouth and throat; sore, excoriated mucous membranes of the mouth and throat.

The mouth may be covered with thrush, as in nursing sore mouth; bloody erosions of the mouth; nursing sore mouth. Much watery saliva and bloody saliva flows from the mouth. The saliva is copious, tasting sweetish, saltish or foul. The mucous membranes of the throat are like those of the mouth. Great dryness, roughness, rawness, excoriation, bleeding, and inflammation of the tonsils; inflammation of the throat; sensation of cotton in the throat; sensation of velvet in the throat.

The tonsils are much swollen. Intense pain in the throat and burning in the throat that extends into the oesophagus. Inability to swallow any nourishment because of paralysis of the oesophagus or acute inflammation of the mucous membranes of the throat and oesophagus; constriction of the oesophagus.

In Phosphorus there is violent hunger and very soon after eating the hunger returns again. Must eat during the chill. Must get tip in the night to eat. Feels faint and is driven to eat. Ravenous hunger during headache; he knows that the headache is coming on because of his violent hunger; in periodical headaches.

The hunger is often spasmodic, because at times there is aversion to food. Again, he wants to eat and as soon as the food is offered he does not want it. Thirst is one of the most constant features of Phosphorus.

In acute and chronic complaints there is violent thirst; thirst for ice-cold drinks. Wants something refreshing; is ameliorated momentarily by drinking cold things, but the thirst appears as soon as the water gets warm in the stomach. Vomiting comes on as soon as the water becomes warm in the stomach, but there are many conditions where the ice-cold water agrees.

Unquenchable thirst. When the water is vomited there is always unquenchable thirst. He wants cold food as well as cold drinks; refreshing, spicy things, juicy things; desire for wines and sour things. Phosphorus often cures the violent' longing in inebriates for alcohol.

It simply resembles the congestion of the mucous membrane of the stomach. Aversion to sweets, to meat, to boiled milk, to salt fish, to beer, to puddings, to tea and coffee.

Many of the complaints of Phosphorus are ameliorated by eating. The nervous symptoms of Phosphorus drive the patient to eat and he feels better for a little while, and then he must eat again or the nervous symptoms will come on. Often he can sleep better after eating and cannot go to sleep until he eats something.

Stomach

The stomach symptoms are numerous: pains, nausea, vomiting, burning.

The stomach symptoms are ameliorated by cold things and aggravated by warm things. The nausea and vomiting are brought on by putting the hands into warm water, from being in a warm room, from warm things and from taking warm things into the stomach. The nausea of pregnancy is cured when the woman cannot put the hands into warm water without bringing on vomiting. Another marked feature of Phosphorus is eructations of food.

The food is eructated by mouthful until the stomach is emptied of the last meal. Constant nausea except when something cold is in he stomach. As soon as water becomes warm in the stomach it comes up. This very much resembles the vomiting and nausea of Chloroform, and Phosphorus is a great friend to the surgeon because he can nearly always antidote the stomach affections of Chloroform by Phosphorus. Vomiting of blood and violent vomiting of sour fluids; vomiting of bile and mucus; vomiting of black substances, coffee-ground substances. Awful sinking, gone feeling in the stomach.

This sometimes comes at 11 o'clock like Sulphur. Pressing pains, burning pains, tearing pains in the stomach; pain in the stomach after eating; sensitiveness in the pit of the stomach; inflammation of the stomach. It has been a very useful remedy in cancer of the stomach, with coffee-ground vomiting and burning; coldness, as if freezing, in the pit of the stomach; paroxysms of knife-like pains in the stomach.

The pains in the stomach are ameliorated by ice-cold things for a moment; spasmodic contractions of the stomach; hemorrhage from the stomach; vomiting of great quantities of clotted blood; long-standing dyspepsia; much flatulence; regurgitation of food; distended stomach and abdomen; ulceration of the stomach.

The liver furnishes us many symptoms of Phosphorus. Congestion of the liver, fullness, pain, hardness, fatty degeneration of the liver, hyperemia of the liver. Phosphorus is one of the most useful liver remedies; hard, large liver. With the stomach and liver symptoms there is commonly jaundice.

Abdomen

Very sensitive abdomen, painful to touch, rolling and rumbling.

