Podophyllum Peltatum podo.

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

Liver: Duodenum. Intestines. RECTUM. Right side: Ovary. Scapula. Throat.

Worse

EARLY MORNING. Eating. Hot weather. Dentition. Drinking. Motion. Mercury.

Better

Stroking liver. Lying on abdomen.

General

Biliousness.

Particulars

Whining. Rolls head. Eyes half open. Bad breath. Burning rough or flabby, indented tongue. Bites gums together; grinds teeth. Bitter taste. As of a lump in œsophagus. Craves acids which <. Vomits hot froth. Constant gagging. Sore, painful liver. Weak, empty sinking or sick feeling in abdomen. Rubs abdomen for >. GURGLING THROUGH BOWELS, THEN PROFUSE, PUTRID STOOLS GUSH OUT PAINLESSLY. Summer diarrhœa. White stools; like dirty water; foaming; with meal - like sediment; runs right through diaper; then weakness. Cholera morbus. Diarrhœa, alternating with other symptoms, head, etc. Pale, hard, chalky stools. Rectum; raw, sore; weak; prolapsed, before stool. Moist, foul piles. Numb ache in ovaries; radiating to r. crural nerve, etc.; < stretching legs. Ischias antica. Generative organs threaten to prolapse, during stool. Rectum, prolapsed after confinement. Burning in small of back. Jaundice, < face and eyes. Moaning and whining during sleep. Loquacity during the fever (Pyro.). Sleepy after the paroxysm (malaria).

Related

Complementary: Nat-m. Related: Alo. Chin. Merc.

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

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

Keynote

Adapted to persons of bilious temperament who suffer from gastro- intestinal derangement, especially after abuse of mercury; "bilious attacks.". Thirst for large quantities of cold water (Bry.). Pains: sudden shocks of jerking pains. Depression of spirits, imagines he is going to die or be very ill (Ars.); disgust for life. Headache alternates with diarrhoea (Aloe); headache in winter, diarrhoea in summer. Painless cholera morbus; cholera infantum (Phyt.). Violent cramps in feet, calves, thighs, watery, painless stools. Difficult dentition: moaning, grinding the teeth at night; intense desire to press the gums together (Phyt.); head hot and rolling from side to side (Bell., Hell.). Diarrhoea: of long standing; early in morning, continues through forenoon, followed by natural stool in evening (Aloe), and accompanied by sensation of weakness or sinking in abdomen or rectum. Diarrhoea of children: during teething; after eating; while being bathed or washed; of dirty water soaking napkin through (Benz. ac.); with gagging. Stool: green, watery, fetid, profuse (Calc.); gushing out (Gamb., Jat., Phos.); chalk-like, jelly-like (Aloe); undigested (Cinch., Ferr.); yellow meal-like sediment; prolapse of rectum before or with stool. Prolapsus uteri: from overlifting or straining; from constipation; after parturition; with subinvolution. In early months of pregnancy, can lie comfortably only on stomach (Acet. ac.). Patient is constantly rubbing and shaking the region of liver with his hand. Fever paroxysm at 7 a. m. with great loquacity during chill and heat; sleep during perspiration. Affects right throat, right ovary, right hypochondrium (Lyc.). Pain and numbness in right ovary, running down thigh of that side (Lil.). Suppressed menses in young girls (Puls., Tub.).

Relations

Compare: Aloe, Chel., Collin., Lil., Merc., Nux, Sulph. It antidoes the bad effects of mercury. After: Ipec., Nux, in gastric affections; after Calc. and Sulph. in liver diseases.

Aggravation

In early morning (Aloe, Nux, Sulph.); in hot weather; during dentition.

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

In many troubles of pregnant females; weak, bearing down sensation, in the abdomen after parturition, with sensation as if the intestines were falling down; prolapsus uteri with pain in the sacrum. Teething children, with green diarrhœa, in the morning; also rolling of the head in difficult dentition. Diarrhœa after eating or drinking; prolapsus of the rectum after stool; whooping cough with costiveness and loss of appetite.

Mental

Feels fatigued; depressed.

Face

Sallow complexion; sickly and wretched appearance. Flushed face with morning headache.

Stool

Very early morning diarrhœa; profuse, frequent, gushing, painful or painless, usually the latter; seems to drain one dry, but soon is full again; very offensive; watery. Passages natural, but too frequent, and exhausting. Prolapsus of anus and rectum. Dysentery, bloody and green mucus. Hæmorrhoids with prolapsed anus, rectum, or uterus. Pain in lumbar and sacral region, worse during stool, and still worse afterward. Constipation, alternating with diarrhœa.

Abdomen

Pendulous abdomen, after confinement, with much nervous irritability and sleeplessness; feels weak and unable to move about. Colic at daylight every morning; causing retraction of abdominal muscles.

Sexual

Female: Prolapsus uteri, the womb falls very low, painfully so, especially after childbirth. Miscarriage threatened; pain in ovarian region, both sides, especially at night, disturbing sleep--very nervous and restless. Painful menstruation, bearing down in abdomen and back during menses; pain on both sides of abdomen (ovarian) with numb and aching pain, which runs down into the thighs. Amenorrhœa with above symptoms, including those of stool. Leucorrhœa thick, transparent mucus.

Generalities

Very subject to frequent "bilious attacks." Foul breath. Emaciation, debility, exhaustion. Troubles during dentition, both cerebral and gastric; rolling of head, gagging.

Worse

In early morning (2-4 A.M.); during forenoon; eating and drinking; hot weather.

Better

From bending forward; from external warmth.

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

Head hot, rolling from side to side with moaning; during dentition, or with bowel disorders. Diarrhoea with great sinking at the epigastrium; sensation as if everything would drop through the pelvis. Morning diarrhoea, stools watery,. green, yellow, sour. with much flatulence and burning in the anus. Biliousness with nausea and giddiness; tendency to bilious vomiting and purging. Prolapsus ani with every stool, or after any sudden motion, such as sneezing or coughing, Painting with sensation of emptiness in abdomen after stool.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

May-apple (PODOPHYLLUM)

General

Is especially adapted to persons of bilious temperament. It affects chiefly the duodenum, small intestines, liver, and rectum The Podophyllum disease is a gastro-enteritis with colicky pain and bilious vomiting. Stool is watery with jelly-like mucus, painless, profuse. Gushing and offensive. Many troubles during pregnancy; pendulous abdomen after confinement; prolapsus uteri; painless cholera morbus. Torpidity of the liver; portal engorgement with a tendency to hæmorrhoids, hypogastric pain, fullness of superficial veins, jaundice.

Mind

Loquacity and delirium from eating acid fruits. Depression of spirits.

Head

Vertigo, with tendency to fall forward. Headache, dull pressure, worse morning, with heated face and bitter taste; alternating with diarrhœa. Rolling of head from side to side, moaning and vomiting and eyelids half closed. Child perspires on head during sleep.

Mouth

Grinding the teeth at night; intense desire to press the gums together (Phytol). Difficult dentition. Tongue broad, large, moist. Foul, putrid taste. Burning sensation of tongue.

Stomach

Hot, sour belching; nausea and vomiting. Thirst for large quantities of cold water (Bry). Vomiting of hot, frothy mucus. Heartburn; gagging or empty retching. Vomiting of milk.

Abdomen

Distended; heat and emptiness. Sensation of weakness or sinking. Can lie comfortably only on stomach. Liver region painful, better rubbing part. Rumbling and shifting of flatus in ascending colon.

Rectum

Cholera infantum and morbus. Diarrhœa of long standing; early in morning; during teething, with hot, glowing cheeks while being bathed or washed; in hot weather after acid fruits. Morning, painless diarrhœa when not due to venous stasis or intestinal ulceration. Green, watery, fetid, profuse, gushing. Prolapse of rectum before or with stool. Constipation; clay-colored, hard, dry, difficult. Constipation alternating with diarrhœa (Ant crud). Internal and external piles.

Female

Pain in uterus and right ovary, with shifting noises along ascending colon. Suppressed menses, with pelvic tenesmus. Prolapsed uteri, especially after parturition. Hæmorrhoids, with prolapsus ani during pregnancy.

Extremities

Pain between shoulders, under right scapula, in loins and lumbar region. Pain in right inguinal region; shoots down inner thigh to knees. Paralytic weakness on left side.

Fever

Chill at 7 am, with pain in hypochondria, and knees, ankles, wrists, Great loquacity during fever. Profuse sweat.

Modalities

Worse, in early morning, in hot weather, during dentition.

Relationship

Compare: Mandragora-also called mandrake--(must not be confounded with Podoph. Great desire for sleep; exaggeration of sounds and enlarged vision. Bowels inactive; stools large, white and hard). Aloe; Chelid; Merc; Nux; Sulph. Prunella-Self-head--(Colitis).

Dose

Tincture to sixth potency. The 200th and 1000th seem to do good work in cholera infantum, when indicated.

Leaders in Homoeopathic Therapeutics

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

Leaders

Diarrhœa; stools profuse (drain the patient dry), offensive, < morning and during dentition.

Persistent gagging, without vomiting; rolling the head and moaning with half-closed eyes.

Great loquacity during the fever stage, especially with jaundiced skin.

Prolapsus of uteri; prolapse of rectum.

There are many remedies that are powerful cathartics, and this is one of them. A superficial understanding of our law of cure would lead a novice to conclude that all one would have to do for a case of diarrhœa would be to prescribe Podophyllum. Of course failure would often be the result. The simple fact of diarrhœa is only a factor in the case, where the selection of a remedy for its cure is concerned; for each cathartic has not only a diarrhœa, but a peculiar kind of diarrhœa which no other remedy has. The diarrhœa of Podophyllum is characterized by:

1st. The profuseness of the stool. 2d. The offensiveness of the stool. 3d. The aggravations in the morning, hot weather, and during dentition. Then again the concomitants are very peculiar. There is often present prolapsus ani, sleep with eyes half closed and rolling the head from side to side and moaning; frequent gagging or empty retching. These symptoms present have often led to the administration of this great remedy with very gratifying results. In regard to the profuse stools, they are so much so that they seem to drain the patient dry at every one. They may be yellow or greenish watery, and when watery, always profuse. Then again they may be pappy and profuse (Gambogia), or mucous and scanty, but always with Podophyllum very offensive. I have cured these cases in all stages. In the first onset of the disease, as well as in the very far advanced and apparently hopeless cases of cholera infantum, the 1000th potency (B. & T.) has done the best for me. Notwithstanding the fact that this remedy is one of quite a list set down for liver troubles, both with looseness of the bowels and constipation, I have not found it very efficacious in the latter. I can readily see how it might be, however, in liver troubles with constipation which had followed a preceding diarrhœa, just as Opium might cure the sleeplessness that followed preceding stupor, and Coffea sleepiness which followed preceding excitement. All drugs have their double action, or what is called primary and secondary action. But the surest and most lasting curative action of any drug is that in which the condition to be cured simulates the primary action of the drug. For, as I have held elsewhere, I think that what is called secondary action is really not the legitimate action of the drug, but the aroused powers of the organism against the drug. So the alternate diarrhœa and constipation in disease is a fight, for instance, between the disease (diarrhœa) and the natural powers resisting it. It is of considerable importance then to be able to recognize in such a case whether it is the diarrhœa or constipation that is the disease, against which the alternate condition is the effort of the vital force to establish health. Yet such an understanding is not always absolutely imperative, for in either case there are generally enough concomitant symptoms to decide the choice of the remedy. Indeed, the choice must always rest upon either the peculiar and characteristic symptoms appearing in the case or the totality of them. None but the true homœopathist learns to appreciate this. Here is where what is called pathological prescribing often fails, for the choice of the remedy may depend upon symptoms entirely outside of the symptoms which go to make up the pathology of the case, at least so far as we as yet understand pathology.

