Secale Cornutum sec.

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

Muscles: BLOOD-VESSELS. UTERUS. BLOOD. Nerves. Cord. Limbs.

Worse

WARMTH. During menses. Pregnancy. Loss of fluids. COVERS.

Better

Cold; bathing. Uncovering. Rocking. Forcible extension.

General

Dusky, scrawny and heamorrhagic. Numbness, insufferable tingling, crawling, twitching, gnawing or cramping; with stiffness; in single parts; starting in face or back; in limbs; in fingertips; after the pains, etc. Burnings; here and there, like fire. Dark, thin, foul or exhausting discharges. Decomposition. Petechiæ. Varicoses. Passive bleedings or discharges. Contracted arterioles. Tonic spasm.

Particulars

Mental weakness after spasms. Fear, depressed by; maniacal. Sparks before eyes. Distorted or sunken countenance; blue rings under eyes. Wild look. Thirst; craves acids. Empty retching. Empty feeling in hypogastrium. Wants abdomen uncovered. Gushing, painless, watery, olive-green or bloody stools; with collapse. Bloody urine. Everything seems loose and open. Senile enuresis. Inert uterus, or bearing down with coldness. Contracted uterus; hour-glass contraction. Miscarriage. Green lochia. Septic placenta. Metritis. Gangrene of female organs. Leucorrhœa; brown, foul; continuous. Pains through chest on pressing spine. Cold limbs. Bluish fingers and toes. Cramps in hands, legs and feet. Fingers spread apart; bent backward or clenched; look water soaked. Boils with green pus. Blood blisters. Cold, dry, wrinkled or bluish skin, < over affected part. Raynaud's disease. Foul, indolent ulcers. Twitching tremor or quiver in skin. EXTERNALLY, ICY COLD, YET BURNING HOT INTERNALLY; OBJECTS TO BEING COVERED, < ABDOMEN. Heat, as of sparks on skin. Erysipelas. Cold or foul sweat; destroying shoes.

Related

Antidote: Solan-n. Related: Nux-m. Ust.

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 women of thin, scrawny, feeble, cachetic appearance; irritable, nervous temperament; pale, sunken countenance. Very old, decrepit, feeble persons. Women of very lax muscular fibre; everything seems loose and open; no action; vessels flabby; passive haemorrhages, copious flow of thin, black, watery blood; the corpuscles are destroyed. Haemorrhagic diathesis; the slightest wound causes bleeding for weeks (Lach., Phos.); discharge of sanious liquid blood with a strong tendency to putrescence; tingling in the limbs and great debility, especially when the weakness is not caused by previous loss of fluids. Leucorrhoea; green, brown, offensive. Boils: small, painful with green contents, mature very slowly and heal in the same manner; very debilitating. Face: pale, pinched, ashy, sunken, hippocratic; drawn, with sunken eyes; blue rings around eyes. Unnatural, ravenous appetite; even with exhausting diarrhoea; craves acids, lemonade. Diarrhoea: profuse, watery, putrid, brown; discharged with great force (Gamb., Crot.); very exhausting; painless, involuntary; anus wide open (Apis, Phos.). Enuresis: of old people; urine pale, watery, or bloody; urine suppressed. Burning; in all parts of the body, as if sparks of fire were falling on the patient (Ars.). Gangrene; dry, senile, < from external heat. Large ecchymosis; blood blisters; often commencement of gangrene. Collapse in cholera diseases; skin cold, yet cannot bear to be covered (Camph.). The skin feels cold to the touch, yet the patient cannot tolerate covering; icy coldness of extremeties. Menses: irregular; copious, dark, fluid; with pressing, labor-like pains in abdomen; continuous discharge of watery blood until next period. Threatened abortion especially at third month (Sab.); prolonged, bearing down, forcing pains. During labor: pains irregular; too weak; feeble or ceasing; everything seems loose and open but no expulsive action; fainting. After pains: too long; too painful; hour-glass contraction. Suppression of milk; in thin, scrawny, exhausted women; the breasts do not properly fill. Pulse small, rapid, contracted and often intermittent.

Relations

Compare: Cinnmon in post-partum haemorrhage; it increases labor-pains, controls profuse or dangerous flooding, is always safe, while Ergot is always dangerous. Similar: to, Arsenicum, but cold and heat are opposite. Resembles Colchicum in cholera morbus.

Aggravation

Heat; warmth from covering, of all affected parts; in all diseases worse from heat.

Amelioration

In the cold air; getting cold; uncovering affected parts; rubbing.

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

For female complaints chiefly, and especially when occurring in thin, scrawny, wrinkled females; or children. Skin is cold, but the patient does not wish to be covered up. Copious vomiting of a mixture of thick, black, pitchy, bilious and slimy matter. Dry gangrene, particularly on the right side, beginning in the toes and running up the limb. Amaurosis occurring in patients characteristic of this drug; hard hearing; blue color around the eyes.

Sexual

Female: Female genital organs in general; pains like labor pains, which are protracted from a long time, skin cold and no wish to be covered, etc.; labor pains ceasing; labor pains too weak; abortion in the characteristic patients. Menses last too long; too profuse.

Skin

Blackness of outer parts; crawling on the skin as of insects; ulcers that turn black; skin withered and gangrenous. Heat, with thirst and want of perspiration. Affections in general of the right side; painless hæmorrhage; crooked limbs; paralysis; sensation of deadness in any part.

Worse

From drawing up the limbs; especially for troubles in childbed.

Better

From stretching out the limbs. After vomiting.

Remedies following

Acon., Arsen., Bellad., Mercur., Pulsat.

Antidotes

Camphor., Opium.

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

Uterine hemorrhages from atony; especially after abortion or confinement; flow black and offensive; worse from slightest motion; threatening collapse.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Ergot (CLAVICEPS PURPUREA)

General

Produces contraction of the unstriped muscular fibers; hence a constringent feeling throughout the whole body. This produces an anæmic condition, coldness, numbness, petechiæ, mortification, gangrene. A useful remedy for old people with shriveled skin-thin, scrawny old women. All the Secale conditions are better from cold; the whole body is pervaded by a sense of great heat. Hæmorrhages; continued oozing; thin, fetid, watery black blood. Debility, anxiety, emaciation, though appetite and thirst may be excessive. Facial and abdominal muscles twitch. Secale decreases the flow of pancreatic juice by raising the blood pressure (Hinsdale).

Head

Passive, congestive pain (rises from back of head), with pale face. Head drawn back. Falling of hair; dry and gray. Nosebleed, dark, oozing.

Eyes

Pupils dilated. Incipient cataract, senile especially in women. Eyes sunken and surrounded by a blue margin.

Face

Pale, pinched, sunken. Cramps commence in face and spread over whole body. Livid spots on face. Spasmodic distortion.

Mouth

Tongue dry, cracked; blood like ink exudes, coated thick; viscid, yellowish, cold livid. Tingling of tip of tongue, which is stiff. Tongue swollen, paralyzed.

Stomach

Unnatural ravenous appetite; craves acids. Thirst unquenchable. Singultus, nausea; vomiting of blood and coffee-grounds fluid. Burning in stomach and abdomen; tympanites. Eructations of bad odor.

Stool

Cholera-like stools, with coldness and cramps. Olivegreen, thin, putrid, bloody, with icy coldness and intolerance of being covered, with great exhaustion. Involuntary stools; no sensation of passing feces, anus wide open.

Urine

Paralysis of bladder. Retention, with unsuccessful urging. Discharge of black blood from bladder. Enuresis in old people.

Female

Menstrual colic, with coldness and intolerance of heat. Passive hæmorrhages in feeble, cachectic women. Burning pains in uterus. Brownish, offensive leucorrhœa. Menses irregular, copious, dark; continuous oozing of watery blood until next period. Threatened abortion about the third month (Sab). During labor no expulsive action, though everything is relaxed. After-pains. Suppression of milk; breasts do not fill properly. Dark, offensive lochia. Puerperal fever, putrid discharges, tympanitis, coldness, suppressed urine.

Chest

Angina pectoris. Dyspnœa and oppression, with cramp in diaphragm. Boring pain in chest. Præcordial tenderness. Palpitation, with contracted and intermittent pulse.

Sleep

Profound and long. Insomnia with restlessness, fever, anxious dreams. Insomnia of drug and liquor habitudes.

Back

Spinal irritation, tingling of lower extremities; can bear only slightest covering. Locomotor ataxia. Formication and numbness. Myelitis.

Extremities

Cold, dry hands and feet of excessive smokers with feeling of fuzziness in fingers. Trembling, staggering gait. Formication, pain and spasmodic movements. Numbness. Fingers and feet bluish, shriveled, spread apart or bent backwards, numb. Violent cramps. Icy coldness of extremities. Violent pain in finger-tips, tingling in toes.

Skin

Shriveled, numb; mottled dusky-blue tinge. Scleræma and œdema neonatorum. Raynaud's disease. Blue color. Dry gangrene, developing slowly. Varicose ulcers. Burning sensation; better by cold; wants parts uncovered, though cold to touch. Formication; petechiæ. Slight wounds continue to bleed. Livid spots. Boils, small, painful, with green contents; mature slowly. Skin feels cold to touch, yet covering is not tolerated. Great aversion to heat. Formication under skin.

Fever

Coldness; cold, dry skin; cold, clammy sweat; excessive thirst. Sense of internal heat.

Modalities

Worse, heat, warm covering. Better, cold, uncovering, rubbing, stretching out limbs.

Relationship

Compare: Ergotin (Beginning arteriosclerosis progressing rather rapidly. Increased blood pressure: 2x trit. Œdema, gangrene and purpura hæmorrhagia: when Secale, though indicated, fails); Pedicularis Canadensis (Symptoms of locomotor ataxia; spinal irritation); Brassica napus-Rape-seed--(dropsical swellings, scorbutic mouth, voracious appetite, tympanitis, dropping of nails, gangrene); Cinnamon; Colch; Ars; Aurum mur. 2x (locomotor ataxia); Agrostema-Corn-cockle-active constituent is Saponin, which causes violent sneezing and sharp burning taste; burning in stomach, extends to œsophagus, neck and breast; (vertigo, headache, difficult locomotion, burning sensation); Ustilago; Carbo; Pituitrin (dilated os, little pain, no progress. Dose, 1/2 c, repeat in half hour, if necessary. Hypodermically contra-indicated in first stage of labor, valvular lesions or deformed pelvis).

Antidotes: Camph; Opium.

Dose

First to thirtieth potency. Non-homeopathic use. In hæmorrhages of the puerperium, after the uterus in entirely emptied, when it fails to contract satisfactorily and in secondary puerperal hæmorrhage the result of incomplete involution of the uterus, give one-half to one dram of the fluid extract. Remember Pagot's law. "As long as the uterus contains, anything, be it child, placenta, membranes, clots, never administer Ergot".

Leaders in Homoeopathic Therapeutics

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

Leaders

Passive hæmorrhage, everything open and loose, no action, in thin, scrawny, cachectic women.

Great coldness (objective) of the surface, yet the patient cannot bear to be covered.

Numbness, crawling and paralysis; formication as of mice creeping there, all parts of body.

Secale cornutum is a remedy capable of great good, but is perhaps, as much misused as Quinine. Its power to contract the uterus is undoubted, and for this reason it is often given when other remedies would do better. It has power to control hæmorrhages, that few other remedies, if any, can surpass. It is said to do this by contracting the capillaries. But we must remember that other remedies control hæmorrhages, and whether they do it by contracting the capillaries, by their action upon the blood itself or other specific action, makes no difference, so long as they control it. Some physicians are always giving Ergot in post partum hæmorrhages on this contracted theory, without ever thinking of anything else.

They always give it in material doses to get, as they term it, the physiological effect. I have never, in a practice of thirty-five years, used it in this way, but have always been able to control such hæmorrhages. Secale is not often indicated in active post-partum hæmorrhages. If there is a tendency to passive hæmorrhage, everything open and loose, no action, in thin, scrawny, cachectic women (muscles flabby), there is no remedy like it, and the potencies are much better than the tincture or wine of Ergot in massive doses. This is also true in menorrhagias and metrorrhagias unconnected with pregnancy. The blood is dark, liquid and flowing worse on the slightest motion.

The constitution, temperament and age of the patient are of great importance, for it is particularly adapted to feeble, thin, scrawny, cachectic women of lax muscular fibre, subject to passive hæmorrhages from all outlets of the body; also old, decrepit persons.

This remedy (Secale) is often abused on account of its power to produce muscular contractions of the womb. Now in regard to this as with hæmorrhages, it is capable of doing all that it ought to be called upon to do, in the potencies.

I fully agree with Cowperthwaite, who says: "To give it in parturition to hasten delivery, as is the practice of the old school, is simply inexcusable." on the other hand, I agree with Dr. H. N. Guernsey, "that it is useful when labor pains are weak, suppressed or distressing, in weak, cachectic women; in the 200th dilution," and have verified it beyond question.

The practice of giving the fluid extract in such cases, as is done by some physicians calling themselves homœopathic, ought to be sufficient cause for expelling them from a homœopathic society. It seems to me to be confession of either inexcusable laziness or ignorance.