Sensation of emptiness in the abdomen; sunken feeling in the abdomen. The abdomen feels as if relaxed; hanging down sensation and sensation of great weight in the abdomen. Tympanitic abdomen such as occurs in typhoid fever.

A marked feature in Phosphorus is the peculiar gurgling which begins in the stomach and gurgles along down through the intestines, attended with involuntary stool. This occurs in typhoid fever. The gurgling that occurs in Arsenicum is down the oesophagus.

Flatulence; colic; rending, tearing, cutting pains throughout the abdomen; stitching pains in the abdomen; violent neuralgic pains in the abdomen; inflammation of the bowels, of the peritoneum; appendicitis. Yellow, brown spots on the abdomen; petechiae over the abdomen during typhoid fever.

Phosphorus is rich in symptoms of the rectum and stool; involuntary discharges from the bowels; copious emission of fluids; foetid, gushing stools; horribly offensive, yellow, watery stools. The patient lies as if dying, the stools passing involuntarily; stools of white mucus; stools of slime intermingled with little specks like tallow; involuntary oozings from the constantly wide open anus.

Hemorrhage from the bowels in typhoids, in low forms of disease; bloody discharges like meat washings, involuntary, on every motion. Burning in the rectum during stool. Protrusion of the rectum; protrusion of hoemorrhoidal tumors. Sharp, stitching pains from the coccyx up the spine to the base of the brain drawing the neck backward, and this symptom occurs during stool. It has occurred during involuntary stool.

After stool painful cramps in the rectum; burning in the anus; violent tenesmus; sinking feeling in the abdomen; obliged to lie down; exhaustion and fainting. The copious diarrhea is like the profuse flow of water from a hydrant. It is useful in cholera times and in cholera morbus. It is a useful medicine for chronic diarrhea with soft, thin stools. It has been a very useful remedy in cholera infantum. It has also cured dysentery with bloody mucus, scanty stools with violent tenesmus. It also cures inveterate constipation.

The stool is hard, long, and slender, described in the books as like that of a dog. Alternating diarrhea and constipation in old people. Spasms of the rectum. Paralysis of the bowel, so that it is impossible to strain at stool, Hemorrhage from the bowels. It has cured polypi of the rectum; inflammation of the rectum. It has many times cured bleeding, protruding hemorrhoids; hemorrhoids that burn. It has cured fissures of the anus. Among many of these bowel symptoms the anus feels as if wide open.

Kidneys

Phosphorus is a useful remedy in diseases of the kidneys, especially diabetes, with sugar in the urine when there is great thirst for ice-cold things and ice-cold water. Gradual emaciation; gradual weakness; considerable heat of the head; coldness of the extremities, and sugar in the urine. Phosphorus will cure fatty degeneration of the kidneys. Renal calculi. No desire to pass urine though the bladder is full.

There is a paralytic weakness which resembles the paralytic weakness throughout all the muscles of the body. He is unable to strain to pass the urine because such straining increases pain in the region of the bladder.

Profuse, pale, watery urine; frequent and scanty or completely suppressed urine. Turbid, whitish urine; curdled like milk. Albuminous urine. Involuntary urination during sleep.

Tearing in the urethra; twitching and burning in the urethra. Periodical sick headaches sometimes are preceded by scanty urine and sometimes by a copious watery flow of urine.

Men

The male sexual organs furnish many symptoms of Phosphorus.

Violent sexual desire driving him frantic. Erections frequent and painful day and night. Seminal emissions at night even without lascivious dreams. Sexual debility from the inordinate use of table salt. Impotence after excessive excitement and secret vice, preceded by over-excitement of the sexual organs.

Frequent discharges day and night of thin, slimy, colorless fluid from the urethra. Sexual abuse with spinal disease. Discharges of prostatic fluid during a hard stool. Chronic urethral discharges due to hypertrophy of the prostate gland gleety discharge, Swelling and soreness of the testes and cord; inflammation of the testes and cord. It has cured hydrocele following gonorrhea.

Women

In the woman it is equally useful.

Phosphorus has cured many cases of sterility supposed to depend upon violent sexual excitement. Violent sexual excitement with aversion to coition. Violent pain in the ovaries extending down the inner side of the thighs during menstruation caused by inflammation of the ovaries.