Podophyllum has a great desire to press the gums together during dentition. When this symptom is prominent, the choice will have to be made between this remedy and Phytolacca, both being great remedies for cholera infantum. In the nausea of Podophyllum vomiting is not so prominent as with Ipecac, but the gagging without vomiting is very marked, as it is also under Secale cornutum. Rumbling in the abdomen, especially in the ascending colon, is strong indication for this remedy even in chronic bowel troubles. Prolapsus ani is also a prominent symptom of this remedy, so also is prolapsus of the uterus, especially after straining, over-lifting or parturition. Here the choice will often be between Podophyllum, Rhus tox. and Nux vomica.

Podophyllum seems also to have a strong affinity for the ovaries, and some remarkable cures have been made on the symptom, -"Pain in right ovary, running down thigh of that side." (Lilium tig.) Sometimes there is also numbness attending. Ovarian tumors have disappeared under the action of this remedy, when this symptom was present. I once made a brilliant cure of an obstinate case of intermittent fever with this remedy. The chills were very violent and were followed by intense fever with great loquacity. There was also great jaundice present. When the fever was past the patient fell asleep, and on awakening did not remember what he had said in his loquacious delirium. The range of this remedy does not seem very wide, but within its range its action is surprisingly prompt and radical.

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

Depression of spirits ; imagines he is going to die or be very ill.

Head

Giddiness, with the sensation of fulness over the eyes. Delirium and loquacity during the fever, with excessive thirst. Morning headache, with flushed face. Headache alternating with diarrhœa. Rolling of the head during difficult dentition in children. Perspiration of the head during sleep, with coldness of the flesh during teething.

Eyes

Pain in the eyeballs and in the temples, with heat, and throbbing of the temporal arteries.

Mouth and Throat

Offensive odor from the mouth (at night). The tongue is furred white, with foul taste. Dryness of the mouth and tongue in the morning. Grinding of the teeth at night. Dryness of the throat. Rattling of mucus in the throat.

Stomach and Abdomen

Regurgitation of the food. After eating and drinking, diarrhœa. Vomiting of food with putrid taste and odor. Colic with retraction of the umbilical muscles. Fulness and pain in the region of the liver.

Stool and Anus

Constipation, with flatulence and headache ; feces hard and dry, and voided with difficulty. Morning diarrhœa ; stools green (chronic diarrhœa). Feces yellow or dark-green ; white, slimy, chalk-like and very offensive, with gagging and excessive thirst in children ; frothy mucus ; hot, watery ; undigested. After stool extreme weakness and cutting pain in the intestines. Prolapsus ani (with diarrhœa). Descent of the rectum from a little exertion, followed by stool or by the discharge of thick, transparent mucus, sometimes mixed with blood.

Urinary Organs

Suppression of urine. Frequent nocturnal urination during pregnancy. Involuntary discharge of urine during sleep.

Genital Organs

Women. Pain in the region of the ovaries. Suppression of the menses in young persons, with bearing down in the hypogastric and sacral regions, with pains from motion ; better from lying down. Prolapsus uteri, with pain in the sacrum. In the earlier mouths of pregnancy she can only lie comfortably on the stomach. After-pains with strong bearing down.

Respiratory Organs

Hooping-cough, with costiveness and low of appetite. Loose, backing cough. Palpitation of the heart, from physical exertions.

Sleep

Sleepiness in day-time, especially in the forenoon, with a rumbling in the bowels. Unrefreshing sleep ; feeling of fatigue on waking in the morning.

Fever

Chilliness when moving about during fever. Before the chill pain in the small of the back. Chill with pressing pain in both hypochondria ; dull aching pain in the knees, ankles, elbows and wrists ; consciousness, but cannot talk, because he forgets the words. Chill with thirst, which increases during the heat. Heat, with violent headache, excessive thirst, delirium and loquacity. Perspiration, with sleep.

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

Podophyllum peltatum. May Apple. Mandrake (American). N. O. Berberidaceæ (by some placed in the Ranunculaceæ and closely related to both). Tincture of root gathered after fruit has ripened; of whole fresh plant; of ripe fruit. Solution of resinous extract, Podophyllin.

Clinical

Acidity. Amenorrhœa. Anus, Prolapse of . Asthma, bronchial. Bilious attack . Bronchitis. Cataract. Cholera infantum. Cornea, ulcer of. Dentition. Diarrhœa ; camp. Duodenum, catarrh of . Dysentery. Dysmenia. Dyspepsia; from calomel. Fevers. Flatulence. Gagging. Gall-stones. Gastric catarrh. Goître. Hæmorrhoids. Headache, sick; bilious. Heart, pains in. Hydrocephaloid. Intermittents. Jaundice. Leucoma. Liver, affections of . Ophthalmia. Ovaries, pains in; numbness in; tumour of. Palpitation. Pneumonia. Proctitis . Prostatitis. Pustules. Sciatica. Stomatitis. Strabismus. Taste, lost, perverted; illusions of. Tenesmus . Tongue, burning in. Urticaria. Uterus, prolapse of. Whooping-cough. Worms.

Characteristics

Pod . grows throughout the United States in damp, shady places in woods, has leaves five to nine-lobed, large white nodding flowers, yellowish fruits, egg-shaped, not unlike a small lemon, hence the plant is sometimes called Wild Lemon. It flowers in May and June, and the fruit ripens in October. Indian tribes use the root to expel worms, and drop the juice of the root into the ear to cure deafness. "All the tribes are fond of the fruit," says Rafinesque, quoted by Hale, who gives a full account of the medicine. The botanic and eclectic practitioners adopted the remedy and used it as the "vegetable mercury." The first homœopathic proving was made by Williamson. An unintentional proving recorded by E. V. Rose ( H. W ., xxv. 246) brings out the chief characteristics of Pod ., and shows that its reputation as a "vegetable mercury is not undeserved: Mr. J., 26, took at 11 a.m. gr. x of Pod . 1x to "stir up his liver." At 6 p.m. was taken with an indescribable sick feeling all over, and a persistent dry, rough feeling in pharynx and œsophagus, extending along right Eustachian tube, with dull, aching pain in right ear; feeling as though a ball or lump in upper œsophagus. At 8 p.m. dull and stupefying headache, chiefly frontal, < lying down. Fulness in stomach, belching of gas, sour eructations; marked salivation and offensive odour from mouth. Sleep disturbed, full of confused dreams; rolled and tossed about, bed felt too hard; and a feeling as though head and shoulders were lying too low. At 3 a.m. call to stool, which was profuse, watery, dark green. Calls frequent. Before stool: peculiar weak, dull, griping pain below umbilicus; fulness in rectum. During stool: weak feeling in stomach. After stool: tenesmus and faint feeling. These symptoms passed off in two or three days, the diarrhœa being followed by constipation, which was quickly removed by Nux . These symptoms are nearly all proved characteristics of Pod .: The early morning < ; the profuse stools, faint, gone sensation; fulness and tenesmus in rectum. Pod . is an irritant wherever applied. Externally on the skin it produces a rawness like intertrigo. The dust of the powdered root getting into the eyes sets up intense inflammation, ulceration, and leucoma. These effects have proved leading indications for its internal use in eye affections. The fulness and tenderness of the rectum noted in Ross's case went on to actual prolapse in the provings. I have many times cured with Pod . 6 prolapsus ani in children. With Pod . 1x Mr. Knox Shaw relieved "continual urging and straining" in a case of rectal cancer too far gone for operation. The genital organs were involved with the rectum in the tendency to prolapse. "Symptoms of prolapsus uteri with pain in sacrum; with muco-gelatinous stools"; "sensation at stool as if the genital organs would fall out" are keynotes of the provings which have led to many cures. Pains in the ovaries, especially the right, extending down the anterior and inner side of thighs. In the pregnant and puerperal state Pod . is frequently indicated: in the vomiting of pregnancy; swelling of labia; severe after-pains with strong bearing-down sensation; hæmorrhoids and prolapsus recti after confinement. A peculiar symptom of pregnancy indicating Pod . is: "Can lie comfortably only on stomach (early months)." The irritation of Pod . is shown in the brain, but it is then generally reflected even from the abdominal viscera (cholera infantum) or the teeth (dentition). There is moaning and whining during sleep; the head is thrown back and rolls from side to side; the child grates its teeth. "Great desire to press gums or teeth together" is a keynote. The salivation, foul breath, and moist, tooth-indented tongue of Merc . are reproduced in the Pod . provings, and so also is the congested, sensitive liver, with excess or absence of bile. These, combined with the feverishness and proneness to sweat, make Pod . one of the important antidotes to Merc . Fevers of many kinds are met by Pod . ─ remittent, chiefly bilious remittent, intermittent. Delirium is not rare, and is apt to be loquacious. Moaning and whining during sleep. Much drowsiness and desire to stretch. Alternating conditions are noted: Diarrhœa alternating with constipation; headache alternating with diarrhœa; headache in winter, diarrhœa in summer; inflammation of scrotum or of the eyes; not of both. Some Concomitants are important: Pains in sacrum, in lumbar region with rectal and uterine symptoms; cramps in calves with stools. The stools may be painless, or may be preceded, accompanied, and followed by colic, tenesmus and other symptoms. The concomitance of diarrhœa with other affections points to Pod . Loquacity during chill and heat is a keynote in fevers. Nash cured an obstinate case of intermittent through this symptom: Chills violent, followed by intense fever with great loquacity; when the fever was past patient fell asleep, and on waking remembered nothing of his loquacious delirium. "Burning tongue" is another leading symptom. A case is related by W. A. Burr ( Critique , quoted Hom. News , xxviii. 87) of a young man who had for some weeks a burning sensation along left edge of tongue, occasionally shooting to tip, or through to opposite edge. He had been in poor health, "bilious," for years. With catarrh of stomach, duodenum, and bile ducts extreme discomfort followed even the blandest foods. Pod . 3x improved in two days, and the tongue was well in a week. L. M. Barnes ( Hom. News , xxix. 45) reports these cases: ( 1 ) A lady for four months after miscarriage had much ovarian pain, < at night. She was sleepless, nervous, restless. Much bearing down in abdomen and back. She was a large, stout woman, with a pendulous abdomen. Pod . cured after Puls . and Act. r . had only partially relieved. ( 2 ) A stout woman, 60, complained of burning, aching, cutting pain in rectum. Was obliged to be on her feet all day. Nervous, cross, irritable. Pod . cured. Pod . is suited to bilious temperaments, especially after mercurialisation. Peculiar sensations are: As if strabismus would occur. Pain in head as from ice on occipital protuberance. As if tongue, throat, and palate had been burned. As if a thousand live things moving about in abdomen, or of fish turning over. As if everything would drop through pelvis. As if heart ascending to throat. Ball in upper œsophagus. Notable symptoms are: Thirst for large quantities of cold water. Intense desire to press the gums together. Viscid mucus in mouth, coating teeth. Diarrhœa whilst being bathed or washed; of dirty water soaking through napkin; with gagging. Patient is constantly shaking and rubbing region of liver with his hands. Great loquacity during chill and heat. Pod . is predominantly right sided ─ right throat; hypochondrium; ovary. Guernsey mentions that it is often called for in complaints of pregnant and parturient women, with sensation as if intestines were falling down. He mentions also "whooping-cough with costiveness and loss of appetite." The symptoms are < by touch (spot on right hypochondrium); > by pressure. > Rubbing (inclination to rub liver region with hand). > Lying down; lying on abdomen; stretching in bed. Pain in left leg < by straightening out the limb. < Motion; walking; ascending stairs; exertion. < Morning, especially early morning, 2 to 4 a.m. Some symptoms < night. < Open air; while washing. External heat > pain in bowels. Heat of stove does not > chilliness, but wrapping warmly in bed does > . Hot weather, summer, < diarrhœa. < After eating and drinking; after acid fruit and milk. < By swallowing. < Before, during, and after stool.

