Senega seneg.

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

MUCOUS and serous membranes: CHEST. Eyes. Nose. Bladder. Muscles. Left side.

Worse

Air: Open. Wind. Inhaling cold. Rest. Pressure. Touch. Looking fixedly.

Better

Motion; in open air. Bending head back.

General

Sub-acute, catarrhal or paretic states; of old people or fat, chubby children. Lax tissues. Profuse, albuminous secretions. Burning in air-passages.

Particulars

Headache, into eyes, > cool air. Eye-balls feel distended. Bends head backward for > diplopia, ptosis, etc. Eye-balls feel like balls of ice. Sneezes, until dizzy. Coppery taste. Dry scraping in mouth, throat and chest; < talking. Nausea. Shreddy urine. Hoarse, unsteady voice; < sexual losses. Wheezing. Emphysema. Cough, incessant; strangling, choking ends in sneezing; < lying on right side or evening. Loose rattle in chest, but the profuse, clear expectoration is tough and slips back. Blood-tinged or albuminous expectoration. Chest sore (in spots), as if bruised; shifting pains on stooping. As of a crushing weight on or weakness starting from chest. Pleuro-pneumonia.

Related

Related: Caus. Hep.

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

Where there is a great burning in the chest, either before or after coughing; profuse secretion of mucus. Dryness of inner parts which are usually moist; dry skin. General affections in the windpipe; left side of the chest particularly; right eye; lower eyelids.

Worse

From looking fixedly at an object a long time.

Remedies following

Calc. carb., Lycop., Phosphor., Sulphur.

Antidotes

Bryon. Sometimes, Arnic., Bellad., Camphor.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Snakewort

General

Catarrhal symptoms, especially of the respiratory tract, and distinct eye symptoms of a paralytic type, are most characteristic. Circumscribed spots in chest left after inflammations.

Mind

Suddenly remembers unimportant regions which he saw long ago. Inclined to quarrel.

Head

Dullness, with pressure and weakness of eyes. Pain in temples. Bursting pain in forehead.

Eyes

Hyperphoria, better by bending head backwards. Acts on the rectus superior. Blepharitis; lids dry and crusty (Graph). Dryness, with sensation as if too large for orbits. Starting. Lachrymation. Flickering; must wipe eyes frequently. Objects look shaded. Muscular asthenopia (Caust). Double vision; better only by bending head backward. Opacities of the vitreous humor. Promotes absorption of fragments of lens, after operation.

Nose

Dry. Coryza; much watery mucus and sneezing. Nostrils feel peppery.

Face

Paralysis of left side of face. Heat in face. Burning vesicles in corners of mouth and lips.

Throat

Catarrhal inflammation of throat and fauces, with scraping hoarseness. Burning and rawness. Sensation as if membrane had been abraded.

Respiratory

Hoarseness. Hurts to talk. Bursting pain in back on coughing. Catarrh of larynx. Loss of voice. Hacking cough. Thorax feels too narrow. Cough often ends in a sneeze. Rattling in chest (Tart emet). Chest oppressed on ascending. Bronchial catarrh, with sore chest walls; much mucus; sensation of oppression and weight of chest. Difficult raising of tough, profuse mucus, in the aged. Asthenic bronchitis of old people with chronic interstitial nephritis or chronic emphysema. Old asthmatics with congestive attacks. Exudations in Pleura. Hydrothorax (Merc sulph). Pressure on chest as though lungs were forced back to spine. Voice unsteady, vocal cords partially paralyzed.

Urinary

Greatly diminished; loaded with shreds and mucus; scalding before and after urinating. Back, bursting distending pain in kidney region.

Modalities

Worse, walking in open air, during rest. Better, from sweat; bending head backwards.

Relationship

Compare: Caust; Phos; Saponin; Ammon; Calc; Nepeta cataria-Catnip (to break up a cold; infantile colic: hysteria).

Dose

Tincture, to thirtieth potency.

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, with rapid breathing. Melancholy mood, with great irritability of temper. Hilarity, with great irritability, changing to anger and wrath.

Head

Dulness and stupefaction of the head, with pressure in the eyes, and obscuration of sight. The headache always extends to the eyes, is aggravated in the warm room, and relieved in the cold air. Shuddering on the hairy scalp.

Eyes

The eyes pain as if they were pressed out, as if the eyeballs were being expanded, especially in the evening at candle-light. Congestion of blood to the eyes, with pulsation in them on stooping. Swelling of the eyelids, with tingling in them. Hardened mucus in the morning in the eyelashes. Lachrymation in the open air, and when looking intensely on an object. Obscuration of the cornea. Sensitiveness of the eyes to the light. Obscuration of sight, with glistening before the eyes, worse from rubbing them.

Ears

Painful sensitiveness of hearing.

Nose

Smell of pus before the nose.

Face

Heat in the face. Burning blisters on the upper lip, and in the corners of the mouth.

Mouth and Throat

Burning in the throat, mouth and on the tongue. White-coated tongue. Inflammation and swelling of the throat and pallet. Dryness in the throat and accumulation of tough mucus in the throat, which it is difficult to hawk up. Metallic taste in the mouth, or taste like urine.

Stomach and Abdomen

Violent thirst. Gnawing hunger, with sensation of emptiness in the stomach. Eructations (relieving the mucus and hawking of mucus from the thorax). Nausea, as from the stomach, with vomiturition and straining to vomit. Burning in the stomach. Colic, with pressing pain. Warmth and oppression in the upper part of the abdomen when inhaling. Gnawing in the upper part of the abdomen.

Stool and Anus

Hard, retarded, and insufficient stool. Diarrhœa, with vomiting and great anxiety.

Urinary Organs

Urinary secretions diminished. At night, in bed, involuntary micturition. Urine contains strings of mucus, foaming when getting cold, turbid and cloudy. Burning and stinging in the urethra during and after micturition.

Respiratory Organs

Dyspnœa as from stagnation in the lungs. Oppressed breathing, as if the chest were not wide enough, especially in the open air and when stooping. Congestion of blood to the chest. Shortness of breath from accumulation of mucus in the chest and trachea. Dry, shaking cough from tickling in the larynx, especially in the open air. Cough with copious expectoration of tough mucus. Shaking cough, like hooping-cough, from burning and tickling in the larynx, in the morning, with copious expectoration of tough, white mucus (like the white of an egg). The cough is worse in the evening and at night, during rest, in the warm room, when sitting, when lying on the (left) side. Pressing pain in the chest, worse during rest. Great sensitiveness to the inner chest, also to the touch. Stitches in the chest when coughing and breathing. Soreness in the chest, aggravated by pressure, coughing and sneezing. Accumulation of mucus in the chest, in the larynx, and trachea. Phthisis mucosa : Hydrothorax. Hoarseness ; bronchitis. The most chest symptoms are aggravated during rest and do not affect the breathing. Violent palpitation of the heart.