Inflammation of the uterus during menstruation and during pregnancy or during pyoemia. Copious hemorrhages from uterus, bright red, clotted blood after confinement, during menstruation or during the climacteric period. Frequent and profuse hemorrhages from the uterus caused from cancerous affections.

The menstrual period is too early, flow bright red, lasting too long, is copious; during the menstrual period ice-cold feet and hands; nausea; pain in the back, as if broken; blue rings around eyes; loss of flesh; much fearfulness. It has also menstrual suppression in consumptives with cough, bleeding from the nose, and spitting of blood. Violent sexual excitement driving to secret vice.

Copious yellow leucorrhoea with great weakness; leucorrhoea instead of menses; white, watery leucorrhoea, acrid, excoriating; milky leucorrhoea, copious when walking. The leucorrhoea is so excoriating that blisters form upon the genitals. Burning and smarting in the vagina. Stitching pains upward from the vagina into the pelvis. While there is violent sexual excitement during coition there. is lack of sensation in the vagina, as if it were numb.

Condylomata appear like fig warts and excrescences about the genitals and in the, vagina. Bleeding warts. Erectile tumors on the external genitals.

Dropsical swelling of the labia. Cauliflower excrescences with much bleeding. Painful, hard, large nodosities in the female mammary glands. Fibroid tumors of the breast. Fibroid tumors of the uterus with copious hemorrhages

During pregnancy and lactation violent sexual desire; vomiting of pregnancy. Much prostration, sinking, and trembling, puerperal convulsions; pain in the back, as if it would break. Increased secretion of milk out of season. Inflammation of the mammary glands with much heat, weight, and suppuration. Erysipelas of the breasts or of the genitals.

Larynx

Inflammation of the larynx with hoarseness in the morning; husky voice; great sensitiveness of the larynx to touch and cold air; pain and burning in the larynx on talking; weakness in the vocal cords; violent tickling of the larynx while talking; constriction and spasms of the larynx; constant irritation to cough in the larynx; tuberculous condition of the larynx; bleeding; loss of voice; cannot speak a word on account of pain in the larynx; sensation of velvet in the larynx; rawness and smarting in the larynx.

Phosphorus has cured many cases of croup, membranous croup, when all the symptoms were present. Every change of weather, from becoming overheated, and colds settle in the larynx, producing loss of voice and hoarseness, especially in public speakers and singers. Hoarseness and loss of voice; great dryness in the larynx and all of the air passages. Hard, dry, rasping cough that shakes the whole body from irritation in the larynx.

The irritation travels down the air passages, affecting the trachea, along with difficult respiration; asthmatic breathing; clutching in the larynx; suffocation; dyspnoea; spasms and constrictions of the chest.

Violent, stridulous inspiration in the evening on falling asleep; fear of suffocation; labored breathing. Paralysis of the lungs; fullness in the chest after eating, much irritation in the larynx; difficult breathing; scraping of mucus from the larynx after eating.

Chest

In the chest, Phosphorus produces oppression; anxiety, weakness and constriction going along with its chest complaints. Heaviness as if a great weight were lying upon the chest. With the cough, bronchitis, pneumonia and cardiac symptoms there is always more or less constriction of the chest as if bound, or as if bandaged, or as if tied tight with a string.

Tightness felt over the sternum, and with all complaints great weakness of the chest; pressure as of a weight over the middle of the sternum; feeling of a rush of blood to the chest with or without violent pulsations. Sensation of heat in the chest mounting to the head; flushes of heat in the chest extending upward. Stitching pain in the chest; spasmodic pains in the chest; violent stitching pains in the left side of the chest better by lying on the right side. These are pains likely to occur ig pleurisy or in pleurisy with pneumonia.

Complaints of chest, worse in cold air. Rawness in the trachea extending into the lungs; burning in the chest; acute pain in the lower part of the lungs; violent pain in the chest with coughing. The patient is compelled to hold the chest with the hand. Inflammation of the lungs with anxiety, oppression, and expectoration of bright red blood.