Relations

Antidoted by: Lact. ac., Nux, Coloc., Lept. Antidote to: Merc. Compatible: After Ipec. and Nux in vomiting; after Calc. and Sul. in liver diseases. Incompatible: Salt, which increases its action. Compare: Morning diarrhœa, Sul., Dros., Bry., Nat. s., Rx. c. Hot, yellowish, green, offensive diarrhœa, Cham. (Cham. < evening; Pod. < morning, in one gush). Cholera morbus, profuse stools, Ver. (Ver. has much pain; Pod. may have absence of pain). Diarrhœa < after eating; headaches alternating with uterine and bowel affections, Alo. (Plumb. delirium alternating with colic). Prolapsus ani before stool with weakness in abdomen (Alo. after stool). Prolapsus uteri < during stool, Stan. (with Pod. the stool is diarrhœic and comes with a rush). Prolapsus recti et uteri, Nux, Sep. Bearing down in hypogastric and anal regions, > lying down, Sep. Prolapsus of rectum, Bell., Æsc. h., Nit. ac., Rut. (especially in children, Chi., Chi. s., Pod.). Duodenal catarrh, Berb., Chi., Hydras., Lyc., Merc., Ric. c. Diarrhœa immediately after eating, Alo., Ars., Chi., Lyc., Staph., Trbd. ( whilst eating, Fer.). < After eating or drinking, Dig., Trbd. Headache from over-excitement, Epipheg. Blur before headache, K. bi., Ir. v. Wants to bite gums together, Phyt. Tongue as if burnt, Sang. Blue tongue, Gymno. As if something alive in abdomen, Croc. Regurgitation of food, Sul. Pain under right scapula, Chel. Diarrhœa, ovarian pain, ovarian tumour, dysmenia, Coloc.

Causation

Over-lifting or over-straining (prolapsus uteri). Summer (diarrhœa).

Mind

Conscious during chill, but cannot talk, forgets words. ─ Delirium, loquacious during heat; forgetful after of what has passed. ─ Depression: imagines he is going to die or be very ill; in gastric affections. ─ Disgust for life; headache; biliary disorders. ─ Over-fatigue of mind from business; when in bed he rolled his head on waking and while awake.

Head

Vertigo: while standing; in open air; with tendency to fall forward; with sensation of fulness over eyes; from gastric or bilious disorders. ─ Momentary darts of pain in forehead, obliging one to shut eyes. ─ Stunning headache through temples, > by pressure. ─ Sudden pain in forehead, with soreness of throat, evening. ─ Pressing in temples, forenoon, with drawing in eyes as if strabismus would follow. ─ Throbbing in temples, aching eyes, hot tears, in morning. ─ After stool, 10 a.m.: Frontal headache with feverishness; sensation of great dryness in forehead and eyes, > for short time by bathing with cold water. ─ Sick headache accompanied by constipation. ─ Headache alternating with diarrhœa. ─ Bilious headache, burning at vertex and over forehead, pain lasts twenty-four hours, ends in vomiting; pale urine during attack; passes much bile next day; < from over-excitement or walking. ─ Morning headache with flushed face and heat in vertex. ─ Dull headache with pain behind eyes; liver, torpid. ─ Pain in vertex on rising in morning. ─ Sick headache most in occiput, preceded by blur before vision, coming suddenly. ─ Head hot, rolling head from side to side; dentition. ─ Reflex irritation of brain from disorders of bowels; grinding teeth at night; morning in sleep; eyes half-closed; head sweaty.

Eyes

Inflammation of eyes with excruciating, heavy pain, great turgescence of vessels. ─ Superficial ulceration of each cornea with general congestion of conjunctivæ; ulceration central and extensive, in r. eye its base was densely white, as if lead had been used (after ten days, from the dust whilst grinding the root). ─ Eyes inflamed in morning. ─ L. eye sore. ─ (Arcus senilis lessens and a dribbling of saliva ceases in an old man. ─ R. T. C.). ─ Eyes glazed and motionless (from ripe fruit). ─ Eyes sunken. ─ Heaviness of eyes with occasional pains at vertex. ─ Smarting; inflammation of lids. ─ Pain in eyeballs and temples, with heat and throbbing of. temporal arteries. ─ Drawing in eyes as if squint would follow. ─ Scrofulous ophthalmia < in morning. ─ (Cataract has been known to clear after Pod. given internally. ─ R. T. C.)

Ears

Aching pain in r. ear, with rough feeling extending from there along r. Eustachian tube.

Nose

Nose pinched. ─ Soreness and little pimples on nose.

Face

Corpse-like pallor. ─ Complexion sallow, dingy. ─ Hot, flushed cheeks. ─ Under jaw fallen.

Teeth

Great desire to press gums together; jaws clenched; grinds teeth at night; difficult dentition. ─ During dentition; catarrhal cough; catarrh of chest; cholera infantum; hydrocephaloid. ─ Teeth covered with dried mucus in morning.

Mouth

Total loss of taste, could not tell sweet from sour; sleepless, restless. ─ Everything tastes sour or putrid; sweet. ─ Taste of fried liver in mouth at night. ─ Bad taste after other symptoms had disappeared. ─ Feeling as if tongue, and sometimes palate and throat, had been burned. ─ Tongue: furred white with foul taste; white, moist, shows imprints of teeth; dry, yellow; full and broad with pasty coat in centre; red, not bright red; rough with uniformly erect papillæ; dull bluish colour; red, dry, cracked, somewhat swollen and often bleeding. ─ Offensive breath; at night; perceptible to patient. ─ Copious salivation. ─ (Dribbling of saliva in an old epileptic case ceases. ─ R. T. C.). ─ Much viscid mucus in mouth (morning). ─ Mouth and tongue dry on awaking. ─ Nursing sore mouth; canker.

Throat

Dryness of throat. ─ Burning in throat (from the ripe fruit). ─ Soreness of throat extending to ears; r. to l.; l. side sore, < swallowing liquids, morning. ─ Rattling of mucus in throat. ─ Goître. ─ Dry, rough feeling in pharynx and œsophagus, extending along r. Eustachian tube with aching pain in r. ear.

Appetite

Indifference to food; loss of appetite; smell. of food = loathing. ─ Satiety from small quantity of food, followed by nausea and vomiting. ─ Appetite variable, at times voracious. ─ Great thirst for (cold water in) large quantities; Moderate thirst during fever. ─ Increased thirst after eating. ─ Desire for something sour. ─ Thirst towards evening. ─ After eating: regurgitation of food, sour; hot, sour belching; diarrhœa; vomits food an hour after, craving appetite afterwards; depression of spirits. ─ After eating and drinking: diarrhœa. ─ After acid fruit and milk: diarrhœa.

Stomach

Heartburn, waterbrash, heat in stomach. ─ Eructations: smelling like rotten eggs; hot; sour. ─ Nausea: distressing and extreme; with attempts to vomit; motion of gagging is made with mouth but not accompanied with retching; stomach contracts so hard and rapidly that the wrenching pain = patient to utter sharp screams; gagging or empty retching. ─ Gagging in infantile diarrhœa. ─ Nausea and vomiting with fulness in head. ─ Vomiting: of milk in infants, with protrusion of anus; of food with putrid taste and odour; of thick bile and blood; of hot, frothy mucus; with congestion of pelvic viscera during pregnancy. ─ Acidity in afternoon with unpleasant, sickly sensation in stomach. ─ Tender over stomach and bowels, < least touch or motion. ─ Hollow, empty, weak, sinking feeling at epigastrium; without hunger. ─ Stitches in epigastrium from coughing. ─ Dyspepsia from calomel, aching behind eyes, clayey stools. ─ Gastric catarrh. ─ Awakened by violent pains in stomach and bowels. ─ After breakfast and dinner burning in stomach as if caused by hot steam. ─ Heat in stomach. ─ Cold water < ; it = oppression and uneasiness; small quantities of it were ejected, tasting bitter and causing much burning in œsophagus.

Abdomen

Acute burning in region of pyloric orifice, with violent retching and vomiting of bile and belching of wind; constipation; after attacks, prostration; slight jaundice and persistent tenderness to touch in one spot corresponding to entrance of common bile duct into duodenum. ─ Fulness in r. hypochondrium, with flatulence, pain, and soreness. ─ Twisting in r. hypochondrium with burning. ─ Stitches in hypochondria, < while eating. ─ Pain in region of liver with inclination to rub the part with the hand. ─ Excessive secretion of bile, great irritability of liver. ─ Hepatitis with costiveness; tenderness and pain in region of liver. ─ Gall-stones and jaundice. ─ Biliousness; nausea and giddiness; bitter taste and risings; tendency to bilious vomiting and purging; dark urine. ─ Abdomen swelled almost to bursting (fruit). ─ Flatulence. ─ Abdominal plethora: bloated feeling; soreness, uneasiness; > after stool; causing uterine troubles. ─ Rumbling. ─ Colic. ─ Awakened by violent pains in stomach and bowels, griping, stitching, > for short time by pressure; 3 a.m. (first night). ─ Pain in transverse colon, 3 a.m., followed by diarrhœa. ─ Pain in limbs at daylight, > by external warmth and bending forward whilst lying on side, < lying on back. ─ Heat in bowels with inclination to stool. ─ Woke 2 a.m. with stitches in bowels and desire to go to stool; > flexing thighs or abdomen. ─ Symptoms generally, and esp. abdominal symptoms, < morning, > evening. ─ Tenderness over hypogastrium. ─ Pain extended into lower bowels and r. ovary.

