Pulsatilla Nigricans puls.

Boger's Synoptic Key — Materia Medica

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

Region

MIND. VEINS. MUCOUS MEMBRANES: TONGUE. STOMACH. BOWELS. FEMALE AND GENITO-URINARY ORGANS. Respiration. One side. Right heart.

Worse

WARMTH: AIR. ROOM. Clothes. BED. Getting feet wet. SUPPRESSIONS. EVENING. REST. BEGINNING MOTION. LYING; one side (L). EATING: RICH FOOD. Long after. FATS. Ices. Eggs. PUBERTY. PREGNANCY. Before menses. Iron. Quinine.

Better

COLD; FRESH, OPEN AIR. Uncovering. ERECT POSTURE. Gentle motion. Continued motion. After a good cry.

General

CHANGEFUL. SHIFTING SYMPTOMS; rising to a certain pitch, then suddenly ceasing; going to part lain on; unilateral. THIRSTLESS, SHORT OF BREATH AND CHILLY; with digestive or menstrual disorders. SUPPRESSIONS; otorrhœa, menses, lochia, milk, etc. Metastases. Alternations. Phlegmasia. Venosity. Hæmorrhage; passive; vicarious. Anæmia. PROFUSE, BLAND, THICK, YELLOW-GREEN DISCHARGES; bitter mucus. Jerking, tearing or ulcerative pain. Numbness; part lain on; hands, feet, etc. Pale, chilly blondes.

Particulars

MILD, TIMID, EMOTIONAL. WEEPY. Discouraged. Whining. Easily offended. Craves sympathy. Can't lie with head low. Headache start in vertex. Occipital ache, < coughing. Profuse sweat on scalp. Eyes; fill with tears (acrid) or seem covered; < wind; sticky lids; colds affect the; ophthalmia, gonorrhœal. Blepharitis. Styes. Blind attacks; < menses. Nightly earache. Foul discharge or bad odor before nose. Coryza; stopped on lying or in room. Anosmia. Pale face. Peeling cracked lips. Licks lips. Crack in center of lower lip. Bad breath. Drawing toothache, > cold. Taste bad; in A.M.; bloody; greasy. Slimy mouth or dry, without thirst. Tongue feels scalded. Alternate sides of throat or neck. Food leaves an after-taste or lodges in throat. Averse to water or fats. Craves acids or what disagrees. Sudden loathing, < eating. Heart-burn. Nausea. Epigastrium; cutting; pulsation. HEAVY OR DERANGED STOMACH. Abdomen; as of a heavy stone; aching; numb; pains into groins. Stools; changeable; green mucus, < after midnight; bilious. Piles, < lying. Urination; involuntary on lying; followed by blood. Heavy pressure on or cramp in bladder. Sensation as of a stone rolling in bladder. Nocturnal enuresis. Burning down l. spermatic cord. Enlarged prostate. Orchitis; gonorrhœal. Bloody emissions. Feels like menstruating. MENSES DARK; LATE, at puberty; SCANTY, < bathing; irregular; vicarious; absent. Dysmenorrhœa. Weak labor pains. Bearing down, < lying. After pains. Retained placenta. Leucorrhœa; milky; acrid. AIR HUNGER; < lying on l. side; as if from abdomen; if heated. Loose morning, then dry evening cough; from tickling in epigastrium; must sit up. Expectoration thick; purulent (Cetrar.), slimy, sweet, salt, etc. Asthma from suppressions. Cough; dry hacking; expectorates bitter or salty as it loosens up. Chest oppressed; as by a load. Sore stitch beneath clavicles. Palpitation. Mammæ; milk in virgin; sore, aching lump (r); scanty milk. Swelled joints; backs of feet. Numb elbows. Lower limbs; pains down, alternate sides; heavy legs. Sticking in tibia, < lying, > cool air and motion. Acute periostitis. Cold sweat on legs. Foul foot-sweat. Swelled glands. Veins full; varicose; painful. Ulcers, with hard, glistening areolæ; varicose. Skin itches on being heated. Measles. Day sleepiness. Lies with hands over head. Disturbed dreams. Awakes confused or tired. Chilly, yet averse to heat; IN A WARM ROOM; with the pain; on lying down at night. One hand cold. Partial sweat.

Related

Complementary: Ars. Kali-bi. Sep. Sil. Zin. Related: Ap. Cimi. Grap. Ham. Kali-bi. Nat-s.

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

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

Keynote

Adapted to persons of indecisive, slow, phelgmatic temperament; sandy hair, blue eyes, pale face, easily moved to laughter or tears; affectionate, mild, gentle, timid, yielding disposition - the woman's remedy. Weeps easily: almost impossible to detail her ailments without weeping (weeps when thanked, Lyc.). Especially, in diseases of women and children. Women inclined to be fleshy, with scanty and protracted menstruation (Graph.). The first serious impairment of health is referred to puberic age, have "never been well since" - anaemia, chlorosis, bronchitis, phthisis. Secretions from all mucus membranes are thick, bland and yellowish- green (Kali s., Nat. s.). Symptoms ever changing: no two chills, no two stools, no two attacks alike; very well one hour, very miserable the next; apparently contradictory (Ign.). Pains: drawing, tearing, erratic, rapidly shifting from one part to another (Kali bi., Lac c., Mang. a.); are accompanied with constant chilliness; the more severe the pain, the more severe the chill; appear suddenly, leave gradually, or tension much increases until very acute and then "lets up with a snap;" on first motion (Rhus). Thirstlessness with nearly all complaints; gastric difficulties from eating rich food, cake, pastry, especially after pork or sausage; the sight or even the thought of port causes disgust; "bad taste" in the morning. Great dryness of mouth in the morning, without thirst (Nux m. - mouth moist, intense thirst, Mer.). Mumps; metastasis to mammae or testicle. "All-gone" sensation in stomach, in tea drinkers especially. Diarrhoea: only, or usually at night, watery, greenish-yellow, very changeable; soon as they eat; from fruit, cold food or drinks, ice-cream (Ars., Bry.; eating pears, Ver., China; onions, Thuja; oysters, Brom., Lyc.; milk, Cal., Nat. c., Nic., Sul.; drinking impure water, Camp., Zing.). Derangements at puberty; menses, suppressed from getting feet wet; too late, scanty, slimy, painful, irregular, intermitting flow, with evening chilliness; with intense pain and great restlessness and tossing about (Mag. p.); flows more during day (on lying down, Kreos.). Delayed first menstruation. Sleep: wide awake in the evening, does not want to go to bed; first sleep restless, sound asleep when it it time to getup; wakes languid, unrefreshed (rev. of, Nux). Styes: especially on upper lid; from eating fat, greasy, rich food or pork (compare, Lyc., Sulph.). Threatened abortion; flow ceases and then returns with increased force; pains spasmodic, excite suffocation and fainting; must have fresh air. Toothache: relieved by holding cold water in the mouth (Bry., Coff.); worse from warm things and heat of room. Unable to breathe well, or is chilly in a warm room. Nervousness, intensely felt about the ankles.

Relations

Complementary: Kali m., Lyc., Sil., Sulph. ac.; Kali m. is its chemical analogue. Silicea is the chronic of Pulsatilla in nearly all ailments. Follows, and is followed by, Kali m. One of the best remedies with which to begin the treatment of a chronic case (Cal., Sulph.). Patients, anaemic or chlorotic, who have taken much iron, quinine and tonics, even years before. Ailments: from abuse of chamomile, quinine, mercury, tea-drinking, sulphur.

Aggravation

In a warm close room; evening, at twilight; on beginning to move; lying on the left, or on the painless side; very rich, fat, indigestible food; pressure on the well side if it be made toward the diseased side; warm applications; heat (Kali m.).

Amelioration

In the open air; lying on painful side (Bry.); cold air or cool room; eating or drinking cold things; cold applications (Kali m.).

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

We may draw many important symptoms from the action of this wind-flower. For, as the flower bobs about with every breath of wind, and changes its position constantly, so do the symptoms which are characteristic of the drug. The pains constantly change their location, flying from one part to another; sometimes existing with intense severity, then suddenly becoming very mild, and vice versa; the diarrhœic stools change their character constantly, no two being alike, etc.

Mental

This remedy is particularly applicable for complaints which are found to occur in patients of a mild, yielding, or good-natured disposition; also in those who by their sickness, or naturally, are very easily excited to tears,--they are very apt to burst into tears whenever spoken to, or when they attempt to speak, as in giving their symptoms, etc. Affections of the mind in general; covetous; mistrustful; absent-minded; low-spirited.

Eyes

Affections in general appearing on the cornea; margins of the eyelids; dimsightedness, with a sensation as though there was something over the eye, which the patient wishes to rub away; amaurosis; cataract.

Ears

Tinkling in; hard hearing; otalgia which comes and goes, the pain is sometimes better and sometimes worse, may be accompanied by high fever, etc.; discharge from, one or both, which may come on after measles or any other disease, or may occur spontaneously; hardness of hearing as though the ears were stopped up.

Nose

Epistaxis; imaginary smells; old catarrh; often find a profuse discharge of greenish mucus every morning, in mild, pleasant persons; catarrh of, accompanied by special discomfort in the house, can't breath well in a warm room, and experiences great relief by going out into the open air.

Gastric

Taste bitter; fatty; offensive; putrid; saltish; sour; sweetish; lost; in colds where there is entire loss of taste. Vomiting in general; of bile; of slimy matter.

Stool

Diarrhœa, particularly when it is very changeable, and no stools are alike; flatus very fetid, sometimes obstructed, causing much pain. Stools acrid; bloody; green; composed of mucus; may contain tape-worm; hæmorrhoids; diarrhœa during menses, particularly if it comes on at night.

Urine

Very scanty; bloody; with mucus; reddish; involuntary discharge of; incontinence of, in bed at night, especially in mild-tempered, tearful people, and in children; complaints before making water, and during: when going to urinate there is a sensation as if it would gush away, and they can scarcely wait. Region over the bladder very sensitive to pressure.

Sexual

Female: Affections in general of the female genital organs; of the uterus. Pain like labor pain. After-pains, in females of a mild disposition. Menstruation too late; too short; too scanty; suppressed, especially if produced by getting the feet wet; delay of first menses, in mild, gentle girls, low-spirited, etc.; complaints before menstruation and during; menstrual colic; diarrhœa during menses, etc. Leucorrhœa in general; thick; burning; looking like milk, especially frequent in lochial discharges where the flow looks like milk. Scanty supply of milk. Affections of the nipples.

Chest

Cough in general; loose; with expectoration in the morning, without expectoration in the evening; with expectoration in the day, without expectoration at night. Expectoration bloody; green; yellow; with bitter taste; with greasy taste; offensive taste; salty taste.

Skin

Chilblains, particularly when they turn blue. Exanthema chapped; like measles; rubeola. Blue-black swellings. Ulcers with burning or biting in circumstance; deep or fistulous; with redness extending far around: where there is much swelling around.

Sleep

Falling asleep very late; complaints preventing sleep; waking frequently at night; sleeplessness before midnight; when sleeping with the arms over the head exists as a symptom; anxious dreams of fatal accidents.

Fever

Chilliness of one side only; chilliness without thirst, often followed by fever without thirst; heat on one side; perspiration on one side only; want of thirst; febrile symptoms right side.

Sensations

Rheumatic pains flying from one part to another; are now in one portion of the body, and suddenly flying off to another. Pain, as if bruised in the inner parts; same in the joints. Sensation of hollowness; of pulsations, knocking or throbbing in inner parts; of extension in size, as if one part, or every part were going too large; of a band around the parts; of buzzing or humming in any part of the body. Jerking or darting pains in outer or inner parts; pain as if sprained in the joints; tension or tightness in the outer parts of joints. Biting or stinging in the skin; itching of the skin unaltered (i.e., not better or worse), by scratching; finger or toe nails painful as if ulcerated.

Generalities

Affections in general, and of any kind, appearing in the right abdominal ring; right chest; right upper and lower extremity; tongue; increase of saliva; larynx; trachea; nape of the neck; heart and region of the heart; palpitation of the heart, also with anguish; small of the back; shoulder-joints; fingers; legs; shin-bones; calves, particularly when they are swollen, red, and hot; heel; sole of the foot; ball or under part of the toes; knee-joint; bones of the lower extremities; inflammation of the bones in general. Strong desire for open air, making the patient feel better in every way--headache, toothache, earache, cold in the head, etc., all better in the open air, can breathe better, etc. Bleeding from inner parts; congestion of blood to single parts; apparent deficiency of blood. Chlorosis (in mild, quiet, etc., dispositions). Secretion of mucus increased; nervous debility. Varicose veins, even when inflamed, especially when blue, particularly in pregnant females, which feel more comfortable when walking about.

Worse

In the afternoon; in the evening before midnight; from mental affections; on waking; when blowing the nose produces pain in the chest, nose, head, or somewhere else, or a cracking in the ears; before falling asleep; during expiration; after taking cold; from change of position; particularly applicable to the female organism; from loss of fluids; from being frost-bitten; while lying down; lying on the left side; on the painless side; lying with the head low; having the measles; after the measles; before and during menstruation; from suppressed menstruation; on beginning to move; from taking bread; butter; buckwheat; fat food; fruits; ice; pancakes; warm food; abuse of Peruvian bark; can't bear pressure on the well side, if it be made toward the diseased side; in the room, particularly a warm room; from derangement of the stomach; during stool, particularly in dysentery if it gives great pain in the small of the back; while suckling the child; in the sun; in the twilight or evening; before, or during, or after urinating; women in confinement; from having a tape-worm; from surgical injuries in general; from tobacco; during pregnancy.

Better

In the open air; in a cold place; from cold air; lying on right side; with head high; from moving; on rising from bed; from cold things; when walking in the open air; from washing; on wetting the affected parts; after discharge of flatus.

Remedies following

Arsen., Bellad., Bryon, Ignat., Lycop., Nux vom., Phosphor., Rhus tox., Sepia, Sulphur.

Antidotes

Coffea. Sometimes Chamom., Ignat., Nux vom.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Coryza, fluid or dry, with loss of taste and smell, sore nostrils, later, a yellowish-green discharge. Pressure in abdomen and small of back, as from a stone, with disposition of lower limbs to go to sleep when sitting. sometimes Ineffectual desire for stool Greatly troubled with dryness in the mouth and throat while sleeping, always awakes with a dry tongue, but without thirst. Stomach disordered from rich foods, cakes. pastry, etc., particularly fat of pork. Thirstlessness with all complaints. Wandering pains shift rapidly from one place to another, also with swelling of the joints. Bad taste in the mouth, especially in the morning, or nothing tastes good, or no taste at all. Menstrual colic with great restlessness, tossing in every possible direction. Noctural enuresis, particularly In little girls. Menses too late and scanty, or suppressed from getting the feet wet. Mild, gentle yielding disposition, cries at anything, is sad and desponding, can hardly give her symptoms on account of weeping. Sandy hair, blue eyed, pale face, inclined to silent grief with submissiveness.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Wind Flower (PULSATILLA)

General

The weather-cock among remedies.

The disposition and mental state are the chief guiding symptoms to the selection of Pulsatilla. It is pre-eminently a female remedy, especially for mild, gentle, yielding disposition. Sad, crying readily; weeps when talking; changeable, contradictory. The patient seeks the open air; always feels better there, even though he is chilly. Mucous membranes are all affected. Discharges thick, bland, and yellowish-green. Often indicated after abuse of Iron tonics, and after badly-managed measles. Symptoms ever changing. Thirstless, peevish, and chilly. When first serious impairment of health is referred to age of puberty. Great sensitiveness. Wants the head high. Feels uncomfortable with only one pillow. Lies with hands above head.

Mind

Weeps easily. Timid, irresolute. Fears in evening to be alone, dark, ghost. Likes sympathy. Children like fuss and caresses. Easily discouraged. Morbid dread of the opposite sex. Religious melancholy. Given to extremes of pleasure and pain. Highly emotional. Mentally, an April day.

Head

Wandering stitches about head; pains extend to face and teeth; vertigo; better in open air. Frontal and supra-orbital pains. Neuralgic pains, commencing in right temporal region, with scalding lachrymation of affected side. Headache from overwork. Pressure on vertex.

Ears

Sensation as if something were being forced outward. Hearing difficult, as if the ear were stuffed. Otorrhœa. Thick, bland discharge; offensive odor. External ear swollen and red. Catarrhal otitis. Otalgia, worse at night. Diminishes acuteness of hearing.

Eyes

Thick, profuse, yellow, bland discharges. Itching and burning in eyes. Profuse lachrymation and secretion of mucus. Lids inflamed, agglutinated. Styes. Veins of fundus oculi greatly enlarged. Ophthalmia neonatorum. Subacute conjunctivitis, with dyspepsia; worse, in warm room.

Nose

Coryza; stoppage of right nostril, pressing pain at root of nose. Loss of smell. Large green fetid scales in nose. Stoppage in evening. Yellow mucus; abundant in morning. Bad smells, as of old catarrh. Nasal bones sore.

Face

Right-sided neuralgia, with profuse lachrymation. Swelling of lower lip, which is cracked in middle. Prosopalgia towards evening till midnight; chilly, with pain.

Mouth

Greasy taste. Dry mouth, without thirst; wants it washed frequently. Frequently licks the dry lips. Crack in middle of lower lip. Yellow or white tongue, covered with a tenacious mucus. Toothache; relieved by holding cold water in mouth (Coff). Offensive odor from mouth (Merc; Aur). Food, especially bread, tastes bitter. Much sweet saliva. Alternations of taste, bitter, bilious, greasy, salty, foul. Loss of taste. Desire for tonics.

Stomach

Averse to fat food, warm food, and drink. Eructations; taste of food remains a long time; after ices, fruits, pasty. Bitter taste, diminished taste of all food. Pain as from subcutaneous ulceration. Flatulence. Dislikes butter (Sang). Heartburn. Dyspepsia, with great tightness after a meal; must loosen clothing. Thirstlessness, with nearly all complaints. Vomiting of food eaten long before. Pain in stomach an hour after eating (Nux). Weight as from a stone, especially in morning on awakening. Gnawing, hungry feeling (Abies c). Perceptible pulsation in pit of stomach (Asaf). All-gone sensation, especially in tea drinkers. Waterbrash, with foul taste in the morning.

Abdomen

Painful, distended; loud rumbling. Pressure as from a stone. Colic, with chilliness in evening.

Stool

Rumbling, watery; worse, night No two stools alike. After fruit (Ars; Chin). Blind hæmorrhoids, with itching and sticking pains. Dysentery; mucus and blood, with chilliness (Merc; Rheum). Two or three normal stools daily.

Urine

Increased desire; worse when lying down. Burning in orifice of urethra during and after micturition. Involuntary micturition at night, while coughing or passing flatus. After urinating, spasmodic pain in bladder.

Female

Amenorrhœa (Cimicif; Senec; Polygon). Suppressed menses from wet feet, nervous debility, or chlorosis. Tardy menses. Too late, scanty, thick, dark, clotted, changeable, intermittent. Chilliness, nausea, downward pressure, painful, flow intermits. Leucorrhœa acrid, burning, creamy. Pain in back; tired feeling. Diarrhœa during or after menses.

Male

Orchitis; pain from abdomen to testicles. Thick, yellow discharge from urethra; late stage of gonorrhœa. Stricture; urine passed only in drops, and stream interrupted (Clemat). Acute prostatitis. Pain and tenesmus in urinating, worse lying on back.

Respiratory

Capricious hoarseness; comes and goes. Dry cough in evening and at night; must sit up in bed to get relief; and loose cough in the morning, with copious mucous expectoration. Pressure upon the chest and soreness. Great soreness of epigastrium. Urine emitted with cough (Caust). Pain as from ulcer in middle of chest. Expectoration bland, thick, bitter, greenish. Short breath, anxiety, and palpitation when lying on left side (Phos). Smothering sensation on lying down.

Sleep

Wide awake in the evening; first sleep restless. Wakes languid, unrefreshed. Irresistible sleepiness in afternoon. Sleeps with hands over head.

Back

Shooting pain in the nape and back, between shoulders; in sacrum after sitting.

Extremities

Drawing, tensive pain in thighs and legs, with restlessness, sleeplessness and chilliness. Pain in limbs, shifting rapidly; tensive pain, letting up with a snap. Numbness around elbow. Hip-joint painful. Knees swollen, with tearing, drawing pains. Boring pain in heels toward evening; suffering worse from letting the affected limb hang down (Vipera). Veins in forearms and hands swollen. Feet red, inflamed, swollen. Legs feel heavy and weary.

Skin

Urticaria, after rich food, with diarrhœa, from delayed menses, worse undressing. Measles. Acne at puberty. Varicose veins.

Fever

Chilliness, even in warm room, without thirst. Chilly with pains, in spots, worse evening. Chill about 4 pm. Intolerable burning heat at night, with distended veins; heat in parts of body, coldness in other. One-sided sweat; pains during sweat. External heat is intolerable, veins are distended. During apyrexia, headache, diarrhœa, loss of appetite, nausea.

Modalities

Worse, from heat, rich fat food, after eating, towards evening, warm room, lying on left or on painless side when allowing feet to hang down. Better, open air, motion, cold applications, cold food and drinks, though not thirsty.

Relationship

Penthorum, often indicated after Pulsatilla in later colds. Ionesia Asoca-Saraca indica--(Amenorrhœa. Menorrhagia-acts powerfully on female organs. Abdominal pain). Atriplex (Uterine symptoms, amenorrhœa; hysteria, coldness between shoulders, dislike of warm food, craves strange foods, palpitation, sleeplessness). Pulsatilla Nuttaliana, identical effects.

Compare: Cyclamen; Kali bich; Kali sulph; Sulphur. Pimenta-Allspice--(one-sided neuralgias, parts of body hot and cold).

Anagyris (headache, amenorrhœa).

Complementary: Coffea; Chamom; Nux.

Dose

Third to thirtieth attenuation.

Leaders in Homoeopathic Therapeutics

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

Leaders

Mild, gentle, yielding disposition; sad and despondent, weeps easily, sandy hair, blue eyes, pale face, muscles soft and flabby.

Changeable remedy, pains travel from one joint to another; hæmorrhages flow and stop and flow again, no two stools alike, no two chills alike, no head nor tail to the case-mixed.

Bad taste in the mouth, < mornings, with great dryness, but no thirst.

Stomach easily disturbed, especially by cakes, pastry or rich fat foods.

Thick bland discharges from all mucous membranes.

Catamenia too late, scanty or suppressed, particularly by wetting the feet.

Pains accompanied with constant chilliness, and the more severe the pain the harder the chill (with profuse sweating, Cham.; with fainting, Hepar sulph.; with frequent micturition, Thuja; with delirium, Verat. alb.).

The mental picture of Pulsatilla is almost the opposite of that of Nux vomica. Nux vomica is called the man's remedy and Pulsatilla the woman's remedy. This means simply that the complaints of one are found oftener with men, while those of the other are found oftener with women.

Now to call attention to another of Hering's characteristics, and I know of no one who has expressed them better, we have -"Mild, gentle and yielding disposition; cries et everything; is sad and desponding; creeps about everything; can hardly give her symptoms on account of weeping.") And again: "Sandy hair, blue eyes, pale face, inclined to silent grief with submissiveness." (Silicea is its chronic). Here we have a description of the Pulsatilla temperament as near as words can express it, and it is a fact that when you find it in a patient, no matter what the pathological condition, Pulsatilla will almost surely help. There are few exceptions. So we learn not to put too much stress on pathological states to the neglect of symptomatological conditions.

Pulsatilla is a remedy of wide range of action. Farrington mentioned its use in seventy-three different affections, and has not by any means exhausted them all; and if you study Pulsatilla in Hughes' Pharmacodynamics you will notice that, although he recommends it in many diseases, he does not, and evidently is not able to, talk as much from a pathological standpoint especially from the provings of the drug as he does of many other remedies. It seems to me like folly to undertake to pose as either an exclusive pathologist or symptomatologist. Both pathology and symptomatology are valuable and inseparable; neither can be excluded. Pathology is what the doctor can tell (sometimes); symptomatology is what the patient can tell.

There is another condition of Pulsatilla which may be considered Characteristic, and which Hering does not mention in his cards, viz., changeableness of symptoms (Ignat., Nux mosch.). All that Hering said was "wandering pains shift rapidly from one part to another, also with swelling and redness of the joints. " Now if this occurs in rheumatism (Manganum acet., Lac caninum, Kali bichrom., Kalmia lat.), and especially if in the Pulsatilla temperament we may perform a miracle of curing with this remedy. But this shifting or changeableness is not confined to the pains, which may be either rheumatic or neuralgic, but is found in the disposition. The patient is now irritable, then tearful again, or mild and pleasant; but, even with the irritableness, is easily made to cry. The hæmorrhages flow, and stop, and flow again; continually changing. The stools in diarrhœa Constantly change in color; they are green, yellow, white, watery or slimy; as Guernsey expresses it -"no two stools alike." (Sanicula). This is often found in the so-called cholera-infantum or entero-colitis of children in hot weather.

We sometimes have patients come into the office, and find, in trying to take their case, no "head to tail" to it. It is mixed. The suffering and pain is now here, now there. The symptoms are contradictory, as we term them. This condition should always call attention to Pulsatilla and it will often clear up and cure the case. Ignatia also has these ever-changing, hysterical and contradictory symptoms, both pre-eminently woman remedies.

Pulsatilla like Nux vomica is a great remedy for disorders. of digestion. Symptoms -"Bad taste in the mouth, especially early in the morning, or nothing tastes good, or no taste at all." (Bryonia, bad taste with coated tongue and thirst; Pulsat., no thirst).

"Great dryness of the mouth in the morning, without thirst. Stomach disordered from cakes, pastry, rich food; particularly fat pork." (I would say -fat meats generally). These are reliable symptoms, as given in Hering's cards, and are not very much like the symptoms of Nux vomica, which is not disturbed by fats, but on the contrary likes them and they agree. With Nux vomica warm food agrees best; with Pulsatilla, cold things.

The bad taste in the mouth is persistent and the loss of taste is frequent, as is also the loss of smell. How peculiar that Pulsatilla should have dry mouth and no thirst, while Mercurius should have characteristically moist mouth with intense thirst. There is no accounting for taste, as the man said when he saw a fellow kiss his mother-in-law.

I do not know that I could give a satisfactory pathological reason for this. Is it not a good thing that we do not have to give the pathological explanation for such a symptom before we can use it to cure our patients? To be sure there is always a reason for these things, but we do not need to know what it is before we can utilize the symptom.

The merest tyro in prescribing could hardly mistake the symptoms of Pulsatilla for those of Nux vomica and yet I have found physicians prescribing these remedies in alternation, at intervals of two or three hours.

Having called attention to the action of Pulsatilla on the digestive organs, which are lined with mucous membranes, we now wish to notice that it has a peculiar action on mucous surfaces generally. This peculiarity consists in the character of the discharges from them. They are thick, bland and yellowish green. These are found in nasal catarrh; leucorrhœa; expectoration; gonorrhœa; in ulcers; from the ears and eyes; in short, from every mucous outlet of the body.

The expectoration of pulsatilla, which is thick, green and bland, tastes bitter, while that of Stannum is sweet and that of Kali hydroiodicum and Sepia salty. One of Schuessler's tissue remedies (Kali sulphuricum) greatly resembles Pulsatilla in the character of its discharges, and not only that, but also in its wandering pains, evening aggravations and ameliorations in cool, open air. Kali hydroiodicum is also ameliorated in open air and worse in a warm room. Now that we are on the subject of greenish discharges, especially the expectoration, we will mention also Carbo veg. Lycopodium, Paris, Phosphorus and Sulphur. Of course, the other symptoms must decide the choice between several remedies having one symptom in common.

A certain physician in Albany, N. Y., was called in consultation on a so-called case of phthisis pulmonalis. The case was in allopathic hands. After carefully examining the case, he was asked: "What is your diagnosis, doctor?" "Stannum," said the doctor. "What!" "Stannum," replied the doctor. Stannum was the diagnosis of the remedy, not the disease. It was given and cured the patient.

Now we come to the curative action of Pulsatilla in affections of the female genital organs. The fact that it has such a decided action upon these, added to the womanish disposition of this remedy, is additional reason why it is called the woman's remedy, as we said when writing upon the disposition and temperament. "Catamenia too late and scanty, or suppressed, particularly by getting feet wet," and "Painful menstruation with great restlessness, tossing in every possible direction," and we have already mentioned the changeable characteristics in the flow of the menses, viz., they stop, and flow, stop and flow again, etc. So, also, the menorrhagia.

In these menstrual troubles of Pulsatilla the wetting or chilling of the feet is of prime importance and, acting upon it, you may save your patient from consumption as a result of such exposure and suppression. Now don't pour down mother tincture of Pulsatilla by the ten-drop doses, as is the manner of those who do not believe in potentized remedies. You may give Pulsatilla in the high, higher, and highest potencies, and confidently expect the best results. I have often seen the delayed menses of young girls of Pulsatilla temperament appear promptly and naturally under the M. M. of Swan and C. M. of Fincke (also with Kali carbonicum, Tuberculinum, and others). so also have I seen them restored after suppression, by the same. Now if you should try one of these very high potencies in a case of menstrual difficulty, and it should not succeed, don't jump to the conclusion that I have been mistaken, for Pulsatilla is not the only remedy for such cases. Homœopathy is too often blamed when the blame lies in the stupidity and malpractice of the prescriber. Magnesia phos. will relieve more cases of painful menstruation than Pulsatilla, and that is not a cure-all, either. Study up your case.

But after all, the prime characteristic of this wonderful remedy lies in its modality. "Better in cold air and from cold applications." The patient is not only better generally in the open, cool air and worse in a warm, closed room, but local affections also, as, for instance, the vertigo; pain in head, eyes, ears; itching of eyelids; roaring; coryza; pain in face; toothache; colic; labor pains; sciatica; ulcers, are all better in open air. These affections that are > in cold air are also especially > while walking or moving slowly about (Ferrum) in open or cool air. Remember that Pulsatilla as well as Rhus toxicodendron is ameliorated by motion, but Pulsatilla in cold or cool open air, while Rhus tox. wants motion in warm dry air.

With Pulsatilla warm applications aggravate, warm room oppresses, heat of bed aggravates itching (Mercurius) and chilblains; cold drinks retained, warm vomited.

Other remedies have aggravations from heat; but Pulsatilla leads them all. The relief from cold and cool, open air is as positive as that of warmth or heat is for Arsenicum.

Now to close our remarks on Pulsatilla we will give a few choice symptoms without any particular comments upon them.

"Affections consequent on the abuse of Iron." "Chronic affections following cases of badly managed measles." "Pressure, or tying up tightly, relieves the headaches." (Argentum nit., Apis mellifica). "Increased inclination to micturate, < when lying." "Metastasis of gonorrhœa to testicles." "Chilliness, with pains, yet wants cool room." "One-sided sweats." "Inflamed parts bluish," (Lachesis, Tarantula Cub.) "Pulsations through the whole body." "Metastasis of mumps to mammæ or testicles." In any of these local affections we should expect to find the mind and modality of this remedy present or not be very confident of a brillant cure.

Modalities

Modalities: < in warm room, warm applications, abuse of Iron; chilliness with the pains, > by cool open air, walking slowly around, cold food or drink, tying up tightly > the headache.

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

Mild, bashful, yielding disposition, with inclination to weep. Peevishness, which increases to tears, with chilliness thirstlessness. Gloomy, melancholy, full of cares. Mistrust ; anthropophobia. Anguish about the heart, even to desire for suicide. Tremulous anguish, as if death were near. Covetousness.

Head

Vertigo, as if intoxicated, when rising from a seat ; when stooping ; after eating ; when lifting up the eyes. Giddiness, with heat, with nausea and loss of sight, in the evening. Intellectual labor fatigues him. Frightful visions, delirium. Stupefaction in the evening, in the warm room, with chilliness. Fright, followed by diarrhœa, with internal heat and external coldness of the body. Stupefying headache, with humming in the head, worse when lying or sitting quiet, or in the cold. Soreness as from subcutaneous ulceration in one or both temples ; worse in the evening, when at rest, and in the warm room ; relieved by walking in the open air. Pulsation in the head in the evening ; worse from mental exertion and stooping. Twitching-tearing in the temple on which one lies, and going to the other side when turning on it ; worse in the evening and on raising the eyes upwards. Tension in the forehead, as if it were in a vice. Stitches in one side of the head, generally in one temple or in the back part of the head, with vertigo, ringing in the ears, and vanishing of sight. Pain in the head, as if the brain were lacerated, on or soon after waking. Congestion of blood to the head, with stinging pulsation in the brain, especially when stooping. Pain, as if the head would burst. Headache from the abuse of mercury or after eating fat food. The headache is worse in the evening, after lying down ; is aggravated by lifting up the eyes, by meditation, in the warm room, and is ameliorated from compression, and when walking slowly in the open air. Tumors on the scalp, suppurating and affecting the skull ; more painful when lying on the opposite well side. Tingling, biting-itching on the scalp, mostly on the temples and behind the ears, followed by swelling and eruptions, paining sore, worse in the evening when undressing and on getting warm in bed. Fetid, frequently cold perspiration, at times only on one side of the head and face, with great anxiety and stupor ; worse at night and towards morning, better after waking and rising. Disposition to take cold on the head, which is exclusively perspiring, especially on the head becoming wet. Drawing pain in the scalp on brushing the hair backwards.

Eyes

Pressing, tearing and stinging in the eyes. Painful inflammation of the eyes and of the meibomian glands. Styes, especially on the upper eyelid. Swelling and redness of the eyelids. Lachrymation in the open air and in the wind. Burning and itching in the eyes, inducing rubbing and scratching. Dryness of the eyes and lids, with the sensation as if it were darkened by some mucus hanging over the eye which ought to be wiped away. Inflammation of the eye, with secretion of large, thick mucus and nightly agglutination. Stitches in the eyes, especially from light and in the sunshine. Fistula lachrymalis, discharging pus on pressing upon it. Dimness of sight, especially on getting warm from exercise. Over-sensitiveness to light. Obscureness of the cornea. Like a veil before the eyes, better on rubbing and wiping them. Incipient cataract. Amaurosis ; paralysis of the optic nerve.

Ears

Otalgia, with darting, tearing pains. Inflammation of the external and internal ear, with redness, heat and swelling. Flow of mucus or thick pus from the (left) ear. Hardness of hearing, as if the ears were stopped up, especially from cold, from having the hair cut or after suppressed measles. Hardened, black cerumen. Humming and tingling in the ears.

Nose

The nose feels sore internally and externally. Ulceration of the external wing of the nose, emitting a watery humor. Bleeding of the nose-blood coagulated ; with dry coryza. Green fetid discharge from the nose (like old catarrh). Smell before the nose as from old catarrh. Coryza, with loss of smell and taste, or of long standing, with a heavy yellowish-green discharge.

Face

Alternate redness and paleness of the face. Color of the face pale or yellowish, with sunken eyes. Face bloated, purple. Puffiness of the cheeks and nose. Sweat in (one side of) the face and on the hairy scalp. Erysipelas in the face with pricking pain. Painful sensitiveness of the skin in the face. Gnawing and smarting around the mouth. Lower lip swelled and cracked in the middle.

Mouth and Throat

Toothache, tearing jerking, as if the nerve were strung and suddenly released. Jerking and stinging in the teeth, extending to the ears and eyes. Looseness of the painful teeth. Toothache from cold (in the first warm spring days), with otalgia, paleness of the face and chilliness. Toothache aggravated in the evening and at night, from the heat of the bed, from warm air, in the warm room, from taking warm things in the mouth ; relieved in the cool open air ; from taking cold water in the mouth. Pulsating and stinging in the gums, aggravated by the heat of the stove ; gums pain as if they were sore. Putrid smell from the mouth, especially in the morning. Dryness in the mouth in the morning. Ptyalism, the increased saliva tastes sweet. Tongue coated yellow or white, and covered with tough mucus. The tongue feels dry and clammy ; feels in the middle as if burned. Pain in the throat, as if sore and raw ; stinging, with pressing and tension, or empty swallowing. Inflammation of the throat, with veins distended. Dryness of the throat in the morning, with tough mucus in the throat, especially in the night and morning.

Stomach and Abdomen

Taste, putrid, bitter, especially after swallowing food or drink ; sweetish (beer tastes sweet). Thirstlessness, with moist tongue, or thirst for beer and strong, alcoholic drink. Aversion to fat food (butter), meat, bread and milk. Hunger and desire to cat, without knowing what. Eructations ; tasting and smelling of what has been eaten ; like bile in the evening. Nausea felt in the upper part of the abdomen, especially in the evening, after eating and drinking, with rumbling in the abdomen. Morning sickness (during pregnancy). Vomiting of mucus ; of bile ; of bitter-sour fluids ; of ingesta after each meal, especially in the evening and at night ; of blood. Disordered stomach (digestion) from eating fat food (pork). Cold in the stomach from ice cream and fruit. Colic, with nausea, ceasing after vomiting. Pressure in the pit of the stomach after each meal, with vomiting of the ingesta. Sensible pulsation in the pit of the stomach. Inflammation of the abdomen, with great sensitiveness of the integuments to pressure. Stitches and cutting in the abdomen in the evening ; worse on sitting still. Colic and labor-like pains in pregnant women. Colic with chilliness, while the menstruation is suppressed. Sensitiveness and inflammation of the abdominal walls. Incarcerated flatulence, and from it colic in the evening. Colic and rumbling of wind, especially in the upper abdomen. Painless rumbling of flatulence in the upper abdomen.

Stool and Anus

Constipation, especially if the feces are hard and large, after suppressed intermittent fever by Chininum Sulph. Frequent soft, diarrhœic stools, consisting of yellow mucus or mixed with blood, preceded by cutting in the abdomen, or with pains in the small of the back. Nightly diarrhœa, discharges watery or green like bile, after previous rumbling in the abdomen. Difficult soft stool, with straining and backache. Stools consisting only of mucus, or acrid, or bloody, or very offensive, or white. Dysentery, with pain in the back. Daring stool, congestions of blood to the anus. Hæmorrhoidal tumors, with great soreness.

Urinary Organs

Ischuria, with redness and heat in the region of the bladder. Incontinence of urine ; the urine is discharged by drops when sitting or when walking ; involuntary discharge of urine when coughing, when passing wind, during sleep. Tenesmus vesicæ. Hæmaturia, with burning at the orifice of the urethra, and with constriction in the region of the navel. During micturition burning in the urethra. Scanty red-brown urine. Sediment of the urine reddish, bloody or mucous. Thick gonorrhœic discharge from the urethra.

Sexual Organs

Men. Sexual desire too strong. Itching-burning on the inner and upper side of the prepuce. Inflammation and swelling of the testicles, with swelling of the scrotum (from a contusion or after suppressed gonorrhœa). Burning in the testicles, without swelling. Hydrocele. Inflammation of prostate gland. Women. Menstruation too late and too scanty, and of too short duration, with cramps in the abdomen ; blood thick, black, clotted, or thin and watery. Suppressed menstruation, especially from cold, getting the feet wet. First menstruation delayed. Metrorrhagia (discharge now stopping, and then stronger again) of coagulated, clotted blood, or with false labor-pains. Labor-pains too weak, spasmodic or ceasing. After-pains of long duration. Suppression of the lochial discharges. Suppression of or very scanty secretion of milk. Leucorrhœa, acrid, burning, like milk, and painless.

Respiratory Organs

Hoarseness, which does not permit one to speak a loud word. Breathing, groaning or rattling. Dyspnœa, especially when lying on the back, at night with giddiness and weakness in the head. Difficulty of breathing when walking. Asthma at night, as from vapors of sulphur. Dyspnœa, as from spasmodic tension in the lower part of the chest, below the false ribs. Tickling on the sternum. Short dry cough, as soon as he gets warm. Dry cough, whenever he wakens from sleep, disappearing while sitting up in bed, and returning as soon as lying down again. Dry, severe cough, mostly in the morning, with retching and desire to vomit, and sensation as if the stomach wen turned inside out. Cough, with expectoration of black, clotted blood (during the suppression of the menstruation). Cough, with copious expectoration of yellow, bitter mucus. Cough caused by dryness and scraping in the chest, with nausea and straining to vomit. Expectoration salty, offensive, tasting like the discharge in chronic catarrh. Acute suppuration of the lungs. Cough, with expectoration in the morning or during the day only, without expectoration at night. Anxious and spasmodic tightness of the chest, as if it were too full, and the larynx constricted, especially in the evening and at night. Violent spasmodic hooping-cough, in two consecutive coughs, caused by itching, scraping, with dryness, as from the vapors of sulphur, in the larynx and chest. Pain in the chest, as from subcutaneous ulceration. Tension in the chest, especially on drawing a long breath. Stitches in the chest, especially when coughing and drawing a long breath. Attacks of burning in the chest. Violent attacks of palpitation of the heart, often accompanied by anguish and vanishing of sight. Burning pain in the heart.