We have a long list of remedies of undoubted value for weak labor pains with specific indications for their use, and when so indicated they are more efficacious and less dangerous than Secale in massive doses of fluid extract with no other indications than uncontracted uterus or weak pains. The men who prate learnedly of getting the physiological effects of Secale in massive doses had better ask themselves if the same result gotten with the potentized remedy homœopathically applied, is not just as much in accordance with the physiological law, and much more scientific from a homœopathic standpoint. Weak pains remedied by the indicated homœopathic drug bring on natural labor, while large doses for the same purpose of an unindicated one do not and never can produce natural labor. It is nothing more or less than drug poisoning.

Here is one symptom of Secale that is of inestimable value: "Great coldness (objective) of the surface yet the patient cannot bear to be covered." This is oftenest found in cholera and cholera infantum; but it is also found in senile gangrene.

The feet and toes may be objectively as cold as an iron wedge, but the patient is distressed beyond endurance by having them covered. I saw one marked case of this kind. All the toes were attacked with dry gangrene. A few doses of Secale (high) afforded great relief, and checked the progress of the disease for a long time.

Camphora has the same symptom in a marked degree in choleraic disease. Camphora seems to be most efficacious for the first stage or early collapse in the course of the disease, before the discharges have become offensive, putrid or dark colored. Secale has burning in the feet (Sulphur) and cramps in the calves (Sulphur).

If, however, we should prescribe on this alone it would make no difference which we prescribed, but they are very unlike in their entirety. Sulphur does not have the degree of collapse of Secale, nor the icy coldness of surface with subjective burning. So we see the folly of one symptom prescribing after all.

We must have the keynote symptom, of course, but it must harmonize with the rest of the case. Secale has "burning of all parts of the body, as if sparks were falling on them." It also has numbness, crawling and paralysis of the extremities. This is due to its action on the spinal chord. In addition to the coldness of the skin already noticed, we must state that the skin looks dry, wrinkled and is insensible often, or there may be much formication under, as if mice were creeping there.

Text Book of Materia Medica

Adolph Lippe · Text Book of Materia Medica · homeoint.org / Médi-T HTML text (Lippe d. 1888; public domain)

Mind and Disposition

Great anxiety. Madness, with inclination to drawn oneself. Mania, with inclination to bite. Fear of death.

Head

Stupefaction and unconsciousness. Giddiness, as from intoxication. Stupefaction, with tingling in the head and pain in the limbs, which are worse from motion. Unconsciousness with heavy sleep, preceded by tingling in the head and limbs (in hæmorrhages from the uterus). Dull pain in the back part of the head. Falling off of the hair.

Eyes

Wild, staring look. Distortion of the eyes. The eyes are pushed back far into the sockets. Double vision. Obscuration of sight.

Ears

Humming and roaring in the ears, with occasional deafness.

Nose

Bleeding of the nose.

Face

Pale, yellowish, sunken countenance, with deep-sunken eyes, surrounded by a blue circle. Dark redness of the face. Spasmodic distortion of the mouth and lips. Formication in the face. Locked jaw.

Mouth and Throat

The teeth become loose and fall out. Grinding of the teeth. Bloody or discolored foam before the mouth. Spitting, of blood. Painful tingling in the throat and on the tongue. Swelling of the tongue. Discolored, brown or blackish tongue. Tongue coated with mucus. Feeble, stuttering, indistinct speech, as if the tongue were paralyzed.

Stomach and Abdomen

Violent, unquenchable thirst. Insatiable hunger, especially for acids. Continuous nausea ; worse after eating. Vomiting of bile, of mucus, of black bile, of lumbrici or of the food, with great weakness, or painless, without any effort. Violent pressure in the stomach, as from a heavy weight. Great anxiety and pressure in the pit of the stomach, with great sensitiveness to the touch. Inflammation and gangrene of the stomach. Inflammation and gangrene of the liver. Burning (or coldness) in the abdomen. Burning in the spleen. Colic, with convulsions. Pain in the loins, as from false-labor pains. Rumbling in the abdomen.

Stool and Anus

Frequent diarrhœa ; discharges watery and of mucus. Very debilitating diarrhœa, with sudden sinking of strength. Involuntary, very watery stools. Offensive watery diarrhœa (in child-bed). Cholera ; diarrhœa after the Cholera.

Urinary Organs

Urinary secretions suppressed. Pale, watery urine. Hæmorrhage from the urethra.

Sexual Organs

Women. Menstruation too profuse and of too long duration. Discharge of blood during pregnancy. Hæmorrhage from the uterus of black, liquid blood ; the discharge is increased by motion. Labor ceases, and instead twitchings and convulsions. Abortion, especially in the third month (after abortion the os uteri does not contract). Lochia of too long duration. Too long and too painful after-pains. Swelling of and warts on the half-open uterus. Inflammation of the uterus from suppressed lochia or menstruation. Cancer and gangrene of the uterus.

Respiratory Organs

Heavy, anxious breathing, with moaning. Spitting of blood, with or without cough. Hollow, hoarse voice. Violent palpitation of the heart, with contracted and frequently intermittent pulse.

Back

Tingling in the back, which is numb (void of feeling), extending to the tips of the fingers.

Extremities

Numbness and insensibility of the hands. The fingers are bent backward, or spasmodically contracted. Burning in the hands. Gangrenous deadness of the fingers. Swelling of the hands, with black pustules. Lower. Violent cramps in the calves. Burning in the swollen feet. Tingling in the toes. Gangrenous deadness of the toes. Gangrena senilis.

Generalities

Convulsive twitching in the limbs. Spasmodic distortion of the limbs, relieved by stretching them out. Tetanic spasms. Drawing and tearing in the limbs, with tingling. Numbness of all the limbs. Burning in any parts of the body, as if sparks were falling on them.

Sleep

Great sleepiness ; deep, heavy sleep ; stupor.

Fever

Pulse unchanged, even with the most violent attacks. Pulse generally slow and contracted, sometimes intermittent or suppressed ; only slightly accelerated during the heat. Violent chill of short duration, soon followed by violent internal burning beak with violent thirst. Disagreeable sensation of coldness in the back, in the abdomen and in the limbs. Violent and long-continued dry heat, with great restless and violent thirst. Perspiration, especially on the upper part of the body. Cold, clammy perspiration over the whole body.

Skin

Discolored, dry, shrivelled skin. Numbness and sensation of deadness of the skin. Formication under the skin. Desquamation of the whole skin. Gangrenous blood-vesicles. Petechiæ.

Conditions

Aggravation from motion ; from touching the affected parts ; during walking ; from warmth ; from getting warm in bed ; from being covered ; from warm applications to all the variously affected parts ; during pregnancy, parturition and confinement. Amelioration in the cold air, from getting cold ; from rubbing ; from stretching out the limbs ; while standing.

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

Secale cornutum. Spurred Rye. Ergot of Rye. [The black, horn-like spur into which the grains of Rye (Secale cereale, N. O. Gramineæ) are changed by the fungus Claviceps purpurea.] N. O. Fungi. Tincture of The fresh spurs collected just before harvest.

Clinical

Abortion, threatened. After-pains. Albuminuria. Anus, incontinence of; open. Asthenopia. Bladder, paralysis of . Boils. Carbuncles. Cataract. Chilblains. Cholera; infantum. Chorea. Convulsions. Cramps. Diabetes. Diaphragm, cramp in. Diarrhœa. Distortions. Dysphagia. Epilepsy. Epistaxis. Feet, cramps in; burning of; coldness of. Fibroma. Gangrene . Gastritis. Glands, swelling of; suppuration of. Goître. Hæmaturia. Hæmorrhages. Hæmorrhagic diathesis. Heart, palpitation of. Hiccough. Hysteria. Impotence. Liver, enlargement of. Lochia, fetid. Lumbago. Menstruation, excessive . Metrorrhagia. Milk, suppressed. Miscarriage . Morvan's disease. Myelitis; diffusa. Nails, degeneration of . Neuralgia. Night-sweats. Numbness . Œsophagitis. Ovaries, tumours of. Paralysis ; post-diphtheritic; spastic. Placenta, retained. Post-partum hæmorrhage. Pregnancy, false pains of . Purpura, Raynaud's disease. Small-pox, hæmorrhagic. Spinal irritation . Stammering. Stomach, cancer of. Strabismus. Stricture, spasmodic. Thrombosis. Tongue, biting of. Typhoid. Ulcers. Uterus, inertia of; neuralgia of; prolapse.

Characteristics

Rye and grasses are apt to be affected with the Ergot disease in damp seasons, and when grown on damp, ill-drained lands. If breeding cows are turned on pastures where infected grasses grow they are very liable to drop their calves. Ergot has been known as a hastener of parturition from remote times. Its other actions have been for the most part learned from the terrible epidemics of "Ergotism" which have occasionally devastated districts in which Rye infected with Ergot has been ground into flour and eaten by the population. Death takes place in convulsions; or else from gangrene and consequent exhaustion; or from exhausting hæmorrhages or discharges, as diarrhœa. Many who escape immediate death are reduced to a cachectic state, from which they never recover; are paralysed, have limbs distorted and senses impaired. In general the sufferer retains a clear intellect and a good, even abnormally good, appetite to the last. The nervous symptoms of Sec . are convulsive. The body is at times rigid; at times rigidity alternates with relaxation. This is especially seen in the hands, which are either clenched or have the fingers spread widely apart (a keynote symptom). The muscles of the face and abdomen twitch. There is incontinence or retention of urine. Spasmodic retching, the stomach is violently contracted. Through the like action on the vaso-motor nerves there is first contraction and then dilatation of blood-vessels; the fingers turn bluish black. This stagnation leads to dry gangrene of the parts. Sec . shrivels up the skin, makes it dry and harsh; sallow complexion. It is therefore suited to ─ thin, scrawny women, feeble and of cachectic appearance; women of irritable, nervous temperament; of pale, sunken countenance. To very old, decrepit persons. On the other hand, it is also suited to: Irritable, plethoric subjects. Women of very lax muscular fibre; everything seems loose and open; no action, vessels flabby: passive hæmorrhages, copious flow of thin, black, watery blood. For Sec . lessens the coagulating power of the blood. and produces a hæmorrhagic diathesis; persistent, offensive bleeding. Small wounds bleed persistently. Purpura comes within this category. One grand characteristic of Sec ., which will determine its selection in many cases, is: " < By external heat." This applies to cholera, purpura, gangrene, and any condition which may present symptoms of Sec . In cholera cases calling for Sec . the patient is cold, almost pulseless; there are spasmodic twitchings of muscles in various parts (especially spreading of fingers), eyes sunk, features pinched; surface harsh, shrivelled, dry, as though no moisture were left in the body. Though cold to the touch, cannot bear to be covered . In spite of this coldness, Sec . has burning among its characteristic sensations: burning in all parts of the body as if sparks were falling on the patient. Another characteristic sensation is numbness; tingling as if ants crawling all over, > from rubbing. This may accompany hæmorrhages, loss of other fluids, debility, or skin affections. In the later stages of ergotism there is anæsthesia. The discharges are exhausting and offensive. Diarrhœa is peculiar, involuntary; with wide-open anus. The boils in which Sec . is indicated are small and painful, with green contents, mature very slowly, heal slowly, and are very weakening. The eyes are affected in various ways: Pustulous conjunctivitis; suppuration of cornea; dilated pupils, distortion, and strabismus; ptosis; suppressed tears. Catarrh has been caused in many instances. " < From warmth" will be the leading indication in many eye cases requiring Sec . Exophthalmic goître has been cured with it; the heart being acted on by Sec . as other hollow viscera, and violent palpitation induced. Sec . has a great affinity for the uterus, whether gravid or not. Though its use in ordinary doses in obstetric practice is attended with danger, it may be used on its homœopathic indications with perfect safety. It is indicated: ( 1 ) In threatened abortion, especially at the third month; prolonged, bearing-down, forcing pains. ( 2 ) During labour when the pains are irregular, too weak, feeble, or ceasing; everything seems loose and open, but there is no expulsive action; fainting. ( 3 ) For after-pains when too long, too excessive; or when there is hour-glass contraction of the uterus. ( 4 ) For suppression or non-appearance of the milk. The menses of Sec . are irregular; copious, dark, fluid; accompanied by labour-like pains in abdomen; there maybe a continuous watery discharge of blood during the whole time between the periods. Teste records this case: A lady, 50, fat, very soft flesh, had flooding which nothing could stop. After several useless attempts, Teste gave large doses of Sec . with scarcely any effect. The patient asked for infinitesimal doses. At that time Teste had no faith at all in infinitesimals, but he yielded to the patient's request, and gave one drop of the 6th. The flooding ceased immediately and permanently. Peculiar Sensations of Sec . are: As if intoxicated while undressing. As if eyes were spasmodically rotated. As of a solid plug in nose. As if tongue paralysed. As if there were some resistance to be overcome in speech. As of a heavy weight in stomach. Region of stomach as if contracted. Anus as if locked up. As if testes being drawn up to inguinal ring. Uterus as if burnt. As if contents of uterus would fall forward. As if soft air were creeping through back. As if sacrum would be forced out. As if something alive creeping under skin. As if fingers asleep. As if limbs had been a long time in hot water. As if sparks of fire falling on different parts. As if mice creeping under skin. Fuzzy feeling in limbs. Sec . is indicated in Suppressions : tears; lochia; milk; sweat. Thirst with dry mouth or burning. Desires lemonade and sour things. Averse to fat and meat. The symptoms are: < By touch. > Lying doubled up in bed. Motion and any exertion < . Walking = giddiness. Many symptoms (cramps, twitchings) < night. Sinking spells 3 a.m. Open air > . Wants to be fanned. Warm applications < . Warm drink < . Wet bandages > labour pains. Cold applications > . < After eating. All symptoms < just before menses. The right side is predominantly affected.

