Psorinum psor.

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

SKIN: FOLDS OF. Sebaceous glands. EARS. BOWELS. Respiration. Right side.

Worse

COLD: Open air. Washing. Weather; stormy; changing. Winter. Heat: Of bed. Exertion. Woolens. SUPPRESSIONS. Yearly. Contact of his own limbs.

Better

Lying with head low, or quietly. Eating. Washing. Nosebleed. Hard pressure. Profuse sweating.

General

Feels sick all over. Lack of reaction, in chronic diseases. After-effects of infectious diseases, lasting for years. Enfeebled. RECURRENCE. Clears up confused cases. Migraine. Quinsy. FOUL; discharges; stools; eruptions; sweat; stubborn footsweat; odor of body. Thick secretions. Weak, tender and thin, easily chilled; takes cold; clothing seems large or he feels pushed down. Joints seem loose. HUNGRY or unusually well BEFORE AN ATTACK; but debilitated and reacts badly, and chronicity threatens. Wants to wash parts.

Copyright © Médi-T 1999

Particulars

ANXIETY. Forebodings. Despair, of recovery. Gloomy. Feels good and bad by turns. Horrid thoughts. Averse to work. Feels himself poor (reverse-Sul.). Mind dull, clouded, difficult thinking. Head feels separated from body. Headache, follows visual disturbances; alternates with other troubles. Twitching in temples. Sensitive to drafts about head; wants it covered, in hot water. Dull, dry, tangled hair. Gummy, everted eyelids. Humid sores behing ears. Putrid otorrhœa. Hay fever. Face pale, sickly, dirty, fuzzy or puffy. Loose teeth. Tip of tongue feels burnt (Ign.). Hawks out foul, cheesy masses. Filthy taste. Anorexia; with great thirst. Flatus like bad eggs. DARK, GUSHING, HORRIBLY PUTRID STOOLS; of penetrating odor, going through whole house (Pod.); < at night. Cholera infantum. Stool soft, but difficult. Bed-wetting; at full moon. Offensive genitals. Griping in testes. Chronic gonorrhœa. Breathes > lying down or spreading arms apart. Breathing; < open air. Cough, < lying. Gurgling at heart. Panaris. Lumbar ache, < standing or walking. Hot, itching soles. Skin breaks out; < flexures; is dirty, rough or scabby, greasy. Condylomata, on edges of skin. Intolerable itching; < heat (of bed); he scratches it raw or until it bleeds. Heat, with steaming sweat. Sweat; profuse; < night; on palms; cold; easy.

Related

Complementary: Sep. Sul. Tub. Related: Grap. Mang. Pho. Sul.

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

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

Keynote

Especially adapted to the psoric constitution. In chronic cases when well selected remedies fail to relieve or permanently improve (in acute diseases, Sulph.); when Sulphur seems indicated by fails to act. Lack of reaction after severe acute diseases. Appetite will not return. Children are pale, delicate, sickly. Sick babies will not sleep day or night, but worry, fret cry (Jalap.); child is good, plays all day; restless, troublesome, screaming all night (rev. of Lyc.). Great weakness and debility; from loss of animal fluids; remaining after acute diseases; independent of or without any organic lesion, or apparent cause. Body has a filthy smell, even after bathing. The whole body painful, easily sprained and injured. Great sensitiveness to cold air or change of weather; wears a fur cap, overcoat or shawl even in hottest summer weather. Stormy weather he feels acutely; feels restless for days before or during a thunderstorm (Phos.); dry scaly eruptions disappear in summer, return in winter. Ailments: from suppressed itch or other skin diseases, when Sulphur fails to relieve; sever, from even slight emotions. Feels unusually well day before attack. Extremely psoric patients; nervous, restless, easily startled. All excretions - diarrhoea, leucorrhoea, menses, perspiration - have a carrion-like odor. Anxious, full of fear; evil forebodings. Religious melancholy; very depressed, sad suicidal thoughts; despairs of salvation (Mel.), of recovery. Despondent: fears he will die; that he will fail in business; during climaxis; making his own life and that of those about him intolerable. Driven to despair with excessive itching. Headache: preceded, by flickering before eyes, by dimness of vision or blindness (Lac d., Kali bi.); by spots or rings. Headache: always hungry during; >while eating (Anac., Kali p.); from suppressed eruptions, or suppressed menses; > nosebleed (Mel.). Hair, dry, lustreless, tangles easily, glues together (Lyc.). Plica polonica (Bar., Sars., Tub.). Scalp: dry, scaly or moist, fetid, suppurating eruptions; oozing a sticky, offensive fluid (Graph., Mez.). Intense photophobia, with inflamed lids; cannot open the eyes; lies with face buried in pillow. Ears: humid scurfs and soreness on and behind ears; oozing and offensive viscid fluid (Graph.). Otorrhoea: thin, ichorous, horribly fetid discharge, like decayed meat; chronic, after measles or scarlatina. Acne: all forms, simplex, rosacea; < during menses, from coffee, fats, sugar, meat; when the best selected remedy fails or only palliates. Hungry in the middle of night; must have something to eat (Cina, Sulph.). Eructations tasting of rotten eggs (Arn., Ant. t., Graph.). Quinsy, tonsils greatly swollen; difficult, painful swallowing; burns, feels scalded; cutting, tearing, intense pain to ears on swallowing (painless, Bar. c.); profuse, offensive saliva; tough mucus in throat, must hawk continually. To not only > acute attack but eradicate the tendency. Hawks up cheesy balls, size of pea, of disgusting taste and carrion-like odor (Kali m.). Diarrhoea: sudden, imperative (Aloe, Sulph.); stool watery, dark brown, fetid; smells like carrion; involuntary, < at night from 1 to 4 a. m.; after severe acute diseases; teething; in children; when weather changes. Constipation: obstinate, with backache: from inactivity of rectum; when Sulphur fails to relieve. Enuresis: from vesical paresis; during full moon, obstinate cases, with a family history of eczema. Chronic gonorrhoea of year's duration that can neither be suppressed nor cured; the best selected remedy fails. Leucorrhoea: large, clotted lumps of an intolerable odor; violent pains in sacrum; debility; during climaxis. During pregnancy: most obstinate vomiting, foetus moves too violently; when the best selected remedy fails to relieve; to correct the psoric diathesis of the unborn. Profuse perspiration after acute diseases, with relief of all suffering (Calad., Nat. m.). Asthma, dyspnoea: < in open air, sitting up (Laur.); > lying down and keeping arms stretched far apart (rev. of Ars.); despondent, thinks he will die. Cough returns every winter. Hay fever: appearing regularly every year the same day of the month; with an asthmatic, psoric or eczematous history. Patient should be treated the previous winter to eradicate the diathesis and prevent summer attack. Cough: after suppressed itch, or eczema; chronic, of years' duration; < mornings on waking and evenings on lying down (Phos., Tub.); sputa green, yellow or salty mucus; pus-like; coughs a long time before expectorating. Skin: abnormal tendency to receive skin diseases (Sulph.); eruptions easily suppurate (Hep.); dry, inactive, rarely sweats; dirty look, as if never washed; coarse, greasy, as if bathed in oil; bad effects from suppression by sulphur and zinc ointments. Sleepless from intolerable itching, or frightful dreams of robbers, danger, etc (Nat. m.). Psorinum should not be given for psora or the psoric diathesis, but like every other remedy, upon a strict individualization - the totality of the symptoms - and then we realize its wonderful work.

Relations

Sulphur and Tuberculinum. Is followed well: by, Alum., Bor., Hep., Sulph., Tub. After: Lactic ac., in vomiting of pregnancy. After: Arn in traumatic affections of ovaries. Sulphur follows Psorinum well in mammary cancer. Whether derived from purest gold or purest filth, our gratitude for its excellent service, forbids us to enquire or care. - J. B. Bell.

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

The symptoms of this drug are very closely allied to those of Sulphur; if the latter appears to be indicated, but fails to cure, study up Psorin.

Dry, lustreless, rough head of hair. Eructations tasting like rotten eggs; stools (diarrhœic) smelling like rotten eggs. Debility remaining after acute diseases.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Scabies Vesicle

General

The therapeutic field of this remedy is found in so-called psoric manifestations. Psorinum is a cold medicine; wants the head kept warm, wants warm clothing even in summer. Extreme sensitiveness to cold. Debility, independent of any organic disease, especially the weakness remaining after acute disease. Lack of reaction, i.e, phagocytes defective; when well-chosen remedies fail to act. Scrofulous patients. Secretions have a filthy smell. Profuse sweating. Cardiac weakness. Skin symptoms very prominent. Often gives immunity from cold-catching. Easy perspiration when walking. Syphilis, inherited and tertiary. Offensive discharges.

Mind

Hopeless; despairs of recovery. Melancholy, deep and persistent; religious. Suicidal tendency.

Head

Awakens at night with pain as from blow on head. Chronic headaches; hungry during attacks; with vertigo. Hammering pain; brain feels too large; worse, change of weather. Dull, pressive pain in occiput. Humid eruption on scalp; hair matted. Hair dry.

Eyes

Agglutinated. Blepharitis. Chronic ophthalmia, that constantly recurs. Edges of lids red. Secretion acrid.

Mouth

Obstinate rhagades at corners. Tongue, gums ulcerated; tough mucus of foul taste adheres to soft palate.

Nose

Dry, coryza, with stoppage of nose. Chronic catarrh; dropping from posterior nares. Acne rosacea.

Ears

Raw, red, oozing scabs around ears. Sore pain behind ears. Herpes from temples over ears to cheeks. Offensive discharge from eczema around ears. Intolerable itching. Chronic otorrhœa. Most fetid pus from ears, brownish, offensive.

Face

Swelling of upper lip. Pale, delicate. Humid eruption on face. Sickly.

Throat

Tonsils greatly swollen; painful swallowing, with pain in ears. Profuse, offensive saliva; tough mucus in throat. Recurring quinsy. Eradicates tendency to quinsy. Hawking up of cheesy, pea-like balls of disgusting smell and taste (Agar).

Stomach

Eructations like bad eggs. Very hungry always; must have something to eat in the middle of the night. Nausea; vomiting of pregnancy. Pain in abdomen after eating.

Stool

Mucous, bloody, excessively fetid, dark fluid. Hard, difficult stool, with blood from rectum and burning piles. Constipation of infants, in pale, sickly scrofulous children.

Female

Leucorrhœa fetid, lumpy, with much backache and debility. Mammæ swollen and painful. Pimples oozing an acrid fluid that burns and excoriates the glands.

Respiratory

Asthma, with dyspnœa; worse, sitting up; better, lying down and keeping arms spread wide apart. Dry, hard cough, with great weakness in chest. Feeling of ulceration under sternum. Pain in chest; better, lying down. Cough returns every winter, from suppressed eruption. Hay-fever returning irregularly every year.

Extremities

Weakness of joints, as if they would not hold together. Eruption around finger-nails. Fetid foot-sweats.

Skin

Dirty, dingy look. Dry, lusterless, rough hair. Intolerable itching. Herpetic eruptions, especially on scalp and bends of joints with itching; worse, from warmth of bed. Enlarged glands. Sebaceous glands secrete excessively; oily skin. Indolent ulcers, slow to heal. Eczema behind ears. Crusty eruptions all over. Urticaria after every exertion. Pustules near finger-nails.

Fever

Profuse, offensive perspiration; night-sweats.

Sleep

Sleepless from intolerable itching. Easily startled.

Modalities

Worse, coffee; Psorinum patient does not improve while using coffee. Worse, changes of weather, in hot sunshine, from cold. Dread of least cold air or draft. Better, heat, warm clothing, even in summer.

Relationship

Complementary: Sulphur.

Compare: Pediculus-Head-louse--(psoric manifestations in children. Eruption on dorsum of hands, feet neck. Prurigo; pellagra. Unusual aptitude for study and work). Pediculus (Cooties) transmit typhus and trench fever). In lack of reaction compare Calcarea and Natrum ars. Gaertner (Pessimistic, lack of confidence, subjective troublesome eye symptoms, fear of heights. Urticaria. Use 30th and 200th (Wheeler).

Dose

Two hundredth and higher potencies. Should not be repeated too often. Psorinum requires something like 9 days before it manifests its action, and even a single dose may elicit other symptoms lasting for weeks (Aegedi).

Leaders in Homoeopathic Therapeutics

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

Leaders

Very sad, hopeless, despondent; "bluest of the blue."

Great debility; sweats on slightest movement; wants to give up and lie down.

Eruptions on the skin, dry, or moist; or skin scaly and dry as parchment; dirty, the great unwashed, unwashable.

Intense itching of skin < in warmth of bed.

Discharges and exhalations exceedingly offensive.

Very sensitive to cold air; wears a fur cap in summer.

Great weakness and debility; from loss of fluids; remaining after acute diseases; without any organic lesion or apparent cause.

Cough and dry, scaly eruptions return every winter.

Quinsy; to eradicate the tendency.

The disease products are powerful remedies, and when used in the potentized form have made many wonderful cures. It is believed by some that in the potentized form they are so changed that they become homœopathic to the disease which produced them, especially in any other person than the one in whom the original disease existed.

I have experimented more or less with these so-called nosodes, since they were so widely proclaimed by Dr. Swan. I never found them markedly efficacious in such cases, but I have seen remarkable results from them in cases resembling, for instance, gonorrhœal, syphilitic or psoric troubles, without any history of pre-existing trouble of the kind. I have cured eruptions on the skin resembling itch with Psorinum, rheumatic troubles that were very obstinate under our usual remedies with Medorrhinum and a long-standing case of caries of the spine with Syphilinum, but in not one of these cases had the patient, that I could trace, itch, gonorrhœa or syphilis. The experience of many others seems to be different. I give only my own. The each nosode seems capable of producing the same or similar symptoms when given by mouth in proving as when inoculated the usual way seems well proved in the case of Psorinum. I do not see why the constitutional symptoms appearing after inoculations should nor be considered a proving as well as those following a bee sting, Cantharis blistering, or the local external poisoning of the varieties of Rhus. If Rhus, very high, will cure rhus poisoning, why should not Syphilinum, etc., cure syphilis? Who will answer?

All nosodes are as capable of curing as they are of poisoning. If not, why not? We must not let prejudice hinder honest investigation. As if in corroboration of the theory that the potentized disease product will cure the disease producing it, the provings of Psorinum indicate that the chief action and curative power of the poison is upon the skin. And is it not remarkable that Psorinum should so strongly resemble Sulphur, the old-time remedy for itch, and again that they follow or complement each other in curing skin troubles? Notice some of the leading skin symptoms.

"Itching when the body becomes warm."

"Itching, intolerable in warmth of bed." (Merc. sol.)

"Itching scratches until it bleeds."

"Itching between fingers and in bends of joints." (Sepia).

"Dry, scaly eruptions which disappear summers and return winters."

"Repeated outbreaks of eruptions."

"Skin has a dirty dingy look, as if the patient never washed, and the body has a filthy smell even after a bath." These and many other symptoms, too numerous to mention here, show what an invaluable remedy this should be in skin troubles, and abundant experience and observation corroborate the truth of our law of cure in the curative power of disease poisons, as it also does in vegetable, and mineral and insect or animal.

Psorinum is also found useful in the consequences of suppressed eruptions, and in such cases should never be forgotten when other anti-psoric fail. Dr. Wm. A. Hawley, of Syracuse, N. Y., once made a brilliant cure of a very bad case of dropsy in an old woman, being led to prescribe this remedy by the appearance of the skin. One dose of Fincke's 42m. potency, dry on the tongue, cured the whole case in a very short time. It was a case of long standing. Now, if we examine we will also find that this remedy resembles Graphites in many points. A close comparison will pay the earnest student of Materia Medica. Psorinum is very depressed in mind. "Greatest despondency, making his own life and that of those about him almost intolerable." This state of mind, following acute diseases, like typhus, is especially benefited by this remedy. When writing of Graphites we mentioned the resemblance of the two remedies in the "stools, dark-brown, watery, and of intolerably offensive odor." This is found in bad cases of cholera infantum or chronic diarrhœa. There is one valuable diagnostic difference between them, although the remedies are so much alike, and that is that the Graphites moisture from the eruption is glutinous or sticky and not markedly so with Psorinum.

Again, Psorinum is very useful for weakness or debility during convalescence from severe acute diseases. The patient sweats profusely when taking the least exercise. Notwithstanding, as a rule, the skin is generally dry, inactive, and rarely sweats. Here, again, as in the stool symptom, choice may have to be made between Psorinum and China. Loss of fluids, blood, suppuration, etc., would decide in favor of the latter and itching eruptions or tendency thereto, before or during the sickness, the former. One thing I forgot to mention in connection with the offensive stool. "All excretions, diarrhœa, leucorrhœa, menstrual flow and perspiration, have a carrion-like smell, even the body has a filthy smell, notwithstanding frequent bathing." The Psorinum subject is very sensitive to cold air, or change of weather (Hepar), wants to wear a fur cap, overcoat or shawl, even in the hottest weather.