Back and Neck

Curvature of the spine (upper part). Stitches in the small of the back. Pains in the back and chilliness from suppressed menstruation.

Extremities

Upper. Pressing heaviness or tearing and drawing in the shoulder-joint, extending to the fingers. Swelling of the elbow after a contusion. Swelling of the veins on the forearms and on the hands. Itching chilblains on the hands. Lower. Coxalgia. Hot, inflammatory swelling of the knee. Drawing pain in the tibia. Varices on the lower extremities. Red-hot swelling of the feet extending up to the calf, with stinging pain. Swelling of the top of the foot. Sensation of soreness in the soles of the feet. Chilblains. The complaints are worse when one allows the feet to hang down.

Generalities

Pain as from subcutaneous ulceration or as from inward festering. Tension in inner parts or in the joints. Burning-stinging pains. Rheumatic red-hot swelling, with stinging pains. Pains (rheumatic) shifting from one place to another. Congestions to single parts. Inflammation of internal organs, with disposition to suppurate. Diseases (inflammation) of the mucous membranes. Pulsations through the whole body. Frequent anxious trembling of the limbs. Hysterical complaints. Chlorosis. Attacks of fainting, with great paleness of the face. Epileptic attacks (after suppressed menstruation), with violent beating of the limbs ; later they become relaxed, with nausea and eructations.

Fever

Pulse weak and small, but accelerated. During the evening, heat ; the veins are enlarged. Coldness predominates. Continuous internal chilliness, even in the warm room. Increased chilliness towards evening. Chilliness with the pains. Sensation of coldness and numbness on one side of the body. Thirst before the chill or heat, seldom during the hot gage. The chill is followed by heat, with anxiety and heat of the face. Internal general dry heat without external heat, in the evening or at night. Heat of the face or heat of one hand, with coldness of the other. Heat of the body with coldness of the extremities. Profuse perspiration at night or in the morning. Perspiration during sleep, soon ceasing when waking. Perspires easy during the day. One-sided perspiration, sometimes only in the face and the head. Night-sweat with stupor. Smell of the perspiration sour, musty, like musk. Perspiration at times cold. Perspiration only on (one side of the) face and scalp. Intermittent fever, chilliness without thirst, then slight thirst, then heat without thirst, accompanied by vertigo and stupor. First heat ; afterwards violent chilliness. Chilliness (4 P.M.) without thirst, accompanied by anxiety and dyspnœa ; this is followed by a drawing pain extending from the back into the head, three hours later heat of the whole body without any thirst, with sweat on the face, drowsiness without any sleep and unconsciousness ; in the morning perspiration over the whole body. Intermittent fevers, with the prevalence of gastric and bilious symptoms or consequent upon the abuse of Chinin., with bitter taste of the food and constipation. Vomiting of mucus when the cold stage comes on, absence of thirst during the hot stage and during the perspiration. Mucous diarrhœa during the apyrexia, with nausea and low of appetite.

Skin

Pale skin. Eruptions from satin, much pork, itching violently in bed. Eruptions like measles. Exanthemata ; itching-stinging, chapped. Chilblains, inflamed, itching. Rhagades. Suppurating wounds, -pus thick and too profuse. Ulcers ; bleeding easily, burning or stinging in the circumference, itching, or very hard or red around the ulcers. Fistulous ulcers. Pus copious and yellow. Inflamed varices.

Conditions

Especially suitable for slow, phlegmatic, good-natured, timid temperaments ; for women, and especially during pregnancy. The symptoms are often accompanied by chilliness, thirstlessness and oppression of the chest. The more severe the pain the stronger is the chill. Serves as an antidote for the abuse of China, Chinin., Mercury, Sulphur, or Chamomilla tea. Aggravation in the evening ; in twilight ; when rising after sitting long ; on beginning to move ; from changing the position ; while lying on the left or on the painless side ; when lying with the head low or in a warm room ; while exhaling ; from having eaten fruit, ice-cream, pork, pastry or warm food. Amelioration from slow motion, in the open air ; in a cold place ; while lying on the painful side ; from eating cold things. After Pulsatilla follow well Sepia, Kali bichr., Sulphur.

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

Pulsatilla nigricans. Anemone pratensis. Pulsatilla pratensis. Pasque Flower. (Sunny, sandy pastures in Central and Northern Europe and parts of South of England.) N. O. Ranunculaceæ. Tincture of entire fresh plant when in flower (it flowers in spring and again in autumn).

Clinical

Acne. Amaurosis. Amenorrhœa. Anæmia. Appetite, depraved. Bladder, catarrh of. Blepharospasm. Breasts, pain behind. Bronchitis . Cataract. Catarrh . Chaps. Chest, pains in. Chilblains. Clavus. Cold. Cough. Diarrhœa ; of phthisis. Distension . Dysmenia. Dyspepsia. Earache . Epilepsy. Epistaxis. Eyes, lachrymal sac, inflammation of; granular ophthalmia. Fear. Feet, soles painful . Fœtus, mal-position of. Freckles. Gonorrhœa. Gout. Hæmorrhoids. Hands, pains in. Heart, palpitation of. Heartburn. Hydrocele ; congenital. Hysteria. Intermittent fever. Joints, synovitis of. Labour, spurious pains of. Lactation, disorders of. Leucorrhœa. Measles. Menstruation, abnormal ; vicarious. Moles. Mumps. Neuralgia . Nymphomania. Ovaries, Pain in; inflammation of. Phlegmasis alba dolens. Pregnancy; bladder trouble of; sickness of; heartburn of; diarrhœa of . Priapism. Prostate, inflammation of . Prostatorrhœa. Puerperal convulsions. Puerperal fever. Puerperal mania. Retained placenta. Rheumatism ; gonorrhœal. Side, pain in. Smell, illusions of . Spine, curvature of. Stye . Synovitis. Tape-worm. Taste: depraved; lost. Tongue, coated. Toothache. Urine, incontinence of . Uterus; inflammation of; prolapse of. Veins, inflammation of ; varicose. Whitlow.

Characteristics

As some confusion has arisen as to the Pulsatilla of homœopathic use, I will give Jahr's description of the plant: "Stems simple, erect, rounded, 3 to 5 inches high; leaves radical bipennatifid, oblong; flowers solitary, terminal, having folioles of calyx campanulate, bent at the point, the odour of the herb but slightly evident, taste acrid and pungent. The fresh plant contains an acrid and, vesicating principle, and furnishes a corrosive oil, as well as a kind of tannin, which colours iron green; in the dry state it is entirely deprived of this acrid quality. Grows in sandy pasture grounds, on hills and declivities exposed to the sun." He further distinguishes this Black Pulsatilla from the Common Pulsatilla ( Pulsatilla vulgaris, Anemone Pulsatilla ) which "grows only on dry and sterile hills and flowers in spring only, whilst the black-coloured Pulsatilla flowers a second time in August and September." P. vulg . is much less downy than P. nig .: "Its flowers clear violet or pale red, straight and not hanging; seeds surmounted by a long silky tail." It is called Pasque Flower because it is in bloom at Easter, and its flowers are used for colouring Easter eggs. The Anemone is a medicine of ancient date, and its affinity for the eyes seems to have been noted from the first. Perhaps its tearful propensities gave rise to the legend that it sprang from the tears of Venus. Dioscorides mentions it as a remedy for headache and ophthalmia . Stœrck was the forerunner of Hahnemann in the modern use of Pulsatilla , which he employed especially in chronic affections of the eyes (catarrh, amaurosis, spots on cornea). A young girl who had had amaurosis of both eyes since infancy he cured in two months, administering an extract internally, and insufflating a dry powder. The latter "caused at first an acute pain and profuse flow of tears; after which the pains, which had existed previous go the lachrymation, diminished as soon as it commenced , and finally disappeared with it" (Teste). Other cures by Stœrck are: ( 1 ) Foul ulcers on foot with serpiginous tetters on neck and shoulder. ( 2 ) Paralysis of right arm of five years' standing. ( 3 ) Paralysis of thighs. ( 4 ) White swelling of knees. ( 5 ) Melancholia. Hahnemann quotes Stœrck's experiences in the proving of Puls . in M. M. P . "Of the numerous provings left us by Hahnemann," says Teste, "that of Puls . seems to be the one to which he has contributed himself more than any other; it is one of the most interesting and most characteristic provings of his materia medica." Teste himself has given a very luminous account of the remedy. He puts it at the head of a group with Silic., Calc., Hep . as its chief members ( Graph., Phos . in less degree, with Fer., Cham ., and Gadus as analogues). These drugs act principally, says Teste, on the vascular apparatus. All the symptoms which they have in common depend upon a small number of primordial symptoms ( e.g ., impeded respiration, engorgement of air passages, irregular beating of heart), indicating vascular disturbance. Hence arise ─ ( 1 ) Throbbings here and there synchronous with the pulse. ( 2 ) Blackness and diminished fluidity of the blood. ( 3 ) Swelling of veins, capillary engorgement, a sort of ill-conditioned plethora. ( 4 ) Diminished vital heat and action. ( 5 ) Congestion of blood to head and engorgement of the sinuses. ( 6 ). Sensation of heaviness and fulness of brain; and ( 7 ) the same kind of pain sometimes with apoplectic shocks, in centre or (more usually) on right side of brain. ( 8 ) Vertigo and cloudiness as in complete apoplexy, especially when atmospheric pressure is low , as at the approach of storms, and on heights. [Others follow from which I make a selection. ─ J. H. C.] Soft stools, and a passive diarrhœa without colic, which seems to ease the patient rather than weaken him, and continues for an indefinite period, e.g., in phthisical patients. Sort of numbness, torpor of the genital organs, with absence of erections and pleasurable sensation (especially among women) during an embrace; or else permanent sexual excitement, "probably from compression of the cerebellum by the blood which flows to it in excessive quantity and remains there, as is the case in certain forms of asphyxia; this is the cause of the sexual excitement with which phthisicy persons are so often troubled." Delay of menses in spite of evident symptoms of a flow of blood towards the uterus; the menstrual blood is black, coagulated, impoverished if menses either too early or too late. One is obliged to lie with the head much higher than the rest of the body. Pains which manifest themselves principally in the parts on which one is not lying, but on changing position aggravated breaking out of those pains on the parts on which one has just been lying. ─ This idea of vascular engorgement usefully strings together many of the leading characteristics of Puls ., which will serve to indicate its use in a great variety of disorders. The leaves of the recent herb have an acrid, burning, and nauseous taste. Its juice draws blisters "to the extent, it is said, of causing gangrene, if allowed to remain in contact with the part for a sufficient length of time; but these properties are, in a great measure, lost by dessication; and ruminating animals, such as sheep and goats, eat the dry Pulsatilla, if mixed with other herbs, without aversion or inconvenience." An active principle, Anemonin , has been isolated; it is inflammable and crystallises in colourless, odourless neutral needles. Hahnemann says of Puls .: "This powerful plant produces many symptoms on the healthy human body which often correspond to the marked symptoms commonly met with; hence, also, they admit of frequent homœopathic employment, and often do good. We can therefore unquestionably reckon it as a remedy of many uses (polychrest). It is useful in acute as well as in chronic diseases, as its action, even in small doses, lasts from ten to twelve days. . . The homœopathic employment of this, as of all other medicines, is most suitable when not only the corporeal affections of the medicine correspond in similarity to the corporeal symptoms of the disease, but also when the mental and emotional alterations peculiar to the drug encounter similar states in the disease to be cured, or at least in the temperament of the subject of treatment." Hahnemann now gives in masterly fashion the picture of the Puls . disposition and temperament: "A timid, lachrymose disposition, with a tendency to inward grief and silent peevishness, or at all events a mild and yielding disposition, especially when the patient in his normal health was good-tempered and mild (or even frivolous and good-humouredly waggish). It is therefore especially adapted for slow, phlegmatic temperaments; on the other hand, it is but little suitable for persons who form their resolutions with rapidity and are quick in their movements, even though they may appear to be good-tempered. It acts best where there is a disposition to chilliness and adipsia. It is particularly suitable for females when their menses come on some days after the proper time; and especially when the patient must lie long in bed at night before he can get to sleep, and when the patient is worse in the evening. It is useful for the ill effects caused by eating pork." Hering gives these additional touches to the Puls . type: Sandy hair, blue eyes, pale face, easily moved to laughter or tears; affectionate, mild, timid, gentle, yielding disposition; women and children; women inclined to be fleshy; the pregnant state. The behaviour of the "Wind Flower," the sport of every gust, has been said to typify the action of the remedy. Changeableness is one of its most important keynotes: Erratic temperatures in fevers. Wandering pains shift rapidly from one part to another, also with swelling and redness of the joints. Hæmorrhages apparently stop and in a few hours return. Stools constantly changing colour; no two stools alike. Alternate pallor and redness of face. When one set of symptoms comes on another vanishes. A patient of mine, after a mental strain and fright, had severe occipital pain. I gave Puls . 30. Each dose caused the pain to fly from the occiput to the left leg; the mental balance was soon restored. Metastasis of mumps to testes or mammæ. Nash says Puls . will often clear up those cases which have no "head or tail" to them; in which the symptoms are always changing and contradicting, pains run here and there. The Puls . patient is chilly, but at the same time there is extreme aversion to heat. The chief of all the keynotes of Puls . is < by warmth; in warm, close room; by warm coverings; warm applications; and > in open air; cold air or cool room; eating or drinking cold things; cold applications. Another keynote of Puls . is thirstlessness, and Teste gives a useful clue to that in suggesting that it depends on the congestive action of the remedy. The loss of thirst and even aversion to liquid food is "as if one had an instinctive dread of increasing the excessive fulness of the vessels." The wandering pains of Puls . are generally distensive , again suggesting congested vessels; and the headaches are congestive < on stooping forward; > by tightly bandaging; as if the brain would burst and the eyes would fall out of the head. The three characters, "chilly; < by warmth; thirstless," serve to define the fever of Puls . in whatever form it may be met ─ measles, mumps, typhoid, bilious, catarrhal, intermittent, rheumatic, &c. The chilliness may be one-sided, and associated with numbness; it may be flitting , in spots now here, now there. With the heat there are distended veins and burring hands that seek cool places, and still there is no thirst. In the rheumatic the pains shift from joint to joint. The sweat is profuse, may be one-sided, sour, sweetish sour, or musty in odour. The last completes the similarity of Puls . to the " mousey " odour of measles; the cough, catarrhal symptoms, and rash giving other strong points of correspondence. The ear trouble which is a common sequela and complication of measles or other fever is frequently met by Puls ., which also meets the consequences of suppressed exanthemata and metastases, as of mumps to testes or mamma. As a prophylactic against measles Puls . has a reputation almost equal to that of Bell . against scarlatina: I generally give Puls . 3 three times a day. The generative organs of both sexes are strongly acted on by Puls ., which may almost be regarded as an organ-remedy in relation to them. Gonorrhœa, with thick, purulent secretion; and the effects of suppressed gonorrhœa, orchitis, and cystitis; prostatitis; sarcocele, varicocele, hydrocele ─ all come within the sphere of Puls . In the female Puls . ranges over the whole sexual period, from puberty to the climacteric, including disorders of menstruation, pregnancy, the puerperium and lactation ─ all of which present many points of correspondence with the symptoms of Puls . Epilepsy with absence or irregularity of menses has been cured with Puls . Bojanus ( B. J. H ., xxxix. 218) relates two cases: ( 1 ) Girl, 18, of good constitution, with no hereditary predisposition, had amenorrhœa for six months, and a fit occurred at the time each period was due. Aura: sad, pale as death; chewing movements. Puls . 6 one dose a day. Next month menses returned and there were no more fits. ( 2 ) Robust girl, 14, with no hereditary predisposition. Fits twelve months. Exciting cause: non-appearance of menses. One great fit per month, small fits daily. Aura: self-willed, angry, stands on one spot, stares into vacancy, stamps her foot. In fit: cries, deathly paleness, biting tongue, flow of urine, continuing the occupation she was engaged with at commencement of fit. Puls . 30 one dose a day. Some weeks after a slight fit. Month later menses came on for first time, no great fits, small ones rare. Puls . 30 one dose a week. Month later a great fit. Puls . once a day. No more great fits, only a few small ones. Cure permanent. A patient to whom I was giving Puls . 3 for some heart affection complained that she could not take it because it caused her to wake up in the night with a dry cough, and she was compelled to sit up in bed to get relief. That is a characteristic cough of Puls ., and I have frequently cured it in other patients. Puls . has a cough with copious expectoration, and this is the more usual; but they may be alternating conditions. The congesting action of Puls . is well shown in the respiratory symptoms. Remarking on this symptom, "Pressure upon the chest and soreness," Hahnemann says that in the catarrhal condition they refer to, "the glands of the air passages appear to be swollen and inflamed, and unable to secrete the mucus necessary to moisten them; hence the sensation of dryness, rawness, painfulness, and the illusory sensation as if the air passages were internally constricted by an excessive amount of tenacious and firm mucus which could not be loosened ." Commenting on another symptom of Puls . ("dyspnœa or vertigo, with weakness of the head on lying outstretched upon the back, wholly disappearing on sitting upright"), Hahnemann elucidates some of its Conditions: "The symptoms of Puls . caused by lying down, sitting up, rising from sitting, by walking and by standing, consist of varying alternate conditions, all of which belong to the primary action of the drug, but which vary in their character. Usually the symptoms of Puls . which occur while lying still upon the back are > by sitting upright, seldom the reverse; frequently the symptoms that appear while sitting still are > or removed by gradual motion and by walking, seldom the reverse. Yet the act of rising, before one begins to walk, = symptoms more numerous and more severe the longer the sitting has continued; so also longer continued and more violent motion = aggravation no less long than sitting still, which, however, are only really felt and noticed after one has sat down and become quiet." Other leading indications of Puls . are: First serious impairment of health is referred to age of puberty, "never been well since" ─ anæmia, bronchitis, phthisis. Secretions (of eye, ear, nose, vagina, &c.) are generally thick, bland, and yellowish green. The pains appear suddenly and leave gradually; or tension much increases till very acute, then "lets up with a snap." Great dryness of mouth without thirst. All-gone sensation in stomach, especially in tea-drinkers. < At twilight; in evening (the wide-awakeness on first going to bed comes within this modality). Suffering parts emaciate. Peculiar Sensations are: As if beside himself. As if in a hot atmosphere. As if death were near. As if looking through a sieve. Limbs as if bruised; as if asleep. As if one had turned in a circle a long time; as if he would fall; as if he were dancing. As if brain would burst and eyes fall out of head. As if skull of forehead too thin. As if skull were lifted up. As if one had eaten too much. As if a nail driven into occiput. As if head between screws. As if gimlet piercing skull. As if eyes tightly bound by cloth. As if foreign body pressing in eye; sand in eye; thick body forcibly driven into ear; something crawling out of ear; worm creeping into throat. As if nose would be forced asunder. As if face being drawn tighter and tighter, then suddenly let loose as if a string cut. As if a nerve in tooth put on stretch and then let loose. As if he had to swallow over a lump. As of stone in stomach. As if bladder too full; as if it would fall to side on which he is lying; as of a stone in bladder or in abdomen or chest. As if joints would be easily dislocated. Small of back as if sprained. As if a hand passed through back and everything were constricted. Chill as if drenched with cold water. As if head would burst on coughing. Tongue as if burnt. Pain as from subcutaneous ulceration. As of a hot coal above ulcer. The symptoms are < by touch; > by hard rubbing and pressure (but stomach, bladder, uterus, very sensitive to pressure). > Uncovering. Aversion to and < from meat, butter, fat food, pork, bread, milk, buckwheat, ice cream, smoking. Desire for: sour, refreshing things; herring; lemonade. > From cold, < from warm foods. Rest < ( > pain in testes; labour-like pains; weakness in joints). Cannot rest though motion < . The longer he lies in the morning the longer he wishes to lie. > Lying with head high. < Lying on l. side; on sound side. Pains which come on when lying on back are > by turning to either side (also vice versâ ); must sit up and turn. When rising up the red face turns deathly pale. Great inclination to stretch feet. Gentle motion > , slow walking > . Violent motion < . Mis-step < stitching pains in stomach. Intellectual labour, or watching will = headache; meditation will sometimes > . Most symptoms < evening and night. < Twilight: "As evening comes on begins to fear ghosts"; all symptoms < alternate evenings. < Before thunderstorm. Sun < . < Hot food; is vomited immediately; < toothache. < Changes of weather. < Getting wet. Wind < . Draught of air > toothache.

Relations

Antidoted by: Cham. (Cham. and Puls. antidote each other and follow each other well. If either one has over-acted the other will probably neutralise the ill effect and carry on the good), Coff., Ign., Nux (Teste adds Sul., and says when the improper use of Puls. has affected the air passages Calc. ph. has proved his best antidote). Antidote to: Chi., Chi. sul., Fer. (in chlorotic girls who have been damaged by Iron, Puls. has excellent effect), Mag. c., Sul., Sul. ac., vapours of Mercury and Copper, Bell., Cham., Coff., Colch., Lyc., Plat., Gels., Strm., Saba., Ant. t., Whisky, Toad-stool poisoning. Compatible: Ars., Bry., Bell., Ign., K. bi., Lyc., Nux, Pho., Rhus, Sep., Sul. Complementary: Lyc., Sul. ac., Arg. n. (if Arg. n. flags, give Puls.; Arg. n. follows Puls. in ophthalmia); Stn. (Stn. has menses too early and too profuse). Compare: Tearfulness, Sep. (Puls. cries when telling her symptoms, Sep. weeps when questioned about her symptoms; Sep. irritability and anger, indifference to household affairs), Nat. m. (Nat. m. is < by consolation), Ign. (Ign. hides her grief). Varicose veins, varicocele, orchitis, phlegmasia alba dolens, Ham. (Ham. has soreness of affected part). Ophthalmia, Arg. n. Cold, Cycl. (Cycl. has spasmodic sneezing), Cep. (both have < in room, > open air, but Cep. discharge is thin and excoriating, Puls. thick and bland), Pen. sed. (Pen. sed. has rawness in nose and throat; and "constant wet feeling without coryza," later thick and purulent like Puls.). Stinging pains in throat < swallowing saliva and after eating, Apis. Feeling as if food lying in œsophagus, Chi., Abies n. Effect of fat food, Ip., Thuj., Carb. v. Effect of ice-cream, Ars., Carb. v., Ip., Bels. Mixed diet, Nux, Ip., Chi. Desire for lemonade, Cyc., Sabi., Bell. Gastric ailments from pork, Ant. c. (tongue as if whitewashed, vomiting predominates; Puls. stool greenish and slimy), Ip. (tongue clean, nausea predominates). Spasmodic, irregular pains = faintness, Nux. Retained placenta, Canth. After-pains, Cham., Xan., Cup. (in women who have borne many children). Non-appearance of milk, Urt. u., Ric. com., Agn. c. Uterine affections, Caul., Helon., Senec., Alet. f., Cycl., Hydras., Lil. Measles, Morbillin, K. bi. Backache < sitting, Zn., Cobalt., Sep., Can. i. Earache, Borax. Knee-joint affections, Anac. (Anac. chronic). < From wine, Zn. (Puls. from sulphurated wines,) Rho., Glo., Nux, Sel., Lach., Fl. ac., Ant. c., Bov., Sil. Thick, yellowish, green nasal discharge, Merc. (Puls. bland; Merc. has moist mouth and intense thirst, and Puls. and Nux m. dry mouth without thirst). Sudden vanishing of sight with scanty menses, Sep., Cycl. Diarrhœa from fright, Gels. (Puls. stools greenish, yellow, or slimy, or very changeable). Hypertrophy of heart; > from slow motion, Rhus. Menstrual colic, Coccul. (Coccul. as if sharp stones rubbed together with every movement). Vicarious menstruation, Bry., Pho. Ozæna with thick greenish discharge, gleet, gonorrhœal rheumatism, effects of tea, Thuj. (the gleet of Puls. is thicker than that of Thuj.). Scanty menses, Graph. > Open air, Sul. (Lyc. desires open air, but is < in cold, damp air). Climacteric state, Lach. > Uncovering, Lyc., Camph., Aco., Sec. < From heat, Apis, Iod. Nausea in upper chest and in hypogastrium, Puls. (nausea in hypogastrium, generally with uterine bearing down, Rhus). Nausea when fasting, Calc., Lyc., Silic.; when beginning to eat, Nux, Sul. Nausea in chest, Ant. t. Acid stomach, Chi., Calc., Sul., Sil., Robin. Menstrual pain begins with the flow (opp. Lach., pain subsides as flow begins). Acquisitiveness, Ars., Lyc. Dread of disease, Calc., Lach., Nux. < Lying on left side; > cold food and drink, Pho. Ribbon-like stools (Pho. like dog's). Fears darkness, Am. m., Ars., Bar. c., Berb., Calc., Carb. a., Carb. v., Caus., Lyc., Pho., Rhus, Stro., Val., Stram. Fear of ghosts, Aco., Ars., Bro., Lyc., Ran. b., Sep., Sul., Zn. Piles during menses, Am. c., Ars., Carb. v., Coccul., Collins., Graph., Ign., Lach., Mur. ac., Pho., Sul. Faintness connected with stools, Ap., Nux m., Spi., Ver. (with scanty stools, Crot. t., Dulc., Ox. ac., Pet. Sars., Sul.) Stoppage of menses from wet feet, Rhus., Lob. i. Chilblains, Agar. Vertigo on looking up (Calc. on turning head; Sul. on looking down). < In bed at night, Sul., Merc., Cham. Taste bitter with biliousness of a morning, the taste felt chiefly in upper chest, Sul. One hand cold the other hot, Chi., Dig., Ip., Mosch. Metastasis of mumps to testes, Bell., K. ca., Rhus (to brain, Bell., Hyo.). Effect of taking cold, fever, Aco. (Aco. has great thirst and anguish). Inter-menstrual hæmorrhage, Bov., Ham. < Hair-cutting, Bell. > Lying on painful side, Bry. Erratic temperatures (Zn. nervous high temperatures). Puls. is a close analogue of Cycl. in many respects, but Cycl. has profuse menses, the flow being < sitting and > walking (Puls. < during day; Kre. < lying down); and Cycl. has < in open air. Puls. and Nux are in most respects antipodal, though they follow each other well; Puls. has > lying on back, < turning to either side; Nux has < lying on back, > turning to either side. Silica is the chronic of Puls.; and Sul. also in many respects.

Causation

Chill. Wetting feet. Eating: Pork; Fats; Pastry; Ice-cream; Mixed diet. Thunderstorm. Tea.

Mind

[This remedy is particularly applicable for complaints which are found to occur in patients of a mild, yielding, or good-natured disposition; also in those who by, their sickness, or naturally, are very easily excited to tears ─ they are very apt to burst into tears whenever spoken to, or when they attempt to speak, as in giving their symptoms, &c. ─ Affections of the mind in general; covetous; mistrustful; absent-minded; low-spirited (H. N. G.)] Melancholy with sadness, tears, great uneasiness respecting one's affairs or about the health; fear of death (tremulous anguish, as if death were near), care and grief. ─ Involuntary laughter and weeping. ─ Great anguish and inquietude, mostly in precordial region, sometimes with inclination to commit suicide, palpitation of heart, heat, and necessity to loosen the dress, trembling of hands, and inclination to vomit. ─ Fits of anxiety, with fear of death, or of an apoplectic attack, with buzzing in ears, shiverings, and convulsive movements of fingers. ─ Apprehension, anthropophobia, fear of ghosts at night or in evening, with an impulse to hide or to run away, mistrust and suspicion. ─ Covetousness. ─ Taciturn madness; with sullen, cold, and wandering air, sighs, often seated with the hands joined, but without uttering any complaint. ─ Despair of eternal happiness, with continual praying. ─ Discouragement, indecision, dread of occupation, and obstructed respiration. ─ Disposition envious, discontented, and covetous, exhibiting itself in a wish to appropriate everything. ─ Caprice, with desire at one time for one thing, at another time for something else, either being rejected as soon as obtained. ─ Hysterical laughter after meals. ─ Hypochondriacal humour and moroseness, < evening, often with repugnance to conversation, great sensitiveness, choleric disposition, cries, and weeping. ─ Ill-humour, sometimes with a dread of labour, and disgust or contempt for everything. ─ Inadvertence, precipitation, and absence of mind. ─ Difficulty in expressing thoughts correctly when speaking, and tendency to omit letters when writing. ─ Giddiness; patient neither knows where he is nor what he does. ─ Great flow of very changeful ideas. ─ Nocturnal raving; violent delirium and loss of consciousness. ─ Frightful visions. ─ Weakness of memory. ─ Fixed ideas. ─ Stupidity.

Head

Fatigue of head from intellectual labour. ─ Sensation of emptiness and confusion in head, as after long watching or after a debauch, and sometimes with great indifference. ─ Stupefaction in evening, in warm room, with chilliness. ─ Stupefying headache, with humming in head, < when lying or sitting quiet, or in the cold. ─ Vertigo as during intoxication, or vertigo to such an extent as to fall, and staggering, < evening, or morning when rising up, when getting up after lying down, when sitting, when stooping, when walking in open air, or after a meal, as well as on raising eyes, and often with great heaviness and heat in head, paleness of face, inclination to vomit, sleep, cloudiness of eyes, and buzzing in ears. ─ Meditation and conversation < the vertigo. ─ Fits of dizziness and loss of consciousness, with bluish redness and bloatedness of face, loss of motive power, violent palpitation of heart, pulse almost extinct, and respiration rattling. ─ Pain as from a bruise in brain (as if brain were lacerated, on or soon after waking), as in typhus fever or after intoxication with brandy. ─ Headache as from indigestion, caused by eating fat food (or from the abuse of Mercury). ─ Pain in head as if forehead would split, or as if brain were tight, compressed, or contracted. ─ Headache on moving eyes deep in orbits as if forehead would fall out; and frontal bones were too thin, with dulness of head, evening. ─ Semilateral headache as if brain would burst and eyes fall out of head. ─ Soreness as from subcutaneous ulceration in one or both temples, < in evening, when at rest, and in warm room; > by walking in open air. ─ Twitching-tearing in temple on which one lies, and going to the other side when turning on it; < in evening and on raising eyes upwards. ─ Congestion of blood to head, with stinging pulsation in brain, esp. when stooping. ─ Shootings, or sharp drawing and jerking pains, or tingling pulsation, and boring in head. ─ Headache across eyes like a drawing-up and letting go again. ─ Roaring, buzzing, and crackling in head; or painful sensation, as if a current of air were crossing brain. ─ The headache is often only semilateral, extending as far as ear and teeth, where it affects forehead (generally in one temple) above eyes, penetrating into sockets, or it is experienced in occiput, with painful contraction in nape of neck (with vertigo, ringing in ears, and vanishing of sight). ─ Appearance or < of headache in evening, after lying down, or at night, or in bed in morning, as well as on stooping, on moving eyes or head, when walking in open air, and during intellectual labour; compression sometimes > . ─ Headache > by meditation. ─ Headache with nausea and vomiting, or with congestion and heat in head, or else with shuddering and syncope, vertigo, cloudiness of eyes, loss of sight, and buzzing in ears, photophobia, and weeping. ─ Pain in scalp on turning up hair (or on brushing hair backwards). ─ Tickling and itching in head. ─ Purulent pustules and small tumours, with pain in scalp as from ulceration (suppurating and affecting the skull, more painful when lying on the opposite well side). ─ Tingling, biting-itching on scalp, mostly on temples and behind ears, followed by swelling and eruptions; sore pain; < in evening when undressing and on getting warm in bed. ─ Fetid, frequently cold perspiration, at times only on one side of head and face, with great anxiety and stupor; < at night and towards morning, > after waking and rising. ─ Disposition to take cold in head, < when it gets wet; sweat of scalp and face.

Eyes

Affections in general appearing on the cornea; margins of the eyelids; dim-sightedness, with a sensation as though there were something over the eye which the patient wishes to rub away; amaurosis; cataract. ─ Pain in eyes as if scratched with a knife. ─ Burning sensation, pressive pain as if caused by sand; or sharp or shooting pain in eyes, or else boring and incisive pain. ─ Burning itching in eyes, chiefly in evening (inducing rubbing and scratching). ─ Inflammation in eyes and margins of lids (and meibomian glands), with redness of the sclerotica and conjunctiva, and copious secretion of (thick) mucus (and nightly agglutination). ─ Swelling and redness of eyelids. ─ Trichiasis in eyelid. ─ Styes, esp. on upper lid. ─ Crystalline lens clouded and of a greyish colour. ─ Stye with inflammation of sclerotica, and tensive drawing pains on moving the muscles of the face. ─ Dryness of eyes and lids, esp. during sleep. ─ Profuse lachrymation, principally in the wind, as well as in open air, in the cold, and in clear, bright daylight. ─ Acrid and corrosive tears. ─ Abscess near angle of eye, like a lachrymal fistula (discharging pus on pressing it). ─ Nocturnal agglutination of lids. ─ Pupils contracted or dilated. ─ Amaurosis; paralysis of optic nerve. ─ Look fixed and stupid. ─ Dimness of sight, esp. or, getting warm from exercise. ─ Cloudiness of eyes and loss of sight, sometimes with paleness of face and inclination to vomit; (all objects present a sickly hue). ─ Loss of sight in twilight, with sensation as if eyes were covered with a band. ─ Sight confused, as if directed through a mist, or as if caused by something removable by rubbing, principally in open air, in evening, in morning, or on waking. ─ Incipient cataract. ─ Diplopia. ─ Luminous circles before eyes, and diffusion of light of candles. ─ Great sensibility of eyes to light, which causes lancinating pains (and in sunshine).

Ears

Pain in ears, as if something were about to protrude from them. ─ Shootings with itching, or sharp, jerking pain, and contraction in and round ears; the pains sometimes come on by fits, affect whole head, appear insupportable, and almost cause loss of reason (may be accompanied by high fever, &c.). ─ Earache with shooting down to teeth of lower jaw, < when warm in bed. ─ Earache in both ears with violent headache, frontal and occipital, < at night. ─ Inflammatory swelling, heat, and erysipelatous redness of ear and auditory duct, as well as of surrounding external parts. ─ Painful swelling of bones behind ears. ─ The cerumen is hard and black. ─ Bland, nearly inoffensive discharge of mucus and pus from ear. ─ Discharge of pus, of blood, or of a thick yellowish humour from l. ear. ─ Discharge from one or both ears, which may come on after measles or any other disease, or may occur spontaneously. ─ Otorrhœa with throbbing tinnitus. ─ Warbling, pulsative murmurs, tinkling, roaring, and humming in ears. ─ Hardness of hearing, as from an obstruction (esp. from cold, from having hair cut, or after suppressed measles). ─ (Deafness after washing head. ─ R. T. C.). ─ Burning, gnawing scabs at the tragus (with swelling of glands of neck). ─ Shootings in parotids.

Nose

Pressure and pain as from an abscess in root of nose (near inner canthus, as if a lachrymal fistula would form). ─ The nose feels sore internally and externally. ─ Ulceration of nostrils and of the alæ nasi (emitting a watery humour). ─ Discharge of fetid and greenish or yellowish pus from nose (like old catarrh). ─ Old catarrh, frequently a profuse discharge every morning, in mild and pleasant persons. ─ Nasal catarrh accompanied by special discomfort in the house, cannot breathe well in a warm room, and great > by going out into the open air. ─ Blowing, of blood from nose and nasal hæmorrhage (blood coagulated; with dry coryza; with suppressed menses), sometimes with obstruction of nose. ─ Obstruction of nose and dry coryza, principally in evening and in the heat of a room. ─ Coryza with loss of taste and smell, or with discharge of thick (yellowish green) and fetid mucus. ─ Tickling in nose and frequent sneezing, principally in morning and evening. ─ Constant shivering during coryza. ─ Imaginary smells. ─ Constant smell before nose, as from a coryza of long standing, or as of a mixture of coffee and tobacco. ─ Swelling of nose. ─ Nasal bones pain as if they would be forced asunder.

Face

Face pale (or yellowish, with sunken eyes) and sometimes with an expression of suffering. ─ Painful sensitiveness of skin in face. ─ Boring in l. malar bone. ─ (Neuralgia of r. face, < and then > by warmth, tightness across forehead as from a tight-string, keeps her awake at night. ─ R. T. C.). ─ Pallor of face, alternating with heat and redness of cheeks. ─ Heat and redness of r. cheek only. ─ Sweat on face and scalp; shuddering or one- (r.-) sided sweat of face. ─ Face (and nose) puffed and of a bluish red colour. ─ Convulsive movements and muscular palpitations in face. ─ Tension and sensation of swelling in face, or painful sensibility of skin, as if it were excoriated. ─ Erysipelas in face, with shooting pain and desquamation of skin. ─ Red nodosities in region of cheek-bones. ─ Lower lip swelled and cracked in middle. ─ Swelling, tension, and cracks in lips, with desquamation of skin. ─ Gnawing and smarting around mouth. ─ Sharp and contractive pain in jaws. ─ Swelling of submaxillary and cervical glands.

Teeth

Sharp, shooting pains in teeth, or drawing, jerking pains, as if the nerve were tightened, then suddenly relaxed; or pulsative, digging, and gnawing pains, often with pricking in gums. ─ Jerking and stinging in teeth, extending to ears and eyes. ─ Toothache which affects the sound as well as the carious teeth, often only semilateral, and frequently extending to face, side of head, ear, and eye, on the side affected, being sometimes accompanied by paleness in face, shivering, and dyspnœa. ─ Toothache < or appears principally in evening or afternoon or at night, as well as in heat of bed or of a room; renewed by eating, as also by partaking of anything hot, and by irritation with the toothpick: > by cold water or fresh air. ─ Toothache from cold (in the first warm spring days), with otalgia, paleness of the face, and chilliness. ─ The toothache is also sometimes < by cold water as well as by fresh air or by wind; but these cases are rare. ─ Sensation of burning or swelling, pain as from excoriation, and pulsation in gums ( < by the heat of the stove). ─ Looseness of teeth.

Mouth

Dryness of mouth in morning (without thirst). ─ Offensive smell, and even putrid fetor from mouth, principally in morning or at night, and in bed in evening. ─ Flow of sweetish and watery saliva from mouth, sometimes with inclination to vomit. ─ Sensation as if tongue were too large. ─ Tongue feels dry, and clammy. ─ Painful blister on r. side of tip of tongue. ─ Sensation in middle of tongue, even when it is moistened, as if it had been burned and were insensible; at night and in morning. ─ Edges of tongue feel sore as if scalded. ─ Tongue greatly swollen, dorsum bright red and covered with network of dilated and congested veins; varicose swelling on l. side of tongue. ─ Tongue loaded with a thick coating of a greyish, whitish, or yellowish colour (and covered with tough mucus). ─ Accumulation of tenacious mucus in mouth and on tongue; these parts are, as it were, coated with a white skin. ─ Cracks and painful vesicles on tongue. ─ Sensation as if the palate were swollen, or covered with tenacious mucus. ─ Constant spitting of frothy, cotton-like mucus.

Throat

Pain as from excoriation in throat, as if it were all raw, with scraping, burning sensation and smarting. ─ Redness of throat, tonsils, and uvula, with sensation as if those parts were swollen, < swallowing. ─ Difficult deglutition, as from paralysis, or from contraction of throat. ─ Shootings in throat, with pressure and tension during empty deglutition. ─ Inflammation of throat, with varicose swelling of veins. ─ Dryness in throat (in morning) or accumulation of tenacious mucus, which covers the part affected (esp. night and morning). ─ The sore throat is generally < in evening or afternoon. ─ Sensation of a worm creeping up into throat.