Relations

Antidoted by: Camph., Op. Compatible: Chi. (Teste classes Sec. with Chi. in his Ferrum group), Ars., Aco., Bell., Merc., Pul. Compare: In labour, Cinnamon ("In post-partum hæmorrhage, Cinnamon increases labour-pains, controls profuse or dangerous flooding, is always safe, while Ergot is always dangerous." ─ H. C. Allen). Labour-like pains, Pul., Sul., Bell., Calc., Caul., Gossyp., Lil. t., Sep., Vib. o. Cold skin, cannot bear to be covered, Camph. > Uncovering, Aco., Calc., Camph., Fer., Iod., Lyc., Pul., Sul., Ver. Hæmorrhages, Bovist. (flow between periods; menses flow mostly or only at night or early morning; puffy condition of body; parts feet enormously large), Mitchella (less passive, blood brighter, dysuria with the hæmorrhage), Trill. p. (bright red and profuse, faint feeling, rapid, feeble pulse), Ham. (with hammering headache), Erig. (flow in fits and starts; with dysuria), Ust. (flow bright red, partly clotted). Fer. ph., Chi. Hæmorrhagic diathesis, Lach., Phos. Cholera, shrivelled up, gangrene, burning sensation, Ars. (but Ars. is > by heat). Cholera collapse, Camph. (sudden), Ver. (cold sweat on forehead). Follicular pharyngitis, K. bi. Cold surface, sunken, pale face, blue lips, tingling in limbs, speech stuttering, Lach. Action on blood-vessels, Bar. c. Diarrhœa discharged with great force, Samb., Crot. t. Anus wide open, Apis, Phos. Threatened abortion at third month, Sabi. Cholera morbus, Colch. Diabetes, Plb. Burning feet, cramp in calves, Sul. Eyes < from warm applications (Asar. > cold washing). Exophthalmic goître, Lpus., Scut., Thyr. Spastic paralysis, Lath. Old persons, Con. Twitching, coldness, chilblains, cholera, also botan., Agar. Compare also: Ergotinum, which sometimes acts when Sec. is indicated and fails (see case under Ergotinum ).

Causation

Lifting ( = abortion). Injury ( = gangrene). Sexual excess.

Mind

Discouragement and timidity. ─ Great anxiety. ─ Sadness and melancholy. ─ Great anguish. ─ Furor, with desire to jump into the water. ─ Madness and inclination to bite. ─ Fear of death. ─ Mania. ─ Weakness of the intellectual faculties (stupid, half-sleepy condition; moaning). ─ Mental alienation. ─ Delirium. ─ Loss of consciousness. ─ Consciousness seems to continue to the last breath; and just before death it seems as though the patient would improve.

Head

Head confused and stupefied (unconsciousness with heavy sleep, preceded by tingling in head and limbs; in hæmorrhages from the uterus). ─ Sensation as from intoxication while undressing. ─ Vertigo as from intoxication. ─ Stupefaction, with tingling in head and pain in limbs, which are < from motion. ─ Diminution and loss of senses, sight, hearing, &c. ─ Peculiar feeling of lightness of head, esp. in occiput. ─ Attacks of vertigo of different kinds, also chronic. ─ Headache with dull and painful confusion, esp. in occiput. ─ Semilateral headache (l.). ─ Hair falls out. ─ Scalp sore. ─ Twisting of head to and fro.

Eyes

Eyeballs sunk deep in the sockets; and surrounded by blue margins. ─ Pupils spasmodically contracted or else dilated. ─ Convulsed eyes. ─ Squinting. ─ Pain in eyes, with feeling as if spasmodically rotated. ─ Fixed, wild look. ─ Cataract, hard or soft; with headache, vertigo, and roaring in ears. ─ Suppuration of cornea; < from warm applications. ─ Suppressed secretion of tears. ─ Eyes yellow. ─ Complete blindness. ─ Double or triple vision. ─ Mist, spots and a veil before the sight. ─ Weakness of sight. ─ Sparkling before the eyes and cloudiness of sight. ─ Exophthalmic goître.

Ears

Humming and roaring in ears; and hardness of hearing. ─ Undue sensitiveness of hearing, even slightest sound re-echoed in head and made her shudder. ─ Transient deafness.

Nose

Sneezing. ─ Nose feels stopped yet watery discharge runs from it. ─ Nose stopped l. side as with a solid plug. ─ Nose-bleed: blood dark, runs continuously, with great prostration, small, thread-like pulse; in old people or drunkards; in young women; from debility.

Face

Face discoloured, pale, yellow, wan, with eyes hollow and surrounded by a blue circle. ─ Distorted features. ─ Livid spots on face. ─ Face of a deep red. ─ Swelling of face. ─ Tingling in face. ─ Forehead hot. ─ Muscular twitchings, usually begin in face and then spread all over body, sometimes increasing to dancing and jumping. ─ Lips bluish or deathly pale. ─ Lips and mouth painfully contracted (spasmodic distortion; risus sardonicus).

Teeth

Lockjaw. ─ Grinding of teeth. ─ Loosening and falling out of teeth. ─ Bleeding from gums. ─ Difficult dentition.

Mouth

Very offensive breath. ─ Increased secretion of saliva. ─ Dryness of mouth, with thirst. ─ Hæmoptysis. ─ Sanguineous or yellowish green foam before mouth. ─ Tongue discoloured, brown or black; or else loaded with a thick coating (of mucus). ─ Painful tingling in tongue and throat. ─ Swelling of tongue. ─ Stammering, embarrassed, indistinct, weak speech; as if the tongue were paralysed; or there were resistance to be overcome. ─ Twitching of tongue. ─ Frequently bites tongue.

Throat

Dryness of throat. ─ Burning sensation or troublesome tingling or crawling in throat. ─ Follicular pharyngitis; hawks up little follicular exudation. ─ Paralysis of muscles of swallowing and speaking; in danger of choking. ─ Inflammation of the œsophagus.

Appetite

Dulness of the taste. ─ Burning, insatiable thirst. ─ Unnatural appetite, even when dying from exhausting discharges from bowels. ─ Insatiable hunger, esp. for acid things.

Stomach

Frequent risings. ─ Disgust, esp. for meat and fatty things, and nausea. ─ Continuous nausea; < after eating. ─ Nausea and inclination to vomit. ─ Hiccough. ─ Retching and vomiting of bilious, crude matter. ─ Easy vomiting. ─ Vomiting of food, with great debility. ─ Vomiting of lumbrici. ─ Vomiting of mucus. ─ Vomiting of black bile. ─ Vomiting of dark brown, coffee-grounds fluid; of all food and drink. ─ Hæmorrhage from stomach. ─ Stomachache. ─ Cramp in stomach. ─ Excessively painful sensibility, distressing oppression (as from a weight), and anguish in pit of stomach, with ineffectual want to vomit. ─ Burning sensation in scrobiculus and epigastrium. ─ Great anxiety and pressure in pit of stomach, with great sensibility to touch. ─ Inflammation and gangrene of stomach. ─ Inflammation and cancer in stomach.

Abdomen

Abdomen excessively inflated and tight. ─ Cuttings and tearing pains in abdomen. ─ Inflammation and gangrene of the liver. ─ Liver enlarged. ─ Burning (or coldness) in abdomen. ─ Fixed, burning pains in splenic and lumbar regions. ─ Pains in the loins as from false labour pains. ─ Colic, with pains in sacrum and thighs, frequent risings, and vomitings. ─ Painful colic, with convulsions. ─ Sensation of excessive coldness in abdomen and back. ─ Burning sensation in abdomen. ─ Strong pulsation in umbilical region. ─ Borborygmi. ─ Pains in hypogastric region.

Stool and Anus

Constipation, with continued and ineffectual want to evacuate. ─ Loose, frequent evacuations, with serous, slimy, or else discoloured or brownish fæces. ─ Diarrhœa of a putrid smell. ─ Diarrhœa, with sudden prostration of strength. ─ Involuntary (very watery) evacuations. ─ Offensive, watery diarrhœa (in child-bed). ─ Cholera; diarrhœa after the cholera. ─ Diarrhœa: frequent brown discharges, dark-coloured; very offensive; thin, olive green; very exhausting; pernicious. ─ Hæmorrhage from the bowels. ─ Expulsion of worms. ─ Paralysis of rectum and anus. ─ Anus wide open.

Urinary Organs

Suppressed secretion of urine. ─ Scanty, hot, burning urine. ─ Emission of urine, drop by drop, difficult, scanty, with continued want to urinate. ─ White urine, clear like water. ─ Increased secretion of urine. ─ Urine retained. ─ Bladder paralysed. ─ Enuresis: of old people; pale, watery, or bloody urine. ─ Hæmaturia; bloody, albuminous urine; thick black blood. ─ Urinary deposit like white cheese.

Male Sexual Organs

Numerous erections, even after coition. ─ After lightness in occiput, strong dragging in spermatic cord, so that testes seemed drawn up to inguinal ring. ─ After sexual excess palpitation of heart. ─ Weak memory after exhausting coition; impotence. ─ Chronic spasmodic stricture of urethra.

Female Sexual Organs

Catamenia too profuse and of too long duration, sometimes with violent spasms. ─ Metrorrhagia of a black, liquid blood, flowing esp. during a slight movement, sometimes with tingling in legs and great debility. ─ Discharge of blood during pregnancy. ─ Labour ceases, and instead twitchings and convulsions. ─ Too long and too painful after-pains. ─ Suppression of milk. ─ Miscarriage (esp. in third month). ─ Defective contraction of uterus after miscarriage. ─ Swelling and warts on the cervix uteri, which is partially open. ─ Gangrene of vaginal mucous membrane, with a dark, slate colour. ─ Vagina hot or cool. ─ Sanguineous congestion in uterus. ─ Offensive discharge from uterus causing her to vomit (Ussher). ─ Lochia scanty and fetid, or of too long duration and sanguineous (followed by fever and inflammation of uterus). ─ Puerperal convulsions. ─ [Female genital organs in general; pains like labour pains, which are protracted for a long time, skin cold and no wish to be covered, &c.; labour pains ceasing; labour pains too weak; abortion in the characteristic patients. ─ H. N. G.]. ─ Cancer and gangrene of uterus. ─ Prolapse of uterus.

Respiratory Organs

Heavy, anxious breathing, with moaning. ─ Spitting of blood, with or without cough. ─ Feeble voice, inaudible, stammering. ─ Expectoration of blood during violent efforts to breathe. ─ Voice hoarse and hollow. ─ Painless aphonia in morning, as the day goes on he gets hoarse (produced. ─ R. T. C.). ─ Anxious and obstructed respiration, with sighs and sobs.

Chest

Dyspnœa and oppression of chest. ─ Suffocating oppression of chest, with cramp in diaphragm.

Heart

Præcordial tenderness. ─ Painful sensation over heart. ─ Præcordial anxiety. ─ Violent spasmodic palpitation of heart. ─ Pulse small, very rapid, contracted; frequently intermittent; fluttering, slow, depressed.

Neck and Back

Stiffness of nape of the neck. ─ Profuse miliary eruption on nape of neck and chest. ─ Sensation of coldness in back. ─ Pain in back and small of back. ─ Tingling and insensibility in back (extending to tips of fingers and toes). ─ [Severe pain in (lower) back < when walking much or sitting long in same position. ─ R. T. C.]. ─ (Lumbago.)

Limbs

Drawing, crawling, tearing, and tingling in limbs and joints. ─ Distortion of limbs. ─ Jerks and convulsive movements in limbs, which manifest themselves esp. at night, often also periodically, and which are > by stretching the parts violently. ─ Contraction of hands, feet, fingers, and toes. ─ Limbs become cold, pale, and wrinkled, as after being a long time in hot water. ─ Disagreeable sensation of sleep and formication in limbs. ─ Cramps in legs, calves, arms, hands, and toes. ─ Burning of hands and feet. ─ Fuzzy feeling in limbs. ─ Cold gangrene of the limbs; the dead part separates at the joints and drops off. ─ Trembling of limbs. ─ Weakness, heaviness, and torpor of limbs. ─ Numbness, insensibility, and coldness of limbs, esp. tips of fingers and toes.

Upper Limbs

Spasmodic curvature of the arm, with drawing in the part. ─ Burning sensation in the hands. ─ Swelling of the hands, with black pustules. ─ Œdematous swelling in the wrist. ─ Distortion of the hands. ─ Tingling, crawling, with numbness and insensibility in finger-tips. ─ Contraction, distortion, and turning back of the fingers. ─ Spasms with fingers spread apart. ─ Peculiar prickling in tips of fingers that are very sensitive to cold after awhile they began to suppurate, and later the nails separated from their matrix and fell off one after another, leaving an unhealthy granulating surface. ─ Degeneration of pulp of nails, the nails are raised.