Chronic complaints following or dating back for years to some imperfectly cured or suppressed acute disease. (Carbo veg.) I advise everyone to buy a copy of Allen's "key-notes," which has a very good rendering of the nosodes. So we see in Psorinum when proven a great remedy for very grave conditions. I have no doubt that all nosodes are equally valuable when as well understood.

Modalities

Modalities: < in cold air, < in warmth of bed (itching); sitting up or motion; > bringing arms down close to the body, > lying down (even the dyspnœa); wrapping up warm; psoric manifestations.

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

Anxiety about the future. Despair of recovery, thinks to be very ill, and in great danger not to survive the sickness ; hopelessness. Great anxiety, full of fears. Religious melancholy. Impatience ; ill humor.

Head

Vertigo with headache ; it presses the eyes out. Congestions of blood to the head, with red-hot cheeks and nose, redness of the eruption on the face, with great anxiety every afternoon after dinner (during pregnancy fifth month). Fulness in the vertex as if the brain would burst out, with formication in the head ; before the headache flickering before the eyes ; the objects dance before the eyes, or black spots and rings appear before the eyes ; afterwards very heavy sleep. Congestion of blood to the head with heat, wakened him in the night, was stupefied, could not recollect what happened, and after sitting for a while had to rise to collect his senses. Fulness and heaviness in the head. Morning headache with pressing in the forehead, with stupefaction, vertigo and soreness of the eyes. At night (1 A.M.) sensation as if one received a heavy blow on the forehead, awakens him. Dry hair, with loss of lustre. The hair glues together and becomes entangled, has to comb it continually. Dry and humid fetid eruptions on the head. Large humid blotches on the head, with scabby eruptions on the face. Suppurating, fetid, humid eruption on the head with humid soreness behind the ears (in children). Great aversion to have the head uncovered, even in the hottest weather does he persist in wearing a fur cap.

Eyes

Aversion to light. Every thing gets dark before the eyes. Heat and redness of the eyes, with pressing pains. Eyelids bloated ; swollen ; inflamed.

Ears

Singing, humming and ringing in the ears, with hardness of hearing. Discharge of pus from the ear, with headache. Scurfs on the ears ; and humid scurfs behind the ear. Herpes extending from the (left) temple extends over the whole ear down to the cheek, at times throwing off innumerable scales, and again showing painful rhagades with humid yellow discharges, forming scurfs ; fetid, humid, intolerable itching, especially in the evening till midnight.

Nose

Loss of smell. Soreness of the nose ; sensitiveness of the mucous membrane when inhaling air.

Face

Pimples on the forehead. Red small pimples on the face, especially on the nose and chin, and in the middle of the cheeks. Burning heat and redness of the face. Ulcers in the face. Humid eruptions on the face. The whole face is covered with humid scurfs or crusts, with swelling of the lips and eyelids, with humid soreness behind the ears. Lips dry, brown, black. Ulcers on the lips.

Mouth and Throat

Sensation of soreness of the teeth. Stinging in the teeth (while eating). Looseness of the teeth. Ulcers on the gums (right side). Tough mucus in the mouth and throat with much hawking. Burning in the throat ; sensation as if it were scalded. Sensation of a lump (plug) in the throat which impedes the hawking up of mucus. Dryness in the throat with thirstlessness. Loss of taste, with coryza. Tongue dry ; dry on the tip, feels as if scalded, coated white, yellow. Taste bitter.

Stomach and Abdomen

Eructations, smelling like rotten eggs. Nausea in the morning, with pain in the small of the back. Nausea all day, with vomiting of sweetish mucus. Deep-seated, heavy pain in the region of the liver, worse when pressing on it and when lying on the right side, when walking, coughing, laughing, and taking a long breath. Stitches in the region of the spleen. Emission of fetid flatulence. Inguinal hernia.

Stool and Anus

The soft stool is discharged with great difficulty. Constipation ; with pain in the small of the back ; charge of blood from the rectum. Frequent liquid stools (with tinea capitis). Stools of mucus mixed with blood. Discharge of large quantities of blood from the rectum, with hard, difficult stool. Burning, hæmorrhoidal tumors.

Urinary Organs

Urinary secretion profuse. Involuntary micturition, cannot hold the urine. Urine thick, whitish, turbid, depositing a red sediment and forming a cuticle swimming on it.

Sexual Organs

Men. Impotence. Excessive, uncontrollable sexual instinct. Hydrocele. Discharge of painless mucus from the urethra. (Gonorrhœa secundaria). Drawing pains in the testicles and spermatic cords. Sycotic excrescences on the edges of the prepuce, itching and burning.

Respiratory Organs

Shortness of breath. The thorax expands itself with great difficulty when breathing. Anxious dyspnœa, with palpitation of the heart. The dyspnœa is worse when sitting up to write, better lying down. Asthmatic attacks with hydrothorax. Cough from tickling in the larynx. Cough, with stitches in the chest, or with sensation of weakness in the chest. Dry cough, with soreness of the sternum. Burning pressing pain in the chest. Suppuration of the lungs. (Phthisis pulmonalis). Pain in the chest, as if raw, as from subcutaneous ulceration. Cutting as from knives in the chest. Stitches in the chest (left side). Palpitation of the heart, with anxiety. Pain (stitches) in the heart, worse when lying down.

Back and Neck

Painful stiffness of the neck. Pain in the small of the back, worse on motion.

Extremities

Upper. Attacks of lameness and soreness in the right shoulder, extending to the hand. Lower. Pain in the hip-joints as if dislocated, worse when walking, with weakness of the arms. The feet go to sleep often. Pain in the legs, especially on the tibia and in the soles of the feet, as from over-exertion in walking, with great restlessness in the legs, better on rising. Heat and itching in the soles of the feet. Ulcers on the lower legs, with intolerable itching over the whole body. Arthritis.

Generalities

Very weak from the least exertion. Great debility from loss of fluids or after severe acute diseases (Typhus). Rheumatism and arthritis. Dropsical diseases.

Sleep

Sleepiness in day-time. Sleeplessness at night, from dyspnœa, from intolerable itching. Wakens from congestions to the head.

Fever

Chilliness in the evening on the upper arms and thighs, with thirst ; drinking causes cough. Heat in the afternoon or evening, feels as if he should lose his senses, with thirst. Heat, with perspiration on the face ; heat when riding in a carriage. Heat at night, and dryness in the mouth. Want of perspiration, dry skin. Profuse, colliquative perspiration. Perspiration profuse when taking the slightest exercise ; at night. Perspiration after typhus fever. Perspiration in the palms of the hands.

Skin

Itching and stinging in the skin in many parts at the same time. Intolerable itching from getting warm ; in the evening in bed, scratches himself till he bleeds. Urticaria, with eruptions on the head. Itching pustules on the forehead, chin, chest. Dry itch on the arms and chest, but most severe on the finger-joints. Itch on the elbow and wrist. Herpes, with biting-itching, with meal-dust, humid. Old ulcers, with fetid pus. Violently itching ulcers. Suppressed itch, eruptions. Rash on the neck and back.

Conditions

Psor. is an indispensable remedy if debility remains after violent acute diseases ; if profuse perspirations remain after typhus fever ; in the evil consequences of suppressed itch, especially after large doses of sulphur ; if the patient is hopeless, despairing of his recovery. Many ailments are worse or come on when riding in a carriage, and when exercising in the open air, and relieved by rest and in the room. Aggravation s in the evening and before midnight. Sitting aggravates the dyspnœa (asthma) and pain in the heart ; these and other ailments are relieved while lying clown.

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

Psoricum. The nosode of Psora. [The sero-purulent matter of a scabies vesicle was used by Hahnemann. The product of "Psora sicca" (epidermoid efflorescence of Pityriasis) by Gross. The salt from a product of Psora by Hering.] Triturations.

Clinical

Acne. Adenoids . Anus, itching in. Asthma. Backache. Boils. Cancer. Cholera infantum. Cough. Constipation. Cornea, ulcers of. Crusta lactea. Crusta serpiginosa. Debility . Diarrhœa. Diphtheria, after-effects of . Dyspepsia. Eczema; rubrum. Enuresis. Eruptions; moist; itching. Gleet. Gonorrhœa. Gout. Hæmorrhages. Hæmorrhoids. Hair, dry; tangling. Hay fever . Headache. Head, congestion of. Hernia. Hydrocele. Impotence. Influenza . Injuries. Itch . Itching. Leucorrhœa. Lienteria. Liver, affections of; chronic inflammation of. Melancholia, religious. Nose, redness of. Odour of body, fetid . Ophthalmia, scrofulous. Otorrhœa; fetid. Ozæna . Pediculosis. Peritonitis, tubercular . Plica polonica. Polypus . Quinsy. Sciatica. Scurvy. Skin, affections of. Spina bifida. Spleen, affections of; induration of. Sprains. Syphilis. Throat, mucus in . Tinea capitis et faciei. Tonsils, concretions in. Ulcers.

Characteristics

As Sulphur has been the chief remedial agent in both schools in the treatment of itch and itch-like eruptions, it is natural to find in the nosode of Psora, or constitutional itch, a close analogue of Sulph. Psorinum has been proved entirely in the potencies, and I know of no more trustworthy proving in the materia medica. I have frequently seen Pso . develop some of its own symptoms in patients whom it has benefited in other ways. A man who complained of "cloudiness of mind and difficult thinking," and who had among other symptoms, "Left foot colder than right," received Pso . 30. It removed these symptoms; but whilst under its influence these new symptoms appeared: Heavy headache across the eyebrows; greasiness of face and forehead. A woman to whom I gave Pso . 30 complained that after each dose she had a feeling "as if something in the head were being screwed up and drawn"; one of Hahnemann's symptoms is "Spasmodically contracting headache." A patient who took Pso . 500 complained that it had a "filthy taste." From Pso . 20m (F. C.) I have seen produced an eruption of boil-like indurations in both axillæ, first (and worst) in left then in right. The general symptoms were very greatly relieved at the same time. One great mark of distinction between Sul . and Pso . is that the Pso . patient is exceedingly chilly, likes to have a fur cap on in summer; whilst the Sul . patient is predominatingly hot. H. C. Allen gives another: Pso . is indicated in chronic cases when well-selected remedies fail to relieve or to permanently improve (in acute diseases Sul .); also when Sul . seems indicated but fails to relieve. Pso . is specially suited to: ( 1 ) Scrofulous, nervous, restless persons who are easily startled. ( 2 ) Psoric constitutions; lack of reaction after severe diseases. ( 3 ) Complaints of psoric origin; patients emit a disagreeable odour. ( 4 ) Pale, sickly, delicate children. ( 5 ) Peevish, unhealthy-looking children, who have a disagreeable odour about them. ( 6 ) Dirty people in whom the body has a filthy smell which no amount of washing can remove. ( 7 ) Those subject to diseases of the glands and skin; and who have had eruptions suppressed. The chief of the keynotes of Pso . is: Lack of vital reaction; prostration after acute disease, depressed, hopeless, night-sweats. Hopelessness, despair of perfect recovery is part of the jack of reaction; emaciation and foul body odour may accompany it. "Foulness" may be considered the second keynote of Pso . Eruptions have offensive discharges; the otorrhœa, is horribly offensive. The diarrhœa (especially of cholera infantum) is profuse, watery, dark brown, and even black, and is putrid-smelling like carrion. The Med. Visitor (xi. 378) collected a number of cases illustrating the action of Pso . (I italicise some of the characteristics): ( 1 ) W. A. Hawley reports a case of cholera infantum which seemed to defy every remedy. Stools very thin and watery, dirty greenish, smelt like carrion . Child very fretful, had no sleep for two days and nights. Pso . 42m (Fincke), one dose in water. In two hours the child went to sleep; in four days it was well without repetition of the dose. ( 2 ) Another case of Hawley's: Miss N., 20, had an eruption in bends of elbows and knees , dry, scaly, with little pointed vesicles round the reddened edges; disappeared entirely in summer and reappeared when cold weather set in ; violent itching , < by warmth of bed or by scratching. Pso . 42m, two doses at six weeks' interval, cured. No return the following winter. Pso . also cured ─ ( 3 ) Headache preceded by dimness of sight or spots before eyes (Haynel). ( 4 ) Headache and eruptions, < during changeable weather (W. P. Wesselhœft). ( 5 ) Always very hungry during headaches (W. P. W). ( 6 ) Miss C., convalescing from typhoid fever, reported: l. Stationary, no appetite." Pso . 400 produced immediate change and ravenous appetite (J. B. Bell). ( 7 ) Mr. P., 50, complained of nothing but weakness; no appetite; least exertion puts him into a perspiration. Pso . 40 cured rapidly (J. B. Bell). Mr. X., 21, was obliged one day to run till nearly exhausted. Though strong and well before he now became weak, perspiring easily , severe pains right side , < by coughing, laughing, and motion. Pso . 40 cured rapidly (J. B. Bell). [I have frequently verified the action of Pso . in liver affections with pains as in the last case.] ( 8 ) Extreme dulness; fears inflammation of brain; > by nose-bleed . Headache following darkness before eyes. Black spots before eyes. Pso . cured (Haynel). ( 9 ) Horribly offensive , nearly painless, almost involuntary, dark and watery stool; only in night and most towards morning (H. N. Martin). ( 10 ) Mr. C., 43, spare, dark. Hypochondriacal. "Nervous" nine months. Had to give up business. Took much Quinine and other drugs. Complains of very disagreeable feeling about the head and manifests mental depression; thinks he will never recover ; has lost all hope . Cannot apply his mind to business. Seems confused; cannot reckon. Numbness of legs and arms, < left side; < going to bed , formication and crawling with prickling and smarting on scalp, and same on extremities. Tongue coated white. After three months treatment was stationary. It was then ascertained that he sweated easily on least exertion, and somewhat at night , and had loss of memory. Pso . 400 soon caused improvement, and enabled the patient to return to business (J. B. Bell). G. A. Whippy ( Am. Hom ., xxiii. 391) cured the following case with Pso . 200, a dose every third night: Carpenter, 40, long-standing discharge of reddish cerumen from left ear, < at night. Sensation of valve opening and shutting in left ear, < afternoon. Buzzing in ear, which stopped suddenly and was followed by violent itching. Dull, heavy pain in base of brain in afternoon, with sensation as though skin of abdomen was greatly relaxed and drawn down. Face sallow and greasy; several pustules on chin and neck which itch intensely and bleed when scratched. ─ Other leading indications of Pso . are: Sick babies will not sleep day or night, but worry, fret, cry; or good and play all day, restless, troublesome, screaming all night. Weakness from loss of fluids; after acute disease; with or without organic lesion. Whole body painful, easily sprained and injured. Great sensitiveness to cold air, change, storms; to sun; restless for days before a thunderstorm. A symptom not seldom met with in practice and useful to remember is: "Feels unusually well day before attack." Headache > by eating; from suppressed menses; > by nose-bleed. Dry, lustreless hair; plica polonica. Acne < during menses; from fats, sugar, coffee, meat. Quinsy, throat burns, feels scalded, cutting, tearing, intense pain on swallowing, profuse, offensive saliva; tough mucus in throat; must hawk continually; tendency to quinsy. Profuse sweat after acute diseases, with > of all suffering. Skin has dirty look as if never washed. Pso . has cured more cases of hay fever in my practice than any other single remedy. Many cases have a psoric basis, and when the basic taint is corrected the irritating agents have no effect. Nasal polypus I have also cured with Pso . when the general symptoms indicate the remedy. Peculiar Sensations are: As if frightened. As if he would lose his senses. As if stupid in left half of head. As if brain had not room enough in forehead. Eyes as if pressed outward. As from heavy blow on forehead. As if brain would protrude. Back of head as if sprained. Right side of occiput as if dislocated. As if piece of wood lying across back of head. As if head separated from body. As if sand in eyes. As if he heard with ears not his own. Cheek-bones as if ulcerated. Condyle of jaw as if lame. Tongue as if burnt. Teeth as if glued together. Plug in throat. Throat as if narrowing. As if intestines hanging down. Everything in chest as if raw, scratched; torn loose. Arms as if paralysed. Hip-joint as if ulcerated. Joints as if encased in armour; as if would not hold together. Hands and feet as if broken. The pains of Pso . may be erratic and alternate (headache and toothache). The symptoms are < by touch; pressure (of truss); rubbing; scratching; riding; bandage; blow; fall. Slight emotions = severe ailments. ( Pso . cannot bear to have the limbs touch each other at night; or weight of arms on chest.) > When eating; < immediately after (rush of blood to head). < After cold drinks (pain in chest). Drinking = cough. > Lying down (most ailments, especially of chest; but < cough, and = gurgling at heart). < Lying r. side (liver). < Riding in carriage or exercising in open air; (riding > short breath). > By rest and in room. Overlifting = thoughts to vanish. < Walking; moving. < Evening and before midnight night; morning on waking. Open air < ( > taste; cough; itching) nose sensitive inhaling. < Before thunderstorm (restless for days before). Winter = cough. Summer = diarrhœa; itching eruptions. < During full moon (enuresis). < Periodically.