Appetite

Insipid mucus, putrid taste in mouth, empyreumatic, earthy, or pus-like taste. ─ Taste: fatty; lost; in colds where there is an entire loss of taste. ─ Sweetish, acid, or bitter taste in mouth, and of food, principally meat, bread, butter, beer, and milk, substances which also often appear insipid or cause disgust. ─ Bitter or sour taste in mouth immediately after eating, as well as in morning and evening. ─ Wine has a bitter (beer a sweet or bitter) and meat a putrid taste. ─ Food appears either too salt or insipid. ─ Want of appetite and dislike to food. ─ Hunger and desire to eat, without knowing what. ─ Ravenous hunger, with gnawing pain in stomach. ─ Complete adipsia, or excessive thirst, with moisture on tongue, and desire for beer, or spirituous, tart, and acid drinks. ─ Thirstlessness with all complaints. ─ Sensation of derangement in stomach, similar to that caused by fat pork or rich pastry. ─ Repugnance to tobacco smoke. ─ After eating, nausea and eructations, regurgitation and vomiting, inflation, and aching in pit of stomach, colic and flatulence, headache, obstructed respiration, ill-humour and melancholy or involuntary laughter and weeping, and many other sufferings. ─ Bread, esp., lies heavy on stomach.

Stomach

Frequent eructations, sometimes abortive, or with taste of food, or acid, or bitter, and principally after a meal; like bile in evening. ─ Regurgitation of food. ─ Waterbrash. ─ Frequent hiccough, principally on smoking tobacco, after drinking, or at night, and sometimes with fit of suffocation. ─ (Constant hiccough with jaundiced look and burning pains about shoulders. ─ R. T. C.). ─ Insupportable nausea and inclination to vomit, sometimes extending to throat and into mouth, with distressing sensation as of a worm crawling up œsophagus. ─ Morning sickness (during pregnancy). ─ Attacks of constriction and choking in œsophagus. ─ Scraping sensation in stomach and œsophagus, like a heartburn. ─ Vomitings, sometimes violent, of greenish mucus, or bilious and bitter, or acid matter (esp. in evening and at night). ─ Vomiting of food. ─ Hæmatemesis. ─ The nausea and vomiting take place principally in evening or at night, or after eating or drinking, as well as during a meal, and they often manifest themselves with shivering, paleness of face, colic, pains in ears or back, burning sensation in throat, and borborygmi. ─ (Persistent indigestion in fits, with great weight on chest and sickish feeling, from mental and physical upset. ─ R. T. C.). ─ Cold in stomach from ice-cream and fruit. ─ Colic, with nausea, ceasing after vomiting. ─ Painful sensibility of region of stomach to least pressure. ─ Disordered stomach (digestion) from eating fat food (pork). ─ Pressive, spasmodic, contractive, and compressive pains in stomach and præcordial region, principally after a meal or in evening or in morning, and often with vomiting or nausea and obstructed respiration. ─ Tingling or pulsations in pit of stomach, or shooting pain on making a false step, or on uneven pavement. ─ Pain in epigastrium, which is greatly < when sitting (during pregnancy).

Abdomen

Inflammation of abdomen, with great sensitiveness of integuments to pressure. ─ Drawing tension in hypochondria, or pulsative shootings, as in an abscess. ─ Hard distension of abdomen, principally in epigastrium, with tension, and sensation as if all were full, hard, and impassable, as if no stool or flatus could be expelled, though a stool does pass slowly but not hard, and yet the flatus is passed with difficulty and in small amounts. ─ Chilliness extending from abdomen to lower part of back. ─ Pressure in abdomen and small of back as from a stone; limbs go to sleep while sitting; ineffectual desire to stool. ─ Spasmodic and compressive pains, sometimes at bottom of hypogastrium, with pressure on rectum or cuttings, principally round navel (low down in abdomen, penetrating into pelvis), or sharp and shooting pains in abdomen. ─ Colic and labour-like pains in pregnant women. ─ Colic with chilliness, while the menstruation is suppressed. ─ Sensitiveness and inflammation of abdominal walls. ─ The colics are often accompanied by vomiting or diarrhœa; they manifest themselves mostly in evening or after eating or drinking; and are sometimes > by squeezing the abdomen or by repose, while movement < them. ─ Annular swelling round navel, painful when walking. ─ Retraction and soreness of abdomen, with great sensibility of integuments of abdomen, which appear swollen, with pain as from a bruise on touching them, or on yawning, singing, coughing, and at every movement of the abdominal muscles. ─ Stitches and cutting in abdomen in evening; < on sitting still. ─ Flatulent colic, principally in evening, after a meal, or after midnight, or in morning, with pressive pains, produced by incarcerated flatus, tumult, borborygmi, and grumbling in abdomen and escape of fetid flatus. ─ Painless rumbling of flatulence in upper abdomen. ─ Constriction as from a stone extending to bladder. ─ Purulent pustules in groins.

Stool and Anus

Constipation and difficult evacuations, sometimes with painful pressure on rectum and pains in back. ─ Constipation, esp. if fæces are hard and large, after intermittent fever suppressed by Chininum sulph . ─ Frequent want to evacuate, even at night. ─ Involuntary and unperceived evacuations during sleep. ─ Stools frequent soft, diarrhœic, consisting of yellow mucus or mixed with blood, preceded by cutting in abdomen, or with pains in small of back. ─ Nightly diarrhœa, discharges watery or green like bile, after previous rumbling in abdomen. ─ Stools consisting only of mucus, or acrid, or bloody, or very offensive, or white. ─ (Diarrhœa, white, cream-coloured stools, involuntary. ─ R. T. C). ─ (White, clayey liverish stools resume their normal colour. ─ R. T. C.). ─ Dysentery, with pain in back. ─ Loose evacuations, even at night, and sometimes with colic and cuttings, shiverings and shudderings, and pains in anus. ─ Diarrhœa, particularly when it is very changeable and no two stools are alike; flatus very fetid, sometimes obstructed, causing much pain. ─ Diarrhœa during menses, particularly if it comes on at night. ─ Frequent evacuations of whitish, yellowish, sanguineous mucus, or of greenish, minced, bilious, or watery, and sometimes corrosive matter (may contain tape worm). ─ Before and after evacuations, burning, smarting, and pains as from excoriation in anus and rectum. ─ During stool congestions of blood to anus. ─ Discharge of blood from anus even when not at stool. ─ Blind and bleeding hæmorrhoids, with itching, smarting, and pain as from excoriation. ─ Protrusion of hæmorrhoids. ─ Hæmorrhoidal tumours with great soreness.

Urinary Organs

Urine very scanty; bloody; with mucus; reddish; complaints before making water and during; when going to urinate there is a sensation as if it would gush away, and patients can scarcely wait. ─ Retention of urine, with redness and heat in region of bladder, anxiety, and troublesome pains in abdomen. ─ Tenesmus of bladder and frequent want to urinate, with painful pressure on bladder and drawing pain in abdomen. ─ Involuntary micturition; at night in bed, esp. in little girls. ─ Involuntary emission of some drops of urine when coughing, walking, sitting down, expelling flatus (or during sleep). ─ Wetting the bed (at night, esp. in mild-tempered, tearful people, and in children). ─ Enuresis of old people with distended colon (R. T. C.). ─ Profuse emission of watery urine, with weakness in loins and diarrhœa, or scanty red or brown urine, sometimes with a violet-coloured froth. ─ Urine, with sediment, red, or of the colour of brick-dust, or violet, or mucous, or gelatinous. ─ Sanguineous urine with purulent deposit and pains in loins. ─ Hæmaturia with burning at orifice of urethra, and with constriction in region of navel. ─ Hæmaturia in cows and in human beings (R. T. C.). ─ Discharge (thick) from urethra as in gonorrhœa. ─ Contraction of urethra with a very small stream of water. ─ During micturition burning in urethra. ─ Burning during and after emission of urine. ─ Pulling and pressure in urethra, neck of bladder, and also in the bladder. ─ Pressure and constriction in bladder, with soreness (sensitiveness) in that region. ─ Swelling near neck of bladder, with soreness when touched, intermittent stream of urine, and spasmodic pain in pelvis and thighs after urinating. ─ Urine watery, colourless; brown; bloody.

Male Sexual Organs

Itching and tickling in prepuce and scrotum, < morning and evening. ─ Itching-burning on the inner and upper side of the prepuce. ─ Inflammatory swelling of testes and spermatic cords (sometimes only on one side), with pressive and drawing pains, extending into abdomen and loins, redness and heat of scrotum (from a contusion or after suppressed gonorrhœa), nausea and inclination to vomit. ─ Burning in testicles, without swelling. ─ Testicles hang low down. ─ Dropsical swelling of scrotum of a whitish blue colour. ─ Excessive increase of sexual passion, almost like priapismus, with frequent and prolonged erections, ardent desire for coition, and frequent pollutions. ─ Flow of prostatic fluid. ─ Inflammation of prostate gland.

Female Sexual Organs

Affections in general of the female genital organs; of the uterus. ─ Nymphomania. ─ Drawing, pressive pain extending towards uterus with qualmishness, towards morning. ─ Contractive pain in l. side of uterus, like labour pains, obliging her to bend double. ─ Spasmodic pains, or drawing tension in uterus, and pains like those of labour. ─ A burning (sticking) pain in vagina and pudenda. ─ Metrorrhagia (discharge now stopping, and then stronger again, of coagulated, clotted blood, or with false labour-pains). ─ Menstrual blood black, with clots of mucus, or pale and serous. ─ Catamenia irregular, tardy, or premature, of too short or too long duration, or entirely suppressed (esp. if produced by getting the feet wet), with colic, hysterical spasms in abdomen, hepatic pains, gastralgia, pain in loins, nausea and vomiting, shivering and paleness of face, megrim, vertigo, moral affections, tenesmus of anus and bladder, stitches in side, and many other sufferings before, during, or after period. ─ Suppression of menses (esp. in elderly women in whom they usually occur at full moon). ─ Delay of first menses in mild, gentle girls, low-spirited, &c.; diarrhœa during menses. ─ Leucorrhœa, thick, like cream (esp. frequent in lochial discharges where the flow looks like milk), or corrosive and burning, principally at period of catamenia before, during or after), and sometimes with cuttings ( < when lying down; with swollen vulva). ─ After-pains in females of a mild disposition. ─ False pregnancy. ─ During pregnancy: nausea, morning sickness; varicose veins, bluish, < towards evening. ─ Lame pelvis, < warm in bed, must change position frequently threatened abortion, flow now ceasing, now returning. ─ During labour intense inertia; weeps because she is not delivered; malpositions of fetus; post-partum hæmorrhage; convulsions, following sluggish or irregular pains; lochia scanty, milky, or suppressed; puerperal fever; phlegmasia dolens. ─ Labour-pains too weak, spasmodic, or ceasing. ─ Swelling of breasts, with tensive pain as if the milk rushed into them and caused pressure, while nursing. ─ Lumps on breasts of girls, before puberty; or escape of thin, milk-like fluid. ─ Scanty supply of milk. ─ Affections of nipples. ─ Weeps every time child is put to breast; pain extends into chest, neck, or down back, changes from place to place. ─ Milk suddenly suppressed, lochia becomes milky white. ─ Galactorrhœa esp. in women who do not nurse their children. ─ After weaning, breasts swell.

Respiratory Organs

Hoarseness, which does not permit one to speak a loud word. ─ Breathing, groaning, or rattling. ─ Catarrh, with hoarseness, roughness, dryness, scraping, and pain as from excoriation, in larynx and chest. ─ Attacks of constriction in larynx, principally at night, when lying in a horizontal posture. ─ Dyspnœa, esp. when lying on back at night, with giddiness and weakness in head. ─ Difficulty of breathing when walking. ─ Short, dry cough as soon as he gets warm. ─ Dry cough whenever he wakens from sleep, disappearing while sitting up in bed, and returning as soon as lying down again. ─ Dry, severe cough, mostly in morning, with retching and desire to vomit, and sensation as if stomach were turned inside out. ─ Violent spasmodic whooping-cough, in two consecutive coughs, caused by itching, scraping, with dryness as from vapours of sulphur in larynx and chest. ─ Shaking cough, principally in evening, at night, or in morning, excited by a sensation of dryness or a scraping and tickling in throat, < when lying down, and often accompanied by an inclination to vomit, with retching and vomiting, or by a choking, as from the vapour of sulphur, with bleeding of nose and rattling respiration. ─ Cough, with shootings in chest or sides, and palpitation of heart. ─ Moist cough, with expectoration of white, green, tenacious mucus, or of thick, yellowish matter of a bitter, greasy, salty, or putrid taste (loose cough; with expectoration in morning, without expectoration in evening; with expectoration in day, without expectoration at night). ─ Expectoration of black and clotted blood during cough (during suppression of menstruation). ─ Shootings in r. shoulder or in back when coughing.

Chest

Respiration accelerated, short, and superficial (during the fever), or rattling and anxious. ─ Dyspnœa, as from spasmodic tension in lower part of chest, below false ribs. ─ Tickling on sternum. ─ Attacks of burning in chest. ─ Respiration impeded, shortness of breath, choking as from vapour of sulphur, and fits of dyspnœa and of suffocation, with anxiety, spasmodic constriction of chest or larynx, violent hiccough, cough, headache, and vertigo; principally in evening, after a meal, or at night when reclining horizontally. ─ Movement, quick walking, the open air, and cold < the asthmatic symptoms. ─ Cramp-like and constrictive tension in chest, principally on breathing (on drawing a long breath), and sometimes with internal heat and ebullition of blood. ─ Pain as from (subcutaneous) ulceration, or sharp and incisive pain in chest. ─ Acute suppuration of the lungs. ─ Shootings in chest and in sides, principally at night and when lying down, and sometimes with difficulty in drawing a full inspiration, inability to remain lying on the side affected, short cough, and paroxysm of suffocation. ─ (Pain in l. side under heart as if a string were pulling there. ─ R. T. C.)

Heart

Congestion of blood to chest and heart, esp. at night, with anxious dreams ( e.g ., of being immured), with starting up and anxious cries. ─ Catching pain in cardiac region; > for a time by pressure of hand. ─ Stitches in præcordial region, > while walking, with pressure and anxiety, impeding respiration. ─ Burning in region of heart. ─ Frequent and violent fits of palpitation, principally after dinner and after moral emotions, or provoked by conversation, and often with anguish, clouded sight (vanishing of sight), and impeded respiration, esp. when lying on the l. side. ─ (With menstrual irregularities, chlorosis, &c.; the beat of the heart is felt in the pit of the stomach.). ─ Anxiety, heaviness, pressure, and burning sensation in heart.

Neck and Back

Rheumatic, tensive, and drawing pains in nape of neck and in neck, sometimes semilateral, and often with swelling of the parts, and pains as from subcutaneous ulceration when they are touched. ─ Cracking in cervical vertebræ and shoulder-blades on moving those parts. ─ Itching pimples on neck. ─ Swelling of glands of neck. ─ Pains in sacrum and in back, as from having remained some time in a bent posture, or with rigidity, as from the pressure of a belt. ─ Sacral pains like those of labour. ─ Pains in back and chilliness from suppressed menstruation. ─ Shootings in back, in loins, and between shoulder-blades. ─ Curvature of spine (upper part).

Limbs

Redness and swelling of joints, with stinging pains. ─ Anxious, tremulous sensation in limbs. ─ Drawing, sticking, < in joints, which are painful to touch. ─ Weakness in limbs morning after rising, with relaxation without feeling weary. ─ Drawing, tearing pains in limbs, shifting rapidly from place to place; < at night, from warmth; > from uncovering. ─ Pain in limbs in morning in bed, < in joints, forcing him to stretch, with general heat. ─ On waking the parts on which he has lain are asleep, with crawling and tingling. ─ Coldness of hands and feet; they seem dead.

Upper Limbs

Sharp, jerking, and drawing pains in shoulder-joint, as well as in the arms, hands, and fingers. ─ Paralytic pains in scapular joint when lifting and moving arms. ─ Burning sensation in arm in evening or at night, with sensation of dryness in fingers. ─ Burning heat in hands and arms and in trunk with perspiration down spine (agg. ─ R. T. C.). ─ Pressive heaviness in arms, with sensation of numbness, esp. in hands. ─ Sensation of tension and swelling and wrenching pain in joints of elbows, hands, and fingers, with rigidity. ─ Swelling of elbow after a contusion. ─ Swelling of veins on forearm and hands. ─ Easy numbness of fingers, principally in morning and at night. ─ Vesicles between fingers, with pricking pain. ─ Pain as if caused by panaritium in index. ─ Itching chilblains on hands.

Lower Limbs

Pain as from a bruise or from ulceration in the psoas. ─ Wrenching pain in coxo-femoral articulation, with painful jerks, as in a wound, extending as far as knee, < during repose. ─ Pulling and tension in thighs and legs, < in calves of legs, as if tendons were too short. ─ Pain as from a bruise, with sensation of paralytic weakness in bones and muscles of thighs and legs. ─ Pain as from subcutaneous ulceration in legs and soles of feet. ─ Cracking in knees. ─ Swelling of knees, sometimes chiefly above patella, and often with heat, inflammation, sharp drawing and shooting pains. ─ Enlargement of knee with local varicosis (relieved. ─ R. T. C.). ─ Weakness and yielding of knee, with tottering gait. ─ Pulling and great fatigue in legs, esp. knees, with trembling. ─ Swelling of veins and varices in legs. ─ Numbness in legs when remaining long standing. ─ Pain in tibia as from a bruise. ─ Tension and drawing in calves of legs. ─ Hot swelling of legs, or only of the back or of soles of feet, sometimes with shooting pains when the parts are touched, and during movement. ─ Painful sensation of numbness in soles of feet and in balls of the toes. ─ Red-hot swelling of feet, extending up to calf, with stinging pain. ─ Swelling of top of foot. ─ Œdematous swelling of feet, < in evening. ─ Piercing shootings and incisive pains in heels (towards evening). ─ Shootings in soles of feet and extremities of toes. ─ Chilblains. ─ The complaints are < when one allows the feet to hang down.

Generalities

[Affections in general, and of any kind, appearing in r. abdominal ring r. chest; r. upper and lower extremity; tongue; increase of saliva; larynx trachea; nape of neck; heart and region of heart; palpitation of heart, also with anguish: small of back; shoulder-joints; fingers; legs; shin-bones; calves, particularly when they are swollen, red, and hot; heel sole of foot; ball or under part of toes; knee-joint; bones of lower extremities; inflammation of bones in general. ─ Strong desire for open air, which makes patient feel better in every way, headache, toothache, earache, cold in head, &c., are all > in open air, can breathe better, &c. ─ Bleeding from inner parts; congestion of blood to single parts; apparent deficiency of blood. ─ Chlorosis (in persons of mild, quiet, &c., dispositions). ─ Secretion of mucus increased; nervous debility. ─ Varicose veins, even when inflamed, esp. when blue, particularly in pregnant females; feel more comfortable when walking about. ─ (Phlebitis of single veins. ─ R. T. C.). ─ Symptoms < : in afternoon; from mental affections; on waking; when blowing nose (produces pain in chest, nose, head, or somewhere else, or a cracking in ears); before falling asleep; during expiration; after taking cold; from coughing from change of position (particularly applicable to the female organism) from loss of fluids; from being frostbitten; lying on l. side; on painless side; lying with head low; having measles, after measles; before and during menstruation; on beginning to move from taking bread; butter; buckwheat; fat food; fruits; ice; pancakes warm food; abuse of Peruvian bark; can't bear pressure on the well side if it be made towards the diseased side; from derangement of stomach; during stool, particularly in dysentery if it gives great pain in small of back; while suckling child; in the sun; in the twilight; before, during, or after urinating; women in confinement from having a tapeworm; from surgical injuries in general; from tobacco during pregnancy. ─ Symptoms > : in open air; in a cold place; from cold air; by lying on r. side; with head high; from cold things; from washing; on wetting the affected parts; after discharge of flatus. ─ H. N. G.]. ─ Sharp drawing and jerking pains in muscles, < at night, or in bed in evening, as well as by heat of a room, > in the open air, and often accompanied by numbness, paralytic weakness, or hard swelling of parts affected. ─ Shootings and sensation of coldness in parts affected on a change of weather. ─ Tension in some of the limbs as if tendons were too short. ─ Shifting pains which pass rapidly from one part to the other, often with swelling and redness in joints. ─ Sensation of hollowness; of pulsations, knocking, or throbbing in inner parts; of extension in size, as if one part, or every part, were growing too large; of a band around the parts; of buzzing or humming in any part of the body. ─ Shocks in tendons. ─ Fitful pains with shivering, labouring respiration, paleness of face, and trembling of legs. ─ The shiverings increase as the pains become < . ─ Pain as from a bruise or subcutaneous ulceration on touching parts affected. ─ Semilateral pains and affections. ─ Symptoms are < and renewed when seated after long-continued exercise; or on rising after having been seated a long time, as well as during repose, esp. when lying on side or back. ─ The symptoms which appear when lying on back are > by turning on side or by rising up, and vice versâ . ─ Movement, walking, pressure, external heat, and the open air, equally > many of the symptoms, while they < others. ─ Symptoms generally most violent in evening or at night before midnight, sometimes also in morning and after a meal. ─ The symptoms are < every second day in evening. ─ Agitation and uneasiness throughout body, with inability to sleep or to enjoy repose, and constant inclination to stretch limbs. ─ Frequent and troublesome pulsations over whole body, < during movement. ─ Great tendency of limbs to go to sleep. ─ Frequent trembling of limbs with anxiety. ─ Sluggishness and heaviness of limbs, with paralytic weakness, painful sensibility of joints, and tottering gait. ─ Weariness in morning, which is < by a recumbent position. ─ Fainting fits with deadly paleness of face. ─ Epileptic convulsions, with violent movements of limbs, followed by weakness, eructations, and inclination to vomit (after suppression of catamenia). ─ Great sensibility and repugnance to open air. ─ Great desire to remain lying down or sitting. ─ Pain as from a bruise in bones of Emaciation.

Skin

Pale skin. ─ Itching, mostly burning or pricking (as if caused by stings of ants), principally in evening, and at night in heat of bed, < by scratching. ─ Red spots, like morbilli, or nettle-rash. ─ Frequent redness, even when the parts are cold. ─ Eruptions from eating pork, itching violently in bed. ─ Eruptions like measles. ─ Rhagades. ─ Suppurating wounds, pus thick and too profuse. ─ Pus copious and yellow. ─ Moles or freckles in young girls. ─ Eruptions similar to varicella coniformis, with violent itching in bed. ─ Chilblains, particularly when they turn blue. ─ Exanthema, chapped. ─ Blue-black swellings. ─ Chilblains with bluish-red swelling, heat, and burning, or pulsative pains. ─ Phlegmonous erysipelas, with hardness, burning heat, and shooting pain on touching or moving parts affected. ─ Furunculi. ─ Shining redness, hardness, and itching round ulcers, with ready bleeding, and shooting, burning, and gnawing pains. ─ Deep or fistulous ulcers; where there is much swelling around. ─ Inflamed or putrid ulcers. ─ Varices.

Sleep

Constant sleepiness and comatose sleep, with agitation and disquieting fancies, day or night. ─ Great tendency to sleep during day, principally in evening or afternoon. ─ Irregular sleep, too early in evening or too late in morning, and sometimes with nocturnal sleeplessness. ─ Sleep retarded, sometimes until two hours after midnight, and often followed by early waking. ─ A great flow of ideas hinders sleep in evening and at night. ─ Agitated sleep, with frequent waking; and general numbness on waking. ─ Inability to sleep except when seated with head inclined forwards or to one side. ─ During sleep, chattering, talking, delirium, convulsive movements of mouth, eyes, and limbs; tears, cries, and moans, nightmare; starts from fright; shocks in body and jerking in limbs. ─ Wakes up frightened and confused, knows not where he is, cannot collect himself. ─ At night great agitation and tossing, inquietude and anguish of heart, ebullition of blood, dry heat, itching, incoherent talking, with fixed ideas. ─ When sleeping patient lies on back with knees raised and arms placed over head or crossed over abdomen. ─ Fearful, frightful, anxious, confused, vivid, disgusting, voluptuous dreams, of quarrels and of business of the day, of spectres, and of the dead. ─ Frequent yawning.

Fever

Chilliness of one side only; chilliness without thirst, often followed by fever without thirst (accompanied by vertigo and stupor); heat on one side; perspiration on one side only; want of thirst; febrile symptoms r. side. ─ Continuous internal chilliness even in warm room. ─ Thirst before chill or heat, seldom during hot stage. ─ Chilliness (4 p.m.) without thirst, accompanied by anxiety and dyspnœa; this is followed by a drawing pain extending from back into head, three hours later heat of whole body without any thirst, with sweat on face, drowsiness without any sleep and unconsciousness; in morning perspiration over whole body. ─ Coldness, shiverings, and shudderings, principally in evening or afternoon, and sometimes with paleness of face, vertigo, and dizziness, pain and heaviness in head; anxiety and oppression of chest, vomiting of mucus (when the cold stage comes on), desire to lie down, and flushes of heat. ─ Partial coldness and shivering, principally in back, aims, legs, hands, and feet, often with heat in head or face and redness of cheeks. ─ Semilateral coldness with numbness of the side affected. ─ Dry heat (internal), principally at night, in evening in bed or in morning, and often with fits of anguish, headache, face red and bloated, or perspiration on face, shivering on being uncovered, burning in hands, with swelling of veins, lamentations, sighs, and moans, profound or agitated sleep, anxious and quick respiration, fainting fits, with cloudiness of eyes, inclination to vomit, and loose evacuations. ─ Partial heat, principally on face, with redness of cheeks, hands, face, &c., often semilateral, with coldness and shivering in the opposite parts. ─ Heat of face or heat of one hand, with coldness of the other. ─ Febrile paroxysms composed of heat, which are preceded by shiverings, with adipsia, and mixed with, or followed by, perspiration; quotidian, tertian, or quartan type; < in evening or afternoon; remission in morning during apyrexia, nausea and loss of appetite, headache, painful oppression at chest, moist cough, bitterness in mouth, constipation or (mucous) diarrhœa. ─ Febrile symptoms with loss of consciousness, delirium, tears, and despair, or with gastrico-mucous or bilious symptoms or with comatose sleep (or consequent upon the abuse of Quinine , with bitter taste of food and constipation). ─ Repugnance to external heat. ─ Pulse weak and small, but accelerated. ─ Pulse quick and small; or full and slow; or feeble and almost suppressed. ─ Perspiration, principally at night or towards morning; profuse and fetid sweat; semilateral or partial sweat (on head and face), and sweat with cramps on arms and hands, weariness, comatose sleep, dreamy reveries, and redness of face. ─ Perspiration during sleep, soon ceasing when waking. ─ Perspires easily during the day. ─ Night-sweat with stupor. ─ Smell of perspiration, sour, musty, like musk. ─ Perspiration at times cold.

The Guiding Symptoms of Our Materia Medica

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

Mind

Absent-minded.
Mental labor fatigues and affects the head.
Great difficulty in speaking to find the right expression ; fixed ideas. θ Typhoid.
A great many wandering thoughts in head.
Fancies a naked man is wrapped in her bedclothes ; dreams of men.
When closing eyes sees all sorts of strange sights, and hears all kinds of operatic airs.
Frightful visions, delirium.
In early morn depressed, full of cares about domestic affairs.
Shuns business ; irresolute ; sighing respiration ; feels as if he were beside himself.
Cannot think of his business without grieving, in morning.
Morose mood, bursts into tears when interrupted in his business.
Satisfied with nothing, yet not vexed ; everything disgusts him.
Extremely capricious and peevish about everything, himself included.
Hypochondriac moroseness ; out of sorts with everything.
Gloomy, melancholic mood.
Restless and changeable ; easily moved to tears or laughter ; well one hour, miserable the next.
Child longs for this, now for that, even with good humor.
Mild, bashful, gentle, yielding disposition.
Silent mood ; inclined to silent grief with submissiveness.
Gloomy, melancholy, full of care.
Continuous crying with great melancholy and fear of losing her reason, or that she might commit suicide.
Weeping : sad, bursting into tears very easily ; can hardly tell her symptoms for weeping ; at every nursing ; at everything, whether joyful or sad ; at answering a question ; with almost all her sufferings.
Disposition mild and gentle, never cross. θ Habitual constipation.
The pain is so violent that she tosses in every direction, with cries and tears.
Weary of life ; thinks with pleasure of drowning.
Anxiety : thinks to die ; does not know what to do ; as if in a hot atmosphere ; in region of heart ; even to suicide ; in evening, with sensation of qualmishness in pit of stomach ; in evening after going to sleep, with a rush of ideas and
determination of blood to head that forces him to get up ; at night, as from heat.
Anguish in region of heart, sometimes increasing to a desire for suicide.
Tremulous anguish : as if death were near ; < during rest, while sitting and lying ; > by motion.
When evening comes he begins to dread ghosts.
Hypochondriac peevishness.
Confused, fretful, very chilly.
Ill-humored, fretful, easily enraged.
Children are peevish, changeable, pale and chilly.
Fretful and without appetite ; dread of work.
Taciturn, morose, aversion to talking.
Mistrust ; envy ; covetousness ; dislike to people.
Mild, cold and phlegmatic.
Patient seeks consolation.
Children are extremely affectionate, which they manifest by kissing and caressing.
Religious mania ; sees the devil coming to take her ; the world on fire during night ; fear, rage in spells, or weeping ; forgetful during lucid moments.
Mania from suppressed menses.
Tearful, easily discouraged ; full of anxiety, forebodings of impending disaster ; anxiety from epigastrium, likely to be associated with indigestion ; chattering teeth ; palpitation ; flushes.
Sleepless nights on account of great fear and anxious restlessness ; despairs of her salvation and seeks aid in constant prayer ; irregular catamenia ; heat and congestion to head and face ; headache, precordial weight and backache.
Throbbing pain in brain ; dimness of vision, as if looking through a sieve ; frightful visions in the dark, or when closing eyes ; strikes at them and holds up the cross.
Insanity ; he was continually crying ; ran about the streets at night.
Dark, suspicious and reserved manner ; disturbed look on face ; sleepless ; looks for her bed in the yard ; hides in a corner to escape from a little grey man who wanted to pull out her leg ; in eighth month of pregnancy.
Unquiet look ; lips bluish-red ; weak memory ; pangs of conscience about religion and the female sex ; violent palpitation in the presence of women ; abhors and hates the sex ; must go out of their way for fear of injuring them ; looks upon them as evil
beings and is afraid ; considers their presence injurious to his soul ; respiration short and difficult ; painful pressure in chest.
Sleepless at 2 A. M. ; pulsating, beating headache proceeding from vertex ; lamentations ; despaired of her soul's salvation ; did not believe she would be restored to health ; irresolute disposition ; taciturn. θ Melancholy.
Gasping breathing ; inconsolable.
After slight emotions, difficult breathing ; bad effects from fright, mortification or excessive joy.
Sinks into a condition of sadness and despondency from disagreeable news.
After mortification, sad, gloomy and weary of life ; frequent pain in forehead, earthy face ; dark rings around eyes ; bitter, sapid taste in mouth ; dislikes meat and bread ; nausea, with pain in stomach ; occasional bitter, slimy vomiting ;
frequent, profuse nosebleed ; stitches in side, when coughing, with frothy, bloody expectoration ; palpitation ; labored breathing ; hard, scanty stools ; frequent cutting pain in bowels ; heaviness of legs ; limbs feel bruised ; swelling on upper part
of foot ; anxious dreams ; is anxious, sad ; weary of life, thinks of drowning with great pleasure ; bursts into tears ; dissatisfied with everything ; easily enraged ; reticent ; very easily frightened.
After vexation, mental depression ; is in constant dread ; palpitation ; afraid of everybody ; considers every one her enemy, despairs of everything ; cries easily ; trusts no one ; pale, earthy complexion, with dim, desponding look ; no appetite,
much thirst ; limbs feel as if asleep ; is weak and weary ; cannot sleep at night on account of fear and dread.
Fright, followed by diarrhœa, with internal heat and external coldness of body.
Dread of people.
Hysterical laughter, after meals.

Sensorium

Confusion of head : with pains, as after intoxication or watching ; with a hollow feeling ; with vertigo, caused by motion.
Vertigo : excessive, like intoxication ; as if one had turned in a circle a long time, with nausea ; on looking upward, as if he would fall, or as if he were dancing ; thought he was unable to stand or grasp an object ; with heat,
nausea and loss of sight, in evening ; with inclination to vomit ; when stooping ; when rising from a seat ; after eating ; when lifting up eyes ; as from heaviness in head ; especially while sitting ; in morning on rising from bed, has to lie down
again ; < sitting or lying ; > by walking and in open air ; caused by indigestion ; in consequence of scanty menses.
Stupefaction in evening, in warm room, with chilliness.
Faint all the morning ; frequent calls for water.
Apoplexy, unconscious ; face purplish, bloated ; violent beating of heart ; pulse collapsed ; rattling breathing.

Inner head

Humming in head.
Heaviness of head ; cannot hold it upright or raise it ; on stooping it seems as if head were too heavy.
Dulness of head : like a bruised sensation in forehead ; as if his memory failed ; with aching eyes ; especially pressive in forehead.
Headache : like a throbbing in arteries of brain.
Bubbling : in head at night ; distinctly heard beating of pulse in it.
Stitches, as if extending through whole brain, after dinner, lasting until going to sleep in evening, with shivering attacks of faintness.
Frequent boring in right side of forehead.
Pressive pain in forehead, above orbits, involving whole head.
Constrictive headache above eyes, < looking intently at anything.
Tensive drawing pain in forehead above orbits, < raising eyes.
Tearing in left side of frontal bone, in evening.
Headache in evening.
Headache in evening, as in stopped catarrh ; followed by dry heat in bed and an intoxicated sleep.
One-sided headache, as if brain would burst and fall out of head.
Headache, as if one had eaten too much, or as if stomach had been disordered by being overloaded by too much fat meat.
Headache extending into eyes, so that they ache, in evening.
Pressive headache on stooping.
Tensive headache over brain.
Throbbing, pressive headache, > from external pressure.
Violent pressure in left temple.
Headache in temples as if constricted.
Stitches in temples.
Frequent tearing pain in right side of head.
Headache, chiefly in forehead, supraorbital region, and in temples ; pains heavy, bursting and throbbing ; < from mental exertion, stooping, and in evening.
Tension in forehead, as if it were in a vise.
Stupefying headache, running chills, with humming in head ; < when lying or sitting quietly or in the cold.
Soreness as from subcutaneous ulceration in one or both temples ; < evening at rest, in warm room ; > walking in open air.
Twitching tearing in temple lain on, goes to other side when turning on to it ; < evenings and on raising eyes.
Headache as if it would burst ; < from moving eyes.
Stinging pulsating in brain ; < when stooping.
Pulsating in evening and from mental exertion ; throbbing, with amenia.
Violent pain in one side of occiput, as if a nail were driven in.
Sick-headache from suppression of menses, or menstrual or gastric disorder.
Stitches in one side of head, generally in one temple or in back part of head, with vertigo, ringing in ears and vanishing of sight.
Semi-lateral headache, at times with nausea and vomiting.
Beating, jerking, lacerating pains, or as if in a vise.
Headache from overloaded stomach, from pastry, fats, ice-cream.
Acute pains in temples, with giddiness.
Pain as if brain were lacerated, on or soon after waking.
Headache arising from nape of neck.
Throbbing headache with amenorrhœa.
Pain in left side of forehead, throbbing, beating, stitching ; alternately in morning after rising and evening after lying down ; > from pressure and in open air ; < in room, lying, moving eyes ; attacks last several hours,
increase to an intolerable degree of severity, so that she tosses and rolls about ; after attack severe pain in stomach, and sour, bilious vomit, then pinching, constricting, griping pains in abdomen ; sometimes these three pains appear in alternation, sometimes one day after
another.
Headache throughout day ; < in evening, but > at night, yet she cannot sleep ; pain seems to rise from nape of neck and becomes fixed in parietal bones, is very severe, must lie down ; nape of neck as if constricted ; roaring in ears ; vertigo when
walking ; darkness before eyes ; pain boring, stitching, tearing, at times extends to scapulæ ; twitching in left eyelid ; biting and pressure in left eye, with lachrymation ; constipation ; stitches in limbs with chilliness.
Pains in head as if between screws, with vertigo, heaviness of head on raising it from pillow ; < from thinking and talking ; lassitude ; trembling and unsteadiness of limbs ; alternate redness and paleness of face ; nausea ; gnawing in epigastrium ;
dryness of mouth without thirst ; aversion to food ; constriction of chest ; transient shudderings ; weak, scarcely perceptible pulse ; oversensitiveness ; crying ; menses irregular.
After catching cold, two months ago, headache ; stitching, boring pains, becoming intolerably severe evening and at night, affecting left side of head from temple to occiput and extending into sides of neck and auditory meatus ; head as if numb ; mind as if paralyzed, so
that he is fit for nothing.
Extremely severe tearing in temples, with bitter vomiting ; vertigo and constant nausea compel her to remain perfectly quiet in recumbent posture, with closed eyes ; pain as if head would burst on opening eyes or on least motion of eyes ; pulse rapid, full ; skin hot,
but not entirely without moisture ; after catching cold eight days after labor.
Stitching pain in forehead, or in temples ; chilliness, tongue coated white ; thirstlessness, bitter taste ; severe stitching pains in epigastrium ; pain in stomach as from hunger, causing faintness ; urination more frequent during attack ; anxious
palpitation of heart when lying on left side ; legs very heavy and tired ; cannot sleep on account of heat, flushes and restlessness ; acrid, excoriating leucorrhœa.
Tearing pain from left temple over whole left side of head, at times extending to left ear and left lower jaw ; < at night, in sudden changes of weather or storms, from external warmth, warmth of bed ; > in cool, open air ; face pale ; eyes dull, surrounded by
blue rings ; heat in head ; ringing in ears during attack ; profuse, milky leucorrhœa ; palpitation of heart on exertion ; pain in small of back ; dulness, lassitude ; chilliness ; restless, sleepless nights.
Stitching, gnawing headache, especially in forehead, from slightest cold or mental disturbance, < from touch, with hot, red face ; rheumatism in knee.
Severe pains in right side of head ; stitches in forehead, temples and right ear, extending into teeth ; also throbbing, pulsating pain in head ; pain lasts all day and is < at night lying in bed ; thirst ; constipation ; chilliness ; loss of
strength.
Neuralgia of right temple, extending to back of head and side of neck and into ear ; pain lancinating, boring, as from a gimlet piercing skull ; < at night ; during paroxysm, numbness of rest of head.
A lady, blue-eyed, light hair, fair ; severe pain in left causality, continuing all day, since waking in A. M. ; < from heat of stove and from passing a hot stove ; bad breath.
Neuralgic pains commencing in right temporal region and rapidly extending over whole right side of head and face ; pains so intense as to distract the mind, causing her to resort to all sorts of applications without slightest relief ; lachrymation of affected eye with scalding
tears ; paroxysms at 7 A. M., continuing to increase until 11 A. M., then gradually subsiding until 5 P. M.
Pains in forehead passing through whole head, increasing for ten or fifteen minutes, until they become agonizing ; heat and rush of blood to the part, with redness and suffusion of eyes ; walks room in agony, holding his head with both hands, crying out with anguish ;
after ten or fifteen minutes pain begins to diminish, in fifteen minutes more he becomes quiet ; restless feeling for ten or fifteen minutes, with a desire frequently to change position, sitting, standing, or walking room ; pains about small of back or loins go through with nearly
same paroxysm, followed by same remission ; a third series commences in groins and thighs, and a fourth in ankles and feet, passing through with same course, but with rather more severity ; after this an intermission of an hour or so, and he either sleeps or sits quietly, but with
a feeling of languor and exhaustion, before another attack in head begins ; pains > by quick, hard rubbing with dry hand ; warm applications intolerable.
Catamenia at times too early and profuse, at others too late and scanty ; had an attack of pleurisy for which she was bled ; two weeks later, most violent, tearing, boring headache, every evening ; constant sensation as if brain were to be pressed through skull ;
violent jerking and tearing at tongue, as if it were to be torn out ; head very hot ; face dark red ; at first pains commenced at 10 P. M., each time after lying down ; later at 7 P. M. ; in beginning they lasted until 3, later until 5 A. M. ; they were most
severe after lying down until an hour after midnight ; remission during day ; very despondent, longed for death.
Headache with wakefulness at night ; patient cried from pain ; had a Nux temperament.
Headache, pain recurring in paroxysms increases to an intense point of severity, then decreases to a complete cessation.
Attacks of headache, lasting two to three days, ending with vomiting and sleep ; pains most severe in sides of head and in eyes, as if pushing them out ; pain almost unbearable, especially on going into a warm room ; external chilliness during attacks.
Periodical spells of sick-headache two or three days before menses, with vomiting, diarrhœa and chilliness ; menses scanty.
Headache at appearance and cessation of menses ; pressing, boring, throbbing in vertex almost driving her crazy ; cannot tolerate anything upon head ; feels to her like a boil, yet presses hand involuntarily upon painful place ; stool not hard, but expulsion
difficult ; sleep full of dreams ; chilly ; thirstless.
Headaches from excessive study, suppressed sexual excitement, indigestion, abuse of coffee or spirits, or rich fat food ; from abuse of Quinine, Iron, Sulphur, Mercury, Chamomile tea ; from long watching, or a cold.
Headache, attended with nausea from presence of bile in stomach ; beating headache, with vomiting of bile and mucus.
Headache < in evening after lying down ; is < by lifting eyes, by meditation in warm room ; > from compression and when walking slowly in open air.
Irritation of brain after sudden suppression of otorrhœa ; head hot ; cannot be kept erect ; skin dry ; urine scanty ; somnolence, with starting at slightest noise, alternating with sopor and photophobia ; fever ;
vomiting of sour bitter fluid ; grasping at head.
Congestion of brain, face looks yellowish and yet feels hot, with constant chilliness.
Congestion of blood to head, with stinging pulsation in brain, especially when stooping.
High fever, vertigo, roaring in head, stitches and tearing in forehead, temples and vertex ; burning in eyes ; chilliness and heat ; so weak he could scarcely raise himself in bed ; sleepless at night ; face bloated, at one time pale, at another dark
red ; mouth dry, without thirst ; pulse rapid, small ; eyes dull, distorted, expressionless ; dry cough ; delirium at night, sees ghosts ; during day, somnolence, with eyes distorted and rolled upward ; epistaxis. θ Inflammation
of brain.
Inflammation of brain after sudden suppression of leucorrhœa by cold ; severe chill followed by high fever, headache, nausea and vomiting of sour, bitter fluids ; next morning, head hot, cannot hold it erect ; skin dry ; urine scanty ; drowsiness with
startings ; confusion of head ; photophobia ; dilatation of pupils ; moderate fever ; grasping at genitals ; vaginal mucous membrane swollen, congested, excoriated in places, dry.
Hydrocephalus or hydrocephaloid ; slimy vomiting ; varying stools ; diarrhœa at night.