Extremities

Upper. Sensation as if the wrist were sprained. Lower. Sensation of great weakness or debility in the legs ; the joints feel as if lame.

Back

Pain under the right shoulder-blade as if the chest should burst, when coughing or drawing a long breath.

Generalities

Great bodily and mental lassitude. Great weakness, which seems to originate in the chest. Diseases of mucous membranes. Dropsy of internal organs (especially after inflammation). Inflammation of internal organs.

Sleep

In the evening, as soon as one lies down, heavy sleep ; in the morning one wakens frequently from dyspnœa.

Fever

Pulse hard and frequent. Chilliness and chill almost only in the open air, with weakness in the legs and dyspnœa. Shudders over the back, with heat in the face and chest symptoms. Sudden flushes of heat. Perspiration wanting.

Skin

Bites of poisonous animals or animals when in a state of rage.

Conditions

Especially suitable for plethoric, phlegmatic persons. Most symptoms, especially those of the chest, are aggravated when at rest and are relieved when walking in the open air.

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

Polygala senega. Seneca Snake-root. N. O. Polygalaceæ. Tincture of powdered dried root.

Clinical

Amblyopia. Ascites. Asthma. Bladder, irritable ; catarrh of. Blepharitis ciliaris. Bronchitis . Constipation. Cornea, opacity of. Cough . Enuresis. Facial paralysis. Hay-fever. Hydrothorax. Hypopion. Influenza. Iritis. Œsophagus, stricture of; catarrh of. Phthisis mucosa. Pleurisy. Pneumonia. Snake-bites. Sneezing: fits of; at end of cough. Styes. Throat, sore. Whooping-cough.

Characteristics

Senega was introduced to medical practice by Dr. Tennant, of Virginia, who was led to test its properties through hearing that the Indians used it as an antidote to snake-bites. As it relieved the symptoms of snake venom, Tennant concluded that it might also relieve dyspnœa, cough, and hæmoptysis arising from other causes, and gave it with success in cases of pneumonia, pleurisy, and hydro-thorax (Teste). Other old-school practitioners used it as an expectorant in chronic respiratory catarrh, acute phthisis, rheumatic fever, dropsies, incipient cataract, croup. It is at present regarded as "a stimulant, diaphoretic, and expectorant, especially in chronic bronchitis." It is in affections of the chest, eyes, and bladder that homœopaths have found it of most service, and the extensive provings have supplied excellent data for prescribing. Teste (who includes Seneg . with Phos. ac., Cham . and Canth . in his Conium group) considers it specially suited to "females of slender and tall make, thin, but having retained a good deal of sprightliness and moral power." He cites this case in which it gave great relief: Lady, 45, had contusion, pressive, sometimes cramping, very old pains in chest, anterior wall of which was sensitive to contact (on both sides); pains at times < , at times > in open air; respiratory mucus at apices feeble, without rhoncus; dyspnœa when walking, and especially when going up stairs; paroxysms of vesicular agitation in chest as if she would faint; catarrhal cough, not very frequent, with ropy, not very profuse expectoration; spitting of red blood now and then; paroxysms of palpitations, during which the rhythm of the heart changed to an almost imperceptible tremor, and which, in some instances, lasted all night, and even longer; menses regular; the palpitation generally took place after the period or in consequence of some moral emotion. This patient was apparently of the type Teste mentions, and the case shows that the correspondence of type must not be too closely considered, for other observers, including myself, have found Seneg . more suited to plethoric, phlegmatic persons; persons tending to obesity; fat persons of lax fibre; fat, chubby children; and old persons. Senega is one of the sources of Saponin . It has a nauseous taste, and leaves a scraping sensation in the throat. Guernsey outlines its action thus: "Where there is a great burning in the chest, either before or after coughing; profuse secretion of mucus. Dryness of inner parts which are usually moist; dry skin. General affections of the windpipe; left side of chest particularly; right eye; lower eyelids." Nash (who has only obtained success with low attenuations of Seneg .) has cured many cases of "cough with great accumulation of mucus which seems to fill the chest, with much rattling, wheezing, and difficult breathing." It is especially valuable, he says, with old people, but works well with others. I have used Seneg . only in the 30th, and have found it answer to its indications exceedingly well. In the case of a very stout elderly lady, of phthisical family history, who had pneumonia of both bases, especially right, very violent paroxysmal cough, with ropy, difficult expectoration tinged with blood, Seneg . 30 quickly relieved a very dangerous condition when other remedies had failed. Leading indications for Seneg . in chest cases are: ( 1 ) Great accumulation of clear albuminous mucus, which is difficult to expel. ( 2 ) Great soreness of walls of chest. ( 3 ) Pressure on chest as though lungs were forced back to spine. Whooping-cough in fat, chubby children, clear mucus like white of egg, difficult to raise, cough < towards evening. The soreness of the chest walls makes Seneg . appropriate to cases of pleurodynia. There is hoarseness, and the throat is so dry and sensitive it hurts the patient to talk. Cough often ends in sneezing. Clinton Enos (quoted A. H ., xxiv. 253) relates this case: A very fat girl, æt. 10, with cold, damp feet and hands and sweating about the head, had spells of sneezing for two years, ever since whooping-cough. Several spells a day lasting about half an hour. Sharp pains in chest and temples during the attacks. In nose a large quantity of mucus with stuffed-up feeling. One dose of Seneg . 200 removed the whole trouble in a week. A. R. Macmichæl ( N. A. J. H ., xl. 824) cured Mrs. B., 40, of acute Catarrhal laryngitis which had lasted ten days with Seneg . 1. There was hoarseness; hawking of thick, tenacious mucus (profuse, a quart in twenty-four hours) from larynx, especially in morning, with burning sensation. Relief set in within three hours from first dose. Seneg . acts on the eyes even more powerfully than on the nose, producing pains, inflammation both of the exterior and interior of the eye and lids, and much disorder of vision. The eye troubles are < when looking intently at an object; and another modality brought out in the proving has taken the rank of a keynote: > Bending head backwards. The symptom in which it was first noticed was this: "When walking towards the setting sun he seemed to see another smaller sun hover below the other, assuming a somewhat oval shape when looking down, disappearing on bending the head backwards , and on closing the eyes." The prover took from 40 to 60 drops of the tincture. " < Bending head forward" and " < stooping" are scarcely less characteristic. Eye symptoms as an accompaniment of head symptoms indicate Seneg .: "Violent rush of blood to head when stooping, especially to eyeballs, where a painful pressure is experienced." Extreme tenderness is another note of Seneg .: "A sort of aching pain in head, in sinciput, and occiput, not < by pressure; < sitting in warm room; accompanied with pressure in eyes, which did not bear touch ." Pressure; dulness; heaviness are the leading head sensations. There is painful sensitiveness of hearing. The digestive organs are disordered. Seneg . has been used as an emetic. The urinary organs are very prominently affected, irritability and catarrh being the leading effects. There is frequent urging, scalding in urethra before or after micturition, and the urine is loaded with mucous threads. Peculiar Sensations of Seneg . are: Eyes, as if they were pressed out; as if eyeballs were being expanded; as if soap in eyes. As if red pepper throughout nostrils and air passages. As if chest too narrow. Dyspnœa as from stagnation in lungs. As if lungs pushed back to spine. As if chest would burst. Wrist as if sprained. Joints as if lame. Seneg . has the gnawing hunger and empty feeling well marked. It is predominantly left-sided in its action. The symptoms are < by touch and pressure (but pressure on left side > ). < Rubbing. Most symptoms < rest; > walking in open air. Rest > dry cough. Lying down = tickling in larynx; fear of suffocation. Lying on right side = pain in chest. Motion = pain under sternum. Motion of arms = soreness of walls of chest. < Going up stairs. Stepping hard, walking fast, or running = pain through mediastinum; piercing pain between scapulæ. > Bending head back. < Stooping; bending forward. < Morning; and night. Whooping cough < towards evening. < In warm air; in warm room. Lachrymation, sore chest. Cough and chilliness < in open or cold air. Sweat > . < Looking intently at an object.