Relations

Antidoted by: Coffee. Compatible: Carb. v., Chi., Sul. (if Sul. is indicated but fails to act give Pso.). Followed well by: Alm., Borax, Hep. Complementary: Sul., Bac. (Bac. is the acute of Pso.), after Lact. ac. (vomiting of pregnancy); after Arn. (blow on ovary); Sul. after Pso. in mammary cancer. Inimical: Lach. Compare: Sick babies fret day and night (Jalap); good all day, screams all night (Lyc. opp.). Effect of thunderstorm, Pho. Headache preceded by dim vision, Lac d., K. bi. Headache with hunger; > while eating, Anac., K. ph.; > nose-bleed, Melilot. Plica polonica, Lyc., Bar. c., Sars., Bac. Offensive, cheesy concretions from throat, K. mur. > By sweat, Calad., Nat. m. > Lying down and keeping arms stretched far apart (Ars. opp.). < Mornings on waking and evenings lying down, Pho., Bac. Eruptions easily suppurate, Hep. Drinking = cough ( > Caust.). Drinking < , Dig. Teeth stick together (Tub. teeth feel jammed together). Pediculosis, Ped., Bac., Nat. m. Earthy, greasy face, Nat. m., Bry. Erratic pains; < from fats, < evening, Puls. Tongue as if burnt, Sang. As if parts separated, Ars. (body at waist), Bap. (limbs). Convalescence, profuse sweat, K. ca. (K. ca. has not the hopelessness of Pso.). Despair of recovery, Chi., Lauro. (chest), Caps., Op., Val., Amb. Lack of reaction, Op. (patient not sensitive), Lauro. (over-excitable and nervous), Carb. v. (emaciated, weak pulse; Pso. psoric diathesis). Hay fever, Gels. (morning sneezing), K. iod. Hunger at night, Chi. s., Pho., Sul., Ign., Lyc. Axillary affections, jug. c., jug. r., Elaps. Crusta lactea, Melitagrinum. Explosion in ear, Alo.

Causation

Emotions. Over-lifting. Mental labour. Repelled eruptions. Stormy weather. Thunderstorm. Injuries. Blows. Sprains. Dislocations.

Mind

Good-humour in morning; works with pleasure; enjoys everything. ─ Excitable before sleep. ─ Excitable, vexed with everything. ─ Fear. ─ Anxiety: when riding in a carriage; with trembling of hands and restlessness. ─ Melancholy: religious; she could commit suicide, then is full of phantasms, peevishness, and lachrymation; alternating suddenly with liveliness. ─ Despair: fear of failing in business; wishes to die in spite of the best hopes. ─ Driven to despair by excessive itching. ─ Ill-humour: in morning; and constant thoughts of dying; could weep about everything. ─ Quarrelsome. ─ Every moral emotion = trembling. ─ Disinclination to work; to ride in a carriage, then desire to ride all the time, even in bad weather. ─ Sentimental. ─ Inability to rid himself of ideas which first appeared to him in a dream. ─ Thinking that he understood what he had read he tried to explain it, and found that he did not understand it. ─ Memory lost; so that she does not recognise the room after looking out of the window. ─ Thoughts vanish after over-lifting.

Head

Vertigo: mornings; everything turns around with him; with headache, confusion, roaring in ears. ─ Sticking in head, with weakness, had to lie down towards 7 p.m., and soon fell asleep, copious sweat at night, which > . ─ Thrusts in head. ─ Tearing in head (which he formerly had) this time with fever and general arthritic pains. ─ Headache: in evening; with eructations; with thirst, coldness, and dryness of mouth and lips; intermittent; spasmodically contracting; as if a hammer were beating in head, esp. unilateral (in a herpetic patient); as if everything would protrude through forehead towards evening. ─ Fulness during mental labour. ─ Congestion of brain, > nose-bleed. ─ Cloudy feeling in night on waking, as if he had been intoxicated in evening, with stupor and tumbling about. ─ Heaviness in morning. ─ Weakness of head. ─ Pulsation of blood during mental labour. ─ Sticking in l. side of forehead; in r. side extending into eye. ─ R. side of head and r. eye swollen and painful as if it would burst. ─ Drawing in forehead extending to nose. ─ Pinching in upper forehead beginning morning in bed, < morning and evening, with heaviness, sometimes whole sinciput aches and then temples feel pressed in, afterwards it alternates suddenly with pain in molars, < walking in fresh air. ─ Pain in centre of forehead; with weakness of it. ─ Pain in sinciput, < temples, < steady mental exertion, > motion, esp. in open air, < morning and evening, with heaviness in sinciput, often it suddenly passes off and attacks l. molars. ─ Pain as if brain had not space enough in morning on rising, > washing and breakfast; contracting pain. ─ Drawing in sinuses as in coryza. ─ Stupefied feeling in l. forehead in morning. ─ Shooting from l. temple into head. ─ Boring in l. temple. ─ Pain in temples: after mental exertion; hammering; crampy, in skin of r. at 7.30 p.m. ─ Fulness in vertex as if brain would burst, with formication in head followed by heavy sleep. ─ Intermittent pain in a spot in vertex. ─ Strained pain in r. side of occiput at noon. ─ Pain in occiput as if a piece of wood lay across from r. to l. ─ Feeling as of a cord around skin, < about occiput, which feels as if pressed outward. ─ Always hungry during headache. ─ Congestion of blood to head immediately after dinner. ─ Headache < by change of weather; if it changes in night the headache wakens him. ─ Hair: dry, lustreless; tangles easily; glues together. ─ Spot of white skin with white lock of hair becomes natural colour under Pso . ─ Sensation as if head separated from body. ─ Averse to having head uncovered; wears a fur cap in hot weather. ─ Viscid sweat about head. ─ Humid eruptions. ─ Tinea capitis et faciei. ─ Crusta serpiginosa. ─ Rawness and soreness behind ears. ─ Humid, scabby eruption, full of lice.

Eyes

Eyes: gummy; surrounded by blue rings; glassy, with pain in them; agglutination in morning. ─ Swelling of lids and of face. ─ Inflammation of r. eye. ─ Pain in r. eye as if it would burst. ─ R. eye feels melting away. ─ Ophthalmia, with pain as from sand in eyes, and lachrymation at night. ─ Sticking: in l. eye; pain in r. eye, < touch. ─ Pain in eyes with burning, in evening when looking sharply it something, and by candle-light. ─ Pain as from sand, or foreign body (in r. evening when closed). ─ Biting in eyes. ─ Tired in evening as from much reading by candle-light. ─ Lachrymation: towards evening; on looking long at one object. ─ Pimples: like hordeola on upper lid; red, like fresh hordeola on margin of upper lids, and sensation as if something were moving before the eyes, as if one were playing with his fingers before them. ─ Itching: of r. lid; l. lower lid, from one side to other; of canthi; inner canthi, with heat. ─ Vision of sparks. ─ All objects in room appear to tremble. ─ Dazzling in evening when walking in street. ─ Vision blurred suddenly.

Ears

Discharge of fetid pus (l.). ─ Otorrhœa, with headache. ─ Discharge of reddish cerumen from l. ear. ─ Sticking: towards noon; in l. lobe in evening; in l. after the buzzing; in meatus internus, transiently > boring in with finger, frequently returning, < evening during rest. ─ Intermittent tearing through external meatus, as from temporal muscle to styloid process. ─ Pain: in r. ear, in morning; ulcerative, in l., and at the same time on r. ear a pimple appearing like healthy skin, but split into four parts by a cross like a wart, in the centre a deep indentation. ─ L. concha inwardly inflamed, with suppurating pimples. ─ Sensation as if something burst suddenly when eating or swallowing saliva. ─ Sensation in l. ear as if breath came from it instead of from respiratory organs. ─ Feeling as if stuffed with cotton, forenoons. ─ Biting in l. ear. ─ Itching in r. ear. ─ Coldness in r. ear, then sticking. ─ Ringing: in l. ear, evening; in r. or l., with buzzing in head so that she hears hardly anything, and behind ears in region of sterno-cleido-mastoideus, a sore pain, sometimes heat extending to vertex, < towards, evening, when she feels as if pulled by the hair. ─ Roaring so that he feels stupefied. ─ Buzzing in ears. ─ Feeling in r. ear as if he heard with the ears of another person, evening.

Nose

Inflammation of septum, with white pustules. ─ Sticking in l. nostril when boring in with finger. ─ Boring in r. nostril, then sneezing. ─ Drawing extending up to frontal sinuses, with pain in eyes as if coryza would set in, then discharge of fluid from nose. ─ Dry coryza; nostrils nearly dry, and sensitive when breathing through them. ─ Scratching crawling towards root of nose as if coryza would set in. ─ Stoppage of nose. ─ Sneezing; without coryza. ─ Coryza: with cough and expectoration of yellowish green mucus; dry; dry with obstruction of nose; fluent; fluent, from l. nostril. ─ Tough mucus, he can hardly do a minute without his handkerchief, without coryza, with feeling of a plug high up in nose, which nauseates him, > stooping. ─ Clear, watery fluid pours out, < l. nostril, < stooping. ─ Nose red.

Face

Face pale; sickly looking; yellow. ─ Congestion to head, cheeks ─ and nose red and hot. ─ Pain in zygoma on touch as if bone were suppurating, in evening. ─ Sticking in lower jaw. ─ Pain as if lame in condyle of jaw. ─ Crusta lactea. ─ Coppery eruption on face. ─ Roughness of skin of face; eruption on forehead between eyes; offensive stools. ─ Swelling of upper lip. ─ Dryness of lips; and brown and black colour. ─ Burning of lips; painful and seem swollen. ─ Pimple on upper lip. ─ Vesicles around corner of mouth, and outwardly above them larger sore spots, exuding a fluid which seemed to originate from scratching the vesicles, and cause continual scratching. ─ Corners of mouth sore, often ulcerated; sycotic condylomata. ─ Yellow vesicles on red edge of lower lip sore on touch. ─ Clear vesicles on inner surface of lower lip. ─ Painful itching on r. half of upper lip as if swollen.

Teeth

Looseness of teeth, < incisors, so that he fears they will fall out, the pain < by touch, > open air, with much mucus of an offensive odour in mouth. ─ Blood suddenly escapes from a hollow molar. ─ Sticking from one side to the other, extending to head, then burning pain in r. cheek, which is swollen. ─ Stitching in teeth on touching them in order to remove something lodged between them. ─ Sticking in a carious r. upper tooth as if it would be pulled, at dinner, then grumbling and hammering pain in all r. teeth, only in daytime, > fresh air. ─ Tearing; jerking in l. molars, sometimes only slight pain alternating with headache. ─ Teeth seem on edge in afternoon when smoking.

Mouth

Ulceration of r. gum after toothache. ─ Inflammation of gum of a posterior r. hollow lower molar, vith swelling and crawling pain, < touch. ─ Tongue: coated; white; yellowish white. ─ Ulceration of tongue and gums, with sore throat. ─ Tongue: dry; at tip, as if burnt, painful; burnt feeling from tip to middle, so that he has hardly any taste. ─ Thick, tough mucus from choanæ; of nauseous taste; teeth stick together. ─ Adhesion of tough mucus to posterior wall of soft palate, tasting like old cheese, coming from choanæ. ─ Scratching in back part of mouth, and when leaning backward asthmatic feeling. ─ Swollen sensation in palate. ─ Dryness of mouth. ─ Taste: bitter mornings before eating, > eating; when not eating; > eating and drinking; bad, finally coppery; like cat's urine to bread and butter in morning; oily to the dinner; flat, insipid; foul, she drinks to get rid of it; filthy. ─ Increase of the nauseous taste after eating and smoking tobacco. ─ Sticky taste.

Throat

Submaxillary glands swollen and painful to touch, also a painful pustule below l. lower jaw. ─ Angina, on r. side an ulcer, with sore pain deep in throat and burning in palate. ─ Painful pimple on fauces. ─ Stitches: in l. tonsil; in l. sinews on turning head. ─ Pain in l. tonsil, with swollen feeling. ─ Quinsy, intense pain to ears on swallowing, profuse, offensive saliva; tough mucus in throat, must hawk continually; tendency to quinsy. ─ Hawks up cheesy balls, size of pea, of disgusting taste and carrion-like odour. ─ Pain on swallowing saliva. ─ Intermittent pain and difficult swallowing. ─ Soreness with difficulty in swallowing; can take without difficulty only cold food. ─ Scraping in throat as if she would become hoarse (in a herpetic patient); with suffocation, causing dry cough. ─ Burning in throat; extending farther downward. ─ Dryness of throat: in morning, with scraping; of fauces, with moisture in mouth. ─ Swollen feeling in fauces. ─ Sensation of plug in throat, impeding hawking. ─ Tickling in throat: mornings; causing cough; then empty eructations.

Appetite

Hunger great; in afternoon, with thirst for beer; in evening after a walk: in evening; for breakfast. ─ Hunger without appetite. ─ Appetite diminished. ─ Easily satiated though he has a good appetite. ─ Loss of appetite, but constant thirst. ─ Disgust for pork. ─ Desire to smoke in evening, but when not smoking the desire for it ceased. ─ Desire for acids. ─ Aversion to smoking after breakfast, but when he begins smoking is relished. ─ Thirst: during dinner; after the chill, then heat in mouth; with dryness and burning in mouth; for beer. ─ Eating (dinner) = congestion to head. ─ Drinking = cough.

Stomach

Eructations: tasting like rotten eggs; sour; rancid in evening. ─ Pyrosis; after drinking water; when lying down, colic > eating. ─ Hiccough: after eating; when smoking a pipe after eating. ─ Waterbrash on lying down, > getting up. ─ Nausea: during the day, a kind of vomiting of sweet mucus every day at 10 a.m. and in evening; in morning; in pit of stomach in morning; after all food; after supper, > eating something roasted. ─ Vomiting: sour; of sour mucus, so that teeth are on edge, in morning before eating; of food, then of a sour, slimy fluid. ─ Bloating. ─ Sticking in pit of stomach. ─ Cramp in epigastric region; cutting. ─ Oppression. ─ Contracting pain in epigastric region. ─ Weakness and pressure.

Abdomen

Deep-seated, stitching, pressing pains in region of liver, < external pressure and lying on r. side; pain hinders sneezing, laughing, yawning, coughing, deep inspiration and walking. ─ Sticking: in sides of abdomen; r. side; region of spleen; under last l. rib; in hepatic region; region of spleen, > standing still, renewed by walking, later felt even during rest. ─ Swollen sensation horizontally across below short ribs when sitting. ─ Abdomen bloated: after eating; after eating frozen things. ─ Constant feeling of emptiness and looseness of abdomen; sensation as if intestines were hanging down. ─ Rumbling in morning; gurgling and roaring. ─ Foul-smelling flatus. ─ Cutting in abdomen; in evening, > passage of offensive flatus; as from a purge. ─ Cramps in abdomen in morning in bed. ─ Griping: when driving; in women, < pubic region. ─ Pinching in abdomen in morning, so that he has to run for the closet, > stool. ─ Pain in abdomen towards evening, > eating; after eating, > emission of flatus, with nausea and in lumbar vertebræ, with flatulent troubles, pain in spermatic cords and testicles as if filled with blood, a soft, difficult stool. ─ Pain as from canine hunger, < epigastric region, an hour after supper, with accumulation of flatus. ─ Frequent sticking to l. of umbilicus during rest. ─ Cutting in umbilical region. ─ Gurgling in small intestines. ─ Twitching in r. groin after driving. ─ Sticking in inguinal glands. ─ Pain in r. inguinal ring. ─ Bearing down towards pubes, with tenesmus and painful burning micturition.

Stool and Anus

Stool: fluid, dark brown, foul-smelling; thin, watery, dirty greenish, like carrion; horribly offensive, nearly painless, almost involuntary, dark and watery; only in night, < towards morning. ─ Diarrhœa preceded by colic; green, bilious, mixed with mucus; four times a day, without pain. ─ Involuntary stools during sleep. ─ Lienteria. ─ Soft, difficult stool; and copious. ─ Obstinate constipation, with severe pains. ─ Stools: either costive or mushy: of normal consistency, in small balls, almost involuntary, at night, with violent emission of flatus; two in forenoon; four or five a day, preceded by colic; sometimes shooting away as from a syringe, at another time it is mushy, sometimes of normal consistency. ─ Stool wanting. ─ Spasmodic pain in rectum. ─ Burning high up in rectum. ─ Sensitive hæmorrhoidal pain in rectum. ─ Chafed sensation in rectum and anus during a drive. ─ Ineffectual urging. ─ Burning hæmorrhoids in anus. ─ Itching in anus.

Urinary Organs

Discharge of prostatic fluid before micturition. ─ Tenesmus urinæ and discharge of a few drops when he thinks he has done. ─ Frequent micturition at night. ─ Sticking inwardly from orifice of urethra. ─ Burning during micturition with cutting. ─ Urine has a red sediment and a pellicle of fat.