Outer head

Biting itching of scalp.
Rheumatic headache, < on one side, and from 5 to 10 P. M. ; crazing pains into face and teeth.
Tingling, biting, itching on scalp, mostly on temples and behind ears, followed by swelling and eruptions ; sore pain ; < in evening and when undressing, also from getting warm in bed.
Tumors on scalp, suppurating and affecting skull, < lying on well side.
Fetid, often cold sweat on one side of head and face ; great anxiety ; stupor ; < at night and towards morning ; > after waking and rising.
Disposition to take cold in head, < when it gets wet ; head sweaty.
Cannot hold head upright, cannot raise it ; it seems too heavy.
Sweat on hairy scalp.

Sight and eyes

Oversensitiveness to light.
Flashing of fire, as if slapped in face.
Fiery circles before eyes.
Flame of light seems surrounded by a starry halo.
Like a veil before eyes, > rubbing or wiping them.
Dryness of eyes and lids, with sensation as if darkened by mucus, which ought to be wiped away.
Dimness of sight : with lachrymation in open air ; like a fog or mist ; especially on getting warm from exercise ; with inclination to vomit and paleness of face.
Dizzy obscuration of vision after sitting, on rising and beginning to walk about.
Transient obscuration of vision.
Diplopia.
Sensation as of a veil before eyes, especially in a bright light.
It seems dark before eyes in morning, on rising from bed.
During menses it became black before eyes and she felt < on going into a warm room.
Loss of vision at night, as if eyes were tightly bound by a cloth, with menstrual disturbances.
During an attack of inflammatory rheumatism eyes became affected, causing blindness.
Amblyopia : from suppression of any bloody discharge ; from metastasis of gout or rheumatism ; from gastric derangement with heart disease ; with diminished hearing.
Amaurosis ; paralysis of optic nerve.
Photophobia, with stitches in eyes, when light impinges upon retina.
Great tension and hardness of bulbus ; appearance of bright streaks and rainbow colors before field of vision, and dimness of vision in outer portions of visual field ; slight feeling of pressure in eye.
Subacute cases of choroiditis in persons subject to arthritis vaga, venous hyperemia of capillaries, pressing, tearing and throbbing pain in head, with heaviness and vertigo, dull sight, photophobia and fiery circles before eyes.
Asthenopia accommodativa, with much aching sensation in eyes after using ; darting pains in eyes after sewing ; asthenopia from general prostration.
Hemeralopia with amenorrhœa.
Conical cornea in a colored girl, æt. 23 ; occasional shooting pain through right eye ; fingers could only be counted at four feet with right eye, and ten feet with left eye ; two months afterwards, under Puls. 30, was able to count fingers at seven feet with right eye,
and twenty feet with left eye.
Hyperemia and inflammation of optic nerve and retina.
Episcleritis circumscribed, between superior and external recti muscles ; highly myopic ; sclera slightly bulged, some itching, sticking pain in ball, with dimness of vision ; eyes > in open air.
Iritis with dry burning heat in and about eye ; œdema of lid, secretion of mucus.
Hyperemia of retina, after suppression of acne ; she sees as through a veil and mostly double ; reading is difficult ; < by candlelight ; after exerting eyes, pain in right side of head, and ringing in right ear ; menses often omit, are too scanty, of too
short duration, with excruciating colicky pains and bearing down ; constipated ; hyperemia of retina ; injection of central vessels and varicosity of veins.
Hyperemia of choroid consequent upon hyperopia ; could not look long at any object ; was subject to severe neuralgic headaches extending into eyes ; head felt full and congested ; is a great tea drinker.
Trachoma, usually uncomplicated with pannus ; granulations fine, eye dry, or accompanied by excessive secretion of bland mucus ; soreness of ball to touch and itching or pain in eye, < in evening and > in cool air or by cold applications.
Pannus dependent upon trichiasis.
Incipient cataract.
Anchylops.
Pustule forming on lower border of cornea, stye on lower lid ; subject to eye troubles with every cold.
Conjunctivitis pustulosa : in a child fifteen months old ; teething, but not cross, a stye preceded attack ; after whooping cough, agglutination in mornings, feels best in open air and by cold applications, no thirst ; with profuse
whitish discharge.
Two pustules on conjunctiva near border of cornea of right eye, lids inflamed, subject to styes ; eruption on hands.
Pustule on cornea which feels < in evening, lachrymation.
Pustule on centre of cornea and another on its lower margin ; excessive photophobia and constant pain in eyes and ears, wants to be in open air and is restless at night.
Pustule with a constant feeling of sand in eye.
Pustule on edge of cornea, much lachrymation, edges of lids red, herpes circinatus on each cheek.
Pustules on conjunctiva, with sharp stinging pains, great lachrymation and redness.
Pustules on edge of cornea, with profuse whitish-yellow discharge, lids somewhat swollen and inflamed.
Pustules on cornea and conjunctiva ; not much photophobia ; some redness and a profuse bland white or yellow discharge.
Keratitis pustulosa with much lachrymation and photophobia ; itching in eyes.
Ulcers of cornea superficial, resulting from phlyctenules.
Small ulcers occurring near centre of cornea, with no vascular supply, especially in strumous subjects, with phlyctenules on cornea or conjunctiva ; considerable photophobia and pain.
Maculæ corneæ.
Ulcers of cornea ; thick, white or yellow, bland discharge, > in open air.
Pustular keratitis, with profuse lachrymation.
Obscuration of cornea.
Dryness of eyes, with sensation in morning as if a foreign body were pressing in eye.
Pressure as from sand in eye when reading.
Pressive pain in eyes, as if there were heat in them.
Pressive pain in left eye.
Pressing, tearing and stinging in eyes.
Pressive-burning pain in eye, as if a hair were in it.
Burning, itching in eyes, provokes rubbing and scratching.
Tearing and shooting in eyes.
Stitches, especially from light and in sunshine.
Itching of ball, in external canthus, evenings, and agglutination mornings.
Itching of eyes.
Child frequently rubs its eyes.
Sensation of dryness and burning heat in eyes, < in evening ; edges of lids red and swollen ; muco-purulent matter in canthi, gluing up lids in morning ; conjunctiva lax, flaccid and unequally red, as if spotted. θ Catarrhal
ophthalmia.
Ophthalmia, with great lachrymation and mucous secretion from Meibomian glands ; agglutination of lids in morning.
Inner surface of lids congested and swollen ; bundles of injected vessels on conjunctiva, converging towards cornea ; intense redness of sclerotica ; phlyctenulæ upon cornea ; lachrymation and discharge of mucus ; great photophobia ; stitching pains in
eyes, forehead and temples, < evening to midnight ; menses scanty.
Inflammation of eyes ; severe pain around eye ; sclerotic injected ; bright red ring around cornea ; iris affected ; but slight inflammation of conjunctiva ; œdema of upper lid ; profuse mucous discharge.
Lachrymation in open air, when carrying anything upon back ; agglutination of lids in morning ; severe pressure in eyes, as of sand.
Conjunctivitis palpebrarum et oculi ; profuse lachrymation during day ; dimness of vision by candlelight, necessitating constant wiping of eyes and accompanied by profuse discharge, which agglutinated lids at night and had to be rubbed off in morning like sand ; burning
and itching and sensation as if a grain of sand were between eye and lid.
Granular conjunctivitis ; want of thirst ; granulations generally very fine, sometimes dry and at others accompanied by excessive secretion of bland mucus and not much photophobia ; heat of sun not agreeable ; wind frequently
increases lachrymation ; > from cold applications.
Stinging, tearing pains, < in evening. θ Rheumatic ophthalmia.
Scrofulous inflammation of conjunctiva, with abscesses similar to styes on one lid of each eye ; photophobia ; lachrymation.
Inflammation of eyes after suppressed gonorrhœa.
Traumatic inflammation of eye.
Pustular conjunctivitis, lachrymation more in open air or wind ; discharge thick, yellow, bland, profuse.
Ophthalmia with amenorrhœa.
Severe ophthalmia ; pain relieved from cold applications.
Blennorrhœa of conjunctiva from gonorrhœal contagion.
Ophthalmia neonatorum ; profuse yellow purulent discharge, gluing lids.
Catarrhal conjunctivitis ; especially acute form, either resulting from a cold, from bathing, or an attack of measles ; with gastric bilious symptoms.
Early stages of acute phlegmonous dacryocystitis.
Affections of lachrymal sac, in children.
Fistula lachrymalis, discharging pus when pressed.
Weeping eyes ; bleared eyes.
Pupils dilated or contracted.
Twitching of eyelids with dazzling of sight.
Violent sticking in eyelids and canthi in evening.
Itching (biting) burning in lids in evening.
Itching in inner canthi, like the healing of an ulcer, in evening after sundown ; pressive, fine, sticking pain after rubbing.
Margin of lower lid inflamed and swollen, with lachrymation in morning.
Stye on lid, with inflammation of white of eye, now in one, then in the other canthus, with drawing tensive pains in eyes on moving muscles of face, and with ulcerated nostrils.
Inner canthus seems agglutinated with matter in morning.
Great itching and burning of lids, < in evening, in a warm room, from a cold draft of air ; > in cold open air.
Styes, especially on upper lid.
Swelling and redness of eyelids.
Recurrent blepharitis, conjunctiva somewhat congested, lids thick and red on margins.
Ciliary blepharitis, with styes.
Lids swollen, itch, burn, not excoriated ; > from rubbing ; subject to styes, especially on upper lid.
Granular lids, dry or with excessive bland secretion ; > in open air, but not in wind.
Blepharitis resulting from indulgence in high living or fat food, accompanied by acne of face.
Tarsal tumors, especially of recent origin, subject to inflammation or when accompanied by catarrhal condition of eye.
Spasmodic action of lids, with lachrymation and photophobia.
Stye on left side.
Troubles of lids in negroes.

Hearing and ears

Sensation as if ear were stopped, with roaring in it like a loud, distant noise.
Noises in ear : humming, tinkling, on moving head or body ; ringing ; sounds of wind or rushing water, after 4 P. M. ; roaring, > out-doors.
Deafness : as if ears were stopped up ; after suppressed measles ; with otorrhœa ; from cold after cutting hair ; from catarrh of Eustachian tube ; with hard, black cerumen ; chronic ; can hear better on the cars.
Hearing in left ear completely lost ; roaring ; severe pains in forehead extending to root of nose, with rotary vertigo ; < in evening.
For several years hearing in right ear impaired ; after catching cold complete deafness in it, and but slight hearing in left.
Hardness of hearing, > in a warm room and < in cold, damp weather.
Jerking in outer ear, followed by heat in ear.
Otalgia : pain violent as from something forcing outward ; jerking ; tearing ; darting ; tearing, shooting ; pulsating at night.
Stitches in ears ; itching, sticking, deep in.
Itching in ears, is almost frantic, rolls eyes, red spots on cheeks, palpitation with anxiety, in evening.
Phlyctenulæ on drum (to prevent ulceration).
Sudden severe pain in left ear, she nearly lost consciousness ; stitching, tearing pain as if a thick body were being forcibly driven into ear, extending to larynx and hindering swallowing ; lachrymation from left eye ; twitching of lids ; flow of acrid-tasting
saliva.
Severe pain in ear, continuing through night, with paroxysms of increasing severity, but causing little concern during day ; bland, nearly inoffensive discharge of mucus and pus.
Sharp pain increasing gradually to great intensity, then ceasing suddenly, but soon increasing again ; external meatus red and swollen ; profuse discharge, or dryness of auditory canal ; threatened ulceration and perforation ; swelling of cervical glands. θ Otitis
media.
Severe tearing pains deep in ears, with roaring and humming ; pains often intolerable, affecting whole head ; burning heat in head and confusion of head ; eyes inflamed, protruding ; sensation as if ears would burst on sneezing ; meatus swollen ; discharge
of blood and pus from ear ; deafness ; fever.
After suppressed eruption of measles, tearing pain in head, particularly in and behind right ear, from which there is a watery, yellowish discharge ; region behind ear inflamed and swollen ; hardness of hearing ; fever, thirst, pulse
110.
Otitis after erysipelas ; erysipelatous swelling of external ear and of meatus so that latter is closed and hearing prevented ; severe, tearing, stitching pains, occurring in shocks, every minute or so, extending from ears to temples and followed by a dulness of head as if all
life had been taken out of head ; no sleep on account of restlessness and anxiety ; sensation as if all the blood would go to heart ; starting in sleep, delirium ; fever, with tossing about, dryness of mouth and throat, with frequent desire for small quantities of
water ; urine red ; stool hard, dry ; fear of death.
Otitis media : profuse, thick, yellowish or yellowish-green discharge ; in children ; severe pain in ear, especially as evening sets in, continuing through night, with paroxysms of increasing severity, but causing little concern during
day ; later a bland discharge, not especially offensive, consisting of mucus and pus.
Catarrhal otitis ; deafness with feeling as if ears were stopped up, with rushing noises in ears, isochronous with pulse.
Otitis externa : pains very severe ; external ear and meatus red and swollen ; pains < at night ; sensation as if something were crawling out of ear.
Otitis with delirium, horrid pain, swelling of internal meatus, ear and adjoining parts.
Otorrhœa : after a old, or as sequel to scarlet fever, measles, etc. ; tearing, stitch-like pain ; redness and swelling of meatus ; inflammation of Eustachian tubes ; purulent discharge ; flow of mucus or thick pus ; chronic.
Sudden swelling of lobes of ears so that they were twice the natural size ; swelling bright red, with burning, perceptible even to finger ; miliary burning-stitching eruption on chin, about umbilicus and on scrotum.
Scabs on tragus.
Pressure in bone above right ear.

Smell and nose

Imaginary smells.
Loss of smell with catarrh.
Smell as of old catarrh ; objective stench from nose.
Pressive sensation in root of nose.
Pain in bones on both sides of nose, as if nose would be forced asunder.
Tickling in nose : constant ; as from fine snuff, followed by violent sneezing.
Sneezing : in evening, in sleep ; in morning in bed.
Coryza : with loss of smell and taste ; dry and fluent alternately, or stopped up in evening, with loss of smell and taste and appetite ; obstruction of nose in evening ; yellow or yellow-green in morning ; nostrils sore ;
wings of nose externally ulcerated ; oozing of watery fluid ; conjunctiva bulbi inflamed, with sensation as if eyes were covered with mucus which could be wiped away ; chilliness intermingled with heat, with headache ; fluent in open air ; stopped up in house ;
frontal headache ; photophobia ; rough voice ; tearing pains in sinus maxillaris, extending into ear ; dry cough at night, ceasing on sitting up, coming back on lying down again ; after inflammatory stage when there is a profuse secretion of phlegm ; patient
feels well in open air, but is attacked with violent catarrh as soon as he enters a room and in evening.
After catching cold, pain in one side of head and face, lasting day and night ; profuse discharge of mucus from nose, at times bloody.
Frequent alternation of fluent and dry coryza, with nosebleed ; loss of appetite and smell, and thick yellow or green and fetid discharge. θ Coryza.
Stoppage of nose as from catarrh, in evening on going to bed, and in morning a thick, yellow, opaque mucus as in old catarrh, is blown from nose.
Nasal mucus offensive, as in old catarrh.
Green, offensive discharge from nose.
Purulent discharge from right nostril.
Colds of newborn children ; nose obstructed by purulent, thick, crusty mucus.
Nose swollen and itching in evening.
Nose feels sore internally and externally.
Abscess at root of nose, near inner canthus, as if a lachrymal fistula would form.
Bleeding of nose : blood coagulated ; with dry coryza ; frequent, profuse ; with suppressed menses ; in anemia ; of anemic children, with blue eyes and blonde hair.
Blowing of blood from nose, in morning.
For two weeks profuse discharge of blood from nose ; hemorrhages increased in spite of styptics ; discharge partly pale, partly clotted blood, intermitting in intensity ; attack brought on by going from cold air into warm room ; on
lying down would pour from nose and it stopped on raising himself up ; dull, heavy feeling over frontal sinuses ; very despondent, especially after last hemorrhage, which filled a pint measure.

Upper face

Sandy hair, blue eyes, pale face.
Face : pale with vertigo ; livid ; cold, clammy and pale ; earthy, with dark rings around eyes ; yellowish, yet feels hot, with chilliness (hyperemia of brain) ; red, every evening ; alternately red and pale ; one cheek red, the other pale ;
pale or yellowish, with sunken eyes ; puffed, blue, red ; cheeks and nose puffed ; flushes.
Burning of right cheek.
Tension of face and of fingers, as if parts would become swollen.
Pressing, constricting, dull throbbing pains in right supraorbital region extending over whole right side of face, particularly severe in zygomatic region and hairy portion of head where parts feel as if seized by pincers ; attack ends with profuse lachrymation from right eye ;
coryza and stoppage of right nostril ; pinching pressive sensation at root of nose ; ears feel as if stopped up ; sense of smell impaired, often entirely lost ; thick, yellow discharge from right nostril on blowing nose ; oppression of chest during attack ;
migraine and digestive disturbances ; pain < from least occupation. θ Facial neuralgia.
Neuralgia right side of face and head, < at night ; throbbing pain, causing intense suffering ; face flushed, particularly right side ; external soreness and pulsation in head, all < in evening and when stooping ; says she always had these spells when nursing
her children, and that now menses have been absent seven or eight months.
Pain in left side of face extending from supraorbital region to teeth, zygoma, ear and nape of neck, < in a warm room, warmth of bed, lying with head low, rest, before midnight, and from warm food ; chilliness with the pain ; aversion to fat ; thirst at night ;
constipation.
Every morning at 11 o'clock, severe pain along course of left infraorbital nerve, with discharge of thick, white offensive-smelling mucus from left nostril ; pain and discharge cease at 4 P. M. ; pain > in open air.
Facial neuralgia left side, commencing in foramen mentale and extending up into ear ; drawing, tearing, jerking, with sensation of heat and dulness of head ; ringing in ears, and great nervous excitation ; comes in regular intervals ; < from talking, chewing and
lying upon affected side, from taking warm or cold things in mouth ; more through day than through night ; she cannot bear any cold application, is subject to vagrant rheumarthritis, and has been treated for ten days with quinine, and morphine injections.
Peripheral facial paralysis ; on trying to move facial muscles but one side responded, leaving the other expressionless ; levator of eye and of nose refused to act ; no numbness of muscles ; metallic taste ; could not restrain his tears ; chilly in-doors,
> in open air ; reflex movements intact.
Violent faceache of a jerking, tearing character ; paroxysms every evening at six, which increased in intensity till midnight ; pain < lying down and from heat ; > rising up and from cold.
Prosopalgia, < in a warm room, in bed and from hot food ; in evening till midnight, lying with head low, on left side or on side not affected ; disgust for fat.
Facial neuralgia ; lower lip is swollen with a deep crack in middle ; pain is often attended with a sensation as if part were being drawn tighter and tighter and then suddenly let loose, as if cutting a tight string.
Puffiness of cheeks and nose.
Sweat on (one side of) face and on hairy scalp.
Facial erysipelas, with stinging, pricking pain, skin peels off.
Skin of face painfully sensitive.
Acne faciei of young growing girls.
Red nodosities on cheek bones.
Mumps, particularly when inflammation is transferred to mammary gland or testicle.

Lower face

Biting, smarting sensation about mouth.
Lower lip swollen and cracked in middle.

Teeth and gums

Looseness of painful teeth.
Drawing jerking, as if a nerve were put on stretch, and then let loose ; shooting in gums.
Left side of face sensitive ; stinging in decayed teeth.
Throbbing, digging in hollow teeth, with drawing extending to eye ; also, with otalgia.
Toothache : always on eating ; painful on chewing and biting ; as if teeth would be forced out ; on taking anything hot into mouth ; jerking, especially in morning, > when cold water taken into mouth becomes warm ; caused by picking teeth ; tearing
pain ; fine sticking, gnawing in gum, especially towards evening, < from warmth of bed, > by uncovering and by a draft of cold air ; rheumatic tearing in side of face sometimes extending to head and neck ; stinging, in decayed teeth, with heat in head and chilly over
whole body ; jerking and tearing as if tooth would start from jaw ; caused by drinking chamomile tea or from abuse of quinine ; with much swelling.
Drawing, tearing, stitching pains along alveolar border, extending up to ears and temples, < in evening on entering warm room, > in open air.
Tearing in right upper and lower teeth, < towards evening, lying with head low, lying on sound side, from warm food or drink ; cannot keep quiet during pain, walks constantly about shaking her head ; pain prevents sleeping before midnight ; is sensitive to wind and
draft of air ; during fifth month of pregnancy.
Toothache ceases out of doors, returns on coming into room.
Toothache worse : in Spring ; at night ; from picking teeth ; in warm room ; in warmth of bed ; when eating, but not from chewing ; when sitting ; from cold water, or from anything warm in mouth ; during pregnancy.
Toothache better : walking about ; in open air ; when cold water taken into mouth becomes warm.
Gums painful as if sore.

Taste, speech, tongue

Taste : bad, especially early in morning ; nothing tastes well ; no taste at all ; of bad meat ; on hawking, especially in morning ; slimy ; pappy, sticky, without thirst ; disgusting, with white tongue, in
morning ; foul, clammy, insipid ; clammy, wants to rinse mouth frequently ; filthy, tongue much coated, appetite gone ; nauseous, from smoking tobacco ; nauseous, as of fasting, as if one had risen too early, in morning ; burnt taste ; bitter, after
drinking beer in evening, continuing even when smoking ; bitter, even of food ; bitter, bilious, especially after eating and smoking ; bitter, with desire for citric acid ; bitter, for quarter of an hour after eating, with good appetite ; sweetish ; beer tastes
sweet.
Greasy taste in mouth. θ Chronic nasal catarrh.
Qualmish nausea, in morning.
Diminished taste for all food.
Loss of taste, with catarrh ;`nothing tastes well.
Painful blister on side of tip of tongue.
Tongue covered with tenacious mucus, as with a membrane.
Dryness of tongue in morning.
Sensation on middle of tongue, even when it is moistened, as if it had been burnt and were insensible, at night and in morning.
Biting in tip of tongue.
Edges of tongue feel sore as if scalded.
Tongue : white or yellow and coated with tenacious mucus ; parched, dry, no thirst ; feels too broad, too large.
Tongue greatly swollen, dorsum bright red and covered with a network of dilated and congested veins ; varicose swelling on left side of tongue ; use of tongue greatly hindered ; tensive burning pains ; no fever ; mental and
physical depression ; hemorrhoids ; gout.

Inner mouth

Putrid smell from mouth, especially in morning.
In morning, mouth and pharynx dry and covered with tasteless, insipid mucus, with an offensive odor from mouth not perceptible to himself.
Great dryness of mouth in morning, without thirst.
Painless sensation as if roof of palate were covered with tenacious mucus or were swollen.
Accumulation of saliva and much mucus in mouth.
Mouth covered with offensive mucus, in morning on waking.
Discharge of watery saliva like waterbrash.
Flow of sweetish or tenacious saliva.
Constant spitting of frothy, cotton-like mucus.
Parotitis ; metastasis to testicles or to mamma.

Palate and throat

Sensation as from sulphur vapor in throat while coughing.
Scraping and dryness in throat, causing paroxysms of two or three coughs.
Rawness, scraping and scratching in throat, with dryness of mouth.
Constricted feeling about throat.
Throat posteriorly painful, as if raw, with drawing pain in cervical muscles.
Feeling in œsophagus as if food were lying there.
Sensation as of a worm creeping up into throat.
When swallowing : stinging with pressure and tension ; cutting burning ; stitches between acts of swallowing ; as if swollen, or a lump in throat ; < swallowing saliva and after food.
Veins distended, throat inflamed, bluish-red.
Throat dry, < mornings ; tough mucus, especially night and morning.
Sore throat, with sense of dysphagia ; she feels as if she would be choked.
Globus hystericus.
Stitching pains in throat, difficult deglutition with fever, < in evening ; dark redness of throat, tensive tearing pains, particularly in nape of neck and occiput.
Throat and pharynx swollen ; throat pains as if sore, particularly on swallowing, when there is a sensation as if he had to swallow over a lump ; velum and pharynx congested, bluish-red, roof of mouth being rather white ; severe sore pain ; diarrhœa ;
chilliness, often followed by heat.
Catarrh of throat ; marked redness of tonsils ; varicose condition of bloodvessels ; fauces dark-red or purplish ; stinging pains in throat, < swallowing saliva or after food.
Catarrhal-rheumatic pharyngitis ; for several days severe pains in back and limbs, headache, sore throat.
Dilated or varicose veins in throat.
A girl, æt. 15, while dining felt a constriction in throat, could not eat, wept, lost all power of speech ; oppression and tightness of chest ; crampy pain in stomach ; disturbed sleep at night ; head rather heavy ; since first menstruation courses irregular,
rather scanty, not of natural color.

Appetite, thirst. desires, aversions

Hunger : but does not know for what ; does not relish anything he eats ; eats greedily, followed by vomiting.
Entire loss of appetite ; child refuses breast.
Thirst : drinks often, but little at a time, it provokes inclination to vomit ; during heat ; for beer, chiefly in morning ; for alcoholic drinks.
Thirstlessness, with moist or dry tongue.
Desire for : sour, refreshing things ; herring ; lemonade.
Aversion to : meat, butter, fat food, pork, bread, milk, smoking.

Eating and drinking

Stomach disordered from cakes, pastry, rich food, particularly fat pork.
Complaints from eating buckwheat.
Bad effects from onions.
Better from cold things, < from warm.

Hiccough, belching, nausea and vomiting

Hiccough while smoking ; after cold fruit ; after drinking ; at night.
Eructations : loud ; of gas ; tasting and smelling of food ; bitter, bilious ; rancid ; sour ; like bile, in evening ; tasting of cold, rancid tallow, after eating cakes ; as of bad meat, after dinner ;
taste remains in mouth, with qualmish nausea ; of sour liquid after drinking coffee.
Uprisings into throat, preceded by rumbling in abdomen and colic.
Incomplete inclination to eructate ; eructations are ineffectual and do not actually occur.
Heartburn, waterbrash.
Qualmishness with chilliness.
Nausea : frequent ; rises up into throat and mouth ; during menses, at night, water rose from stomach with retching like waterbrash ; felt in upper part of abdomen ; while eating, food is repulsive ; with heartburn ; with rumbling and gurgling in
hypochondria ; qualmish, without vomiting ; with colic, ceasing after vomiting ; at night, with sticking, drawing pains in back, extending towards scapulæ ; of food, in evening, followed by bitterness in mouth, with teeth set on edge ; of food that had been eaten a
long time before.
Vomiting : of mucus, of blood, from a cold in stomach or suppressed menses ; of bilious matter ; sour, green ; chronic, after eating ; caused by fruit, fats, pastry, ices ; with pale face and chilliness.
Vomiting of food after dinner ; if food is warm and hastily eaten it is vomited very soon after eating, if cold and eaten slowly it is retained for a longer period, if hot it is vomited immediately ; oppressive sensation in epigastrium when pressed upon ;
oppression, tension and shortness of breath on walking fast ; appetite good ; tongue clean ; awakes at night from sensation of internal heat, sweat towards morning.
Cannot retain food ; it comes up hours afterwards just as swallowed ; vomiting and purging at same time ; during retching, cold sweat ; constant shivering ; bitter taste, even saliva is bitter.
Chronic vomiting of food, often several hours after eating, with paleness of face, colicky pains and irritability.
Morning sickness ; nausea and vomiting during pregnancy.

Scrobiculum and stomach

Pain in pit of stomach, during an inspiration ; also on pressure.
Pressure in pit of stomach, with difficult breathing ; after every meal, vomiting of food.
Sensation as if food were lodged above pit of stomach undigested ; weight as from a stone, early morning on waking.
Weight in epigastrium an hour after eating, > after eating again.
Tension from stomach to chest.
Throbbing in epigastrium ; perceptible pulsation.
Griping pain in pit of stomach.
Sensation in stomach as if one had eaten too much ; food rises up into mouth, as if one would vomit.
Constant pressure in stomach, < after fat food ; sour belching and vomiting ; diarrhœa alternating with constipation ; menses scanty.
Feeling of fulness and heaviness in stomach after eating.
Stitching pains < when walking or making a misstep.
Crampy pains before breakfast or after meals.
Gnawing distress like ravenous hunger when stomach is empty ; pressure and pinching after eating.
Painful crawling in stomach.
Dull pain and sensation of fulness in stomach.
Cardialgia during menses.
Pain in stomach an hour after eating.
Pinching-pressive or retching pain in stomach, takes away breath, in afternoon.
Scraping sensation in stomach and œsophagus like a heartburn.
Feeling of rawness in stomach as from ulceration.
Pressure in stomach, tearing between shoulder blades, and during pain there is great flow of saliva ; pains sometimes begin in abdomen, vomiting of food with the pain. θ Cardialgia.
After eating, pain in epigastrium extending to back and abdomen, lasting about an hour and terminating in waterbrash ; bowels costive ; pain and vomiting most severe in evening ; for two years troublesome cough, with thick, while expectoration. θ Indigestion.
Every morning, 2 or 3 o'clock, tensive, stitching pain in epigastric region, disturbing sleep, must rise and walk about, < lying down ; pains cease 8 to 9 A. M. ; six months pregnant.
Cramping pains begin in evening with shaking chill, last all night, often so severe that he rolls about floor as if mad, cease towards morning with retching of bitter, watery fluid ; vertigo, headache, dry mouth with thirstlessness ; poor appetite, can drink no water,
constipation, sleep disturbed even during day.
Gastrodynia, lasts from one to two weeks ; she sat in a rocking chair bent forward, constantly rocking, suffering so much that sweat was running from her face ; constant pain in stomach, but every few minutes she would cry out from severity of pain ; had been suffering
about two hours, and in that time had vomited frequently, first food, but now only a slimy mucus of intense acid odor, setting teeth on edge ; bowels inclined to be costive.
Pain in stomach, < from food, after which there are violent pulsations at pit of stomach ; pyrosis ; pain in front and back of head after sickness ; impaired appetite. θ Indigestion.
Region of stomach extremely sensitive to pressure, particularly on left side ; stitches in left side ; menses absent several months. θ Cardialgia.
Stomach bloated, hard ; flatulency.
Lassitude, confusion of head, loss of appetite ; attacks of chilliness and heat, confining her to bed ; headache ; sensorial dulness ; sleepy, dreamy condition, with languid eyes ; offensive, bitter taste in mouth ; tongue dry at tip and sides ;
nausea and several times voluntary vomiting ; pulse rapid, hard ; vomiting of bile ; bilious stools. θ Gastric fever.
Want of appetite, especially at night ; tympanitis with rumbling commencing in evening and increasing at night ; three or four thin stools, sometimes containing ingesta, only at night ; weakness and anemia ; has been suffering since menses ceased. θ Dyspepsia
with amenorrhœa.
Pains in abdomen and chest and under shoulder ; flatulence ; food tastes a long time after it has been taken ; aching in forehead, sometimes coming up from back of head, > in morning, < towards evening ; bowels regular. θ Indigestion.
Aching in stomach < after eating ; bitter taste in mouth in morning ; feels bloated two hours after eating ; cannot bear clothes tight on abdomen ; empty feeling of stomach and bowels ; no thirst ; light hurts her eyes
and makes her nervous ; > in open air ; bearing down at anus not > by stool ; leucorrhœa.
Swelling of scrobiculus cordis, with hardness extending more to right side (l. lobe of liver) ; appetite good, often hungry, eats and drinks a great deal ; is obliged to loosen all her clothes after eating ; cannot lie on left side ; stool firm ; passes
but little urine during night, but often a large quantity after eating ; if she refrains from passing urine, has cutting pains in abdomen which extend even to tongue and limbs ; soreness of chest after speaking and motion ; throat seems swollen, frequent attempts to clear
throat ; menses pale and scanty.
Gastric catarrh from cold beverages, ice-cream, fruit and pastry ; pain as from subcutaneous ulceration.

Hypochondria

Darting, tensive pains in hepatic region.
Sticking in region of liver, particularly when walking.
Feeling of lassitude in hypochondria.
Jaundice in consequence of chronic susceptibility to hepatitis and derangement of secretion of bile, with looseness of bowels ; duodenal catarrh ; disordered digestion ; feverishness and thirstlessness ; after quinine.
Spleen enlarged. θ Ague.
Catarrh of pancreatic duct, in girls.

Abdomen and loins

Abdomen and stomach distended ; she must unlace.
Flatulent distension, always after eating.
Rumbling and gurgling in abdomen.
Flatus moves from one part of intestines to another, with loud rumbling and gurgling and a griping sensation, < on walking just after supper, or in evening in bed.
Emission of fetid flatus.
Incarcerated flatus, with colic in evening.
Colic and rumbling of wind especially in upper abdomen.
Fulness after eating, and from time to time colic, with rumbling.
Dull pain and sensation of tense distension in upper abdomen.
Pressive pain in abdomen and small of back, pressing downward like a stone, during menses lower extremities inclined to fall asleep, while sitting ; ineffectual desire for stool.
Pressure in abdomen and small of back, just before menses, as from a stone, with disposition of lower limbs to go to sleep, while sitting ; ineffectual desire for stool.
Drawing and drawing tensive pains, extending from abdomen through spermatic cords into testicles, which hang low.
Drawing-tensive pains in abdomen like labor pains.
Constrictive and pinching sensation in upper abdominal and hypochondriac regions, as from incarcerated flatus, especially after eating ; changes to chest and takes away breath.
Cutting pains in abdomen above umbilicus, as if diarrhœa would set in.
Pressive constrictive pain like a stone in lower abdomen, extending to bladder.
Violent cutting pain low down in abdomen ; a forcing down into pelvis, with sensation as if stool would occur, < when drawing in walls of abdomen.
Cutting and dragging in hypogastric region around to loins, making her feel faint.
Stitches and cutting in abdomen in evening ; < on sitting still.
Griping pains in upper abdomen.
Jerking or tearing in bowels.
Pain in lower chest and abdomen, obliging her to bend forward.
Colic : after drinking ; as if diarrhœa would ensue, but only a normal stool results ; after stool ; with nausea, ceasing after vomiting ; labor-like pains, in pregnant women ; with chilliness, while menstruation is
suppressed ; from cold, with diarrhœa ; from ices, fruits, pastries ; from getting feet wet ; pains < sitting or lying, > walking ; flatulent, after a meal, or very early in morning, while in bed ; before or after eating, in evening ; of hysteric
women ; brought on by eating fat or greasy things.
Painful sensitiveness of abdomen.
Externally abdominal walls are tender to touch, when coughing or sitting, especially at stool.
Sensitiveness and inflammation of abdominal walls.
Abdominal spasms ; also of pregnant women.
Lumps in both groins hard and painful.
Small pustules in groins.

Stools and rectum

Frequent urging, as if diarrhœa would occur.
Diarrhœa : watery ; not exhausting ; with or without colic ; with cutting in abdomen ; nightly, with rumbling in abdomen ; after errors in diet, especially pork or fat food, fruit or ice-cream.
Stools : watery, only or usually at night, sometimes unconsciously evacuated ; greenish-yellow, slimy, very changeable ; like bile, following rumbling in abdomen ; offensive, corrosive ; of white and bloody mucus ;
purulent ; soft, mixed with mucus ; of green mucus ; at first green, then slimy ; as green as bile ; white, slimy ; bilious ; resembling stirred eggs ; perfectly white ; changeable, no two alike ; variable, > and < ; as soon as they
begin to eat they must go to stool ; after measles.
Discharge of blood and mucus ; face pallid ; fainting ; dysuria.
Frequent desire for stool, with insufficient evacuation or no feces ; instead thereof, yellowish mucus, sometimes mixed with blood.
After getting feet wet, attacks of mucous diarrhœa, more or less every week, discharges occur nearly every hour ; she passes sometimes a tumblerful of slime at once ; evacuations are accompanied by nausea, faintness, sometimes vomiting of
mucus ; < about bedtime. θ Diarrhœa mucosa.
Before stool : headache ; rumbling, cutting colic ; pains in small of back.
During stool : burning and cutting in rectum ; pain in abdomen, back and head ; eructation, nausea ; attacks of faintness, shaking chills.
After stool : colic as from flatulence ; chilliness in small of back ; smarting of anus ; pressing, stinging and cutting in rectum ; pressing in epigastrium ; stiffness of neck ; backache.
Aggravation : at night ; after measles, pork or fat food, ice-cream, fruit, tobacco or cold drinks ; from damp places ; from warmth or in a warm room.
Amelioration : in open air, or in a cool place.
Dysenteric stools of clear yellow, red or green slime ; pain in back ; straining.
Dysentery during cholera time.
Frequent stools of mucus only, after dysentery.
Cholera morbus from drinking ice-water ; tongue white ; clammy taste ; restless and sleepless during night but gets an hour's quiet sleep at about 6 A. M. ; no appetite ; bowels torpid, > in morning.
Stools of deep-green mucus ; pain in abdomen ; no thirst. θ Cholera infantum.
Cholera infantum ; slight nightly attacks ; disturbed lacteal secretion of mother.
Difficult soft stool with straining and backache.
Costive stools : hard and large after suppressed intermittent fever by quinine ; hard, scanty ; bloody.
Obstinate constipation, nauseous bad taste in the morning, must wash out mouth.
Constipation with headache, at intervals of one, two or three days.
Chronic constipation ; menstrual function irregular.
Alternation of hard and soft stools.
Pressure in rectum after stool.
Persistent dull stitches in rectum, as from incarcerated flatus.
Hemorrhoids : painful, protruding, blind ; with itching and stitches in anus ; preceded by pains in small of back, in morning ; with great soreness ; itching, in evening ; discharge of blood and mucus with stool, accompanied by painful pressure ; pale
face, tendency to faint.
Profuse bleeding from anus during stool.
Worms : vomits mucus ; bad smell from mouth ; slimy passages ; belching watery fluid.
Tapeworm.