Lower Limbs

Lassitude and soreness in the legs. ─ Contraction of the legs and toes. ─ Distressing cramps in calves and soles, esp. at night. ─ Burning sensation in (swollen) feet. ─ Distortion of feet. ─ Swelling of feet, with black pustules. ─ Feet seem asleep and stiff. ─ Mortification of toes. ─ Gangrena senilis. ─ Tingling in toes.

Generalities

For female complaints chiefly, and esp. when occurring in thin, scrawny, wrinkled females or children. ─ Skin is cold, but the patient does not wish to be covered up. ─ Copious vomiting of a mixture of thick, black, pitchy, bilious, and slimy matter. ─ Dry gangrene, particularly on r. side, beginning in toes and running up the limb. ─ Amaurosis occurring in patients characteristic of this drug; hard hearing; blue colour around eyes. ─ < From drawing up limbs; esp. in troubles of childbed. ─ > From stretching out the limbs. ─ Drawing, tearing, and tingling in the limbs and joints. ─ Violent and wandering spasmodic pains. ─ Cramps in legs, arms, and chest. ─ Burning sensation in all parts of the body, as if caused by sparks. ─ Tonic spasms; of all extensors. ─ Tetanus. ─ Epileptiform convulsions. ─ General atrophy and emaciation. ─ Rapid emaciation of paralysed parts. ─ Unsteady gait; unsteadiness of the whole body; trembling; rapid sinking of strength. ─ Collapse when the patient cannot bear covering. ─ Syncope. ─ Great lassitude and indolence. ─ Paralysis. ─ Complete mortification of some parts by sphacelus. ─ Affections in general of r. side; crooked limbs; sensation of deadness in any part. ─ Loss of sensation throughout the body.

Skin

Skin sallow, lead-coloured, flaccid, and shrivelled. ─ Skin rough and dry. ─ Torpor and insensibility of the skin. ─ Miliary eruption, esp. on chest and nape of neck. ─ Petechiæ. ─ Purpura hæmorrhagica. ─ Ecchymosis. ─ Furunculi. ─ Swelling and pain without inflammation; coldness, blue colour, gangrene. ─ Black, gangrenous pustules. ─ Blackness of outer parts; crawling on the skin as of insects. ─ Subcutaneous tingling. ─ General desquamation of epidermis. ─ Ulcers that turn black; skin withered and gangrenous. ─ Heat, with thirst and want of perspiration. ─ Sanguineous vesicles, which turn to gangrene, in the limbs. ─ Anthrax becoming gangrenous.

Sleep

Strong inclination to sleep and coma. ─ Deep, lethargic sleep. ─ Sleeplessness, with agitation and dry heat. ─ Coma with delirium, starts, and fright.

Fever

Violent shivering, followed by violent internal burning heat, with violent thirst. ─ Excessive coldness in back, abdomen, and limbs. ─ Coldness of surface of body; esp. of extremities and face; dryness. ─ Dry heat, with quick pulse, agitation, and sleeplessness. ─ Small, suppressed pulse (generally slow and contracted, sometimes intermittent, only slightly accelerated during the heat). ─ Pulse unchanged, even with the most violent attacks. ─ Cold perspiration. ─ Cold, clammy sweat all over, esp. above waist-line.

The Guiding Symptoms of Our Materia Medica

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

Mind

Stupid, half-sleepy state.
Impaired power of thinking.
Delirium : quiet ; wandering.
Mania : with inclination to bite ; with inclination to drown.
Uncomfortableness and depression.
Fear of death.
Anxiety, sadness, melancholy.
Great anguish ; wild with anxiety.
Apathy, indifference.
Constant moaning and fear of death.
Great anxiety and difficult respiration.
Excessive sadness, gradually changes to cheerfulness ; talks and acts foolishly ; rage, followed by continuous deep sleep.
Paralytic mental diseases ; treats his relations contemptuously and sarcastically ; wandering talk and hallucinations ; apathy and complete disappearance of the senses.
Laughs, claps her hands over her head, seems beside herself. θ After miscarriage.

Sensorium

Unconsciousness, with heavy sleep, preceded by tingling in head and limbs.
Diminution and loss of senses, sight, hearing, etc.
All the senses benumbed.
Consciousness seems to continue until the last breath, and just before death it seems as if patient would improve.
Stupefaction ; stupor.
Vertigo : constantly increasing ; with stupefaction and heaviness of head ; reeling, inability to stand erect ; peculiar feeling of lightness of head, particularly in occiput ; as from intoxication ; unsteady gait.
Heaviness of head and tingling in legs.
Sensation of intoxication while undressing.

Inner head

Pulsations in head with giddiness, she cannot walk.
Pain and confusion most in occiput.
Congestion to head and chest.
Headache ; hemicrania on left side.

Outer head

Hair falls out.
Twisting of head to and fro.
Scalp sore.

Sight and eyes

Photophobia.
Dimness of vision ; mistiness before eyes. θ Cataract.
Double or triple vision.
Blue and fiery dots flying before eyes.
Pain in eyes with feeling as if they were spasmodically rotated.
Stitching pain in eyes ; pressure on balls.
After an epidemic of the rye disease an unusually large number of cataracts occurred in young people, twentythree of whom gradually became blind (fifteen men and eight women), associated with headache, vertigo and roaring in ears ; of the cataracts two were hard, twelve soft, and
nine mixed.
Cataracta senilis.
Suppuration of cornea ; < from warm applications.
Retinitis diabetica.
Dilatation of pupils.
Suppressed secretion of tears.
Injection of conjunctiva.
Eyes sunken, surrounded by a blue margin.
Paralysis of upper lids, from coal gas.
Immovable state of eyelids after facial erysipelas.
Eyes look fixed, wild, glazed ; staring look.
Pustulous conjunctivitis and blepharitis.
Exophthalmos with struma.
(OBS :) Exophthalmic goitre.

Hearing and ears

Undue sensitiveness of hearing, even slightest sound re-echoed in her head and made her shudder.
Confused hearing ; deafness. θ After chorea.
Singing in ears and difficult hearing.
Humming and roaring in ears, with occasional deafness.

Smell and nose

Sneezing.
Nose feels stopped up, yet watery discharge runs from it.
Nose stopped up on left side as with a solid plug.
Nosebleed : blood dark, runs continuously, with great prostration, small, threadlike pulse ; in old people or drunkards ; of young women ; from debility.

Upper face

Face : pinched, pale, earthy-looking ; sunken, hippocratic, ashy ; swollen ; contracted, discolored, with sunken eyes, blue rings around eyes ; risus sardonicus ; distorted ; wan, anxious.
Tingling in face.
Muscular twitchings usually commence in face and then spread all over body, sometimes increasing to dancing and jumping.
Spasmodic distortion of mouth and lips.
Forehead hot.

Lower face

Lockjaw.
Lips deathly pale or bluish.

Teeth and gums

Looseness of teeth.
Grinding of teeth.
Bleeding from gums.
Difficult dentition ; great weakness ; vomiting of everything taken ; great thirst ; pale face ; eyes dim, sunken ; dry heat, with rapid pulse ; restlessness and sleeplessness.

Taste, speech, tongue

Tongue : thickly coated with yellowishwhite, dry, tenacious substance ; discolored, brown or blackish ; deathly pale ; cold and livid ; clean, with dry, red tip ; red tip and edges, centre coated.
Slight but unpleasant warmth on tongue, during day.
Spasm of tongue, projecting it from mouth, forcing it between teeth and rendering speech indistinct.
Feeble, stuttering, indistinct speech, as if tongue were paralyzed.

Inner mouth

Bloody or yellowish green foam at mouth.
Increased secretion of saliva ; ptyalism.
Much acid fluid in mouth.
Spitting of blood.
Fetid breath.
Speech difficult, slow and weak, with a feeling at every motion as if there were some resistance to be overcome.
Dryness of mouth.

Palate and throat

Dryness of soft palate, throat and œsophagus, with thirst.
Burning in throat with violent thirst.
Painful tingling in throat and on tongue.
Throat sore on left side running up into ear.
Follicular pharyngitis ; hawking up of little follicular exudates.
Diphtheria : loss of strength ; rapid loss of sensibility ; numbness of extremities ; painful tingling and crawling on tongue ; dry gangrene ; apathy ; dilated pupils ; burning pains of affected parts ; stammering speech ; absence of all
reaction.
Severely paralyzed both in swallowing and speaking ; could scarcely take food without great danger of choking ; speech reduced to a whisper ; could not bear heat or covering and would throw all covering off. θ Post-diphtheritic
paralysis.

Appetite, thirst. desires, aversions

Ravenous, insatiable appetite, even when dying from exhausting discharges from bowels.
Hunger as from long fasting.
Disgust for food, especially for meat and fatty things.
Thirst : during all stages of fever ; unquenchable ; for acids.
Great thirst and dryness of mouth and throat, with burning and tingling of tongue.
Desire for : sour things ; lemonade.

Hiccough, belching, nausea and vomiting

Eructations with disagreeable taste ; sour, tasteless, but with subjective, disagreeable, empyreumatic odor ; empty.
Nausea : inclination to vomit ; painful retchings ; constant, < after eating.
Excessive nausea and debility, with very little vomiting of a dark brown coffee-grounds fluid.
Vomiting : of food ; of bile ; of mucus ; of green, offensive, watery fluid, painless and without effort, with great weakness ; immediately after eating ; of lumbrici ; of blood ; black vomit.
Hematemesis, patient lies still ; great weakness but no pain ; abdomen soft.

Scrobiculum and stomach

Tenderness of epigastrium.
Anxiety and pressure in pit of stomach, with great sensitiveness to touch.
Severe anxiety and burning at pit of stomach.
Pain in pit of stomach.
Violent pressure in stomach, as from a heavy weight.
Warmth and feeling of repletion.
Burning in stomach.
Painful constriction of epigastrium.
Great distress and oppression of stomach.
Bilious vomiting, with cramping pains in stomach ; burning in stomach extending up œsophagus ; head sunk upon breast, face pale, yellowish, voice weak, pulse small. θ Cardialgia.
Attacks of severe pressure and constriction in region of stomach extending through to spine, extremely painful and followed in half an hour by vomiting of tasteless fluid or of contents of stomach, thereupon an intermission of several hours occurred ; during attack region of stomach
felt as if contracted, and on percussion gave a tympanitic note ; has three to four attacks daily.
Hemorrhage from stomach ; lies still with great weakness but no pain ; face, lips, tongue and hands deadly pale ; skin covered with cold sweat, pulse frequent, threadlike ; oppression ; abdomen soft, without pain. θ Hematemesis.
Hematemesis ; attacks preceded by pains in epigastrium and nausea, pain going to left side when pressure is made in epigastrium ; marked protrusion in left hypochondrium, with pain ; blood red, never containing particles of food, and
when collected in a basin appears more like bloody serum than pure blood and is of offensive odor, quantity vomited not very large ; frequent chilliness at night, followed by profuse sweat ; strength not much impaired ; appetite and sleep good.

Hypochondria

Enlargement of liver.
Acute pain in hepatic region.
Inflammation and gangrene of liver ; acute pains in hepatic region ; tongue thickly coated with a brown tenacious substance, burning in throat, unquenchable thirst ; great weakness, but no pain ; limbs cold and covered with cold sweat.
Burning in spleen ; thrombosis of abdominal vessels.

Abdomen and loins

Distension of abdomen ; tympanitis ; meteorism.
Flatulence with rumbling.
Painful sensitiveness and rumbling, with continued nausea and confusion of head.
Inclination to colic, diarrhœa, and bloatedness of abdomen.
Pain in lower belly, preventing an upright position, even forcing him to lie doubled up in bed.
Colic with convulsions.
Pain in abdomen with burning in stomach.
Pains in hypogastric region.
Pain in loins as from false labor pains.
Continual bearing down in lower abdomen.
Burning in abdomen.
Cold feeling in abdomen and back.
Strong pulsation in umbilical region.
Lumps and welts in abdomen ; in affections of uterus.
Aneurism of mesenteric artery, in women.