Male Sexual Organs

Relaxation of genitals; with indifference to sexual affairs. ─ Aversion to coitus. ─ Impotency. ─ No discharge of semen during coition. ─ Glans inflamed, with an ulcer on it, testes swollen and heavy. ─ Burning pain at tip of penis on beginning to urinate. ─ Chronic painless discharge from urethra, staining linen yellow. ─ Chronic gleet. ─ Frequent tightness of penis, with drawing. ─ Absence of erections; even with lascivious thoughts, afterwards morning erections and pollutions, with satyriasis. ─ Drawing in testicles, but more steady in small of back. ─ Painful suppurating vesicle on scrotum. ─ Hydrocele: from repeated inflammation caused by pressure of truss (Puls. cured the inflammation).

Female Sexual Organs

Menses too late; and scanty. ─ Amenorrhœa; in psoric subjects; with phthisis. ─ Dysmenorrhœa; near climaxis. ─ Leucorrhœa; large lumps; unbearable in odour; violent pains in sacrum and r. loin; great debility. ─ Intolerable itching from anus to vagina, with knotty stools, < at night. ─ Ulcers on labia. ─ L. ovary indurated from a blow. ─ Sensitive knotty lump above r. groin. ─ Cutting in l. groin. ─ During pregnancy: congestion; fœtus moves too violently; tympanites; nausea, vomiting; obstinate cases. ─ Breasts swollen; nipples red; burning and itching pimples about nipples. ─ Mammary cancer.

Respiratory Organs

Hoarseness; when talking phlegm sticks in larynx. ─ Talking is very fatiguing. ─ Suffocating, crawling sensation in larynx, producing a paroxysmal, dry, hacking cough. ─ Tickling in trachea, with cough. ─ Inclination to cough, with sensation of coldness. ─ Cough in evening, > keeping quiet, with pain in chest and throat, talking = cough. ─ Cough with weakness of chest; so that he could not remain in bed at night, with weakness and vertigo. ─ Dry cough: all day, with nausea and retching and tickling in throat from tickling in trachea, as if narrowing; with soreness under sternum with heaviness on chest. ─ Cough, < morning on waking, and in evening on lying down, with expectoration of green mucus, nearly like matter, with nausea, chest is affected and expectoration is difficult; with copious expectoration; sometimes of mucus streaked with blood; with salivation and vomiting of acid mucus. ─ Suffocation in larynx when sitting bent backward, with crawling, causing paroxysmal, dry, hacking cough, and at same time contraction and heaviness in chest and pain in upper part of sternum. ─ Dyspnœa in evening. ─ Short breath; in fresh air, > riding and lying down. ─ Want of breath on walking in fresh air; < sitting, > lying, with pain in chest. ─ Whistling respiration on waking, with constriction, again in evening whistling in chest. ─ Breathes easily when doing some light work, as trimming trees.

Chest

Twitching through l. chest, anterior side. ─ Sticking: in l. chest; l. mamma; under l. false ribs; in r. side on coughing or breathing; even when not breathing; in sternum on deep breathing, and on touch a pressing and bruised pain. ─ Feeling as if everything in it were torn when lifting. ─ Pain as if a lung had been torn loose and something were pressing it down. ─ Cutting as with knives; in evening, with burnt feeling in throat, eructations, then emission of flatus. ─ Boring in r. chest, with oppressed breathing. ─ Pain under sternum when coughing as if something would be torn away, extending to throat. ─ Pain on spots; ulcerative pain under sternum; pain as from a load, < bending head forward, with want of breath. ─ Oppression; pressure; contracted feeling in chest. ─ Dull feeling in chest, with pain in back. ─ When in bed has to remove the arms as far as possible from chest, otherwise they increase the pain. ─ Hot sensation in chest. ─ Suppuration of lungs. ─ Chronic blennorrhœa of lungs. ─ Hydrothorax.

Heart

Stitches in cardiac region, low gurgling extending to heart, for a moment breathing is impossible. ─ Pain in heart > lying down; thinks the stitches will kill him if they continue. ─ Gurgling in heart region esp. noticeable when lying down. ─ Pericarditis. ─ Palpitation; with anxious oppression. ─ Pulse: weak; irritable, indicating a return of abscesses on neck.

Neck and Back

Glands of neck swollen, and on touch bruised pain extending to head. ─ Sticking in neck, with pustules. ─ Herpetic eruption on side of neck extending from cheek. ─ Nape excoriated by discharge from eczema capitis. ─ Tearing in nape. ─ Boring in nape, with stiffness. ─ Pain in nape in afternoon, only in the house, when supporting head with hands it feels as if it had no body, as if he could pass through it with the hands. ─ Pain in muscles of r. neck, in their upper sinewy part, as from sudden tension, on turning head to r. backward or sideways, > pressure. ─ Tensive pain in nape after waking, as if he had lain in an uncomfortable position. ─ Drawing pain extending to shoulder, after waking. ─ Sticking in back; extending towards chest on coughing. ─ Boring in vertebræ in morning, with colic, as from rheumatism. ─ Aching in back; bruised feeling in evening, cannot straighten it. ─ Scapulæ: sticking between in morning; tearing; rheumatic sticking tearing in and between, down sides. ─ Boring in dorsal vertebræ; pain between second and third in afternoon. ─ Sticking: in loins extending to knee in morning; in os pubis during bodily exertion. ─ Cutting in loins so that she could not walk alone. ─ Pain in loins; and itching; like molimina hæmorrhoidalia, < motion, so that he could not walk straight comfortably; as if third vertebra from below were wanting or broken. ─ Drawing in loins, and sometimes in testicles. ─ Tightness in ischii when walking, extending to knees. ─ Weakness of loins. ─ Backache: with constipation; after suppressed eruption. ─ Spina bifida.

Limbs

Trembling of hands and feet. ─ Stretching. ─ Tearing: in l. knee and shoulder; intermittent, in joints, in humerus, knee, and toes, > motion. ─ Wandering pains, < tibiæ and soles, also in finger-joints, at times in r. patella, > motion. ─ Weakness of joints as if they would not hold together.

Upper Limbs

Tearing in l. shoulder in afternoon and evening when resting. ─ Tearing in arm; intermittent sticking in l. arm. ─ Arm and shoulder swell up from an old eczema. ─ Patch on left wrist, and immediate relief follows dose of Pso . (R. T. C.). ─ Spasmodic pain in bones of l. arm in evening at rest. ─ Sensation in l. arm, in morning in bed, as if asleep with crawling in fingers; with numbness of three first fingers and half of hand. ─ Tearing in elbow; r. in evening. ─ Sticking in l. index. ─ Tetter on arm, with small, millet-like eruption, exuding a yellow fluid; itches intensely in heat. ─ Eruption in bends of elbows and around wrists. ─ Itch-like eruptions on wrists, with rheumatism in limbs. ─ Trembling of hands. ─ Swelling and tension of backs of hands and of fingers. ─ Pustules on hands, near finger-ends, suppurating. ─ Copper-coloured eruption or red blisters on backs of hands. ─ Itching between fingers; vesicles. ─ Herpes on palms. ─ Sweat on palms, esp. at night. ─ Warts, size of pin's head, on l. hand and fingers. ─ Nails brittle.

Lower Limbs

Pain in hip-joints as if dislocated, < when walking, with weak arms. ─ Sciatica: tension down to knee while walking. ─ Paralysis of legs from suppression of eruption on arms. ─ Legs, < tibiæ and soles, pain as from too much walking, mornings in bed, > rising, with restlessness of legs. ─ Leg on which he lies in bed too weak to endure the pressure of the other, he has to change his position continually. ─ Sensation in r. leg as if it would go to sleep. ─ Tibiæ and soles feel bruised, as after a tiring walk, mornings in bed. ─ Sticking in r. ankle in morning on every step with strained sensation. ─ Feet, trembling; inclination to turn l. inward when walking, with sensation as if he really had turned it the wrong way. ─ Pain in feet < during rest, with itching. ─ Gouty pain in l. foot. ─ Cramp or spasm in toes, < l. great toe, when stretching them or taking off boots.

Generalities

Looks pale, exhausted, thin, his clothing is too large for him. ─ Hot trembling over whole body in morning during rush of business. ─ R. side of body full of burning pains. ─ Soreness. ─ Gouty pains in l. toe, both knees, and back. ─ Stormy weather affects him, = restlessness in his blood a few days beforehand; makes him sick and = hæmorrhoidal troubles. ─ Weakness: towards evening, > going to bed; after riding in a waggon; from a little labour. ─ Sensation when in the sun as if it pushed her down, she had to rest in the shade in order to walk on. ─ Heaviness of whole body as before intermittent fever. ─ > Morning; in fresh air; when lying.

Skin

Rash: above l. brow and on l. cheek; red, on external throat, beginning with sticking. ─ Nodules on face, neck, and legs. ─ Pimples: on forehead; on neck and mammæ; with black points in centre, painful when scratched; on external throat. ─ Burning like heat-rash below eyes; causing itching, smarting pain, burning after scratching, and feeling sore (in a herpetic patient); and ulcers, from which watery fluid oozed for hours after being opened, < hands, wrists, and palms. ─ It < herpes and causes smarting and itching. ─ A scab on nose which commonly fell off when coughing is now adherent and hard. ─ Pustules on nape, with sticking. ─ Boils on chest and loins; on buttocks, with burning itching, soon disappearing, leaving crusts. ─ Itch-like eruption on face, hand, back, and leg, and agglutination of eyes. ─ Vesicles: on face; quickly filling with yellow lymph, sore to touch on forehead, face, and behind r. ear; filled with lymph, painful to touch on various parts, some forming itching papules. ─ An old rhagade near r. styloid process suppurated, itched, and was surrounded by blisters filled with clear water, these soon changed to pustules, which healed under a crust. ─ Crawling on all limbs, with falling asleep of them. ─ Itching: on forehead; tip of nose; l. arm; biceps of l. arm; r. elbow; soles in evening after a glass of Muscat wine, with tickling and heat; of face, neck, and hands on touch; over whole body after rubbing papules and vesicles; between fingers, and vesicles filled with lymph; on r. carpus, with red spots; voluptuous, where a flea had bitten, with white, hard blisters on a red base. ─ < Of the itching, which he had had for years on knees, < l., and the herpetic eruption begins to become pustular.

Sleep

Yawning: at noon; and shivering pale blue rings, with tearing and spasmodic pains in umbilical region in evening; in evening, with early sleepiness. ─ Sleepy all the time; in daytime; early. ─ Sleeps when she sits down. ─ Sleep unusually sound. ─ Cannot fall asleep in evening. ─ Cannot sleep on the habitual r. side, but sleeps on l. ─ Gnashing of teeth at night, so that he wakes. ─ Restless sleep; and unrefreshing. ─ Sleep restless but refreshing. ─ Restless sleep on account of disquiet dreams. ─ Dreams: anxious in morning, of robbers, travels, and dangers; uneasy, earnest; that he is on the closet, and thus nearly soils his bed of his business and of his plans.

Fever

Coldness < evening, with hot flashes, debility, and sleepiness. ─ Coldness with heat, thirst, and sweat. ─ Internal coldness towards noon, with shivering and horripilation. ─ Creeping coldness in afternoon, with internal shivering. ─ Horripilations. ─ Feet cold all night. ─ Heat: in afternoon; in evening when riding in a carriage, with sweat; of whole body suddenly, at meals and in evening, with trickling sweat all over face, frequent thirst, dryness, and burning in mouth. ─ Heat in evening, as if she would lose her senses, at night delirium, thirst, and sweat, then she feels well. ─ Burning: in head; in forehead; in nose, transiently > by discharge of mucus. ─ Burning in nose, then fluent coryza. ─ Burning in face, then vesicles. ─ Burning in r. ear with itching. ─ Sweat: on waking; in morning when out of doors: with consequent debility, and taking cold easily; sweat on palms; on face; on palms at night; perinæum on moving about. ─ Want of sweat, dry skin.

The Guiding Symptoms of Our Materia Medica

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

Mind

Thoughts vanish after overlifting.
Memory weak, cannot remember ; does not even know his room.
Thoughts which he cannot get rid of constantly reappear in his dreams.
Dull all forenoon, disinclined to work.
Dull, stupid, foggy, as after a debauch, on awaking in night ; dizziness, he falls down.
As if stupid in left half of head, morning.
Mental labor causes : fulness in head ; intense headache ; throbbing in brain ; pain in left temple.
Very disagreeable mood ; impatient ; extremely ill-humored.
Irritable, peevish, passionate, noisy ; nervous, easily startled ; restless, hands tremble.
Intolerably self-willed, annoys those about him ; a boy, suffering from an eruption.
She is very irritable, easily angered ; always thinks of dying.
Vacillating, fearful ; mania.
Anxiety, with oppression of chest.
Anxious, full of fear, melancholic ; evil forebodings.
Great fear death ; anxiety about heart and dyspnœa, with attacks of pain in chest.
Believes the stitches in heart will kill him if they do not cease.
Restlessness : with eruption, in a child ; with oppression of chest.
Sentimental ; full of spleen, very low-spirited.
Discouragement.
His ideas are sad and joyless.
Very depressed, sad, suicidal thoughts.
Depressed in spirits and hopeless.
Melancholy, sorrowful, despairing.
Despairing mood ; fears he will fail in business.
Much depressed on account of an eruption on dorsum of hand which appeared over night.
Greatest despondency, making his own life and those about him intolerable ; dry cough ; evening fever.
Is so downhearted she could commit suicide, then is full of phantasms.
Great depression of mind during climaxis, with chronic abdominal disorders.
Hypochondriasis, with hemorrhage from rectum.
Religious melancholy.
Despairs of recovery ; thinks he will die ; hopeless ; especially after typhus, > from nosebleed.
Melancholy after suppressed itch ; emaciated, pale, earthy complexion, weakness of limbs ; flushes of heat and palpitation prevent sleep ; sleep comes towards morning ; would like to stay in bed until midday ; aversion to work, indifference, weeping ;
seeks solitude, despairs of recovery ; she is irritable and forgetful.
Feels the greatest anguish in head, with a whirling before eyes every day, from 5 A. M. until 5 P. M., since two years ; walks up and down his room wringing his hands and moaning continually, "Oh, such anguish! oh, such anguish!" only when he takes his meals he ceases
moaning ; appetite is good.
Has been nervous about nine months ; was obliged to abandon all business ; has taken much quinine and other drugs ; a very disagreeable feeling about head ; mental depression ; thinks he will not recover ; has lost all hope ; cannot apply his mind to
business ; confusion of senses, he cannot reckon ; attacks of numbness of leg and arms, left side < ; < on going to bed ; formication and crawling, with pricking and smarting on scalp, and some on extremities ; tongue white.
Driven to despair with excessive itching.
Every moral emotion causes trembling.
Severe ailments from even slight emotions.

Sensorium

Vertigo : mornings ; objects seem to go round with him ; with headache ; eyes feel pressed outward ; with confusion and drawing in forehead, with roaring in ears.
Great dulness of head ; he fears inflammation of brain ; nosebleed relieves.
Fulness and heaviness in head.

Inner head

Frontal headache, with sensation of weakness in forehead.
Pain as if brain had not room enough in forehead, when rising in morning, a forcing outward ; > after washing and eating.
Pressing headache in small spots in forehead and temples, < left side ; feels intoxicated, stupid.
Morning headache, with pressing in forehead ; stupefaction, staggering ; eyes feel sore.
Sensation as from a heavy blow received on forehead awakens him ; 1 A. M.
Surging, drawing and digging in forehead with vertigo.
Pain begins over left eye and goes to right ; < from hour to hour, then diarrhœa and nausea, finally bloody vomiting ; dizziness, obliges her to lie down ; blur, and blue stars before eyes ; veins of temples much distended ; day before headache inordinate
appetite ; also during first hours of pain ; < and brought on by change of weather, so that even in middle of night she is awakened by pain and always knows there has been a change ; soreness of stomach, sensitive to touch and pressure of clothes ; catamenia regular. θ Chronic
cephalalgia.
Headache preceded by : flickering before eyes ; dimness of sight or spots ; spectres ; objects dancing before eyes, black spots or rings.
Headache from repelled eruption.
Pressing headache, especially unilateral.
Cramplike contractive headache.
Like hammers striking head from within outward ; all through head as from a hammer.
Fulness of head during mental labor.
Fulness in vertex as if brain would burst, with formication in head, followed by heavy sleep.
Pain in back of head as if sprained ; pressure in right side of occiput as if luxated.
Peculiar pain in occiput, as if a piece of wood were lying across back of head, from right to left.
Is always very hungry during headaches.
Congestion of blood to head immediately after dinner.
Great congestion of brain, relieved by nosebleed.
Congestion to head, heat ; awakened at night stupefied ; could not recollect ; after sitting still awhile had to rise to collect his senses.
Congestion to head, cheeks and nose red and hot ; eruption on face reddens ; great anxiety every afternoon after dinner. θ Fifth month of pregnancy.