Urinary organs

Pains in kidneys, also on urinating ; discharge of blood and mucus, purulent sediment in urine ; emaciation.
Tenesmus of bladder ; stinging in neck of bladder.
Region of bladder painful to external touch.
Sharp, almost cutting pressure upon neck of bladder, while walking in open air, as from flatulence, though without desire to urinate.
Ischuria, with redness and heat over region of bladder.
Frequent desire to urinate ; great urgency, it seems impossible to delay ; when going to urinate there is a sensation as if it would gush away, can scarcely wait.
Frequent desire to urinate with drawing in abdomen, particularly in pregnant women.
Frequent almost ineffectual urging to urinate, with cutting pains.
Urging to urinate ; severe burning stitching pains in neck of bladder ; mucous sediment in urine adhering firmly to vessel ; must urinate every hour ; pain on urinating lasting several minutes.
Retention of urine with heat in region of bladder and uneasy pain in abdomen, accompanied by urinary tenesmus.
After exposure to rain and sitting in a cold room next morning could not void urine, which, when drawn by catheter, was quite bloody ; retention of urine with constant urgency ; no thirst ; slight fever ; flatulent condition of stomach and bowels.
For twenty-four hours no discharge of urine ; every half hour a paroxysm, during which child presses anxiously upon abdomen, groans, cries out, arches body, gets red and distorts face ; region of bladder red and hot to touch.
Difficult urination, urine discharged drop by drop.
Spasm of bladder in hysterical woman ; constrictive pain in region of bladder, with urinary tenesmus and involuntary emissions of a little urine.
Tenesmus vesical.
Cystitis or catarrh of bladder ; frequent urging to urinate from pressure on bladder ; as if bladder were too full ; pain in urethra ; urine turbid from admixture of mucus.
Vesical catarrh : incontinence of urine ; enuresis nocturna ; frequent desire to urinate, with a drawing sensation in abdomen ; spasmodic pain in neck of bladder after micturition, extending to pelvis and thighs ; involuntary discharge of urine when
coughing ; urine is discharged in drops when sitting or walking ; burning in urethra while urinating ; hæmaturia ; scanty red-brown urine, with brick-colored sediment ; bloody or mucous deposit.
Irritability and catarrhal inflammation of bladder.
Urinary difficulties increased by taking cold.
Cystic symptoms accompanying pregnancy ; retention of urine after childbirth.
Irritability of bladder ; frequent desire to urinate ; painful sensation on turning over in bed, as if bladder would fall towards side on which he is lying ; pain in region of bladder on walking, > from pressure of hand.
Involuntary micturition : urine dribbles while sitting or walking ; while coughing or passing wind ; at night in bed, especially in little girls.
Incontinence of urine since birth of eighth child, a year ago ; urging to urinate, with scanty secretion ; discharge of urine while lying down, with sensation as if movement of bowels would follow ; pain in external parts when walking ; leucorrhœa. θ Paralysis
of sphincter vesical.
Enuresis nocturna for two years, in a girl æt. 5 1/2, of mild disposition, fair complexion, frequently changing color, delicate frame ; the complaint has been preceded by an acute exanthema, probably measles.
Nocturnal enuresis : after measles ; < in Autumn ; particularly little girls.
After micturition spasmodic pains in neck of bladder, extending to pelvis and thighs.
At end of urination, dropping of blood ; hæmaturia.
Hæmaturia ; burning pain at orifice of urethra ; constricting, cutting pain about navel, extending to small of back, where it is particularly severe and of longest duration ; penis and scrotum spasmodically drawn up ; cramping pain in right leg, from knee up
to inguinal region.
Urine : profuse, watery, colorless, in hysterical complaints ; brown ; scanty, no thirst ; sediment reddish, bloody or mucous, jelly-like, sticking to vessel ; loaded with large quantities of urate of ammonia, showing a wasting, hectic condition.
Constitutional disturbances in children, associated with copious excretion of urate of ammonia.
Burning in urethra : in orifice of urethra, during and after urination.
Soreness of external meatus and burning sensation when urinating, > bathing in cold water.
Before urinating : burning in urethra ; pressing in bladder ; colicky pains.
During urination : burning, cutting, stinging ; discharge of acrid, mucous stools, with sensation of weakness in loins.
After urination : burning ; pressing, creeping in glans or meatus ; spasmodic pain of neck of bladder extending into thighs ; dropping of blood.

Male sexual organs

Sexual desire too strong ; almost priapism.
Long-lasting morning erections.
Nightly emissions : two in one night, with amorous dreams ; with mental depression ; eyes felt as if they would push back into orbit, head light and empty, as if it were off shoulders ; after onanism.
Sexual excesses resulting in headache ; backache ; limbs heavy.
Burning and aching of testicles, with or without swelling ; orchitis.
Gonorrhœa : with thick yellow or yellow green discharge ; in blonde men of mild temperament ; in women.
Suppressed gonorrhœa : with swelling of testicles, contraction of urethra and discharge of dark-colored blood, with tendency to inflammation of eyes ; prostatitis ; rheumatism, pains wander quickly from one part to another ; strictures of urethra ; chordee.
Venous congestion of penis.
Prostatitis, with great heat and pressure in perineum, frequent and almost ineffectual urging to urinate ; frequent erections with loss of prostatic fluid ; constrictive pain, extending to bladder, with pressure as from a stone.
After urinating, severe pinching pressing pain in perineum, in region of neck of bladder, somewhat to left side and extending throughout whole lower pelvis and down into thighs ; pain so severe that patient cannot move for several moments and
limps for some time afterwards ; urine escapes in gushes so that the pain is felt ten to twelve times during an evacuation ; region of neck of bladder swollen and very painful when sitting and standing ; lame sensation and restless feeling in left thigh when standing. θ Inflammation
of prostate.
Prostate gland enlarged ; feces flat, small in size.
Spermatic cord inflamed by a badly fitting truss.
Drawing, tensive pains, from abdomen through cords into testicles.
Testicles hang down a long way.
Right testicle drawn up and swollen, spermatic cord swollen, with tensive pain, while left testicle hangs down low.
Soreness of testicles, so that pants seem too tight ; unpleasant when sitting.
Tearing, lacerating pain in testicles.
After suppressed gonorrhœal discharge, swelling of left testicle and epididymis ; two months later, after catching cold, swelling of right testicle and spermatic cord ; chilliness, lassitude, nausea, diarrhœa, griping, pressing, cutting
pains in abdomen extending up to loins and region of kidneys, loss of appetite, thirst ; severe pain when genitals are allowed to hang down without support ; after Pulsat. a yellowish-green discharge appeared from urethra.
After suppression of gonorrhœa, orchitis, left side, with hot, hard swelling and severe pressing pain in testicle and spermatic cord ; < standing ; thirst ; evening fever ; irritable pulse.
Severe pain across sacrum, from a strain while lifting a heavy weight ; acute deeply seated pain in groins, extending along cords to testicles, the right swollen and very tender to touch, can hardly walk. θ Orchitis.
Injury to testicle by a fall, followed by trismus, which yielded to Bellad. ; two days afterwards right testicle greatly swollen, with pressure and annoying pain extending up into abdomen, with nausea and occasional vomiting ; at times aggravation of pain with chilliness ;
scrotum red, hot ; urine saturated ; pain > in rest.
Sarcocele, not syphilitic ; varicocele ; hydrocele ; swelling of a bluish color.
Itching-biting pain in inner and upper portion of prepuce.

Female sexual organs

Nymphomania.
Ovaritis after getting feet wet ; suppression of menses, with nausea, coldness of body, chilliness and trembling of feet ; pressure on bladder and rectum.
Drawing-pressive pain extending towards uterus, with qualmishness, towards morning.
Contractive pain in left side of uterus, like labor pains, obliging her to bend double.
Tensive, cutting pain in uterus, which is very sensitive to touch and during coitus.
Pains in uterus, with amenorrhœa.
Uterine colic, resembling labor pains.
Threatened metritis day after labor in consequence of catching cold ; two days later pains in right thigh, and particularly severe pain in right side of abdomen ; sleeplessness ; suppressed lochia ; pain < from least
motion ; some sweat ; palpitation ; rapid, strong pulse ; intense thirst ; urine dark, like brown beer ; anxiety and fear ; milk scanty ; hypogastric region sensitive to pressure ; abdomen hot ; loss of appetite ; thick white coating on
tongue ; bad taste in mouth.
Metritis after getting feet wet, or from suppression of lochial discharge, with a deficiency of milk, chilliness and thirstlessness.
Prolapsus uteri, with pressure in abdomen and small of back, as from a stone, limbs tend to go to sleep ; ineffectual urging to stool.
To promote the expulsion of moles, or a dead fetus.
She can hardly find an easy position through night, owing to pain in pelvic articulation.
Pains in loins from passive congestion of uterus.
Metrorrhagia : blood dark and coagulated, emitted in paroxysms, < in evening with labor-like-pains ; menses usually scanty ; habitual looseness of bowels ; especially during climaxis ; blood changeable, stops and flows ;
profuse at times, at others scanty, mixed with clots ; in chlorosis ; after abuse of quinine and iron.
Ten days after labor severe chill followed by heat, intermingled with chilliness, particularly when turning in bed ; oppression of chest ; asthma, with pain in chest and palpitation ; sleeplessness ; thirst ; sweats ;
bitter-tasting expectoration ; marked decrease of milk ; labor-like pains, with discharge of blood in gushes ; frequent fainting spells ; darkness before eyes.
Menstrual colic : with great restlessness, tossing in every possible direction ; paleness of face ; pain violent and causing her to cry out and toss about ; flow by fits and starts, thick and dark, or pale and watery ;
chilliness ; stretching and yawning ; thirstlessness ; disposition to vicarious blood losses ; pale, mild, light-haired, blue-eyed and tearful ; loud grief ; feels > in open air.
Menstruation painful from puberty ; cramps, vomiting and even spasms attending first appearance, which, light-colored at outset, soon becomes dark and clotty ; during menses nervous and excitable ; at night restless and sleepless ;
constipated. θ Dysmenorrhœa.
Heaviness in abdomen, as from a stone ; heavy pressure low down, also in small of back ; drawing in thighs ; thighs go to sleep while sitting ; painful pressure in rectum as if to stool, with pain in back. θ Menstrual
colic.
Dysmenorrhœa ; from twenty-four to forty-eight hours would suffer horrid pains, vomited till her strength was gone, flesh cold, could sit up but little for a week, appetite poor.
Tension and contraction in abdomen as if menses would come on, nausea and mucous vomiting.
Dysenteric diarrhœa at the periods, especially if coming on at night.
Dark purple, liquid, hot blood ; when discharge is most profuse there is most pain ; most discharge when lying down ; pain causes nausea and headache ; cutting pain in hypogastric region and in region of left ovary ; bland, yellow leucorrhœa before and
after menses. θ Dysmenorrhœa.
Spasms preceding menses ; face alternately pale and red ; eyes wildly staring, swollen, injected, brilliant and sometimes bathed in tears ; features agitated by convulsive movements, mouth distorted ; trunk and limbs convulsed,
sometimes tonic, sometimes clonic spasms, and limbs often strongly extended ; throat constricted, chest oppressed, respiration slow and spasmodic ; greatest anxiety, crying that she would suffocate ; occasionally a few moments of relaxation of muscles, depression, yawnings,
somnolence and menaces of syncope ; constrictive pains in region of right ovary ; desire for stool ; sweetish taste in mouth and throat ; sinapisms to thighs relieved the oppression, but induced such frightful nervous symptoms that they had to be removed immediately.
Menses : too late and scanty, or suppressed, particularly by getting feet wet ; profuse, of a dark or blackish color, with sexual excitement ; too early ; too long ; too short ; flow only in daytime and mostly on walking ;
changeable in appearance ; intermittent ; delayed, with coldness of body, chilliness and trembling of feet ; flow thick, black, clotted, or thin and watery ; too late, scanty, slimy.
First menses delayed, soreness of apices of lungs.
Menses delayed three weeks ; at times nausea ; fears she is pregnant, cries, and begs physician to produce abortion ; distress in hypogastrium and epigastrium ; flying neuralgic pains ; dyspnœa from warm room ; at times
slight attacks of indigestion.
In girls of mild disposition when puberty is unduly delayed or menstrual function is defectively or irregularly performed ; they are pale and languid and complain of headache, chilliness and lassitude.
Suppression of menses : after getting feet wet ; from a cold ; with nausea and disposition to vomit ; with convulsions ; with paroxysms of hemicrania and sticking pains in face and teeth ; in chlorosis ; from nervous
debility ; with throbbing headache ; pressure in stomach ; pain in uterus ; dysuria ; ophthalmia ; morning nausea ; bad taste in mouth ; nosebleed relieves vicariously.
Pain in left side, from under false ribs, around to back ; yellow leucorrhœa, not very thick, constant, most at menstrual period ; back always feels weak ; occasional sharp, shooting pains through head, sometimes in occipital, sometimes
in frontal region ; feels very tired in morning ; in daytime feels > after a short sleep than after a long one ; palpitation ; exercise is exhausting ; perspires easily ; sleeps at night with her arms over her head, and feels stiff on rising.
Pain in heels like pricking of tacks or nails ; hot flushes followed by chilliness ; menstrual flow black and clotted ; puts feet out of bed to cool them, they burn so ; she must put her shoes on before she can walk, heels ache so ; vertigo mostly before
menses ; deaf since childhood, from scarlet fever ; constipation ; craves open air, warm room is oppressive, suffocates and must go out ; watery discharge from eyes and nose ; purplish appearance of skin of heel ; sprained feeling in ankles, weak ankles ;
rattling cough ; loses urine when coughing ; menses every two weeks, profuse, dark, offensive ; urine offensive, strong ; sharp pains in rectum ; toe joints very sore ; hot flushes ; limbs tire easily when walking ; heat in vulva, was compelled to
apply a cold cloth ; no appetite ; sleepless ; burning heat all over body ; throws off all bedclothes ; feels no two days alike ; fidgety.
Uterine irregularities occurring in the anemic or in those of venous constitution.
Before menses : leucorrhœa ; desire to urinate ; gastralgia ; running of water from mouth ; vomiting ; pain in abdomen, liver or back ; asthma ; abdomen swells ; stitches in sides ; vertigo and eructation ; chills, gaping and
stretching ; convulsions.
During menses : labor-like pains in abdomen and back ; ineffectual straining at stool ; nausea and vomiting running of water from mouth at night ; stitches in chest ; sick-headache, obscure vision ; toothache chills and paleness of face ; sadness
and weeping ; convulsions ; numbness in legs.
In the beginning and at end of menses : headache or toothache.
After menses : leucorrhœa ; difficult respiration.
Crampy constriction of vagina ; indurations ; fistula ; polypus ; serous cysts.
Burning in vagina and pudenda ; thin, acrid, biting discharge.
Leucorrhœa : painless ; with thickish mucus, color of milk, especially noticed on lying down ; painless, creamy ; with swelling of pudenda ; acrid, thin ; with burning ; with pruritus near change of life ;
occasioned by fright, in young girls before menstruation is fairly established ; thick, white, mucous ; with backache ; servant girls from the country become chlorotic in the city ; after masturbation ; with hysterical symptoms ; in young girls, discharge <
in morning.
Gonorrhœa ; painless discharge of thick, milky mucus, with burning, stinging pain, swelling of labia and cutting pains at mouth of uterus.
Lumps occurring in breasts of young girls ; painful and affecting arm of corresponding side.
A thin, acrid, milk-like fluid runs from breasts before puberty.

Pregnancy. parturition. lactation

Nearly a year before, enlargement of abdomen ; soon afterwards felt very distinct movements as from a fetus ; for next month or two had morning sickness just as in previous pregnancies, also same longing and craving for unnatural articles of
food ; abdomen kept on gradually enlarging ; breasts became fuller, and finally contained milk ; all symptoms of former pregnancies present except that she had a regular monthly flow lasting three or four days, somewhat scanty, painless and too pale ; when seated very
decided movements as from a fetus could be seen through dress. θ False pregnancy.
Vomiting of ingesta after each meal ; frequent eructations of sour, hot, rancid food ; foul taste.
Severe nausea and occasional vomiting, only late in afternoon and evening ; appetite good when not nauseated ; no thirst ; tendency to be chilly all the time ; during fourth month of pregnancy.
Morning sickness and vomiting : throbbing in epigastric region ; vomiting of sour mucus.
Varicose veins ; pains from varicose veins and the general symptoms < towards evening ; varices present a bluish appearance.
Lame pelvis ; cannot walk so well towards evening ; feels < when warm in bed ; can hardly find an easy position through night, owing to pain in pelvic articulations.
Pain, sharp and sore, in sacrum and each hip ; came on as soon as she went to bed, rendering a change of position frequently necessary ; pains which come on while lying on back are > by turning to either side, and those which came on when lying on either side are much
> by turning on back, to effect which change she was compelled to rise up in bed and then lie down, as she could not turn herself in bed ; sufferings < as night advanced, much > by sitting up in bed, and wholly relieved by getting up and walking about room.
During pregnancy : fluor albus ; false labor pains ; rheumatic pains in uterus shortly before parturition, < evening and night, disturbing sleep ; constant urging and pressure to urinate, with tension in abdomen ; soreness of uterus and abdominal
walls ; vague troublesome pains in ninth month ; says child turns over and does not lie right, so that it pains her.
Every two hours sudden severe stitching pains in abdomen compelling her to cry out ; frequent urging to urinate with scanty discharge and burning in urethra ; fifth month of pregnancy.
Tearing tensive pain in a small spot in lower abdomen during latter half of pregnancy, corresponding to seat of placenta, < at night when lying on affected side, and sore to touch as if ulcerated.
During seventh month of pregnancy ; abdomen flattened in front and bulging out in each lumbar region, movements of fetus very violent in right lumbar region.
Pain as from an ulcer, over seat of placenta, when lying on right side and on pressure.
False labor pains : cannot sit long at a time, must walk about to relieve pain ; close room is very oppressive, feels as if she must be in open air, which is extremely grateful to her.
At 4 P. M. sudden severe pain in sacral region with discharge of clear mucus from vagina ; on examination no uterine contractions and os high and closed ; patient greatly excited and fearful concerning oncoming labor, fear of death. θ False
labor pains.
After night watching and mental disturbance during pregnancy, constant chilliness, small pulse, face alternately pale and red, eyes dim, sunken, tongue white, no appetite, constipation, stitches in chest ; labor-like pains in uterine region and discharge of blood from vagina ;
pain < from motion, > in rest ; nausea after eating.
In fourth month of pregnancy, after a fright, was obliged to walk a mile through deep snow ; in a few hours labor pains ; two days later violent labor pains confined almost entirely to left side which cause her to cry out and weep, occur every fifteen minutes ; flow of
dark blood between pains, with large clots ; violent chills between pains, shakes so violently she jars the bed, wants much covering ; chilliness during pains ; no thirst ; slimy taste ; os considerably dilated. θ Threatened
abortion.
One month before proper time was seized with labor pains ; os uteri dilated to about size of silver quarter, pains nearly an hour apart ; although finger could be passed a considerable distance into uterus, head could not be felt, but by palpation was detected near
fundus ; after Pulsat. pains ceased ; next month head presented.
Regular, hard, downward-pressing pains at beginning of fifth month of pregnancy ; every pain is accompanied by loss of breath.
Hemorrhage with labor-like pains ; blood dark, now fluid, now coagulated ; vagina constricted, dry, examination painful. θ Threatened abortion.
Threatened abortion ; flow ceases and then returns with double force, ceases again, and so on.
Shivering and chattering of teeth between pains without chilliness ; started each time from anterior portion of right thigh, where there is also a sensation of shivering ; disposition to weep with every pain.
Labor pains : extend from sacrum up into region of stomach causing severe pain in stomach and vomiting ; alternating with hemorrhage and restlessness ; grow < towards evening ; irregular ; cause palpitation, fainting and suffocation ; must have doors and
windows wide open, and plenty of air ; spasmodic and ineffectual, uterus inactive ; in sacrum, where there is a constant severe pressure, causing tensive pains in thighs ; deficient ; sluggish ; too weak or ceasing, with somnolence.
Want of expulsive power ; inertia of uterus.
The child's head is in the opening of pelvis and the action of womb is insufficient for expulsion.
Weeps because she is not delivered.
Mal-positions of fetus.
During first stage of labor child was lying transversely (first position, shoulder presentation), in thirty minutes vertex presented.
Post-partum secondary hemorrhages from retained placenta or coagula.
Profuse hemorrhage ; lies motionless with pale face, bathed in cold sweat ; could scarcely talk ; roaring in head and darkness before eyes ; uterine contractions entirely absent ; placenta high up in fundus of uterus and could not be removed by gentle
traction ; blood escaped in streams ; distortion of eyes and twitching of muscles of face ; uterus feels flabby and soft.
Convulsions following sluggish or irregular labor pains ; unconscious ; cold, clammy, pale face ; stertorous breathing and full-pulse.
Retained placenta, want of action or spasmodic contraction.
After-pains too long and too violent ; < towards evening.
Lochia scanty, becoming milky ; feverish, but no thirst.
Suppression of lochial discharges.
Puerperal mania after sudden suppression of lochia ; looks about shyly and hides under bedclothes at sight of any one ; sometimes jumps out of bed with the clothes hanging over her head ; answers confusedly ; eyes shine and stare ; uterus tender, she
winces under pressure of hand.
Hands and feet cold ; head hot ; skin moist ; on closing eyes sees strange sights ; was compelled to keep eyes open and look into light ; pulse small, hard and frequent, 140 ; great thirst for cold water ; < after Bellad. ; did not sleep, felt
as if she was longer herself ; could not see anything right ; said doctor was making faces at her, that he looked black ; could not discern any one's features, in fact knew no one ; head was pulsating, felt too full, as if skull was lifted up ; on closing eyes saw
pictures and all sorts of strange sights ; heard all kinds of operatic airs ; could not lie on sides, must continually lie on back ; desires no food ; some pain in right groin, where the lymphatics were swollen ; during night urinary secretion suppressed but since
morning normal ; cold perspiration over whole body ; felt cold and required and extraordinary amount of covering ; lochial discharge ceased ; eyes sunken ; hands and wrists cool ; tongue clean and moist ; stares at her husband ; says her baby looks
odious ; everybody looks fearfully ugly, making faces at her ; labor pains compelling her to press downward ; trembles all over and says she is dying ; after Pulsat. says something snapped in abdomen, after which a large quantity of retained spurious liquor amnii was
discharged, with relief of all symptoms. θ Puerperal fever.
Phlegmasia dolens ; limb pale white, swollen, veins hard, knotty, intensely painful to touch and motion impossible.
Weeps every time child is put to breast ; pain extends into chest up into neck, down back, changes from place to place.
Mild, tearful women who have but little milk.
Milk thin and watery, the true milk globule almost entirely absent.
Painful sticking and discharge of thin, acrid milk.
Suppression of or very scanty supply of milk.
Milk suddenly suppressed, lochia become milky-white.
Galactorrhœa, particularly in women who are not nursing their children.
Swelling of breasts.
After weaning : breasts swell, feel stretched, tense, intensely sore ; milk continues to be secreted.
Mamma : lumps in breasts of girls before puberty ; or, escape of thin, milk-white fluid.
Breast swollen ; rheumatic pains extend to muscles of chest, also to shoulders, neck, axillæ and down arms, change from place to place ; during nursing.
Swelling of breasts, with pressing tension as if milk would appear in them.

Voice and larynx. trachea and bronchia

Hoarseness and roughness of throat ; cannot speak loud.
Loss of voice since six years ; talks in a whisper, if long continued it causes a dry straining cough, with a feeling of compression of chest ; constant dryness in throat and burning in last cervical vertebra, which is sore to touch ;
mucous membrane of fauces dry and red ; menses scanty, sleep disturbed by frightful dreams, with crying and moaning, tearful disposition, easily irritated. θ Aphonia nervosa.
Constriction in throat, feels something there preventing speech ; cannot eat, weeps.
Violent tickling and scraping in larynx, bringing tears to eyes and causing dry cough.
Scraping sensation in epiglottis, as in hoarseness.
Tickling in region of thyroid cartilage, causing a short cough.
Influenza ; loose cough, < at night, with frequent expectoration of tenacious mucus ; or at beginning of coryza with redness of eyes and lachrymation ; pains in forehead or maxillary sinuses, with copious thick expectoration, chilliness, vomiting, loss of
appetite, loose stools, sleeplessness and restlessness.
Cough first dry, afterwards loose, with expectoration of much salt, bitter, yellowish or whitish matter, or else of sanguinolent mucus ; hoarseness with almost complete extinction of voice ; lancinating pains in throat and palate ; coryza, with oozing of yellowish,
greenish, fetid matter ; loose cough, with pain in chest ; cough < when lying down, with sensation of suffocation ; soreness in abdomen ; painful shocks in arms, shoulder and back. θ Laryngo-tracheitis.
Five months ago took a sudden chill while heated from dancing which caused cessation of menses ; loss of appetite, weariness of limbs, cough ; no trace of menses at next period ; gradually there came on a regular cough, < morning and evening, with white frothy
expectoration and pain in chest ; during forenoon rigor and formication over back, with heat of head and face ; loss of flesh and great weakness ; going up stairs, walking quickly, even loud talking causes attacks of coughing and palpitation ; always sleepy ; takes
interest in nothing, weeps much and despairs of her recovery ; in place of menses, has often attacks of colic-like pains in abdomen. θ Chronic bronchial catarrh.
Bronchitis ; cough is very loose ; with all the fever there is but little or no thirst ; difficulty of breathing when lying on side.
Fifth and sixth dorsal vertebræ are painful to pressure, palpitation therefrom.

Respiration

Breathing, groaning or rattling.
Oppression of chest on walking fast, ascending an eminence or exercising.
Oppression of breathing accompanying symptoms in parts not involved in the act of breathing.
Shortness of breath, immediately after dinner.
Want of breath on attempting to breathe through nose.
Difficulty in breathing : after slight emotions ; when walking ; anxious, as if throat were constricted, mostly in evening and at night when lying down.
Spasmodic, contractive tightness in chest, especially when drawing breath.
Sensation of dyspnœa in lower portion of chest as if it were too full and tight in morning.
Dyspnœa : in evening ; as from spasmodic tension in lower part of chest, below false ribs ; when lying on back, at night, with giddiness and weakness in head ; as if fumes of sulphur had been inhaled.
Suffocative paroxysms at night.
The child has more difficulty in breathing when it lies on its side.
Tension and constriction in chest with dyspnœa and asthmatic symptoms.
Asthma : of children after suppression of rash ; in hysteria, or with suppressed menses ; in evening especially after a meal ; at night as from vapors of sulphur ; from deranged menstruation or suppressed urticaria.
Every night at 12 o'clock dyspnœa awakes him ; cough with expectoration of white tenacious mucus, caused by tickling at velum palati ; cough so continuous and rapid that he can hardly get breath and must vomit ; yawning causes cough, awakes
after 12 with too slight coughs, with constriction of throat and difficult expiration ; attack lasts several moments, during which he anxiously moves about from side to side on knees, after which a forcible expiration and attack is over ; must swallow several times as if to remove
something in throat, followed by belching and urging to urinate ; sensation as if a coat of mucus extended from velum palati to tongue causing the suffocative attacks. θ Asthma.
Relieves the rattle in the throat of a dying person.

Cough

Cough : caused by inspiration ; from irritation in pit of stomach ; on coming into a warm room ; shattering, spasmodic, often in paroxysms of two coughs each ; dry, with scraping and rawness in larynx ; excited by itching,
scratching and dry feeling, as from vapor of sulphur in trachea and chest ; caused by constrictive sensation in larynx, especially after eating ; dry at night, going off when sitting up in bed ; loose by day ; dry, after every sleep ; evenings, after lying down, when
warm in bed ; with retching and desire to vomit ; loose, vomits mucus ; with diarrhœa ; < at night ; with yellow mucous sputa, bitter or greenish ; with purulent expectoration ; with expectoration of pieces of dark, coagulated blood, menses
suppressed ; short, and dry, as soon as he gets warm ; after dancing.
During cough : dryness, sensation of being swollen, constriction and feeling like that caused by sulphurous vapors in throat ; hoarseness ; catching of breath ; palpitation ; stitches in side ; shocks and bruised painfulness in
abdomen ; concussions of body ; turning of stomach, retching and vomiting of mucus, bile or food ; cutting in region of spleen ; pains in head, back, lumbar region ; shoulders and arms ; epistaxis ; perspiration ; gaping ; dyspnœa and asthmatic
oppression, palpitation especially when lying on left side and sensation like that of an ulcer in middle of thorax ; in women, involuntary escape of urine ; anxious expression on face.
Spasmodic cough especially in evening and at night ; constant coughing from tickling in air passages ; dryness of air passages ; pain, oppression and anxiety in chest ; palpitation ; catarrhal cough, long-lasting and tedious
and threatening to run into consumption ; expectoration of large quantities of yellow, thick, lumpy mucus, particularly in morning, with hoarseness, dryness and soreness in throat, burning, splitting pain and constriction in chest ; prostration, emaciation, fever, constant burning
heat with thirst, followed by sweat.
Expectoration : of copious yellow mucus ; bitter ; greenish ; of blood ; pieces of dark, coagulated blood ; during suppression of menses ; after rising in morning ; salty ; blood-streaked ; copious,
muco-purulent ; salty, offensive, tasting like discharge in chronic catarrh ; easy, thick, yellow.
Chronic cough after whooping cough ; < at night, talking and walking, sounds loose, but there is little expectoration despite rattling and crackling in chest, at times retching ; sore pain in chest ; expectoration yellow and thick or
white and thin ; restless sleep with groaning ; sweat on face in morning ; left eye inflamed ; nose dry, stopped up ; epistaxis ; deafness in one ear ; lips swollen, cracked ; gums swollen ; teeth black ; swollen glands under chin.
Chronic loose cough after measles.
Whooping cough : blonde hair ; mild, yielding disposition ; after Drosera ; dry cough with vomiting of mucus and food, > sitting up, < at night.
Spitting of dark, coagulated blood ; pain in lower part of chest ; anguish, shuddering ; qualmishness.
Hæmoptysis : with soreness or passive congestion of chest ; dependent upon suppressed menstruation.

Inner chest and lungs

Oppression of chest : with cough, with or without expectoration, in morning after rising ; on lying upon left side, with anxiety and palpitation.
Every evening sensation of great fulness of chest, sleep at night is often interrupted by a beating through chest.
Pressure upon chest and soreness.
Constriction across chest.
Constant spasmodic tension in lower portion of chest.
Tension in chest, especially on drawing a long breath.
Anxious and spasmodic tightness of chest, as if it were too full and larynx constricted, especially in evening and at night.
Cramplike sensation through chest.
Scraping in chest (trachea) causing cough.
Pain as from an internal ulcer in middle of chest, in sternum, with headache in forehead, before midnight.
Soreness in chest ; under clavicles.
Pain in chest as from subcutaneous ulceration.
Small spot in region of sternum painful.
Sensation of dryness, rawness, painfulness and illusory sensation as if air passages were internally constricted by an excessive amount of tenacious and firm mucus that could not be loosened.
Feeling of soreness referred to either subclavicular region or apex of one or other lung ; soreness which is felt when patient lies on that side or presses against left chest ; seems to involve muscular structures about shoulder and even down arm of affected side ; cough
and expectoration. θ Incipient tuberculosis.
Tearing, cutting, stitching in chest.
Stitches in side only when lying, particularly at night.
Sticking in chest, < from deep breath or coughing.
Paroxysms of burning in chest.
Tickling on sternum.
Pains inside chest at both nipples.
Has had several hemorrhages ; smothered feeling in left chest with sensation of fluid dropping or gurgling ; menses every three weeks, clotted and dark ; flushed face and fulness of head at periods ; hacking cough and soreness of lung, < at periods ; milk
bloats her and causes fulness of head ; cold feet and hands, feeling as of damp stockings ; > in morning and open air ; < in a warm room ; craves acids.
Dry spasmodic cough, more protracted and violent at night, accompanied by painful stitches in chest, disturbing sleep ; occasional chill ; no appetite or thirst ; constipation ; menses regular, but scanty, pale and painful ; day before appearance of menses,
vertigo with darkness before eyes. θ Acute pulmonary catarrh.
Bronchitis following measles, accompanied by chilliness, thirstlessness and greenish expectoration.
Obstinate bronchial catarrh.
Congestion to chest and heart at night ; with anxious dreams.
Hæmoptysis : blood dark, coagulated ; cough < mornings ; oppression of chest ; after suppression of menses.
Rapid, short respiration ; dry, short cough, after a few days scanty expectoration ; cough with painful expression of face ; quick, small pulse ; burning heat of skin with profuse sweats ; subsultus tendinum and twitching of muscles of face ; startled
and frightened in sleep, followed by crying ; great thirst ; tongue coated, moist ; thin stools, or constipation ; tossing about ; mild delirium ; anxiety and despondency ; scanty, red urine. θ Pneumonia.
After severe catarrh, chill, great lassitude, dry, painful cough, short oppressed respiration, pressure on chest as from a stone, dry mouth, nausea, coated tongue, stitching, tearing pains in limbs, in swollen finger joints, shoulders and arms. θ Pneumonia.
Lies on back, cannot lie on sides ; semilateral perspiration (l. side of chest) ; can scarcely speak above a whisper ; respirations 50 per minute. θ Pneumonia.
Pneumonia biliosa or morbillosa.
Broncho-pneumonia in chlorotic and anemic women.
Pneumonia after sudden disappearance of menses or after a catarrh which has lasted a long time and was accompanied by thick mucous expectoration.
Chronic or tedious cases of pneumonia ; dull, pressive, raw, sore pains in chest, and sensation of dryness and roughness as if chest were oppressed by tough tenacious mucus.
Phthisis florida, suppurative stage ; chlorotic girls.
Acute suppuration of lungs.

Heart, pulse and circulation

Catching pain in cardiac region, > for a time from pressure of hand.
Dull stitches and constant pressure in precordial region, with anxiety that impedes respiration ; > walking.
Burning in region of heart.
Heaviness, pressure or sensation of fulness about heart every evening.
Rheumatic irritation of heart, pains shifting rapidly from one portion of body to another.
Palpitation : in violent paroxysms, often with anguish and obscuration of sight ; trembling of limbs ; from chagrin, fright or joy ; with amenia, chlorosis ; strong, with suppressed pulse ; after dinner ; from talking ;
with soft and irregular pulse ; nightly, so strong as to raise bedcover.
Palpitation, with anguish ; asthmatic difficulties, with moderate bronchial catarrh ; clear systolic murmurs at apex of left ventricle ; cough ; some difficulty in moving about. θ Insufficiency
of mitral valve.
Nervous palpitation in young girls during puberty, or from amenorrhœa.
Early stages of anemic palpitation.
Beat of pulse is felt in pit of stomach.
Beating through chest interrupts sleep ; old maids.
Pulse : accelerated, small, weak ; frequent evenings, with distended bloodvessels, slower in mornings ; often scarcely perceptible.
Murmur in jugular veins.
Heart symptoms reflex from indigestion.

Outer chest

Chest pains as if bruised.
Left-sided inframammary pain.

Neck and back

Stiffness and pressive pain in left side of cervical muscles.
In nape of neck : rheumatic, drawing, tensive pain ; drawing, fine sticking also between scapulæ and in back ; pain as if he had lain in an uncomfortable position.
Swelling of cervical glands.
Interscapular pain, worse by inspiration.
Curvature of upper part of spine ; interstitial distension of upper dorsal vertebræ.
Back painfully stiff, like a board.
Sticking pain in back and across chest.
Sensation like cold water poured down back.
Pains in back and chilliness from suppressed menstruation.
Fine sticking pain in back ; stitches in small of back.
Pain in small of back : as if sprained, on motion ; after sitting, can scarcely rise ; like labor pain ; as if a band passed through small of back and everything were constricted, taking away her breath, especially in morning ; after
sitting, or from long stooping ; as if weary.
Back and knees feel bruised while lying still in bed, > rising and walking about.
Drawing, tensive pains in loins.
Pressive pain as from fatigue, in sacrum, in evening.
Chilliness and pain in sacral region during menstruation.
Spinal irritation due to sexual excesses or masturbation ; weariness and stiffness of back, seminal emissions, excited sexual desire.
Spinal irritation ; neck and, in fact, whole body feel as stiff as a board ; small of back feels as if tightly bandaged ; pains in sacral region, < sitting or bending backward ; joints feel weak, as if they would become readily dislocated ; > after rest and
sleep.
Lumbago ; must move, yet motion gives no relief.
Pains in back and sides, low down ; came on while in bed, usually in after-part of night, and deprived him of rest ; pains which are excited or < by lying on side are > by lying on back ; come on early, wake him from sleep, pass
off on getting up, after gentle exercise for two or three hours, to return again following night. θ Lumbago-sacral neuralgia.
Curvature of spine, with open fontanelles, in children.

Upper limbs

Severe pains in both shoulder joints.
Hard, painful, throbbing glandular swelling in right axilla.
Heaviness in arms from shoulders to fingers, numb feeling.
Numbness and heaviness in arm on raising or using it.
Arms feel as if broken and dislocated ; < on pressure and from movement.
Drawing, jerking and tearing pains in shoulder joints and arms.
Drawing pains, extending from shoulder to wrist, in transient recurrent attacks.
Constant tearing pain in shoulder joint, obliges him to move arm.
Arm painful even while at rest, as if humerus were beaten in middle ; pain extended down into thumb so that she could not use it.
Tensive pain in tendons in bends of elbows on moving arms.
Elbow swollen after a contusion.
Veins in forearms and hands swollen.
Small swelling under skin above yellow joints.
Region of wrist slightly swollen and reddened ; pain came on about 3 P. M., continued to increase in violence and was accompanied by swelling and redness until about midnight, entirely preventing sleep ; it then diminished and he felt but little inconvenience from it except
pain and stiffness on moving, until next afternoon about the same hour. θ Rheumatism.
Rheumatism in joints of hand, with redness and swelling.
Itching chilblains on hands.