Stools and rectum

Diarrhœa : very exhausting ; pernicious ; very offensive ; involuntary, profuse, watery, putrid, brown ; discharged with great force ; very exhausting ; urine suppressed ; painful with great prostration ; painless
with tingling and numbness in limbs ; putrid, fetid, colliquative, patient does not want to be covered or to be near the heat, but prefers to be in the air or wishes to be fanned ; sudden attacks ; of children, discharges whitish, watery ; chronic in overfed children,
great prostration ; during August ; great stools undigested, or watery, at times yellowish, also greenish, with forcible expulsion, accompanied by discharge of flatus ; paralytic weakness of sphincter ani with involuntary discharges.
Stools : yellowish ; greenish ; brownish ; watery and flocculent ; colorless, watery ; profuse ; frequent ; putrid ; gushing ; involuntary ; watery, slimy ; thin, olive green ; offensive, watery ; fetid,
dark colored ; thin, involuntary ; watery, yellowish or greenish, discharged rapidly with great force and even involuntarily ; painless, without effort and with great weakness.
Before stool : cutting and rumbling in abdomen.
During stool : cutting ; great exhaustion ; coldness.
After stool : exhaustion.
Five to ten minutes after taking least quantity of food, severe colic which made her bend double and cry out ; pain begins between region of stomach and navel, extends thence to sides and rest of abdomen and down to sacral region, accompanied by severe
urging and tenesmus, followed by a thin, slimy, yellowish stool with some relief of pain ; four to five such attacks follow each other, then relief until she eats again ; four to five evacuations during night ; she compares pains to labor pains ; great thirst ; thick
mucous coating on tongue ; sleep disturbed ; prostration. θ Diarrhœa.
Uncomfortable fulness of abdomen, with transient pinching pains in upper abdomen as from flatus ; at night severe cutting pains throughout whole abdomen ; restless anxious tossing about, with short unrefreshing naps ; during night anus firmly closed, "as if locked
up" ; in morning frequent short watery evacuations, in gushes, preceded by cutting pains in abdomen.
Stools yellowish-white, slimy, undigested, escaping involuntarily, < at break of day. θ Diarrhœa.
Interminable diarrhœa in Summer, which resists everything, especially in scrofulous children ; putrid, fetid and colliquative ; choleraic symptoms, with cold, clammy perspiration ; sinking spells at 3 A. M. (not the restless anguish of
Arsenicum).
Colliquative diarrhœa.
Cholerine with more retching than vomiting.
Cholera infantum ; profuse undigested stools, watery and very offensive, discharged by fits and starts and followed by intense prostration ; pale face, sunken eyes, dry heat, quick pulse, restlessness and sleeplessness ; great aversion to heat and to being covered. θ Cholera
infantum.
Vertigo, cramps or drawing in calves of legs, rumbling in abdomen, nausea, stools in rapid succession, brownish or colorless, rapid prostration, coldness of limbs, tongue but slightly coated.
Profuse prostrating evacuations, severe painful cramps in feet, toes, hands and fingers which are spread apart or extended toward back of hands ; cramping pressure in stomach ; dry, wrinkled, cold skin ; cyanotic color. θ Cholera.
Cholera infantum ; cholera morbus ; cholera Asiatica.
Patient cold, almost pulseless, with spasmodic twitching of muscles in various parts of body ; spreads fingers asunder ; eyes sunken, features pinched ; much spasmodic retching although not much vomiting ; skin harsh, shrivelled, dry, as if there were no
moisture left in system ; urine suppressed ; tingling or formication all over body ; stools profuse, watery, ejected with great violence ; is cold but cannot bear to be covered. θ Cholera.
Aversion to heat or being covered, with icy coldness of extremities. θ Cholera.
Diarrhœa after cholera.
Cholera Asiatica, with collapse, sunken, distorted face, particularly mouth ; crawling sensation as from ants.
Paralysis of rectum ; anus wide open.
Hemorrhage from bowels.
Constipation.

Urinary organs

Retention of urine ; urine pale or bloody ; discharge of thick black blood from kidneys ; obscuration of sight. θ Scarlatina.
Diabetes ; great general lassitude ; heaviness of limbs ; loss of strength ; emaciation ; gangrene ; skin dry and withered ; furuncles ; petechiæ ; fever, with unquenchable thirst ; diminished power of senses ; dryness of
mouth ; morbidly great appetite ; cardialgia ; costiveness ; diarrhœa ; watery urine ; increased quantity of urine.
Hæmaturia in a boy suffering from suppuration of glands of neck after scarlet fever ; urine also very albuminous ; anasarca ; great thirst.
Passive hemorrhage ; blood thin ; blood corpuscles wanting in consequence of dissolution ; or painless discharge of thick black blood in consequence of kidney disease ; coldness of body ; cold perspiration on forehead ;
great weakness. θ Hæmaturia.
Urine suppressed ; on introducing catheter a gill of dark, prune-colored urine passed, which appeared to be full of gritty sediment emitting a very disagreeable odor.
Unsuccessful urging to urinate.
Ischuria paralytica.
Paralysis of bladder.
Enuresis : of old people ; pale, watery or bloody urine.
Urinary deposit looking like white cheese.
Bloody, albuminous urine.
Discharge of thick black blood from bladder ; kidney affections.

Male sexual organs

After lightness in occiput, violent dragging in spermatic cord causing sensation as if testicle were being drawn up to inguinal ring.
After sexual excess palpitation of heart.
Weak memory after exhausting coition ; impotence.
Clonic spasmodic stricture of urethra.

Female sexual organs

Uterus and right ovary much congested, very sensitive to touch.
Pain in ovaries and uterus.
Pains of an expulsive character in uterus.
Prolonged bearing down and forcing pain in uterus ; thin and scrawny subjects.
Burning pains in greatly distended uterus, which felt hard and was painful to touch.
Putrescence of uterus ; abdomen distended, not very painful ; discharge from vagina, brownish, offensive ; ulcers on external genitals discolored and rapidly spreading ; burning hot fever, interrupted by shaking chills ; small, sometimes
intermittent pulse ; great anguish, pain in pit of stomach, vomiting decomposed matter ; offensive diarrhœa ; suppressed secretion of urine ; skin covered with petechial and miliary eruptions or shows discolored, inflamed places, with a tendency to mortification ;
the patient lies either in quiet delirium or grows wild with great anxiety and a constant desire to get out of bed. θ Metritis.
Metritis ; tendency to putrescence ; inflammation caused by suppression of lochia or menses ; discharge of thin black blood, a kind of sanies, with tingling in legs and great debility. θ Metritis.
Cancer and gangrene of uterus.
Uterine ulcers feel as if burnt, discharge putrid, bloody fluid.
The uterus that had previously been in a normal condition descended so that it almost protruded, was hot and painful ; os open as large as middle finger ; excessive desire to urinate ; labor pains only relieved by wet bandages or pressure upon abdomen ;
lasted three days, did not miscarry though os remained open during this period ; afterward uterus gradually ascended, pains diminished, and after five or six days os contracted ; went on to eighth month, when she miscarried.
Uterus about an inch from labia inferiora, membrane around it felt hard, while rest of mucous membrane of vagina was very much relaxed and gathered into a fold at lower part.
Partial prolapsus of uterus for eight months after a forceps delivery ; dysuria ; sense of weight over pubes as if contents of abdomen would fall forward.
Prolapsus of three months' standing ; frequent severe cutting pains in abdomen ; occasional nausea.
Dreadful bearing down, dragging out feeling in lower abdomen, so that her life is almost unbearable ; every four or five days profuse, thick, yellow discharge from vagina ; hesitation in urinating ; rheumatism. θ Hysteralgia.
Hemorrhage from uterus ; apparent death of newborn child.
Incessant metrorrhagia.
Uterine hemorrhage : when uterus is engorged ; with pains in sacrum, extending down thighs and pressing into lower abdomen ; after a severe blow upon abdomen of a pregnant woman ; profuse protracted flow ; tearing, cutting colic, cold extremities and cold sweat,
weak, hemorrhage < from slightest motion, blood thin and black, black lumpy or brown fluid, of disgusting smell ; black liquid blood.
A woman, æt. 45, passed through a normal confinement seven years ago ; miscarried about two years ago, hemorrhage kept on for five months under allopathic treatment, with exacerbation during time of menstruation ; after ceasing for seven
months, hemorrhage set in again with slight intermissions of one or two weeks ; excessive anemia ; sunken features ; skin cold and dry ; pulse small and quick ; heavily coated tongue ; loss of appetite ; headache ; since five days, daily ten or twelve
painless stools, of mucous, watery, sometimes foul-smelling masses ; thin, black, foul-smelling bloody discharges.
Feeble and extremely emaciated, skin flaccid, face very pale and sunken, with an expression of suffering, mucous membranes pale and cool, hands and feet deficient of natural warmth, action of heart quickened, breathing short and oppressed, pulse very small, 120 ; abdomen
distended ; os uteri very open, with indented and puffy edges, flaccid and soft, vagina tender and cool ; manual examination caused much uneasiness and flooding ; violent headache limited to one spot, throbbing in temples, roaring in ears, giddiness on slightest
movement ; enfeebled nervous system showed extraordinary excitability ; many times in day, and especially at night, cramps in calves and spasmodic twitchings of limbs, causing exhaustion, remains several hours in bed as if paralyzed ; digestion and sleep disturbed to some
extent ; hemorrhage still continued, even in horizontal position, and elevation of pelvis caused no diminution in large quantity of blackened coagula which were constantly passing, whilst least movement increased discharge in a very great degree. θ Chronic
passive hemorrhage.
Uterine hemorrhage, flow passive, dark and may be offensive ; tingling or formication all over body, holds her fingers spread asunder, asks to have her limbs rubbed ; finally lies unconscious and cold.
Metrorrhagia ; relaxed condition of body ; depressed, anxious state of mind ; unusual drowsiness by day ; gush of thin black blood on least movement of body ; general feeling of prostration ; diminished temperature of body ; wooden, numb feeling
in lower extremities.
Uterine hemorrhage ; did not wish to be covered, desired windows to be open, though room was very cold and surface of body like a corpse.
Painless flooding in feeble, cachectic, dyscratic women, or such as have long resided in tropical climates.
Since last delivery menses too seldom and very irregular, last time rather copious in consequence of unusual exertion ; at night dreamed she was ascending the stairs with a heavy load, and suddenly a clot of blood came away and the blood seemed to
gush forth ; the alarm awakened her and she found that she was bleeding fast ; on following morning strength greatly reduced ; lips and whole body, even tongue, deathly pale ; pulse could not be distinguished ; frequent fainting fits ; periodic pains with
expulsion of clots of blood and between these attacks constant oozing of thin bright blood. θ Menorrhagia.
An excessive menstrual flow every two weeks, lasting seven to nine days ; for last four weeks flow is continuous ; very weak and thin ; has severe pains in loins and uterine region ; bearing down pains as if in labor.
Menses : too profuse and lasting too long ; with tearing and cutting colic, cold extremities, cold sweat, great weakness and small pulse ; or with violent spasms.
Menstrual blood : thin and black ; black, lumpy or brown fluid and of disgusting smell.
Menstrual colic ; pains so severe as to frequently cause spasms ; uterine region very sensitive to touch ; high fever ; pains > when flow appears.
Menstrual colic ; pale face ; coldness of limbs ; cold sweat ; small, suppressed pulse ; tearing, cutting pains in abdomen.
Menses irregular ; every four weeks for three to four days, copious dark-red fluid discharge of blood, with pressing, labor-like pains in abdomen ; constipation ; pressure in occiput ; afterward continuous discharge of watery blood,
until next period.
Suppression of menses with pain.
Gangrene of whole vaginal mucous membrane ; on holding apart the labiæ this membrane was found of a dark slate color, emitting the characteristic odor.
Vagina hot or cool.
Discharge from vagina almost black, fluid and very fetid
Leucorrhœa : in thin, scrawny women, with prolapsus uteri ; green, brown, offensive ; like cream, from weakness and venous congestion.
Ulcers on outer genitals, discolored and rapidly spreading.