Outer head

Hair : dry, lustreless ; tangles easily ; glues together ; must comb it continually.
A man æt. 28, dark complexion, dark brown hair, had a spot on left frontal region, commencing at edge of hair and extending upward three-fourths of an inch ; the skin covering spot was many shades whiter than the surrounding skin, and the lock of
hair growing on it had turned perfectly white ; after Psor. hair and spot became of natural color.
Sensation as if head were separated from body.
Averse to having head uncovered ; wears a fur cap in hot weather.
Viscid sweat about head.
Whole head burns.
Pustules, boils on head, mostly scalp, which looks dirty and emits an offensive odor.
Moist, suppurating, fetid, also dry eruptions on scalp.
Scurfy eruption of children ; large yellow vesicles around and between scabs.
Profusely suppurating fetid eruption on head ; rawness and soreness behind ears.
Large humid blotches on head, with scabby eruptions on face.
Pustules and boils on head, containing large quantities of pus ; severe itching, causing child to scratch violently so that blood flows ; formation of thick, dirty yellow scabs, which when removed show a raw surface from which a yellow lymph exudes, which makes the linen
stiff ; after removal new scabs form ; eruption spreads over nape of neck, scalp and most of forehead ; the eruption is of very offensive odor ; such large quantity of lymph is exuded that head seems to stick to pillow ; child very restless, scratches head violently,
and if prevented becomes irritable and screams ; large pustules on arms and body, which show no tendency to heal.
Eruption on head, particularly on occiput, completely hiding scalp from view ; profuse exudation, soiling pillow at night and causing excoriation of skin of nape of neck ; offensive smelling ; innumerable lice.
Humid, scabby itching ; offensive smelling eruption on head, full of lice ; glandular swellings.
Head so covered with eruptions that no part scalp was visible.
Eruption on head : with swelling of glands ; with urticaria.
Tinea capitis et faciei.
Crusta serpiginosa.

Sight and eyes

Aversion to light.
Great photophobia, walks with eyes bent upon ground ; scurfy eruption on face.
Photophobia : when walking in open air ; with inflammation of lids.
Fiery sparks before eyes.
Objects seem to tremble for a few moments and get dark.
Confusedness before eyes after anxiety.
Vision blurred ; black spots before eyes ; flickering ; dancing about of objects.
Darkness before eyes and ringing in ears.
Amaurosis, with scabby eruption on occiput and ears.
Serous choroiditis ; some ciliary congestion and great haziness of vitreous, so that optic nerve was only discerned with great difficulty and then was found decidedly hyperemic, as was the whole fundus ; headache, especially in morning ; constant profuse sweating of
palms of hands.
Lids spasmodically closed ; intense photophobia and profuse flow of hot tears ; much pustular eruption on face ; large brown scab on right eye, from beneath which pus pours forth abundantly when touched ; bowels costive ; appetite poor and only for dainties. θ Pustular
keratitis.
Recurrent pustular inflammation of cornea and conjunctiva ; chronic form ; scrofulous basis.
Pterygium.
Eyes feel tired in evening.
Lachrymation.
Stitches in eyes.
Soreness of eyes and burning, must close them frequently.
Heat and redness of eyes with pressing pains.
Burning, pressing pains in eyes.
Heat, redness and pressure in eyes ; tendency to catarrhal inflammation ; lids slightly agglutinated during morning.
Inflammation of eyes with burning.
Eyes water, inflamed ; hurt so she can scarcely open them ; pains over eyebrows, down nose, also back of head ; complained mostly of head.
Right eye inflamed, pressure as from foreign body when lids are closed.
Ophthalmia, with pressing pains, as if sand were in eyes.
Right eye red, internally and externally ; vesicles on cornea ; eruption on head.
Acute ciliary blepharitis ; internal surface of lid chiefly affected ; photophobia ; strumous diathesis, with unhealthy, offensive discharges.
Ciliary blepharitis right to left, < morning and during day ; chronic cases ; subject to exacerbations.
Scrofulous inflammation of eyes ; ulceration of cornea.
Rheumatic, chronic and blepharophthalmia.
Eyes become gummy.
Inflammation of lids, internal surface much congested ; great photophobia, cannot open eyes, lies on face.
Eyelids : swollen ; inflamed ; bloated ; child rubs eyes ; puffy ; greatly swollen, closely pressed together ; thickened ; tendency to styes ; itching, especially in canthi ; herpetic eruption ; scrofulous inflammation, covered with
thick crusts, whole body covered with bran-like tetter.

Hearing and ears

Singing, cracking, humming, buzzing and ringing in ears with hardness of hearing.
Sensation as if he heard with ears not his own.
Severe pain in ear, confined him to bed for four days ; ear swollen ; thought pain would drive him crazy.
Discharge of reddish earwax or fetid pus.
Otorrhœa : with headache ; thin, ichorous and horribly offensive, like rotten meat ; very offensive, purulent (watery, stinking diarrhœa) ; brown, offensive, from left ear, for almost four years ; chronic cases following scarlet
fever.
Ulceration of membrana tympani.
Itching in ears ; child can hardly be kept from picking or boring in meatus.
Meatus externus scabby.
External ears raw, red, oozing, scabby ; sore pain behind ears.
Soreness of whole external ear, with abundant yellow, offensive-smelling discharge ; severe itching < in evening and lasting till midnight, preventing sleep and nearly driving him crazy ; loss of appetite ; great despondency.
Herpes from temples over ears to cheeks ; at times throws off innumerable scales ; at others shows painful rhagades with yellow discharge, forming scurfs ; fetid humor ; itching intolerable.
Right ear a mass of crusts and pus, the crusts extended behind auricle to occiput upward upon parietal bone nearly to vertex, forward to right ear and over cheek ; upon edge of region involved small vesicles filled with clear fluid, which became
yellow, then crusted, and pus flowed from beneath crusts.
Humid soreness behind ear.
Scurfs on ears, and humid scurfs behind ear.
(In sick :) Scabby eczema behind right ear came out, curing child's old dry deafness.
Pustules : on and behind concha ; behind left ear.

Smell and nose

Loss of smell ; with coryza.
Smell of blood.
Soreness of nose ; nose sensitive when inhaling air.
Boring, stinging in right nostril, followed by excessive sneezing.
Burning followed by thin nasal discharge, which relieves.
Dry coryza with stoppage of nose.
Septum narium inflamed, with white, suppurating pustules.
Tough mucus in nose ; feels like a plug there ; it nauseates him ; > when stooping.
Catarrh, with cough and expectoration of yellow-green mucus.
Bloody, purulent discharge from nose.
Chronic catarrh ; dropping from posterior nares, so as to awaken him at night ; hawking quantities of lumpy mucus gave temporary relief from feeling of fulness ; mucus in nose would dry like white of egg, needed to be forcibly removed.
Pain in liver, < from sneezing.
Acne rosacea.

Upper face

Face : pale, yellow, sickly ; broad blue rings around eyes ; bluish appearance ; burning heat and redness ; swollen, with eruption.
Painful tension and pressure in right zygoma, towards ear.
Cheek bones pain as if ulcerated.
Pain as if lame in condyle of jaw.
Sweat of face with general heat.
Much roughness of skin of face ; eruption on forehead between eyes ; stools very offensive. θ Eczema. θ Scrofulous
ophthalmia.
Scabby face ; especially cheeks from ears ; lips and eyelids swollen, sore about eyes.
Crusta lactea on face and scalp, especially over either ear and cheek, exfoliating numerous scabs, or it cracks and discharges a yellow, fetid humor.
Moist scab behind ears with dry tetter on back of head, on both cheeks extending upward to eyes and downward to corners of mouth, reddish, very closely packed, millet-seed-like, itching, dry pimples, with frequent loose stools ; a child one and
half years old.
An offensive-smelling, crusty eruption extending over whole face for three months, had completely closed eyes.
Eruption on face of a child ; whole face covered with a crust, lips and eyelids swollen, aversion to light, large moistening spots on head and behind ears.
Humid eruptions on face ; whole face covered with humid scurfs or crusts, with swelling of lips and eyelids and humid soreness behind ears.
Pimples on forehead.
Red, small pimple on face, especially on nose, chin and middle of cheeks.
Closely packed, itching pimples on both cheeks from eyes to corners of mouth.
Ulcers in face.
Coppery eruption on face.
Tinea faciei.

Lower face

Lips : painful ; swollen, particularly upper ; dry ; burning ; brown and black, dry ; ulcerated ; swollen and covered with scurfs.
Corners of mouth sore, often ulcerated ; sycotic condylomata.
Soreness of jaw, right side, around ear ; could not open wide enough to admit fingers.
Submaxillary and lingual glands swollen, sore to touch ; at same time suppurating pustules on same place.

Teeth and gums

Stitching in teeth from one side to other, radiating to head, with burning in right cheek, which is swollen.
Sensation of soreness of teeth.
Stinging in teeth (while eating).
Looseness of teeth ; they feel so loose, fears they may fall out, < from touch, especially front teeth.
Toothache : < at night and from cold ; > from warmth.
Gums : ulcerated : bleeding.

Taste, speech, tongue

Loss of taste with coryza.
Taste : bitter, goes off when eating or drinking ; foul, much mucus in mouth ; > in fresh air ; bitter with yellow-coated tongue ; flat, sticky, dinner tastes oily.
Tongue : dry ; tip feels burnt as far as middle, he has hardly any taste ; tip very dry, as if burnt, painful ; white ; yellow ; thickly coated with whitish-yellow slime ; ulcerated.

Inner mouth

Adhesion of tough mucus to posterior surface of soft palate, necessitating hawking.
Tough mucus in mouth of a foul, nauseous taste, teeth stick together as if glued.
Dryness of mouth ; burning.
Tickling, burning ; mouth inflamed, sore, < from warm food ; not annoyed by cold food.
Blisters inside lower lips : burning painful.
Ulcers in mouth.

Palate and throat

Accumulation of mucus in throat and mouth.
Tough mucus in throat, hawking. θ Typhoid.
Sensation of a plug or lump in throat impeding hawking.
Dryness in throat with thirstlessness.
Dryness ; scraping sensation in throat.
Throat burns, feels scalded.
Tension and swollen feeling in throat.
Difficult swallowing, throat feels swollen.
Pain when swallowing saliva.
Cutting tearing pain in throat on swallowing.
Steam arising from fat causes immediate constriction of throat and chest.
Severe angina ; on right side an ulcer, with a sore pain deep inside and burning in fauces.
Tonsillitis ; submaxillary glands swollen ; fetid otorrhœa.
Ulcerated sore throat.
Ulcers on right side, with deep-seated pains and burning in fauces.

Appetite, thirst. desires, aversions

Good appetite, with daily attacks of anxiety, easily satisfied ; great hunger, even after a hearty meal ; canine hunger preceding attacks (diarrhœa).
Diminished appetite : after typhus ; but great thirst ; during convalescence.
Thirst : during dinner ; with dryness of throat ; especially for beer, mouth feels so dry.
Desire for acids.
Loathing of pork.

Eating and drinking

While eating, ceases complaining.
Immediately after dinner, congestion of blood to head.
Pain in chest extending to shoulder, < after cold drinks.
Drinking causes cough.

Hiccough, belching, nausea and vomiting

Eructations : sour, rancid ; tasting and smelling like rotten eggs ; room is filled with an offensive odor.
Waterbrash when lying down, > on getting up ;
Nausea : with poor appetite ; in morning ; with backache, after suppressed itch ; morning with pain in small of back ; all day, with vomiting.
Vomituritio, followed by vomiting, first of blood, then of sour, slimy fluid.
Constant nausea during day, with inclination to vomit ; a kind of vomiting of sweet mucus every morning at ten and in evening.
Vomiting of sour mucus in morning before eating.

Scrobiculum and stomach

Stitching pain in pit of stomach.
Weakness of stomach.
Frequent oppression of stomach, especially after eating.
Cramps in stomach.
Dyspepsia ; eructations, flatus and stools like spoiled eggs.
Gastric bilious affections.

Hypochondria

Deep-seated stitching, pressing pain in region of liver, < from external pressure and lying on right side ; pain hinders sneezing, laughing, yawning, coughing, deep inspiration and walking.
Stinging, sharp pain in region of liver and spleen.
Chronic hepatitis.
Stitches in spleen, > when standing ; < when moving, and continuing when again at rest.
Chronic indurations of spleen.

Abdomen and loins

Bloated abdomen.
Flatulency with disorders of liver.
Constant feeling of emptiness and looseness in abdomen ; sensation as if intestines were hanging down.
Pains in abdomen after eating ; flatulency and tendency to diarrhœa ; > when flatus passes.
Pain in abdomen while riding.
Cutting pains in intestines.
Colic : removed by eating ; > passing fetid flatus.
Painful bearing down, with painful burning micturition.
Stinging, sharp pains in inguinal glands.
Pain through right groin when walking.
Lumps in right groin, preventing stooping.
Inguinal hernia ; hernial sac infiltrated.
Chronic abdominal affections.
Abdominal affections during climaxis, with a high degree of ill-humor.

Stools and rectum

Emission of hot, fetid, sulphurous flatus ; smelling like rotten eggs.
Griping and desire for stool while riding.
Diarrhœa, preceded by colic.
Frequent thin stool, with eruption on head.
Green bilious diarrhœa, mixed with mucus.
Stool : dark brown, very fluid and foul-smelling ; having the smell of rotten eggs ; mostly in children in their first or second summer ; green mucus, or bloody mucus ; smells like carrion, < at night ; frequent, liquid ;
involuntary ; nearly painless.
Semi-liquid, brownish, indelible, insufferably nasty ; passed during sleep, at 1 and 4 A. M., with undigested food. θ Infantile diarrhœa.
Horribly offensive, nearly painless, almost involuntary, dark and watery stool ; only at night and most towards morning.
Involuntary stool during sleep.
Boy, æt. 4 months, whitish bad-smelling diarrhœa ; constantly crying, with drawing up of knees as if in pain ; rattling cough, cries all night ; acts as if he had earache in left ear, from which was a slight discharge ; seldom urinates ; after second dose,
sixteen hours after first, broke out all over his head and face, with a small pimply eruption, a vesicles at the apex of each pimple, which exuded lymph which dried in a thick brown scab, which gradually fell off in a day or two, and in two weeks left the skin perfectly clean.
Diarrhœa : after severe acute disease ; at night ; early in morning ; when rising in morning ; in childbed ; when weather changes (general condition).
Before stool : griping pains about navel.
Cases which do not respond promptly to the indicated remedy, the children having dirty, yellow, greasy skin, with a partially developed eruption on forehead and chest, with constant fretting and worrying.
Lienteria.
Chronic diarrhœa ; offensive stools.
Cholera infantum ; stools dark brown, watery, of an intolerably offensive odor ; liquid, mucous or bloody and excessively fetid.
Cholera infantum in Summer ; nervous and restless at night, awake at night as if frightened, or cry out during sleep ; then, two or three nights afterwards, they begin with diarrhœa ; stools are profuse and watery, dark brown or even black in color, very offensive, almost
putrid in odor, < at night.
Cholera.
Soft stool : passed with difficulty ; from weakness.
Obstinate constipation : with coryza and obstruction of nose ; pain in small of back ; blood from rectum ; due to torpor of rectum ; lasting three or four days, due to inactivity of rectum ; stool on third or fourth day was accompanied by severe pains which
induced patient to withhold effort as much as possible.
Sensitive hemorrhoidal pain in rectum.
Unpleasant burning in rectum.
Soreness in rectum and anus while riding.
Hemorrhage from rectum ; in old women large quantities of blood discharged at once, with constipation and hypochondriasis.
Burning hemorrhoidal tumors.

Urinary organs

Involuntary urine, cannot hold it ; vesical paresis. θ Typhus.
Enuresis : wets bed at night ; again during full moon ; obstinate cases.
Scanty urination nearly every half hour, with burning in urethra and in condylomata.
Urine : dark brown, with reddish sediment ; frequent, scanty ; burning and cutting in urethra thick whitish ; turbid ; red deposit ; cuticle forms on surface ; profuse.

Male sexual organs

Excessive, uncontrollable sexual instinct.
Aversion to coition ; impotence ; want of emission during coitus.
Absence of erections ; parts flabby, torpid.
Prostatic fluid discharged before urinating.
Drawing pains in testicles and spermatic cords.
Inflamed ulcer on glans, with swelling and heaviness of testicles.
After suppressed gonorrhœa ; rheumatism, lameness ; conjunctivitis, with granulations ; intense photophobia ; pain darting around, through head ; other eye sensitive to light.
Chronic painless discharge from urethra, leaving yellow stain upon linen.
Gleet of twelve years duration.
Seven large, moist, itching, occasionally burning condylomata on prepuce ; every night nocturnal enuresis ; during day must urinate nearly every half hour ; urination scanty and accompanied by burning in urethra and condylomata ; lips ulcerated, particularly at
corners of mouth ; in several localities, but particularly in popliteal spaces, dry, herpetic eruption, not itching.
Sycotic excrescence on edges of prepuce, with itching and burning.
Boy, æt. 7, suffering since birth ; right-sided inguinal hernia, about three inches of intestines descending to testicle through widely opened inguinal canal ; upon applying a bandage severe inflammation of tunica vaginalis occurred, which yielded to Pulsat., but returned
every time bandage was applied ; child gradually grew miserable and thin and lost all appetite ; fever set in, and a large amount of water collected in tunica vaginalis ; as the case improved a painful, burning, itching excoriation with acrid discharge appeared upon inner
surface of prepuce and upon corona glandis.
Hydrocele.
Hydrocele, caused by repeated inflammation, in consequence of pressure from a truss.