The Phosphorus patient suffers from copious hemorrhages from the lungs in phthisical conditions, in inflammation, inflammation of the bronchial tubes with intense fever and violent shaking cough; the body trembles with the cough; tearing pains in the sternum with the cough; suffocation and constriction of the chest. Pain in the larynx. The expectoration may be blood-streaked or rust-colored as it is in pneumonia. It may be purulent. In the later stages it becomes thick, yellow, sweetish.

Phosphorus is a useful remedy in old bronchial catarrhs, in complaints that date from pneumonia or from bronchitis. Every cold settles in the chest. The lungs seem to be weak. Again, in hepatization during pneumonia with hard, dry, hacking cough; in hepatization of the lungs during pneumonia Phosphorus, Sulphur and Lycopodium are the most frequently indicated medicines.

Phosphorus is often the remedy to follow Arsenic when Arsenic has been suited to the restlessness, prostration, and anxiety that comes to a place where because of hepatization it is capable of accomplishing no more toward the cure of a case. If, then, the patient has thirst for ice-cold water, constriction of the chest, dry, hacking cough, paralytic weakness of the lungs, and expectoration of blood or frothy mucus Phosphorus is the best remedy.

In pneumonia, there may be burning in the chest, burning in the head, hot cheeks, and fever; gesticulation and delirium; violent thirst for ice-cold water; fan-like motion of the nose; difficult breathing; catchy inspiration; lying on the back with the head thrown far back; short, dry cough.

The carotids pulsate. Rawness in the chest; bruised feeling in the chest; pains are cutting; burning or sharp and tearing in the lungs when coughing. Suffocation, or inspiration almost impossible, especially at the beginning of hepatization when the face becomes livid and the features pointed with cold sweat and quick, hard pulse. Frothy expectoration in low forms of pneumonia known as typhoid pneumonia.

Threatened paralysis of the lungs. Again, Phosphorus is a useful remedy when tuberculosis is about to make its appearance, in persons who are narrow-chested, slender, and of feeble vitality. All colds settle in the chest. After each cold, much rattling, hard cough that shakes the whole body, in persons who are feeble, pale, sickly, and disposed to hemorrhages.

Cough comes on in cold air. Emaciation; emaciation of the chest and neck. Along with these conditions comes hectic fever in the last stages of phthisis; intense fever, red face, and night sweats; fever coming on in the afternoon and lasting until after midnight.

A powder of Phosphorus very high will reduce this fever and make the patient comfortable until death. In all incurable cases after the fever has been reduced, Phosphorus should not be given, as it will intensify the fever and do just what it was given to avoid. It is not uncommon for a crisis to follow the administration of Phosphorus. Prolonged sweat and diarrhea, these should never be interfered with as they will soon stop of their own accord and the patient will be left in a state of quietude.

Phosphorus is a dangerous medicine to give very high in some cases of phthisis, in the last stages of phthisis. In this case they should have received Phosphorus when they were yet curable. In these cases Phosphorus 30 th may sometimes be used with safety and it will act as a test in doubtful cases to see whether reaction can be brought about. In such cases where reaction can be brought about the administration later of a still higher potency may be found useful, but in the beginning with Phosphorus in phthisical cases far advanced it is better not to go higher than the 30 th or 200 th.

Phosphorus very low will act as a poison in really Phosphorus cases and the only safety some patients have had who have received Phosphorus so very low was due to the fact that the Phosphorus was not similar enough to either kill or cure.

Heart

Phosphorus has violent palpitation; worse from motion, and from lying on the left side especially in the evening; worse at night on waking, with orgasms of blood in the chest, accompanied by much suffocation.

Tightness in the chest and palpitation over the body; pressure in the region of the heart. Phosphorus has cured endocarditis. Phosphorus has cured enlargement of the heart and dilatation and also fatty degeneration. With fatty degeneration where there is much venous stagnation, puffiness of the face, particularly under the eyelids, Phosphorus is often the remedy.

In all of these cardiac affections thirst for very cold water will always be present. Internal heat; he wants something cold to cool his insides.

Violent orgasms of blood in the chest from every excitement, from worry, and from anticipation. Phosphorus has many neuralgic pains upon the outer chest and yellow brown spots.