Stool and Anus

Emission of fetid flatus. ─ Morning diarrhœa, then no more stools during day. ─ Diarrhœa early in morning, continuing through forenoon, followed by natural stool in evening. ─ Diarrhœa immediately after eating and drinking. ─ Stools in morning, with strong urgings in bowels and heat and pain in anus. ─ Small, frequent, bilious stools with tenesmus. ─ Diarrhœa, yellow stools, one every hour for five hours. ─ Stools of pure blood (produced. ─ R. T. C.). ─ Infantile dysentery (cured. ─ R. T. C.). ─ Dysenteric diarrhœa. ─ Stools: thin, watery, green; green; muco-gelatinous with pain in sacrum; 4 a.m., yellow, undigested fæces, mixed with mucus, offensive; with violent tenesmus; burning, acrid, causing much bearing down during and after stool; with gagging and excessive thirst in children; gushing, watery, profuse, green, with sudden urging, often painless; offensive, < in hot weather; pasty; yellow, watery, with meal-like sediment; smelling like carrion; mucous and blood-streaked; black, only in morning; tar-like; changing colour. ─ Stool with much pain and deadly nausea. ─ Diarrhœa and constipation alternating every day or two, for several days after the most prominent symptoms had disappeared. ─ Diarrhœa with great sinking at epigastrium, sensation as if everything would drop through pelvis, prolapsus ani. ─ Small stools, yellow, watery, coming after meals with sick feeling, in pregnancy. ─ Diarrhœa from indigestion after eating canned fruit. ─ Before stool: intense nausea; sudden urging; loud gurgling as of water; rumbling in l. side; violent colic or absence of pain; prolapsus ani. ─ During stool: urging in bowels; heat and pain in anus; sensation as if genital organs would fall out; in women bearing down as from inactivity of rectum; nausea; gagging, tormina, and pain in lumbar region; colic or absence of pain; prolapsus ani; pains in sacrum; tenesmus. ─ After stool: extreme weakness and cutting pain in intestines; exhaustion, even after natural stool; flashes of heat running up back, cutting in bowels, severe and painful tenesmus; colic continues; faintness and pain in lumbar region; prolapsus ani; sore anus; sensation of emptiness in abdomen and rectum. ─ Aggravation of internal piles; rectum protrudes more than an inch after every stool, or sudden motion as sneezing, even during mental excitement; prolapse sometimes persists for days from swelling and congestion. ─ Prolapsus ani: in infants, stool bloody, or too large; with uterine displacement. ─ Secretion of mucus from anus. ─ External piles, bleeding or not. ─ (Cancer of rectum.)

Urinary Organs

Micturition painful; scanty with frequent voidings. ─ Urine: yellow, containing sediment; very red. ─ Diabetes mellitus and insipidus; chalky stool, urination immediately after drinking, frequent, profuse. ─ Urinary tenesmus. ─ Enuresis; (markedly < on lying down, hence at night. ─ R. T. C.).

Male Sexual Organs

Sticking pain above pubes and in course of spermatic cords. ─ Diseases of prostate gland associated with rectal troubles. ─ Inflammation either of scrotum or of eyes; seldom of both. ─ Inflammation of scrotum is attended with a pustular eruption which suppurates freely.

Female Sexual Organs

Symptoms of prolapsus uteri, with pain in sacrum, muco-gelatinous stools. ─ Sensation as if genital organs would fall out at stool. ─ After-pains with strong bearing down. ─ Pain in r. ovary and uterus. ─ Numb aching in l. ovary; heat down thigh; third month of pregnancy. ─ Pain in ovaries, esp. r.; extending down limbs. ─ Pain from r. ovary down anterior crural nerve, pain < as it descends; < straightening limb. ─ Shooting pain in r. ovary, before and during menses. ─ Ovarian tumour with pains extending up to shoulder. ─ Prolapsus uteri: with diarrhœa from washing; after over-lifting or straining; after parturition. ─ Induration of os uteri. ─ (Extreme tenderness of uterus, backache, sick feeling and enuresis on lying down. ─ R. T. C.). ─ Menorrhagia from straining. ─ Menses, retarded; with ovarian, hypogastric, and sacral pains, < from motion, > lying down. ─ Bearing down in abdomen and back during menses; ovarian pains running into thighs. ─ During pregnancy: swelling of labia; can lie comfortably only on stomach, early months; excessive vomiting. ─ Hæmorrhoids and prolapsus ani after confinement. ─ Pendulous abdomen.

Respiratory Organs

Chronic bronchitis. ─ Inclination to breathe deep; sighing. ─ Sensation of suffocation on first lying down at night. ─ Bronchial asthma; < after catching cold. ─ Cough: loose, hacking; with remittent fever; dry; loose; rattling in chest, during dentition; from disease of liver. ─ Whooping-cough, with constipation and loss of appetite.

Chest

Catarrh of chest during dentition. ─ Pneumonia. ─ Snapping in r. lung like breaking a thread, when taking a deep inspiration. ─ Pains in chest < by deep inspiration. ─ Oppression in chest with constant desire to breathe deep, which is prevented by feeling of constriction in chest.

Heart

Sensation in chest as if heart ascending to throat. ─ Sticking (or stinging) in region of heart. ─ Palpitation: with a clucking sensation rising up to throat, obstructing respiration; from exertion or mental emotion; with heavy sleep and feeling of fatigue on waking; nervous, in consequence of excessive hepatic action. ─ Pulse: quick and small; slow, scarcely perceptible; pulseless.

Neck and Back

Nape of neck stiff, muscles sore. ─ Pain under r. scapula. ─ Pain between shoulders, morning: with soreness, < night and morning, < by motion. ─ Pain in small of back, when walking or standing, with sensation of back bending inward. ─ Pain in lumbar region with sensation of coldness, < at night and from motion. ─ Pain in lumbar and sacral regions < during stool, and still < after. ─ Pain in loins < walking on uneven ground or from mis-step. ─ Sacral pain.

Limbs

Aching in limbs < night. ─ Weakness of joints, esp. knees.

Upper Limbs

Pain in course of ulnar nerve of both arms. ─ Rheumatism in l. forearm and fingers. ─ Pains from head into neck and shoulders; fingers numb. ─ Weakness of wrists, sore to touch.

Lower Limbs

Pain and weakness in l. hip, like rheumatism from cold; < by going up stairs. ─ Sharply defined ache in sacro-ischiadic foramen, with tenderness on pressure. ─ Slight paralytic weakness of l. side. ─ Heaviness and stiffness of knees as after a long walk. ─ Cracking in knee from motion. ─ Cramps in calves, thighs, and feet, with painless, watery stools. ─ Sharp pains in outer and upper portion of l. foot.

Generalities

Faintness and emptiness after stool. ─ Prostration with the pain. ─ Stiffness on beginning to move. ─ Sudden shocks of jerking pains.

Skin

Sallow skin; jaundice; also in children. ─ Skin moist with preternatural warmth. ─ Scabs on arms and legs. ─ Pustules slow in healing. ─ Rawness and itching of genitals; also pustules. ─ Cold, clammy skin. ─ Erysipelas. ─ Rubefaciant and vesicatory. ─ Intolerable itching of body and arms. ─ Urticaria. ─ Skin has peculiar odour in patients taking Pod . (Ussher).

Sleep

Sleepiness: in daytime, esp. forenoon; with rumbling in bowels in morning. ─ Heavy sleep; fatigue on waking. ─ Drowsy, half-closed eyes, moaning, whining, esp. children. ─ Great restlessness, tossing about in bed, yawning and stretching, which > completely. ─ Rising up in sleep without waking. ─ Drowsiness or restless sleep, with grinding of teeth or rolling of head. ─ Worrying and sleepless early part of night, apparently from nervous irritability. ─ Sleep disturbed, full of confused dreams. ─ Rolled and tossed about, bed felt too hard; feeling as though head and shoulders lying too low.

Fever

Chilliness while moving about during fever, and in act of lying down, with sweat immediately after. ─ Chilly at first on lying down in evening, followed by fever and sleep with talking and imperfect waking. ─ Chill 7 a.m. ─ Backache before chill. ─ During chill great loquacity. ─ Shaking and sensation of coldness continue some time after heat commences. ─ Heat begins during chill or whilst he is yet chilly. ─ Chilly with stool. ─ Pain in bowels first attended with coldness, which is followed by heat and warm sweat. ─ Feverish during afternoon, with occasional chilliness, not > by heat of stove, but > by covering up warmly in bed. ─ Heat with violent pains in head; thirst; loquacity. ─ Flashes of heat running up back during stool. ─ Ravenous hunger with thirst during fever. ─ Bilious fever; bilious intermittent; remittent; infantile remittent; intermittent, quotidian, tertian, quartan. ─ Sweat: profuse, dropped off prover's fingers; of feet in evening; bathed in cold; warm on head and legs. ─ Sleep during sweat.

The Guiding Symptoms of Our Materia Medica

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

Mind

Conscious during chill, but cannot talk, forgets words.
Delirium, loquacity during heat ; afterwards forgetful of what has passed.
Depression : imagines he is going to die or be very ill ; in gastric affections.
Disgust for life ; headache ; bilious disorders.
Overfatigue of mind from business ; when in bed he rolled his head on waking and while awake.

Sensorium

Vertigo : while standing, in open air ; with tendency to fall forward ; with sensation of fulness over eyes ; from gastric or bilious disorders.

Inner head

Momentary darts of pain in forehead, obliging one to shut eyes.
Stunning headache through temples, > from pressure.
Pressing in temples in forenoon, with drawing in eyes as if strabismus would follow.
Throbbing temples, aching eyes, hot head, in morning.
Burning pain at top of head and over forehead ; attack lasts twenty-four hours and, if very severe, ends in vomiting ; urine pale during attack ; passes much bile day after ; < from overexcitement or walking. θ Bilious
headache.
Morning headache, with flushed face and face heat in vertex.
Dull headache, with pain behind eyes ; liver affected.
Bilious and rheumatic headaches, based on torpidity of liver.
Headache alternating with diarrhœa.
When feeling as well as usual there suddenly appears a blur before vision ; objects look much as if one had been looking at sun for a moment, or perhaps the part at which the eye is directed appears clearly and the rest of the object blurred and indistinct ; a more or
less distinct wavering or whirling of mist also becomes perceptible and can be perceived with closed eyes, both eyes alike ; in five minutes fleeting pains appear in head, more in back part, gradually increase in intensity, occupying mostly occipital protuberances, with disgusting
nausea and often sour vomiting without relief ; pains extend into neck and shoulders ; numbness of fingers, like that in beginning of anesthesia ; a peculiar feeling of disgust of life ; pain in upper part of head like that produced by holding a piece of ice for a short
time on occipital protuberances ; lying down in a dark and quiet place ameliorates, and often produces sleep, during which the more urgent symptoms pass off ; in severe attacks there were always peculiar symptoms of want of power of expression (aphasia) even of simplest ideas, very
absurd words being chosen in place of right ones, head does not get fully settled until next day ; attacks appear at any time of day. θ Headache.
Sick-headache accompanied by constipation.
Head hot, rolling head from side to side, moaning. θ Dentition.
Reflex irritation of brain from disorders of bowels ; grinding of teeth at night.
Rolling of head, with moaning in sleep, eyelids half closed ; hydrocephaloid.
Hydrocephaloid after cholera infantum.

Outer head

Rolling head ; grinding teeth ; whining at night ; head sweaty in sleep, flesh cold ; difficult dentition.

Sight and eyes

Ulceration of cornea ; conjunctiva hyperemic ; smarting, aching, heaviness (from grinding the root).
Scrofulous ophthalmia, < in morning.

Smell and nose

Soreness with small pustules in nose.

Upper face

Hot, flushed cheeks. θ Infantile diarrhœa.
Complexion sallow, dingy.

Teeth and gums

Great desire to press gums together ; jaws clenched ; grinds teeth at night ; difficult dentition.
During dentition : catarrhal cough and catarrh of chest ; cholera infantum ; hydrocephaloid.

Taste, speech, tongue

Total loss of taste, could not tell sweet from sour ; sleepless, restless.
Everything tastes sour or putrid.
Feeling as if tongue and sometimes throat and palate had been burned.
Tongue : furred white, with foul taste ; white, moist, shows imprints of teeth ; dry, yellow ; full and broad with a pasty coat in centre ; red, not bright red ; rough with uniformly erect papillæ ; dull bluish
color ; red, dry, cracked, somewhat swollen and often bleeding.

Inner mouth

Offensive odor from mouth.
Offensiveness of breath at night, perceptible to patient.
Copious salivation.
Mouth and tongue dry on awaking.
Nursing sore mouth, canker.