Relations

Antidoted by: Bry.; also Arn., Bell., Camph. Followed well by: Calc., Pho., Lyc., Sul. Compare: Saponin (a derivative of Senega root). In bronchial affections, Ammon. Fat, plethoric people disposed to catarrhs, Calc. Muscular asthenopia, loss of voice, paralysis (facial, &c.), Caust. Laryngeal and pulmonary catarrh, Pho. Bronchial catarrh, Spo. Whooping-cough, Coc. c., K. bi. (Seneg. clear phlegm, cough < towards evening; Coc. c. clear phlegm < morning; K. bi. yellow phlegm < morning). Pleurodynia, pleurisy, Bry. Mucous phthisis, Stn.

Causation

Bites, poisonous. Sprains.

Mind

Hypochondriacal melancholy, with great readiness to take offence. ─ Excessive anguish, often with accelerated and hasty respiration. ─ Liveliness, with irritability, and disposition to give way to paroxysms of rage and fury.

Head

Head bewildered, with dizziness. ─ Feeling of confusion and emptiness in head, with aching of eyes (or pressure in them < by touch), and obscuration of sight. ─ Vertigo, with noise in ears. ─ Headache which also affects the eyes, is < by heat of a room, and > in open air, or in a cold temperature. ─ Pressive pain in forehead and orbits after dinner, esp. l. side of head, > in open air. ─ Drawing in sinciput and temples, extending to face. ─ Sanguineous congestion in head and eyes when stooping. ─ Pulsative cephalalgia, with aching of the eyes. ─ Shuddering and itching in scalp. ─ Eruption on head.

Eyes

Pain in eyes as if dilated and pushed out of orbits. ─ Aching of eyes in evening, esp. by candle-light and when stooping. ─ Congestion of blood in eyes when stooping. ─ Burning sensation in eyes when reading, and writing (in evening). ─ Swelling of lids, with burning pressure and tingling. ─ Vesicles on tarsal edges. ─ Styes. ─ Dryness of eyes. ─ Lachrymation in open air, and when gazing intently at an object. ─ Accumulation of hardened dry humour on lids and lashes in morning. ─ Jerking and spasmodic drawing in lids; in r. outer canthus. ─ Convulsive contraction of lower lids. ─ Fixedness of look. ─ Oculo-motor paralysis. ─ Opacity of cornea. ─ Double vision > by bending head backward. ─ When walking towards the setting sun he seemed to see another smaller sun hover below the other, assuming a somewhat oval shape when looking down, disappearing on bending the head backwards and on closing the eyes. ─ Sensitiveness of eyes to light. ─ Confusion of the letters and dazzling of sight when reading. ─ Weakness of sight and flickering before the eyes when reading; must wipe them often. ─ All objects appear as if in the shade. ─ Obscuration of sight, with glistening before eyes, < from rubbing them. ─ Brilliant spots before sight. ─ Photophobia.

Ears

Aching in ears during mastication. ─ A cooling sensation frequently extends through l. ear. ─ Painful acuteness of hearing.

Nose

Itching in the interior of the nose. ─ Smell of pus, or as of a malignant ulcer, in nose. ─ Sneezing so often and so violently head grows dizzy; followed by thin coryza; with pain as of excoriation in chest. ─ Troublesome dryness of Schneiderian membrane.

Face

Sensation as if muscles of (l. half of) face were paralysed. ─ Heat in face. ─ Burning vesicles in commissures of lips, on upper lip (and in corners of mouth).

Teeth

The teeth are set on edge. ─ Digging in the teeth during inspiration (of damp and cold air).

Mouth

Dryness of the mouth, esp. in the morning. ─ Copious secretion of saliva. ─ Putrid breath. ─ Tongue: yellowish white or slimy in morning, with slimy, unpleasant taste; loaded with a white coating. ─ Burning sensation in throat, mouth, tongue and palate.

Throat

Sore throat, as if it were excoriated and raw. ─ Scraping, burning sensation and dryness in throat; with irritation, which provokes coughing and embarrassed speech. ─ Accumulation of tough mucus in throat, which it is difficult to hawk up. ─ Sensation of constriction in the gullet. ─ Irritation and roughness in œsophagus; burning sensation as if abraded; followed by copious discharge of mucus. ─ Inflammatory swelling of palate, throat, and uvula. ─ Copious accumulation of viscid mucus in throat and palate, which is detached in small clots.

Appetite

Impaired taste. ─ Metallic taste in mouth, or taste of urine. ─ Clammy taste in mouth. ─ Anorexia, esp. in morning. ─ Gnawing hunger, with sensation of emptiness in stomach. ─ Violent, burning thirst.