Female sexual organs

Left ovary indurated after a violent knock ; followed by itching eruption on body and face.
Knotty lump above right groin ; even a bandage hurts.
Pinching in pubic region in women.
Cutting in loin ; cannot walk without assistance.
Metrorrhagia.
Menses delayed and scanty.
Amenorrhœa : in psoric subjects when tetter is covered by thick scurfs ; with phthisis.
Dysmenorrhœa near climaxis.
Menstrual disorders during climaxis.
Leucorrhœa, large lumps, unbearable in odor ; violent pains in sacrum and right loin ; great debility.
Ulcers of the labia.

Pregnancy. parturition. lactation

During pregnancy : congestions ; fetus moves too violently ; abdomen tympanitic ; nausea ; vomiting ; obstinate cases.
Mamma swollen, painful ; redness of nipples, burning around them.
Pimples itching violently, about nipples ; oozing a fluid. θ Second month of pregnancy.
Mammary cancer.

Voice and larynx. trachea and bronchia

Hoarseness ; when talking, phlegm sticks in larynx.
Talking is very fatiguing.
Voice weak, trembling.
Suffocating and crawling sensation in larynx, producing a paroxysmal, dry, hacking cough.
Tickling, throat as if narrowing, must cough to relieve it.
For eleven years hay fever, coming on about 20th of August.

Respiration

Short breath or want of breath.
Convalescents go out for a walk, instead of being invigorated return home in order to get breath or to lie down so they can breathe more easily, feel < instead of > from being in open air.
Chest expands with great difficulty ; cannot get breath.
Anxious dyspnœa, with palpitation and pain in cardiac region.
Dyspnœa : < when sitting up to write, > when lying down, congestion to head after dinner, great despondency ; < the nearer arms are brought to body.
Asthma, as if he would die ; precursor of hydrothorax.
Stitches from behind forward, in chest and back, when breathing.

Cough

Cough : from tickling in larynx ; dry, hard, caused by tickling in trachea ; in evening with pains in chest and throat, passing off when she is quiet ; produced by talking ; with sensation of weakness in chest ; dry, with
sensation of heaviness on chest ; dry, with soreness under sternum ; with stitches in chest ; dry, with constricting pain in chest ; < mornings when awaking and evenings on lying down ; coughs a long time before expectorating ; periodic attacks ;
chronic, spasmodic ; of twenty-five years duration.
Severe, dry cough with oppression of chest and pain as if everything in chest were raw and scratched ; fever in evening ; great depression of spirits, making life burdensome to him.
Cough, causing tearing from centre of chest to throat, all on right side ; cough < at night ; urine escapes when coughing.
(In sick :) An old, dull cough, palpitation and a fixed pain in chest disappear, the entire feeling is better, only the lower white of eye turns red and ulcers form on it, eye waters, without pain, with photophobia, > in fresh air.
Dry cough, pain in chest for last three months, a constricting pressure at fourth and fifth ribs near sternum, excessive irritability and ill-humor.
Cough with expectoration ; asthma, thinks he will die.
Cough with expectoration of green mucus, nearly like matter ; especially in morning when waking and in evening when lying down, with nausea ; it sticks firmly and he can only expectoration with difficulty.
Cough with salty-tasting, green and yellow expectoration ; oppression of chest ; gradual loss of strength ; after suppressed itch.
Expectoration : of blood with hot sensation in chest ; yellowish-green.
Chronic blennorrhœa of lungs, threatening phthisis.
Drinking causes cough.
Cough aggravates pain in liver and pain in chest expending to shoulder.

Inner chest and lungs

Oppression : in chest ; anxious, every morning ; with cough.
Pressure on chest.
Burning pressing pain in chest.
Pain in chest, great anxiety by spells.
Constriction of chest when inhaling steam from fat.
Excruciating pains in chest.
Cutting as of knives in chest.
Feels as if everything were torn in chest.
Whole chest feels sore.
At times bruised, suppurative pain through whole chest, extending towards right shoulder and becoming fixed there ; < after frequent coughing ; after cold drinks.
Pain in chest, as if raw, as from subcutaneous ulceration.
Ulcerative pain in chest under sternum.
Stitches in sternum, with backache ; from behind forward in chest and back when breathing ; in right side of chest when breathing ; in chest (l. side).
Sharp pain, right side, opposite tenth rib.
Fixed pain in right side of chest.
Pains in right side of chest < from motion, laughing, coughing, with sweat.
Chest pains from coughing.
Pains in chest grow more severe two or three times a day, begin with chilliness and trembling, followed by heat one hour in duration ; great anxiety of heart and mind with fear of death, dyspnœa and restlessness ; attacks pass off with sour, clammy sweat and chilliness ;
sweat however occurs every night independent of attack.
Hot sensation in chest.
Tedious recovery in pneumonia.
Dull pressure in right side of chest, extending thence over whole chest, < bending forward in writing, not by motion or deep inspiration ; dry cough with expectoration of small lumps of mucus ; speaking affects him very much ; great prostration after preaching, so that
he must rest a long time to recuperate ; voice is not husky, but it requires all his strength to get through with his work ; chest narrow, shoulders projecting. θ Phthisis.
Pain in chest comes by fits ; great anxiety ; a feeling of ulceration under sternum ; chest inflates only with much exertion ; coughs a long time before beginning to expectorate. θ Phthisis
pulmonalis.
Suppuration of lungs. θ Phthisis pulmonalis.
Chronic blennorrhœa of lungs.
Hydrothorax.
Chest symptoms > when lying down.

Heart, pulse and circulation

Stitches in cardiac region, low gurgling extending towards heart, for a moment breathing is impossible.
Pain in heart > when lying down, thinks the stitches will kill him is they continue.
Gurgling (gluckern) in region of heart, particularly noticeable when lying.
Palpitation : with anxiety ; mental disquietude, dislike for work ; from coughing ; in those suffering from hepatic disorders.
Dyspnœa : with palpitation ; with pain in cardiac region.
Sounds of heart indistinct ; bellows' murmur with first sound.
Stenosis of left osteum venosum ; purring in region of apex ; cyanotic lips ; dyspnœa and shortness of breath when walking in open air ; > lying down.
Rheumatic pericarditis ; pulse 144 ; skin dry ; pain in head and limbs, but more particularly in shoulder ; dyspnœa, with pain in region of heart ; effusion, indistinct heart sounds ; bellows' murmur with first sound ; inability to lie down.
Pericarditis of psoric origin ; > lying quietly.
Pulse : weak, feeble ; irritable, indicating return of abscesses on neck.

Neck and back

Painful stiffness of neck, soreness and tearing on bending backward.
Glands of neck swollen on both sides, painful to touch, as if bruised ; pain extends to head.
Herpetic eruption on side of neck extending from cheek.
Nape of neck excoriated by discharge from eczema capitis.
Tearing and stitches between scapulæ.
Weakness and pain in small of back ; < from motion.
Constant pressing pain in small of back, < from motion.
Excessive backache.
When breathing, frequent stitches from back towards chest.
Backache when walking, with stitches in sternum.
Severe backache, as if bruised, cannot straighten out.
Backache with constipation.
Backache after suppressed eruption.
Spina bifida.

Upper limbs

Attacks of lameness and soreness in right shoulder, extending to hand.
Arms as if paralyzed and lame from shoulders to hands.
Tearing in arms.
Tetter on arm with small millet-like eruption exuding a yellow fluid ; itches intensely in heat.
Eruption in bends of elbows and around wrists.
Itch-like eruption on wrists with tearing in limbs.
Dry tetter on wrists with rheumatism in limbs.
Trembling of hands.
Swelling and tension of backs of hands and of fingers.
Malignant boil ; on hand a cone-shaped scab the size of a quarter of a dollar on a base as large again, bluish-red and strongly demarcated, where scab extends over ring there is another moist, white ring which forms a new scab ; much tension and burning.
Pustules on hands, near finger-ends suppurating.
Copper-colored eruption or red blisters on backs of hands.
Itching between fingers ; vesicles.
Herpes in palms of hands ; itching tetter.
Sweaty palms, especially at night.
Small warts size of pin's head on left hand.
Nails brittle.
Itch : in axillæ ; bends of elbows ; arm ; forearm ; elbow and wrist ; hands ; finger joints.

Lower limbs

Pain in hip joints as if dislocated, < when walking, with weak arms.
Sciatic pains ; tension down to knee while walking.
Ischias : sciatica.
Paralysis of legs from suppression of eruption on arms.
Purpura on inner side of thigh.
Old itch eruption on inner side of thigh and in popliteal space.
Knees give way under him.
Dry herpes, especially in bend of knees.
Eruption about joints makes walking difficult, as if encased in armor.
Pain in knee caused by a fall a year ago.
Chronic gonitis.
Pains in legs, especially in tibiæ and soles after too much exercise in walking, with a peculiar restlessness in legs, so that he frequently changes position, passing off after rising.
Oozing blisters on legs, from small pustules, increasing in size, with tearing pains.
Vesicles becoming ulcers, on feet.
Ulcers : on legs usually about tibiæ and ankles or other joints ; ulcers are indolent, slow to heal ; on lower legs with intolerable itching over whole body ; on feet.
Large swelling about.
For four or five weeks, feeling when walking as if left foot were pulled around inward ; < for last two weeks, so that he sometimes looked to see if it were really so. θ Locomotor
ataxia.
Feet go to sleep.
Eruption on insteps soon becoming thick, dirty, scaly, suppurating ; painful and itching at times, keeping him awake.
Heat and itching on soles.
Corns between second and third toes of left foot.
Gout in lower extremities.

Limbs in general

Weakness in all the joints as if they would not hold together.
Trembling of hands and feet.
Hands and feet feel as if broken early in morning and after a little work.
Herpetic and itching eruption especially in bends of joints, in bends of elbows and in popliteal spaces.
Tearing in limbs ; in left knee and left axilla.
Chronic rheumatism in limbs, with a dry eruption on wrists.
Arthritis : rheumatism, especially in chronic forms.
For many weeks gouty pains, etc. ; dry cough ; constrictive pressure and cutting, tearing pain at sternum near fourth and fifth ribs ; greatest despondency and ill-humor.
Heat in hands and feet.
Hands moist, with cold, clammy sweat, the very touch of which was unpleasant ; profuse sweating of feet ; feet very painful, causing shuffling gait.
Caries ; rachitis.

Rest. position. motion

Sitting aggravates dyspnœa (asthma) and pain in heart ; these and other ailments are > while lying down.
Many ailments are < or come on when riding in a carriage, and when exercising in open air, and > by rest and in room.
Rest : stitches in spleen.
Lying down : waterbrash ; cough < ; chest symptoms > ; pain in heart > ; gurgling in region of heart ; pericarditis better.
Lies in same position in morning as when fell asleep.
Lies on face : inflammation of eyes.
Lying on right side : pain in region of liver <.
Must lie down : dizziness ; to breathe more easily.
Cannot lie down : rheumatic pericarditis.
Cannot straighten out : backache.
Changes position : restlessness in legs.
Sitting up to write : dyspnœa <.
The nearer arms are brought to body, dyspnœa <.
Bending forward : pressure in chest <.
Bending backward : painful stiffness of neck.
Stooping : tough mucus in nose ; lumps in groin prevent.
Had to rise at night to collect his senses.
Getting up : waterbrash >.
Standing : stitches in spleen >.
Morning : stitches in spleen < ; pain in chest < ; does not < pressure in chest ; pains in small of back <.
Exertion : causes perspiration ; eczematous eruption ; urticaria.
Slightest exercise : profuse perspiration.
Walking : pain in region of liver hinders ; pain through groin ; cannot without assistance ; cutting in left loin ; shortness of breath in open air ; backache ; pain in hip joints < ; tension to knees ; difficult, eruptions above joints, as if
left foot were pulled around inward ; profuse sweat with debility.

Nerves

Nervous, restless, easily startled.
Subsultus tendinum.
Malaise : feels tired out.
Constantly tired and sleepy ; very little labor exhausts him ; exhausted after riding in a wagon.
Looks pale, exhausted and thinner than usual.
Very weak and miserable after suppressed itch.
Loss of strength, with cough, with oppression of chest.
Trembling and chilliness, with attacks of pain in chest.
Stormy weather affects him.
Debility : independent of any organic disease ; loss of appetite ; tendency to perspiration on exertion and at night ; after acute diseases ; after protracted diseases or loss of fluids ; after typhus, with despair of recovery ;
thinks he is very ill when he is not ; appetite will not return ; in the evil consequences of suppressed itch, especially after large doses of sulphur.
Constantly increasing debility, with abdominal affections.
A man, æt. 21, was obliged to run until nearly exhausted ; although strong and well before, he now became weak, perspiring easily and had severe pain in right side, < by coughing, laughing, motion.
Frequent attacks of epilepsy ; religious melancholy (improved).

Sleep

Sleepy by day ; sleepless at night, from intolerable itching ; dyspnœa ; congestion to head.
Sleepless after 12 P. M., from congestion to head.
Child apparently well, but at night would twist and turn and fret from bedtime till morning and next day be as lively as ever.
Sick babies will not sleep at night, but worry and fret and cry.
Dreams : anxious ; vivid, continue after waking ; of robbers, danger, traveling, etc.
On waking : cannot get rid of the one persistent idea.
In morning lies in same position as when he fell asleep.

Time

Aggravations in the evening and before midnight.
Morning : left half of head stupid ; vertigo ; when rising, forcing outward in head ; headache < ; eyes slightly agglutinated ; ciliary blepharitis < ; nausea towards stools ; early, diarrhœa ; when rising, diarrhœa ; cough < when
awaking ; hands and feet, as if broken.
Forenoon : dull.
Day : ciliary blepharitis worse ; nausea and vomiting ; sleepy.
Evening : fever ; eyes feel tired ; itching in ear < ; vomiting ; cough ; chilliness in upper arm and thighs, as if he should lose his senses ; heat, with delirium, itching and heat in eyes.
Night : feels dull, stupid ; dropping from posterior nares awakens him ; toothache < ; stools < ; stools only ; diarrhœa ; nervous, restless ; awakens as if frightened ; wets bed ; cough < ; sweaty palms ; perspiration ;
sleepless ; child twists, turns and frets ; heat ; terrible itching of whole body ; screaming.

Temperature and weather

Great sensitiveness to cold air or change of weather ; wears a fur cap, overcoat or shawl, even in hottest summer weather.
Aggravation from sudden changes of weather.
Feels a restlessness in his blood days before and during a thunderstorm.
Cough : returns every Winter.
Air : nose sensitive when inhaling.
Open air : when walking, photophobia ; taste > ; feels < ; cough > ; shortness of breath ; itching >.
Averse to having head uncovered.
While in bed : itching of body.
Warmth : toothache > ; of body causes itching ; intolerable itching.
Warm food : inflamed mouth <.
Summer : cholera infantum ; dry scaly eruption disappeared.
Cold : toothache < ; drinks, < pain in chest ; weather, dry scaly eruption returned.
Change of weather : headache caused and made < ; diarrhœa.
Washing : > pressure in head.

Fever

Chilliness in evening on upper arms and thighs, with thirst ; drinking causes cough, then heat and cough, with oppression of chest ; and trembling, with attack of pain in chest.
Internal shivering, creeping chills and icy-cold feet.
Heat : at night and dryness in mouth ; in afternoon or evening, feels as if he would lose his senses, with thirst ; in evening, with delirium, great thirst, followed by profuse sweat ; when riding in a carriage ; sudden over whole body, with trickling
perspiration all over face.
Sweats easily, weak.
Sweat : profuse ; cold, clammy from least exertion ; profuse when taking slightest exercise ; when walking ; at night ; on face, palms of hands and perineum when moving about ; profuse sour, clammy, with faint oppression of chest after chill
and heat ; after typhus ; colliquative.
When taking a walk profuse sweat with consequent debility, taking cold easily.
Profuse sweating relieves all the complaints ; chronic diseases.
Profuse night sweats of phthisis.
Want of perspiration ; dry skin.
Typhus : picks bedclothes, reaches for objects in air ; profound debility.
After ague color of face worse.