Palate and throat

Dryness of throat.
Soreness of throat : extending to ears ; right to left ; left side sore, < when swallowing liquids and in morning.
Rattling of mucus in throat.
Goitre.
Pharynx dry, deglutition painful.

Appetite, thirst. desires, aversions

Indifference to food ; loss of appetite ; smell of food produces loathing.
Satiety from a small quantity of food, followed by nausea and vomiting.
Appetite variable, at times voracious.
Great thirst for large quantities of cold water ; moderate thirst during fever.
Desire for something sour.

Eating and drinking

After eating : regurgitation of food, sour ; hot, sour belching ; diarrhœa ; vomits food an hour after, craving appetite afterwards ; depression of spirits.
After acid fruit and milk : diarrhœa.
After eating and drinking : diarrhœa.

Hiccough, belching, nausea and vomiting

Heartburn, waterbrash, heat in stomach.
Eructations : smelling like rotten eggs ; hot ; sour.
Sour regurgitation of food.
Nausea : distressing and extreme ; with attempts to vomit ; motion of gagging is made with mouth and not accompanied with the effort in stomach seen in retching ; stomach contracts so hard and rapidly that the wrenching pain causes the patient to utter sharp
screams ; gagging or empty retching.
Gagging : in infantile diarrhœa.
Nausea and vomiting with fulness in head.
Vomiting : of milk in infants, with protrusion of anus ; of food, with putrid taste and odor ; of thick bile and blood ; of hot, frothy mucus ; with congestion of pelvic viscera, during pregnancy.

Scrobiculum and stomach

Sensation of hollowness in epigastrium ; empty feeling in stomach ; weakness in epigastric region.
Stitches in epigastrium from coughing.
Dyspepsia after abuse of calomel ; tongue shows imprint of teeth ; conjunctiva yellow ; aching behind eyes ; clayey stools.
Gastric catarrh.
Acute burning pain in region of pyloric orifice, with violent retching and vomiting of bile, and belching of wind ; constipation ; after attacks which occurred sometimes twice or thrice a day, prostration, slight jaundice and persistent
tenderness to touch in one spot corresponding to entrance of common choledic duct into duodenum.

Hypochondria

Fulness in right hypochondrium, with flatulence, pain and soreness.
Twisting pain in right hypochondrium, with sensation of heat there.
Stitches, < while eating.
Pain in region of liver, inclination to rub part with hand.
Excessive secretion of bile ; great irritability of liver.
Biliousness ; nausea and giddiness ; bitter taste and risings ; tendency to bilious vomiting and purging ; dark urine.
For years subject to diarrhœa which would come on now and then after eating breakfast, with considerable pain in rectum, obliging her to remain at stool as long as pain lasted ; an acute attack caused by bad news caused an early morning
aggravation, as well as after eating ; attack would also be induced by any depressing emotions or excitement of any kind ; stools variable, mostly deep yellow or greenish, much belching, often severe retching, with almost complete anorexia ; great distension of right
hypochondriac region, but no painfulness to pressure ; sensation as "of a thousand live things" moving about in abdomen, or of fish turning over each other ; chills occasionally, which would commence over region of liver and pass around to back. θ Hepatic
derangement.
Congestion and enlargement of liver ; acute and chronic hepatitis.
Torpidity of liver and portal system ; jaundice.
Inactivity of liver ; great mental depression ; chilliness ; cold perspiration ; restless sleep ; furred tongue, showing imprints of teeth ; nausea ; clayey, delayed stools ; fulness, tenderness and stitch-like pain in region of liver ;
irregular action of heart ; general prostration.
Liver much congested, interfering with portal circulation and causing passive congestion of all the pelvic organs, with prolapse of uterus and rectum and a thick, transparent albuminous leucorrhœa.
Disorders of liver attended by constipation, yellow furred tongue, dark or brown stools, dry, bilious temperaments.
Torpidity of liver, constipation, or diarrhœa alternating with constipation, depression of spirits, irritability of temper, malaise, urine dark colored and defective, or full of lithates.
Diarrhœa in the morning, stools black, green, watery, or natural but exhaustive ; jaundice in complication with gall-stones ; pain extending from region of gall-bladder, when at its height attended with nausea ; fulness, pain and soreness in right
hypochondrium ; twisting pain with sensation of heat in liver ; patient is continually chafing and shaking the hypochondriac region ; prolapsus ani ; belching of hot, very sour flatus ; tongue coated white ; emission of fetid flatus ; eructations smelling
like rotten eggs ; < evening and before midnight. θ Affections of liver.
Jaundice : with gall-stones, pain from region of stomach to region of gall-bladder, with excessive nausea ; with hyperemia of liver, fulness, soreness and pain ; alternate constipation and diarrhœa ; itching of skin, urine high
colored ; feces sometimes white, at others dark ; of children ; returning again and again after China and Mercur. ; mistaken for cancer of stomach.
Chronic hepatitis, with costiveness ; tenderness and pain in region of liver.

Abdomen and loins

Flatus : in right abdomen, palpitation, sleepy in morning ; during dentition, with green, sour stools in morning.
Tympanitic distension in typhoid, and in children with diarrhœa.
Rumbling in ascending colon.
Pain in transverse colon 3 A. M., followed by diarrhœa.
Severe pain and heat in bowels, with inclination to go to stool.
Pains in abdomen and back are < during stool and continue after.
Dull, unpleasant pain or weight in hypogastric region.
Sharp pain in right groin, preventing motion, latter months of pregnancy.
Frequent but transient abdominal pains, during day, > from pressure.
Pain in bowels at daybreak, > from external warmth and bending forward while lying on side ; < lying on back.
Cramplike pain in bowels, with retraction of abdominal muscles, 10 P. M., and again at 5 A. M. until 9 A. M. ; lead colic.
Colic : with cramplike knots ; every morning with stools of mucus and blood ; biliary ; of a high grade, pain originating from a depraved and excessive secretion caused by a morbid state of solar plexus.
Pains and stool < mornings and excited by eating and drinking. θ Colic.
Myalgia abdominal muscles ; after abuse of purgatives.
Sharp pain and numbness in rectus muscles.
Enteritis affecting jejunum and ileum ; duodenitis.
Duodenitis ; catarrhal process extending along biliary ducts and causing jaundice.
Conditions simulating puerperal peritonitis, when it has been preceded by diarrhœa or abuse of purgatives.
Abdominal plethora : abdomen feels bloated, distended ; soreness and uneasiness ; > after stool ; causing uterine troubles, constipation and headache in women, and in men headaches, constipation, sometimes variocele.

Stools and rectum

Emission of fetid flatus.
Morning diarrhœa and then no more stools during day.
Diarrhœa early in morning, continuing through forenoon, followed by natural stool in evening.
Profuse gushing diarrhœa, coming on in morning, or more during day than at night ; stools may contain undigested food and often in children deposit a mealy sediment.
Early morning diarrhœa, hurrying patient out of bed, continues through day, but is < at noon ; stools changeable in color.
Liquid, green stools with colic, early in morning, with fainting.
Green, sour stool in morning, with flatulence. θ During dentition.
Morning diarrhœa, stools green, slimy, very offensive, with gagging and excessive thirst, in children.
Evacuations in morning attended with strong urgings in bowels, heat and pain in anus.
Stools watery, gushing, profuse, green, with sudden urging, often painless ; offensive, < in hot weather.
Diarrhœa : with great sinking at epigastrium, sensation as if everything would drop through pelvis ; painful with screaming, and grinding of teeth ; immediately after eating and drinking ; from acid fruit and milk ; after of while being washed ; dirty water
soaking napkin through ; with prolapsus ani at every stool ; stool changes constantly in appearance, now green, now yellowish, now whitish, slimy, etc.
Stools : too frequent, but natural in appearance ; frequent, profuse, painless, watery, fetid ; yellow, pasty ; gushing out ; yellow, watery, with meal-like sediment ; green, sour, with flatulence ; greenish, watery ; dark yellow, mucous ;
smell like carrion ; white, slimy, mucous ; bloody and green mucous ; mucous and blood-streaked ; changeable ; frothy ; involuntary (during sleep) and when passing flatus ; morning during dentition ; greenish-yellow, slimy, bloody, gelatinous, mixed
with feces ; with severe straining, much flatus emitted ; mucous, with spots and streaks of blood ; black, only in morning ; chalk-like, fecal, undigested ; muco-gelatinous stools preceded by griping and colic ; coated with shreds of yellow mucus ;
tar-like.
Before stool : intense nausea ; sudden urging ; loud gurgling as of water ; rumbling in left side ; violent colic or absence of pain ; prolapsus ani.
During stool : urging in bowels ; heat and pain in anus ; sensation as if genital organs would fall out ; in women, bearing down as if from inactivity of rectum ; nausea ; gagging, tormina and pain in lumbar region ; prolapsus ani ; colic or
absence of pain ; pains in sacrum ; emission of flatus ; tenesmus (dysenteric stools).
After stool : extreme weakness and cutting pains in intestines ; exhaustion ; cutting pains ; weak, even after natural stool ; flashes of heat running up back, cutting in bowels, severe and painful tenesmus ; great weakness and faintness and pain in lumbar
region ; prolapsus ani ; flushes of heat up back ; colic continues ; sense of weakness and emptiness pain abdomen and rectum ; soreness of anus.
Stools offensive and dark colored ; lies upon mother's lap moaning, eyes half closed ; rolling head.
Following a miscarriage : muco-gelatinous stools, preceded by undefined pain all over abdomen, < after stool ; tongue red and pointed.
Diarrhœa from indigestion after eating canned fruit ; stools dark-brown, mushy, copious, with much wind ; following night driven out of bed, suddenly, about 3 A. M. ; stool watery, scanty, though gushing, as if abundant ; stools
became frequent ; occasionally slight pain in abdomen ; much rumbling and gurgling ; finally three to six stools every hour ; dark green, with yellow water, somewhat mealy ; tenesmus ; tendency to prolapsus ani ; pains frequent and threatening to become
intense and incisive ; urine almost suppressed ; tongue moist but beginning to become moist and white and slimy.
Frequent copious, slimy, stringy, green, offensive stools, with straining ; < after food ; child rolls head in pillow ; wants to be carried.
Diarrhœa thin, having the appearance of soapsuds, pain preceding evacuation, > by pressure on abdomen ; no pain during evacuation.
Diarrhœa for a week in a teething girl, æt. 20 months ; passages smell like carrion, are watery and pass through diaper leaving a doughy sediment.
Diarrhœa during dentition ; stools resemble dirty water ; sleeping with eyes partially closed.
Bowel complaints of children ; colic with spasmodic retraction of abdominal muscles ; spasmodic tenesmus ; tendency to prolapsus ani.
Chronic diarrhœa ; bowels moved every half hour, passages looking like washings of fresh meat ; severe straining and tenesmus with stool, and for ten minutes thereafter severe burning pain deep in rectum ; severe cough ; tongue coated with thick brown
fur ; stomach so weak that rice would not digest ; said he had a large ball in stomach.
Chronic diarrhœa of two years' standing ; great emaciation ; bowels flat and hard ; yellowish, watery, slimy discharges, mixed with undigested food, accompanied by soreness of abdomen.
Every fifteen minutes severe pain in abdomen, followed by passage of small quantity of mucus and blood. θ Diarrhœa.
Dysenteric diarrhœa affecting rectum ; discharge of mucus and dark-colored scybala.
Dysentery commencing with a watery diarrhœa ; discharges become muco-sanguineous, accompanied by sickness at stomach, especially if preceding diarrhœa manifested itself in morning.
Bilious dysentery ; stools look like pea soup and consist of yellowish, greenish, or bloody mucus of disagreeable odor, and accompanied by violent pains in region of colon, rectum and anus.
Severe straining during stool, with emission of much flatus ; mucous stools with spots and streaks of blood ; thirst, but no appetite. θ Endemic dysentery.
Cholera infantum in hot weather ; gagging or empty retching ; greenish, watery, white or dark-yellow stools ; profuse, painless, very offensive ; great prostration ; rapid emaciation ; rolling of head ; restless sleep ; half-closed eyes.
Frequent loose stools, remaining after attack of cholera infantum.
Diarrhœa of children during epidemic of cholera ; catarrhal affections of respiratory organs sometimes precede attack ; all desire for food gone ; great thirst ; upper part of intestinal tract affected and vomiting more frequent than diarrhœa ; copious,
foul-smelling, exhausting stools.
Cholera morbus ; especially when characterized by absence of pain ; generally during summer ; stools watery, come out with a gush and a splutter like water from a hydrant ; marked loathing of food ; stools very liable to change color ; < after midnight
and towards morning.
Painless cholera morbus ; stools profuse and gushing, each seeming to drain patient dry, but soon he is full again ; there may also be violent cramps.
Camp diarrhœa.
Alternate diarrhœa and constipation.
Stool difficult : from inactive bowels ; hard, dry, pale or clayey ; voided with difficulty ; hard, crumble when evacuated, clay-colored, often streaked with green ; hard, coated with yellow, tenacious mucus ; thick, transparent mucus or mixed with blood.
Constipation waking her almost every night, not always at same hour, with severe abdominal colic in umbilical region, which lasted from one to two hours.
Constipation : old intermittent cases or those due to a residence in India ; succeeds diarrhœa in infants artificially nourished ; with irritation in persons of sedentary habits ; infantile with prolapsus of rectum ; of bottle-fed babies, with dry,
crumbling stools ; after uterine disease ; attacks of tenesmus uteri, vesica, abdominal colic and severe and nervous headache, with abdominal venous congestion.
Enteritis folliculosa ; larger stools than are to be expected from the amount of ingesta taken, with excessive fetor.
Acute and chronic colitis.
Prolapsus ani : with stool, even from least exertion, followed by stool or thick transparent mucus or mixed with blood ; even with loose stool ; from debility of infancy and childhood, stools too large and frequent, but natural in color
and consistence ; with diarrhœa ; most frequently in morning ; following parturition ; complicated with and sequential to uterine displacement ; of children.
Anus feels very sore, sensitive and swollen.
Chronic, painful, hemorrhoidal tumors all around anus, some of them bleeding.
Internal hemorrhoids, with prolapsus recti.
Piles, with prolapsus ani and long-standing diarrhœa, < mornings ; or constipation.
External piles, bleeding or not.