Stomach

Risings. ─ Eructations; which > the mucus and hawking of mucus from the stomach. ─ Loathing and nausea, with inclination to vomit, which seems to proceed from the stomach, with retching. ─ Vomiting, with diarrhœa and great anguish. ─ Spasms (colic) in stomach, with pressive pain, also at night. ─ Pressure below pit of stomach. ─ Burning sensation in stomach. ─ Sensation of emptiness in stomach.

Abdomen

Boring and digging pains in abdomen, esp. in epigastrium and hypochondria. ─ Gnawing in (upper) abdomen. ─ Burning and squeezing (oppression) in epigastrium during an inspiration. ─ Drawing between the integuments of the abdomen, as by a foreign body. ─ Flatulent affections, with a sensation of a general bearing down towards hypogastrium.

Stool and Anus

Slow, hard, and scanty evacuation, with effort, and followed by pressure in anus and rectum. ─ Frequent, loose evacuations of consistence of pap. ─ Diarrhœa, with vomiting and great anxiety. ─ Watery stools spirting from anus.

Urinary Organs

Diminished secretion of urine. ─ Increased secretion of urine. ─ Wetting the bed at night. ─ Urine frothy, or mixed with slimy filaments, and becoming turbid and cloudy when it cools (or deposits a thick sediment, yellowish red, with upper stratum yellow and flocculent). ─ Reddish sediment, with flakes of mucus in urine. ─ Sensation of an obstruction in urethra when urinating. ─ Shootings and burning sensation in urethra after and during the emission of urine. ─ Urging and scalding before and after micturition. ─ Irritability of bladder; subacute and chronic catarrh.

Male Sexual Organs

Increased sexual desire, with painful erections. ─ Slight burning in glans when urinating. ─ Paroxysmal cramp-like pain in region of glans. ─ Tickling of prepuce and glans.

Female Sexual Organs

Menses too soon; has to press her l. side at tenth rib to relieve gnawing pain. ─ Slimy leucorrhœa.

Respiratory Organs

Great dryness of the larynx, esp. in morning and forenoon. ─ Sudden hoarseness when reading aloud. ─ Hoarseness and roughness in throat. ─ Hacking cough from irritation in larynx. ─ Tickling and burning sensation in larynx, esp. when lying down, with danger of suffocation. ─ Abundant accumulation of mucus in larynx and trachea, with short respiration. ─ Tearing and stinging in larynx and trachea. ─ Dry and shaking cough, excited by a tickling in larynx, < in open air (and from walking fast). ─ Expectoration of transparent and yellow mucus when coughing. ─ Cough, with profuse expectoration of viscid mucus. ─ Shaking cough, like whooping-cough, from burning and tickling in larynx in morning, with copious expectoration of tough, white mucus (like white of egg). ─ The cough is < in evening and at night, during rest, in warm room, when sitting, when lying on the (l.) side.

Chest

Dyspnœa, with sensation of stagnation in lungs. ─ Shortness of breath when walking quickly and going up stairs. ─ Troublesome oppression of chest, esp. in open air and on stooping, as if thorax too narrow. ─ Pressure in chest, esp. during repose, and in morning, or at night, on waking. ─ Great sensibility in interior coats of chest when touched. ─ Squeezing and spasmodic pains in chest, with agitation and anxiety, esp. when lying on side. ─ Certain movements cause pain, as if chest were too tight; disposed to expand the chest; this leaves soreness. ─ Burning, sore pain under sternum, esp. during motion and on deep inspiration. ─ Orgasms of blood; oppression with flushes of heat; oppression, esp. during rest. ─ Shootings in chest, esp. when coughing and taking an inspiration. ─ Burning, aching, and stitches in l. half of chest; < lying on r. side. ─ Pleurisy r. side of chest with thickening. ─ Pain as from excoriation in chest, < by external pressure, movement, coughing, and sneezing. ─ Soreness of walls of chest on moving arms, esp. l. ─ Great soreness in walls of chest and great accumulation of clear albuminous mucus which is difficult to expectorate; pressure on chest as if lungs were pushed back to spine. ─ Accumulation of mucus in chest, larynx, and trachea. ─ Phthisis mucosa; hydrothorax. ─ Profuse secretion of mucus in lungs of old people. ─ Drawing and burning sensation in the chest. ─ Tingling in the chest. ─ Violent congestion of blood in chest, with pulsation and ebullition, leading even to syncope. ─ The majority of symptoms are most violent during repose, but do not obstruct respiration.

Heart

Aching, burning pain in chest becomes seated in region of heart, whence it radiates to l. axilla. ─ Aching and pressure in heart region; during deep inspiration. ─ Violent shaking palpitation of heart.

Back

Aching and drawing in back and shoulder-blades, as well as between and under shoulder-blades. ─ Pain under r. shoulder-blade, as if chest should burst, when coughing or drawing a long breath. ─ Burning sensation and subcutaneous itching over whole back.

Upper Limbs

Paralytic drawing in forearms as far as fingers. ─ Anxious starting and jerking in upper arm during siesta. ─ Pain as if sprained in wrists. ─ Sticking, crawling, prickling in palms.

Lower Limbs

Sensation of excessive lassitude in legs, and of paralysis in joints. ─ Wrenching pain in hip-joint. ─ Trembling in legs. ─ Great weakness of feet, esp. in forenoon.

Generalities

Where there is great burning in chest, either before or after coughing; profuse secretion of mucus. ─ Dryness of inner parts which are usually moist: dry skin. ─ Diseases of mucous membranes. ─ Dropsy of internal organs (esp. after inflammation). ─ Inflammation of internal organs. ─ General affections of windpipe; l. side of chest particularly; r. eye; lower eyelids; < from looking fixedly at any object for a long time. ─ Sensation of great general lassitude, with trembling, esp. in lower limbs. ─ Great moral and physical depression, with stretching of limbs, heaviness, emptiness, and throbbing in head. ─ Great weakness, which seems to proceed from the chest. ─ Fainting, when walking in open air. ─ Several symptoms, esp. those of chest, are < by repose, and > by walking in open air.

Skin

Bites of poisonous animals or animals when in a state of rage.

Sleep

Great disposition to sleep in evening, and deep, lethargic sleep soon after going to bed. ─ Sleep, towards morning, disturbed by affections of chest, or else by cramps in stomach. ─ In the morning one frequently wakens from dyspnœa.