Attacks, periodicity

Every other day : headache, thirst, cold.
Nearly every half hour : urination.
Two or three times a day : pains in chest grow severe.
At 1 A. M. : sensation as of a heavy blow on forehead ; diarrhœa.
Immediately after dinner : congestion of blood to head.
Every morning at ten : vomiting ; oppression.
Every afternoon : great anxiety.
Every day, from 5 A. M. until 5 P. M. ; anguish in head.
Every night : nocturnal enuresis ; sweat.
Day before headache : inordinate appetite.
For three or four days : constipation.
During full moon : wets bed.
For four or five weeks : feeling when walking as if left foot were pulled around inward.
Nine months : has been nervous.
For four years : discharge from ear.
For eleven years on 20th of August : hay fever.
Twelve years duration : gleet.
For twenty-five years : cough.

Locality and direction

Right : pressure in side of occiput ; large brown scab on eye ; eye inflamed ; ear a mass of crusts ; eczema behind ear cured deafness ; stinging in nostril ; soreness of jaw ; burning in cheek ; ulcer on side of throat ; pain
through groin ; lumps in groin ; inguinal hernia ; knotty lump over groin ; violent pain in loin ; tearing in side from cough ; pain extending to shoulder ; stitches in side of chest ; sharp pain opposite tenth rib ; fixed pain in side of
chest ; dull pressure in chest ; lameness and soreness in shoulder ; small vesicles behind ear.
Left : half of head stupid ; pains in temple ; numbness of arm and leg ; pressing headache < ; pain over eye ; spots on frontal region much whiter than surrounding skin ; discharge from ear ; pustules behind ear ; ovary indurated after violent
knock ; cutting in loin ; stitches in chest ; stenosis of osteum venosum ; small warts on hand ; as if foot were pulled inward ; corns between toes ; tearing in knee ; in axillæ.
From right to left : pain in occiput ; ciliary blepharitis.
From left to right : pain in eyes.
From within outward : as of hammers striking head.
From behind forward : stitches in chest.

Sensations

As if stupid in left half of head ; eyes as if pressed outward ; as if brain had not room enough in forehead ; as from a heavy blow on forehead ; as if brain would protrude ; back of head as if sprained ; right side of occiput as if luxated ;
as if piece of wood were lying across back of head ; as if head were separated from body ; as of a foreign body under eyelid ; as if sand were in eyes ; as if he heard with ears not his own ; cheek bones as if ulcerated ; condyle of jaw as if lame ; tongue
as if burnt ; teeth as if glued together ; as of a plug in throat ; as if intestines were hanging down ; as if frightened ; throat as if narrowing ; asthma as if he would die ; as if everything in chest were raw and scratched ; as if everything were
torn in chest ; glands of neck as if bruised ; back as if bruised ; arms as if paralyzed ; hip joint as if ulcerated ; joints as if encased in armor ; as if left foot were pulled around inward ; as if joints would not hold together ; hands and feet as
if broken ; as if he would lose his senses.
Pain : in left temple ; in chest ; over left eye to right ; in back of head ; over eyebrows ; down nose ; in liver ; in cheek bones ; in condyle of jaw ; in throat ; in chest extending to shoulder ; in small of back ; in
abdomen ; through r. groin ; in rectum ; in cardiac region ; in chest and throat ; in heart ; in head and limbs ; in hip joint ; in knee ; in legs.
Excruciating pains : in chest.
Intense pain : in head.
Violent pains : in sacrum and right loin.
Severe pain : in ear ; in limbs.
Sharp pain : right side opposite tenth rib.
Anguish : in head.
Cutting, tearing pain : in throat.
Cutting pains : in intestines ; in urethra ; in loin.
Tearing : from centre of chest to throat ; in neck ; between scapulæ ; in arms ; in limbs ; in legs ; in left knee and left axillæ.
Cutting : in chest.
Stitches : in heart ; in eyes ; in teeth ; in spleen ; in chest and back ; in sternum ; in right side of chest ; in cardiac region ; between scapulæ ; from back towards chest.
Stitching pain : in pit of stomach ; in region of liver.
Throbbing : in brain.
Fixed pain : right side of chest.
Griping pains : about navel.
Cramps : in stomach.
Cramplike contractive pain : in head.
Ulcerative pain : in chest under sternum.
Suppurative pain : through whole chest.
Pinching pain : in pubic region.
Constricting pain : in chest.
Boring : in right nostril.
Digging : in forehead.
Drawing : in forehead ; in testicles and spermatic cords.
Pressing pain : in small spots in forehead and temples ; in eyes ; in region of liver ; in small of back.
Sore pain : behind ears.
Burning pressing pain : in chest.
Stinging : in right nostril ; in teeth ; in region of liver and spleen ; in inguinal glands ; in many parts of skin.
Burning : of eyes ; in nose ; of face ; in right cheek ; of blisters on inside of lower lip ; of throat ; in fauces ; in rectum ; in urethra ; in condylomata ; of excrescences on prepuce ; around nipples.
Smarting : on scalp.
Soreness : of eyes ; of stomach ; behind ears ; of external ear ; of nose ; of jaw ; of teeth ; of mouth ; in rectum and anus ; under sternum ; of whole chest ; in neck ; in r. shoulder.
Rawness : behind ears.
Hot sensation : in chest.
Pricking : on scalp.
Heat : of eyes ; of hands and feet.
Rheumatism : in limbs.
Constricting pressure : at fourth and fifth ribs near sternum ; at sternum.
Constriction : of throat and chest.
Pressure : in right side of occiput ; in right zygoma ; on chest ; in r. side of chest.
Heaviness : of head ; of testicles ; in chest.
Tension : in right zygoma ; in throat ; of hands and of fingers ; of boil on hand ; down to knees.
Fulness : in head ; in vertex.
Oppression : of chest ; of stomach.
Singing : in forehead.
Tired feeling : in eyes.
Dulness : of head.
Painful stiffness : of neck.
Lameness : of shoulders and arms.
Numbness : of legs and arms.
Weakness : in forehead ; of stomach ; in chest ; in small of back ; in joints.
Trembling : of hands ; of feet.
Restlessness : in legs.
Dryness : of tongue ; of mouth ; of throat.
Tickling : in throat ; in larynx ; in trachea.
Crawling : on scalp ; in larynx.
Formication : on scalp ; in head.
Itching : eruption on head ; in canthi ; in ears ; of external ear ; of pimples of cheeks ; of excrescence on prepuce ; of pimples around nipples ; of tetter on arm ; of body in bed ; between fingers ; tetter on palms ;
intolerable over whole body ; of eruption on instep ; on soles ; inner angles of eyes ; of condylomata ; of herpes.

Tissues

Thinner then usual, pale, exhausted.
Great emaciation, in children ; they are pale, delicate, sickly, will not sleep day or night, but worry, fret and cry, or child is good, plays all day, is restless, troublesome, screaming all night.
Glandular swellings with eruption on head.
All excretions, diarrhœa, leucorrhœa, menstrual flow and perspiration, have a carrion-like odor.
Body has a filthy smell even after a bath.
Whole body painful, easily sprains and hurts himself.
Rheumatism and arthritis.
Deeply penetrating ichorous ulcers.
Caries ; rachitis ; dropsy.

Touch. passive motion. injuries

Touch : stomach sensitive ; lingual glands sore ; teeth < ; vesicles sore.
Pressure : stomach sensitive ; pain in region of liver < ; from a truss ; inflammation.
Bandage : caused inflammation of tunica vaginalis Rubbing : causes small vesicles to arise.
Riding : pain in abdomen ; griping and desire for stool ; soreness in rectum and anus ; in a wagon, exhausted ; sweat.
Violent knock : left ovary indurated.
Fall : caused pain in knee.

Skin

Abnormal tendency to receive skin diseases.
Large suppurating pustules on hands, particularly near ends of fingers ; had eight or ten within a few weeks, itching of body particularly while in bed.
Skin inactive ; want of perspiration.
Itching : when body becomes warm ; and stinging in many parts at same time ; intolerable, < in bed and from warmth ; scratches until it bleeds ; over whole body, when rubbed, small papules and vesicles arise ; between fingers ; in knee joints ;
in bends of knees ; terrible, of whole body at night, preventing sleep.
A girl, æt. 18, sallow complexion but cleanly appearance ; constant irritation of different parts of body, day and night, compelling her to scratch ; numerous pediculi corporis cling to neck, back and shoulders ; menstruation had never occurred ; anxious,
depressed and tearful ; inner angles of eyes filled with gummy mucus, heat and itching in them, in evening ; corners of mouth sore.
Skin has a dirty, dingy look, as if patient never washed ; in some places looks coarse as if bathed in oil ; sebaceous glands secrete in excess.
Skin dirty, greasy-looking, with yellow blotches here and there.
Severe pain in limbs and dark, burning spots, so that skin of whole body except face resembled that of a mulatto ; itch had been suppressed five times.
Scaly condition of skin of whole body ; skin has a dirty, tawny color, although carefully kept ; much itching causing desire to scratch, which gave but temporary relief ; some months back instep showed signs of eruption, which soon became a thick, dirty-looking mass of
scales and pus, painful and violently itching ; at times pain kept her awake at night ; disease of at least a dozen years standing.
Rash on back and neck.
Urticaria with eruptions on head.
Fine, red eruption, forming small white scales.
Dry and scaly eruption, with little pointed vesicles around reddened edges, disappearing during Summer, but reappearing when cold weather comes on. Eczematous eruption after any severe exertion, accompanied by sensation of tension and swelling on fingers, dorsum of hands, nape of neck
and towards ears ; slightly elevated blotches upon an erysipelatous, swollen, hard base ; eruption of numberless small vesicles ; face in several places affected ; eyelids swollen ; intolerable itching, disturbing sleep ; fingers so swollen that they cannot be
flexed ; after several days desquamation in very fine scales occurred.
Eczema behind ears, on scalp and in bends of elbows and armpits, accompanied by abscesses affecting bones ; nothing relieved, but the eruption disappeared, to reappear again, years after, on wrists ; there was then a patch on each wrist as large as a
half dollar, with intense itching, preventing sleep, with constant desire to scratch.
Eruption of small vesicles, quickly filling with a yellow lymph, painful like sores, to touch, drying up after a few days, on forehead and several places on face, also behind right ear.
Moist herpes after suppressed scabies ; intolerable itching when getting warm ; < before midnight and in open air.
Herpes : with itching and burning ; with biting-itching, with meal-dust, humid.
Herpetic eruptions.
On face, hand and back, also on legs, an itch-like eruption appears and the eyes agglutinate so that they cannot be opened.
Itch : dry on arms and chest, most severe on finger joints ; followed by boils ; inveterate cases with symptoms of tuberculosis ; in recent cases, with eruption in bends of elbows and around wrists, repeated outbreak of single pustules after
main eruption seems all gone.
After suppressed itch : urticaria in attacks, after every exertion ; tuberculosis ; single pustules often appear.
Consequences of itch suppressed by sulphur ointment.
Psoriasis ; psoriasis syphilitica.
Copper-colored pustules, no itching.
Pustules on forehead, chin and chest.
Pustules or boils on head, particularly on scalp ; scalp had a dirty look and emitted an offensive odor ; fine, red eruption, forming small white scales ; pustules on hands.
Burning itching pustules after vaccination.
Eruptions bleed easily and constantly tend to suppurate.
Crusty eruptions all over body.
Crusta serpiginosa.
Pemphigus.
Retrocession of eruption. θ Measles.
Ulcers : deep, penetrating ichorous ; on face and legs ; old, with fetid pus ; violently itching ; scrofulous, with swelling of bones.
Moist, itching condylomata.
Suppressed eruptions.

Stage of life, constitution

Scrofulous ; nervous, restless, easily startled.
Psoric constitutions ; especially when other remedies fail to permanently improve ; lack of reaction after severe diseases.
Complaints of psoric origin ; patient emits a disagreeable odor.
Pale, sickly, delicate children.
Peevish, unhealthy-looking children, who have a disagreeable odor about them.
Dirty people, in whom the body has a filthy smell.
Child, æt. 3 months ; pustules and boils on head.
Boy, æt. 4 months ; diarrhœa, cough.
Child, æt. 6 months ; eruption on face.
Girl, æt. 1 year, suffering six months ; pustules and boils on head.
Child, æt. 18 months ; eruption on head and face.
Child, æt. 3, years suffering since birth ; Psorin. cured after failure of Sulphur, Alumina, Opium ; constipation.
Girl, æt. 3 ; eczema.
Child, æt. 4 ; itch.
Boy, æt. 7, suffering since birth ; inguinal hernia.
Child, æt. 8 ; eruption on head.
Girl, æt. 8, a puny, petted and slender child, spent six years in a darkened room, and until a few months since has been under allopathic treatment ; pustular keratitis.
Girl, æt. 11, light complexion, full face, ruddy cheeks, ill about a week, four years ago had severe rheumatic attacks ; rheumatic carditis.
Boy, æt. 13, had whooping cough, when one year old, since then suffering ; otorrhœa.
Youth, æt. 15, suffering two years ; condylomata on prepuce.
Girl, æt. 18, sallow complexion, of cleanly appearance, suffering three and a half years ; amenorrhœa and pediculi corporis.
Girl, æt. 19, suffering nine months ; itch.
Girl, æt. 20, when nine years old had itch, which was suppressed, suffering two years ; eruption on head.
Farmer, æt. 20, sanguine temperament ; pneumonia.
Young lady, æt. 21 ; serous choroiditis.
Man, æt. 21, strong and well until one day he was compelled to run after a horse until exhausted ; debility and sweating.
Man, æt. 25 ; necrosis of temporal bone.
Woman, æt. 28, after suppressed itch ; melancholy.
Man, æt. 28, dark complexion, dark brown hair ; affection of scalp.
Man, æt. 30 ; religious melancholy and epilepsy.
Man, æt. 30, clergyman, tall, thin, stooping gait, formerly scrofulous, two years ago caught cold, since then suffering ; phthisis.
Mrs. B., æt. 30 ; pustules on hands.
Man, æt. 30, suffering from progressive locomotor ataxy ; sensation as if foot were pulled inward.
Man, æt. 40, robust, choleric, brunette, suffering three years ; eruption on ear.
Man, æt. 40, several years ago had itch, which was suppressed by lotions of Sulphur, suffering two years ; eczematous eruption.
Man, æt. 43, spare figure, dark complexion, suffering nine months ; hypochondriasis.
Mrs. Dorsche, æt. 47, blue eyes, light complexion, strong, muscular, mother of four children, suffering twenty years ; headache.
Man, æt. 50, has been deeply engrossed in care in building a store ; debility.
Mrs. ---, æt. 53, suffering at least a dozen years ; affection of skin.
Miss C., a young lady of culture, after recovering from a a mild attack of typhoid fever ; debility.
Man, of strumous appearance, large lower lip, much saliva in mouth, bad digestion ; sweating of hands and feet.

Relations

Antidoted by : Coffee.
Compatible : Carb. v., Cinchon., Sulphur .
Complementary : After Lact. ac., Psorin ., in vomiting of pregnancy ; after Arnic . in effects of blow on ovary ; Sulphur after Psorin .
in mammary cancer.
Compare : Carb. v., Cinchon., Phos. ac .

Lectures on Homoeopathic Materia Medica

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

Lecture

Psorinum is closed allied to Sulphur.

Skin

The patient dreads to be washed. The skin over the body, especially of the face, looks filthy, though it has been well washed. A dingy, dirty, foul look, as if covered with dirt.

Skin rough and uneven, cracks easily, bleeding fissures; it becomes rough and scaly. He cannot wash it clean. The skin of the hands is rough, chaps easily, becomes thick and scaly, easily cracks; breaks out in little scaly, eruptions; looks unwashed; he always a ppears to have dirty hands.

Many of the complaints of the skin are worse from bathing and from the warmth of the bed. The skin itches when warm; itches when wearing woolens. Itching when warm in bed; he scratches until the part becomes raw, and then it becomes scabby. When healing takes place there is itching and then it becomes scabby. When healing takes place there is itching and then he has to scratch. Legs and arms raw and scabby from scratching. Violent itching from the warmth of the bed, even, without any eruption.

The skin is unhealthy, looks dirty, dingy, studded with capillary blood vessels and enlarged veins. This is the state before the eruption appears. Scabs form from scratching and then comes the eruption.

Papules, pimples, crusts, boils, vesicles, and eruptions ooze a watery moisture. When the eruption has gone on for some time the crusty formation and vesicles mingle; the skin becomes thickened and indurated, and new crops come out under the old crusts; rawness, itching, tingling, crawling, bleeding eczema of the scalp and face; the crusts cover the scalp; the hair falls out; the oozing lifts up the crusts and exposes new vesicles; it looks like raw beef, and it tingles so that the child cannot keep its fingers off it; worse at night, worse from the warmth of the bed, worse from warm applications, anything that would keep the air away from it; ameliorated by cool air and worse from covering. This is the opposite of the general Psorinum state, which is aggravated from the open air. He has an aversion to open air.