Urinary organs

Diabetes mellitus and insipidus ; chalk-like stools ; urinating immediately after drinking ; micturition profuse and frequent ; thin, anemic.
Urinary tenesmus.
Irritability of bladder.
Incontinence of urine ; enuresis.
Frequent nocturnal urination during pregnancy.
Profuse and frequent micturition.
Urine : dark brown ; increased, diminished or suppressed ; yellow, containing a sediment.

Male sexual organs

Stitching pain above pubis and in course of spermatic cords.
Diseases of prostate gland associated with rectal troubles.

Female sexual organs

Numb aching in region of left ovary ; heat down thigh ; third month of pregnancy.
Pain in region of ovaries, especially the right.
Pain commences in right ovary, and descends anterior crural nerve, increasing in intensity as it goes down, < by straightening out limb.
Shooting pain in right ovary, before and during menstruation.
Tired pain in ovaries, with swelling and pain in both limbs, extending below knees, < on right side.
Pain in ovaries connected with diseases of liver ; light-colored evacuations.
Dragging pains in ovarian regions.
Pain in right ovary and uterus.
On catching cold after confinement, drawing dragging pain in right iliac region, shooting along inside of thigh and crural nerve to knee ; pain intermitted every half hour to an hour, lasting about ten minutes, very severe, not > by passage of flatus ; pain could be
traced from r. ovary, through internal spermatic nerve to lumbar plexus, and from there along anterior crural nerve to knee.
For three months beating and throbbing in right ovary, pain shooting down knee inside of thigh.
Right sided ovaritis in women who have borne children, coming on suddenly from an imprudence in walking, getting wet, or from sexual intercourse during or too soon after menstruation, or from excessive use of sewing machine.
Ovarian tumor with pains extending upward to shoulder.
Four cases of ovarian tumor from size of a hen's egg to half the size of fist, all on right side ; pain and numbness extending down corresponding thigh.
Pressing and bearing down in uterine region.
Sensation at stool as if genital organs would fall out.
Pain in uterus.
Prolapsus uteri : with aching and bearing-down pains ; womb disposed to fall very low, even painfully so ; with much aching pain in region of left ovary, heat running down to left thigh, in pregnancy, must lie on stomach ; after confinement ; with diarrhœa and
prolapsus recti ; with pain in sacrum ; from washing ; with amenorrhœa ; stool frequent though natural ; after overlifting or straining ; after parturition.
Prolapsus uteri for twenty-four years, wore a glass pessary for fifteen ; dull pain in back, removal of pessary followed by procidentia.
Induration of os uteri.
Menorrhagia from straining.
Bearing down in abdomen and back during menses ; ovarian pain on both sides of abdomen, with a numb and aching pain running down into thighs. θ Dysmenorrhœa.
Retarded menses, with ovarian pains, burning in hypogastrium and sacral region ; pain from motion, > lying down.
Leucorrhœa : discharge of thick, transparent mucus ; with constipation and bearing down.
Swelling of labia during pregnancy.

Pregnancy. parturition. lactation

Can lie comfortably only on stomach, early months.
Morning sickness or excessive vomiting of pregnant women.
Excessive vomiting in pregnancy and conditions arising from a congested condition of the pelvic viscera.
Swelling of labia during pregnancy.
Pain in region of ovaries, especially at night, disturbing sleep ; very nervous and restless ; condition may recur night after night until finally symptoms of abortion set in.
Severe after-pains, with strong bearing down sensation.
After-pains with heat and flatulency ; also with strong bearing down.
Hemorrhoids and prolapsus recti ; after confinement Pendulous abdomen.

Voice and larynx. trachea and bronchia

Chronic bronchitis.

Respiration

Inclined to breathe deeply ; sighing.
Shortness of breath.
Sensation of suffocation, at first when lying down at night.
Bronchial asthma ; < after catching cold.

Cough

Cough : loose, hacking ; with remittent fever ; dry ; loose ; rattling on chest, during dentition ; whooping, with constipation and loss of appetite ; from disease of liver.

Inner chest and lungs

Catarrh of chest during dentition.
Pneumonia.

Heart, pulse and circulation

Sensation in chest as if heart were ascending to throat.
Stinging pain in region of heart.
Palpitation : with a clucking sensation rising up to throat, obstructing respiration ; from mental emotion or exertion, with rumbling in ascending colon, heavy sleep, fatigue on awakening in morning, drowsy all forenoon ; from physical exertions ; nervous in
consequence of excessive hepatic action.
Pulse slow, scarcely perceptible ; pulseless.

Neck and back

Nape of neck stiff, with soreness of muscles of neck and shoulders.
Pain under right scapula.
Pain between shoulders, in morning.
Flashes up back, with stool.
Weakness and soreness of back.
Lumbar backache after washing. θ Prolapsus uteri. θ Diarrhœa.
Pain in lumbar and sacral regions, < during stool and still < afterwards.
Pain in lumbar region, withered sensation, < at night and from motion.
Pain in loins, < when walking on uneven ground or from a misstep.
Sacral pain. θ Uterine displacement.

Upper limbs

Pain in course of ulnar nerve of both arms.
Rheumatism in left forearm and fingers.
Pains from head into neck and shoulders ; fingers numb.
Weakness of wrists, soreness to touch.

Lower limbs

Sharply defined ache in sacro-ischiadic foramen, with tenderness on pressure.
Pain and weakness in left hip, like rheumatism from cold ; < going up stairs.
Slight paralytic weakness of left side.
Cramps in calves, thighs and feet, with painless watery stools.
Knee joints crack during motion.
Joints weak, especially knees.
Legs heavy and stiff, as after a long walk.
Aching of limbs < at night.
Severe pain and swelling of ankle joints.
Feet : cold ; sweat in evening.

Rest. position. motion

Lying down : ovarian pain > ; sensation of suffocation ; chilliness.
Must on stomach : during pregnancy.
Lying on back : pain in bowels worse.
Bending forward when lying on side ; pain in bowels better.
Straightening out limb ; pain down leg worse.
Stretching in bed : > restlessness.
Standing : vertigo.
Motion : ovarian pain ; pain in lumbar region < ; knee joints crack ; during fever chilliness.
Walking : bilious headache, < pain in loins < from walking on uneven ground ; misstep.
Going up stairs : pain in left hip.
From physical exertion : palpitation.

Nerves

Nervous irritability and sleeplessness ; feels as if weak and unable to move about.
Faintness, with sensation of emptiness in abdomen after stool.
Sensation of great prostration with pain in stomach.
Slight paralytic weakness of whole left side.
Sudden shocks of jerking pains.
Convulsions from reflex irritation in teething children ; rolling of head ; variegated, slimy stools.

Sleep

Sleepiness : in daytime, especially in forenoon ; with rumbling in bowels, in morning.
Heavy sleep ; fatigue on waking.
Drowsy, half-closed eyes, moaning, whining, especially children.
Great restlessness, tossing about in bed, yawning and stretching, with entire relief on doing so.
Very worrying and sleepless early part of night, apparently from nervous irritability. θ Dentition.
Moaning in sleep, with eyelids half closed.
Restless sleep, whining.
Drowsiness or restless sleep, with grinding of teeth or rolling of head.
Unrefreshed by sleep on waking in morning.

Time

Morning : throbbing temples ; aching in eyes ; headache ; scrofulous ophthalmia < ; sore throat < ; early, aggravation of diarrhœa and pain ; diarrhœa ; sleepy ; green, sour stools ; pain and stools < ; diarrhœa < ; green
stools with colic and faintness ; sickness ; fatigue on awakening ; pain between shoulders ; dull, throbbing headache.
At 3 A. M. : pain in transverse colon ; sudden diarrhœa.
From 5 A. M. until 9 A. M. : cramplike pains in bowels.
At 7 A. M. : chill.
At 11 A. M. : shaking chill.
Forenoon : pressing in temples ; diarrhœa ; drowsy.
Noon : diarrhœa <.
Day : frequent transient abdominal pain.
Afternoon : feverish.
Evening : diarrhœa < ; natural stools after morning diarrhœa ; cold foot sweat.
At 10 P. M. : cramplike pains in bowels.
Night : whining ; grinds teeth ; offensive breath ; pain in region of ovaries ; sensation of suffocation ; pain in lumbar region < ; aching of limbs < ; very worrying and sleepless ; fever.
Before midnight : diarrhœa <.
After midnight : stools <.

Temperature and weather

Open air : vertigo while standing.
After or while washing : diarrhœa.
External warmth : pain in bowels >.
Hot weather : offensive stools ; cholera infantum.
Covering up warmly in bed : > chilliness.
Catching cold : bronchial asthma <.
Chilliness : not > by heat of stove.