Pregnancy. parturition. lactation

Lactation. Arrested development of fetus.
Discharge of blood during pregnancy.
Threatened abortion : more especially at third month ; with copious flow of black, liquid blood ; false labor pains, with bloody discharge ; in feeble, cachectic women, having a wan, anxious countenance, pulse almost extinct, fear of
death ; convulsive movements.
Extremely violent pains, almost without intermission, she seemed to be in the last stage of labor, but on examination os was found about the size of half a dollar, thick and somewhat rigid.
Extremely violent pressing labor pains, os, however, being only about as large as a ten cent piece ; hysterical convulsions.
When advanced about seven and a half months in pregnancy was taken with labor pains, wriggling and not distinctly intermitting ; os tincæ open, and about size of a shilling ; dulness and slight aching of head ; despondent.
Prone to abortion in third month ; had passed through five although she kept her bed as soon as pregnant ; some labor pains with bloody discharge ; was able to attend to her household duties and went to full term.
After lifting a heavy weight during sixth month of pregnancy svere pains in stomach, abdomen and small of back and a pushing-down sensation ; violent movements of fetus ; cold feet ; numbness and tingling in feet ; small, weak pulse.
After abortus : difficult contraction of uterus ; thin, black, foul-smelling discharge.
Retained placenta, after miscarriage, especially when occurring during early months of pregnancy ; offensive discharges ; patient cold and often almost pulseless from loss of blood ; uterine contractions very imperfect, or else prolonged tonic contraction.
During eighth month of pregnancy violent convulsions with frothing at mouth, etc., followed by variable spasms ; insensibility and clonic spasms, < at every pain ; on return of consciousness complained of dull frontal and occipital headache and incessant uterine
pains. θ Premature labor.
During pregnancy : frequent and prolonged forcing pains, particularly in thin, ill-conditioned women ; cramps in calves.
Uterine pains prolonged but ineffectual.
A sensation of constant tonic pressure in uterine region ; causes great distress ; desires fresh air ; does not like to be covered.
Hour-glass contraction.
During labor : prolonged bearing-down and forcing pains in uterus ; pains irregular ; pains too weak ; pains feeble, or ceasing ; everything seems loose and open, no action ; fainting fits.
Strength of uterus weakened by too early or perverted efforts.
Thin, scrawny women, skin shrivelled, dry and harsh, sallow face, weak in labor ; pains seem to be entirely wanting ; uterus flabby ; bearing down in sacral region, a sort of prolonged urging feeling in abdomen.
While the head was passing into lower strait, she was suddenly seized with violent convulsions lasting about three to four minutes, followed by a stupid state with stertorous breathing and uneasy moaning as if from pain.
Labor ceases, and twitchings or convulsions begin.
Puerperal convulsions with opisthotonos.
Retained placenta, with constant, strong bearing down in abdomen, or with relaxed feeling of parts.
After labor, pale, weak ; uterus distended, burning pains therein, hard, painful to least touch ; discharge of black, coagulated or brown, watery, offensive-smelling blood ; throbbing, tearing pains in thighs extending down to toes ; pain < from
motion ; strong pulsations in umbilical region, which could be felt by the hand ; pulse at wrist weak and rapid ; frequent yawning.
Post-partum hemorrhage, with relaxation of uterus, only temporarily relieved by compression ; after-pains excessive, < when child nursed.
After-pains : too long and too painful.
Violent after-pains with hemorrhage arising from irregular contractions ; the longitudinal fibres alone contracting in such a manner as to leave a sulcus in middle, making it appear as if uterus were split open from top to bottom.
Cessation of lochia, with fever ; inflammation of uterus, subsequently an abscess opened through vagina.
Lochia : dark, very offensive ; scanty or profuse ; painless or accompanied by prolonged bearing-down pain ; suppressed, followed by metritis ; suddenly change character and become of a dirty brown or chocolate color, with
fetid odor, grows sad and melancholy and fears death ; of too long duration.
Fever with frequent watery stools. θ Puerperal fever.
Strong tendency to putrescence ; discharge of sanious blood, with tingling in legs and great prostration ; urine suppressed ; offensive diarrhœa ; voice hollow with difficult breathing, feeble and inaudible ; burning fever interrupted by shaking chills, does not
care to be covered ; cold limbs ; cold sweat over whole body ; gangrene. θ Puerperal fever.
Suppression of milk ; the milk will not flow from the breast.
Lack of milk with much stinging in mamma.
In women who are much exhausted from venous hemorrhage ; thin, scrawny women ; the breasts do not properly fill with milk.
Thin, scrawny children with shrivelled skin ; spasmodic twitchings, sudden cries, feverishness. θ Cyanosis.
Pendulous abdomen.

Voice and larynx. trachea and bronchia

Voice : hollow, hoarse, with difficult breathing ; feeble and inaudible ; weak, unintelligible, stammering.
Thickening of mucous membrane of air passages.

Respiration

Respiration : slow ; labored and anxious ; oppressed ; moaning ; constant sighing ; hiccough.
Blood is sometimes expectorated during violent efforts to breathe.

Cough

Hard, hoarse cough, with but little expectoration.
Concussive cough ; profuse perspiration ; sleepless nights ; inclination to colic ; diarrhœa ; bloatedness of abdomen ; emphysema. θ Bronchitis.
Spitting of blood, with or without cough.

Inner chest and lungs

Cramp in chest.
Pains over nearly whole front part of chest, < from coughing and motion.
Expectoration of dark, frothy, rather viscid blood, brought up by a slight cough and amounting to a teacupful in four hours ; a spot as large as a crown piece on right side of chest to right of nipple, dull on percussion, with bronchial respiration and
mucous rale over that part.

Heart, pulse and circulation

Palpitation ; hot forehead ; inclination to sleep ; spasmodic shocks from right half of chest into right arm and leg ; in paroxysms every two or three hours ; oftener in night, after each meal ; less in open air ;
coldness and numbness of right hand, with tingling in fourth and fifth fingers ; loss of muscular power and feeling in hand ; after sexual excess.
Palpitation of heart : with contracted and frequently intermitting pulse.
Pulse : often unchanged even during violent attacks ; generally slow and contracted, at times intermittent or suppressed ; somewhat accelerated during heat, small ; empty, weak ; threadlike, in hemorrhages.

Neck and back

Tumors on neck discharging yellow pus.
Gentle, creeping sensation in back, as if a soft air were blowing through it.
Tingling in back, extending to fingers and toes.
Pain in small of back.
Stitch in back.
Sudden "catch" or "kink" in back. θ Lumbago.
Pains in sacrum with bearing down as if parts would be forced out, < when moving.
Hard, hoarse cough, with but little expectoration ; pains nearly all over front part of chest, < from coughing and motion ; for several years tenderness of lower cervical and upper dorsal spinous processes, with stiffness of neck ; < from
every exertion or strain upon spine ; pressure upon diseased portion of spine produces pain there, as well as all through chest, with irritation to cough. θ Spinal irritation.
Stitches in upper dorsal vertebræ (between shoulders), constant when sitting, intermittent when standing, at times extending into hands, < by pressure upon vertebræ ; frequent formication through all limbs ; at times rigidity and spasmodic stretching of fingers so that for
several minutes he cannot sew ; frequent pressure and swelling beneath epigastrium ; pain in back < when sewing.
Violent pain in back, especially in sacral region ; anesthesia and paralysis of limbs, convulsive jerks and shocks in paralyzed limbs ; painful contraction of flexor muscles ; paralysis of bladder and rectum. θ Myelitis.
Myelitis diffusa.
Paraplegia preceded by cramps and muscular pains.
Difficult, staggering gait ; complete inability to walk, not for want of power but on account of a peculiar unfitness to perform light movements with limbs and hands ; contractions of lower limbs on account of which patient staggers ; trembling of limbs, sometimes attended
with pains ; formication of hands and feet ; excessive sensation of heat, with aversion to heat or being covered. θ Tabes dorsalis.
Spine disease with gressus vaccinus.

Upper limbs

Arms fall asleep.
Rough rash all over arm.
Spasmodic jerks of hand, with flexion of hand at wrist or of forearm.
Numbness and insensibility of hands and arms. θ Spinal affection.
Burning in hands.
Hands deathly pale.
Coldness and numbness of right hand, with tingling of ring and little fingers.
Loss of feeling in backs of fingers.
Loss of muscular power and of feeling in hand.
Fingers convulsively drawn in toward palm, clasping thumb.
Contraction of fingers.
Fingers bent backward or spasmodically abducted.
Left thumb spasmodically drawn toward dorsum of hand, followed in a few minutes by cramping and flexure of rest of fingers toward palmar surface ; hands feel numb, like velvet ; next day both hands became affected and after several days felt a tingling
and stitches in legs, followed by heaviness of same, > after walking, generally appearing while sitting, while cramps in hands always appear after using them.
Loss of sensation in tips of fingers.
Numbness of tips of fingers.
Crawling in tips of fingers as if something alive were creeping under skin or as if fingers were asleep, as from pressure upon arm.
Peculiar prickling feeling in tips of fingers ; they are sensitive to cold.
Painful swelling of fingers.
Violent pains in finger tips.
Gangrene of fingers ; senile gangrene.

Lower limbs

Hammering, tearing pain in both thighs increased by motion.
Legs heavy and tired.
Tingling in legs.
Creeping feeling in anterior femoral and posterior tibial regions.
Shuffling gait as if feet were dragged along.
Rheumatic pains of joints.
Cramps in calves of legs and soles of feet, disturbing sleep at night and hindering walking in pregnant women.
After an attack of cholera cramps in calves and sensation of numbness and formication in toes.
Cramp in calves.
Burning in feet.
The feet seem asleep and stiff.
Toes of right foot spasmodically drawn upward, continuously during day and occasionally at night, causing a peculiar limping gait ; this cramp was accompanied by no pain, but by a very tiresome sensation rendering walking, particularly going up
and down stairs, very difficult ; tendons running along dorsum of foot to toes were tense as wires and the corresponding muscles of leg larger and harder than normal ; now and then slight sensation of coldness in back and also a peculiar buzzing (formication) in spine.
Swelling of feet with black spots.
Beginning senile gangrene ; swelling and livid coloring of right foot extending to malleoli ; foot cold ; severe indescribable pains.
Senile gangrene commenced in great toe of right foot and slowly extended ; foot was livid and swollen ; all the symptoms pointed to its complete loss.
Dry gangrene of foot with constant severe, burning tearing pains.
Severe pains in sole of foot and toes ; black spot on plantar surface of heel ; toes livid, blue, cold ; burning pains ; foot swollen ; walking impossible. θ Senile gangrene.
Profuse, stinking and corrosive perspiration of feet, softening and bleaching soles and destroying quickly stockings and shoes ; existing two months in a girl eighteen years old.
Tingling in toes.
Gangrene of toes.

Limbs in general

Lassitude, weakness, heaviness, trembling of limbs.
Limbs cold, covered with cold sweat.
Formication ; prickling ; tingling ; numbness ; insensibility of limbs.
Spasmodic pains ; drawing and crawling in limbs.
Burning in hands and feet.
Fuzzy feeling in limbs.
Cramps in hands and toes.
Painful jerkings in limbs at night.
Most violent convulsive movements of limbs occur several times a day ; during intervals fingers are numb and often contracted.
Sudden periodic contractions of limbs, with tensive pain.
Contractions of hands, feet, fingers and toes.
Gangrene of limbs, limbs suddenly became cold, leadencolored and lost all sensation.
Paraplegia.
Internal pain greatly < by heat, whether of bed or atmosphere ; somewhat > when exposed to a cooler atmosphere, though even then it was scarcely tolerable ; the pain extended by degrees from toes to legs and thighs, and from fingers to arms and shoulders,
gangrene supervened.
Not the slightest pain in gangrenous limb when pricked or cut, though frequently motion is not entirely lost.
Absolute insensibility of tips of fingers and toes.
Cold gangrene of limbs.
True anthrax, rapidly changing into gangrene.
Hands and feet swollen with a gangrenous black and suppurating eruption.
Pain with some swelling without inflammation, followed by coldness, blue color, cold gangrene and death of limb.
The limbs become cold, pale and wrinkled as if they had been a long time in hot water.

Rest. position. motion

Must lie doubled up in bed : pain in belly.
Sitting : stitches in vertebræ, constant ; cannot bend forward or backward without losing his equilibrium.
Holds hands with fingers spread widely apart.
Standing : stitches in vertebræ intermittent.
Inability to stand erect : vertigo.
Every exertion : tenderness of cervical process <.
Motion : hemorrhage < ; giddiness ; after labor, pains < ; pains over chest < ; pains in sacrum < ; tearing in thighs <.
Walking : heaviness of legs > ; impossible from gangrene.
Every attempt to walk knees sink from under him.
Cannot walk : giddiness.

Nerves

Hyperesthesia of cutaneous nerves, especially of spine.
Sensation of soreness in abdomen ; formation of large lumps and swellings in abdomen ; right hand very weak, particularly fingers, so that she could hold nothing, nor sew with that hand ; when placing open hand to side and taking it away
a spasm of hand occurs, the fingers are spread apart and she cannot close the hand ; rapid alternations of heat and cold in hands and feet ; cramps in legs ; icy coldness of knees ; trembling of right arm and hand while eating, must use the left ; sensation of
coldness in stomach, > for a short time by warm drinks ; habitual constipation. θ Hysteria.
Burning : in all parts of body as if sparks of fire were falling on them.
Neuralgia, caused by pressure of distended veins upon a nerve trunk.
Spasmodic twitchings.
Irregular movements of whole body.
Spasmodic distortion of limbs, relieved by stretching them out.
Expression of countenance varied every moment from a constant play of the muscles ; eyes rolled about, pupils dilated, tongue jerked out, head moved about from side to side ; arms in constant action with most diverse movements ; snatched objects
rather than look hold of them, could hold nothing securely ; trunk also in constant motion ; urine could not be retained ; pulse small, weak, quick ; heart beat tumultuously ; appetite poor ; bowels torpid ; aching in occiput ; sensation of formication
in extremities ; memory impaired ; speech difficult, hurried ; no relief at night ; staggered about the house almost all night. θ Chorea.
Chorea associated with menstrual irregularities.
The muscular twitchings usually commence in face and spread thence all over body, sometimes increase to dancing and jumping. θ Chorea.
Spasms, with fingers spread apart.
Convulsive jerks and starts in paralyzed limbs.
Painful contractions in flexor muscles.
Tetanic spasms, with full consciousness, followed by great exhaustion.
Convulsions.
Tonic spasms.
Epileptiform spasms ; epilepsy.
Complains of great weakness, constipation, heaviness in epigastrium, formication in legs and cramps ; at night while asleep gets epileptiform attacks of which she knows nothing next morning except that she feels greatly prostrated and has a constant
heaviness in head.
After abortus, spasms with full consciousness, afterward great exhaustion ; heaviness in head and tingling in legs.
Convulsions first occurring after a fright when a little girl, returned after each confinement.
Twitching of single muscles ; twisting of head to and fro ; contortions of hands and feet ; labored and anxious respiration. θ Spasms.
Numbness of extremities ; paralysis of some parts ; painful tingling (like crawling of ants) on tongue. θ Post-diphtheritic paralysis.
Paralysis after spasm, and apoplexy, with rapid emaciation of affected parts and involuntary discharges from bowels and bladder.
Suddenly fell to ground, but without loss of consciousness ; on every attempt to walk the knees would sink from under him, especially right ; while sitting cannot bend forward or backward without losing his equilibrium ; arms slightly weak, sensation of touch not
affected ; general dulness ; difficult speech ; inclination to weep ; complains of headache and pain in lumbar region ; sleep poor ; urine and feces escape involuntarily ; no stool for several days ; at times oppression of breathing. θ Paralysis.
Paralysis of lower extremities, in a woman past climacteric ; a hard, sensitive tumor in one of her breasts had been developing for several years, but for the last year or two had rapidly increased in size and become very painful ; by continued application for several months of
a yellowish salve the tumor was enucleated ; in about a month after ceasing to use the salve a peculiar torpor or deadness was felt in great toes, which extended to whole foot and ankle joint ; feet seemed large and heavy and could be moved only by moving whole limb ; gait
shuffling as if feet were dragged along by lifting legs ; slight numbness in hands.
Paralysis, with rapid emaciation, with relaxation of sphincters.
Myelitis and softening of cord.
Trembling ; unsteadiness of whole body.
Restlessness ; extreme debility and prostration.
Loss of power of voluntary motion.
Sinking spells from diarrhœa, at 3 A. M.
Collapse from choleroid diseases, etc., with cold skin, yet unable to bear warmth.