The eruption goes on, spreads, and the true skin becomes elevated, thickened, indurated, with an increased vascularity and redness. The oozing is offensive like carrion or decomposed meat; nauseating odor from the oozing fluid.

Offensiveness runs through Psorinum in such a characteristic way that is worth while mentioning it here; foetid odors, foetid breath discharges and oozing from the skin smelling like carrion; stool so offensive that the odor permeates the whole house, in diarrhea, summer complaint, cholera infantum; perspiration foetid; leucorrhoea abominably offensive; eructations taste as if be had eaten bard boiled eggs and they had spoiled, and they smell so to others; stool flatus, and eructations smell like spoiled eggs; offensive to sight and smell is the subject who needs this medicine.

The skin grows increasingly thick and bleeds, and the eruption spreads to other parts. Eruptions on the lips, on the genitals; very offensive; soreness and rawness about the anus; the vulva ulcerates and is very offensive; ulcers on the legs; on the tibia; on the backs of the hands; on the dorsum of the foot; behind the ears and upon the ears; over the scalp; over the cheek bones; on the wings of the nose and on the nose and eyelids.

Greasy skin. The eruption is accompanied by redness of the mucous membranes of the nose, mouth, lips and eyes. Eyelids thickened and turned out, like ectropion; granulation and induration of mucous membranes, so that they become like gristle; redness and ulceration. Ulceration of the cornea; lachrymation; turning out of the lids with loss of the eyelashes.

Eyes and nose

He looks frightful with his red eyes, eruption on the face, red skin oozing a thick yellow discharge. In the early stages the oozing is a whitish thin or whitish thick moisture. In old eruptions ulceration takes place beneath the crusts and there is a thick, yellow, purulent discharge. Yellow green discharge from the eyes and nose. Horribly offensive discharge from the nose; gluey discharge from the nose; offensive like Merc., Sil., Calc. p., Hep.

Accumulation of foetid pus in the eyes. Coryza with thick, yellow discharge. Always taking cold. In the coryza, the nose dries up part of the time and runs part of the time; he must use the handkerchief continually; must blow the nose all the time.

In the early stages of the coryza he blows it all the time, but there is no discharge or relief. This state is so marked that some think of it as a continuous hay fever, which runs all the year and rippens up in the Fall.

It is closely related to hay fever; stuffing up of the nose in the Fall; catarrhal state of the eyes and nose. Hay fever is one of the most difficult conditions to fit a remedy to. It belongs to a low constitution which must be built up before the hay fever will cease.

It is an expression of psora which comes once a year, and the psoric miasm must be changed. In a few years most subjects can be changed, but not in one season, so do not be disappointed. In catarrhal states, hay fever often dates back to low fever improperly treated.

The Psorinum patient himself is one of debility. He wants to go home after a short walk. He is worse in the open air. He cannot breathe in the open air; cannot breathe while he is standing up; wants to go home and lie down so that he can breathe.

Asthma

or cardiac dyspnoea, when the patient wants to go home and lie down so that he can breathe. Usually this condition is relieved by sitting up and from the open air. Not so with Psorinum, he wants a warm place and to he down and to be let alone.

Psorinum is slowed down in all of its functions; a state of paretic weakness. He does not rally after a fever; his digestion is slow; the stool is normal, yet it requires a great effort to expel it; the bladder is full of urine, yet it passes slowly and he feels that some remains; he can never finish stool or urination; he has to go back several times. Although the stool is soft and perfectly normal it cannot be expelled at one sitting.

A psoric patient comes down with typhoid; the typhoid has been arrested or has run its course and it is time for convalescence. The fever has subsided, but the patient has no appetite; he does not convalesce; he wants to lie down and does no desire to, be moved; he is worse when sitting up, lies upon his back; he has troublesome breathing and lies with his arms abducted from his side, thrown across the bed; this relieves his breathing and allows the chest to operate properly; so tired and so weak; one dose of Psorinum will cause a reaction, stop his sweat, increase his appetite, cause better breathing.

The Psorinum complex of symptoms is one in which remedies cause improvement but a short time and then the symptoms change and another remedy must be selected. It is a state of feeble reaction.

Mind

The mental symptoms present some strong features. Sadness, hopeless; he sees no light breaking through the clouds above his head; all is dark about him.

He thinks his business is going to be a failure; that he is going to the poor house; that he has sinned away his day of grace. It is a fixed idea during the day and he dreams about it at night. Overwhelming sadness; dejection; he takes no joy in his family; feels that these things are hot for him.

His business is prosperous, yet he feels as if he were going to the poor house. No joy or realization of benefit . Extremely irritable, wants to be alone. Does not want to be washed.

Full of anxiety, even of suicide. Despair of recovery his sick. Though there is no eruption at night he is driven to despair by the continual itching. If he throws the covers off then he becomes chilly; if he covers up, then there is itching.

Sensitive to cold yet the skin is worse from heat. Tingling, itching, formication, crawling like ants running over the surface, as of insects in the skin.

Especially suited to broken down individuals, who have vertigo as soon as they go into the open air; become dizzy and want to go home. and lie down; afraid they will lose their breath.

Head

Old chronic periodical headaches with hunger, and often the hunger lasts during the whole headache; must get up at night for have something to eat.

The headache is sometimes improve by eating. If he goes without a meal he has a headache.

Violent rush of blood to the head, hot face, hair wet with the perspiration, hunger. Every one, two, or three weeks a recurrent headache. Every time the air blows on his head it slacks up the catarrh and a headache comes on.

Either coryza or headache from catching cold. Headache is violent, throbbing, pecking as of little hammer, red face, hot head-congestive at times sweat. Hungry headache in such as have a dry cough in winter. Dry, teasing, racking cough with no expectoration. If the cough ceases he has a periodic headache. So complaints alternate. Head ache goes and cough appears or eruption in winter alternating with headache.

Scalp cold; wears fur cap in summer; worse uncovering the head (Sil.), worse front getting the hair cut ( Bell., Glon., Sep.). Hepar is also worse from cold.

Salt rheum, psoriasis in winter. Dry, cold weather, cold wet weather; washing in cold water; dish washing, aggravate the salt rheum.

"Hair dry, lusterless, tangles easily, glues together; must comb it continually."

Ears

Chronic offensive otorrheoa; thick, purulent, offensive, yellow discharge from the ears; smells like stinking meat; continuous discharge; eruptions about and behind ears. Discharge resulting from scarlet fever; abscess in middle ear; otitis media; rupture of drum; prolonged discharge from such all abscess; foetid discharge.

"Otorrheoa with headache; thin, ichorous and horribly offensive like spoiled meat; very offensive, purulent; brown, offensive from left ear, for almost four year."

Otorrheoa associated with watery, offensive diarrhea. Scurfs in ears, and humid scurfs behind cars.

Teeth and mouth: Rigg's disease; the teeth become loose; the gums settle away, spongy, bleed easily, humid, blue, the teeth fall out.

Ulcers about the tongue and mouth; ulcers as found in infancy; aphthae, thrush; ulcerated sore mouth, sore throat, chronic ulcers of throat. Chronic thickening and elongation of the uvula.

Enlargement of tonsils, parotids and submaxillary glands; they become hard and tender to touch; swelling from taking cold. Glands of the neck sore.

Abdomen

Chronic abdominal affections with disturbances of stool.

He will strain to pass a soft stool ( Nux moshata., Alumina).

Chronic diarrhea; horribly offensive; frequent stool day and night (unlike Sulphur, the remedy it most resembles). He must go several times to pass a normal stool.

Chronic vomiting; ulcer of the stomach, distension of stomach are commonly associated. Always sour belching, sour stomach. Vomiting of blood and bloody stools. This is not strange, because Psorinum has a tendency to hemorrhages, especially from the uterus.

Women

All sorts of menstrual disorders, especially a prolonged menstruation. When a woman has passed through an abortion and the placenta has come away, but every few days a little gush of fresh, bright red blood and clots, or going days and weeks with a little oozing of bright red blood; every time she gets on her feet there is a new start of the flow; no tendency to permanent recovery.

Two remedies that fit this state are Sulphur and Psorinum. A marked state of relaxation, sub-involution. The uterus does not go back to its normal size and there is this tendency to bleed; a state of inertia.

Soft stool, passed with difficult do not forget this. Obstinate constipation. Haemorrhage from the rectum.

Cholera infantum; often in the early days the stool is horribly offensive, slimy, undigested; there is vomiting and prolonged weakness and the whole child has an offensive odor; child dirty; nose sunken in ( Ant. t.), sunken, countenance. Psorinum causes reaction and cures, or brings the child into such a condition that a simple remedy completes the cure.

It is not the sourness of Hepar; in spite of washing, the child smells so sour; like sour milk; the diaper, urine, and faeces and perspiration are sour. This is a strong general feature of Hepar. The stool smells like spoiled eggs, so also the eructations and flatus. The offensiveness of the stool is horrible, but not so permeating as Bapt., which is thick and clay-like, while the Psorinum stool is watery, brown, gushing and may be bloody.

Chronic diarrhea, early morning, urgent. Hot flatus, burning the anus; smells of spoiled eggs, Arn. and Staph. Involuntary stool at night ( China has a black, profuse, watery stool at night and after meals.)

In Psorinum, we find the haste of sulphur, the flatulence of Olean. and Aloe, and difficulty of expelling a soft stool like Alumina, China and Nux mosch.

Men

There is prostration in some Psorinum cases; prostration of the genitals.

It is not such an unusual thing in the female to have aversion to sexual intercourse, but man is not often subject to the complaints that cause aversion to coition. Yet we have in man as well as in the woman actual aversion or a state of no enjoyment. He can perform the act and he has no difficulty in obtaining an erection, so it is not impotence, but there is no enjoyment. Impotence comes later.

"Absence of erections; parts flabby, torpid."

"Aversion to coition; impotence; want of emission during coitus."

"Prostatic fluid discharged before urinating."

Old gleet, painless discharge; the "last drop;" relaxed and cold genitals; a drop of white or yellow pus after a well selected remedy. (Sepia, Sulphur, Alumina, Psorinum.) Psorinum is indicated above all others if there is an unusually offensive state of the genitals, Thuya, if the odor is of a nauseating, sweet character; warts exposed by rolling back the foreskin; sweet odor in spite of washing.

Heart

Psorinum cures many heart complaints.

Palpitation from the least exertion, better lying. Stitching pain better lying. Cardiac murmurs of either side. Mitral regurgitant murmur. Pericarditis of rheumatic origin. Heart symptoms with general weakness, dusky face, dazed look.

Weak, irregular and rapid pulse. But mark the modalities. Aggravation in the open air, aggravation when sitting up, aggravation when sitting at the writing table; wants to rest the chest and breathing apparatus by lying down. Asthmatic dyspnoea ameliorated by lying down, and worse the nearer the arms are brought to the body. Such symptoms are found in very few remedies and in none so marked as in Psorinum.

Febrile state. Intermittent, bilious fever, fever from a cold. The patient is so hot that the hand under the covers feels as though in a steam bath and the sensation of heat causes one to draw it back.

It is not the dry heat of Belladonna, yet it is as intense. It is a steam. He is covered with a boiling sweat in fevers. Head and body hot and hot air or steam beneath the covers. (Opium has this, but it is in a violent congestion to the head, an apoplectic condition.) In intermit tents he is taken on the street with difficult breathing. He wants to go home; he is weak and exhausted, crawls up stairs on the hands and knees.

The chill is not marked, but the heat is intense and the sweat copious. He is almost in a stupor, befogged, bewildered, cannot answer questions; face red, puffed, mottled.

"Sweat profuse, cold, clammy from least exertion."

This is another form which comes on in the weak, broken down state. After typhoids, he sweats if he turns in bed, after the least exertion, and the sweat is cold. Profuse night sweats. Night sweats of phthisis; when there is that tremendous heat under the covers, a copious hot sweat; mental state as if dazed.

Marasmus; shriveling of the skin; dirty skin; cannot wash it clean. Offensive discharge from the bowels; great emaciation; increased growth of hair on the face; a fuzz (Nat-mur., Psor., Sulph Calc.); horribly offensive in spite of washing; ravenous appetite yet grows thin. Foetid odors would lead one to think of Psorinum.

The Therapeutics of Fevers

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

Characteristic

Especially adapted to psoric constitutions; lack of reaction after severe acute diseases, appetite will not return.

Extremely scrofulous patients; nervous, restless, easily startled, sleepless from intolerable itching and frightful dreams of robbers, danger, etc.

In chronic cases, when well-selected remedies fail to relieve or permanently improve (in acute diseases, Sul.) ; when Sulphur is indicated but fails to act; in fevers with a personal or family history of eczema, quinsy or hay fever.

Children are pale, delicate, sickly; sick babies will not sleep day or night, but worry, fret, cry (Jalapa); child good, plays all day; restless, troublesome, screaming all night (rev. of Lyc.).

Great weakness and debility; from loss of fluids; remaining after acute diseases; without any organic lesion, or apparent cause.

Despairs of recovery; hopeless, thinks he will die, especially after fevers; during climaxia.

Religious melancholy; despairs of salvation (Melil.).

Body has a filthy smell, even after bathing.

Headache: chronic, at every change of weather; awakened from sleep with pain; hungry during headache; > while eating, by washing, by nosebleed; preceded by dim vision or blindness, black spots or rings.

Great sensitiveness to cold air or change of weather; wears a fur cap, overcoat or shawl, even in the hottest summer weather.

Stormy weather affects him severely; feels restless for days before, and during a thunder-storm (Phos.).

Cough and dry scaly eruptions return every winter.

All excretions—diarrhœa, leucorrhœa, menstrual flow, perspiration—have a carrion-like odor.

Ailments: from suppressed skin diseases, when Sulphur fails to > ; severe, from even slight emotions; from some eruptive disease of childhood.

Feels unusually well, day before an attack.

Quinsy : to > acute attack and eradicate the constitutional tendency.

Hay fever ; annually, same day of month and often same hour of day ; should be treated in winter to eradicate the diathesis and prevent return.

Hungry in the middle of the night; must have something to eat.

Eructations tasting of rotten eggs (in A. M., Arn.—at night, Ant. t.—in A. M. only, disappearing after rinsing the mouth, Graph.).

Diarrhœa ; stool watery, dark brown, fetid, carrion-like odor.

Leucorrhœa ; clotted, large lumps, of an unbearable odor.

Vomiting of pregnancy, obstinate cases when the best selected remedy fails ; fœtus moves too violently.

Asthma : < sitting up, in open air ; > lying down and keeping arms spread wide apart ; thinks he will die.

Skin: abnormally susceptible to skin diseases ; dry, inactive, rarely sweats ; looks dirty, as if never washed ; coarse, greasy as if oiled ; bad effects of ointments.

Aggravation

Evening, before midnight; in open air; stormy weather, thunder-storm; sitting.

Amelioration

Lying down; in the room; moving; sweating. Always feels better before the paroxysm.

Type

Periodicity of fever paroxysms not marked. Attacks (of other diseases) at same hour every day. Every alternate day; headache, thirst, cold. Typhoid, typhus, continued, yellow, the bubonic plague.

Time

Evening.

Chill

With thirst, especially in the evening, on the upper arms and thighs, with horripilations, hot flashes, creeping chills, great weakness, debility, sleepiness. Internal shivering, creeping chills, and icy cold feet. Drinking causes cough (causes cough and gagging, Cimex).

Heat

And sweat on the face in the evening; when riding in a carriage (better when riding in a carriage, Nit. ac.). Evening heat with delirium, great thirst, followed by profuse sweat. Heat, sweat, thirst, during both chill and heat (Cal., Sul.).

Sweat

Profusely and freely when walking, with consequent debility (Bry., Cinch., Carbo a.). Takes cold easily (Cal., Bar.). Copious perspiration on face, palms of hands and perinæum, when moving about (profuse from walking, reading, riding, talking, Sep., Sul.) Profuse at 3 A. M.

After the sweat all the complaints cease (Bry., Calad., Nat.).

Sweat at night > the headache.

Sweat profuse, stinking, at night.

Sour-smelling, viscous sweat.

Tongue

Coated white or yellowish-white; tip dry and feels burnt as far as the middle (red, triangular tip, Rhus). Taste bitter, goes off after eating or drinking (reverse of Nit. ac., Puls.); foul taste. Great hunger without appetite.

Analysis

The constitutional symptoms are guiding.

Sweats profusely; takes cold easily.

In all fevers, but, especially typhoid, Psorinum will prevent a protracted case, if there be a history of eczema, suppressed eruption or quinsy. In such cases the symptoms are never clear.

Patient has never been well since typhoid fever.

Psorinum will often clear up a case where there is lack of vital reaction after severe attacks, when other remedies, although well chosen, fail to relieve or permanently improve. The constitutional symptoms are reliable; the chief symptoms do not come to the surface during the paroxysm. It has cleared up many a case for me in psoric constitutions after Sulphur failed. More frequently indicated than used (reverse of Quinine).

See “True Cause of Typhoid,” introduction, page 33.