Fever

Chilliness while moving about during fever and in act of lying down, with sweat immediately afterwards.
Chilly at first on lying down in evening, followed by fever and sleep with talking and imperfect waking.
Chill, 7 A. M., pressing in both hypochondria ; dull aching in knees and ankles, elbows and wrists.
Backache before chill.
During chill, great loquacity.
Shaking and sensation of coldness continue for some time after heat commences.
Heat begins during chill or while he is yet chilly.
Feverish during afternoon, with occasional chilliness, not > by heat of stove, but > by covering up warmly in bed.
Pain in bowels first attended with coldness, followed by heat and warm sweat.
Heat with violent pains in head ; excessive thirst ; great loquacity, constantly talking, which continues with delirium until fever reaches climax, when he falls asleep and sweats profusely, with forgetfulness of all he had said.
Flashes up back and abdominal pains during stool.
Sweat warm on head and legs ; feet cold ; head sweat with coldness of skin ; sleep during sweat.
Moaning, groaning, restlessness and ravenous hunger with thirst during fever, white tongue, heat in abdomen, especially in region of liver, liver indurated ; asthmatic cough.
Shaking chill, 11 A. M., with pain in wrists, knees and ankles, followed by heat without pains, then sweat on back, head, face and hollow of elbows. θ Ague.
Loquacity during chill and far into heat, with complete forgetfulness afterwards of all that had passed ; falls asleep at climax of heat, and sleeps during perspiration.
Chill with pressing pain in both hypochondria ; dull aching pain in joints ; great desire to talk, but cannot because he forgets words. θ Intermittent.
Obstinate constipation, all bones ache ; fever, sweat, full pulse, with congestion to head ; chill followed by fever at night ; an hour of chilliness followed by an hour of fever, such a succession continuing during whole twenty-four hours. θ Ague.
Backache severe in lumbar region ; gastric and bilious symptoms are marked, sometimes for days before paroxysm. θ Ague.
Bilious remittent fever ; dull throbbing headache when waking in morning with dread or fear that he would be very ill ; dry mouth with had taste ; heavy, dirty-white coating on tongue ; preceding paroxysm of fever, nausea and
vomiting of a bilious substance, accompanied by first a yellow, then a greenish diarrhœa ; during paroxysm patient stupid inclined to talk, but would drop a sentence before half finished ; great thirst, hot face, protruding eyes and continued talking, finally sleep with sweat.
Bilious fever : with much vomiting of bile ; bilious diarrhœa ; tongue coated yellow great thirst ; much intestinal irritation ; remittent or intermittent.
Remittent fever from excessive hepatic action.
Irritative fever and infantile remittent.

Attacks, periodicity

Alternate : headache and diarrhœa ; constipation and diarrhœa.
An hour of chilliness followed by an hour of fever, during whole twenty-four hours.
For ten minutes after stool : severe burning pain in rectum.
Every fifteen minutes : severe pain in abdomen.
Every half hour : bowels moved ; shooting along thigh lasting about ten minutes.
An hour after eating : vomits food.
Every hour : three to six stools.
From one to two hours : colic.
Every morning : colic with mucous stools.
Almost every night : constipation wakes her.
Attack lasts twenty-four hours : burning pain at top of head.
Day after attack : passes much bile.
For three months : beating and throbbing in right ovary.
Two years standing : diarrhœa.
For years : subject to diarrhœa.

Locality and direction

Right : fulness in hypochondrium ; twisting pain in hypochondrium ; great distension in hypochondriac region ; soreness in hypochondrium ; flatus in abdomen ; sharp pain in groin ; pain in region of ovary ; pain commences in ovary and
descends anterior crural nerve ; shooting in ovary ; dragging pain in iliac region ; pain traced from ovary through internal spermatic nerve to lumbar plexus ; beating and throbbing in ovary ; ovarian tumor ; pain under scapula.
Left : side of throat sore ; rumbling in side ; numb aching in region of ovary ; aching pain in region of ovary ; heat down thigh ; rheumatism in forearm and fingers ; pain in hip ; weakness of side.
From right to left : sore throat.

Sensations

As if strabismus would occur ; pain in head as if having held a piece of ice on occipital protuberances ; as if tongue, throat and palate had been burned ; as of a thousand live things moving about in abdomen, or of fish turning over ; as if everything
would drop through pelvis ; as if genital organs would fall out ; bearing down as if from inactivity of rectum ; as if heart were ascending to throat ; as if weak and unable to move about.
Pain : in region of liver ; in rectum ; in region of gall-bladder ; in transverse colon ; in anus ; in lumbar region ; in sacrum ; all over abdomen ; in region of ovaries ; first in ovary, ascends crural nerve ; in both limbs ;
in right ovary and uterus ; under right scapula ; between shoulders ; in loins ; in course of ulnar nerve of both arms ; in left hips ; in stomach ; in bowels ; in wrists ; in knees ; in ankles.
Violent pains : in head.
Severe pain : in bowels ; in abdomen ; of ankle joints.
Sharp pain : in right groin ; in rectus muscles.
Darts of pain : in forehead.
Shooting pain : in right ovary ; along inside of thigh and crural nerve to knee.
Cutting pains : in intestines.
Stitches : in epigastrium.
Stitchlike pain : in region of liver.
Stitching pains : above pubis and in course of spermatic cords.
Fleeting pains : in head, extend into neck and shoulders.
Twisting pain : in right hypochondrium.
Dragging pains : in ovarian region ; in right iliac region.
Pressing pain : in both hypochondria.
Stunning pain : through temples.
Burning pain : at top of head and over forehead ; in region of pyloric orifice ; deep in rectum ; in hypogastrium and sacral region.
Stinging pain : in region of heart.
Cramplike pains : in bowels.
Cramps : in calves, thighs and feet.
Dull, unpleasant pain : in hypogastric region ; in back.
Tired pain : in ovaries.
Rheumatic pain : in left forearm and fingers.
Aching : in eyes ; behind eyes ; in region of left ovary ; running down into thighs ; sharply defined in sacro-ischiadic foramen ; of limbs ; in ankles and joints, elbows and wrists ; dull in joints ; in bones.
Numb aching : in region of left ovary.
Beating : in right ovary.
Drawing : in eyes.
Throbbing : in temples ; in right ovary.
Bearing down : in uterine region ; in abdomen ; in back.
Pressing : in temples ; in uterine region.
Smarting : of eyes.
Soreness : of nose ; of throat ; in hypochondrium ; in abdomen ; of anus ; of muscles of neck and shoulders ; of back.
Heat : in head ; in vertex ; in stomach ; in hypochondrium ; in bowels ; in anus ; down thigh ; in abdomen.
Heaviness : of eyes.
Weight : in hypogastric region.
Fulness : in head ; in right hypochondrium.
Dryness : of throat.
Weakness : in epigastric region ; of back ; in wrists ; in left hip ; of left side.
Withered sensation : in lumbar region.
Numbness : of fingers ; of rectus muscles ; down right thigh ; of fingers.
Empty feeling : in stomach.
Itching : of skin.
Coldness : of feet ; of skin.

Tissues

Emaciation ; many stools daily, all of which are natural ; morning diarrhœa. θ Atrophy of children.
Softness of flesh, with debility ; children.
Relaxes the sphincters.
Fulness of superficial veins, indicating impairment of innervation of sympathetic system of nerves.
Hepatic and intestinal congestion.
Mercurial rheumatism.
Useful in gout after acute symptoms have subsided, or in cases where attack is preceded by premonitory symptoms it is indicated at once ; it will ward off an impending attack of gout.

Touch. passive motion. injuries

Touch : tenderness in one spot, corresponding to entrance of common choledic duct into duodenum.
Pressure : pain in temples > ; abdominal pains > ; tenderness of foramen.
Inclination to rub region of liver with hand.

Skin

Sallow skin ; jaundice ; also in children.
Skin moist with preternatural warmth.
Scabs on skin.
Rawness and itching about genitals ; also pustules (from grinding the root).
Cold, clammy skin.
Erysipelas.

Stage of life, constitution

Bilious temperaments, especially after mercurialization.
Child, æt. 4 months ; diarrhœa.
Child, æt. 18 months, suffering several months ; diarrhœa after cholera infantum.
Boy, æt. 1 ; diabetes mellitus.
Boy, æt. 2, fair complexion, blue eyes, light hair, impulsive and vehement disposition, suffering since beginning of dentition ; diarrhœa.
Boy, æt. about 3 ; diarrhœa.
Boy, æt. 9 ; diabetes insipidus.
Maud B., child ; diarrhœa.
Man, æt. 33, cachectic appearance, liver or spleen or both disordered ; asthma.
Man, æt. 35, treated allopathically from childhood for disorders of liver and stomach, has been regarded as having "disease of neck of stomach," has taken mercurials and potash ; hepatic disorder.
Minister, æt. 38, nervo-bilious temperament ; headache.
Woman, æt. 45, subject to occasional dyspepsia ; hepatic derangement.
Mrs., æt. 45 ; dysentery.
Mrs. M., æt. 45, sanguine temperament, full habit, not through "change of life," sensitive to all atmospheric changes, for fourteen years has suffered from uterine disease ; constipation and colic.
Mrs. H., æt. 45, suffering twenty-four years ; prolapsus uteri.
Man, æt. 45, bilious temperament ; gout.
Man, æt. 50, blue eyes, light hair, fair skin, nervous temperament, suffering two years ; chronic diarrhœa.
Woman, past 60, mother of large family, suffering for years ; hepatic derangement.
Miss T., æt. 66 ; ovarian tumor.
Stout lady, æt. 71 ; chronic bronchitis.
Man, æt. 76, never had a severe illness of any kind ; ague.
Soldier, has taken much opium and acids ; chronic diarrhœa.
Mrs. B., confined ten weeks ago with a healthy baby, when she took cold, since then suffering ; pain in right ovary.

Relations

Antidoted by : Lact. ac., Nux vom., Colocyn., Leptan .
It antidotes : Mercur .
Compatible : after Ipec . and Nux vom . in gastric vomiting ; after Calc. ostr . and Sulphur in liver diseases.
Incompatible : Salt, which increases its action.
Compare : Æscul., Aloes, Apis, Arnic., Bryon., Chelid., Collin., Colchic., Helleb., Iris, Leptan., Lilium, Mercur., Nitr. ac., Nux vom., Pulsat., Sulphur, Veratr .

Lectures on Homoeopathic Materia Medica

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

Lecture

This remedy is seldom used except in acute affections, but it is a long acting and deep acting drug; it produces a powerful impression on the economy; it relates to the deep-seated miasms.

Abdomen

It affects profoundly the abdominal viscera. It shows its symptoms largely on the abdominal organs, the pelvic organs, and the liver. The abdomen seems to be the earliest seat of attack. It produces such an impression upon the stomach and intestinal canal that the healthy action is impaired, digestion and assimilation cease.

Everything taken into the stomach becomes sour. The glands of the stomach are as if paralyzed; there is no digestion; this goes on until we have vomiting and diarrhea. During this there is a wonderful disturbance in the abdomen; rumbling; gurgling as if animals were floundering about; clinically, as if fish were turning and tossing in a pond, as we have seen them before a storm.

Rumbling and rolling. This is attended with severes cramping pains doubling her up. Abdomen is sensitive; so sore she cannot endure pressure. The soreness extends to the stomach, intestines and finally to the liver. The whole abdominal viscera are sore, sensitive to pressure. After this comes a gurgling, watery stool, pouring out of the anus.