Sleep

Frequent yawning.
Inclination to sleep ; drowsiness ; deep, heavy sleep, stupor.
Sleep at night disturbed by frightful dreams.
Restless and sleepless.

Time

At 3 A. M. : sinking spells.
At break of day : diarrhœa.
In morning : frequent short evacuations.
During day : warmth on tongue ; unusual drowsiness ; toes drawn up continuously.
During night : anus firmly closed ; cramps in calves and twitchings of limbs ; dreamed she was ascending stairs ; palpitation ; toes drawn up occasionally.
Jerkings in limbs ; staggered about house with chorea ; ulcers <.

Temperature and weather

Open air : palpitation less.
Wants to be in air or be fanned : with diarrhœa.
Warm applications : suppuration of cornea < ; ulcers <.
Warm drinks : coldness of stomach <.
Does not wish to be covered ; diarrhœa ; uterine hemorrhage.
Heat : could not bear it and would throw off all covering, in post-diphtheritic paralysis ; with diarrhœa, did not wish to be near ; aversion to, with cholera ; internal pain much < ; gangrene <.
Wet bandages : > labor pains.
Cold : ulcers > ; gangrene >.

Fever

Disagreeable sensation of coldness in back, abdomen and limbs.
Skin cold, with shivering.
Coldness of surface of body, particularly extremities.
Violent chill of but short duration ; followed soon after by internal burning heat, with great thirst.
Chill with thirst.
Violent shaking followed by violent heat, with anxiety, delirium and almost unquenchable thirst.
Intense, icy coldness of skin, with shivering ; pale, sunken face.
Cold limbs, cold sweats, great weakness.
Cold stage preceded by vomiting, succeeded by moderate sweating.
Severe and long-lasting dry heat, with great restlessness and violent thirst.
Heat with thirst and hot skin.
Burning heat, interrupted by shaking chills, then internal burning heat, with great thirst.
Sweat : all over body, except face ; profuse cold, cold limbs ; from head to pit of stomach ; especially on upper body ; cold, clammy over whole body ; colliquative.
Exhausting perspiration, accompanied by evening fever and alarming cough.
Cold surface ; sunken pale face and blue lips ; will not be covered ; tingling in limbs ; holds hands with fingers widely spread apart ; cold, clammy sweat ; speech feeble, stuttering. θ Ague.
Aversion to heat or to being covered ; may feel cold but does not wish to be covered.
Great tendency to typhoid. θ Intermittent.

Attacks, periodicity

Sudden attacks : diarrhœa.
Alternation : of heat and cold, in hands and feet.
Five to ten minutes after taking least quantity of food severe colic.
Every two or three hours : paroxysms of palpitation.
Several times a day : convulsive movements of limbs.
For several weeks : formication in tips of fingers.
Every two weeks : excessive menstrual flow ; lasting seven to nine days.
For two weeks : profuse corrosive foot sweat.
For four weeks : flow is continuous.
During August : diarrhœa.
In Summer : interminable diarrhœa.
For several years : tenderness of cervical processes.

Locality and direction

Right : ovary congested ; a spot on side of chest dull on percussion ; spasmodic shocks from half of chest into arm and leg ; coldness of hand ; toes drawn up ; swelling and livid coloring of foot ; gangrene in great toe of foot ; hand
very weak ; trembling of hand and arm.
Left : hemicrania ; nose stopped up ; throat sore ; protrusion in hypochondrium ; thumb spasmodically drawn toward dorsum of hand.

Sensations

As if intoxicated while undressing ; as if eyes were spasmodically rotated ; as of a solid plug in nose ; as if tongue were paralyzed ; as if there were some resistance to overcome in speech ; as of a heavy weight in stomach ; region of stomach as
if contracted ; anus as if locked up ; as if testicles were being drawn up to inguinal ring ; uterus as if burnt ; as if contents of uterus would fall forward ; as if soft air were creeping through back ; as if sacrum would be forced out ; as if something
alive were creeping under skin ; as if fingers were asleep ; as if limbs had been a long time in hot water ; as if sparks of fire were falling upon different parts of body ; in lumbar region ; as if mice were creeping under skin.
Pain : in occiput ; in eyes ; in pit of stomach ; in epigastrium ; in lower belly ; in abdomen ; in hypogastric region ; in loins ; in ovaries and uterus ; in sacrum, down thighs and into lower abdomen ; over front part of
chest ; in small of back ; in sacrum.
Excruciating pains : in spine.
Violent pain : in back ; in finger tips.
Acute pain : in hepatic region.
Severe pains : in stomach ; in abdomen and small of back ; in sole of foot and toes.
Cutting : in abdomen.
Tearing pains : in both thighs ; in foot.
Throbbing, tearing pains : in thighs.
Tearing, stinging pains : in extremities.
Pinching pains : in abdomen.
Forcing pain : in uterus.
Stitches : in upper dorsal vertebræ.
Stitching pains : in eyes ; in legs.
Stitch : in back.
Sudden catch : in back.
Throbbing : in temples.
Cramps : in calves of legs ; in feet, toes, hands and fingers ; in chest.
Cramping pains : in stomach.
Cramping pressure : in stomach.
Rheumatic pains : in joints.
Tensive pain : in limbs.
Drawing pains : in calves of legs.
Drawing : in limbs.
Dragging : violent in spermatic cord ; in abdomen.
Stinging : on mamma.
Burning : in throat ; of tongue ; at pit of stomach ; in spleen ; in abdomen ; in uterus ; in hands ; in feet.
Soreness : of throat ; in abdomen.
Tenderness : of epigastrium ; of lower cervical and upper dorsal spinous processes.
Distress : of stomach.
Painful constriction : of epigastrium.
Painful jerkings : in limbs.
Jerking : under skin.
Pulsations : in head.
Pressure : on eyeballs ; in pit of stomach ; in occiput ; in uterine region.
Heaviness : of head ; in epigastrium.
Lightness : of head.
Peculiar prickling feeling : in tips of fingers.
Tingling : in face ; in throat and tongue ; of legs ; on tongue ; in limbs ; all over body ; in fourth and fifth fingers ; in back ; in toes.
Crawling : on tongue ; in tips of fingers ; in limbs ; all over body ; between skin and flesh ; in upper lip ; all about mouth.
Formication : in face ; in gums ; in extremities ; in tips of fingers ; over whole body.
Gentle creeping sensation : in back.
Fuzzy feeling : in limbs.
Dryness : of soft palate, throat and œsophagus ; of mouth.
Numbness : in limbs ; of feet ; of right hand ; of tips of fingers.
Cold feeling : in abdomen and back ; in limbs ; of body ; of right hand ; in stomach.

Tissues

It destroys the activity of the cord ; convulsive twitchings and shocks, painful contractions, tetanic manifestations ; perfect paralysis, with increased reflex activity ; most excruciating spinal pains, especially in sacral region ; paralysis of bladder
and rectum ; tendency to gangrene ; rapid emaciation.
Dissolution of blood corpuscles ; blood thin ; passive hemorrhages.
Anemic state, either from exhaustive diseases or artificial depletion ; the blood is thin and does not coagulate.
Thrombosis of abdominal vessels.
Neuralgia caused by pressure on nerves by a distended vein.
Tumefaction of glands.
Lymphatic tumors.
Collapse from choleroid diseases.
Rapid emaciation of paralyzed parts.
Malignant pustule.
Emphysematous swellings.
Passive hemorrhage ; blood dark and red, in feeble and cachectic persons, accompanied by tingling in limbs and prostration ; desire for air ; does not like to be covered ; wishes to have limbs extended ; skin cold.
Rheumatism (peliosis rheumatica of Schoenlein) generally is found in cachectic individuals, with purpura ; affects joints, especially of lower extremities ; thrombosis of abdominal vessels.
Ulcers : bleeding ; becoming black ; feeling as if burnt ; painless ; pricking, producing a prurient sensation ; pus putrid ; < at night, touch, from external warmth ; > from cold.
Gangrene : from anemia ; external injuries, application of leeches or mustard ; > from cold, < from heat ; dry, of old people.
Dry gangrene of extremities, parts are dry, cold, hard and insensible, of a uniform black color and free from fetor ; large ecchymoses, blood blisters on extremities, becoming gangrenous, black suppurating blisters ; limbs become pale, cold,
shrivelled or lead-colored, losing all sensibility.

Touch. passive motion. injuries

Touch : pit of stomach very sensitive to ; right ovary sensitive to ; uterus painful ; ulcers <.
Pressure : upon abdomen > labor pains ; upon vertebræ stitches <.
After lifting heavy weight : during sixth month of pregnancy ; severe pain in stomach, abdomen and small of back.
External injuries : gangrene.

Skin

Skin dry and cool.
Cold and dry ; dingy, wrinkled, dry and insensible ; desquamation.
Formication : with a sense as if mice were creeping under skin ; on face, gums and other parts of body ; in extremities with tearing, stinging pains ; in tips of fingers, lasting several weeks, with a partial loss of sensibility ; over
whole body.
Crawling : all over body ; between skin and flesh ; and jerking under skin.
Violent crawling and prickling over whole body, especially in upper lip and at times all about the mouth.
Bloody blisters on extremities, becoming gangrenous.
Boils, small, painful, with green contents, mature very slowly and heal in same manner ; very debilitating.
Carbuncles ; extensive ecchymoses.
Petechia and miliary eruptions.
Purpura hemorrhagica.
Cachectic females, with rough skin ; pustules showing a tendency to gangrene.
Varicose ulcers and enlarged veins in old people.
Ulcers turn black, copious vomiting of a mixture of a thick, black, pitchy, bilious or shiny matter.
Indolent ulcer, ichorous, offensive pus, > from cold.
General desquamation in scarlatina.
Variola pustules of abnormal appearance, either fill with a bloody serum or dry up too soon.

Stage of life, constitution

Irritable plethoric subjects.
Nervous temperament.
Women of very lax muscular fibre.
Feeble, cachectic women ; thin, scrawny.
Very old, decrepit persons.
Women of very lax muscular fibre ; passive hemorrhages, copious flow of thin, black, watery blood ; the corpuscles are destroyed.
Hemorrhagic diathesis ; the slightest wound causes bleeding for weeks (Phos.) ; discharge of sanious liquid blood, with a strong tendency to putrescence ; tingling in limbs and great debility, when weakness is not caused by previous loss of fluids.
Strumous child, æt. 18 months, suffering three weeks ; diarrhœa.
Boy, æt. 5, suffering from suppuration of glands of neck after an attack of scarlet fever ; hæmaturia.
Girl, æt. 10, suffering four years ; hematemesis.
Boy, æt. 13 ; amaurosis.
Boy, æt. 17, slim, pale and thin, father a weaver ; chorea.
Mrs. P., æt. 18, sanguine temperament, healthy, welldeveloped muscular system, primipara ; dystocia.
Man, æt. 18, shoemaker's apprentice, weak, pale face, light hair, flabby muscles, fat cheeks ; cramps in fingers.
Girl, æt. 18 ; offensive foot sweat.
Woman, æt. 20, gentle disposition, lymphatic temperament, gave birth to a child several weeks ago ; hematemesis.
Man, æt. 20, tailor's apprentice, strong, well nourished ; cramps in fingers.
Girl, æt. 22, sanguine temperament, robust ; menstrual colic.
Mrs. A., æt. 25 ; hysteralgia.
Woman, æt. 28 ; menstrual colic.
Woman, æt. 28, lymphatic-sanguine temperament, pale, leuco-phlegmatic, has had three children and been previously healthy ; menorrhagia following an abortion.
Man, æt. 30, strong, well nourished, short neck, addicted to drink ; epistaxis, right side.
Woman, æt. 30 ; prolapsus of uterus.
Woman, æt. 32, blonde, weak, after labor ; uterine hemorrhage.
Woman, æt. 32, well built, married, no children ; metrorrhagia.
Man, æt. 32, married ; spinal affection.
Mrs. W., æt. 35, mother of three children, very weak and thin ; menorrhagia.
Woman, æt. 35, mother of three children ; metrorrhagia.
Man, æt. 40, choleric temperament ; dark complexion ; diarrhœa.
Woman, æt. 40, mother of seven children, weak, cachecticlooking, suffering from prolapsus uteri ; hysteria.
Woman, æt. 41, large frame, feeble and emaciated, suffering since her return from the tropics ; metrorrhagia.
Woman, æt. 41, had metritis after a forced labor, followed by leucorrhœa, latter cured by Stannum. ; epilepsy.
Architect, æt. 42, robust constitution ; spinal affection.
Woman, æt. 45 ; uterine hemorrhage.
Woman, æt. 45, weak, formerly suffering from hemorrhoids ; menorrhagia.
Forester, æt. 50, strong, suffering three months ; paralysis.
Man, æt. 53, nervo-bilious temperament, suffering many years with gastric disorder ; gastralgia.
Woman, æt. 62, suffering four days ; epistaxis.
Woman, æt. 70, gouty ; diarrhœa.
Woman, æt. 80 ; senile gangrene.
Woman, æt. 82 ; senile gangrene.
Girl, sanguine temperament, healthy but delicate, menses normal, suffering several weeks ; cardialgia.
Mrs. E., dark complexion, sickly yellow countenance, nervo-lymphatic temperament ; dystocia.
Mrs. ---, nervo-bilious temperament, dark complexion, short, thick-set, has had four children ; dystocia.
Woman, just past climacteric, had tumor in breast which was enucleated by applications of a salve, since then suffering ; paralysis of legs.