Back and spine

There are many symptoms in the back; stiffness in the back and in the back of the neck, between the shoulders, and in the small of the back.

Stiffness on rising from a seat. Sensation of intense heat in the back running up the back. The patient complains of a hot spine.

Soreness in places up and down the spine; soreness to touch between the! shoulders; pulsations in various places in the back and in the whole spine.

The coccyx is sensitive to pressure; pain in the coccyx as if ulcerated, preventing motion. Pain in the back during menstruation and during confinement as if the back would break. Spinal affections and inflammations, Weakness of the limbs after mental exertion, prolonged physical exertion, being overheated, sunstroke and sexual excesses; paralytic weakness. Myelitis; softening of the spine; progressive spinal paralysis.

Phosphorus has been a useful remedy in locomotor ataxia, palliating many of the symptoms; the pains; restoring the reflexes. Phosphorus is often suitable and restrains the progress in multiple sclerosis where there is much weakness and trembling of the extremities. Phosphorus has cured caries of the vertebrae in scrofulous children. Phosphorus is a broad remedy in various diseases of the spine.

Limbs

In the limbs we have paralytic weakness extending to both arms and legs, with trembling and numbness; paralysis of one or of both lower extremities or of the upper extremities with trembling and numbness.

The hands and arms become very cold. The limbs emaciate and the veins become distended; the arms burn; periodical constriction of the fingers; numbness increasing to complete insensibility of the fingers; finger tips feel numb and insensible.

Great restlessness in the lower limbs; weariness in the lower limbs; weakness in the lower limbs, especially observed on walking, unsteady and trembling gait; paralysis of the lower limbs. Acute inflarnmation of the joints of the knees and hip joint.

Burning, tearing pains in the limbs from exposure to cold, Rheumatism of the joints and muscles; stiffness of the joints on becoming cold. All complaints of the limbs are ameliorated by heat, while complaints of the head and stomach are ameliorated by cold. The complaints of the chest are ameliorated by heat. The lower limbs are covered with foetid sweat, The lower limbs are gangrenous. Inflammation of the periosteum of the tibia. Ulcers upon the lower limbs; feet icy-cold.

The Phosphorus patient wants to lie down; exhausted; he is unable to walk; staggers when walking from weakness and from vertigo. A gradual progressing weakness creeps over him; weakness; trembling; faintness.

Jerking and twitching of the muscles; spasms of the paralyzed parts. Epilepsy; convulsions; neuralgic pains of the various parts of the body and of the limbs especially, ameliorated by heat. It has cured multiple neuritis.

Sleep

Restless sleep; starts in sleep; feels in the morning as if he has not kept enough, yet most of the complaints and aches are ameliorated by sleep, especially the head symptoms; walks in his sleep.

He sleeps on the right side. Lying on the left side causes anxiety and pain in the heart and palpitation. Late falling to sleep in the evening; lies awake thinking about the affairs of the day and borrowing trouble. Phosphorus is a usual remedy in low forms of typhoid fever on the symptoms previously mentioned.

Skin

There are many eruptions in Phosphorus.

The eruptions are dry and scaly; dry furfuraceous herpes; blood blisters; purple spots; yellow spots on the chest and abdomen; formication and itching in the paralyzed parts; numbness of the skin; irregular brown spots upon the body; psoriasis of the knees, legs, elbows, and eyebrows; hives and blood boils; phlegmonous inflammation.

Chronic suppurating openings with hectic fever; fistulous openings; ulcers bleed on appearance of the menses; deep eating ulcers; indolent ulcers; malignant ulcers.

Very useful in cancerous ulcers that bleed and take on fungous appearance and in low forms of scarlet fever where the rash is very dusky or disappears and suppuration begins in various places about the neck or upon the extremities or upon the ends of the fingers and there is violent thirst for cold water, purple appearance in the throat, and dry, hacking, shaking cough.

The Therapeutics of Fevers

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

Characteristic

Adapted to tall, slender persons of sanguine temperament, fair skin, delicate eye lashes, fine, blonde or red hair, quick, lively perceptions and sensitive nature.

Young people, who grow too rapidly, are inclined to stoop (walk stooping, Sul.); chlorosis; anæmia; old people, with morning diarrhœa.