Lower limbs

Pain as from festering, in muscles of buttocks, legs and soles.
Jerking pain in hip joint, extending to knee. θ Coxalgia.
Hip joint painful as if dislocated.
Sciatica : pain < towards evening and at night, with inclination to constantly change position ; < in warm room ; > in open air ; left-sided, cannot rest although motion aggravates, the < the pain the more severe the chills.
Unable to move affected thigh and leg at night, she was obliged to let it lie wherever it happened to be on account of a bruised pain in and below knee.
Excessive weariness of thighs with trembling of knees.
Acute drawing in lower extremities as far as knees, in evening, with more chilliness than during day without subsequent heat.
Crampy pain in right leg, from knee to groin.
Pain as if bruised, in thighs, not in flesh but in bones ; when pressing upon part it seemed to be felt in bone ; she was unable to bend knee and could not kneel ; it seemed as if bone would break.
Drawing and tension in thighs and legs in evening.
Left thigh and leg swollen to twice natural size ; thigh looked flushed ; leg from knee to ankle of a crimson color, deepening to a livid hue as it neared the toes, which were just discernible under swollen and overlapping instep ; veins
varicosed ; from knee to instep several ulcers, two of largest about one and a half inches in diameter, the lesser ones about one inch, and the smaller and smallest from half an inch to size of pea, giving out a sanious discharge and very tender to touch ; limb difficult to move,
from its size and weight, and occupied with a dull aching pain, keeping her in constant misery, depicted in her countenance ; general health much impaired, appetite poor, sleep restless, strength reduced. θ Chronic
phlebitis.
Painless swelling of knee.
Cracking in knees.
Painful stiffness in right knee while walking, whenever thigh is stretched out straight.
Weariness of knees.
Tension in hollow of knees.
Tearing, jerking and drawing pain in knees.
Phlebitis cruris.
Sudden severe pain in left knee joint, so violent as to cause him to groan aloud ; could scarcely walk ; knee very much swollen, but not discolored ; sensitiveness so great that slightest touch or movement caused him to groan ;
inability to let limb hang down, must have it supported in a chair ; pain most violent on first beginning to move, yet every movement was attended with suffering ; felt as if he must move, yet motion gave no relief.
Hot inflammatory swelling of knee.
Knees inflamed, swollen, with shooting pains.
Soft white, shining swelling of knees.
Heaviness of legs during day.
Legs seem asleep when rising after sitting.
Drawing pain in legs in evening.
Cramp in leg in evening, after lying down, with chilliness.
Tensive pain in calves.
Drawing, heaviness and weariness of legs.
Drawing pain in tibia.
Jerking, lacerating pain through left leg and foot which soon became œdematous and numb ; extremely sensitive to jars, touch or pressure ; could not bear to have anybody come near her ; sat on edge of chair, with leg flexed upon
thigh ; weeps easily ; extremely sensitive to touch ; left side gets chilly, and then the greater pains ; < at night and before midnight ; > by shifting position and warmth. θ Rheumatism.
Aching in calves, which are swollen.
Pain in calf of right leg, following upon a moderate attack of influenza ; pain aching, drawing, came on in evening, much < by heat of bed ; > from application of cloths dipped in cold water ; nearly sleepless from pain for two nights ; > during day. θ Neuralgia
rheumatica.
Eruption on inner side of right leg, more in popliteal space ; blisters form and discharge a yellow thick matter which forms a scab, and after scab comes off there is left a purple spot ; these sores come in successive crops and are very sensitive to touch ; thick, dark,
offensive discharge from ears ; stupid, dull and sleepy in afternoon ; cannot keep awake until tea-time.
Varices on legs.
Bleeding of varicose veins on legs.
Feet red, inflamed, swollen, also soles ; swelling of top of foot.
Red and hot swelling of feet, with tensive burning pains, on standing change to a sticking.
Swelling of feet ; varicose veins swell up.
Great inclination to stretch feet, while sitting.
Heaviness and drawing in feet.
Weakness or weariness of feet.
Tingling and grumbling in feet, while standing, > while walking.
Tearing pain extending across back of foot to heel.
Burning pain on back of foot.
Boring, sticking pain in heel.
Boring pain in heels, towards evening.
Burning, sticking pain with itching, like that in frostbitten limbs, in ball of heel.
Soles of feet painful, as if beaten.
Burning pains in soles of feet.
Sensation of soreness in soles of feet.
Burning as from glowing coals, near or above an ulcer on foot, just before dressing it, morning and evening.
Soreness of left heel, soon becoming very tender on walking ; soreness so great as to compel her to use crutches, least pressure upon it being intensely painful ; for last two years, could not move even about house without crutches ; has taken much quinine. θ Periostitis.
Red, elevated spot on dorsum of foot.
Tearing, stitching pains in feet ; ankles swollen and red, particularly left ; papillæ of skin on legs red and elevated ; painful, brown, burning spot over ankle ; heat and burning pain in whole foot ; on attempting to stand on foot severe stitching pains
causing her to cry out ; vertigo ; headache ; nausea ; slimy taste ; coated tongue ; loss of appetite ; palpitation of heart ; sleepy by day, sleepless at night. θ Rheumatism.
Nervousness felt especially about ankles.
Offensive toe sweat.
Chilblains ; swelling bluish, hot, with throbbing pains and intense itching, especially in soles, after getting warm in bed.
Frostbitten toes, severe burning pain, bluish red swelling, hot to touch, with want of sensation in affected parts.
Complaints < when allowing feet to hang down.
She cannot walk so well towards evening.

Limbs in general

Anxious tremulous sensation in limbs ; weakness, weariness and heaviness.
Drawing, tearing in limbs, with chilliness and coldness.
Drawing, fine sticking pains in limbs, especially in joints, which are painful to touch as if beaten.
Limbs feel beaten.
Limbs upon which he lies while asleep seem asleep, with crawling on waking.
Wandering pains, shift rapidly from one part to another, also with swelling and redness of joints.
Tension which increases until very acute, and then lets up with a snap ; < evenings before midnight.
Jerking, tearing, drawing in muscles, shifting rapidly from place to place ; < at night, from warmth ; > from uncovering.
After catching cold, fever, headache, racking pains in upper and lower limbs ; suppression of menses ; was crippled hand and foot ; nothing seemed to > her and she fancied the remedies employed made her < ; had all the sensations
and appearances of a person afflicted with acute rheumatism, with the exception that the joints were not swollen or red though exquisitely painful to touch ; constipation ; no appetite ; thirst ; sleep broken ; pulse feeble and quick ; palpitation but no
bruit ; skin pale and perspiring ; cannot sit up in bed because of pain across loins. θ Neuralgic rheumatism.
Tensive, stitching, tearing pains in nape of neck, shoulders, and in arms down to finger tips ; tensive pains from small of back over hips and thighs, to feet ; fever, chilliness and shuddering intermingled with heat ; headache, confusion of head ; offensive
taste ; slimy mouth ; loss of appetite ; great sleepiness during day, restless at night. θ Rheumatism.
Drawing tearing pains, first in one knee, then in other, then in arms and hands, shoulders, nape of neck or feet ; pains so severe as to hinder motion of affected part ; after the pains have lasted several hours affected part becomes swollen, pain grows less severe, and another
part is attacked ; constant chilliness over whole body, except affected part, which is hot ; pulse hard, small contracted ; tongue coated white ; impaired appetite ; no sleep before midnight on account of evening exacerbation, remission about 3 or 4 A. M. and
sleep ; pale face. θ Rheumatism.
Acute twitching pains and constant numbness in affected joints ; pain on touch and when attempting to move ; < at night preventing sleep, > towards morning ; tension in legs as if tendons were too short ; after getting wet. θ Rheumatism.
Chronic rheumatism brought on by working in hot rooms and cold vaults ; rheumatic fever, < in evening and forepart of night ; < every other night ; very severe pains in ankles and feet and in upper limbs from elbows to fingers ; dull, aching pains, sometimes
stinging ; > by drinking cold water.
Rheumatism caused by getting wet, especially feet ; from protracted wet weather.
Redness and swelling of joints, with stinging pains.
Frostbitten limbs ; dark, red bluish swelling.

Rest. position. motion

Rest : tremulous anguish < ; soreness in temples ; pain in face < ; pain in testicles > ; labor-like pains > ; weakness of joints > ; arm painful.
Cannot rest although motion < : sciatica.
Must keep in recumbent position : from nausea and vertigo.
Must lie down : from weariness ; and sleep for hours.
The longer he lies in morning the longer he wishes to lie.
Lying : tremulous anguish <, vertigo <, headache < ; on well side tumors on scalp < ; cough comes on ; blood pours from nose ; head low, pain in face < ; upon affected side facial neuralgia < ; < pain in epigastric region ; discharge of
urine ; menstrual discharge < ; leucorrhœa < ; suffering much > ; cough < ; stitches in side ; bruised pain in back and limbs ; ulcers < changing position.
Lying on back : pains which come on are > by turning to either side, and vice versa ; must sit up and turn ; only position possible ; dyspnœa ; pains >.
Lies in bed on back with feet drawn up.
Lying with head low : tearing in teeth <.
Lying on sound side : tearing in teeth <.
Lying on side : difficulty of breathing ; soreness of chest ; pains <.
Lying on left side : palpitation ; dreams.
Sitting : tremulous anguish < ; vertigo < ; headache < ; after, dizzy obscuration of vision ; cough ceases ; blood stopped pouring from nose ; toothache < ; lower extremities inclined to fall asleep ; limbs go to sleep ; cutting in abdomen < ;
colic < ; urine is discharged in drops ; urine dribbles ; bladder painful ; unpleasant soreness of testicles ; ulcers <.
Sitting up in bed : cough goes off ; whooping-cough > ; after, can scarcely rise ; pain in back ; pain in sacral region < ; rising from, legs seem asleep ; great inclination to stretch feet.
Child sits up in bed to cough.
Cannot sit long, must walk about : false labor pains.
Cannot sit up in bed : pain across loins.
Sleeps with her arms over head and feels stiff on rising.
Cannot hold head erect, heaviness.
Bending backward : pain in sacral region < ; pain in hip.
Must bend forward : pain in chest and abdomen.
Stooping : vertigo ; head feels too heavy ; pressive headache ; pulsating in brain < ; long, pain in back.
Standing : bladder painful ; lame and restless feeling in thigh ; pressing pain in testicles < ; tensive pain in feet changes to sticking ; tingling in feet.
On attempting to stand : severe pain in foot.
When feet hang down : complaints <.
Inclination to change position : sciatica.
Desire to change position : neuralgia ; pain in leg.
Can hardly find an easy position through night, owing to pain in pelvis.
Motion : tremulous anguish > ; causes vertigo ; of eyes causes pain in them ; of head or body, noises in ear ; soreness of chest ; pain in abdomen < ; labor-like pain < ; impossible, phlegmasia dolens ; pain in small of back ; craves but gives
no relief ; of arm pain < ; of arms pain in tendons ; of swollen knee very painful ; causes pain, rheumatism ; > discomfort of whole body ; > heat ; desire for, aching in left lower extremity.
Beginning to move : ulcers <.
After moving : ulcers <.
Disinclination to move.
Moves about anxiously from side to side on knees : difficulty of breathing.
Tosses about : colic.
Turning over in bed : as if bladder would fall towards side on which he is lying, chilliness.
Raising eyes : tearing in temple <.
Chewing : does not < toothache.
Rising : head sweat > ; faceache >.
Rising from a seat : vertigo.
Raising arm or using it : numbness and heaviness.
Must move arm : tearing pain in it.
Cannot bend knee or kneel : pain in leg.
Cannot move affected thigh and leg : sciatica.
Making a misstep : stitching pains in stomach <.
Walking : vertigo > ; dizzy obscuration of vision ; toothache > ; oppression, tension, shortness of breath ; stitching pain in stomach < ; > pain in epigastric region ; sticking in region of liver ; just after supper griping in bowels ;
colic > ; cutting pressure upon neck of bladder ; urine is discharged in drops ; pain in region of bladder on walking ; urine dribbles ; pain in external urinary organs ; menses flow mostly ; tires limbs easily ; wholly relieves suffering ; causes
cough ; fast, oppression of chest ; stitches in precordial region > ; bruised pain in back and knees > ; stiffness of knee ; tingling in feet > ; soreness of heel < ; feels cold ; almost impossible, tertian ague ; bleeding tumors <.
Going up-stairs : causes cough.
Ascending an eminence : oppression of chest.
Exercising : oppression of chest ; gently, relieves pains in back and sides.
Exercise : is exhausting.
Exertion : palpitation.

Nerves

Heaviness of whole body ; inclination to stretch.
Everything about body seems tight ; wishes to throw off her clothes.
Sensation in whole body as if he had been awake all night, with confusion in head, as after intoxication.
Feeling of discomfort over whole body, in morning after rising, > moving about.
Excessive weariness from a short walk.
Weakness of whole body ; he is obliged to lie down.
Tremulous weakness.
The longer he lies in morning the weaker he becomes and the more he wishes to lie and fall asleep again.
Languor, prostration and desire to yawn.
Indolent, constantly wishes to lie or sit.
Tired worn-out feeling.
Nervous debility, with amenorrhœa.
Excessive debility and bruised feeling in limbs ; lameness in ligaments ; troublesome beating of arteries of whole body, most perceptible when touching parts.
Neuralgia : from bad diet, late hours, fat pastries, gravies ; erratic pains, which fly from one part of body or limbs to another, short and sharp, and attended by bruised sore sensation.
Numbness of suffering parts.
Restless mood, as if he had not done his duty.
Cannot sit long at a time ; must walk about to relieve pain.
Anxious feeling of trembling, or violent trembling all over, sometimes with cold perspiration.
Child becomes very rigid, from fretfulness.
Lies in bed on back, with feet drawn up.
Oversensitiveness to pain.
Hysteria ; symptoms ever changing.
Fainting fits, great paleness of face ; shivering, coldness.
Chorea caused by amenorrhœa or dysmenorrhœa.
Epileptic convulsions : violent tossing of limbs, followed by relaxation, disposition to vomit, eructations ; from suppressed menses.

Sleep

Yawning ; drowsy by day, and during dinner ; can scarcely keep awake in evening, yet without weariness.
While sleeping lies upon back, with hands over head, or with arms crossed on abdomen and feet drawn up.
Feverish somnolence.
Sleep dull, stupid, restless, tosses about ; intolerable sensation of heat, throws off covers ; moves to and fro.
Talking, whining or screaming during sleep ; starts, talks, weeps, cries out ; stertorous inspirations.
Dreams : confused, frightful ; anxious, vivid ; of fright and disgust ; sad, with weeping ; anxious, when lying on left side ; of black beasts ; that he is falling.
Wakes very frequently during night.
Unable to fall asleep, in evening.
Sleep before midnight prevented by a fixed idea ; for example, a melody constantly recurred to his mind, yet sleepiness prevented activity of memory and fantasies.
Sleeplessness : on account of orgasm of blood ; with extreme restlessness ; on account of an anxious sensation of heat ; until 2 A. M. ; till after midnight, with weeping because she could not sleep, girl æt. 8 ; after late
supper, or eating too much ; from ideas crowding on mind ; first part of night, sleeps late in morning.
Wide awake in evening, does not want to go to bed ; first sleep restless ; sound sleep when it is time to get up ; wakes languid and not refreshed ; indigestion.

Time

Aggravation in evening ; in twilight.
Morning : depressed ; thinks of business with grieving ; vertigo on rising, faint ; towards, fetid sweat on head and face ; it seems dark before eyes ; agglutination as if foreign body were pressing in eye ; lachrymation ;
sneezing ; yellow or yellow green coryza ; blowing of blood from nose ; jerking in teeth ; bad taste on hawking ; qualmish nausea ; dryness of tongue ; as if tongue had been burnt ; putrid smell from mouth ; mouth and pharynx dry and covered with
mucus ; thirst for beer ; weight in stomach ; aching in forehead > ; cholera > ; bad taste ; hemorrhoids with pain in back ; towards, pain in uterus with qualmishness ; nausea, feels very tired ; leucorrhœa < ; cough < ; dyspnœa ;
expectoration < ; sweat on face ; oppression of chest ; constriction of larynx ; pulse slower ; burning near an ulcer on foot ; sweat profuse ; bad flat taste <.
At 2 A. M. : sleepless.
From 3 to 4 A. M. : remission of pain.
At 6 A. M. : gets an hour's sleep after restless night.
At 7 A. M. : neuralgia of head.
At 10 A. M. : chill.
At 11 A. M. : chill commences in hands.
Forenoon : rigor over back.
Day : headache throughout ; pain in left causality ; somnolence ; lachrymation, facial neuralgia < ; menses flow only ; feels > after short sleep than long one ; heaviness of legs ; pain in calf of right leg > ; sleepy, shivering up back ;
looked cold and blue ; two or three diarrheic stools ; bleeding tumors <.
Day and night : pain in one side of head and face.
Afternoon : pain in stomach takes away breath ; nausea and vomiting ; dull and sleepy ; ulcers <.
At 3 P. M. : pain in wrist came on, increased till midnight, diminished till next afternoon ; attacks with coldness extending from body to legs.
At 4 P. M. : sounds in ears ; pains in face cease ; as if limbs would fall asleep ; chill ; sudden severe pain in sacral region.
At 5 P. M. : chill.
At 6 P. M. : bilious intermittent paroxysm.
Evening : anxiety ; dreads ghosts ; vertigo with nausea, heat and loss of sight ; stupefaction ; until going to sleep stitches in brain ; tearing in frontal bone ; headache ; eyes ache, tearing in temples ; pulsating in head, headache < ;
sore pain in scalp < ; eyes < ; dryness and heat in eyes < ; stitching pain in eyes, forehead and temples < ; stitching in eyelids and canthi, itching burning in lids ; after sundown itching in inner canthi ; palpitation with anxiety ; severe pain in ear ;
sneezing ; stopped up coryza ; violent catarrh ; nose swollen and itching ; sticking in gums ; tearing along alveolar border < ; bad taste after drinking beer ; difficult deglutition with fever < ; eructations like bile, nausea, of food ; pain and
vomiting most severe ; crampy pains begin and last all night ; tympanitis with rumbling ; aching in forehead < ; bitter taste ; griping in intestines ; incarcerated flatus with colic ; cutting in abdomen ; colic > ; hemorrhoids with itching ;
fever ; metrorrhagia < ; nausea and vomiting ; all symptoms < ; cannot walk so well ; pain in uterus < ; labor pain < ; cough < ; difficulty of breathing < ; asthma ; after lying down, cough ; spasmodic cough ; constriction of larynx ;
pulse frequent ; pain in sacrum, sciatica < ; acute drawing in lower extremities ; towards, boring in heels ; burning near an ulcer on foot < ; unable to fall asleep ; feels cold ; chilliness < ; cold creeps on back ; dry heat ; cannot walk so
well ; attacks begin with chill in back ; jaundice < ; ulcers <.
Night : anxiety as from heat ; sees the world on fire ; bubbling in head ; headache > ; tearing in head ; neuralgia in head < ; pains until an hour after midnight ; wakefulness with headache ; delirium ; vomiting and diarrhœa ; fetid
sweat on head and face < ; loss of vision ; restless pulsating in ear ; dry cough ; neuralgia < thirst ; toothache < ; as if tongue had been burnt ; hiccough ; nausea ; disturbed sleep, wakes from internal heat ; want of appetite ;
tympanitis with rumbling < ; three or four thin stools ; urine dribbles ; running of water from mouth ; sufferings < ; pain in uterus < ; urinary secretion suppressed ; influenza < ; difficulty of breathing < ; dyspnœa ; asthma ; awakes after 12
with cough ; cough < ; spasmodic cough ; whooping cough < ; stitches in side < ; congestion to chest and heart ; pain in back and sides, usually in after-part ; sciatica < ; left leg < ; pain in muscles < ; restless at night, rheumatism ; wakes
frequently ; cold creeps on back ; heat ; sweat with stupid slumber ; several watery stools ; typhoid fever < ; delirium ; ulcers <.
Before midnight : pain in face < ; pain in teeth prevents sleep ; pain in chest ; left leg < ; no sleep, rheumatism ; sleep prevented by fixed idea.
Midnight : fever sets in.

Temperature and weather

Worse before a thunderstorm.
Heat : faceache < ; chill >.
Sun : symptoms <.
Heat of stove : pain in left causality < ; symptoms <.
Hot rooms and cold vaults : cause rheumatism.
Hot food : vomited immediately.
In summer : chilliness.
Warm weather : ulcers >.
Warmth : of bed tearing in head < ; external tearing in head < ; pain on scalp < ; from exercise, dimness ; pain in face < ; of bed, toothache < ; stools < ; of bed feels < ; pain in calf of right leg much < by heat of bed ; of bed, causes pain and
itching in chilblains ; pain in muscles < ; external, is intolerable ; of bed causes itching over whole body.
When warm in bed : cough ; cough becomes dry.
Covering warmly : > chilly feeling.
Warm room : stupefaction ; soreness of temples < ; pain in forehead < ; blackness before eyes < ; itching of lids worse ; hardness of hearing > ; attack of violent catarrh ; from cold air into, attack of profuse discharge of blood from nose ; pain in
face < ; tearing along alveolar border < ; toothache returns ; abdominal symptoms < ; dyspnœa ; coming into, cough, sciatica < ; chilliness on going into cold air from ; chilliness ; cannot remain in.
Warm food : pain in face < ; toothache ; tearing in teeth < ; symptoms < ; vomited soon after taking.
Warm applications : intolerable during neuralgia.
In house : coryza stopped ; chilly.
Close room : very oppressive.
Open air : vertigo > ; soreness in temples > ; pain in head > ; tearing in head > ; walking slowly, headache > ; eyes > ; wants to be in ; lachrymation ; itching of lids > ; roaring > out-doors ; fluent coryza ; patient feels
well ; pain in face > ; tearing in alveolar border > ; toothache ceases ; painful pressure upon neck of bladder ; walking, menstrual colic > ; craves ; must have, during labor pains ; sciatica > ; ulcers >.
Cool air : eyes > ; stools >.
Draft of cold open air : toothache >.
Puts feet out of bed to cool them.
Uncovering : toothache > ; pain in muscles >.
Cold : stupefying headache < ; draft, itching of eyes < ; faceache > ; food > ; colic ; room, cannot void urine ; ulcers >.
Cold food : retained longer than warm.
Cold drinks : gastric catarrh ; abdominal symptoms <.
Cold applications : eyes > ; facial neuralgia < ; heat of vulva ; pain in calf of leg >.
Taking cold : swelling of right testicle ; threatened metritis ; suppression of menses.
Cold, damp weather : hardness of hearing < ; rheumatism <.
Damp places : abdominal symptoms <.
Getting wet : colic ; attacks of mucous diarrhœa ; cannot void urine ; ovaritis ; metritis ; suppressed menses ; rheumatism.
Wetting affected parts : > ulcers.
Washing : > heat.
Bathing : catarrhal conjunctivitis.
Cold water : in mouth becomes warm, toothache > ; toothache < ; bathing > soreness of external meatus ; rheumatism > by drinking.
Ice water : cholera.
Changes of weather or storms : tearing in head <.
Wind : does not > itching of lids ; teeth sensitive ; ulcers <.

Fever

Chilliness : through whole body, especially in back, with cold hands ; with yawning and stretching before appearance of menses ; all over without shivering ; feels cold in evening ; whole evening, before bedtime, even while
walking ; on going from a warm room into cold air ; with the pains ; in evening, after lying down ; without thirst ; without sensation of being cold ; internal, even in a warm room ; towards evening, even in summer, when warmly clad ; with
trembling ; over upper part of abdomen and upper arms, after dinner ; over abdomen, extending around to lower portion of back ; in sacrum ; along back.
One-sided coldness, with numbness.
Flitting chilliness ; chills in spots, now here, now there ; < in evening.
Febrile chill, without thirst ; thirst during heat.
Shivering in back, extending into hypochondria and especially into anterior portion of arms and thighs, with coldness of limbs and a feeling as if they would fall asleep, about 4 P. M.
Cold creeps on back in evening and night.
Shivering running up back all day, without thirst.
Creeping shiverings over arms, with heat of cheeks ; air of room seems too hot.
Cold hands and feet ; they seem dead.
Thirst before chill or heat, seldom during hot stage.
Chill 4 P. M., no thirst ; anxiety, dyspnœa ; vomiting of mucus when chill comes on.
Coldness, paleness, with sweat over whole body.
Chill as if drenched with cold water.
Shivering before colic commences.
Chill followed by heat, with anxiety and heat of face.
Heat : dry, in evening, with distended veins and burning hands, that seek out cool places ; internal, with thirst ; attacks of flushes ; at night, without thirst ; external warmth is intolerable ; of hands and feet ;
followed by shivering ; of whole body except hands, which are cool, with pressive headache above orbits and anxious lamentations ; anxious ; as if he were dashed with hot water, with cold forehead ; wishes to be covered, licks lips and does not drink, moans and
groans ; intolerable burning at night in bed with uneasiness ; with red face, or one cheek pale and one red ; internal, dry, evening and night, without external heat ; of right side or on upper part of body, > by moving or washing ; of face or of one hand, with
coldness of other, body hot, limbs cold ; of body with coldness of extremities ; during evening, veins are enlarged.
Sweat : profuse, in morning ; only on one side of body ; on face and scalp ; sour, musty, at times cold ; sweetish acid odor to sweat ; at night with stupid slumber ; like musk ; during sleep, disappears on waking.
Chilliness, commencing every morning 10 A. M., and lasting one hour, followed by fever, lasting about two hours, then sweat, disappearing in a short time ; thirst before chill, also with fever and sweat, absent during chill ; pain in right
side of head ; dulness of hearing ; constant sticking pain in chest on drawing a deep breath ; cough, principally in morning, at which time she expectorated a bloody-yellowish matter which occasionally became mixed with green mucus ; bitter taste in mouth ; constant
nausea ; restlessness, with sleeplessness after midnight ; watery diarrhœa after eating anything unusual, especially apples ; has not menstruated for several months. θ Ague.
Chill 10 A. M., beginning in feet, legs and neck ; shaking, lasting two hours ; thirst ; wants to be covered ; heat, with frontal headache ; pale face ; thirst for much water and often and for hot lemonade ; wants to be uncovered ; sweats sleeping,
more on neck and chest ; thirst and headache, when awake ; wakes weeping ; during night and morning previous, thirst. θ Ague.
Chill on alternate days at noon, first in feet, then in hands, then general ; lasts one hour, without thirst ; fever for about half an hour, with slight thirst ; aching in legs before chill and during fever ; headache, during chill especially, stitches in
temples ; appetite poor. θ Ague.
Chill alternate days, at noon, commencing in knees, with cold legs and feet, lasting twenty minutes ; no thirst ; fever lasts an hour and a half, no thirst, sleeps much ; after fever, hunger, with beating and throbbing in forehead ; no sweat ; daily
epistaxis ; appetite poor. θ Ague.
Chill generally begins about umbilical region, sometimes in tips of fingers ; sensation of coldness as from a piece of ice between scapulæ ; > by heat ; chill lasts two minutes, heat for half an hour, then chill again, no sweat ; a draft of air or dampness will at
any time produce the chilly feeling which is > by covering warmly ; drinks little, water disagrees ; bad, flat taste, < in morning ; menses scanty, feels often like crying ; symptoms < from heat of stove or sun. θ Intermittent
fever.
Chill commences in hands at 11 A. M. with thirstlessness ; excessive bone pains ; fever lasts an hour, with slight thirst and sharp shooting pains in forehead ; slight sweat. θ Ague.
Chill every day at noon ; aching of head, back, and extremities ; sore, bruised spots over body ; fever sets in at midnight without thirst. θ Ague.
First attack 3 P. M., later ones at 1 A. M. ; during chill great coldness with shuddering, chills up and down back, with aching and drawing in bones and muscles of hips ; chilliness lasting three-quarters of an hour ; fever high with faintness and restlessness from want of
air and heat of room ; considerable perspiration after fever, but easily chilled ; cannot remain in warm room ; pulse small and quite full ; tongue moist and dirty white ; no thirst.
Chill followed by fever and sweat, nearly every day, coming on towards evening ; no thirst in any of the stages, aversion to fat or rich food and but very little appetite ; the little eaten distressed her, had to live quite abstemiously ; severe pain in left chest, with
troublesome cough, < lying down. θ Ague.
Quotidian : chill from 3 P. M. until bedtime ; began on buttocks, descended legs and ascended to head, making hair stand on end, with feeling in head as if it would break ; if he coughed, head felt as if it cracked ; woke in morning with sweat ; with chill,
painful stiffness of neck ; epigastrium somewhat swollen and allowing no pressure ; by day he looked cold, nose blue and pointed.
Tertian ague : during apyrexia, great heaviness of whole body with chilliness and sleepiness during day ; great lassitude, can hardly walk across floor, must lie for hours and sleep, < towards evening ; sleep at night restless, with talking and tossing about ;
several watery stools at night.
Attacks begin in evening with severe chill in back, followed by moderate heat mostly in head, with headache and delirium lasting until morning, followed by profuse sweat ; thirst present only before chill ; before and during chill, severe cough and pain in chest ; during
apyrexia pains in lower limbs ; menses suppressed ; leucorrhœa ; postponing type. θ Quartan ague.
Severe general chill, lasting half an hour, then great heat followed by profuse sweat lasting several hours ; moderate thirst during heat ; during paroxysm severe headache ; during apyrexia lassitude, loss of appetite, intolerable stitching pain in left hypochondrium, two
or three diarrheic stools during day ; tongue moist, white ; slight murmur during systole ; murmur in jugular veins ; pulse 88, weak ; spleen greatly enlarged. θ Ague.
Every evening at 6 severe chill lasting one hour, followed by great heat and headache, and then sweat lasting half the night ; during apyrexia, constant severe headache, pain in chest, severe cough with expectoration of bitter taste. θ Quotidian
ague.
Chill 4 P. M., with icy coldness and clamminess of hands and paleness of face and lips, lasting an hour, followed by heat of two hours duration, sweat absent ; during apyrexia, headache in right half of forehead, every day tearing pains in right
eye ; severe pains like tic douloureux when region supplied by pes anserinum is touched ; has had nosebleed for several paroxysms ; tongue clean, moist ; offensive taste ; offensive smell before nose, three stools daily. θ Tertian
ague.
Attack preceded by numbness of fingers ; chill lasting one to two hours ; heat with thirst ; profuse cold sweat standing out upon body in drops ; congestion to head with throbbing in temporal arteries, > from hard pressure ;
nausea and sensation as if head would burst on coughing ; heat and headache continue until next paroxysm on following day ; at beginning of paroxysm looseness of bowels and cough with mucous expectoration, especially during heat. θ Ague.
Quotidian ague ; great prostration ; face greenish yellow.
Attacks at 3 P. M. with coldness extending from body to legs, and going to head, with bristling of hair, so that cap was raised from head, with this a feeling of fulness in head as if it would burst ; if he coughed at this time, cracking in head ; cold stage lasted until
bedtime ; some sweat next morning. θ Quotidian intermittent.
By day patient looked cold, with a pointed, blue nose.
Painful stiffness of muscles of neck during chill.
Aversion to rye-bread. θ Intermittent fever.
Chills after being suppressed for ten days by quinine, returned again every other night before midnight ; not amounting to a shake, but a chilly cold feeling, lasting from one to two hours, followed by high fever which lasted fully eighteen hours, ending in slight sweat ;
little thirst at any time ; severe headache during fever ; nausea before chill. θ Ague.
Paroxysms of increasing severity and ever changing symptoms ; no two attacks alike. θ Ague.
Somnolence before fever. θ Quartan ague.
Ague ; during febrile stage, pains threatening abortion in early months of pregnancy.
Ague after abuse of quinine ; thirst 2 or 3 P. M., then chill without thirst and anxiety and oppression from venous congestion of chest ; sleepy, yet cannot sleep ; one hand hot, the other cold.
Intermittent fevers, with gastric and bilious symptoms or consequent upon abuse of Cinchona or quinine, with bitter taste of food and constipation.
Vomiting of mucus when cold stage comes on ; absence of thirst during hot stage and during sweat.
Severe bilious intermittent ; congestive collapse ; no pulse for hours ; complete paralysis of throat ; paralysis of optic and auditory nerves ; cold, blue nose ; cold hands, feet and limbs ; had taken much quinine ; paroxysm had set in about 6 P.
M.
During apyrexia : headache ; mucous diarrhœa, nausea and loss of appetite ; enlarged spleen.
After suppression of ague : earache, toothache, headache, pains in limbs, etc.
During convalescence from Chagres fever, slight chill every afternoon, followed by a flush of fever and a sweat at night ; no appetite ; depression of spirits ; little thirst ; irritability and peevishness ; perverted taste, so
that all food tasted as if saturated with salt.
Chill : at 5 P. M. beginning in sacrum and going downward ; constipation ; at 6 P. M. next day, chill, with heat and moisture half an hour after ; face hot, pale, sallow ; feels very nervous and prostrated ; abdomen tender, < in right iliac region ;
gurgling in right iliac region on pressure ; pulse rapid, compressible ; much dryness of mouth, back to throat, with thirst, but dared not drink much at a time, because it made her sick at stomach, drank frequently ; aching pain in whole left lower extremity on outer aspect,
requiring her to move it frequently, with momentary > ; sore breasts ; loss of milk.
Typhoid fever : early stage ; external heat intolerable, causing sense of heat with distress ; uncovering is followed by a chill ; heat only on one side with coldness of other, or sweat of one side ; drowsiness ; delirium ; frightful
visions ; dry tongue, as if burnt, yet no thirst ; rumbling in bowels and diarrhœa, with pinching pain, < at night ; pulsating in epigastrium.
Since three days drowsiness ; fever ; continual delirium, especially at night ; throws himself about in bed, and wants to rise ; tongue red, and covered with a yellow coating ; skin dry, burning, and covered since two days with an eruption resembling
flea-bites ; lies on back, legs turned on stomach ; drowsiness, from which he can be easily roused, though replying in an embarrassed manner ; tongue sticky and yellow ; cerebral congestion ; nostrils dry ; burning heat, and dryness of skin ; pulse
140 ; insensibility of stomach ; constipation since six days ; urine scanty, red, depositing, when standing, a greyish sediment ; repugnance to drink. θ Typhoid fever.

Attacks, periodicity

Pains appear suddenly, leave gradually.
Wandering pains shift rapidly from part to part.
Symptoms ever changing.
The symptoms are especially violent every alternate evening.
When rising up, the red face turns deathly pale.
Paroxysms increasing to an intense point of severity, then decreasing to complete cessation.
Regular intervals : facial neuralgia.
Recurrent attacks : pain from shoulder to wrist.
Alternately : pain in forehead, in morning after rising, and evening after lying down ; pains in forehead, stomach or abdomen ; paleness and redness of face ; somnolence and sopor with photophobia ; dry and fluent coryza ; diarrhœa and constipation ;
hard and soft stools ; face pale and red ; labor pains, and hemorrhage.
Every minute or so : shocks of pain in ear.
Quarter of an hour after eating : bitter taste.
From 5 to 10 P. M. : rheumatic headache.
Every hour : diarrheic discharge ; must urinate.
One hour after eating : pain in stomach.
Two hours after eating : feels bloated.
Every two hours : severe stitching pains in abdomen.
From 3 P. M. till bedtime : chill.
Hours after eating : vomiting of food.
Stop and return in a few hours : hemorrhages.
For hours : no pulse.
For twenty-four to forty-eight hours : suffers horrid pains, dysmenorrhœa.
For twenty-four hours : no discharge of urine ; every half hour, paroxysm of pain.
Every morning : at 11 o'clock, severe pain along course of left infraorbital nerve ; 2 or 3 o'clock, stitching pain in epigastric region ; chilliness, 10 A. M., for one hour followed by fever lasting two hours.
Every day : for several hours, bad taste ; epistaxis ; at noon, chill ; chill, fever, and sweat ; tearing pains in right eye ; three stools.
Every afternoon : slight chill.
Every evening : tearing, boring headache, red face ; at 6 o'clock faceache ; great fulness of chest, fulness about heart, severe chill lasting one hour.
Every night : at 12 o'clock, dyspnœa, palpitation ; pain in back and sides.
Alternate days : chill at noon.
Every other night : rheumatism < ; chills.
One day after another : pains in forehead, stomach and abdomen.
At intervals of one, two or three days : constipation with headache.
Two or three days : attacks lasting.
Six days : constipation.
Ten days after labor : severe chill followed by heat.
From one to two weeks : gastrodynia.
Every two weeks : menses.
For three weeks : menses delayed.
Periodical : sick-headaches two or three days before menses.
For several months : menses absent.
Spring : toothache <.
Autumn : nocturnal enuresis.
For two years : troublesome cough ; cannot move about house without crutches on account of soreness of heel ; nocturnal enuresis.
Since six years : loss of voice.

Locality and direction

Right : frequent boring in side of forehead ; tearing in side of head ; pain in ear ; neuralgia of temple ; shooting pain through eye ; in side of head ; ringing in ear ; two pustules on conjunctiva ; hearing impaired ; tearing
pain behind ear ; pressure in bone above ear ; purulent discharge from nostril ; burning of cheek ; pain in supraorbital region over whole side of face, < in zygomatic region and hairy portion of head ; profuse lachrymation ; neuralgia on side of face and
head ; swelling of scrobiculus cordis, with hardness extending more to side (l. lobe of liver) ; cramping pain in leg ; testicle drawn up ; swelling of testicle ; testicle tender to touch ; pain in thigh ; severe pain on side of abdomen, constrictive pains
in ovary ; movement of fetus very violent in lumbar region ; pain over seat of placenta when lying on side ; pain starts from anterior portion of thigh ; pain in groin ; swelling in axilla ; crampy pains in leg ; stiffness of knee ; pain in calf of
leg ; eruption on inner side of leg ; heat of side ; pain in half of forehead.
Left : tearing in frontal bone ; violent pressure in temple ; pain in side of forehead ; twitching in eyelid ; biting and pressure in eye with lachrymation ; lying on side, palpitation ; tearing pain from temple over side of head and to ear and
jaw ; pain in causality ; pressive pain in eye ; stye ; hearing completely lost ; sudden severe pain in ear ; lachrymation, pain in side of face ; offensive mucus from nostril ; side of face sensitive ; varicose swelling on side of tongue ;
side of region of stomach very sensitive to pressure, cannot lie on side, swelling of scrobiculus cordis ; side of neck of bladder pains ; lame and restless feeling in thigh ; testicle hangs low, swelling of testicle and epididymis ; orchitis ; pain in side of
uterus ; cutting pain in ovary ; pain in side from under false ribs ; labor pains confined to side ; palpitation when lying on side ; eye inflamed ; pressure against chest, soreness ; smothered feeling in chest ; perspiration on side of chest ;
systolic murmur at apex of ventricle ; inframammary pain ; pain in clavicle muscles, sciatica ; thigh and leg swollen to twice natural size ; sudden pain in knee joints ; pain through foot and leg ; soreness of heel ; ankle swollen ; stitching pains in
hypochondrium ; aching in lower extremity.