Fever

Pulse hard and frequent. ─ Frequent shivering, proceeding from lassitude in limbs. ─ Shuddering in back, with heat in face, burning sensation in the eyes, dyspnœa, shootings in the chest, and throbbings in the head. ─ Chilliness and chill almost only in the open air, with weakness in legs and dyspnœa. ─ Shudders over the back, with heat in face and chest symptoms. ─ Sudden flushes of heat. ─ Skin becomes warmer and moister. ─ Feeling of warmth in l. half of face. ─ Profuse perspiration commenced and the disagreeable symptoms were quite removed. ─ Profuse diaphoresis. ─ Perspiration wanting.

The Guiding Symptoms of Our Materia Medica

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

Sensorium

Confused or reeling sensation in head.
Dulness and stupefaction of head, with pressure in eyes and obscuration of sight.

Inner head

Aching pain in head, in sinciput and occiput, not increased by pressure, every day when sitting in a warm room, accompanied by pressure in eyes which did not bear touch.
Pressing pain in forehead and orbits after dinner, especially left side, < in open air.

Outer head

Shuddering on hairy scalp.

Sight and eyes

Drawing and pressure in eyeballs, with diminution of vision.
Weakness of sight and flickering before eyes when reading, necessitating frequent wiping of eyes, which aggravates.
While reading eyes feel dazzled.
Flickering and running together of letters when reading.
Flickering before eyes and weakness of sight when continuing to read or write.
On walking toward setting sun, another small sun seemed to float beneath it, on turning eyes outward it changed into a compressed oval, disappeared on bending head and closing eyes.
Weakness of eyes with burning and lachrymation.
Obscuration of cornea.
Sensitiveness of eyes to light.
Obscuration of sight, with glistening before eyes, < from rubbing them.
Hypopion in scrofulous subjects.
To promote absorption of lens fragments after cataract operations or injuries to lens.
Paralysis of muscles of eye.
Iritis and specks upon cornea.
Opacities in vitreous.
Paresis of superior oblique.
Oculo-motor paresis ; Mr. A., æt. 33, four years ago eyes began to be weak with difficulty in seeing clearly ; drooping lids, was obliged to pull them open ; began to see double with right image obliquely above real one ; stopped using eyes and improved ;
this summer visited Mammoth Cave, followed by a return of double vision ; walked into room with head thrown backward (occasionally shutting his left eye and holding his head straight), this position relieving confusion of vision ; double vision caused him to make missteps,
etc. ; paresis of left oculo-motor nerve, with paralysis of superior rectus ; upper lid very weak, falling half over eye ; difficult convergence ; weak back ; deficient muscular power ; subject to bilious headaches.
Aching over orbits, eyes tremble and water when he looks at an object intently or steadily ; eyes weak and watery when reading.
Eyes pain as if they were pressed out, as if eyeballs were being expanded, especially in evening in candlelight.
Congestion of blood to eyes, with pulsation in them on stooping.
Swelling of eyelids, with tingling in them.
Hardened mucus in morning in eyelashes.
Lachrymation in open air when looking intently at an object.
Blepharitis ciliaris, < in morning, much smarting, dry, crusty lashes.
Cilia hang full of hard mucus ; smarting of conjunctiva as if soap were in eyes, mornings ; blepharitis ; sometimes lids stick so after sleep they must be soaked before they can be separated.
Pimple on margin of left lower lid.
Stye on lower lid.
Hydrophthalmia with intraocular compression.

Hearing and ears

Painful sensitiveness of hearing.

Smell and nose

Sneezing for five minutes, so violent and long continued that the head became quite heavy and dizzy ; afterward a large quantity of thin watery fluid flowed from nose.
Troublesome dryness of Schneiderian membrane.
Frequent coryza, commencing with feeling as if red pepper were throughout nostrils and air passages, followed by distressing cough. θ Influenza.
Smell of pus before nose.

Upper face

Paralytic feeling in left half of face.
Heat in face.

Lower face

Burning blisters on upper lip and in corners of mouth.

Taste, speech, tongue

Tongue coated white, yellowish-white or slimy in morning, with slimy unpleasant taste.
Taste : metallic ; like urine.

Inner mouth

Increased secretion of saliva ; offensive breath.
Burning in throat, mouth and on tongue.

Palate and throat

Very dry, sore throat ; short hacking cough, which tears and scrapes throat ; loss of voice, even whispering is very painful to throat and causes cough ; < in open air.
Inflammation and swelling of throat and palate.
Dryness in throat and accumulation of tough mucus which is difficult to hawk up.

Appetite, thirst. desires, aversions

Much thirst, with loss of appetite.
Gnawing hunger with sensation of emptiness in stomach.

Hiccough, belching, nausea and vomiting

Nausea, vomiting of mucus.
Nausea as from stomach, with vomiturition and straining to vomit.

Scrobiculum and stomach

Pressure below pit of stomach ; sense of gnawing hunger.
Digging pain in epigastrium, disposition to flatulence ; outbursts of ill-humor.
Cramps and burning in stomach.

Abdomen and loins

Ascites accompanying hepatic diseases, peritonitis or abdominal tumors.
Colic, with pressing pain.
Warmth and oppression in upper part of abdomen when inhaling.
Gnawing in upper part of abdomen.
Griping in bowels.

Stools and rectum

Mushy or copious watery stools.
Purging, vomiting and anxiety ; watery stools, spurting from anus.
Stools : scanty, hard, dry and large, insufficient.
Watery diarrhœa, with griping pain in bowels ; nausea and vomiting.

Urinary organs

Urine : diminished ; dark and frothy for a long time after passing ; passed only night and morning ; at first mixed with mucous filaments, afterward thick and cloudy ; frequent, with greenish tinge depositing a cloudy sediment ; acrid, increased
in quantity.
Involuntary micturition at night in bed.
Irritability of bladder.
Urging and scalding before and after micturition ; mucous shreds in urine ; on cooling becomes thick and cloudy, or deposits a thick sediment, yellowish-red with the upper stratum yellow and flocculent. θ Catarrh
of bladder.
Subacute and chronic catarrh of bladder.
Burning and stinging in urethra during and after micturition.

Female sexual organs

Menses come on too soon ; has to press in her left side at tenth rib to relieve gnawing pain.