Oversensitiveness of all the senses to external impressions, light, noise, odors, touch (Ign., Nux., Tar.).

Restless, fidgety; moves continually, cannot sit or stand still a moment (fidgety feet, Zinc.).

Burning: in spots along the spine; between the scapulæ (as of a piece of ice, Lachn.); or intense heat running up the back; of palms of hands (Lach.); in chest and lungs; of every organ or tissue of the body (Ars., Sulph.); generally in diseases of nervous system.

Pain: acute, especially in the chest, < from pressure, even slight, in intercostal spaces, and lying on left side; excited by slightest chill; open air intolerable.

A weak, empty, all-gone sensation in head, chest,

Cannot talk, the larynx is so painful; cough, going from warm to cold air (rev. of Bry.), laughing, talking, reading, eating, lying on left side (Dros., Stan.).

Acts more beneficially when patients suffer from chronic diarrhœa.

Relations

Complementary: Arsenic, with which it is also in isomorphic relation.

Incompatible: with Causticum, must not be used before or after.

Follows well: after Cinchona or Calcarea.

Hahnemann says: "Acts more beneficial when patient suffers from chronic loose stool or diarrhœa.

Aggravation

Evening before midnight (Puls., Rhus); when alone; lying on left or painful side; from light; during a thunderstorm; change of weather, either hot or cold; eating something warm.

Amelioration

In the dark; lying on right side; after sleep; eating something cold; rubbing, or being mesmerized.

Cold air relieves the head and face symptoms, but aggravates those of the chest, throat and neck.

Type

Quotidian. Typhoid, typhus, yellow.

Time

1, 6, 5 to 6, 7 P. M. Afternoon and evening. Same hour every day.

Chill

Without thirst. Towards evening, not > by heat of stove (Meny., Nux). Chill at 1, lasting till 5 P. M. Chilliness over whole trunk, as if in cold water, not relieved by external covering (Nux). Chilliness in the evening on falling asleep; from 6 P. M. till midnight, falling asleep from weakness. Chilliness every evening, with shivering, with aversion to uncovering. Violent shaking chill at night, with diarrhœa, followed by heat and perspiration. Chill alternating with heat (Ars.); veins of hands swollen; yawning; goose-flesh. Chill descends; heat ascends, the back (Ver.). Coldness in the kness at night in bed) Carbo v.). Coldness of limbs; icy coldness of the hands and feet, even in bed.

Heat

With thirst. Violent chill; he could not get warm at 5 to 6 P. M., followed by heat and internal chilliness; then heat and perspiration all night. Heat at night, beginning in stomach; faint and hungry; then chill followed by internal heat, especially in the hands, the cold continuing externally. Heat and sweat at night, with ravenous hunger, that could not be appeased (hunger in every stage, Cina—hunger after paroxysm, Eup.—hunger before chill, Cinch.). Hot flushes over whole body, beginning in the hands, both afternoon and evening; cold externally. Urine turbid, whitish, brick dust sediment.

Sweat

Profuse over whole body and on slight exertion.* Morning sweat, most profuse during sleep (Cinch.). Profuse exhausting morning sweat*, sometimes clammy. Sweat on head, hands, feet, fore part of body, alternating with chilliness; urine turbid and milky. Perspiration has the odor of sulphur.

Tongue

Coated with a thick fur, white or brown, dark centre and red edges; or coated only in the middle.

Hunger, must eat during chill and heat, before he can get up; feels faint; wants cold food, ice water, ice cream. Regurgitation of food, in mouthfuls, with nausea. Food scarcely swallowed, comes up again.

"Intermittent fever; heat and perspiration at night, with faintness and ravenous hunger, which could not be satisfied by eating; afterwards chilliness, with chattering of teeth and external coldness; chilliness succeeded by internal heat, especially in hands, the external coldness continues."—LIPPE.

Apt to become remittent or typhoid; or a remittent fever takes on after a time—or after a partial or complete suppression—an intermittent type, usually the quotidian.

Analysis

Chill; chilliness every evening, with icy coldness of extremities.

Heat; and sweat at night, with ravenous hunger.

Sweat; profuse, over whole body and on slight exertion.