Sensations

Feels as if he were beside himself ; as if in a hot atmosphere ; as if death were near ; as if looking through a sieve ; limbs as if bruised ; limbs as if asleep ; as if one had turned in a circle a long time, as if he would fall, as if he were
dancing ; as if head were too heavy ; as if his memory failed ; as if brain would burst and eyes fall out of head ; as if one had eaten too much ; as if stomach had been disordered ; temple as if constricted ; as if forehead were in a vise ; as if head
would burst ; as if a nail were driven into occiput ; as if brain were lacerated ; nape of neck as if constricted ; head as if between screws ; as of a gimlet piercing skull ; as if brain were to be pressed through skull ; as if tongue were to be torn
out ; as of a veil before eyes ; as if eyes were tightly bound by a cloth ; as if a foreign body were pressing in eye ; as of sand in eye ; as if ear were stopped ; as if a thick body were being forcibly driven into ear ; as if ear would burst on
sneezing ; as if all life had been taken out of head ; as if all the blood would go to heart ; as if something were crawling out of ear ; as if nose would be forced asunder ; as of fine snuff in nose ; as if eyes were covered with mucus which could be wiped
away ; as if a lachrymal fistula would form ; as if parts would become swollen ; right zygomatic region as if seized with pincers ; as if face were being drawn tighter and tighter and then suddenly let loose as if a string were cut ; as if a nerve in tooth were put
on stretch and then let loose ; as if teeth would be forced out ; as if tooth would start from jaw ; gums as if sore ; as if tongue had been burnt ; edges of tongue as if scalded ; as if roof of palate were covered with tenacious mucus or were swollen ; as
of sulphur vapor in throat ; throat as if raw ; œsophagus as if food were lying in ; as of a worm creeping up into throat ; as if throat were swollen ; as if she would be choked ; as if he had to swallow over a lump ; as if food were lodged above pit of
stomach undigested ; as of a stone in stomach ; as if one had eaten too much ; as if one would vomit ; as of a stone in abdomen ; as if diarrhœa would set in ; as if stool would occur ; as if urine would gush away ; as if bladder were too full ;
as if bladder would fall towards side on which he is lying ; as if bowels would be moved ; eyes felt as if they would push back into orbit ; as if head were off shoulders ; as from a stone in bladder ; as of a stone in abdomen ; pressure in rectum, as if to
stool ; as if menses would come on ; as if tacks pricked heels ; spot in abdomen sore as if ulcerated ; as if she must be in open air ; as if she were not herself ; as if skull were lifted up ; as if milk would appear in breasts ; as if throat were
constricted ; as if chest were too full and tight ; as if fumes of sulphur had been inhaled ; as if trying to remove something from throat ; as if a coat of mucus extended from velum palati to tongue ; as of an ulcer in middle of thorax ; as if air passages were
internally constricted by mucus ; as of fluid dropping and gurgling in chest ; as of damp stockings ; as of stone in chest ; as if chest were oppressed by mucus ; chest as if bruised ; as if he had lain in an uncomfortable position ; as of cold water poured
down back ; small of back as if sprained ; as if a band passed through back, and as if everything were constricted ; back as if weary ; back as if tightly bandaged ; as if joints would easily become dislocated ; arms feel as if broken or dislocated ; as if
humerus were beaten in middle ; as of festering in muscles of buttocks, legs and soles ; hip joints as if dislocated ; thighs as if bruised ; as if bone would break ; as if he must move, yet motion gave no relief ; soles of feet as if beaten ; joints as if
beaten ; limbs as if beaten ; as if tendons of legs were too short ; as if he had been awake all night ; as if limbs would fall asleep ; chill as if drenched with cold water ; as if he were dashed with hot water ; as of piece of ice between scapulæ ;
with chill, as if head would break ; with cough, head as if it cracked ; as if head would burst on coughing ; food as if saturated with salt ; tongue as if burnt ; as if thigh were bruised ; pain as from subcutaneous ulceration or as from inward festering ;
itching as from fleas ; as of a hot coal above ulcer.
Pain : in stomach ; in left side of forehead ; rising from nape of neck ; in small of back ; in whole head ; in loins ; in thighs and groins ; in ankles and feet ; in right side of head ; in bones of nose ; in one side of head and
face ; in pit of stomach ; in epigastrium to back and abdomen ; in front and back of head ; abdomen, chest and under shoulder ; in lower chest and abdomen ; in kidneys ; in urethra ; in uterus ; in right thigh ; in pelvic articulations ;
in loins ; in chest ; in left side from under false ribs around to back ; in heels ; in right groin ; in maxillary sinuses ; in sacral region ; in back and sides, low down ; in hip ; across loins.
Anguish : in region of heart.
Violent pain : in one side of occiput ; in ear.
Severe pains : in right side of head ; in left causality ; in forehead ; in ear ; along course of left infraorbital nerve ; across sacrum ; in right side of abdomen ; in stomach ; in both shoulder joints ; in left knee joint ; in
ankles and feet ; from elbows to fingers in bones ; in left chest.
Acute pain : in temples ; in groins, along cord to testicles ; of heels.
Sharp pain : in ear ; in rectum ; in sacrum and hips.
Crazing pain : into face and teeth.
Racking pains : in upper and lower extremities.
Splitting pain : in chest.
Stupefying headache.
Tearing pain : in right side of head, in temples ; over left side of head ; at tongue ; in forehead and vertex ; in eyes ; in right eye ; in ears ; in sinus maxillaris ; in face ; in teeth ; along alveolar border to ears and
temples ; between shoulder blades ; in bowels ; in testicles ; in chest ; in limbs ; in shoulder joints and arms ; in knees ; across back of foot to heel ; in feet ; in muscles ; in nape of neck, shoulders and arms.
Lacerating pain : in testicles ; through left leg and foot ; in bones of forearm.
Cutting pain : in bowels ; in throat ; in abdomen, even to tongue and limbs ; in hypogastric region ; in rectum ; about navel, to small of back ; in region of left ovary ; at mouth of uterus ; in region of spleen ; in chest ; in
abscesses.
Darting pain : in eyes ; in hepatic region.
Shooting pain : through right eye ; in ears ; in gums through head ; in knee ; in forehead.
Throbbing pain : in brain ; in head ; in forehead ; in teeth ; in soles.
Pulsating pain : in head ; in brain ; in ear.
Dull, throbbing pains : in right supraorbital region.
Jerking : at tongue ; in outer ear ; pain in face ; in teeth ; in bowels ; in shoulder joints and arms ; in hip joints in knees ; through left leg, in muscles ; in bones.
Beating : in head ; in forehead.
Boring : in right side of forehead ; in left side of head from temple to occiput and into side of neck and auditory meatus ; in heels ; in bones.
Stitches : in side ; in brain ; in temples ; in limbs ; forehead and vertex ; in eyes ; in ears ; in throat ; in left side ; in abdomen ; in rectum ; in chest ; in small of back.
Stitching : in forehead ; gnawing, in head ; in eyes ; along alveolar border ; in stomach ; in epigastrium ; in neck of bladder ; in abdomen ; in chest ; in limbs ; in feet ; in nape of neck ; in left hypochondrium.
Pinching pain : in abdomen ; at root of nose ; in stomach.
Sticking pain : in eyeball ; in eyelids and canthi ; in ear ; in gum ; in back ; in region of liver ; in face and teeth ; in chest ; between scapulæ ; in back and across chest ; in ball of heel ; in limbs ; in joints.
Pricking pain : in face.
Contractive pain : in left side of uterus.
Constrictive pain : above eyes ; in abdomen ; in right supraorbital region ; in upper abdominal and hypochondriac region ; in region of bladder ; in region of right ovary.
Tensive pain : over brain ; in throat, nape of neck and occiput ; in hepatic region ; in a small spot in lower abdomen ; in thighs ; in tendons ; in bends of elbows ; in calves ; in feet ; in nape of neck ; from small of back over
hips and thighs to feet.
Drawing, tensive pain : in eyes ; from abdomen through spermatic cords into testicles ; in loins ; in thighs and legs.
Tensive, drawing pain : in forehead above eyes.
Drawing, pressive pain : towards uterus.
Pressive pain : in forehead ; in eyes ; in right supraorbital region ; in upper abdomen and small of back ; in lower abdomen ; in testicles and spermatic cord ; in rectum ; in clavicle muscles ; in sacrum.
Labor-like pains : in abdomen and back.
Griping pain : in abdomen ; in pit of stomach ; in upper abdomen.
Crampy pains : in stomach ; through chest ; in right leg from knee to groin ; in legs.
Colic-like pains : in abdomen.
Digging : in decayed teeth.
Gnawing : in epigastrium ; in gum.
Gnawing distress : in stomach.
Catching pains : cardiac region.
Spasmodic pain : in neck of bladder.
Erratic pains : flying from one part of body to another.
Painful shocks : in arms, shoulder and back ; in abdomen.
Rheumatic pain : in head ; in uterus ; in nape of neck ; in joints of hand ; in feet.
Neuralgia : of right temple, into back of head, neck and ear ; r. side of face and head.
Aching : in eyes ; in forehead ; in stomach ; of testicles ; in calves ; in legs ; head, back and extremities ; in bones and muscles of hips ; of ears ; of teeth ; of head ; in left lower extremities.
Anxiety : in chest.
Dull pain : in stomach ; in upper abdomen.
Sore pain : in chest.
Itching, biting pain : in inner and upper portions of prepuce.
Stinging : in eyes ; pain in face ; in decayed teeth ; in throat ; in anus ; in neck of bladder ; in joints ; in abscesses ; in ulcers.
Stinging pulsating : in brain.
Burning : in eyes ; in eyelids ; of eruption on chin ; about umbilicus and on scrotum ; of right cheek ; in throat ; in rectum ; in neck of bladder ; in urethra ; in glans or meatus ; of testicles ; of feet ; in vagina and
pudenda ; in last cervical vertebræ ; in chest, in region of heart ; in feet ; in ball of heel ; in soles of feet ; near an ulcer on foot ; here and there on skin.
Heat : in ear ; in head ; in neck of bladder ; in perineum ; in vulva ; all over body ; of face.
Biting : in left eye ; on scalp ; around mouth ; in tip of tongue.
Smarting : around mouth ; of anus.
Soreness : in temples ; of eyeball ; of nostrils ; of nose, externally and internally ; of chest ; in soles of feet ; of left heel ; of external meatus ; of testicles ; of apices of lungs ; of toe joints ; of uterus and
abdominal walls ; of breasts ; in abdomen.
Scraping : in throat ; in stomach and œsophagus ; in larynx ; in epiglottis.
Sprained feeling : in ankles.
Bruised feeling : in forehead ; in back and knees ; in and about knee ; in limbs.
Painful sensitiveness : of abdomen ; of abdominal walls.
Rawness : in stomach.
Irritation : in pit of stomach.
Scratching : in trachea.
Violent pressure : in left temple.
Pressure : in chest ; in left eye ; in bone above right ear ; in throat ; in pit of stomach ; in stomach ; in abdomen and small of back ; sharp, upon neck of bladder ; in glans or meatus ; in perineum ; on bladder and rectum ;
low down in abdomen ; in precordial region.
Pressive sensation : in root of nose ; in anus, in epigastrium.
Heaviness : of legs ; of head ; over frontal sinuses ; in stomach ; of abdomen ; about heart ; in arms ; of legs ; of feet ; of whole body.
Weight : in epigastrium.
Oppression : of chest ; of epigastrium.
Tightness : of chest.
Smothered feeling : in left chest.
Dragging : in hypogastric region.
Drawing : from teeth to eye ; along alveolar border to ears and temples ; in cervical muscles ; in back ; in abdomen ; in thighs ; in nape of neck ; in shoulder-joints and arms ; from shoulder to wrist ; in lower limbs ; in
knees ; in legs ; in tibia ; in feet ; in muscles, arms, hands, shoulders.
Tension : of face and of fingers ; of throat ; from stomach to chest ; in breasts ; in nape of neck ; in hollow of knees ; in inner parts or in joints.
Constriction : of chest ; about throat ; crampy, of vagina ; of larynx.
Contraction : in abdomen.
Throbbing : in epigastrium ; in temporal arteries.
Pulsations : violent at pit of stomach ; in epigastrium ; through whole body.
Distension : in upper abdomen.
Fulness : in stomach ; in chest ; about heart.
Lame sensation : in left thigh ; in ligaments.
Stiffness : of neck ; of clavicle muscles ; of right knee.
Numbness : of legs ; of arms ; of suffering parts ; of fingers.
Empty feeling : of stomach and bowels.
Distress : in hypogastrium and epigastrium.
Weariness : of limbs ; of thighs ; of legs ; of feet.
Weakness : in loins ; in ankles ; of feet.
Trembling : of knees ; sensation in limbs.
Bubbling : in head.
Dryness : of mouth ; of eyes and lids ; of tongue ; of throat ; of tip and sides of tongue ; in trachea.
Tickling : in nose ; in region of thyroid cartilage ; at velum palati ; in air passages ; on sternum.
Tingling : in feet.
Crawling : in stomach ; in limbs.
Formication : over back.
Itching : on scalp ; in eyeball ; in eyes ; in eyelids ; in inner canthi ; in ears ; of nose ; in anus ; in trachea ; of chilblains on hands ; in ball of heel ; in soles ; here and there in skin ; in ulcers.
Creeping : in glans or meatus.
Chilliness : in small of back ; of feet ; through whole body ; over abdomen to lower part of back ; sacrum ; along back.
Coldness : of one hand, of limbs ; of extremities between scapulæ ; of body to legs and head ; of face and skin.

Tissues

Chlorosis ; great weakness and sluggishness in circulation, manifesting itself in constant chilliness, coldness and paleness of face and skin, with hot flushes and transitory redness of cheeks ; soft, irregular pulse and palpitation ;
oppression of chest and shortness of breath ; disinclination to move ; sad, tearful ; appetite generally absent, no thirst ; whole digestion disturbed and consequently the assimilation of nutriments for the blood does not take place properly ; anemia, dizziness,
especially when rising, amenorrhœa, or scanty, slimy menses, which appear too late ; > in open air ; disposition to intermittents ; melancholia, hysteria, heart and kidney diseases ; discharge from ears.
Erethitic chlorosis, with depression of vital power on one side and increased irritability on the other ; complete prostration of digestion and sanguinification ; menses absent or consist of discharge of mucus or a little watery blood ;
leucorrhœa ; body and mind in a state of torpor and atony with intercurrent erethism ; want of energy in circulation, coldness and pallor of skin and extremities, weak, soft pulse, weak and irregular cardiac pulsation, relaxed cutaneous veins, superficial respiration, oppression
of chest, without well-marked dyspnœa, disinclination to move, sad and depressed.
Chlorosis, especially after large doses of iron.
Mal-assimilation, with signs of anemia ; dizziness when rising.
Circulation weak, sluggish, with paleness and constant chilliness ; anemia.
Congestion to single parts.
Hemorrhages : blood dark, easily coagulating ; seemingly stop and in a few hours return.
Veins varicose or inflamed ; affected parts bluish ; soreness and stinging pains.
Emaciation, especially of suffering parts.
Inflammation of internal parts, with disposition to suppurate.
Pains, rheumatic, shifting from one place to another.
Rheumatic and gouty affections ; also with swelling.
Curvature of bones ; drawing, lacerating pains in bones of forearm ; pain in thigh bones as if bruised ; tibia painful when touched ; drawing in bones of legs.
Scraping or tingling in periosteum ; jerking, boring in bones.
Anasarca.
Affections of mucous surfaces ; discharges usually bland, yellowish-green, thick.
Glands swollen, painful, hot.
Abscesses : bleeding readily, stinging and cutting pains ; bluish-red swelling [varices] in surrounding parts, with itching, stinging, burning pains ; after violent and long-continued inflammation ; pus bloody or copious, greenish or
yellow.
Suppurations : pus very profuse ; green, yellow, bloody or yellowish-green, unirritating.
Pain as from subcutaneous ulceration or festering.
Tension in inner parts or in joints.
Burning, stinging pains.
Pains and other symptoms are often accompanied by chilliness, thirstlessness and oppression of chest.
Pulsation through whole body.
Frequent anxious trembling of limbs.
Hysterical complaints.

Touch. passive motion. injuries

Touch : stitching headache < ; soreness of eyeball ; abdominal walls tender ; region of bladder painful ; right testicle tender ; abdomen sore ; phlegmasia dolens intensely painful ; last cervical vertebræ sore ; swollen leg
tender ; ulcers on leg tender ; sores on legs very sensitive ; beating of arteries felt ; on region supplied with pes anserinum, severe pain like tic douloureux ; painful on tibia.
Quick hard rubbing with dry hand : > pains.
Wishes to throw off her clothes.
Part lain on : tearing in temple.
Clothes tight : cannot bear them on abdomen.
Pressure : throbbing headache > ; oppressive sensation in epigastrium ; region of stomach very sensitive ; > pain in region of bladder ; hypogastric region sensitive ; pain over seat of placenta ; fifth and sixth dorsal vertebræ painful ; against
left chest, soreness of chest ; of hand > pain in cardiac region ; of arm pain < ; upon leg felt in bone ; left leg and foot tender ; least upon heel intensely painful ; hard > throbbing of arteries ; on opposite limb ulcers <.
Scratching : < itching of skin ; ulcers <.
Rubbing : > veiled feeling in eyes ; pain in canthi ; > itching of lids ; ulcers <.
Contusion : elbow swollen.
Jars : left leg sensitive.
Badly fitting truss : causes inflammation of spermatic cord.
Wound in ankle : ulcer one year after.
Fall : injury to testicle followed by trismus.
From lifting heavy weight : pain in sacrum.

Skin

Pale ; burning itching here and there.
Burning itching over whole body, on becoming warm in bed, before midnight, < from scratching ; is unable to sleep on account of it ; there is no appearance of an eruption.
Itching, fine sticking sensation in skin, as from numerous fleas.
Jaundiced appearance ; loss of appetite, vomiting of mucus, thirstless, < towards evening.
Urticaria : with diarrhœa ; itching < at night ; from pastry or pork ; from delayed menses.
Erysipelas : bluish, spreads rapidly ; especially about buttocks and thighs ; smooth skin ; neonatorum, infantile ; erraticum ; induration of cellular tissue.
Pimples : from scalp to middle of back ; on side of neck ; on neck below chin ; on leg, discharging a watery fluid ; between fingers, containing water.
Zona.
Eruptions from eating much pork ; itching violently in bed.
Moles or freckles on young girls.
Measles : catarrhal symptoms prominent ; coryza and profuse lachrymation ; cough usually dry at night and loose by day ; child sits up in bed to cough ; earache ; not indicated in beginning when fever is high ; even with typhoid symptoms ; catarrh
prominent ; eruption tardy ; earache ; ophthalmia ; short, dry cough, with pain in chest, or rattling loose cough which is prone to remain as a sequel ; repercussion.
After scarlet fever : pain in ears, deafness.
Varices, especially of pregnant women ; highly inflamed varices.
Bleeding tumors ; changeable blood, < while walking during day.
Ulcers : bleed easily, burn, itch and sting in circumference, which is hard or red ; fistulous, inflamed, or putrid, with shining hardness, easily bleeding ; flat, putrid, carious ; itching, burning or excoriated feeling ; smarting and shooting pains ;
surrounding parts discolored ; indurated and elevated edges ; surrounded by papillæ ; pus copious, albuminous and yellow, bloody or green ; < evening, afternoon and at night before midnight ; also on changing position while lying on sound side, after lying down,
during menstruation, on beginning to move, after moving, from pressure on opposite limb, rubbing or scratching, sitting, in windy or wintry weather ; > in open air, cold in general, wetting affected parts, motion and walking.
Burning as from a hot coal above ulcer.
After being wounded in ankle in battle by fragment of a shell, one year later ulcer at seat of injury, wound never having closed, circular in form, as large as palm of hand ; regular outline ; flattened edges ; filled with firm, florid granulations, discharging profusely a
thick, greenish-yellow pus ; red, shining areola ; much stinging and itching in ulcer and surrounding parts ; pain of varying character, < evening and before midnight ; > in all respects in open air and from cold applications and in warm weather.
Wounds suppurate ; pus thick, bland, too profuse.
Chilblains, inflamed, with bluish-red swelling and rhagades.

Stage of life, constitution

Persons of indecisive, slow, phlegmatic temperament ; sandy hair, blue eyes, pale face, easily moved to laughter or tears ; affectionate, mild, gentle, timid, yielding disposition.
Especially suitable for slow, phlegmatic, good-natured, timid people ; for women, and especially during pregnancy.
Sandy hair, blue eyes, pale face, inclined to grief and submissiveness.
Often indicated with women and children.
Women inclined to be fleshy, with scanty menstruation.
Child, æt. 8 months ; retention of urine.
Boy, æt. 1 1/2 years ; cholera infantum.
Boy, æt. 4 1/2, after an attack of ague ; anasarca.
Girl, æt. 5, suffering from a leucorrhœa which was suddenly suppressed by cold ; meningitis.
Girl, æt. 5, two years ago had measles, since then suffering ; hardness of hearing.
Boy, æt. 5, suffering two years ; eruption on leg and otorrhœa.
Girl, 5 1/2, mild, gentle disposition, delicate features, color of face readily changing, slender build, suffering since an attack of measles, two years ago ; nocturnal enuresis.
Boy, æt. 6, strong ; scrofulous, after sudden suppression of otorrhœa by cold ; irritation of brain.
Boy, æt. 6, lymphatic temperament ; typhoid fever.
Boy, æt. 7, scrofulous, patient, lachrymose disposition, two years ago had whooping-cough, since then suffering ; cough.
Girl, æt. 8, gentle, tearful disposition, suffering six months ; headache.
Girl, æt. 8 ; pustule on cornea.
Girl, æt. 8, complaining two weeks ; sleeplessness.
Boy, æt. 9 1/2, two and a half years previously had necrosis of right humerus, and one year previous an itching humor cured by red precipitate ointment ; headache.
Boy, æt. 10, during wet and cold weather ; swelling of ears.
Girl, æt. 12, after suppressed eruption of measles ; otitis.
Girl, æt. 12, delicate build, gentle, quiet disposition ; chronic nasal catarrh.
Girl, æt. 12, scrofulous, one year ago suffered from oppression of chest and eczema on knee ; measles and threatened tuberculosis.
Girl, æt. 12 ; measles.
Boy, æt. 13 ; inflammation of eye.
Boy, æt. 14 ; inflammation of brain.
Girl, æt. 15, weak, scrofulous, suffering 12 days ; inflammation of eyes.
Girl, æt. 15, suffering three months ; facial neuralgia.
Girl, æt. 15 ; constriction in throat.
Girl, æt. 15 ; amenorrhœa.
Girl, æt. 15 ; dyspepsia with amenorrhœa.
Boy, æt. 15 ; ague.
Youth, æt. 16, suffering ten days ; religious mania.
Girl, æt. 16, after having taken cold in feet ; diarrhœa.
Girl, æt. 16, mild-looking, intelligent blonde, three months ago had violent attack of cholera morbus, for which she took calomel, got her feet wet and has been suffering since ; chronic diarrhœa.
Girl, æt. 16, after catching cold while menstruating a year ago ; amenorrhœa.
Girl, æt. 17, menses not yet appeared ; chlorosis.
Girl, æt. 17, menses regular, suffering two weeks ; ague.
Young man, æt. 17, quiet, cheerful disposition ; freezing of toes.
Young woman, æt. 18, sanguine temperament, several years ago anemic, menses not yet appeared, but suffers every month from various complaints, after an illness ; mental disturbance.
Girl, æt. 18, sensitive, lachrymose disposition, fair hair, blue eyes ; ozæna and dysmenorrhœa.
Girl, æt. 18, healthy ; swelling of knee.
Young man, æt. 18, suffering three days ; ague.
Girl, æt. 18, suffering several months ; ague.
Young woman, æt. 19, tall, strong, lively, cheerful, good-natured, during eighth month of first pregnancy ; mental disturbance.
Young lady, æt. 19, sanguine temperament, blonde, delicate skin, weak constitution, menstruation not yet established ; headache.
Girl, æt. 19, menses appeared at 14, periods lasting six days ; gastric disturbance.
Mrs. H., æt. 19, small and delicate, nursing first child, æt. 6 months ; constant bearing down sensation.
Girl, æt. 19, five months ago was chilled after dancing, which caused suppression of menses, since then ill ; chronic bronchial catarrh.
Girl, æt. 19 ; chlorosis.
Woman, æt. 20, silent, gentle disposition, suffering since first labor several years ago ; mental disturbance.
Man, æt. 20, phlegmatic temperament, dark complexion, suffering two days ; angina.
Miss R., æt. 20, menses appeared late ; gastric disturbance.
Miss ---, æt. 20, suffering since puberty ; dysmenorrhœa.
Girl, æt. 20, blue eyes, auburn hair, pale face, easily flushed ; menstrual disorder.
Primipara, æt. 20, robust ; retained placenta and hemorrhage.
Girl, æt. 20 ; hysterical asthma.
Girl, æt. 20, weak, delicate, suffering since four years, when menses appeared ; asthma.
Young lady, æt. 20, slender build, delicate white skin, eight years ago suffered from same disease ; ague.
Man, æt. 20, strong, muscular ; ague.
Young lady, æt. 21, suffering five weeks ; gastralgia and amenorrhœa.
B., æt. 21, ten weeks ago caught cold, since then suffering ; gastrodynia.
Miss C., æt. 21, phlegmatic temperament, stout, suffering two years ; epilepsy.
Girl, æt. 22, menstrual function deranged, had an attack of pleurisy for which she was bled ; headache ; previously had palpitation of heart, also cured by Pulsat.
Man, æt. 22, suffering from inflammatory rheumatism ; blindness.
Woman, æt. 22, single ; chlorosis.
Man, æt. 23, robust, strong, apparently healthy ; bad taste in mouth.
Woman, æt. 23, well built ; threatened abortion.
Man, æt. 23, very strong ; ague.
Woman, æt. 24, gentle disposition, tearful, pale appearance, after catching cold during lying-in period ; headache.
Woman, æt. 24, single, healthy, yielding disposition ; headache.
Lady, æt. 24, fair complexion, mild and gentle expression, pensive and retiring, suffering six months ; dyspepsia.
Woman, æt. 24, single, hereditary tendency to arthritic affections ; rheumatism.
Girl, æt. 25, in consequence of unrequited love, and after hearing of death of a friend ; melancholia.
Man, æt. 25, strong, well built, lymphatic temperament, sanguine, calm, quiet character, suffering two months ; neuralgia of temple.
Man, æt. 25, two months ago caught cold, since then suffering ; headache.
Man, æt. 25, German, blonde, suffering two weeks ; epistaxis.
Woman, æt. 25, slim, suffering nine months ; gastric disturbance.
Mrs. B. H., æt. 25 ; leucorrhœa.
Mrs. L., æt. 25, gentle, phlegmatic, blonde, after suddenly weaning child ; affection of breasts.
Woman, æt. 25, married, has borne two children ; hysteria and debility.
Woman, æt. 25, had a child eighteen months ago, has undergone successful operation for laceration of perineum ; nervous affection.
Woman, æt. 25, tailoress, suffering six months ; rheumatism.
Woman, æt. 26, yellow, cachectic appearance, suffering six months ; vertigo.
Mrs. J., æt. 26, one week after confinement ; phlegmasia dolens.
Woman, æt. 26, single, light brunette, phlegmatic, melancholic temperament, tendency to fatness, sister died of phthisis, suffering three months ; cough.
Man, æt. 27, weak constitution, after suppressed gonorrhœa ; orchitis.
Miss E. B., æt. 27, had ague in the South for one year, and used much quinine without being able to stop it entirely ; ague.
Woman, æt. 28, nursing an infant 6 months old, much exposed for five weeks while traveling, sleeping in a wagon at night ; ague.
Woman, æt. 28, weak ; inflammation of left eye.
Woman, æt. 28, married eight years, has had three children, now in third month of pregnancy ; gastric disturbance.
Woman, æt. 28, delicate, five months pregnant ; pains in abdomen.
Mrs. F., æt. 28, married three years, had several miscarriages, suffered from prolapsus uteri, and a chronic diarrhœa supposed to be caused by tuberculosis of intestines, had not been able to leave couch for more than a year ; Natr. sulph. Cured diarrhœa, and Sulph and Natr.
carb. cured prolapsus ; was subsequently delivered of two children ; puerperal fever.
Woman, æt. 29, single, sanguine temperament, pretty strong, menses regular, but scanty ; headache.
Woman, æt. 29, during fourth month of second pregnancy ; nausea and vomiting.
Sophia T., æt. 29, suffering three or four years ; rheumatism.
Man, æt. 30, strong, choleric, addicted to drink ; mental disturbance.
Woman, æt. 30, eight days after labor caught cold ; headache.
Woman, æt. 30, good constitution, suffering several years from cardialgia, accustomed to being bled, nursing a three months old child ; headache.
Woman, æt. 30, headstrong, irritable, fault-finding ; headache.
Mrs. W., æt. 30 ; headache.
Man, æt. 30, suffering a week ; catarrhal ophthalmia.
Man, æt. 30, suffering seven days ; inflammation of eyes.
Woman, æt. 30, single, suffering four years ; prosopalgia.
Woman, æt. 30, gave birth to child several months ago ; facial neuralgia.
Man, æt. 30, suffering a long time ; hæmaturia.
Woman, æt. 30, suffering eight years from oppression of chest with expectoration of mucus, ten days after labor ; metrorrhagia.
Woman, æt. 30, brunette, gentle disposition, delicate constitution, after night-watching and mental disturbance ; threatened abortion.
Woman, æt. 30, four months pregnant, after a fright was obliged to walk home, being about a mile, through deep snow ; threatened abortion.
Woman, æt. 30, robust, healthy ; ague.
Man, æt. 31, lymphatic temperament, suffering several years ; dysecoia.
Woman, æt. 31, blonde, five months pregnant ; toothache.
Woman, æt. 31, six months pregnant ; gastralgia.
Woman, æt. 31, multipara ; puerperal metritis.
Woman, æt. 32, German, mother of five living children, husband a drunkard, anemic from nursing and want of food ; religious mania.
Barber, æt. 32, light complexion, nervous temperament, has not been well for some time, four weeks ago had a "kidney trouble ;" neuritis.
Woman, æt. 32, good physique, when eighteen had pneumonia, from which she made a slow recovery, six years after that her first child was born, labor being instrumental, and child was stillborn, from this she was ill a long time, second child born two years later, from which she was much
debilitated and terribly despondent for a long time ; periostitis ; later, delayed menses.
Woman, æt. 32, corpulent, mother of three children, labors all difficult, carried fourth child with difficulty to full term ; false labor pains.
Lady, æt. 32, suffering six years ; aphonia nervosa.
Woman, æt. 33, phlegmatic temperament ; gastric fever.
Mrs. Judge A., æt. 33, mother of several children, nervous temperament, good constitution, of slender form and appearance, laboring under a slight attack of bilious fever, for which she had appropriate remedies which relieved her in two or three days, but found that she had been subject
to semi-annual attacks of prosopalgia for several years, pain appeared during sixth month of pregnancy, and was still present one month after parturition ; pains in hips and sacrum.
Woman, æt. 33, single, robust, after getting wet ; rheumatism.
Mrs. D., æt. 34, nervous temperament, fretful, timid disposition, suffering three days ; headache.
Woman, æt. 34, menses suppressed after catching cold, since then suffering ; nasal catarrh.
Woman, æt. 34, single, strong, after catching cold ; swelling of knee.
Lady, æt. 35, large, lymphatic, has had the disease several times before, always treated allopathically ; gastrodynia.
Woman, æt. 35, seven months pregnant ; violent fetal movements.
Woman, æt. 35, mother of five children, dark complexion, enfeebled constitution, six years ago, after a confinement, arose from bed before usual time in order to attend to household work, then took cold and was confined many days to bed, and ended in symptoms of milk-leg ; chronic
phlebitis.
Man, æt. 35, strong, vigorous, wounded at battle of Gettysburg, in ankle, by fragment of shell, since then suffering ; ulcer on leg.
Man, æt. 35, dark complexion, contracted disease while in army, in Savannah marshes, took much quinine and whisky ; ague.
Woman, æt. 35, single, mild character, blonde, year ago had rheumatic fever ; rheumatic pains.
Woman, æt. 36, healthy, suffering many years ; inflammation of eyes.
Woman, æt. 36, lost much blood during last labor, nine years ago, since then suffering ; gastralgia.
Woman, æt. 36, had five children and three miscarriages ; false pregnancy.
Mrs. C., æt. 37, large, plethoric, light hair, blue eyes, suffering for years ; headaches.
Mrs. C., æt. 37 ; dyspepsia.
Man, æt. 37, choleric temperament, from youth suffered from catarrhal affection of throat, after catching cold ; asthma.
Miss, æt. 37, out of health for years, has had several hemorrhages, has been treated allopathically, supposes herself incurable ; affection of chest.
Woman, æt. 37, lady's maid, single, few weeks ago caught cold, since then suffering ; neuralgic rheumatism.
Mrs. S., æt. 38, swarthy, stout, sensitive, confined two months ago, since then weak ; ague.
Man, æt. 39, suffering three months ; indigestion.
Woman, æt. 40, sudden suppression of lochia on tenth day ; puerperal mania.
Woman, æt. 40, after sudden suppression of lochia ; puerperal mania.
Woman, æt. 40, weak, irritable ; otitis.
Man, æt. 40, of healthy appearance, suffering several years ; gastric disturbance.
Woman, æt. 40, fat, fair, florid ; biliary calculi.
Locksmith, æt. 40 ; constipation.
Man, æt. 40 ; orchitis.
Woman, æt. 40, weakly, poorly fed, living in very sorrowful circumstances, wife of an actor, attacked for years with catarrh ; acute pulmonary catarrh.
Man, æt. 40, suffering over a year ; lumbo-sacral neuralgia.
Man, æt. 40 ; swelling of knee.
Man, æt. 40, robust, has taken much quinine, suffering two years ; ague.
Man, æt. 40 ; ague.
Woman, æt. 40 ; rheumatism.
Man, æt. 40, sickly, suffering from scrofulous ulcerations and swelling of glands ; zona.
Man, æt. 42, weakly, pale, mild, soft, patient disposition, constantly kept by business at his desk ; indigestion.
Man, æt. 42, mild, gentle, patient disposition, weak, pale, occupied much at writing-desk ; gastric disturbance.
Mrs. P., æt. 42, suffering several years ; menstrual disturbance.
Woman, æt. 43, thin, pale, gentle disposition, after an inunction of mercury for angina ; headache.
Lady, æt. 43, subject to attacks of hysteria, proceeding from prolapse of uterus ; spasms preceding menses.
Woman, æt. 44, weak constitution, menses absent four months, since then suffering ; asthma.
Woman, æt. 44, single, suffering two years ; rheumatism.
Woman, æt. 45, after vexation ; mental disturbance.
Man, æt. 45, suffering twelve months ; indigestion.
Man, æt. 45, Italian ; chronic cystitis.
Woman, æt. 46 ; gastric disturbance.
Woman, æt. 46 ; indigestion.
Woman, æt. 49, mild disposition, predisposed to lung affections, after catching cold ; bronchitis.
Man, æt. 50, suffering three days ; neuralgic pains in head.
Woman, æt. 50, after erysipelas ; otitis.
Man, æt. 50, formerly addicted to brandy drinking, suffering ten years ; gastralgia.
Man, æt. 50, had gonorrhœa twice, cured without any sequela remaining ; dysuria.
Man, æt. 50, weak, suffering three weeks ; cough.
Woman, æt. 50 ; rheumatism.
Man, æt. 50, quiet disposition ; chronic rheumatism.
Mrs. S., æt. 51, had lateral spinal curvature, suffering over six years ; metritis.
Woman, æt. 54 ; indigestion.
Man, æt. 54, suffering nine days ; ague.
Woman, æt. 55, irresolute disposition, and as a girl very taciturn ; melancholia.
Woman, æt. 59, hearty, lively disposition, suffering three years ; vertigo.
T., æt. 60, robust health, good disposition ; ague.
Man, æt. 62, director of sugar manufactory, suffering six years ; insufficiency of mitral valve.
Mrs. S. E., æt. about 65, suffering several months through last Winter and Spring, and had called for no medical treatment ; ague.
Woman, æt. 66 ; headache.
Man, æt. 68 ; vertigo.
Woman, æt. 70, belonging to upper class of society, small, choleric temperament, suffering for years with hemorrhoids and gout ; glossitis.
Lady, æt. 72 ; soreness of meatus urinarius.
Woman, æt. 73 ; ulcer on leg.
Lady, blue eyes, light hair and complexion ; headache.
Lady, phlegmatic, lachrymose, suffering several weeks ; facial neuralgia.
Young woman, strong and energetic, black hair, red cheeks, after catching cold ; coryza and headache.
Miss M., slender young lady, of dark complexion, still at school, suffering two months ; amenorrhœa.
Mrs. J. M., eight months pregnant, after catching cold ; cough.
Man, stout, full-blooded, suffering ten days ; rheumatism in wrist.
Man, plethoric habit, subject to attacks of rheumatic gout ; rheumatism in hand.
Lady, exceedingly mild and gentle disposition, after an attack of influenza ; neuralgia rheumatica of leg.
Mrs. S., married four years, blonde, in girlhood had a fright, followed by cholera, since her marriage has been in good health until last pregnancy, youngest child 3 months old ; spasms.
Fleshy man, brewer, crippled for years ; rheumatism.
Mrs. W., red hair, light skin, freckles easily ; ague.

Relations

Antidoted by : Chamom., Coffea, Ignat., Nux vom .
It antidotes : Cinchon . ; iron, quinine ; Sulphur, Sulph. ac . ; vapors of mercury and copper ; Bellad., Chamom., Coffea, Colchic., Lycop., Platina, Stramon.,
Sabadilla, Antim. tart . ; whisky ; poisoning by toad-stools.
Compatible : Arsen., Bryon., Bellad., Ignat., Kali bich., Lycop., Nux vom., Phosphor., Rhus, Sepia, Sulphur .
Complementary : Lycop., Sulph. ac .
Compare : Act rac., Antim. crud., Caul., Conium, Cyclamen, Ham., Sabina .

Lectures on Homoeopathic Materia Medica

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

Lecture

It is said to be a very good medicine for women, for blondes, especially for tearful blondes.

Mind

It is one of the polychrests and one of the medicines most frequently used, as well as often abused.

The Pulsatilla patient is an interesting one, found in any household where there are plenty of young girls.

She is tearful, plethoric, and generally has little credit for being sick from her appearances; yet she is most nervous, fidgety, changeable, easily led and easily persuaded. While she is mild, gentle and tearful , yet she is remarkably irritable, not in the sense of pugnacity, but easily irritated, extremely touchy, always feels slighted or fears she will be slighted; sensible to every social influence.

Melancholia, sadness, weeping, despair, religious despair, fanatical; full of notions and whims; imaginative; extremely excitable. She imagines the company of the opposite sex a dangerous thing to cultivate, and that it is dangerous to do certain things well established in society as good for the human race.

These imaginations belong to eating as well as thinking. They imagine that milk is not good to drink, so they will not take it. They imagine that certain articles of diet are not good for the human race. Aversion to marriage is a strong symptom. A man takes it into his head that it is an evil thing to have sexual intercourse with his wife and abstains from it.

Religious freaks; an especial tendency to dwell on religious notions; fixed ideas concerning the Scripture; he misuses and misapplies the Scriptures to his own detriment; dwells on sanctification until he becomes fanatical and insane; thinks he is in a wonderfully sanctification state of mind, or that he has sinned away his day of grace.

This goes no until he becomes insane on other subjects, and then the tendency is to sit day after day in a taciturn way. He will not answer questions unless hard pressed, when all he will say is "Yes" or "No," or be will merely shake his head. Puerperal insanity in a woman who was mild, gentle and tearful, later sad and taciturn, and then she sits in her chair all day answering nothing or merely nodding her head for "Yes" or "No."

Many of the complaints are associated with weakness of the stomach and indigestion, or with menstrual disorders. Women who abort; various irregularities of the menstrual flow; false conception. The mental symptoms are often associated with the ovarian and uterine difficulties.

With such a mental state the general state of the body is worse in a warm room and, relieved by motion. Tearful, sad and despondent, ameliorated walking in the open air, especially when it is crisp, cool, fresh and bright.

Suffocation and an increase of the pains, and even chilliness in a warm room; a nervous chilliness when the patient perspires from the heat of a room. The inflammatory symptoms, neuralgias and rheumatisms are relieved by a cold, by eating and drinking cold things, by cold applications, or cold hands. Cold drinks relieve, even though the patient is not thirsty. Cold foods are digested while hot food make the body warm from which symptoms are worse. Ice cold water feels good going down the oesophagus, and is retained in the stomach, though there is not thirst.

Modalities

Many symptoms worse after eating. It is often only a lump in the stomach, but the mental and nervous symptoms also are worse after eating. The stomach symptoms are worse in the morning, the mental symptoms worse in the evening. Aggravation from fats and rich foods.

Complaints brought ort by eating fat, pork, greasy things. cakes, pastries and rich things. The Pulsatilla stomach is slow to digest. Hours after eating there is a sense of fullness in the stomach, a lump in the stomach, ameliorated by slow walking in the open air.

The patient is commonly relieved from slow motion in the open air, becomes frantic when trying to keep still, worse during rest, ameliorated by doing something, generally slow, moderate motion. This relief from motion and aggravation from rest, relief in the open air, and aggravation in a warm room give us a good summary of this beautiful remedy.

In Pulsatilla patients the skin feels feverish and hot, while the temperature of the body is normal, There is aggravation from much clothing; she wants to wear a thin dress even in moderately cold weather. Does not need to dress warmly. Much clothing and covering aggravate. Often be cannot wear flannels or woolen clothing because they irritate the skin, causing itching and eruptions like Sulphur, and this is not surprising, as Pulsatilla and Sulphur are antidotes.

There is no remedy like Pulsatilla to antidote Sulphur when it has been used every Spring to "cleanse the blood."

Some people use Sulphur until the skin becomes red, hot, easily irritated, and aggravated by clothing. Pulsatilla is the antidote. Old cases of psoriasis; little flat, brownish patches about the size of the thumb nail, which itch tremendously, in old Sulphur patients are cured by Pulsatilla.

A general feature of the skin is itching and burning, but a more marked Pulsatilla state is a Lachesis appearance of the skin. It is mottled, erysipelatous; spotted, purplish in spots; veins engorged; capillaries tumid; a vasomotor paralysis of the capillaries or veins producing a mottled appearance. Pulsatilla has an unusually venous constitution.

Veins

The veins are engorged, in a state of stasis, hence there is over-heat of the skin. This unusual fullness, redness and purple aspect of the face is a false plethora. it often goes on to a puffiness and swelling, and especially at the menstrual periods. Considerable bloating of the face and eyes, bloating of the abdomen; feet puffed so that she cannot wear shoes, feet red and swollen at the menstrual period, ameliorated by the menstrual flow.

Many women are late and are preparing for a week or ten days; face purple, red, puffed and bloated; abdomen distended; dyspnoea; and all this is relieved by the menstrual flow. She feels these symptoms perhaps one or two weeks, and is relieved by slow motion in the open air. Cannot breathe in a warm room; wants the windows open; chokes and suffocates in a warm bed at night. This increases until the menstrual flow starts. The stomach is so full and distended that she cannot eat. No appetite or desire for food.

With the engorgement of veins ulcers surrounded by varicose veins are common in this remedy. Ulcers bleed black blood which coagulates early; little black clots; bleeding is not copious; clots easily, dark, tarry, offensive. Ulcers bleed and ooze, discharge a bloody watery fluid or there is a very thick yellow or green flow.

This brings us to the catarrhal state. Wherever there is mucous membrane there is catarrh. The mucous membrane is covered with purple spots, dry spots; tumid, puffed, looks erysipelatous. Wherever there is inflammation of the mucous membrane it looks purple; a venous congestion.