Voice and larynx. trachea and bronchia

Sudden hoarseness when reading aloud.
Aphonia from severe cold or excessive use of voice.
Irritation in larynx inducing a short, hacking cough.
Sudden tickling in larynx excites cough.
Tenacious mucus in larynx inducing frequent hawking, which results in discharge of small lumps of mucus.
Constant inclination to clear throat and swallow saliva.
Great dryness of throat impeding speech.
Titillating, scraping feeling in throat.
Catarrh of pharynx in a tenor lasting six months ; not hoarse but when mucus collected in fauces was uncertain of his ability to bring out either high or low tones ; voice feeble ; throat red, covered with a thin layer of dark green,
half-transparent mucus ; burning and raw feeling in throat and hawking.
Influenza : constant tickling and burning in throat and larynx, leaving patient not a moment's rest and preventing him from lying down ; fear of suffocation.
Grippe with stitches in right eye when coughing.
Constant burning and tickling in larynx and throat, with danger of suffocation when lying ; copious expectoration of tough mucus ; relief by outdoor exercise. θ Influenza.
Laryngeal phthisis.
Increased secretion of mucus in trachea, which he is constantly obliged to hawk up.
Copious accumulation of tough mucus in air tubes which causes the greatest, often ineffectual, efforts at coughing and hawking for its expulsion. θ Bronchitis.

Respiration

Sensation as if chest were too narrow, with tendency to relieve this feeling by taking deep inspirations and respirations. θ Asthma.
Short breathing and oppression of chest when going up stairs.
Dyspnœa as from stagnation in lungs.
Oppressed breathing, as if chest were not wide enough, especially in open air and when stooping.
Shortness of breath from accumulation of mucus in chest and trachea.
Dyspnœa, especially during rest.

Cough

Dry cough with oppression of chest and roughness in throat.
Frequent short and hacking cough, occasioned by an increased secretion of mucus in larynx, especially in open air and when walking rather fast.
Dry cough with aphonia ; < in cold air and walking, > by warm air and rest.
Irritating cough with secretion of mucus, with much pain about chest.
Soreness of chest, dry cough ; throat dry ; hoarseness, later much mucus in bronchi and trachea.
Cough < in morning, while dressing and before breakfast.
Irritating, shaking dry cough, in chronic bronchitis in the aged.
Loose, faint, hacking cough, with expectoration of a little phlegm.
Cough often ends in a sneeze.
Shaking cough like whooping cough, from burning and tickling in larynx, in morning, with copious expectoration of tough, white mucus like white of egg.
Whistling cough ; great oppression of chest ; pressing pains when breathing ; cough dry or yellow expectoration, at times streaked with blood ; inflammatory conditions of chest ; useless in convulsive stage. θ Whooping
cough.
Whooping cough : chubby children ; tough expectoration clear like white of egg ; cough < toward evening ; expectoration difficult to raise ; crushing weight on chest ; < at night with excessive rattling of mucus.

Inner chest and lungs

Congestion to chest, with flushes of heat in face and frequent pulse in afternoon.
Tightness and oppression of chest, especially during rest.
Rattling in chest ; loose but feeble cough with little expectoration ; hydrothorax.
Feeling as if thorax were too narrow, with constant inclination to widen it by deep inhalation ; burning in chest.
Certain movements, especially stooping, cause a pain in chest as if it were too tight ; there is a disposition to expand chest by frequent stretching ; this leaves considerable soreness in chest.
Soreness through chest, with feeling of oppression when in open air and when reposing ; headache > in open air.
Soreness in chest, < by pressure, coughing and sneezing.
Violent aching pain in chest, at night, when waking.
Burning sore pain under sternum, especially during motion and on every deep inspiration.
Stitches in chest when coughing and breathing.
Shooting stitches in chest < during inspiration and rest.
Dull stitches and burning pain in chest when lying on right side.
Walls of chest sensitive or painful when touched or when he sneezes (often as a remnant of colds).
Stepping hard, walking fast or running causes pulling, sore pain as if through mediastinum.
Accumulation of mucus in chest.
Constant accumulation of phlegm in bronchial tubes, with irritation in bowels, tendency to diarrhœa ; irritation may alternate from chest to bowels and vice versa.
Profuse secretion of mucus in lungs of old people, with loose, rattling cough.
Great rattling of mucus in chest, with flying pains in chest.
Great soreness in walls of chest and great accumulation of clear albuminous mucus which is difficult to expectorate ; pressure on chest as if lungs were pushed back to spine.
Profuse expectoration of clear, transparent mucus ; whole chest filled with large mucous rales. θ Grippe.
Tough mucus causes the greatest, often ineffectual efforts of coughing and hawking for its expulsion. θ Bronchitis.
Bronchitis of old people ; irritating, shaking cough.
Twentieth day of pneumonia in a woman, æt. 56, right side, violent stitches, sinking strength, small, scarcely perceptible pulse, short rare cough without expectoration, great rattling of mucus in chest, somnolence, dejected features.
Adynamic pneumonia ; low fever and much prostration.
Pleuro-pneumonia in left lung ; at first Bry., Acon., Bell. had been given ; the lancinating pains had completely disappeared, but there was still some oppression ; expectoration was without blood, but very difficult, and strength was greatly reduced ; in
evening covered with cold sweat ; pulse very small and wiry ; oppression so great he must sit upright constantly ; mucus stagnating and rattling in chest.
Pleurisy in a latent form ; dulness in lower three-fourths of right side of chest ; ægophony of same side toward upper part of lung ; pulse 110 ; Seneg. removed not only the effusion but also the thickening of the pleura consequent on the pleurisy.
Pleurisy ; after inflammation has passed ; copious mucous secretion with difficult expectoration ; tightness and burning in chest.
Subacute or chronic exudations of pleura ; catarrhal pleuro-pneumonia.
Hydrothorax and ascites after scarlatina ; anasarca ; ascites ; hoarse and feeble cough, with little expectoration.
Phthisis mucosa.

Heart, pulse and circulation

Boring pain about heart.
Heart's beat shakes the whole body ; violent palpitation while walking.
Pulse hard and frequent.

Outer chest

General sensitiveness or simple pain of walls of thorax, especially when touching them, it is felt less during a deep inspiration.
Soreness of walls of chest on moving arms, particularly left.

Neck and back

Pressing pain between scapulæ, especially when stepping hard, or on other movements which concuss the chest.
Pulse rather hard and accelerated.
Pain under right shoulder blade, as if chest would burst, when coughing or drawing a long breath.

Upper limbs

Sensation as if wrist were sprained.

Lower limbs

Sensation of great weakness or debility in legs ; joints feel as if lame.

Rest. position. motion

Most symptoms, especially those of chest, are < when at rest and > when walking in open air.
Rest : dyspnœa ; dry cough > ; tightness of chest ; shooting through chest.
Cannot lie down : tickling in larynx ; fear of suffocation.
Lying on right side : pain in chest.
Stooping : oppressed breathing ; pain in chest.
Motion : pain under sternum ; of arm, soreness of walls of chest.
Going up stairs : shortness of breathing and oppression of chest.
Stepping hard, walking fast or running ; causes pulling, sore pain as if through mediastinum ; pressing pain between scapulæ.
Walking : fast, causes short, hacking cough ; violent palpitation.