A tremendous outpouring so that the patient wonders where all the fluid comes from, and soon it comes on again. Copious, enormous, and very frequent. This soreness, cramping, and rumbling precedes the stool, but sometimes it continues during the stool. Commonly the patient is relieved by the stool. There is much flatus and spluttering, but not so marked as in Aloe.

The colic often comes and goes without stool. Painless stools, in which compare China which has stool coming on at night and after eating. Putrid or not, and of inky color. Podophyllum is rarely indicated when the discharge is not offensive. After a while the abdomen again becomes tumultuous, and this is again relieved by a stool.

This process is repeated over and over. It seems as if the blood vessels would empty themselves into the! abdominal cavity, and then into the outer world. Not unlike cholera and cholera morbus, and these two are the common manifestations of disease for which this remedy is used in routine practice. The cholera morbus coming on in the latter part of the night, especially about 3, 4, or 5 o'clock, resembles Podophyllum. Tumultuous action of the bowels with rumbling, pain, and soreness, and the prostration is so marked that if not relieved in a day or two, it seems he must die. Rice-water stools, jelly-like on standing.

Women

With this tumultuous action, she has an indescribable sensation; an all-gone feeling, a deathly sick feeling, described by some as an emptiness, as if fasting, yet averse to food. An awful, hungry, empty weakness, as if the whole intestines would drop out.

No wonder they think so, because this remedy produces an astonishing amount of relaxation. Described by some as a sensation of dragging down. The uterine ligaments become relaxed and there is prolapsus. The rectum protrudes for inches. The sensation of dragging down as if all the parts would be pushed out into the world is a common feature. It seems to begin with the liver, as if all the parts were let down. Weakness attended with soreness.

Dragging down in the region of the ovary and the ovary is congested. The uterus is extremely sore and is enlarged; sore to touch so that light clothing aggravates. Sensitiveness of the abdomen in diarrhea and vomiting; in cholera morbus; in women when menstruating. Indicated if there is a copious diarrhea during the menstrual period, and great soreness in the uterus. Much pain in the ovaries, in one or both, extending down the crural region, down the front of the thigh.

Pain in the ovaries, especially the right; pain in the ovaries during the menstrual period, gripping pain in the bowels during the menstrual period. Great soreness of the abdomen before and during the menstrual period. (Apis, Cimicifuga, Vespa, Lachesis , but these are not so likely to have diarrhea and, if so, it is not as copious.)

Diarrhea

Alternating conditions is a feature of this remedy. If a Podophyllum patient takes cold, has any mental excitement, overexerts himself, eats boiled food, cabbage, fruits, and overloads his stomach with rich food he has a diarrhea, and following this a constipation lasting for weeks, no stool except in lumps; difficult, scanty stool and as soon as lie disorders Ids stomach again comes a diarrhea. This alternating diarrhea and constipation is a Podophyllum state rather than a chronic diarrhea, which is a continued state found in many remedies. The diarrhea is periodic, alternating with constipation.

Headache

Another alternating feature is the headache.

Chronic headache, periodic headache, sick headache, congestive in character, as if all the blood were in the head, as if the head would burst, and the pains most violent in the back of the head, bursting, and then on comes a diarrhea which relieves the head.

Sometimes when the diarrhea slacks up too suddenly, a headache is the result. It is a common feature after giving a high potency of Podophyllum in a diarrhea, that a headache comes, on after the diarrhea is stopped. It means that the medicine has acted suddenly and the headache will pass away soon.

Headache alternating with liver disturbances. The patient lies on the side or abdomen. Rending pains towards the duodenum. You will wonder if it is not gall stone colic. Periodic, violent headaches; alternating diarrhea and constipation; he strokes the region of the liver from behind forward and in this way gets relief, yet the liver is so sore that he can hardly bear the pressure.

Liver sensitive to touch.

Soreness about the liver; pain through to the back; dull aching pain, finally jaundice; becomes extremely yellow. Uneasiness and distress about two or three hours after eating, with jaundice; horrible nausea; aversion to food; empty all-gone feeling in the bowels.

Vomiting, greenish, profuse, watery, vomits everything; vomiting of milk (Calc., Aeth . - the latter sometimes retains water); hunger after vomiting; deathly, overpowering nausea and prostration. Prolapse of rectum and anus during vomiting. ( Mur. ac.). A condition commonly called duodenal catarrh; a chronic state; rouses into a Podophyllum diarrhea every once in a while.

Mental symptoms troublesome.

A torpid liver is often associated with a torpid fluctuating state of the mind; also a slow, sluggish pulse; palpitation. Great depression of spirits, melancholia, sadness, dejection everything goes wrong; the clouds are very dark; there is no light; thinks he may die or that he is going to become ill; that his disease will become chronic; that he has organic disease of the heart and liver; that he has sinned away his day of grace, and other such delusions. Mind easily fatigued; fidgety and restless; cannot sit still, whole body fidgety.

In this mental state with jaundice, all-gone sensation, aversion to food, even the thought or smell of food; stuffed feeling and distension in the region of the liver. The tongue is covered with thick slime; pasty, yellow coating as if mustard were spread upon it; imprint of the teeth upon the tongue; breath foul. For such a condition the ancients gave Calomel.

Gallstone colic; enlargement of the liver; gastric weakness; unable to digest; duodenal catarrh; catarrh of intestines with copious diarrhea. If you notice the Podophyllum discharge in the commode, you will see a great amount of water, on the bottom a sediment like cornmeal gruel; as if cornmeal had been stirred in. If you see it early it is yellow, muddy, or yellow-green, profuse, offensive, cadaverous; the odor penetrates the whole house; stool gushes away like water from a bung-bole; gurgling and much flatus.

With the stool there is very commonly a prolapse of the rectum; a gush of watery stool and a prolapse of the rectum; a soft stool with great straining and a prolapse of the rectum.

Prolapsus of the uterus; prominent are Murex, Sepia, Natrum mur. Sepia is better sitting or lying; worse walking. Aversion to coition; hot flushes; constipation with sense of lump in the rectum, or better by stool. Murex has the following. The only relief is to press on the vulva; not better lying down; she then has pains in the back and hips compelling her to walk, yet his aggravates. Strong sexual desire. Pain in right ovary, which crosses entire body to left breast. Pain shooting up in the uterus.

The word bile is a striking feature in Podophyllum, You must connect the vomiting and the stool with this color. The patient declares he is "bilious;" his liver is out of order;" bitter taste in the mouth; spitting up bile and the color is yellow; in diarrhea it is a green substance.

In children subject to copious diarrhea, with prolapsus of the anus no other symptom, Podophyllum often cures.

A feature of infancy is the following: child may not have diarrhea, may even be constipated, but it lies in bed and rolls the head in sleep. Bell. and Apis roll head.

Apis lies on back with the head on its side, Chewing motion of the jaws; sometimes a sucking; a grinding of the teeth in those who are old and have teeth; rolling the head from side to side; if you lift the eyelids you will find a strabisms.

Provers felt as if the eyes were drawn inward. It has cured such a strabismus in congestion of the brain following a suddenly suppressed diarrhea.

A child who should have a colored stool has instead a white one like chalk (Calc. c.). in adults, a bileless, white stool.

The body is offensive; offensive sweat; compare Sepia, Merc., Aloe, Sulph., Murex, Nux.

The Therapeutics of Fevers

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

Characteristic

Adapted to persons of bilious temperament, who suffer from gastro-intestinal derangement, especially after abuse of Mercury; “bilious attacks.”

Pains: sudden attacks of jerking pain.

Depression of spirits; imagines he is going to die or be very ill (Ars.); disgust for life.

Headache; alternating with diarrhœa (Aloe); headache in winter, diarrhœa in summer.

Painless cholera morbus; violent cramps in feet, calves, thighs; watery, painless stools; cholera infantum (Phyt.).

Difficult dentition: moaning, grinding the teeth at night; head hot and rolling from side to side; intense desire to press the gums together (Phyt.).

Patient is constantly rubbing and shaking the region of liver with his hands.

Diarrhœa: of children; during teething; after eating; while being washed; of dirty water, soaking napkin through (Benz. ac.); early in morning, continues through forenoon, followed by natural stool in the evening (Aloe), and accompanied by sinking or weakness in abdomen and rectum; of long standing.

Stool: green, watery, fetid, profuse (Cal.); gushing out (Jatro., Phos.); chalk-like, jelly-like (Aloe); undigested (Cinch., Fer.); yellow, meal-like sediment; prolapse of rectum, before or with stool.

Prolapsus uteri: from overlifting or straining; after parturition. In early months of pregnancy, can lie comfortably only on stomach.

Affects right throat, right ovary, right hypochondrium.

Pain and numbness in right ovary, running down thigh of that side (Lil.).

Suppressed menses in young girls (Puls., Tub.).

Aggravation

In early morning (Aloe, Nux, Sul.); in hot weather (diarrhœa); during dentition.

Amelioration

Evening; external warmth; pressure.

Type

Quotidian; tertian; quartan. Periodicity marked. Morning paroxysm predominates. Bilious; malarial. Intermittent may become bilious, remittent or continued.

Time

7 A. M., characteristic. Light paroxysms may occur in the evening.

Prodrome

Backache; severe in lumbar region. Gastric and bilious symptoms are marked, sometimes for days before the paroxysm.

Chill

Without thirst, with pressing pains in both hypochondria and dull aching in knees, ankles, elbows and wrists. Feverish during the afternoon, with occasional chilliness, which was not > by the heat of the stove, but was > by covering up warmly in bed. Great loquacity; consciousness, but cannot talk, because he forgets the words; or tries to talk continually, but he forgets the words he wishes to employ (Marum v.). Chilly on first lying down in evening, with incoherent talking during the imperfect semi-sleep.

Heat

With thirst. The heat begins during the chill, or while he is yet chilly. The shaking and sensation of coldness continue for some time after the heat commences. Violent headache with excessive thirst. Chilliness while moving about and in the act of lying down; with sweat at once. Great loquacity, constantly talking (Carbo v., Lach.), which continues with delirium until fever reaches its climax, when he falls asleep and transpires profusely, with forgetfulness of all he had said (falls asleep dur- ing evening fever, and wakes when it stops, Calad.—see Apis,

Nux m.).

Sweat

Profuse sweating, so that it dropped off the finger- ends. Warm on head and legs. Sleep during perspiration; > headache. Bathed in cold perspiration.

Tongue

Coated white, moist, dirty, pappy, pasty, shows im- print of teeth (Mer.); dry, yellow. Offensive odor of breath, which disgusts him (offensive odor from mouth; not perceptible to himself, Puls.). Taste foul; total loss of taste, or everything tastes sour. Gastric symptoms predominate.

Apyrexia

Total loss of appetite; even the smell of food pro- duces loathing (Colch.); offensive breath; foul taste; profuse salivation; eructations smelling like rotten eggs. Constipation or diarrhœa.

Analysis

Chill; with aching in hypochondria, knees, ankles, elbows, wrists; great loquacity during semi-sleep.

Heat; thirst, headache, great loquacity, delirium; falls asleep at climax of fever and sweats profusely.

Sweat; profuse, sleeps during perspiration. Gastric symptoms predominate.

The loquacity during chill and far into heat, with complete for- getfulness afterwards of all that had passed, is characteristic.

Falls asleep at climax of heat, and sleeps during perspiration re- sembles Apis, but the urticaria is wanting, and the perspiration is more profuse.