Thick, green, yellow catarrhal discharges are most characteristic. The catarrhal discharges are bland with the exception of that from the vagina, which is excoriating, causing rawness of the parts. From the eyes, ears, nose and chest there arc thick, yellow, green, bland, discharges, but there is thick yellow green excoriating leucorrhoea. Remember, however, that Pulsatilla has a bland leucorrhoea, in keeping with the general state. Discharges are often offensive, sometimes bloody, watery, but even then mingled with yellow green purulent fluid.

Eyes

The Pulsatilla patient suffers from vertigo from affections of the eyes, ameliorated by wearing well-adjusted glasses; attended by nausea which is worse lying down, worse from motion, worse from the motion of the eyes, and ameliorated in a cold room, and by riding in a carriage in the cold air. As soon as she enters a room that is warm she has nausea, even to vomiting. Vertigo with vomiting after eating.

Head

Pulsatilla has violent headaches. Headaches in school girls who are about to menstruate. Headache accompanying menstruation. Headache associated with suppressed menses, with menstrual disorders; not caused from them, but associated with them.

Pains through the temples and sides of the head are common Pulsatilla headaches. Headaches before, during and after menstruation; but more commonly before, when there is a general state of congestion, stasis, and tumefaction of the veins, and amelioration of the headache when the menses set in if the flow is normal.

It is common to have the head and nervous symptoms through the menses, because the flow is so scanty, often little more than a leucorrhoea, and for a single day a little clot of dark blood.

One-sided headaches and one-sided complaints are peculiar to Pulsatilla. Perspiration on one side of head and face; fever on one side of the body; one side cool and normal and the other side hot. I remember a case of puerperal fever with sweat on one side of the body and dry heat on the other and confusion of other symptoms. Pulsatilla was given and the patient recovered.

The Pulsatilla headache is a throbbing congestive headache; much, heat in the head, ameliorated by the application of cold, by external pressure, and sometimes by slow motion, aggravated by lying and sitting quiet, ameliorated by walking slowly in the air; becomes worse towards evening and gradually increases through the evening and night, worse from the motion of the eyes and from stooping. The pains are often constricting, throbbing and congestive. Periodic sick headaches, with vomiting of sour food. Headache when be overeats. Though he likes ice cream, he has headache and congestion of the stomach after eating ice cream.

Eyes. Catarrhal symptoms. Pustules about the lids and over the ball; on the cornea. Inflammatory features. Thick, yellow-green pus. Granular lids. Continued formation of little pustules. Isolated granules on lids, grow out here and therein bunches as large as pin leads. Eyelids inflamed and bleed easily. Every time he catches cold it settles in the eyes and nose.

Eyes red, inflamed, and discharge, In infants catarrhal diseases of the eyes of a gonorrheal character; ophthalmia neonatorum. In early days the infant often needs the same constitutional remedy as the mother. Yellow green discharge from the eyes; eyes are ameliorated by washing in warm water, or tepid water; even cold water feels good to the eyes.

The Sulphur patient is made worse by bathing; the eyes smart, burn and become increasingly red after washing in water. Pulsatilla causes a tendency to the formation of styes; recurrent styes; always having styes. Pustules, papules and little nodosities on the lids.

Prior to menstruation, in young girls especially, things get black, before the eyes, like a gauze or a veil. Nervous manifestations, twitchings, spell of blindness and fainting. In the early stages of paralysis of the optic nerve Pulsatilla is a great remedy. The patient is always rubbing the eyes; whether or not there is mucus in the eyes it matters not; but it is a sensation of gauze before the eyes, ameliorated by rubbing.

Pulsatilla has cured incipient cataract. Itching of the eyes , in keeping with the skin symptoms. Itching in the ears, nose, tickling in the throat, in the larynx.

Ears

In the ears we have the same catarrhal condition.

Thick, yellow, offensive, purulent, bland discharge; very foetid, sometimes bloody. Pulsatilla is commonly indicated in earache of children; when the child, is a gentle, fat, plump, vascular red-faced child always pitifully crying. If it is a case of earache in a nondescript child Pulsatilla will also prove to be a temporary remedy, so closely is it related to pain in the ear. Pains in the ears in the evening or in the night, ameliorated by walking slowly about the room.

In Chamomilla you have a snap. ping and snarling child, never pleased, scolds the nurse and mother ameliorated by walking about. The irritability decides for Chamo milla. You can detect a pitiful cry from a snarling mad cry. Both are ameliorated by motion, by being carried. Both want this and that and are never satisfied; they want amusement. But the Pulsatilla child when not amused has a pitiful cry and the Chamomilla child a snarling cry. You will want to caress the one and spank the other.

Ear troubles with a ruptured drum and no healing; otitis media. Abscess in the middle ear; inflammation of the middle ear; copious thick bloody discharge, then yellow-green. The case goes on night and day until rupture takes place. I have found this condition as an endemic, in which Merc., Hep.., and Puls. were the most frequently indicated remedies.

Ear troubles following eruptive diseases. Offensive catarrhal discharge dating back to scarlet fever or measles; badly treated and drugged patients. Inflammation and swelling of the external ear; erysipelatous purple conditions. Scabs on the tragus.

Nose

The patient is subject to repeated attacks of coryza, with sneezing and stuffing up of the nose; a febrile state; sometimes with chills, fever and sweat.

Pains in the face through the nose. In the evening considerable watery discharge with sneezing; in the morning stuffing up of the nose with thick yellow-green discharge. Pulsatilla is suitable to chronic catarrhs, with thick yellow-green discharge which is bland; stuffing up of the nose; copious discharge; patient has a bad smell in the nose; smells various offensive things, sometimes like manure, but more commonly described as the offensiveness of a stinking catarrh.

Large bloody, thick, yellow crusts accumulate in the nose, harden down and are blown out in the morning, accompanied by thick yellow pus. In old lingering cases, loss of smell and taste. The mucous membrane is in a state of thickening and suppuration, with the formation of crusts and ulcers. Fullness high in the nose; stuffing up and fullness in the posterior nares. Hawks up thick yellow mucus in masses, with crusts in the morning, very often offensive to others.

Many Pulsatilla patients in this catarrhal state get relief from this horrible stench by blowing out great crusts. Thick clinkers of dried up pus or dried mucus and pus accumulate for several days and this terrible catarrhal smell comes on; but as soon as he blows out these clinkers the odor goes away and he has relief until they form again in a few days.

The patient himself feels better in the open air, and worse in a warm room. He breathes better in the open air; feels stuffy in a warm room. But there are times when his nose stuffs up more in a warm room, where he sneezes more in a warm room,

The loss of smell is present in chronic and acute catarrhs. Much stuffing up of the nose occurring in the evening; he blows the nose easily and cleans it out during the day, but it stuffs up in the evening and he cannot clear it out.

Remember that the mental symptoms are worse in the evening. He gets up in the morning with a stuffed up nose, but can clean it out; his mouth is foul, tongue coated, rancid taste, requires much brushing of his teeth and washing out of his mouth before he can take his breakfast.

So you see the mouth and stomach symptoms are worse in the morning, the mental symptoms are worse in the evening and there is also a stuffing up of the nose in the evening. Compare this with the cough. There is a dry evening cough in Pulsatilla and a loose morning cough.

Copious expectoration in the morning, but a dry, tight, constricted feeling in the chest in the evening. Stuffed up in the evening, making breathing difficult. To repeat, then, Pulsatilla is one of our sheet anchors in old catarrhs with loss of smell, thick yellow discharge, and amelioration in the open air; in the nervous, timid, yielding, with stuffing up of the nose at night and copious flow in the morning.

With the catarrhs and acute colds there is often bleeding of the nose, blowing blood from the nose; the crusts cling tight, and when blown out they are torn loose, and this causes bleeding; but the nose bleeds easily, subject to epistaxis. Nose-bleed during the menstrual period; nose-bleed before the menstrual period; nose-bleed with suppressed menses; bleeding dark, thick, clotted, almost black, venous blood.

Especially do we find catarrhal subjects in women who have late, scanty, light colored menses; scarcely more than a leucorrhoea; if bloody, then only a little black stain or clot. Chlorotic patients who have their menses once every two or three months; chlorotic girls who are irregular, and are subject to these catarrhal states.

Pulsatilla is very useful in hay fever. The management of hay fever requires considerable study because you have to deal with the troublesome imaginations of the patient, he will refuse to let you study him; he wants the hay fever treated; he don't want the hemorrhoids, the thick skin on the soles of the feet, the pains in the sacrum, the diarrhea which alternates with constipation, talked about or inquired into; these are always better when the hay fever is present.

Sometimes he will tell you that he is always well except when he has hay fever. He may feel well, but it is impossible for him to be well; he has always had these complaints and he does not want you to bother with them. The hay fever will hardly ever reveal the indications for a remedy for the patient.

Another individual has epilepsy, and if you expect to find in the fit the remedy that cures the patient you will be mistaken. When an acute mimicking manifestation of disease follows several times the same beaten track the details are hard to find. He does not know much about his hay fever. If you suggest several things he has them all. In nearly all these acute expressions you do not find in the exaggerated attack the symptoms that will lead you to the remedy.

You will find these symptoms by getting the state of the patient before he was taken with bay fever. These primitive symptoms are of more importance. Sometimes it is important to know what region was affected before the nose was affected. At times you will find spinal symptoms; great soreness in the back relieved by lying on something hard. Few remedies have that. They do not tell you that at first but continue to dwell on the bay fever. In many nervous women the attack comes on with sneezing and watery discharge and then a copious, thick, yellowish-green discharge. These are the natural symptoms of hay fever, but in the "back" symptoms you see something.

In Pulsatilla the menstrual symptoms and the prolapsus come in. When the hay fever comes on, all the other symptoms are better, she feels nothing except the hay fever, however, all the symptoms interweave with each other.

The Natrum mur. symptoms will be worse in the morning and until toward noon, while in Pulsatilla they are worse in the evening, the nose filling up with thick, yellowish-green, ropy mucus, and when the nose has been cleared, a dry, burning, smarting feeling remains; if the room is warm at night, she cannot sleep.

Natrum mur. is a little like that in the smarting and inability to sleep at night in a warm room. In Natrum mur. too, the discharge may continue day and night. We have an acute class in which Pulsatilla is sometimes indicated-copious watery discharge which ends in sneezing. In the beginning we will think of Carbo veg., Arsenic, Allium cepa, Euphrasia.

With Carbo veg. there is a watery discharge and the irritation extends into the chest, with hoarseness and rawness. In Allium cepa we have one group of symptoms that points to this remedy. Excoriating discharge from the nose and bland discharge from the eyes; in the larynx, sensation as if hooks were there, and sometimes this extends below the larynx; this always means Allium cepa; it is also worse in a warm room like Puls.

The Euphrasia looks like Cepa, only the discharge from the eyes is copious, watery and burning the lachrymation burns the eyes and excoriates the cheeks; discharge from nose is bland like Pulsatilla; sometimes this goes into the chest, then it is no longer Euphrasia.

Iodine is worse in a warm room; thick discharge from nose which bums and excoriates and is yellowish-green; but there is one thing that differentiates it from all the others -the patient immediately begins to emaciate when the complaint comes on and is very hungry.

Kali hydr. with the thick yellowish discharge, worse in a warm room, there is a great amount of rawness and burning in the nose; external nose very sore to pressure; sensitiveness in the root of the nose; whole face aches and patient is extremely restless; wants to walk in the open air which does not fatigue him.

Iodide of Arsenic; anxiety, restlessness and weakness; frequent sneezing and copious watery nasal discharge that burns the lip. Burning, watery discharge from the eyes like Arsenic. Arsenic wants to be very warm; wants hot water applied to the eyes; the only relief is from sniffing hot water up the nose. The Iodide of Arsenic is worse in a warm room, and, for days after sneezing, the discharge thickens and becomes gluey, looking like thick yellow honey, this excoriates; much pain through the root of the nose and eyes; often rawness in the chest with dyspnoea.

The remedies having the dyspnoea are Arsenic, Iodide of Arsenic, Iodine, Kali hydr., and Sabadilla ; these are the ones I have found most frequently indicated in the asthmatic forms of hay fever. If the complaint has been developed after being overheated about that time, you will find that Silica, Puls. and Carbo veg. must be carefully compared.

There is another class of remedies having the stuffing up of the nose not relieved by the discharge. There is a constant duke to blow the nose, yet he gets no relief. This makes me think at once of Lach., Kali bi., Psor., Naja and Sticta.

Psorinum has the copious, watery, bland discharge from the nose, it may be excoriating, it has both. The stuffing up of the nose generally takes place in the open air; he is relieved in a warm, close room, and by lying down; has sonic dyspnoea. which is relieved by stretching the arms at right angles with the body. Hay fever is a psoric sickness. Psorinum given in a single dose will so develop the symptoms that the case will be more clear. The attack is not the best thing to prescribe for. If it is too violent, a short acting remedy may be selected that will mitigate it.

Nux vomica has a free easy breathing in the open air, but when he goes into the warm room his nose stuffs up, which also occurs at night, though the water drips on the pillow yet he stuffs up like Puls., Bry., and the Iodine preparations Iodide of Arsenic and Cyclamen . Do not understand me to have given remedies for hay fever, we cannot lay down remedies for diseases. The whole constitution must be most carefully examined.

Face

The face is sickly, often mottled, purple, intermixed with yellow and unhealthy colors; venous puffing; sensation of fullness; often a red face, like that of health, and the patient gets no sympathy; face often flushes; flushes of heat to the face; at times a sunken look; dark rings about the eyes; sallow, green, chlorotic.

Subject to erysipelas; erysipelatous blotches on the face, spreading to the scalp, with stinging and burning; skin of face very sensitive to touch at such times.

Mumps and inflammation of parotid glands. If a woman suffering with mumps takes a decided cold the breasts swell, and there is an inflammation of the mammary gland. Girls take cold, the swelling of the parotid subsides too soon, and the corresponding mammary gland swells; sometimes both swell; or it may begin in one and go to the other.

In men it is the testicle. Pulsatilla is one of the most important remedies in this form of metastasis; it breaks up complaints that flit about. Pulsatilla is the common remedy for enormously swollen testicles from mumps in a boy. Carbo vegetabilis is another remedy, but then you have a C arbo veg. patient. Abrotanum is also useful in wandering around symptoms.

Pains

Pulsatilla has wandering pains , rheumatism goes from joint to joint, jumps around here and there; neuralgic pains fly from place to place; inflammations go from gland to gland.

But here is the distinguishing feature - Pulsatilla sticks to its own text ; it keeps jumping around, but it does not change to a new class of disease. Abrotanum has this metastasis, but it changes the whole diagnosis; that is, the allopath says,

"This is a new disease today."

The patient has a violent diarrhoea today, and an ignoramus suppresses it; an inflammatory rheumatism comes on, and he calls it a new disease. The suppression of a diarrhoea or a hemorrhage, or the removal of piles, causes an out-cropping somewhere else. A child has a summer complaint suppressed and there follow symptoms referring to the brain, kidneys, liver, or a marasmus with emaciation from. below upwards. Such things are in the nature of Abrotanum.

Stomach

Hours after eating the patient eructates mouthfuls of sour, rancid, bitter fluid; liquids roll up from the stomach; always belching up rancid food.

Some patients cannot digest butter; cannot use olive oil on their food. All sorts of bad tastes in the mouth. Several hours after eating has not finished digesting food in the stomach. Sour vomiting and eructations.

Digestion is slow, and the patient goes to the next meal hungry; eating does not satisfy; assimilation is bad. Always bilious. Mouth is slimy and the taste is bad. All these symptoms are worse in the morning.

"Accumulation of saliva and much mucus in the mouth."

"Flow of sweetish or tenacious saliva."

"Constant spitting of frothy, cotton-like mucus."

A striking feature of the Pulsatilla patient is that he never wants water. Dryness of the mouth, but seldom thirsty. Even in -many of the fevers he is thirstless, but there is at times an exception to this in high fevers there may be some thirst.

"Thirstlessness, with moist or dry tongue.

Desire for sour, refreshing things."

Often desires things he cannot digest; lemonade, herring, cheese, pungent things, highly-seasoned things, juicy things.

"Aversion to meat, butter, fat food, pork, bread, milk, smoking."

"Scraping sensation in stomach and oesophagus like heartburn."

Many pains in the stomach when empty or when full. But the bloating, the gas and the sour stomach are most striking. Gastric catarrh. Craves ice cream; craves pastries, yet they will not digest, and make him worse. Craves things which make him sick. This is not uncommon. The whisky drinker craves his liquor, yet knows it will kill him. So in Pulsatilla with regard to pastries. Craves batter cakes, with maple syrup, yet knows they will be vomited. Craves highly spiced sausage, yet averse to pork alone.

Pulsatilla produces and cures jaundice.

"Jaundice in consequence of chronic susceptibility to hepatitis and derangement of secretion of bile, with looseness of bowels duodenal catarrh; disordered digestion feverishness and thirstlessness after quinine."

Abdomen

Many troubles seem to manifest themselves in the abdomen by bloating, distension of the abdomen, flatulence, colicky pains, rumbling, fermentation of food, and from disorders of menstruation or diarrhea.

Great sensitiveness, tumefaction, tenderness; whole abdomen, stomach and pelvic organs sensitive to touch. Bloating after eating, especially after fats and rich foods. Fullness of the veins; general venous stasis. It brings about especially a tumid fullness of the abdomen, such a stuffed feeling that she cannot breathe.

Women

In a woman about to menstruate, there is bloating of the abdomen, stuffed feeling, has to throw off her clothes, cannot wear stays, wants to get into a loose dress or, to go to bed - so extremely puffed is she.

Associated with this abdominal tumefaction the face and lips become bloated and puffed, the eyes red, and the feet puffed so that she cannot wear her shoes. There is also a sensation of dragging down, a sense of great weakness, commonly related to the menstrual disturbances or uterine disorders.

The dragging down is recognized as prolapsus uteri. It is felt in the whole abdomen and is described as a funneling sensation, as if the parts would push out into the world, a dragging down. Oversensitiveness (of the abdomen; especially in the lower part of the abdomen. She cannot stand on her feet or walk around much, because of the weight and dragging down.

Labor-like pains in the uterus and back as if the menses would come on. It is not uncommon for the Pulsatilla patient to feel through the whole month as if she were about to menstruate.

The abdominal and bowel symptoms are associated.

Cutting, flitting changing pains. Pains urging to stool. Griping, in the bowels associated with dysentery or diarrhoea; loose watery or green stools. A striking feature of the bowel symptoms is a loose, watery, green stool, continually changing; yellow, faecal, slimy.

In summer complaints, when Pulsatilla is the indicated remedy, there will be hardly two stools alike; continually changing. This is characteristic of Pulsatilla in general; the pains wander; complaints change by metastases; the patient is scarcely ever twice alike. Diarrhea alternating with constipation. Menstrual flow stops and starts, intermits and changes. In the Pulsatilla patient you never know what you will find next.

Dysentery; dysenteric stools; scanty, slimy, bloody, green, watery stool with a little spurt; next stool might be diarrheic, with quite a copious discharge; thus you have diarrhoea and dysentery together.

Troublesome chronic constipation; stool large, hard and difficult to expel. It has (like Nux) frequent urging to stool without any, stool, or frequent urging with only a scanty stool; goes many times before can pass a stool, Nux and Pulsatilla.

Frequent unsuccessful urging in a chronic case is looked on as a keynote to Nux, but many remedies have it. Pulsatilla is one. The diarrhoea and bowel symptoms of Pulsatilla are worse, in the evening and during the night; that is, the stools are worse at night. The stomach, throat and mouth symptoms are worse in the morning. The mental symptoms are worse in the evening. The bowel and stool symptoms are aggravated by keeping perfectly still, and ameliorated by gentle motion.

There is much restlessness in Pulsatilla. Amelioration from motion in the cool open air. Feels stuffed up in a close room, and wants the windows open.

"Dysenteric stools of clear yellow, red or green slime; pain in the back, straining."

"Stools of deep green mucus; pain in the abdomen; no thirst."

You will remember the word green in Pulsatilla, as it relates extensively to the catarrhal discharges.

Most troublesome constipation with hemorrhoids; violent pains in the hemorrhoids, worse lying down, ameliorated from gentle motion, worse from the warmth of the bed, better moving about in the open air.

She becomes so nervous in a room while at rest that the pains seem intensified and she must move about.

Exaggerated sexual desire; nymphomania; wild, beside herself with sexual thoughts; uncontrollable sexual desire. Inflammation of ovaries and uterus. Suppression of menses from getting feet wet. Menses too late, scanty.

Face pale, yellow, sallow, or green like a chlorotic patient. It overcomes the tendency to miscarriage, false conception, moles, etc., and stops the growth of fibroids, other symptoms agreeing. In pregnancy and during confinement many symptoms call for Pulsatilla.

Most often called for when the patient is not irritable and the pains are very feeble, lasting for several days, and doing nothing; irregular, flitting, changeable pains, now up the back, now down the limbs; a prolonged first stage or prolonged preparatory symptoms. Chamomilla is more suitable if the woman is extremely irritable. But in a mild, gentle, mental state, when the pains are irregular, the os dilated and the contractions have let up, the pains too short, Pulsatilla will terminate that labor in a short time. The next pain after the dose will be a good one. You very often see in these cases that the outside parts are relaxed and the conditions are such that everything ought to go on well, but there is inaction. For weak pains Pulsatilla stands high.

Violent menstrual colic, causing her to bend double; soreness in the region of the uterus and ovaries; distended abdomen; throws the covers off; wants the windows open; tearful; weeps without a cause. Suppression of the menstrual flow from getting feet wet. Flow slow in being established and then scarcely more than a leucorrhea.

Menstruation that has been painful since puberty in plethoric girls. I have seen Pulsatilla cure a great many girls of sixteen to eighteen years old. The mother comes to me saying her daughter has suffered since her first menses; she went in swimming, or got her feet wet, and has suffered since. The doctor says the parts 'are undeveloped and she must be operated on.

Pulsatilla has established a normal flow in a few months. Now I will give you a contrast in another remedy. Scrawny girls who are sensitive to cold, have also taken a bath at the time the first menses should appear, or have got the feet wet, and the flow is partially suppressed, or has come on with an inflammation; a state of undevelopment is established, a stenosis; horrible menstrual colic; bearing down pains, as if everything would escape into the world, doubling the patient up; ameliorated by heat and aggravated by cold. Calc. phos. is the remedy.

"In girls of mild disposition, when puberty is unduly delayed, or menstrual function is defectively or irregularly performed; they are pale and languid, complain of headache, chilliness and lassitude."

To develop these young girls Pulsatilla is a great remedy. Most troublesome cases of prolapsus. It competes with Sepia, Belladonna, Natrum mur., Nux vomica and Secale ; all of these are remedies with great relaxation, bearing down; some have cured even procidentia.

Pulsatilla cures many cases of gonorrhoea in females. I think it is most commonly indicated. A striking feature is, when the menstrual flow is present there is milk in the breasts.

In girls at puberty - milk in the breasts; a premature establishment of milk. In non-pregnant women, milk in the breasts. ( Cyclamen and Mercurius.)

Hemorrhoids

"Hemorrhoids; painful protruding, blind, with itching and stitches in anus."

The aggravation from lying down in extremely painful hemorrhoids is contrasted with Ammonium carb. which has violently painful hemorrhoids relieved by lying flat on the back. In violently painful hemorrhoids, with intense burning, think of Arsenicum and Kali Carbonicum.

In those with sticking, tearing pains study Aesculus.

Looking over a number of years I have been forced to use in this cases a remedy not yet fully proven. In painful hemorrhoids, in a broken down constitution where the whole disease seems to culminate in the hemorrhoids; bleeding, protruding; a mere touch almost causes a convulsion; it causes her to scream out at the top of her voice; it is so painful that she feels that death would be a relief; she lies in bed, holding the nates far apart with her hands; after every stool she has three or four hours of extreme suffering. In these case look up the Paeony.

The hemorrhoids it cures look like the flowers of the plant, they are so inflamed, so red and bleeding; oozing; tender to touch; patient is so worn out with the pain. It has many times relieved the pain and cured these enormous hoemorrhoidal tumors. I have cured them after they. Had been operated on, and all sorts of violence done them, without relief. Do not go to this drug if you can find a remedy that covers all the patient . Many patients will not confess any other symptoms, and some of these will suffer so much from the hemorrhoids alone that you will really need this remedy.

Urine

frequent, scanty, with urging; wonderful tenesmus; extremely painful, bloody, burning, smarting urine; there is scarcely a drop collects in the bladder but it must be expelled.

She cannot lie on the back without having a desire to urinate. She may go all night without urinating if she does not lie on the back, but the minute she turns on her back she is wakened by the desire to urinate and she feels that if she does not hurry she will pass it involuntarily.

Involuntary urination when coughing and sneezing, or from a sudden shock or surprise, or from sudden joy, or from laughing, or from the noise of the slam of a door or a pistol shot. Pulsatilla has dribbling of urine, dribbles on the slightest provocation.

She must keep her mind. Continually on it, or she will lose her urine. As soon as she goes to sleep it flows away. Little, mild, gentle, florid, plethoric, warm-blooded girls, who kick the covers off at night and have nocturnal enuresis.

Yellow, sallow, sickly girls who lose their urine in their first sleep call for Sepia. Losing the urine in the first sleep is looked upon as a strong symptom, but you can figure it out, and hence it is not so. All those cases that have to make an effort to hold the urine during the day lose in their first sleep; for then the mind is taken off it, and as soon as the mind is taken off it the urine dribbles.

Causticum and Sepia are remedies looked upon as curing involuntary urination during the first sleep, but I have cured it with many other remedies.

A man past middle age flooded the bed at night as soon as he went to sleep. The medicines which have this are limited and be had received them all. I found I must figure it out on another basis. I ascertained that when moving about at his work he had no difficulty in holding the urine but when he sat down he had to make an effort to control it. At the time this condition developed he had been in Atlantic City and had bathed much in the ocean. Here were the aggravation and amelioration of Rhus, and Rhus cured him. Few would think of Bryonia in urinary trouble.

When he moves the urine dribbles, when he walks it flows. He is relieved only by keeping quiet. Bryonia is aggravated by motion; Rhus is relieved by motion.

Pulsatilla has relief from motion. A few remedies have relief from slow motion and of these Pulsatilla and Ferrum are the most striking. A few remedies are relieved by hurried motion; want to move fast. Such are Bromine and Arsenicum . The Arsenic child cannot be carried fast enough. The Pulsatilla baby is content with moderate motion. Any motion that heats up the Pulsatilla patient aggravates all the complaints. A wood sawyer working hard said his cough was relieved by moving about but when he became heated up from sawing he had to sit down and rest on account of the violent spasmodic cough that would come on.

Pulsatilla has complaints from exposure to rain; getting feet wet. Urinary troubles, worse when getting chilled ( Dulcamara). Pulsatilla establishes a chronic, inveterate catarrh of the bladder. Copious mucous discharge, bloody discharge, especially after taking cold. Thick, ropy, purulent, green, offensive discharge.

Men

Sexual desire unusually strong.

"Long lasting morning erection."

"Sexual excesses resulting in headache, backache; limbs heavy."

"Burning and aching of the testicles, with or without swelling."

Orchitis; inflammation and swelling of the testicles from suppressed gonorrhea, from mumps, from catching cold, from, sitting on damp ground, or on a cold stone when perspiring. Gonorrhea suppressed by injections.

"Cold" settles in the testicles. Pulsatilla is the most frequently indicated remedy in gonorrhoea. in which the discharge is thick yellow or thick yellow and green, in those who are sensitive to heat, ameliorated walking in the open air. But also in persons with no other symptoms, and the gonorrheal discharge is thick yellow or green; no symptoms contra-indicating it.

Troublesome lingering discharges; an old gleet rouses into a thick yellow discharge, when be takes cold or after coition. Frequent tenesmus; chordee; urging to urinate; burning urination and yellow discharge.

Tumefaction about the penis. Foreskin dropsical. (Nitric ac., Fluor. ac., Cann. sat.). Pulsatilla is useful in cases of suppressed gonorrhea, with complaints following. Inflammation of the prostate. In old sinners with enlarged prostate, hard, flat, packed faeces, must always use a catheter; especially when the trouble has been brought on by sexual abuses, sexual excesses, vices. Pain in the testicles; tearing in the swollen testicles. Pain along the cord like cutting of knives; lacerating, tearing.

Chest

The chest, respiratory organs, and cough furnish some most troublesome symptoms.

Bronchitis; pneumonia. Dry, teasing cough and dyspnoea; wants the windows open, aggravated lying down. Cough gagging and choking. Copious expectoration in the morning, of thick yellow-green mucus. Dry, teasing cough at night, worse lying down, Chronic loose cough after measles. Whooping cough.

In the larynx we have many symptoms; constriction; tickling causing cough. Dry, teasing cough, worse lying and in a warm room. Cough worse at night. Bronchitis with loose morning and dry, evening cough.

Dyspnoea; oppression from walking fast or becoming overheated after eating; stopping up nose; after emotions. Spasmodic contraction of larynx. Tightness of chest; dyspnoea when lying on left edge; suffocation in the evening and during the night.

Asthma of children from suppressed rash or in women from suppressed menses. Loud rattling in the chest when lying. Chronic loose cough after measles. Expectoration of copious, thick, yellow-green, or bloody mucus; salty; offensive. Chronic catarrh of chest. Sensation of fullness in the chest in the evening with pulsation preventing sleep.

Palpitation from lying on the left side. Soreness in the walls of the chest. Pain in the chest sometimes relieved by lying on the opposite side; dryness and rawness in the chest. Wandering tearing pains in the chest; cutting pains in pleurisy; violent beat in the chest.

Haemorrhage of the lungs, dark blood. Dry cough in the evening, loose in the morning. Hemorrhage with suppressed menses or instead of the menses. Pulsatilla is very useful in catarrhal phthisis in chlorotic girls.

Back

In curvature of the spine Puls. is of great value.

Pain in the back, lumbar and sacral regions; wandering pains; spinal irritation after sexual excesses. Rheumatic pains in the spine and limbs, worse during rest and better from slow motion. Pain in small of back as if sprained; sensation of cold water poured down back.

All the limbs are painful; drawing, tearing pains in the limbs, better from motion and after motion; worse from a warm room and better from cold applications. Swelling of the veins in the arms and hands. Varicose veins of the limbs like Fl. ac. Rheumatism of joints; pain in joints as if dislocated. Sciatica worse in the evening and better from slowly moving about. Drawing and tension of muscles in lower limbs in the evening in bed. Tearing, jerking pains in the limbs, changing place. Burning in the veins. Purple swelling with violent itching of the feet as if they had been frozen. Feet burn, and he must put them out of bed. Soles bum and are bruised when walking.

Marked restlessness and twitching of the limbs and feet; numbness of the limb, lain on; wandering pains in all the limbs.

Sleeps on the back with hands over head. Cannot sleep on the left side as it increases the palpitation and suffocation. Confused, frightful, anxious dreams. Late falling asleep; sleeplessness on account of flushes of heat.

Pulsatilla cures intermittent fever, coming on from; disordered stomach. Chill morning and evening daily. The chill begins in the bands and feet; pains in the limbs during the chill; one sided coldness with numb feeling; fever one sided.

Thirst before the chill and seldom during the heat; heat with distended veins; sweat profuse all over or only on one side of the body. Vomiting of mucus during the chill.

The Therapeutics of Fevers

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

Characteristic

Adapted to persons of indecisive, slow, phlegmatic temperament; sandy hair, blue eyes, pale face, easily moved to laughter or tears; affectionate, mild, gentle, timid, yielding disposition—the woman’s remedy.

Weeps easily; almost impossible to detail her ailments without weeping (weeps when thanked, Lyc.).

Women inclined to be fleshy, with scanty and protracted menstruation (Graph.).

The first serious impairment of health is referred to puberic age, have “never been well since”—anæmia, chlorosis, bron- chitis, phthisis.

Secretions from all mucous membranes are thick, bland and yellowish-green (Kali s., Nat. s.).

Pains: drawing, tearing, erratic, rapidly shifting from one part to another (Kali b., Lac c.); are accompanied with con- stant chilliness, and the more severe the pain the harder the chill; appear suddenly, leave gradually, or tension, which in- creases until very acute, and then “lets up with a snap” (toothache, neuralgia); on first moving (Rhus).

Symptoms ever changing; no two chills, no two stools, no two attacks alike; very well one hour, miserable the next.

Thirstlessness with nearly all complaints.

Gastric difficulties from eating rich food, cake, pastry, espe- cially fat pork or sausage; the sight or even thought of pork causes disgust; “bad taste” in the morning.

"All-gone" sensation in stomach, in tea drinkers especially.

Diarrhœa: only, or usually at night; watery, greenish-yellow, very changeable; soon as they eat; from fruit, cold drinks, ice-cream (Ars., Bry.—eating pears, Ver., China; onions, Thuja; oysters, Brom., Lyc.; milk, Cal., Nat. c., Nic., Sul.; drinking impure water, Camp., Zing).

Derangements at puberty; catamenia, suppressed from getting the feet wet; too late, scanty, slimy, intermitting flow, with evening chilliness; flows more during the day (Lil.—on lying down, Kreos.; only at night or when lying, Mag. c.).

Sleep: wide awake in the evening, does not want to go to bed, first sleep restless, sound asleep when it is time to get up; wakes languid and unrefreshed (rev. of Nux).

Styes, especially on upper lid, from eating fat, greasy, rich food or pork (compare, Lyc., Staph.).

Threatened abortion: flow ceases and then returns with increased force; pains spasmodic, excite suffocation and fainting; must have fresh air; during chill.

Relations

Complementary: Kali m., Lyc., Sil., Sulph. ac.

Follows well: after Kali bi., Lyc., Sep., Sil., Sul.

Ailments: from Cham., Quinine, Mer., Sul., tea-drinking.

Silicea is the chronic of Pulsatilla in nearly all ailments.

One of the best remedies with which to begin the treatment of a chronic case (Cal., Sulph.).

Patients, anæmic or chlorotic, who have taken much iron, quinine and tonics, even years before.

Aggravation

In a warm, close room; evening, at twilight; lying on the left or painless side; indigestible food, fats, pork, ice cream, etc.; on beginning to move; heat, warm applications (< Kali m.).

Amelioration

In open air; lying on painful side (Bry.); cold room; eating or drinking cold things; cold applications.

Type

Every type; simple and compound. Quotidian; tertian; quartan. Monthly (Nux, Sep.); every fourteen days (Ars., Cinch., Plan.). Irregular type; irregular stages; long chill, little heat, no thirst (short chill, long heat, no thirst, Ipec.); stages not marked and apt to run into each other (Ars., Nux, Pod.). Bilious, remittent, continued.

Time

1, 8 and 11 A. M. 1 and 4 P. M. Afternoon and evening. The 4 o'clock paroxysm predominates. Evening paroxysm lasts all night (Lyc., Nux, Rhus).

Cause

Dietetic irregularities. Eating rich, fat food, pastries, pork, often originates an attack, or during convalescence produces a relapse (Ant. c., Ipec.).

Prodrome

Thirst; drowsy and sleepy all day, with mucous diarrhœa; nausea or vomiting of mucus. If morning chill diarrhœa previous night without thirst.

Chill

Cold chills all over; chilliness all the time; feels cold even in a warm room, in the evening. Chilliness the whole evening before bedtime, even while walking. Chilliness; on going from a warm room into the cold air; with pains in the evening. Chill at 4 P. M., no thirst; vomiting of mucus when the chill comes on; anxiety; dyspnœa; flitting chilliness; in spots, now here, now there; worse in the evening. One-sided coldness, with numbness (Bry., Nat. right side;—Caust., Carbo v., Lyc., Thuja—the left). Chilliness over the abdomen extending around the sacrum and back. Shivering on the back extending into the hypochondria, especially into the anterior portion of the arms and thighs, with a coldness of the limbs, and a feeling as if they would fall asleep, about 4 P. M. Shivering running up the back all day; creeping-shivering over the arms, with heat of the cheeks; the air of the room seems hot. Cold hands and feet, they seem dead (Lyc., Sep.—whole body numb, Ced.). Hand and foot of one side cold and red; the other side hot, in the evening. The morning paroxysm at 8 A. M. has nausea, vomiting, headache and vertigo; chilliness, heat and sweat intermingled, or simultaneous (Ars), and usually much thirst during entire attack. Evening paroxysm; violent chill, with external coldness, without shivering or thirst; in the morning sensation of heat, as if sweat would break out, without thirst or external heat, though with hot hands and aversion to uncovering.

Heat

With thirst; with red face, or one cheek red and one pale (Acon, Cham.). Heat of right side (left side and left arm, Rhus), or on upper part of body, lessened by motion or washing (Caps.—increased by motion, Nux); heat of face, or of one hand, with coldness of the other; body hot, limbs cold (Bell., Carbo v.). Anxious heat, as if dashed with hot water (Rhus). Intolerable burning heat at night in bed with uneasiness. Dry heat of the body in the evening, with distended veins and burning hands, that seek out cool places (Opium). He is hot, wishes to be uncovered (Apis, Camph., Sec.). Moans and groans, licks the lips, but does not drink. Heat of the whole body, except the hands, which are cool, with pressive headache above the orbits. Internal dry heat with thirst; flushes of heat; with clothes on was too warm, on taking them off was chilly. External warmth is intolerable (heat of room is intolerable, Apis); the veins are enlarged (Bell., Cinch.). Fever; thirst at 2 P. M., followed by chill at 4 P. M., without thirst, with coldness of the face and hands; anxiety and oppression of the chest; afterward, when lying down, drawing pains in the back, extending to the occiput, and thence into the temples and vertex; after three hours, heat of the body, without thirst; the skin was burning hot, but there was sweat only on the face, trickling down in large drops like pearls, sleepiness without sleep, and restlessness; next morning sweat over whole body.

"The intermittent fever that Pulsatilla is able to excite has thirst only during heat (not during chill), seldom after the heat or before the chill. When there is only a sensation of heat, without externally perceptible heat, the thirst is wanting."—HAHNEMANN.

"When heat follows the chilliness, if it be only a sensation of heat with no objective warmth, there is no thirst; but if the heat be, as it sometimes is, both objective and subjective, it is then at- tended by thirst. Remember this, because absence of thirst is said to be a characteristic of Pulsatilla, and presence of thirst, there- fore, to contra-indicate. This is true with the limitation stated."

—DUNHAM.

Sweat

One-sided; only on the left, or only on the right side of the body; sweat on the right side of the face (sweat on the side on which he lies, Acon., Chin. s.—on the side not lain upon,

Benz., Sanicula—on single parts only, Bry.); sweat worse at night or in the morning, ceases when waking (see Samb.) Per- spiration on the head, face, and scalp. Sweat all night, with loquacity during stupefied slumber (loquacity during chill,

Pod.—during heat, Lach. and Pod.). Pains continue during sweat (Eup., Lach., Nat., Nux—worse during sweat, Ipec.).

Tongue

Coated white or yellow, and covered with a tenacious mucus; too large, too broad. Taste foul, of putrid meat; dis- gusting; bitter, slimy, bilious taste after eating, drinking and smoking. Desire for beer, alcohol, stimulants, sour, refreshing things. Aversion to fat pork, milk, bread.

Pulse

Weak, small, but accelerated. Pulsations through the whole body; in violent paroxysms; from chagrin, fright, joy; with anæmia, chlorosis; great anxiety, was obliged to throw off his clothes.

Apyrexia

Spleen enlarged and sensitive. Constant chilliness during apyrexia. Headache, moist cough, painful oppression of the chest, somnolence, loss of appetite, bitterness of the mouth, sour eructations, nausea and vomiting of mucus, diarrhœa of glairy, watery stools, with prevalence of gastric and bilious symptoms.

After abuse of Quinine, with bitter taste of food and clean tongue. Suppression of menses, or irregular menses (Sep.).

Slightest derangement of the stomach will cause a relapse (Ipec.).

Mild, tearful disposition of women and children often becomes converted into a peevish, irritable, fretful mood; symptoms of threatened abortion during paroxysm in early months of preg- nancy. Paroxysm of increasing severity and ever chang- ing symptoms; no two attacks alike.

Analysis

Chill; evening, 4 P. M.; cold all over; one-sided.

Heat; of single parts, or heat of one hand, coldness of the other, or body hot, limbs cold; thirst and < from external warmth.

Sweat; one sided; of single parts; with loquacity during stupefied sleep.

No two paroxysms alike, ever changing symptoms; increasing severity.

Abuse of Quinine; relapse from slight errors in diet.