Nerves

Faintness when walking in open air.
Great mental and bodily lassitude.
Lassitude and slight trembling of upper extremities.
Sensation of trembling, with no visible trembling.
Legs feel weak, joints feel lame.
Great debility with stretching of limbs, confusion, heaviness and beating in head.
Great weakness which seems to originate in chest.
Mental and physical debility, with dropsical effusions.

Sleep

In evening, as soon as one lies down, heavy sleep ; in morning awakes frequently with dyspnœa.

Time

Morning : hardened mucus in eyelashes ; blepharitis ciliaris < ; tongue slimy ; cough < ; awakes from dyspnœa.
Afternoon : heat in face and frequent pulse.
Evening : pressure in eyes < ; toward, whooping cough.
Night and morning : urine passed only.
Night : involuntary micturition ; whooping cough < ; aching in chest.

Temperature and weather

Warm air : dry cough <.
Warm room : pain in head.
Open air : pain in forehead < ; lachrymation ; sore throat and cough < ; oppressed breathing ; short, hacking cough ; headache > ; oppression of chest ; faintness when walking ; chilliness and chill only in.
Cold air : dry cough <.

Fever

Shuddering over back, heat in face, weak, burning eyes, beating headache, difficult breathing, body feels bruised.
Flushes of heat ; skin hot ; skin becomes warmer and moister.
Chilliness and chill almost only in open air, with weakness in legs and dyspnœa.
Shudders over back with heat in face and chest symptoms.
Sudden flushes of heat.
Perspiration wanting.

Attacks, periodicity

Alternate : irritation from chest to bowels and vice versa.
For five minutes : sneezing.
For six months : catarrh of pharynx.

Locality and direction

Right : stitches in eye ; stitches in side ; pain under shoulder blade.
Left : pain in forehead < ; pimple on margin of lower lid ; paralytic feeling on half of face ; must press side to relieve pain ; pleuro-pneumonia in lung ; moving arm causes soreness of walls of chest.

Sensations

Eyes pain as if they were pressed out ; as if eyeballs were being expanded ; as if soap were in eyes ; as if red pepper were throughout nostrils and air passages ; as if chest were too narrow ; dyspnœa as from stagnation in lungs ; as if lungs
were pushed back to spine ; as if chest would burst ; as if wrist were sprained ; joints as if lame.
Pain : about chest ; in walls of thorax ; under right shoulder blade.
Flying pains : in chest.
Boring pain : about heart.
Digging pain : in epigastrium.
Shooting stitches : in chest.
Stitches : in right eye ; in chest.
Dull stitches : in chest.
Cramps : in stomach.
Gnawing : in bowels ; under tenth rib left side.
Pressing pain : in forehead and orbits ; in abdomen ; between scapulæ.
Drawing : in eyeballs.
Aching pain : in head ; over orbits ; in chest.
Stinging : in urethra.
Smarting : of conjunctiva.
Burning : of eyes ; in throat, mouth and on tongue ; in stomach ; in urethra ; in larynx ; in chest ; and under sternum.
Soreness : of chest ; in walls of chest.
Scraping feeling : in throat.
Heat : in face.
Beating : in head.
Pressure : in eyes ; below pit of stomach ; on chest.
Tingling : in eyelids.
Titillating feeling : in throat.
Dryness : of Schneiderian membrane of throat.
Oppression : in upper part of chest.
Tightness : of chest.
Dulness : in head.
Emptiness : in stomach.
Weakness : of legs.
Reeling sensation : in head.
Paralytic feeling : in left half of face.

Tissues

Catarrhs that tend to leave sore and tender places in walls of chest as if there were left circumscribed spots of inflammation.
Diseases of mucous membranes ; especially of lining of larynx, trachea and bronchia.
Subacute or chronic exudations of pleura, catarrhal pleuropneumonia (after Bry.) in cachectic pleuritis, in hydrothorax, œdema pulmonum, in diseases of heart, primary and secondary anasarca ; in dropsies after albuminuria ; hydrophthalmia with intraocular compression ; in
ascites accompanying hepatic diseases, peritonitis and abdominal tumors ; in lymphatic constitutions with tendency to mucous and serous exudations.
Dropsy of internal organs (especially after inflammation).
Inflammation of internal organs.

Touch. passive motion. injuries

Touch : walls of chest painful ; of vesicles causes itching.
Pressure : on left side > ; pain ; soreness of chest <.
Rubbing : glistening before eyes <.
Bites of poisonous or enraged animals.

Skin

Burning vesicles, itching when touched.

Stage of life, constitution

Especially suitable for plethoric, phlegmatic persons.
Girl, æt. 5 ; after scarlatina ; ascites.
Girl, æt. 13, after miliary fever ; hydrothorax and anasarca.
Tenor singer, æt. 26, suffering six months ; catarrh of pharynx.
Miss X., æt. 30, small stature, poor constitution, pale, thin face ; latent pleurisy.
Man, æt. 33 ; oculo-motor paresis.
Man, æt. 33, slender, leading a sedentary life, first noticed trouble with eyes four years ago ; paresis of oculo-motor nerve.
Woman, æt. 56 ; pneumonia.
Man, æt. 60 ; pleuro-pneumonia.

Relations

Compare : Ammon . in bronchial affections ; Calc. ost . in fat and plethoric people predisposed to catarrhs ; Caustic . in muscular asthenopia, loss of
voice, paralytic conditions ; Phosphor . in laryngeal and pulmonary catarrh ; Spongia in bronchial catarrh.

Lectures on Homoeopathic Materia Medica

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

Lecture

Senega is an old lung tonic, and I suspect it has been an ingredient in most of the lung medicines for the last one hundred years.

It has been only partially proved, and needs further proving to bring out its particulars. When a medicine has been fully proved , it can be said of it that its symptoms are so well known that they can be examined as an image, i. e., the drug has affected all portions of man in such a manner as to stamp itself upon all of his natural actions and functions in a way peculiar to itself. This remedy has done some wonderful things, and these results in many instances can be only attributed to mere guesswork. This is about all that can be said in favor of careless and loose. prescribing.

Chest

Senega is more especially a chest medicine. It is full of chest symptoms and its relation to the air passages makes it worthy of consideration, although many of the individualizing symptoms have not yet been brought out.