Relations

Compatible : Cinchon .
Compare : Colchic . (cholera morbus) ; Arsen ., but cold and heat act opposite ; Cinnam . (hemorrhage after labor) ; Plumbum
(diabetes).

Lectures on Homoeopathic Materia Medica

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

Lecture

The best provers of Secale, those who are most susceptible to its action, are scrawny people, and they are the ones who will most likely need it as their curative remedy.

Aspect

Of course, it is not necessarily contra-indicated in fat people. Certain constitutions are mentioned in connection with a remedy as being suited to it, but it must not be inferred that no action will result in others when the symptoms agree. Scrawny people are especially related to Secale.

Emaciated, withered, wrinkled, unhealthy appearance of the skin; purplish, bluish skin, general or in spots; purplish I spots on withered skin, especially where the circulation is feeble as on the back of the hands and feet and on the tibia.

These parts become numb, tingle and wither. The extremities prickle, burn, and tingle; creeping and crawling, as of insects under the skin, as if between the skin and the flesh; numb, dead, wooden sensation in the fingers and especially in the toes.

The toes become black, gangrenous. A senile withering, such as is found in feeble old people; the blood-vessels close up; no blood goes to the toes and they become numb and black, devoid of sensation. Hence, Secale improves the circulation of the aged and postpones senile gangrene.

Burning

is a feature of this remedy; the skin burns; the extremities burn, sensation of burning when the parts feel cold to the touch and really are cold, a sensation of heat with coldness.

Burning, especially of internal parts. Dryness with burning; burning in the stomach and bowels; dryness and burning in the mouth and throat, the nose and air passages; burning in the lungs.

This remedy produces ulceration even to sloughing. Old ulcers take on a strange, withered appearance; dryness with no, granulations; a shiny, blackish aspect and all at once blackish granulations shoot out, indolent, and finally forming a black sphacelus which slowly separates; the part is dry; there is no discharge except now and then a little bleeding of black blood.

Oozing of black, liquid blood, oozing when there is no inflammation; nose-bleed of dark, venous, offensive, fluid blood, bleeding from the throat, lungs, bladder, and rectum, of dark blood; urine like ink.

Women

Prolonged uterine haemorrhage so that one menstrual nisus runs into another; withered subjects; considerable flow on the first day, fluid, and blackish; this goes on for a couple of weeks and then a dark watery flow comes on which lasts until the next period.

Then comes the thick, black, fluid, horribly offensive flow again. Such a state is found in the woman who has taken ergot to produce abortion, or in sensitive women who have been dosed with it to facilitate delivery. Of course, if the woman is not sensitive you will not get the lingering provings,

Some women are so insane that though they die they will get rid of their offspring. On all hands women say,

"I have had no health since I aborted."

The worst state of health is produced by ergot; it establishes a miasm as deep as psora itself. The duke to destroy the offspring is an engraftment on psora and by ergot she takes on a miasm as dangerous as sycosis or syphilis.

I have patients who took ergot to cause abortion, and I can do nothing more than palliate them. They have Secale symptoms, sequelae, and their psoric symptoms are suppressed, held down, just as syphilis holds down psoric manifestations; only by covering the Secale miasm and getting at the psora can we help the patient.

They have placed themselves beyond the help of the physician and the ergot will shorten their lives many years unless they are fortunate enough to have careful prescribing continuously while they live.

Modalities

The general constitutional state is aggravated from heat; there are only a few exceptions to this.

Wants cold though the limbs are cold as ice, wants to be uncovered, wants the windows open; a patient with hemorrhages wants the covers off though the room is cold. A patient with ulcers wants to be uncovered; in inflammatory condition of the stomach and bowels, wants the abdomen uncovered.

At times there is a lingering state of heat of the skin and the patient wants to be covered up; there are also sharp, stinging neuralgic pains, which burn like fire and cut like a knife and are relieved by the application of beat; headache worse in cold air.

But the general state is ameliorated from uncovering, in a cold room, and from cold air blowing on the patient.

Violent inflammation of any part of the body; gangrenous pneumonia; gastritis; peritonitis; inflammation of the uterus and ovaries. In inflammatory conditions it competes with Ars.

The symptoms are so nearly alike in both that it is difficult to differentiate; both have violently distended abdomen; tympanites; burning like coals of fire; violent thirst; extreme sensitiveness and tenderness to touch, so that motion or jar is unbearable; vomiting of blood; expulsion of blood-clots; horrible, offensive, bloody discharge from the bowels; but they are different in the generals. Ars. wants to be covered up, to be kept warm, to have hot applications, either wet or dry, while Secale wants to be uncovered, wants the cold air.

Convulsions

of single parts or of the whole muscular system; opisthotonos; cramps in the calves, thighs, soles of the feet, and hands, hysterical contractures, a hysterical diathesis.

Convulsions begin in the face. Active manias with great excitement; exposes her body and tears at the genitals; puts her finger in the vagina and scratches until the lips bleed; all idea of modesty lost.

The spasms, nervous, and mental symptoms are worse while she is flowing, so that a puerperal convulsion comes on in the midst of a hemorrhage.

From the hemorrhagic tendency and the ability to destroy the red blood corpuscle, there is anemia. The face looks like dried beef, wrinkled, shrivelled, scrawny, as if it had not been washed; as if grey dirt had dried on the skin, and this especially on the extremities a dirty, grey appearance.

Catarrhal affections of all mucus membranes; they are dry and bleed; blood oozes from the catarrhal surfaces, liquid, black, and offensive, coagulating slowly or not at all.

"Nosebleed, blood dark, runs continually, with great prostration, small thread-like pulse; in old people or drunkards; of young women; from debility."

Those poisoned by ergot become victims of opacity of the lens as in senile debility; cataract of old persons.

The withered scrawny person with tendency to ulcerations, unhealthy skin and aggravation from heat, is striking in both acute and chronic states.

Chronic diarrhoea exhaustive, watery discharges, cholera. It is related to Camphor, Scrawny people take cholera, skin cold and blue; better from cold. Violent and continued thirst.

Diarrhoea and hemorrhages are likely to come together; diarrhoea of bloody water or dark liquid blood.

Large doses produce such contractures of the uterus that its contents are expelled and an exhausting hemorrhage follows; expulsion of large clots and in the early stages mixed with some red blood, but the most striking feature is liquid, black discharge.

"Asiatic cholera with collapse, sunken, distorted face, particularly the mouth, crawling sensation as of ants."

Paretic condition; paralysis of lower extremities; of one side; of one arm or one leg; paralysis of the upper extremities with tingling, numbness, and prickling. Numbness and burning down the whole length of the spine; general emaciation or only of diseased part.

Eruptions, abscesses, boils carbuncles; green pus discharged; a green, purplish appearance; boils small with green contents, mature and heal slowly.

Establishes sterility; so weak is the uterus that it can never hold the foetus, hence the value in sterility and repeated abortions.

Dwindling of the mammae. Absence of milk after confinement.

"Thin, scrawny children with shrivelled skin, spasmodic twitchings, sudden cries, feverishness."

Purpura hoemorrhagica. Paralysis of the extremities. Spinal irritation. Cachectic females with rough skin, pustules tending to gangrene.

The Therapeutics of Fevers

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

Characteristic

Adapted to women of thin, scrawny, feeble, cachectic appearance; irritable, nervous temperament; face ashy, pale, sunken.

Very old, decrepit, feeble persons.

Women of very lax muscular fibre; everything seems loose and open; no action, vessels flabby; passive hemorrhages, copious flow of thin, black, watery blood; the corpuscles are destroyed.

Hemorrhagic diathesis: the slightest wound causes bleeding for weeks (Lach., Phos.); discharge of sanious liquid blood, with a strong tendency to putrescence; tingling in the limbs and great debility, particularly when the weakness is not caused by previous loss of vital fluids.

Leucorrhœa; green, brown, offensive.

Boils: small, painful, with green contents; mature very slowly and heal in the same manner; very debilitating (Tub).

Unnatural, ravenous appetite; even with exhausting diarrhœa he is hungry; craves lemonade, acids.

Diarrhœa: involuntary, profuse, watery, putrid, brown; discharged with great force (Gamb., Crot. t.); very exhausting; urine suppressed; anus wide open (Apis, Phos.).

Enuresis; of old people, pale, watery, bloody urine.

Burning; in all parts of the body, as if sparks of fire were falling on the patient (Ars.).

Cholera collapse: face pale, sunken, distorted, particularly around the mouth; skin cold, yet cannot bear to be covered.

Senile, dry gangrene; < by external heat.

The skin feels cold to the touch, yet the patient cannot tolerate covering; icy coldness of extremities.

Menses: irregular; copious, dark, fluid; with pressing, labor-like pains in abdomen; continuous discharge of watery blood until next period.

Threatened abortion, especially at third month (Sab.); prolonged, bearing down, forcing pains.

During labor: pains irregular; too weak; feeble or ceasing; everything seems loose and open, but no expulsive action; fainting.

After-pains: too long; too painful; hour-glass contraction.

Suppression of milk; in thin, scrawny, exhausted women; the breasts do not properly fill.

Pulse small, rapid, contracted and often intermittent.

Relations

Similar: to Arsenicum, but cold and heat are opposite.

Resembles Colchicum in cholera morbus.

Aggravation

Heat: warmth from covering; of all affected parts; in all diseases worse from heat.

Amelioration

In cold air; getting cold; uncovering affected parts; rubbing.

Type

No periodicity. All types of fever; tendency to typhoid, and typhus, yellow fever, hemorrhagic stage.

Time

At all periods.

Prodrome

Vomiting.

Chill

With thirst. Violent, shaking, followed by violent heat, with anxiety, delirium and almost unquenchable thirst. Shaking chill, with creeping coldness in different parts of body, as from snow (Petr.). Intense icy coldness of the skin, particularly of face and extremities (Camph., Meny., Nux, Ver.). Cold limbs, cold skin, with shivering; pale, sunken face, with coldness of the back and abdomen. Temperature of body diminished (Camph., Ver.). Lips bluish (Nux).

Heat

With thirst and hot skin. Burning heat, interrupted by shaking chills, then internal burning heat with great thirst. During heat great pain in stomach, abdomen, limbs (cramps and pain in stomach and abdomen, with vomiting and purging, Elat., Ver.). Severe, long-lasting, dry heat, with great restlessness and violent thirst (Ars., Nat., Rhus).

Sweat

All over the body, except the face (Rhus—reverse of, Sil.). General sweat, relieving all the symptoms (Nat., Samb.). Profuse cold sweat on limbs. Cold, clammy sweat over whole body. Sweat from head to pit of stomach.

Pulse

Accelerated during heat; generally slow, contracted, at times intermittent; often unchanged even with the most violent attacks.

Tongue

Sticky, yellow coating; tongue deathly pale (mucous membrane of mouth and tongue pale, Fer.); or clean, with dry, red tip; or red tip and edges, centre coated. Desire for sour things; lemonade (Eup. purp.). Disgust for food, meat and fats.

Apyrexia

Aversion to heat or to being covered. May feel cold, but does not wish to be covered (Camph.). Face pale, drawn, collapsed, hippocratic. Great tendency to typhoid.

Analysis

Chill; intense icy coldness; lips and fingers blue; face and extremities cold; great thirst.

Heat; severe, long, great thirst and very restless.

Sweat; profuse, cold, clammy; all over body, except the face (Rhus).

Aversion to heat and cannot be covered; pernicious and sinking fevers.