From its most striking action on the mucous membrane of the air passages, its chief use has been in chest complaints, asthmatic complaints, in various forms of dyspnoea, cardiac and asthmatic. There are violent pains in the chest, especially like those of pleurisy. It has also symptoms like pneumonia; one of its most useful spheres is in pleuro-pneumonia. The pleuro-pneumonia of cattle has almost found its specific in Senega.

The finding of specifics is more likely to be true of animals than of human beings, as a remedy that is only partially indicated - may cure an animal, but it requires much finer discrimination among remedies in dealing with human beings.

A violent attack of pleurisy associated with pneumonia, too deep and too vicious for Bryonia, often finds its remedy in Senega. Senega is a sort of cross between Bryonia and Rhus tox . The violent symptoms are those of Bryonia, yet it is worse from rest, unlike Bryonia. The symptoms of Senega are not so much like Rhus tox., but it has an amelioration like that of Rhus tox., better from motion, the pains being worse when at rest.

The chest pains, rheumatic pains and inflammatory pains are worse during rest, but the cough is made worse from motion and the asthmatic troubles are made worse from the slightest motion. The Senega patient cannot walk up hill; he cannot walk against the wind, because it brings on chest symptoms and dyspnoea.

The rattling in the chest is as marked as in Antimonium tartaricum the tenacious mucus is as copious, as gluey and stringy as in Kali bichromicum, so much is this the case that he can get it only part way up, and with a spasmodic effort he swallows it, like Spongia and Causticum.

Senega is a remedy of deep action, as well as an acute remedy. It is filled with sharp and acute sufferings, sufferings that come on with rapidity, from taking cold, or from a cold that involves the whole chest.

Eyes

There are some eye symptoms in the text that are worthy of attention.

"Paralysis of the muscles of the eyes."

"Iritis and specks upon the cornea."

"Paresis of the superior oblique."

"Aching over the orbits."

"Eyes pain as if pressed out."

"Blepharitis."

It has cured opacity of the vitreous humor.

Larynx

Of the larynx the text says,

"Aphonia from severe cold or excessive use of the voice."

"Constant tickling and burning in the larynx, leaving the patient not a moment's rest and preventing him from lying down; fear of suffocation."

When Senega is indicated there is a dryness in the mouth and throat, and the cough is incessant; there is a constant metallic coppery taste in the mouth and throat, as if he were coughing up pulverized copper.

Mouth

A very little of this medicine in proving will produce such a dryness and metallic taste in the mouth, and such a tickling at the root of the tongue, the pharynx and larynx, and it will finally end in a copious, thick, gluey discharge.

"Grippe, with stitches in right eye when coughing."

"Laryngeal phthisis."

"Copious accumulation of tough mucus in air-tubes, which causes the greatest often ineffectual, efforts at coughing and hawking for its expulsion."

This thick, tough mucus will lead most routine prescribers to give such medicines as Kali bichromicum, Lachesis and Mercurius corrosivus, entirely overlooking the usefulness of Senega.

It is a remedy of very wide range in complaints of the chest, larynx and trachea, in the severe "colds" that settle in these parts, especially when associated with tenacious mucus, so tenacious that he cannot cough it up; it seems at times that he will strangle; he will cough and vomit in the effort to expel the mucus, but it seems to disappear and he does not know where it goes.

"Sensation as if the chest were too narrow."

"Most violent suffocation with asthma."

"Short breathing and oppression of chest when going up stairs."

"Dyspnoea especially during rest."

"Dry cough with aphonia; worse in cold air and from walking," is like Phosphorus and Rumex.

Those two remedies cause a cough, which commences when he first goes into the air. Senega, has another feature like Phosphorus, in that the cough is so violent that it makes him shake from head to foot; it brings on a tremulous feeling all over the body. He coughs from inhaling cold air; the cough is violent and the expectoration most difficult. In old, chronic catarrh of the chest for the earlier stages of which Bryonia was the most similar remedy, with this thick, tough, ropy mucus,

Senega is most suitable, and even when the patient is in the last stages of consumption. The symptoms become most troublesome, the gagging and coughing and effort to expectorate because of the thick, ropy mucus, are very distressing.

He breaks out in a cold sweat, especially on the upper part of the body. The chest is full of coarse rales from the tough mucus which he cannot expectorate. We think in such a case of remedies like Antimonium tartaricum, Pyrogen, Kali bichromicum, etc., but this remedy is just as suitable, especially when there is a great amount of dryness in the throat and larynx, dryness in the throat during sleep and observed on waking, and inability to expectorate the tough ropy mucus.

"Shaking cough," i. e., the cough is so violent that it shakes the whole frame.

The concussion from the cough causes discharge of urine involuntarily and causes violent pains in the head and over the eyes. Senega, is called for especially in those cases where the pleura has been involved at one stage or the other.

The pains are increased and it seems as if the chest would be torn on coughing.

"Walls of the chest sensitive or painful when touched."

"Profuse secretion of mucus in lungs of old people."

Senega is one of the leading remedies for the tough mucus and coarse rales in old people without any other symptoms. It very often clears the throat and helps to patch up an old man when he is breaking down.

"Great rattling of mucus in chest and flying pains in chest-"

It has sometimes cured pleuro-pneumonia when there was the extreme exhaustion of Phosphorus and Arsenicum. In such cases Senega has caused reaction; it has such weakness. Especially is it suited in the advanced cases of phthisis, when those symptoms that I have mentioned are present.

It acts as a palliative. It does excellent patch work without serious aggravations, as it relates more especially to superficial conditions. It is not as deep acting as Sulphur and Silicea . We give such remedies only when we have a reasonable assurance that we can cure, when the patient is yet curable.

But when we have given up all hope, then we pay more attention to the most painful parts; we pay more attention to the local symptoms, to the group which causes the most suffering and attempt to do patch work.

If the sufferings in the chest and the exhaustion become most severe it is true that Arsenicum will patch him up a little and make him feel more like life, and he will go on to the end with more comfort. If the pains in the chest are most severe such medicines as Senega or Bryonia will help him; if he is sore and feels as if bruised and he most move from side to side Arnica will relieve; but these are not the remedies to go deep into the life and eradicate a deep-seated disease like phthisis.

Yet with these one may take a consumptive patient in comfort to the very grave, by simply patching him up and prescribing for his immediate sufferings. Homoeopathic remedies give these incurable sufferers much greater comfort than sprays and anodynes.

The pains of the chest are worse during rest and on inspiring. Stitching pains in the chest when lying on the right side. Great soreness in the walls of the chest. Pain under right scapula when coughing. The chest pains are better while walking in the open air.